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205 NE 101 St (4)Pcutrti: No. ` —._ .' phc:,twil is hereby trade for the approval of the detailed statement of the plans and specifications herewith subr.v.!,..:1 for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi< • •! Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic of the Building Division of Miami Shores Village shall beoo mplied with, er herein specified or not. A copy of approved plans and spec. fications must be kept at building during progress of wo ',)wner s Name and Address � l D 4 No o 6 / Street_.._t q/,i .egist.red Architect and /or En N0.• me __._— 'C L �j�° 'u CPI," :mploying Plumber's Name { _ 8treety. -.e¢l.l_. Location and Legal Description Lot_ Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Size Septic ...... Feet of Drain Tile D Amount of Permits ,O STATE OF FLORIDA, i ss. COUNTY OF DADE. Nature of Water Supply: City —Well. Remodeling My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT of Tank__ c _ __Dist. Feet of Tank or Drain Field from Well ( Signed _ -- Date. Street Addition..._.._ Repairs No of Stones _ _ _Size of Soakage Pit r _ (Signed >- vY_-1.- ' 1+11.1- Notary Public, State of Florida Capacity ^ .als. plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n,tloyeh oaf lobos undl:r the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws of Florida Permanent ,ups lement, and har oar 1• ti.lie:d with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed I y him In ' 1. cxf rk •c+ b- perfcrmed under this permit; and will post or cause to be posted' for inspection on the site of the work such r L' notice x no icer is as required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be perform this J r/.tit ,:: .r . licensed by Miami Shores Village. ast..r Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclntowledgments, per;inr:: . ppearec, 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. NOTE: A re- inspection fee of $1.00 will be made when such re- Inspection Is made isecessary by improper notice kw inspection, or souk) materials and /or workmanship. CLO[R• BATH Tu•• SHOWER• LAVA• TORIES SINKS SLOP SINK[ LAUNDRY Tuns URINALS CATCH OWN FLOOR DRINKING DRAIN FOUNT•NS TOT..L FIxyI RIS CONTR. Li 'T CHECK SEPTIC LTANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SWIM•G POOL •r 1 I CONTR. LIST / _ W r-- - ,-1-- .... ,_^ — CHECK C — �. L. I_ Pcutrti: No. ` —._ .' phc:,twil is hereby trade for the approval of the detailed statement of the plans and specifications herewith subr.v.!,..:1 for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi< • •! Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic of the Building Division of Miami Shores Village shall beoo mplied with, er herein specified or not. A copy of approved plans and spec. fications must be kept at building during progress of wo ',)wner s Name and Address � l D 4 No o 6 / Street_.._t q/,i .egist.red Architect and /or En N0.• me __._— 'C L �j�° 'u CPI," :mploying Plumber's Name { _ 8treety. -.e¢l.l_. Location and Legal Description Lot_ Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Size Septic ...... Feet of Drain Tile D Amount of Permits ,O STATE OF FLORIDA, i ss. COUNTY OF DADE. Nature of Water Supply: City —Well. Remodeling My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT of Tank__ c _ __Dist. Feet of Tank or Drain Field from Well ( Signed _ -- Date. Street Addition..._.._ Repairs No of Stones _ _ _Size of Soakage Pit r _ (Signed >- vY_-1.- ' 1+11.1- Notary Public, State of Florida Capacity ^ .als. plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n,tloyeh oaf lobos undl:r the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws of Florida Permanent ,ups lement, and har oar 1• ti.lie:d with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed I y him In ' 1. cxf rk •c+ b- perfcrmed under this permit; and will post or cause to be posted' for inspection on the site of the work such r L' notice x no icer is as required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be perform this J r/.tit ,:: .r . licensed by Miami Shores Village. ast..r Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclntowledgments, per;inr:: . ppearec, 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. NOTE: A re- inspection fee of $1.00 will be made when such re- Inspection Is made isecessary by improper notice kw inspection, or souk) materials and /or workmanship.