Loading...
835 NE 92 St (8)MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No '' .. Date... -• -_ -- _... :._.� 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 W ei e °° No. e r3 s Street/V-CZ Registered Architect and /or Engineer Employing Plumber's Name 41 CSI Location and Legal Description Lot. Bloc Subdlvislon.. __ -- . � Street and Number where work is to be performed —No c= / a sst. _..._ / .�_..__.. � - i State work to be performed and purpose of building (By Floors) fit'.. �. A. 2L ! ` -- ?-j .. /,R'" L� .. �— �....... -.. New Building- - - -..— _--- - - - - -- Remodeling— -- Addition., e Ri No . o f Stories . ................. Size Septic Tank— 4.1.W _____T of T a�� Capacity _ Feet of Drain Tile Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. _C Size of Soakage Pit Amount of Permit $ k C My Commission Expires (Signed)._ (Signed) mil ° 1_1 -_'- Notary Public, State of Florida Plumbing Inspector: The undersigned applicant for this building permit does hereby certify that tT� erstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled neral Laws of Florida Permanent Supplement, and dint 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 arc required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under t$is gpellrriL as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 U. COUNTY OF DADE. j 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 be her carefully read the foregoing applicetion, and that be 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 whoa mob awhapaotlan is sonde nsesuery by improper note* for inspection, or faulty materials and /or workmanship. CLOSETS BATH Tut,. • LAVA• TORIES aINKG SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N• TOTAL /IIITUR[• — CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WILL SPRKLR. SYSTEM SW IM•O POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No '' .. Date... -• -_ -- _... :._.� 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 W ei e °° No. e r3 s Street/V-CZ Registered Architect and /or Engineer Employing Plumber's Name 41 CSI Location and Legal Description Lot. Bloc Subdlvislon.. __ -- . � Street and Number where work is to be performed —No c= / a sst. _..._ / .�_..__.. � - i State work to be performed and purpose of building (By Floors) fit'.. �. A. 2L ! ` -- ?-j .. /,R'" L� .. �— �....... -.. New Building- - - -..— _--- - - - - -- Remodeling— -- Addition., e Ri No . o f Stories . ................. Size Septic Tank— 4.1.W _____T of T a�� Capacity _ Feet of Drain Tile Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. _C Size of Soakage Pit Amount of Permit $ k C My Commission Expires (Signed)._ (Signed) mil ° 1_1 -_'- Notary Public, State of Florida Plumbing Inspector: The undersigned applicant for this building permit does hereby certify that tT� erstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled neral Laws of Florida Permanent Supplement, and dint 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 arc required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under t$is gpellrriL as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 U. COUNTY OF DADE. j 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 be her carefully read the foregoing applicetion, and that be 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 whoa mob awhapaotlan is sonde nsesuery by improper note* for inspection, or faulty materials and /or workmanship. // ,3 yob °' G ' E f /2? 2j' CL-q, Q�� Permit No._____ -.�_ Registered Architect and /or in /4 4/ Employing Plumber's Nam _ _ e Y 3 - — Location and Legal Description Lot. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval f pp y pproval 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 / =y C� Street and Number where work is to be performed —No ( /'` State work to be performed and purpose of building (By Floors)_ New Building ---- -- _- _ - -- --- - _ --_ -- Remodeling -- _ --_ -- Addition Size Septic Tank Feet of Drain Tile.__ Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, 4 COUNTY OF DADE. No. _ __ Type of Tank__- Capacity Gals. �/, %4 t. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)_ Street Repairs No. of Stories. 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 wor , to be performed under this permit, as licensed by Miami Shores Village. /^,�/ j �� -">, (Signed) 0 �o -L. Master Plumber. Street_ Subdivision Street 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 O • A re- inspection fee of $1.00 will be made when such re- inspection is made • necessary by improper notice for inspection, or faulty ma ' an /or workmanship. Notary Public, State of Florida CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK -T -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST - -- CHECK V Permit No._____ -.�_ Registered Architect and /or in /4 4/ Employing Plumber's Nam _ _ e Y 3 - — Location and Legal Description Lot. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval f pp y pproval 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 / =y C� Street and Number where work is to be performed —No ( /'` State work to be performed and purpose of building (By Floors)_ New Building ---- -- _- _ - -- --- - _ --_ -- Remodeling -- _ --_ -- Addition Size Septic Tank Feet of Drain Tile.__ Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, 4 COUNTY OF DADE. No. _ __ Type of Tank__- Capacity Gals. �/, %4 t. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)_ Street Repairs No. of Stories. 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 wor , to be performed under this permit, as licensed by Miami Shores Village. /^,�/ j �� -">, (Signed) 0 �o -L. Master Plumber. Street_ Subdivision Street 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 O • A re- inspection fee of $1.00 will be made when such re- inspection is made • necessary by improper notice for inspection, or faulty ma ' an /or workmanship. Notary Public, State of Florida