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PLUMBINGApplication is hereby made for the a pp y approval of the detail statement of th® 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, . ", 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. m e Permit No - r S Owner's Name and Address STATE OlF FLORIDA, COUNTY OF 'ADE. My Commission Expires M2 &MO SH© ES VRLLAGE PLUMBONG INSPECTION DEPARTMENT f OQ PWWMB@N© PERMIT Registered Architect and /or Engineer ..... __ - Employing Plumber's 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) New Building_- - -_ -__ . _ -- Remodeling_ Block Date street _ -- _G__ O 'S , Street._ Subdivision • c;(0 Street _ 01A e ° .... k-g c • Repairs No. of Stories. . . .. . .. ..... . . Size Septic Tank____ —___ -- ----- _____ -- -__Type of Tank Feet of Drain Tile_ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well ._______- ______ ....... __ - -_ -_ ____ _Size of Soakage Pit _Capacity Gals.__ Notary Public, State of Florida er Plumber. (Signed)_ cQ c�J • -. -._ 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 5958, 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 eI, . oyed 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 s c pub 'c notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, irk to be .-mde this hermit, as are licensed by Miami Shy Village. 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 ro-faspe Lion fee of $1.130 will be nnade when sruch re-inspection is made•necessary by improper notic3 for ins' i, or faulty materials and/or workmanship. CLOUa TC BATH TUBS SHOWER° LAVA- Tonic=s SIN" SLOP SINK° LAUNDRY TUBE 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 C ®says. LIST CHECK - -.— Application is hereby made for the a pp y approval of the detail statement of th® 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, . ", 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. m e Permit No - r S Owner's Name and Address STATE OlF FLORIDA, COUNTY OF 'ADE. My Commission Expires M2 &MO SH© ES VRLLAGE PLUMBONG INSPECTION DEPARTMENT f OQ PWWMB@N© PERMIT Registered Architect and /or Engineer ..... __ - Employing Plumber's 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) New Building_- - -_ -__ . _ -- Remodeling_ Block Date street _ -- _G__ O 'S , Street._ Subdivision • c;(0 Street _ 01A e ° .... k-g c • Repairs No. of Stories. . . .. . .. ..... . . Size Septic Tank____ —___ -- ----- _____ -- -__Type of Tank Feet of Drain Tile_ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well ._______- ______ ....... __ - -_ -_ ____ _Size of Soakage Pit _Capacity Gals.__ Notary Public, State of Florida er Plumber. (Signed)_ cQ c�J • -. -._ 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 5958, 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 eI, . oyed 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 s c pub 'c notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, irk to be .-mde this hermit, as are licensed by Miami Shy Village. 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 ro-faspe Lion fee of $1.130 will be nnade when sruch re-inspection is made•necessary by improper notic3 for ins' i, or faulty materials and/or workmanship.