715 NE 93 St (6)Permit No L 7 -- Date �' , , ,� �— ( 6
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
stucture 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.
Size Septic Tank
Feet of Drain Tile 1 D
Amount of Permit $_ 12-
STATE OF FLORIDA,
COUNTY OF DADE. j
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
O w n : . r ' a Name and Address � � _ K 0/9 a �� No._- --_-- _-------- -_--- __-_ -- Street
Registered Architect and /or Engineer_________________.
Employing Plumber's Name �) A /6-g �� No._
Location and Legal Description Lot________________ _ Elock ..... Subdivision
Street and Number where work is to be performed —No W ( Street
State work to be performed and purpose of building (By Floors) _ .____
New Building __ ______ Remodeling___ Addition
__Type of Tank
__Dist. Feet of Tank or Drain Field from Well
of Water Supply. City. Well._______._ �1 Size of Soakage Pit
( Signed)
Repairs
Street._
Capacity Gals
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that 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 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.
��
9-NS `� (Signed) _____ ,C� _
- Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to see well known, and who, being by me first duly sworn, upon oath depos;s and says that he is the
of the above described construction, that he has carefully read the fore3oing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
No. of Stories . . ......................
NOTE: inspection fee of $1.00 will be made when such re -insp ction is made' necessary by improper notice for inspection, or faulty
materia /a /or workmanship.
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Permit No L 7 -- Date �' , , ,� �— ( 6
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
stucture 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.
Size Septic Tank
Feet of Drain Tile 1 D
Amount of Permit $_ 12-
STATE OF FLORIDA,
COUNTY OF DADE. j
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
O w n : . r ' a Name and Address � � _ K 0/9 a �� No._- --_-- _-------- -_--- __-_ -- Street
Registered Architect and /or Engineer_________________.
Employing Plumber's Name �) A /6-g �� No._
Location and Legal Description Lot________________ _ Elock ..... Subdivision
Street and Number where work is to be performed —No W ( Street
State work to be performed and purpose of building (By Floors) _ .____
New Building __ ______ Remodeling___ Addition
__Type of Tank
__Dist. Feet of Tank or Drain Field from Well
of Water Supply. City. Well._______._ �1 Size of Soakage Pit
( Signed)
Repairs
Street._
Capacity Gals
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that 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 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.
��
9-NS `� (Signed) _____ ,C� _
- Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to see well known, and who, being by me first duly sworn, upon oath depos;s and says that he is the
of the above described construction, that he has carefully read the fore3oing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
No. of Stories . . ......................
NOTE: inspection fee of $1.00 will be made when such re -insp ction is made' necessary by improper notice for inspection, or faulty
materia /a /or workmanship.