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PLUMBING/X MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 et building during progress of work. Ownei s Name and Address / " m ' 6' 4 2 /4 2 4 ,g� .1 No Location and Legal Description Lot. Bloch Street and Number where work L to be performed —No in • S 3 State work to be performed and purpose of building (By Floors) __. New Building. _--- ---- ......_____ Remodeling_____ _.._._ __ Addition Type of Tank--_ Size Septic Tani Feet of Drain Tile Nature of Water Supply: City—Well. Size of Soakage Pit_ Amount of Permit $ (si gned ) Street. 1 `G ' / ` — S T Registered Architect and /or Engineer _ _ Employing Plumber's Nana �! ��o� ,� . 6 4-1" `S'Y`S�T /4-7 Na `�..�........ S NL ' .. •• , Subdivision. �? Street. ___ LU ...��_:_. Repairs No. of Stories. .... . - Capacity Gals._ T)ist. Feet of Tank or Drain Field from _..._ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled 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. Master Plumber. 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 be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Com iuion Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1,00 will be made whoa suck r 4aspeetion is made mammy by innproper notice for inspection, or faulty materials and /er workmsnsbip. CLOSETS BATH TUBS SHOWERS LAVA- TOPICS O SLOP SINK[ LAUNDRY Twos U RINAU CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS JO oo L //7 -/0, TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEw[R CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HATER DEEP WILL 8PR111.11. SYSTEM SW IM'O POOL CONTR. LIST CHECK /X MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 et building during progress of work. Ownei s Name and Address / " m ' 6' 4 2 /4 2 4 ,g� .1 No Location and Legal Description Lot. Bloch Street and Number where work L to be performed —No in • S 3 State work to be performed and purpose of building (By Floors) __. New Building. _--- ---- ......_____ Remodeling_____ _.._._ __ Addition Type of Tank--_ Size Septic Tani Feet of Drain Tile Nature of Water Supply: City—Well. Size of Soakage Pit_ Amount of Permit $ (si gned ) Street. 1 `G ' / ` — S T Registered Architect and /or Engineer _ _ Employing Plumber's Nana �! ��o� ,� . 6 4-1" `S'Y`S�T /4-7 Na `�..�........ S NL ' .. •• , Subdivision. �? Street. ___ LU ...��_:_. Repairs No. of Stories. .... . - Capacity Gals._ T)ist. Feet of Tank or Drain Field from _..._ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled 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. Master Plumber. 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 be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Com iuion Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1,00 will be made whoa suck r 4aspeetion is made mammy by innproper notice for inspection, or faulty materials and /er workmsnsbip. ASO / .s ■ • 0-1/6„5 Application is hereby fnade 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 M 1Z — '__ e k Permit No 6 Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed)._ ( Signed)._ Date.. No. ___ g3 Street __ /' L • Registered Architect and /or Engineer ___ — _-_ w ,� s Employing Plumber's Name 1 �l � STp ^1.6 SC�fZ C � k No._ - -- a e L � _ Street -L _ l 6 T Location and Legal Description Lot _ _____ _ ____ _ _ __ , Black_ Subdivision Street and Number where work is to be performed —No r r7 S 3 N . p Street l c n- S% • Size Septic Tank Type of Tank Feet of Drain Tile. °2SFti". Lot k - — eet of Tank or Drain Field from Well Nature of Water Supply: City— Well .__._____ _____ ____.__.____..... ____._.______Size of Soakage Pit 9s -11- s - r • Capacity Gals. My Commission Expires Notary Public, State of Florida State work to be performed and purpose of building (By Floors)___. New Building ___ Remodeling _ _________ Addition Repairs No. of Stories.... .......... . ... 1 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, 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. 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 worlananship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKB SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST _ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHICK 0-1/6„5 Application is hereby fnade 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 M 1Z — '__ e k Permit No 6 Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed)._ ( Signed)._ Date.. No. ___ g3 Street __ /' L • Registered Architect and /or Engineer ___ — _-_ w ,� s Employing Plumber's Name 1 �l � STp ^1.6 SC�fZ C � k No._ - -- a e L � _ Street -L _ l 6 T Location and Legal Description Lot _ _____ _ ____ _ _ __ , Black_ Subdivision Street and Number where work is to be performed —No r r7 S 3 N . p Street l c n- S% • Size Septic Tank Type of Tank Feet of Drain Tile. °2SFti". Lot k - — eet of Tank or Drain Field from Well Nature of Water Supply: City— Well .__._____ _____ ____.__.____..... ____._.______Size of Soakage Pit 9s -11- s - r • Capacity Gals. My Commission Expires Notary Public, State of Florida State work to be performed and purpose of building (By Floors)___. New Building ___ Remodeling _ _________ Addition Repairs No. of Stories.... .......... . ... 1 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, 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. 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 worlananship. Permit No a 7 -7 State work to be performed and purpose of building (By Floors)_ !'✓x_C.Q(I______ /' Amount of Permit $_ STATE OF FLORIDA, ! COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)- ( Signed) _1�r7/'/J Date -- 3 g 5/7 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 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. ,e �e Owner's Name and Address_ __j0� ✓_ _ ° d No. Registered Architect and /or Engineer__T Employing Plumber's Name__ -G____'fv d- 5 {-; C . % �/� No.____ Street. Location and Legal Description Lot Block Subdivision_______ ____________________ Street and Number where work is to be performed —No JOB /'' ` 2 ¢ Street Street /,4,t) `. l k'4 (..c). New Building________._ ___ Remodeling_ _ ____ Addition_ ____°!_.__________ Repairs___ No. of Stories. _ Capacity Gals.__- _ -_._ /0 CO Size Septic Tank__ /D 3 O _ - - -- -Type of Tank Feet of Drain Tile_ /zoo _ ___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. ____ _ _ _— ____Size of Soakage Pit PI ' bing In The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation,: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- plier 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. 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 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 INAS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS , TOTAL FIXTURES CONTR. LIST - CHECK r_ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. NT LIST `O 5' U c loop . (r - -- _ CHECK Permit No a 7 -7 State work to be performed and purpose of building (By Floors)_ !'✓x_C.Q(I______ /' Amount of Permit $_ STATE OF FLORIDA, ! COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)- ( Signed) _1�r7/'/J Date -- 3 g 5/7 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 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. ,e �e Owner's Name and Address_ __j0� ✓_ _ ° d No. Registered Architect and /or Engineer__T Employing Plumber's Name__ -G____'fv d- 5 {-; C . % �/� No.____ Street. Location and Legal Description Lot Block Subdivision_______ ____________________ Street and Number where work is to be performed —No JOB /'' ` 2 ¢ Street Street /,4,t) `. l k'4 (..c). New Building________._ ___ Remodeling_ _ ____ Addition_ ____°!_.__________ Repairs___ No. of Stories. _ Capacity Gals.__- _ -_._ /0 CO Size Septic Tank__ /D 3 O _ - - -- -Type of Tank Feet of Drain Tile_ /zoo _ ___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. ____ _ _ _— ____Size of Soakage Pit PI ' bing In The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation,: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- plier 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. 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 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 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 I__ New Building_ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Registered Architect and /or Engineer_____ / - Employing Plumber's Name__ N S °�a eL� QrF p < 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 Floors)_ — . _ Remodeling M Addition. Size Septic Tank__-_____ _____-__ .... _____________ - - - - -- -Type of Tank___ _ Capacity Gals. Feet of Drain Tile._____ - ............... ______ -_ -- -Dist. Feet of Tank or Drain Field from Well % ____ ____ el!i^ Nature of Water Supply: City— Well.____ _ __________________ ______Size of Soakage Pit C, MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Bloch_ No. L_a 3 Street.,C__Y__F. 1-. . 'v .Tp f ' No._ _L C L street__ .1__ it nee 41 Subdivision- - -_ -__ () P N t ► .f-�� / N c� Street (Signed)._ - - - - ----- = My Commission Expires Notary Public, State of Florida Repairs No. of Stories. PI . ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations :'s : employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Su ` . ement, and has com- plier with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b 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 required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, licensed by Miami Shores Village. , ( Signed) -.__ -_- Master Plumber. as are as are 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 TUB6 OW SHOWERS LAVA- TORIES SINKfi SLOP SINKS LAUNDRY TUBE URINALS 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 CONTR. LIST CHECK 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 I__ New Building_ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Registered Architect and /or Engineer_____ / - Employing Plumber's Name__ N S °�a eL� QrF p < 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 Floors)_ — . _ Remodeling M Addition. Size Septic Tank__-_____ _____-__ .... _____________ - - - - -- -Type of Tank___ _ Capacity Gals. Feet of Drain Tile._____ - ............... ______ -_ -- -Dist. Feet of Tank or Drain Field from Well % ____ ____ el!i^ Nature of Water Supply: City— Well.____ _ __________________ ______Size of Soakage Pit C, MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Bloch_ No. L_a 3 Street.,C__Y__F. 1-. . 