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PLUMBING PERMITDate PERMIT APPLICATION FAR MIAMI SHORES VILLAGE • • • • • • • • • • 10050 N.E. 2nd Avdnue £ AltamanoCes, Florala 33138 • Phone: 305 - 795 -2204 • Fax: 305 - 756 -8972 Job Address • • ••• • • • • ••• ✓Legal Description /Owner /Lessee/Tenet .. • • •• ••• •• Owner's Address `f N E 93. 2 .1 . /79 N -C 93 sr Tax Folio 6 • • •• • • •• • • •• • • • • • • • • : : • : : Hirtbrically Designated: Yes • • • • • • • • ••• • ' •..7•"� • ••• � �.� l t t:I �' � l ' ("2 (-' - r � Master Permit # New j Phone ems.) /)1 triV5 • • • • • • • • Q • Contracting Co.Tf/ECbNrINF J►r OJP bE44~'�l'L✓ /L'JNoi 2.T crO A ) 3$0-3-6. Qualifier 4e-&) 61'N7NM4i✓ SS# Phone 3Dd'- 6 7)' J7 `j/ State # CFC- p.f7 0 1-6 Municipal # Competency # Ins. Co. £8I17 IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING - ELECTRICAL WORK DESCRIPTION: Aelt.•t'CE DoxlerXlC k,fT'?L PIPB Square Ft. Estimated Cost (value) 3-7 - 00 — WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. Si ature o owner an o ent FEES: PERMIT / O RADON otary as to O'- ner and/or Condo Presid My Commission Expire • • Date ;� ii i„ T. 0i iD,a ?. FREDERICK bt NOT/ Ur! S r CUM , al. 7/21/09 m PUBLIC •; Nu. CC 95541t' MECHANICAL ROOFING tractor or Arovner-BBild2r otary as to Contractor br Owner Builder My Commission Expires /'_ / /L' /o✓ Date , t1:■ c' LI "i9 C.C.F [ , J C NOTARY BOND APPROVED: TOTAL DUE Zoning Building Electrical Mechanical Plumbing , - L _ Structural Engineer Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12 /30/2002 Applicant: ELLEN Owner: GARRETT JOB ADDRESS: 149 NE 93 Contractor SILVER PLUMBING & SEWER SERVICE INC Contractor's Address: Local Phone: Parcel # 1132060133030 Fees: FEE2002 -7453 FEE2002 -7454 ACH R/T 083100277 Permit Status: APPROVED Permit Expiration: Work: REPLACE DOMESTIC WATER PIPE If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance hPf r7Ilinn fn. - t:tion. . ^ PAULA STEINMAN CD NT'-, & tt SI1, -1/0 OR ALLEN STEINMAN 3 t; 7 z.- i 141 1020 WEEPING WILLOW WAY HOLLYWOOD, FL 33019 -4813 0/4 - ',r fDior -i✓O BankofAmerica® — ter For / 64-'22E77 1:06300004 ? 00 L9578963 Description Building Fee CCF Total Fees: Date /2-,3 / / 63 -4/630 Fl 953 Order of to the ` � /ft- 2E' 3 I $ /3/ P � y � Or �� � �� � Ali/; � 54 Plumbing Permit Permit Number: PL2002 -357 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 21 & W1/2 LOT 22 BLK 6/28/2003 GARRETT ELLEN ST 3242 Dollars 8 Bank of America Advantage`" GUARD.' a Amount $130.00 $1.80 $131.80 Construction Value: $2,400.00 PR 1071 NE 79 ST Page 1 of 1 Total Fees: $131.80 Total Receipts: $0.00 the equipment or device described in the application herefor in strict compliance with all with any plans, drawings, statements or specifications that may have been submitted to s not done in compliance with such ordinances or if the plans are changed without ctor or builder named above assumes the responsibility for a thorough knowledge of the igs or in the statements or specifications and that he assumes responsibility for work done compliance with all ordinances and regulations pertaining thereto and in strict conformity :s Village. In accepting this permit I assume responisibility for all work done by either BY: BY: of 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 Divisior 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. _._ ^ k ` n ' ' ^ No Street Registered Architect and /or Engineer Location and Legal Description Lot__.____ -A__- - ____ -� \ _ R Block �� Street -__ -_ Employing Plumber's Name..__ � No �� Street and Number where work is to be performed -No _ Subdivision I.. I I <`_.4... . 4.• _ Street State work to be performed and purpose of building (By Floors ) New Building _ - Remodeling ._ Addition__._- .... . ...... - -.__. Repairs. A (Signed) 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 Amount of Permit $- 62 _ �. . - - -- -- - - - (Si - - '. - -- 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 cc.n- 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, } ss. 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 the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tac 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 f „ul materials and /or workmanship. CLOSET8 BATH TUBS SHOWERS LAVA. TORIE6 SINKS SLOP SINKS LAUNDRY TUBE URINALS GATCH BASIN FLOOR DRAIN DRINKING POUNT'NS TOTAL FIXTUREI 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 of 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 Divisior 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. _._ ^ k ` n ' ' ^ No Street Registered Architect and /or Engineer Location and Legal Description Lot__.____ -A__- - ____ -� \ _ R Block �� Street -__ -_ Employing Plumber's Name..__ � No �� Street and Number where work is to be performed -No _ Subdivision I.. I I <`_.4... . 4.• _ Street State work to be performed and purpose of building (By Floors ) New Building _ - Remodeling ._ Addition__._- .... . ...... - -.__. Repairs. A (Signed) 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 Amount of Permit $- 62 _ �. . - - -- -- - - - (Si - - '. - -- 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 cc.n- 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, } ss. 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 the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tac 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 f „ul materials and /or workmanship. )r 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 otlwi 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 at building during progress of work. Owner's Name and Address ________ __.___E No. Street Registered Architect and /or Engineer Employing Plumber's Name - 4 e \ � - - - -1 "_. L '� .- No Street Location and Legal Description Lot____ —_ — _ _ ___ Block 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 Repairs r No. of Stories Size Septic Tank Feet of Drain Tile Amount of Permit $ 7 Nature of Water Supply: City —Well Type of Tank_____ Capacity Gals. _Dist. Feet of Tank or Drain Field from WeIL _ Size of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) My Conunission Expires Notary Public, State of Florida Subdivision Street 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 5986, 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, } ss, 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 fay 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 faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TS UB URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURE! CONTR. LIST CHECK ___ ~ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LI CHECK )r 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 otlwi 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 at building during progress of work. Owner's Name and Address ________ __.___E No. Street Registered Architect and /or Engineer Employing Plumber's Name - 4 e \ � - - - -1 "_. L '� .- No Street Location and Legal Description Lot____ —_ — _ _ ___ Block 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 Repairs r No. of Stories Size Septic Tank Feet of Drain Tile Amount of Permit $ 7 Nature of Water Supply: City —Well Type of Tank_____ Capacity Gals. _Dist. Feet of Tank or Drain Field from WeIL _ Size of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) My Conunission Expires Notary Public, State of Florida Subdivision Street 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 5986, 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, } ss, 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 fay 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 faul materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description. Address of Building (1 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA n PERMIT ‘N? 12775 n Work to be performed under this Permit BI. 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 MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N° 14603 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ❑ Work to be performed under this Permit_ Architect Contractor or Builder ' Legal Lot II BI. Description Address of Building 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: WO f 1 INSPECTOR f � 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 agcepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER { Subdi- vision Value of Project $ tx,., DATE f - 195 Contractor's License No. Amt. of Permit $ / '= BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 1231 Work to be performed under this Permit Bl. Subdi- vision Value of Project DATE 194 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• B 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 regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In � ac / gcpung t 's permit I respo ibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder I Legal Lot Bl. Description Address of Building 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 tions and that he assumes responsibility for work done by his agents, servants or employees. ', / Work to be performed under this Permit / < >if:r &6NTRACTOR OR BUILDER PERMIT N9 1322 .11,4k MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of 11. Project ,4 Ss 4 FiY DATE Contractor's License No. Amt. of Permit AUTHORITY „e•••••■ Signed • r ' 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 regula- tions 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, Permit No. APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm' ed 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 ker, at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Size Septic Tank It It 6 ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No / 404 Location and Legal Description Lot____ • _ ___ Block 2.. 2 . Subdivision Street and Number where work is to be performed —No. /4 b My Commission Expires No Street Type of Tank i (Signed) 41/ Date Amount of Permit $__ _________(Signed) _ Street 9/ 4#41. Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories .___/ + � • Capacity Gals # 150 Feet of Drain Tile f Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: CityKell 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 under signed 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, 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 be 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'NS TOTAL FIXTURES CONTR. LIST / / I 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. APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm' ed 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 ker, at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Size Septic Tank It It 6 ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No / 404 Location and Legal Description Lot____ • _ ___ Block 2.. 2 . Subdivision Street and Number where work is to be performed —No. /4 b My Commission Expires No Street Type of Tank i (Signed) 41/ Date Amount of Permit $__ _________(Signed) _ Street 9/ 4#41. Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories .___/ + � • Capacity Gals # 150 Feet of Drain Tile f Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: CityKell 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 under signed 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, 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 be 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. .1 • / 0° ' • 0" Owner's Name and Address Registered Architect and /or Engineer 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 kepa at building during progress of work. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No . C ...+ D ate � ( j 3 ' Street and Number where work is to be performed —No. Employing Plumber's Name Location and Legal Description Lot Block Z No Street No 14 7 Street 1 1 1 ht ±4 eilL4Pu4d.�__aef!r.+' Subdivision hi • 'D_t. Street __1E___ 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. Amount of Permit $ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized appeared p 0 (Signed) SS. 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 therein by him stated are true. My Commission Expires (Signed) mbing Inspector. rtify that he understands and accepts his obligations is an employ of labor Compiled General Laws of Florida Permanent dpplement, has com- from all contractors or sub - contractors employed by him ' the work to be inspection on the site of the work such public $atic or notices ay! sub - contractors, on work to be perfo to administer oaths and take acknowledgments, personally Notary Public, State of Florida Master Plumber. sign the same, and that all facts 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 H EATER EP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Owner's Name and Address Registered Architect and /or Engineer 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 kepa at building during progress of work. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No . C ...+ D ate � ( j 3 ' Street and Number where work is to be performed —No. Employing Plumber's Name Location and Legal Description Lot Block Z No Street No 14 7 Street 1 1 1 ht ±4 eilL4Pu4d.�__aef!r.+' Subdivision hi • 'D_t. Street __1E___ 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. Amount of Permit $ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized appeared p 0 (Signed) SS. 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 therein by him stated are true. My Commission Expires (Signed) mbing Inspector. rtify that he understands and accepts his obligations is an employ of labor Compiled General Laws of Florida Permanent dpplement, has com- from all contractors or sub - contractors employed by him ' the work to be inspection on the site of the work such public $atic or notices ay! sub - contractors, on work to be perfo to administer oaths and take acknowledgments, personally Notary Public, State of Florida Master Plumber. sign the same, and that all facts 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. -111111 SUILDING 4 ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description 4,0404 Lot ¢, Address of Building, � " . CO RAICTOR OR BUILD PERMIT N? 5588 ^f , MIAMI SHORES VILLAGE, FLORIDA ff DATE d' ` / b 194) Bl. Work to be performed under this Permit C C#L4 Subdi- vision Value of Project Contractor's / fie q License No Amt. of I r' 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 or inances and regulations pertaining to the work covered hereby whether shown on the plans or awingsprin the statements or specificati clAhat he sumes respon- sibility for work done by his agents, servants or employees. / +�+ Signed•• ( 1) * It � r B l^ A'I INS}'ECTOR In consideration of the issuance to me of this permit I agree to perform the work covered 11 in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autht'3ls of Miami Sare Olage, In a ceyting this permit I assume responsibility for all work done by either myself. my agent, servant or employee. AUTHORITY V Nature of Water Supply: City —Well. Amount of Permit $__ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Date r Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted'f or 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, whethe erein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. t ppp No. Owner's Name and Address ' Registered Architect and /or Engineer - Employing Plumber's Name y�.i� 1 L ' r Location and Legal Description Lot Block Street and Number where work is to be performed— No._ ___.1 __ _ _ . Street State work to be performed and purpose of building (By Floors) ' ' f / z / New Building - Remodeling Addition l 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 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 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) t Street Subdivision My Commission Expires Notary Public, State of Florida 'taster Plumber. STATE OF FLORIDA, t 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Nature of Water Supply: City —Well. Amount of Permit $__ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Date r Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted'f or 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, whethe erein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. t ppp No. Owner's Name and Address ' Registered Architect and /or Engineer - Employing Plumber's Name y�.i� 1 L ' r Location and Legal Description Lot Block Street and Number where work is to be performed— No._ ___.1 __ _ _ . Street State work to be performed and purpose of building (By Floors) ' ' f / z / New Building - Remodeling Addition l 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 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 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) t Street Subdivision My Commission Expires Notary Public, State of Florida 'taster Plumber. STATE OF FLORIDA, t 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 during progress of work. Owner's Name and Address Registered Architect and /or Engineer Size Septic Tank Feet of Drain Tile________________- ______ ___ __ D Nature of Water Supply: qty — Well . Amount of T un• the Fl , rida men's Compensation ed with t e provisions thereof, and will rformed u der this permit; and will post r quired by the Act. The under signed ag censed by iami Shores Village. STATE 0 FLORIDA, COUNTY OF DADE. Before MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATIODVF'pR PLUMBING PERMIT Permit No. / L 4 l - Application is hereby made for the appr $ral of the detailed sta structure herein described. This application is made in complianc and all provisions of the Laws of the State of Florida, all ordinan of Miami Shores Village shall be complied with, whether, here Date r ment of the plans and specifications herewith submitted for t building or other and conformity with the Building Ordinance of Miami Shores Village, Florida, es of Miami Shores Village and all -rules and regulations of the Building Division specified or not. A copy of approved plans and specifications must be kept at No. ': V Street__ Employing Plumber's Name No -- '- - -! —=-=--- �--=---- � ' - - - � -- •� 1_ �# � .. Street_ 1 �11 Location and Legal Description Lot_____ —_ Street and Number where work is to be performcd —No -1 State work to be performed and purpose of building (By Floor New Building Remodeling scant for this me, the undersigned authority, a notary My Commission Expires building permit does hereby ce Act, being Section 5966, require similar compliance or cause to be posted for tees to employ only such public, duly NOTE: A re- inspection fee of $1.00 will be made when such materials and /or workmanship. __Block __ (Signed) (Signed) Subdivision Street f _ Addition Repairs No. of Stories Type of Tank . Capacity Gals Feet of Tank or Drain Field from Well Size of Soakage Pit. Notary Public. State of Florida f / Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are M ster Plumber. G 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. re- inspection is made necessary by improper notice for inspection, or faulty CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SIN :B LAUNDRY), TORS INALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST k i CHECK — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOL HEATS D LL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST 1 - 2.14 , CHECK building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Size Septic Tank Feet of Drain Tile________________- ______ ___ __ D Nature of Water Supply: qty — Well . Amount of T un• the Fl , rida men's Compensation ed with t e provisions thereof, and will rformed u der this permit; and will post r quired by the Act. The under signed ag censed by iami Shores Village. STATE 0 FLORIDA, COUNTY OF DADE. Before MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATIODVF'pR PLUMBING PERMIT Permit No. / L 4 l - Application is hereby made for the appr $ral of the detailed sta structure herein described. This application is made in complianc and all provisions of the Laws of the State of Florida, all ordinan of Miami