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1210 NE 100 St (14)(7 Permit No --L. , . —_ Size Septic Tank___ _ - __ __ -- - -- - --- -- Type of Tank _ 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 $ - STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Repairs. (Signed)_..-.._ Date /l_ a _— _ -- - - -- - -- Application i= hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 thn Building Division of Miami Shores Village shall be comphed with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. L / Ownei s Name and Address_ ___.._ �L . P4!/ .. - - - -_ - - -_ No .__. Registered Architect and /or Engineer ... ________ — __._...____ -- -_ -_ —(• - -- -- --- - - Employing Plumber's Name _. �0��s P/— cck10 /it/(- �N �� -- _----- _ —____ _ _ o. _ - - __ -- •— — - _ -- _ Street..... .. ..... ._ Location and Legal Description Lot__ - - - -- -_ -- _- — Block___ �cc_ Subdivision -_ Street and Number where work is to be performed —No / Z/ o ' / o 0 — �f Street_ . State work to be performed and purpose of building (By Floors). - New Building - - - -- Remodeling.___ -- ___ ..._ ._ _Capacity Gals. No. of Stories _ - - . . _ _. Phimbing In :pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts hisobligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, , nd I as -om- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint 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 no' ices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo..•ed under this per nit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal) 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 •acts 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 URNL URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL F %TURES Co. NTR LIST / / / CHECK —^ - - -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP •SSIOSII HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LI ST / -.--.-- CHECK (7 Permit No --L. , . —_ Size Septic Tank___ _ - __ __ -- - -- - --- -- Type of Tank _ 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 $ - STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Repairs. (Signed)_..-.._ Date /l_ a _— _ -- - - -- - -- Application i= hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 thn Building Division of Miami Shores Village shall be comphed with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. L / Ownei s Name and Address_ ___.._ �L . P4!/ .. - - - -_ - - -_ No .__. Registered Architect and /or Engineer ... ________ — __._...____ -- -_ -_ —(• - -- -- --- - - Employing Plumber's Name _. �0��s P/— cck10 /it/(- �N �� -- _----- _ —____ _ _ o. _ - - __ -- •— — - _ -- _ Street..... .. ..... ._ Location and Legal Description Lot__ - - - -- -_ -- _- — Block___ �cc_ Subdivision -_ Street and Number where work is to be performed —No / Z/ o ' / o 0 — �f Street_ . State work to be performed and purpose of building (By Floors). - New Building - - - -- Remodeling.___ -- ___ ..._ ._ _Capacity Gals. No. of Stories _ - - . . _ _. Phimbing In :pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts hisobligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, , nd I as -om- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint 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 no' ices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo..•ed under this per nit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal) 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 •acts 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. _/ ' — Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $. ...... . -.. STATE OF FLORIDA, as. COUNTY OF DADE. 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 ordinan . of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village sha with, where{ here . • ' ' ied or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address. Registered Architect and /or Engineer.. _ . Employing Plumber's Name Location and Legal Description .......... Street and Number where work is to be performed —No State work to be performed and purpose of building (By Fl New Building - Remodeling.. Addition- - -___- Repairs. '' Type of Tank__ Dist. Feet of Tank or Drain Field from Well — _._- Size of Soakage Pit (Signed) Street Street _- .- _r._- ._..._ vision 1 _1 Street. _ -_. Capacity Cals. D No. of Stories My Commission Expires Notary Public, State of Florida • that he rstands and accepts his obliga!ions as ^I, emplyer of labor The undersigned applicant for this building permit does es , eral Laws f Florida Permanent Supplement, and has co under the Florida Workmen's Compensation Act, being Section 5966, Comp plied with the provisions thereof, and will require similar compliance from all contractors or sub. contractors employed by him in the work to .l'ie 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 ,omit, as an licensed by Miami Shores Village. B � ;`�1�iaster Plumber. 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 tae 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 f,:ul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Two URINALS CATCH BASIN FLOOR DRAIN DR tIKI NO FOUNT' NS -- TOTAL FIXTURE' _ / — GONTR. LIST CHECK /y_��- / ` SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POOL CONTR. LIST CHECK // / y /� is ( / f� Permit No. _/ ' — Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $. ...... . -.. STATE OF FLORIDA, as. COUNTY OF DADE. 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 ordinan . of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village sha with, where{ here . • ' ' ied or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address. Registered Architect and /or Engineer.. _ . Employing Plumber's Name Location and Legal Description .......... Street and Number where work is to be performed —No State work to be performed and purpose of building (By Fl New Building - Remodeling.. Addition- - -___- Repairs. '' Type of Tank__ Dist. Feet of Tank or Drain Field from Well — _._- Size of Soakage Pit (Signed) Street Street _- .- _r._- ._..._ vision 1 _1 Street. _ -_. Capacity Cals. D No. of Stories My Commission Expires Notary Public, State of Florida • that he rstands and accepts his obliga!ions as ^I, emplyer of labor The undersigned applicant for this building permit does es , eral Laws f Florida Permanent Supplement, and has co under the Florida Workmen's Compensation Act, being Section 5966, Comp plied with the provisions thereof, and will require similar compliance from all contractors or sub. contractors employed by him in the work to .l'ie 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 ,omit, as an licensed by Miami Shores Village. B � ;`�1�iaster Plumber. 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 tae 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 f,:ul materials and /or workmanship.