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PLUMBING PERMIT
Village of Miami Shores N° 4045 JOB ADDRESS / ( e // , INSPECTION / TIME READY REMARKS V / / / INSPECTOR DATE Permit No. Application is hereby made for the approval of the detailed statement of thb plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conf i lily 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 nr?. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer___ Employing Plumber's Name Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VII:_AG PLUMBING INSPECTION DEPARTME N: -.' PPLMATION FOR PLUMBINS ' , , .447 No ye Date Street__ Street Location and Legal Description Lot- -- - -- ---- _-- ______ —___ Block_ - -- -- -_.__- __.--- _ - - - - -. Subdi vision --- -•_----- --- ------- _-- -. --._ Street _� 3_ eet and Number where work is to be performed —No._-- • -_. � 9 � ' - "1 -- Street State work to be performer and purpose of building (By Floors) - -� -- _- - - - - -- New Building ___ Remodeling_-- Addition._ ____•_._ Repairs No. of Stories_ Type of Tank__ Capacity Gals 6 Slag Septic Tank _6 O 0 Feet of Drain Tile Sr6 /4_ ----- -Dist. Feet of Tank or Drain Field from 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 Permanent Supplement, and has coin - 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 otice or notices as are requfl by the Act. The undersigned agrees to employ only such sub- contractors, work to be performed public this permit, as are lioaanasii by Miami Shores Village. ( Signed) ____ aster 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 O LAVA. TORIES SINKS SLOP SINKS LAUNDRY 'rues UeS 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 SW IM'G POOL CONTR. UST CMCZCK Permit No. Application is hereby made for the approval of the detailed statement of thb plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conf i lily 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 nr?. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer___ Employing Plumber's Name Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VII:_AG PLUMBING INSPECTION DEPARTME N: -.' PPLMATION FOR PLUMBINS ' , , .447 No ye Date Street__ Street Location and Legal Description Lot- -- - -- ---- _-- ______ —___ Block_ - -- -- -_.__- __.--- _ - - - - -. Subdi vision --- -•_----- --- ------- _-- -. --._ Street _� 3_ eet and Number where work is to be performed —No._-- • -_. � 9 � ' - "1 -- Street State work to be performer and purpose of building (By Floors) - -� -- _- - - - - -- New Building ___ Remodeling_-- Addition._ ____•_._ Repairs No. of Stories_ Type of Tank__ Capacity Gals 6 Slag Septic Tank _6 O 0 Feet of Drain Tile Sr6 /4_ ----- -Dist. Feet of Tank or Drain Field from 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 Permanent Supplement, and has coin - 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 otice or notices as are requfl by the Act. The undersigned agrees to employ only such sub- contractors, work to be performed public this permit, as are lioaanasii by Miami Shores Village. ( Signed) ____ aster 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 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 4191 ❑ Work to be performed under this Permit_ Architect Contractor or Builder Legal Lot Description II Bl. Address of Building Subdi- vision DATE_ . __ _- 19 -- Contractor's License No. Value of Amount of Project $ 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed: _ _ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances cold regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 1R ROT BUILDING INSPECTION DEPARTMENT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buil& ing 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 the work. Disapproved (Signed) MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Date Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor f J` © 4 1` i of 41� d/ No. Date_6 �} Building Inspectg PLANNING BOARD__ _.. DATE Chairman _ _ Member Member ______ Member Member Member _. Council Approved _Date Disapproved My Commission Expires_ $Y 19 �/� Street Location and legal description of lot to be built on: Lot__ Block Subdivision Street and Number where work is to be done /' 3 -7 1 t! ? raJ' ` State work to be done and purpose of building (by floors) 3 2 _______ ......... _. and for no other purpose. New Building Remodeling Addition Repairs_ No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required __ _Plan Cubage Distance to next nearest building._. Size of Building Lot Maximum live load to be borne by each floor___ _. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 complied 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 su actors, on work to be rformed under this permit, as are licensed by Miami Shores Village. Remarks (Signed)-._ STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. p o c� C 0 G, G // J Permit No __� Date i l! Read, Sworn to and Subscribed before me. Notary Public, State of Florida Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ' Registered Architect and /or Engineer ..... ____= ______��_ Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ 7 "` Z_/" Street___ No.- - -- / i Axe i Street__ Location and Legal Description Lot__ ___________ Subdivision Street and Number where work is to be ____ Street State work to be performed and purpose of building (By Floors)___ _______________________________ New Building____- -- Remodeling_ _-- -___ -- Addition__ -- Repairs No. of Stories. Size Septic Tonic_ Feet of Drain Tile Nature of Water Supply: City—Well._ Amount of Permit $ 3 C� Type of Tani:__- Capacity Gals. Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit (steed) - -- i w- -- ' 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 coin - 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)- - Master Plumber. 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 him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $LOO will be made when such re- inspection is made by improper notice for inspection, or faulty materials and /cr workmanship. CLOSQTB BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS INAlB 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 SW IM•G POOL CONTR • LIST ^ -- CHECK J ` ' °' r Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ' Registered Architect and /or Engineer ..... ____= ______��_ Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ 7 "` Z_/" Street___ No.- - -- / i Axe i Street__ Location and Legal Description Lot__ ___________ Subdivision Street and Number where work is to be ____ Street State work to be performed and purpose of building (By Floors)___ _______________________________ New Building____- -- Remodeling_ _-- -___ -- Addition__ -- Repairs No. of Stories. Size Septic Tonic_ Feet of Drain Tile Nature of Water Supply: City—Well._ Amount of Permit $ 3 C� Type of Tani:__- Capacity Gals. Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit (steed) - -- i w- -- ' 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 coin - 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)- - Master Plumber. 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 him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $LOO will be made when such re- inspection is made by improper notice for inspection, or faulty materials and /cr workmanship. -- -- -- - —� CLOOCIYC _- ®AYH TUDO CXOWKRO LAVA• 4oRIQ0 CINKO CLOP OIRTXO LAUNDRY TU©® URINAL() ®A31N FLOOR GRAIN DRINKING FOUNT' M TOTAL C:IATUR CC3 CoNTn. LIOY — CHECK -- s— _' SEPTIC San= TANK CONN. BRAIN 17111LO COAKAGR PIT ORQAC:S TRAP OOLAR 64 CATER Deco WELL t32RKL11. OVYTZM SWIH'O POOL COWT . LIt1r - - - °� C:4ECti Kermit 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 ordlnanras of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether h specified ca trot. A copy of approved plans and specifications mutt be kept at building during progress of work. et Owner's Name and Address 1-- ?i / , 6/ ' L4 '` ---1 No....Z a' 3 1 ^ S Registered Architect and/ox Fngire e C, ' E mploying l'LuInlm+ S Name ..0..1- Q._ Z„ 2 !J . e._.. , •�' /i'� . dl� ®,. I � .,�,....�.,,,A.. 9�'St..�,�. „-,.....G.w.� -•: .... Location and Legal Description Lot. 21214 Subdivision._________ Street and Number where work is to be performmad —No / °` `- Strom./ • E State work to be performed and purpose of lsaflding (3y Varies) - - - -... New Building __ —. Remodeling— ,____ -_ Addition..._.___ Repairs No. of Stories Sim Septic &e^ot of Drain Tile./.6._2_1 r . 7. Feet of Tank er Dea ;; Fib from Nature of Water Supply: of Soakage Pit Amount of Permit $ to me well known, and who, being by me first duly b anpan ceetia of the above described constaruc2iaa, dire be lice carefully a dl deo therein by hisr stated are true. My Commission Ertpleao NOTE: A re-inspection fee c$ OL goat is and/ce ceceIentarohip. is MIAMI S' • RES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLECAT801 R PLUMBING PERMIT ( 5 )- (S7 ataxy l sblit, State of LIceIde Capacity •---•--- -- - ..--- ..... - Plumbing Inspector. The undersigned applicant fax this building permit does lexeby certify that he understands and accepts his obligations as an employer of later under the Florida Workmen's Compensation Act, being Sect= SEA, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require cicadae compliance from all contractors or sub - contractors employed by hire in the work to be performed under this permit; and will post or cause to pot far inspection on the site of the work such public noire ar notices as are required by the Act. The underegaod agrees to 1 apt y only such sub-contractore, on work to be perf med wtd r this permit, as are liccasei by Miami Shores Village. A ) 1 1 ...x` sister Flambee. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a sectary public, dubs casteed to administer oaths and take acknowledgments, percomlly eppenred rreee a , a e l says that he is t h e _ _ -- sesodog application, and that he did sign the acme, and that all facts > rya pa:3 aye Dv !Empower acift10 be.* en, Lake