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PLUMBINGPermit 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 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 the rogress of work. V ERR Y 9 Ot s °/ ✓ No. P� 91 Street/j t / Owner's Name and Address Registered Architect and/or Engineer �y Lj / f Employing Plumb is N ROF SL0 APtili )24w/Am-66 No. / /- 3 a Street 06 4& / / ��//�� 441 i / �J'c B lock Subdivision �yj, g 'li / I/ �oeai:ion and Descript o of / 16 / "J /16a /VOR e /0/ s7 Street and Number where work is to be performed — No. Street State work to be performed and purpose of building (By Floors) New Building Size Septic Tank 9 � Q /l D44 ' Type of Tank Fi /C - 2- g Feet of Drain Tile Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling Addition Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well Size of Soakage Pit (Signed) (Signed) STATE OF FLORIDA, COUNTY OF DADE. Repairs No. of Stories Capacity Gals. qatteit- Date WO 16 — / 90 900 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 complied 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 . p v ' /1 0/ 6„, Master Plumber. ss. c.F6a_ a�- X . 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 $25.00 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 FOUNTAINS 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. 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 the rogress of work. V ERR Y 9 Ot s °/ ✓ No. P� 91 Street/j t / Owner's Name and Address Registered Architect and/or Engineer �y Lj / f Employing Plumb is N ROF SL0 APtili )24w/Am-66 No. / /- 3 a Street 06 4& / / ��//�� 441 i / �J'c B lock Subdivision �yj, g 'li / I/ �oeai:ion and Descript o of / 16 / "J /16a /VOR e /0/ s7 Street and Number where work is to be performed — No. Street State work to be performed and purpose of building (By Floors) New Building Size Septic Tank 9 � Q /l D44 ' Type of Tank Fi /C - 2- g Feet of Drain Tile Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling Addition Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well Size of Soakage Pit (Signed) (Signed) STATE OF FLORIDA, COUNTY OF DADE. Repairs No. of Stories Capacity Gals. qatteit- Date WO 16 — / 90 900 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 complied 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 . p v ' /1 0/ 6„, Master Plumber. ss. c.F6a_ a�- X . 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 $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. Applicant (f) Other: HU'.- -15 - 1990 12:37 FROM Septic tank or Grease aerobic unit 7 UV gallons interceptor gallons Septic tank or aerobic unit _ _ gallons Dosing tank gallons Graywater tank __ gallons Laundry waste tank ___® gallons l Other Requirements: rte✓ ft9 det r6 (a) Installation 'must be in accord with requirements of chapter 10D -6, FAC. (b) A system construction permit is valid for a pe iced of one calendar year from date of issue (c) Final installation inspection a `. p�roval is r; quire ore the system is covere ` o- (d) Invert of stub -out for ±+ D�-� benchmark. q y ' .� -` to be � f � ��'� Invert of stub-out for to be _ benchmark. Invert of stub -out for to be benchmark. Invert of stub -out for to be benchmark. (e) Fill quality and quantity: System design and specifications by Construction authorized STATE OF FLORIDA DEPARTMENT OF AEALTH AND REHABILITATIVE SERVICES c(5`GiSr:ii= SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Miami Woo 87 °6 PA T G SVUILM COPYSTKIG r00(i SiP CW - iCA'lONS AND CONSMUCTION APPROVAL -------- `rFeament Tank ^ r ` County Public bip^ +h Unit Authority: Chapter 381. FS Chapter 10D-6, FAC Mintfriurn IN airtfieeach Opt 19lra:v uni AbsaepVca Size TO 95549191 P.01 Permit Number Square Feet Square Feet Square Feet _ Square Feet Title beef Sixe L . Square Feet Square Feet —_� Square Feet Square Feet Date /6 -92 Date of Application PART 1 - APPLICATION-- - Name of Owner Telephone � r ��� � / Telephone Numbers ,97,2• /547 Mailing Address of Owner _. //65 Owner's Agent ��>�i 4 Builder E _p1Jk (1 . _ et "" Agent's Mailing Address z - /o . � i' Telephone No. __�- /.5(� 5_ 0_ Property Street Address _ 3 N ' /a/ P. ' Lot No. /2 Block No..174 Subdivision ,! . //f2,5 / 02 a Subdivided � Date NOTE: IF NOT IN A SUBDIVISION ATTACH A METES AND BOUNDS DESCRIPTION This Application is for: New System - _ Repair Type of Establishment Type of Residential DEPART T ENT OF H STATE OF FLORIDA EALTH AND REHABILITATIVE APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT 23 Permit Application Number • Sewage Flow (Gallons per day) TOTALLOw = _ No. Bedrooms (each dwelling unit) JAIJ 3 ROL NO. ;c 1 Applicant's Signature Form 4015, Feb 85 (Obsoletes previous od.tions Which may not be ute4) c.k Number. 5744.001- 4015.1) Authority: Chapter 381, FS �/i / 0 Chapter 10D-6, FAC Heated or Cooled Area (each dwelling unit) ft ft act Directions to Property Existing System Sewage Flow Based On • No. Dwelling Sewage Flow Units (Gallons per day) •-• .1 • knv st-.7)4;c4, NUJ-15-1990 12:36 FROM NVA,f ?I1 4 Tals.K • r - - : 14 4 . < D,W • 1 . ■ ! ' \ I i ! ti t. _ • lJ W n L.L.=s;'? 17.4r 01 tz'X WTI b.) .." TO P A ST DEPARTMENT OF ,AvECOUNTy SAW • - l i-gf 4 r 4 1.,,Atailf.1 • ••• fmr..4 95549191 P.02 _ . 