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PLUMBINGPrunni: Nu. T Amount of Permit $ ' 10 0 My Conunission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1,ercby made for the approval of the detailed statement of the plans and specifications herewith subrnt• .''l for thp building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi; ! Shores Village, Florida, a,;d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulati• • of the Building Division of Miami Stores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec ficatlons must be kept at wilding during progress of work. `hvnei s Name and Address._ ��_. �c`l. No. l 0 __ Street._ 8 .egict. red Architect and /or Engineer :mploying Plumber's Name4 4 rho A4 owl 6 Location and Legal Description Lot. •� B1 Street and Number where work is to be performed—No work to be performed and purpose of building (By Floors)_.C22/ .+t' __.. New Building Remodeling_ _...__ _ Addition._._ 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 street. 335 C apacity ^ .a - ..... .. Date ..._t _ Q Su bb divWon,._..._... Street ?.8 Repairs Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e n;llpyer of la1Kn under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent ruin lement, and has .'orr lied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1 y him in ' e .A., rk r b� performed under this permit; and will post or cause to be posted for inspection on the site of the work such pub!: notice T. no icer rs ar required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed ',x this k i Sri rag, .. rt . licensed by Miami Shores Village. (Signed )._ act*I ere / Z66 -or-233 7 No of Stones Mesta Plumber. STATE OF FLORIDA, t COUN'TY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take achy owledaments, periW.d.: . pprar•c. 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 be has carefully read the foregoing application, and that he did sign the same, and that all acts therein by hiss, stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection to mede•neoes ary by improper notice for 1papeet!on, or fruity materials and /or workmanship. CLOSET• BATH TUBS • SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY Tugs URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N. I TOT..L FACTS RES CL LI 'T 1 - _ iT CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR M DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTN. LIST CHECK Prunni: Nu. T Amount of Permit $ ' 10 0 My Conunission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1,ercby made for the approval of the detailed statement of the plans and specifications herewith subrnt• .''l for thp building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi; ! Shores Village, Florida, a,;d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulati• • of the Building Division of Miami Stores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec ficatlons must be kept at wilding during progress of work. `hvnei s Name and Address._ ��_. �c`l. No. l 0 __ Street._ 8 .egict. red Architect and /or Engineer :mploying Plumber's Name4 4 rho A4 owl 6 Location and Legal Description Lot. •� B1 Street and Number where work is to be performed—No work to be performed and purpose of building (By Floors)_.C22/ .+t' __.. New Building Remodeling_ _...__ _ Addition._._ 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 street. 335 C apacity ^ .a - ..... .. Date ..._t _ Q Su bb divWon,._..._... Street ?.8 Repairs Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e n;llpyer of la1Kn under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent ruin lement, and has .'orr lied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1 y him in ' e .A., rk r b� performed under this permit; and will post or cause to be posted for inspection on the site of the work such pub!: notice T. no icer rs ar required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed ',x this k i Sri rag, .. rt . licensed by Miami Shores Village. (Signed )._ act*I ere / Z66 -or-233 7 No of Stones Mesta Plumber. STATE OF FLORIDA, t COUN'TY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take achy owledaments, periW.d.: . pprar•c. 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 be has carefully read the foregoing application, and that he did sign the same, and that all acts therein by hiss, stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection to mede•neoes ary by improper notice for 1papeet!on, or fruity materials and /or workmanship. Perws:ir MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date _7— -® —fo/ Application is hereby rna- a 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 Owner's Name and Address C<_ __ ____._______ __ —___ __ No. Registered Architect and /or En • er_______.___ � _n - f — Employing Plumber's Name Location and Legal Descrip Street and Number where work is to be performed —No._ o4 - y Ef / '_- J1 Street State work to be performed and purpose of building (By Floors) f!!k.«a_! __ { __.__a a Li- •- -- -� New Building Building __ --_ -- - -__ __. _________ Addition_______ Repairs_-_ No. of Stories.. _ _._.l.- _.