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117 NE 95 St (5)r,•�111,. �., o� 74 swan's .Name and Address 7:1160 a MIAMI SHORES VILLAGE AxP ° PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • .••; i•, ■ II.•rcby inane for the approval of the detailed statement of the plans and specifications herewith subs v. i for the building or other n.., :•■rr herein des. riI ed. This application is made in compliance and conformity with the Building Ordinance of Mi: ' Shores Village. Flonda, ... A'! i.I „.i.I ns of the Laws of the State of Florida, all ordinances of Miami Shores Village and all isles and regulate• of the Building Division .It :I,Un, Shores Villabc shall be complied with, whether herein specified or not. A copy of approved plans and spec fications mist be kept a2 •mildmit during progress of work. a 111 ... � ►.� �. .— ..._.. __. No. — _.—. Street.. ! E r,: •t 'red Arehite. and /or Engmwr.... _- _ - - -. __.__ _._- ..._....-- • -._ -. 1 n . 1 .. I, 1111 ° Plumber's Name e o p l 7 }sue �� a F No... .l °_ 2 .... 3 . 6 l:O \ �� � /� �� d Leg �L7es °ption Lot � .G.�.. / Rica Mazy' � ga S!bdl v K/ . /.. ��'1.J' Street . P. .. E _.. 1 s( • ..._... Street aiui `umber where work is to be performed No. 1 \ 1, hate w. k to be performed and purpose of IndWing (By Floor) 1.v• I . ii.ling . . Remodeling . Addition _ ....... Repairs .Type of Tank. --- ` . : . • . '' .Capacity .alL.. Sc t Septic Tank- - F'e.:t of Drain Tile ....... ...__ _.._._..Dist. Feet of Tank or Drain Field from Well ..{ Noi.ue of «'aier Supply. City —Well Date . _ ... S —2z —d�l . N•: of Stories Sire of Soakage Pit Amo.Int of Permit $ i . U.0 - - - - - -- -- ......- -- ._ ....— (Si ,? C 3 O 14, Plumbin•i 1nsl.et ter The umlersil,ln•d applicant for this building permit does hereby certify that he understands and accepts his obligations as an e n,.insri of !elan r tl.r 1• IIIn.1a Vt'ol kruen's Compensation Act, being Section 5900, Compiled General Laws of Florda Permanent rum !anent, •inl: ha. ro :.,.! .•.:I. ti r lino %lsl.nl. ti e:r•Irf and will requite similar compliance from all antratirns or orb- tvntsaeturs employd n 1 y him I 1t. ,I:I..1 uwt••r tills permit, and will post or cause to he posted' for inspection on the site of the work nuh pnhl: •sutste •e•tu'tr.1 by the Act. The undersigned agrees to employ only such sub- contractors, on work to be )rmed ;iemt --•r1 u., al es . 1 ::rnsed by Miami Shores Village. ST.NTI: t rE 1.1,01111)A, i';t)I'N - iii OE DADE. $a. (Signed) A Plumber 14.•tl,:r ins, the undersigned authority, a notary public, duly autMrtized to administer oaths and take acknowledgment,. petAn.a, . nvearet. t . A.il 1,no..•n. and K•h.,, bring by me first duly sworn, upon oath deposes and says that he 11 the . .. .11 the al,•.lr des( construction, that he has carefully read the foregoing application, and that he did sign the same, and that all acts theJein by liar, statl.i are true. My C. uu ,ua lose Expires Notary Public, State of Florida Nt,'Ii. A re inspection fee of 111.00 will be made when such rs4nipectloo is mods necessary by Improper notice for Ingse^'on. ter butt) YINl. ex workmanship. C.1 O {R{ nAT. {{ tfNOW {R• T J I _ —.J LAVA• To.,„ iIMK• SLOP SINK• LAUNOR Tua{ URINALS CATCH e A {IN ILOOR IDR,MRINO DR DRAIN ROUNT'Ns I To - .t. R - 1{TI R - - -- • Low -• 1. {r I SI•rIC. ' TANK I SEWER I CONM DRAIN ►IELo BOAKAOI PIT G TRAP SOLAR H Our WELL ePRRLR. SYSTEM SWIM 0 POOL L • I i I 1 — .."'''' - I --_ I e" I --1 1 h•-•-••• r,•�111,. �., o� 74 swan's .Name and Address 7:1160 a MIAMI SHORES VILLAGE AxP ° PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • .••; i•, ■ II.•rcby inane for the approval of the detailed statement of the plans and specifications herewith subs v. i for the building or other n.., :•■rr herein des. riI ed. This application is made in compliance and conformity with the Building Ordinance of Mi: ' Shores Village. Flonda, ... A'! i.I „.i.I ns of the Laws of the State of Florida, all ordinances of Miami Shores Village and all isles and regulate• of the Building Division .It :I,Un, Shores Villabc shall be complied with, whether herein specified or not. A copy of approved plans and spec fications mist be kept a2 •mildmit during progress of work. a 111 ... � ►.� �. .— ..._.. __. No. — _.—. Street.. ! E r,: •t 'red Arehite. and /or Engmwr.... _- _ - - -. __.__ _._- ..._....-- • -._ -. 1 n . 1 .. I, 1111 ° Plumber's Name e o p l 7 }sue �� a F No... .l °_ 2 .... 3 . 6 l:O \ �� � /� �� d Leg �L7es °ption Lot � .G.�.. / Rica Mazy' � ga S!bdl v K/ . /.. ��'1.J' Street . P. .. E _.. 1 s( • ..._... Street aiui `umber where work is to be performed No. 1 \ 1, hate w. k to be performed and purpose of IndWing (By Floor) 1.v• I . ii.ling . . Remodeling . Addition _ ....... Repairs .Type of Tank. --- ` . : . • . '' .Capacity .alL.. Sc t Septic Tank- - F'e.:t of Drain Tile ....... ...__ _.._._..Dist. Feet of Tank or Drain Field from Well ..{ Noi.ue of «'aier Supply. City —Well Date . _ ... S —2z —d�l . N•: of Stories Sire of Soakage Pit Amo.Int of Permit $ i . U.0 - - - - - -- -- ......- -- ._ ....— (Si ,? C 3 O 14, Plumbin•i 1nsl.et ter The umlersil,ln•d applicant for this building permit does hereby certify that he understands and accepts his obligations as an e n,.insri of !elan r tl.r 1• IIIn.1a Vt'ol kruen's Compensation Act, being Section 5900, Compiled General Laws of Florda Permanent rum !anent, •inl: ha. ro :.,.! .•.:I. ti r lino %lsl.nl. ti e:r•Irf and will requite similar compliance from all antratirns or orb- tvntsaeturs employd n 1 y him I 1t. ,I:I..1 uwt••r tills permit, and will post or cause to he posted' for inspection on the site of the work nuh pnhl: •sutste •e•tu'tr.1 by the Act. The undersigned agrees to employ only such sub- contractors, on work to be )rmed ;iemt --•r1 u., al es . 1 ::rnsed by Miami Shores Village. ST.NTI: t rE 1.1,01111)A, i';t)I'N - iii OE DADE. $a. (Signed) A Plumber 14.•tl,:r ins, the undersigned authority, a notary public, duly autMrtized to administer oaths and take acknowledgment,. petAn.a, . nvearet. t . A.il 1,no..•n. and K•h.,, bring by me first duly sworn, upon oath deposes and says that he 11 the . .. .11 the al,•.lr des( construction, that he has carefully read the foregoing application, and that he did sign the same, and that all acts theJein by liar, statl.i are true. My C. uu ,ua lose Expires Notary Public, State of Florida Nt,'Ii. A re inspection fee of 111.00 will be made when such rs4nipectloo is mods necessary by Improper notice for Ingse^'on. ter butt) YINl. ex workmanship. Size Septic Tank _ Type of Tank Feet of Drain Tile Amount of Permit $ My Commission Expires 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 subfnitted 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. ��++ I Owner's Name and Address ........... ___`_' f _____le y_ _ No. _ r Street Registered Architect and /or Engineer____ -�_ _— _______ _ —_ `� t __ Employing Plumber's Name_(___ t/_'!rfl1_t__i_�B_11d.___ C _L eC No._ Nature of Water Supply: City — Well.-_____— ....... -------------..... _- - - - - -_ -_ -- -Size of Soakage Pit — - - - - - -- (Signed)_ (Signed). Location and Legal Description Lot_____.__ ____________________. — Block 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_____ -__ Repairs L Str The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Sup plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b performed under this permit; and will post or cause to be posted' for inspection on the site of the work such p required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo licensed by Miami Shores Village. q S7 street_ __ a� _S__S subdivision .............. 3 a ' t /c No. of Stories. . Capacity Gals _Dist. Feet of Tank or Drain Field from Well Notary Public, State of Florida P1 bing Ins . - or. a a employer of labor ent, and has corn - m in the work to be or notices as are this permit, as are umber. i STATE OF FLORIDA, as. 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 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 $LOO will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N5 TOTAL FIXTURES CONTR. LIST _- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL __ CONTR. LIST CHECK Size Septic Tank _ Type of Tank Feet of Drain Tile Amount of Permit $ My Commission Expires 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 subfnitted 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. ��++ I Owner's Name and Address ........... ___`_' f _____le y_ _ No. _ r Street Registered Architect and /or Engineer____ -�_ _— _______ _ —_ `� t __ Employing Plumber's Name_(___ t/_'!rfl1_t__i_�B_11d.___ C _L eC No._ Nature of Water Supply: City — Well.-_____— ....... -------------..... _- - - - - -_ -_ -- -Size of Soakage Pit — - - - - - -- (Signed)_ (Signed). Location and Legal Description Lot_____.__ ____________________. — Block 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_____ -__ Repairs L Str The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Sup plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b performed under this permit; and will post or cause to be posted' for inspection on the site of the work such p required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo licensed by Miami Shores Village. q S7 street_ __ a� _S__S subdivision .............. 