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PLUMBINGVi1Hawe of Miami Shores JOB 5 3 I Ii P ( TIME READY REMARKS ADDRESS y INSPECTION I? ,e tAts. N? 4521 INSPECTOR DATE ) "J BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ❑ MIAMI SHORES VILLAGE. FLORIDA DATE_,/ 195 � PERMIT 11T° 3943 Contractor's License No i/ ❑ Work to be performed under this Permit , i y I 1 Bl. Subdi- vision Value of Project $ Amount of / Permit $ This permit is granted to the contractor or balkier named above to construc 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 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 responsibility for work done by his agents, servants or employees. J j Signed- BY 7/i ./>/ f , '• f / 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. r CONTRACTOR OR BUILDER BY AUTHORITY a tY ti image of Miami Shores JOB ADDRESS 6) e c P 7 1 - INSPECTION it TIME READY e REMARKS r K INSPECTOR CO N° 4968 DATE 9 • Al llave of Miami Shores N° 4740 JOB ADDRESS INSPECTION TIME READY REMARKS INSPECTOR / DATE Permit No. .3 u , MIAMI SHORES VILLAG e PLUMBING INSPECTION DEPARTMEK.' APPLICATION FOR PLUMBING Application is hereby made for the approval of the detailed statement of tce plans and specifications herewit submit ed 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 Eng — Employing Plumber's Name 'fC_ � i C • No._ . Street- Location and Legal Description Lot_ __i "... _______ __ Block ___._____________. Subdivision..__..__ Street and Number where work is to be performed —No _4 fd /! • i _ g • Street State work to be performed and purpose of building (By Floors)___. New Building `-"--- Remodeling____.___.____ _____ Addition_.____. Repairs No. of Stories No._ Amount of Permit $ - . - - - -- — - -- — -- ( Signed) __ ( Signed). Date._ Street My Conunission Expires Notary Public, State of Florida ter Plumber. Size Septic Tank / — 6 ' ° ° Q,� — Type of Tank_ Capacity Gals. Feet of Drain Tile.__0 f � A st. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and has coin- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by im 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 n lice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on to be performed u • er this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to 'me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the._ _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 matcdals and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 • TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL I - CONTR. LIST - CHECK Permit No. .3 u , MIAMI SHORES VILLAG e PLUMBING INSPECTION DEPARTMEK.' APPLICATION FOR PLUMBING Application is hereby made for the approval of the detailed statement of tce plans and specifications herewit submit ed 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 Eng — Employing Plumber's Name 'fC_ � i C • No._ . Street- Location and Legal Description Lot_ __i "... _______ __ Block ___._____________. Subdivision..__..__ Street and Number where work is to be performed —No _4 fd /! • i _ g • Street State work to be performed and purpose of building (By Floors)___. New Building `-"--- Remodeling____.___.____ _____ Addition_.____. Repairs No. of Stories No._ Amount of Permit $ - . - - - -- — - -- — -- ( Signed) __ ( Signed). Date._ Street My Conunission Expires Notary Public, State of Florida ter Plumber. Size Septic Tank / — 6 ' ° ° Q,� — Type of Tank_ Capacity Gals. Feet of Drain Tile.__0 f � A st. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and has coin- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by im 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 n lice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on to be performed u • er this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to 'me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the._ _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 matcdals and /or workmanship. Permit No. 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. Owner's Name and Address____ F'!"? : __ ! //__ `I' No. Registered Architect and /or Employing Plumber's Name �. --- -_ _ : Location and Legal Description Lot_ ___._. Street_ Street and Number where work is to be performed —No 6 State work to be performed and purpose of building (By Floors)___ New Building -_ -__ �! Remodeling --- -__ - -- Addition _ -__ -- Size Septic Tank ........... Type of Tank_ Capacity Gals Feet of Drain Tile. ________Dist. Feet of Tank or Drain Field from We11 _______________________ Nature of Water Supply City-w. -___ ____._________ ___ Size of Soakage Pit Amount of Permit $ (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 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). Date Street. �I I ; 4=t t - Subdivision .____________________-_____.. Repairs No. of Stories _ ......� .............. Master Plumber. 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. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 SHOWER! LAVA- TORIES SINKS SLOP SINK! LAUNDRY Tuns U RINAL! CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CDNTR. LIST 7" / CHECK l — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP VIOOIR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL ! "' - CONTR. LIST amuck ` ' r Permit No. 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. Owner's Name and Address____ F'!"? : __ ! //__ `I' No. Registered Architect and /or Employing Plumber's Name �. --- -_ _ : Location and Legal Description Lot_ ___._. Street_ Street and Number where work is to be performed —No 6 State work to be performed and purpose of building (By Floors)___ New Building -_ -__ �! Remodeling --- -__ - -- Addition _ -__ -- Size Septic Tank ........... Type of Tank_ Capacity Gals Feet of Drain Tile. ________Dist. Feet of Tank or Drain Field from We11 _______________________ Nature of Water Supply City-w. -___ ____._________ ___ Size of Soakage Pit Amount of Permit $ (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 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). Date Street. �I I ; 4=t t - Subdivision .____________________-_____.. Repairs No. of Stories _ ......� .............. Master Plumber. 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. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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.