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10763Permit No Application is hereby m ade A for the approval of the detailed statement of the plans and specifications herewith submitted for the building PP Y Pf! p � � 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 a4t'v14tJ -4 Registered Architect and /or En i _ .� Employing Plumbers Name �'���% - '�.' No. Str Location and Legal Description Lo Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) Repairs No. of Stories New Building Remodeling Addition Size Septic Tank Type of Tank Feet of Drain Tile »a+•_ Feet of Tank or Drain Field from Well Nature of Water Supply: City—We _Size of Soakage Pit_ Amount of Permit $ (wed) pl ymbing 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 5986, 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 hin in the work to be performed under this permit; frost or notices as are perfo ' and will or cause to be posted for inspection on the site of the work such public notice 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. A 41 41 A 1 My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Mork Subdivision_ (Signed) 17 Street, Capacity Gals Dated oZ i Notary Public, State of Fknida Master Plumber. 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 the 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 4.00 will be made when such re-inspection is made necessary by improper notice for 'inspection, or faulty materials and /or workmanship. CLOSETS TUBS S HOWERS i -LAVA- ': TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH' ' , BASIN FLOOR 'DRAIN ' .DRINKING.'. FOUNT'NS TOTAL , ' FIXTURES . CONTR. • LIST - CHECK SEPTIC TANK SEWER CONN. - DRAIN : FIELD SOAKAGE PIT - .GREASE - TRAP • SOLAR . - WATER DEEP - WELL SPRKLR. SYSTEM SWIM'O POOL -: - - - CONTR. LIST CHECK - - - Permit No Application is hereby m ade A for the approval of the detailed statement of the plans and specifications herewith submitted for the building PP Y Pf! p � � 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 a4t'v14tJ -4 Registered Architect and /or En i _ .� Employing Plumbers Name �'���% - '�.' No. Str Location and Legal Description Lo Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) Repairs No. of Stories New Building Remodeling Addition Size Septic Tank Type of Tank Feet of Drain Tile »a+•_ Feet of Tank or Drain Field from Well Nature of Water Supply: City—We _Size of Soakage Pit_ Amount of Permit $ (wed) pl ymbing 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 5986, 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 hin in the work to be performed under this permit; frost or notices as are perfo ' and will or cause to be posted for inspection on the site of the work such public notice 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. A 41 41 A 1 My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Mork Subdivision_ (Signed) 17 Street, Capacity Gals Dated oZ i Notary Public, State of Fknida Master Plumber. 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 the 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 4.00 will be made when such re-inspection is made necessary by improper notice for 'inspection, or faulty materials and /or workmanship.