3 a ' t /c No. of Stories. . Capacity Gals _Dist. Feet of Tank or Drain Field from Well Notary Public, State of Florida P1 bing Ins . - or. a a employer of labor ent, and has corn - m in the work to be or notices as are this permit, as are umber. i STATE OF FLORIDA, as. 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 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 $LOO will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. Date: 7 / I herewith submit the following application for a permit covering the installation Y / of a Septic Tank For a (Store: (Garage wash floor: Waste water from a: — Building has: r St es; Offices; Apts.; Hotel Rms; ZBedrm.s Owner or Agent: LOT N01/7 BLOCK NO. ZO STJBDIVISION Address of No. of Plumbing Fixtures: Nature of water supply: Type of tank installed: Size of Soakage Pit: Additional information: Ready for Inspection: APPROVED BY: Remarks: PERMIT NO. / DADE COUNTY ZONING •CE Form #11 Old: Story: 7- Addition: Remodeled: Garage: AA t.: V Hotel: Office Bldg: Res: DIVISION OF PLUMBING INSPECTION � Address: y� �n 7Lt- L 41._ .tom �v / « // •� f !/ 7/ ✓ Laundry Tubs: Floor Drains: Well: Feet distant from all wells: Soakage Pit: New: V Feet of drain the :7S Tank capacity in gallons: c3 Purpose of same: CONDEMNED BY: /) 4/A • OWNER LOT BLOCK SUBDIVISION Issued to to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing a drainage work done in Miami Sho - . Village, Florida. For astory Fixtures Fixtures Sewer •tic Tank PLUMBING PERMIT = //'- aiami chor J $ Total $ F L 0 H I D A uilding at Village Plumbing Inspector Received Payment by / / % 7l ■9 1260 r • OWNER t LOT BLOCK SUBDIVISION . , l ',;.! e` L- " '.. • i � if LIT' ' 1 Nil r 4De Issued to to install the following described plumbing, in accordance lations of Miami Shors Village, Florida and the State of drainage work done in Miami Shores Village, Florida. `,l`' �, "e:I � x ; f` / ` / For a story { � � building at � f r 1 f Fixtures Fixtures $ Sewer aiami cJbores9' llage F L O R ID A PLUMBING PERMIT ■9 1248 14; $ lipic Tan .) $ (' Total $ N... ,,L� AA it ` s ' A fi Village Plumbing Inspector "" 1� f Q1 , . Received Payment by with the laws, statutes and regu- Florida, governing plumbing and ' rr �ttt�trd� Et��itt PERMIT A N° 258 PLUMBING Owner of Building Architect Proposed Location NAmg - ADDRESS and /or Engineer-a_ y `" , LOT BLOCK SUB -DI I 27 the building above described, b a era hcation s p pp Plan and Spec p ec cations heretofore filed in ts office that all facts stated in the application are true and that the construction complies strictly with the and compliance with the building laws of the State of Florida and with the building ordinances regulations of the building department of Miami S1 res Vill This permit may be revoked at / laws, ordinance &Qr rules and regulations, or upot any,than in the plans and specifications • s - r AMOUNT - R PAY ENT ACCT. DEPT. Dated____________ '"' , 19 _ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT _//7 NAME " ADIORIES f �` Contractor or. �'f_.� =�-� � - --s-- ` � = � =- � - -- --=- - - - - -- NAME / _ ADDRESS NO., .w- LICENSE NO. LICENSE NO. 1 9 Y . STREET L ` This permit is issued to 1 L -!< /mow "_r ( h f To . This permit is granted upon the express condition plans and specifications submitted, and in accordance and zoning laws of Miami Shores Village, and rules and time upon the violation of any provisions of said ttze by thvtuildilg inspector. 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 ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has teen 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 for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ri Architect Contractor or Builder ' Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA 1 DATE.. 195 PERMIT N° 10033 Work to be performed under this Permit Owner of t' II Building BI. Subdi- vision Value of Project $ Contractor's License No Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at 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 permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge' of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drewiikgs or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. f 4 (......00 BY ) , Signed • , INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities .6f Miami Shores Village. In accepts thi permit I assume responsibility fo 4811 work done by either, myself, my agent, servant or employee. BY AUTHORITY ..