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478 NE 92 St (7)Date Type Insp'n Permit No. Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Reques Name Address e Company Phone # 1 l E 1 0"1 c(4 BUILDING PERMIT APPLICATION FBC 2001 Owner's Address 41y City ! iv/ <3i1 t 't) State / e>727, Tenant/Lessee Name /t- 'i • $ Value of Work For this Permit • /( / -'(' (..f» Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) % 7i �`'r: / }C - i Job Address (where the work is being done) ' / JI 0!�'�_" ((1.5 �,/ City Miami Shores Village County Miami -Dade Zip ��3,/_�3' Is Building Historically Designated YES NO LOYT / , _ - J Contractor's Company N ame t.✓�� /ff . �=� 3� �: C - �� > /jG Phone # 6i 7j&-76, Contractor's Address :-7,) /L.' L.) - / f_ - 7 i -1 L City 4/1 i iq ill State /" z -t). -s /, Zip ;33/4 Y Qualifier t` Er.") f . L ' t - .:( , [_- ; .r Architect/Engineer's Name (if applicable) Phone # Type of Work: EAddition ❑Alteration ❑New ld Repair/Replace ❑ Demolition Describe Work: K,- - /'/) /., ? d /3 / Z.J1 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ �7S CCF $ 6 a coicc Notary $ (', 0 0 Training/Education Fee $ , r 0 Technology Fee $ . 3 7 Scanning $ Radon $ Zoning Bond $30 0 1 Code Enforcement $ Structural Plan Review. $ )7 -It 300, c 8-44 sp$ 18s,1 7 Zip Permit No. Master Permit No. ?L Q y Phone # a5 / . Y Phone # Mechanical Roofing Square Footage Of Work: Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Chc 12/15/03' �..R.an.fs �ika�CC„ Owner or Agent APPLICATION APPROVED BY: As identification and who did take an oath. ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Signature Contractor The foregoing instrument was acknowledged before me this o The foregoing instrument was acknowledged before me this -2 day of f J. , 200 by 2 �,9 , day of 7. G� , 2004, by Lz GC - w o is personally known to me r who has produced who is personally known to me or who has produced as identificati._ and wh. did take an oath. My Commission Expires: 3- e ' r "' ommission irees:nay Commission Ani500i4 ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 4 ' * *f V`` * a* W"r}!4 * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Y - 2 2 o7 )l ans Examiner Engineer Zoning STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ [" _,Xtepair I ]Abandonment [ APPLICANT: Acosta, Pedro AGENT: SR0001343, Crockett Lester PROPERTY STREET ADDRESS: 478 NE 92 St Miami Shores FL 33138 LOT: 2 BLOCK: 49 SUBDIVISION: Miami Shores [Section /Township /Range /Parcel No.] PROPERTY ID #: 11- 3206 -014 -0020 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN•THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ]Gallons SEPTIC TANK A [ 0 ]Gallons N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS Q [0 D [ 300 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A TYPE SYSTEM: [ y ]STANDARD [ N ]FILLED I CONFIGURATION: [ N ]TRENCH [ ' ]BED N F LOCATION TO BENCHMARK: Existing Finished Floor El.:11.60 Ft I ELEVATION OF PROPOSED SYSTEM SITE [ 2.6 ] [ FEET ] [ E BOTTOM OF DRAINFIELD TO BE [ 5.1 ] [ FEET . . ] [ L D FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED:•'[''•' 30 OTHER REMARKS: SPECIFICATIONS BY: Andre, Paul ]Holding Tank [ ] Innovative Other ]Temporary [ NA ] TITLE: Nqvd. CENTRAX #: 13 -SG -20078 DATE PAID: FEE PAID : $ RECEIPT . OSTDSNBR : 04 -1048- -R MULTI - CHAMBERED /IN SERIES: [Y ] MULTI- CHAMBERED /IN SERIES: [Y ] ]DOSES PER 24 HRS # PUMPS[ 0 ] [ N ]MOUND [ N ] [ N ] BELOW ] BENCHMARK/REFERENCE POINT BELOW BENCHMARK /REFERENCE POINT .0 ] • INCHES 1- Install 900 gals. category -2 septic tank equipped with an approved filter. 2 -The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with sec. 64E- 6.013(3)(f), FAC. 3- Install 300 sq. ft. of drainfield in bed configuration. 4- Existing 900 gals. septic tank to be inspected for an appropriate pump -out and properly abandoned.The pump -out receipt shall be provided prior to the granting of the final approval. 5- Invert elevation of drainfield to be no less than 7.00' NGVD. 6- Bottom of drainfield elevation to be no less than 6.50' NGVD. TBTS': PERMIT IS NOT FOR:.. ADDITION,;) DATE ISSUED: 3/19/04 APPROVED BY: Andre, Paul .. ^ TITLE: Professional Engin Dade CHD , T p '� �:�r'.