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1050 NE 93 St (10)BUILDING � Rl�� Owner of T a Building Contractor or Builder ELECTRICAL PLUMBING ROOFING Work to be performed under this Permit ••s Architect Legal Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORID PERMIT 'NA 11169 e� This permit is rante the contractor or bui7 named above to c herefor in strict comp iance with all ordinances pertai ng thereto and wit drawings, statements or specifications that may have been submitted to and time if the work is not done in compliance with such ordinances or if the pla granted is the understanding that the contractor or builder named above ass pertaining to the work covered hereby whether sbowr -on the plans qr dra done by his agents, servants or employees, Signed: In consideration of the issuance to me of this permit I agree t pertaining thereto and in strict conformity with the plans, drawings, s In accepting this permit I assume responsibility for all work do Value of Project • BY DAT : j 195 Contract i License No Amt. of Permit • • struct the the un. standin pprov by the i s are + anged wi mes e responsi ngs in the st INSPE •' o rform the work covered hereunder in complian ements or specifications submitted to the either, myself, my agent, servant or employ p th all ordin . authorities of ami lth g or to install the equipment or device de in the application - that the work will be performed in compliance with any plans, oper municipal authorities. This Permit may be revoked at any out authorization. A further condition upon which this permit is ility for a thorough knowledge of the ordinances and regulations ments or specifications and that he assumes responsibility for work and regulations Shores Village. Permit No (r( Date.. ��� �� l _s - - -• • - -• -•— -- 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 S Registered Architect and /or Engineer Employing Plumber's Name 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)_ _ New Building Remodeling ___ _ _..._._ Addition. Size Septic Teak_ . •- - - - -�_ Feet of Drain - - - -• -- 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 • No. ___._...Type of Tank— _Dist. Feet of Tank or Drain Field from Well of Soakage Pit Street Capacity Gals (Signed) (' _l --l• -� TAY,' S4.6.4(29•114rt Subdivision.._.._.___._•_• Repairs No. of Stories (Signed)_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 Plfrm 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 orzit are •inspection is msde by Bnpro'per notice for inspection, or faulty materials and /or workmanship. LAVA• TORIES SINKS SLOP 81S NK LAUNDR T UBS URINALS CATCH BASIN FLOOR DRAIN DRINKING ROUNT'NB TOTAL FIXTURES BATH CLOSETS TUBE SHOWERS CONTR• LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST CHICK Permit No (r( Date.. ��� �� l _s - - -• • - -• -•— -- 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 S Registered Architect and /or Engineer Employing Plumber's Name 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)_ _ New Building Remodeling ___ _ _..._._ Addition. Size Septic Teak_ . •- - - - -�_ Feet of Drain - - - -• -- 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 • No. ___._...Type of Tank— _Dist. Feet of Tank or Drain Field from Well of Soakage Pit Street Capacity Gals (Signed) (' _l --l• -� TAY,' S4.6.4(29•114rt Subdivision.._.._.___._•_• Repairs No. of Stories (Signed)_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 Plfrm 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 orzit are •inspection is msde by Bnpro'per notice for inspection, or faulty materials and /or workmanship.