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1450 NE 101 St (10)r -_ 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 SWIM'S POOL CONTR. LIST CHECK Size Septic Tank Feet of Drain Tile State work to be performed and purpose of building (By Floors)_ Building Remodeling Addition 497 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Perrr.it No._. � 7 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. • Osvrei s Name and Address Q. _ __ o._ Registered Architect and /or Engineer___ � fdL._f1 - __ --AOO ?t 4 " ✓ �!o'�� Employing Plumber's Name Location and Legal Description Lot_.__...__.___.__ ______ ._ � Block _____ _._.__.._..___ Subdivision Street and Number where work is to be performed -No r ," ,' /‘)/ Street_ Nature of Water Supply: City - Well.__.____._....... ___ ..... ___.___.......... ________Size of Soakage Pit Amount of Permit $ My Commission Expires ( Signed )__ No.___._._.___._____ _ Street. Type of Tank ___ _------- _------- ._..... __Dist. Feet of Tank or Drain Field from Well (Signed) _ _ - ..- - -a4 Repairs No. of Stories r- ' 7 • street../iv /I' z7d/ Capacity Gals 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 worn to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, t as. 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. Permit Application is herby 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 erein specified or not. A copy of approved plans and specifications must be kept at building during progress of work: Owners Name and Address. - /, - -. No. Street_ Registered Architect and /or En Employing Plumber's Name__ _\ Ic �._?n! No._ Street__ Location and Legal Description Lot ------ / Amount of Permit $ L _ 4 Street and Number where work is to be performed -No licensed by Miami Shores Village. 3 aD— STATE OF FLORIDA, 1 COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT � Subdivision _ ._ Street I Date Notary Public, State of Florida k W State work to be performed and purpose of building (By Floors)---------------_---------_____-- Remodeling Addition__________._ Repairs___ No. of Stories... Size Septic Tank _-------- .-- -___ -- -Type of Tank Feet of Drain Tile._-._ - -_ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: Ci y Well.-_____.___ / • ed_ 1.) __ ______ Size of Soakage Pit Capacity Gals umbing Inspector. - The undersigned applicant for this building permit does hereby certify that he under nds and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General aws 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, work to be performed under this permit, as are 0 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. NOTE: A re- on fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or • kmanship. CLOSETS BATH TUBS SHOWER. LAVA TO SINKS SLOP SINKS LAUNDRY TUBE U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS /; /) l� * / ! `w A►, r �,/ TOTAL FIXTURES Corm. _ L1ST I /� "� /J CHECK . � S . Am o 0� i i / ,.s— _ 73 / s mr.� SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL _"7,......_. . CONTR. LIST CHECK � / 'C ✓0 i !' r — Permit Application is herby 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 erein specified or not. A copy of approved plans and specifications must be kept at building during progress of work: Owners Name and Address. - /, - -. No. Street_ Registered Architect and /or En Employing Plumber's Name__ _\ Ic �._?n! No._ Street__ Location and Legal Description Lot ------ / Amount of Permit $ L _ 4 Street and Number where work is to be performed -No licensed by Miami Shores Village. 3 aD— STATE OF FLORIDA, 1 COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT � Subdivision _ ._ Street I Date Notary Public, State of Florida k W State work to be performed and purpose of building (By Floors)---------------_---------_____-- Remodeling Addition__________._ Repairs___ No. of Stories... Size Septic Tank _-------- .-- -___ -- -Type of Tank Feet of Drain Tile._-._ - -_ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: Ci y Well.-_____.___ / • ed_ 1.) __ ______ Size of Soakage Pit Capacity Gals umbing Inspector. - The undersigned applicant for this building permit does hereby certify that he under nds and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General aws 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, work to be performed under this permit, as are 0 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. NOTE: A re- on fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or • kmanship.