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PLUMBING PERMITBUILDING ❑ ELECTRICAL PERMIT PLUMBING ❑ ROOFING ❑ Owner of Building MIAMI SHORES VILLAGE, FLORIDA N° 7227 Work to be performed under this Permit 31• Signed: DATE 2- is 19 `r' Contractor's License No. r Z 2 ' Architect Contractor or Builder /, c / 1t O /' e'' c 7 , 1 `r , / Legal Lot subdi_ Description II BI vision Address of '4 > , <1/ Value of 1 Amount of - Building - Project $ 1 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. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compl 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 as cepting this permit I a responsibility for eall work done by either, lyself, my ag servant or em ' COIVTRACI'OR OR BUILDER BY AUTHORITY 11BBOT ik a i: MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date.. ® V 2 -- , /961 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 unng progress o wor d f work. Owner's Name and Address t__ .1V. 0 No. ' 3 5 3 ___ Street' " C 7 / 7 .1..? Registered Architect and /or Engineer____ Employing Plumber's Name_MI _L ! ! 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 Floors)__- _.__._____._ x Size Septic Tank Feet of Drain Tile-_ Nature of Water Supply: City —Well . C9 6 Amount of Permit $__ . My Commission Expires Ye e A )1 No.. Block (Signed)- New Building Remodeling_ -- ____ -_ Addition__- _ -___._ Repairs The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors performed under this permit; and will post or cause to be posted' for inspection on the of the wor required by the Act. The undersigned agrees to employ only such sub- contractors, ork to licensed by Miami Shores Village. Street.. A# 6 L37 Subdivision f3 __5 s ne- Ise" _, RR t e id 2.5 .3LL No. of Stories. Type of Tank_._ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well -------- _ -__ -- __ -� -- - Size of Soakage Pit Notary Public, State of Florida Plumbing Inspector. bligations as an employer of labor nt Supplement, and has con- ed by him in the work to be lic notice or notices as are under this permit, as are Master Plumber. STATE OF FLORIDA, es. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer .aths and take aclmowledgments, 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•necesary by improper notice for inspection, or faulty materials and /or workmanship. CLOUSTB BATH TUBS SHOWERS LAVA. TORIES I SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. L1GT CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. 1.1111T CHECK ik a i: MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date.. ® V 2 -- , /961 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 unng progress o wor d f work. Owner's Name and Address t__ .1V. 0 No. ' 3 5 3 ___ Street' " C 7 / 7 .1..? Registered Architect and /or Engineer____ Employing Plumber's Name_MI _L ! ! 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 Floors)__- _.__._____._ x Size Septic Tank Feet of Drain Tile-_ Nature of Water Supply: City —Well . C9 6 Amount of Permit $__ . My Commission Expires Ye e A )1 No.. Block (Signed)- New Building Remodeling_ -- ____ -_ Addition__- _ -___._ Repairs The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors performed under this permit; and will post or cause to be posted' for inspection on the of the wor required by the Act. The undersigned agrees to employ only such sub- contractors, ork to licensed by Miami Shores Village. Street.. A# 6 L37 Subdivision f3 __5 s ne- Ise" _, RR t e id 2.5 .3LL No. of Stories. Type of Tank_._ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well -------- _ -__ -- __ -� -- - Size of Soakage Pit Notary Public, State of Florida Plumbing Inspector. bligations as an employer of labor nt Supplement, and has con- ed by him in the work to be lic notice or notices as are under this permit, as are Master Plumber. STATE OF FLORIDA, es. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer .aths and take aclmowledgments, 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•necesary by improper notice for inspection, or faulty materials and /or workmanship. z Z Permit No - - -- - -- - - -- - r� Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. as. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date__ _/ A 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 P __J1 %� c A Registered Architect and /or Engineer __,______________ _- - _ � - - - -- - - - -- ....... -- ..... Jr _ ____ - _ -- Employing Plumber's Nami! aaX B ®ay _. er/C j* - -- No j 1/4 Street... Location and Legal Description Lot p � Street and Number where work is to be performed —No L L 52 ° 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 of Drain Tile_ Nature of Water Supply: City— Well._______________________ ______Size of Soakage Pit__ Block Subdivision -• -- ------------- -_ - -- - - -� Capacity Gals. ist. Feet of Tank or Drain Field from Well (Signed). Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h' ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida =anent 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 o the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on drk to be pefprme der this permit. are licensed by Miami Shores Village. (Signed L street_d % _ 4 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personalh' 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 Master Plumbs 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 SHOWERD LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U 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 — . — _— CHICK z Z Permit No - - -- - -- - - -- - r� Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. as. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date__ _/ A 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 P __J1 %� c A Registered Architect and /or Engineer __,______________ _- - _ � - - - -- - - - -- ....... -- ..... Jr _ ____ - _ -- Employing Plumber's Nami! aaX B ®ay _. er/C j* - -- No j 1/4 Street... Location and Legal Description Lot p � Street and Number where work is to be performed —No L L 52 ° 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 of Drain Tile_ Nature of Water Supply: City— Well._______________________ ______Size of Soakage Pit__ Block Subdivision -• -- ------------- -_ - -- - - -� Capacity Gals. ist. Feet of Tank or Drain Field from Well (Signed). Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h' ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida =anent 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 o the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on drk to be pefprme der this permit. are licensed by Miami Shores Village. (Signed L street_d % _ 4 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personalh' 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 Master Plumbs 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. State # PERMIT APPLICATION FOR MfAMI SHORES VILLAGE �� may_ )/J � / Date i ° "' 7 2 Job Address...J--� i ' 6 e' i ( / Tax Folio 1/ Ja /a / / 26 Legal Description E 4 , / i /14 0 mei/ Lessee / Tenant / m� 'ey '''' Master Permit # J -' Owner's Address ,-.1 % J Phone 7,5 7 '5 ' Contracting Co. e Vi�rS .- Address s /(, / 4 • Arr ° /45/ Qualifier "/ Are J * 117. ' ®/' Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): UILDING ELECTRICAL PLUMBING WORK DESCRIPTION /V �� �/ Ov dI • 5 � / f� a e-?0,wr e: ,3 I 43 - / 0 d�/ ° AL 4 j l Square Ft. Estimated Cost(value) 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, I authorize the above-named contractor to do the work stated. ee 6 Signature of owner and/or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: PEES: PERMIT 9° RADON C.C.F. Ir© APPROVED: Zoning Buildin Mechanical Plumbin Signature of Contractor or Owner- Builder Da MECHANICAL ROOFING PAVING FENCE SIGN /f .:S© v. /.5'6). Notary as to Contractor or Owner- Builder My Commission Expires: °� ':�•, -- :�x: .cam niY CG • - gPIKES * * * * * * * * * * -�� y- r ,� it I, ** * � O Q'i � ° BOW ED THRU NAARY �PUBLIDK},yl)F:h NOTARY TOTAL DUE (( ©rr Fire Other Electrical � / / Engineering Date PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY Legal Description Owner's Address o% signature ate: / Lessee / Tenant Contracting Co ?/ � Address ��� s 9• /`.° ;' ,/ Qualifier ��/ � �� — - Phone fi* State# Competency # Ins:Co. Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING '•• f.ECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION v96/ �� /77;r -e /-1,/ %)(7o2-4z,i417 Square Ft. Estimated Cost /�W �® 'JARNING 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 LLECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a'permit to do work and installation as indicated above, and )n 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 )ermits are required for•ELECTRICAL, PLUMBING, SIGNS, POOLS; ROOFING, and MECHANICAL work. AMER'S AFF DAVIT: I certify that all the foregoing information is accurate and that all work All be ••ne in compliance with all applicable laws regulating construction ER'S and zoning. 'urthermo -e, I a thorize the above -named contractor to do the work stated. P pert ( OWNER TO RETAIN COPY ) Address 3 5 3 NE 6)0 G L-{C/ Mechanical 5 ondo Pres. Signature of .Contractor or Owner - Builder 96 of*. -.A1 l •'(ns y a. A r o t a r ` s ; , .o President Notary as to Contractor or Owne :u Id iy Comm ssio pi'' I Iowa My Commissio3' :f,'res RMANDO G. CUBAS 'r * * * * • * * * * f * ' ' MY COMM 7 b i 5 IRES * fir • 'ERMIT FEE: ED : Fire 4 n , • ED THRU NOTARY PUBLIC UNDERWRITERS Zoning Building Plumbing Address Address Address Tax Folio Master Permit # Phone Electrical 0' I Engineering Namemer I Home PH :- Work PH • Service Address : ? j 5 /1j City SC: Zip ?/- j Buyer Name/ Mailing Address City St. Zip Federal Taxpayer ID# Acct. #' - Tax District 0' City ❑ County Date Required Contact Name Phone No. Date Scheduled Salesperson GAS SERVICE ❑ LPG -Bulk Natural ❑ LPG -MTR ❑ Other ❑ LPG -Cyl 1- w 1 11 2 J W a N W ❑ dirt ❑ brick ❑ paved ❑ width ❑ trees ❑ fences ❑ walks ❑ bushes ❑ sprinkler . ❑ bore: ❑ new ❑ existing ❑ block ❑ frame ❑ stucco ❑ siding ❑ other ' ❑ ROUGH IN NEEDED MAP ❑ LOCATION SERVICE TYPE ❑ Restart ❑ Retentio Revenue SIC Code <New On ❑ Reactivate ❑ Ret /Add 0 New Off 0 Added Load 0 Other Rate Class 3 i = AFE # 1 ❑ asphalt ❑Existing ❑under ❑ flat ❑ New ❑ attic ❑ tile length ❑ inside ❑ regular size ❑ outside ❑ tin relief ❑ in wall ❑ 12 pitch pan: ❑ metal ❑ rock ❑ w/h ❑ other ❑ plastic ❑ range attic Y N Existing: ❑heater , under Y N size ❑ other slab Y N New: El w/h size ❑ range total size length to w/h ❑heater difficulty: ❑ simple to other ❑other 1 ❑ moderate ❑ difficult AMOUNT TO C ustomer Approval: 42464 stubouts outlets ❑ W/H SHED ❑ W/H STAND ❑ COMB VENT ❑ THERMOSTAT WIRING Distance from street: ❑ 100# cyl ❑ 120 tank ❑ 250 tank ❑ other ❑ DRAIN FIELD ❑ SEPTIC TANK ❑ ABOVE GROUND ❑ BELOW GROUND (Ts RECEIVED AUG 10 1993 DISTRIBUTION RECEIVED AUG 0 61993 rNGINEERlwG OEOT Customer _ Name Home PH Work PH Service Address 3' 3 City . St Zip ?/ Buyer Name/ Mailing Address City St. Zip Federal Taxpayer ID# Acct. #'` , . >. Tax District 2' City ❑ County Date Required Contact Name Phone No. Date Scheduled Salesperson GAS SERVICE ❑ LPG -Bulk ITNatural ❑ LPG -MTR ❑ Other ❑ LPG -Cyl 1- >W W J W aN W, ❑ dirt ❑ brick ❑ paved ❑ width ❑ trees ❑ fences ❑ walks ❑ bushes ❑ sprinkler ❑ bore: ❑ new B ❑ existing ❑ block ❑ frame ❑ stucco ❑ siding ❑ other ❑ ROUGH IN NEEDED MAP ❑ LOCATION SERVICE TYPE ❑ Restart ❑ Retention ,Q•�New On ❑ Reactivate ❑ Ret/Add ❑ New Off ❑ Added Load ❑ Other ' 1. t ai AMOUNT TO C Revenue SIC Code Rate Class 1 AFE # ❑ asphalt ❑Existing ❑under stubouts ❑ flat ❑ New ❑ attic outlets ❑ tile length ❑ inside ❑ W/H SHED ❑ regular ❑ tin size 0 outside ❑ W/H STAND relief ❑ in wall 0 COMB VENT ❑ 12 pitch pan: ❑ metal ❑ WIRING THERMOSTAT ❑ rock ❑ w/h ❑ plastic ❑range slab Y size ❑ other Distance from street: attic Y N Existing: ❑ heater under Y N size ❑ other ❑ 100# cyl N New: ❑ w/h ❑ 120 tank size ❑ range ❑ of tank ❑other length to w/h ❑heater ❑DRAIN FIELD difficulty: ❑ simple to other ❑other ❑ SEPTIC TANK y p appls. ❑ ABOVE GROUND ❑ moderate ❑ difficult total ❑ BELOW GROUND id • ustomer Approval: C_v9 S ( TLS /• \ ETA Our 42464 RECEIVED AUG 10 1993 DISTRIBUTION RECEIVED AUG 0 61993 FNGINEER!wfi DEPT PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address 353 NE 91 STREET Tax Folio' lz4 I3 GSQ 1 Legal Description 'rY 1101,p ,779 ster Permit # , fi /ff.;5 Owner / Lessee / Tenant Owner's Address Contracting Co. NORTH DADE SEPTIC TANK Qualifier DENNIS NEVILLE State# 00 0258368 Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL /4LUMBING' MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION 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. 