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580 NE 92 St (2)2- / L) Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit(ed for the building or other structure herein described. This application is made in compliance and confzi - t,I.y 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. i( � ' Owner's Name and Address ......... ms , Registered Architect and /or Engineer. . Block_ Street and Number where work is to be performed —No rla% . �. t et ' i:.mployIng Plumber's Name Location and Legal Description Lot_ State work to be performed and purpose of building (By Floors)._ New Building Feet of Drain Tile._1 Size Septic Tank Nature of Water Supply: City —Well. Amount of Permit $ STATE v' OF FLORIDA, i 88. i3NT71" OF DADE. MIAMI SHORES VIL .AGE PLUMBING INSPECTION DEPARTME<' : APPLICATION FOR PLUMBING AE ( Signed) _ Date Street. Street__ Remodeling __ Addition Repairs No. of Stories. Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ermanent 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 otipe or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on . or to be performed • , er) th mit, as are linersed by Miami Shores Village. (Signed -- - -_ ,- - =- 2d_ Master P umber. '.efo a me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared t one wJ! known, and who, being by me first duly sworn, upon oath deposes and says that he is the cf above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts 'Yr.. rtr ted 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. CLOSETS BATH TUBE SHOWERS S LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING DRINK FOUNT' NS TOTAL FI %TORES CONTE:. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWI PA' G POOL I - -- CONTR LIST CHECK _. 2- / L) Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit(ed for the building or other structure herein described. This application is made in compliance and confzi - t,I.y 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. i( � ' Owner's Name and Address ......... ms , Registered Architect and /or Engineer. . Block_ Street and Number where work is to be performed —No rla% . �. t et ' i:.mployIng Plumber's Name Location and Legal Description Lot_ State work to be performed and purpose of building (By Floors)._ New Building Feet of Drain Tile._1 Size Septic Tank Nature of Water Supply: City —Well. Amount of Permit $ STATE v' OF FLORIDA, i 88. i3NT71" OF DADE. MIAMI SHORES VIL .AGE PLUMBING INSPECTION DEPARTME<' : APPLICATION FOR PLUMBING AE ( Signed) _ Date Street. Street__ Remodeling __ Addition Repairs No. of Stories. Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ermanent 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 otipe or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on . or to be performed • , er) th mit, as are linersed by Miami Shores Village. (Signed -- - -_ ,- - =- 2d_ Master P umber. '.efo a me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared t one wJ! known, and who, being by me first duly sworn, upon oath deposes and says that he is the cf above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts 'Yr.. rtr ted 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.