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595 NE 96 St (7)Permit No 7/ Date.. g 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 Buildingpivision of Miami Shores Village shall be comp with, whether — 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 ' Location and Legal DetcrIption .t. Street and Number where work is to be performed—No State work to be performed an se of building (By Floors) New Building__ - Remodeling _ Repairs No. of Stories. STATE OF FLORIDA, } ss. COUNTY OF DADE. Size Septic Tank__ of T Feet of Drain Tile.___Z„r ___.—Dist. Feet of T MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT B lorlr ,Sys" Drain Field from ..... ...... . . Nature of Water Supply: City—Well. Size of Soakage Pit. 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 5968, 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) No. Street. Street. Capacity Gab My Commission Expires Notary Public, State of Florida 36- ._..... ........... Plumbing Inspector. _ Muter 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 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 worlananship. CLosrrs BATH Tues SHOwERs LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tulle URINALS CATCH BAGIN FLOOR DRAIN DRINKING FOLINT.NS TOTAL ruiTGRES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREAsE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW1w0 POOL. CONTR. LIST CHECK _ .. Permit No 7/ Date.. g 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 Buildingpivision of Miami Shores Village shall be comp with, whether — 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 ' Location and Legal DetcrIption .t. Street and Number where work is to be performed—No State work to be performed an se of building (By Floors) New Building__ - Remodeling _ Repairs No. of Stories. STATE OF FLORIDA, } ss. COUNTY OF DADE. Size Septic Tank__ of T Feet of Drain Tile.___Z„r ___.—Dist. Feet of T MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT B lorlr ,Sys" Drain Field from ..... ...... . . Nature of Water Supply: City—Well. Size of Soakage Pit. 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 5968, 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) No. Street. Street. Capacity Gab My Commission Expires Notary Public, State of Florida 36- ._..... ........... Plumbing Inspector. _ Muter 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 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 worlananship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No...I =.l4 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... Ni S C " ' �� No. Registered Architect and /or Engineer Employing Plumber's Name ! - - - -- — NO ,. ..._1 »...a,..,..., Street.. Location and Legal Description Lot_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Flews) _-_.----... -- New Building Remodeling__ — .___._ Addition Amount of Permit $ 810•k Size Septic Tank__ _ ._------ - - - - -- - --- - _ypo of Tank_ Feet of Drain Tile. -____ d — -- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well __ --- .- - -_ -•— -- - - - --- -Size of Soakage Pit (Signed) Date 57 Street. Repairs No. of Stories Capacity Gals. 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 is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan 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 2C (Si STATE OF FLORIDA, I / g as. - COUNTY OF DADE. j 's; di Before me, the undersigned authority, a mis ty public, duly authorized to administer oaths and take eclmowledgments, personally appeared 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. NOTE: A re- inspection fee of $1.00 will ba mama 7:rho Oitrb relnrpectbon is ®ade'meoeuary by improper notice for inspection, or faulty materials and /or workmanship. LAUNDRY TUTAO URINAL/ CATCH BASIN FLOOR DRAIN DRINKING P OUNT•N8 TOTAL FIXTURES CLOSETS BATH Tim) SHOWERS LAVA• TORIES SLOP 61Nti® CONTR. Z / SSS ( RI IES / III"aaX�� / / LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEF ;YELL SEEKER. SYSTEM SwIM'O POOL kV S S (� / D if CDNTW. - a LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No...I =.l4 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... Ni S C " ' �� No. Registered Architect and /or Engineer Employing Plumber's Name ! - - - -- — NO ,. ..._1 »...a,..,..., Street.. Location and Legal Description Lot_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Flews) _-_.----... -- New Building Remodeling__ — .___._ Addition Amount of Permit $ 810•k Size Septic Tank__ _ ._------ - - - - -- - --- - _ypo of Tank_ Feet of Drain Tile. -____ d — -- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well __ --- .- - -_ -•— -- - - - --- -Size of Soakage Pit (Signed) Date 57 Street. Repairs No. of Stories Capacity Gals. 