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PLUMBINGBUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect 11 11 6 f 4.4 MIAMI SHORES VILLAGE, FLORIDA DATE 46 `"" "" 195 Contractor's License No PERMIT IT? 11869 Work to be performed under this Pe ..r Contractor t , ; or Builder (j` Legal Lot I B1. Description Address of � � Building // she I/[�':. Pi e This permit is granted to the contractor or builder named abov herefor in strict compliance with all ordinances pertaining thereto an drawings, statements or specifications that may have been submitted to a time if the work is not done in compliance with such ordinances or if the p granted is the understanding that the contractor or builder named above a pertaining to the work covered hereby whether shown on the plans o done by his agents, servants or employees. In consideration of the i uance to me of this permit I I ntaCpt in thereto and strict I ass e responsibility for all w a work do r i f t :144 1 Subdi- vision BY 73 AUTHORITY 4. Value of � Amt. of // Project $ Permit $ construct the i ding , to install the equipment or device described in the appli o / 2.5 gree to perfo gs, statem IN ECTOR — the work covered hereunder in compliance with all . ances and re or specifications submitted to the proper auth• ' o Miami Shores s f, my agent, servant or employee. ith the and tanding the the work will be performed in compliance with any plans, approved y the proper municipal authorities. This Permit may be revoked at any ns are changed wi tout authorization. A further condition upon which this permit is umes the es. • ..ility for a thorough knowledge of the ordinances and re:u ions gs o . e statements or specifications and tha _ ,.., ork ations illage. Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address . _ _ __- ``_ _ _ No ___ -_ -__ Street Registered Architect and /or Engineer Employing Plumber's Name . __ No. __ ___ -__ Street 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) New Building - Remodeling ___ ___ __ Addition CLOSETS CONTR. LIST CHECK CONTR. LIST CHECK SEPTIC TANK BATH Tues SEWER CONN. STATE OF FLORIDA, t COUNTY OF DADE. SHOWERS DRAIN FIELD 1 - ss. LAVA- TORIES SOAKAGE PIT SINKS GREASE TRAP SLOP SINKS SOLAR HEATER Block Subdivision LAUNDRY 1 Tues URINALS DEEP WELL Amount of Permit $ -_ -_ -.- - ___ (Signed) (Signed) SPRKLR. SWIM'G SYSTEM POOL. Street Repairs CA`CH BASIN i Date - -r - � -- - FLOOR DRINKING DRAIN FOUNT'NS No. of Stories Size Septic Tank Type of Tank _____ -_ -- Capacity Gals. Feet of Drain Tile - -- Dist. Feet of Tank or Drain Field from Well -- _ Nature of Water Supply: City —Well. Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts Lis 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 perfonned 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 arc licensed by Miami Shores Village. 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 applic.tion, 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 - ofaster Plumber. TOTAL FIXTURES NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials ,and/or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot n I l 1 CONTRACTOR OR BUILDER Bl. MIAMI SHORES VILLAGE, FLORIDA PERMIT 1ST° 12184 ❑ Work to be performed under this Permit Subdi- vision Value of Project, $ DATF. 195 Contractor's License No Amt. of Permit $ ,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 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. Signed. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Career's Name and Address - Amount of Permit $ • �— MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Sign (Signed)_ Date 4 /3/ ( 9 Application is hereby cnetle 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 Shozes 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. Noll a ___.._ Street.- /T :4 .5 5 77 .e4istered Architect and /or Engineer Employing Plumber's Name"! 7 ;6 Pdl It _- S� Pl c _ No.- / "e _ ` _ `� _. F ? v� _ _.._.. Street_ _ Location and Legal Description Lot. .__- .------_-___-______— __-._ . Street and Number where work is to be performed —No /a 6 1 / � 9 Y S l Street _ S''rate work to be Naboranee and purpose of building (By Floors)___._ New Building _... -_. -_ Remodeling_____ _____ Addition- _-___- -__._- ---... Repairs--_`' No. of Stories. Size Septic Tank_ Type of Tank Feet of Drain Tile ___ - -F. =---- -•—Dt• Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.______.