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1270 NE 94 St (4)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__bi�__- _Ll!�l «__.� _____ No.____ __7 Registered Architect and /or Engineer _ _________ — ________ Employing Plumber's Nam e��l! Location and Legal Description Lot______ ___________ __ _____ _________��_ — Block__._________________ Street and Number where work is to be performed— No.__/ A y_—___ _: Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Size Septic Tank �s�j Q Type of Tank__ Capacity Gals Feet of Drain Tiled' -/ r • 'j #4 Lf44-y - _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well _ _____Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, I as. COUNTY OF DADE. ----- - - - - -- lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati •'C as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanen upplement, 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 work such publi notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on to be perfo e er this per 1 as are licensed by Miami Shores Village. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT T,2 QPs tTrl �l _i_P_1Lc_a_ r___ No.[ 1 /4) _ --- _____ -- ---- - -- -- ---- - -- (Signed)__ (Sign Date al//‘ Street_ Street_NL' 2_ S r, k, /7/1"/S, Subdivision No. of Stories Master "lumber. 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS TOTAL FIXTURES Comm LIST CHECK — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHUCK 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__bi�__- _Ll!�l «__.� _____ No.____ __7 Registered Architect and /or Engineer _ _________ — ________ Employing Plumber's Nam e��l! Location and Legal Description Lot______ ___________ __ _____ _________��_ — Block__._________________ Street and Number where work is to be performed— No.__/ A y_—___ _: Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Size Septic Tank �s�j Q Type of Tank__ Capacity Gals Feet of Drain Tiled' -/ r • 'j #4 Lf44-y - _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well _ _____Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, I as. COUNTY OF DADE. ----- - - - - -- lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati •'C as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanen upplement, 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 work such publi notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on to be perfo e er this per 1 as are licensed by Miami Shores Village. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT T,2 QPs tTrl �l _i_P_1Lc_a_ r___ No.[ 1 /4) _ --- _____ -- ---- - -- -- ---- - -- (Signed)__ (Sign Date al//‘ Street_ Street_NL' 2_ S r, k, /7/1"/S, Subdivision No. of Stories Master "lumber. 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No 1 . 3 S g 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 Engin r Employing Plumber's Name New Building Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, ( ss. COUNTY OF DADE. Remodeling bt_J( ^ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date No._____ Street. No._ Street Location and Legal Description Lot________ Block_ Subdivision Street and Number where work is to be performed —No 1-)' ' e. State work to be performed and purpose of building (By Floors)._ Street Addition_________ Repairs No. of Stories. Type of Tank___ Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ed)_ (Signed)._ My Commission Expires Notary Public, State of Florida 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 tlie 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 workmanship. CLOSETS BATH TUBS OWER SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE 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 LIST CHECK / v V Permit No 1 . 3 S g 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 Engin r Employing Plumber's Name New Building Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, ( ss. COUNTY OF DADE. Remodeling bt_J( ^ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date No._____ Street. No._ Street Location and Legal Description Lot________ Block_ Subdivision Street and Number where work is to be performed —No 1-)' ' e. State work to be performed and purpose of building (By Floors)._ Street Addition_________ Repairs No. of Stories. Type of Tank___ Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ed)_ (Signed)._ My Commission Expires Notary Public, State of Florida 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 tlie 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 workmanship. CHECK �J . / c,7� 1N 9X 7 o / o ✓ SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G „ A ' 11 I0 . TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL W� CONTR. / �— LIST o l 0 CHECK / © 0 43-0 43-0 / Q Y Permit No 3 d 63 3 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 4e No Street__, Registered Architect and /or En ineer Employing Plumber's Name___ 13 ' No.