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1260 NE 97 St (12)APPLICATION FOR PLUMBING PERMIT t.4 / � Date .....L.. 7 .._ . Permit No.....G� •_i...._ :_. • 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 regulatiorw 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_ � !3A' t.✓.L5 K 4' • No. � °1 -'r=te -- Street_. ..1�--- ...?... / S. _. Registered Architect and /or Engineer....._.--___—.--.:____...- nq UL� . Eotployiug Plumber's Name.. C9 — ( — _ ! ._�...._ ! ,.._Sig.,.....,.._.„„..: Stteet.L., � . ...,S .......,.... - �` ._... Location and Legal Description Lot_______.- - ---._.- .--- .--- ---- -- Eloek__ Subdivision — 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....... ' LAVA. FLOOR DRINKINOT•^5 EYS ; SNOWIER', TONICS — DRAIN POU!17'NS hlCrfb�L GLOG Tuer 0:1100-r Coe-nt. LIST CK6CK CONRR. .L..Irr DRAIN SOAKAO6 Pi610 PIT Amount of Permit $..... - -- ® MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Simko. i °LOP giNK$ 1. SrPTIC SIWr.1� i GrISAVIC 1 SOLAR TANK GONN• TRAP ! Nr.AT6R I i I . Cm'EcK _1. — y Size Septic Tank__—_. _Type of Tan 1.ti 4.- Tii J k C -.1.bW /2 Capacfty Gals... J1.0.10._ .____ Feet of Drain Tile ______ ..... . ..... -- --- - --Dist Feet of Tank or Drain Field from Well _...... - - -- - ••- Nature of Water Supply: City-Well _ __...:Size of Soakage Pit LAUAORY Tusr. •__— _- ___- - -__ -. (Signed) Street URINALS CATCH ®ASIN D68P SPRKLR. SWIM'O ' WILL i SYSTEM. POOL TOTAL FIXTURES The. undersigned applicant for this building permit does hereby certify that he understands and accepts his ob1ig11 i(ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5088, Compiled General Laws of Florida Permanent Supplement, and Ilan corn- . • plied with the provisions thereof, and will require similar eovnpliance 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 notk''e 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. (Signed)_ Master .Plumber. STATE OF FLORIDA, I es. COUNTY OF DADE. S.. 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, wren oath deposes and says that he is did sign the seine, and that all facts of the above described construction, that he has carefully ?load the fforegoing s pp tion, therein by him stated are true. Nots.-y Public, State of Florida My Coounision EEpirea NOTE: A rep- inspection fee of MOO will be made whoa hesth re-lnspedlrsts la IiI o• ateriessary by hnproper notices far inspection, or faulty materials and /ce workrranakip• . V•Rl "7°. 3/ s 'TANS? a,d.° Ta -�Ld' geXS BUILDING ❑ ELECTRICAL ❑ Address of Building i MIAMI SHORES VILLAGE. FLORIDA PLUMBING PERMIT N9 8739 ROOFING 0 ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Description 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 knowlec.ge 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 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. 4 Subdi- vision Sq. Ft Value of Project $ DATE `+ 195—._ Contractor's License No. D Amt. of Permit $ CONTRACTOR OR BUILDER / BY AUTHORITY BUILDING ❑ ELECTRICAL ❑ PERMIT PLUMBING ❑ N e o 8713 ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER Bl. Subdi- vision Sq. Ft Value of Project $ DATE 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 tact 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 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 BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA ! PERMIT N° 9750 � -1 CONTRACTOR OR BUILDER Work to be performed under this Permit— Bl. Subdi- vision Value of Project $ Amt. of Permit $ t BY AUTHORITY DATE 195 Contractor's License No 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 perfcrrmed 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 conaider'ation of the issuance to me of this permit I agree to perform the 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. Permit No 5'' 7 3 MBAM1 SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r` EkMlT Dates 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 l_ _ _ __.__- _ - - - -. No.__ � Street ..2 ao Registered Architect and /or Engineer ____- __-•-- -_ ------- -.-- _- -•�_ - �_ -- Employing Plumber's Name 'e Av_ c _. y__ e tW l,? / 4 . -- _ p __ Street___ ! _ _ .._- 1�.1✓�° Location and Legal Description Lot____._ .____________ __ _ Block Subdivision_______ ....... _________ Street and Number where work is to be performed —No / 2 > 4 0 Street J 2 i State work to be performed and purpose of building (By Floors) -_._ -- _------ -__ - -- __- te 6 /4 New Building _.___ _._ Remodeling_____ ____ _ Addition______)___ 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 Nature of Water Supply: City —Well - ------- - - - - -- Amount of Permit $ ._Size of Soakage Pit (Signed) _ (Signed)__ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts] o bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida'Pennanent 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 perfo . d under this per:nit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, I 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 such re- inspection is made-necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUSK SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8 TOTAL FIXTURES CONTR. CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•O POOL CONTR. LIST CHECK Permit No 5'' 7 3 MBAM1 SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r` EkMlT Dates 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 l_ _ _ __.__- _ - - - -. No.__ � Street ..2 ao Registered Architect and /or Engineer ____- __-•-- -_ ------- -.-- _- -•�_ - �_ -- Employing Plumber's Name 'e Av_ c _. y__ e tW l,? / 4 . -- _ p __ Street___ ! _ _ .._- 1�.1✓�° Location and Legal Description Lot____._ .____________ __ _ Block Subdivision_______ ....... _________ Street and Number where work is to be performed —No / 2 > 4 0 Street J 2 i State work to be performed and purpose of building (By Floors) -_._ -- _------ -__ - -- __- te 6 /4 New Building _.___ _._ Remodeling_____ ____ _ Addition______)___ 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 Nature of Water Supply: City —Well - ------- - - - - -- Amount of Permit $ ._Size of Soakage Pit (Signed) _ (Signed)__ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts] o bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida'Pennanent 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 perfo . d under this per:nit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, I 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 such re- inspection is made-necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No ...... - .-- -_ .. .. . .......... e9 C2 Sine Septic Tank �s� Feet of Drain Tile u _ 4r ( Nature of Water Supply: City —Well. Amount of Permit $ BAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING i ' b M T 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 �.J `^GZ, -/ ( " 9 , *./ -- No. Street Registered Architect and /or En ineer_. ___ _ Employing Plumber's Name ... .. ....: ... ' v _--_ 4-: ,,i''''° __ Street_ •__ - - --_ Location and Legal Description Lot_ .- _.._..___!-_ ___ Block- ; Subdivision. Street and Number where work is to be performed —No ir` _ __d State work to be performed and purpose of building (By Floors)__ ___ ..... _______ ........... _ New Building _._. Remodeling_ — Addition__._____ Repairs No. of Stories. (Signed) _ Street -p T e of Tank_ Capacity Gals._ st. Ket of Tank or Drain Field from Well _ ._Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts hi os�bligations as an employer of labor under the Florida Worlanen'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. (Si - -- - — - 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 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. My Commission Expires Notary Public, State of Florida Plumbing Inspector. 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 TUBE SHOWERS LAVA- TORIES S SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN 'FLOOR DRAIN DRINKING FOUNT' NB TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM $W IM'O POOL CONTR. LIST _. CHECK Permit No ...... - .-- -_ .. .. . .......... e9 C2 Sine Septic Tank �s� Feet of Drain Tile u _ 4r ( Nature of Water Supply: City —Well. Amount of Permit $ BAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING i ' b M T 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 �.J `^GZ, -/ ( " 9 , *./ -- No. Street Registered Architect and /or En ineer_. ___ _ Employing Plumber's Name ... .. ....: ... ' v _--_ 4-: ,,i''''° __ Street_ •__ - - --_ Location and Legal Description Lot_ .- _.._..___!-_ ___ Block- ; Subdivision. Street and Number where work is to be performed —No ir` _ __d State work to be performed and purpose of building (By Floors)__ ___ ..... _______ ........... _ New Building _._. Remodeling_ — Addition__._____ Repairs No. of Stories. (Signed) _ Street -p T e of Tank_ Capacity Gals._ st. Ket of Tank or Drain Field from Well _ ._Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts hi os�bligations as an employer of labor under the Florida Worlanen'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. (Si - -- - — - 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 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. My Commission Expires Notary Public, State of Florida Plumbing Inspector. 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 3 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 Addres Registered Architect and /or En 'nee Employing Plumber's Name New Building Remodeling •• Amount of Permit $ 2 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING r"h.afiIT � G a No � _ .__ Street_ � . (Signed) (Signed Date Street-.-__-. Subdivision Location and Legal Description Street and Number where work is to be performed —No Z. Street State work to be performed and purpose of building (By Floors)_ Addition..._ 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 Nature of Water Supply: City — Well.________ _ _____Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts . is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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 ces as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo. -d ender this it, as are licensed by Miami Shores Village. aster 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 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re inspection is made by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH Tires SHOWERS LAVA- TORIES " KS SLOP SINKS LAUNDRY Tugs URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIDT • "-- 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 3 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 Addres Registered Architect and /or En 'nee Employing Plumber's Name New Building Remodeling •• Amount of Permit $ 2 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING r"h.afiIT � G a No � _ .__ Street_ � . (Signed) (Signed Date Street-.-__-. Subdivision Location and Legal Description Street and Number where work is to be performed —No Z. Street State work to be performed and purpose of building (By Floors)_ Addition..._ 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 Nature of Water Supply: City — Well.