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PLUMBINGPermit No.__ 7 s 7 Application is hereby made for the approval of the detailed statement of the plans and specifications here structure herein described. This application is made in compliance and conformity with the Building Ordinance o 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 Btu l iviiilllosi 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 Registered Architect and /or En i r _ Employing Plumber's Name- -- t f+`- _ No . D k et Street - - -Ai 4 )P/ Location and Legal Description Lot____ { _____ - _- --- ___ -__ Block__ _,/ - �__l,/ Subdivision ���/ ar Street and Number where work is to be performed—No .... _ .O__�.t Street_ 4/4 % g' `- State work to be performed and purpose of building (By Floors) New Building Amount of Permit $___ Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile 1'-, Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: /City -Well Size of Soakage Pit f i Remodeling Addition_ STATE OF FLORIDA, ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed)- No. Street Repairs g The undersigned applicant for this building permit does hereby certify that he - erstands and accepts his obliga : as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled a al Laws of Florida Permanent pplement, 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. Date_.: ed for the building or other Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknovl<ledgments, 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.04 will be made when such re- inspection is made necessary by improper notice for inspection, or fa Ii materials and /or workmanship. CLOSETS BATH TUSS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUGS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N/ l r � CONTR. LIST 3 A- / 4 CHECK SEPTIC TANK SEWER CONN. ._.. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST w. ._�._._.�. CHECK Permit No.__ 7 s 7 Application is hereby made for the approval of the detailed statement of the plans and specifications here structure herein described. This application is made in compliance and conformity with the Building Ordinance o 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 Btu l iviiilllosi 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 Registered Architect and /or En i r _ Employing Plumber's Name- -- t f+`- _ No . D k et Street - - -Ai 4 )P/ Location and Legal Description Lot____ { _____ - _- --- ___ -__ Block__ _,/ - �__l,/ Subdivision ���/ ar Street and Number where work is to be performed—No .... _ .O__�.t Street_ 4/4 % g' `- State work to be performed and purpose of building (By Floors) New Building Amount of Permit $___ Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile 1'-, Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: /City -Well Size of Soakage Pit f i Remodeling Addition_ STATE OF FLORIDA, ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed)- No. Street Repairs g The undersigned applicant for this building permit does hereby certify that he - erstands and accepts his obliga : as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled a al Laws of Florida Permanent pplement, 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. Date_.: ed for the building or other Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknovl<ledgments, 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.04 will be made when such re- inspection is made necessary by improper notice for inspection, or fa Ii materials and /or workmanship. Permit No. - Size Septic Tank Feet of Drain Tile Amount of Permit $ ,/sie 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 speified or not. A copy of approved plans and specifications must be kept at building during the progress of work. r 1 y Owner's Name and Address No. S treet . - Registered Architect and/or Engineer - - - Employing P1grnl)er's Name — No. Street ;1- location and Legal Description Cot Block = Subdivision Street and Number where work is to be performed — No. Street MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) .r` Type of Tank Capacity Gals. (Signed ).- f '1'C. sr Date State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories f- Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well Size of Soakage Pit 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 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 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 Vilyrge. / Master 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. 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 GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G. POOL CONTR. LIST CHECK Permit No. - Size Septic Tank Feet of Drain Tile Amount of Permit $ ,/sie 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 speified or not. A copy of approved plans and specifications must be kept at building during the progress of work. r 1 y Owner's Name and Address No. S treet . - Registered Architect and/or Engineer - - - Employing P1grnl)er's Name — No. Street ;1- location and Legal Description Cot Block = Subdivision Street and Number where work is to be performed — No. Street MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) .r` Type of Tank Capacity Gals. (Signed ).- f '1'C. sr Date State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories f- Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well Size of Soakage Pit 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 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 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 Vilyrge. / Master 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. 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. r. „ r STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT 5 Date of Application s Name of Owner C-G� �� / Mailing Address of Owner Owner's Agent Type of Residential Type of Establishment Exact Directions to Property / 0 0 )_ AUDIT CONTROL NO N? 240431 Y No. Bedrooms (each dwelling unit) I" 1 / t; / HRS-H Form 4015, Feb 85 (i7bsoletes previous editions which may not be used) (Stock Number. 5744 - 001. 4015 -1) Authority: Chapter 381, FS Chapter 10D -6, FAC Permit Application Number 9 o--,<Pc PART I - APPLICATION---------------------------------------- ___...__._..__ - -- TOTAL FLOW = Applicant's Signature , q I), S -7 40 /2.1 ` // "4 ,& Builder Agents Mailing Address g 3 4) yt/ / 9 - 7 a--/ Telephone No 6 sm.— J rsi Property Street Address / 0 0 fV A — 5 ? _ / ,'v Q --er TG iy4-‹ Lot No Block No. Subdivision Date Subdivided NOTE: IF NOT IN A SUBDIVISION ATTACH A METES AND BO DS DESCRIPTION This Application is for: New System Repair Existing System s'a Telephone Number - 7511- 6 Sewage Flow Sewage Flow (Gallons per day) Based On Heated or Cooled Area No. Dwelling Sewage Flow (each dwelling unit) Units (Gallons per day) ft ft Page 1 of 3 Permit No. 40 5 J Dam k-,tzt Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the structure herein described. TWA application is made in comphoo and conformity with the Building Ordinance of Miami and all provisions of the; Laws of the State of Florida, all °abloom' of Miami Shores Village and all rules and regulliticius of t of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved tilos and building during progress of work. • Owner's Name and Address o- No /0 0 1- Registered Architect and/or Egineer. Employing Plunthees 44111:4 No. Location and Legal Description Lot_ ( Street and Number where work is to be performed—No c Soto__ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition— ____- No. of if LAVA- LANNON/ ' TORIES TWOS MINS terns CONTR. LIST CHECK . a Size Septic Tank k Q 0 ._ ____Type of T - t ;.• .7; Feet of Drib Tile_____i-g_i2 .Dist. Feet of Tank or Drain' Field from Nature of Water Supply: City—Well. Size of Soakage Pit__ Amount of Perinit $ STATE OF FLORIDA» COUNTY OF iitDE. I Before ine,. the undersigned to me well a the ab Tbn therein by ho , My Commission Expires MIAMI ENGINE VILLAGE numei*INSPIIMON DEPARTMENT APPLICATIOi FOR PWINIING ( Signed) The undersigned applicant for this building permit does bereby certify that he and accepts his obligations under the Florida Workmen's Compensation Act, being Section 5966, Compiled cot Matt plied with the provisions thereof, and will require similar compliance front an or suberrettinr performed under this permit; and will post or cause to be posted. for Inspection on die site of the work such "- requ i re db y theA.ctTheuneruigned agrees to ezimbY only such Mth-contractors, on wo4 to be *formed licensed by Miami libeem (Signed) me first duly sworn, upon oath deposes and says that he las a_ that he has carefully read the foregoing application, adirthat he did sign the same, and Ndle, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-hispection is made necessary by improper materials and/or workmanship. • • Motet Pbwrilars, irnpection, •or authority, a notary public, duly authorized to administer oaths and take aclmowledgments, peso* append