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PLUMBINGPermit No / a c d / 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. r /' Sa+�c - 2 . Owner's Name and Address >A/e 51n.1 git,t _1_�P 5 g/ . CL LC - h - ___. _._ No. - - - - -- �? _3 S Street £t.- 93L-57.- Registered Architect and /or Engineer_.__ _________.___ —___._ ._ Employing Plumber's Name _' 1____ ELY! _C__ . e 11' C 7 '-/1 - No.__ Street __ -- - -_!_ • v e Location and Legal Description Lot Bloch Subdivision ..... __________ Street and Number where work is to be performed -No • 3 C Street 'J L 9 3 s 7 State work to be performed and purpose of building (By Floors) _ -____ 1 _e _ las.x- -_- 3. 11- L,.S!t- /c .Aivi , 1� New Building __________._ .......... -- ___ -__ Remodeling—_-_-____________ Addition___________ ..... Repairs- ___1 ,.- No. of Stories. - - .- ------- -- _ Size Septic Tank______ Feet of Drain Tile_ Nature of Water Supply: City -Well Amount of Permit $_ 1 STATE OF FLORIDA, ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Si Date. __Type of Tank__ Capacity Gals._ _ —Dist. Feet of Tank or Drain Field from Well _--- ---- _ _-- ___ -- -� _ -- - _Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o$gations 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 ch public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, ork to brfcNln: , nder 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 Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. CLOUTS BATH TUBS SHOWERS LAVA. TORIES INK SS 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 SW IM'G POOL CONTR. LIST CHECK Permit No / a c d / 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. r /' Sa+�c - 2 . Owner's Name and Address >A/e 51n.1 git,t _1_�P 5 g/ . CL LC - h - ___. _._ No. - - - - -- �? _3 S Street £t.- 93L-57.- Registered Architect and /or Engineer_.__ _________.___ —___._ ._ Employing Plumber's Name _' 1____ ELY! _C__ . e 11' C 7 '-/1 - No.__ Street __ -- - -_!_ • v e Location and Legal Description Lot Bloch Subdivision ..... __________ Street and Number where work is to be performed -No • 3 C Street 'J L 9 3 s 7 State work to be performed and purpose of building (By Floors) _ -____ 1 _e _ las.x- -_- 3. 11- L,.S!t- /c .Aivi , 1� New Building __________._ .......... -- ___ -__ Remodeling—_-_-____________ Addition___________ ..... Repairs- ___1 ,.- No. of Stories. - - .- ------- -- _ Size Septic Tank______ Feet of Drain Tile_ Nature of Water Supply: City -Well Amount of Permit $_ 1 STATE OF FLORIDA, ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Si Date. __Type of Tank__ Capacity Gals._ _ —Dist. Feet of Tank or Drain Field from Well _--- ---- _ _-- ___ -- -� _ -- - _Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o$gations 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 ch public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, ork to brfcNln: , nder 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 Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. _ —� CLOUTS CLOTS BATH Tu•• SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY Tuve U RINAL/ CATCH BASIN FLOOR DRAIN DRINK INO FOUNT••• TOTAL rIITUR is GONTR. LIST CHECK —� — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE. PIT G TRAP SOLAR MEATIER DEEP WELL 5PRKLR. a SM'I IA' O POOL — II CONTK. LI ST CHECK / , — Permit No -ge; Registered Architect and /or Engineer Amount of Permit $ N 60 STATE OF FLORIDA. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ,ELol oYio$ Plumh's One/ cam d Leg ption Lot. Street and Number where work is to be performed -No State work to be performed and purpose of building (By F o n)________ New Building.._.-._.— _.._.-..-.. - -._.. Remodeling— __.._.. Addition. (Signed) _..__ Repairs Size Septic Tank_ -Type of Tank-- Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well .. - ._ Nature of Water Supply: City -We& Size of Soakage Pit ( Signed ) C 7 - 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 K(Fein 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 Dopy of approved plans and specifications must be kept at building during progress of work. n Owners Name and Address lI // L v b��/ - �ry bS eN No 33 Street.._2Yt 93 V c Block 4f 3 S a street WE S 3.. S:71". . - - .... -- subdivlslor . 12M2 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 5988, Compiled Cenral Laws of Florida Permanent Supplement, and Iii com- piled with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wore to he 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 die 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. f z caul 4c?T/ C/lco39d Z 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 be did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida No. of Stories ............... NOTE: A re- inspection fee of $1.00 win be made when molt winipeodos is nride•nernmary by impepet notice far Irpection, er faulty materials and /or worla anshtp. Date s Z9 /9U Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as , located at .7.s /Vt ", . In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I 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 barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. Owner's Name and Address._ Registered Architect and /or Engineer Name and address of licensed contractor Disapproved Date (Signed) .zP - y "/ Building Inspeo •r MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- 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. Date O'C O 2 No Street Location and legal description of lot to be built on: Lot 2. ! - )- Z Block ..