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1263 NE 92 StMIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT . APPLICATION FOR PLUMBING PERMIT - - — ---- Date --- ---- ---------- - - - ------------------- ---- --------- Permit No ........ . x1--/-ZX. h submitted for the building or other Application is hereby made for the approval of the detailed statement of the plans and specificatjo* her ewit structure herein described. This application is made in compliance and conformity with the BuildQ Ordinance of Miami Share.-; Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of khami Shores Village and all rules and regulations of the Building Division of Mianii Shores Village shall Ile 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 ------------- ---------- ----------------------- -- 13 istered Architect and/or — --- — ----- Employing Plumbers Name ------- -------- No.­­.­4; Street ...... ... Subdivision - - -.- — ------ Location and Legal Description Lot...______. 6{ ----------- ---------------------------------- Street and Number where work is to be performed—No. Street -- y Flows) ------------ State work to be performed -and purpose of building (B New Building­----��­— Remodeling.-.-.. - - -------- Addifion­­­-­ Repairs -------------------------- No. of Stories— -,-1- ------------- � 1 LAVA' _ SLOP LAUNDRY I I L-.N DR y URINALS CA : FLOOR DRINKING FEES I � I N K- �SI N KS TU BS BASIN 1 D R FoUNT'NS CLOSETS1 TUBS � SOWERS �TOR 'E. CONTR. LIST CHECK SOAKAGE GREASE SOLAR DEEP PRKLR. SW I WG SEPTIC SEWER DRAIN HEATER WELL SYSTEM POOL TANK CONN. FIELD PIT TRAP CONTR. jI CHECK 01 of Tank­,----7 --------------- Sin Septic Tank ---------- :V ­­­Dist, Feet of Tank or Drain Field from Well. Feet of Drain Ti1c.. ­*�­.,011­­ �11 Of Soakage Nature of Water supply: City—well­­,-�---" (Signed) Amount of Permit Plumbing Inspector. t does hereby certify that lie understands and accepts his ohligllt ons its an employer of labor applicant for this building permit anent Supplement, and has The undersigned en's Compensation Act, being Section 59.66, Compiled Geii6ral Laws of Florida Perm under the Florida Workno and will require similar compliance from all contractors or sub-conLractors employed by hini in the work to be plied wit], the provisions thereof, sp.ection on the site of the work nich Public notice or notices as ire permit; and will post or cause to be posted for in be perforined under this vennit, as are performed under this ploy only such sub-contractors, on work' to required by the Act. The undersigned agrees to cul licensed by Miami Sh ores Village. -�h- -ber. (Signed)--------- -kas ­11 STATE OF FLORIDA, I ss. COUNTY OF DADE. rized to administer oaths and take acknowledgments, personally appeared Before me, the undersigned authority, a notary public, duly autho ---------- -- ----- ---------- ------------ -- --- ----- • -..... ------ ------- d who, being by me first duly sworn, upon oath deposes and says that lie is the ------ I did ----------- d ---------------------------------------------- to me well known, an n, that he has carefully read the foregoing application, and that e sign e same, and that all facts of the above described construction, therein by him stated are true. ------------------- --- T—ubfic, -- r_ tate of Florida ------ I ----- Rotai� My Commission Expires 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. MIAMI SHORES VILLAGE, FLORIDA lUrLDING El ',LECTRICAL L-] PERMIT No 1UMBING 17 Work to be performed under this I )wner of l ,wilding - Iachitect :ontrcactor r Builder_ 9911 DA' .1 Contractor's License No- 195 Subdi. egcd Lot Bl, vision teSCi`lptiOr1 - Lddress Of Value of I Amt. of uilding Project $ III 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 application erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, swings, 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 uron 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 or in the statements or specifications and that he assumes responsibility for work one by his agents; servants or employees. 1 Signed: BY INSPVcxon 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. n accepting this permit I assume responsibility for all work done .by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER I BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Architect Contractor or Builder Legal Lot ileac r•ri ni i nn MIAMI SHORES VILLAGE, FLORIDA 71 PERMIT N° 10125 Work to be performed under this Permit 11 Bl. Subdi- vision DATE 195 Contractor's License No. A . Value of Address bf Amt of y Project $ Permit $ Building r' 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 herefor in strict compliance with all ordinances pertaining thereto and with the under =landing 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 t1j;Dn LVh1Ch 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 statemg+ts or specifications and that he asswnes responsibility for work done by his agents, servants or employees. Signed : I BY INSPECTOR In consideration of the issuance to me of this permit I agree to pefform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of,,Miami Shores Village. In acceptsag this.permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE. FLORIDA BUILDING ;LECMICAL 'LUMBING ❑ PERMIT tOOFING ❑ )wner of uilding rchitect ' ontractor r Builder PVT° 44'79 Work to he performed under this DATE 195 Contractor's License No. Permit A i' s egal Lot Subdi- escription — Bl. vision .ddress of Value of Amount of 'w.. iilding — i' Project i �. �+ 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 application -refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, swings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ne 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 anted is the understanding that the contractor or builder named above assumes the responsibility for a thoroygh knowledge of the ordinances and regulations !rtaining to the work covered hereby whether shown on the plans or drawings or in the statements or clf�cations and that he assumes responsibility for work me by his agents, servants or employees. r rf INSPECTOR In consideration of the issuance to me of this permit I agree, to perform the work covered hefeunder in compliance with all ordinances and regulations ?rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY o MIAMI SHORES VILLAGE, FLORIDA IUMDING F 1 DATE ELECTRICAL 1! PERMIT N° 9828 Contractor's II,UMBING License No.— Work to be performed under this Permit )caner of archite_ct , ontractor egal Lot Bl. Subdi- vision Ikddress of Value of Amt. of uilding 11 Project $ Permit $ 95 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 .erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, swings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 ertaininP� to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work :one by his agents, servants or employees. Signed: BY 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. n accepting this permit I assume responsibility for all work done�by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY