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271 NE 95 St (7)BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder v MIAMI SHORES VILLAGE, FLORIDA DATE �+ —�-- / 1 954_ Contractor's License No Li PERMIT N? 10667 Work to be performed under this Permit Owner of Building Subdi. vision Legal Lot Bl. Description Address of ; Building f° / 4. i i �s , .„ b. 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 a y 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 permitjis 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 statelnetts or specifications and that he assumes responsibility for work done by his agents, servants or employees. Value of Project $ Amt. of Permit Signed: 1 r r BY d. I SPECTOR $ /.._----- ••∎•∎∎ •,... 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. f..rrA ./�] •P CONTRACTOR OR U LbER w BY A ORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 'C 1951_ Contractor's License No H PERMIT N? 10107 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ Amt. of Permit $ BY AUTHORITY 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description Address of / Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 10117 Work to be performed under this Permit BI. f Subdi- vision Value of Project $ DATE s i Amt. of Permit $ BY AUTHORITY 195 y Contractor's License No 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 statem is or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • ., . 4* r BY INSPECTOR 1 In consideration of the issuance to me of this permit I agree to porform the work covered hereunder in compliance with 1 ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autho ties of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. "vrsriit. No.- -- 7 Date �'/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or, other st- cture 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 En . ..__ Employing Plumber's Name Location and' Legal Description Lot Street and Number where work is to be performed —No New Building ___ ___ Remodeling Addition._ Size Septic Tank Feet of Drain Tile_________ Amount of Permit $ 9 Nature of Water Supply: City —Well. STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT A DDM_ICA_ TIAAI CAD .DII IMRIMG_AERMIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.__— — State work to be performe8 and purpose of building (By Floors) ____.___.... _..... _________.___ Street Street. - _._ Subdivision_ .... --- .............. - - - Street Repairs No. of Stories. _ ( Signed)_ Capacity Gals Drain Field from Well _Size of Soakage Pit 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) - -Q/ ' °CY " . .1"4 Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. • 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 rues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIOT CHECK —_ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POOL CONTK. LIST - - -- CHECK _ "vrsriit. No.- -- 7 Date �'/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or, other st- cture 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 En . ..__ Employing Plumber's Name Location and' Legal Description Lot Street and Number where work is to be performed —No New Building ___ ___ Remodeling Addition._ Size Septic Tank Feet of Drain Tile_________ Amount of Permit $ 9 Nature of Water Supply: City —Well. STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT A DDM_ICA_ TIAAI CAD .DII IMRIMG_AERMIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.__— — State work to be performe8 and purpose of building (By Floors) ____.___.... _..... _________.___ Street Street. - _._ Subdivision_ .... --- .............. - - - Street Repairs No. of Stories. _ ( Signed)_ Capacity Gals Drain Field from Well _Size of Soakage Pit 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) - -Q/ ' °CY " . .1"4 Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. • 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. t Size Septic Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No / Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. - Owner's Name and Address No. Street Registered Architect and /or Engineer ' i Employing s Name U % ` "' No ��" 4 "'`—`= -- Street / 1 ' 'CV Y irti Location and Legal Description Lot �' l Block Subdivision � Street and Number where work is to be performed —No � i. X 17 s - � Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 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 / 4 )/ Amount of Permit $ (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. STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed) My Commission 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 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 SW IM'G POOL CONTR. LIST CHECK / r as C> / • t Size Septic Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No / Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. - Owner's Name and Address No. Street Registered Architect and /or Engineer ' i Employing s Name U % ` "' No ��" 4 "'`—`= -- Street / 1 ' 'CV Y irti Location and Legal Description Lot �' l Block Subdivision � Street and Number where work is to be performed —No � i. X 17 s - � Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 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 / 4 )/ Amount of Permit $ (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. STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed) My Commission 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 sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No.! Amount of 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__ 12 Registered Architect and /or Engineer Employing Plumber's Name STATE OF FLORIDA, ss. COUNTY OF DADE. Location and Legal Description Lbt r% My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT •1 / ° No. 2 d �v7 2f ( Signed) Street No 4 1 i. al Street lv Block s_ Subdivision t ° ' _' Street and Number where work is to be performed —No P _2 / Street___- q..f State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank 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 � v (Signed) ' , Inspector. The undersigned applicant for this building permit does hereby certify that he i dfrstands and accepts his obligations s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene al Laws of Florida Permanent(S pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contactors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be ppsted 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 licensed by Miami Shores Village. Notary Public, State of Florida this permit, as are / l .r Master P,,It tuber. 