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1276 NE 94 St (7)�illa�e o f Miami Shores JOB l ADDRESS INSPECTION TIME READY REMARKS INSPECTOR DATE N9 4299 7 Penn Xrc. _ Application ' hereby made for the approval of the detailed statement of fa;. ;Mans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and co f:} . ity with the r •tilding Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miarn' Shores ViiiagF. aid all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified -- nr>.. A copy of approved plans and specifications must be kept at building during progress of work ? Owner's Name and Address 7 4 4 __ — - No. Registered Architect and /or Engineer - - - - - Employing Plumber's Name :t'"_t 'Location and Legal Descripti Lot____ Street and Number where work is to be performed- No.______ _ Street STAT OF FLORIDA, t COUNTY Or DADE. as. MIAMI SHORES VIL:_AG PLUMBING INSPECTION DEPARTMEI' . ' APPLICATION FOR PLUMBING ' ' State work to be performed and purpose of building (By Floors)-_-_ ... __.____- New Building f�" - Remodeling_____ Addition Amount of Permit $-------------------- - - - - -- - -- Block _ -^ ( Signed) Date ,. No._ _ Street ._ Street___ 9 Subdivision__ My Cammission Expires Notary Public, State of Florida Capacity Gals. 1a- Lam., Repairs No. of Stories. Size Septic Tank____ - Type of Tank 't__/ Feet of Drain Tile_ -..„.4__E Feet of Tank or Dram Field from Well Nature of Water Supply: ity- Well.____ ( _ _Size of Soakage Pit 4- 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 Flo:rida 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. aster Plumber. 9efore 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 hisn 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 SINK LAUNDRY Tuns URINALS CATCH BASIN FLOOR DFIAIN DRINKING FOUNT' NS FJ.j 4 %/ .Li /�j' a FI%TURES TOTAL CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL LIST j/ MM CHECK i` El Penn Xrc. _ Application ' hereby made for the approval of the detailed statement of fa;. ;Mans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and co f:} . ity with the r •tilding Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miarn' Shores ViiiagF. aid all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified -- nr>.. A copy of approved plans and specifications must be kept at building during progress of work ? Owner's Name and Address 7 4 4 __ — - No. Registered Architect and /or Engineer - - - - - Employing Plumber's Name :t'"_t 'Location and Legal Descripti Lot____ Street and Number where work is to be performed- No.______ _ Street STAT OF FLORIDA, t COUNTY Or DADE. as. MIAMI SHORES VIL:_AG PLUMBING INSPECTION DEPARTMEI' . ' APPLICATION FOR PLUMBING ' ' State work to be performed and purpose of building (By Floors)-_-_ ... __.____- New Building f�" - Remodeling_____ Addition Amount of Permit $-------------------- - - - - -- - -- Block _ -^ ( Signed) Date ,. No._ _ Street ._ Street___ 9 Subdivision__ My Cammission Expires Notary Public, State of Florida Capacity Gals. 1a- Lam., Repairs No. of Stories. Size Septic Tank____ - Type of Tank 't__/ Feet of Drain Tile_ -..„.4__E Feet of Tank or Dram Field from Well Nature of Water Supply: ity- Well.____ ( _ _Size of Soakage Pit 4- 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 Flo:rida 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. aster Plumber. 9efore 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 hisn 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.