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PLUMBINGr MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No._ _ 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 at building during progress of work. / .. Owner's Name and Address ., , • a 'c __1____ - No Street Registered Architect and /or Engineer Employing Plumber's Name . :_____ /___ _% No Street__ Location and Legal Description Lot___�� 11 , _ __— rc� __ Block__ / Subdivision Street and Number where work is to be performed —No )___, S treet____.___ __ State work tome performed and purpose of building (By Floors) B uilding Remodeling Addition Repairs No. of Stories -"'`--.. 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 matetials and /or workmanship. Size c Se ti Tank Type . p • T e of Tank_____ _— -____ ____ � � Capacity Gals • Feet of Drain Tile LF 9 — _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well / — Size of Soakage Pit Amount of Permit $ - /__.�" : ss. (Signed) (Signed) My Commission Expires Notary Public, State of Florida 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 5966, 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 licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, t 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT •NS TOTAL FIXTURES CONTR. LIST �� G G '' V / -. ^ LAI� L' C CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SCRR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST f vc5 CHECK r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No._ _ 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 at building during progress of work. / .. Owner's Name and Address ., , • a 'c __1____ - No Street Registered Architect and /or Engineer Employing Plumber's Name . :_____ /___ _% No Street__ Location and Legal Description Lot___�� 11 , _ __— rc� __ Block__ / Subdivision Street and Number where work is to be performed —No )___, S treet____.___ __ State work tome performed and purpose of building (By Floors) B uilding Remodeling Addition Repairs No. of Stories -"'`--.. 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 matetials and /or workmanship. Size c Se ti Tank Type . p • T e of Tank_____ _— -____ ____ � � Capacity Gals • Feet of Drain Tile LF 9 — _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well / — Size of Soakage Pit Amount of Permit $ - /__.�" : ss. (Signed) (Signed) My Commission Expires Notary Public, State of Florida 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 5966, 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 licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, t 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. • BU LDING ELECTRICAL PLUMBING ROOF'!NG Owner of Building Architect Contractor or Builder_ Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA ❑ DATE ' 17 ` _ 195 ❑ PERMIT 'N° 11.932 Contractor's License No ❑ Work to be performed under this Permit • CONTRACTOR OR BUILDER BI. Subdi- vision Value of Project $ ■!N Amt. of Permit $ This pen nit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and. regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • a w k _ BY � a INSPECTOR In consideration of the issuance to me of this permit I agree to perform tl:,e work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA BUILDINGr ❑ ELECTRICAL PERMIT N9 8073 PLUMBING ROOFING El Work to be performed under this Permit Bl. Subdi- vision Sq. Ft Value of Project $ DATF 195 Contractor's License No. Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances anfl regulations pertaining thereto and in strict conformity with the plans, drawings, statements 017 specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 17 Permit No �! New Building Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot____ _ __.__ _ ____ ____ Block Siree Street and Number where work is to be performed— No. o?m Nature of Water Supply: City —Well Amount of Permit $ Remodeling_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING "' k IT Addition_ (Signed) ( Signed - z G gi w Date No.� �� l�?� Street. My Commission Expires Notary Public, State of Florida 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 wilding 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 R: Ge,7f No. / ® ® Street / ' • Subdivision l State work to be performed and purpose of building (By Floors)_ = __- Repairs No. of Stories. Size Septic Tank _ _ Type of Tank__ _ Capacity Gals Feet of Drain Tile_ _______Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 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 5966, 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 per jp med under this permit, as are licensed by Miami Shores Village. s � Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. j 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 suet re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWER! LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK. SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST . CHECK Permit No �! New Building Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot____ _ __.__ _ ____ ____ Block Siree Street and Number where work is to be performed— No. o?m Nature of Water Supply: City —Well Amount of Permit $ Remodeling_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING "' k IT Addition_ (Signed) ( Signed - z G gi w Date No.� �� l�?� Street. My Commission Expires Notary Public, State of Florida 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 wilding 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 R: Ge,7f No. / ® ® Street / ' • Subdivision l State work to be performed and purpose of building (By Floors)_ = __- Repairs No. of Stories. Size Septic Tank _ _ Type of Tank__ _ Capacity Gals Feet of Drain Tile_ _______Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 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 5966, 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 per jp med under this permit, as are licensed by Miami Shores Village. s � Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. j 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 suet re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No 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. Owner's Name and Address._ a__t. Registered Architect and /or ineer_ -- _ - -- - - Employing Plumber's Name /' 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 Siva Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well CE &sue __- - - -> 2 " Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ►,�IiIT (Signed) No.__I_o__ _ Block aea Street rC_ qi t/ 3 q Date.. qJQ Street Street_ l r SD Subdivisio Repairs No. of Stories. Type of Tank__ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 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 5966, 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 poster]' 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 licensed by Miami Shores Village. Notary Public, State of Florida 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 me first duly sworn, upon oath dewoses 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 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 U CATCH BASIN FLOOR DRAIN DRINKING FOU /� \ TOTAL FIXTURES CONTR. Liar O II D -- CHECK _____ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CoNTR. LIST CHICK Permit No 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. Owner's Name and Address._ a__t. Registered Architect and /or ineer_ -- _ - -- - - Employing Plumber's Name /' 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 Siva Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well CE &sue __- - - -> 2 " Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ►,�IiIT (Signed) No.__I_o__ _ Block aea Street rC_ qi t/ 3 q Date.. qJQ Street Street_ l r SD Subdivisio Repairs No. of Stories. Type of Tank__ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 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 5966, 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 poster]' 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 licensed by Miami Shores Village. Notary Public, State of Florida 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 me first duly sworn, upon oath dewoses 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 such re- :Inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No.. 1E°' " 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 o specified or not. A copy of approved plans and specifications must be kept .1 building during progress of work. _ Owner's Name and Address 1 No Registered Architect and /or gineer Mt v1O11 tl Employing Plumber's Now 4) Subdividon �y Street and Number where work is to be performed —No JO Q 0 treat__ q !c . State work to be performed and purpose of building (By . t New Building..__.._ __.._...._......_.. Remodeling__—_--- ____.____ -- Addition. - .- .- _ —• - -_ Repair No. of Stories........ Location and Legal Description Lot. Size Septic Tank_.._ Type of Tank__ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ..._.—_ -�— Nature of Water Supply: City—Well Size of Soakage Pit MIAMI SHOIRES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT rP� _ Amount of Permit $_1S (signed)._ 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 5966, Compiled General Laws of Florida Permanent Supplement, and Ilan em- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract l played by him In the worb to be performed under this permit; and will post or cause to be posted for inspection on the site of the public notice or notices as err required by the Act. The undersigned agrees to employ only such alb -oontr • ; 5, work be, ' nder this permit, as are licensed by Miami Shores Village ° (Si streeLivA 96 My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 1 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 be bar carefully read the foregoing application, and that be 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 snob asiupeotlen b made•neorerary by improper node. for inspection, or faulty materials and /or worinaanship. ur CLosn BATH Tue• aNOW[RO LAVA• TORIES SINK[ SLOP SINK[ LAUNDRY Tun• URINAL[ CATCH SA[IN FLOOR DRAIN DRINKING FOUNT'N[ TOTAL rI[YUR[[ CopTR. LIST CHICK - _ - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DIM* WELL SPRKLR. SYSTEM SW IN•O POOL CONTR. LIST CHECK Permit No.. 1E°' " 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 o specified or not. A copy of approved plans and specifications must be kept .1 building during progress of work. _ Owner's Name and Address 1 No Registered Architect and /or gineer Mt v1O11 tl Employing Plumber's Now 4) Subdividon �y Street and Number where work is to be performed —No JO Q 0 treat__ q !c . State work to be performed and purpose of building (By . t New Building..__.._ __.._...._......_.. Remodeling__—_--- ____.____ -- Addition. - .- .- _ —• - -_ Repair No. of Stories........ Location and Legal Description Lot. Size Septic Tank_.._ Type of Tank__ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ..._.—_ -�— Nature of Water Supply: City—Well Size of Soakage Pit MIAMI SHOIRES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT rP� _ Amount of Permit $_1S (signed)._ 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 5966, Compiled General Laws of Florida Permanent Supplement, and Ilan em- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract l played by him In the worb to be performed under this permit; and will post or cause to be posted for inspection on the site of the public notice or notices as err required by the Act. The undersigned agrees to employ only such alb -oontr • ; 5, work be, ' nder this permit, as are licensed by Miami Shores Village ° (Si streeLivA 96 My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 1 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 be bar carefully read the foregoing application, and that be 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 snob asiupeotlen b made•neorerary by improper node. for inspection, or faulty materials and /or worinaanship.