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PLUMBINGPermft Application is hereby made for the approval of the detailed statement of the plans and specifications erewit 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 Narne and Address &../1.d'Ali‘ No. Registered Architect and/or EripTer j Employing Plumber's Namhir..4.:.... No/ treed. 414 e- Location and Legal Description Lot__ Street and Number where work is to be performed—No (e& /Th. State work to be performea and purpose of building (By Floors)._ New c, Amount of Permit $ MY COMMISSION ExPivF5 MAY 1, 1975 BONDED. by-AhAf.--- My Coramission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition (Signed)- (Signed) 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 to me well known, and w , 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 applicaden, and that therein by him stated lirTZH' PUBLIC:STATE Of FLA. AT LARGE f• Subdivision Street_ Repairs. No. of Stories Capacity Gals lumbing ctor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennane Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or su tract employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on h p c notice or notices as are required by the Act The undersigned agrees to employ only such sub-contr licensed by Miami Shores VMage. erfo STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned uthority, -notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Notary under this permit, as are Master Plumber. aid sign the same, and that all facts iFJ Public, Spite of Fl da : NOTE: A re-inspection fee of $1.00 will be made when such re-inspectim is made•necessary by improper notice for inspection, or faulty materials and/ce wodonanship. CLOSETS BATH TUBS SH " Call LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS IWO j addthel_URES 1 CONTR. LIST / CHECK ■ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HICATE111 DEEP WILL SPRKLR. SYSTEM SWILVO POOL CONTR. LIST CHECK Permft Application is hereby made for the approval of the detailed statement of the plans and specifications erewit 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 Narne and Address &../1.d'Ali‘ No. Registered Architect and/or EripTer j Employing Plumber's Namhir..4.:.... No/ treed. 414 e- Location and Legal Description Lot__ Street and Number where work is to be performed—No (e& /Th. State work to be performea and purpose of building (By Floors)._ New c, Amount of Permit $ MY COMMISSION ExPivF5 MAY 1, 1975 BONDED. by-AhAf.--- My Coramission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition (Signed)- (Signed) 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 to me well known, and w , 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 applicaden, and that therein by him stated lirTZH' PUBLIC:STATE Of FLA. AT LARGE f• Subdivision Street_ Repairs. No. of Stories Capacity Gals lumbing ctor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennane Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or su tract employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on h p c notice or notices as are required by the Act The undersigned agrees to employ only such sub-contr licensed by Miami Shores VMage. erfo STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned uthority, -notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Notary under this permit, as are Master Plumber. aid sign the same, and that all facts iFJ Public, Spite of Fl da : NOTE: A re-inspection fee of $1.00 will be made when such re-inspectim is made•necessary by improper notice for inspection, or faulty materials and/ce wodonanship. BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA DATE et' PERMIT N° 5390 0 ❑ Work to be performed under this Permit ` ----^� Owner of - .{�� Building ° . �' ' 1 :. C tf; Architect Contractor . -, r or Builder 1 `= , • . 1 �! ) 1 , , z,. : Legal Lot Description I B1 CONTRACTOR OR BUILDER Contractor's License No .�" •... «l �L J �",� �.!/ 1 T `J is • jimMNP Subdi- vision Address of Value of 1 Amount of ? �.'=cj Building Av _) C Project $ 1 Permit $ ` ' "" This permit is granted to the contractor or wilder named above to construct the building or to install the equipment or device descriW in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in comiance 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. �,��^ IN�SP CTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance, with all ordln nbel3`i d"rs u lations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao ceptinq this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY •••ot '-'S°' MIAMI SHORES VILLAGE, FLA. No 2088 JOB R�ErC� , r. ".� -� ADDRESS '; • INSPECTION TIME READY �� ' •�� �^ ^ REMARKS: • No.._ Application k �s 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 E • ( leer____—__ _ — Employing Plumber's Name. - ".00, t'� ✓ ' Location and Legal Descrip • , Lot--- _ - - - -_ _ - -_ - -- Street and Number where work is to be performed— No._.. S to be performed and purpose of building (By Floors) ew Building - -- _ •-- ___ - - - -- ________ Remodeling__.