- V ` OWNER LOT BLOCK SUBDIVISION Date k, Fixtures aiami Shores9llage F L O R 1 D • PLUMBING PERMIT Issued to i T to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at / /7 Fixtures $ Sewer $ ,Lf ,, J Septic Tank $ ,_ �' Total $ N9 750 Village Plumbing Inspector Received Payment by Le l ^'' s Issued to �� . tea; t�. t { (it .it A OWNER dd iami Aorer d F L O PLUMBING PERMIT N9 750 LOT I BLOCK 17 `f��,t Total $ f e �� Village Plumbing Inspector 1 Received Payment by 'l -l) t 1 G' t. SUBDIVISION 4 I LL.0,I.I4. to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a ± story t 11 .t e it( building at ii )/, t , ( f4 .. /(1..f' Fixtures 1 t �Lt C . t o t 4 1) ` t , t 0 ¢ 1' . ti tr A / lt t. a t i th Y.ii o tit) - t r Fixtures "V $ (.., ' Ve y Sewer 1 $ I ' U U i ltic Tank 1 $ 1 a G pi BUILDING ELECTRICAL PLUMBING Owner of Building Lot Work to be pe Architect Contractor or Builder Legal Description Address of Building This permit is gran to the contractor or builder named above to cons ct the building or • install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at 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 permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. R MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 6119 med under this Permit 1 Bl. Subdi- vision f Contractor's License No Value of Project DATE . - t. /4/ BY AUTHORITY 194-J AMY f r j • A of J f Pmt. ermit t:11 _" Signed • By INSPECTOR In consideration of the issuance t me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict confo with le plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume r rise all work done by either myself, my agent, servant or employee. R R OR BUILDS Date Issued to qiiEnni cShores 9' llage R I D A PLUMBING PERMIT ■9 1260 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing ansi • drainage work done in Miami Shore Village, Florida. For a story Fixtures Sewer Septic Tank Fixtures Total Received Payment by • Village Plumbing Inspector OWNER LOT BLOCK SUBDIVISION ., x , • f r ., "/ fi /I it r r f : ',/ 1 Date Issued to qiiEnni cShores 9' llage R I D A PLUMBING PERMIT ■9 1260 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing ansi • drainage work done in Miami Shore Village, Florida. For a story Fixtures Sewer Septic Tank Fixtures Total Received Payment by • Village Plumbing Inspector Permit No. 6 - 6 4 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 Divisior 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 ___.___. Employing Plumber' s Name (_ � ���' �_ 1�JoO - Lv.t._- Street___ Location and Legal Description Lo -__ _--_-- -_......... _. ... __ -___- _Block _... -- __ -_ -_- - _ -_- .._ Subdivision Street and Number where work is to be performed -No. —__1! x_ 720 2 - ..24° ,,. Street_ State work to be performed and purpose of building (By Floors New Building Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.__------ •- - - -. -- Street Addition________.____________. Repairs 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. — Size of Soakage Pit . -.___. Amount of Permit $ - - - -_- - - - - - -- (Signed)_ Capacity Gals. Date No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as all employer of labor under the Florida Workmen's Compensation Act, being Section 5888, Compiled General Laws of Florida Permanent Supplement, and has c i n- 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 an licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare 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 tar 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 foul materials and /or workmanship. BATH TUBE SHOWERS LAVA. TORIES K SIKS SIN SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT NS TOTAL FIXTUR[I '_ CONTR. LIST CHECK _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR NEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. 6 - 6 4 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 Divisior 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 ___.___. Employing Plumber' s Name (_ � ���' �_ 1�JoO - Lv.t._- Street___ Location and Legal Description Lo -__ _--_-- -_......... _. ... __ -___- _Block _... -- __ -_ -_- - _ -_- .._ Subdivision Street and Number where work is to be performed -No. —__1! x_ 720 2 - ..24° ,,. Street_ State work to be performed and purpose of building (By Floors New Building Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.__------ •- - - -. -- Street Addition________.____________. Repairs 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. — Size of Soakage Pit . -.___. Amount of Permit $ - - - -_- - - - - - -- (Signed)_ Capacity Gals. Date No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as all employer of labor under the Florida Workmen's Compensation Act, being Section 5888, Compiled General Laws of Florida Permanent Supplement, and has c i n- 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 an licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare 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 tar 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 foul materials and /or workmanship.