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374 NE 92 St (12)Permit No. Owner's Name and Address 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 Fl New Building Remodeling v Addi Size Septic Tank Feet of Drain Tile Nature of Water Supply; City -Well Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby ninde for the approval of the detailed statement of the plans and specifications herewith submitted for the building or oche) structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. The undersigned applicant for this building permit does hereby certify under the Florida Workmen's Compensation Act, being Section 5966, Co plied with the provisions thereof, and will require similar compliance fro performed under this permit; and will post or cause to be posted for insp required by the Act. The undersigned agrees to employ only such su licensed by Miami Shores Village. No i r _✓`tea!- No 7/ 7-.$ - Street-- - 2ge ,� 74 Block Subdivisi. n 7 1 ,?7 4 371' (Signed)_ Repairs Date 41-/11 Street Type of Tank. _ Capacity Gals _Dist. Feet of Tank or Drain Field from WeIL Size of Soakage Notary Public, State of Florida 9 Plumbing Inspector. ders' ands and accepts his obligations as an employer of labor neral Laws of Florida Per►nanent Supplement, and has com- ntractors or sub - contractors employed by him in the work to be on the site of the work such public notice or notices as are ntractors, on work to be performed under this permit, as are Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fay therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. CLOSETS BATH TuS8 SHOWERS LAVA- TORIES S INK6 SLOP SINKS LAUNDRY TUaB URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE! CONTR. LIST _ CHECK - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP W -: SPRKLR. a )YSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. Owner's Name and Address 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 Fl New Building Remodeling v Addi Size Septic Tank Feet of Drain Tile Nature of Water Supply; City -Well Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby ninde for the approval of the detailed statement of the plans and specifications herewith submitted for the building or oche) structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. The undersigned applicant for this building permit does hereby certify under the Florida Workmen's Compensation Act, being Section 5966, Co plied with the provisions thereof, and will require similar compliance fro performed under this permit; and will post or cause to be posted for insp required by the Act. The undersigned agrees to employ only such su licensed by Miami Shores Village. No i r _✓`tea!- No 7/ 7-.$ - Street-- - 2ge ,� 74 Block Subdivisi. n 7 1 ,?7 4 371' (Signed)_ Repairs Date 41-/11 Street Type of Tank. _ Capacity Gals _Dist. Feet of Tank or Drain Field from WeIL Size of Soakage Notary Public, State of Florida 9 Plumbing Inspector. ders' ands and accepts his obligations as an employer of labor neral Laws of Florida Per►nanent Supplement, and has com- ntractors or sub - contractors employed by him in the work to be on the site of the work such public notice or notices as are ntractors, on work to be performed under this permit, as are Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fay therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building PERMIT 'N° 13052 Architect Contractor or Builder Legal Description Address of ~. Building ❑ Work to be perfo CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA AiE Signed • under this Permit Sibdi- vision Value of Project above to con ruct the building $ This permit is grant to the contractor or builder name install the equipment or device des. d in the app herefor in strict complian with all ordinances pertaining thereto and with the understand that the work will be performed in compliance with any drawings, statements or specifications that may have been submitted to and approved by a proper muni • al 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 chat ed without auth nation. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the esponsibility £ a thorough knowledge of the ordinances and r lations pertainng to the work covered hereby whether shown on the plans or drawings or iif the statements or specif o .. jat he assumes esp. ..�., or work done by his agents, servants or empjoyees. " >} w INSPECTOR In consideration of the issuance to me of this permit I agree to,.perform the work covered hereunder in compliance with ordinances and re lations pertaining thereto and in strict conformity with the plans, drawings „anitements or specifications submitted to the proper authorities of Miami Shor Village. In accepting this permit I assume responsibility fvs,.11L.w rk. -4ottee by either, myself, my agent, servant or employee. BY 195 DATEf Contactor s License No Amt. of Permit $ AUTHORITY tion BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description J Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 4131 Work to be performed under this Permit , r.` ;ti • i. -..: ,+ ) Owner of k Building Bl. Subdi- vision DATE Contractor's License No. ,4..