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PLUMBING PERMITMIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N 70 -73 v787 -4 — 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 M _Kl 1250 NE 101 Street __------ _- -___ -� --- _._.__ No.— __— ___..___ — — Street -_ _ Registered Architect and /or Engineer------- - -_ - -. Employing Plumber's Name Peoples Gas S No.. 564 Strom — NE 125th Street 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.._ ..... ........ Location and Legal Description Lot 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 ; -� (S ) C- Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati '' as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employe • 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 tlie Act. The undersigned agrees to employ only such sub- contractors, • work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, t 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. 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 inspect-m, or faulty materials and /or workmanship. CLOSETS TUBS TUBS SHOWERS LAVA- Toms SINKS SLOP LAUNDRY TUBS URINALS CATCH BABI FLOOR DRAIN DRINKING FOUNT 'NB TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL BPRKLR. SYSTEM SWIM'G POOL Ran A/C W.H. Dryer corm. LIST CHECK 1 1 1 1. 4 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N 70 -73 v787 -4 — 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 M _Kl 1250 NE 101 Street __------ _- -___ -� --- _._.__ No.— __— ___..___ — — Street -_ _ Registered Architect and /or Engineer------- - -_ - -. Employing Plumber's Name Peoples Gas S No.. 564 Strom — NE 125th Street 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.._ ..... ........ Location and Legal Description Lot 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 ; -� (S ) C- Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati '' as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employe • 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 tlie Act. The undersigned agrees to employ only such sub- contractors, • work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, t 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. 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 inspect-m, or faulty materials and /or workmanship. •i t APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. Date Owner's Name and Address______ /_. .. _fri t Z 1250 /LS / 0 / cr No Registered Architect and /or Engineer Name and address of licensed contractor /6m Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done l °?6-0 /Vir yo/ State work to be done and purpose of building (by floors) L741.14 - STATE OF FLORIDA, COUNTY OF DADE. Chainnan Member Member . Council Approved AMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT J Remodeling r Addition Repairs is 111 " Ad . -V1)7. , Street. 0 r s f ? , r lil�A q2- 19 '7' and for no other purpose. No. of Stories New Building To be constructed of Kind of foundation Roof Covering C'' 1 c d Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building . Maximum live load to be borne by each floor___. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to .- — — 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, Pennanent 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 subcon actors, on wo31r to be performed under this permit, as are licensed by Miami Shores Village. Remarks �TL ss. Disapproved (Signed) Building Inspe ,l'r o ° Amount of Permit $ .Plan Cubage Size of Building Lot P ANNING BOARD (Signed 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. Permit No Date ) Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires DATE Member Member Member Date Disapproved to me well known, Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. Owner's Name and Address Y M-QLl!/ p1 Registered Architect and /or Engineer Name and address of licensed contractor__0 4-.-) ! — D_f_ -_1_' ' La,,„ tb ___ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1 _ 9_5 - D' d 9 • ,LO/ S 497 /24,„2/.s Y o State work to be done and purpose of building (by floors )___222a3Z__e. 4 e 7A J- Dtl_lv cI rir!_ r _,. 7A/" 9ti 49 AC Lp_A- I I ._0z _fi-le ►- New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 0 0� Estimated Total cost of improvements $ 2. Amount of Permit $ - Zone cubage required ___.Plan Cubage Distance to next nearest building _______— __Size of Building Lot Maximum live load to be borne by :;ach floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 subcontractors, on work to be performed under this permit as are licensed by Miami Shores Village Remarks (Signed) ;221 -e-14-4-4-2: !' STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 ated are true. Permit No 4,/ Date ( � _ Read, Sworn to and Subscribed before me. Disapproved ____ ( Signed) _ APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE Date BUILDING INSPECTION DEPARTMENT and for no other purpose. Date , 196V No , lrz3,5 c Street 71. , 1.'