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PLUMBINGPermit No. , Application is hereby made for the approNal 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 :.:;d 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 1 No. Street _ Registered Architect and /or Engineer Employing Plumber's Name ! No. Street Location and Legal Description Lot Block _ __._ Subdivision__.. Street and Number where work is to be performed —No. _______._._ . __._ 1 '_.. Street _ State work to be performed and purpose of building (By Floors) New Building - Remodeling Addition - _ Repairs No. of Stories - CONTR. L15T CHECK CONTR. LIST CHECK I / BATH CLOSETS TL B5 1 SEPTIC SEWER TANK CONN. I SHOWERS Size Septic Tank . . Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE, ss. LAVA- TORIES DRAIN SOAKAGE FIELD PIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT SINKS GREASE TRAP SLOP SINKS SOLAR HEATER LAUNDRY URINAL CATCH rues BASIN I i I DEEP SPRKLR. SV+'IM'G WELL SYSTE`.1 POOL _ Type of Tank _ ____ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) ;Signed). _ FLOOR DRAIN DR: N:C NG FOUNT NS Caia city Cals. Date My Commission Expires Notary Public, State of Florida Master Plumber. TOTAL FIXTURES Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor ruder the Florida "Workmen's Compensation Act, being Section 5966, Ca!npilec! General Lases of Florida I .'kr.eaui nt Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by llim in the work to be performed under this pennit; 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 « to be p.•rfurined under this permit, as are licensed by Miami Shores Village. Before nu, 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 ice of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT 'NA 11827 DATE Work to be performed under this Permit BL Subdi- vision Value of Project $ 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 ✓i11 ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifics itted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done byleither, ent, servant or employee. BY ALTTHORITY Permit No MIAMI SHORES VILA/ .AGE PLUMBING INSPECTION DEPARTME NT APPLICATION FOR PLUMBING 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 Lj' Amount of Permit $ Registered Architect and /or Engineer____.____ ..... Employing Plumber's Name _ Il ix �? "� � � R- !2 No Street Street_ Location and Legal Description Lot-__ - — _ Block Subdivision Street and Number where work is to be performed —No d '__- - -:, . _- Street a -Az work to be performed and purpose of building (By Floors); _x .__�_` ^ - - New Building ___ ____________ _______ Remodeling __________________________ Addition Repairs No. of Stories J Sine 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 Capacity Gals (Signed)_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hispbligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pedafranent 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 ltctesed by Miami Shores Village. ( Signed) Master Plumber. STATE OF FLORIDA, G% T�Y 'UN 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 cf the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts th .yeas by Barn 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 s>,aa a lals and /or workmanship. CLOSETS BATH TUGS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONY:3. LIOT CROCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL I CONTR. LIST CHECK Permit No MIAMI SHORES VILA/ .AGE PLUMBING INSPECTION DEPARTME NT APPLICATION FOR PLUMBING 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 Lj' Amount of Permit $ Registered Architect and /or Engineer____.____ ..... Employing Plumber's Name _ Il ix �? "� � � R- !2 No Street Street_ Location and Legal Description Lot-__ - — _ Block Subdivision Street and Number where work is to be performed —No d '__- - -:, . _- Street a -Az work to be performed and purpose of building (By Floors); _x .__�_` ^ - - New Building ___ ____________ _______ Remodeling __________________________ Addition Repairs No. of Stories J Sine 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 Capacity Gals (Signed)_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hispbligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pedafranent 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 ltctesed by Miami Shores Village. ( Signed) Master Plumber. STATE OF FLORIDA, G% T�Y 'UN 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 cf the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts th .yeas by Barn 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 s>,aa a lals and /or workmanship. Permit No. CONTR. LIST CHECK CONTR. LIST CHECK / r , BATH CLOSETS TBS SHOWERS TOR U IES SEPTIC TANK Size Septic Tani: Feet of Drain Tile Nature of Water Supply: City —Well. STATE OF FLORIDA, COUNTY OF DADE. SEWER DRAIN SOAKAGE GREASE CONN. FIELD PIT TRAP s s. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is l ereby 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 conformit. 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 nut. A copy of approN ed plans and specifications must be kept at building during progress of work. Owner's Name and Address 1 No. _ Street _ Registered Architect and /or Engineer Employing Plumber's Name r - No. _ Street - . Location and Legal Description Lot._ Block_ ___._ _' Subdivision Street and Number where work is to be performed—No. ____ Street_ State work to be performed and purpose of building (By Floors) Building _. - Remodeling Addition ._. _ Repairs No. of Stories SINK SLOP LAUNDRY CATCH FLOOR DRINKING, SINKS Tu BS URINALS BALIN DRAIN FOUNT' NS SOLAR HEATER DEEP SPRKLR. SW IM 'G WELL SYSTE'.1 POOL Type of Tank . __ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $ (Signed) (Signed).._. Date Capacity Gals. My Commission Expires Notary Public, State of Florida Master Plumber. TOTAL FIXTURES Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that lie understands and accepts 1 is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Cencrul Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractor; or sub - contractors employed by llinl 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 arc licensed by Miami Shores Village. 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 hirer 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 11827 Work to be performed under this Permit Building BI. Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ BY AUTHORITY 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 e In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with tall ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, s tements or specifics • inaebmitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by /either, my */ ent, servant or employee. PsrmitNo Application is bereby 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 coinplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner'a Name and Address L- r No. ,5 ; Vr 6 Street — Registered Architect and/or Engineer Employing Plumber's Name 0; / 'CAM! SHORES VIL4GE Sirm) S3ptic Tank Feet of Drain Tile__ Nature of Water Supply: City—Well. &TATE OF FLORIDA, } ss. Gomm O DA.DE. PLUMBING INSPECTION DEPARTME NT APPLICATION FOR PLUMBING F,' VUT location and Legal Description Lot_ Blodc Subdivision Street and Number where work is to be performed—Noz-3.-_ Ai_ "C_ . c6 , st reet State work to be performed and purpose of building (By Floors) '''' C'''''' .1 " -- 0- - New Building ______ .......... ______ Remodeling_ ___ Addition__ ..... _____ ... __ Repairs Type of Tank Capacity Gals _Dist. Feet of Tank or Drain Field from Well Amount of Permit $ (Signed) Size of Soakage Pit (Signed Date . (,? Street_ ,2 °*" . No. of Stories. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hispbligations as an employer of labor under the Florida Worlcmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pedrnanent 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 relptired 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well !mown, and who, being by me first duly sworn, upon oath deposes and says that he is the cif the above eeseribed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts th-rre.,In by kiln 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 =twigs and/or workmanship. CLOSETS BATH TUBS 6 LAVA- TORIES S SLOP SINKS LAUNDRY Tinos URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT*148 TOTAL FIXTURES CONTR. LI OT CMCK — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I W G POOL CONTR. LIST CHECK --- PsrmitNo Application is bereby 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 coinplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner'a Name and Address L- r No. ,5 ; Vr 6 Street — Registered Architect and/or Engineer Employing Plumber's Name 0; / 'CAM! SHORES VIL4GE Sirm) S3ptic Tank Feet of Drain Tile__ Nature of Water Supply: City—Well. &TATE OF FLORIDA, } ss. Gomm O DA.DE. PLUMBING INSPECTION DEPARTME NT APPLICATION FOR PLUMBING F,' VUT location and Legal Description Lot_ Blodc Subdivision Street and Number where work is to be performed—Noz-3.-_ Ai_ "C_ . c6 , st reet State work to be performed and purpose of building (By Floors) '''' C'''''' .1 " -- 0- - New Building ______ .......... ______ Remodeling_ ___ Addition__ ..... _____ ... __ Repairs Type of Tank Capacity Gals _Dist. Feet of Tank or Drain Field from Well Amount of Permit $ (Signed) Size of Soakage Pit (Signed Date . (,? Street_ ,2 °*" . No. of Stories. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hispbligations as an employer of labor under the Florida Worlcmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pedrnanent 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 relptired 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well !mown, and who, being by me first duly sworn, upon oath deposes and says that he is the cif the above eeseribed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts th-rre.,In by kiln 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 =twigs 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 Dig ision 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 ! 4- esP ___ Registered Architect and /or Engineer Employing Plumber's Name , /4_,-.. rrL- «�.-. , I No. cf ( f is !{ Street , - "- ti _..' � t ¢ , �_ , J .•( f , r Location and Legal Description Lot ____ ___ _ I. Block i' - Subdivision__'iif ei__ -• Street and Number where work is to be performed— No.__. �_ -__ .. i ,,4.1 Street' - _ P State work to be performed and purpose of building (By Floors)________, New Building_ - CONTR. LIST CHECK CONTR. LIST CHECK CLOSETS BATH TUBS I ` I SEPTIC SEWER TANK CONN. Amount of Permit $_ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. STATE OF FLORIDA, t COUNTY OF DADE. SHOWERS ss. l .. DRAIN FIELD Remodeling. Addition LAVA- TORIES SOAKAGE PIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT SINKS 1 GREASE TRAP SLOP SINKS LAUNDRY Tuas URINALS SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) No. 3 3 r- b _ Street..- - � - � - - -- - Repairs CATCH BASIN FLOOR DRAIN (Signed) ' Date DRINKING FOUNT'NS Capacity Gals. No. of Stories My Commission Expires Notary Public, State of Florida / .2N Master Plumber. 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. TOTAL FIXTURES 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. t 1,3 ..,, -,-.'"'" • ' \ • s t , a CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN ORINKI NG FOUNT' NS TOTAL FIXTURES CONYR. LIGT ` CHEC[S SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. L' ST ! - CO:BCU MIAMI SHORES VIL:,e'.G PLUMBING INSPECTION DEPARTMEEi' ' APPLICATION FOR PWUMBINO " .. At11+1' Permit No Dates ` J Application is hereby made for the approval of the detailed statement of tee plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confcx ,_.y 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 rrt. A copy of approved plans and specifications must be kept at building during progress of work. � Q 0 Owner's Name and Address__. 3_ r J . e fd No.--< 3 0 .. . o. O Street �� 5. Regis2:,red Arcl,::'_Fct and /or Engineer.._.— _.___. .... _ .. —_.----- - -- - :Employing Plumber's Name " j e ° _ � 5 , 7 r - � ' 7731 'fNo.._ t > / 2 ' 1 _ Street_ ;. Lecation and Legal Description Lot _..__..__.-_-._._____.____._ Block Subdivision -___ -- Street anr1 Number where work is to be performed —No .j.:3_0 1 n � ` Street 52,m s,oak to be performed and purpose of building (By ]Floors)_ New Building----.- _ -_ -_— Remodeling_ ___.. Addition Sued Septic Tank Feat of Drain Tile. Natur© of Water Supply: Ci(y— Well. -_ -- —_____ ___________ ..... _ -- -Size of Soakage Pit Amount of Permit $---- STATE OF IFLORIIDA, ss. i, JNTY OF DADE. (Sign Repairs (Signed)_ - __ J Type >7f Tank. Capacity Gals �.,�Dis x et of or Drain Field from Well No. of Stories- _ 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 L s of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contra rs or sub-contract s employed b lir in the work to be performed under this permit; and will post or cause to be posted' for inspection on a site the wo ch m . 1Lc oti or notices as are rc. quiz - by the Act. The undersigned agrees to employ only such sub -contra rs, on rk to � � e e orme j nd e this permit, as are 11 by Miami Shores Village. Master Plumber. 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 _.. or the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts thereir.. ;, hi.mr, 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 rant ais and /or workmanship. Permit No Z MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith matted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance 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 �° " -11)-- Registered Architect and /or Engineer � r Employing Plumber's Name / ►> 1_• ._- _. =j l NOS , ®tnet..— ,x . ,.... �,........ Location and Legal Description Lot_ Block 5ub�ivlalon._ -• -__ -- _.__ -_� Street and Number where work is to be performed -No. F 3 fl �D - -- 2 �-e -- Street State work to be performed and purpose of building (By Moon) New Building - Remodeling—_ - __.._ -- Addition Size Septic Tank_ .Type of Tank —_ Feet of Drain Tile.____- _ -- -- -Dist. Feat cf Tank or Drain Field from Well ---------- •- - -__ —_ .Size of Sorge _. Nature of Water Supply: City -W Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 1 (Signed) (Signed) Repairs 'Y No. of Stories Capacity ......... ....-- ._... 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 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 to be performed under this permit, as are licensed by Miami Shores Village. Plumber. 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 ses 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 Ada NOTE: A re- inspection fee of $1.00 will be ma: cmcb se-laspect6on is mode'neoossary by improper notice for inspection, or faulty materials and /or workmanship. TOTAL FIXTURES CLOSETS BATH TuD6 S H O WIER. LAVA. TORIES GIN" SINKS LAUNDRY Tugs URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HATER DEEP WELL 8PRKLR. SYSTEM SWIM'O POOL CONTR. ,- LIST CHECK Permit No Z MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith matted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance 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 �° " -11)-- Registered Architect and /or Engineer � r Employing Plumber's Name / ►> 1_• ._- _. =j l NOS , ®tnet..— ,x . ,.... �,........ Location and Legal Description Lot_ Block 5ub�ivlalon._ -• -__ -- _.__ -_� Street and Number where work is to be performed -No. F 3 fl �D - -- 2 �-e -- Street State work to be performed and purpose of building (By Moon) New Building - Remodeling—_ - __.._ -- Addition Size Septic Tank_ .Type of Tank —_ Feet of Drain Tile.____- _ -- -- -Dist. Feat cf Tank or Drain Field from Well ---------- •- - -__ —_ .Size of Sorge _. Nature of Water Supply: City -W Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 1 (Signed) (Signed) Repairs 'Y No. of Stories Capacity ......... ....-- ._... 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 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 to be performed under this permit, as are licensed by Miami Shores Village. Plumber. 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 ses 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 Ada NOTE: A re- inspection fee of $1.00 will be ma: cmcb se-laspect6on is mode'neoossary by improper notice for inspection, or faulty materials and /or workmanship. Application is hereby made for the opp'cval of the cloud/ ad statement of the plans and specifications herewith aaebmitted for the building or other eIructure herein dsscrib d. This application is made compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, acrid all provis ?oar of the Laths of the State of Florida, ,u! ordinances of Miami Shares Village and all rules and regulations of the Building Division of Miami Shores Village shall be ez with, whet& herein specified oe not. A copy of approved plans end specifications must be kept at baaildi chnin gang e room. sT o Name and Address 1 G No � Std._ x • oi .. Ilegist�s d Architect oncl /c2 IEntsine; r Letaticra and Legal Deszipeion Lot Block_ hut, :.,vlelon._ __�. Steeet and Riannabor where teals is to be peeffoaarted— No. •S. 'S Ste. _..._. _..._.._._ Stet© work to he pesivemeil cod pmpase of i• ! Lai ( Pay F i ) _ 1 4 R- . (12 N Buildin g_ 6164 Cam. 61oY eN¢cC1 CLO$M73 TANK Amount of Permit $ -- ---- �'! ®AYW Yu ©o ORtYga BONN. ONOwaRS DRAIN Plgll) LAVA. TOR160 BOAKAO6 POT GMARAO Sa r% ES VILLAGE numeno ONSPECTION DEPARTMENT AIMD FOR PLUMBING PERMIT ®do IINKO TRAP OLOP BOLAS NEATER LAUNDRY ?LOSS DEEP WELL NO11141(11. INSIKEEM =9. itriettillad . Rlaaaotleling___.. _. _. __ Addition._.____..__ Repair No. of Stories. URINALS 8 SYSTEM CATCH BASIN SWIM•O POOL S Septic ' I Y a A k TOT ank Gels-- Fat of Drain Tile D. Feet of M v Drain Field from Well Where of Water Supply: City —We I. Size of Soakage Pit ..- - .-- _..... (Sied3 Plumb Inspector. The undersigned applicant for this building pemie does i. =$ <' by certify that he understands and accepts his obligations as employer of labor under the Florida Workmen s Compensation Act, being Section 8988, Compiled General Laws of Florida Permanent Sup t, and has com- plied with the provisions thereof, card will require Similar compliance from all contractors or s b- contractors employed by him in the work to be performed under this permit; and will post or cause : ported' for inspection on the site of the work such public noti'ce\or notices as are require& by the Act. The undersi ;. ed egress to emp; .. , only well sub - contractors, oz ork to be owned u er e is p as are licansed tsy M. u ' Shores V ia , rc STATE OF FLOIM :s A, OUP OF Ir ADE. Before E ae, c :. e warkcaignvl aeathaaity, a =tau pa * a d , ., administer oaths car F LOOR DRAIN to me well hewn, and Who, being by me first duly [Rnria, twee s • deposes and says that he is the .. _. of the above described canstrectios, agt he has carefully the foregoing application, and that d the.8 ie k.: tae stilted cre Q ©. w gments, personally appeared °DIL INO FOUNT' NS TOTAL FIXTURES same, and that all facts &3y crnozT_G o Fgrptes Nary Pobik2 State of Florida NOTE: rr fee of 1.9t) aviE vixa cm& stAkispergias is reds. fa bspectkoN or faulty ftarials madam, 2