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 is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan 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 2C (Si STATE OF FLORIDA, I / g as. - COUNTY OF DADE. j 's; di Before me, the undersigned authority, a mis ty public, duly authorized to administer oaths and take eclmowledgments, personally appeared 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. NOTE: A re- inspection fee of $1.00 will ba mama 7:rho Oitrb relnrpectbon is ®ade'meoeuary by improper notice for inspection, or faulty materials and /or workmanship. Size Septic Tank_ Feet of Drain Tile_ On 140 SNORES VOLLZ GE PLUMBING INSPECTION DEPARTMENT /� APPLICA40®(r�l POE PLUMBING PERMIT Permit No /T4�Q/ Date- - 72 -- - -_ -- Nature of Water Supply: City -Well. 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. Owners Name and Address Don Schmidt No stmd_ Collins_ -_Ave. Registered Architect and /or Engineer ..... __._ Employing Plumber's Name P Q r t— O- S do Intl. t _ Inc No. Street 3 6 71 N . W 50th S t r . Location and Legal Description Lot Bloek Street and Number where work is to be performed -No 595 N a -9 6th S t re a ttreet State work to be performed and purpose of building (By Floors) - _--------------------- ._ - - New Building - _ -- Remodeling Addition____ Repairs Subdivision . ------- ._.. _-- --- ____ -- No. of Stories_ _ _ _ .. ..... . ... Type of Tank Capacity Gals. __Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit Amount of Permit $- �_ Q - - - -- - - - -- (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 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, } COUNTY OF DADE. (Signed)._ 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 .______...._.. 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 i$1.00 will be made when such re- inspection is made•necessary by improper notice for insp. . n, or faulty materials and /or workmanship. CLOWNS TUBS TUBS SHOWERO LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS INAS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK X SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM' G POOL CONTR. LIST CHECK Size Septic Tank_ Feet of Drain Tile_ On 140 SNORES VOLLZ GE PLUMBING INSPECTION DEPARTMENT /� APPLICA40®(r�l POE PLUMBING PERMIT Permit No /T4�Q/ Date- - 72 -- - -_ -- Nature of Water Supply: City -Well. 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. Owners Name and Address Don Schmidt No stmd_ Collins_ -_Ave. Registered Architect and /or Engineer ..... __._ Employing Plumber's Name P Q r t— O- S do Intl. t _ Inc No. Street 3 6 71 N . W 50th S t r . Location and Legal Description Lot Bloek Street and Number where work is to be performed -No 595 N a -9 6th S t re a ttreet State work to be performed and purpose of building (By Floors) - _--------------------- ._ - - New Building - _ -- Remodeling Addition____ Repairs Subdivision . ------- ._.. _-- --- ____ -- No. of Stories_ _ _ _ .. ..... . ... Type of Tank Capacity Gals. __Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit Amount of Permit $- �_ Q - - - -- - - - -- (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 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, } COUNTY OF DADE. (Signed)._ 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 .______...._.. 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 i$1.00 will be made when such re- inspection is made•necessary by improper notice for insp. . n, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLUC TION FOR PLUMBING PERMIT Permit No - Application is hereby made for the approval of the detailed atatement 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 6c-- .L L Registered Architect and /or En '' eer Employing Plumber's Name V lS.--��`z 4-- — Location and Legal Description Lot. Moe' Street and Number where work is to be performed—No 4.1 r State work to be performed and purpose of building (By Flaws) " New Building - ....... Remodeling —_ __..._ _ Addition •__ - -- Size Septic Tank_.--- - - ---- ______•- - - -- -_•--Type of Tesnit.__ --- •------- - - -... Feet of Drain Tile ____._____Dist. Feet of Tank or Drain Field from Well ... Nature of Water Supply: City— Well.•+------- - - - - -- - - -__ — ...Size of Soakage Pit ©O L Amount of Permit $ (Signed)_ -- No. 4 Street .__ - d C, .. jr ( Signed ) ../ . _ _ .. . .' . Date _ t.t_i ( / Repairs No. of Stories Capacity Gala. My Commission Erpiras Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his /: igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Per anent Supplement, and lies 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. 