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PLUMBING PERMITWILDING 'ELECTRICAL PLUMBING Owner of ©xk t o be performed under this Penni 1... / C J Th permit is grants to e ontractor or bider named above to construct the building or to install the equipmerit or d e described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perfo med in compliant with any iLos, statements or specifications that may have been submitted to and approved by the pro eri municipal authorities. This Permit may ,revoked at and+ tinne ti e work is not done in compliance with such ordinances or if the plans are changed o , authorization. A further condition up ; . ich this d is the understanding that the contractor or builder named above assumes the res orb t, for a thorough knowledge of th:.. "na es and p &taming to the work covered hereby whether shown on the plans or drawings or ip t e stn si ants or specifications and that ass xespon- or work done by his agents, servants or employees. 7 nsideration of the issuance to me of this permit I. ▪ agree to perform . e work covered hereunder in compliance with all ordinances and regulations and in strict con wit, the laps drawings; staterne is or s.:.eifications submitted to the proper authorities of Miami Shores it fe tt3' permit 1 assume respo sibilstlr br all wor C done by eitlt: •• *myself agent, serve or employee. MIAMI SHORES VILLAGE, F P RMIT N9 6732 Signed 1©RIDA DATE Subdi• vision Value of Project • By IFV OR Contractor's 149 se No Amt. of Permit AUTHORITY 1944. e ork to be ea a r or Omer or B OWE tECTRICAL "LUMBING Address of cation herefor strict statemen the work is at permit is granted is the ns pertaining to the MIAMI SHORES VILLAGE RT `? 6522 maed trader this Perin' have been sniitte th such ordinances or contractor or builder ri covered hereby whether shown on work done by his agents, servants or eayees, cansideaa oxi of kssuan�c to me of this permit I armit with the plans, m Mayne responsibility for all work do 41, I Amt. o Permit the egwu went or device described in the appli- work win be performed in compliance with any municipal authorities. This Perm may be revoked Y orization, A further condition _ Inch this thorou_ knowledge of and or sue ' ications and won- • compliance with all ordinances and r egulations d to the proper authorities of MianiiT$hores' Village. ployee. BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA ❑ DATE /I 2 6 195 CONTRACTOR OR BUILDER PERMIT N9 4693 Owner of _� Building - Architect Contractor , �` / or Builder Ei 4.` r+.�L. 0 t , g , u7 Legal Lot Description 11 Bl. Address of cif _ /t Building 16 g.'" /� . �f '"'� This permit is granted to the contractor or builder named above to construc 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 • uthorities. 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 authorize n. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the res•onsibility for •r• gh knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or draw' . e s or in statements .r ecifi .• Lions and that he assumes responsibility for work done by his agents, servants or employees. Signed. Work to be performed under this Permit INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work - ered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specif tions submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my nt, seryflt or employee. • i3' Subdi- Contractor's License No. LO Ctk. D0241 I n5/ 37s vision ��--•�� Value of Amount of Project $ '+ Permit $ AUTHORITY 64441W Size Septic Tank Feet of Drain Tile Nature of Water Supply: City Well Amount of Permit $ ! , ss. Registered Architect and /or Eng ..jo�/� Employing Plumber's Name --- Location and Legal Description Lot New Building Remodeling MIAINII SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No Block r Size of Soakage Pit Street (Signed) (Signed) �j Permit No �, 9/ I Date / % / 4__ 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subs itted for t1 e 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, alllordinances 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. ,( j / /y l-l'eG!!� � �Y Owner's Name and Address � � ?G_I �� /6 v /( C..Street 2' ` O No _ �Gl____ Street_____ Subdivision t State work to be performed and purpose of building (By Floors) Addition Repairs No. of Stories 'de' y Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well 1 ,4 mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati 's 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. Master Plumber. STATE OF FLORIDA, 1 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 j 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 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 SWIM'G POOL CONTR. LIST CHECK Size Septic Tank Feet of Drain Tile Nature of Water Supply: City Well Amount of Permit $ ! , ss. Registered Architect and /or Eng ..jo�/� Employing Plumber's Name --- Location and Legal Description Lot New Building Remodeling MIAINII SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No Block r Size of Soakage Pit Street (Signed) (Signed) �j Permit No �, 9/ I Date / % / 4__ 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subs itted for t1 e 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, alllordinances 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. ,( j / /y l-l'eG!!� � �Y Owner's Name and Address � � ?G_I �� /6 v /( C..Street 2' ` O No _ �Gl____ Street_____ Subdivision t State work to be performed and purpose of building (By Floors) Addition Repairs No. of Stories 'de' y Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well 1 ,4 mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati 's 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. Master Plumber. STATE OF FLORIDA, 1 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 j 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. Permit No (IP?I Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By-Fleera},.. New Building _ —____— ____ ........ ._ - - - - -- Remodeling Size Septic Tank__.______ Feet of Drain Tile____ — Nature of Water Supply: City —Well Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition.______ Repairs (Si - 4?- 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 kc t at building during progress of work �p A ' Owner's Name and Address --- A /v �� ...... No._ No._ / " ____� Street Registered Architect and /or Engineer_ -- r° �- -� - - -- Employing Plumber's Name ) 5S - V EEL _ _ �OG / ��Q , No .__ f 7 Street_d/- Block Subdivision 1 5� f street_ _ / Sj , No. of Stories_ ..._./ y _Type of Tank —__ Capacity Gals —Dist. 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 acre 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 bus com- plier 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 tlie Act. The undersigned agrees to employ only such sub- contractors, op work to be performed under this ' en 't, as are licensed by Miami Shores Village. 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 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 $LOO will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or worlonanship. CLOSETS BATH TUBS SHOWER! LAVA- TORIES INKS SINKS SLOP SINKS LAUNDRY TUBS RINALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHUCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Permit No (IP?I Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By-Fleera},.. New Building _ —____— ____ ........ ._ - - - - -- Remodeling Size Septic Tank__.______ Feet of Drain Tile____ — Nature of Water Supply: City —Well Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition.______ Repairs (Si - 4?- 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 kc t at building during progress of work �p A ' Owner's Name and Address --- A /v �� ...... No._ No._ / " ____� Street Registered Architect and /or Engineer_ -- r° �- -� - - -- Employing Plumber's Name ) 5S - V EEL _ _ �OG / ��Q , No .__ f 7 Street_d/- Block Subdivision 1 5� f street_ _ / Sj , No. of Stories_ ..._./ y _Type of Tank —__ Capacity Gals —Dist. 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 acre 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 bus com- plier 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 tlie Act. The undersigned agrees to employ only such sub- contractors, op work to be performed under this ' en 't, as are licensed by Miami Shores Village. 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 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 $LOO will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or worlonanship. Date PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) k S Addr s 779 � � Tax Folio /f �� �� / 7 Master Permit 0 /, Legal Description Owner / Lessee / Tenant J, 0s✓ £t. J 7 " Owner's Address /42 OU , (, 9/ r / Contracting Co Qualifier / pL)a/1jY nz o State# ere. (24 w Competency# Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMING MECHANICAL PAVING FENCE ihozed _400/14/1,-, WORK DESCRIPTION Estimated Cost /' (, p 0,0 0 WANING 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 IN'T'END TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Square Ft. 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, I authorize the above -named contractor to do the work stated. 1 S„iin re of Prcper 0 ?)cte; er or Condo Pres. NOTARY PUBLIC, STATE OF . MY COMMISS 2N EXPIRES: BONDED —_- TART PUMA i t , My Commission Expires: PERMIT FEE: APPROVED: Zoning Mechanical Amy 2 q X99/ ORIDA. . 29, 1995. ITERS. Nc;;aiy as to Owner and /or — ondo President * * SS# * Fire • Address Address Address Address Sig Date: Phone 7,5 7 7 /d3 . / /x;;.0 c7 - / /r7 Phone Ins. Co., ? /e2 .s. ( of Contractor or Owner NOTARY PUBLIC, STATE OF FLORIDA. MY COMMISSION ENNI/ES: Sept. 29, 1995. BONDED THRU NOTARY U1 t C UNDERWRITERS. Notary as to Contractor or Owner- BuildL:: My Commission Expires: * * * * Other Engineering * * SIGN Building Electrical t STATE OF FLORIDA DEPARTMENT OF HEALTH ANL, REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS /ri f. Chapter 100 -6, FAC Date of Application / J / 6, jam% PART I - APPLICATION. =. Permit Application Number ` _ r • ( Ok Name of Owner �Q q CO 1 9 07,O Telephone Number ` 53 - 34/i9 Mailing Address of Owner Owner's Agent 1 - oz-21 ^,/ I 1 : et., i S n.r Builder Agent's Mailing Address /63 3 f Lr/, 4! ,y/ yo f / • , Telephone No 77 — // S'"/ Property Street Address Ai) 1 , /, / 0 9 . Lot No. Block No Subdivision Date Subdivided NOTE: IF NOT IN A SUBDIVISION ATTACH A METES AND BOUNDS DESCRIPTION This Application is for: New System Repair Type of Establishment Sewage Flow (Gallons per day) TOTAL FLOW = AUDIT CONTROL NO Applicant's Signature . ; . f c J HRS-H Form 4015, Feb 85 (Obsoletes previous editions which may no t be used) (Stock Number. 5744 - 001 - 4015 -1) ft Existing System Sewage Flow Based On Type of No. Bedrooms Heated or Cooled Area No. Dwelling Sewage Flow Residential (each dwelling unit) (each dwelling unit) Units (Gallons per day) ,f tJ r'G' P^7 /1f 3 30D ft2 Exact Directions to Property Page 1 of 3 BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contract or Builder Legal Lot Description Address of Building This permit is grante to the contractor or b er named a e construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinance pertaining thereto an 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 u... which this permit is granted is the understanding that the contractor or builder nam • . .'b . e ass ' es the . ons' - ilit for a thorough knowledge of es and regulations pertaining to the work covered hereby whether shown on th plans •r . 'ngs . in t • . at- nents or specifications and th espon- sibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agr pertaining thereto and in strict conformity with the lans, dr In accepting this permit I assume responsibility for all work do w 4, Work to be »(rformed under this Permit CONTRACTOR OR BU ER MIAMI SHORES VILLAGE, FLORIDA DATE 194e Contractor' /7_ Li,ii . ERM1T N° 6522 2)'4 Subdi- vision Value of Project BY orm the work covered hereunder in compliance with all ordinances and regulation§., atements or specifications submitted to the proper authaitles of Miami Sh6es0710age, er myself, my agent, servant or employee. AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Contractor or Builder Architect Le Lot Description Adatess of Building MIAMI SHORES VILLAGE, FLORIDA DATE RMIT N2 6732 Contractor's Li nse No - work to be performed under this Permit •�L. � � Bl. Subdi- vision Value of Project This permit is granted to the contractor or lfuilder named above to construct the building or to install the equipment or vice described in the appli- cation 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 u•. which this permit is granted is the understanding that the contractor or builder named above assumes the responsibi ' "y for a thorough knowledge of . ord' , ances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the,s ements or spec' ''cations and tha e as s respon- sibility for work done by his agents, servants or employees. Signed: t 4- t /1..t/ c 7 INSPECTOR C /, Amt. of Permit By 6' 1941L perform a work covered consideration of the issuance to me of this permit I agree to red hereunder in compliance with aJlpordinances and te ns pertainin iereto and in strict conformity with the plans, drawings, statements or ecifications submitted to the proper authorities of Miami Shores Village. In accep n this permit I assume responsibility for all work done by either myse y agent, servant or employee. CONTRACTOR OR BUILDER r BY AUTHORITY Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is he y made for the approval of the detail 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__ 1" . 4, _� _ r __,_____F_[ _L t No._______ / �3 Registered Architect and /or Engineer Employing Plumber's Name A 4 4.1__c2_.!__ S _______�! I l`:'l Block 7 Subdivision - No._ Street_ ' 47 41(1 f2. L't Location and Legal Description Lot � r 2 Street and Number where work is to be perfonned -No Stzeet_A/ P/ Date a ' 2 .5. 