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120 NE 100 St (8)-� -- 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 . MIAMI SHORES VILLAGE 1. "esua7. No A �+ C� Application is hereb • n ie for the approval of the detailed statement of p_ y ppr state ent. 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 bulding progress of work. • Owners Name and Address o ._ No. Street._ Registered Architect and /or Engineer ____ _________— __________--- ____ Employing Plumber's Nam _ - _il _fa __'ll_t 2 __ EJ a ___1i. _____________ _ Street__ -- -__ --- Location and Legal Description Lot _____ -__________________,____ —__.__ Bloelr . Subdivision _ ___ .Street and Number where work is to be performed —No t. . _IVIE • Street .149_0 State work to .be performea and purpose. of building (By Floors )_________________________ New Building , Remodeling__.__ ____ ___ Addition__ . Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile" 1 _ __ e_C! s t. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well..____ ..__._. ..... of Soakage Pit Amount of Permit $ . My Commission Expires PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)._ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an mployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supple, ent, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by m 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 lice or notices as . are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed u der this permit, as are licensed by Miami Shores Village. (Signed)0 0 C . ' K C MAX &O • • 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.. - NOTE: A re- inspection fee of $L00 will be made when such re- inspection is made necessary . by improper notice for inspection, or faulty materials and /or workmanship. Date Repairs 74 0 No. of Stories._ Notary Public, State of Florida Plumb r! Inspector. Permit No.. Owner's Name and Address __ Registered Architect and /or E Employing Plumber's Name New Building_ 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 co lied with, whether herein specified or not. A copy of approved plans and specifications must be ke t at building during progress of wor) r !r �j Amount of Permit $_ PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT C My Commission Expires MIAMI SHORES VI LLAG E No (Signed / 2.0 Location and Legal Description Lot__ Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) Remodeling Addition Repairs Date __._ ._ 1, '/ Streel!_ i = /C Street/ Block Size Septic Tank_________ —_ _________— ________ Type of Tank . Capacity Gals Feet of Drain Tile________Lj________ —__ ___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit 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 i' materials and /or workmanship. No. of Stories__ _(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 under signed agrees to employ only such sub - contractors -. work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, COUNTY 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. 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 FIE SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No.. Owner's Name and Address __ Registered Architect and /or E Employing Plumber's Name New Building_ 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 co lied with, whether herein specified or not. A copy of approved plans and specifications must be ke t at building during progress of wor) r !r �j Amount of Permit $_ PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT C My Commission Expires MIAMI SHORES VI LLAG E No (Signed / 2.0 Location and Legal Description Lot__ Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) Remodeling Addition Repairs Date __._ ._ 1, '/ Streel!_ i = /C Street/ Block Size Septic Tank_________ —_ _________— ________ Type of Tank . Capacity Gals Feet of Drain Tile________Lj________ —__ ___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit 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 i' materials and /or workmanship. No. of Stories__ _(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 under signed agrees to employ only such sub - contractors -. work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, COUNTY 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.