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61 NE 93 St (9)a Permit No ........... 7 . 7 Size Septic of Tank —_ Feet of Drain Tile__.__ — . __ -Dist. Feet of Tank or Drain Field from Well. - Nature of Water Supply: City — Well.____-_-.-- __. »______— _--Size of Soakage Pit Amount of Permit $ 4.00 My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Capacity Gals ...... -- — — Application is hereby nude for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address D4' l�11 is O t K . No. 6 1 N o G} reet -�� ..._..- -._ -.. —. Registered Architect and /or Engineer Employing Plumber's Name._ Q.S-P... Lc__ Lank f'O .. NO,..,- .,,..e.,.®..,.m....,...., StreeL..o,.., Location and Legal Description Lot P. 0 . B o x 344 Hi 31. g , Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building —. Remodeling Addition Repairs No. of Stories mbing Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati, as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) - Master Plumber. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ..._._...........-- •----- - - - - -- -- _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whce ouch re- inspection is made'neoessary by improper notice for Inspection, or faulty materials and /or workmanship. CLO•aTS BATH TUBS SHOWER• LAVA- TORIES SINKS SLOP SINK• LAUNDRY Twos URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N• TOTAL FIXTURES CONTR. LIST — CHECK SEPTIC TANK SEWER CONN. DRAIN SOAKAGE FIELD PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•O P001. CONTR. 1 r LIST --- -r 3° CHECK a Permit No ........... 7 . 7 Size Septic of Tank —_ Feet of Drain Tile__.__ — . __ -Dist. Feet of Tank or Drain Field from Well. - Nature of Water Supply: City — Well.____-_-.-- __. »______— _--Size of Soakage Pit Amount of Permit $ 4.00 My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Capacity Gals ...... -- — — Application is hereby nude for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address D4' l�11 is O t K . No. 6 1 N o G} reet -�� ..._..- -._ -.. —. Registered Architect and /or Engineer Employing Plumber's Name._ Q.S-P... Lc__ Lank f'O .. NO,..,- .,,..e.,.®..,.m....,...., StreeL..o,.., Location and Legal Description Lot P. 0 . B o x 344 Hi 31. g , Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building —. Remodeling Addition Repairs No. of Stories mbing Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati, as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) - Master Plumber. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ..._._...........-- •----- - - - - -- -- _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whce ouch re- inspection is made'neoessary by improper notice for Inspection, or faulty materials and /or workmanship. GLnJETB BATH TUBS SH SHOWERS LAVA- TORIES S SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST C --- — H ECK — — H —. E— - -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST ` _. CHICK Permit No g MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby Inane for the approval of the detailed statement of the plans and specifications herewith submitted for the building or. other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and ell provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ........ Nk' ' _Dennis _Ot Kain__ _ ..... _ No. 61 Street Registered Architect and /or Engineer_. -.__.. ___. ______._ ___.__— _ .----- __ ---_ Employing Plumber's Name R4Z_e__aepti_i,_.Tank._Qo - Tnc. -- No._ z552 ._ - -..� Street. W. 3rd Ave..Hialeah Location and Legal Description Lot____ _ ___. _ _____ ___ Block_ Subdivision_._ _._ Street and Number where work is to be performed —No 61 Street. State work to be performed and purpose of building (By Floors) _._ _________ New Building __ Remodeling____._____ Addition Repairs No. of Stories Size Septic Tank _ Type of Tank Feet of Drain Tile 25 aka Dr_•__i _e1ist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____ _ __._Size of Soakage Pit Amount of Permit $ Capacity Gals (Signed)_ (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pe plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor performed under this permit; and will post or cause to be posted' for inspection on the site of the work suc required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo licensed by Miami Shores Village. Date 10/29/62 N.E. .93rd St. N.E. 93rd St. 3 4 Plumbing Inspector. ations as an employer of labor nt Supplement, and has com- oyed by him in the work to be public notice or notices as are rmed under this permit, as are Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly, sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- Inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship.