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537 NE 96 St (8)• JOB: BUILDING PLUMING ELECTRICAL : The following is ready for Inspection: J • • : • • Inspector's Report: : WORK • DONE BY: : R3QUI STED Y • • • • • • • • • • ,Sa7 AD: '1 • • • • • • . • • • • • • • • • • • • • • • • • • • • • • • OD / eze.A. MIAMI SHORES VILLAGE Y PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Date_. i G b • 1!1, L 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 ___._ No Street Registered Architect and /or Engineer Employing Plumber's Name No. :11 Street___- ._ ______. . Location and Legal Description Lot__ Street and Number where work is to be performed —No �% ! -- • Amount of Permit $ Block State work to be performed and purpose of building (By Floors) New Building Remodeling ___._____ . Addition._______ Repairs Street L_c314_11__ Size Septic Tank Type of Tank 'Y u_G_ Capacity Gals. (.30l.: Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit --- y Z (Signed) ___L Subdivision (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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ■•• 1 J. Al STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida No. of Stories i Master Plumber. 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 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK X X MIAMI SHORES VILLAGE Y PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Date_. i G b • 1!1, L 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 ___._ No Street Registered Architect and /or Engineer Employing Plumber's Name No. :11 Street___- ._ ______. . Location and Legal Description Lot__ Street and Number where work is to be performed —No �% ! -- • Amount of Permit $ Block State work to be performed and purpose of building (By Floors) New Building Remodeling ___._____ . Addition._______ Repairs Street L_c314_11__ Size Septic Tank Type of Tank 'Y u_G_ Capacity Gals. (.30l.: Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit --- y Z (Signed) ___L Subdivision (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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ■•• 1 J. Al STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida No. of Stories i Master Plumber. 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._ Feet of Drain Tile___ 1 Nature of Water Supply: City —Well STATE OF FLORIDA, COUNTY OF DADE. j as. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of of Miami Shores Village shall be complied with, whether herein specified or not. A copy of appgdred plans and specifca building during progress of work. Owner's Name and Address G. Weber _ No Street_ Registered Architect and /or Engineer Employing Plumber's Name . E._t.Is ' ank _c6I o No Streetit Location and Legal Description Lot 3 _Biock _ Subdivision Street and Number where work is to be performed —No. Street State work to be performed and purpose of building (B oars) New Building Remodeling___ Addition__________ Repairs Size Septic Tank Type of Tank "S1_ — Dist. Feet of Tank or Drain Field from Well Amount of Permit _______ (Signed) .Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that , rstands and accepts his obligations as an of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled' eral Laws of Florida Permanent S has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him :'tlse work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work ouch public so** , dacha MI are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under zip it, as see licensed by Miami Shores Village. (Signed) ACME SEPTIC TANI, CO. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowlsd sds 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 be did sign the 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 materials and /or workmanship. ' Dare____1116 i No. olfAkosiw__ _ _Capacity Gale 11 Plismber. CLOSET{ BATH TUSS SHOWERS LAVA- TORIES SINK{ SLOP SINKS LAUNDRY TUN URINAL{ CATCH BASIN FLOOR DRAIN DRINKING roma" Be lt l' CONTR. LIST CHECK g.. SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT 5 TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM '0 POOL CONTR. LIST CHECK Xs Permit No._ Feet of Drain Tile___ 1 Nature of Water Supply: City —Well STATE OF FLORIDA, COUNTY OF DADE. j as. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of of Miami Shores Village shall be complied with, whether herein specified or not. A copy of appgdred plans and specifca building during progress of work. Owner's Name and Address G. Weber _ No Street_ Registered Architect and /or Engineer Employing Plumber's Name . E._t.Is ' ank _c6I o No Streetit Location and Legal Description Lot 3 _Biock _ Subdivision Street and Number where work is to be performed —No. Street State work to be performed and purpose of building (B oars) New Building Remodeling___ Addition__________ Repairs Size Septic Tank Type of Tank "S1_ — Dist. Feet of Tank or Drain Field from Well Amount of Permit _______ (Signed) .Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that , rstands and accepts his obligations as an of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled' eral Laws of Florida Permanent S has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him :'tlse work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work ouch public so** , dacha MI are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under zip it, as see licensed by Miami Shores Village. (Signed) ACME SEPTIC TANI, CO. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowlsd sds 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 be did sign the 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 materials and /or workmanship. ' Dare____1116 i No. olfAkosiw__ _ _Capacity Gale 11 Plismber.