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905 NE 95 St (7)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reques Date " dt e y Type lnsp n p�,Q 1,64 ir h�E�� Permit No. ?L 2 ) / 3-J! 7 Name L e i n& / ' C� Address � D 5 /l/ / g7 Company Phone # Inspection Date Approved Correction Re- Insp•n Fee BP- f Permit No Z \ 4 MOAM SCORES VOLILAGE PLUMBING INSPECTION DEPARTMENT APPLIC,^TIO' 3 MLR PLUMBING FERMI` 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 ©t building during progress of work. �/�! c�� �Y' Owner's Name and Address ! / .g/' /A:.' - /. / =,�No Strom..___.__ ........._. Registered Architect and /or Engineer LA /lrr 41 //k i '1 % i/ -� / // Emplo Pllttp6@>E's A1ng. flc �� .f." ��i �QIYeQ �� \ e ; d{/ __.... ... ................. . i. Location and Legal Description Lot_ i° jr / c7 T /t, / 3/f /E-, Bi 7e- Subdivision /"1 LA' -2.- Street and � Number where work is to be performed —No '' u - `5 AL ''' � ; r T S a4 Street__._____.________ -_ State work to be performed and purpose of building (By Floors) __.___ New Building___.. — X Remodeli.ng�— ._.__.__ Addition_ Size Septic Tank "! V i. C� : / tD '�a Type of Tank Amount of Permit $ 55 Repairo Feet of Drain Tile. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well Size of Soakage Pit Capacity Call ( si gne d)7 t1/41 ,GRG.S e _ , 3 No. of Stories. ...... . 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 5988, 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 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 n ce orr offices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work_te —be_ rfonmed under permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, h undersigned a th ty, a notary ublic, duly authorized to administer oaths and take acknowledgments, personally appeared a ),7Jl1 ( f 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 lead the foregoing application, and that he did sign the sane, and that all facts therein by him stated are truepfotary Public, Florida, State at Large - My Commission Expires April 5, 1982 My Commsss on es / Notary Public, Siff mater OTE: Al r fee of 81.00 will be made wham c r nspe tlom to ," �•, i - by improper =do tfaz � 000, or faulty p. CLO01[70 BATH TUBE S LAVA TOR1E0 SINKe SLOP Emma LAUNDRY TUDO URINALO CATCH BAOIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIItTUgQO CONTR. LIOT /7 - X 7 1 / ,q 9i ®A ! �t / y,6® — • /...— 7 ,170 , a1D® / ``,o CHac, too SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL ��, C CONTR. L.107 CHECK 11'/q •. i ", 1 '15 V t00 I I r BP- f Permit No Z \ 4 MOAM SCORES VOLILAGE PLUMBING INSPECTION DEPARTMENT APPLIC,^TIO' 3 MLR PLUMBING FERMI` 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 ©t building during progress of work. �/�! c�� �Y' Owner's Name and Address ! / .g/' /A:.' - /. / =,�No Strom..___.__ ........._. Registered Architect and /or Engineer LA /lrr 41 //k i '1 % i/ -� / // Emplo Pllttp6@>E's A1ng. flc �� .f." ��i �QIYeQ �� \ e ; d{/ __.... ... ................. . i. Location and Legal Description Lot_ i° jr / c7 T /t, / 3/f /E-, Bi 7e- Subdivision /"1 LA' -2.- Street and � Number where work is to be performed —No '' u - `5 AL ''' � ; r T S a4 Street__._____.________ -_ State work to be performed and purpose of building (By Floors) __.___ New Building___.. — X Remodeli.ng�— ._.__.__ Addition_ Size Septic Tank "! V i. C� : / tD '�a Type of Tank Amount of Permit $ 55 Repairo Feet of Drain Tile. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well Size of Soakage Pit Capacity Call ( si gne d)7 t1/41 ,GRG.S e _ , 3 No. of Stories. ...... . 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 5988, 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 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 n ce orr offices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work_te —be_ rfonmed under permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, h undersigned a th ty, a notary ublic, duly authorized to administer oaths and take acknowledgments, personally appeared a ),7Jl1 ( f 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 lead the foregoing application, and that he did sign the sane, and that all facts therein by him stated are truepfotary Public, Florida, State at Large - My Commission Expires April 5, 1982 My Commsss on es / Notary Public, Siff mater OTE: Al r fee of 81.00 will be made wham c r nspe tlom to ," �•, i - by improper =do tfaz � 000, or faulty p.