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 constrrua •n and zoning. Furthermore, I authorize the above -named contractor to do the orkstat 7/ 1 Signature of Owner and /or Condo President Date: Not y as-to (; w: My .Commission 300 SQ FT PERMIT FEE: APPROVED: Zoning Mechanical 353 NE 91 STREET, 33138 INSTALL DRAINFIELD LEONA HOWARD Fire SS# phone 754 - 3375 Competency# 12842 (lf/, Address Address Address Building umbin Address Signa Date: 14 .Ck- /NOTARY��R 4Kft44 DA AT aG nez Notary as to Co res: co MISSION EVIRES 1UZ'a 19, 1993 My Commission E *SANDED TORu 11LICKISEI*39` -' ASSACIATIM * Estimated Cost $1250.00 phone 800 NW 111 STREET, 33168 Ins . Co . MARYLAND CASUALTY Contractor or Owner - Builder 0-2a-q) ac actOiefiiy9 a l ili AT 1 ARM i re s ay COMMISSION EXPIRES JUNE 19, 199$ *NOM IILICKIEYORY i AS9RCIATES Other Electrical Engineering 751 -6286 Permit No 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 Dopy of approved plans and specifications must be kept st building during progress of work. 1,KtA Owner's Name and Address Registered Architect and/orer En £mployiag Plumber's Name G A Lan / N e n: I:. • • ti Lot_ (S r work is to be performed —No Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Sign ( No Size Septic Tank— Type of Tank____ Feet of Drain Tile. — ____—__Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City—WeIL Size of Soakage Pit. 55.3 Street. AI F W4. Na. .�....... iw.e.. ...... 3 0 Block `� subdivision.* *M State work to be performed and purpose of building (By Floors)__. New Building____________ ...... Remodeling____. _ -- Addition.. _ Repairs No. of Stories _7 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 bd.( com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wore re 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 err required by the Act. The undersigned agrees to employ only such nub -contr ct rso —on work to d er this pnnit, as are licensed by Miami Shores Village STATE OF FLORIDA, i u. 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 $1.00 will be made when is ar•speoden 1 sooda•ssomsery by improper notice for inspection, ar faulty materials and /or workmanship. CLOTS SE BATH Tu.S SHOWER[ LAVA- TORIES SINKS SLOP so." LAUNDRY Twos URINAL[ CATCH FLOOR DRAIN DRINKING FOUNT'N• TOTAL FIXTURES NT Comm LIST CHECK 7 / — SEPTIC TANK SSWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER Dear WELL a STSTEM aWIM•O POOL CONTR. LIST CHECK Permit No 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 Dopy of approved plans and specifications must be kept st building during progress of work. 1,KtA Owner's Name and Address Registered Architect and/orer En £mployiag Plumber's Name G A Lan / N e n: I:. • • ti Lot_ (S r work is to be performed —No Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Sign ( No Size Septic Tank— Type of Tank____ Feet of Drain Tile. — ____—__Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City—WeIL Size of Soakage Pit. 55.3 Street. AI F W4. Na. .�....... iw.e.. ...... 3 0 Block `� subdivision.* *M State work to be performed and purpose of building (By Floors)__. New Building____________ ...... Remodeling____. _ -- Addition.. _ Repairs No. of Stories _7 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 bd.( com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wore re 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 err required by the Act. The undersigned agrees to employ only such nub -contr ct rso —on work to d er this pnnit, as are licensed by Miami Shores Village STATE OF FLORIDA, i u. 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 $1.00 will be made when is ar•speoden 1 sooda•ssomsery by improper notice for inspection, ar faulty materials and /or workmanship. Permit No '2l ft di 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 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. Owners Name and Address Registered Architect and /or En /� Location d I.a Des tion Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By y Ftoo[s)__.. New Building.