� Subdivision M t 5 Street and Number where work is to be dope e . a <;t-•. 9 . State work to be done and purpose of building (by floors) /1 I .A1'11 ,19s 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 pennit 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 subcontractors, on work to be performed 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. Permit No la Date I °' Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Permit No._ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submiirted for the building or otter 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____ _ :k. _____ _A 1 5. E No._- ----- -.----- .----- _ -_-__ Street Registered Architect and /or Eng' eer___ ___ ___. — �� Employing Plumber's Name . A Y • 1 `> L �" � pA� \ No. _— ____. Location and Legal Description Lot .______ -._.__._____.— ._._.:. _-_- Block Feet of Drain Tile.— ...... _ e1)7 Nature of Water Suppl ity— ell Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT P APPLICATION FOR PLUMBING h�MIT Street SubdivLdon....... _-- -.__ -- _ Street and Number where work is to be performed —No 3 f Street. State work to be perfo eS and of building (By Floors)_1 . (yy r�.., ! ® a New Building_.__________ Remodeling____ ____ Addition_____.._ Repairs No. of Stories.... " == Size Septic Tank Type of Tank_____ _Dist. Feet of Tank or Drain Field from Well _ City— _ -� ---------- - - - - -_ -- ._Size of Soakage Pit Capacity Gals. Before me, the undersigned authority, a notary public, duly authorized to administer oaths an Notary Public, State of Florida (Signed)_ - bing 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 L ws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors o \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 _ f the work such public noticejor notices as are required by the Act. The undersigned agrees to ploy only such sub- contractors, •n wok to be performed, under��this permit, as ere l icensed by Miami Shores Village. - (Signed)- - -- =,+ „ - • Y Master. hiMber. c- e acknowledgments, persona rsonalCy 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 Toss U CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FI%TUREB CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST 0 i CHECK a Permit No._ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submiirted for the building or otter 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____ _ :k. _____ _A 1 5. E No._- ----- -.----- .----- _ -_-__ Street Registered Architect and /or Eng' eer___ ___ ___. — �� Employing Plumber's Name . A Y • 1 `> L �" � pA� \ No. _— ____. Location and Legal Description Lot .______ -._.__._____.— ._._.:. _-_- Block Feet of Drain Tile.— ...... _ e1)7 Nature of Water Suppl ity— ell Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT P APPLICATION FOR PLUMBING h�MIT Street SubdivLdon....... _-- -.__ -- _ Street and Number where work is to be performed —No 3 f Street. State work to be perfo eS and of building (By Floors)_1 . (yy r�.., ! ® a New Building_.__________ Remodeling____ ____ Addition_____.._ Repairs No. of Stories.... " == Size Septic Tank Type of Tank_____ _Dist. Feet of Tank or Drain Field from Well _ City— _ -� ---------- - - - - -_ -- ._Size of Soakage Pit Capacity Gals. Before me, the undersigned authority, a notary public, duly authorized to administer oaths an Notary Public, State of Florida (Signed)_ - bing 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 L ws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors o \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 _ f the work such public noticejor notices as are required by the Act. The undersigned agrees to ploy only such sub- contractors, •n wok to be performed, under��this permit, as ere l icensed by Miami Shores Village. - (Signed)- - -- =,+ „ - • Y Master. hiMber. c- e acknowledgments, persona rsonalCy 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. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- 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. Owner's Name and Address._..._`,! , MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT BUILDING INSPECTION DEPARTMENT .10t.y...N S Registered Architect and /or Engineer (� t - p Name and address of licensed contractor �J ' -s, fit/ / ®/ Location and legal description of lot to be built on: Lot Block Subdivision t �p ry e - �+ Street and Number where work is to be done 3g f �' ? J� ` / ! / A- M v 6i `� K State work to be done and purpose of building (by floors) A A v �X ,,S f�[ New Building Remodeling Addition Repair No. of Stories and for no other purpose. 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 pennit 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed — — r __ , �. %.._ Date '1 l r , 19j No Street 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 e. Permit No Date,-- _1 / ° 7- Read, Sworn to and Subscribed before me. Disapproved ��. Date_ Notary Public, State of Florida (Signed) ..- Iding Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- 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 Date (Signed) Building Inspector MIAMI SHORES VILLAGE, BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT f-14. Owner's Name and Address ...... ,.___ A G � % 9 Registered Architect and /or Engineer . G.1'''!