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801 NE 96 St (3)Permit No I 55 ;Z MIAMI SHORES VILLAGE PLUMBING INSPECTION APPLICATION FOR PLUMBING PERMIT DEPARTMENT 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. Owners Name and Address Ate P4 Registered Architect and/or Engineer Employing Plumber's Name Location and Legal Description Lot / 10 V 17 Street and Number where work is to be performed—No Stat3 work to be perfoe8 and purpose of building (By Floors)__ New Building V Remodeling Addition Size Septic Tank__ Feet of Drain Tile. Nature of Water Supply: Cityrt___ Amount of Pennit $ ) STATE OF FLORIDA, ss. COUNTY OF DADE. No. / 2q_5 Street C No._ 11 7 streer Blopir 74- subdivision Street A1j. 72 sr e/7 Type of Tank Capacity Gals __Dist. Feet of Tank or Drain Field from Well of Soakage Pit (Sl 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- pliel 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, work to be performed under this perinit, as are licensed by Miami Shores Village. (Signed)._ Repairs Date _ r/7j My Commission Expires Notary Public, State of Florida ki. s Aditemi sEc 3 No. of Stories ....... . - . Plumbing Inspector. Master Plumber. j Before me, the undersigned a a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well lmown, 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. CIA BATH TUBS SHOWERS LAVA- Tomas SINKS SLOP SINKS LAUNDRY TUBB WAS 4 Ziftff __ CATCH BASIN FLOOR DRAIN DR I NK I NG FOUNT*N5 63/1 a . 5/14/(___ 4 . _ 1 / TOTAL FIXTURES Gown. LI ST / / CHECK — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SP R K LR . SYSTEM SW I M • G POOL WA/ea' 1.4 afa / CONTR. LIST 1 ' Y CHECK .... Permit No I 55 ;Z MIAMI SHORES VILLAGE PLUMBING INSPECTION APPLICATION FOR PLUMBING PERMIT DEPARTMENT 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. Owners Name and Address Ate P4 Registered Architect and/or Engineer Employing Plumber's Name Location and Legal Description Lot / 10 V 17 Street and Number where work is to be performed—No Stat3 work to be perfoe8 and purpose of building (By Floors)__ New Building V Remodeling Addition Size Septic Tank__ Feet of Drain Tile. Nature of Water Supply: Cityrt___ Amount of Pennit $ ) STATE OF FLORIDA, ss. COUNTY OF DADE. No. / 2q_5 Street C No._ 11 7 streer Blopir 74- subdivision Street A1j. 72 sr e/7 Type of Tank Capacity Gals __Dist. Feet of Tank or Drain Field from Well of Soakage Pit (Sl 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- pliel 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, work to be performed under this perinit, as are licensed by Miami Shores Village. (Signed)._ Repairs Date _ r/7j My Commission Expires Notary Public, State of Florida ki. s Aditemi sEc 3 No. of Stories ....... . - . Plumbing Inspector. Master Plumber. j Before me, the undersigned a a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well lmown, 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. - - Permit No • _ 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 0; -. r Registered Architect and/or Engineer Employing Plumber's NaneJ t1CJL1k r; ( P - t) No. 31-1/L P Ja St_ _ Location and Legal Description Lot____________ _ Block Size Septic Tank__ ..... 9 Type of Tank Feet of Drain Tile t 's 7 75 2 __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Amount of Permit $ STATE OF FLORIDA, ss. COUNTY OF DADE. 4.00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APFLtCATION FOR PLUMBING PERMIT 0 ;4x - ton J: Date a — 7 _ ... No.___ _Size of Soakage Pit (signed). _4 ( Signed .. , Subdivision Street and Number where work is to be performed—No ( . - )() 1 N 9r't h St State work to be performed and purpose of building (By Floors)_____ _ New Building X Remodeling Addition Repairs Capacity Gals Plumb 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 Worlanen'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. -n)- Ckiegi P— - 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 No. of Stories............... NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made 'necessary by improper notic3 for ins 1, or faulty materials and/or workmanship. CLOSETS BATH TUEIS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuffs URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHUCK SEPTIC SEWER TANK CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM*G POOL co. LIST CHECK 1 900-: e - - Permit No • _ 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 0; -. r Registered Architect and/or Engineer Employing Plumber's NaneJ t1CJL1k r; ( P - t) No. 31-1/L P Ja St_ _ Location and Legal Description Lot____________ _ Block Size Septic Tank__ ..... 9 Type of Tank Feet of Drain Tile t 's 7 75 2 __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Amount of Permit $ STATE OF FLORIDA, ss. COUNTY OF DADE. 4.00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APFLtCATION FOR PLUMBING PERMIT 0 ;4x - ton J: Date a — 7 _ ... No.___ _Size of Soakage Pit (signed). _4 ( Signed .. , Subdivision Street and Number where work is to be performed—No ( . - )() 1 N 9r't h St State work to be performed and purpose of building (By Floors)_____ _ New Building X Remodeling Addition Repairs Capacity Gals Plumb 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 Worlanen'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. -n)- Ckiegi P— - 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 No. of Stories............... NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made 'necessary by improper notic3 for ins 1, or faulty materials and/or workmanship. ,, � Permit No s Date - �t ��= 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 end 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___. rL Registered Architect and /or Employing Plumber's Name Size Septic Tank_ Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE P$,UMBING INSPECTION DEPARTMENT APPLti:ATIGN FOI PLUMBING PERMIT _�' ._ ___ No. ' !1l 4 Street ; oD No.. Street.. Location and Legal Description Lot Block Subdivision------ __ - -_. Street and Number where work is to be performed —o -- . li ' %, ' " Street State work to be performed and purpose of building (By Floors.)________ New Building ____ ___ Remodeling_ _— _ ______ Addition Repairs No. of Stories . . . ... . ..... . . __Type of Tank_ —Dist. Feet of Tank or Drain Field from Well Capacity Gals. Nature of Water Supply: City— Well._________ ___ ..... __________________Size of Soakage Pit Notary Public, State of Florida bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations tut employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup letnent, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by im 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. �2 (Signed 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 notic for insl 1, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS 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 CONTR. LIST CHECK ^_ _, ,, � Permit No s Date - �t ��= 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 end 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___. rL Registered Architect and /or Employing Plumber's Name Size Septic Tank_ Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE P$,UMBING INSPECTION DEPARTMENT APPLti:ATIGN FOI PLUMBING PERMIT _�' ._ ___ No. ' !1l 4 Street ; oD No.. Street.. Location and Legal Description Lot Block Subdivision------ __ - -_. Street and Number where work is to be performed —o -- . li ' %, ' " Street State work to be performed and purpose of building (By Floors.)________ New Building ____ ___ Remodeling_ _— _ ______ Addition Repairs No. of Stories . . . ... . ..... . . __Type of Tank_ —Dist. Feet of Tank or Drain Field from Well Capacity Gals. Nature of Water Supply: City— Well._________ ___ ..... __________________Size of Soakage Pit Notary Public, State of Florida bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations tut employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup letnent, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by im 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. �2 (Signed 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 notic for insl 1, or faulty materials and /or workmanship. ex Permit No l ` L / 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 not. A copy of approved plans a.nd specifications must be kept at building during progress of work. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ° No. _____ di/e" 1! Street Owner's Name and Address.___ Registered Architect and /or Engineer___—__ Employing Plumber's Name Location and Legal Description Lot ¢ ° Street and Number where work is to be performed —No. J / 2 U " State work to be performed and purpose of building (By Floors)-_ ___ J f �_ New ..... Remodeling Additio Block No. tee' Street Subdisdsion Rep •/ No. of Stories . . .... .............. Size Septic Tank_ _---- _------ _--- ____ -- _______Type of Tank-_ Feet of Drain Tile____ .......... Feet of Tank or Drain Field from Well Nature of Water Supply: Cite.-------------..... ________ ....... _ _______Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. (Signed)_ ( Signed)— Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his o';aligations under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b 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 required by the Act. The undersigned agrees to employ only such sub- contractors, on w k to be performed under this permit, as kx.) licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida P1 bing Inspector. - employer of labor ent, and has com- im in the work to be Master Plumber. are are 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 BS Tiles T SHOWERS LAVA- TORIES INK SINKS SLOP SINKS LAUNDRY TUBS U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIKTURES CONTR. LINT CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM -7-- SWIM'G POOL CONTR. LIST CHECK ex Permit No l ` L / 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 not. A copy of approved plans a.nd specifications must be kept at building during progress of work. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ° No. _____ di/e" 1! Street Owner's Name and Address.___ Registered Architect and /or Engineer___—__ Employing Plumber's Name Location and Legal Description Lot ¢ ° Street and Number where work is to be performed —No. J / 2 U " State work to be performed and purpose of building (By Floors)-_ ___ J f �_ New ..... Remodeling Additio Block No. tee' Street Subdisdsion Rep •/ No. of Stories . . .... .............. Size Septic Tank_ _---- _------ _--- ____ -- _______Type of Tank-_ Feet of Drain Tile____ .......... Feet of Tank or Drain Field from Well Nature of Water Supply: Cite.-------------..... ________ ....... _ _______Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. (Signed)_ ( Signed)— Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his o';aligations under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b 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 required by the Act. The undersigned agrees to employ only such sub- contractors, on w k to be performed under this permit, as kx.) licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida P1 bing Inspector. - employer of labor ent, and has com- im in the work to be Master Plumber. are are 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. `7— -2 - 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 Ilubmitted 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 end specifications must be kept at building during progress of work. Owner's Name and Address - - No. tee, o Street_ Registered Architect and/or Engineer L , slOsersegetemesentssmsauss.sa Streetusammtercenszat sm, • 1 1/ /)‘:, /1„ Employing Plumber's Name- ' Location and Legal Description Lot. 5 Street and Number where work is to be performed—No Street State work to be performed and purpose of building (By Flocaz)_ . (, (7 - New Building Remodeling Addition 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. Amount of Permit $ STATE OF FLORIDA, } u. COUNTY OF DADE. - (Signed)_ (Signed) ......... _ • • Capacity • t ) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi tions as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Penner ent Supplement, and ha.; 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 die Act. The undersigned agrees to employ only such sub-contractors, on p ork to be performed under this permit, as are licensed by Miami Shores Village. Muter Plumber. 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 the above described construction, that he has carefully read tbe 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 fee of *1.00 will be made when mach re-fospeadon b maw:mammy by hnproper notice for Inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA• ya SINKS SLOP SINKS LAUNDRY TUMID URINALS CATCH BASIN FLOOR DRAIN — DRINK I NG FOUPIT' NS TOTAL FIXTURES CONTR. LIST CHECK ........ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EAT IR DEEP WELL SPRKLR. SYSTEM SW IM 0 POOL CONTR. LIST CHICK `7— -2 - 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 Ilubmitted 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 end specifications must be kept at building during progress of work. Owner's Name and Address - - No. tee, o Street_ Registered Architect and/or Engineer L , slOsersegetemesentssmsauss.sa Streetusammtercenszat sm, • 1 1/ /)‘:, /1„ Employing Plumber's Name- ' Location and Legal Description Lot. 5 Street and Number where work is to be performed—No Street State work to be performed and purpose of building (By Flocaz)_ . (, (7 - New Building Remodeling Addition 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. Amount of Permit $ STATE OF FLORIDA, } u. COUNTY OF DADE. - (Signed)_ (Signed) ......... _ • • Capacity • t ) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi tions as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Penner ent Supplement, and ha.; 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 die Act. The undersigned agrees to employ only such sub-contractors, on p ork to be performed under this permit, as are licensed by Miami Shores Village. Muter Plumber. 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 the above described construction, that he has carefully read tbe 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 fee of *1.00 will be made when mach re-fospeadon b maw:mammy by hnproper notice for Inspection, or faulty materials and/or workmanship. TYPE NUMBER RGH SET FEE BUILDING PLUMBING PERMIT NO. PERMIT NO. BATH TUB Contractor - Phone _ ti e y . t , s ,-1 dv4e g)-.1- 6 :L BIDET DISHWASHER Contractor's Adddgss q 4 5 , f /- 4 1 / 1/4 . 1 4 vz # t / ' ' DISPOSAL DRINKING FOUNTAIN Owr's otreop l Phone D ,' % I" / 0 + --, FLOOR DRAIN GREASE TRAP .lob dress �� ww ff P7 e S-rG � C � � C /(,.1.. �1 r � 2 C` INTERCEPTOR LAVATORY Lot Block Subdivision LAUNDRY TRAY CLOTHES WASHER Pre )or P - posed Use of Building L / L / SHOWER SINK, POT /3 -COMP. Old '': New No. of Bedrooms SINK, RESIDENCE SINK, SLOP Application is hereby made to obtain a permit to do the work and installa• tions as hereon indicated. I cer■ify that no work or installation has been effected prior to the issuance of said permit and that all work will be per- formed to meet the standards of all laws regulating construction in Dade County. TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES Signature of ter Plumber or Owner . . '7 -■eN Insurance Date 7' f) ' j Issued By: WATER SUPPLY TO: AIR CONDITIONING UNIT FIRE SPRINKLER HEATER,— NEW INSTALLATION HEATER - REPLACE This permit does not become valid until signed by an authorized repro- sentative of the Director, Metropolitan Dade County Building and Zoning Department and all fees are paid and receipt acknowledged in the space provided. LAWN SPRINKLER - WELL (t ) SWIMMING POOL - WELL ° +` WATER SERVICE PLUMBING INSPECTIONS SEWER CONNECTIONS GROUND UTILITY — SEWER ROUGH UTILITY — WATER SEPTIC TANK TUB & WATER PIPE RE LAY SEWER DRAINFIELD, 4" TILE /RESERVOIR PUMP & ABANDON SEPTIC TANK SEPTIC TANK SOAKAGE PIT — CU. FT. WELL CATCH BASIN POOL PIPING DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET FINAL PLUMBING SOLAR WATER HEATER FIRE STANDPIPE REMARKS POOL PIPING LAWN SPRINKLER SYSTEM TOTAL FEE - t METROPOLITAN DADE COUNTY BUILDING AND ZONING 1351 N. W. 12 ST. BOX 52 -655 MIAMI, FLORIDA 33125 3 -6 PLUMBING PERMIT APPLICATION INSPECTOR'S COPY FOR OFFICE USE ONLY { Date 21 Cj Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or of er 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 the progress of work. O U ©su 1s 1A( No 0 t Street !" G 1 (, 9- Permit No. ✓ () : 7 � Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and/or Engineer p 4 n "T Vj /IW ' o ( r— Employing l ber'ea_ n� %ca ion d egal1 // * tion L Street and Number where work is to be performed — No. Amount of Permit $ of-C No. / fo Block /7 g Subdivisio Street State work to be performed and purpose of building (By Floors) / New Building Remodeling Addition Repairs ✓ No. of Stories Type of Tank Capacity Gals. Size Septic Tank Feet of Drain Tile 7 O a "C" Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well Size of Soakage Pit (Signed) (Signed) STATE OF LORIDA, COUNTY OF DADE. ss. lumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as : employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied 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 required by the Act. The agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by .: Shores Village. 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 $25.00 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 FOUNTAINS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G. POOL CONTR. 2O �T CHECK { Date 21 Cj Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or of er 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 the progress of work. O U ©su 1s 1A( No 0 t Street !" G 1 (, 9- Permit No. ✓ () : 7 � Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and/or Engineer p 4 n "T Vj /IW ' o ( r— Employing l ber'ea_ n� %ca ion d egal1 // * tion L Street and Number where work is to be performed — No. Amount of Permit $ of-C No. / fo Block /7 g Subdivisio Street State work to be performed and purpose of building (By Floors) / New Building Remodeling Addition Repairs ✓ No. of Stories Type of Tank Capacity Gals. Size Septic Tank Feet of Drain Tile 7 O a "C" Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well Size of Soakage Pit (Signed) (Signed) STATE OF LORIDA, COUNTY OF DADE. ss. lumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as : employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied 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 required by the Act. The agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by .: Shores Village. 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 $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. STATE O FLORIDA r DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTFtUCTION PERMIT Date of Application g — 7 e Authority: Chapter 381, FS Chapter 100 -6, FAC Permit Application Number , -PART I APPLICATION Name of Owner IOW Las u /LC/CX.S Telephone Number — 7 SY i ?SI Mailing Address of Owner (')! G _r co 5J-- a/J ( S Lc. (4„,k-- Builder Owner's Agent a1 N Z C I 4-‘4, Telephone No Property Street Address eo t l`� C q �O 51 lm, A 1 0 r Lot No Block No. Subdivision Date Subdivided NOTE: IF NOT IN A SUBDIVISION ATTACH A METES AND BOUNDS DESCRIPTION This Application is for: New System Repair (,L- Existing System Agent's Mailing Address Type of Establishment 5P /2_ z AUDIT CONTROL Nd c 244654 HRS-H Form 4015, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 5744-001-4015-1) TOTAL FLOW = ft ft Exact Directions to Property Applicant's Signatur a/AWL b2 t275.11 Sewage Flow Sewage Flow (Gallons per day) Based On Type of No. Bedrooms Heated or Cooled Area No. Dwelling Sewage Flow Residential (each dwelling unit) (each dwelling unit) Units (Gallons per day) Page 1 of 3