•--- ___ Size Septic Tank Feet of Drain Tile__ Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires No. Jr3 (a /of/ _Type of Tank_ Dist. Feet of Tank or Drain Field from Well _ _Size of Soakage Pit (Signed). Capacity Gals. (Signed) - -C� Street et_ Subdivision ....... __--- ............. __ -_ - -- Notary Public, State of Florida Plumbi 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 Ilas 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. 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. CL'JSET3 BATH w 7UB5 SNOWERf LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tune U RINAL! CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CLI.TR. LIST / CHECK 1 - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL Cotes. LIST - -- CHECK Perws:ir MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date _7— -® —fo/ Application is hereby rna- a 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 Owner's Name and Address C<_ __ ____._______ __ —___ __ No. Registered Architect and /or En • er_______.___ � _n - f — Employing Plumber's Name Location and Legal Descrip Street and Number where work is to be performed —No._ o4 - y Ef / '_- J1 Street State work to be performed and purpose of building (By Floors) f!!k.«a_! __ { __.__a a Li- •- -- -� New Building Building __ --_ -- - -__ __. _________ Addition_______ Repairs_-_ No. of Stories.. _ _._.l.- _.•--- ___ Size Septic Tank Feet of Drain Tile__ Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires No. Jr3 (a /of/ _Type of Tank_ Dist. Feet of Tank or Drain Field from Well _ _Size of Soakage Pit (Signed). Capacity Gals. (Signed) - -C� Street et_ Subdivision ....... __--- ............. __ -_ - -- Notary Public, State of Florida Plumbi 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 Ilas 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. 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. Work to be pe Os Permit _ BUILDING ELECTRICAL 0 PLUMBING Et ROOFING 0 Owner of Building Address of Building 0 CONTRACTOR OR BUILDER Architect ontractor or Builder Legal Lot Description. This permit is ggranted to the can herefor in strict compliance with all ordin drawings, statements or specioatTons that ma time if the work is not done in compliance with sn granted is the understanding that the c:ontractos or pertaining to the work covered hereby whether shown on the done by his agents, servants or emplloyee% In c onsideration of the issuance to me . pertaining thereto and in strict conformity with the p in accepting this permit I assume responsibility for all MIAMI SHORES VILLACIC CLQ&crs nAT1S TUBS SHOWERS LAVA- TORIE6 SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 D LJ TOTAL FIXTURES --- CONTR. _. LIST / _ CNYCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP MIOMMR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK / --..J.--- ^! Permit No fez_ 3 3 ___ Size Septic Tank Feet of Drain Tile Nature of Water Suppl Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors) _._______.._ Nett• Buil _- - - -- -- .. - ... Remodeling Addition__ (Signed) _ The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors performed under this permit; and will post or cause to be posted' for inspection on the site of the work req fired by the Act. The undersigned agrees to employ only such sub - contractors, on work to be licensed by Miami Shores Village. ( Signed Date 3 - 6 a 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- _- .sLS±!sti _ -_ - - -- - -_ _.__ __- •---- . - - - -. No. Street Registered Architect and /or En Sneer ..... _--____ Employ Plumber's o. -- - - -- - et - -- {mg Name � ' 7 _ Location and Legal Descri ti Lot-.__. _ �_ Block l 7 ? g 1? ! Subdivision__ - _ --- �------------- - -- -__ __.___.. Street and Number where work is to be performed— No._.1° Y 3'11 �1c -�___ Street Repairs No. of Stories.. -... Type of Tank Capacity Gals. _Dist. Feet of Tank or Drain Field from Well Well._____..________ ....... _____ --- -........ ___ ___.__Size of Soakage Pit Plumbing Inspector. o • . gations as an employer of labor nent Supplement, and has corn - mployed by him in the work to be ch public notice or notices as . are erformed under this permit, as are Master Plumber. STATE OF FLORIDA, a. 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. 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. 1 C LO•ET• BATH Tuns SHOWERS LAVA• T ORIES SINK• SLOP SINKS LAUNDRY TU•• URINALS CATCH BASIN FLOOR DRINKING DRAIN FOUNT'N• ( - TOT,.L FI[Tl RES CONTR. . LI CHECK �_— SEPTIC TANK SEWER comm. DRAIN FI[LO SOAKAGE PIT G TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SWIM'O POOL — Co. KTR LIST I — Ir .. CHICK - -- ■ � .�� Penn, Nu... ..... is hereby mode for the approval of the detailed statement of the plans and specifications herewith subr it. _i for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of MI:: ! Shores Village, Florida, A,:d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulati• • of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec fications must be kept at - 3uilding during progress of work. New Building Remodeling Amount of Permit $ STATE OF FLORIDA, I as. COUNTY OF DADE. My C' nunission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ':Tuners Name and Address . .__._...__.__ .egist red Architect and /or Engineer :mploying Plumber's Name At._Ar►i. 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)___. >f /� 1 1y 0S6� ,...._.._. No.-- --- � Street_._ / � 9 street ...A/` •Ss 7 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 Addition Block Subdivision._ (Signed) (Sign Date. Capacity ^ ,als. tojzo Repairs 1./..._. _._. No of Stones Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as en a n ;,loud of iahoi under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Cum lenient, and lids ,0 1 . 1 lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors oyed 1 y him in • ,. ^+, rk c� b- performed under this permit; and will post or cause to be posted for inspection on the site of the work ch uhl: notice r no icer rs a' required by the Act. The undersigned agrees to employ only such sub- contractors, , k to , . pe , •.. ' this p II lit, :,r . licensed by Miami Shores Village. Mast n Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take .eknowled3ments, person... ; ppearet. 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 be has carefully read the foregoing application, and that he did sign the same, and that all acts 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•neoswry by Improper notice for fnsplrton, sir fruit) materials and /or workmanship. Permit No Owner's Name and Address Amount of Permit $__ STATE OF FLORIDA, COUNTY OF DADE. Application is hereby made for the approval of the detailed statement of the plans and specifications here ' submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordi ce 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 co plied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. /Ltd No.L_rJ V 3 _ Street Registered Architect and /or Engilfeer /V-Ze.--.2gee r Employing Plumber's Nam /./.7 Location and Legal Description Blordr Street and Number where work is to be performed —No /e V '? State work to be performed and purpose of building (By Floors) _ New Budding ___ Remodeling Addition__ _ Repairs No. of Stories . . . ... .. ..... . . MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) _ Street__ Date..,- Street.-- 7-'' Subdivisio APAdy Size Septic Tank.__—_______ -_ f -_ - - -- -- -- - - - -- -Type of Tank___ Feet of Drain Tile___- -3.4 r <=!-Ear..' t. Feet of Tank or Drain Field from Well. Nature of Water Supply: City — Well.____ .... ___________ _______ _ ____Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h' gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and Ilas com- plier 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. (Signed)----- 277 - t_eoe ..�.... 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 31.00 will be made when such re- inspection is made •necessary by improper notic•A for insr n, or faulty materials and /or workmanship. CLOSET. BATH TUBS SXOWERB LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINAL{ 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 Owner's Name and Address Amount of Permit $__ STATE OF FLORIDA, COUNTY OF DADE. Application is hereby made for the approval of the detailed statement of the plans and specifications here ' submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordi ce 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 co plied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. /Ltd No.L_rJ V 3 _ Street Registered Architect and /or Engilfeer /V-Ze.--.2gee r Employing Plumber's Nam /./.7 Location and Legal Description Blordr Street and Number where work is to be performed —No /e V '? State work to be performed and purpose of building (By Floors) _ New Budding ___ Remodeling Addition__ _ Repairs No. of Stories . . . ... .. ..... . . MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) _ Street__ Date..,- Street.-- 7-'' Subdivisio APAdy Size Septic Tank.__—_______ -_ f -_ - - -- -- -- - - - -- -Type of Tank___ Feet of Drain Tile___- -3.4 r <=!-Ear..' t. Feet of Tank or Drain Field from Well. Nature of Water Supply: City — Well.____ .... ___________ _______ _ ____Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h' gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and Ilas com- plier 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. (Signed)----- 277 - t_eoe ..�.... 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 31.00 will be made when such re- inspection is made •necessary by improper notic•A for insr n, or faulty materials and /or workmanship. • Repair • Cl4gning • Installation San. 29, 1 ra o f Miami Shoje4 - Div P16 #. 9rz4p - 10050 N. 6. 2nd Av PeAnzii application and cIzech enc,Lo aed Aloft 38' Ael aca (2 ti ex za dep lz at 10113 N. 98 D. (9. Do d a.1) ill .Atiami Septic Z5anL Co. 9545 S. W. 70 STREET MIAMI, FLA. 33143 PHONE 274 -0232 • Residential • Commercial • Industrial � y Y Permit No _______ . _ ___— Size Septic Tank -_ _ Feet of Drain Tile_ _ Nature of Water Supply. City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. �y..