`zu A s ^i��-- _,k;XPIRATION DATE: 6/17/04 DH 4016, 03/97 (Obsoletes previous editions which may no be used) 's,• Ale: Each block represents 5 feet and 1 inch = 50 feet. r r:. , ,<• , '. Notes: Plan Approved By STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT, Permit Application Number Site Plan submitted by: • • T , • • L 0)14015. 10/96 (Replaces HR -H Farm 4015 which may be used) PART II - SITE PLAN Signature Not Approved r t` Title Date County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT Page 2 of 3 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/26/2004 Applicant: PEDRO ACOSTA Owner: ACOSTA PEDRO JOB ADDRESS: 478 NE 92 ST Parcel # 1132060140020 Signed: (INSPECTOR) Plumbing Permit Permit Number: PL2004 -96 Contractor LLOYD NORTH DADE SEPTIC TANK SERVIONdNtl>actor's Address: 750 NW 107 ST Local Phone: 305 - 754 - 3375 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 3 & W1/2 LOT 2 BLK 49 LOT SIZE 75.000 Fees: Description Amount FEE2004 -3231 Building Fee $175.00 FEE2004 -3232 CCF $1.20 FEE2004 -3233 Notary Fee $5.00 FEE2004 -3234 Training and Education Fee $0.40 FEE2004 -3235 Technology Fee $4.37 Total Fees: $185.97 Total Fees: $185.97 Total Receipts: $185.97 Permit Status: APPROVED Permit Expiration: 9/18/2004 Construction Value: $1,200.00 Work: REPLACE 900 GALLON SEPTIC TANK AND ABANDON EXISTING TANK Page 1 of 1 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Vi PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date �� 1 /1 Job Address ►• 7 3 N e cr 2 .St Tax Legal Description Owner / Lessee / Tenant l() b 1j (' ( l p-t Master Permit # Owner's Address 7X Al e ? 2 5 ( / U04( ��tt .- --7r/-36 , Contracting Co. 6 . ' < 745(0 Address //Z ' _zAA -4# C/ 4�''` Qualifiers SL1 / d L _hEV/iU SS# / / ?_ - / Phone 4 V - 8? State # �r�0 d2 C' Municipal #1 Competency 4P4 ".23 7 Ins . Co . Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRI► L PLUMBI G CHAN AL ROOFING PAVING PENCE WORK DESCRIPTION (it) . k Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHAHfCAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accu be done in compliance with all applicable laws regulating constructio autho.ize the abov- -named contractor to do the work stated .„/------) tary as- to4Aer. and /or My Commission E4ires: ** * FEES: PERMIT 6 RADON APPROVED: and/or Condo President Date: , OFF1C1hL 77.71TRY S£A nm� :\ P1A9 LOH1s i' " Pre.sistWq OF FLORIDA CON1: • • ;: d NO. CC42Z293 • M YCO,bf ,:, •>;i_'i XP. NOV. 21,1998 * * C.C.F. 5 !° 7 NOTARY Folio to-A s' * * at all work will hermore, I Owner - Builder Notary ContIbtNtrp�tp�wner- Builder My Comes{ _ #1 CC 237276 EXPIRES fiku 2o, 1996 .,,, ; ,, BONDED TNRU TROY FAIN INSURANCE, INC. * ** TOTAL DUE '3 Fire Other Zoning Buildin_ Electrical Mechanical Plumbin: t 4T il i v Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE - 756 - V9-72, Q uA- 04.. (0050 N 6 a.�: Ave Date - I C H Job Address t17 ' A/ 9,2 Tax Folio Legal Description Owner / Lessee / Tenant CJ — - V cy - I Master Permit # 3 � / l Owner's Address x`1`6 tJi= ( M 1 Phone Contracting Co . to LAG . .e /Chi77 Qualifier R( i G A"3ikc.,Zr�2- SS# Phone 305 6 -©O7 �~'Qcc c i c k3 State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBI MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION - - .5:04z-e-A°7av A 4,vaJ :l/ ie. Square Ft. Estimated Cost(value) i22 YZo & WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I thorize the above -named contractor to do the work stated. Signature Date: APPROVED: of owner and /or /7, / ffJ ** * * * .r? Condo P'esident 4 1 7 M Notar as to Owner an /ar Presideri My Commission Expires: Zoning Building Mechanical Plumbing 1 - Address ;: vU kJ ;57 Signature of Cont Date' 6--/ 7 - 9 L/ tor or Owner- Builder ota y as tq, qon ractor or "Qwnet Builder My Com'.$$A xpi� ?,fs�g, � :� =�. , t ,a �� -k = _ * .__,.,.= _ ** FEES: PERMIT led RADON C.C.F. / NOTARY TOTAL DUE 1 11), Fire Other Electrical It-Engineering Permit No. 1 C_ 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 Budding 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 afei ' -=L� - _._.__._�_ Registered Architect and!or Engineer __ ._-- ' - �,, .__---- _-- .____.- _.. -�. -_ ,� - - - -- Employing Plumber's Name ..L�L / .e, `J 1 . 5 Sie.sZ No,.. - ..,..911....9. Location and Legal Description Lot._ - .__.._.___.___._._ -_.__. ,.