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PLUMBINGBUILDING ELECTRICAL PLUMBING ROOFING Ui vr_er c: Builc�ir,q. Architec- Contracto or Buiic.LL Legal. Descrip CIl Addre Build :r cl MIAMI SHORES VILLAGE, FLORID BATE rj PERMIT N9 8343 CONTRACTOR OR BUILD ?R Work to .Be performed under this Per:nit Suodi- 5n. Et.. Va1uo of Project BY Contractor's License Nca. 1 '95`__ _ ] mi. of F errnit Thi; nc-;:iit is granted to the cantractor or builder named above to const the building or tc install the equipment r device described in the application Lerefor in aria compliance with all ordinances pertaining thereto and with t understanding that the wo-k will be performed in compliance with any plans, drawing, .tote -ents or specifications that may have been submitted to and ap, by the proper minicipal authorities. This Permit may be revoked at any time if the I. is not done in compliance with such ordinances or if the ph.ns sic changed without authorization. A further condition upon which this permit is ,ranted i< fro _rnderstanding that the contractor or builder named above as;ttm_s the responsibility For thorough knowledge of the ordinances and regulations pertaining( tJ the work covered hereby w1 shown on the plans or drawing: or in the statements or speci and that he assumes responsibility for work done by his aients, servants or employees. Signed: — — — BY INSPECTOR In r .n-ideration or the i,snance to me of this permit I agree to per=orm the work covered hereunder- in compliance with all ordinances and regulations pertaining trop° and in strict caeta-mit with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permi. I assume re pon:ibility for all work done by either, myself, my gent, secs ant or employee. p; a .AUTHORITY BUILDING L-- -4 ELECTRICAL PLUMBING L ROOFING Ovrner Build:Est cr Lo:Tcl AdIrLa CON IIIAC;011. (J BUILDEa MIAMI SHORES VILLAGE. FLORIDA P E lit 31 1 rr N 8273 'Work to he performed under this Pernit 195 Contractor's License Nc: Sc- Vi.Si Or. cf V LVt. of ro-t Pc.rrnit L7 graTlECC1 t the contr,ctor or builder named above to constri'ct the building crr t install cor.ipmert c)• device described in tl.e c.i)plication here:ot in -t'ict. corrpliance v•iCi all ordinances pertaining thcrEto and with th understanding that thc work will n,r recfornecl in complianc e. any plans. rit:r or c;),..cification,-; that may have been suhmitted to Lnd 11)pr:wed hy the proper 1 uiicfral authorities. "l1 Pc:mlit may he N:' 01 at any time if tklc rot d1171j p!itinco ■ such ordinances or if the plass ay r. changed withol,t ant:Iori:;ation. A turthcr con.lition ton which thi, permit is granted ta H.2r.•t;or.clirg• that the. connector or builder nam.cd ahovc assl.mes the responsibility fcr a thoroirgl) knowledirc (o the ordinance an,1 7ceulations pertainirr.: ta t1 covered lirJj 'whethtrr 11own on the plaris or (drawings or in the statement crfccii:rations and that he ume,: responsihnit% for work done by LOtS sarcvant. or ernooc.;„ Signed: BY LNSPECTOR 1 :t.]rat of the i:-..wance to no of this permit I agree to perform Ihe work covered hercund.:r 0 corrpliance v•ith all ordinances Inc r , :r.n.ations pertainir tle..c-Lto and in strict conformity .yid) the plans, drawings, statements or specifications sohnittcc to the pc peeper aiitoritc of :vliano Shore, Village. In accept 'hi, permit I :lb.:II:TU.11: rosoonsikiiity for all work clone by either, my:trlf, my agent, set or employee. BY AUTHORITY MIAMI SHORES VILLAGE PLUMBNG NSPECTi N DEPARTMENT APPLICATION FOR PLUMBING PERMIT Apnlicaaion is hereby na • a far the approval of the detailed atatement of the plans and specifications herewith submitted for the building or lazzein deswileed. T application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all previsions of the Laws of the State of Florida, ail ordinances of Miami Shores Village and all rules and regulaticns of the Building Divls!a...n Shores Village shall he complied with whether heazin apefied. or not. A copy of approved plans and specifications must be kept ;at bufaiin3 during proxes of work. Gcvnefe Name. and AcIdmss .A2/ No. , • Street Registaaed Architect and/or :Engineer_ Employing ?lumber's Namea_f_il.?.!./ EV LOCS5331 and Legal 'Description Lot_ Stato work to be perform:4i and purpose of building (By Floors) ' ''- 4 -' 4 ' Y - • .7. New BuiWing Remodeling — Addition Repaira Nc. of Stories 06; AEZMPZ c2 $ ... .... ( i vixvz ImeamA, COUNTY 'IF DADE. .fT4 ( Signed )_ St'-5 Sapt!C Type of Tank_ Fut. cl Dacin ................. Feet of Tank or Drain Yield from Well Water Supply: City—Wail. _Size of Soakage Pit Date Street. ' Subdivision . _ Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands ar4 accepts his obligations as an employer of lobar under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Sapplement, and hob ca-a- Flier: walz the arovizions tlaeaeof, and will require similar compliance from all contractors or sub-contractors e proyed by hirn in the work to b ch public notice or notices as 0.:7.3 performecrAder this permit, i:s perfanani aaarix ahis permit; and wild post or cause to be posted' for inspection on the site of the w tk ky tk Act. The undersigned agrees to employ only such sub-contractors, o ri aa/ork) / lia- 1.57g l'Atin,i Shores Village. i/ la/ •Z , . ,....,, _,....,,,..--....._. ,...._.:_ . - -,,,,, Master Plumbea. Before aro, the undcrarlgne'L authority, a notary public, &sly authorized to administer oaths and take acknowledgments, personally appears to me well known, End who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above dezeribed construction, that he has carefully read the fl application, and that he did sign the same, and that all facts therein by hisr, stated are true. My SE-4321 Expires Rotary Public, State c Florida NCTE: A ra-inspectica fee of $1.00 will be made when such re-I:mond= is mado•neeessery by improper notico for inspection, or i'af rratarials analks workrnsnc'hi,na e BATH TU DS SKOW'ERS LAVA- Tomes SINKS SLOP $INK LAUNDRY UBZ3 URINALS CATCH BASIN FLOOR DRAIN DAT NK NG FOUNT' NS - . . YOY A L FIXYL::1:Z5 corral. UST i /'.. 7//' .--, --- cazax oaParc YGC,13 samara COMM. BOA I N FIELD SOAKAGE PIT — GREASE TRAP SOLAR HEATER DEEP WELL --- SPRKLR. SYSTEM SW I M • G POOL __ • . __ ocanu• UST C::SCR MIAMI SHORES VILLAGE PLUMBNG NSPECTi N DEPARTMENT APPLICATION FOR PLUMBING PERMIT Apnlicaaion is hereby na • a far the approval of the detailed atatement of the plans and specifications herewith submitted for the building or lazzein deswileed. T application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all previsions of the Laws of the State of Florida, ail ordinances of Miami Shores Village and all rules and regulaticns of the Building Divls!a...n Shores Village shall he complied with whether heazin apefied. or not. A copy of approved plans and specifications must be kept ;at bufaiin3 during proxes of work. Gcvnefe Name. and AcIdmss .A2/ No. , • Street Registaaed Architect and/or :Engineer_ Employing ?lumber's Namea_f_il.?.!./ EV LOCS5331 and Legal 'Description Lot_ Stato work to be perform:4i and purpose of building (By Floors) ' ''- 4 -' 4 ' Y - • .7. New BuiWing Remodeling — Addition Repaira Nc. of Stories 06; AEZMPZ c2 $ ... .... ( i vixvz ImeamA, COUNTY 'IF DADE. .fT4 ( Signed )_ St'-5 Sapt!C Type of Tank_ Fut. cl Dacin ................. Feet of Tank or Drain Yield from Well Water Supply: City—Wail. _Size of Soakage Pit Date Street. ' Subdivision . _ Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands ar4 accepts his obligations as an employer of lobar under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Sapplement, and hob ca-a- Flier: walz the arovizions tlaeaeof, and will require similar compliance from all contractors or sub-contractors e proyed by hirn in the work to b ch public notice or notices as 0.:7.3 performecrAder this permit, i:s perfanani aaarix ahis permit; and wild post or cause to be posted' for inspection on the site of the w tk ky tk Act. The undersigned agrees to employ only such sub-contractors, o ri aa/ork) / lia- 1.57g l'Atin,i Shores Village. i/ la/ •Z , . ,....,, _,....,,,..