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PLUMBING PERMITBUILDING ❑ ELECTRICAL DATR 1:1 PLUMBING 0 PERMIT NC' 8520 ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA Bl. CONTRACTOR OR BUILDER Work to be performed under this Permit Subdi- vision Sq. Ft Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in to statementior specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted ,to In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or- em BY Contractor's License No. Amt. of Permit $ 195 vx in compliance with all ordinances and regulations the proper authorities of Miami Shores Village. ployee. AUTHORITY CONTR • LIST CHUCK Permit No P- ` 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_ Location and Legal Description Lot Block __ Su Street and Number where work is to be performed— No. F' 7, - Street. State work to be performed and purpose of building (By Floors) _ _____ New Building_ -_ -- - _--- -- _----- __ -_ -. Remodeling___- _ --- Addition Size Septic Tank Feet of Drain Tile._ Nature of Water Supply: City — Well. STATE OF FLORIDA, t COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ;2. Date No :_ :_ /Str et 4 treet_ 4Q No._1 2? . Repairs 1� No. of Stories Type of Tank _Dist. Feet of Tank or Drain Field from Well ----- ____ - -- - -- _.Size of Soakage Pit Capacity Gals 0 0 tl Amount of Permit $ 1 t ,.. (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 5968, 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be under this permit, as are licensed by Miami Shores Village. (Signed) _. k .._ 9 ' 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 worlomanEhip. CLOSETS T BATH L SHOWERS T LAVA- S SINKS S SLOP L LAUNDRY C URINALS B CATCH F FLOOR D DRINKING T TOTAL CONTR. LIST CHECK - SEPTIC S SEWER D DRAIN S SOAKAGE G GREASE S SOLAR D DEEP S SPRKLR. S SW IM•G --- Permit No P- ` 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_ Location and Legal Description Lot Block __ Su Street and Number where work is to be performed— No. F' 7, - Street. State work to be performed and purpose of building (By Floors) _ _____ New Building_ -_ -- - _--- -- _----- __ -_ -. Remodeling___- _ --- Addition Size Septic Tank Feet of Drain Tile._ Nature of Water Supply: City — Well. STATE OF FLORIDA, t COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ;2. Date No :_ :_ /Str et 4 treet_ 4Q No._1 2? . Repairs 1� No. of Stories Type of Tank _Dist. Feet of Tank or Drain Field from Well ----- ____ - -- - -- _.Size of Soakage Pit Capacity Gals 0 0 tl Amount of Permit $ 1 t ,.. (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 5968, 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be under this permit, as are licensed by Miami Shores Village. (Signed) _. k .._ 9 ' 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 worlomanEhip. BUILDING ELECTRICAL PLUMBING Owner of Building Legal Description. Address of Building Lot PERMIT N? 9534 Work to be performed under this Permit ' 1' Architect Contractor / or Builder t CONTRACTO OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. # Signed: ' BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and s in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In this perlfut I assume responsibility for all work done by either, myself, my agent, servant or employee. pt441).i. BY AUTHORITY Permit No b 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 7 14/, Registered Architect and /or E Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING "'' No._.._ Street No._.____________ Street. Date e i (r /S^ Location and Legal Description Lot-_-_ ______________- __- _- ____- - Block_ Subdivision Street and Number where work is to be performed -No 6_,E Street I State work to be performed and purpose of building (By Floors) New Building Remodeling_____ Addition._.___._._ Repairs f�5_ No. of Stories Size Septic Tank Feet of Drain Tile- 422-C Nature of Water Supply: City -Well --------- ------------------ - - - - -- Amount of Permit $____ 0 13 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 bus coin - 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. Type of Tank Capacity Gals "_moist. Feet of Tank or Drain Field from Well ._Size of Soakage Pit (Signed)- (Signed) Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. I 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 l:y bin, stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $LOO will be made when such re-inspection is made • necessary by improper notice for inspection, or faulty materials and /or worlcmanship. CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINAL• CATCH BASIN FLOOR DRAIN DRINKI NO FOUNT•NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST CHECK Permit No b 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 7 14/, Registered Architect and /or E Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING "'' No._.._ Street No._.____________ Street. Date e i (r /S^ Location and Legal Description Lot-_-_ ______________- __- _- ____- - Block_ Subdivision Street and Number where work is to be performed -No 6_,E Street I State work to be performed and purpose of building (By Floors) New Building Remodeling_____ Addition._.___._._ Repairs f�5_ No. of Stories Size Septic Tank Feet of Drain Tile- 422-C Nature of Water Supply: City -Well --------- ------------------ - - - - -- Amount of Permit $____ 0 13 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 bus coin - 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. Type of Tank Capacity Gals "_moist. Feet of Tank or Drain Field from Well ._Size of Soakage Pit (Signed)- (Signed) Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. I 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 l:y bin, stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $LOO will be made when such re-inspection is made • necessary by improper notice for inspection, or faulty materials and /or worlcmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description. Address of Building -/ MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9543 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE _ ., 195_0 Contractor's License No Amt. of Permit $ �.1 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: - /,' BY ! r INSPECTOR 4 In consideration of the issuance to me of this permit I agree to prform the work covered hereunder in compliance with all .ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. .f.. 11La 1 - 4 i i l i i i CONTRACTOR OR BUILDER BY AUTHORITY Owner's Name and Address Tt t 4 M ' S • 1 YEA F? D Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. • ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No._ � ` Date µi4 4 U — J a Application is hereby made for the approval of the detailed statement of the plans and specifications herewith bnnitted for the buildin g 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. Registered Architect and /or Engineer �� I (� Employing Plumber's Name �___L( ]_ b - i1 i a No._ Eta 1 / t1 v/ Street__1 r A4 - 0 Cl Cp Location and Legal Description L Y>t 'J'Y^ t - 3 'Block 9 a c_ Street and Number where work is to be erformed —N c'-4 p v 21A-e.... Street State work to be performed and purpose of building (By Floors) 1 New Building 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.___r Size of Soakage Pit (Signed) - ( Signed) No. 4 6 6 A Street / G / T Subdivision Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he 9 91erstands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Ferman rf ipplement, and has corn- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors emp y 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. 't r 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 Master Plumber. 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 WERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' TOTAL FIXTURES CONTI ST R. L O. / / / -_ -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Owner's Name and Address Tt t 4 M ' S • 1 YEA F? D Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. • ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No._ � ` Date µi4 4 U — J a Application is hereby made for the approval of the detailed statement of the plans and specifications herewith bnnitted for the buildin g 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. Registered Architect and /or Engineer �� I (� Employing Plumber's Name �___L( ]_ b - i1 i a No._ Eta 1 / t1 v/ Street__1 r A4 - 0 Cl Cp Location and Legal Description L Y>t 'J'Y^ t - 3 'Block 9 a c_ Street and Number where work is to be erformed —N c'-4 p v 21A-e.... Street State work to be performed and purpose of building (By Floors) 1 New Building 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.___r Size of Soakage Pit (Signed) - ( Signed) No. 4 6 6 A Street / G / T Subdivision Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he 9 91erstands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Ferman rf ipplement, and has corn- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors emp y 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. 't r 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 Master Plumber. 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. PLUMBING IN MIAMI 30 YEARS AV U 71/8 i • 3 NORTON PLUMBING CO. CONTRACTING - REPAIRING MAINTENANCE 8011 N. W. 1ST PLACE PHONE 7 -3897 C m 4 MIAMI 38, FLORIDA TH S A ,WARD, 1 4ya-°, /0/ IRsr.sr, W- OF L ors 3i yo atack yo- aEC, ¥, M'1 li No d s v S! Mk - ®S� 1 - S _ //.mss, l ( G� /� /� /� r� 1 © RJ A c� �� V G-j U v U D 6 "Vi 1/ n R. 9 ATT R ESTIMATES CHEERFULLY GIVEN Permit No. w. • Application is hereby rnadg for the approval of the detailed statement of the plans and specifications herer1 submitted for the building J or other structure herein described. This application is made in compliance and conformity with the Building Orance 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 arid 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 ] -_- �V � ✓C�fi�— No Street Registered Architect and /or l yfgineer Employing Plumber's Name //'''' No. Street Ze Location and Legal Description Lot______ _ __ _ Block 7 Subdivision Street and Number where work is to be performed —No. / l__ Street_- / e_7 State work to be performed and purpose of building (By Floors) New Building X Remodeling Addition Repairs No. of Stories Size Septic Tank � Type of Tank__ T Y/�. Feet of Drain Tile j 44: Dist. Feet of Tank or Drain. Field from Well Nature of Water Supply: City—Well . Size of Soakage Pit Amount of Permit $ L STATE OF FLORIDA, 1 ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) (Signed) Date_ / f--9 \rd Capacity Gals.__ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he c rstands and accepts his obliga ' s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled e al Laws of Florida Perman upplement, 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. 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 Toss 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. w. • Application is hereby rnadg for the approval of the detailed statement of the plans and specifications herer1 submitted for the building J or other structure herein described. This application is made in compliance and conformity with the Building Orance 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 arid 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 ] -_- �V � ✓C�fi�— No Street Registered Architect and /or l yfgineer Employing Plumber's Name //'''' No. Street Ze Location and Legal Description Lot______ _ __ _ Block 7 Subdivision Street and Number where work is to be performed —No. / l__ Street_- / e_7 State work to be performed and purpose of building (By Floors) New Building X Remodeling Addition Repairs No. of Stories Size Septic Tank � Type of Tank__ T Y/�. Feet of Drain Tile j 44: Dist. Feet of Tank or Drain. Field from Well Nature of Water Supply: City—Well . Size of Soakage Pit Amount of Permit $ L STATE OF FLORIDA, 1 ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) (Signed) Date_ / f--9 \rd Capacity Gals.__ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he c rstands and accepts his obliga ' s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled e al Laws of Florida Perman upplement, 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. 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.