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1297 NE 100 St (8)MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT L( o( May I have some more permit applicans 12 -27 -73 Permit No — please, thank you ce ..__ . -_ - - -- ------------ .._..------ __ - -._._ 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 et building during progress of work. Owner's Name and Address JQhIL Brady -s:Ir -Pee Registered Architect and /or Engineer Employing Plumber's Name R.4Se Sept c- Tank Co ..P . 0. BE»cNfI44 °Ili -a e: t .,•,n" Street--- .n... ..........,•.. Bloc), Location and Legal Description Lot_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Amount of Permit $ 4-.00 (Signed)_ - 14- ---• --- Street Repairs No. of Stories Capacity Gals. Size Septic Taa]L_.------- - - - - -- - - - -- Type of Tank__ Feet of Drain Tile._.__- _ — _--Dist. Feet of Tanis or Drain Field from Well. Nature of Water Supply: City — Well. __ —___ -- ...Size of Soakage Pit Plum • g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Per anent 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. on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, I 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 fads 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 each re-inspection is made by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUB[ SHOWERS LAVA• TORIES SINK! SLOP SINK• LAUNDRY Tus. URINALS) CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL co.. TIt LI ST 50' 1 � - CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT L( o( May I have some more permit applicans 12 -27 -73 Permit No — please, thank you ce ..__ . -_ - - -- ------------ .._..------ __ - -._._ 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 et building during progress of work. Owner's Name and Address JQhIL Brady -s:Ir -Pee Registered Architect and /or Engineer Employing Plumber's Name R.4Se Sept c- Tank Co ..P . 0. BE»cNfI44 °Ili -a e: t .,•,n" Street--- .n... ..........,•.. Bloc), Location and Legal Description Lot_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Amount of Permit $ 4-.00 (Signed)_ - 14- ---• --- Street Repairs No. of Stories Capacity Gals. Size Septic Taa]L_.------- - - - - -- - - - -- Type of Tank__ Feet of Drain Tile._.__- _ — _--Dist. Feet of Tanis or Drain Field from Well. Nature of Water Supply: City — Well. __ —___ -- ...Size of Soakage Pit Plum • g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Per anent 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. on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, I 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 fads 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 each re-inspection is made by improper notice for inspection, or faulty materials and /or workmanship. • APPLICATION FOR PLUMBING PERMIT Permit No._Y ') J Date 1 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 Employing Plumber's Name `t ' -- ` r Size Septic Tank Amount of Permit $ ss. I { MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 7 Lc Type of Tank r 1 < No Street No Street Location and Legal Description Lot V Block Street and Number where work is to be performed —No 4 1 -- r / r Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Capacity Gals 4 Feet of Drain Tile ________f _ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit ( 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, t 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 $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 URINAL S CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST • CHECK • APPLICATION FOR PLUMBING PERMIT Permit No._Y ') J Date 1 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 Employing Plumber's Name `t ' -- ` r Size Septic Tank Amount of Permit $ ss. I { MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 7 Lc Type of Tank r 1 < No Street No Street Location and Legal Description Lot V Block Street and Number where work is to be performed —No 4 1 -- r / r Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Capacity Gals 4 Feet of Drain Tile ________f _ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit ( 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, t 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.