--....._. ,...._.:_ . - -,,,,, Master Plumbea. Before aro, the undcrarlgne'L authority, a notary public, &sly authorized to administer oaths and take acknowledgments, personally appears to me well known, End who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above dezeribed construction, that he has carefully read the fl application, and that he did sign the same, and that all facts therein by hisr, stated are true. My SE-4321 Expires Rotary Public, State c Florida NCTE: A ra-inspectica fee of $1.00 will be made when such re-I:mond= is mado•neeessery by improper notico for inspection, or i'af rratarials analks workrnsnc'hi,na Application is hereby made for the approyal of the detailed statement of the plans and specifications herewth submitted for the buil ing or other structure herein described. This application is made in compliance and conformity with the Bui.ding Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances ol 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 prggress of the work. Date. Owner's Name and Address , ,-, - 7- - ,e!-- 7. , - ,2 ,3 , No •----.' e street_ r- ' - ' llcgiatercd Axchitect and/or Engineer - • - Name and address of licensed contractor X •• Location and legal description of lot to be built on: Lot V 6 : ' , e7 ----' Block i '/- ' Subdivision ,,,,,..,-, , /<, ,-,"/? /. / Street and Number where work is to be done 7 (, "V. 7,;: --' • r State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Lloof ., vering Estimated Total cost of improvements $...-.4./e). •.`-'-- Amount of Permit $. - i ° ,---,,, 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 ---•','% ,-,-..,,, cr...it -,, - ": • -.-=t:* The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employe:: 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 subcontractors, on work to be performed under fris permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. ss.. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally el,- ceased and who, being by me first duly sworn, upon oath deposes and says that he is the. cf the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fats therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date '17,1J :Q. V: n rr,2; Building Inspector .t> Choir Member Member Council Approved Date NOTE: A charge of $1.00 will the f.anning Board. A re-inspection fee of 51.00 materials and/or workmanship. UILDFNCA INSra*C:TION DEPAR7MENT F:La IC , .to me well know, Notary Public, State ot Florida My Commission Expires PLANNING BOARD .DATE Member Member Member Disapproved Date be made for making corrections or changes to this application after approval has been obtained from will be charged when such ra-inspection is made necessary by improper notice for inspection or fauL'y Date Metz^ 8.:..4 _ - U y Building and Zoning Department Attention: Building Official Gv� ew<':' 123.03-92 D SWIMMING POOL OWNER'S CERTIFICATION 7: I certify that I am the legal owner of the property described asi�- --4/1 ° located at JC 4, S - In accordance with Section 33- 12(f), Code of Metropolitan Dace County, 1 certify that 1 understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety bar- rier, and such barrier erected, inspected and approved. 11 further understand that this certification, however, does not eliminate the need for ob- taining a permit and erecting an approved barrier prior to final inspection and use of, the pool. Legal Owner `,7 Note: This certification is to be submitted with a swimming pool permit application in duplicate. F r • "V -- -- CLOOEYC BATH TUDS �. -- - —" .MOW MC' LAVA- - TORIEO GINKO SLOP F LAUNDRY TL•JS �_- —�- URINALO CAVE DAUIN FLOOR DRAIN DRINKING FOUNT' NO TOTAL F IIYUr'2CI.6 Como. Cx3CK SEPYIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER .ems D IL' EP WELL SPRKLR. SYSTEM SW IM•G POOL. - -- - N -• —_J -- -- --' CGrNv:1. LIEV OM 3E // - - - Pxnrnit No Stato Wei: to he performed and purpose of b iblag (3y IF/lears) Now Iauildimmr3 __ Remmnodeling____ -- — _ -- --• Sac 'II anPs ._._ -- -- Fest of IIDaain Tile_ —_-- - Nature of Water Supply: City — Well.__ Arsat of Permit 3 S'li'A'IP.e. ®F FL ®RMA, COUNT7 ®F DADIE. My Commission Expires KUM :W.9 NOPi CTEON ®EPARYWRNT Application is hereby made far the approval ¢s the drtailldl stctemrnt of the plans and specifications herewith submitted for the building or other structure herein describ d. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Villcge, arzd all provisions of the Laws of the State of Florida, aHE ordimmammc00 of Miami Shores Village end all rules and regulations of the Building Division Miami Shores Village shall be complied with, whetaer herein specified or not. A copy of approved plans and specifications must be kept et ( nilrting during prouress of work. afro Name and Address Registered Architect and /or IEngineer_—__- __` --1 }Employlig Plumbers Name A;% °;'=}RSr'_ -47 l e.= and Legal Description Lot. �° t - 9 ' ' Bier lr Subdivision_--- - .... — _.-........ Strr s end Numlz�r wham work to l perfe rWdl�No � °` 1 � Street_ 4 Addition Repairs _--- __Type of Tank_ __Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit (Signed) - :Plu ins IInspecto .? The undersigned applicant for this building permit does hweby certify that he understands and accepts his obligations employer of labs under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent S plement, and I:as co7:- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed y him in the work tc be performed under this permit; caul will post or cause to be postal for inspection on the site of the work such public notice or notices as a,.�. req',afrr by tine Act. The undersigned agrees to employ only such sub - contractors, on wore to be performed under this permit, as ere lifeenzscd Mimll Oksma VilLege. Master Plumber. Date__. `1 eat.. Capacity Gals. No. of Stories. - s Mary Public, State of Florida i P7,! .P ° _ Street —_/ �zn Before ma, the undersigned authority, a notary pubErc, duly authorized to administer oaths and take acknowledgments, personally apper ee to me well !mown, and who, being by me first duly sworn, anpon oath deposes and says that he is 'the of the above described construction, that he has carefully mead the foregoing application, and that he did sign the sante, and that all facts thece;n by him stated are true. NOTE: A rr weesei n fee of 01.40 wiiR lla Enci3 wihco uzza F. inspcction 1.0 MO&•n ay by improper notic. for k s 1, or falLy materials aadl /e2 cyu3 nas'rnp. -.. . ....._ — — CLOSETS . -. _. .,- OATH TUBS . - C LAVA. TORIES SINKS SLor SINKS LAUNDRY TUBS URINALS CATCH imam ............... FLOOR DRAIN DRINKING FOUNT' NS ....mom. ............... TOTAL P:KTUREE CONTR. LiBT • ., CHECK _ L . . -, , SEPTIC TANK SEWER CONK. ..e■g DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER ..s...e■ww.. ,_ DEEP SPRKLR. WELL SYSTEM ISWCM•G POOL . CONTR. Liorr 1 / CHECK ... ...... .. .. • .. , Pearr_it No ApAcation is hereby made for the approval of the detailed statement of structure herein described. his application Is made in compliance and conie: and a provisions of the Laws cf the State of Florida, all ordinances of of Lei Shores Village shall be cii..^.plied with, whether heroin spe';.... bur.din.g dusting progress of 'Jerk. Owner's Nanze and Address.. Reretl and/ar Engineer ? 7,7, ‘ 77 Employlmg nirc'ear's Name.. No. Street.— _ , Location and Legal Description Lot. Blook.. Subdivision..._______ ... __... Street and Number where work is is. he performed—No SNeet- State work to he performed and purpose of building (By Floon)______ _ New Building._ Remodeling Addition_ Repairs No. of Stories. Size Serie Tank ____ Typo of Tank__ Feet of Drain Tile._ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Sins of Soakage Pit Amount of Permit $ efcrso WE'ATE O:Y FLO' 'DA, se, ::,'OUNTIF CY DADE. My Co;;;Tsion Expires LAAMI StiirlitrIZ VI: . INSPECTIOM DFPARTM.7.V. APPLKATION FCL FLumpimn Date / ,•, and speLi.. r .11s herewith submitted for the building or other y with the Ordinance of Miami Shores Village, 51oricla, Viiilap;,: and all tales and regulations of the BuiltLrk; ved pans and bpeClications must be kept a. S treet— c- -1,1■11•HOlal Capacity Gals. Plumbing Inspectzr. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are recoire by tie Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as ate Ii=ased by Miand Shores Village. , - ,-9 (SiSnea) `' •atr...S.