'SQ. ft. wiqy FtAl NEI ELD TO BE NOT IISS. A LEvEL DATUM (NGM rNcHes QF SAND : Om 0 "I? v:NI7P_LO ae • .11•4 • • ,• pROVED• TE OF FLORIDA HEALTH & REHABILITATION SERVICr;S EPARTMErIT OF PUBLIC }t ALT RY E41 IS SECTION .ONSITE SWAGE DISPOSAL SYSTEM OWIY ial NO. 0 • • Date10— rZF Pt-\i • _ rt F U-OvirPEA) Ron tlevA A 11% 11: ri a, 11 too • r• TOTAL P.02 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (C-2;14 CONNIE'S SEPTIC TANG CO., INC. _ a ' Permit No P. 0. BOX 651 o HIALEAH, FLORIDA 33011 Date__ _ 3 .____ - -- 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 ` -- o No. Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires (Signed) _ (Signed)_ Street__ /1 _ v 3 11E/0/1 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 _______ ..... ____...... Street Size Septi ___ __- ---- ---- -• _-- -_Type of Tank Feet of Dr __- -- -- cq � -__ - o! Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.____ ....... -__ ___________________________Size of Soakage Pit Capacity Gals. ctor. The undersigned applicant for this.building permit does hereby certify that he understands and accepts his obliga o . as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane pplement, 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, ork to be permed unj1e{ • permit, as are licensed by Miami Shores Village. 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 ter P 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 R INALS 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 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (C-2;14 CONNIE'S SEPTIC TANG CO., INC. _ a ' Permit No P. 0. BOX 651 o HIALEAH, FLORIDA 33011 Date__ _ 3 .____ - -- 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 ` -- o No. Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires (Signed) _ (Signed)_ Street__ /1 _ v 3 11E/0/1 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 _______ ..... ____...... Street Size Septi ___ __- ---- ---- -• _-- -_Type of Tank Feet of Dr __- -- -- cq � -__ - o! Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.____ ....... -__ ___________________________Size of Soakage Pit Capacity Gals. ctor. The undersigned applicant for this.building permit does hereby certify that he understands and accepts his obliga o . as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane pplement, 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, ork to be permed unj1e{ • permit, as are licensed by Miami Shores Village. 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 ter P 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. 30 6,5"0 Permit No._ 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 the progress of work. Owner's Name and Address /1 3% Dcctde ,nyl No. Street I/6 3 /1)6 /C) / .S/ Registered Architect and /or Engineer Empgg 4 b ®On e MA -6 ? /`/ YI C� No.3 ZZ / Z}! C�Z / Location and Legal Description Lbt �� J Block //!� Street and Number where work is to be performed — No. / /6 A-) 6' • /0/ S 7 • Street State work to be performed and purpose of building (By Floors) S1 )03)c r4m.i5 z)9/) < 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 Nature of Water Supply: City - Well Size of Soakage Pit (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accep Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane thereof, and will require similar compliance from all contractors or sub - contractors employed by him i post or cause to be posted for inspection on the site of the work such public notice or notices as are only such sub - contractors, on work to be performed under this permit, as are lice - • . by Miami (Signed) Date NW Street '?7 ()!) / SC,J /p y Subdivision /// ,s -e /O / N p / Plumbing Inspector s obligations as an employer of labor under the plement, and has complied with the provisions ork to be performed uu his permit; and will th e un rsigned agrees to employ Master Plumber. ST E OF FLORIDA, UNTY OF DADE. ss. 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 $25.00 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 FOUNTAINS TOTAL FIXTURES CONTR. LIST ' r a , r {( CHECK * \/1 SEPTIC SEWER TANK CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G. POOL CONTR. LIST �Y1 V� • CHECK (] 7 30 6,5"0 Permit No._ 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 the progress of work. Owner's Name and Address /1 3% Dcctde ,nyl No. Street I/6 3 /1)6 /C) / .S/ Registered Architect and /or Engineer Empgg 4 b ®On e MA -6 ? /`/ YI C� No.3 ZZ / Z}! C�Z / Location and Legal Description Lbt �� J Block //!� Street and Number where work is to be performed — No. / /6 A-) 6' • /0/ S 7 • Street State work to be performed and purpose of building (By Floors) S1 )03)c r4m.i5 z)9/) < 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 Nature of Water Supply: City - Well Size of Soakage Pit (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accep Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane thereof, and will require similar compliance from all contractors or sub - contractors employed by him i post or cause to be posted for inspection on the site of the work such public notice or notices as are only such sub - contractors, on work to be performed under this permit, as are lice - • . by Miami (Signed) Date NW Street '?7 ()!) / SC,J /p y Subdivision /// ,s -e /O / N p / Plumbing Inspector s obligations as an employer of labor under the plement, and has complied with the provisions ork to be performed uu his permit; and will th e un rsigned agrees to employ Master Plumber. ST E OF FLORIDA, UNTY OF DADE. ss. 