Loading...
PLUMBING PERMITSMIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _cation is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other .ructure 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 wor No. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name b 1/Z , C _Pi ° a- -_ - - - -- Location and Legal Description Lot_ Biotic Street and Number where work is to be performed—No. __ 1, g State work to be performed and purpose of building (By Floors) _ New Building - -- _ —___ -- _ -- Remodeling__ _---- ____ -_ Addition. No. r Repairs _ , No. of Stories. . ................ .... 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 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. jfl { (Signed) - - — — -- - — - Phimbing Inspector. (Signed)_ Capacity Gals Date__ • Street Street.. Subdivision The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation�,�'as an of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S 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. 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 - )e 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 worlmtanship. CLOSRB BATH TUBS E SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS RINALS 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 CLI LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _cation is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other .ructure 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 wor No. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name b 1/Z , C _Pi ° a- -_ - - - -- Location and Legal Description Lot_ Biotic Street and Number where work is to be performed—No. __ 1, g State work to be performed and purpose of building (By Floors) _ New Building - -- _ —___ -- _ -- Remodeling__ _---- ____ -_ Addition. No. r Repairs _ , No. of Stories. . ................ .... 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 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. jfl { (Signed) - - — — -- - — - Phimbing Inspector. (Signed)_ Capacity Gals Date__ • Street Street.. Subdivision The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation�,�'as an of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S 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. 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 - )e 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 worlmtanship. �-- CLOSETS BATH SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues U RINALS CATCH BASIN BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURE: 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. .___l. FX 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept ai building during progress of work. `^ Owner's Name and Address . ` 1 Registered Architect and /or Engineer , t ` + No Street_ Employing Plumber's Name Block_________ Subdivision Street and Number where work is to be performed —No C _9 Street State work to be performed and purpose of building (By Floors) .0 New Building Remodeling Addition______________ _________ Repairs No. of Stories Location and Legal Description Lot Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT —_ ( Signed) _ Date / D • S Z No. Street Size Septic Tank Type of Tank_ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL Nature of Water Supply: City —Well — Size of Soakage Pit 4 L Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understani 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 pem>,it, as are licensed by Miami Shores Village. ( Signed) - -iR - -=` 1.eZ( Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fay therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. Permit No. 7'3 . 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 ° C -i(,1v r ( E ' No. 73 /o Registered Architect and /or Engineer ____________________ Employing Plumber's Name l `' � 5�� f^ -t • Location and Legal Description Lot 4 1 _B2__. 2?�_ a _ _ • Block__ Street and Number where work is to be performed —No Feet of Drain Tile_ Nature of Water Suppl Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 7) ( Signed No , d Date Q .7c fdL, 7, 47 '9 Street �Ni� /" ✓ �- Street_ Subdivisio C Street State work to be perform and purpose of building (By Floors) New Building Remodeling Addition _________ _______________ Repairs No. of Stories Size Septic Tank Type of Tank_ Capacity Gals Dist. Feet of Tank or Drain Field from Well ell. Size of Soakage Pit .L. The undersigned applicant for this building permit does hereby certify that h: derstands and accepts his obliga j s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled ! eral Laws of Florida Permane upplement, 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. ( Signed) lumbing Inspector. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS , S a [ n � T� 7 TOTAL. FIXTURES CONTR. LIST 3 2 .2- 2 J CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL CONTR. LIST Y CHECK Permit No. 7'3 . 