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PLUMBING
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 De fin_ C 1 au s son Location and Legal Description Lot Amount of Permit $ 8.00 STATE OF FLORIDA, COUNTY OF DADE. t My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ^' Date 1017/60 No.1005 NE 98th Street 98th Registered Architect and /or Engineer BLQ4 _Spr nkL8r �Q•___ .______ Employing Plumber's Name No.___.____ _.._ Street_ , z 4 1. Block Subdivision .- ------ _-- -_ - -__ Street and Number where work is to be performed —No ''Q NE 98th Str 98th State work to be performed and purpose of building (By Floors)_ New Building -- Remodeling_ _.__ Addition______._._ Repairs No. of Stories. Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile_ ... __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._.______ ______Size of Soakage Pit ( Signed) _ (Signed). Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig' P.ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennane Supplement, and has crnn- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl ed 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 performed under this permit, as are licensed by Miami Shores Village er 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. Notary Public, State of Florida 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 Toes SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TOSS 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 X X CHECK 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 De fin_ C 1 au s son Location and Legal Description Lot Amount of Permit $ 8.00 STATE OF FLORIDA, COUNTY OF DADE. t My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ^' Date 1017/60 No.1005 NE 98th Street 98th Registered Architect and /or Engineer BLQ4 _Spr nkL8r �Q•___ .______ Employing Plumber's Name No.___.____ _.._ Street_ , z 4 1. Block Subdivision .- ------ _-- -_ - -__ Street and Number where work is to be performed —No ''Q NE 98th Str 98th State work to be performed and purpose of building (By Floors)_ New Building -- Remodeling_ _.__ Addition______._._ Repairs No. of Stories. Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile_ ... __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._.______ ______Size of Soakage Pit ( Signed) _ (Signed). Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig' P.ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennane Supplement, and has crnn- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl ed 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 performed under this permit, as are licensed by Miami Shores Village er 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. Notary Public, State of Florida 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. �— f CLCe[rf BATH 71 135 _. SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY rues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LtsT ____ CHECK - -__ / SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP DEEP WELL SPRKLR. SYSTEM SWIM'G POOL teay to , / / - - -- .*-SI -IP HEATER CONTR. LIST / CHECK "�- hetw� -it Ne. ._____--- -- _ --_ --- 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 :.31 .. rovisions 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_-_ Registered Architect and /or Engin r ..... __ { - � ---_ J — __- -_--- � _ - _-- Employing Plumber's Name / a!► A. �" / _ ! ' No. s Street_ tti Location and Legal Description ot__________ ______ ___ I Bl l ock I� Street and Number where work is to be performed —No 10 A S /✓ 9 l�` ( Street Statq w performed and purpose of building (By Floors) Remodeling_ _ Addition________ Repairs Size Septic Tank- _ Type of Tank_______ Capacity Gals Feet of Drain Tile_ - - - -• Nature of Water Supp Sty ell. ______ fi t .. Amount of Permit s______ a 6 , , e-ti MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.__ _Dist. Feet of Tank or Drain Field from Well - - - -- _ -•_ - -- ___ -- -Size of Soakage Pit ( Signed)- - -- &C A, Date r -3 - 0 Street S ubdivision_ No. of Stories. My Conunission Expires Notary Public, State of Florida L I 7 { Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman t Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em Dyed 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. Master Plumber. STATE OF FLORIDA, �. COUNTY OF DADE. i 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. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B ild Inspection Request Date i ,/� ) c� TypeInsp'n �I/ I &/ ✓p J1c / th c r t t Permit No. P1 04 4 5c _ Name Address ` ©p,5 i 16 Company {�'� ( c e phc Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui ding Inspection Request (\ Date i 25 Type Insp'n Final Se lma tar cf1 Permit No. P104 Name 0 -6010n - Address !Q2_5 CIE 6 1 3 5) -- v S Company I R C IBS Phone # Inspection Date Approved Correction Re- Insp'n Fee Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12 /22/2004 Applicant: CHRISTINE Owner: CANTON JOB ADDRESS: 1025 Contractor MR C'S SEPTIC TANK Local Phone: 305 - 651 -7859 Parcel # 1132050320040 Signed: NE 98 (INSPECTOR) Plumbing Permit Permit Number: PL2004 -352 CANTON CHRISTINE ST Contractor's Address: P 0 BOX 693239 Legal