'v .Tp f ' No._ _L C L street__ .1__ it nee 41 Subdivision- - -_ -__ () P N t ► .f-�� / N c� Street (Signed)._ - - - - ----- = My Commission Expires Notary Public, State of Florida Repairs No. of Stories. PI . ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations :'s : employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Su ` . ement, and has com- plier with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b 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 required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, licensed by Miami Shores Village. , ( Signed) -.__ -_- Master Plumber. as are as are 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. KUILDING ❑ F- LECTRICAL ❑ PLUMBING IZ KOOFING ❑ ❑ Owner of wilding P1 e S „ ;id I µ 4 Jchitect contractor �r Builder t t t -egal Lot Description A.ddress of wilding l ' r f 1 f� CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 4391 f DATE_ 7 - _ ` Y 195 Contractor's License No / J L Work to be performed under this Permit Bl. /. Subdi- vision l Value of Project $ t 7 Amount 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 application ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, trawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any into if the work is not done in compliance with such ordinances or if the plans are changed without authorization. l ..further condition upon which this permit is _anted is the understanding that the contractor or builder named above assumes the responsibility for a thoroug nowledge of the ordinances and regulations ,ertaining to the work covered hereby whether shown on the plans or drawings r in the stq�ments or specific i s and that he assumes responsibility for work one by his agents, servants or employees. Y / y ,� l \ �% Signed. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations ,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- =epttng this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY u APPLICATION FOR PLUMBING PERMIT �� 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 Engine--e77rr. Employing Plumber's Name Location and Legal Description Lot _e _. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building___________ Remodeling h � Size Septic Tank__ =__ET , _____ Type of Tank .__ _ a_le ( 4+ -+-4 Capacity Gals.__5.... 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 Permi performed under this permit; and will post or required by the Act. The under signed agrees licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Date _V 'E-` 1 Addition Repairs No. of Stories 1 -(Sig Plumbing Inspector. The undersigned applicant for this building permit does hereby certi y 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 cause to be posted for inspection on the site of the work such public notice or notices as are to employ only such sub - contractors, on work to be performed under this permit, as are ail : �# C4-6 (Signed) ' " Notary Public, State of Florida Street__ ..4- .Ir � _ – _ L.k'' 3�_____ Street `'0'4-- -= ..‘ — – 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'NS TOTAL FIXTURES CONTR. LIST _L__ 3 CHECK SEPTIC TANK SEWER CONN. DRAIN FI ELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR, SYSTEM SWIM•G POOL CONTR... LIST - • J CHECK APPLICATION FOR PLUMBING PERMIT �� 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 Engine--e77rr. Employing Plumber's Name Location and Legal Description Lot _e _. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building___________ Remodeling h � Size Septic Tank__ =__ET , _____ Type of Tank .__ _ a_le ( 4+ -+-4 Capacity Gals.__5.... 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 Permi performed under this permit; and will post or required by the Act. The under signed agrees licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Date _V 'E-` 1 Addition Repairs No. of Stories 1 -(Sig Plumbing Inspector. The undersigned applicant for this building permit does hereby certi y 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 cause to be posted for inspection on the site of the work such public notice or notices as are to employ only such sub - contractors, on work to be performed under this permit, as are ail : �# C4-6 (Signed) ' " Notary Public, State of Florida Street__ ..4- .Ir � _ – _ L.k'' 3�_____ Street `'0'4-- -= ..‘ — – 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. 1 A. • D r c Cf Permit No Oa Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT /- Date 1-.7 14 ' 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 _1BtI�___ ` r L o )_ t t No ... _ O __ , Registered Architect and /or Engineer ______, Employing Plumber's Name $ ..D.5_ Location and Legal Description Lot_��_ _ _�____�__`�___�_____ Block__ Street and Number where work is to be performed— No._l_Q1_ 1v State work to be performed and purpose of building (By Floors) New Building__ _________ Remodeling ______________ Addition__ No ___ -__ -- Street_L�_S�~ Subdivision ________________________ Street Size Septic Tank Type of Tank Feet of Drain Dist. Feet of Tank or Drain Field from ________ Nature of Water Supply: City —Well. 1 _____.Size of Soaka Capacity Gals (Signed) i (Signed Repairs tt t Street_ ._____�____a Plumbi Inspector. understands and accepts his obligations as an employer of labor The undersigned applicant for this building permit does hereby certify tha 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 under signed agrees to employ only such sub - contractors, on work to be performe nder this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 No. of Stories_ Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by impioper 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 H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST 10...