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37 NE 101 St (8)SYAl21 TUBS Uri NA! BASIN DRAIN FC SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL Permit No. .3 0 Date r„... / rA ,f- 0 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. ./. ✓ '? y 4 ! .4 Owner's Name and Address __ fi _ �_ __ {' - r, Registered Architect and/or Sweister „eV / f kiv.e.4..:',... r Street Location and Legal Description Lot t -, 4.• b Street and Number where work is to be performed—No * e l s ./ Street___ /. _ State work to be performed and purpose of building (By Floors New Building Remodeling Addition Repairs No. of Stories CONTR. LIST CHECK CONTR. LIST CHECK CLOSETS SEPTIC TANK tefi BATH TUBS SEWER CONN. Nature of Water Supply: City —Wet Amount of Permit $ SHOWERS DRAIN FIELD MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT LAVA- TORIES SOAKAGE PIT PLUMBING INSPECTION DEPARTMENT SINKS GREASE TRAP (Signed) No. ? 7 TCH FLOOR._. DR INK I NG Street 1___ ` t UNT'NS A My Commission Expires Notary Public, State of Florida Size Septic Tank 4 .1 11 Type of Tarr Capacity Gals S )t Feet of Drain Tile i Dist. Feet of Ta k or Drain Field ire> Ve " Size of Soakage Pit. 'Ins¢ector. TOTAL FIXTURES The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati o1 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 under signed agrees to employ only such sub - contractors, on work to be performed under this .permit, as are licensed by Miami Shores Village. f $ 74, (Signed) " Plumber. STATE OF FLORIDA, �� / ss. 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. /01 Work done • Address of work Owner Settic Tank Drainfield Date Time PLUMBING - LaSPECTION Permit No. k V/7 Plumbing - Final Rough Too out .-- )4 . When ready ' , Received by ,i,C;Wer 0 M.6L-e,4 Gas ; • 57-- , AM PM fI .i / 4Ae Work done by Address of work Owner Septic Tank Received by Drainfield Plumbing - Final Date • Time PLUMBING - IlfSPECTI 07 4874 Permit N. .977 f/ ‘9t. ,04 _77 Sewer When ready AM C)"21 - c( PM Permit No. X42 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 , A BPI A.T 2 _ /2 Registered Architect and /or Engineer _ �_- T _ Employing Plumber's Name A F F/ A MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. Date j ` Street__JY No f !� p t p r Location and Legal Description Lot____2 �¢____ l _ _________________Block " �I ' ~ / Subdivision__ r____ / Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) _ New Building 4 Remodeling Addition Repairs . No. of Stories._ 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 7 Amount of Permit $__ — -- ---------------- - - - - -- (Signed) L ___ 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly appeared ss. to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. My Commission Expires C (Signed) _ t authorized to administer oaths and take acknowledgments, personally deposes and says that he is the foregoing application, and that he did' iv ther;S4me, and that all facts �I N 1 � t I/ 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. Street____ _= I �__ Notary Public. State of Florida Street___k i • __ 5 T A J i Master Plumber. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST IST 1 ) ( ! n c 1 , cof N4 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. X42 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 , A BPI A.T 2 _ /2 Registered Architect and /or Engineer _ �_- T _ Employing Plumber's Name A F F/ A MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. Date j ` Street__JY No f !� p t p r Location and Legal Description Lot____2 �¢____ l _ _________________Block " �I ' ~ / Subdivision__ r____ / Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) _ New Building 4 Remodeling Addition Repairs . No. of Stories._ 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 7 Amount of Permit $__ — -- ---------------- - - - - -- (Signed) L ___ 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly appeared ss. to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. My Commission Expires C (Signed) _ t authorized to administer oaths and take acknowledgments, personally deposes and says that he is the foregoing application, and that he did' iv ther;S4me, and that all facts �I N 1 � t I/ 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. Street____ _= I �__ Notary Public. State of Florida Street___k i • __ 5 T A J i Master Plumber. t 7 718 N. E. ZND AVENUE JOHN F. GAFFNY c f iv i o c' PLUMBING CONTRACTOR /Y I /C) M ‘_/ riwr PHONE 7-52 B4 MIAMI, FLA. 1411-...e0 , BU1'L - Ea .ELEeTPi L PERMIT A N9 487 PLUMBING Owner of Building AMOUN Dated_____ { Architect and /or Engineer LOT BLOCK , 19 r. NAME Contractor or Builder NAME Proposed Location `' '' ••tom"" SUB - DIVISION RECD. PAYMENT ACCT. DEPT. ADDRESS LICENSE NO. ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT NO. - 5. LICENSE NO. STREET This permit is issued to ` " To the building above described, as per application 1 Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction' complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or, rules and regulations, or upon any'hhangt'in the plans and specifications unauthorized by the building inspector. / /.ei $ - ° y INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. (SEAL) NOTE A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. 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. B Jit NG- E EetRt&mL- PERMIT A N° _ 484 PLUMBING Owner of Building Architect and /or Engineer Contractor or Builder_ Proposed Location $ AMOUNT Dated LOT In consideration of the issuance to plans and specifications thereof heretofore building ordinances and zoning laws of NAME NAME NAME BLOCK RECD. PAY4 NT ACCT. DEPT. ADDRESS ADDRESS 1 ADDRESS SUB- DIVISION NO. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 19 3'J • LICENSE NO. STREET This permit is issued to _ — -- — — -- — — — — — — — To - - -- - - — the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any 'change in thg; and specifications unauthorized by the building inspector. INSPECTOR me of this permit I hereby agree to the proposed construction in strict conformity with the application and by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the Miami Shores Village an$ all rules and regulations of the building department of Miami Shores Village. r' (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. 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 No 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 _ Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. SS. MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer Employing Plumber's Name �, Location and Legal Description Lot Lit Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building {C Remodeling PLUMBING INSPECTION DEPARTMENT AA,tt, No 3 22 No "7 Date_ Street Street _ (Signed) _ t-° My Commission Expires Notary Public. State of Florida Block 11 Subdivision9nAt.?'YL�_4 - • LC Street_____ L _� —At. Z Addition Repairs No. of Stories 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 PIu/bing" 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( , P (Signed) .. — — 77 -1cf Master Plfim er. c r ;4 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 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'G POOL. CONTR. LIST CHECK Permit No 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 _ Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. SS. MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer Employing Plumber's Name �, Location and Legal Description Lot Lit Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building {C Remodeling PLUMBING INSPECTION DEPARTMENT AA,tt, No 3 22 No "7 Date_ Street Street _ (Signed) _ t-° My Commission Expires Notary Public. State of Florida Block 11 Subdivision9nAt.?'YL�_4 - • LC Street_____ L _� —At. Z Addition Repairs No. of Stories 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 PIu/bing" 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( , P (Signed) .. — — 77 -1cf Master Plfim er. c r ;4 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. APPLICATION FOR PLUMBING PERMIT /�i Permit No. _ =!__ 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. Amount of Permit $ Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name ____ s___Es G _li_(___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT A 111 Yk Size Septic Tank Type of Tank - a--- My Commission Expires (Signed) No 7 y, No 1__ -1 O Street t- _.- _-/-- - ST• Location and Legal Description Lot 4. Block ` 1 1 ' SE 1 Subddivision__ ___►_!r?� _____! _i______________ Street and Number where work is to be performed —No. .f Street Ate 1 1 __ 0 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs —___ No. of Stories 1 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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ' 7 1 ` ("b' 641 r Master Plumber. STATE OF FLORIDA, 1 j ��� COUNTY OF DADE. ss. 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. 64- 7 Date G S ' Ot ! _D Street___dL_- Y_ -___ F 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. 5r CLOSETS BATH TUBS SHOWERS LAVA- TORIES $INKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT' NS TOTAL FIXTURES CONTR. LIST / / v\ f ] CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST IST CHECK APPLICATION FOR PLUMBING PERMIT /�i Permit No. _ =!__ 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. Amount of Permit $ Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name ____ s___Es G _li_(___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT A 111 Yk Size Septic Tank Type of Tank - a--- My Commission Expires (Signed) No 7 y, No 1__ -1 O Street t- _.- _-/-- - ST• Location and Legal Description Lot 4. Block ` 1 1 ' SE 1 Subddivision__ ___►_!r?� _____! _i______________ Street and Number where work is to be performed —No. .f Street Ate 1 1 __ 0 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs —___ No. of Stories 1 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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ' 7 1 ` ("b' 641 r Master Plumber. STATE OF FLORIDA, 1 j ��� COUNTY OF DADE. ss. 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. 64- 7 Date G S ' Ot ! _D Street___dL_- Y_ -___ F 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. 5r MIAMI SHORES VILLAGE, FLA. N9 JOB A N - ADDRESS l � Y( INSPECTION r` h drC— PL TIME READY h •z et �✓ REMARKS : INSPECTOR DATE 9599 J ;- 1.4) nom MIAMI SHORES VILLAGE, FLA. N9 9598 INSPECTION - ci. ��vo -rc �v TIME READY thin �a V — 1 4 REMARKS: INSPECTOR DATE MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT y APPLICATION FOR PLUMBING PERMIT Permit No. Date__ _' 1 fi 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 Registered Architect and /or Engineer Employing Plumber's Name L_f 1. 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 V 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 Amount of Permit $_ appeared S S. Remodeling Addition 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly 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 NOTE: A re- inspection fee of $1.00 will be made when such materials and /or workmanship. No a y[ 6' Street 6 2 9 Block Subdivision9c2!'. �;� _ k" 'E_n- Street -- --- — — — g , _(Signed) (Signed) I V x No ,2 Ai; 7 10 4 Street Repairs No. of Stories ? d 4:,.. e Y/i i e ) -,. . - )41.01.001- Master P Notary Public. State of Florida authorized to administer oaths and take acknowledgments, personally re- inspection is made necessary by improper notice for inspection, or faulty 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'G POOL . CONTR. LIST CHECK t - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT y APPLICATION FOR PLUMBING PERMIT Permit No. Date__ _' 1 fi 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 Registered Architect and /or Engineer Employing Plumber's Name L_f 1. 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 V 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 Amount of Permit $_ appeared S S. Remodeling Addition 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly 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 NOTE: A re- inspection fee of $1.00 will be made when such materials and /or workmanship. No a y[ 6' Street 6 2 9 Block Subdivision9c2!'. �;� _ k" 'E_n- Street -- --- — — — g , _(Signed) (Signed) I V x No ,2 Ai; 7 10 4 Street Repairs No. of Stories ? d 4:,.. e Y/i i e ) -,. . - )41.01.001- Master P Notary Public. State of Florida authorized to administer oaths and take acknowledgments, personally re- inspection is made necessary by improper notice for inspection, or faulty