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1201 NE 94 St (9)Location and Legal Description Lot____.— _ .... _______________ Street and Number where work is to be performed —No Amount of Permit $ ) (' s _• STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES IV L AGE PLUMBING INSPECTION 6EPIT APPLICATION FOR PLUMBING "' ',r'�IIIT Permit No ` `� /- Date Application is hereby made for the approval of the detailed statement of tht, 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. �y� � ; Owner's Name and Address___ -_ // - __ Y, No.. __ =. _ Street,e __-./_'.. Registered Architect and /or Engineer____.____ _____.______.._ ___M__—.__ _ Employing Plumber's Name r � � o 2 40, . c A ...;2°_Z No../_1". _______ State work to be performed and purpose of building (By Floors) _ _____ New Building — __ Remodeling___ _.—__ Addition. Block__ ----------- •- •-- - - - - -- Subdivision- 1�. street_. Repairs No. of Stories. _C.. Type of Tank- Capacity Gals Size Septic Tank Feet of Drain Tile. _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well __Size of Soakage Pit (Signed)_ ( Signed), �lL /1 ' > `_A {..r'; L re•' �,n Street. 6 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Conurussion Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly swom, 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 SHOWER. LAVA- TORIES SINK. SLOP SINK. LAUNDRY TU.. it,�( r^^'^B FLOOR DRAIN DRINKING FOUNT' NS gotier7 leT.0 y A TOTAL IFI %TURIB C LIST '3 / / / _.4.--. G / / CHECK — _ — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Location and Legal Description Lot____.— _ .... _______________ Street and Number where work is to be performed —No Amount of Permit $ ) (' s _• STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES IV L AGE PLUMBING INSPECTION 6EPIT APPLICATION FOR PLUMBING "' ',r'�IIIT Permit No ` `� /- Date Application is hereby made for the approval of the detailed statement of tht, 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. �y� � ; Owner's Name and Address___ -_ // - __ Y, No.. __ =. _ Street,e __-./_'.. Registered Architect and /or Engineer____.____ _____.______.._ ___M__—.__ _ Employing Plumber's Name r � � o 2 40, . c A ...;2°_Z No../_1". _______ State work to be performed and purpose of building (By Floors) _ _____ New Building — __ Remodeling___ _.—__ Addition. Block__ ----------- •- •-- - - - - -- Subdivision- 1�. street_. Repairs No. of Stories. _C.. Type of Tank- Capacity Gals Size Septic Tank Feet of Drain Tile. _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well __Size of Soakage Pit (Signed)_ ( Signed), �lL /1 ' > `_A {..r'; L re•' �,n Street. 6 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Conurussion Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly swom, 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. I CON i. ur l.ItT I �;� � 'q ''' BATH Tug SHOWERS LAVA- TORIES SINKS SLOP SI NKS LAUNDR T U88 URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' TOTAL FIXTUR E6 _ 1 `<I.CnK -- � IC TAIIK SEWER CONN. RAIN IELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST CNiCK tG CL',:' _ - -. — Y.srk-1t eipp;ic::tion is hereby n :de ;or the approval of the detailed statement of the plans and specifications herewith submitted for the building or other etteccure 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 :'ie i Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at 'aling during progress of work. / ✓ Gwear's Name and Address ........ � � 1 � -- .... No._. ' Z � / PV Street ReSistered Architect and /or Engineer_.._ egeLC4L LZ /ti' ' 4 ee Employing Plumber's Name No. ___ ZC% 4444 1treet tic = G Location and Legal Description Lot_ ____________ _.____ _ _ Block Subdivision_ Street and Number where work is to be performed— No._____ /2- 0 / � 9!Z-__ 5 r S treet State work to be performeS and purpose of building (By Floors) New Building_ ...... __.. -.- -- - - - - -- Remodeling___-__.. ... _-- _ -_ --- Addition Repair s No. of Stories MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank_..-___..— _ Type of Tank_. Capacity Gals Feet of Drain Tile__--__--__ ............... ____-____.__Dist. Feet of Tank or Drain Field from Well e Size of Soakage Pit Nature of Water Supply: City— Well._..____________ � ____ Amount of Permit $--- - - -� "� Pluming 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 Las 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, I 58, COUNTY OF DADE. (Signed). 2707 Date /14 / 7 t° u 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. Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Appitcat;on is hereby inane for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other strucia -e herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, a:ad 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. Own.a's Name and Address F - - - -- Registered Architect and /or Engineer__ Employing Plumber's Name Location and Legal Description Lot______________ _ _. _ Block_ Street and Number where work is to be performed -No /2 C' New Building _ -_ - - -_ -_ -- - _ -_ -._ Remodeling____ —_.