*...‘I CHECK Permit No Oa Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT /- Date 1-.7 14 ' 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 _1BtI�___ ` r L o )_ t t No ... _ O __ , Registered Architect and /or Engineer ______, Employing Plumber's Name $ ..D.5_ Location and Legal Description Lot_��_ _ _�____�__`�___�_____ Block__ Street and Number where work is to be performed— No._l_Q1_ 1v State work to be performed and purpose of building (By Floors) New Building__ _________ Remodeling ______________ Addition__ No ___ -__ -- Street_L�_S�~ Subdivision ________________________ Street Size Septic Tank Type of Tank Feet of Drain Dist. Feet of Tank or Drain Field from ________ Nature of Water Supply: City —Well. 1 _____.Size of Soaka Capacity Gals (Signed) i (Signed Repairs tt t Street_ ._____�____a Plumbi Inspector. understands and accepts his obligations as an employer of labor The undersigned applicant for this building permit does hereby certify tha 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 under signed agrees to employ only such sub - contractors, on work to be performe nder this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 No. of Stories_ Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by impioper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. j M LE r Si ner's Name and Address _Li LJ • L 0 1.' � I 0 +l_____ No._--_ -_- _ -- �__. Street_ -� —_-- �_. - - -_ -• Registered Architect and /or Engineer _ —__ Employing Plumber's NameE_ .D.. Location and Legal Description Lot Block Street and Number where work is to be performed— No. _1_0 _____ 1-4 1 State work to be performed and purpose of building (By Floors) No–Kt I SCL___A/.___ Street___ .L L Subdivision-- ___________—___________ Street____ C ST New Building —_ ______— ______ Remodeling __ Addition______________________ Repairs Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ Plumbi Inspector. The undersigned applicant for this building permit does hereby certify that understands and accepts his obligations as an ployer 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 under signed agrees to employ only such sub - contractors, on work to be performe under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires Type of Tank _ — _Capacity Dist. Feet ,,ofAA Tank (( orr Drain Field from Well _)..AT .Size of Soaka (Signed Date 1 c kit Notary Public. State of Florida No. of Stories___________. 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'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 to......''..--_ CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. j M LE r Si ner's Name and Address _Li LJ • L 0 1.' � I 0 +l_____ No._--_ -_- _ -- �__. Street_ -� —_-- �_. - - -_ -• Registered Architect and /or Engineer _ —__ Employing Plumber's NameE_ .D.. Location and Legal Description Lot Block Street and Number where work is to be performed— No. _1_0 _____ 1-4 1 State work to be performed and purpose of building (By Floors) No–Kt I SCL___A/.___ Street___ .L L Subdivision-- ___________—___________ Street____ C ST New Building —_ ______— ______ Remodeling __ Addition______________________ Repairs Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ Plumbi Inspector. The undersigned applicant for this building permit does hereby certify that understands and accepts his obligations as an ployer 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 under signed agrees to employ only such sub - contractors, on work to be performe under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires Type of Tank _ — _Capacity Dist. Feet ,,ofAA Tank (( orr Drain Field from Well _)..AT .Size of Soaka (Signed Date 1 c kit Notary Public. State of Florida No. of Stories___________. 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. JOB: BUILDING ELECTRICAL • • WORK PLUMBING ) / : DONE BY: Inspector's Report:. h oral i s A : • • • : REQUESTED The following is ready for Inspection;. 3 3 • WILL BE READY JOB: BUILDING ELECTRICAL : PLUMBING WORK DONE BY: The following is ready for Inspection: Inspector's Report: • REQUESTED vt� /56---44L- WILL BE READY • • (t` • : �d • • • J JOB: BUILDING • f • • ELECTRICAL PLUMBING Inspector's Report: • • WORK DONE BY: : REQUESTED • • • • • • • • • A • • • • • : • • • • • • • • • • The following is ready for Inspection: - • : WILL BE READY /72444 Permit No. r 7 '; , ' Application is hereby made for the approval of the detailed statement structure herein described. This application is made in compliance and and all provisions of the Laws of the State of Florida, all ordinances of of Miami Shores Village shall be complied with, whether herein spe building during progress of work. Owner's Name and Address Registered Architect and /or Engineer ___ Employing Plumber's Name ___ –. Location and Legal Description Lot..i_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • t - - ' - == -+-- C L No. V Street__ 1 ' -2____ _2_4( Block / — _____________ Subdivision__. � 'Se__ _= S' Street and Number where work is to be performed —No / n E. Street ') _ _,_____ - _—:- a--1--- ______ State work to be performed and purpose of building (By Floors) /._._.