- . . n `/ / B1 - Street and Number where worl. is to be perforod--Nc 7i �- Str State work to be performed and purpose of trei:ding (By Floors) • New Building.... ..... _ Rernodebng. _ ___.. __ -- -... _.._ Addition. CONTw. LIST CHICK I totem 'r --_ -I BATH I LA A • CLOW'S I TUBE SN O'N[PE TORI[e i I MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT >9LOR S'NKS I la INKS L.AUNORY ' URINALS Tuoo i SEPTIC ' SEWER CR•.IN SOAKAGE :i RFA . SOLAA I DEC, SPRKLR. TANK _ I ONN, F I E L O PIT TRAP N Y :..1 ER I WELL SYSTEM CHECK _.___._._.___.__ _ O_ P_.._ __.- .------------- _----- . —__.__ Amount of Permit $_._. (Signed) -Y_. (Signed) Repairs Size Septic Tank.__. - 9.9_9___9 —. Feet of Drain Tile_____ ....... - - - -_Dist. Feet of Tan} or Drain Field from Well i City -- Well..__ -- Size of Soakage Pit Nature of Water Supply: CATCH BASIN SWIM'O POOL 7)L' ate ..._ +_�_' D street.ia,.. SubdlvWon..__. , t/E 9.2 -400: FLOOR DRINK :MO DRAIN ROUWT'NS 1 Streetiv r- Capacity Gals. No. of Stories TOTAL -- RIMTUR[S Plumbing ins 'tor. The undersigned applicant for nil building pennit does hereby certify that he understands and accepts his nbh tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 59841, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similes •compliance from all contractors or sub - contractors employed by bin: in the work to be performed under this perrnit; and will post or tease 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 esnploy onii such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �!.. 9999. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. { . Before me, the undersigned authority, a notary pub;.c, duly authorized to administer oaths and take acknowledgments, personally appeared My C:.oniuussion Expires Notary Public, State of Florida to me well known, and who, heir by me first duly sworn, u; oath deposes and application, says that heist th the t did sign the sorer, and that all facts of the above described constriction, that be has carefully wad the, ffooreg g therein by himo stated are true. NOTE: A re- inspection fee of $100 will be made wbeI iLiet ireAtespecelon is m de•rseoessaxv by improper notice for inspection. or faulty materials and /or workmanship. Permit No.. Owner's Name and Address State work to be performed and purpose of building (By Floors) New Building _. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. a © ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. s .1 +" C. j".. No. 1-/7 8 Registered Architect and /or Engi eer Employing $1wibeie Name -- Frei (It N P 1 «v !,. i `..,0 No 3 ` 0 / - Street 1 i 11 44' ‘?! . 010 e..• Location and Legal Description Lot Block s S } ubdivision 7 Street and Number where work is to be performed —No / 7 I N 1 . L r Street _. _ 2 - r e I,. C Remodeling Addition Repairs Size Septic Tank__ Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. _ Size of Soakage Pit (Signed) — K Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) �' / ' ,/ r l'"IPdAl i PIw(iltfr (' 0 Date_ C Street No. of Stories.___ My Commission Expires Notary Public, State of Florida 44.„./ 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 fact, 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 FOU NT' 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.. Owner's Name and Address State work to be performed and purpose of building (By Floors) New Building _. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. a © ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. s .1 +" C. j".. No. 1-/7 8 Registered Architect and /or Engi eer Employing $1wibeie Name -- Frei (It N P 1 «v !,. i `..,0 No 3 ` 0 / - Street 1 i 11 44' ‘?! . 010 e..• Location and Legal Description Lot Block s S } ubdivision 7 Street and Number where work is to be performed —No / 7 I N 1 . L r Street _. _ 2 - r e I,. C Remodeling Addition Repairs Size Septic Tank__ Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. _ Size of Soakage Pit (Signed) — K Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) �' / ' ,/ r l'"IPdAl i PIw(iltfr (' 0 Date_ C Street No. of Stories.___ My Commission Expires Notary Public, State of Florida 44.„./ 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 fact, 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. BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Lot Description. Work to be performed under this Permit O Building of 4 -d ,,,•. , .. v 5, c 1..... Address of s / . �' Building 7 PERMIT N° 10116 MIAMI SHORES VILLAGE, FLORIDA a Bl. }� Subdi- vision Value of Project $ Amt. of Permit $ .