•••••■•• . ,/ nude a... authority, a notary public, duly authorised to administer oaths and tako ackncrwledgmnuts, personally appeared Notary Public, State of Florida Muter Plumber. to me well kowz, and W being by me first duly swons, upon oath deposes and says that he is the. c.fr j above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts stated are true. N3773: A ir'brApezt.L.. rze of $1.00 will be made when such re-inspection is made'necessary by improper notice fcr inspection, or faulty matesia::; anti/or workmanship. Jk 7,0 OATH CLOSETS TUa6 SHOWERS LAVA- TORIES RINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DR:NKI NG FO:JNY'NS TOTAL IIIETURES CO:L'Y.7. LIG? C: <aC L SEWER CONN. _ SEPTIC TANK DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWING POOL. LIG4 - CX:ICK ;Paennt 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 cf y,iami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans cnd specifications must ua '_ccpt at btlding during pro:a:ess of work. Ia 4,0 C ref o Name and Address ° r rt t_'t ae Architect and/or Fng .r � Plumber's Name --d ',� St:set „ N:rrbea where work is to be performed —No. Stc..e work to be performed and purpose of building (By Floors) _.._.-- - - - - -- Ner Building ------- - - - - -- - - - - - -- Remodeling------- - - - - -- ----- - - - - -- Addition C ,ptic Tank_ L T 9 f Tdtrk_— Capacity Gals e of °1 ile--- ___ - -- r / ( �, e . f I l min ___ —Dist. Fee t of Tank or Drain Field from Well I`�_,t�.sro of Water Supply: City —Well A :eu�t of Perrrnit 6 9ii A°�°U+ OF FLORIDA, . 3 R'' C OF '. >ADE. My Commission Expires L' 8At i SNORES VIL`f4GE PLUMBING INSPECTION DEPARTMEi�7 APFLICATION FOR PLUMBING No. (Signed)_ Street_ = 'L - ��_� e �PJ ®. �.'_. �___ Employing Street__ Location and Legal Description Lot- __...— _�lgcl� � Subdivision '.v ' z . : J StSeet_ Notary Publiz, State of Florida Repairs No. of Stories _Size of Soakage Pit Plumbing lr-spector. The undersi_ ry ed applicant for this building permit does hereby certify that he understands and accepts his oj'ligations as an emp:oycr of labor wader the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pen anent Supplement, and I :as corn- :Peel with ::he 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 rcz. r, rd by die Act. The undersigned agrees to employ only such sub - contractors, on work to be performed •arnder this permi?, as are Tio E i . , Miami Shores Village. r __ — =— - - -' —` = (Signed) � , - r Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally u-:peared °°:e v.reil known, and who, being by me first duly sworn, upon oath deposes and says that he is the _ _ -- c£ Q.be above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that a:. facts t"_cein by him stated are true. N0 E: A rreinspection fee of X1.00 will be made w:kee such re- inspection is made'nececssary by improper notice for inspections, faulty > cteriais and /or workmanship. BUILDING ad" RICAL PLUM3ING Owner of Building Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N: 4770 Work to be performed under this Permit _.4 Ira. Architect BI. r Subdi- vision DATE 194,:x__ Contrac'tor's License No._ Address of Value of Amt. of - Building _ '-- ,. , +— ' f ; /`;,*` c Project Permit This permit is granted to the contractor or builder named above to ccnstruct the building or to install the equiut tent or device descrf ;ed :n tli,' appli- cation herder in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in complier in with ;ni plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit n, 1:: n 1 o'.cn 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 Upn 1 NcLkli ilti- permit is granted is the understanding that the contractor or builder named above assumes the responsib'lity for a thorough knowledge of the orciii i en;•s said regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that be lie ni :'v rr'spon- sibili y for work done by his agents, servants or employees. r Af H • , ` S igne :3: � r ar By - --- L \�SPE, T In consideration of the issuance to me of this permit I agree to perform the work covered Ihereundar tif with al .prd_nances an.1yi m pertaining '1-creto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami SI ion s V ihTr,c. In accepting this permit I assume respcnsibility for all work done by either myself, my agent, servant or enployoe. CO:\TRACTOR OR BUILDER BY AUTHORII Y BUILDING ELECTRICAL PLUMBING Owner of Building Architect _ _- Contractor