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445 NE 94 St (11)Permit No ° V I Date_ ____ ` _/ 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's Name Location and Legal Description Lot_ Street and Number where work is to be performed —No State work to be performedi and purpose of building (By Floors) _ New Building ____._ Remodeling Size Septic Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. i".� No. -- -- -- - Street_ P - Subdivision.._..., -.____ Street Type of Tank_— Capacity Gals Feet of Drain Tile. __ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Amount of Permit $___ - .... STATE OF FLORIDA, 1 COUNTY OF DADE. NOTE: A re- materials and /or • . lananship. Addition_____________________ Repairs___ No. of Stories Size of Soakage Pit (Signed)_ (Signed )- My Commission Expires Notary Public, State of Florida ■ Street. 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 tlie 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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true. on fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty CLOSETS BATH TUBS SHOWER• LAVA- TORIES SINKS SLOP S INKS LAUNDRY TUes URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT'NS TOTAL FIXTURES CONTs. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK ln60 Permit No ° V I Date_ ____ ` _/ 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's Name Location and Legal Description Lot_ Street and Number where work is to be performed —No State work to be performedi and purpose of building (By Floors) _ New Building ____._ Remodeling Size Septic Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. i".� No. -- -- -- - Street_ P - Subdivision.._..., -.____ Street Type of Tank_— Capacity Gals Feet of Drain Tile. __ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Amount of Permit $___ - .... STATE OF FLORIDA, 1 COUNTY OF DADE. NOTE: A re- materials and /or • . lananship. Addition_____________________ Repairs___ No. of Stories Size of Soakage Pit (Signed)_ (Signed )- My Commission Expires Notary Public, State of Florida ■ Street. 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 tlie 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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true. on fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty Permit N_ 1 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. � �j /M Owner's Name and Address d- - J✓Q �f "°- ®___.f- d__?_7_1 e____JxL4___ -•____ No._ __4 n __•------ ___ -_— Streetj_ -- -• ...rt.- — Registered Architect and /or Engineer ____-- ____- -_ - -__ — ---- -- - - -- -- -- -- Employing Plumber's Name___. _.� 4 2_ZZ ' � J Vii_) d in No. e __ j :y ` Street. /V die /:2 _ }' 1l C __ P Y�g — e. r, - Location and Legal Description Lot._._ _ 4_ __—__ '1::r9. Su� l�/_i bdivision 01___ 2�! _5 1., Street and Number where work is to be performed —No 4'5 4/ E Street ,`7_ Su _/ — 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. - Size of Soakage Pit Amount of Permit $__ STATE OF FLORIDA, 1 COUNTY OF DADE. J (Signed)_ ( Signet) - -- Date o �' 10 I� ' �✓ ... !r No. of Stories. - ..1 My . . ion Expires Notary Public, State of Florida Master Plumber. 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, 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 therein by him stated are true. NOTE: A = •spection fee of $1.00 will be made when such re- inspection is made-necessary by improper notice for inspection, or faulty materials and/ • workmanship. CLOSETS BATH TUBS SHOWERS LAVA- T+ORRIIES I3 ' SINKS I SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS �� )V A/1 / .LE4'L�' a h I' `J TOTAL FIXTURES CONTR. LIST .ot a~ 4141 ✓ CHICK g�d y,' ci I f %vrd 2 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL come. LIST ` -- CHECK Permit N_ 1 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. � �j /M Owner's Name and Address d- - J✓Q �f "°- ®___.f- d__?_7_1 e____JxL4___ -•____ No._ __4 n __•------ ___ -_— Streetj_ -- -• ...rt.- — Registered Architect and /or Engineer ____-- ____- -_ - -__ — ---- -- - - -- -- -- -- Employing Plumber's Name___. _.� 4 2_ZZ ' � J Vii_) d in No. e __ j :y ` Street. /V die /:2 _ }' 1l C __ P Y�g — e. r, - Location and Legal Description Lot._._ _ 4_ __—__ '1::r9. Su� l�/_i bdivision 01___ 2�! _5 1., Street and Number where work is to be performed —No 4'5 4/ E Street ,`7_ Su _/ — 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. - Size of Soakage Pit Amount of Permit $__ STATE OF FLORIDA, 1 COUNTY OF DADE. J (Signed)_ ( Signet) - -- Date o �' 10 I� ' �✓ ... !r No. of Stories. - ..1 My . . ion Expires Notary Public, State of Florida Master Plumber. 