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775 NE 97 St (8)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 Divisior 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. e 4 wv Owner's Name and Address i. ` 1 (..\ ' '', \. T No. 'f Street- .__.., , 1, Registered Architect and /or En i neer r r - -; . — - Employing Plumber's Name.__ -.. --- _ - _..___. - _. - •_____. ------------- _ - C ___ - - -- No Street Location and Legal Description Lot-- _------- _--- _--- _---- •-- ____ -- Block ____.__ Subdivision ' \4i 7 i, r Street and Number where work is to be performed—No _! _ _r Street ,, State work to be performed and purpose of building (By Floors)__ New Building__.. Remodeling Addition Repairs No. of Stories MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 4 4 ��f9 �� , Type of Tame Size Septic Tank -� _ Feet of Drain Tiles Feet of Tank or Drain Field from We11. Nature of Water Supply: City —Well Amount of Permit $ Capacity Gals._- __Size of Soakage Pit (Signed): ---- Plumbing Inspector. The undersigned applicant for thi'•uilding 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. ( Signed) -- - -_... - ` Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fat. 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 faul materials and /or workmanship. - -_ BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURE CONTR. LIST CHECK SEPTIC YANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE T RAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM $WIM'G POOL CONTR. LIST CHECK 1; 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 Divisior 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. e 4 wv Owner's Name and Address i. ` 1 (..\ ' '', \. T No. 'f Street- .__.., , 1, Registered Architect and /or En i neer r r - -; . — - Employing Plumber's Name.__ -.. --- _ - _..___. - _. - •_____. ------------- _ - C ___ - - -- No Street Location and Legal Description Lot-- _------- _--- _--- _---- •-- ____ -- Block ____.__ Subdivision ' \4i 7 i, r Street and Number where work is to be performed—No _! _ _r Street ,, State work to be performed and purpose of building (By Floors)__ New Building__.. Remodeling Addition Repairs No. of Stories MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 4 4 ��f9 �� , Type of Tame Size Septic Tank -� _ Feet of Drain Tiles Feet of Tank or Drain Field from We11. Nature of Water Supply: City —Well Amount of Permit $ Capacity Gals._- __Size of Soakage Pit (Signed): ---- Plumbing Inspector. The undersigned applicant for thi'•uilding 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. ( Signed) -- - -_... - ` Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fat. 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 faul materials and /or workmanship. Permit No. Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: ' ity —Well Amount of Permit $ - My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Owner's Name and Address. M.. Registered Architect and /or E vineer Employing Plumber's Name 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 Floors)____ — Block No. (Signed)_ (Signed) _ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su ittedyfor 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, wheth herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. • Stre Capacity Gals. Notary Public, State of Florida New Building Remodeling __.- ------- ._--__ -.- Addition_--_ Repairs No. of Stories. - -- ....... ... .. 'g ___ ___- _ Type of Tank-- f`1��� ____Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his of 1i tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri ane it Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors nl yed 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 p as are licensed by Miami Shores Village. aster 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 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 by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES INK SINKS SLOP SINKS LAUNDRY TUBS R INALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIiGT CHECK Permit No. Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: ' ity —Well Amount of Permit $ - My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Owner's Name and Address. M.. Registered Architect and /or E vineer Employing Plumber's Name 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 Floors)____ — Block No. (Signed)_ (Signed) _ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su ittedyfor 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, wheth herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. • Stre Capacity Gals. Notary Public, State of Florida New Building Remodeling __.- ------- ._--__ -.- Addition_--_ Repairs No. of Stories. - -- ....... ... .. 'g ___ ___- _ Type of Tank-- f`1��� ____Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his of 1i tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri ane it Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors nl yed 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 p as are licensed by Miami Shores Village. aster 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 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 by improper notice for inspection, or faulty materials and /or workmanship.