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543 NE 102 St (7)Permit No. 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 herein specified or not. A copy of approved plans and specifications must be kept at building during the progress of work. , 4i 11 � A & i 53 A �3 Street iv/if / 0 r Owner's Name and Address + No. i Registered Architect and /or Engineer / 1 f /� / / / Employing Plumber's Name (2 ( 9 anti? /F1 '' PTi(- No. lag 01 13 Street f l/ A I ( 7H/4 0 30 6 , Location and Legal Description Lot / Block_ Subdivision Street and Number where work is to be performed — No. 5 /V' r / / 0 3 / p Street e State work to be performed and purpose of building (By Floors) /� 141 0 /� f 9' / /V fl L b New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile pQ 0 O Nature of Water Supply: City - Well L= Ir Amount of Permit $ s/' , t6 v Type of Tank a19 Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) (Signed) l �` Date 3/ / 3 g I Capacity Gals. 6 0 ® -/Q ,0y4 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 complied 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 S ores Villa Master 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 $25.00 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 FOUNTAINS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN SOAKAGE FIELD PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G. POOL CONTR. LIST Z7 CHECK Permit No. 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 herein specified or not. A copy of approved plans and specifications must be kept at building during the progress of work. , 4i 11 � A & i 53 A �3 Street iv/if / 0 r Owner's Name and Address + No. i Registered Architect and /or Engineer / 1 f /� / / / Employing Plumber's Name (2 ( 9 anti? /F1 '' PTi(- No. lag 01 13 Street f l/ A I ( 7H/4 0 30 6 , Location and Legal Description Lot / Block_ Subdivision Street and Number where work is to be performed — No. 5 /V' r / / 0 3 / p Street e State work to be performed and purpose of building (By Floors) /� 141 0 /� f 9' / /V fl L b New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile pQ 0 O Nature of Water Supply: City - Well L= Ir Amount of Permit $ s/' , t6 v Type of Tank a19 Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) (Signed) l �` Date 3/ / 3 g I Capacity Gals. 6 0 ® -/Q ,0y4 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 complied 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 S ores Villa Master 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 $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. - JNf {UTJ'+ui � . STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES .APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Date of Application 3// /q Name of Owner Telephone Mailing Address of ('wner 5 '/ 3 fz , / D S / , Owner's Agent ( ' %1 SA T if,i uilder Agent's Mailing Address / 39 3 Le) fo 7 / LJj ? 1b • e - Telephone No. Property Street Address -5 3 A, /.r. , / Q 3 T Lot No. Block No Subdivision NOTE: IF NOT IN A SUBDIVISION ATTACH A METES AND BOUNDS DESCRIPTION v 106 9 This Application is for: New System Repair R c /1 / Existing System /5 Type of Sewage Flow Establishment (Gallons per day) TOTAL FLOW = Type of No. Bedrooms Heated or Cooled Area Residential (each dwelling unit) (each dwelling unit) AUDIT CONTROL NON9 245000 Applicant's Signature HRS-H Form 4015, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 5744.001. 4015.1) Authority: Chapter 381, FS Chapter 10D -6, FAC Permit Application Number /- 61 PART 1 - APPLICATION ft ft Number Date Subdivided No. Dwelling Units Sewage Flow Based On S age Flow (G Ions per day) Exact Directions to Property Page 1 of 3 Permit No ___ (__�� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th' 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. Mrs. D. Aly Owner's Name and Address. .......... - -___ -- - -_ -_ - _ -- _ -- Registered Architect and /or Engineer _ . MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ABC SEPT TANK SERVICE 3123 N ,W, 54th St. Employing Plumber's Name _ -- . AC — — _ No._ - --- __ -- - _ -- - Street__ - 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_ STATE OF FLORIDA, I COUNTY OF DADE. Remodeling -__ -- Addition._._ Size Septic Tank__ _ . -- -- -- - -- - . -- Type of Tank __ -- -. _ -- _ ._ -- _ --- -- _ - • - _ - • Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. _ _ .... - -- _ - _ . - _- - . Size of Soakage Pit es. Bloch ( . _._. •C Date Subdivision_ Street Capacity Gals.. February 20, 1969 No 543 N.E Street 102nd St No. of Stories _ .. My Commission Expires Notary Public, State of Florida mblag In;pecto. The undersigned applicant