- - Y -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herem 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 th•. Building Di" lion 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. 30E2.1 1043 Owner's Name and Address_ Registered Architect and /or Engineer _ . Employing Plumber's Name __�_�. TJ �> 1 S e T� t i!' _T ^ i 'r C e _ No._ _ _ Street _ P . 0 . Box ti r Q Location and Legal Description Lot_____ .... -- _____ - _______ _ _ _ —_ Block-- Subdi Tam i ^ i S + ? + i o it Street and Number where work is to be performed —No 1 047 - ..s • Street _oat 1 5 t z' ° e ± . State w o r k to be performed and purpose of building (By Floors). . La:- t a 11 a ti Q n - (LC __r 1 ∎ 2 5 1 New Building __._ __ _ _ _ __ ___ ___ Remodeling —.___ __. __ _ _ _ Addition__ . Repairs. ..... ___ No. of Stories . -- Type of Tank ______ _ __Dist. Feet of Tank or Drain Field from Well.. Si•e of Soakage Pit 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 Pei inanent Supplement, Pn11 1 as : .om- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint 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 no ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. (Signed)__ -- Date . ��??ril ? th _._ Street. • - ; = + • 9 2 1 - ; 1 - 1 -' Str' e Capacity Gals. Plumbing In<pecto. Master Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgn ents, personall 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 .acts 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•neeessary by improper notice for inspection, or faulty materials and /or worlonanship. CLO6R6 BATH TUBS S LAVA TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU.'T'N6 TOTAL F XTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WE,-1., SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK � y Y Permit No _______ . _ ___— Size Septic Tank -_ _ Feet of Drain Tile_ _ Nature of Water Supply. City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. �y..- - Y -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herem 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 th•. Building Di" lion 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. 30E2.1 1043 Owner's Name and Address_ Registered Architect and /or Engineer _ . Employing Plumber's Name __�_�. TJ �> 1 S e T� t i!' _T ^ i 'r C e _ No._ _ _ Street _ P . 0 . Box ti r Q Location and Legal Description Lot_____ .... -- _____ - _______ _ _ _ —_ Block-- Subdi Tam i ^ i S + ? + i o it Street and Number where work is to be performed —No 1 047 - ..s • Street _oat 1 5 t z' ° e ± . State w o r k to be performed and purpose of building (By Floors). . La:- t a 11 a ti Q n - (LC __r 1 ∎ 2 5 1 New Building __._ __ _ _ _ __ ___ ___ Remodeling —.___ __. __ _ _ _ Addition__ . Repairs. ..... ___ No. of Stories . -- Type of Tank ______ _ __Dist. Feet of Tank or Drain Field from Well.. Si•e of Soakage Pit 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 Pei inanent Supplement, Pn11 1 as : .om- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint 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 no ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. (Signed)__ -- Date . ��??ril ? th _._ Street. • - ; = + • 9 2 1 - ; 1 - 1 -' Str' e Capacity Gals. Plumbing In<pecto. Master Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgn ents, personall 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 .acts 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•neeessary by improper notice for inspection, or faulty materials and /or worlonanship. 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 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_ - No.-- -_----------- _- ---- - - - - -- Street. Registered Architect and /or Engipeer ,.� - - . -- x ----- _ - - - -- Employing Plumber's Name No. Street. Location and Legal Description Lot Street and Number where work is to be performed—No tk Subdivision ....... ........... _________ ....... State work to be performed and purpose of building (By Floors)_ New Building--- __ -_ -- _ -- Remodeling— ________ _ ____ Addition Repairs No. of Stories . . .............. .... Size Septic Tamer - .--------- _ -- - -- - ----- - - -- -- --Type of Tank__ Capacity Gals. Feet of Drain Tile__S Nature of Water Supply: City—Well. Amount of Permit $_— STATE OF FLORIDA, } COUNTY OF DADE. es. —Dist. Feet of Tank or Drain Field from Well _ ___Size of Soakage Pit (Signed)._ (Signed) -- Y� Date -- - L V Plumbing I spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennant Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empls 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 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. 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 Master 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 worlcmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns 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 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 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_ - No.-- -_----------- _- ---- - - - - -- Street. Registered Architect and /or Engipeer ,.