__._- - - - -__ _ —_ Addition_____ -_ Repairs No. of Stories. Size Septic Tank ...... __._._. Feet of Drain Tile._ NatLre of Water Suppl City )1V ell._____ — Size of Soakage Pit Amount of Penult 4_ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._____ Street Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well (Signed ) 3l� /041 '1 o. _ Street__ Date Subdivision 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 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 Mlsmi Shores Village. � r cam STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared (Signed) -- -_ -- Master Plumber. 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. Notary Public, State of Florida NOTE: A re- inspection fee of 41.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or worlonanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS pia) ,In` TOTAL I %TURES CONTR. LIST CHICK ! 3 / / A_ / / • - -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP AMR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL COMTR. LIST / ^ - - CHECK • No.._ Application k �s 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 E • ( leer____—__ _ — Employing Plumber's Name. - ".00, t'� ✓ ' Location and Legal Descrip • , Lot--- _ - - - -_ _ - -_ - -- Street and Number where work is to be performed— No._.. S to be performed and purpose of building (By Floors) ew Building - -- _ •-- ___ - - - -- ________ Remodeling__.__._- - - - -__ _ —_ Addition_____ -_ Repairs No. of Stories. Size Septic Tank ...... __._._. Feet of Drain Tile._ NatLre of Water Suppl City )1V ell._____ — Size of Soakage Pit Amount of Penult 4_ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._____ Street Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well (Signed ) 3l� /041 '1 o. _ Street__ Date Subdivision 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 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 Mlsmi Shores Village. � r cam STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared (Signed) -- -_ -- Master Plumber. 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. Notary Public, State of Florida NOTE: A re- inspection fee of 41.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or worlonanship. Permit No.._�..G' __5C! 7 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 S. Rudnigk No._, 60 --------- _ - -_ -- s treet 102nd Registered Architect and /or Engineer Brooks Sprinkler Re gi -- Brooks Employing Plumber's Name -- ___._.__ No.___.__ ___._ _.__ Street_ _.__.._. — Location and Legal Description Lot_ Block Subdivision--- --- -_--.__ -__ -_. Street 10211d. Street and Number where work is to be performed —No 60 NE State work to be performed and purpose of building (By Floors)__.___ New Building ___ Remodeling___ Addition__- _____._ Repairs No. of Stories_ - Size Septic Tank -------- - - - - -- Type of Tank Feet of Drain Tile-_-_ ____ ................. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: 4k—Well. Size of Soakage Pit ` Amount of Permit $- (Si - - - 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r';iAMIT (Signed) _e Date 5/161 Capacity Gals. Mastei Member. 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. 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 Tues URINAL! CATCH BASIN FLOOR DRAIN DRINK NG FOUNT' NE TOTAL FI %TURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD• SOAKAGE PIT GREASE TRAP SOLAR H CATER DEEP WELL SPRKLR. SYSTEM SW IM'GI POOL CONTR. LIST CHECK X Permit No.._�..G' __5C! 7 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 S. Rudnigk No._, 60 --------- _ - -_ -- s treet 102nd Registered Architect and /or Engineer Brooks Sprinkler Re gi -- Brooks Employing Plumber's Name -- ___._.__ No.___.__ ___._ _.__ Street_ _.__.._. — Location and Legal Description Lot_ Block Subdivision--- --- -_--.__ -__ -_. Street 10211d. Street and Number where work is to be performed —No 60 NE State work to be performed and purpose of building (By Floors)__.___ New Building ___ Remodeling___ Addition__- _____._ Repairs No. of Stories_ - Size Septic Tank -------- - - - - -- Type of Tank Feet of Drain Tile-_-_ ____ ................. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: 4k—Well. Size of Soakage Pit ` Amount of Permit $- (Si - - - 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r';iAMIT (Signed) _e Date 5/161 Capacity Gals. Mastei Member. 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. 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. MIAM I SHORES VILLAGE, FLA. N9 5972 JOB 72 Ail c.. 1 g t eza.. 4 4 444 4„, ADDRESS INSPECTION A tz. } TIME READY "Ofd h REMARKS • / / INSPECTOR DATE permit - P State work to be performed and purpose of building (By Floors)________ New Building Remodeling _ Addition Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ .2/(i` Date -woo' Lae' ( Signed 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 -574 At_ ..... _ No._ a Street__ AV /6 Registered Architect and/or Employing Plumber's NameihirAL.A__40 S‘A. 71 Noli 0 Street_ _ Location and Legal Description Subdivision Street and Number where work is to be performed—No ° Street 4 /Y__Zr A ...................... ..... Repairs No. of Stories Size Septic Tank_ Type of Tank_ Feet of Drain Tile e f Wiwi _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit Capacity Gals / ' • 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 5986, 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 4rk t., p. performed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida ing spector. Master Plumber. STATE OF FLORIDA, 53. 