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1145 NE 100 St (8)Permit No. f7‘4°1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Repairs 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 Amount of Permit $ (Signed)_ [' ;3/30S 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 Dopy of approved plans and specifications must be kept at building during progress of w rk. i Owne s Name and Address .Al - A e-— No._. i 4 - s E Street_ 00 S Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_ Bloch Street and Number where work is to be performed —No W# Street. 14.) State work to be performed and purpose of building (By Floors) _._.._._... -- New Building Remodeling—__ _ _ Addition No. of Stories.......... Plumbing In. • tor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli. as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and Ilas 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. Mast lumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acicnowledgments, 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 fads therein by him stated are true. M Connmission Expires Notary Public, State of Flarida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made•neoewry by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SNOWERE LAVA• TORIES S SLOP LAUNDRY Tun• URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST CHICK — SEPTIC TANK SEWER CONN. DRAIN 1 I L LD - SOAKAGL PIT CREAM' TRAP SOLAR M DRIP WELL SPRKLR. SYSTEM SWIM'a POOL I3/49 LILT CHICK Permit No. f7‘4°1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Repairs 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 Amount of Permit $ (Signed)_ [' ;3/30S 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 Dopy of approved plans and specifications must be kept at building during progress of w rk. i Owne s Name and Address .Al - A e-— No._. i 4 - s E Street_ 00 S Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_ Bloch Street and Number where work is to be performed —No W# Street. 14.) State work to be performed and purpose of building (By Floors) _._.._._... -- New Building Remodeling—__ _ _ Addition No. of Stories.......... Plumbing In. • tor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli. as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and Ilas 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. Mast lumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acicnowledgments, 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 fads therein by him stated are true. M Connmission Expires Notary Public, State of Flarida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made•neoewry by improper notice for inspection, or faulty materials and /or workmanship. ;y / Permit No ) Owner's Name and Address Registered Architect and /or Engine _ Employing Plumber's Name l__Y_ � 1� .D�WE P�'i Location and Legal Description Lot __ _ Size Se p�c Tank _ Type of Tank_ Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r i .MIT 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. z , tALLs 114 g ----- ..... Street No.. Date Fi48 /4 5e. Street Subdivision ._____,_--- _------ -. - -- Feet of Tank or Drain Field from Well Capacity Gals -- ------- ____ -_ Block ,� / Street and Number where work is to be performed —No /14 l " Street E /CO /9 S 7- State work to be performed and purpose of building (By Floors) __10.4 IC J M New Building Remodeling______ -_____ Addition Repairs No. of Stories. Size of Soakage Pit (Signed)_ The undersigned applicant for this building permit does hereby certify that he understands and accepts under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law plied with the provisions thereof, and will require similar compliance from all contractors or performed under this permit; and will post or cause to be posted for inspection on the site required by the Act. The undersigned agrees to employ only such sub- contra licensed by Miami Shores Village. Plu . • ing Inspe his obligations an employer of labor nt Su.plement, and bus corn- ed by him in the work to be lic notice or notices as are under this perini as are • (Signed). 0 f t a tractors emplo work such be pe • th rig r te , er ed Master Plu Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac 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 ber. nally appeared 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 TUBE S LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tuns U RINALS 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'O POOL CONTR. LIST / 1 - -- CHECK ®c �j 2., ^ ;y / Permit No ) Owner's Name and Address Registered Architect and /or Engine _ Employing Plumber's Name l__Y_ � 1� .D�WE P�'i Location and Legal Description Lot __ _ Size Se p�c Tank _ Type of Tank_ Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r i .MIT 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. z , tALLs 114 g ----- ..... Street No.. Date Fi48 /4 5e. Street Subdivision ._____,_--- _------ -. - -- Feet of Tank or Drain Field from Well Capacity Gals -- ------- ____ -_ Block ,� / Street and Number where work is to be performed —No /14 l " Street E /CO /9 S 7- State work to be performed and purpose of building (By Floors) __10.4 IC J M New Building Remodeling______ -_____ Addition Repairs No. of Stories. Size of Soakage Pit (Signed)_ The undersigned applicant for this building permit does hereby certify that he understands and accepts under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law plied with the provisions thereof, and will require similar compliance from all contractors or performed under this permit; and will post or cause to be posted for inspection on the site required by the Act. The undersigned agrees to employ only such sub- contra licensed by Miami Shores Village. Plu . • ing Inspe his obligations an employer of labor nt Su.plement, and bus corn- ed by him in the work to be lic notice or notices as are under this perini as are • (Signed). 0 f t a tractors emplo work such be pe • th rig r te , er ed Master Plu Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac 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 ber. nally appeared 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 Registered Architect and /or Engineer — Employing Plumber's Name 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 AA' 11s' No. 1415_NE..100th Street Permit No. Amount of Permit $ 8.00 ----------- --.___ _- My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING '"k.MIT ( Signed) _ No..__--- -------- __ -. -- Street. Date July 21 Location and Legal Description Lot__._______.__._____._____ __ _._ Block__ Subdivision ----- -- - - -- - Street and Number where work is to be performed— No.___ 1145 NE 100th Street Street Sprinkler sister!' & 2n well State work to be performed and purpose of building (By Floars)_._ _ New Building Remodeling— ___._______________ Addition__.___ -_._ Repairs No. of Stories Size Septic Tank Type of Tank Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well. Size of Soakage Pit Capacity Gals. 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 bus 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. 13ro cs (Signed) BY . L ._1 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 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 Tues U RINALS CATCH BASIN FLOOR DRAIN DRINKI NG FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL. SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST X X CHECK • - - Nature of Water Supply: City —Well Registered Architect and /or Engineer — Employing Plumber's Name 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 AA' 11s' No. 1415_NE..100th Street Permit No. Amount of Permit $ 8.00 ----------- --.___ _- My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING '"k.MIT ( Signed) _ No..__--- -------- __ -. -- Street. Date July 21 Location and Legal Description Lot__._______.__._____._____ __ _._ Block__ Subdivision ----- -- - - -- - Street and Number where work is to be performed— No.___ 1145 NE 100th Street Street Sprinkler sister!' & 2n well State work to be performed and purpose of building (By Floars)_._ _ New Building Remodeling— ___._______________ Addition__.___ -_._ Repairs No. of Stories Size Septic Tank Type of Tank Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well. Size of Soakage Pit Capacity Gals. 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 bus 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. 13ro cs (Signed) BY . L ._1 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 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.