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1195 NE 98 St (2)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 Divisior 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.____ R Q rg N o Street Re Architect and /or Engineer Employing Plumber's Name Location and Legal Description ot B lock___ Subdivi 'on Street and Number where work is to be performed —No LL ____ Street 9 State work to be performed and purpose of building (By Floors) BuildinQ� Remodeling Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile Nature of Water Supply: Amount of Permit $ 7 A Y' 11. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_ _ Capacity Gals Dist. Feet of Tank or Drain Field from We1L "4- of Soakage Pit 4 (Signed) _ .� -- ,� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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 an licensed by Miami Shores Village. (Signed)- ------ -' -- Date — / 9 -' STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fay 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 faul materials and /or workmanship. CLOSETS BATH TUa9 SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS Ili ,517,;- t r t,j1 ` BIB, s TOTAL FIXTURE! — — CONTR. LIST +� � 5 / A ® CHECK 0' 3 in) in) 1 � ( (� �11 ry d - ° ...:J a ` I �P/ L� S SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP OM. HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK T 1 iu r1 - AA��, 9}l / el6 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 Divisior 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.____ R Q rg N o Street Re Architect and /or Engineer Employing Plumber's Name Location and Legal Description ot B lock___ Subdivi 'on Street and Number where work is to be performed —No LL ____ Street 9 State work to be performed and purpose of building (By Floors) BuildinQ� Remodeling Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile Nature of Water Supply: Amount of Permit $ 7 A Y' 11. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_ _ Capacity Gals Dist. Feet of Tank or Drain Field from We1L "4- of Soakage Pit 4 (Signed) _ .� -- ,� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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 an licensed by Miami Shores Village. (Signed)- ------ -' -- Date — / 9 -' STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fay 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 faul materials and /or workmanship.