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 Toes URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES Conroe. LIST CHECK SEPTIC TANK SEWER Conn. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SW IM G ' POOL VALL__ CONTR. LIST --- - CHECK permit - P State work to be performed and purpose of building (By Floors)________ New Building Remodeling _ Addition Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ .2/(i` Date -woo' Lae' ( Signed 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 -574 At_ ..... _ No._ a Street__ AV /6 Registered Architect and/or Employing Plumber's NameihirAL.A__40 S‘A. 71 Noli 0 Street_ _ Location and Legal Description Subdivision Street and Number where work is to be performed—No ° Street 4 /Y__Zr A ...................... ..... Repairs No. of Stories Size Septic Tank_ Type of Tank_ Feet of Drain Tile e f Wiwi _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit Capacity Gals / ' • 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 5986, 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 4rk t., p. performed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida ing spector. Master Plumber. STATE OF FLORIDA, 53. 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. BATH r'L6-n9? TUBS SHOWER! LAVA. TORICS SINKS SLOP SINKS LAUNDRY TUeB URINAL! CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N6 TOTAL FIXTURES - CONTR. LIST h ... _- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL Ceuta. LIST - CHECK Permit No 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 Size Septic Tank_ AO j} Type of Tank Feet of Drain Tile._ _3 Nature of Water Supply: City —Well. Amount of Permit $ __ _ (- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT .._j� No.__. Street. (Signed) ----eZ Date (Signed)._ ef / �__. �I!_ Registered Architect and /or Engine /� Employing Plumber's Name / _' � ��.__&! _. o._ Street. Location and Legal Description Lot---_-.-_.---__..__._ -_ __- _. - __ _ . Subdivision Street and Number where work is to be performed —No._ _ , L E I . " T r c f e eet_ State work to be performed and purpose of building (By Floors) _________.... New Building__________ .......... - -- Remodeling_. -___ _ ._._ Addition. -__ -__ Repairs No. of Stories. Capacity Gals - ist. Feet of Tank or Drain Field from Well __. _Size of Soakage Pit 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 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. . .ego Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. j 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. Application is 1lermby t,l.^. a 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, anti 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 Named - MIAMI SHORES V L GE PLUMBING INSPECTION DEPART NT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot__._. ________- ____________.// --__— Block jj ___ ._ Subdivision - 1Q12 Street and Number where work is to be performed- No. ____1 ¢_.l_-_�_..� ..01:1 eei State work to be performed and purpose of building (By Floors)_- -___ -_ ____________ -_ -- New Building ___... Remodeling_.____.__ ____ -__ Addition Repairs No. of Stories ....... ... .............. Size Septic Tank_-_- ...... p - Feet of Drain Tile_fh Nature of Water Supply: City -Well. Amount of Permit $___ .... - -- - - - - -- -- - - - - — (Signed) _ _ ype of Tank__ Capacity Gals of Tank or Drain Field from Well -.Size of Soakage Pit Plumbing'Inspector. - The undersigned applicant for this building permit does hereby certify that he understands and accepts his o1fgations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Per "ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor- nployed 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 uch 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)._ Date / No.__— Street Street.. 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. CLC?4ETA 0 ATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS INALS 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 SW I PA' G POOL COMM. LIST - CHECK Application is 1lermby t,l.^. a 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, anti 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 Named - MIAMI SHORES V L GE PLUMBING INSPECTION DEPART NT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot__._. ________- ____________.// --__— Block jj ___ ._ Subdivision - 1Q12 Street and Number where work is to be performed- No. ____1 ¢_.l_-_�_..� ..01:1 eei State work to be performed and purpose of building (By Floors)_- -___ -_ ____________ -_ -- New Building ___... Remodeling_.____.__ ____ -__ Addition Repairs No. of Stories ....... ... .............. Size Septic Tank_-_- ...... p - Feet of Drain Tile_fh Nature of Water Supply: City -Well. Amount of Permit $___ .... - -- - - - - -- -- - - - - — (Signed) _ _ ype of Tank__ Capacity Gals of Tank or Drain Field from Well -.Size of Soakage Pit Plumbing'Inspector. - The undersigned applicant for this building permit does hereby certify that he understands and accepts his o1fgations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Per "ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor- nployed 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 uch 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)._ Date / No.__— Street Street.. 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.