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557 NE 92 St (2)MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. _____ -- -- 4 Application is hereby ma a 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 . _./. of 1 Z5 No. _ Jrd _ 7- - -.,l, Street.. - -9� Registered Architect and /or Engineer. —._ ___— _ - - - -_ _ -- ___ - - - - - -- _- - - - -_ -- Employing Plumber's Name / �/- � .Q� - - - ✓ G617 — /e /� L_ 4(J( No. -_9 c% - --- ��> � Street__—_ L-- � --- --- -- •--- ••- •- -•-- ...... Location and Legal Description Lot____.__ __.________ _ — Block Subdivision Street and Number where work is to be performed —No `�. 5 7 �� 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___ / _0 ___________ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.__ - _ —.._ Size of Soakage Pit 0 Amount of Permit $---- - - - - -- z - -- — - -- — -- (Signed)_ Capacity Gals STATE OF FLORIDA, 1 COUNTY OF DADE. j (Sign Date._ 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 ' im in the work to be performed under this permit; and will post or cause to be posted' for inspection on t si e of the or su • publi. ni .+ or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contracto , o , work - rfo ; f d un r this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida U��- '�- - - - / -- Master Plumber. 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. 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. CLOSRS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK -_ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL COMM. LIST i CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. _____ -- -- 4 Application is hereby ma a 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 . _./. of 1 Z5 No. _ Jrd _ 7- - -.,l, Street.. - -9� Registered Architect and /or Engineer. —._ ___— _ - - - -_ _ -- ___ - - - - - -- _- - - - -_ -- Employing Plumber's Name / �/- � .Q� - - - ✓ G617 — /e /� L_ 4(J( No. -_9 c% - --- ��> � Street__—_ L-- � --- --- -- •--- ••- •- -•-- ...... Location and Legal Description Lot____.__ __.________ _ — Block Subdivision Street and Number where work is to be performed —No `�. 5 7 �� 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___ / _0 ___________ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.__ - _ —.._ Size of Soakage Pit 0 Amount of Permit $---- - - - - -- z - -- — - -- — -- (Signed)_ Capacity Gals STATE OF FLORIDA, 1 COUNTY OF DADE. j (Sign Date._ 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 ' im in the work to be performed under this permit; and will post or cause to be posted' for inspection on t si e of the or su • publi. ni .+ or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contracto , o , work - rfo ; f d un r this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida U��- '�- - - - / -- Master Plumber. 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. 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT C -1 2S Date L��`S� Permit No _ ... ._. _._.... _.....___._ 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 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 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 4 0. Tkorn N ST Street..._.__.._..._._.._... - -- - -___ -- Registered Architect and /or E eer Employing Plumber's Name �� �� �Q Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City-Well. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. Location and Legal Description Lot_. Bloeir . Subdivision Street and Number where work is to be performed -No S A S ' ? 4/4_7- Street.. Z S I _.._...__.._.. State work to be performed and purpose of building (By Floors) - .... ...._ New Building _ _.. Remodeling_ _ _ Addition. to IVY eeem.reve .� ..ose.......— ....... Street .._.e..._..— ....._..m.._........,._.. ••. Type of Tads —_ Feet of Tank or Drain Field from Well ______ Size of of Soakage Pit. (Signed)- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Su lement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed y 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 ynder th)s permit, as are licensed by Miami Shores Village. (Signed Repairs No. of Stories Capacity Gals..._.. ........ • •••• Plu g Inspecto . kir:4 Master Plumber. 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 materials re-inspection fee of 61.00 will be made when such re is made•neoessary by improper notice for inspection, or faulty D CCLOUTS BATH TUDS SNGW[RE LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CoNTR. LIST CNECK --- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL. CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT C -1 2S Date L��`S� Permit No _ ... ._. _._.... _.....___._ 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 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 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 4 0. Tkorn N ST Street..._.__.._..._._.._... - -- - -___ -- Registered Architect and /or E eer Employing Plumber's Name �� �� �Q Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City-Well. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. Location and Legal Description Lot_. Bloeir . Subdivision Street and Number where work is to be performed -No S A S ' ? 4/4_7- Street.. Z S I _.._...__.._.. State work to be performed and purpose of building (By Floors) - .... ...._ New Building _ _.. Remodeling_ _ _ Addition. to IVY eeem.reve .� ..ose.......— ....... Street .._.e..._..— ....._..m.._........,._.. ••. Type of Tads —_ Feet of Tank or Drain Field from Well ______ Size of of Soakage Pit. (Signed)- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Su lement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed y 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 ynder th)s permit, as are licensed by Miami Shores Village. (Signed Repairs No. of Stories Capacity Gals..._.. ........ • •••• Plu g Inspecto . kir:4 Master Plumber. 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 materials re-inspection fee of 61.00 will be made when such re is made•neoessary by improper notice for inspection, or faulty D