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PLUMBING PERMITBUILDING ELECTRICAL PLUMBING Owner of - Building 2Y'/;/ J i i ...) Architect Contractor or Builder Legal Description Address of Building This permit is gra cation herefor in strict 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 u.. u which this permit is granted is the understanding that the contractor or builder named above assumes the respo.- ibility for a thorough knowledge of .r.' - es an regulations pertaining to the work covered hereby whether shown on the planjs or awi or in a atements or specifications and t �+ respon- sibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree 'to rform the covered hereunder in compliance with all ordinances and r lions pertaining thereto and in strict conformity with the plans, drawing statements or specifications submitted to the proper autfi6 ties of Miami Slot War*. In ac ptinp This pernji I assume responsibility for a work doiie. * either myself, my agent, servant or employee. Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 6613 Work to be performed under this Permi i , � � - Bl. 'ii x ' ed to the co tor or b d -r n.i e. above to construct the building or to install the equipment of device described in the appli, mpliance with all ordinances pertaining thereto and w th the understanding that the work wil be performed in compliance with any Subdi- vision Value of Project BY r DATE Contractor's L icense No Amt. of Permit 194S AUTHORITY . CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N5 TOTAL FIXTURES CONTR. LIST 3 / 9 / / 40 / I CHECK -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL • CONTR. LIST CHECK Permit New Building Owner's Name and Address Registered Architect and /or Engi r _ Employing Plumber's Nam Street and Number where work is to be performed— No.__ ........ ____ State work to be performed and purpose of building (By Floors) _— Nature of Water Supply: City —Well ss. f • Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. - /617 Date_ ..eee(!2Z1 3 IZ_% Application is hereby made for the approval of the detailed statement of the plans and specifications heath 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. �G _ Street 5)/ L No. 7Y I /4/9treet_ Location and Legal Description Lot /S Y / Block i Subdivision Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Addition Re. airs No. of Stories Amount of Permit $__ (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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) .. �� .„ / Master Plumber. STATE OF FLORIDA, t 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 de oses 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. • t; ;UILDING LECTRICAL 'LUMBING )wrier of �uiiding architect 3ontractor )r Builder -.egal Description iddress of wilding This p o the con pliance with In consideration of the issuance to me of this permit I ag aertaining thereto and in strict conformity with the plans, dra n acc gis per " •` ass e responsibility for all work don MIAMI SHDRJS VI'L'LAGE, FLORIDA DATE PERMIT. ° I 6613 Work to be perfoxmed under A is Pernni Subdi- vision Value of Project BY Contractor's ense No Amt. of Permit or or bu er na i d above to construct the building or to install the equippment or vice des and wi t is gran ration herefor in strict co clans, drawings, statements or specifications that may have been ubreitted to and approved by the proper municipal authorities. This Permit .t any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition ;ermit is granted is the understanding that the contractor or builder named nbe s :e assumes e F respon " �r " y for a thorough knowledge of th egulations pertaining to the work covered hereby whether shown on die plans in or emen in ts or spe ications and ibility for work done by his agents, servants or employees. • �t13 11 ordinances pertaining thereto d d the understanding that t he work wiil be performed in co y the work coverra lterixtlnder in compliance with all or nts or specifications submitted to the proper authorities of yself, my agent, servant or employee. ed in the appli- iance with any may be revoked p this u o and on- Permit No. ___v2 Sl 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 complianc 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 Enginger Amount of Permit ? STATE OF FLORIDA, 1 COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Employing Plumber's Name_______ ______ ____r _ No Street Location and Legal Description Lot � f, Block Subdivision Street and Number where work is to be performed —No // 7 / C 2 4^G.7- Street State work to be performed and purpose of building (By Floors) Ii New Building Remodeling I I Addition____ 6- Repairs No. of Stories Size Septic Tank Type of Tank 1 Capacity Gals Feet of Drain Tile Dist. Feet of Tank o Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he rstands 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 wyrk to be per fed under this permit, as are licensed by Miami Shores Village. (Signed) Date /A 7/r �j No._/° 7 / L__ /!Street 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. . Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 I LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST / • -^ CHECK I �I SEPTIC TANK SEWER CONN. DRAIN F IELD SOAKAGE PIT GREASE TRAP SOLAR H EATER I DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST I CHECK Permit No. ___v2 Sl 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 complianc 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 Enginger Amount of Permit ? STATE OF FLORIDA, 1 COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Employing Plumber's Name_______ ______ ____r _ No Street Location and Legal Description Lot � f, Block Subdivision Street and Number where work is to be performed —No // 7 / C 2 4^G.7- Street State work to be performed and purpose of building (By Floors) Ii New Building Remodeling I I Addition____ 6- Repairs No. of Stories Size Septic Tank Type of Tank 1 Capacity Gals Feet of Drain Tile Dist. Feet of Tank o Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he rstands 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 wyrk to be per fed under this permit, as are licensed by Miami Shores Village. (Signed) Date /A 7/r �j No._/° 7 / L__ /!Street 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. . Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. - . kgiite M A/»'M. / /el 27-„e: -w - e, gpe,