___ New Building X. _____ Remodeling Addition Repairs No. of Stories 1 Size Septic Tank_ ___1 Feet of Drain Tile__ J Nature of Water Supply: CityXWell Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires of the plans and specifications herewith submitted for the building or other conformity with the Building Ordinance of Miami Shores Village, Florida, Miami Shores Village and all rules and regulations of the Building Division cified or not. A copy of approved plans and specifications must be kept at Type of Tank --- __ ---- _. -LC Dist. Feet of Tank or Drain Field from Well vr._';1__7 Street ___I_ > Air _(Signed Date__ -- 4 3 ! ;_ -- Capacity Gals.____— Plumbing Inspector. The undersigned applicant for this building permit does hereby certify th.t 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 9 i (Signed) - -- - - -- t // Master Plumber. k Notary Public. State of Florida 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 F OUNT'NS TOTAL FIXTURES CONTR. LIST / /� Q (� / / CHECK SEPT TA SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWI M ' G POOL CONTR. LIST CHECK t Permit No. r 7 '; , ' Application is hereby made for the approval of the detailed statement structure herein described. This application is made in compliance and and all provisions of the Laws of the State of Florida, all ordinances of of Miami Shores Village shall be complied with, whether herein spe building during progress of work. Owner's Name and Address Registered Architect and /or Engineer ___ Employing Plumber's Name ___ –. Location and Legal Description Lot..i_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • t - - ' - == -+-- C L No. V Street__ 1 ' -2____ _2_4( Block / — _____________ Subdivision__. � 'Se__ _= S' Street and Number where work is to be performed —No / n E. Street ') _ _,_____ - _—:- a--1--- ______ State work to be performed and purpose of building (By Floors) /._._.___ New Building X. _____ Remodeling Addition Repairs No. of Stories 1 Size Septic Tank_ ___1 Feet of Drain Tile__ J Nature of Water Supply: CityXWell Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires of the plans and specifications herewith submitted for the building or other conformity with the Building Ordinance of Miami Shores Village, Florida, Miami Shores Village and all rules and regulations of the Building Division cified or not. A copy of approved plans and specifications must be kept at Type of Tank --- __ ---- _. -LC Dist. Feet of Tank or Drain Field from Well vr._';1__7 Street ___I_ > Air _(Signed Date__ -- 4 3 ! ;_ -- Capacity Gals.____— Plumbing Inspector. The undersigned applicant for this building permit does hereby certify th.t 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 9 i (Signed) - -- - - -- t // Master Plumber. k Notary Public. State of Florida 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. MIAMI SHORES VILLAGE, FLA. to 1 8 3 ADDRESS 7 5 3 / 5 if JOB INSPECTION READY REMARKS- INSPECTOR 4L / j' 7,:Z_ DATE S //( Petmit No d 3 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 STATE OF FLORIDA, COUNTY OF DADE. f Amount of Permit $ State work to be performed and purpose of building (By Floors) __ New Building_ _ . __ .___ —.. Remodeling— ____._.__ Addition. -_.__. cad MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT NO : '44/ _. :_�:, Streeti W_-. /AT 3 /// a t Street .._....z ..... - - •- - Repairs (Signed) /( The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pert plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors performed under this permit; and will post or cause to be posted for inspection on the site of the k required by the Act. The undersigned agrees to employ only such sub - contractors, on ,vt�ork to be licensed by Miami Shores Village. (Si Date. Q6 .._ -. 4 -13— -- ------ - - - - -- Z C L 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. �� Owners Name and Address...._ L� .F/� E L _..L LL� No. /05 Street.._ �.k Registered Architect and /or Engin Employing Plunjber's Name Location and Legal Description Lot. ..._. Blom Subdivia[on Street and Number where work is to be performed —No No. of Stories. Plumb spector. obl�: ations as an employer of labor ent Supplement, and has com- loyed by him in the work to be blic noti or notices as are and this permit, as are 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 be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A materials and/or a insp ananship ee of $1.00 will be made when such re-Inspection is made'neoeasary by Improper notice for inspection, or faulty CLOSETS BATH TUBS S LAVA. TORIES SINK6 SLOP SINKS LAUNDRY TOSS URINALS CATCH BASIN FLOOR GRAIN — DRINKING FOUNT Ne TOTAL FIXTURE[ CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER Dow WELL SPRKLR. SYSTEM SWIM•O POOL CONTR. LIST CHECK Petmit No d 3 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 STATE OF FLORIDA, COUNTY OF DADE. f Amount of Permit $ State work to be performed and purpose of building (By Floors) __ New Building_ _ . __ .