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, 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 therein by him stated are true. NOTE: A = •spection fee of $1.00 will be made when such re- inspection is made-necessary by improper notice for inspection, or faulty materials and/ • workmanship. ew ur ..tag.....---- - -- - -- - C LO•sT• BATH TUBS r,NC1V[R• LAVA• TORII% �_ SLO. �LA UNOR T URINAL* T " I K• i SINK/ TUBE t CATCH SA•IN FL.00R DRAIN DR I N Kt NO F PUNT' N•I I PO/ W.i . 6Ri 4 0041 - I tl CO PA/ 1 tO7AL FIXTURE• LIST CHECK 1 TANK TANK 1'!• SEWER CON N. SOAKAGE P F CLO _ -� GHIA HEATER WELL . �� SYSTEM SW POOL i TRAP �_._ CN[CK MiAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT / C � 7 ' .. Date / _ 7g . Pe rmit 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 et building during progress of work..Q� .�1,� Owners Name and Address acei � - �G ele &- Registered Architect and /or En racer.._ ._.- _- _-- --.- -- -- Employing Plumber's Name i • - .. ` ►1.� No, S' 6 t 8treet..4. .. ..1 . ...•. Location and Legal Description Lot ) , ' / —Block_ Subdivision . - — 1[ .�_._..__..__.�._ _ Street. ... . 9. 9. State work to be performed purpose .:... - -. . - - •. _ ._.._ Street and Number where work is to be performed- 11ti.__�____.. �t ormed and u se of building (By Floors) - •----- •---- ..._ - - - -- - - N B • -1, Remodeling Addition..._ •- ......... Repairs ....__ ___________-__Type of Tank Size Septic Tank_____ ..... . _Dist. Feet of Tank or Drain Field from Welt. .Size of Soakage Pit Feet of Drain Tile._.. - Nature of Water Supply: City - Well...__----- - -...: -- Amount of Permit 5 -- -- - - --•• - -- (Signed) The undersign^" -d applicant for this building permit does hereby certify that he understands and accepts his atlons as an employer of labor. under the Florida \Vorkmen's Compensation Act, being Section 5E6d, Compiled General Laws of Florida Permanent Supplement, and hal com- plied with the provisions there°f, and will require similar Lttiulpnance 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 agreta to employ only each Sub- contractors, on work to be performed under this permit, as are licensed by Miami Shorts Village. ( Si Capacity No: of Stories .L. NotarJ Public, State of Flo/ Ida Plumbing inspector. Master Plumber. STATE OF FLORIDA, I COUNTY OF DADE. 3eiore me, the undersigned authority, a notary puhll •. duly authorized to adnunistor oaths and take acknowledgments. personally appeared to me well known, :.mud who, I,eu r b; nie first duly sworn, oath ;leppoana Had says that he is the ......... • of tie above described constriction, Mast be has care/tally mad the foregoing application, and that he did sign the same, and that all fads therein by bin. stated are true. - - - -.__ _ My Corns i.tiiun Frpires NOTE: A rc.-ir.,spection fax of 01'•oo will be made Isriu,ro re•lnspoctinn Is wader ne ,ssaury by bnprrtper notice for inspection, our faulty materials and /or workmanship. lwriet 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 Employing Plumber's Name Location and Legal Description _ - �'!I� �. _ Block Subdivision /s i Street and Number where work is to be performed -No 4 4 A I Street f State work to be performed and purpose of building (By Floors) New Building _ - -- Remodeling__ --- _ - -_.__ Addition. Size Septic Tank _Type of Tank._ ...Capacity Gals i Feet of Drain Tile__ . _ / J-�! it i st. Feet of Tank or Drain Field from Well Nature of Water Supply: City-Well Amount of Permit $__ -. ------------------------------ - - - -__ (Signed)_ umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl ed 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. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ __Size of Soakage Pit No. - - - - - - ---- Street Repairs Date_ .. ,'S7____ _ Street. — - - ---- - - - - - No. of Stories. My Commission Expires Notary Public, State of Florida 0 Master Plumber. 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 URI CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. L113T -- CHECK - . SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O P001. CON ea. LIST CHECK lwriet 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 Employing Plumber's Name Location and Legal Description _ - �'!I� �. _ Block Subdivision /s i Street and Number where work is to be performed -No 4 4 A I Street f State work to be performed and purpose of building (By Floors) New Building _ - -- Remodeling__ --- _ - -_.