•1 1950 Contractor's License No 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 comnter 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 d ings or in the statem is or specifications and that he ass mes responsibility for work done by his agents, servants or employees. ` / Signed • y. fit.. c `' // .+ " P` R.... -, BY / ' g • INSPECTOR In consideration of the issuance to me of this permit I agree to r rm the work covered hereunder in compliance with all rdi nces and regulations pertaining thereto and in strict conformity with the plans, drawings, sta nts or specifications submitted to the proper authoritie of iami Shores Village. In ac ng this permit I assume responsibility for all work done by either, myself, y .eger,g servant or employee. f I: r 'M[C a w � Ir w d / ,. # . ., � . "' .4 -. x ,: . 4r/� 1. U : 4 1 CONTRACTOR Olt BUILDER + BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PLUMBING, Owner of y' Building V /, P MIT N9 5273 Contractor's /6„ License No. .,� E g ,1 N ;. Work to be performed under this Permit " +� �'`' * "' xC " s E - * Architect Contractor / or Builder V #' i 1 x., Legal l Bl! Subdi- Description A. •: t r 'i 1.—. vision . , , � � ) Address of j Value of Building f t �,v Project 6 CONTRACTOR OR BUILDHR DATE Amt. of Permit l,t 194 �f • - 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 assume . eggs .nsibi ity for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dra : or e st erne u r + or specifications and 1ltat he a,Biumes respon- sibility for work done by his agents, servants or employees. r' A �►} Signed. �✓ By OR In consideration of the issuance to me of this permit I agree to perform the work CovereA ereunder in compliance with ��11 dinances and rl� ni Pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoriti' g � of Miami Shores - Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder i f Legal Lot "Description Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE t 194. PERMIT N2 5425 Work to be performed under this Permit ' Tit Bl. Subdi- vision Address of Value of Project Building Contractor's License No Mae Amt. of / Zf Permit / 0 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 a es the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans awingp.or e statements or specification rand that he sumes respon- sibility for work done by his agents, servants or employees. 1 % ' Signed • K r .�, IA INSPECTOR R In consideration of the issuance to a of this permit I agree to perform the work covered hereunder in compliance with all o inances and rgtns pertaining thereto and in strict aionformi ith the pla s, drawings, statements or specifications submitted to the proper autho f Miami Shoris ,V I e. In accepting this permit I assu ie respon bay for all a by either myself, my agent, servant or employee. CONTRACTOR OR IL +a ✓ BY AUTHORITY UILDING LECTRICAL LUMBING v PERMIT N2 5425 Work to be performed under this Permit 'wner of uilding • rchitect :onfractor - Builder MIAMI SHORES VILLAGE, FLORIDA DATE 194 egal Lot Bi. Subdi- •escription vision ddress of /; Value of Amt. of/ 7J uilding Project I Permit 4 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- _tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 -rmit 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 plansprIrawingsctrr in Ole statements or specifications and that he Ssumes respon- ility for work done by his agents, servants or employees. f , : � , ' . Signed: ` ? . !.. r' ' B 4 ! „�. INSPECTOR In consideration of the issuance to of this permit I agree to perform the work covered hereunder in compliance- with all ordinances and regulations rtaining thereto and in strict ounformit with the pla drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume respons ility for all vrriroe• by either myself, my agent, servant or employee. ar CONTRACTOR OR BUILDER Contractor's License No. r BY AUTHORITY ;UILDING LECTRICAL 'LUMBING )weer of ; uilding .rchitect : ontractor •r Builder .egal Lot )escription .ddress of - ;uilding % 1 MIAMI SHORES VILLAGE, FLORIDA DATE '` 194 Contractor's License No. PERMIT N° 8536 Work to be performed under this Permit Bl. Subdi- vision Value of Project Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any dans, 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 egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ibility 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 .ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building V Architect Contractor or Builder Legal Lo; Description A Address of t Building , 1 i!'4 Work to be performed under this Permit / : ;;, /. e hi 6. MIAMI SHORES VILLAGE, FLORIDA MIT N2 5273 t ?ti • a �t B1. DATE BY Contractor's License No. • Subdi- vision Value of I Amt. of /.' �/✓ ` w Project I Permit 41 � 194. s 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 re . sibil' y for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dra - or t e st. men � r specifications and that he asplimes respon- sibility for work done by his agents, servants or employees. Signed: /'`/-. AUTHORITY By Y In consideration of the issuance to me of this permit I agree to perform the work •were ereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specificati s submitted to the proper authorities of Miami Shores Village. In accepting this permit I assum° responsib1ity for all work done by either myself, my agent, servant or employee. t ; CONTRACTOR OR BUILDER Owner's Name and Address Registered Architect and /or Engineer Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE, PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT L. • Permit No. ___. ' Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of 1Vfiami 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. /i CO L. No. Street �- i f f Employing Plumber's Name '`�✓ •••,,t / _ ' .i '__ No.1'_'�__,? 4 Street __ / /IA ,, Location and Legal Description Lot Block Subdivision �� ' Street and Number where work is to be performed —No / / t i Street { y _ lZ � -• _x State work to be performed and purpose of building (By Floors) i .r' r New Building 1/ - - - - - -- Remodeling Addition Repairs No. of Stories .r Size Septic Tank Type of Tank Capacity Gals.__ ._ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well _.__ Nature of Water Supply: City—Well. Size of Soakage Pit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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 perforned 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) __ My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .____ ...___ _ ___. __ ______ ___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fact 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 T UBS 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 //�� C� / _' CONTR. LIST CHECK Owner's Name and Address Registered Architect and /or Engineer Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE, PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT L. • Permit No. ___. ' Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of 1Vfiami 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. /i CO L. No. Street �- i f f Employing Plumber's Name '`�✓ •••,,t / _ ' .i '__ No.1'_'�__,? 4 Street __ / /IA ,, Location and Legal Description Lot Block Subdivision �� ' Street and Number where work is to be performed —No / / t i Street { y _ lZ � -• _x State work to be performed and purpose of building (By Floors) i .r' r New Building 1/ - - - - - -- Remodeling Addition Repairs No. of Stories .r Size Septic Tank Type of Tank Capacity Gals.__ ._ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well _.__ Nature of Water Supply: City—Well. Size of Soakage Pit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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 perforned 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) __ My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .____ ...___ _ ___. __ ______ ___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fact 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. • g 42wfrf rit- <6 fi Oi • A . , 1 7-.4 4 1" r, 0 0 a To‘ki • Permit No. Owner's Name and Address Registered Architect and /or Engineer State work to be performed and purpose of building (By Floors) New Building. _ _ -_ -- Remodeling Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or tj, copy of approved plans and specifications must be kept at building during progress of work. // No. - Street Employing Plumber's Name _____ _ - -.