__ Addition. No __ e'/ AAA Street- / = ___ No. iZ94.s E ? Street__ 4 Subdivision wi Street. Date 4- r/- State work to be performed and purpose of building (By Floors)_._ ..... _..... ----------- -.... - Repairs No. of Stories. Size Septic Tank Type of Tank Feet of Drain Tile._ ....... -___ ............. _____________moist. Feet of Tank or Drain Field from Well Capacity Gals Nature of Water Supply: City - Well.______ _ -_ Size of,Soakage Pit (Signed)- - - - Plumbing Inspector. - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmer;.'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 perfcnned 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 rrtired by the Act. Tho undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are lioemed by Miami Shores Village. ( Signed)._ 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH 'rues SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK 1 ScpTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I POOL CONTR. LIST CHECK ^ - - Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Appitcat;on is hereby inane for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other strucia -e herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, a:ad 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. Own.a's Name and Address F - - - -- Registered Architect and /or Engineer__ Employing Plumber's Name Location and Legal Description Lot______________ _ _. _ Block_ Street and Number where work is to be performed -No /2 C' New Building _ -_ - - -_ -_ -- - _ -_ -._ Remodeling____ —_.__ Addition. No __ e'/ AAA Street- / = ___ No. iZ94.s E ? Street__ 4 Subdivision wi Street. Date 4- r/- State work to be performed and purpose of building (By Floors)_._ ..... _..... ----------- -.... - Repairs No. of Stories. Size Septic Tank Type of Tank Feet of Drain Tile._ ....... -___ ............. _____________moist. Feet of Tank or Drain Field from Well Capacity Gals Nature of Water Supply: City - Well.______ _ -_ Size of,Soakage Pit (Signed)- - - - Plumbing Inspector. - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmer;.'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 perfcnned 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 rrtired by the Act. Tho undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are lioemed by Miami Shores Village. ( Signed)._ 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. Date -- - ' ' e — _:. Awccation is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and ell rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address _____ .i1} , _L Registered Architect and /or Engineer___ Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No New Building _... - - - Remodeling__._. --_- _ Addition ..__ ____Type of Tank-__._-._. __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City Well. ___...___._ _ _ ____ __..Size of Soakage Pit Size Septic Tank-. Feet of Drain Tile Amount of Permit S My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT L t _ No._._-- _ / _.--_. -- Street...i % B lock No.. f �! J _ street °O 4 / C Subdivision__ Street ( Signed "eta work to be performed and purpose of building (By Fkwra)_�S�x :. �� __� _.= h _ - -- - - ° t r ° 1 Repahx_____..... No. of Stories. Capacity Gals (Signed)_ plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands andl accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent S,tt$plement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employee}' 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 pub notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to bq p911f under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. 1 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 be 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. NOTE: A re- inspection fee of 81.00 will be made when ouch re inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLG:`3BT61 BATH Tu,s SHOWERS LAVA TORIp SINK6 SLOP SINKS LAUNDRY T uns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONT! L!15T CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM POOL CCNTR. LIST CHECK Date -- - ' ' e — _:. Awccation 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 ell 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 _____ .i1} , _L Registered Architect and /or Engineer___ Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No New Building _... - - - Remodeling__._. --_- _ Addition ..__ ____Type of Tank-__._-._. __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City Well. ___...___._ _ _ ____ __..Size of Soakage Pit Size Septic Tank-. Feet of Drain Tile Amount of Permit S My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT L t _ No._._-- _ / _.--_. -- Street...i % B lock No.. f �! J _ street °O 4 / C Subdivision__ Street ( Signed "eta work to be performed and purpose of building (By Fkwra)_�S�x :. �� __� _.= h _ - -- - - ° t r ° 1 Repahx_____..... No. of Stories. Capacity Gals (Signed)_ plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands andl accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent S,tt$plement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employee}' 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 pub notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to bq p911f under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. 