for this building permit does hereby ccrtlfy that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5g66, Compiled General Laws of Florida Permanent Supplement, and 1 as ;mm- 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 no' ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on wor rr to be perfo. _ ed under this per nit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly,authorized to administer oaths and take acknowledgu:ents, personall 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 ..acts 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- Toms SINKS SLOP LAUNDRY TUBS URINALS URL CATCH BASIN FLOOR DRAIN DRINKING FOU MT' NS TOTAL F'XTURE6 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 CHICK Permit No ___ (__�� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th' 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. Mrs. D. Aly Owner's Name and Address. .......... - -___ -- - -_ -_ - _ -- _ -- Registered Architect and /or Engineer _ . MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ABC SEPT TANK SERVICE 3123 N ,W, 54th St. Employing Plumber's Name _ -- . AC — — _ No._ - --- __ -- - _ -- - Street__ - 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_ STATE OF FLORIDA, I COUNTY OF DADE. Remodeling -__ -- Addition._._ Size Septic Tank__ _ . -- -- -- - -- - . -- Type of Tank __ -- -. _ -- _ ._ -- _ --- -- _ - • - _ - • Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. _ _ .... - -- _ - _ . - _- - . Size of Soakage Pit es. Bloch ( . _._. •C Date Subdivision_ Street Capacity Gals.. February 20, 1969 No 543 N.E Street 102nd St No. of Stories _ .. My Commission Expires Notary Public, State of Florida mblag In;pecto. The undersigned applicant for this building permit does hereby ccrtlfy that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5g66, Compiled General Laws of Florida Permanent Supplement, and 1 as ;mm- 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 no' ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on wor rr to be perfo. _ ed under this per nit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly,authorized to administer oaths and take acknowledgu:ents, personall 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 ..acts 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. . . Permit No 673 _CD Size Septic Tank_ Feet of Drain Tile STATE OF FLORIDA, l COUNTY OF DADE. 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 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. No._ .5 1/, ✓/4- ---- __ -_ -- Street __ 16.: - _.`S Registered Architect and /or Engineer ___ �� ��C. 1? S r �L✓c L L �n / Employing Plumber's Name 1"/ /( /f 5 • /? t ; ___ -_ -- -_ No.___ /11ki_3.L _ _ Street___4 L Location and Legal Description Lot ____________________________. Block Subdivision Street and Number where work is to be performed —No .55 LVt- Street j o 2 f 1. State work to be performed and purpose of building (By Floors) _ New Building __ Remodeling Addition Repairs Date - i ___3 __-___Type of Tank__ Capacity Gals. _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.____.— ....... _Si _____ze of Soakage Pit Amount of Permit $ -_ _____�v -_ -_ -- — (Signed)___ -_ Q lumbing 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 corn - 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) _ 1// c /(6' S �. /,t L[ �. 2 ✓e �9 ? Q �L / � 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 No. of Stories.... ............ 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 B ATH TUBS SHOWER! LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LI 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 673 _CD Size Septic Tank_ Feet of Drain Tile STATE OF FLORIDA, l COUNTY OF DADE. 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 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. No._ .5 1/, ✓/4- ---- __ -_ -- Street __ 16.: - _.`S Registered Architect and /or Engineer ___ �� ��C. 1? S r �L✓c L L �n / Employing Plumber's Name 1"/ /( /f 5 • /? t ; ___ -_ -- -_ No.___ /11ki_3.L _ _ Street___4 L Location and Legal Description Lot ____________________________. Block Subdivision Street and Number where work is to be performed —No .55 LVt- Street j o 2 f 1. State work to be performed and purpose of building (By Floors) _ New Building __ Remodeling Addition Repairs Date - i ___3 __-___Type of Tank__ Capacity Gals. _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.____.— ....... _Si _____ze of Soakage Pit Amount of Permit $ -_ _____�v -_ -_ -- — (Signed)___ -_ Q lumbing 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 corn - 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) _ 1// c /(6' S �. /,t L[ �. 