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PLUMBINGTO INSTALL: .buck Plumbing, gnc. J. M. (BUCK) COUNCIL. PRE.. 4150 N. W. 7TH AVENUE MIAMI 37. FLORIDA PHONE 7 -5718 Miami Shores Village Div. of Plbg, Inspection Miami Shores, Florida February 24, 1950 APPLICATION FOR PLBG. PERMIT (ADDITION TO PER- MIT NO. 8651, 12/19/49 P )R: V. S. Parker 1020 N.E. 98 Street L14 B180 Hot & Cold Bibbs over Owner's Automatic Washing Machine. Connect to Existing Hot & Cold Lines. BUCK PLUMBING, INC. taST CH M( ' y m Us « 1 Permit Size Septic Tank Feet of Drain Tile_—__ Nature of Water Supply: City —Well ora Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT COJ i Date Application is hereby matie 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, anti 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 . aft IA/A II rg- No. 02 so street A/F 9Ftsr Registered Architect and/or Engineer _____ Employing Plumber's Name___INJAPILL____LOMgA_ _ No. 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.____ ________ Addition_ — - - - - - -- (Signed) _ performed under this permit; and will post or cause to be posted' for inspection on the site of the work such required by the Act. The undersigned agrees to employ only such sub - contractors, k to be pe Iicensed by Miami Shores Village. ( Sign Repairs ✓ L Street____ N£ Blori< Subdivision -___ - D z o street Al No. of Stories. Type of Tank_ __gist. Feet of Tank or Drain Field from Well __Size of Soakage Pit Capacity Gals mbing 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo ed by him in the work to be notice or notices as are under this permit, as are 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 aster Plumber. 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. .CLO /[TS BATH TUGS SHOWER/ LAVA TORI[e SINK/ SLOP SINK/ LAUNDRY TUBS UR CATCH BASIN FLOOR DRAIN DRINKI NG FOUNT' NS TOTAL FI %TURES CONTR. LIeT �..__ _ -- . . CHECK w SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR, SYSTEM SWING POOL CONTR. LIST CHECK _ Permit Size Septic Tank Feet of Drain Tile_—__ Nature of Water Supply: City —Well ora Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT COJ i Date Application is hereby matie 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, anti 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 . aft IA/A II rg- No. 02 so street A/F 9Ftsr Registered Architect and/or Engineer _____ Employing Plumber's Name___INJAPILL____LOMgA_ _ No. 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.____ ________ Addition_ — - - - - - -- (Signed) _ performed under this permit; and will post or cause to be posted' for inspection on the site of the work such required by the Act. The undersigned agrees to employ only such sub - contractors, k to be pe Iicensed by Miami Shores Village. ( Sign Repairs ✓ L Street____ N£ Blori< Subdivision -___ - D z o street Al No. of Stories. Type of Tank_ __gist. Feet of Tank or Drain Field from Well __Size of Soakage Pit Capacity Gals mbing 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo ed by him in the work to be notice or notices as are under this permit, as are 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 aster Plumber. 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. (z.