Description: 5 53 42 KINNEY PARK Permit Status: APPROVED Permit Expiration: 6/13/2005 Construction Value: $2,200.00 Work: TO REPLACE DRAINFIELD Page 1 of 1 PB 67 -78 LOT D LOT SIZE 80.000 X 104 OR Fees: FEE2004 -13080 FEE2004 -13081 FEE2004 -13082 FEE2004 -13083 FEE2004 -13084 FEE2004 -13085 FEE2004 -13086 Description Building Fee Builders Bond CCF Notary Fee Training and Education Fee Scanning Fee Technology Fee Total Fees: Amount $175.00 $300.00 $1.20 $5.00 $0.40 $3.00 $4.37 $488.97 Total Fees: $488.97 Total Receipts: $488.97 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12/22 /2004 Applicant: CHRISTINE Owner: CANTON JOB ADDRESS: 1025 Contractor MR C'S SEPTIC TANK Local Phone: 305 - 651 -7859 Parcel # 1132050320040 NE 98 Signed: (Contractor or Builder) Plumbing Permit Permit Number: PL2004 -352 CANTON CHRISTINE ST Contractor's Address: P 0 BOX 693239 Legal Description: 5 53 42 KINNEY PARK Fees: FEE2004 -13080 FEE2004 -13081 FEE2004 -13082 FEE2004 -13083 FEE2004 -13084 FEE2004 -13085 FEE2004 -13086 Description Building Fee Builders Bond CCF Notary Fee Training and Education Fee Scanning Fee Technology Fee Total Fees: Amount $175.00 $300.00 $1.20 $5.00 $0.40 $3.00 $4.37 $488.97 Total Fees: $488.97 Total Receipts: $488.97 Permit Status: APPROVED Permit Expiration: 6/13/2005 Construction Value: $2,200.00 Work: TO REPLACE DRAINFIELD Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. BY: Page 1 of 1 PB 67 -78 LOT D LOT SIZE 80.000 X 104 OR Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2004 -352 Printed: 12 /22/2004 Applicant: CHRISTINE CANTON Owner: CANTON CHRISTINE JOB ADDRESS: 1025 NE 98 ST Contractor MR C'S SEPTIC TANK Local Phone: 305 - 651 -7859 Parcel # 1132050320040 Fees: Description Amount FEE2004 -13080 Building Fee $175.00 FEE2004 -13081 Builders Bond $300.00 FEE2004 -13082 CCF $1.20 FEE2004 -13083 Notary Fee $5.00 FEE2004 -13084 Training and Education Fee $0.40 FEE2004 -13085 Scanning Fee $3.00 FEE2004 -13086 Technology Fee $4.37 Total Fees: $488.97 Total Fees: $488.97 Total Receipts: $488.97 Permit Status: APPROVED Permit Expiration: 6/13/2005 Construction Value: $2,200.00 Work: TO REPLACE DRAINFIELD Signed: (INSPECTOR) Plumbing Permit Contractor's Address: P 0 BOX 693239 Page 1 of 1 Legal Description: 5 53 42 KINNEY PARK PB 67 -78 LOT D LOT SIZE 80.000 X 104 OR In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: itcf BUILDING PERMIT APPLICATI FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) S 54- City Owner's Address eY t S Ai E' t1 s T i MA Qom, P Sta te Zi C ty � Zip Tenant/Lessee Name 1 rtAo,J �. +� Phone # �'° /r1 _ 7 g 2 Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name C .5 J /01 Phone Contractor's Address • 161132, City / 4 4 let4 / _ ` . State (• r Zip Qualifier S--6 /" $ Value of Work For this Permit 4 -QO Type of Work: DAddition Describe Work: i1 0 Notary $ 3 oU Scanning $ ' j 400 Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Building Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795. 0 (305) 756.8972 RECE AZ 15 2094 Electrical E . q9,4 • County Miami -Dade Zip 331' NO Alteration ❑New , Structural Plan Review. $ qtqc.a'l .#.c- 750 I 0 Permit No. fl V`I Master Permit No. Plumbing Mechanical Roofing (0014 Phone # 3 0 7 J ... 1 - 7 State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: 'epair/Replace ❑ D ( * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ 115 00 CCF $ 1- CO /CC Training/Education Fee $ la 0 Technology Fee $ 4- 37 Radon $ Zoning Bond $ 3C0 • Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. 1 understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certi ed copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) r after the building permit is issued. In t absence of such posted notice, the inspection will not s e approved and a reinspecti / *fij'e will be charged. Signatur NOTARY PUBLI : Sign: �- -( Print: 576M 6 , My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 As identification and who did take an oath. Signature My Commission Expires: Contractor Owner or Agent The fo egoing instrument was acknowledged bef me tl ' ?j The foregoing instrument was acknowledged before me this day of) L?• J , 2004_, by ��J C , day of , 20 _ , by who is personally known to me or who has produced who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *fix ** * * *,I ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ‘-a 4/ Plans Examiner Engineer Zoning CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ ]Holding Tank [ ] Innovative Other [ X ]Repair [ ]Abandonment [ ]Temporary [ NA ] APPLICANT: Puentes, Salomon PROPERTY STREET ADDRESS: 1025 NE 98 St Miami FL 33138 LOT: D BLOCK: N/A [Section /Township /Range /Parcel No.] PROPERTY ID #: 11- 3205 - 032 -0040 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ]Gallons SEPTIC TANK MULTI - CHAMBERED /IN SERIES: [Y ] A 4.; 0 ]Gallons MULTI- CHAMBERED /IN SERIES: [Y ] N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS @ [0 ]DOSES PER 24 HRS # PUMPS[ 0 ] D [ 300 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A TYPE SYSTEM: [ " ]STANDARD [ N ]FILLED I CONFIGURATION: [ N ]TRENCH [ )1 ]BED N / F LOCATION TO BENCHMARK: Existing Finished Floor