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PLUMBINGsa. Amount of Permit 8 2 5 0 0 0 My Commission E:pirss (Signed MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No d fir Date .. .2_7 2 - .aa____... ..._.� 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 st building during progress of work. Owner's Name and Address M c D e 3'mo t+ Registered Architect and /orr Engineer £ y ^ / zx►P ti'on � sYfe) I.e�aT s ipH > � i � Lot /� vl p ��_ R,_. -., -' BI Na. � r � A:] Cl ..... � .••••• sube�ivlaion/.���" �' • ... 22 S Street and Number where work is to 1" E to be performed —No 2 t . Street. State work to be performed and purpose of building (By Floors) New Building.._..._ — _..---- ......._.. Remodeling____ —__ Addition -. — No 01l FE - S?- Street...— _.. Size Septic Tank. -_ _Type of Tank___ Feet of Drain Tile ..._2110 - F,q e f t a Di Feet of Tank or Drain Field from Well..._.__. -- _______ .... _ Nature of Water Supply: City—Well. Size of Soakage Pit 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 59813, Compiled General Laws of Florida Permanent Supplement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worm 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, • , won . to be . • under 'nit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, • 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 toregaing application, and that he chid sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whoa stra ada'sroar ' y by frep'oper Hoch for Laspection, ex faulty materials arid/or workmanship. CLOUTS BATH TUB S SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALB CATCH BASIN FLOOR DRAIN DRINK I NO FOUNT' NS TOTAL FIIITURES CONTR. LIST —� CHECK r SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL a SYSTEM SW IM'O POOL CONTR. LIST CHECK sa. Amount of Permit 8 2 5 0 0 0 My Commission E:pirss (Signed MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No d fir Date .. .2_7 2 - .aa____... ..._.� 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 st building during progress of work. Owner's Name and Address M c D e 3'mo t+ Registered Architect and /orr Engineer £ y ^ / zx►P ti'on � sYfe) I.e�aT s ipH > � i � Lot /� vl p ��_ R,_. -., -' BI Na. � r � A:] Cl ..... � .••••• sube�ivlaion/.���" �' • ... 22 S Street and Number where work is to 1" E to be performed —No 2 t . Street. State work to be performed and purpose of building (By Floors) New Building.._..._ — _..---- ......._.. Remodeling____ —__ Addition -. — No 01l FE - S?- Street...— _.. Size Septic Tank. -_ _Type of Tank___ Feet of Drain Tile ..._2110 - F,q e f t a Di Feet of Tank or Drain Field from Well..._.__. -- _______ .... _ Nature of Water Supply: City—Well. Size of Soakage Pit 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 59813, Compiled General Laws of Florida Permanent Supplement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worm 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, • , won . to be . • under 'nit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, • 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 toregaing application, and that he chid sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whoa stra ada'sroar ' y by frep'oper Hoch for Laspection, ex faulty materials arid/or workmanship. Permit No. 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. l � Owner's Name and Address .. Y. f ' _ _ -_ _ No._.-- - - - -_. - -- . Street. Registered Architect and /or Engineer Employing Plumber's Name - ` n ` F No.. - -:1_ Street Location and Legal Description Lot .. - .1C' ill d ' 3 ____ __________Block Subdivision (.3 N 1"4 J/ 1)1 Street and Number where work is to be performed —No. _�__. �l.�i • Street. State work to be performed and purpose of building (By Floors) New Building � Remodeling Addition. v C ! _ %i _� e_ --- - --- -- Size Septic Tank ' (C. __ Type of Tank Feet of Drain Tile ,__ -.0 - Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed) Repairs Date- ,`- `f C t 3 / (t Capacity Gals. 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 work to be performed under this permit, as are licensed by Miami Shores Village. 1 (Signed) k T - -� T' ' y 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 lie 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 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- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR 'D DRAIN - INKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. CRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL CONTR. LIST -- CHECK Permit No. 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. l � Owner's Name and Address .. Y. f ' _ _ -_ _ No._.-- - - - -_. - -- . Street. Registered Architect and /or Engineer Employing Plumber's Name - ` n ` F No.. - -:1_ Street Location and Legal Description Lot .. - .1C' ill d ' 3 ____ __________Block Subdivision (.3 N 1"4 J/ 1)1 Street and Number where work is to be performed —No. _�__. �l.�i • Street. State work to be performed and purpose of building (By Floors) New Building � Remodeling Addition. v C ! _ %i _� e_ --- - --- -- Size Septic Tank ' (C. __ Type of Tank Feet of Drain Tile ,__ -.0 - Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed) Repairs Date- ,`- `f C t 3 / (t Capacity Gals. 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 work to be performed under this permit, as are licensed by Miami Shores Village. 1 (Signed) k T - -� T' ' y 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 lie 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 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.