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. S CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LA UNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS �,. - 4 / H. c:' , . . i (, / TOTAL FIXTURES CONTR. LIST / / e _.—.I— CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL ifrCyr .. , CONTR. LIST / / J C CHECK Permit No.! Amount of 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__ 12 Registered Architect and /or Engineer Employing Plumber's Name STATE OF FLORIDA, ss. COUNTY OF DADE. Location and Legal Description Lbt r% My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT •1 / ° No. 2 d �v7 2f ( Signed) Street No 4 1 i. al Street lv Block s_ Subdivision t ° ' _' Street and Number where work is to be performed —No P _2 / Street___- q..f State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank 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 � v (Signed) ' , Inspector. The undersigned applicant for this building permit does hereby certify that he i dfrstands and accepts his obligations s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene al Laws of Florida Permanent(S pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contactors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be ppsted 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 licensed by Miami Shores Village. Notary Public, State of Florida this permit, as are / l .r Master P,,It tuber. 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. S Permit No. /__ - Registered Architect and /or Engine r Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No Amount of Permit $ 4' 1 STATE OF FLORIDA, COUNTY OF DADE. ss. 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 '! / �f �_ _ e No Street No Street Blo ck / Subdivision 2 / , A Street / State work to be performed and purpose of building (By Floors) New Building i ' Remodeling Addition Repairs No. of Stories Size Septic Tank 0 Feet of Drain Tile 7 Dist. Feet of Tank or Drain Field from Well r -1{ Type of Tank �-� i f it 4 ( Signed) Nature of Water Supply: City —Well Size of Soakage Pit �, �r / Date I �/ is Capacity Gals (Signed' jr_' -- i 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 $966, 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, o work to be performed under this permit, as are licensed by Miami Shores Village. My Commission 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 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. /__ - Registered Architect and /or Engine r Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No Amount of Permit $ 4' 1 STATE OF FLORIDA, COUNTY OF DADE. ss. 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 '! / �f �_ _ e No Street No Street Blo ck / Subdivision 2 / , A Street / State work to be performed and purpose of building (By Floors) New Building i ' Remodeling Addition Repairs No. of Stories Size Septic Tank 0 Feet of Drain Tile 7 Dist. Feet of Tank or Drain Field from Well r -1{ Type of Tank �-� i f it 4 ( Signed) Nature of Water Supply: City —Well Size of Soakage Pit �, �r / Date I �/ is Capacity Gals (Signed' jr_' -- i 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 $966, 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, o work to be performed under this permit, as are licensed by Miami Shores Village. My Commission 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 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 TUS[ eNOW[RS LAVA• TORIES SINKS GLOP SINKS LAUNDRY TUSS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT',,. TOTAL FIXTURES Comm LIST CHECK _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM POOL CONTR. LIST CHECK APPLICATION FOR PLUMBING PERMIT Permit No. . + K 1 � ) Date... - -•7 - � -•• /// �-- .....-- -• - -- 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. < .�eo �►�1�1't!lG' 9 % No Street/ v / ✓ S .. Owner's Name and Address Registered Architect and /or Engineer .4 Employing Plumber's Munro g god �� / anon A nuralfer e k / / • $ where wor L t¢ be perf —No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT State work to be performed and purpose of building (By Floors)__._.— _ - _ — - 2'_ - -. u� New Building - -_... _ — _.._........ -.._.. Remodeling_--._ —__ Addition.. - - -- —.._ Repairs B °Z SuubclivWor2Lic i' A142 Street. /Vie l . s 7 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 `/ Amount of Permit $ ? (Signed) _ -� ` — 1 N l / _ - -- 1 ... . 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 5888, Compiled General Laws of Florida Permanent Supplement, and lids 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 public notice or notices as required by the Act. The undersigned agrees to employ only such sub - contractors, work to licensed by Miami Shores Village. (SI ormed under this permit, as Master Plumber. arP are STATE OF FLORIDA, COUNTY OF DADE. 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 be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will ba ands when Walt miampBOtlan is mnade.naonnry by bnproper notice for impaction, or faulty materials and /or workmanship.