Loading...
514 NE 101 St (12)//3 7J- Permit No ' 1/ 3 a-- Registered Architect and /or Engineer —__ Employing Plumber's Namelk , QtF/ ' 4a4L STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT %CG re - j No. (Signed) 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. iCo �p j (�eR) ifl 6Z. Si __ / / S T Owner's Name and Address__......_..._------- ___ __— _ ________ —__ -- No._ __-- _ --- - -. - -- Street Street. __' W "'s"'�- Location and Legal Description Lot Block Street and Number where work is to be performed —No 5- r ' "Z'/ #J' Street State work to be performed and purpose of building (By Floors) — _--_-----------_- _- ____ -- New Building ___ Remodeling_—___ - -_ -. -___ Addition.________ Repairs No. of Stories. Subdivision _Type of Tank Capacity Gals. Size Septic 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 _ Signed)-- • umbing 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 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, onwo ;k t be performed under this permit, as are licensed by Miami Shores Village. ' .. 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 TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST CHECK _ SEPTIC TANK SEWER CONN. DRAIN FIELD W4 SOAKAGE P T GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK ' 9 �- - _ //3 7J- Permit No ' 1/ 3 a-- Registered Architect and /or Engineer —__ Employing Plumber's Namelk , QtF/ ' 4a4L STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT %CG re - j No. (Signed) 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. iCo �p j (�eR) ifl 6Z. Si __ / / S T Owner's Name and Address__......_..._------- ___ __— _ ________ —__ -- No._ __-- _ --- - -. - -- Street Street. __' W "'s"'�- Location and Legal Description Lot Block Street and Number where work is to be performed —No 5- r ' "Z'/ #J' Street State work to be performed and purpose of building (By Floors) — _--_-----------_- _- ____ -- New Building ___ Remodeling_—___ - -_ -. -___ Addition.________ Repairs No. of Stories. Subdivision _Type of Tank Capacity Gals. Size Septic 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 _ Signed)-- • umbing 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 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, onwo ;k t be performed under this permit, as are licensed by Miami Shores Village. ' .. 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. Permit No. ello 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 No Street Registered Architect and /or Engineer _ _ — Employing Plumber's Name__ !/l�. .' (t `7 _,_— No Street Location and Legal Description Lot — ______ _ Block Subdivision Street and Number where work is to be performed —No J__ 1. 5/ State work to be performed and purpose of building (By Floors) New Building J Remodeling Addition Repairs No. of Stories Size Septic Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date / U _ - 1°4r-street Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Feet of Drain Tile Nature of Water Supply City , ell Size of Soakage Pit Amount of Permit $ 6 1 -7) umbing Inspector. The undersigned applicant for this building permit does hereby certify that he ii9 erstands and accepts his obligat#is as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge!feral 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 - contractor on work to be performed under this permit, as are licensed' by Miami Shores Village. (Signed) aster 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. 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 nece 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 FOU NT' NS hi 74) / 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. ello 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 No Street Registered Architect and /or Engineer _ _ — Employing Plumber's Name__ !/l�. .' (t `7 _,_— No Street Location and Legal Description Lot — ______ _ Block Subdivision Street and Number where work is to be performed —No J__ 1. 5/ State work to be performed and purpose of building (By Floors) New Building J Remodeling Addition Repairs No. of Stories Size Septic Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date / U _ - 1°4r-street Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Feet of Drain Tile Nature of Water Supply City , ell Size of Soakage Pit Amount of Permit $ 6 1 -7) umbing Inspector. The undersigned applicant for this building permit does hereby certify that he ii9 erstands and accepts his obligat#is as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge!feral 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 - contractor on work to be performed under this permit, as are licensed' by Miami Shores Village. (Signed) aster 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. 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 nece by improper notice for inspection, or faulty materials and /or workmanship.