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386 NE 99 St (5)TANK CONN. FIELD PIT TRAP H EATER WELL SYSTEM M POOL CONTR. LIST CHECK Permit No 1 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. .:-,. c�• .., L-- 1is i,...: . 4 ` I X. t �i` .) ( • )J G . f — _5 Owner's Name and Address _ _ � � �No.____ ..__.._ Street Registered Architect and /or E E ✓JA: i- t Cca.. gineer._____________ _____— _______—� er /' =� r .•.r h is ; f c )a 4+ c c.C_ -- e / — --- — - No.- -- _ --- - - 1 street 21 .. Employing Plumber's Nam Location and Legal Description Lot________ ..... _____________ ____-__ Block___ __ ________.._._ - -_ -- Subdivision ______.--._...._.._._----_-_. Street and Number where work is to be performed— No._ .____-___-___ _ _— Street State work to be performed and purpose of building (By Floors) ______ New Building Remodeling____- _ — Addition Repairs No. of Stories. Date / l ) - i! 3 Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—Well. Amount of Permit $_ U My Commission Expires Type of Tank____ _ Capacity Gals __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit - -- (Signed)_ -- (Signed) 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 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 f the work such public n.. ce or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on ork to be per rmed un. 'r this permit, as are licensed by Miami Shores Village. - Plumbing Inspector. aster Plumber. STATE OF FLORIDA, �. COUNTY OF DADE. 1 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 worlananship. CLOSETS T BATH S SHOWERS L LAVA- S SINKS S SLOP L LAUNDRY U URINALS C CATCH F FLOOR D DRINKING T TOTAL CONTR. LIST CHECK TANK SEWER D DRAIN S SOAKAGE G GREASE S SOLAR D DEEP S SPRKLR. S SWIM Permit No 1 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. .:-,. c�• .., L-- 1is i,...: . 4 ` I X. t �i` .) ( • )J G . f — _5 Owner's Name and Address _ _ � � �No.____ ..__.._ Street Registered Architect and /or E E ✓JA: i- t Cca.. gineer._____________ _____— _______—� er /' =� r .•.r h is ; f c )a 4+ c c.C_ -- e / — --- — - No.- -- _ --- - - 1 street 21 .. Employing Plumber's Nam Location and Legal Description Lot________ ..... _____________ ____-__ Block___ __ ________.._._ - -_ -- Subdivision ______.--._...._.._._----_-_. Street and Number where work is to be performed— No._ .____-___-___ _ _— Street State work to be performed and purpose of building (By Floors) ______ New Building Remodeling____- _ — Addition Repairs No. of Stories. Date / l ) - i! 3 Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—Well. Amount of Permit $_ U My Commission Expires Type of Tank____ _ Capacity Gals __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit - -- (Signed)_ -- (Signed) 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 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 f the work such public n.. ce or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on ork to be per rmed un. 'r this permit, as are licensed by Miami Shores Village. - Plumbing Inspector. aster Plumber. STATE OF FLORIDA, �. COUNTY OF DADE. 1 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 worlananship. Permit No — Date ' -- 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 ithh whether herein specified or no A copy f approved plans and specifications must be kept at building during progress of work. Owner's Name and Address___ Registered Architect and /or Eng eer Employing Plumber's Name Location and Legal Descri Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)___— New Building ____ ___ Remodeling__ —_ ___ —__ Addition_ Size Septic Tank______ _____ ..... — ___—______—____ —____ -Type of Tank _ Feet of Drain Tile_ _Dist. Feet of Tank or ain Field from Well Nature of Water Supply: City— Well.__ _ f., ____ L __._Size of Soakage Pit Amount of Permit $ !� STATE OF FLORIDA, t es. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -V. No. B1 (Signed)_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as : 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 are licensed by Miami Shores Village. (Signed) o. Repairs No. of Stories. iv" -_— Street_!! ( Street_ ----_-- - Subdivision ....... --- Street Capacity Gals. 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 $1.00 will be made when such re- inspection is made 'necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOfrTf BATH TUBS SHOWERS LAVA- TORIES INK SS SLOP SINKS LAUNDRY Tuas URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No — Date ' -- 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 ithh whether herein specified or no A copy f approved plans and specifications must be kept at building during progress of work. Owner's Name and Address___ Registered Architect and /or Eng eer Employing Plumber's Name Location and Legal Descri Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)___— New Building ____ ___ Remodeling__ —_ ___ —__ Addition_ Size Septic Tank______ _____ ..... — ___—______—____ —____ -Type of Tank _ Feet of Drain Tile_ _Dist. Feet of Tank or ain Field from Well Nature of Water Supply: City— Well.__ _ f., ____ L __._Size of Soakage Pit Amount of Permit $ !� STATE OF FLORIDA, t es. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -V. No. B1 (Signed)_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as : 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 are licensed by Miami Shores Village. (Signed) o. Repairs No. of Stories. iv" -_— Street_!! ( Street_ ----_-- - Subdivision ....... --- Street Capacity Gals. 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 $1.00 will be made when such re- inspection is made 'necessary by improper notice for inspection, or faulty materials and /or workmanship. J , BTLTE COUNTY \k� • \T , »� cd.� m r . . \ `< +/_ :. a y . � < d'