__ Sweet Location and Legal Description Lot Block Subdivision p Street and Number where work is to be performed —No. 1 _ Nature of Water Supply: City—NW STATE OF FLORIDA, 1 COUNTY OF DADE. j ss. '`MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT r Street__ d 1 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank 1 Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $ - - 11 ' (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed 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 / r workmanship. CLOSETS T BATH L SHOWERS T LAVA- S SINKS S SLOP L LAUNDRY C URINALS B CATCH F FLOOR D DRINKING T p � F TOTAL CONTR. ` � ` / / / / a . � Y Permit No 3 d 63 3 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 4e No Street__, Registered Architect and /or En ineer Employing Plumber's Name___ 13 ' No.__ Sweet Location and Legal Description Lot Block Subdivision p Street and Number where work is to be performed —No. 1 _ Nature of Water Supply: City—NW STATE OF FLORIDA, 1 COUNTY OF DADE. j ss. '`MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT r Street__ d 1 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank 1 Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $ - - 11 ' (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed 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 / r workmanship. ....." . "..1111.1..1......1111PMEMMIIII.••••■" -• •••••■••••••••■ •• -.. " . " . ..'• 41.010 1 1 1111 1 ■"" 4 1 11 . 0 ..W MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - Permit A Mt do Date �_l!-9 Application is hereby n{ade 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__M_th _I_____ Employing Plumber's Name Street and Number where work is to be performed —No Amount of Permit $ eineZ (peek ep'e �r^ No.. Stree ( ' `-' _ A/Jli No.._____- - - - - -- 0- - 7.4' Street - -- Al zr Location and Legal Description Lot________ Block_ Subdivision___ q / 2_40 Street_ ' � j C-1 1 < l State work to be performed and purpose of building (By Floors)._ 2.$ _ i !la a e N B 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) My Commission Expires Notary Public, State of Florida e Plum • 1 g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, I os. 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 workmanship. CLOCe -'T3 OATH TUBS - SNOWERD LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUee U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST r___ CHECK ■ —� SEPTIC TANK SEWER CONN. DRAIN PI ELO SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - Permit A Mt do Date �_l!-9 Application is hereby n{ade 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__M_th _I_____ Employing Plumber's Name Street and Number where work is to be performed —No Amount of Permit $ eineZ (peek ep'e �r^ No.. Stree ( ' `-' _ A/Jli No.._____- - - - - -- 0- - 7.4' Street - -- Al zr Location and Legal Description Lot________ Block_ Subdivision___ q / 2_40 Street_ ' � j C-1 1 < l State work to be performed and purpose of building (By Floors)._ 2.$ _ i !la a e N B 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) My Commission Expires Notary Public, State of Florida e Plum • 1 g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, I os. 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 workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA ❑ DATF �® 1 n Work to be performed under this Permit PERMIT N° 13609 Architect Contractor or Builder CONTRACTOR OR BUILDER BI. 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 ofthe 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. Subdi- vision Value of Project $ BY 195 Contractor's License No Amt. of Permit $ AUTHORITY .�3 Permit No. - ............ Date 6/s 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address h /IVY ____4__ _� No Street Registered Architect and /or Engineer Employing Plumber's Name Al 0 Pr; ` R ` 1(I S F / -T l -- - 74 '14 k ets No. __-/ Nf- Street. ___j.) 3 S r Location and Legal Description Lot _ ._ _ _ __Block__— �__.__.__.______ Subdivision Street and Number where work is to be performed —No. d ___ Street f 4 ST I State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank b - - -0 Feet of Drain Tile - _Q Nature of Water Supply: City —Well Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fac therein by him . ated are true. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank... 4p Dist. Feet of Tank or Drain Field from We1L _Size of Soakage Pit ( Signed)._ Capacity Gals.__ (Signed)_ Plumbing Inspector. Master Plumber. 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 faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Turn U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL F XTUREI -- 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 V .1 Permit No. - ............ Date 6/s 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address h /IVY ____4__ _� No Street Registered Architect and /or Engineer Employing Plumber's Name Al 0 Pr; ` R ` 1(I S F / -T l -- - 74 '14 k ets No. __-/ Nf- Street. ___j.) 3 S r Location and Legal Description Lot _ ._ _ _ __Block__— �__.__.__.______ Subdivision Street and Number where work is to be performed —No. d ___ Street f 4 ST I State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank b - - -0 Feet of Drain Tile - _Q Nature of Water Supply: City —Well Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fac therein by him . ated are true. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank... 4p Dist. Feet of Tank or Drain Field from We1L _Size of Soakage Pit ( Signed)._ Capacity Gals.__ (Signed)_ Plumbing Inspector. Master Plumber. 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 faul materials and /or workmanship.