Shores Village shall be complied with, whether, here Date r ment of the plans and specifications herewith submitted for t building or other and conformity with the Building Ordinance of Miami Shores Village, Florida, es of Miami Shores Village and all -rules and regulations of the Building Division specified or not. A copy of approved plans and specifications must be kept at No. ': V Street__ Employing Plumber's Name No -- '- - -! —=-=--- �--=---- � ' - - - � -- •� 1_ �# � .. Street_ 1 �11 Location and Legal Description Lot_____ —_ Street and Number where work is to be performcd —No -1 State work to be performed and purpose of building (By Floor New Building Remodeling scant for this me, the undersigned authority, a notary My Commission Expires building permit does hereby ce Act, being Section 5966, require similar compliance or cause to be posted for tees to employ only such public, duly NOTE: A re- inspection fee of $1.00 will be made when such materials and /or workmanship. __Block __ (Signed) (Signed) Subdivision Street f _ Addition Repairs No. of Stories Type of Tank . Capacity Gals Feet of Tank or Drain Field from Well Size of Soakage Pit. Notary Public. State of Florida f / Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are M ster Plumber. G 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. re- inspection is made necessary by improper notice for inspection, or faulty A- , :1 .w- ( AD : JOB: BUILDING ELECTRICAL PLUMBING • • • • J WORK DONE BY RE (,1=LD The following is ready for Inspection: Inspector's Report: - N Alb WILL BE READY 4 _. JOB: BUILDING PLUMBING • ELECTRICAL : • • • • Inspector's Report: - J • • • : WORK : DONE BY: • ADD: iJr) )/E‘ • REQUEST FOR • INSPECTION • WAS MADE • WILL BE READY • • • • • • The following is ready for spection: NOTE: REQUESTS FOR INSPECTIONS MUST BE MADE BY THE CONTRACTOR PERFORMING THE WORK. • • C. y .110' 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 kepg 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____ i Block Subdivision Street and Number where work is to be performed —No Street State work to be erformed and purpose of building p p g (By Floors) New Building Remodeling Addition Repairs ____ No. of Stories __ Capacity Gals 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) - 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 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, } ss. 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. 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 /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 f CHECK 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 kepg 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____ i Block Subdivision Street and Number where work is to be performed —No Street State work to be erformed and purpose of building p p g (By Floors) New Building Remodeling Addition Repairs ____ No. of Stories __ Capacity Gals 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) - 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 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, } ss. 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. 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 /or workmanship. Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 ______ oc._ No Street Registered Architect and /or Engineer Employing Plumber's Name No Street ___'�;� Location and Legal Description Lot Si' _Block Street and Number where work is to be performed —No . 1� State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Subdivision Street_ 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. 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 a3e required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as tire../ licensed by Miami Shores Village. (Signed) My Commission Expires Notary Public, State of Florida Master Plumber. 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 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 ______ oc._ No Street Registered Architect and /or Engineer Employing Plumber's Name No Street ___'�;� Location and Legal Description Lot Si' _Block Street and Number where work is to be performed —No . 1� State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Subdivision Street_ 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. 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 a3e required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as tire../ licensed by Miami Shores Village. (Signed) My Commission Expires Notary Public, State of Florida Master Plumber. 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. Permit No..____.!____ Feet of Drain Tile__ STATE OF FLORIDA, COUNTY OF DADE. 