or Builder ._ Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 4770 W ork to be performed under this Permit Building* Subdi- vision DATE Contractor "s License No. 194 Address of dalue of Amt. of Project Permit j This permit is granted to the contractor or builder named above to constr the building or to install t equipment or device described in the appli- cation herefor i strict compliance with all ordinances pertaining thereto and with the understanding that the y ork will be peiformied in compliance with any plans, drawings. statements or specifications that may have loin submitted to <<nd approved by the proper num,icipal authorities. Thi.; 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 aotaroritation. A further c )edition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibili't ha a thorough knowled;e 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- ____c....._10:' � z' By _ ,.. ", g � IN fe C OR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder im compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authu rities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, _my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY New Bu lding Remodeling CONTR. LIST CHECK SEPTIC TANK CONTR. LIST I_ CHECK BATH CLOSETS TUBS SHOWERS] TORIES SEWER CONN. STATE JF FLORIDA, COUNTY OF DADE, 1 DRAIN FIELD SS. SOAKAGE PIT MIAMI SHORES VILLAGE; PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. ])ate AppliLat ion is ' itchy made for the approval of the detailed statement of t'lie plans and specifications herewith submitted for the building or otht r structure herein des,:rihed. This application is made in compliance and conformity with the Building Or.iinlmce of Miami Shores Village, Flortca. and all provisions of the Laws of the State of Florida, all ordinances of ,Sarni Shores Village and all rules and rrgnlatiu Is of the Building I)iv ision nt MianIi Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spel •ifica.tions most be kept at building during progress of work. Owner's N,.me and Address No. - Registered Architect andior Engineer. Employing Plumber's Name . No.__ Location and Legal Description Lot Block ____._____ Street and Number where work i; to be performed —No. State ',s Lrk to he performed and purpose of building (By Floors) SLOP SINKS SINKS GREASE TRAP SOLAR H EATER Additior LAUNDRY TUBS DEEP WELL URINALS SPRKLR. SYSTEM Size Septic Tank Type of Tank ____ Feet of Drain Tile Dist, Feet of Tank or Drain Field from Well _ Nature c f Water Supply; City—Well. Sine of Soakage Pit Amount. of Permit tS ( Signed) (Signed) Repairs SWIM•G POOL. St:eet Shoot Street Subdivision CATCH F_OCR - DRINKING BASIN DRAIN FOL NT NE No of Stories C ipacity Cals. Plumbing Inspector. lie undersigned applicant for this building permit does hereby certify drat he understands and accepts his obligations employer of labor under t11r2 Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of 'Horn .t Permanent Supplement. and has com- plied with the provisions thereof, and will require similar compliance from ill contractors or sub-contractors enlp1 Ity hint in the work to be pertoraed under this permit; and will post or cause to be posted for inspect on on the site of the work such public notice or notices as arc required by the :Act. The undersigned agrees to employ only such srh- contractors, on work to he performed under this permit, as ale licensed by Miami Shores Village. My Commission Expires Notary Public, State o Florida Master Plumber. TOTAL FIXTURES Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknawleclim ls. personally ,tppear to ale well known, and who. being by •ne first duly sworn, upon oath depose; and says that 1-e is the of the .tboce described construction, that lie has carefully read the foregoing application, and that be did :.ign ( sate, and that all laci therein by hint stated are true. NOTE: A rc- inspection tee of $1.00 will be made when such re- inspection is made necessary 1)) improper notice for inspection, or faults luaterials and/or workmanship. 1'. S. FORBES JILE3ER7 C. FORBE,8 J. E. FDRBE:E PLUMBING AND HEATING PHONE 2 -4872 216 S. W. 12TH AVENU MIAMI 36, FLORIDA 2.`'