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PLUMBINGBUILDING ELECTRICAL PLUMBING Work t9 bio performed under this Permit Owner of Building 0., Architect ,.. . Contract6w. — . i ( 1 or Builder --"LA„,"7_ Legal Lot Bl. Description Address of - Building This permit is granted to the contractor or b lder named above t herefor in strict compliance with all ordinances pertaining thereto and MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9279 Signed: Subdi- visinn CONTRACTOR OR BUILDER BY Value of Project $ • ■N. DATE \ i ' 4t .,.., 195 Contractor's I License No construct the building or to install the equipment or device described in the application ith the unders 'riding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to nd approved b 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 chaiged 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 specif• • uct, that he assumes responsibility for work done by his agents, servants or employees. ( 4 1 1 BY 1 A Ij """) ta■••• 7 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wieall ordinances ani 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 wcitk done by either, myself, my agent, servant or employee. ,/. / / e ' AUTHORITY / INSPECTOR ....-K 0 c Permit $ Amt. of • BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9167 Work to be performed under this Permit Owner of Building Subdi- vision Value of Project $ DATE 195 Contractor's License No Legal Lot Bl. Description Address of 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 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. Amt. of Permit $ Signed• BY i INSPECTOR i - j -- 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. BY AUTHORITY 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 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Owner's Name and Address - -- - -- - --- No Street. Registered Architect and /or Engineer Employing Plumber's Name I {. No. Street ._ Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. Street . State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well _ Size of Soakage Pit Amount of Permit $ . _... Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ohligaticsns 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 he performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc 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. STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed) (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Repairs __Capacity Gals. No. of Stories Master Plumber. 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 1 CONTR. LIST CHECK 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 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Owner's Name and Address - -- - -- - --- No Street. Registered Architect and /or Engineer Employing Plumber's Name I {. No. Street ._ Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. Street . State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well _ Size of Soakage Pit Amount of Permit $ . _... Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ohligaticsns 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 he performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc 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. STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed) (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Repairs __Capacity Gals. No. of Stories Master Plumber. Permit No. Application is Ixreby 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 he 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 No _____ Street Location and Legal Description Lot_____j___.._____' Block Subdivision... Street and Number where work is to be performed—No . Street work to be performed and purpose of building (By Floors) New Building! CLOSETS CONTR. LIST CHECK CONTR. LIST CHECK SEPTIC TANK Size Septic Tank BATH TUBS SHOWERS SEWER DRAIN CONN. FIELD Feet of Drain Tile __ !yr . Nature of Water Supply( City —Well. ss. LAVA- TORIES SOAKAGE PIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling Addition__._ __ Repairs . No. of Stories SINKS SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL G REASE TRAP SLOP SINKS Type of Tank Dist. Feet of Tank or Drain Field from Well of Soakage Pit LAUNDRY TUBS URINALS (Signed) CATCH BASIN Date FLOOR DRINKING j TOTAL DRAIN FOUNT NS �_ I I FIXTURES ___Capacity Gals. Amount of Permit $ (Signed) - . tE . y� -_ / `" ' Plumbing Inspector. 7 he undersigned applicant for this building permit does hereby certify that he un4erstands and accepts his ohligatibn$ as an employer of labor andrr the Florida "Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S'upplcuient, 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 he perform. d -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. My Commission Expires Notary Public, State of Florida - vaster P1uarr. STATE OF FLORIDA, t 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 81.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.