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PLUMBING PERMITit v,-"Zi i ! IC1 Job Address N43 ci 1 f_54"• Tax Folio /1- ' 4 OD0) ,ag 1 Description pr & / . /07.7 wner / Lessee / Tenant s I Y'C_ ) Master Permit #.3...5e maser Address N; 1 Tr -' -c-1.- Phone ontracting Co. LA 4 _es is trim. a = Address U NIA/ 1 D qualifier 'fr)1G, G 1-4U- 1811(; aS 1_ _- - Phone - 7 - 1 .tate 1i 4 =71 - -- Municipal # Competency #_C„E )E ns.Co. GCf�i�f ✓f architect /Engineer Address Bonding Company Address lortgagor Address °ermit Type(circle one): BUILDING ELECTRICAL PLUMBING") MECHANICAL ROOFING PAVING FENCE SIGN IORK DESCRIPTION . 1I i 1 I I ng c3cti. e,,--' square Ft. Estimated Cost(value) C% IARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO XO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND 'O OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR ( OTICE 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 permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. ►WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will ped•` e in com• iance with all applicable laws regulatin construction and zoning. Furthermore, I ize . 4 V '.ve - -contractor to do the work stated. y e of owner d /or Condo President to, aryvfis to • r &nd /or Condo President Iyk„Commission Expires: . *. * * TES: PERMIT PPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE • GLORIA E SUVILLAGC My� Commission CC308759 *vireo Aug. *B, 1997* Bonded by HAI 800- 422.1555 Zoning ce _ * * * * * 41; GLORIA E SUVILLAGO M*Commisa*n CC308 *9 ** f * Expires Aug. 18, 1997 RADON C.C.F. NOTARY % , # as l DUE Fire Other Buildin Mechanical Plumbin Signature of Contractor or r- Builder Date: Mary a .t rector or Owner- Builder /My Commission Expires: Electrical 6 %gineering ITEM •BATH TUB UNIT .FEE ITEM SWITCH OUTLETS UNIT FEE ITEM . SPACE HEATERS UNIT FEE ,BIDET • LIGHT OUTLETS CENTRAL HEATING `BISIVIASKR RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEW1 RARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN MPS DUCT WORK FLOOR DRAIN SERVICE REPAIRAETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCiPTOR t, RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 FP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS .SINK, POT/3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK. SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEAPORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS , UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES - SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION • PUMP S ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. _ CATCH BASIN DISCHARGE WELL DOMESTIC WELL . AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING • LAWN SPRINKLER SYSTEM GAS RANGE DETER SET (GAS) GAS PIPING " ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Permit No !� Date ..._. 1 a173 0- Z4- - -.... . -- - - .-.— -- 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. Amount of Permit $ Richard Boggs Owner's Name and Address Registered Architect and /or Engineer .--- Employing Plumber's Name. Brooks Ame ,can Sprinkler Co, No ,.... -- . ?410 ,,....m.,,..,.. street. N.W.79th , Street Location and Legal Description Lot Street and Number where work is to be performed —No 40 State work to be performed and purpose of building (By Floors) ___.____._._ New Building _----- ---•--- ....... -._ Remodelling__ _ __ . -- Addition Size Septic Tank_ -- .---- ------- . - - - - -- Typo of Tank__ 8.00 My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 191ock (Signed) 40 N.E. 91st Street No._ StreeL.__._�._.........._.. _. __.. — Street N.E. 91st Street Repairs No. of Stories Capacity Cals Feet of Drain Tile.__ — - -- -- -Dist. Feet of 'lank or Drain Field from Well. exist Nature of Water Supply: City— WeL1 __. ._ - __ -- -- - - - - -- -Size of Soakage Pit 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 Permanent Supplement, and Isar 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 t}ie Act. The undersigned agrees to employ only such sub - contractors, on wrk to be performed under ells permit, as are licensed by Miami Shores Village. (Signed) 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 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 Plumbing Inspector. Muter Plumber. NOTE: A re inspection fee of $1.00 will be made when sum re- lnspsatfon is made.neoessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS .MOWERS LAVA- TORIES 61kKS SLOP SINK[ LAUNDRY Tus• URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST — CHICK ,_ ,_, SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT CREAMY TRAP SOLAR EATER DEEP 1.✓[LL SPRKLR. S SWIM'O P001. Co. NTl1 X LIST CHECK Permit No !� Date ..._. 1 a173 0- Z4- - -.... . -- - - .-.— -- 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. Amount of Permit $ Richard Boggs Owner's Name and Address Registered Architect and /or Engineer .--- Employing Plumber's Name. Brooks Ame ,can Sprinkler Co, No ,.... -- . ?410 ,,....m.,,..,.. street. N.W.79th , Street Location and Legal Description Lot Street and Number where work is to be performed —No 40 State work to be performed and purpose of building (By Floors) ___.