________ _ _____Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts . is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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 ces as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo. -d ender this it, as are licensed by Miami Shores Village. aster 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 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re inspection is made by improper notice for inspection, or faulty materials and /or workmanship. 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 Registered Architect and /or Engineer_ ___________ Employing Plumber's Name - 0-10A ._ fd_!/_ Location and Legal Description Lot____________ _ _________ Block Street and Number where work is to be performed —No 2.22.dQ12. .i I p 7 • Street State work to be performed and purpose of building (By Floors)... New Building _— ___ Remodeling_____ __..__.__ Addition Repairs Siva Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit Nature of Water Supply: City —Well. Amount of Permit $...._ _A_& / 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 cam, 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. STATE OF FLORIDA, l 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. My Commission Expires MIAMI SHORES Vila GE PLUMBING INSPECTION DEPARTMENT (Signed)_ c 1.1( 1 - (Signed APPLICATION FOR PLUMBING PERMIT A --- _-- ____ _______ No._ _ Street Subdivision ---- •-- -•—_-- --_--- -________--_ Capacity Gals.__..___ Master Plumber. Notary Public, State of Florida 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 materials and /or workmanship. CLOGETB BATH TUBS ""g" WERS LAVA TORIES SINKS S SLOP SINKS LAUNDRY TUBS URINALS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N6 TOTAL FIXTURES CONTR. LIST ---_ CHECK SEPTIC TANK SEWER CONN. DRAIN IELD SOAK E' GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM' G POOL - CONTR. LIST CHECK .3 0 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 Registered Architect and /or Engineer_ ___________ Employing Plumber's Name - 0-10A ._ fd_!/_ Location and Legal Description Lot____________ _ _________ Block Street and Number where work is to be performed —No 2.22.dQ12. .i I p 7 • Street State work to be performed and purpose of building (By Floors)... New Building _— ___ Remodeling_____ __..__.__ Addition Repairs Siva Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit Nature of Water Supply: City —Well. Amount of Permit $...._ _A_& / 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 cam, 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. STATE OF FLORIDA, l 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. My Commission Expires MIAMI SHORES Vila GE PLUMBING INSPECTION DEPARTMENT (Signed)_ c 1.1( 1 - (Signed APPLICATION FOR PLUMBING PERMIT A --- _-- ____ _______ No._ _ Street Subdivision ---- •-- -•—_-- --_--- -________--_ Capacity Gals.__..___ Master Plumber. Notary Public, State of Florida 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 materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT a; Date 1,^ '' . / r Application is hereby made for the approval of the detailed statement of the plans and specifications herewitlubmitted 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 Miarni Shores Village and all rules and regulation:; 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 Permit building during progress of work. cs i 0 Owner's Name and Address_6`J >) No Street Registered Architect and /or Engineer Employing Plumber's Name t�� / Le !' 1j No Street Location and Legal Description Lot Block . Subdivision Street and Number where work is to be performed —No Street __.d. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories f� C Type of Tank Capacity Gals Size Septic Tank Feet of Drain Tile " Dist. Feet of Tank or Drain Field from Well Nature of Water Supply:(Cit , Well Size of Soakage Pit Amount of Permit $l ) Q ( Signed ) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatiolis is 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. (Signed) Master Plumber. STATE OF FLORIDA, 1 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. My Commission Expires Notary Public, State of Florida 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 TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS ; ^. ! - /' '' ''� TOTAL FIXTURES CONTR. LIST ,� -) / G 1� _ —_ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT a; Date 1,^ '' . / r Application is hereby made for the approval of the detailed statement of the plans and specifications herewitlubmitted 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 Miarni Shores Village and all rules and regulation:; 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 Permit building during progress of work. cs i 0 Owner's Name and Address_6`J >) No Street Registered Architect and /or Engineer Employing Plumber's Name t�� / Le !' 1j No Street Location and Legal Description Lot Block . Subdivision Street and Number where work is to be performed —No Street __.d. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories f� C Type of Tank Capacity Gals Size Septic Tank Feet of Drain Tile " Dist. Feet of Tank or Drain Field from Well Nature of Water Supply:(Cit , Well Size of Soakage Pit Amount of Permit $l ) Q ( Signed ) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatiolis is 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. (Signed) Master Plumber. STATE OF FLORIDA, 1 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. My Commission Expires Notary Public, State of Florida 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.