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PLUMBINGPermit No ( S 1_I__ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub n (ed for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of iami 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 0 Registered Architect and /or E Employing Plumber's Name L Amount of Permit $ PD 7;7 Location and Legal Description Lot Street and Number where work is to be performed —No M C Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors )___ _ New Building---- -____— -- Remodeling_ - _ —_____ Addition. Street.2.% S . -1.0 x° Subdivisio B1 (Signed) Date... 4./97 Repairs No. of Stories............... Size Septic Tank _-_- /_e - 4. - -- --Type of Tank—_ — __ -____ - _ __..__ -_ -_- _Capacity Gals. - -- _ Feet of Drain Tile_____- 2 D 0 - - - -- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: of Soakage Pit- - - - - -- - - - -- ----- _---------- __ — -- - -- - - - -- (S red) - P umbing 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 5968, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by h' .. n the work to be performed under this permit; and will post or cause to be posted' for inspection on the site • - work such lic otice • notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, wor • be perfo a der . permit, as are licensed by Miami Shores Village. Notary Public, State of Florida 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 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 notica for insf ' , or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS U 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 CONTR. LIST CHECK •■•-' _ Permit No ( S 1_I__ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub n (ed for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of iami 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 0 Registered Architect and /or E Employing Plumber's Name L Amount of Permit $ PD 7;7 Location and Legal Description Lot Street and Number where work is to be performed —No M C Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors )___ _ New Building---- -____— -- Remodeling_ - _ —_____ Addition. Street.2.% S . -1.0 x° Subdivisio B1 (Signed) Date... 4./97 Repairs No. of Stories............... Size Septic Tank _-_- /_e - 4. - -- --Type of Tank—_ — __ -____ - _ __..__ -_ -_- _Capacity Gals. - -- _ Feet of Drain Tile_____- 2 D 0 - - - -- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: of Soakage Pit- - - - - -- - - - -- ----- _---------- __ — -- - -- - - - -- (S red) - P umbing 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 5968, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by h' .. n the work to be performed under this permit; and will post or cause to be posted' for inspection on the site • - work such lic otice • notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, wor • be perfo a der . permit, as are licensed by Miami Shores Village. Notary Public, State of Florida 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 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 notica for insf ' , or faulty materials and /or workmanship. L Permit No.._._ Amount of Permit $ Date. — J3 73._.._ • 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 it building during progress of work. Owner's Name and Address W/ttf/A.__L�. Q�_ Registered Architect and /or Engineer (� � Employing Plumber's Name.. ....t�l.,._. k; 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 New Building_ - --_ C_ ......_._ Remodeling —__ 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 C./ 1 Size of Soakage Pit. f The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and leas 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. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ._..�. �� _... No.2 _..»—.... Street ....a/ 1 KJ ._ .-- Block_.77 Subdivision-A4 . - ;)/6 e 7 Ce! C ._.. Addition._.__._ ..__ _..... Repairs___ No. of Stories. (Signed) -- — —C .x Street..- le ._._.. -' _...Capacity Cals..._.._...__._- --- - -' -- • --_ -._ Notary Public, State of Florida Plumbing Inspector. ea 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 workmnnchip. CLOSETS BATH TUBS SHOWERS LAVA. Tolima SINKS SLOP SINK[ LAUNDRY TUBS -/ [._._L_ I" 'E t i / / CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS flei i N ki J 64 TOTAL FIXTURES CONTR. LIST � 1 3 3 3 I I /r. CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'o POOL �� � '1 -f'; CONTR. LIST CHECK Permit No.._._ Amount of Permit $ Date. — J3 73._.._ • 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 it building during progress of work. Owner's Name and Address W/ttf/A.__L�. Q�_ Registered Architect and /or Engineer (� � Employing Plumber's Name.. ....t�l.,._. k; 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 New Building_ - --_ C_ ......_._ Remodeling —__ 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 C./ 1 Size of Soakage Pit. f The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and leas 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. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ._..�. �� _... No.2 _..»—.... Street ....a/ 1 KJ ._ .-- Block_.77 Subdivision-A4 . - ;)/6 e 7 Ce! C ._.. Addition._.__._ ..__ _..... Repairs___ No. of Stories. (Signed) -- — —C .x Street..- le ._._.. -' _...Capacity Cals..._.._...__._- --- - -' -- • --_ -._ Notary Public, State of Florida Plumbing Inspector. ea 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 workmnnchip. ci„RAD) L On' E, 3‘ rr 1 7 g; e 3 Seen 1 .4 a c ) t -, v 13/0 4