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301 NE 102 St (7)/ .14 Sj ` 1 PPLICATION FOR PLUMBING PERMIT 1 - / l_ ‘C.. I'tr_ait 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. Owner's Name and Address ft .5',Q G . 5/E No 3 0 / A " Registered Architect and /or Engineer____—________- ________ -- * Al mploying Plumber's Name___Alt,. A_/ ✓______ PegiV L ` n . No.. ._3 7e / vii.v.41 L A_ ve: Location and Legal Description Lot______ ________.___ —_____ ___ Block Subdivision Street and Number where work is to be performed —No '3a / NE / ®Z ' Street_ State work to be performed and purpose of building (By Floors) ___._ 41/A/ ______�� P' /Al Ke. EIS' New Building ___ Remodeling_ __ -- Addition_____-__ Repairs No. of Stories . . . ..... .. .... .... ....... MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Type of Tank_ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City — Well.________ e LT z . _Size of Soakage Pit Amount of Permit $ -/- - ss. UG __Dist. Feet of Tank or Drain Field from Well (Signed)_ (Signed). Capacity Gals mbing 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, l COUNTY OF DADE. f 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 TUBE U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8 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 J 9I1 O o ` -- / .14 Sj ` 1 PPLICATION FOR PLUMBING PERMIT 1 - / l_ ‘C.. I'tr_ait 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. Owner's Name and Address ft .5',Q G . 5/E No 3 0 / A " Registered Architect and /or Engineer____—________- ________ -- * Al mploying Plumber's Name___Alt,. A_/ ✓______ PegiV L ` n . No.. ._3 7e / vii.v.41 L A_ ve: Location and Legal Description Lot______ ________.___ —_____ ___ Block Subdivision Street and Number where work is to be performed —No '3a / NE / ®Z ' Street_ State work to be performed and purpose of building (By Floors) ___._ 41/A/ ______�� P' /Al Ke. EIS' New Building ___ Remodeling_ __ -- Addition_____-__ Repairs No. of Stories . . . ..... .. .... .... ....... MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Type of Tank_ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City — Well.________ e LT z . _Size of Soakage Pit Amount of Permit $ -/- - ss. UG __Dist. Feet of Tank or Drain Field from Well (Signed)_ (Signed). Capacity Gals mbing 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, l COUNTY OF DADE. f 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. WNER LOT i BLOCK SUBDIVISION 4 14"./- d6 31 11 (5 7 y t I •te Issued to drainage work done in For a_story Fixtures Fixtures Sewer o ptic Tank Total aiami cJhores9 llage Y 1. 0 R 1 D A PLUMBING PERMIT N9 _ 1186 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing end iami Shores Village, Florida. building at Village Plumbing Inspector Received Payment • BUILDING PERMIT Date Architect r of Buildin /l Ve • Owner g Contractor or Builder 92/ Miami Shores Village, F ida PROPOSED LOCATION MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR N° 550 FRONT DEPTH STREET HEIGHT STORIES PART OF LOT BLOCK ESCRIPTION OF BUl DING SUBDIVISION BUILDING TO - - FOR ROOF COST OF BUILDING lP- RMIT FEE Ilr This permit is issued to A 41111P = - j II'A/P P ����,�'"Rd 110-..It'' - - - - M1 ge the building described, as per application, Plans an• Specifications heretofore filed in this office. This permit is granted upon the express con 'Pon that all facts tated 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 revokedcat. y time upon the viol n of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unau ized by th�+buildi�tspeItor. BUILDING INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do 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 buildin law of the State of Florida, the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building de rtmnf o Miamitores Vi age. (SEAL)