Loading...
700 NE 94 St (5)Permit No Amount of Permit $ — - My Commission Expires MOQMO SNORES VDIL PLUMBING INSPECTION DEPARTMENT QPPDUCMDOO N I ©Q PdUMBON© PEQMO4 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. ��•p //�� Owner's Name and Address._ 1-40 0.0 £ ( C LY__/_1_`__ No.. 7 Ali; __ 1_VStreet_ Registered Architect and /or Engineer__ Employing Plumber's Name __, g_O�1f1_� �_ ��� No._1 o____ Street /_.6 Location and Legal Description Lot-_ 1 . 1 __ _ ____, Block_ Subdivision-L__L_Lin Street and Number where work is to be performed —No.__ 7®_12__ _____ Street State work to be performed and purpose of building (By Floors) a 3.°_Z_x_�_ 7":" _--------- _ -c®it- _ New Building Remodeling Addition.___ Repairs No. of Stories . . . .................... Size Septic Tank g .... Type of Tani' /_ C/14 Capacity Gals Feet of Drain J-.2fT __4 1 Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio.s s an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent 5.- plement, 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 ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, work be perfor I under this permit, as are licensed by Miomi Shores Village. Date 7 / ; - 7 Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, } ss. 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 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 mach 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 CATCH BASIN FLOOR DRAIN DRINKING FOUNT •NS TOTAL FIXTURES CONTR. LIOT CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LICIT CHUCK Permit No Amount of Permit $ — - My Commission Expires MOQMO SNORES VDIL PLUMBING INSPECTION DEPARTMENT QPPDUCMDOO N I ©Q PdUMBON© PEQMO4 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. ��•p //�� Owner's Name and Address._ 1-40 0.0 £ ( C LY__/_1_`__ No.. 7 Ali; __ 1_VStreet_ Registered Architect and /or Engineer__ Employing Plumber's Name __, g_O�1f1_� �_ ��� No._1 o____ Street /_.6 Location and Legal Description Lot-_ 1 . 1 __ _ ____, Block_ Subdivision-L__L_Lin Street and Number where work is to be performed —No.__ 7®_12__ _____ Street State work to be performed and purpose of building (By Floors) a 3.°_Z_x_�_ 7":" _--------- _ -c®it- _ New Building Remodeling Addition.___ Repairs No. of Stories . . . .................... Size Septic Tank g .... Type of Tani' /_ C/14 Capacity Gals Feet of Drain J-.2fT __4 1 Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio.s s an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent 5.- plement, 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 ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, work be perfor I under this permit, as are licensed by Miomi Shores Village. Date 7 / ; - 7 Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, } ss. 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 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 mach re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship HENRY E. BROWN, JR., A. I. A. C(F(L /'( l 40 ✓ CiAJ E D iv •T( 12 r A r c h i t e c t ,( Cool. 732 dl 1 //S . - 567 77 C T AKJK S 66;74k . ��� M140 rag]) . (.67N/T2 y HA Rev u E s r E7) / 60 /76- y v 6 o.v c e= � �, S HE OSE oF - 7s o (=AL L.- ('r(C - rA-1d itI H( 5 JG( ; ( k MV oft al6") r 1.1(S LUoUL,j 7t S EO(02 T 43 (J my o q w/ N C<, S A tkl TH <' i T fV K aOL D !3E Fog r0 (C. (; r J o T H Tom: K 5 (,t,' c; V L O 8 �. THE ( (C HEA) °T(4-(, 1< Yo v r c yo 0 P._ /t r 7 E". T(d a■.) - cs r1-4 s M/} TT E A �_�� 17639 South Dixie Highway - Perrine, Florida 33157 - 235 -0211