/ S T n I Notary Public, State of Florida Building Inspector 1 � _ My Commission Expires PLA 1 BOARD DATE Chairman Member Member Member Member __ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. J3) e ( Permit No.__t ®; 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______— _________ ___ . — _._ _ _ _ ___. ______------ _ - __ - • No.______ __-- ___ -__ Street-_ __ - -_ - Location and Legal Description Lot____-- _- ______._________.__.. __.___ Block__- Subdivision _____ Street and Number where work is to be performed —No.__ / &! Yi.�i...__ /.... /._... Street State work to be performed and purpose of building (By Floors)_-_ ______ .... __ .... _____ ____._ New Building_____ ______________. Remodeling___. _ _____ Addition________ Repairs No. of Stories Employing Plumber's Name Size Septic Tank Feet of Drain Tile-_-_ Nature of Water Su Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_ ..... _____Dist Feet of Tank or Drain Field from Well (Signed)_ Date / ' Vi i} ~ Capacity Gals. ell. ____ _V 0 s _______ Size of Soakage Pit 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 thie 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. 9 (Signed) Master Plumber. STATE OF FLORIDA, ae. / / ' S 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 NO ' • A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty ma -. ' : and /or workmanship. CLOUTS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS > -,- - TOTAL FIXTURES LIST CLIST 3 / 1 1 y 7� CHICK ...co 7 r f �, p� , 7s— /ie�l At SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE- PIT . GREASE TRAP GOMM. HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL Cowrie. L W LW I 1 / cY6 , / /S 3 �A % 1 CHECK 6-"D Permit No.__t ®; 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______— _________ ___ . — _._ _ _ _ ___. ______------ _ - __ - • No.______ __-- ___ -__ Street-_ __ - -_ - Location and Legal Description Lot____-- _- ______._________.__.. __.___ Block__- Subdivision _____ Street and Number where work is to be performed —No.__ / &! Yi.�i...__ /.... /._... Street State work to be performed and purpose of building (By Floors)_-_ ______ .... __ .... _____ ____._ New Building_____ ______________. Remodeling___. _ _____ Addition________ Repairs No. of Stories Employing Plumber's Name Size Septic Tank Feet of Drain Tile-_-_ Nature of Water Su Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_ ..... _____Dist Feet of Tank or Drain Field from Well (Signed)_ Date / ' Vi i} ~ Capacity Gals. ell. ____ _V 0 s _______ Size of Soakage Pit 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 thie 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. 9 (Signed) Master Plumber. STATE OF FLORIDA, ae. / / ' S 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 NO ' • A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty ma -. ' : and /or workmanship. -S 3" czie: rikki .7) ME,/ Ctiq K o - r AciciEt.sz NE/01 sT"' j • t * t , 1 Sew / Criv 4/ 1 cc wt- „lel( Aer 1,4 7r41 4 4 Li 7.2'e XCII11,67-0" ?/.8"5", 34 1 4A '2 48 2 /3:4" 7,5e: #08. 3 14/4kx c' 8 4 = 3 9. 2 - /2.“.7 77251 t. a C 1 1, 7te7i 233 Ig 47 0 4_, 0 G 1 x 2 s7 z:26 Ve 3.1 tjeYS r 6) 1 5 ° 71 LE c,17 2 Roc - 1.72 toc ATI... z 4 6*A.hZ.! 240 /2 tS P/ 1.12 cc c PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 4 -12 -93 Job Address 1250 NE 101 STREET Tax Folio // 3-ear i2!' 0020) Legal Description G &l ,// G� Owner / Lessee / Tenant LES PEACH Master Permit # 3397 Owner's Address 1250 NE 101 STREET, MIAMI SHORES 33138 Contracting Co. NORTH DADE SEPTIC TANK Qualifier DENNIS NEVILLE Square Ft. 300 SQ FT Signature of owner and /or Condo President Date: as to Own My "mmission Ex * * * APPROVED: * Condo President S: NOTARY KWIC; STATE OF FLORIDA AT LARGE MY COMMISSION EXIII:1ES !JNE 19, 1995 BONDED TH1 U RRY & ASSOCIATE k Zoning Building Phone 895 -6161 Address 800 NW 111 STREET SS# Phone 754 -3375 State 46 0258368 Municipal 46 Competency 46 12842 Ins.Co. ATLANTIC Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION INSTALL DRAINFIELD Estimated Cost(value) $ 1000.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating con uction and zo 'ng. Furthermore, I aut16`orize t ove- named contractor to do the work state FEES: PERMIT ,b 4 0 RADON C.C.F. f ,?) NOTARY Sig -ture of Co Date: a Fire or Owner- Builder or or Owner- Builder t y as to My Commissio ppj� Qgfig NOTARY PUBCIC; TA OF FLORIDA AT LARGE MY COMMISSION EXPIRES JUNE 19, 1995 TIDED TPRU NUCKL BERRY & ASSOCIATES . * * * * * * * ** Mechanical Plumbing /A / )/ 11 ,0 ineering TOTAL DUE 10 Other Electrical Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. Owner's Name and Address MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Registered Architect and /or Engineer______ _________ Name and address of licensed contractor Date 2 ° /1 .> , 19 No Street Location and legal description of lot to be built on: Lot Block Subdivision g Street and Number where work is to be done 1 c (a ) ' ' 1/ -�2 t State work to be done and purpose of building (by floors) ' �G � -- and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ .' .: Amount of Permit $ �� -- 6 Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 subcontractors n w rk to be performed under this permit, as are licensed by Miami Shores Village. ' y Remarks ( Signed) ! P. __ ' " / J ' ? STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. Permit No i�L_? ' Date —__ Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida • Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved NOTE: A - arge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning B. A re -ins. 'ction fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials an or workmanship. Date Disapproved Date Permit No // 6 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building _------ ---- •- .- __ -_-- Remodeling__ -- -- --__ -_ Addition__ Amount of Permit $ --- STATE OF FLORIDA, COUNTY OF DADE. My Comnussion Expires (Signed ) Date._ • '' 7 " °7 ti 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. f Owner N wi t o R ss -I c o o RIM19C(� - - - -' e.-L -4 .---- - - - - -. No 9 Y'f3 (�U_R9 /cl -1I iit4 V 1") u E Registered Architect and /or En y in r_.__—..-- _________ __ — __ _ En 0 .frd "l 7Cc 7.4-40t //fie. /7' WJNF I.A.3R Employing Plumber's Name_- . - -- --- •- -. - -- - — /V ' / ^56/i c treet__ — Location and Legal Description Lot__ Block- / Street and Number where work is to be performed —No �"� Nfr ! '' 4a J Street __ i,?t f / J-7-1° 41 C State work to be performed and purpose of building (By Floors)__ -- Subdivision. Repairs No. of Stories. Size Septic Tank_.__ _ — __ ,_ r X - Type of Tank S 7 Feet of Drain Tile-________ ,[ / 0 0 __.__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well .________________.____.____ _ __. Size of Soakage Pit Capacity Gals 6 0 O 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 Pennanent 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 of the w. such publi .lice or notices as are required by the Act. The undersigned agrees to employ only such sub contractor on work to per ed u r this t , as are licensed by Miami Shores Village. • _ I n ! s perm (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 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 S INKS SLOP SINKS LAUNDRY T UBS R INALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8 TOTAL FIXTURES CONTK. LIST CHECK SEPTIC TANK SEWER CONK. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST !- CHECK Permit No // 6 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building _------ ---- •- .- __ -_-- Remodeling__ -- -- --__ -_ Addition__ Amount of Permit $ --- STATE OF FLORIDA, COUNTY OF DADE. My Comnussion Expires (Signed ) Date._ • '' 7 " °7 ti 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. f Owner N wi t o R ss -I c o o RIM19C(� - - - -' e.-L -4 .---- - - - - -. No 9 Y'f3 (�U_R9 /cl -1I iit4 V 1") u E Registered Architect and /or En y in r_.__—..-- _________ __ — __ _ En 0 .frd "l 7Cc 7.4-40t //fie. /7' WJNF I.A.3R Employing Plumber's Name_- . - -- --- •- -. - -- - — /V ' / ^56/i c treet__ — Location and Legal Description Lot__ Block- / Street and Number where work is to be performed —No �"� Nfr ! '' 4a J Street __ i,?t f / J-7-1° 41 C State work to be performed and purpose of building (By Floors)__ -- Subdivision. Repairs No. of Stories. Size Septic Tank_.__ _ — __ ,_ r X - Type of Tank S 7 Feet of Drain Tile-________ ,[ / 0 0 __.__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well .________________.____.____ _ __. Size of Soakage Pit Capacity Gals 6 0 O 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 Pennanent 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 of the w. such publi .lice or notices as are required by the Act. The undersigned agrees to employ only such sub contractor on work to per ed u r this t , as are licensed by Miami Shores Village. • _ I n ! s perm (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 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.