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PLUMBINGMIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No._..- . t -z,"7 Date ..._..- - - -_ -. 6 i9 ° __..._.. 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 heroin specified or not. A Dopy of approved plans and specifications must be kept at building during progrew of work. Owner's Name and Address.- .._ M r s • Eileen Ever . .,_., N RegisteredArchitect and /or Engineer--------------------------- _.....__._..�.._. Employing Plumber's Name Rose . Septic Tank P.0 . Box 3144 Hieah ....... ....... ........... ...........,. Location and Legal Description Lot_._..._...____..._• Block_ Subdivision ..........,..•....._..._.._...- Street and Number where work is to be performed—No. 2 N.E. 99th street St:eet.. _.......... State work to be performed and purpose of building (By Floors) _..._..._...____.. ..._ New Bu ilding._...,_._._..__.._ Repairs. Size Septic Tank_ -Type of Tank..— ».. ».._ Feet of Drain Tile — Dist. Feat of Tack or Drain held from Well Nature of Water Supply: of Soakage Pit. STATE OF FLORIDA, l COUNTY OF DADE. LTIC- Amount of Permit $ X4.00 (Sed) - - .: The undersigned applicant for this building permit does hereby certify that he understands and accepts his o •Hone as an employer of labor under the Florida Workmen's Compensation Act, being Section 6988, Compiled General Laws of Florida Penn ent 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. (Si) rined No. of Stories. C apacity Gals ,,,,, ,,,,,,,,,,,,,,, ............. ,,. _•,, Plumbing Inspector. 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 uposi oath deposes and.says that he is the.. of the above described Construction, that he has carefu ► read the foregoing application. and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Nataiy Pubib, hate of •.•• _•_...._.....r.. NOTE: A re-inspection fee of $1.00 will be made whoa mob Morpoodoo w meda'rarotwry by improper notice for hupectlao, or faulty materials and /or wce mmanship. CLOSETS BATH aATN' Tun' SHOWERS LAVA. INK[ SLOP LAYNDRY TYSS URINAL. CATCH SASIN FLOOR DRAIN DRINKING FGYNT'N[ TOTAL IIXTYR[a CONTR. LIST • CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT QRRAGe TRAP SOLAR NEATER DEEP WELL SPRKLR• voila SWIM'S POOL LIST CNECK ,,,....,.,.,•,. - C 2 5 -m�_e MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No._..- . t -z,"7 Date ..._..- - - -_ -. 6 i9 ° __..._.. 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 heroin specified or not. A Dopy of approved plans and specifications must be kept at building during progrew of work. Owner's Name and Address.- .._ M r s • Eileen Ever . .,_., N RegisteredArchitect and /or Engineer--------------------------- _.....__._..�.._. Employing Plumber's Name Rose . Septic Tank P.0 . Box 3144 Hieah ....... ....... ........... ...........,. Location and Legal Description Lot_._..._...____..._• Block_ Subdivision ..........,..•....._..._.._...- Street and Number where work is to be performed—No. 2 N.E. 99th street St:eet.. _.......... State work to be performed and purpose of building (By Floors) _..._..._...____.. ..._ New Bu ilding._...,_._._..__.._ Repairs. Size Septic Tank_ -Type of Tank..— ».. ».._ Feet of Drain Tile — Dist. Feat of Tack or Drain held from Well Nature of Water Supply: of Soakage Pit. STATE OF FLORIDA, l COUNTY OF DADE. LTIC- Amount of Permit $ X4.00 (Sed) - - .: The undersigned applicant for this building permit does hereby certify that he understands and accepts his o •Hone as an employer of labor under the Florida Workmen's Compensation Act, being Section 6988, Compiled General Laws of Florida Penn ent 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. (Si) rined No. of Stories. C apacity Gals ,,,,, ,,,,,,,,,,,,,,, ............. ,,. _•,, Plumbing Inspector. 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 uposi oath deposes and.says that he is the.. of the above described Construction, that he has carefu ► read the foregoing application. and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Nataiy Pubib, hate of •.•• _•_...._.....r.. NOTE: A re-inspection fee of $1.00 will be made whoa mob Morpoodoo w meda'rarotwry by improper notice for hupectlao, or faulty materials and /or wce mmanship. BUILDING ELECTRICAL PLUMBING PERMIT N? 5053 C o nt r ctor s I _ Work to be performed under this Permit Owner of Building Architect Cor&tract6 or Builde Legal Lot ,,,// Description 7 T� he Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BY DATE 3. 1941_ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or dev descried in the appli- cation herefor .in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performe in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper. municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed witho t auth. a '.n. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assu h• w .onsi ity f. a t Trough knowledge of the r awes and regulations pertaining to the work covered hereby whether shown on the plan.. Sr . ications and that he respon- sibility for work done by his agents, servants or employees. r Signed. 1. By CTOR . In consideration of the issuance to me of this permit I agree to perform tile wort c ered reunde in compliance with all ordinances and segulations pertaining thereto and in strict conformity with the plans, drawings, statements or specificatio submitted to the proper authorities of Miami Shotes Village. In accepting this permit I assume responsibility for all work done by eithe yself, m agent, r employee. 1 ? 7 AUTHORITY