____._._ New Building _----- ---•--- ....... -._ Remodelling__ _ __ . -- Addition Size Septic Tank_ -- .---- ------- . - - - - -- Typo of Tank__ 8.00 My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 191ock (Signed) 40 N.E. 91st Street No._ StreeL.__._�._.........._.. _. __.. — Street N.E. 91st Street Repairs No. of Stories Capacity Cals Feet of Drain Tile.__ — - -- -- -Dist. Feet of 'lank or Drain Field from Well. exist Nature of Water Supply: City— WeL1 __. ._ - __ -- -- - - - - -- -Size of Soakage Pit 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 Permanent Supplement, and Isar 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 t}ie Act. The undersigned agrees to employ only such sub - contractors, on wrk to be performed under ells permit, as are licensed by Miami Shores Village. (Signed) 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 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 Plumbing Inspector. Muter Plumber. NOTE: A re inspection fee of $1.00 will be made when sum re- lnspsatfon is made.neoessary by improper notice for inspection, or faulty materials and /or workmanship. B «,y,. Zq?TS .:TH TUBS SHOWERS LAVA- TORIES SIS SINKS SLOP SINKS LAUNDRY Tues U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES Comm. LI6T —� CAxcic —I— — - — _ S. - . PTIC T..NK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIS? CHECK remelt No../ 1. C� _ Location and Legal Description Lot ___-_------ _- __- __ - - -__— _ 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 Size Septic Tank_______ _-_ . -A Feet of Drain Tile_ Nature of Water Supply: if y —Well 3. Amount of Permit $_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)- - ( Signed ).___ Date !2p )lication is hereby mac a for the approval of the detailed statement of the plans and specifications herewith submi for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of M mi 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'6 Name and Address 0 'S. — No -- _ Streeti '._._ Ns/F Employing Plumber's Name -- Wiz : nP,!/`* __--_ No.__ / _7 _ 6 Street--- — — °S6 ,_.lXM Subdivision — Street_ Repairs No. of Stories . . ........ . ...... ....... Type of Tank_— Capacity Gals _t _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 accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, 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 lfe per under this permit, as are licensed by Miami Shores Village. Fta 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 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. Permit No.___ 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 _t__ _ No. / Street Location and Legal Description Lot 7 X Block ��J L� Subdivisio _ Street and Number where work is to be performed —No. � / e - Street ?/ S State work to be performed and purpose of building (By Floors) New Building II"" Remodeling Addition Repairs Employing Plumber's Name Amount of Permit $ 'ATE OF FLORIDA, 'JNTY OF DADE. ss. a lb MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) _____ 21* X Size Septic Tank sr Type of Tank Capacity Gals.____t.S ---- --- -------------- ------ ---------------------- ----------- -------------------------------- ------ ------------------------------------- --------------------------------------------- My Commission Expires Notary Public, State of Florida eV n Z/ -c.5" No Street No. of Stories Feet of Drain Tile 7 $ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well 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- 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. - x-14-- . Master Plumber. efore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared known, and who, being by me first duly sworn, upon oath deposes and says that he is the 'e described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts m stated are true. lspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty kmanship. 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.___ 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 _t__ _ No. / Street Location and Legal Description Lot 7 X Block ��J L� Subdivisio _ Street and Number where work is to be performed —No. � / e - Street ?/ S State work to be performed and purpose of building (By Floors) New Building II"" Remodeling Addition Repairs Employing Plumber's Name Amount of Permit $ 'ATE OF FLORIDA, 'JNTY OF DADE. ss. a lb MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) _____ 21* X Size Septic Tank sr Type of Tank Capacity Gals.____t.S ---- --- -------------- ------ ---------------------- ----------- -------------------------------- ------ ------------------------------------- --------------------------------------------- My Commission Expires Notary Public, State of Florida eV n Z/ -c.5" No Street No. of Stories Feet of Drain Tile 7 $ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well 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- 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. - x-14-- . Master Plumber. efore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared known, and who, being by me first duly sworn, upon oath deposes and says that he is the 'e described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts m stated are true. lspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty kmanship. Permit No to 3 / Nature of Water Supply: TE OF FLORIDA, t TY OF DADE. SS. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) , , ( Date4e - - 0 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 2 No I/ 6 /4 Street Registered Architect and/or Engineer Employing Plumber's Name .4. J../ P L No I "'Street Location and Legal Description Lot 2j Block Subdivision_ 7 / II" 2 Street and Number where work is to be performed—No ki 4). /" F 9 ,sT 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 Capacity Gals Feet of Drai Tile . Dist. Feet of Tank or Drain Field from Well n 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-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. i (Signed) ' 7 Master Plumber. me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared and who, being by me first-duly sworn, upon oath deposes and says that he is the ribed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts 1 are true. "lommission Expires Notary Public, State of Florida '-e of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty i r II 4•1, CLOSETS BATH Tuas SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuas URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS p )7 fti 6 c kr / i' ig CO h , H TOTAL 4 FIXTURE( CONTR. LIST / / CHECK ,---:>" • • 7 :) ' - ....- 7..3' 1 7 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW !AVG \ d i , e POOL h 1 .4. CONTR. CHECK -5Ecl Permit No to 3 / Nature of Water Supply: TE OF FLORIDA, t TY OF DADE. SS. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) , , ( Date4e - - 0 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 2 No I/ 6 /4 Street Registered Architect and/or Engineer Employing Plumber's Name .4. J../ P L No I "'Street Location and Legal Description Lot 2j Block Subdivision_ 7 / II" 2 Street and Number where work is to be performed—No ki 4). /" F 9 ,sT 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 Capacity Gals Feet of Drai Tile . Dist. Feet of Tank or Drain Field from Well n 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-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. i (Signed) ' 7 Master Plumber. me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared and who, being by me first-duly sworn, upon oath deposes and says that he is the ribed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts 1 are true. "lommission Expires Notary Public, State of Florida '-e of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty i r II 4•1, BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description Address of Building Lot 11 � 1 PERMIT N° 10302 Work to be performed under this Permit Owner of Building " j /'c car—. / This permit is granted to the contractor or herefor in strict compliance with all ordinances thereto and wi drawings, statements or specifications that may have been submitted to an time if the work is not done in compliance with such ordinances or if the p granted is the understanding that the contractor or budder named above pertaining to the work covered hereby whether shown on the plans or done by his agents, servants or employee's. MIAMI SHORES VILLAGE, FLORIDA zd Si IsC' dderation of the issuance to me of this permie••I -pertaining thereto and in strict conformity with the plane, drawings, In accepting this permit I assume responsibility for all work done by either, It 01 BUILDS* a runt the building or to install the equipment or device descnbid in the application the and ' . g that ' i • work will be performed in compliance with any plans, prov ` . the proper 'cipal authorities. This Permit may be revoked at any singed withou - %. • citation. A further condition u which this permit i• respo ,, or •rough knowled of the 0 imescrost the work covered hereunder in compliance with oc fications submitted to the proper a orYs my agent. eerva or employee. 4 Value of Project $ DATE ` Contractor's License No. Amt. of Permit Acr[mtrr? 195_ reersork BUILDING ELECTRICAL PLUMBING PERMIT N? 10312 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot '-1 (I BL Description Addries of Building + .. .:, MIAMI SHORES VILLAGE, FLORIDA DATE � ..::,`, , J, . ! 195_1_ Subdi- vision • Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may. be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without u nation. A further condition u which this permit is granted is the understanding that the contractor or builder named above assumes the respo bitty or thorough knowledge of the or sad re �ulatlons pertaining to . the work covered hereby whether shown on the plans or drawings or in . responsibility 'cations and rat he assumes done by his agents, servants or employees. Signed. • -• - s INSPECTOR In consideration of the issuance to me of this permit I agree tp p4rform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, stints or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by eikhee, m self, my agent,}a , tt or employee. - CONTRACTOR CIR ' BUILDER Contracts - License No Amt. of Permit $ AUTHORflT