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 $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. ;UILDING LECTRICAL IUMBING PERMIT N9 8545 Work to be performed under this Permit )wner of :wilding .. .rchitect : ontractor r Builder .egal Lot )escription Bl. .ddress of MIAMI SHORES VILLAGE, FLORIDA DATE ! Subdi- vision Value of ,,/ Project Contractor's License No Amt. of Permit 194_ . uilding ,J: s - d 1 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t 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 ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and - gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- .bility for work done by his agents, servants or employees. / Signed. f.t• * #t .' 14.. L .. B 1 INSPECTOR 7 In consideration of the issuance to me of this permit I agree to perform the w ork covered hereunder in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Shores Village. i accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRIW QB OR BUILDER BY AUTHORITY Permit No. y VVS New Building 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. Owner's Name and Address No Street Registered Architect and /or Engi /�' Employing Plumber' s Names .a ta.�. 101∎•.r No Street Location and Legal Description Lot ____________ Block._ � __ Subdivision Street and Number where work is to be performed—No. _IL 4 °J 3 __ >7____ �______ 0. Street State work to be performed and purpose of building (By Floors) Remodeling Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile Amount of Permit $ 7s- a ss. Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit (Signed) . � t 7 �s Plum 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) Date //' / aster Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. J 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 SW IM'G POOL CONTR. LIST • CHECK Permit No. y VVS New Building 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. Owner's Name and Address No Street Registered Architect and /or Engi /�' Employing Plumber' s Names .a ta.�. 101∎•.r No Street Location and Legal Description Lot ____________ Block._ � __ Subdivision Street and Number where work is to be performed—No. _IL 4 °J 3 __ >7____ �______ 0. Street State work to be performed and purpose of building (By Floors) Remodeling Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile Amount of Permit $ 7s- a ss. Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit (Signed) . � t 7 �s Plum 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) Date //' / aster Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. J 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. 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 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 ce. De, �° ��� / No /1 Street . J / Registered Architect and /or Engineer________________ Employing Plumber's Name_ r' fly " i_ ' ' ' No I.1__ _ Street__fe' */ Location and Legal Description Lot___ Block / '— � C Subdivision Jo" ' 'T Street and Number where work is to be performed— No.______ _/ _ _ Street ' k- State work to be performed and purpose of building (By Floors) /`' c - New Building MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date/ ✓`26, 2 ' eti Remodeling Addition Repairs No. of Stories 1 Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile a Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl CityWell Size of Soakage Pit Amount of Permit $ ( Signed) , lumbing Inspector. 4 The undersigned applicant for this building permit does hereby certify that heyii rstands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene al 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. My Commission Expires Notary Public, State of Florida STATE OF FLORIDA, ss. 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. 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 c� ' . (` TOTAL FIXTURES CONTR. J I / / 1 // 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 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 ce. De, �° ��� / No /1 Street . J / Registered Architect and /or Engineer________________ Employing Plumber's Name_ r' fly " i_ ' ' ' No I.1__ _ Street__fe' */ Location and Legal Description Lot___ Block / '— � C Subdivision Jo" ' 'T Street and Number where work is to be performed— No.______ _/ _ _ Street ' k- State work to be performed and purpose of building (By Floors) /`' c - New Building MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date/ ✓`26, 2 ' eti Remodeling Addition Repairs No. of Stories 1 Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile a Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl CityWell Size of Soakage Pit Amount of Permit $ ( Signed) , lumbing Inspector. 4 The undersigned applicant for this building permit does hereby certify that heyii rstands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene al 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. My Commission Expires Notary Public, State of Florida STATE OF FLORIDA, ss. 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. 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.