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8068MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING NKAIT J 2 $ Permit No.__..__. Co el Datei 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/P*K J Mi � , P�J-15 0 Street / Registered Architect and/or Engineer f2Y /9t , /� /f�AA �e Employing Plumber's Name `I ✓ �/ ' ` ! 'Vi No..� �.� �f ' / e Block._._ Subdivision. Street and Number where work is to be performed —No. Street State work to be performed and purpose of building (By Floors) F New BI Ming Remodeling Addition_ Repair's_ No. of Stories — Location and Legal Description Lot Size Septic T Type of Tomb Feet of Drain Tile_ mist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit_ gide Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. (Signed) The undersigned applicant for this building permit does hereby certify that he understands under the Florida Workmen's Compensation Act, Ding Section 5966, Compiled General plied with the provisions thereof, and will require similar compliance from all performed under this permit; and will post or cause to be posted' for inspection on required by the Act. The undersigned agrees to employ only such sub -con licensed by Miami Shores Village. . .Capacity Gals. umbing i .. tor. and accepts his obli _ <. • ons as an employer of labor of Florida Permanent Supplement, and has cam- Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon* oath deposes and .says that he is the of therein above are construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts t M 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 KS SLOP SIN 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 SWIM'G POOL Comm. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING NKAIT J 2 $ Permit No.__..__. Co el Datei 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/P*K J Mi � , P�J-15 0 Street / Registered Architect and/or Engineer f2Y /9t , /� /f�AA �e Employing Plumber's Name `I ✓ �/ ' ` ! 'Vi No..� �.� �f ' / e Block._._ Subdivision. Street and Number where work is to be performed —No. Street State work to be performed and purpose of building (By Floors) F New BI Ming Remodeling Addition_ Repair's_ No. of Stories — Location and Legal Description Lot Size Septic T Type of Tomb Feet of Drain Tile_ mist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit_ gide Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. (Signed) The undersigned applicant for this building permit does hereby certify that he understands under the Florida Workmen's Compensation Act, Ding Section 5966, Compiled General plied with the provisions thereof, and will require similar compliance from all performed under this permit; and will post or cause to be posted' for inspection on required by the Act. The undersigned agrees to employ only such sub -con licensed by Miami Shores Village. . .Capacity Gals. umbing i .. tor. and accepts his obli _ <. • ons as an employer of labor of Florida Permanent Supplement, and has cam- Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon* oath deposes and .says that he is the of therein above are construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts t M 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. BUILDING ELECTRICAL PLUIVIBING -- 0 Owner of Bu__ildin Address of Building MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 8068 Contractor's Licensee No Work to be performed under this P ermit Architect Contractor or Builder _ �; }ry y �A =4 Legal Lot II Bi Subdi- Description vision Sq. lot Value of Amt. of Project $ Permit This permit is granted to the contractor or budder named above to construct the budding or to install the uipment or device descri ed.in ,tlxe 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 budder 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. ' , . ; r Signed' o mt,. ti k rig ' - INSPECTOR I n consideration -of the issu a t m e of this permit I agree to perform the work covered herei ider in - -. _ compliance- with all ordinances and regulations pertaining thereto and in r 'et co ¢ o "ty with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit e, reap '. - ,bility for all work done by either, myself, my agent, servant or employee.