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PLUMBINGPermit No. ____Q_ " Owner's Name and Address Registered Architect and /or E Employing Plumber's Nam Amount of Permit $ Location and Legal Description Lot Street and Number where work is to be performed —No. 4 2 State work to be performed and purpose of building (By Floors) Nature of Water Supply: City —Well r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No er Block_ (Signed) Date____ e 2 . 1 _ _ 1 / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub itted 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. d i"* ./S. Street Street �' '►_ /Ir/ S b ivision__ Street__ 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.__,. Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his o. ations 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, qn work to be performed under this permit, as are licensed by Miami Shores Village. 9 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. Notary Public, State of Florida Plumbing Inspector. My Commission Expires 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 SHOWRS E LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT' NS TOTAL FIXTURES CONTR. LIST 1 �) I_ I _ _ i • -2 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. ____Q_ " Owner's Name and Address Registered Architect and /or E Employing Plumber's Nam Amount of Permit $ Location and Legal Description Lot Street and Number where work is to be performed —No. 4 2 State work to be performed and purpose of building (By Floors) Nature of Water Supply: City —Well r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No er Block_ (Signed) Date____ e 2 . 1 _ _ 1 / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub itted 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. d i"* ./S. Street Street �' '►_ /Ir/ S b ivision__ Street__ 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.__,. Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his o. ations 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, qn work to be performed under this permit, as are licensed by Miami Shores Village. 9 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. Notary Public, State of Florida Plumbing Inspector. My Commission Expires 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. BUILDING ELECTRICAL PLUMBING Owner of /1 Building Lot MIAMI SHORES VILLAGE, FLORIDA, DATE PERMIT N? 8255 Work to be performed 6t.-- under this Permit Architect Contractor or Builder Legal Description Address of Building This permit is grante to the contractor or builder named above to construbt the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed 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 without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. CO TRACTOR OR BUILDER Bl. Lel Subdi- vision Value of Project BY Contractor's se No. Amt. of Permit _ : —� �. Signed �4- r By INSPECTOR / 194 In consideration of the issuance to me of this permit I agree to perform th work covered hereunder in compliance with a , + ces and r�i s ; �? pertainin: thereto and in strict conformity with the plans, drawings, statement or specifications submitted to the proper authori . e iami Shor afe. In ac - . s.. • this . �' I assume respons ility for all work done by either myself, my agent, servant or employee. AUTHORITY Permit No 01 731 Size Septic Tans_. 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 Amount of Permit 8 2 S My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT o% 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 M Art i! N No � Street-.L`� q g v� _ Engineer _� _� 1 [ ~ N Registered Architect and /or $m loy�1 P Yylrvi.� r 8 SubdlvWon J don and Legal � Dese l r iot Number where work is to I pe rformed— o Str N Street and N `` - State work to be performed and purpose of building (By Floors) _ —._ _- L-1: -- . .A1. - -- 1 e New Building..- ..._._- .- ..- -. .... .... -.. Remodeling—__—. -_- - - - - -- Addition - - - - -- _--- -• -• -- Repairs £. No. of Stories Notary Public, State of Florida Master Plumber. 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 5986, Compiled General Laws of Florida Permanent Supplement, and ligq com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor`e to lie performed under this permit; and will post or cause to be posted' for inspection on the site of the ch public notice or notices as an required by the Act. The undersigned agrees to employ only such sub - contractors, on work to - � nder tlyls permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I 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 he has carefully read the foregoing application. and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re-inspection fee of 81.00 will be suede wine woks swiupaotfon is oade by improper notice for Mspection, or faulty materials and /or workmanship. CLOSETS BATH Tulsa $ LAVA. TORIES SINKS SLOP sum. sIS LAUNDRY Tuna URINALS CATCH O AStN FLOOR DRAIN DRINK NO FOUNT' NS TOTAL •IITURE• CONTR. LIST _ �• CHECK + SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR NEATER DEEP WELL 8 SYSTEM SWIM •0 POOL CoHTR. LIST CHECK Permit No 01 731 Size Septic Tans_. 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 Amount of Permit 8 2 S My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT o% 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 M Art i! N No � Street-.L`� q g v� _ Engineer _� _� 1 [ ~ N Registered Architect and /or $m loy�1 P Yylrvi.� r 8 SubdlvWon J don and Legal � Dese l r iot Number where work is to I pe rformed— o Str N Street and N `` - State work to be performed and purpose of building (By Floors) _ —._ _- L-1: -- . .A1. - -- 1 e New Building..- ..._._- .- ..- -. .... .... -.. Remodeling—__—. -_- - - - - -- Addition - - - - -- _--- -• -• -- Repairs £. No. of Stories Notary Public, State of Florida Master Plumber. 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 5986, Compiled General Laws of Florida Permanent Supplement, and ligq com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor`e to lie performed under this permit; and will post or cause to be posted' for inspection on the site of the ch public notice or notices as an required by the Act. The undersigned agrees to employ only such sub - contractors, on work to - � nder tlyls permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I 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 he has carefully read the foregoing application. and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re-inspection fee of 81.00 will be suede wine woks swiupaotfon is oade by improper notice for Mspection, or faulty materials and /or workmanship.