____ __ ____Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 'ermanent 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 req dreg by tlie Act. The undersigned agrees to employ only such sub- contractors, on w.rk to be • 'rfo • ' under this permit, as are itemised by Miami Shores Village. 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. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty reaturiels and /or workmanship. GL0 3:STFi BATH TUas SHOWERS LAVA. TOR1E6 SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BA. IN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES !JOY CiaT C t ' SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL C»4. S LIST — CHECK Career's Name and Address - Amount of Permit $ • �— MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Sign (Signed)_ Date 4 /3/ ( 9 Application is hereby cnetle 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 Shozes 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. Noll a ___.._ Street.- /T :4 .5 5 77 .e4istered Architect and /or Engineer Employing Plumber's Name"! 7 ;6 Pdl It _- S� Pl c _ No.- / "e _ ` _ `� _. F ? v� _ _.._.. Street_ _ Location and Legal Description Lot. .__- .------_-___-______— __-._ . Street and Number where work is to be performed —No /a 6 1 / � 9 Y S l Street _ S''rate work to be Naboranee and purpose of building (By Floors)___._ New Building _... -_. -_ Remodeling_____ _____ Addition- _-___- -__._- ---... Repairs--_`' No. of Stories. Size Septic Tank_ Type of Tank Feet of Drain Tile ___ - -F. =---- -•—Dt• Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.______.____ __ ____Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 'ermanent 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 req dreg by tlie Act. The undersigned agrees to employ only such sub- contractors, on w.rk to be • 'rfo • ' under this permit, as are itemised by Miami Shores Village. 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. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty reaturiels and /or workmanship. Permit No 1( Application is hereby made fo 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. � Q 4244 Owner's Name and Address - - ____•--- _ -.___ No. r.___- _ ___ -� i 9Y C I _ - Registered Architect and /or EBgineer___ —____—__ Employing Plumber's Name_ Location and Legal Description Lot yy,, Street and Number where work is to be performed -No / °Z f_1 �1 - State work to be performed and purpose of building (By Floors j_ New Building __ ----- ---- .- ____ -- Remodeling— __---- - --___ __ Addition- --_ -_ -_ _ Repairs No. of Stories.... ........... _ ____ Size Septic Tank_ Feet of Drain T Amount of Permit STATE OF FLORIDA, f COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PLICATION FOR PLUMBING PERMIT _______Type of Tank_ (Signed)_ Date -'0 No._. 4 Street i !�"�'H '�' Subdivision Street_'' Feet of Tank or Drain Field from Well My Commission Expires Notary Public, State of Florida Capacity Gals Nature of Water Supply: ______ of Soakage Pit Plumbin Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 'ennanent 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 its are required by the Act. The undersigned agrees to employ only such sub- contractors, on wofk 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 $LOO will be made when such re-inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TU88 SHOWERS LAVA TORIES S INKS SLOP SINKS LAUNDRY TU88 U CATCH BABIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FI %TURES 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 1( Application is hereby made fo 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. � Q 4244 Owner's Name and Address - - ____•--- _ -.___ No. r.___- _ ___ -� i 9Y C I _ - Registered Architect and /or EBgineer___ —____—__ Employing Plumber's Name_ Location and Legal Description Lot yy,, Street and Number where work is to be performed -No / °Z f_1 �1 - State work to be performed and purpose of building (By Floors j_ New Building __ ----- ---- .- ____ -- Remodeling— __---- - --___ __ Addition- --_ -_ -_ _ Repairs No. of Stories.... ........... _ ____ Size Septic Tank_ Feet of Drain T Amount of Permit STATE OF FLORIDA, f COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PLICATION FOR PLUMBING PERMIT _______Type of Tank_ (Signed)_ Date -'0 No._. 4 Street i !�"�'H '�' Subdivision Street_'' Feet of Tank or Drain Field from Well My Commission Expires Notary Public, State of Florida Capacity Gals Nature of Water Supply: ______ of Soakage Pit Plumbin Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 'ennanent 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 its are required by the Act. The undersigned agrees to employ only such sub- contractors, on wofk 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 $LOO 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 Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB 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 ' Date. _ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sul8 mitt e4'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 Size Septic Tank Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. j Location and Legal Description Lot._ __.._.___ Street and Number where work is to be performed —No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building ____ ____ Remodeling__-___.______ -- Addition_- —.___ -Type of Tank_. Registered Architect and /or Employing Plumber's Name_i .tA t_._ 14 ° � "C�.. S � ' ' ° — £2a.� Block State work to be performed and purpose of building (By Floors) /_ _____2� .4.12_ ! Repairs No. of Stories. Capacity Gals. Feet of Drain Tile.__._— _______Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.____ — .__ _______-- ..... Size of Soakage Pit (Signed)_ -_..._ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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 wo ;k suc public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, work to Ate p ormed under tfiis permit, as are licensed by Miami Shores Village. - �� j ! , A y-, (Signed) .._._..__ ,L 4, . ...._,/ - -- /j j' M aster Plumber. ly Street. P �� 9 s street.9, , h Subdivision.... - __. _ - -- Street. ...i - 7"",9 ? _: ems. Wee` t r 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. 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 - ( . Z ' 7 " Employing Plumber's Name `✓ t 1 ' (_ No. Street Location and Legal Description Lot f Block_____ Subdivision Street and Number where work is to be performed —No / n ''r ' L / - -- Street---- ------- - - - - -- State work to be performed and purpose of building (By Floors) New Building Remodeling _ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition . Repairs. Size Septic Tank Type of Tank Feet of Drain Tile ,<--1- -- -- Dist. Feet of Tank or Drain Field from Well Q —_____ ________ Size of Soakage Pit Nature of Water Supply( City)-Well. Amount of Permit $ -------------- - - - - -- My Commission Expires (Signed) Date Capacity Gals. No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that $ his obligations as an employer of labor under the Florida Workmen's Compensation Act, ea ction 5966, Compiled General Laws of Florida 1'(t marent Tfiriplrment. and has corm - plied with the provisions thereof, and will requir s com nce from all contractors or sub - contractors employed by hint in the work to be performed under this permit; and will post or c e s or inspection on the site of the work such public notice or notices as are required by the Act. The undersigned dgrees uch sub-co tractors, on work to be performed under this permit, as are licensed by Miami Shores Vill I • Master Plmuber. STATE OF FLORIDA, 1 authority, a no publi d authorized to administer oaths and take acknowledgments, personally appeared i ss. COUNTY OF DADE. Before me, the undersigned 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NG l ^ I- p fi f r I' • TOTAL FIXTURES CONTR. LIST 1 `- K r CHECK /� 5c C� i� i e. Is , ,,,. _ �r,1 \� �S T tel SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK -1 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 - ( . Z ' 7 " Employing Plumber's Name `✓ t 1 ' (_ No. Street Location and Legal Description Lot f Block_____ Subdivision Street and Number where work is to be performed —No / n ''r ' L / - -- Street---- ------- - - - - -- State work to be performed and purpose of building (By Floors) New Building Remodeling _ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition . Repairs. Size Septic Tank Type of Tank Feet of Drain Tile ,<--1- -- -- Dist. Feet of Tank or Drain Field from Well Q —_____ ________ Size of Soakage Pit Nature of Water Supply( City)-Well. Amount of Permit $ -------------- - - - - -- My Commission Expires (Signed) Date Capacity Gals. No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that $ his obligations as an employer of labor under the Florida Workmen's Compensation Act, ea ction 5966, Compiled General Laws of Florida 1'(t marent Tfiriplrment. and has corm - plied with the provisions thereof, and will requir s com nce from all contractors or sub - contractors employed by hint in the work to be performed under this permit; and will post or c e s or inspection on the site of the work such public notice or notices as are required by the Act. The undersigned dgrees uch sub-co tractors, on work to be performed under this permit, as are licensed by Miami Shores Vill I • Master Plmuber. STATE OF FLORIDA, 1 authority, a no publi d authorized to administer oaths and take acknowledgments, personally appeared i ss. COUNTY OF DADE. Before me, the undersigned 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. 