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236 NE 95 St (4)Permit No. INA MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • (Signed) My Commission Expires Notary Public. State of Florida r Plumber. 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 o4 work. ! Street__t __�,- - - -___ _ __ �° Owner's Name and Address ,-- " ._ ," Registered Architect and /or Engineer __ L 4 Oar Employing Plumber's Name ,_` _. ,/ � ` _ – L / Location and Legal Description Lot________ — _ _ _Block —__ Subdivision__— _____ —__ Street and Number where work is to be performed —No __ra Street_.c _<__l:.r-- /- __`__________-,---_— ______ State work to be performed and purpose of building (By Floors) New Building ______________ Remodeling Addition Repairs _____ No. of Stories No ..,= – ra ^w Size Septic Tank —___ _ _ _— ______ ___ —__ _______ Type of Tank _Capacity _— Feet of Drain Tile____ —__ ___ —_ Dist. Feet of Tank or Drain Field from Well______-- _— _- __- ____ —____ Nature of Water Supply: City —Well Size of Soakage Pit r Amount of Permit $_ (Signed) Plumbing spec or. 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ – to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. INA MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • (Signed) My Commission Expires Notary Public. State of Florida r Plumber. 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 o4 work. ! Street__t __�,- - - -___ _ __ �° Owner's Name and Address ,-- " ._ ," Registered Architect and /or Engineer __ L 4 Oar Employing Plumber's Name ,_` _. ,/ � ` _ – L / Location and Legal Description Lot________ — _ _ _Block —__ Subdivision__— _____ —__ Street and Number where work is to be performed —No __ra Street_.c _<__l:.r-- /- __`__________-,---_— ______ State work to be performed and purpose of building (By Floors) New Building ______________ Remodeling Addition Repairs _____ No. of Stories No ..,= – ra ^w Size Septic Tank —___ _ _ _— ______ ___ —__ _______ Type of Tank _Capacity _— Feet of Drain Tile____ —__ ___ —_ Dist. Feet of Tank or Drain Field from Well______-- _— _- __- ____ —____ Nature of Water Supply: City —Well Size of Soakage Pit r Amount of Permit $_ (Signed) Plumbing spec or. 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ – to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. JOB: • BUILDING ELECTRIC4L PLUMBINB • • • / 1 . I ( ADD,. WORK : DONE B7: REQUESF.En The following is ready for inspection:- Inspector 6. Report :- / - WILL BE pEADY ' a 7-/ /// STATE OF FLORIDA, COUNTY OF DADE. j ss. Disapproved _ Date_ MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTMEN AFPLBCAT8 FOR U LING PERMIT Application is hereby made for the approval of the det. fled statemen• of the plans and specific.a, ions herewith submitted for the build- ing or o h. -ructure her i described This t-t licat;c is made in compliance and con•o•m ty w.th the Building Ordinance of Mia ii Shores Village, or da, and all pro isions of the Laws c the State of Fkrid. all o d nances .,f Mi mi Shores Village and all rules and regua ion, of the Building Div•. i of •iam Sho, illage f• 1 1 e - •o, ipl.ed with, whether herein specified or not. A copy of approved plans and specificati •m must be kw at bui ding durin„ progress of tl_e work. C. Date ` Owner' Name and Address Registered Architect and /or Engineer.__ Name nd address of licensed contractor. Location and legal description of lot to be built on: Lot_ ___ _______________ . Block_._ ___. Subdivision Street and Number where work is to be done s6 State work to be done anc3 p of l wilding (by „floors).___ Addition_ New Building_ _ _ Remodeling__ To be constructed of_ _ _ Kind of foundatio / Estimated "_ ; (9-7 tal cost of improvements $__. - _ / � _ Amount o` Permit $__. Zone ^ubage required_ --- .- -_Plan Cubage_____ ____ ____ _ __ •_ -- - -- .__..._ - --•-- - -- Distance to next nearest building__ _ . _ ___Size of Building Lot Maximum live load to be borne by each floor _ . _____ hereby submit all the plans and speciiications for said building. All notices with reference to the budding and its construction may be sent to Repairs_ - - The unde signed appli ant for th's budding permit does hereby certify t'nat he understands and accepts his ,•bligations as an employer of 1 bor under he Florida Workmen's Compensation Act being S—tion 5966 Col p led Gen al Laws of Florida P r anon Sapplc cent, and h s compl ed. w;th he pro,/ :ions thereof, and will require s•milar comn lance from all contractors or sub - contractors cmplo •ed by him in the wo k to be p ri med under th s pern it and ill post or cause to be posted for inspection on the ,.ite of the work su :h public noti e or •otices as are requir d by the Act. The u. d. r ign. d agrees to employ only such abcontr ctois, . �'ork to e perfor . der this permit as are licensed by M am. Shores iI : ge. I Remarks__ _ .. (Sig-ied1 Before me, the undersigned authority, a notary public, duly authorized to adm:nister oaths .nd take acknowledgments, personally c p- peared and who, being by me first d• ly sworn, upon oath deposes and says that he is the of tli ahoy. de ibed istruction t, • h has careially read the foregoing application, and that he did sign the same, and that all facts therein by him states} tie. Permit No ____( _ _ _ Date__ ___. Read, Sworn to and Subscribed before me. Notary Public State of Florida (Signed) Building Inspector My Commission Expires_ PLANNING BOARD ____DATE Chairman Member Member ____ _ _ ______ ___ __ _ Member Member Council Approved No Street_. ,19 Member _Date Disapproved Roof Cov'ring__ No. of Stories_ and for no other purpose. to me well known, Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application tfter approval h is been obtained from the Plain. ng Board A re- inspection fee of $1..00 will be charged when such re- inspection is ma; _le necessary by improper notice for inspe: hor' or fa ity materials and /or workmanship. BUILDING ❑ DATE 195_ ELECTRICAL ❑ PLUMBING PERMIT N? 8690 Contractor s ❑ License No ROOFING ❑ Work to be performed under this Permit Owner of Building y " Architect Contractor or Builder Legal Lot II Bi. Description. Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Subdi- vision Sq. Ft Value of Project $ R Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application 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 BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building ❑ PERMIT N° 14777 [. Work to be performed under this Permit Architect Contractor or Builder Legal Lot 11 BL Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application 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