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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 won Owner's Name and Address Registered Archit d�[_ - ng M 1 1'l 1�1 tT or C/ t C Employing tuu bor s Name, 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 New Building.._._ _ _ _.._..........._.. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT p 7713. No la 2 Blom —__ Addition...___.__ Repairs Subdivision 09 _.20 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. Amount of Permit $ performed under this permit; and will post or cause to be posted for inspection on required by die Act. The undersigned agrees to employ only such sub -contr licensed by Miami Shores Village. Size of Soakage Pit. a> (Slged)_ I -v ( Si Date _ Street_ A/ l ? Z __ .. . N ° va No. of Stories ........... 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 5988, Compiled General Laws of Florida Permanent Supplement, and IIYS com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor ployed by him In the work to be site of the ,� p notice or notices as arr work to this perII it, as are Master Plumber. - STATE OF FLORIDA, l µ 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 be 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 wham snob sole peotlon fa mow by Improper notice for iaspocdon, or faulty materials and /err workmanship. CLeaR/ BATH Tuns SHOWERS LAVA. TOMES / SIN SLOP SINKS LAUNDRY Tuns U RINAL/ CATCH BASIN FLOOR DRAIN DRINKING FOUNT TOTAL PI /Tulle CONTR. LIST CHECK SEPTIC TANK SEWER COMM. DRAIN FIELD SOAKAGE PIT GRAS[ TRAP SOLAR NEATER DRIP WELL SPRKLR. SYSTEM !Moro POOL Corms. LIST . 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 won Owner's Name and Address Registered Archit d�[_ - ng M 1 1'l 1�1 tT or C/ t C Employing tuu bor s Name, 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 New Building.._._ _ _ _.._..........._.. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT p 7713. No la 2 Blom —__ Addition...___.__ Repairs Subdivision 09 _.20 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. Amount of Permit $ performed under this permit; and will post or cause to be posted for inspection on required by die Act. The undersigned agrees to employ only such sub -contr licensed by Miami Shores Village. Size of Soakage Pit. a> (Slged)_ I -v ( Si Date _ Street_ A/ l ? Z __ .. . N ° va No. of Stories ........... 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 5988, Compiled General Laws of Florida Permanent Supplement, and IIYS com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor ployed by him In the work to be site of the ,� p notice or notices as arr work to this perII it, as are Master Plumber. - STATE OF FLORIDA, l µ 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 be 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 wham snob sole peotlon fa mow by Improper notice for iaspocdon, or faulty materials and /err workmanship. Contractor or Builder Legal Des eription CONTRACTOR BUILD Sn ubdi- vision a.A. ar rid 19 Value of Arnoun $ P Address of I rnoun Build 1 Si It I emit. This pe&sE is i to the contractor or builder named above to construct the building or to install the ec# (parent or device describod in the appllca- ioo bersefar , s strict cora with all ordinances pertaining thereto and with the understanding that the - Work wtH be performed in compliance with any plans, drawings, statements or specifications that may have been *knitted t© and approved by the proper municipal authorities. This Permit may be revoked Shur M the weak is not done in compliance with such ordinannes or if the plans are changed without authorization. ,d1... farther contrition epee which this at granted is the understanding that the cost/mot or builder named above assumes the responsibility for a thorough knowledge of the ordinances and s pertairting to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he des reapon- work done by his agents, servants or employees, . �i _ Sign ed; INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all itsancos regntations pertaining thereto and in strict conformity with the plans, drawings, statements or epecilicattotm submitted to the proper authorities of ivtianit Shores Village. In as ceptng this permit I assume responsibility for ell work done by either, myselki my agent, servant or employee. Permit No S Q- t?' S Size Septic Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date.. -A 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______________ No. ____.__10J__7____ -_ -_ Street /V, / V LSr Registered Ar and/or Engineer _ Location and Legal Description Lot State work to be performed and purpose of building (By Floors)— I P i tr VC 41 I 94 " Street and Number where work is to be performed -No j 0? 7 S. - _ _ _ _ / /AIA/ 111 A1. New Building --------------- _ -__ -- Remodeling - ____ -- Addition_ Block Subdivision__ Repairs N Type of Tank_- Capacity Gals. Feet of Drain Tile - ____________Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well. Amount of Permit $- STATE OF FLORIDA, COUNTY OF DADE. __Size of Soakage Pit (Signed)_ C.L2 _ -Z No. of Stories. Plumbing In. ,c or. 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 ' . l anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contr- tors ployed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the of the ork s h public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, work be or I under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida 4 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. 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 O SHOWERS LAVA- TORIES NKS SINKS SLOP SINKS LAUNDRY TUBS RINALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTE. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CoNTR. LIST • - -- CHECK Permit No S Q- t?' S Size Septic Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date.. -A 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______________ No. ____.__10J__7____ -_ -_ Street /V, / V LSr Registered Ar and/or Engineer _ Location and Legal Description Lot State work to be performed and purpose of building (By Floors)— I P i tr VC 41 I 94 " Street and Number where work is to be performed -No j 0? 7 S. - _ _ _ _ / /AIA/ 111 A1. New Building --------------- _ -__ -- Remodeling - ____ -- Addition_ Block Subdivision__ Repairs N Type of Tank_- Capacity Gals. Feet of Drain Tile - ____________Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well. Amount of Permit $- STATE OF FLORIDA, COUNTY OF DADE. __Size of Soakage Pit (Signed)_ C.L2 _ -Z No. of Stories. Plumbing In. ,c or. 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 ' . l anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contr- tors ployed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the of the ork s h public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, work be or I under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida 4 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. 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.