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PLUMBINGt MIA-MI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT j A PPLICATION FOR PLUMBING PERMIT 1 _) , Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subnu(ted for th or other structure herein described. This app 'cation is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of thei 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__EM Registered Architect and /or Engineer J - Employing Plumber's Name_S!• 6 , " sl r` Location and Legal Description Lo Street and Number where work is to be performed —N State work to be performed and purpose of building (By Floors) New Building_____ CLOSETS BATH TUBS SHOWESS URINALS LAVA- ' TORIES SINKS SLOP SINKS LAUNDRY TUBS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS CONTR. LIST CHECK CONTR. LIST CHECK SEPTIC TANK SEWER CONN. 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 $--- DRAIN FIELD ss. Remodeling SOAKAGE PIT My Commission Expires GREASE TRAP Street ock Subdivision SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SwIM'G POOL (Signed) No 1Z,/ Date 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. ( Signed) Notary Public, State of Florida TOTAL' FIXTURE? 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. BUILDING ELECTJJICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA MIT N° 6254 / Work to be performed under this Permit af(aj 1 Architect Contractor or Build Lega Lot Bl. Des& lion Subdi- vision Signed' (/ DATE Contract6r's License No 0 Amt. ofj - G Permit +.wr • C Address of ,,,,, -- / Building G This permit is granted to the contractor or builder named above to construct the b d .g or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibilit for a thgru� h knowledge of the or nces and regulations pertaining to the work covered hereby whether shown on the plans r awm s or • the stat ents or @o ea ons and that .lit a s respon- sibility for work done by his agents, servants or employees. r i , ,. o . _,< INSPECTOR By 2( In consideration of the issuance to me of this permit I agree to perform the work covered hereunder compliance with , 11 ordinances and agu atggons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Sh rVilrage.. In ac{ ptin^ / / thh y i it I ass /1 resp9n,sibility f.r all work dpne by either myse , ray,�gent, servant,Qr employee. .r v or i ki. 1.. lie CONTRACTOR OR BU D AUTHORITY CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINK• LAUNDRY TUaa URINALS CATCH BASIN FLOOR DRINKING DRAIN FOUNT'N• TOT..L FIAT/ RES CONTR. LI T CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT s a - ft, G SOLAR TRAP H DEEP WELL SPRKLR. SYSTEM SWIMcG POOL - -- CONTR. LIST -300 — $10.00 ,— CHECK Penn, Nu... MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT is hereby mode for the approval of the detailed statement of the plans and specifications herewith subr i,• .'i for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of MI ± Shores Village, Florida, sad all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic— of the Building Division rat rtiami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec ficatlons must be kept at 'luilding during progress of work. ')wneis Name and Address_. J ohn McLeod .cgist: red Architect and /or Engineer employing Plumber's Name Rose Septic Tank Co .887 - 5590.._ - -- P.O.Box 344 Hialeah 33011 Location and Legal Description Lot_ Mock Street and Number where work is to be performed —No. 561 N.E. 95th street Street State work to be performed and purpose of building (By Floors) _....._.._____..__ New Building Remodeling_ ..... Addition..._---_ Repairs No. Street. Size Septic Tarrk_.__-- __ ......... ______•-..___---- -•- -Type of Tank Feet of Drain Tile.__.__ -- ._.___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well..__— .,._..- ...-- - - - - -_ - ._- - - -_ -- -. -Size of Soakage Pit Amount of Permit $ 10 STATE OF FLORIDA, f as. COUNTY OF DADE. (Signed). Capacity ^ .als.. No of Stones (S igned) _ J e W' , 00.. L Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as on a n;,lpvei of !allot under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Cum lement, and has oeff t lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed I y him in • I, cal rk c.' b- performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publ' notice r no leer is a: requ+red by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed 'a this � r1 sic as . licensed by Miami Shores Village. Before me, the undersigned authori a notary public, duly utborized to a • 'star oaths and take acknowledgments, per orrt ; . ppearec. to me well known, and who, being by me first duly upon oath deposes and says that he is the . .___- ..._... of the above described construction, that he has carefu lly read the foregoing application, and that he did sign the same, and nut all acts therein by him stated are true. NOTE: A re- inspection fee of 11.00 will be made when such re- inspection L maderneoessary by improper notice for inepe•.t!on, tr bully materials and /or workmanship.