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1449Permit No 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 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 spe ' ed or ot. A copy of approved pl ns d building during progress of work. Owner's Name and Address Employing Plumber's Name Location and Legal Description Lot___ licensed by Miami Shores Village. i Registered Architect and /or Engineer ° C sue` :e-t- Street CAOPVZI No ' 4 " c414 ' °411 ' No 'Block 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 ' My Commission Expires Amount of Permit $ (Signed) ust he kept at Stree Capacity Gals Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from We1L_ Nature of Water Supply: City Size of Soakage Pit (Signed) 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 art employer of labo 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 . e 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 re required by the Act. The under signed agrees to employ only such sub- contractors, on work to be perfed under this permit, as Mare Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 FIXTURE CONTR. LIST / / CHECK -- SEPTIC TANK SEWER CONN. - DRAIN IELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK Permit No 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 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 spe ' ed or ot. A copy of approved pl ns d building during progress of work. Owner's Name and Address Employing Plumber's Name Location and Legal Description Lot___ licensed by Miami Shores Village. i Registered Architect and /or Engineer ° C sue` :e-t- Street CAOPVZI No ' 4 " c414 ' °411 ' No 'Block 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 ' My Commission Expires Amount of Permit $ (Signed) ust he kept at Stree Capacity Gals Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from We1L_ Nature of Water Supply: City Size of Soakage Pit (Signed) 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 art employer of labo 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 . e 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 re required by the Act. The under signed agrees to employ only such sub- contractors, on work to be perfed under this permit, as Mare Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores . Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or pot. A copy of approved plans and spewi ons,,must be kept at building during progress of work. ¢, '',+ 1 e 0,07/ a` Y. d Owner's Name and Address No Street Registered Architect and /or Engineer New Building Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Es. Remodeling_ Street and Number where work is to be performed —No Employing Plumber's Name No. Street Location and Legal Description Lot Block Subdivision Street__„ State work to be performed and purpose of building (By Floors) y " Addition Repairs_ _ No. of Stories__ — Capacity Gals Size Septic Tank Type of Tank__ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Size of Soakage Pit (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. (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 $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 FOU NT* NS TOTAL FIXTURE I CONTR. LIST ''.7' _ se - CHECK ° SEPTIC TANK SEWER CONN. DRAIN , FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST ik CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores . Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or pot. A copy of approved plans and spewi ons,,must be kept at building during progress of work. ¢, '',+ 1 e 0,07/ a` Y. d Owner's Name and Address No Street Registered Architect and /or Engineer New Building Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Es. Remodeling_ Street and Number where work is to be performed —No Employing Plumber's Name No. Street Location and Legal Description Lot Block Subdivision Street__„ State work to be performed and purpose of building (By Floors) y " Addition Repairs_ _ No. of Stories__ — Capacity Gals Size Septic Tank Type of Tank__ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Size of Soakage Pit (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. (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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ELBOTIt lnspeetrzts eportr or The follow .ng Is ready for Inspection:. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 194 Contractor's License No. Work to be performed under this Permit PERMIT N9 1449 Bl. Subdi- vision Value of Amt. of Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions 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 • • The following is . ready for Inspection: Inspector's Report; 0 / : : :