1 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 be 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. NOTE: A re- inspection fee of 81.00 will be made when ouch re inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder t Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ° PERMIT N9 206 Contractor's License No. ❑ Work to be performed under this Permit Owner of Building i B1 BY DATE ;t t Subdi- vision Value of I Amount of Project $ 11 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 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' ! *r ; '- ` ! f BY: IN ECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY 1. A BCIT PRINT BUILDING ❑ ELECTRICAL ❑ PLUMBING iX ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description E Lot Building / Address of / r-�C Value of ! � .' Project r CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE -'' -. f. 195 Contractors + 7 d/ License No 2 7 PERMIT N? 9209 BI. Work to be performed under this Permit to . j (� 47 7-44 -At. r Subdi- vision Sq. Ft Amt. of Permit $ 30. This permit is granted to the contractor or builder named above to construct the building or to install th.e 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 thoro'igh knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or and that he assumes responsibility for work done by his agents, servants or employees. Signed ` / �y`+�+tti IL-- BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations =pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. fn accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATP PLUMBING PERMIT N? 9165 Contractor's License No ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER ti. e- Work to be performed under this Permit 9 (- s �• r Signed: _. ~ INSPECTOR Subdi- vision SQ. Ft Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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. t In consideration of the issuance to me of this permit I agree to perform the work covered here er in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications sub ed to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, se t or employee. BY 4 c3 Amt. of �-- Permit $ AUTHORITY 195 t " 41 '.t! .17 GONTR L'BT CLOS4r4 BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N5 TOTAL FIXTURES —oE CHECK - - -- SEPTIC TANK SEWER CONN. DRAIN rIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST — CHECK • • Owners Name and Address_ Location and Legal Description Lol Amount of Permit $__ MIAMI SHORES VILLAGE: PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) _ (Signed Date 1 .207 / L- Appication 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, whethpp'herein ispecififd or not. A copy of approved plans and specifications must be kept at building during progress of work. ! ,, t�-rt L., r r Street_. A 1/4 ') .- Registered Architect and /or Employing Plumber's Name-__Lh... f ._. ` OPfl "1 :kn C No.- - - - - -- E _. Street_ ____ 2 S' Block Subdivision... Street and Number where work is to be performed —No r 12 j i s m et 71 9 5 l-.'-._ �� ff� State work to be performed and purpose of building (By Floors )__._________._�'/_1_C.7` _. . _ -e',t�./.4 . ._tr_ L.... __ 3 2 1 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— Wee.._-_.___ __ _____ _Size of Soakage Pit Capacity Gals. 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 bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors = • o ed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the . the wor uch • •lic notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on w• tD • per . / under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer •aths 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 des rib� construction, o that he has carefully read the foregoing application, and that he did sign the same, and that all facts of My Commission Expires Notary Public, State of Florida ter Plumber. C NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessar,y by improper notice for inspection, or faulty materials and /or workmanship. BUILDING D ELECTRICAL ❑ DATE PLUMBING 93 PERMIT N? 9843 Contractor's License No y ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Contractor or Builder ? CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Architect Legal Lot Description. Address of Building l ? u t ti Bi. s Subdi- vision Sq. Ft Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 •ndition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibili or a thorough knowledge pf the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the state is or specifications and that he assumes responsibility for work done by his agents, servants or employees. 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 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 ; assume responsibility for all work done by either, myself, my agent, servant or employee. BY #1 /f Amt. of Permit $ AUTHORITY