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965 NE 92 St (4)— ^_ CLCtOS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS UR CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FI %TURE6 LILT CialECIL SEPTIC TANK SEWER CONK. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CiDFb i3. - -l— CMECK ?,;.edit No , 2Cp o Application is hereby mad. for he 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 ��L :� at� =r-- No. Street fde3kstered Architect and /or Engine Employing Plumber's Name Location and Legal Description Lot---____ _______ _ Blot Stra and Number where work is to be performed —No � ? .4I .__ Street- Ea:,tc walk to be performed and purpose of building (By Floors) __ ------ .-------------- ___. -_._ New Building __- Remodeling Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. j es. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Street--_-_ - .. Subdivision 3 //-/ Addition ________.___________..._ Repairs No. of Stories Size Septic Tank__ C — - - -- --Type of Tank__ Capacity Gals Feet of Drain Tile__.�� E Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well - -__ - - -- ---- •--- -�__ -- Size of Soakage Pit ( Signed) _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and a y'..' his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of F ...: a Pennanent Supplement, and has corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perfon3d 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 rez tared 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. My Commission Expires 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 aye 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 theraln 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 matriAals and /or workmanship. ;UILDING LECTRICAL 'LUMBING Jwner of wilding Architect Contractor nr Builder C/ .egal ) escription Lot v MIAMI SHORES VILLAGE, FLORIDA ?l DATE >� 19 'PERMIT N?' 4114 Contractor's j .. License No. f ' Work to be performed under this Permit Bl. Address of e„,,... alue of 1 Amt. of 0 iuilding r ; 4 _ , Project Permit This permit is granted to the con tractor or builder named above to construct the building or to install the equipment or devic described in the appli- :ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ,lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be re}ybked =t any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this lermit is granted is the understanding that the contractor or builder named above assumes the res onsibili for a thorough knowledge of the ordinances and egulations pertaining to the work covered hereby whether shown on the plans or drawings or in e stat �,' is or specifications and that he assumes respon- ONTRACTOR OR BU Subdi- vision ;ibility for work done by his agents, servants or employees. / Signed • to s" INSPECT • In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinan s and regulations Iertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Mimi Shores Village. in accepting this permit I assurie regponsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY By