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1275 NE 94 St (7)Permit No. APPLICATION FOR PLUMBING PERMIT Date /2 2 PLUMBING INSPECTION DEPARTMENT Owner's Name and Address MIAMI SHORES VILLAGE 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. 7' Pe nu ci 4 4., No . c � Registered Architect and /or Engineer __ _ Employing Plumber's Name Location and Legal Description Lot —_ 7 0 Block Subdivision_ aivene ( V / � � , Street and Number where work is to be performed —No Street Al 7__ ___ ___ State work to be performed and purpose of building (By Floors) New Building �' Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals.________________________. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. � " Li _ Amount of Permit $___ —__ (Signed) _e_ a— _ �__ � - ' _i___ ___ ___ Plumb' g 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 licensed by Miami Shores Village. c_-- r- _ . F k -t- _ , Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, ss. My Commission Expires (Signed) Street 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. Notary Public. State of Florida r 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 DRAIN DRINKING FOU NT' NS TOTAL FIXTURES CONTR. LIST / / �9 .2 �° / • / d k CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL T / CONTR. LIST / CHECK Permit No. APPLICATION FOR PLUMBING PERMIT Date /2 2 PLUMBING INSPECTION DEPARTMENT Owner's Name and Address MIAMI SHORES VILLAGE 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. 7' Pe nu ci 4 4., No . c � Registered Architect and /or Engineer __ _ Employing Plumber's Name Location and Legal Description Lot —_ 7 0 Block Subdivision_ aivene ( V / � � , Street and Number where work is to be performed —No Street Al 7__ ___ ___ State work to be performed and purpose of building (By Floors) New Building �' Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals.________________________. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. � " Li _ Amount of Permit $___ —__ (Signed) _e_ a— _ �__ � - ' _i___ ___ ___ Plumb' g 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 licensed by Miami Shores Village. c_-- r- _ . F k -t- _ , Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, ss. My Commission Expires (Signed) Street 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. Notary Public. State of Florida r 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. 1‘; Permit No 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 ____ . _ /64741-1-4. _ No /5 A. Employing Plumber's Name � ��+ Location and Legal Description Lot Street and Number where work is to be performed— No. ______Y_ Registered Architect and /or Engl4ieer APPLICATION FOR PLUMBING PERMIT Date_ P/4i( State work to be performed and purpose of building (By Floors) New Building ✓ Remodeling Addition Repairs No. of Stories .!7 Size Septic Tank Feet of Drain Tile 0 Amount of Permit $_____ SS. MIAMI SHORES VILLAGE My Commission Expires PLUMBING INSPECTION DEPARTMENT 4" No. Street____ Block Subdivision - Z Street Z_ Type of Tank Abri- Dist. Feet of Tank or Drain Field farm iJ:__ (Signed) (Signed) Capacity Gals Street__` Nature of Water Supply: City —WET Size of Soakage Pit j 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 pert rmeyinder this permit as are licensed by Miami Shores Village. � ,,, s' - 61 sn L Notary Public. State of Florida v Plumbing Inspector. l'■irster Plumber. 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. 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 DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No 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 ____ . _ /64741-1-4. _ No /5 A. Employing Plumber's Name � ��+ Location and Legal Description Lot Street and Number where work is to be performed— No. ______Y_ Registered Architect and /or Engl4ieer APPLICATION FOR PLUMBING PERMIT Date_ P/4i( State work to be performed and purpose of building (By Floors) New Building ✓ Remodeling Addition Repairs No. of Stories .!7 Size Septic Tank Feet of Drain Tile 0 Amount of Permit $_____ SS. MIAMI SHORES VILLAGE My Commission Expires PLUMBING INSPECTION DEPARTMENT 4" No. Street____ Block Subdivision - Z Street Z_ Type of Tank Abri- Dist. Feet of Tank or Drain Field farm iJ:__ (Signed) (Signed) Capacity Gals Street__` Nature of Water Supply: City —WET Size of Soakage Pit j 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 pert rmeyinder this permit as are licensed by Miami Shores Village. � ,,, s' - 61 sn L Notary Public. State of Florida v Plumbing Inspector. l'■irster Plumber. 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. 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. Permit No. Owner's Name and Address APPLICATION FOR PLUMBING PERMIT Date a e • ' • t 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. if N E i 9 e1 " Qi Registered Architect and /or Engineer NF •' V ` Employing Plumber's Name 1r� L -� "' No Location and Legal Description Lot Street and Number where work is to be performed —No. / a State work to be performed and purpose of building (By Floors) - New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals 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) 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 „ as are licensed by Miami Shores Village. - ; # 9 4fr „„1 • (Signed) rr Master Plumber. STATE OF FLORIDA, j ss. 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. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT e,... ,2 / 2 ` Street /Jf / Street___.= Block °° Subdivision fe 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. / ; ��� Street / V 9 t 1 Notary Public, State of Florida Plumb g Inspector. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES GONTR. LIST _ +S �" ..2„, / / �y off" e / ] [Y ate CHECK i p SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWI POOL CONTR. LIST / / CHECK Permit No. Owner's Name and Address APPLICATION FOR PLUMBING PERMIT Date a e • ' • t 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. if N E i 9 e1 " Qi Registered Architect and /or Engineer NF •' V ` Employing Plumber's Name 1r� L -� "' No Location and Legal Description Lot Street and Number where work is to be performed —No. / a State work to be performed and purpose of building (By Floors) - New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals 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) 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 „ as are licensed by Miami Shores Village. - ; # 9 4fr „„1 • (Signed) rr Master Plumber. STATE OF FLORIDA, j ss. 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. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT e,... ,2 / 2 ` Street /Jf / Street___.= Block °° Subdivision fe 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. / ; ��� Street / V 9 t 1 Notary Public, State of Florida Plumb g Inspector. MIAMI SHORES VI LLAG E . PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Applicatic 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 r - Registered Architect and /or En Weer 4-4.4 4 ,, T` Employing Plumber's Name °1.1_f _ ! r o €° C� o 'lid, Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No.___ �__ -►_ Street_______�K" State work to be performed and purpose of, building (By Floors) New Building Remodeling` Size Septic Tank / N -e tt Feet of Drain Tile l 9 Dist. Feet of Tank or Drain Field ftte r° ice._ Nature of Water Supply: City —Weil" .Size of Soakage Pit My Commission Expires Addition Type of Tank • No. 1 y V td• Repairs (16 '` a �'` ° (r Capacity Gals Y Amount of Permit $ } (Signe � 1 / 4.• '"1 -kip ~ A Plumbing Inspector. ,q The undersigned applicant for this building permit does hereby certify that he understands and apc pts 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 t� A , .l work � rk to be perrprmed,�tunder this permi �# as are licensed by Miami Shores Village. c�''� ate' 0 � F � y A� T 4-' (Signed) r e � �'. W Master Plumber. STATE OF FLORIDA, v - ss. 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. Date Street Notary Public, State of Florida U / No. of Stories le 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. ��5 G/78 ���� CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK ° MIAMI SHORES VI LLAG E . PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Applicatic 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 r - Registered Architect and /or En Weer 4-4.4 4 ,, T` Employing Plumber's Name °1.1_f _ ! r o €° C� o 'lid, Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No.___ �__ -►_ Street_______�K" State work to be performed and purpose of, building (By Floors) New Building Remodeling` Size Septic Tank / N -e tt Feet of Drain Tile l 9 Dist. Feet of Tank or Drain Field ftte r° ice._ Nature of Water Supply: City —Weil" .Size of Soakage Pit My Commission Expires Addition Type of Tank • No. 1 y V td• Repairs (16 '` a �'` ° (r Capacity Gals Y Amount of Permit $ } (Signe � 1 / 4.• '"1 -kip ~ A Plumbing Inspector. ,q The undersigned applicant for this building permit does hereby certify that he understands and apc pts 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 t� A , .l work � rk to be perrprmed,�tunder this permi �# as are licensed by Miami Shores Village. c�''� ate' 0 � F � y A� T 4-' (Signed) r e � �'. W Master Plumber. STATE OF FLORIDA, v - ss. 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. Date Street Notary Public, State of Florida U / No. of Stories le 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. ��5 G/78 ���� J J I I. Ocl Ss Inspoctorts Report: - The following is ready for Inspection: - .' -.Z2 /,/ 4.;, 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 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 En Employing Plumber's Name E' I Location . and Legab Description Lot Street and Number where work is to be performed —No. lock State work to be performed and purpose of building (By Floors )G2A- 1 "�1 ! z��� New Building Remodeling Addition Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ‘> Nature of Water Supply: City —Well Size of Soakage •Pit ix .,?x _r 7 / ,! ,71/,/ ,6 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. f1 / Amount of Permit $__ ss. No o Street (Signed) (Signed) Street Date Street / 7 Repairs No. of Stories My Commission Expires Notary Public, State of Florida • bdivi 'on f'__ Master Plumber. STATE OF FLORIDA, t 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. 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 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 SWIM'G POOL dq g/ J_r e CONTR. LIST CHECK 4.;, 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 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 En Employing Plumber's Name E' I Location . and Legab Description Lot Street and Number where work is to be performed —No. lock State work to be performed and purpose of building (By Floors )G2A- 1 "�1 ! z��� New Building Remodeling Addition Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ‘> Nature of Water Supply: City —Well Size of Soakage •Pit ix .,?x _r 7 / ,! ,71/,/ ,6 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. f1 / Amount of Permit $__ ss. No o Street (Signed) (Signed) Street Date Street / 7 Repairs No. of Stories My Commission Expires Notary Public, State of Florida • bdivi 'on f'__ Master Plumber. STATE OF FLORIDA, t 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. 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. Permit No Size Septic Tank___ _ -- Feet of Drain Tile_ Nature of Water Supply. City —Well. Amount of Permit $ - STATE OF FLORIDA, COUNTY OF DADE. J as. My Commission Expires G IOz mD SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPDUCATION FOR PLUMBING PERMIT Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Di sion 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_ He%to!1 (t/ It No.__ /2 7u ` 9 "sf -- _ —_ ---- _________ -- Street _/Y - C. W. c/ ff3C L- Registered Architect and/or Engineer v ? -- -- �_------- __ -- -- -_ -_- ____ -- - _ Employing Plumber's Name Q[ k _ AL, c / r e No._ S %/ `- r E /p _ Ste- 4 v // a lea 4y Location and Legal Description Lot.—Y._ le _____ ________ — _ — — Block- -� — __ -- . -- __ - - Subdivision Bat yc/ieu/ Street and Number where work is to be performed —No l 2-7 -i 'Y F � Street State work to be performed and purpose of building (By Floors ) _ New Building -_ -- - - - -- --- - -- Remodeling_____ Repairs_ Type of Tank __ _Dist. Feet of Tank or Drain Field from Well.. _ Si of Soakage Pit _ (Signed)_ ._ ,.mb.ag n:pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati•. . : s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, 'nd I as orn- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin 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 no ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. (Signed) __ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledge ents, personall 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 apphcation, and that he did sign the same, and that all .acts 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 materials and /or workmanship. / 4an-e 6cf - ?6 Date - - - --- ... - Capacity Gals. .__ No. of Stories . .. Notary Public, State of Florida - - Master Plumber. CLOSETS BATH Tues SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS R INALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU "'T'NS TOTAL F *TURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WE_L SPRKLR. SYSTEM SW IM'G POOL CONTR. LINT -- CHIICK Permit No Size Septic Tank___ _ -- Feet of Drain Tile_ Nature of Water Supply. City —Well. Amount of Permit $ - STATE OF FLORIDA, COUNTY OF DADE. J as. My Commission Expires G IOz mD SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPDUCATION FOR PLUMBING PERMIT Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Di sion 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_ He%to!1 (t/ It No.__ /2 7u ` 9 "sf -- _ —_ ---- _________ -- Street _/Y - C. W. c/ ff3C L- Registered Architect and/or Engineer v ? -- -- �_------- __ -- -- -_ -_- ____ -- - _ Employing Plumber's Name Q[ k _ AL, c / r e No._ S %/ `- r E /p _ Ste- 4 v // a lea 4y Location and Legal Description Lot.—Y._ le _____ ________ — _ — — Block- -� — __ -- . -- __ - - Subdivision Bat yc/ieu/ Street and Number where work is to be performed —No l 2-7 -i 'Y F � Street State work to be performed and purpose of building (By Floors ) _ New Building -_ -- - - - -- --- - -- Remodeling_____ Repairs_ Type of Tank __ _Dist. Feet of Tank or Drain Field from Well.. _ Si of Soakage Pit _ (Signed)_ ._ ,.mb.ag n:pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati•. . : s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, 'nd I as orn- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin 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 no ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. (Signed) __ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledge ents, personall 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 apphcation, and that he did sign the same, and that all .acts 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 materials and /or workmanship. / 4an-e 6cf - ?6 Date - - - --- ... - Capacity Gals. .__ No. of Stories . .. Notary Public, State of Florida - - Master Plumber. BUILDING ELECTRICAL PLUMBING ROOFING Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA ❑ r ❑ DATE ``'' �' 195 PERMIT N9 4832 Contractor License No E Owner of Building Architect Contractor r .. or Builder/r Jl In consideration of the issuance to me pertaining thereto and in strict conformity with cepting this , ?ermit I assume responsibility for ■ a 3' ! f c'Yarm ' / ,tea ) 1 - f r < ,:,, B1 Work to be performed under this Permit „ otAtiOcio' CONTRACTOR OR BUILDER ` BY Subdi- vision Value of Amount of Project $ Permit $ This permit is granted to the contractor or builder named above to construc 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 ordinanced and regulations pertaining to the work covered hereby whether shown on the plans ,,pr drawings cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. /' .. •, o t - ' a Signed. _ ' „ -. BY ` ' ' ; ' 'INSPECTOR of this permit I agree to perform the work covered hereunder in compliance with all ordinances and rogulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- all work done by either, myself, my agpnt,,servgnt or employee. .Y , ! cr 7, AUTHORITY e BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL El "` � 19 PLUMBING PERMIT N9 9036 Contractor's /ay. C ROOFING ❑ License No. Owner of Building Architect Contractor or Builder Legal Description Address of Building Lat ❑ Work to be performed under this Permit CONTRACTOR or BUILI5ER 11 B1 s R 4 7 .5: • t:� C.., BY AUTHORITY Subdi- vision Sq. Ft. Value of 11 Amount of Project $ ( Permit $ t�. 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 applica- tion 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 employs. t( fi Signed • ' - . 1 : (,yNNS1'EC OR) BY In consideration of the issuance to me of this permit I agree perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings; s'.tements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work dot; b either, myself, my agent, servant or employee. /2 f s' BUILDING . ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N® 5019 Work to be performed under this Permit f Signedt Subdi- vision Value of Project This permit is gra ; ed to the contractor or buil ' -r named above to construct the building or to install the equipment or devi(e 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 tike statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER BY DATE r Contractor's License.. No Amt. of Permit By 4' • . INSI,;E.OTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinanc nd regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications.submitted to the proper authorities of Mi i Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY 1949 r , E-CEtallffeAL PERMIT A N? 280 PLUMBING rf •wner of Building Architect and /or Engineer_ Proposed Location Dated 4 n LOT NAME ADDRESS ADDRESS n • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT , 1 9° ` a LICENSE NO. < NAME Contractor or Builder_ - ________ 1 __ _ ! Ir f,,, 7: ;tr LICENSE NO. r G' Y STREET the building above described, as per applicaiion, Plans and Spegfications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and . with the building ordinances and,zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shoyi Village. ,,, permit may be revoked at/ time upon the violation of any provisions of said laws, ordinances or rtyles and regulations, or upon affy change infibe Plans and specifications unatithorizO by the building'inspecror. z s, f .� � ,K AMOUNT RECD:' .PAYMENT 'ACCT. DEPT. INSPECTOR 0 In consideration of the issuance to me off" this permit I hereby agree to the proposed construction in strict conformity with the application and ns 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 Miari}i)Shores• Village '.h's1,.cx=- b, / P.:•. e _ ;.....-:,_-,=" (SEAL) NOTE: A charge of $1.00 will be made 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 for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PERMIT A N° 590 PLUMBING Owner of Building --------------- - - -- NAME ADDRESS LICENSE NO. Architect and /or Engineer NAME Contractor or Builder_ NAME Proposed Location AMOUNT -- - - -- -- LOT BLOCK SUB - DIVISION , 19 ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT LICENSE NO. NO. STREET This permit is issued to -- — — — — — — — - - - - -- — — -- — — — — -- — — To — — the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. 19 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 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 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 for inspection or faulty materials and /or workmanship. Permit No Xcr3 Application is hereby made for the approval of the detailed statement of the plans and PP Y PP p 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 _______ /�li�� -,./ L Registered Architect and /or Eng __ Employing Plumber's Name__ �� 1 i._ — = -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING Location and Legal Description Lot________ ________ ___ ____ ___________ / � _____ Block_ and Number where work is to be performed— No._ ___I State work to be performed and purpose of building (By Floors)_ — _____ __ ____ ________________ _ New Building Remodeling __- Addition. Size Septic Tank Feet of Drain Tile__ �S Nature of Water Supply: City —Well STATE OF FLORIDA, } COUNTY OF DADE. Amount of Permit $ ype of ank_ _ Capaci s. eet • ank or Drain Field from Well. -_- -- - - -- Size of Soakage Pit No. (Signed) licensed by Miami Shores Village. ( Signed) ____ Date My Commission Expires Notary Public, State of Florida Street_ - — Street-- _ _- `��- Subdivision 7 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 5968, 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, n w t b perfo / ed un . • ermit, as ar 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 swom, 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 Cher in by hires 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 materials and /or workmanship. CLOSETS BATH TUBE SHOWERS LAVA- TORIES S INKS SLOP SINKS LAUNDRY -r URINALS URINALS CATCH FLOOR DRAIN DRINK NO FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H CATER DEEP WELL SPRKLR. SYSTEM SWIM - G POOL CONTR. LIST CHECK Permit No Xcr3 Application is hereby made for the approval of the detailed statement of the plans and PP Y PP p 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 _______ /�li�� -,./ L Registered Architect and /or Eng __ Employing Plumber's Name__ �� 1 i._ — = -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING Location and Legal Description Lot________ ________ ___ ____ ___________ / � _____ Block_ and Number where work is to be performed— No._ ___I State work to be performed and purpose of building (By Floors)_ — _____ __ ____ ________________ _ New Building Remodeling __- Addition. Size Septic Tank Feet of Drain Tile__ �S Nature of Water Supply: City —Well STATE OF FLORIDA, } COUNTY OF DADE. Amount of Permit $ ype of ank_ _ Capaci s. eet • ank or Drain Field from Well. -_- -- - - -- Size of Soakage Pit No. (Signed) licensed by Miami Shores Village. ( Signed) ____ Date My Commission Expires Notary Public, State of Florida Street_ - — Street-- _ _- `��- Subdivision 7 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 5968, 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, n w t b perfo / ed un . • ermit, as ar 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 swom, 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 Cher in by hires 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 materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Pan ait No { K! ) 6 Date C _ // / / ?— 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 Engine e ___ - -E - -- -- '� -- ads.. _-- -- --- -- - - - -- Street Employing Plumber's Name Subdivision Street and Number where work is to be performed— No.__/A. _ _ _r Street State work to be performed and purpose of building (By Floors). Location and Legal Description Lot________ __ — Block__ New Building Remodeling Size Septic Tank Feet of Drain Tile_._/��___ /�_. I!/ _ /.•�.fs eet of Tank or Drain Field from Well Nature of Water Supply: ty— Well .__________________________ _____________._____________Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, } ss. COUNTY OF DADE. My Commission Expires T No.___ Street. Addition -_-- ---- ----- ----- ---- -- Repairs of T (Signed) Plumbin Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus 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. (Signed) Capacity Gals No. of Stories 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. 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 NOTE: A re- inspection fee of $L00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and/or workmanship. 1 BATH CLOSI[f5 TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES LIST CHECK I SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL 1 CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Pan ait No { K! ) 6 Date C _ // / / ?— 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 Engine e ___ - -E - -- -- '� -- ads.. _-- -- --- -- - - - -- Street Employing Plumber's Name Subdivision Street and Number where work is to be performed— No.__/A. _ _ _r Street State work to be performed and purpose of building (By Floors). Location and Legal Description Lot________ __ — Block__ New Building Remodeling Size Septic Tank Feet of Drain Tile_._/��___ /�_. I!/ _ /.•�.fs eet of Tank or Drain Field from Well Nature of Water Supply: ty— Well .__________________________ _____________._____________Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, } ss. COUNTY OF DADE. My Commission Expires T No.___ Street. Addition -_-- ---- ----- ----- ---- -- Repairs of T (Signed) Plumbin Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus 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. (Signed) Capacity Gals No. of Stories 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. 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 NOTE: A re- inspection fee of $L00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and/or workmanship. ■ 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 Employing Plumber N�I ®f�T�ACT�R - No.__1._ d _ Street__. 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 Size Septic Tank Type of Tank__ Capacity Gals._ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N° /"Z Z4( _Size of Soakage Pit Amount of Permit $ --------------- -- •---- __.---------- -_ —.._ My Commission Expires — �_ (Signed ( Sign Date -__1-1 Street Notary Public, State of Florida 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 - contractor on work to be performed under this permit, as are licensed by Miami Shores Village. 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 materials and /or workmanship. CLO66T6 BATH TUBS NOW SHOWERS LAVA. TORIES INKS SINKS SLOP SINKS LAUNDRY TUBE U CATCH BABIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST �- -_ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST - CHOCK ■ 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 Employing Plumber N�I ®f�T�ACT�R - No.__1._ d _ Street__. 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 Size Septic Tank Type of Tank__ Capacity Gals._ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N° /"Z Z4( _Size of Soakage Pit Amount of Permit $ --------------- -- •---- __.---------- -_ —.._ My Commission Expires — �_ (Signed ( Sign Date -__1-1 Street Notary Public, State of Florida 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 - contractor on work to be performed under this permit, as are licensed by Miami Shores Village. 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 $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for ,YFie building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Pahl J. Leverone N 1257 Street N.E. 94th St. Registered Architect and /or En Inee _ 0 . G. Lloyd g g kt _ ggiiTz MC . Llfl yd -- t e -- -Sep t ie-- -T$nk Ga. , Lne. Employing Plumber's Name XIIIX Aim No. Ali- Babase. s Opa -Loeka Location and Legal Description Lot max_ExivicaurnA Block Subdivision Street and Number where work is to be performed —No 1257 N. E. Street 94th St. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs X Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile 251: B lk • Relay _- - Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. ( Signed) (Signed ) Date 10 - 4 ,7 ' No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o i ' • ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors - iployed 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 su .h 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. 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 fo regoing 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 $1.00 will be made when such re - inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for ,YFie building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Pahl J. Leverone N 1257 Street N.E. 94th St. Registered Architect and /or En Inee _ 0 . G. Lloyd g g kt _ ggiiTz MC . Llfl yd -- t e -- -Sep t ie-- -T$nk Ga. , Lne. Employing Plumber's Name XIIIX Aim No. Ali- Babase. s Opa -Loeka Location and Legal Description Lot max_ExivicaurnA Block Subdivision Street and Number where work is to be performed —No 1257 N. E. Street 94th St. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs X Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile 251: B lk • Relay _- - Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. ( Signed) (Signed ) Date 10 - 4 ,7 ' No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o i ' • ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors - iployed 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 su .h 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. 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 fo regoing 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. Permit No s� 3 Date. l/ I_'.__� /_ ! ..!.! 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. k._ /4 76— y �/ �— Owner's Name and Address /Y e' � l c. No S treet ! ' �e • 7 4 S Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot. Bloom Subdivision._ __ ST � . :ifee Street and Number where work is to be performed —No 7 -r - A/ r ^ Street. _.._...7_.7..`.. s ...._. ._ State work to be performe8 and purpose of building (By Floors) _ 2 - . I 1 B I , Q . . _ I — LEI !I/ an/ s Remodeling_____ __ Addition...___AL..__ Repairs. No. of Stories ...:L%.... New Building._ Size Septic Tank_ Type of Tank Feet of Drain Tile t. Feet of Tank or Drain Field from Well._____.._____.. -._____ Nature of Water Supply: City—Well. (t / y Size of Soakage Pit__ Amount of Permit 8 2,t . (24 1 _. Na � .�.,_.�..__.....,.. itrr G /SL P✓ . 5 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _.__— __..... _....___..capacity Gals._._.-_.- (Signed) - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob'gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Supplement, and hay 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 • the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, k to be performednder this permit, as are licensed by Miami Shores Village. ( Signed) Master Plumber. ... STATE OF FLORIDA, u. 