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PLUMBING'PLUMBING ter Work done by Address of work / Owner SePtic Tank Drainfield Plumbing - Final When realy Date Time INSPECTION Permit No. ( -4 Received by (_) Gas Ruh 1 Ton out Jr 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 ___ _____ Registered Architect and /or Engineefr ;F \x ^" Employing Plumber's Name___ –__" �, s Location and Legal Description Lot Block Subdivision_ ,__ • "' Street and Number where work is to be performed—No Street _ __¢___ • State work to be performed and purpose of building (By Floors) New Building _, Remodeling Addition Repairs _ No. of Stories _ -r " Size Septic Tank "' S. b. Type of Tank it Amount of Permit $_ STATE OF FLORIDA, ss. COUNTY OF DADE. MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT • My Commission Expires PLUMBING INSPECTION DEPARTMENT No. Street No L' Street__{ Capacity Gals Dist. Feet of Tank or Drain Field from Well L Feet of Drain Tile.. Nature of Water Supply: City-40qt Size of Soakage Pit (Signed) Notary Public, State of Florida 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are m licensed by Miami Shores Village. P' T ' (Signed) ti ir – – 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: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materizls and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS I TOTAL FIXTURES O.r CONTR. LIST It, "' , �i ., '7f.: *"3f! i CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL I CONTR. LIST r "�' CHECK T 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 ___ _____ Registered Architect and /or Engineefr ;F \x ^" Employing Plumber's Name___ –__" �, s Location and Legal Description Lot Block Subdivision_ ,__ • "' Street and Number where work is to be performed—No Street _ __¢___ • State work to be performed and purpose of building (By Floors) New Building _, Remodeling Addition Repairs _ No. of Stories _ -r " Size Septic Tank "' S. b. Type of Tank it Amount of Permit $_ STATE OF FLORIDA, ss. COUNTY OF DADE. MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT • My Commission Expires PLUMBING INSPECTION DEPARTMENT No. Street No L' Street__{ Capacity Gals Dist. Feet of Tank or Drain Field from Well L Feet of Drain Tile.. Nature of Water Supply: City-40qt Size of Soakage Pit (Signed) Notary Public, State of Florida 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are m licensed by Miami Shores Village. P' T ' (Signed) ti ir – – 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: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materizls and /or workmanship. ; 4 " I r k Permit N MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 ___ ; _,^' Registered Architect and /or Engineer T __________< Employing Plumber's Name ______F Location and Legal Description Lot _ I S:1 Street and Number where work is to be performed —No 11 _ a- State work to be performed and purpose of building (By Floors) New Building C SS. 1.1. sr _ Amount of Permit $_ —____J My Commission Expires Block (Signed) No _ Street Remodeling Addition Repairs 1 - y - Street Street ft _4 —___ .. Type of Tank ______ ��_'�.L_— ___________ Capacity Gals Size Septic Tank Feet of Drain Tile_____ Dist. Feet of Tank or Drain Field from Well - -- -- -- - - - - -- - 1 Nature of Water Supply: City —ilia .Size of Soakage Pit 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 under signed agrees to employ only such sub- contractors, on work to be pe rmed under this per nit, as are licensed by Miami Shores Village. aster Plumber. Notary Public, State of Florida No. of Stories t Plumbing Inspector. STATE OF FLORIDA, ) COUNTY OF DADE. 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. NC)TE: 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- T ORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST r Q � (� Q C 0 11 £ / CHECK SEPTIC TANK SEWER NN. CONN. DRAIN FIELD • O . SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL • I , CONTR. LIST / CHECK Permit N MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 ___ ; _,^' Registered Architect and /or Engineer T __________< Employing Plumber's Name ______F Location and Legal Description Lot _ I S:1 Street and Number where work is to be performed —No 11 _ a- State work to be performed and purpose of building (By Floors) New Building C SS. 1.1. sr _ Amount of Permit $_ —____J My Commission Expires Block (Signed) No _ Street Remodeling Addition Repairs 1 - y - Street Street ft _4 —___ .. Type of Tank ______ ��_'�.L_— ___________ Capacity Gals Size Septic Tank Feet of Drain Tile_____ Dist. Feet of Tank or Drain Field from Well - -- -- -- - - - - -- - 1 Nature of Water Supply: City —ilia .Size of Soakage Pit 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 under signed agrees to employ only such sub- contractors, on work to be pe rmed under this per nit, as are licensed by Miami Shores Village. aster Plumber. Notary Public, State of Florida No. of Stories t Plumbing Inspector. STATE OF FLORIDA, ) COUNTY OF DADE. 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. NC)TE: 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. Work done 122: Address of workil>4 — : 1 Vr Owner Septic Tank Drainfield Plumbing - Final When rsady / Received by Date Time PLIBING IifSPECTION Permit No. tiuwer Gas LeuPh bi Toi' out _BUILDING' EI.ECTRiC1CC. PERMIT A N? 592 PLUMBING Owner of Building Architect and /or Engineer Contractor or Builder_ Proposed Location LOT This permit is issued to the building above described, as per applicati that all facts stated in the application are tr and compliance with the building laws of regulations of the building department of laws, ordinances or rules and regulations, • AMOUNT NAME NAME NAME I t B LOCK SUS - DIVISION ADDRESS ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT l tk I . _ += > 19 LICENSE NO. NO. LICENSE NO. STREET To– – - - -- — - n, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition e and that the construction complies strictly with the plans and specifications submitted, and in accordance the State of Florida and with the building ordinances and zoning laws of Miami Shores Village. and rules and iami Shores illage. This permit may be revoked at any time upon the violation of any provisions of said upoaf any I nge in the plans and specifications unauthorized by the building inspector. RECD. PAYMENT ACCT. DEPT. INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordi canes and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shore' Village. t Dated_- - - - - -- �----=-------- - - - - -- , 19 -- (SEAL) NOTE: A charge of $1.00 will be finade for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice fofi inspection or faulty materials and/or workmanship.