2 ✓e �9 ? Q �L / � 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 No. of Stories.... ............ 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. BUILDING ELECTRICAL PLUMBING R IA) L& 0 o PERMIT Owner of Building t — Architect Contractor or Builder Legal Description Lot 4 . CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA N9 6309 Work to be performed under this Permit ti•- -. B1 ±.44,■ - 1! BY r` DATE I ` ' 19 Contractor's License No. Subdi- vision Address of f t: .,.., Value of I Amount of -- Building ,- •� t j Project $ 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. r Signed- i• -i - INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with irll ordinance regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY ABBOT ING CTRICAL P ,UMBING 4 er of B 'Wing A a D B d CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N° 10008 Work to bg p Q,rmed under this Permit chitect .�► /� tractor ! a ..,.. ,,, Builder r... t,.44 r gal Lot II Bl. a scription dress of / / e. . idling - 7' / " 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 or in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be, performed in compliance with any plans, wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any e 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 ted is the understanding that the contractor or builder named above assumes the responsibility f a thorough knowledge of the ordinances and regulations mining to the work covered hereby whether shown on the plans or dr ings or 'n the statement or specifications and that he assumes responsibility for work ) :.r ne by Ms agents, servants or employees. c ..... ,,o ! . BY r, INSPECTOR In consideration of the issuance to me of this permit I agree to, p form the work covered hereunder in compliance with all ordinances and regulations ing, thereto and in strict conf mity with the plans, draw' statements or specifications submittea to the proper authorities of Miami Shores Village. tin this permit I assume 'sp sibility fo{ 11 v rk n d ne y ei'the& myself, my agent, l e agp`or employee. Signed: Subdi- vision Value of Project $ ,, 195 Contractor's License No Amt. of Permit BY AUTHORITY $ Permit No.. /0 O 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. Owner's Name and Address Registered Architect and /or Engin ----- / ----- _______.____ _____________ Employing Plumber's Name/ Location and Legal Description Lot Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building _ Remodeling Addition Repairs 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 STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No 1 Vi A� Street Amount of Permit $ i /' vz (Signed) Block (Signed) Date My Commission Expires Notary Public, State of Florida Subdivision No. of Stories ipg I nspector. The undersigned applicant for this building permit does hereby certify that he undirstands and accepts his obligations a 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. 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. 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 i 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 H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST IST r CHECK ( / Permit No.. /0 O 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. Owner's Name and Address Registered Architect and /or Engin ----- / ----- _______.____ _____________ Employing Plumber's Name/ Location and Legal Description Lot Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building _ Remodeling Addition Repairs 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 STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No 1 Vi A� Street Amount of Permit $ i /' vz (Signed) Block (Signed) Date My Commission Expires Notary Public, State of Florida Subdivision No. of Stories ipg I nspector. The undersigned applicant for this building permit does hereby certify that he undirstands and accepts his obligations a 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. 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. 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 Permission is hereby granted SEPTIC TANK TOTAL 1:71 1 510 V i lambing Ins .ector MIAMI SHORES VILLAGE Plumb -ing "Permit Miami S res Village Fla. • to install the following described plumbing, in accordance with the laws, statutes and regulations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a At No. Lot / u •./7 Block Subdivision Fixtures 0 As Shown on attached approved plans. FIXTURES ROUG HED IN FIXTURES SET • SEWER Payment Rec 'ved By N • This permit issued subject to approval of County Plumbing Inspector