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 fads therein by him stated are true. M Commission Expo Notary Public, State of Flada NOTE: A re- inspection fee of 81.00 will be wads when welt tcrispeotbn it ■sade.noosssary by improper notice for inspection, er faulty materials and/at wocl®ansbip. GLO[ETB OATH Tuea SHOW[RB LAVA- TORIES S INK[ SLOP SIMKO LAUNDRY TUB[ URINAL! CATCH SAWN FLOOR DRAIN CHUNK! NG FOUNT' NS TOTAL FIXTURE[ Comm LIST LtBT �— CHECK L.0/ ✓ y � i� • SEPTIC TANK SEWER CONN. DRAIN P I[1.13 SOAKAGE PIT G TRAP SOLAR H EATER DEEP WELL 8 . 'TETEM SW1M'G POOL 4 ,.teoly ' LIST CHECK Permit No s� 3 Date. l/ I_'.__� /_ ! ..!.! 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. k._ /4 76— y �/ �— Owner's Name and Address /Y e' � l c. No S treet ! ' �e • 7 4 S Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot. Bloom Subdivision._ __ ST � . :ifee Street and Number where work is to be performed —No 7 -r - A/ r ^ Street. _.._...7_.7..`.. s ...._. ._ State work to be performe8 and purpose of building (By Floors) _ 2 - . I 1 B I , Q . . _ I — LEI !I/ an/ s Remodeling_____ __ Addition...___AL..__ Repairs. No. of Stories ...:L%.... New Building._ Size Septic Tank_ Type of Tank Feet of Drain Tile t. Feet of Tank or Drain Field from Well._____.._____.. -._____ Nature of Water Supply: City—Well. (t / y Size of Soakage Pit__ Amount of Permit 8 2,t . (24 1 _. Na � .�.,_.�..__.....,.. itrr G /SL P✓ . 5 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _.__— __..... _....___..capacity Gals._._.-_.- (Signed) - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob'gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Supplement, and hay 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 • the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, k to be performednder this permit, as are licensed by Miami Shores Village. ( Signed) Master Plumber. ... STATE OF FLORIDA, u. 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 fads therein by him stated are true. M Commission Expo Notary Public, State of Flada NOTE: A re- inspection fee of 81.00 will be wads when welt tcrispeotbn it ■sade.noosssary by improper notice for inspection, er faulty materials and/at wocl®ansbip. BG ELECTRIC--� PERMIT A N9 280 PLUMBING Owner of Building — — — - -- ---- — — — - -- — — — — - -- NAME ADDRE S LICENSE NO. Architect and /or Engineer NAME Contractor or Builder NAME Proposed Location AMOUNT RECD. PAYMENT ACCT. DEPT. ADDRESS ADDRESS LOT BLOCK - SUB- DIVISION NO. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT LICENSE NO. STREET 19 / This permit is issued to — To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building 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. Dated _ _ , 19___ —_� (SEAL) NOTE: A charge of $1.00 will be made 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 for inspection or faulty materials and /or workmanship. Permit No.- 4 Owner's Name and Address6l1_L 1//lL Registered Architect and /or Engineer � Employing Plumber's Name _ `%� . ,P-PT /G /51•`!?r 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. No._ ,L f' - - --- street_ = ' _ No._ 7 :7-. 2 _3 Street_ �T- Location and Legal Description Lot ____ .__— Block__ __- -�.___ ______________ Subdivision__ Street and Number where work is to be performed- No.______ Street T State work to be performed and purpose of building (By Floors) New Building Remodeling ____ Addition Size Septic Tank Type of Tank Feet of Drain Tile ' Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit._. Nature of Water Supply: City -Well. STATE OF FLORIDA, COUNTY OF DADE. Repairs Capacity Gals. No. of Stories - .... _ r , Amount of Permit $ >-`- .3 -- - - -- -- - - -- — - --_ (Signed) 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 pernit. as are licensed by Miami Shores Village. �- Master Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall- 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 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 S INK6 SLOP SINKS LAUNDRY TU85 U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS 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 Permit No.- 4 Owner's Name and Address6l1_L 1//lL Registered Architect and /or Engineer � Employing Plumber's Name _ `%� . ,P-PT /G /51•`!?r 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. No._ ,L f' - - --- street_ = ' _ No._ 7 :7-. 2 _3 Street_ �T- Location and Legal Description Lot ____ .__— Block__ __- -�.___ ______________ Subdivision__ Street and Number where work is to be performed- No.______ Street T State work to be performed and purpose of building (By Floors) New Building Remodeling ____ Addition Size Septic Tank Type of Tank Feet of Drain Tile ' Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit._. Nature of Water Supply: City -Well. STATE OF FLORIDA, COUNTY OF DADE. Repairs Capacity Gals. No. of Stories - .... _ r , Amount of Permit $ >-`- .3 -- - - -- -- - - -- — - --_ (Signed) 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 pernit. as are licensed by Miami Shores Village. �- Master Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall- 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 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.