� - - . -- x ----- _ - - - -- Employing Plumber's Name No. Street. Location and Legal Description Lot Street and Number where work is to be performed—No tk Subdivision ....... ........... _________ ....... State work to be performed and purpose of building (By Floors)_ New Building--- __ -_ -- _ -- Remodeling— ________ _ ____ Addition Repairs No. of Stories . . .............. .... Size Septic Tamer - .--------- _ -- - -- - ----- - - -- -- --Type of Tank__ Capacity Gals. Feet of Drain Tile__S Nature of Water Supply: City—Well. Amount of Permit $_— STATE OF FLORIDA, } COUNTY OF DADE. es. —Dist. Feet of Tank or Drain Field from Well _ ___Size of Soakage Pit (Signed)._ (Signed) -- Y� Date -- - L V Plumbing I spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennant Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empls 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 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. 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 Master 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 worlcmanship. Permit No _/ _ _ _ New Building Size Septic Tank -_ - -- -- -- - - Feet of Drain Tile -.. -_ -- -- Nature of Water Supply. City-Well. Amount of Permit $ 3.00 STATE OF FLORIDA, se. COUNTY OF DADE. j MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herein descnbed. 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 th' Building Div +lion 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_ Mar tin li OSal - - - -_ -- - ____ -- - -- _ -- _ No._,______ -__.__ _ Street Registered Architect and /or Engineer - - - Rose Septic Tank Co. P.O.Box 344 hialeah .... Employing Plumber's Name --___ _------ _ -_ -_— _ _ No._ - . __..._ . -- Street. _ Location and Legal Description Lot -__- ___ — _ _ — Block_ Subdivision. -.- . _ _ Street and Number where work is to be performed -No 1043 N.E 98th street Street _ State work to be performed and purpose of building (By Floors) _ _ Addition__ - - - Repairs. -_ - Type of Tank _ _ _ ___ _Dist. Feet of Tank or Drain Field from Well.. Si. ' of Soakage Pit - (Signed)- - - Ing In. to. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi f.ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P manent Supplement, and 1 as -'om- 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 no ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. (Signed)._ Date 4-4-69 Capacity Gals. ... No. of Stories _ .. ... . Master Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn.ents, personall 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 .acts 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 workmanship. CLOSETS BATH TUBS SHOWERf LAVA- TORIES SINKS SLOP SINKI LAUNDRY TUBS U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL F %TURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WE.L SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST 42 -- CHECK 1 Permit No _/ _ _ _ New Building Size Septic Tank -_ - -- -- -- - - Feet of Drain Tile -.. -_ -- -- Nature of Water Supply. City-Well. Amount of Permit $ 3.00 STATE OF FLORIDA, se. COUNTY OF DADE. j MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herein descnbed. 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 th' Building Div +lion 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_ Mar tin li OSal - - - -_ -- - ____ -- - -- _ -- _ No._,______ -__.__ _ Street Registered Architect and /or Engineer - - - Rose Septic Tank Co. P.O.Box 344 hialeah .... Employing Plumber's Name --___ _------ _ -_ -_— _ _ No._ - . __..._ . -- Street. _ Location and Legal Description Lot -__- ___ — _ _ — Block_ Subdivision. -.- . _ _ Street and Number where work is to be performed -No 1043 N.E 98th street Street _ State work to be performed and purpose of building (By Floors) _ _ Addition__ - - - Repairs. -_ - Type of Tank _ _ _ ___ _Dist. Feet of Tank or Drain Field from Well.. Si. ' of Soakage Pit - (Signed)- - - Ing In. to. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi f.ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P manent Supplement, and 1 as -'om- 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 no ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. (Signed)._ Date 4-4-69 Capacity Gals. ... No. of Stories _ .. ... . Master Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn.ents, personall 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 .acts 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 workmanship. 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__ Registered Architect and /or En ineer_ za Employing Plumber's Name___ /kY 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 Size Septic Tank /-- Feet of Drain Tile -- Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling ________________._________ Addition____ Repairs No. of Stories - T J. f . f Tank___ Capacity Gals eet of Tank or Drain Field from Well. Size of Soakage Pit J (Signed)— = --- -- e P1111nbing 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 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 tlie 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) Date Street__ My Commission Expires Notary Public, State of Florida No.__.________ Street Subdivision Street 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. 