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PLUMBING PERMITS 770 NE 91 STBUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA ❑ DATF 195 3 PERMIT N? 5 819 Contractor's Q r License No. ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder ` fi Legal Lot • Description — Bl Address of 4 e Building CONTRACTOR OR BUILDER f Subdi- vision Value of Project $ BY 40- Amount of 4 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 the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in theetatements or specifications and that he assumes responsibility for work done by his 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 plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, -my agent, seant or employee. a AUTHORITY 6 BUILDING 0 DATE , ' 195___t_ ELECTRICAL El PLUMBING El PERMIT N? 8703 Contractor's ) i License No - -' ROOFING ID Owner of Building Architect Contractor or Builder Legal Lot Description. Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit Bl. ( r" Subdi- vision Sq. Ft Value of Project $ .1 Signed: _ BY INSPECTOR 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 the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in ,the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. BY AUTHORITY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. '17 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. �j No 7 0 ....W.__ Owner's Name and Addre ._ _R,. � ..._. � S7 L 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 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 Permits O ° � — STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • N®I.s@enI L_&.C, Street.c.LL-1 e c r - Mork Subdivision _7--Q /V e. Street ..7.`___.______ Repairs No. of Stories... ....... C©tir" r ©RS W 36 86- Capacity Cals._ (Signed)_ My Commission Expires Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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. ( Signed) /��ele!J% ( .�, (/LJ � 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 dep oses 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. materials NOTE: A r wo specti hipee of *1.00 will be made when such re-Inspection is made'neoessary by improper notice for inspection, or faulty CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINK[ LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NB TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK 8[WIR CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O 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. �j No 7 0 ....W.__ Owner's Name and Addre ._ _R,. � ..._. � S7 L 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 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 Permits O ° � — STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • N®I.s@enI L_&.C, Street.c.LL-1 e c r - Mork Subdivision _7--Q /V e. Street ..7.`___.______ Repairs No. of Stories... ....... C©tir" r ©RS W 36 86- Capacity Cals._ (Signed)_ My Commission Expires Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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. ( Signed) /��ele!J% ( .�, (/LJ � 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 dep oses 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. materials NOTE: A r wo specti hipee of *1.00 will be made when such re-Inspection is made'neoessary by improper notice for inspection, or faulty r Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engin-er Employing Plumber's Name Location and Legal Descriptio . ot ._.________= Street and Number where work is to be performed— No.________77 State work to be perform ynd purpose of building (By Floors)_..... New Building Remodeling Addition Repairs Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING Date a , 7 6 No.____ Street_ _ Street Subdivisio Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl Well Size of Soakage Pit (Signed)_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida 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 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. t/ ( Signed) 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 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 hire stated are true. Notary Public, State of Florida No. of Stories 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 TUBE WE SHOWERS LAVA- TORIES SINKS INKS SLOP SINKS LAUNDRY TUBS U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT TOTAL FIXTURES CONTR. LIST Q r r / -_ -- CHUCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST 9**. CHECK r Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engin-er Employing Plumber's Name Location and Legal Descriptio . ot ._.________= Street and Number where work is to be performed— No.________77 State work to be perform ynd purpose of building (By Floors)_..... New Building Remodeling Addition Repairs Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING Date a , 7 6 No.____ Street_ _ Street Subdivisio Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl Well Size of Soakage Pit (Signed)_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida 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 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. t/ ( Signed) 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 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 hire stated are true. Notary Public, State of Florida No. of Stories 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. 