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898 NE 95 St (6)Owner's Name and Address Registered Architect and /or Engineer ___/ -. de ,„, Employing Plumber's Name CULL" M9 ;MB RES VOELAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -CL -�- =- - - -- - - -_ No._ Location and Legal Description Lot _.(,l Block - 1vision Permit No _______ / Date Application is hereby m de for the approval of the detailed statement of the plans and specifications herewith su mitted 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 cpt at building during progress of work. Street Street - - - ------------ --- •- -• ---- Street and Number where work is to be performed —No - - I State work to be performed and purpose of building (By Floors)-__ _________ _________ New Building Remodeling_____ Addition____ Repairs No. of Stories.. Size Septic Tank- Feet of Drain Tile___-_ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well._ Plumbing Inspector. The undersigned ap•'Icant 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 bus 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 tEe Act. The undersigned agrees to employ only such sub - contractors, on w to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires Type of Tank Capacity Gals - Size of Soakage Pit (Signed) _ ( Signed) ___ 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.08 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 URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SY SWIM'G POOL CONTR. LIST CHECK - - - -- Owner's Name and Address Registered Architect and /or Engineer ___/ -. de ,„, Employing Plumber's Name CULL" M9 ;MB RES VOELAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -CL -�- =- - - -- - - -_ No._ Location and Legal Description Lot _.(,l Block - 1vision Permit No _______ / Date Application is hereby m de for the approval of the detailed statement of the plans and specifications herewith su mitted 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 cpt at building during progress of work. Street Street - - - ------------ --- •- -• ---- Street and Number where work is to be performed —No - - I State work to be performed and purpose of building (By Floors)-__ _________ _________ New Building Remodeling_____ Addition____ Repairs No. of Stories.. Size Septic Tank- Feet of Drain Tile___-_ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well._ Plumbing Inspector. The undersigned ap•'Icant 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 bus 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 tEe Act. The undersigned agrees to employ only such sub - contractors, on w to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires Type of Tank Capacity Gals - Size of Soakage Pit (Signed) _ ( Signed) ___ 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.08 will be made when such re- inspection is made• necessary by improper notice for inspection, or faulty materials and /or workmanship. APPLICATION FOR PLUMBING PERMIT Permit No _ -- Date Q_--- Liza 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 wo Owner's Name and Address ' \ Registered Architect and /or En: ineer Employing Plumber's Name - No._ Street__ Location and Legal Description Street and Number where work is to be performed —No.__ State work to be performed and purpose of building (By Floors) _______ New Building ___ Remodeling_____ _ ._____ Addition.___.___._______ ____._ Repairs No. of Stories. SQ • _ �_ of Tank I _ Capacity Size Septic Tank_.__ -���- L�dpp � ____Type - - - P tY Gals Feet of Drain Tile -_.1t .A' .... __ -- ___Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl City Well .________--- _______ —___ Size of Soakage Pit ,,� n n .• '�,1 if a , —Q- 9 1 C� �C l�(.�� -R e� , y ld Amount of Permit $ 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 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT licensed by Miami Shores Village. be ® Master Plumber. My Commission Expires STATE OF FLORIDA, 1 % , COUNTY OF DADE. Block_ Subdivision ._ Street ( Signed) - --- _ - -_ -- F Street 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. Notary Public, State of Florida NO3 A re- inspection fee of $1.10 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS S LAVA- TORIES SINKS S SLOP SINKS LAUNDRY TUeB U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST 6T 3 W k I CHECK � S V p \� ( ..1� , r 4� 11 �� Y . q SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CoNTR. LIST - - -- CHECK (0 APPLICATION FOR PLUMBING PERMIT Permit No _ -- Date Q_--- Liza 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 wo Owner's Name and Address ' \ Registered Architect and /or En: ineer Employing Plumber's Name - No._ Street__ Location and Legal Description Street and Number where work is to be performed —No.__ State work to be performed and purpose of building (By Floors) _______ New Building ___ Remodeling_____ _ ._____ Addition.___.___._______ ____._ Repairs No. of Stories. SQ • _ �_ of Tank I _ Capacity Size Septic Tank_.__ -���- L�dpp � ____Type - - - P tY Gals Feet of Drain Tile -_.1t .A' .... __ -- ___Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl City Well .________--- _______ —___ Size of Soakage Pit ,,� n n .• '�,1 if a , —Q- 9 1 C� �C l�(.�� -R e� , y ld Amount of Permit $ 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 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT licensed by Miami Shores Village. be ® Master Plumber. My Commission Expires STATE OF FLORIDA, 1 % , COUNTY OF DADE. Block_ Subdivision ._ Street ( Signed) - --- _ - -_ -- F Street 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. Notary Public, State of Florida NO3 A re- inspection fee of $1.10 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.