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PLUMBING PERMITMIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r Permit No. -? Date // 5-7 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 p gress o work. Owner's Name add Ad � ' �'� t ' 'i' di' . / Registered Architect and /or Eng' !______ _ Employing Plumber's Name! ''' / Street__ Location and Legal Description Lot______ _ Blo _ Subdivision_ Street and Number where work is to be performed —No._ ? 1 New Building Remodeling Addition Size Septic Tank Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. T Street Street State work to be performed and purpose of building (By Floors) Repairs No. of Stories ank_ Dist. eet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Capacity Gals 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. 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 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES NKS SINKS SLOP SINKS LAUNDRY TUBS URINALS INAS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LI ST _ CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r Permit No. -? Date // 5-7 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 p gress o work. Owner's Name add Ad � ' �'� t ' 'i' di' . / Registered Architect and /or Eng' !______ _ Employing Plumber's Name! ''' / Street__ Location and Legal Description Lot______ _ Blo _ Subdivision_ Street and Number where work is to be performed —No._ ? 1 New Building Remodeling Addition Size Septic Tank Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. T Street Street State work to be performed and purpose of building (By Floors) Repairs No. of Stories ank_ Dist. eet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Capacity Gals 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. 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 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 VILLA BUILDING DEPARTME ------ 305 - 795 -2204 ( ..... L .., Building Inspectior Request Date__) Type Insp'n T i I C Permit Nc1 c9CCB 1 _ Name Address 4■ S i\ E, q t 54 Company I 1 Phone # Inspection Date (4o3 Approved Correction ❑ Re- Insp'n Fee ❑ Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/7/2004 Applicant: BRUCE & LAURIE Owner: DAVIDSON JOB ADDRESS: 495 Contractor Local Phone: Parcel # 1132060140150 NE 91 Signed: (INSPECTOR) Signed: (Contractor or Builder) Plumbing Permit Permit Number: PL2003 -355 DAVIDSON BRUCE & LAURIE ST Contractor's Address: Permit Status: APPROVED Permit Expiration: 6/30/2004 Construction Value: $200.00 Work: REPLACE KITCHEN SINK;RPOSITION REFRIGERATOR WATER FEED BY: Page 1 of 1 Legal Description: 6 53 41 MIAMI SHORES SEC 2 PB 10 -37 LOTS 23 & 24 BLK 49 LOT SIZE Fees: FEE2004 -132 FEE2004 -133 FEE2004 -134 FEE2004 -135 FEE2004 -136 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Total Fees: Amount $120.00 $0.60 $5.00 $0.20 $3.00 $128.80 Total Fees: $1213.2% 4 Total Receipts: 0.00 FFB 0 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 responisibility for all work done by either myself, my agent, servants or employes. S7 BUILDING PERMIT APPLICATIO FBC 2001 Miami Shores Village Building Department 10050 N.E62 + - .ue, Miami Shores, Florida 33138 Tel: a 305) 756.8972 P1(' 20 Permit No. t I g 3 Master Permit No. /S Permit Type (circle): Building Electrical Q � umbing Mechanical Roofing . Owner's Name (Fee Simple. Titleholder) u4f V/4 44 . E- /r t ✓ , 7Si �) 7 & Phone # . � � / 9 5 Owner's Address I 'U` 5 ,- _3/- Cit i� /d li cJ l : State zip 3 3/3 8' Tenant/Lessee Name Phone # Job Address (where the work is being done) / )3 /le R City Miami Shores Village County Miami -Dade Zip 3 3 a Is Building Historically Designated YES NO A Contractor's Company Name lMJ • Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit v od Square Footage Of Work: Type of Work: ❑Addition �/ ❑Alteration (� ❑New El Repair/Replace El Demolition Describe Work: /9 1 ,4 j � 4f-Ce : T C4'6r/ Ji v/ ; / /el/GEz . Submittal Fee $S -0• ASS$ Permit Fee $ la?'D '''l�� CCF $ • 1 D S °_ Notary $ ;, Training/Education Fee $ . o� V Technology Fee $ 3, V 0 Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 1 i er a (Continued on opposite side) **************************** FPP� * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Si afore Owner or Agent Contractor The foregoing instrument was acknowledged before me this 2 - The foregoing instrument was acknowledged before me this day of �f 20 3, by /Que. U CU `r , day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who Si'd take an j�l C➢�1 v U16. NOTARY LIC: ,Commission #DD23198 NOTARY PUBLIC: Jul 13, 2007 Sign: L.' C I gxp res' 1 Sign: oQ ' Co., Inc. Print: " . �, Atlantic Bonding J nH My Commission Expires: Chc 10/14/03 State Certificate or Registration No. APPLICATION APPROVED BY: Print: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) Signature My Commission Expires: as identification and who did take an oath. Certificate of Competency No. * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** * * ** ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning W J t:— .