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 ° C -i(,1v r ( E ' No. 73 /o Registered Architect and /or Engineer ____________________ Employing Plumber's Name l `' � 5�� f^ -t • Location and Legal Description Lot 4 1 _B2__. 2?�_ a _ _ • Block__ Street and Number where work is to be performed —No Feet of Drain Tile_ Nature of Water Suppl Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 7) ( Signed No , d Date Q .7c fdL, 7, 47 '9 Street �Ni� /" ✓ �- Street_ Subdivisio C Street State work to be perform and purpose of building (By Floors) New Building Remodeling Addition _________ _______________ Repairs No. of Stories Size Septic Tank Type of Tank_ Capacity Gals Dist. Feet of Tank or Drain Field from Well ell. Size of Soakage Pit .L. The undersigned applicant for this building permit does hereby certify that h: derstands and accepts his obliga j s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled ! eral Laws of Florida Permane upplement, 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. ( Signed) lumbing Inspector. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. • Permit No Location and Legal Description Lot mil/ 1 .; MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ♦ R Date 1____ 1 7 - 5/Y 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. ) fJ n / /� Owner's Name and Address "t L�f - No ° �� ` • Street -- . ?1�" "/ Registered Architect and /or Engineer ___/_�j� Employing Plumber's Name . ( L 1 '�' '`! "" tiAt !'� No � J J eA lei Street c q !� (-fi c E /' e_' ___ Block____ - Subdivision Street and Number where work is to be performed-No cc 9 / Lcz _ • e • Street State work to be performed and purpose of building (By Floors) N B Remodeling Addition _ Repairs No. of Stories Size Septic Tank Type of Tank___ ��r-7'"--.Ge/.-e--e — Capacity Gals. Feet of Drain Tile________ Dist. Feet of Tank or Brain Field from Well Nature of Water Supply: City -Well N Size of Soakage Pit Amount of Permit $__ -- —/ (Signed)_ -_ '� - - - - -- - - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that understands and accepts his ob gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, 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 hiin 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. (Signed ) _ ___u 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. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 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 Location and Legal Description Lot mil/ 1 .; MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ♦ R Date 1____ 1 7 - 5/Y 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. ) fJ n / /� Owner's Name and Address "t L�f - No ° �� ` • Street -- . ?1�" "/ Registered Architect and /or Engineer ___/_�j� Employing Plumber's Name . ( L 1 '�' '`! "" tiAt !'� No � J J eA lei Street c q !� (-fi c E /' e_' ___ Block____ - Subdivision Street and Number where work is to be performed-No cc 9 / Lcz _ • e • Street State work to be performed and purpose of building (By Floors) N B Remodeling Addition _ Repairs No. of Stories Size Septic Tank Type of Tank___ ��r-7'"--.Ge/.-e--e — Capacity Gals. Feet of Drain Tile________ Dist. Feet of Tank or Brain Field from Well Nature of Water Supply: City -Well N Size of Soakage Pit Amount of Permit $__ -- —/ (Signed)_ -_ '� - - - - -- - - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that understands and accepts his ob gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, 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 hiin 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. (Signed ) _ ___u 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. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. l i 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. L No. �d9 e • Owner's Name and Address ' '" __ � • Street I� Registered Architect and /or Engineer / Employing Plumber's Name6P,�1.1. 1 _ �C / 1 f__ ` - r - C-YFA ; No. __/ 3 Location and Legal Description Lot 1 s a= _ G_ % // _Blo c k___ _______ Street and Number where work is to be performed —No. l�S?__ __ c • Size Septic Tank 0 Oa Feet of Drain Tile l G U MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building Remodeling Addition Street__ _P? Date_ • °j / I - I Subdivision Street 9 State work to be performed and purpose of building (By Floors) Repairs No. of Stories Type of Tank Capacity Gals. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City =Well . Size of Soakage Pit Amount of Permit $___/ a STATE OF FLORIDA, 1 COUNTY OF DADE. • ss. ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he brlflerstands and accepts his obliga s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanen pplement, 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. (Signed)_ My Commission Expires Notary Public, State of Florida I.+ 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 /or workmanship. 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 l i 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. L No. �d9 e • Owner's Name and Address ' '" __ � • Street I� Registered Architect and /or Engineer / Employing Plumber's Name6P,�1.1. 