__ Addition. Size Septic Tank _Type of Tank._ ...Capacity Gals i Feet of Drain Tile__ . _ / J-�! it i st. Feet of Tank or Drain Field from Well Nature of Water Supply: City-Well Amount of Permit $__ -. ------------------------------ - - - -__ (Signed)_ umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl ed 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. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ __Size of Soakage Pit No. - - - - - - ---- Street Repairs Date_ .. ,'S7____ _ Street. — - - ---- - - - - - No. of Stories. My Commission Expires Notary Public, State of Florida 0 Master Plumber. 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 ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE. FLORIDA 0 DATE ' PERMIT 11To 2601 0 0 Lot 11 Value of Project $ Contractor's License No. 195 Work to be performed under this Permit Subdi- vision Amount of �+ 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 ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. .. Signed. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the ;plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all i work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Er PERMIT 0 Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA CONTRACTOR OR BUILDER B1 Signed. N° 2443 DATE = 7 < 195 = .. Work to be performed under this Permit Contractor's License No. Subdi- vision Address of Value of r ,,�' js' Building /7 ,; r' :� ,` Project $ �+ Permit $ Amount of � 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 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 strih 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 respgpsfbility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Permit No l ( 6 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPL CATION FOR PLUMBING PERMIT N 69 -1328 787 -4 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 A. J. SCappatiCCio No 445 — Street .__..NE 94 Street Registered Architect and /or Engineer - -- __---------___--------__----____-- Employing Plumber's Name Peoples Gas System _____ _ _. No.__ 564 NE 125th — — Location and Legal Description Lot Blork Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors) New Building ______._._____ ...... .- ____ -- ... Addition__ ...... Repairs No. of Stories . . . . .. ...... . . . Size Septic Tank Feet of Drain Tile_ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. D Type of Tank Capacity Gals _ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City- Well._____— ________ ..... ________________— __-_Size of Soakage Pit (Signed) _ ( Signed) ___ Date .--- --4. - / Subdivision_______________ Street Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga s as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanen . pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo. . 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 un.: 'this permit, as are licensed by Miami Shores Village. My Commission Expires 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 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 notica for insi n, or faulty materials and /or workmanship. CLOSETS BATH TUB& SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUB& URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS roe. urye TOTAL FIXTURES CONTR. LIST 1 1 2 CHECK _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM - G POOL COMB. LIST CHECK Permit No l ( 6 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPL CATION FOR PLUMBING PERMIT N 69 -1328 787 -4 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 A. J. SCappatiCCio No 445 — Street .__..NE 94 Street Registered Architect and /or Engineer - -- __---------___--------__----____-- Employing Plumber's Name Peoples Gas System _____ _ _. No.__ 564 NE 125th — — Location and Legal Description Lot Blork Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors) New Building ______._._____ ...... .- ____ -- ... Addition__ ...... Repairs No. of Stories . . . . .. ...... . . . Size Septic Tank Feet of Drain Tile_ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. D Type of Tank Capacity Gals _ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City- Well._____— ________ ..... ________________— __-_Size of Soakage Pit (Signed) _ ( Signed) ___ Date .--- --4. - / Subdivision_______________ Street Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga s as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanen . pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo. . 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 un.: 'this permit, as are licensed by Miami Shores Village. My Commission Expires 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 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 notica for insi n, or faulty materials and /or workmanship.