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 construct ion, that be has 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 marls wham am& ro-inspeetion fa mede•aeoessary by improper notice for inspection, or faulty materials and /err workmanship. URINALS CATCH IA0IPo FLOOR DRAIN DRINKING FOUNT'Ne TOTAL FIXTURES CLOSETS BATH Tus0 "" LAVA- TORIES SIPoKe SLOP SIMK© LAUNDRY 'Pupa CONTR. LIST CHECK DRAIN PIELD SOAKAGE PIT GREASE TRAP SOLAR HILATQR DEEP WELL SPRKLR. SYSTEM SWIM•G POOL SEPTIC TANK SQWER CONN. CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLUC TION FOR PLUMBING PERMIT Permit No - Application is hereby made for the approval of the detailed atatement 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 6c-- .L L Registered Architect and /or En '' eer Employing Plumber's Name V lS.--��`z 4-- — Location and Legal Description Lot. Moe' Street and Number where work is to be performed—No 4.1 r State work to be performed and purpose of building (By Flaws) " New Building - ....... Remodeling —_ __..._ _ Addition •__ - -- Size Septic Tank_.--- - - ---- ______•- - - -- -_•--Type of Tesnit.__ --- •------- - - -... Feet of Drain Tile ____._____Dist. Feet of Tank or Drain Field from Well ... Nature of Water Supply: City— Well.•+------- - - - - -- - - -__ — ...Size of Soakage Pit ©O L Amount of Permit $ (Signed)_ -- No. 4 Street .__ - d C, .. jr ( Signed ) ../ . _ _ .. . .' . Date _ t.t_i ( / Repairs No. of Stories Capacity Gala. My Commission Erpiras Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his /: igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Per anent Supplement, and lies 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. 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 construct ion, that be has 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 marls wham am& ro-inspeetion fa mede•aeoessary by improper notice for inspection, or faulty materials and /err workmanship. P ermit 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 Registered Architect and /or Engineer _____ ___________________ Employing Plumber's Name State work to be performed and purpose of building (By Floors)___ New Building__ _ __._.- - ,_---.- ___ --- Remodeling____ ...... - ___ -___._ Addition Size Septic Tank Feet of Drain Tile Amount of Permit $ My Commission Expires • MIAMI SNORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT C , - --[ - -- " No._ V 1� Nature of Water Supply: City — Well.______.__- ____ ...... __- - - - - -- ....... __—____Size of Soakage Pit Date el / Street r � 1 -') Street_._ Location and Legal Description Lot_._____ _____ _ _ _.___� Block_—__ • Subdivision Street and Number where work is to be performed —No L� _ C Street 2 Repairs No. of Stories - ---- -- - - ---- ----- --- --- __Type of Tank__ Capacity Gals _Dist. Feet of Tank or Drain Field from Well (Signed) _ Plumbing nspec or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige ors as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permane 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 ed under this permit, as are licensed by Miami Shores Village. (Signed)----_ 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. Notary Public, State of Florida 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. CLOS(ZT8 BATH TUBS SHOWERS LAVA. TORIES SINKG SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' TOTAL FIXTURES CeJNTR LIST - -- CHUCK SEPTIC TANK SEWER Comm DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM POOL CONTR. Li 07 CHricit _ P ermit 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 Registered Architect and /or Engineer _____ ___________________ Employing Plumber's Name State work to be performed and purpose of building (By Floors)___ New Building__ _ __._.- - ,_---.- ___ --- Remodeling____ ...... - ___ -___._ Addition Size Septic Tank Feet of Drain Tile Amount of Permit $ My Commission Expires • MIAMI SNORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT C , - --[ - -- " No._ V 1� Nature of Water Supply: City — Well.______.__- ____ ...... __- - - - - -- ....... __—____Size of Soakage Pit Date el / Street r � 1 -') Street_._ Location and Legal Description Lot_._____ _____ _ _ _.___� Block_—__ • Subdivision Street and Number where work is to be performed —No L� _ C Street 2 Repairs No. of Stories - ---- -- - - ---- ----- --- --- __Type of Tank__ Capacity Gals _Dist. Feet of Tank or Drain Field from Well (Signed) _ Plumbing nspec or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige ors as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permane 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 ed under this permit, as are licensed by Miami Shores Village. (Signed)----_ 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. Notary Public, State of Florida 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.