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 worlonanship. CLOSETS BATH TUSK SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY Tuas 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 1 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__ Registered Architect and /or En ineer_ za Employing Plumber's Name___ /kY 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 Size Septic Tank /-- Feet of Drain Tile -- Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling ________________._________ Addition____ Repairs No. of Stories - T J. f . f Tank___ Capacity Gals eet of Tank or Drain Field from Well. Size of Soakage Pit J (Signed)— = --- -- e P1111nbing 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 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 tlie 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) Date Street__ My Commission Expires Notary Public, State of Florida No.__.________ Street Subdivision Street 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. 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 worlonanship. Permit No.. • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT ' APPLICATION FOR PLUMBING PERMIT Date... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith rubdiittted 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 arid specifications must be kept at building during progress of work. DOSAL 12 L 0 - 3 TS r No. { O ' q? S+` Owner's Name and Address 11/4 4A2-111--...215--_ � Street.. .......� ., Registered Architect and /or Engineer _ ......._— ._..... 'I.o ��ar DeseripY[ e- . � . _.........::................,, on as on Lot Bloolt Subdivision Street and Number where work is to be performed -No. in 4 3 / 1 & q P S Street.._.. - - -._ ..._. State work to be performed and purpose of building (By Fbors)-_._2.Q211._ S _ • ..�'.(. r717Lei New Building.._... _ __.._ _ -- Remodeling-- ._.._._ ___ Addition. -. - - -_ ..._ _ Repairs No. of Stories. .. .......... Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City-Well. Amount of Permit $ _Type of Tank_ -- _---- -_ - - —Dist Feet of Tank or Drain Field from Well. Size of Soakage Pit (signed)_ 4or ... 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 5966, Compiled General Laws of Florida Permanent Supplement, and limy 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 w• such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wor / y' performed under this permit, as are licensed by Miami Shores Village. (SI fG g` e My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. 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 be is the •_ -. -- .-- ..__..._..._ -.. _ _...._._ of the above described construction, that be has carefully read the Foregoing application, and that be did sign the same, and that all facts therein by hire stated are true. NOTE: A re- inspection fee of $1.00 will be made whoa mob re4sipectiaa le sssde.asonaary by Improper notice for Laspection, or faulty materials and /or worlananslsip. a • j CLO {tTa BATH TUS{ fNOW[Ra LAVA• TORIES SIN SLOP aINKa LAUNDR Tuns URINAL[ CATCH BASIN FLOOR DRAIN DRINKING FOUHT'N{ TOTAL FIXTURES CONTK. LIST CHECK • SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•O Pool. ,, Come. LIST if I CHECK Permit No.. • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT ' APPLICATION FOR PLUMBING PERMIT Date... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith rubdiittted 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 arid specifications must be kept at building during progress of work. DOSAL 12 L 0 - 3 TS r No. { O ' q? S+` Owner's Name and Address 11/4 4A2-111--...215--_ � Street.. .......� ., Registered Architect and /or Engineer _ ......._— ._..... 'I.o ��ar DeseripY[ e- . � . _.........::................,, on as on Lot Bloolt Subdivision Street and Number where work is to be performed -No. in 4 3 / 1 & q P S Street.._.. - - -._ ..._. State work to be performed and purpose of building (By Fbors)-_._2.Q211._ S _ • ..�'.(. r717Lei New Building.._... _ __.._ _ -- Remodeling-- ._.._._ ___ Addition. -. - - -_ ..._ _ Repairs No. of Stories. .. .......... Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City-Well. Amount of Permit $ _Type of Tank_ -- _---- -_ - - —Dist Feet of Tank or Drain Field from Well. Size of Soakage Pit (signed)_ 4or ... 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 5966, Compiled General Laws of Florida Permanent Supplement, and limy 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 w• such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wor / y' performed under this permit, as are licensed by Miami Shores Village. (SI fG g` e My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. 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 be is the •_ -. -- .-- ..__..._..._ -.. _ _...._._ of the above described construction, that be has carefully read the Foregoing application, and that be did sign the same, and that all facts therein by hire stated are true. NOTE: A re- inspection fee of $1.00 will be made whoa mob re4sipectiaa le sssde.asonaary by Improper notice for Laspection, or faulty materials and /or worlananslsip. a • j