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9306 NE 9 Ave (10)State # WORK DESCRIP 1 (\,kt4 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date � � �. Job Address ��� 06 q )4 Tax Folio /1 V &Z l '" " 1 1_ " 0 Legal Description L /, / / )4 l Owner / Lessee / Tenant (7 • V G(!) Master Permit # k••... — Owner's Address � q S S Phone �� Address C-) �° �� y `" cc Contracting Co. �� l�'le%M��� �i �. Qualifierl-E( On {' % e'1/2 SS# - - (''; (T.:5 S) ( Municipal 4k Competency 405S Address Address Architect /Engineer Bonding Company Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL Square Ft. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT) . Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, 1 authorize the above -named contractor to do the work stated. Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: LUMBING)IECHANICAL ROOFING PAVING FENCE SIGN i 0 1-00a 6N C A ��;�cn Estimated Cost(value)N i6t4C SD'SL6I33 ' - •••• �J ' .3 Umcctt.tt..R.' Av triii fgF a 4 13011[I H3 3N144d3SOt • '•��+e sa�'.�+ Signs ur Co Date: P/ ./ D DID take an oath, or ** * * * * * * * * * * * DID NOT take an * ** FEES: PERMIT Jg ` ,69/(P RADON C.C.F. NOTARY y . ©2 TOTAL DUE 3 7i APPROVED: Fire Other Zoning Buildin Electrical Mechanical Plumbin: Engineering AT&T, stamp name of Notary Public N ot y as to Cetif 14- -W pro ' e -'Wuti4r �e•anJ n of produce u: My Commission ��loires. Permit No ISS 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 Amount of Permit $ `1 STATE OF FLORIDA, I COUNTY OF DADE. se. 2" -/ c� Registered Architect and /or Engineer Employing Plumber's Name c 'f f) ! ??-E e MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot_ Block vision ------ ------ -- -- -- ---- _- - - - - -- ----- Street and Number where work is to be performed —No 73 Street 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_ Capacity Gals Fsst of Drain Tile___ ...... _ ............... _--------_ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.______ _______________ No. _4 - _illy 6 1'1 - 0 Date__ - - -- ..... Size Size of Soakage Pit (Signed)- �_ 1�1/ arG 1 f' (Signed) z Street_ - - -- --- - - - -. Street — - -- - -- --• - - - ........ hl 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 5968, Compiled General Laws of Florida Permanent Supplement, and has cmn- plieti 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, orj/ )'oyk to be performed und is permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida 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•neaessary by improper notice for inspection, or faulty materials and /or workmanship. CLosrrs BATH TUBS 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 PIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM $W IM•G POOL CONTR. LIeT - -- CHECK Permit No ISS 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 Amount of Permit $ `1 STATE OF FLORIDA, I COUNTY OF DADE. se. 2" -/ c� Registered Architect and /or Engineer Employing Plumber's Name c 'f f) ! ??-E e MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot_ Block vision ------ ------ -- -- -- ---- _- - - - - -- ----- Street and Number where work is to be performed —No 73 Street 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_ Capacity Gals Fsst of Drain Tile___ ...... _ ............... _--------_ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.______ _______________ No. _4 - _illy 6 1'1 - 0 Date__ - - -- ..... Size Size of Soakage Pit (Signed)- �_ 1�1/ arG 1 f' (Signed) z Street_ - - -- --- - - - -. Street — - -- - -- --• - - - ........ hl 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 5968, Compiled General Laws of Florida Permanent Supplement, and has cmn- plieti 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, orj/ )'oyk to be performed und is permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida 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 $1.00 will be made when such re- inspection is made•neaessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No .... Appl.cation i hereby made for the approval of the detz1 statement of the plans and specifications herewith submitted for the build ng or other structure herein described. This application is made in complinnce and conformity with the Building Ordinance of Miami Shores Village Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of th Building Di ' sion of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address. Registered Architect and /or E sneer Employing Plumber's Name Location and Legal Description Lot-__—_ __ - -- — - -___ Street and Number where work is to be performer$ —No State work to be performed and purpose of building (13y Deers). New Building __ _ -- _ - - -- _ -- -_ Remodeling__— Size Septic Tank.. _ Feet of Drain Tile- Nature of Water Supply. City—Well. Amount of Permit $ ' - - - —_ -- STATE OF FLORIDA, I COUNTY OF DADE. My Commission Expires AAIAMO $[ ORES VILL GE PLUMB CNSPECTION DEPARTMENT APA.EQ4i'M Vat PLUMBING PERMIT - __ _ - _.- _Dist. Feet of Tank or Drain Field from Weil._ Street /i/_.e° - G _ No._ — -� — _ _Block - Addition---_ ___ .. Repairs. Si = of Soakage Pit - (Signed) Street _A Subdivision. treet Capacity Gays. ... No. of Stories . .. ... - ,� Pl, m rig In .pecto. The undersigned applicant for this building permit does h:eby certify that he understands and ccc: : is his ga•ions as an e nployer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pe n ent Suppl- .ment, 'n 1 I a„ om plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors 'e ployt-d by hin in the wo 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, wdrk to be perfo. ed under„ thi /per fit, as are licensed by Miami Shores Village. � , II ( Signad)_. i�_�,%L� J -- - -Z - Master Plumber Before me, the undersigned authority, a notary pubfiic, &a➢y tzanthozized to administaz oaths and take acknowledge eats, personal) appeared to me well known, and who, being by me first duly sworn nag= e itb deposes and says that he is the _ -_ -- -- - -- - - -- - - --- - _ -- - -- - of the above described construction, that he has carefully mead I:.e foregoing application, and that he did sign the same, and that all •acts therein by hen stated are true. Nota Public, State of Florida - NOTE: A re- inspection fee of $1.00 will be made wha cmth re- I:, spection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINLtU SLOP SiIMKO LAUNDRY TUDB URINALS CAYC' BASIN FLOOR DRAIN DRINKING FOU 'T'N6 TOTAL F %TURES CONTR. LIST CHECK SEPTIC TANG SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER Dam. WELL SPRKLR. SYSTEM OWIM'G POOL CONTR. tsar CHECK - -- Permit No .... Appl.cation i hereby made for the approval of the detz1 statement of the plans and specifications herewith submitted for the build ng or other structure herein described. This application is made in complinnce and conformity with the Building Ordinance of Miami Shores Village Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of th Building Di ' sion of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address. Registered Architect and /or E sneer Employing Plumber's Name Location and Legal Description Lot-__—_ __ - -- — - -___ Street and Number where work is to be performer$ —No State work to be performed and purpose of building (13y Deers). New Building __ _ -- _ - - -- _ -- -_ Remodeling__— Size Septic Tank.. _ Feet of Drain Tile- Nature of Water Supply. City—Well. Amount of Permit $ ' - - - —_ -- STATE OF FLORIDA, I COUNTY OF DADE. My Commission Expires AAIAMO $[ ORES VILL GE PLUMB CNSPECTION DEPARTMENT APA.EQ4i'M Vat PLUMBING PERMIT - __ _ - _.- _Dist. Feet of Tank or Drain Field from Weil._ Street /i/_.e° - G _ No._ — -� — _ _Block - Addition---_ ___ .. Repairs. Si = of Soakage Pit - (Signed) Street _A Subdivision. treet Capacity Gays. ... No. of Stories . .. ... - ,� Pl, m rig In .pecto. The undersigned applicant for this building permit does h:eby certify that he understands and ccc: : is his ga•ions as an e nployer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pe n ent Suppl- .ment, 'n 1 I a„ om plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors 'e ployt-d by hin in the wo 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, wdrk to be perfo. ed under„ thi /per fit, as are licensed by Miami Shores Village. � , II ( Signad)_. i�_�,%L� J -- - -Z - Master Plumber Before me, the undersigned authority, a notary pubfiic, &a➢y tzanthozized to administaz oaths and take acknowledge eats, personal) appeared to me well known, and who, being by me first duly sworn nag= e itb deposes and says that he is the _ -_ -- -- - -- - - -- - - --- - _ -- - -- - of the above described construction, that he has carefully mead I:.e foregoing application, and that he did sign the same, and that all •acts therein by hen stated are true. Nota Public, State of Florida - NOTE: A re- inspection fee of $1.00 will be made wha cmth re- I:, spection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS 1 7 7 u Ar . H . skowca• T TOSII II. S SINKS L SLOP • LAUNDR C CATCH F FLOO R I DRINKING T ---■......---...-..._ TOTLL CONTR. 1 1 CHICK ...L---.... - SEPTIC S -...---x.•■ww. SEWER D DRAIN S SOAKAOII G GREASE S SOLAR D DEEP S SPRKLR. S SWIWO I ...,-...--.............-. . .............................. COSTI. LIST Perini, Nu. ,Jipplic..tion k hereby made for the approval of the detailed statement of the plans and specifications herewith subr it. .-1 for the building or other ;tructure herein described. This application la made in compliance and conformity with the Building Ordinance of Mk ! Shores Village, Florida, a od all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic • of the Building Division ot Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec fications must be kept at - 3uilding during pro of work. ../ `.)wner's Naine and Address.... ....itr..2.. .egist Architect and/or •nginco..r rnploying Plumber's Name /. c.retVC; 7-6C4-7\ No..' Location and Legal Description Lots 7 9 Are, m Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) New Building Remodeling_ ..... Addition._ .... Repairs Size Septic of Tank Capacity , ,a1s. Feet of Drain Tile.. _Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: of Soakage Pit Amount of Permit $ te) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as en endloyei of /oho under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent .r:upi lement, and has eori. with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 1 y him in • e rk pe under this permit; and will post or cause to be posted' for inspection on the site of the work such pub!: notice T. no icer is a: required by the Act. The undersigned agrees to employ only such sub-contractors, tre wprk to be performe . EMS 'PI III, licensed by Miami Shores Village. STATE OF FLORIDA, } is. COUNTY OF DADE. My ConunissionEzpires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date.. 22.5.ig. &seat,. 4.114. Subdivisicrn.._..._. Street .5 Street. / 1- Ne of Stones Notary Public, State of Florida Plumbing Inspector - - Mast .11, Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgnients, per.o7 ,ppearera 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 alto% 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-bsspection la nnitdo•neeesisery by improper =dice for inspePtion, tit touit) materials and/or workmanship. Amount of Permit $ appeared (Signed) (Signed MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit 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 _______________— I , No.�..):___iL LL .. `_ . Street ___tiJ___!_: Registered Architect and /or Engineer Employing Plumber's Name _ No. Street__ _____ ______________ __________ —� Location and Legal Description Lot_ '' —____ Block 11 r` L . Subdivision__— Street and Number where work is to be performed —No �_ /_ L __F___� !� 1 __:__ R �_' f ' Street State work to be performed and purpose of building (By Floors) _ New Building RemodeIing _ 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: City —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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Capacity Gals. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 Master Plumber. 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 TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N5 TOTAL FIXTURES CONTR. LIST A V '' L� (' 2 e J I CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Amount of Permit $ appeared (Signed) (Signed MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit 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 _______________— I , No.�..):___iL LL .. `_ . Street ___tiJ___!_: Registered Architect and /or Engineer Employing Plumber's Name _ No. Street__ _____ ______________ __________ —� Location and Legal Description Lot_ '' —____ Block 11 r` L . Subdivision__— Street and Number where work is to be performed —No �_ /_ L __F___� !� 1 __:__ R �_' f ' Street State work to be performed and purpose of building (By Floors) _ New Building RemodeIing _ 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: City —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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Capacity Gals. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 Master Plumber. 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 PLUMING Owner of Building Architect Contractor or Builder Legal Lot BI. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3497 Work to be performed under this Permit Subdi- vision Value of Project DATE 194 Contractor's License No. Amt. of 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 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 responsibility for work done by his agents, servants or employees. Signed. B INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with a�s dinances and A�ge�g�igtla- i' 3 tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au>ies of Miamiifihc+�eQ AS Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY • "MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Permit No 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 /t Amount of Permit $- SS. Registered Architect and /or Engineer Employing Plumber's Name Nature of Water Supply: City—Well My Commission Expires No. Location and Legal Description Lot_ __—__Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Ste New Building Remodeling ✓ Size Septic Tank _____ __- ____ Type of Tank . No Street S treet_ Addition Repairs Capacity Gals,_ Feet of Drain Tile____ P _ ____ __ —_ ____ Dist. Feet of Tank or Drain Field from Well__ t_,`t Size of Soakage Pit. (Signed) 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. /�� 2 ; `i (Signed STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer Date _______ f (J Subdivision i Notary Public. State of Florida Street _1. C No. of Stories Plaster Plumber. 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 lie 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 SINES 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 HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST Vif CHECK • "MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Permit No 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 /t Amount of Permit $- SS. Registered Architect and /or Engineer Employing Plumber's Name Nature of Water Supply: City—Well My Commission Expires No. Location and Legal Description Lot_ __—__Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Ste New Building Remodeling ✓ Size Septic Tank _____ __- ____ Type of Tank . No Street S treet_ Addition Repairs Capacity Gals,_ Feet of Drain Tile____ P _ ____ __ —_ ____ Dist. Feet of Tank or Drain Field from Well__ t_,`t Size of Soakage Pit. (Signed) 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. /�� 2 ; `i (Signed STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer Date _______ f (J Subdivision i Notary Public. State of Florida Street _1. C No. of Stories Plaster Plumber. 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 lie 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. BUILDING ELECTRICAL PLUMBING V Work to be performed under this Permit Owner of Building Architect Contractor or Builder Ifegal Lot Sescription_ MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3531 Bl. Subdi- vision • DATE ." 194 Contractor's License No. :s • 1 k d5iress of ..,/ ; 1 r f Value of 4 Amt. of .• uilding _ , i:... ,„-' 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 application 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/Irawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 9 Signed • .:____i •-•.,, By____,/ --; INSPECTOR in consideration of the issuance to me of this permit I agree to perform the work covgred hereunder in compliance with 41 ordinances and Lions pertaining thereto and in strict conformity with the plans, drawings, statements or spicifications submitted to the proper autholeities of MiarnShIirei Vidage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. 1 CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA' PERMIT N9 3531 Work to be performed under this Permit Bl. Subdi- vision DATE ' 194 Contractor's License No. I ceffit vow War .re swing t,T wo,k autnor NIS Der Address of Value of H Amt. of Project Permit ... Building , • 1 . 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 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 responsibility for work done 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 regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ❑ PERMIT N° 15147 ❑ Work to be performed under this Permit_ Architect Contractor or Builder Legal Lot II BI. Description Address of Building MIAMI SHORES VILLAGE. FLORIDA r. Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of 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 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 responsibility for work done 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 pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY