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440 NE 94 St (17)Permit No Location and Legal Description Lot-_—.._- -- - - - - -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION 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 Div lion of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ �'+• Registered Architect and /or Engineer Employing Plumber's Name ___ ___ _._. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors). - _ New Building Size Septic Tank._ _ ._ __ ._ - Feet of Drain Tile____. -_ -_ . -- _ 3?_ _ -- __ _ _Dist. Feet of Tank or Drain Field from Well.. Nature of Water Supply. City—Well. ___ _ _ - - _- - . Si of Soakage Pit Amount of Permit $ _- . STATE OF FLORIDA, COUNTY OF DADE. j 8/26/69 -- — Date __ -- -- -_ —. ._ Y. _Lieth, No._ 490__--- N•E•__ Street.- - _ 94th Street 0_ e_al Septic `yank Co. O t4ealstic _ 'lank Co No . 8350 N.W. Street. 5 6_ Street - __e__p — —_— Block_-. _ Subdivision_ ._ _ -__ -- 490 N. E street- . _ 94th _ Street Poles& x 6 . 7 f ' n) / /y rn) ,Si c.d Remodeling— _ -- _- _ . _ _ Addition____ _ _ _. ____ __. _ Repairs_ g: _. _. No. of Stories . 3, 00 _ ( Signed) _ .L. __ _Capacity Gals. Pkmb•ng In:pecto. 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 Pe.' : ent Supplement, "nil I as om • 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgn 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 application, and that he did sign the same, and that all •acts 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 TUBE U CATCH BASIN FLOOR DRAIN DRINKING FOU.T'NB TOTAL F %TURES 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 Location and Legal Description Lot-_—.._- -- - - - - -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION 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 Div lion of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ �'+• Registered Architect and /or Engineer Employing Plumber's Name ___ ___ _._. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors). - _ New Building Size Septic Tank._ _ ._ __ ._ - Feet of Drain Tile____. -_ -_ . -- _ 3?_ _ -- __ _ _Dist. Feet of Tank or Drain Field from Well.. Nature of Water Supply. City—Well. ___ _ _ - - _- - . Si of Soakage Pit Amount of Permit $ _- . STATE OF FLORIDA, COUNTY OF DADE. j 8/26/69 -- — Date __ -- -- -_ —. ._ Y. _Lieth, No._ 490__--- N•E•__ Street.- - _ 94th Street 0_ e_al Septic `yank Co. O t4ealstic _ 'lank Co No . 8350 N.W. Street. 5 6_ Street - __e__p — —_— Block_-. _ Subdivision_ ._ _ -__ -- 490 N. E street- . _ 94th _ Street Poles& x 6 . 7 f ' n) / /y rn) ,Si c.d Remodeling— _ -- _- _ . _ _ Addition____ _ _ _. ____ __. _ Repairs_ g: _. _. No. of Stories . 3, 00 _ ( Signed) _ .L. __ _Capacity Gals. Pkmb•ng In:pecto. 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 Pe.' : ent Supplement, "nil I as om • 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgn 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 application, and that he did sign the same, and that all •acts 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.