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. • f3 ' 2 . MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 5 APPLICATION FOR PLUMBING PERMIT Permit No Date. i` . ...._ / .. - .. 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 mud be kept at building during progress of work. qq Owner's Name and Address Sitk -..Q4M — LOON Ea No. / r F' Street_._ ....- .L...S' Registered Architect and /or Engineer Employing Plumber's N a m e- - - - -_ . - - - - „ " gi'- ( No,_. .,..,mom,....- 8tteet...a. 2) ,.f Location and Legal Description Lot. _L1 F /fi cA ail BI°ek °Z O Subdiv bibAt. '? &I” ke Street and Number where work is to be performed —No 1-21i ( �� street q X 5 State work to be performed and purpose of building (By Floors) New Building _ -- . ...... ....... -.. Remodeling. -- —._.__ Addition Repairs No. of Stories Size Septic Teak_ .------- - - - - -- — - - - -- T ype of Tank— ___.._. -.. Feet of Drain Tile. —.—. __-- _- -Dist. Feet of Task or Drain Field from Well. Nature of Water Supply: City — Well __— _- - - - -_. __ -- - - - -- -- -- -Size of Soakage Pit 5 -- - — Amount of Permit $ (Signed)_ Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob, tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perna ent Supplement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed ) ►�, 1 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, ./ ..... did sign the same, and that all facts therein by him stated are true. NOTARY Purpin STATE CIF FLOR;DA AT LARGE W 111 a! I~ l tiL •0 I=F.A. -,, 9 n iNINC. PlOtary Public, State of Florida NOTE: A re- inspection fee of ;1.00 will be made when ouch re- inspection is madelasoessary by improper notice for inspection, or faulty materials and /or workmanship. Plumb g Inspec CLOSETS BATH TUe5 SHOWER[ LAVA. TORIES SINKS SLOP BINK, LAUNDRY Tu URI NAL[ CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS R _ TOTAL F IXTURES GLIST LIST / / CHECK 'L , S:. .g• 5 S. ea ?.So 14- s' 0 SEPTIC TANK SEWER CONK. DRAIN F ILLD SOAKAGE PIT GREASE TRAP SOLAR NEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL / / coNTR. i• P'Si disA 3 .i .ov LIST 3 >40 c....54-c4 . CHECK f3 ' 2 . MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 5 APPLICATION FOR PLUMBING PERMIT Permit No Date. i` . ...._ / .. - .. 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 mud be kept at building during progress of work. qq Owner's Name and Address Sitk -..Q4M — LOON Ea No. / r F' Street_._ ....- .L...S' Registered Architect and /or Engineer Employing Plumber's N a m e- - - - -_ . - - - - „ " gi'- ( No,_. .,..,mom,....- 8tteet...a. 2) ,.f Location and Legal Description Lot. _L1 F /fi cA ail BI°ek °Z O Subdiv bibAt. '? &I” ke Street and Number where work is to be performed —No 1-21i ( �� street q X 5 State work to be performed and purpose of building (By Floors) New Building _ -- . ...... ....... -.. Remodeling. -- —._.__ Addition Repairs No. of Stories Size Septic Teak_ .------- - - - - -- — - - - -- T ype of Tank— ___.._. -.. Feet of Drain Tile. —.—. __-- _- -Dist. Feet of Task or Drain Field from Well. Nature of Water Supply: City — Well __— _- - - - -_. __ -- - - - -- -- -- -Size of Soakage Pit 5 -- - — Amount of Permit $ (Signed)_ Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob, tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perna ent Supplement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed ) ►�, 1 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, ./ ..... did sign the same, and that all facts therein by him stated are true. NOTARY Purpin STATE CIF FLOR;DA AT LARGE W 111 a! I~ l tiL •0 I=F.A. -,, 9 n iNINC. PlOtary Public, State of Florida NOTE: A re- inspection fee of ;1.00 will be made when ouch re- inspection is madelasoessary by improper notice for inspection, or faulty materials and /or workmanship. Plumb g Inspec