1 _ �C / 1 f__ ` - r - C-YFA ; No. __/ 3 Location and Legal Description Lot 1 s a= _ G_ % // _Blo c k___ _______ Street and Number where work is to be performed —No. l�S?__ __ c • Size Septic Tank 0 Oa Feet of Drain Tile l G U MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building Remodeling Addition Street__ _P? Date_ • °j / I - I Subdivision Street 9 State work to be performed and purpose of building (By Floors) Repairs No. of Stories Type of Tank Capacity Gals. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City =Well . Size of Soakage Pit Amount of Permit $___/ a STATE OF FLORIDA, 1 COUNTY OF DADE. • ss. ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he brlflerstands and accepts his obliga s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanen pplement, 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. (Signed)_ My Commission Expires Notary Public, State of Florida I.+ 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 /or workmanship. COMPENSATION AND /OR PUBLIC LIABILITY 4071B ,,,4,i Y At C IW: _, C E (Street and Number) (City or Town) are in force and expire as indicated herein: Workmen's Compensation No. of Policy C 3Q.5363 Expiration Datc 3- 2.P-50 Employers' Liability No. of Policy Limits of Liability One Person $ One Accident $ Expiration Date Comments or Additional and cover the following operations or work in the State or States of at z .na.i i ...S a nxa s..:v'.il (Street and Number) (City or Town) at whose request this certificate is issued. Dated at F. 4071B•15M Sets 11-48 Coverages (Name of Assured) • CERTIFICATE OF INSURANCE This is to certify that the following described policies issued in the name of his vrife �.7.7.Q........r�.....22x1 1 ox.r. .Q6. =. iar Dade., Florida emotion of priyatq resid9nce 1 .'larida. (Snot Amrrtran 31u rmnitg OIDntpang, NOME OFFICE, NEW YORK. N. Y. (State) Public Liability No. of Policy LOA 25991 Limits of Liability One Person $....7.Qa0Q0. *Q0 One Accident $.... 2Q ,OQQ..QO Expiration Date 3. -2D.■5Q Contingent Liability No. of Policy Limits of Liability One Person $ One Accident $ Expiration Date Property Damage Liability No. of Policy LA. .25. 1 Limit of Liability One Accident $ 1,QOO..fO Aggregate Liability for Loss $...1Q,OQ0.00 Expiration Date -•.29-5Q Q4?...:,w.. -Clat atrae u.,...J.3. 1 0 19 , as described in said policies. In the event of cancelation of the said policies the Company will mail notice thereof to :31.1 1c1 inshecto:', '_:iarai Shores "Jilla e (State) i iart , 4ori.d{ this 8 th day of Ccto'oer 19 49 .1.1JW•J.LU. h:t ..l.�.11J.FI.S.,. ./ fz_�;� '� <• c ur .",.(:_ Agent. BUILDING ❑ ELECTRICAL PLUMBING [2' ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA 0 PERMIT N? 13036 ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II Bl. Description Address of Building Subdi- vision CONTRACTOR OR BUILDER BY Value of Project $ DATP 195 Contractor's License No Amt. of 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 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 authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes thejesponsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or ipthe statements or specifications and that he assumes responsibili for work ' done by s agents, servants or employees. / Signed: BY INSPECTOR 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 plane, drawings, statett'fiients or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, yself, my agent, servant or employee. AUTHORITY Permit 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 plane and specifications must be kept at building during progress of work. New Building_____._ —._ _ Remodeling ____ Addition.____ ____ Repairs Size Septic Tank_. Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Lfr.17 ke 5 P1 xi No. `' Street. V' ... �.4... . Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name. . A — Location and Legal Description Lot_ �` Subdivision Street and Number where work is to be performed —No 6C----- Streek°� -_. y l E �L State work to be performed and purpose of building (By Floors)3•l ► ____ No... --. . .._.. Block No. of Stories. _Type of Tank__._ ,__Disk Feet of Tank or Drain Field from Well - -• - ___..._._._. • Nature of Water Supply: City—Well. Size of Soakage Pik Capacity Plumbing Inspect The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennan nt 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 ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, , . k to . ` � formed under this permit, as are licensed by Miami Shores Village. (Sign Muter 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 t f o that a . s therein by him stated are true. y �g application, and that he did sign the same, and that all facts My C Expires Notary Public, State of Florida NOTE: A materials and/ r wo spe iDee of $1.00 will be made when such re-inspection L made•neo� wry by improper notice for inspection, at faulty CLOfRf B BATH S S L LAVA. S SINK{ S SLOP L LAUNDRY C URINALS B CATCH F FLOOR D DRINK NO TOTAL 'musics CONTR. LIST CHECK SEPTIC S SSW ER D DRAIN S SOAKAGE 0 0 8 8e LAM M MCP S SPRKLR. S SWIM'G CONTR. LIST C 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 plane and specifications must be kept at building during progress of work. New Building_____._ —._ _ Remodeling ____ Addition.