= Name and address of licensed contractor ,' / f �' Location and legal description of lot to be 1?u t on: Lot U " L-- s - Block l 7 { Subdivision. 6 Street and Number where work is to be done l) State work to be done and purpose of building (by floors) New Building � — ernodeling ,r.' Addition To be constructed of ' Kind of foundatior I^ Estimated Total cost of improvements $_.. .2) /v i Zone cubage required 1 Distance to next nearest building C Date 4 ,. 9 - 1" and for no other purpose. 1); Repafis - .1 /' 1. Roof Covering Amount of Permit plan Cubage l_.7 Size of Building Lot / �f Notary Public, State of Florida 3 ,19 y Street No. of Storj s 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 subcontractors, on work to be performed 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. Permit No Date Read, Sworn to and Subscribed before me. My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Permit No Registered Architect and/or Eng' . eer_________�_ _ _ -___ r w. Employing Plumber's Name 4 0.* Amount of Permit $ ) 1 • .s2- e\ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING G"r>MIT 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 ----------- -_ - -!" r.------ .---- - - - - -- No.__ Street Location and Legal Descripti Street and Number where work is to be performed —No " State work to be performed and purpose of building (By Floors) New Building Remodeling Size Septic Tank Type of Tank No.____.._______.___— Street-- - -- — Block -_ - - -- __ -- Subdivision Addition._______.______________ Repairs No. of Stories. _ _.. 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) _ __S�! Date Street Plumbing Spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o !gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pern r ent 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. / C L � � (Signed)._ __..; -- _ -- Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. 1 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 TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tung U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST 3 / / 3 CHECK —_— SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP ioawR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / / ' CHECK — Permit No Registered Architect and/or Eng' . eer_________�_ _ _ -___ r w. Employing Plumber's Name 4 0.* Amount of Permit $ ) 1 • .s2- e\ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING G"r>MIT 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 ----------- -_ - -!" r.------ .---- - - - - -- No.__ Street Location and Legal Descripti Street and Number where work is to be performed —No " State work to be performed and purpose of building (By Floors) New Building Remodeling Size Septic Tank Type of Tank No.____.._______.___— Street-- - -- — Block -_ - - -- __ -- Subdivision Addition._______.______________ Repairs No. of Stories. _ _.. 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) _ __S�! Date Street Plumbing Spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o !gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pern r ent 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. / C L � � (Signed)._ __..; -- _ -- Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. 1 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. Co tUILDING - LECTRICAL IUMBING OOFING )wner of uilding rchitect -ontractor r Builder .ddress of uilding CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. PERM egal Lot )escription IT N? 5907 B1 Work to be performed under this Permit I FLORIDA DATE_ 195 Contractor's License No. Subdi- vision Value of Project $ Amount of Per:mit $ This permit is granted to the contractor or builder reamed above to construct the building or to install the equipment or device described in the application erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any we 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 ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ertaining to the work covered hereby whether shown on the plans or drawings cr in the stapments or specifications and that-be assumes responsibility for work one 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 an " g ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village in ac. opting this permit I assume responsibility for all work done by either, myself, my agent, servant Or employee. BY AUTHORITY e BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot PERMIT N? 6299 Contractor's License No. El r Work to be performed under this Permit MIAMI SHORES VILLAGE. FLORIDA CONTRACTOR OR BUILDER L f i or 1 ` ( i • +K Bl. 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 tkiorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or pecificati and that he assumes responsibility for work done by his agents, servants or employees. Signed. In consideration of the issuance to me of this permit I agree to perform pertaining thereto and in strict conformity with the plans, drawings, statements o r cepting this permit I assume responsibility for all work done by either, u self, J c Subdi- vision Value of Project $ INSPECTOR I DATE /1 195 J 1' ■ L °) Amount of Permit $ BY AUTHORITY ob '$Y. the work covered hereunder in compliance with all ordinances and regulations pecifications submitted to the proper authorities of Miami Shores Village. In ac• itt y agent, servant or employee. IA■ SH2RES.. /ILLAGE, FLA. JOB ✓ .S g c= rJ ADDRESS 7 E- 9 z e St' INSPECTION H TIME READY A ` REMARKS. - N9 6512 t�' y INSPECTOR DATE