■ 14-- r - 1 CONTRACTOR OR BUILDER BY AUTHORITY 2- 7194_4 Address of t ' •l i ) 1 Value of Amt. of 4 .) Building + --- 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 appli- cation 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 lie assumes respon- sibility for work done by his agents, servants or employees. { ! j Signed r . B v' ,J / INSPE C TOR 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. Pn accepting this permit I assume responsibility for a work done by either myself, my agent, servant or employee. • BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Leal Description Lot PERMIT N? 4259 Work to be performed under this Permit Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE 1 ;` 1941 Bl. Subdi- vision Contractor's License No. • Address of Value of Amt. of Building Project Permit 1 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in th a li- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance t any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be r oked 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 whit i 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 • 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 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ;UILDING LECTRICAL LUMBING )wner of ;wilding .rchitect : ontractor r Builder .ega1 )escription °.ddress of uilding_ Lot PERMIT N° 5700 Work to be performed under this Permit L> MIAMI SHORES VILLAGE, FLORIDA Bl. Subdi- vision Value of Project • 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 appli- ation herefor in strict compliance with all ordinances .pertaining thereto and w th the understanding that the work will be performed in compliance with any -lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t 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 ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and gulations pertaining to the work covered hereby whether shown on the plans o„lrawings or in the statements or specifications and that he assumes respon- ibility for work done by his agents, servants or employees. f '.r -1.." Signed. `--- i, .- - 4c7 . , I B t 'I. CO 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 ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. u accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. DATE 194 Contractor's License No. Amt. of Permit ! • CONTRACTOR OR BUILDER BY AUTHORITY Permit No ( 1 g 7 / Date 7 ._._ � fk/ 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_. ,_L i_ Location and Legal Description Lot Street and Number h work is to be performed—No moor subdivision. _. __ w ere w r 3 7 1 Street- _ 6 State work to be performed and purpose of building (By Floors)__ - - e - - - Co' dQA c Addition._______. ..___ Repairs No. of Stories. ......... New Building_ - - -- _ _ _ -- Remodeling Size Septic Tank — Feet of Drain Tile Nature of Water Supply: City—Well. Amount of Permit $ (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl performed under this permit; and will post or cause to be posted' for inspection on the site of the work sue required by the Act. The undersigned agrees to employ only such sub- contra on • . k to be p licensed by Miami Shores Village. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to admini oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath imposes 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. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLOCATI N FOR PLUMBING PERMIT _____Type of Tank ____ __Dist. Feet of Tank or Drain Field from Well_ Size of Soakage Pit No _ _ 3._7_. Street .__ -- Capacity Gals. Notary Public, State of Florida Plumber. Plumbing Inspector.. s as an employer of labor upplement, and has com- him in the work to be notice or notices as are nit, as are CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKG SLOP SINKS LAUNDRY Tues U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NB TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL COMBR. LIST CHECK Permit No ( 1 g 7 / Date 7 ._._ � fk/ 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_. ,_L i_ Location and Legal Description Lot Street and Number h work is to be performed—No moor subdivision. _. __ w ere w r 3 7 1 Street- _ 6 State work to be performed and purpose of building (By Floors)__ - - e - - - Co' dQA c Addition._______. ..___ Repairs No. of Stories. ......... New Building_ - - -- _ _ _ -- Remodeling Size Septic Tank — Feet of Drain Tile Nature of Water Supply: City—Well. Amount of Permit $ (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl performed under this permit; and will post or cause to be posted' for inspection on the site of the work sue required by the Act. The undersigned agrees to employ only such sub- contra on • . k to be p licensed by Miami Shores Village. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to admini oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath imposes 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. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLOCATI N FOR PLUMBING PERMIT _____Type of Tank ____ __Dist. Feet of Tank or Drain Field from Well_ Size of Soakage Pit No _ _ 3._7_. Street .__ -- Capacity Gals. Notary Public, State of Florida Plumber. Plumbing Inspector.. s as an employer of labor upplement, and has com- him in the work to be notice or notices as are nit, as are CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA / ; -,_ d BUILDING DATE 194 ELECTRICAL 4/141 / PERMIT N° 5741 Contractor's PLUMBING J / / License No. c Jo �A*� .it f: prk to be performe d under this Permit 9 Owner of '�: `'. �` �, �A C1 (4(4. Building Architect Contractor � e r , . i � ,<iF - or Builder Legftl Lot 5 d 9. a Bl. ` s Subdi Description vision Address of 3 7* 7). .. � 9 't. r Value of Amt. of Building 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil 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 a s the responsibility for a thorough kno e of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or .. wi gs'or iwthe ements at he mes respon- sibility for work done by his agents, servants or employees. f ti,9 f , a Signed x ° , t By e � ® INSPECT In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with rdinances andke Jilq ons pertaining thereto and in strict conformity with the plans, drawings, statements or s ecifications submitte to the proper authorities of Miami Shores Village. In wing this permit I avume res nsibility for all work done by either myse t, servant or e ployee. ;.,, w� '; is Ado AUTHORITY I • 4BUlkDING ELECTRICAL PLUMBING . 40wner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N? 5676 Work to be performed under this Permit regulations pertaining to the work covered hereby whether shown on the p sibility for work done by his agents, servants or employees. S igned. 'Subdi- vision BY n Legal. p. hon Lot 3 /A Desc CONTRACTOR OR BUILDER Contractor's License No 1 • e?3 Amt. of 46/9 v. Permit Address of Project, c.... rte e40 ., OeP ... Value gi Building . • . . / 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 appli- cation 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 buildernamed above assumes the responsibility for a thorough Icnowtedge of th rdinances and lr ngs or in e statinients or specification 41(1 ).t ) h assumes respon- 1,2* By INSPE OR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance withltnrdinances ind4oktilakons _pertaining thereto nd in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acce this er • I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE r 1947_ PERMIT N° 5700 Work to be performed under this Permit f -441 J e Contractor y 41 ✓ � , ,�f p_. �, or Builder �' t t ��t , d 1 �✓ Y Legal Lot J `' . a r Bl Subdi- Description 4 c' r ,i q . / er . s. vision • Address of `� i? r m , , 1 e1 ' Value of Amt. of Building q P. � Project Permit t%' 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 o swings or in the statements or specifications and,that he assumes respon- sibility for work done by his agents, servants or employees. �� .,,� �!,% • Signed' a a By V A ° INSPECT© 4 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with al„ ,Q,,linances and r guktio pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities�=oof Miami Shor ladd 'In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY Contractor's License No n AUTHORITY • 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 Engineer Employing Plumber's . Name_ Location and Legal Description Lot U 1 1 Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Size Septic Tank Feet of Drain Amount of Permit $_ STATE OF FLORIDA, 1 COUNTY OF DADE. 1 ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building Remodeling Addition. ;_��, Repairs No. of Stories Type of Tank_ Dist. Feet of Tank or Drain Field from Well `No Block L No Street Size If Soakage P t ( Signed) i ( Signed) l Street Date / /c Street Subdivision My Commission Expires Notary Public, State of Florida Capacity Gals C- Master Plumber. • 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK f . . 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 Engineer Employing Plumber's . Name_ Location and Legal Description Lot U 1 1 Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Size Septic Tank Feet of Drain Amount of Permit $_ STATE OF FLORIDA, 1 COUNTY OF DADE. 1 ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building Remodeling Addition. ;_��, Repairs No. of Stories Type of Tank_ Dist. Feet of Tank or Drain Field from Well `No Block L No Street Size If Soakage P t ( Signed) i ( Signed) l Street Date / /c Street Subdivision My Commission Expires Notary Public, State of Florida Capacity Gals C- Master Plumber. • 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ermit No a-' /j4 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 " ° No Street Registered Architect and /or Engineer Employing Plumber's Name °' "' Street and Number where work is to be performed —No. Size Septic Tank Type of Tank Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. • ss. r • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT . to 7 � `.. Location and Legal Description Lot J No + `�' Street Street Date 1 - • y r I Block Subdivision State work to be performed and purpose of building (By Floors) New Building 5; Remodeling Addition Repairs No. of Stories Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that he has carefully read the foregoing application, and therein by him stated are true. My Commission Expires Not • NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by '\ materials and /or workmanship. Capacity Gals (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 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 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) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take Master P' CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS TOTAL FIXTURES CONTR. LIST G a; .- d 1 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL ...... ' g 4 >� "1+ CONTR. LIST . CHECK ermit No a-' /j4 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 " ° No Street Registered Architect and /or Engineer Employing Plumber's Name °' "' Street and Number where work is to be performed —No. Size Septic Tank Type of Tank Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. • ss. r • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT . to 7 � `.. Location and Legal Description Lot J No + `�' Street Street Date 1 - • y r I Block Subdivision State work to be performed and purpose of building (By Floors) New Building 5; Remodeling Addition Repairs No. of Stories Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that he has carefully read the foregoing application, and therein by him stated are true. My Commission Expires Not • NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by '\ materials and /or workmanship. Capacity Gals (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 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 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) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take Master P'