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860 NE 91 Terr (4)BUILDING \ ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 15998 i DATE 195 ❑ Work to be performed under this Permit Subdi- vision Contractor's License No Legal Lot II 31. Description Address of Building 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. CONTRACTOR OR BUILDER Value of Project $ Amt. of Permit $ 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. BY AUTHORITY Permit No Location and Legal Description Loi Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) ----------- Amount of Permit $ STATE OF FLORIDA, 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 subr.nt:td for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of MU-. Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatici.s.: of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and medications must be kcpt at building during progress of work. Owner's Name and Address. /4 .?.. No. S6 /-L street. Z/ -1-77411 .tegistered Architect and/or Engineer Zmploying Plumber's Name Ati a et. L'Ai6 No..Y7 /11 Street—J. Block 15�c2 Stroet 7 ; ; A. New Building Remodeling Addition Repairs No. of Stones Size Septic of Tank Feet of Drain Tile _______Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ..... __.. Size of Soakage Pit (Signed)_ Date ._ ..44Z -------- -- My Commission Expires Notary Public, State of Florida ....... • - • - • • • ■ ....... Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an endloyei of la kW' under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent f:upilement, and ha. eeri• . plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed I y him in :' wirk se b‘. performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publ: notice .m no icer s ay required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed, -1 .(..% this d.11.1it, licensed by Miami Shores Village. Mesta Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perional ppearvx. 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 nut all acts therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is mede•neoessary by improper notice for inspection, or !suit) materials and/or workmanship. CLOSETS BATH TUBS SHOWER. LAVA. TORIES SINK• SLOP SINKS LAUNORY Tune URINALEI CATCH BASIN FLOOR DRINKING DRAIN FOUNT' NS TOT...L F I X IL RES CONTR. LIGT CHECK .... SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SW IS4' 0 POOL ... Coorne . LIST - CHECK I/ Permit No Location and Legal Description Loi Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) ----------- Amount of Permit $ STATE OF FLORIDA, 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 subr.nt:td for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of MU-. Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatici.s.: of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and medications must be kcpt at building during progress of work. Owner's Name and Address. /4 .?.. No. S6 /-L street. Z/ -1-77411 .tegistered Architect and/or Engineer Zmploying Plumber's Name Ati a et. L'Ai6 No..Y7 /11 Street—J. Block 15�c2 Stroet 7 ; ; A. New Building Remodeling Addition Repairs No. of Stones Size Septic of Tank Feet of Drain Tile _______Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ..... __.. Size of Soakage Pit (Signed)_ Date ._ ..44Z -------- -- My Commission Expires Notary Public, State of Florida ....... • - • - • • • ■ ....... Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an endloyei of la kW' under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent f:upilement, and ha. eeri• . plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed I y him in :' wirk se b‘. performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publ: notice .m no icer s ay required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed, -1 .(..% this d.11.1it, licensed by Miami Shores Village. Mesta Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perional ppearvx. 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 nut all acts therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is mede•neoessary by improper notice for inspection, or !suit) materials and/or workmanship.