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1297 NE 100 St (10)MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No...._.... . ` i I 1 . K rg a . ... t -- itil 6 .._._ 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. Thii 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 mud be kept at building during progress of work. Owners Name and Address .-ita \'n No i'97 Street.k�1,1(1,4 Registered Architect and /or Engineer - Employing Plumber's Name Sip c ,im iNr°s Iltrt ...Wa' :�.. '... Location and Legal Description Lot. 7 Bloom .1-_-- SubdivWonr+)riet■ S 'ot S Street and Number where work is to be performed —No // 97 4/ Street_.LP..P. /.._. e. et — ...._. State work to be performed and purpose of building (By Fkrors) _Mag .. —!P... C._ .h.e.Q.�C—C ol.f r za • " / %v e .. /c/ - New Building- -__.._ r_.__- ....... - -• - -. Remodeling ...1, Addition...__ . _..__ Repairs No. of Stories. ............. ..... Size Septic Tank--. Type of Tnn Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well..._ -_...__. _____ ..._ Nature of Water Supply: City —WeIL Size of Soakage Pit Amount of Permit $ Plumb • spec The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and his 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 subcontractors, on k .. be • -• < ... under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. , to Before me, the undersiw authori L ( Signed )...._ public, duly authorized to administer oaths and take acknowledgments, personally appeared (Signed) Capacity Cale. 1 Master Plumber. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. /- .. , AA- 44 • 422 . 4 -- 1 .... _.. of the above described construction, that be has carefully read the foregoing i ltcation, and that be did sign the . andtbat all facts therein by him stated,we true. 1. � � {, IY..!S 1l' L',I1 J ;). ^''S 1'II - - ''5 Y .1.� '. ction NOTE: A re inspe fee of $1.00 will bo made when snob ewispca6" Is tanda•naoa -'7 by Improper notice for Inspection, or fondly materials and /or worlonaaahip. TOTAL FIXTURES CLOUTS BATH T S HOWERS LAVA• TORIES SINK[ SLOP SINK[ LAUNDRY Tua[ URINALS CATCH BASIN FLOOR DRAIN DRINK NO FOUNT' NS CONT*. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER Cur WELL SPRKLR. SYSTEM SWIM'o POOL COMM LST LIST CHICK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No...._.... . ` i I 1 . K rg a . ... t -- itil 6 .._._ 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. Thii 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 mud be kept at building during progress of work. Owners Name and Address .-ita \'n No i'97 Street.k�1,1(1,4 Registered Architect and /or Engineer - Employing Plumber's Name Sip c ,im iNr°s Iltrt ...Wa' :�.. '... Location and Legal Description Lot. 7 Bloom .1-_-- SubdivWonr+)riet■ S 'ot S Street and Number where work is to be performed —No // 97 4/ Street_.LP..P. /.._. e. et — ...._. State work to be performed and purpose of building (By Fkrors) _Mag .. —!P... C._ .h.e.Q.�C—C ol.f r za • " / %v e .. /c/ - New Building- -__.._ r_.__- ....... - -• - -. Remodeling ...1, Addition...__ . _..__ Repairs No. of Stories. ............. ..... Size Septic Tank--. Type of Tnn Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well..._ -_...__. _____ ..._ Nature of Water Supply: City —WeIL Size of Soakage Pit Amount of Permit $ Plumb • spec The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and his 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 subcontractors, on k .. be • -• < ... under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. , to Before me, the undersiw authori L ( Signed )...._ public, duly authorized to administer oaths and take acknowledgments, personally appeared (Signed) Capacity Cale. 1 Master Plumber. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. /- .. , AA- 44 • 422 . 4 -- 1 .... _.. of the above described construction, that be has carefully read the foregoing i ltcation, and that be did sign the . andtbat all facts therein by him stated,we true. 1. � � {, IY..!S 1l' L',I1 J ;). ^''S 1'II - - ''5 Y .1.� '. ction NOTE: A re inspe fee of $1.00 will bo made when snob ewispca6" Is tanda•naoa -'7 by Improper notice for Inspection, or fondly materials and /or worlonaaahip. Permit No. Ai Owner's Name and Address_ Registered Architect and /or Engineer �r Employing Plumber's Name_ __"-'�__' /- Location and Legal Description Lot___,G Amount of Permit $ ss. 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 f6r 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. No. Block Street and Number where work is to be performed— No._ _ /Z ____f__4___ Street. t_i!_,_g / .0 State work to be performed and purpose of building (By Floors) New Building _ Remodeling Addition__ _ Repairs No. of Stories 1 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) Date f ,C __(____l _ 6 0 Street Subdivision: - " 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 undersigned agrees to employ only such sub - contractors �k to be performed under this permit, as are licensed by Miami Shores Village. (Signed 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. er 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 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 ! �� I7J � 7,7 A / /// _ 1 V 0/ C /, 2 J 7�� .��.. I .70 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL , r / / CONTR. L LIST LIST i / O J CHECK Permit No. Ai Owner's Name and Address_ Registered Architect and /or Engineer �r Employing Plumber's Name_ __"-'�__' /- Location and Legal Description Lot___,G Amount of Permit $ ss. 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 f6r 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. No. Block Street and Number where work is to be performed— No._ _ /Z ____f__4___ Street. t_i!_,_g / .0 State work to be performed and purpose of building (By Floors) New Building _ Remodeling Addition__ _ Repairs No. of Stories 1 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) Date f ,C __(____l _ 6 0 Street Subdivision: - " 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 undersigned agrees to employ only such sub - contractors �k to be performed under this permit, as are licensed by Miami Shores Village. (Signed 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. er 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 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. 1 4. 1A jv a Gvx y � z5 7N,C.,, 0 6 C3; &tteZ Architect tractor ©r • uilder er of ding '{'` Ad ss of Building / .:r, , 7 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 10431 Work to be performed under this Permit Subdi- vision Value of Project $ BY y ,. DATE r Contractor's License No Le al De lion Lot II Bl. e . y / 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 application here or in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, dra gs, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at 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 permit is gra is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations isg to the work covered hereby whether shown on the plans or drawings or in the stateihents or specifications and that he assumes responsibility for work by his agents, servants or employees. Signed y" R BY / " 1N PaC ,,+� In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations g thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village g this permit I assume responsibility for all work done by either, self, my agent, servant or employee. :a r b Amt. of Permit AUTHORITY