{ TLB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE ET LIGHT OUTLETS CENTRAL HEATING ;{WASHER RECEPTACLES A/C (WIND) FOSAL SERVICE TEMPORARY A/C (CENTRAL) NKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK CR CRAIN SERVICE REPAIRMTER CHASE REFRIGERATION :ASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING ERCEPTOR RANGE TOP UNDERGROUW TANKS ATORY OVEN ABOVE GROUND TANKS $DRY TRAY WATER HEATER U.F. PRESSURE VESSELS 1THES WASHER ROTORS 0— 1 HP STEAM BOILERS 1WER MOTORS OVER 1— 3 HP HOT WATER BOILERS R. POT /3 CORP. MOTORS OVER 3— 5 HP MECHANICAL VENTILATION IK, RESIDENCE MOTCRS OVER 5— 8 HP TRANSPORTING ASSEM3LIES IX, SLOP MOTORS OVER 8— 10 HP ELEVATORS/ESCALATORS ,ORARY WATER CLOSET MOTORS OVER 10— 25 HP FIRE SPRINKLER SYSTEMS INAL MOTORS OVER 25-100 HP COOLING TOWERS TER CLOSET MOTORS OVER 100 HP VIOLATION )IRECT WASTES A/C WINCOW REINSPECTION TER SUPPLY TO: AIR CONDITIONERS - AJC UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFCAMERS - HEATER —NEW INST. I GENERATORS TRANSFORMERS SEATER— REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER—WILL SPECIAL PURPOSE - • SWIMdIND POOL OUTLETS COM,€RCIAL - WATER SERVICE SIGN TUBES HER CONNECTIONS SIGN TRANSFORMERS ILITY —SEWER SIGN TIIk CLOCK ILITY —WATER FIXTURES ?TIC TANK ANTENNA LAY TELEVISION CURETS I AINFIELD, 4' TILE/RES. VIOLATION 1 I? & ABANDON SEPTIC TANK REINSPECTION AKAGE PIT CU. FT. TCH BASIN SCHARGE WELL MESTIC WELL EA DRAIN OF INLET i LAR WATER HEATER RE STAN3PIPE OL PIPII - , AN SPRINKLER SYSTEM f S RANGE TER SET (GAS) S PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION APPLICA,TIPN FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. 3TAINED, THE'OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL Permit No Owners Name and Address Registered Architect and /or En ' eer Employing Plumber's Name Location and Legal Description Lot..c: 7 Street and Number where work is to be performed —No 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 sub lit 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. 9Ls State work to be performed and purpose of building (By Floors)._ New Building _._...— .-- .-- .._....____ Remodeling__—_.... - ___ Addition Amount of Permit ; No 5 7 _ E. Street...9 K 4" Bias Subdi Str_� Repairs Size Septic Tank_ Type of Tank__ Feet of Drain Tile 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 hat com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wort• 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 -contra rs, ti p, emit. as are licensed by Miami Shores Village. No. of Stories Master 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 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 Morida NOTE: A re- inspection fee of 81.00 will be made when saki n.ilupaodos is made'seoessary by improper sodas for Inspection, or faulty materials sad /or workmanship. CLOSETS BATH TUB [ SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINAL/ CATCH BASIN FLOOR DRAIN DRINK NO FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK + SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR M UTER MEP WELL BPRKLR. SYSTEM SW IM'O POOL I ' CONTR. LIST / i CHECK Permit No Owners Name and Address Registered Architect and /or En ' eer Employing Plumber's Name Location and Legal Description Lot..c: 7 Street and Number where work is to be performed —No 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 sub lit 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. 9Ls State work to be performed and purpose of building (By Floors)._ New Building _._...— .-- .-- .._....