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 kepi at building during progress of work. Owner's Name and Address No . Street Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot________— Block Subdivision_ 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 Repairs No. of Stories No ,_______ Street Size Septic Tank ____ ______ -- _______ Type of Tank . Capacity Gals._ Dist. Feet of Tank or Drain Field from Well__________ ___________ __________— _______ ___ ___ _ ___ Street Nature of Water Supply: City —Well — _______________.Size of Soakage Pit Amount of Permit $ -__= - - - - -- _-- --- _-_____---------- - -- -__ 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date I/ .c / 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 be 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 /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'S POOL CONTR. LIST CHECK Permit No..____.!____ Feet of Drain Tile__ STATE OF FLORIDA, COUNTY OF DADE. 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 kepi at building during progress of work. Owner's Name and Address No . Street Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot________— Block Subdivision_ 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 Repairs No. of Stories No ,_______ Street Size Septic Tank ____ ______ -- _______ Type of Tank . Capacity Gals._ Dist. Feet of Tank or Drain Field from Well__________ ___________ __________— _______ ___ ___ _ ___ Street Nature of Water Supply: City —Well — _______________.Size of Soakage Pit Amount of Permit $ -__= - - - - -- _-- --- _-_____---------- - -- -__ 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date I/ .c / 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 be 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 /or workmanship. Pmt No l c 3 / :>> . Application is hereby nude 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 st building during progress of work. Owner's Name and Address - / ' - No i - Street,_— Registered Architect and /or En Employtn Plumber's 's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Dem:ript Lot ' Bloom ubdivlsion. - -- Street and Number where work is to be performed —No A S 6 j /, 7 S tit.. : -- — °_. _ ,�v�__ � ra- '� =P,. State work to be performe and purpose of building (By Floors)_ �- =_ -.__ ---- ._ d �. . - - -- ._. •- ........ -7(4 / ) New Building . Remodeling_____ - -. -._ -- Addition... __... _ _ Repairs No. of Stories.. .._. Amount of Permits C 6 .. (_ Na .. L ..,.n,. i GTE _ �a 9 r ' Size Septic Tank__ __. -T ype of Tapir `✓ �`°Capadty Gals.., 0 Feet of Drain Tile 'Mist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit. P jtailing Inspec 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 8986, Compiled General Laws of Florida Permanent Su element, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed, 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 u 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 µ 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 hire stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $LOO will be shads when such ewMspsotios Y soade•naoanry by hnproper notion far Inspection, or faulty materials and /or CLOSET` BATH TuDS SHOWERg LAVA- TORIE/ SINKS SLOP SINKS LAUNDRY Tugs URINALS CATCH SASIN FLOOR DRAIN DRINKING FOUNT'N• TOTAL ill Cowrie. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN F IILD SOAKAGE PIT GREASE' TRAP SOLAR H EATER DEEP WELL SPRKLR• a SWIM•S POOL Gown!. LIST CHECK `�l b7 'Li:L-- , 1'ti �7' _ l�_ ,1 Pmt No l c 3 / :>> . Application is hereby nude 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 st building during progress of work. Owner's Name and Address - / ' - No i - Street,_— Registered Architect and /or En Employtn Plumber's 's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Dem:ript Lot ' Bloom ubdivlsion. - -- Street and Number where work is to be performed —No A S 6 j /, 7 S tit.. : -- — °_. _ ,�v�__ � ra- '� =P,. State work to be performe and purpose of building (By Floors)_ �- =_ -.__ ---- ._ d �. . - - -- ._. •- ........ -7(4 / ) New Building . Remodeling_____ - -. -._ -- Addition... __... _ _ Repairs No. of Stories.. .._. Amount of Permits C 6 .. (_ Na .. L ..,.n,. i GTE _ �a 9 r ' Size Septic Tank__ __. -T ype of Tapir `✓ �`°Capadty Gals.., 0 Feet of Drain Tile 'Mist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit. P jtailing Inspec 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 8986, Compiled General Laws of Florida Permanent Su element, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed, 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 u 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 µ 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 hire stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $LOO will be shads when such ewMspsotios Y soade•naoanry by hnproper notion far Inspection, or faulty materials and /or ;UILDING LECTRICAL ' LUMBING )wner of tuilding . rchitect lontractor r Builder MIAMI SHORES VILLAGE, FLORIDA DATE •' / 6 194 PERMIT N° 5588 Work to be performed under this Permit ` `^ '' 44-4.01,44 .egal Lot ! Bl. )escription 1 .ddress of • 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 appli- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t 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 ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the