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315 NE 95 StPermit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ;t.MIT Date 1 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 Dr. Daniel Ford No 315 Street NE 95t4 Registered Architect and/or Engineer. M -- -_ --- . — _.___ -- Employing Plumber's Name Brooks S�rinkl8r CO. _^ _ _ _ No.__ 880 ___ Street_N W 4th Location and Legal Description Lot__._ .... ___._ _ ___ — Block Subdivision Street and Number where work is to be performed —No 315 St 11E 95 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 -- - - - - -- - \ A , Amount of Permit $ — — (Signed)_ ST.ATt. OF FLORIDA, } COUNTY OF DADE. — _-- _. - -___ . My Commission Expires (Signed)_ • �_ r� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pen ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors et ployed 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. 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 Cheri by him stated are true. Notary Public, State of Florida Master Plumber. 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 INKS SLOP SINKS LAUNDRY TUBE IAS 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 I POOL CONTR. LIST CHECK x Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ;t.MIT Date 1 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 Dr. Daniel Ford No 315 Street NE 95t4 Registered Architect and/or Engineer. M -- -_ --- . — _.___ -- Employing Plumber's Name Brooks S�rinkl8r CO. _^ _ _ _ No.__ 880 ___ Street_N W 4th Location and Legal Description Lot__._ .... ___._ _ ___ — Block Subdivision Street and Number where work is to be performed —No 315 St 11E 95 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 -- - - - - -- - \ A , Amount of Permit $ — — (Signed)_ ST.ATt. OF FLORIDA, } COUNTY OF DADE. — _-- _. - -___ . My Commission Expires (Signed)_ • �_ r� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pen ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors et ployed 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. 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 Cheri by him stated are true. Notary Public, State of Florida Master Plumber. 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. Amount of Permit $ .'app 'cataon is hereby Aaaae 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 al!. 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 buil^:ng during progress of work. , ' i. ,'r Owner's Name and Address ,: ' ''_ _ L__ ,. -_s -_ n r_z----_ ---_ — No. Street Registered Architect and /or Engiieer — __ —_ - - -- _ —__— ---- _---- _----- - - - -__ , ^ - - -- , Employing Plumber's Name__ _j_C�' -)` -F -J - / °/' %, j No... - -- - - - - ` ` ` `� S Location and Legal Descripti p'Lot_____ _____ _ .____ _._ Block - „— ,t-- .__.___ Subdivision Street and Number where work is to be performed-146.____ , r� ; c� ' �� Street State work to be performed and purpose of building (By Floors) New 'Buildin �. g Remodeling_ g 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 Suplily(City Nell Size of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ (Signed) Date PluYnbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor uncle* the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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 recizirerl by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are lle used by Miami Shores Village. J Master Plumber. STATE OF FLORIDA, l se. 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. 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 SIN" SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CLUB R. 7 ® � r 0 - .-- CHECK SCPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP LOU171 HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL � t P ✓ - �A' .- LIST A CHECK Amount of Permit $ .'app 'cataon is hereby Aaaae 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 al!. 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 buil^:ng during progress of work. , ' i. ,'r Owner's Name and Address ,: ' ''_ _ L__ ,. -_s -_ n r_z----_ ---_ — No. Street Registered Architect and /or Engiieer — __ —_ - - -- _ —__— ---- _---- _----- - - - -__ , ^ - - -- , Employing Plumber's Name__ _j_C�' -)` -F -J - / °/' %, j No... - -- - - - - ` ` ` `� S Location and Legal Descripti p'Lot_____ _____ _ .____ _._ Block - „— ,t-- .__.___ Subdivision Street and Number where work is to be performed-146.____ , r� ; c� ' �� Street State work to be performed and purpose of building (By Floors) New 'Buildin �. g Remodeling_ g 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 Suplily(City Nell Size of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ (Signed) Date PluYnbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor uncle* the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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 recizirerl by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are lle used by Miami Shores Village. J Master Plumber. STATE OF FLORIDA, l se. 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. 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. s.. ApplIcation is hereby nzai.e for the approval of the detailed statement of the plan; and specifications herewith submitted for the building or . other stn:.cture herein described. This application is made in compliance and conformity 1 ✓ith the Building Ordinance of Miami Shores Village, Florida, and ail provisions of the Laws of the State of Florida, all ordinances of Miami Shor s Village and all rules and regulations of the Building Division ur Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at b'salcing during progress of work. Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N 3._ Street Date Registered Architect and /or Engineer Employing Plumber's Name 2 Lo and Legal Description Lot -_______--- _-- -__-____ Subdivision- - Street and Number where work is to be performed —No /+c" ft t State work to be performed and purpose of building (By Floors) -------__ -_ -- New Building - -- .___ - - -- Remodeling _.____--- ____ ______ _ Addition Size Septic Tank_ 7 �� Feet of Drain Tile Nature of Water Supply: City—Well. Amt:unt of Permit $_ My Commission Expires Repairs No. of Stories. Type of Tank t. Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals R ( Signed) _____ -__ Street__ —_ (Signed)_ 7/‘/ umbing Inspector. 'f he undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennanent 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 h .=rfoimA3 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 r by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are alle,A ;d by Miami Shores Village. Notary Public, State of Florida STATE GF 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 worlananship. CLO36T® BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U RII ALB CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIsT Caeca SEPYIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPR(LR. SYSTEM SW IM'G POOL CON?R. LIST _____t CHECK s.. ApplIcation is hereby nzai.e for the approval of the detailed statement of the plan; and specifications herewith submitted for the building or . other stn:.cture herein described. This application is made in compliance and conformity 1 ✓ith the Building Ordinance of Miami Shores Village, Florida, and ail provisions of the Laws of the State of Florida, all ordinances of Miami Shor s Village and all rules and regulations of the Building Division ur Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at b'salcing during progress of work. Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N 3._ Street Date Registered Architect and /or Engineer Employing Plumber's Name 2 Lo and Legal Description Lot -_______--- _-- -__-____ Subdivision- - Street and Number where work is to be performed —No /+c" ft t State work to be performed and purpose of building (By Floors) -------__ -_ -- New Building - -- .___ - - -- Remodeling _.____--- ____ ______ _ Addition Size Septic Tank_ 7 �� Feet of Drain Tile Nature of Water Supply: City—Well. Amt:unt of Permit $_ My Commission Expires Repairs No. of Stories. Type of Tank t. Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals R ( Signed) _____ -__ Street__ —_ (Signed)_ 7/‘/ umbing Inspector. 'f he undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennanent 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 h .=rfoimA3 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 r by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are alle,A ;d by Miami Shores Village. Notary Public, State of Florida STATE GF 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 worlananship.