5z4 Street_ ,0 9.1 r/ 3 / State work to be perform d and purpose of building (By Floors) New Building ✓ Remodeling Addition__ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City - Well._ Amount of Permit $ ss. Repairs / No. of Stories (_..______Type of 1)- 1___ _ Capacity Gals L} Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit - - - (Signed) - Plumbing Inspector. The undersigns app ' nt for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida W en'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) My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 1 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 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 SWIM G POOL CONTR. LIST / ' CHECK Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is he y made for the approval of the detail 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__ 1" . 4, _� _ r __,_____F_[ _L t No._______ / �3 Registered Architect and /or Engineer Employing Plumber's Name A 4 4.1__c2_.!__ S _______�! I l`:'l Block 7 Subdivision - No._ Street_ ' 47 41(1 f2. L't Location and Legal Description Lot � r 2 Street and Number where work is to be perfonned -No Stzeet_A/ P/ Date a ' 2 .5. 5z4 Street_ ,0 9.1 r/ 3 / State work to be perform d and purpose of building (By Floors) New Building ✓ Remodeling Addition__ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City - Well._ Amount of Permit $ ss. Repairs / No. of Stories (_..______Type of 1)- 1___ _ Capacity Gals L} Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit - - - (Signed) - Plumbing Inspector. The undersigns app ' nt for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida W en'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) My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 1 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. Permit No._ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subnlltted' for a building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami S ores 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 bomplied 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 BL 6 E- 7 Registered Architect and /or Engineer Employing Plumber's Name /27/1,,t, fr . u E Location and Legal Desci iptidh Lot 7 G_ Street and Number where work is to be performed— No._ (>18 State work to be performe and purpose of building (By Floors) New Building Remodeling Addition Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ efr, ss. MIAMI SHORES VILLAGE PLUMIBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 09 /i e N "6 8 Street c7l s' Block 7 N, �C.Gvr� L" Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) Plumbing Inspector. The undersigne 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 perniit, as are licensed by Miami Shores Village. (Signed) Date No /o ff 7 2 Street__ ' C) `-5—(/'°r- Subdivision ( `� j sr Sr Street Ir. Repairs No. of Stories 7 1 )2 2 - STATE OF FLORIDA, COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. 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 TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST . / C� /,� p.1 0.8 B1PC. CHECK • SEPTIC TANK SEWER CON DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL. yyy / � ]�` ` `/ CONTR. LIST / CHECK F� 1 7 W Permit No._ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subnlltted' for a building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami S ores 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 bomplied 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 BL 6 E- 7 Registered Architect and /or Engineer Employing Plumber's Name /27/1,,t, fr . u E Location and Legal Desci iptidh Lot 7 G_ Street and Number where work is to be performed— No._ (>18 State work to be performe and purpose of building (By Floors) New Building Remodeling Addition Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ efr, ss. MIAMI SHORES VILLAGE PLUMIBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 09 /i e N "6 8 Street c7l s' Block 7 N, �C.Gvr� L" Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) Plumbing Inspector. The undersigne 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 perniit, as are licensed by Miami Shores Village. (Signed) Date No /o ff 7 2 Street__ ' C) `-5—(/'°r- Subdivision ( `� j sr Sr Street Ir. Repairs No. of Stories 7 1 )2 2 - STATE OF FLORIDA, COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. 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. WE SELL AND INSTALL CRANE PLUMBING t ficut;e / /7) 4. MARR PLUMBING COMPANY 1277 N. W. 54th Street a-4 1%. et/LA/Lev / ,c; ( Miami 42, Florida Telephone: 7-0433 •—■wornwoolf. 5.-/ Quality Materials--Skilled Workmanship