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511 NE 101 St (10)Permit No /J 71_ 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 heroin specified or not. A copy of approved plans and specifications must be kept at building during progress of work Owner's Name and Address 1 Registered Architect and /or Engineer Employing Plumber's Name. a A Location and Legal Description Lot —+ / Block Street and Number where work is to be performed —No y2— t�—a`+ g, ' 19 , Street State work to be performed and purpose of building (By Floors) _-_. New Building Remodeling --__ - - - - -_ Addition Size Septic Tank_ ---- - - - - -- — — — j of Talc —_ Feet of Drain Tile._ - 5 ' Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.__ — --------- - - - - -_ __ — _.Size of Soakage Pit Amount of Permit $ • No....- .,,..a..m..,....®.,,....: Street...— .,.T. ,.....,S,.... No._. Street. (Signed) _ Repair No. of Stories 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 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 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. � (Signed) ..LL_ I Date. a. Subdivision Muter Plumber. STATE OF FLORIDA, i is. 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 be has carefully read the foregoing application, and that he did sign the same, and that all fads therein by hire 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 neoerrary by Improper notice for inspection, or faulty materials and /or workmanship. TOTAL FIXTURES CLOSETS BATH TUBe SNOWERf LAVA• Tom" 61NKf SLOP BtNKI LAUNDRY Tuff URINAL{ CATCH BASIN FLOOR DRAIN ORINKINO FOUNT•N• CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR• 6 SWIM'O POOL r- CONTR. LIST CHICK Permit No /J 71_ 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 heroin specified or not. A copy of approved plans and specifications must be kept at building during progress of work Owner's Name and Address 1 Registered Architect and /or Engineer Employing Plumber's Name. a A Location and Legal Description Lot —+ / Block Street and Number where work is to be performed —No y2— t�—a`+ g, ' 19 , Street State work to be performed and purpose of building (By Floors) _-_. New Building Remodeling --__ - - - - -_ Addition Size Septic Tank_ ---- - - - - -- — — — j of Talc —_ Feet of Drain Tile._ - 5 ' Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.__ — --------- - - - - -_ __ — _.Size of Soakage Pit Amount of Permit $ • No....- .,,..a..m..,....®.,,....: Street...— .,.T. ,.....,S,.... No._. Street. (Signed) _ Repair No. of Stories 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 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 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. � (Signed) ..LL_ I Date. a. Subdivision Muter Plumber. STATE OF FLORIDA, i is. 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 be has carefully read the foregoing application, and that he did sign the same, and that all fads therein by hire 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 neoerrary by Improper notice for inspection, or faulty materials and /or workmanship. IUILDING LECTRICAL oLUMBING LOOFING )caner of juilding ,rchitect :ontractor r Builder i.ddress of ,wilding !, /'. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT ].1T° 3287 ,ega1 ' Lot i l >escription 1. DATF Contractor's License No. 4 Work to be performed under this Permit BY Subdi- vision Value of Project $ Amount of Permit $ ' This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application Lerefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any me 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 ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work 'one by his agents, servants or employees. Signed. Byrr �." 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 ) ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- opting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. fy , / / AUTHORITY e Owner's Name and Address_ - - -__ Amount of Permit $ Location and Legal Description Lot_ ___ _ _____ New Building ✓ ___ Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEi `;' APPLICATION FOR PLUMBING '' ,s•MT Permit No 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. Registered Architect and /or En ineer _- .- - -- —_ ` -- ---------_._._..------- -- ------- _- _---- --- .--- -. --.... Employing Plumber's Name - Lv - • Street. Street and Number where work is to be performed— No._—..Z=/ - i• 4. - • Street State work to be performed and purpose of building (By Floors) Addition Block ___- _- - - - - -- __ -- Subdivision._ Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile. - -- 6- _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. _______ ______Size of Soakage Pit ( 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 5988, Compiled General Laws of Florida Permanent Supplement, and has cmn- 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. (Signed)... No.__— __..____ Street Repairs No. of Stories. . ..................... My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, } 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINK NO FOUNT•NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWI PA' O POOL CONTR. LIFT CHECK Owner's Name and Address_ - - -__ Amount of Permit $ Location and Legal Description Lot_ ___ _ _____ New Building ✓ ___ Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEi `;' APPLICATION FOR PLUMBING '' ,s•MT Permit No 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. Registered Architect and /or En ineer _- .- - -- —_ ` -- ---------_._._..------- -- ------- _- _---- --- .--- -. --.... Employing Plumber's Name - Lv - • Street. Street and Number where work is to be performed— No._—..Z=/ - i• 4. - • Street State work to be performed and purpose of building (By Floors) Addition Block ___- _- - - - - -- __ -- Subdivision._ Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile. - -- 6- _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. _______ ______Size of Soakage Pit ( 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 5988, Compiled General Laws of Florida Permanent Supplement, and has cmn- 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. (Signed)... No.__— __..____ Street Repairs No. of Stories. . ..................... My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, } 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.