--_-.__- __.._-...-.. - -. - -- Remodeling Size Septic Tank Type of Tank____ Feet of Drain Tile Disc Feet of Tank or Drain Field from Well..._.__ - Nature of Water Supply: City—Well. Size of Soakage Pit. Amount of Permit $ Bkx� 4zif subdivision Addition...__`! .._ Repairs No. of Stories .............. ( Signed )- (SI No 3S ,5 Street.! E 1 5 77 _. %Z / E 8 6 Da te 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 employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and liar cm- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worb• 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 arr required by the Act. The undersigned agrees to employ only such cab -oontr .iwork to f ..prrrf • under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, I se. 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 whoa mob se.ispotiaa is soade•naosseery by improper notice for 1e8p.ctl014 or faulty materials and /or workmanship. GLOB[Ta BATH TUBS / aHOW[RB LAVA- TORIIS / SINKS SLOP SINKS LAUNDR Tuve URINAL{ CATCH B ASIN FLOOR DRAIN DRINKING FOUNT'N[ TOTAL FIATUR[B - CONTR. LIPT / CHECK l / SEPTIC TANK SEWER CONN. DRAIN PHILD SOAKAGE PIT G TRAP SOLAR HEATER Day WILL 8 SYSTEM SWIM'G FOOL CONTR. Lin' Permit No '2l ft di 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 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. Owners Name and Address Registered Architect and /or En /� Location d I.a Des tion Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By y Ftoo[s)__.. New Building.--_-.__- __.._-...-.. - -. - -- Remodeling Size Septic Tank Type of Tank____ Feet of Drain Tile Disc Feet of Tank or Drain Field from Well..._.__ - Nature of Water Supply: City—Well. Size of Soakage Pit. Amount of Permit $ Bkx� 4zif subdivision Addition...__`! .._ Repairs No. of Stories .............. ( Signed )- (SI No 3S ,5 Street.! E 1 5 77 _. %Z / E 8 6 Da te 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 employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and liar cm- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worb• 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 arr required by the Act. The undersigned agrees to employ only such cab -oontr .iwork to f ..prrrf • under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, I se. 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 whoa mob se.ispotiaa is soade•naosseery by improper notice for 1e8p.ctl014 or faulty materials and /or workmanship. Permit No....,L. (_1 Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Mork Type of Tank T)ist. Feet of Tank or Drain Field from Well Size of Soakage Pit.. (Signed) 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. P - ' Owners Name and Address �� �'%� ��� No S treet._ 9/ . Registered Architect and /or Engineer Employing Plumber's Name)? any , / / - - Na © . ...,.. itrest—i! ... .G�-- Location and Legal Description Lht__ n Subdividon. — Street and Number where work L to be performed —No ' � - street .� -.__.._ ±/ (5. State work to be performed and purpose of building (By Floors)__-__ New Building.__-._ -_-- - .._ -. Remodeling-- Addition. - - -__ .__ Repairs No. of Stories ...... .. .... ........ -Capacity Cali.. 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 Shwa Village. / �_ -• ( signed) Muter Plumber. STATE OF FLORIDA, 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 be is the of the above described construction, that be 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 E:plres Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when snob roispeotiao is mede•neass-ry by improper notion for inspection, or faulty materials and /or w rk®saship. CLOSETS BATH TUGS SHOWER[ LAVA. TORIES SINK[ SLOP SINK[ LAUNDRY Twos U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N• TOTAL FIXTURE[ CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIRLD SOAKAGE PIT GREASE TRAP SOLAR MEATIER DEEP WELL 5 . SYSTEM SWIM•G POOL COMM. LIST CHECK Permit No....,L. (_1 Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Mork Type of Tank T)ist. Feet of Tank or Drain Field from Well Size of Soakage Pit.. (Signed) 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. P - ' Owners Name and Address �� �'%� ��� No S treet._ 9/ . Registered Architect and /or Engineer Employing Plumber's Name)? any , / / - - Na © . ...,.. itrest—i! ... .G�-- Location and Legal Description Lht__ n Subdividon. — Street and Number where work L to be performed —No ' � - street .