___ —.. Remodeling— ____._.__ Addition. -_.__. cad MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT NO : '44/ _. :_�:, Streeti W_-. /AT 3 /// a t Street .._....z ..... - - •- - Repairs (Signed) /( The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pert plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors performed under this permit; and will post or cause to be posted for inspection on the site of the k required by the Act. The undersigned agrees to employ only such sub - contractors, on ,vt�ork to be licensed by Miami Shores Village. (Si Date. Q6 .._ -. 4 -13— -- ------ - - - - -- Z C L 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. �� Owners Name and Address...._ L� .F/� E L _..L LL� No. /05 Street.._ �.k Registered Architect and /or Engin Employing Plunjber's Name Location and Legal Description Lot. ..._. Blom Subdivia[on Street and Number where work is to be performed —No No. of Stories. Plumb spector. obl�: ations as an employer of labor ent Supplement, and has com- loyed by him in the work to be blic noti or notices as are and this permit, as are 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 be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A materials and/or a insp ananship ee of $1.00 will be made when such re-Inspection is made'neoeasary by Improper notice for inspection, or faulty BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building J MIAMI SHORES VILLAGE, FLORIDA PERMIT Architect Contractor or Builder t °« Legal Lot Description CONTRACTOR OR BUILDER Work to be performed under this Permit ,t u B N° 6637 Subdi- vision Address of Value of I Amount of - -- Building / s / *; Project $ I Permit $ t„ ^ V o 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed. 3.. ' DATE .1 f 19 1 4- 1 Contractor's License No. I t' In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compli ce with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper thorities of Miami Shores Village. In as cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. BY AUTHORITY INSPECTOR -- CL04grG J _ J BATH TOSS SHOWERS LAVA• TORUS SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES co. NTG LIST / __ _ CHECK SEPTIC TANS SEWER CONN. DRAIN. FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. L1$T - CHECK Permit No Apphca; ion is hereby mace 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________ __.______— ____ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ -- ` ( Signed) _ Date No. Street E_ q'< No___- - -__ -- Street Location and Legal Description Lot A 3.2:t4 ti Block 1 Subdivision._ 2, _S * 3 Street and Number where work is to be performed —No.4J _N ___. — ______. Street ? State work to be performed and purpose of building (By Floors)_ New Building _ -' _ -_ - -- - -_ -_ -- Remodeling- _-------- _____.___ Addition- _ -__ -- Repairs No. of Stories . . . ........... ... .. '. 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 Capacity Gals. ( Signed). lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations : s an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Su. 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. 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. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No.__ a D °_3 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. / �t Owner's Name and Address___--- r!?_r? 5 G N 44 L F5 )42 n.7_C;. - S No . - -_l- °3- 3 -.___ A C Street C-J - S72 Registered Architect and /or Engineer __---- _----------------- ._____ _.-- .------ ____ -- /7 Employing Plumber's Name -_!'ki___r_ , ._ -_. ?.- r_ .Z._sg�...... 5 .,./." / Ao.- Q 0- - --1✓- (-4 • Streei. . Location and Legal Description Lot.___._______________ Block Subdivision.- Street and Number where work is to be performed —No State work to be performed and purpose of building (By ._._ ..... New Building Remodeling______ _______ Addition.________.______.___.. Repairs No. of Stories. Size Septic Tank Feet of Drain Tile_ - Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VILLAG PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING `"`;lo MIS' Type of Tank (Signed) Date / / - S = � My Commission Expires Notary Public, State of Florida Street Capacity Gals _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 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. Master Plumber. STATE OF FLORIDA, I 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 materials and /or worlananship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES INK6 SINKS SLOP SINKS LAUNDRY TUee 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'O POOL // -- -- AlR'5 Lo G,-- CONTR. LIST CHECK Permit No.__ a D °_3 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. / �t Owner's Name and Address___--- r!?_r? 5 G N 44 L F5 )42 n.7_C;. - S No . - -_l- °3- 3 -.___ A C Street C-J - S72 Registered Architect and /or Engineer __---- _----------------- ._____ _.-- .------ ____ -- /7 Employing Plumber's Name -_!'ki___r_ , ._ -_. ?.- r_ .Z._sg�...... 5 .,./." / Ao.