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490 NE 94 St (10)Permit No ___ r_c 41_ L New Building Size Septic Tank___ _ -_ -- -- - -- Feet of Drain Tile_ -_ . _ - -- - -- - 3? -�— _ Nature of Water Supply. City—Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ _Dist. Feet of Tank or Drain Field from Well.. _ __ - - Si 3 of Soakage Pit 3,00 (Signed)- -d^ —`- (Signed)__.._ _ 8/26/69 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 herem 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 Muni 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_ E.Y. _Lieth_ . _ __ - -- 4 . 9 0 N _ _ - 94th Street t e tic �lank Registered Architect and /or Engineer .. - 0' l : �._ -- eal � -- _S_� .wM - - Co. -_ _____ - - ---___- - -- - -- _ Employing Plumber's Name O'Neal__septie lank _Co.N 8350 N.W. _ -_ Street 56_ Street Location and L e g a l Description Lot___--_--_ _._ ______ ,__ _.__ Block_ _ Subdivision - - -- - -- - -._ -- . -. -.. - Street and Number where work is to be performed —No 490 N .2_.._ Street . _ - _ 94tY1 _S1reet _ State work to be performed and purpose of building (By Floors) _ _ -- - -. Am ?'c I&' X 6 7,79 /JJ /9/77 ',Si - _Capacity Gals. Master Plumber. Notary Public, State of Florida Remodeling_____ ___ __ _ _ _ Addition____ __._ Repairs. I _... _ ___ No. of Stories . ... _. Ph.mb rag 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 5966, Compiled General Laws of Florida Peri ent Supplement, ^nil I as im- 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn.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 apphcation, and that he did sign the same, and that all .acts 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. CLOSRB BATH TUB6 S LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUa'T'N6 TOTAL F %TURFS CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FI ELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POOL COMM LIST CNECK Permit No ___ r_c 41_ L New Building Size Septic Tank___ _ -_ -- -- - -- Feet of Drain Tile_ -_ . _ - -- - -- - 3? -�— _ Nature of Water Supply. City—Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ _Dist. Feet of Tank or Drain Field from Well.. _ __ - - Si 3 of Soakage Pit 3,00 (Signed)- -d^ —`- (Signed)__.._ _ 8/26/69 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 herem 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 Muni 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_ E.Y. _Lieth_ . _ __ - -- 4 . 9 0 N _ _ - 94th Street t e tic �lank Registered Architect and /or Engineer .. - 0' l : �._ -- eal � -- _S_� .wM - - Co. -_ _____ - - ---___- - -- - -- _ Employing Plumber's Name O'Neal__septie lank _Co.N 8350 N.W. _ -_ Street 56_ Street Location and L e g a l Description Lot___--_--_ _._ ______ ,__ _.__ Block_ _ Subdivision - - -- - -- - -._ -- . -. -.. - Street and Number where work is to be performed —No 490 N .2_.._ Street . _ - _ 94tY1 _S1reet _ State work to be performed and purpose of building (By Floors) _ _ -- - -. Am ?'c I&' X 6 7,79 /JJ /9/77 ',Si - _Capacity Gals. Master Plumber. Notary Public, State of Florida Remodeling_____ ___ __ _ _ _ Addition____ __._ Repairs. I _... _ ___ No. of Stories . ... _. Ph.mb rag 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 5966, Compiled General Laws of Florida Peri ent Supplement, ^nil I as im- 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn.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 apphcation, and that he did sign the same, and that all .acts 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.