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PLUMBING PERMITDate Application is hereby sna for the approval of the detailed statement of the plans and specifications herewith submitted fof the building or other structtuo 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 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. f Otvamr Name and Address . (•i J1 'C Registered Architect and /or Engineer. - __ - -_ __ —_.. Employing Plumber's Name 4', Location and Legal Description Lot :.>tr;et and Number where work is to be performed —No Size Septic Tank. ... -___ - Feet of Drain Tile. Nature of Water Supply: City —Well Amount of Permit $__ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank ' 'i No.. Blorlr Street__' Pi f Subdivision __- -- -_--- -- --_ -.^ Street. J,2 r` - State w: rk to be performed and purpose of building (By ju "' ,/4 New Building____.._ Remodeling— __ ___ __ Addition----- ___.._ Repairs_. i. No. of Stories- • ---- .-- . - - -' -- -- a -� No. ___Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) _ - -- 14 / �- 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 Pe • exit Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contra : s emp •yed 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 w such public notice or notices as are requital by the Act. The undersigned agrees to employ only such sub- contractors; ork to • : performed under this permit, as are licensed by Miami Shores Village. a (Signer).... Str eeL t Capacity Gals 7 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. 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. Cf6)3kYki BATH TUBS SHOWERS LAVA. Tem E6 SINKS INKS SLOP SINKS LAUNDRY Tuns URINALS CATCH imam FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES LISI' n C :11.CIS • �, V ~ SEPT'i. TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONr e. LIST — CHECK Date Application is hereby sna for the approval of the detailed statement of the plans and specifications herewith submitted fof the building or other structtuo 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 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. f Otvamr Name and Address . (•i J1 'C Registered Architect and /or Engineer. - __ - -_ __ —_.. Employing Plumber's Name 4', Location and Legal Description Lot :.>tr;et and Number where work is to be performed —No Size Septic Tank. ... -___ - Feet of Drain Tile. Nature of Water Supply: City —Well Amount of Permit $__ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank ' 'i No.. Blorlr Street__' Pi f Subdivision __- -- -_--- -- --_ -.^ Street. J,2 r` - State w: rk to be performed and purpose of building (By ju "' ,/4 New Building____.._ Remodeling— __ ___ __ Addition----- ___.._ Repairs_. i. No. of Stories- • ---- .-- . - - -' -- -- a -� No. ___Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) _ - -- 14 / �- 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 Pe • exit Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contra : s emp •yed 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 w such public notice or notices as are requital by the Act. The undersigned agrees to employ only such sub- contractors; ork to • : performed under this permit, as are licensed by Miami Shores Village. a (Signer).... Str eeL t Capacity Gals 7 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. 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT :17 Permit No i l — — 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 � — -.- Registered Architect and /or Engineer Employing Plumber's Name_ '. ''V" ' fir" f _ ~ / � ' ' No.. Location and Legal Description Lot Street and Number where work is to be performed—No.- STATE OF FLORIDA, } COUNTY OF DADE. i% Amount of Permit $. No. Size Septic Tank Feet of Drain Tile._ _._. I __ 1,__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. (Signed)_ '1 ( Signed )- -__ Street 7A-- Street_ Block Subdivision } - ___ Type of Tank_ — Capacity Gals My Commission Expires Notary Public, State of Florida treat- State work to be performed and purpose of building (By Floors)__________----- - - R`i i R,a,' _��?!? r ' +� New Building _ Remodeling __ _ _______ Addition Repairs l+"" No. of Stories ............ .. _ 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 - contract toyed 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 w such p is notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on\•:work t be perk ed artt er tl permit, as are licensed by Miami Shores Village. er Plumber. Before me, the undersigned authority, a notary public, duly authorized to adminilster 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 TUB, . RINALS 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 SWING POOL TR CON. LIST CHICK - - - - - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT :17 Permit No i l — — 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 � — -.- Registered Architect and /or Engineer Employing Plumber's Name_ '. ''V" ' fir" f _ ~ / � ' ' No.. Location and Legal Description Lot Street and Number where work is to be performed—No.- STATE OF FLORIDA, } COUNTY OF DADE. i% Amount of Permit $. No. Size Septic Tank Feet of Drain Tile._ _._. I __ 1,__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. (Signed)_ '1 ( Signed )- -__ Street 7A-- Street_ Block Subdivision } - ___ Type of Tank_ — Capacity Gals My Commission Expires Notary Public, State of Florida treat- State work to be performed and purpose of building (By Floors)__________----- - - R`i i R,a,' _��?!? r ' +� New Building _ Remodeling __ _ _______ Addition Repairs l+"" No. of Stories ............ .. _ 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 - contract toyed 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 w such p is notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on\•:work t be perk ed artt er tl permit, as are licensed by Miami Shores Village. er Plumber. Before me, the undersigned authority, a notary public, duly authorized to adminilster 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. - e Permit No.__.-- ._.2.. Size Septic Tank Feet of Drain Tile. Nature of Water Supply: City -Well My Commission Expires MIAMI SHORES VV.., PLUMBING INSPECTION DEPARTML•. APPLICATION FOR PLUMBING Date (Signed)._ Application is hereby made for the approval of the detailed statement of td- . ,inns and specifications herewitfi submitted for the building or other structure herein described. This application is made in compliance and co.;f:' with the `. Iilding Ordinance of Miami Shores Village Florida, and all provisions of the Laws of the State of Florida, all ordinances of Mimi' :iores Viiia; . &. za all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein speelfie '+r' ". A cop ;' 4 approved plans and specifications must be kept at building during progress of work. 1.t Aim Owners Name and Address_ 1 b ,ill '/ f% l+'u._ _ Y 0 _ ____ -- Street_lf c� / 7 Registered Arch ;.:ect and /or E��nng ____ —__ Employing Plumber's NameA4012i4 'C /LZ? _/1/1 e No. ________ /9, 4 -5 - Street /W , Location and Legal Description Lot._._. ______ _ __._ __ _ _ Block Subdivision Street and Number where work is to be performed- No..-_-.__ -A f — —_- __..__.___. StregtVtf/ S State work io be performed and purpose of building (By Floors). New Building _---- --- _-- ___ --- •_ -._._ Remodeling____ ____._ Addition Repairs No. of Stories Type of Tank. Capacity Gals _Dist. Feet of Tank or Drain Field from Well ............._..._ __. _Size of Soakage Pit " Z'e'' Amount of Permit $ — ` - - - - -_ _ _ _�. - - -- (Signed)_ ` C G - c' _ �°`/ ,,e -e / • l A umbing 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 5988, 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. STATE OF FLORIDA, COUNTY O DADE. fafere e, 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 eter&n `• • hi-D stated are true. 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. TORIEB SINKS SLOP SINKS LAUNDRY Tuff URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'o POOL CONTR. LIsT -�-- CHECK - e Permit No.__.-- ._.2.. Size Septic Tank Feet of Drain Tile. Nature of Water Supply: City -Well My Commission Expires MIAMI SHORES VV.., PLUMBING INSPECTION DEPARTML•. APPLICATION FOR PLUMBING Date (Signed)._ Application is hereby made for the approval of the detailed statement of td- . ,inns and specifications herewitfi submitted for the building or other structure herein described. This application is made in compliance and co.;f:' with the `. Iilding Ordinance of Miami Shores Village Florida, and all provisions of the Laws of the State of Florida, all ordinances of Mimi' :iores Viiia; . &. za all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein speelfie '+r' ". A cop ;' 4 approved plans and specifications must be kept at building during progress of work. 1.t Aim Owners Name and Address_ 1 b ,ill '/ f% l+'u._ _ Y 0 _ ____ -- Street_lf c� / 7 Registered Arch ;.:ect and /or E��nng ____ —__ Employing Plumber's NameA4012i4 'C /LZ? _/1/1 e No. ________ /9, 4 -5 - Street /W , Location and Legal Description Lot._._. ______ _ __._ __ _ _ Block Subdivision Street and Number where work is to be performed- No..-_-.__ -A f — —_- __..__.___. StregtVtf/ S State work io be performed and purpose of building (By Floors). New Building _---- --- _-- ___ --- •_ -._._ Remodeling____ ____._ Addition Repairs No. of Stories Type of Tank. Capacity Gals _Dist. Feet of Tank or Drain Field from Well ............._..._ __. _Size of Soakage Pit " Z'e'' Amount of Permit $ — ` - - - - -_ _ _ _�. - - -- (Signed)_ ` C G - c' _ �°`/ ,,e -e / • l A umbing 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 5988, 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. STATE OF FLORIDA, COUNTY O DADE. fafere e, 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 eter&n `• • hi-D stated are true. 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 fLECTRICAL PLUMBING Owner of Kuilding Architect Contractor r Builder L Description Address of zuilding Lat 1' MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's ,PERMIT 141*? 5223 to be performed under this Permi This permit is anted to the contractor or buil above to construct the building or to install the equt elation herefor in stria compliance with all ordinances pertaining thereto and with the understanding that the work wlfl be Wens, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. at. any time if the work is not done in compliance with such ordinances or if the plans are wrmit is granted is the understanding that the contractor or builder named . above tions pertaining to the work covered hereby whether shown on the plans ty for work done by his agents, servants or employees. Signed: In consideration o the issuance to me of this permit I agree to perform the work cov staining thereto and in strict conformity with the plans, drawings, statement, or in accepting this permit I assuirie responsibility for all work done by either myself, my :t • CONTRACT rt OR BUILDER BY in compliance with all crabwise/Is submitted to the proper authorities of Went servant or employee. AITIMARITT 194_ 0 ,t, • BUILDING ELECTRICAL PLUMBING ROOFING a Owner of BuildingF Architect Contractor or Builder Legal Lot Description I Bl CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA o PERMIT 0 N9 5100 DATE. — Contractor's s License No. k:: / / Work to be performed under this Permit BY AUTHORITY 19 Subdi- vision Address of Value of H Amount of ) Building 1" Project $ 11 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed. INSPECTOR tt In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances d r K agma_eons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities' of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. UloT BUILDING ELECTRICAL 'PLUMBING Owner of ti Building Architect Contractor ' £_j_.,, Legal Description Address of Building r-- Contractor's License No. W to be performed under this Permit ` .2 %/1_-t r �' 6 6-4 , 1..e..../. Lot . 1 Y / 1 CONTRA OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 5223 G w Bl. � ti -V DATE 1941 Subdi- ."."" vision Value of Project Au► �!'E Permit • This permit is :ranted to the contractor or bui er na d 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 ar • anged withou authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above a . • s th .onsib for horough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans . . p i . 1 eme. . specifications and tha- •bg assumes respon- sibility for work done by his agents, servants or employees. J/! , .,. Signed: ! / /! /ls. r B S. -'' 1 4 CTO: In consideration of the issuance to me of this permit I agree to perform the work cove hereunder in compliance withpprdinances 4nd 11ot p thereto and in strict conformity with the plans, drawings, statements or specific.ions submitted to the proper auth Ps of MiamiSh es age. In accepting this permit I assuive responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY Permit No `r Amount of 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` No. Registered Architect and /or En ineer ' 1 (� Employing Plumber's Name_� � /✓ - - No / 33 � 11 /✓) Street / .t' --- Location and Legal Description Lot. Block Subdivision__ Street -L =_ ,. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) ( Signed) Size Septic Tank Type of Tank as22 Date 1 t' __S. __ Street 9 / 'IA Street and Number where work is to be performed— No.__5_0 State work to be performed and purpose of building (By Floors) New Building " Remodeling Addition Repairs No. of Stories Feet of Drain Tile / Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well . Size of Soakage Pit My Commission Expires Notary Public, State of Florida 1-1 ' . -. Capacity Gals. C 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. 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 INKS 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 SW IM•G POOL CONTR. LIST CHECK Permit No `r Amount of 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` No. Registered Architect and /or En ineer ' 1 (� Employing Plumber's Name_� � /✓ - - No / 33 � 11 /✓) Street / .t' --- Location and Legal Description Lot. Block Subdivision__ Street -L =_ ,. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) ( Signed) Size Septic Tank Type of Tank as22 Date 1 t' __S. __ Street 9 / 'IA Street and Number where work is to be performed— No.__5_0 State work to be performed and purpose of building (By Floors) New Building " Remodeling Addition Repairs No. of Stories Feet of Drain Tile / Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well . Size of Soakage Pit My Commission Expires Notary Public, State of Florida 1-1 ' . -. Capacity Gals. C 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. 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. 4 ILDING ECTRICAL LUMBIN i tt =Nei'? r lit • �tJ` Architect Cditractor CfAe 13 or Wider Pr,i, er Legal Lot iption MIAMI SHORES VILLAGE, FLORID DAT RMIT N? 5276 Work to be performed under ,this P e A- C. Address of ,. � , Prue of Building - . ' This „ ed he contractor . uilder named abe ov toa nstruct the building or to inst l the - cdfion herefor in strict com pliance to t 'with all ordinanc #_ hereto and co with the uadarg that the wan drawings, statements or specifications That mtiy> have b- ,to and approved by the at plans, time if the work is not done in compliance with such na if the plans are permit is granted is the understanding that the contractor or builder named above regulations t._ the work covered hereby whether shown op the plans st ty for work done , his agents, servants or employees. Signed: ' ' ,F ar:w IL...., BY of the issuance to me of this permit I agree to perform the work in compliance width, all conformity with the plans, drawings, statements or to the proper su bility for all work done by either myself, my agen , servant or employee. 4 COO Lksense