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715 NE 93 St (5)Permit No 'M ' 1 .— Date...-- - - - - 11 -$4 Application is hereby made 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 confcrmlty with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miaeri Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified cr not. A Dopy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address1r.M. F1iiSe Registered Architect and /or Engineer Employing Plumber's Nam e Rose Septic T an P.Qe•3� a x 344 A 1eah Location and Legal Description Let. Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors)— Amount of Permit $ 15.10 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building.._..._ _- -•-- --.......- - -- Remodeling —__ Addition. Size Septic Tank —. _Type of Tank Feet of Drain Tile Dist Feet of Tank oe Drain :held from Nature of Water Supply: City—Well. Size. of Soakage Pit The undersigned applicant for this building permit does hereby certify chat he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and hr. rnm- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the woe,- 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. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned uthority, a notary • . duly authorized to administer oaths and take ac , personally appeared anti::cl e Tr ran 7 Ri -" : 5 No 7 / . � Street Tank Co. $ i7- 559‘ 33R ,._ . e...�..�....�....... itreeRs._......_:...... 11 Bl4 Subdivision._.____ 715 Iri. .9.13 atrp.t Street. ( Signed ) Repairs (y, ed)_ Plumbing Inspector. to me well known, and who, being by me fir my sworn, u pea oath depose) and says that he is the._. -4 r_�.�.c�'� �-i of the above described construction, that has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. r C.ILL-‘ Notary Public, State NOTE: A re- inspection fee of $1.00 will be made wises seob esoirasp¢atfoa is made naoessery by improper notice for inspection, or faulty materials and /or workmanship. No. of Stories . ........ i/ Master Plumber. CLOSRS BATH TUBS SnowIR. Tonics sum" SLOP SINKS LAUNDRY Tua• URINAL/ CATCH BASIN FLOOR DRAIN DRINK NO FOUNT' NS TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SIWIR Comm. DRAIN FIELD SOAKAOIE PITT G TRAP 80LAIU MEATIER DEEP WELL 5 SYSTEM Sw IM's POOL CLONTR. 3I / c q ..t, 4 , '" CHECK Permit No 'M ' 1 .— Date...-- - - - - 11 -$4 Application is hereby made 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 confcrmlty with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miaeri Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified cr not. A Dopy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address1r.M. F1iiSe Registered Architect and /or Engineer Employing Plumber's Nam e Rose Septic T an P.Qe•3� a x 344 A 1eah Location and Legal Description Let. Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors)— Amount of Permit $ 15.10 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building.._..._ _- -•-- --.......- - -- Remodeling —__ Addition. Size Septic Tank —. _Type of Tank Feet of Drain Tile Dist Feet of Tank oe Drain :held from Nature of Water Supply: City—Well. Size. of Soakage Pit The undersigned applicant for this building permit does hereby certify chat he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and hr. rnm- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the woe,- 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. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned uthority, a notary • . duly authorized to administer oaths and take ac , personally appeared anti::cl e Tr ran 7 Ri -" : 5 No 7 / . � Street Tank Co. $ i7- 559‘ 33R ,._ . e...�..�....�....... itreeRs._......_:...... 11 Bl4 Subdivision._.____ 715 Iri. .9.13 atrp.t Street. ( Signed ) Repairs (y, ed)_ Plumbing Inspector. to me well known, and who, being by me fir my sworn, u pea oath depose) and says that he is the._. -4 r_�.�.c�'� �-i of the above described construction, that has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. r C.ILL-‘ Notary Public, State NOTE: A re- inspection fee of $1.00 will be made wises seob esoirasp¢atfoa is made naoessery by improper notice for inspection, or faulty materials and /or workmanship. No. of Stories . ........ i/ Master Plumber. Owner's Name Job Address Municipality Show: Electrical service and septic tank location. .A -12 Indicate North PERMIT APPLICATION Fill in dimensions of lot. ) Fron Lot Block Subdivision Cost of Job $ Note: This sheet has been prepared for the expediting of building permits. All information required here is necessary and must be given. Omission of any of the required information will result in a delay in obtaining the permit and the installation of the job. In addition to the information required above, it is absolutely necessary that the distances from the building to the lot lines on awning shutter jobs, and the distances from the patio or carport to the two nearest lot lines be indicated on the sketch.