____ ____ Repairs Size Septic Tank_. Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Lfr.17 ke 5 P1 xi No. `' Street. V' ... �.4... . Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name. . A — Location and Legal Description Lot_ �` Subdivision Street and Number where work is to be performed —No 6C----- Streek°� -_. y l E �L State work to be performed and purpose of building (By Floors)3•l ► ____ No... --. . .._.. Block No. of Stories. _Type of Tank__._ ,__Disk Feet of Tank or Drain Field from Well - -• - ___..._._._. • Nature of Water Supply: City—Well. Size of Soakage Pik Capacity Plumbing Inspect The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennan nt 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 ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, , . k to . ` � formed under this permit, as are licensed by Miami Shores Village. (Sign Muter 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 t f o that a . s therein by him stated are true. y �g application, and that he did sign the same, and that all facts My C Expires Notary Public, State of Florida NOTE: A materials and/ r wo spe iDee of $1.00 will be made when such re-inspection L made•neo� wry by improper notice for inspection, at faulty 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 mud be kept at building during progress of work. Owners Name and Address Registered Architect and /or E Employing Plumbor's Name T Location and Legal Description Lot MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Z / No .LL Street_.! 1 E q . . Blorit Subdivlsson-_-_—_—.-._.__— Street and Number where work is to be performed —No Street . State work to be performed and purpose of building (By F o ors)__... " °.-- L'`] 'I )e.= .. .... New Building_. -___ _ ._ - Remodeling - -_ Addition.- - -__. .. Repairs. No. of Stories. ......... Type of Tank rust Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. Size Septic Tank.._ Feet of Drain Tile' Amount of Permit $ (Signed) ( • - Plum The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations • employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Su ement, and Iws com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e . 9yed y him in the work to be performed under this permit; and will post or cause to be posted for inspection on e of the work . ch Piiblic notice or notices as are required by the Act. The undersigned agrees to employ only such sub -con. ' work to , • . er this permit, as are lionised by Miami Shores Village. .. _ ...... - Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. I 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 be bas 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 41.00 will be made whoa sosoi a.iisspaotiom its madalaoassery by Improper nodes for Irspection, or faulty materials and /or warkmaaship. GLOSSY* BATH TUSS SNOW[Rn LAVA. TORIt. SINKS SLOP SINKS LAUNDRY Tun• URINAL. CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N. TOTAL PI CONTw. LIST CHICK SEPTIC TANK SEWtR CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR MEATIER DEEP WILL SPRKLR. SYSTEM $W114•0 POOL COHTW. 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 copy of approved plans and specifications mud be kept at building during progress of work. Owners Name and Address Registered Architect and /or E Employing Plumbor's Name T Location and Legal Description Lot MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Z / No .LL Street_.! 1 E q . . Blorit Subdivlsson-_-_—_—.-._.__— Street and Number where work is to be performed —No Street . State work to be performed and purpose of building (By F o ors)__... " °.-- L'`] 'I )e.= .. .... New Building_. -___ _ ._ - Remodeling - -_ Addition.- - -__. .. Repairs. No. of Stories. ......... Type of Tank rust Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. Size Septic Tank.._ Feet of Drain Tile' Amount of Permit $ (Signed) ( • - Plum The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations • employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Su ement, and Iws com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e . 9yed y him in the work to be performed under this permit; and will post or cause to be posted for inspection on e of the work . ch Piiblic notice or notices as are required by the Act. The undersigned agrees to employ only such sub -con. ' work to , • . er this permit, as are lionised by Miami Shores Village. .. _ ...... - Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. I 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 be bas 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 41.00 will be made whoa sosoi a.iisspaotiom its madalaoassery by Improper nodes for Irspection, or faulty materials and /or warkmaaship.