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821 NE 99 St (9)Permit No...... Amount of Permit $_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block No._ -_-- Addition .- •_-- __---- ' - -' -- Repairs (Signed). (Signed) rte _ 5 Date. _ _ � s _. . 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 al building during progress of work. ..fir Owners Name and Address. Registered Architect and /or Engineer_.-_. Employing Plumber'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 No. - 2 B Street_- . Street. e Subdivision ... Street. Floors)._ My Commission Expires Notary Public, State of Florida No. of Stories Size Septic Tank Type of Tank- _ .. dapacity Gals. .. Feet of Drain Tile ______._._.__.__.._ . _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well __- _ _ -- -.Size of Soakage Pit __....___ Plumbing Inspector. The undersigned applicant for this building permit does hereby cer.ify that he understands and accepts his obligations as sI, 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 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 ;-.•rmit, as art licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, u. 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 Sac 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 haul materials and /or workmanship. CLOSETS BATM TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Turns RNALS UI CATCH BASIN FLOOR DRAIN DRINKING FOUNT NS TOTAL FIXTURES CONTR. LIST - -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DUMP WELL SPRKLR. SYSTEM SWIM'S POOL CONTR. LIST CNLCK Permit No...... Amount of Permit $_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block No._ -_-- Addition .- •_-- __---- ' - -' -- Repairs (Signed). (Signed) rte _ 5 Date. _ _ � s _. . 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 al building during progress of work. ..fir Owners Name and Address. Registered Architect and /or Engineer_.-_. Employing Plumber'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 No. - 2 B Street_- . Street. e Subdivision ... Street. Floors)._ My Commission Expires Notary Public, State of Florida No. of Stories Size Septic Tank Type of Tank- _ .. dapacity Gals. .. Feet of Drain Tile ______._._.__.__.._ . _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well __- _ _ -- -.Size of Soakage Pit __....___ Plumbing Inspector. The undersigned applicant for this building permit does hereby cer.ify that he understands and accepts his obligations as sI, 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 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 ;-.•rmit, as art licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, u. 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 Sac 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 haul materials and /or workmanship. Permit No. /7-4 rCi ss. 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 1 g 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 her -� specified or not. A copy of approved plans and specifications must be kept at building during progress of work. . �, �i/ ,/' Owner's Name and Address .1 !(( " IC Registered Architect and /or Yin Employing Plumber's Nan6 1.4 '' `∎ '' No Location and Legal Description Lot Street and Number where work is to be performed —No lock IS Amount of Permit $ (Signed) (Signed) No Street i- Size of Soakage Pit Date__ /4 Herewith subitted for the buildin or other Street Subdivision_ Street__ State work to be performed and purpose of building (By Floors) ____ • 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 OD Nature of Water Supply: •City —! 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))e rformed under this pe it, as are licensed by Miami Shores Village. � STATE OF FLORIDA, t 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 fo regoing application, and that he did sign the salve, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. 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 SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DR INKING FOUNT'NS De Slcs Z TOTAL FIXTURES CONTR. LIST ••' 9... / / /� / / CHECK `` \ ^ 1 U 1S �- 1 ` I S 7S '7 S C ( J 0 SEPTIC TANK SEWER CONN. DkjAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM' G POOL. W Oren. Vlc 1 v a,,s u MAU11 1 CONTR. LIST 1 CHECK Sb .c Permit No. /7-4 rCi ss. 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 1 g 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 her -� specified or not. A copy of approved plans and specifications must be kept at building during progress of work. . �, �i/ ,/' Owner's Name and Address .1 !(( " IC Registered Architect and /or Yin Employing Plumber's Nan6 1.4 '' `∎ '' No Location and Legal Description Lot Street and Number where work is to be performed —No lock IS Amount of Permit $ (Signed) (Signed) No Street i- Size of Soakage Pit Date__ /4 Herewith subitted for the buildin or other Street Subdivision_ Street__ State work to be performed and purpose of building (By Floors) ____ • 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 OD Nature of Water Supply: •City —! 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))e rformed under this pe it, as are licensed by Miami Shores Village. � STATE OF FLORIDA, t 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 fo regoing application, and that he did sign the salve, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. 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. Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 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. Street Registered Architect and /or Engineer Employing Plumber's Name No. Street Location and Legal Description Lot u 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 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 --------------- ----- ----- -------------- -- - - - -- ---- - -- ----- ------- --- - - -- - -- - - ------------------- --------- --- - - -- -- ( 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 are licensed by Miami Shores Village. (Signed) 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 fo regoing 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL - SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST f CHECK . Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 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. Street Registered Architect and /or Engineer Employing Plumber's Name No. Street Location and Legal Description Lot u 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 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 --------------- ----- ----- -------------- -- - - - -- ---- - -- ----- ------- --- - - -- - -- - - ------------------- --------- --- - - -- -- ( 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 are licensed by Miami Shores Village. (Signed) 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 fo regoing 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. 1 '\ ' Permit No Size Septic Tank Feet of Drain Tile • Nature of Water Supply: City —Well Amount of Permit $ -' 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. , A7/ Owner's Name and Address No Street Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot _ Block_______, Subdivision 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____ Repairs No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field froth Well Size of Soakage Pit ( Signed) (Signed) Street Date 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 are licensed by Miami Shores Village. 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. 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST 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 Size Septic Tank Feet of Drain Tile • Nature of Water Supply: City —Well Amount of Permit $ -' 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. , A7/ Owner's Name and Address No Street Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot _ Block_______, Subdivision 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____ Repairs No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field froth Well Size of Soakage Pit ( Signed) (Signed) Street Date 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 are licensed by Miami Shores Village. 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. 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.