Elev.: 7.90 Ft NGVD I E L D STATE OF FLORIDA ( DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT REPAIR SUBDIVISION: Kinney Park ELEVATION OF PROPOSED SYSTEM SITE [ 0.2 ] [ FEET BOTTOM OF DRAINFIELD TO BE [ 2.4 ] [ FEET FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: OTHER REMARKS: THIS PERMIT IS NOT FOR AN ADDITION. SPECIFICATIONS BY:Icaza, Carlos APPROVED BY: Icaza, Carlos DATE ISSUED: 12/14/04 TIT$•:- DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) [ ostds_cons_4016 -1] AGENT: SR0931119, COCKING MSTEPHEN TITLE: Engineer I [ 38.0 ] INCHES CENTRAX #: 13 -SG -23198 DATE PAID: FEE PAID : $ RECEIPT . OSTDSNBR : 04 -4148- -R [ N ]MOUND [ N ] [ N ] [ BELOW BENCHMARK /REFERENCE POINT ] [ BELOW BENCHMARK /REFERENCE POINT 1. Install 300 sq. ft. of drainfield in bed configuration. 2. Install 12" of slightly limited soil under the bottom of drainfield. 3. Perimeter of excavation area shall be at least 2 ft. wider than the proposed absortion bed. 4. Existing 900 gal. septic tank to be inspected for an appropriate pump -out and a solid vertical deflector installed on the outlet device. The pump -out receipt shall be provided prior to the granting of the final approval. 5. Invert elevation of drainfield to be no less than 6.03' NGVD. 6: Bottom of drainfield elevation to be no less than 5.53' NGVD. TI PERMIT 1s NOT FOR ADDMON($) THE SEPTIC TANK SHALL BE PUMPED AND A SOLID DEFLECTIOM DEVICE INSTALLED ON THE uUILkT TEE Dade EXPIRATION DATE: 3/14/05 CHD Page 1 of 2 a (-" 3 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. Owners Name and Address Ma 111SS1 Registered Architect and /or Engineer 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 Size Septic Tank _.— .--------- ____----- - - - - -- -Type of Tanit___ Feet of Drain Tile-_____ ____ _— _Dist. Feet of Tank or Drain Field from Wall Nature of Water Supply: City — Well.__----- _- - - -__- _.____. —. -_Size of Soakage Pit Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Employing Plumber's Name.--- RGse--- Septe- -T-a Block (Signed)_ Capacity Cab..._-- ......... - - Repairs No. of Stories (Signed No 117 5 N _.E._ - 9131tieet -s tree t 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 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. - - - - -- _ - -- - __ - - -- -- Street Plumbing Inspector. Master Plumber. STATE OF FLORIDA, is. 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whom web rs le mada•neoessary by improper notice for inspection, or faulty materials and /or workmanship. . CLOSET$ BATH TUe[ SHOWER$ LAYA• TORIES S SLOP LAUNDRY Tue. URINAL$ CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURE[ CONTR. — LIST CHICK SOLAR M DEEP WILL SPRKLR. SYSTEM SWIM'O POOL SEPTIC TANK SEWIR CONN. DRAIN SOAKAGE FIELD PIT G TRAP CoH'rR. L IST 50 r --±•-• CHICK a (-" 3 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. Owners Name and Address Ma 111SS1 Registered Architect and /or Engineer 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 Size Septic Tank _.— .--------- ____----- - - - - -- -Type of Tanit___ Feet of Drain Tile-_____ ____ _— _Dist. Feet of Tank or Drain Field from Wall Nature of Water Supply: City — Well.__----- _- - - -__- _.____. —. -_Size of Soakage Pit Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Employing Plumber's Name.--- RGse--- Septe- -T-a Block (Signed)_ Capacity Cab..._-- ......... - - Repairs No. of Stories (Signed No 117 5 N _.E._ - 9131tieet -s tree t 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 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. - - - - -- _ - -- - __ - - -- -- Street Plumbing Inspector. Master Plumber. STATE OF FLORIDA, is. 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whom web rs le mada•neoessary by improper notice for inspection, or faulty materials and /or workmanship. . LIST CHECK CI.OSTTS BATH T UBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES r SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST - CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT •e.a , u . Ne. 7. 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____ J Registered Architect and /or Engineer__ Employing Plumber's Name - — New Building Size Septic Tank_ Feet of Drain Tile a' Nature of Water Supply: City —Well. Amount of Permit $ No. --------------------- ____.___ (Signed)_ - -- -- _ _ -• _ -- - Date_ / c/ No. -- Street Street__ Location and Legal Description Lot -_ -_ -- _ _ - -_ ' ._ Block Subdivision--------- -------- ---- --- - - - - - -- Street and Number where work is to be performed —No le' Tri �( Street State work to be performed and purpose of building (By Floors) --._.---------------------- _._._- - - - - -- _ Remodeling____ _ ___._ Addition_______._ Repairs No. of Stories. Type of Tank_ . Feet of Tank or Drain Field from Well. ............ ______.__ _Size of Soakage Pit Capacity Gals. 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 5968, 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 die 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. (Signed). -- (/ F Master Plumber. STATE OF FLORIDA, u. 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 $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workinanship.