� -.__.._ ±/ (5. State work to be performed and purpose of building (By Floors)__-__ New Building.__-._ -_-- - .._ -. Remodeling-- Addition. - - -__ .__ Repairs No. of Stories ...... .. .... ........ -Capacity Cali.. 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 Shwa Village. / �_ -• ( signed) Muter Plumber. STATE OF FLORIDA, 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 be is the of the above described construction, that be 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 E:plres Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when snob roispeotiao is mede•neass-ry by improper notion for inspection, or faulty materials and /or w rk®saship. Permit No Application is hereby made for the approval of the detailed statement of tn;, plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confoa,.,y 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 net. 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 Eng7ffeer ..... _____ Employing Plumber's Name Size Septic Tank Feet of Drain Tile. Amount of Permit $ STATE CF FLORIDA, COUNTY OF DADE. MIAMI SHORES VIL`a,G PLUMBING INSPECTION DEPARTMEl ' APPLICATION FOR PLUMBING Location and Legal Description Block_ 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 No. 3 Street. Repairs Type of Tank __Dist. Feet of Tank or Drain Field from Well Nat: re of Water Supply: City—Well. — t — __... _.Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblijations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perinanent 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 York to be performed under this permit, as are licensed by Miami Shores Village. 4 T j % i v� c-,- ��. � , ', LL i (Signed) - - -- � : ' Master Plumber. Street. _4 Date T �' % - � f c -= _ ..... _............ —.— Subdivision ` �i () C Capacity Gals No. of Stories /. Plumbing In §¢ector. o My Conunission Expires Notary Public, State of Florida 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 W 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 POOL CONTR. LIST _ - -.- CHECK Permit No Application is hereby made for the approval of the detailed statement of tn;, plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confoa,.,y 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 net. 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 Eng7ffeer ..... _____ Employing Plumber's Name Size Septic Tank Feet of Drain Tile. Amount of Permit $ STATE CF FLORIDA, COUNTY OF DADE. MIAMI SHORES VIL`a,G PLUMBING INSPECTION DEPARTMEl ' APPLICATION FOR PLUMBING Location and Legal Description Block_ 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 No. 3 Street. Repairs Type of Tank __Dist. Feet of Tank or Drain Field from Well Nat: re of Water Supply: City—Well. — t — __... _.Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblijations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perinanent 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 York to be performed under this permit, as are licensed by Miami Shores Village. 4 T j % i v� c-,- ��. � , ', LL i (Signed) - - -- � : ' Master Plumber. Street. _4 Date T �' % - � f c -= _ ..... _............ —.— Subdivision ` �i () C Capacity Gals No. of Stories /. Plumbing In §¢ector. o My Conunission Expires Notary Public, State of Florida 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. Miami Shores Village Plumbing Inspection Miami Shores, Florida please issue permit for 1 _ _ /1 + '� ! September 16th, 1955 JOHN BE NLTT 353 N. E. 91st St Removal of old sink Replace v.ith dishv'asher, disposal and sink combination Paul T. Dixon 111 N. W. 54th STREET BUILDING ELECTRICAL PLUMBING CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 8712 DATE Work to be performed under this Permit Owner of Building t_ Contractor's License No. 194_ Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building 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 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 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 By INSPECTOR I 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 ..... __ - -- -- - -- MIAMI SHORES VIL 3AG Z PLUMBING INSPECTION DEPARTMEN' : APPLICATION FOR PLUMBING i�u1 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 conform;ty 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 co nplied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. j �, ) g am, d / ?'\ Owner's Name and Address :___ ' No.__________ Street_ Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Block_ q , Subdivision Street and Number where work is to be performed —No v � - Street_ State work to be performed and purpose of building (By Floors) New Building _________________________ _______ Remodeling___ __ Addition______ .— Repairs No. of Stories Size Septic Tank No.___-- _- _._._---- .._.__ Street___ Type of Tank__ Capacity Gals Feet of Drain Tile _____.__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —W Amount of Permit $ __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 Worlanen'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. p i (Signed)_ 1- -- -- _ S`AATE OF FLORIDA, '" iV /k/ l /Af / ' - i 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 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 TUB S SHOWERS S LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N6 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H CATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL. CONTR. tier CHECK q- "1.: n "> - n ,. Permit No ..... __ - -- -- - -- MIAMI SHORES VIL 3AG Z PLUMBING INSPECTION DEPARTMEN' : APPLICATION FOR PLUMBING i�u1 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 conform;ty 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 co nplied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. j �, ) g am, d / ?'\ Owner's Name and Address :___ ' No.__________ Street_ Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Block_ q , Subdivision Street and Number where work is to be performed —No v � - Street_ State work to be performed and purpose of building (By Floors) New Building _________________________ _______ Remodeling___ __ Addition______ .— Repairs No. of Stories Size Septic Tank No.___-- _- _._._---- .._.__ Street___ Type of Tank__ Capacity Gals Feet of Drain Tile _____.__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —W Amount of Permit $ __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 Worlanen'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. p i (Signed)_ 1- -- -- _ S`AATE OF FLORIDA, '" iV /k/ l /Af / ' - i 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 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. REQUEST FOR INSPECTION Company Job Time Ready Date Ready Address Inspection (j , PHONE A.M. P.M. Permit No. 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 - No _. Street Registered Architect and /or Engineer Employing Plumber's Name . No. Street Location and Legal Description Lot Block- Subdivision Street and Number where work is to be performed —No. Street State work to be performed and purpose of building (By Floors)- ______ New Building Remodeling. Addition Repairs i- — No. of Stories CONTR. LIST CHECK CONTR. LIST CHECK CLOSETS SEPTIC TANK BATH TUBS SEWER CONN. STATE OF FLORIDA, 1 COUNTY OF DADE. SHOWERS ss. DRAIN FIELD LAVA- TORIES SOAKAGE PIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT SINKS SLOP SINKS GREASE SOLAR TRAP HEATER Size Septic Tank ___ - -Type of Tank__ of Drain Tile __ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit Amount of Permit $ - - 1. (Signed) 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 [he 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 arc licensed by Miami Shores Village. 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 lee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. LAUNDRY TUBS DEEP WELL ( Signed) URINALS SPRKLR. SYSTEM CATCH BASIN SW IM'G POOL FLOOR DRAIN Date DRINKING FOUNT'NS Capacity Gals. Master Plumber. TOTAL FIXTURES Plumbing Inspector.