____ Remodeling__—_.... - ___ Addition Amount of Permit ; No 5 7 _ E. Street...9 K 4" Bias Subdi Str_� Repairs Size Septic Tank_ Type of Tank__ Feet of Drain Tile 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 hat com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wort• 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 -contra rs, ti p, emit. as are licensed by Miami Shores Village. No. of Stories Master 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 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 Morida NOTE: A re- inspection fee of 81.00 will be made when saki n.ilupaodos is made'seoessary by improper sodas for Inspection, or faulty materials sad /or workmanship. 3 4 Jxc • 90-.55)? MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date... 9-4-75 PermitNo - --- -.. .._...---- -- -. ....... - - - - -_ ._ 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. 751 -5115 Owner's Name and Address Mr No.J9 5 N _ Registered Archii ft and /or Engineer _J.ame.s 6-- anxi- -A.sso iatc s Employing Plumber's Name Edward W . Garcia N Location and Legal Description Lot 23 ch Street and Number where work is to be performed -No 751 -5115 Street- .495...DI.E._..91stSt.r et... -.- State work to be performed and purpose of building (By ----- - - - - - - -- - New Building Remodeling_ -_ — __-_.- Addition...____ X Repafn No. of Stories Size Septic Tank _. ---- .- •--- - - - - -- - - - - -- Type of Tank_ Feet of Drain Tile__ —. -__fit. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well. ------ .--------- - - - - -- -Size of Soakage Pit 5.00 Amount of Permit $ Capacity Gals (Signed ) - -- 1 --- (Si Street_.__ 9-1-st .. Str.e a t_....... .,.m.,.,..,: Street.. L, X. ue Subd&viaion. —Miami .Shores Sect ion 2 44. mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S • •plement, 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, . ' work to be per der this permit, as are licensed by Miami Shores Village. Edward W. _rcia STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Master Plu 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 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 CoMIl,issim Expires Notary Public, State of Fiorida 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 /os workmanship. CLOUTS BATH TUBE SNOW [RS LAVA- TORIES SINKS SLOP SINK[ LAUNDRY Tues URINAL{ CATCH eA[IN FLOOR DRAIN DRINKING FOUNT•N! TOTAL FIXTURES CONTR. LIST CHUCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H DEEP WILL SPRKLR. SYSTEM SWIM'O P001. GONTR. LIST X r- CHUCK 3 4 Jxc • 90-.55)? MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date... 9-4-75 PermitNo - --- -.. .._...---- -- -. ....... - - - - -_ ._ 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. 751 -5115 Owner's Name and Address Mr No.J9 5 N _ Registered Archii ft and /or Engineer _J.ame.s 6-- anxi- -A.sso iatc s Employing Plumber's Name Edward W . Garcia N Location and Legal Description Lot 23 ch Street and Number where work is to be performed -No 751 -5115 Street- .495...DI.E._..91stSt.r et... -.- State work to be performed and purpose of building (By ----- - - - - - - -- - New Building Remodeling_ -_ — __-_.- Addition...____ X Repafn No. of Stories Size Septic Tank _. ---- .- •--- - - - - -- - - - - -- Type of Tank_ Feet of Drain Tile__ —. -__fit. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well. ------ .--------- - - - - -- -Size of Soakage Pit 5.00 Amount of Permit $ Capacity Gals (Signed ) - -- 1 --- (Si Street_.__ 9-1-st .. Str.e a t_....... .,.m.,.,..,: Street.. L, X. ue Subd&viaion. —Miami .Shores Sect ion 2 44. mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S • •plement, 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, . ' work to be per der this permit, as are licensed by Miami Shores Village. Edward W. _rcia STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Master Plu 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 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 CoMIl,issim Expires Notary Public, State of Fiorida 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 /os workmanship. A' Permit No ` 1 Date - -- 0 - sci 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.............. � °_ 0 Registered Architect and /or Eng Employing Plumber's Name Location and Legal Description Lot._._____3 Street and Number where work is to be performed— No.-__ Feet of Drain Tile Nature of Water Supply: STATE OF FLORIDA, ( as. COUNTY OF DADE. Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r' , ;k1AIT State work to be performed purpose of building (By Floors New Building Remodeling Addition_ Amount of Permit $ ( Signed) __- - - -4 _ELK' No. Street_ 1� -• 579 - -- No.