___ ________ No. __ Street Location and Legal Description Lot -I Block__ Subdivision Street and Number where work is to be performed —No Street Addition Repairs Date Type of Tank___ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals. (Signed) No. of Stories _._ .. My Commission Expires Notary Public, State of Florida (Signed) Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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 he 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _ .__ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 TOTAL FI.CTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST —. CHECK Permit No. Owner's Name and Address Registered Architect and /or Engineer State work to be performed and purpose of building (By Floors) New Building. _ _ -_ -- Remodeling Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or tj, copy of approved plans and specifications must be kept at building during progress of work. // No. - Street Employing Plumber's Name _____ _ - -.___ ________ No. __ Street Location and Legal Description Lot -I Block__ Subdivision Street and Number where work is to be performed —No Street Addition Repairs Date Type of Tank___ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals. (Signed) No. of Stories _._ .. My Commission Expires Notary Public, State of Florida (Signed) Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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 he 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _ .__ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. ___ - _ k `1„3 Owner's Name and Address__..71',72./ .. No. -!` 2 Street-_ Registered Architect and /or Engineer Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Nature of Water Supply: City —Well. L2__ j . — __— Size of Soakage Pit STATE OF FLORIDA, 1 COUNTY OF DADE. • ss. MIAMI SHORES VILLAGE' PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ "— ••■•••c.. (Signed) • Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No. of Stories My Commission Expires Notary Public, State of Florida 4 r ' Employing Plumber's Name - .4.J - � - __ _ -� : ' ------- �-------- _:_ -• � - �-_ -� - -= -_- - � No.1��?_ -�-- Street Al c•' � 2.—:_e„... Location and Legal Description Lot _. _,:_-_ _ ' Block 1 Subdivision r , '._','d • i Street and Number where work is to be performed— No. ____,1__ /. � ,.,ek Street .'_ _ . ` State work to be performed and purpose of building (By Floors) / /,„ r- New Building 11 - -- Remodeling Addition Repairs I). Feet of Tank or Drain Field from Well Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) r g ) r- Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 .. 3 BATH TUBS SHOWERS LAVA- TORIES SINKS / rf SLOP SINKS LAUNDRY TUBS / URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS - T OTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL ,, ��// v e- f o' iv,/ C..0011• / CONTR. LIST _ CHECK Permit No. ___ - _ k `1„3 Owner's Name and Address__..71',72./ .. No. -!` 2 Street-_ Registered Architect and /or Engineer Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Nature of Water Supply: City —Well. L2__ j . — __— Size of Soakage Pit STATE OF FLORIDA, 1 COUNTY OF DADE. • ss. MIAMI SHORES VILLAGE' PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ "— ••■•••c.. (Signed) • Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No. of Stories My Commission Expires Notary Public, State of Florida 4 r ' Employing Plumber's Name - .4.J - � - __ _ -� : ' ------- �-------- _:_ -• � - �-_ -� - -= -_- - � No.1��?_ -�-- Street Al c•' � 2.—:_e„... Location and Legal Description Lot _. _,:_-_ _ ' Block 1 Subdivision r , '._','d • i Street and Number where work is to be performed— No. ____,1__ /. � ,.,ek Street .'_ _ . ` State work to be performed and purpose of building (By Floors) / /,„ r- New Building 11 - -- Remodeling Addition Repairs I). Feet of Tank or Drain Field from Well Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) r g ) r- Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. • A # .4o 64' * Kind of Job 2 Lay txtuels 3 W C ladiatmm±xxxtmxx 2 Tubs XxXpligg 1 Sink 1 Laundry tray /xxinteg James Washington22 N.W. 29th St., Miami J & W PLUMBING SERVICE Owner: James E. Clyde Lot 3 & W.2 of Lot 2, Block 49, Miami Shores Sub. #2 New 1 story residence Ready for Inspection. Date Inspection. Date REQUEST FOR PERMIT (Miami Shores) 478 ' N E 92nd St Job. No. XXMXX C -64