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Gas 1980Permit No rt. 6 a 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 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 Mr.&Mrs. Harold T. Morton Registered Architect and /or Engineer James W. Voorhies Employing Plumber's Name Horace Z. Brunson Location and Legal Description Lot 23 and 24 Block Street and Number where work is to be performed —No 395 State work to be performed and purpose of building (By Floors) Residence New Building New Remodeling Addition Amount of Permit $__ /,s_.2 STATE OF FLORIDA, 1 COUNTY OF DADE. ss. (Signed) vs • Date December 21, • 1949 No 395 Street N.E. 100th Street i�fiam1, 1oridha No- --375 Street N.Y. 24th .Street, 39 Subdivision Section h1 N.E. 100th Street Street Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile. Nature of Water Supply: City —Well Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 3%1 x3' ( Signed) kj ' � ,e Ta- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig i s 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 pe under this permit, as are licensed by Miami Shores Village. Repairs No. of Stories___2 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. 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 DRINKI NG FOUNT' NS As4 �//j�� "7�/It!/)/•'le / 1 v � �"le TOTAL FIXTURES 9 CONTR. LIST i � ..J / / z / i CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL 1 CAS `' 11 // �� l- 4v... 1 ►►►111 I O 1 t CONTR. LIST - ele CHECK Permit No rt. 6 a 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 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 Mr.&Mrs. Harold T. Morton Registered Architect and /or Engineer James W. Voorhies Employing Plumber's Name Horace Z. Brunson Location and Legal Description Lot 23 and 24 Block Street and Number where work is to be performed —No 395 State work to be performed and purpose of building (By Floors) Residence New Building New Remodeling Addition Amount of Permit $__ /,s_.2 STATE OF FLORIDA, 1 COUNTY OF DADE. ss. (Signed) vs • Date December 21, • 1949 No 395 Street N.E. 100th Street i�fiam1, 1oridha No- --375 Street N.Y. 24th .Street, 39 Subdivision Section h1 N.E. 100th Street Street Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile. Nature of Water Supply: City —Well Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 3%1 x3' ( Signed) kj ' � ,e Ta- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig i s 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 pe under this permit, as are licensed by Miami Shores Village. Repairs No. of Stories___2 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLG[tTE BATH TUB[ SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY TUS[ URINALS CATCH BASIN FLOOR DRINKING DRAIN FOUNT'Ne TOT..L FIETI RES CONTR. LI "T t CHECK _ _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR M DEEP WELL SPRKLR. SYSTEM SW IM•O POOL — _ mo. --•- -I CONTR. LIST CHICK Perini No.. :I;:phr:tu ii i% hereby mode for the approval of the detailed statement of the plans and specifications herewith subr.i::..A for the building or other rtructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mir ••! Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic of the Building Division 01 Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec. ficatlons must be kept at building during progress of work. '.)vner's Name and Address-.Ce.0i_2._� IZO Street_. - .egist Architect and /or Engi neeer 'smploying Plumber's Name C No.. _.._ _,.... Sttee4~ ..... ......... .. Location and Legal Description Lot.39$ 4? _1 S T Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building-- •.••---- ._.._ .................. Remodeling 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 $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition Repairs Nc of Stones (Signed)- Street Capacity l^ f Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob clone as an a n;>loyer of 1pho under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perin: nent rum lement, 4nel ha. oar-i.. 1.Ii d with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in ' ,: •A rk performed under this permit; and will post or cause to be posted' for inspection on the site of the work such pabl: notice r no ;Cr!' •es re qulred by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed ? a this J III licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Before me, the undersigned authority, a notary publlc, duly authorized to administer oaths and take acknowledgments, per;irrr; ; I pprarec, 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, twat all acts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection 1s mede•neoessary by improper notice for inspe eon. is took) materials and /or workmanship. P i c •E co O 4 . -s T/, A U e9 S£ n a �> u e T- ,‹ . A/ b c! )e 3 9 N - /49/, s T m, ,9, S h >'� pr7oL ,g.