---- - - - - - — Street? C U — _AM) - LI - G --- I C Su ( b ;, div�isio�^ - Street 1 ! w Repairs No. of Stories.. Size Septic Tank Type of Tank____ Capacity Gals. __Dist Feet of Tank or Drain Field from Well The undersigned applicant for this building permit does hereby certify that he understands and accepts under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida plied with the provisions thereof, and will require similar compliance from all contra ors or sub -contra performed under this permit; and will post or cause to be posted' for inspection on site of wo required by the Act. The undersigned agrees to employ only such sub - contractor on wor licensed by Miami Shores Village. .Size of Soakage Pit (Signed) _ Plum • ing Inspector. h' obligations as an employer of labor anent Supplement, and has em- ployed by him in the work to be is notice or notices as are under this permit, as are 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 TUBB SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH B ASIN FL OOR DRA IN DR INKING F 1 .41 � TOTAL FIXTURES CONTR. LIST I / 3 C 777 "'��v 0� CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOCAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST 1 — CHECK • A' Permit No ` 1 Date - -- 0 - sci 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.............. � °_ 0 Registered Architect and /or Eng Employing Plumber's Name Location and Legal Description Lot._._____3 Street and Number where work is to be performed— No.-__ Feet of Drain Tile Nature of Water Supply: STATE OF FLORIDA, ( as. COUNTY OF DADE. Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r' , ;k1AIT State work to be performed purpose of building (By Floors New Building Remodeling Addition_ Amount of Permit $ ( Signed) __- - - -4 _ELK' No. Street_ 1� -• 579 - -- No.---- - - - - - — Street? C U — _AM) - LI - G --- I C Su ( b ;, div�isio�^ - Street 1 ! w Repairs No. of Stories.. Size Septic Tank Type of Tank____ Capacity Gals. __Dist Feet of Tank or Drain Field from Well The undersigned applicant for this building permit does hereby certify that he understands and accepts under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida plied with the provisions thereof, and will require similar compliance from all contra ors or sub -contra performed under this permit; and will post or cause to be posted' for inspection on site of wo required by the Act. The undersigned agrees to employ only such sub - contractor on wor licensed by Miami Shores Village. .Size of Soakage Pit (Signed) _ Plum • ing Inspector. h' obligations as an employer of labor anent Supplement, and has em- ployed by him in the work to be is notice or notices as are under this permit, as are 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 No. Registered Architect and /or Engineer_ __________ Employing Plumber's Name Location and Legal Description Lot________ Block Subdivision Street and Number where work is to be performed—No._—_— State work to be performea and purpose of building (By Floors) _ _______ New Building Remodeling____ —___ Addition_________._ Repairs No. of Stories _ .. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING "' t,.MiT No ( Signed) ( Signed) Street Street Size Septic Tank Type of Tank Capacity Gals.__. Feet of Drain Tile ________Dist. Feet of Tank or Drain Field from Well . Nature of Water Supply: City —Well Size of Soakage Pit Street 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 in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 /ar workmanship. CLOSETS BATH TUBS SHWERS O LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS UR URINALS CATCH BASIN FLOOR DRAIN DRINK NG 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 No. Registered Architect and /or Engineer_ __________ Employing Plumber's Name Location and Legal Description Lot________ Block Subdivision Street and Number where work is to be performed—No._—_— State work to be performea and purpose of building (By Floors) _ _______ New Building Remodeling____ —___ Addition_________._ Repairs No. of Stories _ .. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING "' t,.MiT No ( Signed) ( Signed) Street Street Size Septic Tank Type of Tank Capacity Gals.__. Feet of Drain Tile ________Dist. Feet of Tank or Drain Field from Well . Nature of Water Supply: City —Well Size of Soakage Pit Street 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 in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 /ar workmanship. LEO'S PLUMBING SERVICE, INC. 14350 N. W. 7tlt Ave. Miami, Florida