- Q 0- - --1✓- (-4 • Streei. . Location and Legal Description Lot.___._______________ Block Subdivision.- Street and Number where work is to be performed —No State work to be performed and purpose of building (By ._._ ..... New Building Remodeling______ _______ Addition.________.______.___.. Repairs No. of Stories. Size Septic Tank Feet of Drain Tile_ - Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VILLAG PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING `"`;lo MIS' Type of Tank (Signed) Date / / - S = � My Commission Expires Notary Public, State of Florida Street Capacity Gals _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 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. Master Plumber. STATE OF FLORIDA, I 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 materials and /or worlananship. DATE CHARGE CREDIT BALANC Mrs. Chas. A. You 1033 NE 95th St. {;;s :,;2.00 v 0 4 , PHONE PL 4 -0677 • • c MIAMI BOTTLED GAS, INC. L ACCOUNT NUMBER 800 N.W. 73RD STREET YOU MAY PAY THIS STATEMENT IN PERSON AT OUR OFFICES: 800 N. W. 73,20 STREET 101 WEST FLAGLER STREET MIAMI, FLA, November 1 F Village of Miami Shores Bureau of Fire Prevention Miami Shores, Fla. PLEASE RETURN THIS STUB WITH YOUR REMITTANCE POSTAGE PAID ENVELOPE ENCLOSED FOR YOUR CONVENIENCE MIAMI BOTTLED GAS, INC. J PLEASE DESTROY THIS STATEMENT IF REMITTANCE HAS ALREADY BEEN MAILED. 19 58 Permit No.__4- .__(_i Owner's Name and Address_ Registered Arch::ect and /or Engineer___ ____________ _________ ____ Employing Plumber's Name_ / ‘21 Location and Legal Description Lot_____________ ______________ Street and Number where work is to be performed —No L0 523 Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. MIAMI SHORES VIL'AGE PLUMBING INSPECTION DEPARTMEit`' APPLICATION FOR PLUMBING " , •�;1` t Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte�� d for the building or other structure herein described. This application is made in compliance and confoi ity 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. /-_._f ., No.L!!= — — _ Street• / -_ Block_ New Building Remodeling__ _.__ Addition__ ( Signed) _ State work to be performed and purpose of building (By Floors)__ _ Size Septic Tank Type of Tank_-_ _ Capacity Gals .-Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl Ci — ell ________ ) 1 .-Si,ze of Soakage Repairs No. of Stories. Date Street_. / Subdivision.- a- Street $ 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 coin - 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 performed under this permit, as are liotused by Miami Shores Village. , (Signed) Master Plum Refire me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to sae vwcdl 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 � �0 r a a G'yri'°1'1 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 mattxials and /or worlonanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY rues URINALS IA CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NEI 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.__4- .__(_i Owner's Name and Address_ Registered Arch::ect and /or Engineer___ ____________ _________ ____ Employing Plumber's Name_ / ‘21 Location and Legal Description Lot_____________ ______________ Street and Number where work is to be performed —No L0 523 Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. MIAMI SHORES VIL'AGE PLUMBING INSPECTION DEPARTMEit`' APPLICATION FOR PLUMBING " , •�;1` t Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte�� d for the building or other structure herein described. This application is made in compliance and confoi ity 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. /-_._f ., No.L!!= — — _ Street• / -_ Block_ New Building Remodeling__ _.__ Addition__ ( Signed) _ State work to be performed and purpose of building (By Floors)__ _ Size Septic Tank Type of Tank_-_ _ Capacity Gals .-Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl Ci — ell ________ ) 1 .-Si,ze of Soakage Repairs No. of Stories. Date Street_. / Subdivision.- a- Street $ 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 coin - 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 performed under this permit, as are liotused by Miami Shores Village. , (Signed) Master Plum Refire me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to sae vwcdl 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 � �0 r a a G'yri'°1'1 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 mattxials and /or worlonanship. BUILDING ELECTRICAL PLUMBING Owner of q Building Work to be performed under this Permit.-k Let v." � t' Architect a Contractor/'' 4., •` e. or Bu'ier � - . ,y -tom J ., . 'f , ; . - , AJ Legal Lot Bl Description . C, 1 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5299 Subdi- vision Address of r ' - /" -- Value of I Amt. of Building i L ,3 • / A • . !