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835 NE 92 St (6)Permit No I 23 7 L Amount of Permit $ 10 STATE OF FLORIDA, O COUNTY OF DADE. I My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 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 No. -_ ---- __-------- - - - - -_ Street Registered Architect and /or _ _______ Employing Plumber's Name____Iir.Q.Q.k6 Spiitikler Co. N 0. 880 _ 1V.l+l. 54th S beet_ Location and Legal Description Lot Block_ Subdivision. Street and Number where work is to be performed —No 835 N .E . 92 Street Sti State work to be performed and purpose of building (By Floors)D=il1 New Building______ __.____--- .-- .- __ -_ -- Remodeling _ __ ___________ Addition__._..__ _ .___ Repairs No. of Stories. Size Septic Tank_ .— _ _ __ _- ____ -- -Type of Tank Feet of Drain Tile.____ __ ___ _ ___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.__ _ _ _ _ We 11 __ _ _ __ ____Size of Soakage Pit Capacity Gals. (Signed)- 'k • i a lum ) inp 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 no . or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be form_ d and �perinit, as are licensed by Miami Shores Village. (Signed). Date _._J$11 Notary Public, State of Florida er 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. 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 TUBS SHOWERS LAVA. TORIlS SINKS SLOP SINKS LAUNDRY TUBS URI CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER C NN. DRAIN FIELD SO PIT OE GREASE SOLAR HEATER DE WELL SPRKLR. SYSTEM SPOOLO V Spr $ J gt CONTR. LIST 1 1 ` -- CHECK Permit No I 23 7 L Amount of Permit $ 10 STATE OF FLORIDA, O COUNTY OF DADE. I My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 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 No. -_ ---- __-------- - - - - -_ Street Registered Architect and /or _ _______ Employing Plumber's Name____Iir.Q.Q.k6 Spiitikler Co. N 0. 880 _ 1V.l+l. 54th S beet_ Location and Legal Description Lot Block_ Subdivision. Street and Number where work is to be performed —No 835 N .E . 92 Street Sti State work to be performed and purpose of building (By Floors)D=il1 New Building______ __.____--- .-- .- __ -_ -- Remodeling _ __ ___________ Addition__._..__ _ .___ Repairs No. of Stories. Size Septic Tank_ .— _ _ __ _- ____ -- -Type of Tank Feet of Drain Tile.____ __ ___ _ ___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.__ _ _ _ _ We 11 __ _ _ __ ____Size of Soakage Pit Capacity Gals. (Signed)- 'k • i a lum ) inp 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 no . or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be form_ d and �perinit, as are licensed by Miami Shores Village. (Signed). Date _._J$11 Notary Public, State of Florida er 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. 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. Permit No - 0 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 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 ! ! '�� STATE OF FLORIDA, } COUNTY OF DADE. mmission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engler- _ ___________ ___ Employing Plumber's Name Location and Legal Description Street and Number where work is to be perfo ed —No No._ State work to be performed and purpose of building (By Floors )____.___ ..... ___ ... ________ Date Street ���qq ( - - E'er ____ S'_l _ - - - _ " ' —2 No._ Street___ ____ —__ Block Subdivision b � �c��1 Street \ New Building________________ _______ Remodeling_ Addition_________ Repairs No. of Stories- Size Septic Tank_ ...... - _______- ..... - __— ___________ —_---_Type of Tank Feet of Drain Tile_________ _____Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City g - ' - . Size of Soakage Pit Amount of Permit $ . r - — ( Signed)_ _ -_ -_ -_ 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. ( Signed) _ Notary Public, State of Florida 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. NOTE: re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty ma /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES cetera. LIST r" � �� " / � � CHECK 17 s j ci a /u , SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAIX HK DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST /` n G - , � .. - -- CHECK ) 1� �'4 Permit No - 0 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 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 ! ! '�� STATE OF FLORIDA, } COUNTY OF DADE. mmission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engler- _ ___________ ___ Employing Plumber's Name Location and Legal Description Street and Number where work is to be perfo ed —No No._ State work to be performed and purpose of building (By Floors )____.___ ..... ___ ... ________ Date Street ���qq ( - - E'er ____ S'_l _ - - - _ " ' —2 No._ Street___ ____ —__ Block Subdivision b � �c��1 Street \ New Building________________ _______ Remodeling_ Addition_________ Repairs No. of Stories- Size Septic Tank_ ...... - _______- ..... - __— ___________ —_---_Type of Tank Feet of Drain Tile_________ _____Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City g - ' - . Size of Soakage Pit Amount of Permit $ . r - — ( Signed)_ _ -_ -_ -_ 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. ( Signed) _ Notary Public, State of Florida 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. NOTE: re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty ma /or workmanship. 1 � 0