1 • MIAMI SHORES VILLAGE, FLA. N9 6576 JOB __1_)_41 ,5 -‘) ADDRESS 72 6 A), / • ,y\ r 57 INSPECTION -- e (2 , ) fl TIME READY //:/ r7 71 `-? REMARKS. • INSPECTOR DATE M AMI SHORES VILLAGE, FLA. 10B Dv AO ADDRESS 7 /j C INSPECTION �a2n.a -.✓ ��A * �e p �' „4"/ TIME READY ____ — 7 e-40/ _ S REMARKS: 6A N9 6387 INSPECTOR �` �? DATE ( - APPLICATION FOR PLUMBING work to be performed and purpose of building (By Floors) MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN Permit 2 D3 Date May 8„ 1959 Applii:ation 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 Miami Shores Co- Qp No77 NE 91st St. Street Registerei Architect and /or Engineer_____________ Employir g Plumber's Name Brooks S iukl er�o. N 54th Ststreet Location and Legal Description Lot __ — ___ Block-- _ - -_._ Subdivision Street and Number where work is to be performed —No _720 NF_91s.t_.St.. Street New Building Remodeling Addition Install sprinkle-..ey_iiem 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 Amouni: of Permit $ 5.00 ss. My Commission Expires (Signed) Repairs No. of Stories . . .................. Notary Public, State of Florida Plumbing Inspector. Ile undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tions 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. (Si - Cr r Plumber. STATE OF FLORIDA, COU IN TY OF DADE. 13 sfore 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 SHOWER, LAVA- TORIES SINKS SLOP SINK, LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT •NEI TOTAL FIXTURES CONTR. LIST . CHECK .� SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LILT -- X _ - -- — CHECK APPLICATION FOR PLUMBING work to be performed and purpose of building (By Floors) MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN Permit 2 D3 Date May 8„ 1959 Applii:ation 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 Miami Shores Co- Qp No77 NE 91st St. Street Registerei Architect and /or Engineer_____________ Employir g Plumber's Name Brooks S iukl er�o. N 54th Ststreet Location and Legal Description Lot __ — ___ Block-- _ - -_._ Subdivision Street and Number where work is to be performed —No _720 NF_91s.t_.St.. Street New Building Remodeling Addition Install sprinkle-..ey_iiem 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 Amouni: of Permit $ 5.00 ss. My Commission Expires (Signed) Repairs No. of Stories . . .................. Notary Public, State of Florida Plumbing Inspector. Ile undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tions 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. (Si - Cr r Plumber. STATE OF FLORIDA, COU IN TY OF DADE. 13 sfore 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. Permit No CGS 2. " Date 2 1767. Applict.tion is hereby made for the approval of the detailed statement of the plans and specifications herewith submit d for the building or other structul'e 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. r Owners Name and Address - 1 ._ Nu. _ f Street Registered Architect and /or Engineer _ ____ Emplo;ring Plumber's Name_e1��r�a7PI 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) ___r __ , A761 _- ___ 2 _.f/_" New luilding e Remodeling______ Addition Size I ieptitTank Feet of Drain Tile Nature of Water Supply Well Amo unt of Permit $ - f - -- - My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 0 Type of Tank Feet of Tank Street Block_ Repairs No. of Stories. Qom' Drain Field from Well Size of Soakage Pit (Signed) -- _ ..... ____ Street 41 Subdivision Capacity Gals. us Y e T1c. li *1 -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his undue the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P plied with the provisions thereof, and will require similar compliance from all contractors or su performed under this permit; and will post or cause to be posted' for inspection on the site of regc,ired by the Act. The undersigned agrees to employ o • • • - con teerised by Miami Shores Village. Plum . Inspector. o • 'gallons as an employer of labor ent Supplement, and has corn - eiiployed by him in the work to be ch public notice or notices as are wo erf r ed u ej this permit, as ST / OF FLORIDA, , CO UNTY OF DADE. 1 Before me, the undersigned authority, : notary publi ,.dtdauthorized to administer oaths and take acknowledgments, pe Notary Public, State of Florida r Plumber. a y appeared to Ire 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 hin, 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 TUBE URINALS , CATCH BABIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES _ CONTR. LIST CHECI: _ -_- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTI1. LIST — CHEe.c GA (2.• ��yy V ��00 at jT Permit No CGS 2. " Date 2 1767. Applict.tion is hereby made for the approval of the detailed statement of the plans and specifications herewith submit d for the building or other structul'e 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. r Owners Name and Address - 1 ._ Nu. _ f Street Registered Architect and /or Engineer _ ____ Emplo;ring Plumber's Name_e1��r�a7PI 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) ___r __ , A761 _- ___ 2 _.f/_" New luilding e Remodeling______ Addition Size I ieptitTank Feet of Drain Tile Nature of Water Supply Well Amo unt of Permit $ - f - -- - My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 0 Type of Tank Feet of Tank Street Block_ Repairs No. of Stories. Qom' Drain Field from Well Size of Soakage Pit (Signed) -- _ ..... ____ Street 41 Subdivision Capacity Gals. us Y e T1c. li *1 -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his undue the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P plied with the provisions thereof, and will require similar compliance from all contractors or su performed under this permit; and will post or cause to be posted' for inspection on the site of regc,ired by the Act. The undersigned agrees to employ o • • • - con teerised by Miami Shores Village. Plum . Inspector. o • 'gallons as an employer of labor ent Supplement, and has corn - eiiployed by him in the work to be ch public notice or notices as are wo erf r ed u ej this permit, as ST / OF FLORIDA, , CO UNTY OF DADE. 1 Before me, the undersigned authority, : notary publi ,.dtdauthorized to administer oaths and take acknowledgments, pe Notary Public, State of Florida r Plumber. a y appeared to Ire 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 hin, 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. Permit N) New Building. Amount of Permit $ Location and Legal Description Lot. Street and Number where work is to be performed —No State w3rk to be performed and purpose of building (By Floors)_ Remodeling! —. MIAMI SH ' ARIES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether berdn specified or not. A copy of approved plane and specifications must be kept at building during progress of work. Owner's Name and Address fr f i 81141 � 1 i%t • ICTVj2 _ 7- No. Registenld Architect and /or Engineer Employing Plumber's Name F A ., Ci e , c ' A(a,., -., �...� . 6trset... dE.. a `/ z. Block Subdivision 70 stmt. La1A.L.1-2410'CQ• LOC Ft- FA) ..-GW 40) Addition -. — Repairs. Size Septic Tank__ _Type of Tank__ — __--------- .— .----------- ._...--- .•- Capedty Gale - .- • -__ -•- Feet of Drain Tile Dist. Feet of Tank or Drain Field from We -- Nature of Water Supply: City—Well. Size of Soakage Pit. ( Signed )- 'fhe undersigned applicant for this building permit does hereby certify that he understands and accepts hi under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws of Florida P plied with the provisions thereof, and will require aimilar compliance from all contractors or sub - contract performed under this permit; and will post or cause to be posted' for inspection on - . the required by the Act. The undersigned agrees to employ only such sub - contra ' • on k to licensed by Miami Shores Village. (Si Date... 1-- ' . 6 --� 2 o street - ._% V No. of Stories.... Plu Inspector. obligations as an employer of labor F nnanent Supplement, and WY corn - ployed by him in the work to be public notice or notices as are nder this permit, es are STATE OF FLORIDA, ( a. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared to rye well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of he above described construction, that be has carefully read tke foregoing application, and that he did sign the same, and that all feces thareia by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $LOO will be made when nob mitospertion 9s sasle'neoresary by improper nodes for inspection, err faulty material. and /or workmazuhiP. CLOSETS BATH Tubs SNOWERO LAVA• TORIES aINKS GLOP SIMKO LAUNORY 'rues u ©S CATCH ®AGIN FLOOR DRAIN DRINKING FOUNT'N• TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR NEATER DEEP WELL SPRKLR. SYSTEM ew1m POOL CONTR LIST _ ..... CHECK Permit N) New Building. Amount of Permit $ Location and Legal Description Lot. Street and Number where work is to be performed —No State w3rk to be performed and purpose of building (By Floors)_ Remodeling! —. MIAMI SH ' ARIES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether berdn specified or not. A copy of approved plane and specifications must be kept at building during progress of work. Owner's Name and Address fr f i 81141 � 1 i%t • ICTVj2 _ 7- No. Registenld Architect and /or Engineer Employing Plumber's Name F A ., Ci e , c ' A(a,., -., �...� . 6trset... dE.. a `/ z. Block Subdivision 70 stmt. La1A.L.1-2410'CQ• LOC Ft- FA) ..-GW 40) Addition -. — Repairs. Size Septic Tank__ _Type of Tank__ — __--------- .— .----------- ._...--- .•- Capedty Gale - .- • -__ -•- Feet of Drain Tile Dist. Feet of Tank or Drain Field from We -- Nature of Water Supply: City—Well. Size of Soakage Pit. ( Signed )- 'fhe undersigned applicant for this building permit does hereby certify that he understands and accepts hi under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws of Florida P plied with the provisions thereof, and will require aimilar compliance from all contractors or sub - contract performed under this permit; and will post or cause to be posted' for inspection on - . the required by the Act. The undersigned agrees to employ only such sub - contra ' • on k to licensed by Miami Shores Village. (Si Date... 1-- ' . 6 --� 2 o street - ._% V No. of Stories.... Plu Inspector. obligations as an employer of labor F nnanent Supplement, and WY corn - ployed by him in the work to be public notice or notices as are nder this permit, es are STATE OF FLORIDA, ( a. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared to rye well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of he above described construction, that be has carefully read tke foregoing application, and that he did sign the same, and that all feces thareia by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $LOO will be made when nob mitospertion 9s sasle'neoresary by improper nodes for inspection, err faulty material. and /or workmazuhiP.