---", 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 he assumes respon- sibility for work done by his agents, servants or employees. y , • Signed: By 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, drawing statements or spec cations submitted to the proper authorities of Miami Shores Village. In accepting this pern 't I assume responsibility for all work done e er myself, my iient, servant or employee. DATE / " t2,41. \ 7 Contractor's /, -� License No 4, t. . re-t;-e./ AUTHORITY 1947 BUILDING ELECTRICAL PLUMBING Owner of ' ; Building 1 "1' Architect Contractor or Builder Legal Description Address of Building Lot CONTRACT )f OR BUIL MIAMI SHORES VILLAGE, FLORIDA DATE 94' ERMIT N° 1761 Work to be Performed under this Permit . r Subdi- vision Value of Project INSPECTOR Contractor's License No Amt. of Permit This permit is granted to the contractor or builder named above t i'Ctitnitruct 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 pan are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named 2lbove assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown'on theml s or drawings or in the statements specifications and that he assumes responsibility for work done by his agents, servants or employees. 1 � �! -° Signed • �. , 6-'Z / By , In consideration of the issuance to me of this permit I agree to perform the wp+ covered hereunder in compliance with a ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, stateme or specifications submitted to the proper authorities of Miami `shores Village. In accepting this permit I assume responsibility for all work done by et myself, my agent, , want or employee. AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of :. Building Architect Contractor or Builder Legal Description Address Building Lot MIAMI SHORES VILLAGE, � F'LORIDA DATE PERMIT N? 3188 Work to be performed under this Permit o F r �(ogerw + -pf ✓ .�c Bl. Subdi- vision r Contractor's License No By - .».; Y r . ". f/ of �', .r ' • i ' ' + Value of Project ..�V.r t Amt. of �+' .,. { }"' ,f Permit +' �'i ..,'' r This permit is granted to the contractor or builder named above to construct the building or Or install the equipment or device described in the application herefor in strict compliance with all ordinance 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 -pon which this permit is granted is the understanding that the contractor or builder sealed above assumes the responsibility for a thorough knowledge of e ordinances and regulations pertaining to the work covered hereby whether shown on fhe pra3s or draw gs ents or jpecificatiens and at he assumes responsibility for work done by his agents, servants or employees. : "1, to Signed- E • INSPECTOR • In consideration of the issuance to me of this permit I agree to perform the vydik cov don* pertaining thereto and in strict conformity with the plans, drawings, seateme its or spe Village: In acceptir this per it I ssume,responsibIlity for all work one eit self, . 't r' a y . t r ': CONTRACTOR OR DER -' hereunder in compliance t ith all ordinances and regula- ations submitted to the proper authorities of Miami Shores s, y gent, servant or employee. AUTHORITY 194 Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 108 I ki E. C1 5 `�l Tax Folio \ ( 390(e 0143600 Legal Description Ownerussee /Tenant M % h1. GOA Owners Address I v V ( M L "t c 4 h S Phone " rjV� �` ! (4 o/ Contracting Co. t,. 1'1 4 0 t3 Address J • & \* Av t Qualifier 1.1 I�-*'1 M)411 7Q H I S . � 2 ss# - ( "I' hone 4 �1 Ot3 l _555 State # Municipal # Competency 'IC r 1.O4 (7 Ins. Co. 7'IIQU . Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PL UMBINGDVIECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION I RVM GAS Lll.Z PEON CIAs H tt?.2 to suppu Vitykk c t M h 1041- Or CouL rangy. v►L. CA tee. Tacit. Cod urn 1 Square Ft. Estimated Cost (value) 1 .S `1 00 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. OWNERS AFFIDAVIT: I certify t all the foregoing information is accurate and that al construction and zoning. F ire, I authorize the above -named contractor to do the Signature of owner tary as to • er and/or Condo President My Commission Expires: U FEES: E ondo President Date Date • I JENNIFER STAMENKOVIC �( 1 MY COMMISSION # CC 961200 EXPIRES: Aug 14, 2004 .800. }NOTARY FL Notary Service & Bonding. tnc. RADON C.C.F. APPROVED: Zoning Building Mechanical Plumbing Historically Designated: Yes No Master Permit # 32b 7'3 9 I9 Signa Date Ndt�ry as to Co tractor or Owner - Builder My Commission Expires: JENNIFER STAMENKOVIC MY COMMISSION # CC 961200 EXPIRES: Aug 14, 2004 1 .8003NOTARY Ft. Notary Service & Bonding, Inc. NOTARY BOND Electrical TOTAL DUE applicable laws regulating S /o - o/ Date Structural Engineer Survey Sheet / Plans Customer Name: APPLOGef 7 4 Address: AP , 9.� City, State, Zip: A;AWj ,.'i,eff,, Phone #: 3Ae / ta7" ' 7 All Work to Comply with N.F.P.A. Code #: Estimate Job Cost: Description of Work: E.H. Whitson Plumbing 421 South 21st Avenue Hollywood, Florida (954) 929 -3599 (o . „6 4 Piping ISO ��w f5" ��ry 'py� 445 - 244 let*. ,By s ea ms E.H. Whitson Plumbing 421 South 21st Avenue Hollywood, Florida (954) 929 -3599 Survey Sheet / Plans Customer Name: /�i4°' "4,1 g G.690,600, /\ciclress: / / /1�'•.�, 9 City, State, zip: 46'94 S; v p(t. ` Phone it: -30 7 . 1‘7 ‘44 7 All Work to Comply with N.F.P.A. Code it: Estimate Job Cost: /t.3.61 p~� Description of Work: Piping ISO 7E -tom D•'y f)f :w 44 "fen Pe 4'' ogovAl .e - - 1#44 a S .e. iev geo re rw , pp .94 2) ;At ego .5/39, Ce Col 5 J,) E ievti 1/4) ,Pelt' er4 crAtb , ,2("/ F .r ,'tth,E' ) 46- 4r r