or • ances and °gulations pertaining to the work covered hereby whether shown on the plans or 4r,awings or in the statements or specifications id that he umes respon- ibility for work done by his agents, servants or employees. . Signed • i, s � :'' %� f , By ') / ' 6 • INSPECTOR In consideration of the issuance to me of this permit I agree to perforn, the work covered hireunder in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. •x ac s , ng this permit I assume responsibility for all work done by either . u agent, servant or employee. COIRA O R OR BUILD • I Subdi- vision Value of Project Contractor's / {, f License No. Amt. of q , , � , Permit AUTHORITY Permit No /9 / Date..._ .4_5/ 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 wor k. . J Owners Name and Address .6 e Bich I tis 0 bil No. 1 sV �� Street . '74-sr _ .. Registered Architect and /or E Employing Plumber's Name RI ht c....IN ©E -TIC 36A At/-- 'Na — Street —. .s.::... .,- ,.—.._ Location and Legal Description Lot. _ Street and Number where work is to be performed —No 5 A rit State work to be performed and purpose of building (By Yloora) New Building.._....__.._ _ ._ . Remodeling___..— ._. —__ Addition_ - - -_... __..... Repairs. No. of Stories. ... Size Septic Tank._ „.. Type of Tank Feet of Drain Tile Dist- Feet of Tank or Drain Field from 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 his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has corn - 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 cal the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - tractors, on i to be performed under this permit, as are Waned by Miami Shores Village. Amount of Permit $ ' 0 7) MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PWMBING PERMIT k3 Subdivision._._____.. (Signed) Street. ei/ iie4 (2 Muter Plumber. STATE OF FLORIDA, } e~ 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 carefuily 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 amide when mush iminapectims is eaade•neoeaary by improper notice for rb spectiom, err faulty materials and /err workmanship. GLOStra BAYN TUBS SNOW[R[ LAVA_ TONI'S SINKS SLOP SINKS LAUWDRY TUR[ URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N[ TOTAL FIxTUR[a CONTK. LIST CHICK SLPTIO TANK S[W[R CONN. DRAIN FI[LO SOAKAO[ PIT GREASE TRAP SOLAR H [ATIR DEEP w[L6 SPRKLR. SYSTEM SWIM•O POOL COHTK. LIST CHICK Permit No /9 / Date..._ .4_5/ 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 wor k. . J Owners Name and Address .6 e Bich I tis 0 bil No. 1 sV �� Street . '74-sr _ .. Registered Architect and /or E Employing Plumber's Name RI ht c....IN ©E -TIC 36A At/-- 'Na — Street —. .s.::... .,- ,.—.._ Location and Legal Description Lot. _ Street and Number where work is to be performed —No 5 A rit State work to be performed and purpose of building (By Yloora) New Building.._....__.._ _ ._ . Remodeling___..— ._. —__ Addition_ - - -_... __..... Repairs. No. of Stories. ... Size Septic Tank._ „.. Type of Tank Feet of Drain Tile Dist- Feet of Tank or Drain Field from 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 his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has corn - 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 cal the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - tractors, on i to be performed under this permit, as are Waned by Miami Shores Village. Amount of Permit $ ' 0 7) MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PWMBING PERMIT k3 Subdivision._._____.. (Signed) Street. ei/ iie4 (2 Muter Plumber. STATE OF FLORIDA, } e~ 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 carefuily 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 amide when mush iminapectims is eaade•neoeaary by improper notice for rb spectiom, err faulty materials and /err workmanship. BUILDING ELECTRICAL PLUMBING ROOFING ❑ DATF 195 PERMIT N? 5339 Contractor's License No. tg ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Description B1. Address of Building ► ., 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 zevoked 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 issu¢nce 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 c iform ty w 'le plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I ossume responsi lity f II work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER 1 BY AUTHORITY MIAMI SHORES VILLAGE. FLORIDA Subdi- vision Value of Project $ Amount of Permit $ f r Dn Lot Bl. Subdi- vision )f t i / ' ' + Value of Project Amt. of Permit .. v BUILDING ELECTRICAL PLUMBING Owner o Building Architec Contract or Build Legal Descripti Address Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 2143 DATE Work to be performed under this Permit 194 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 drawingi 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 regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accep permit I assum, responsibility for all work done by either myself, my agent, servant or employee. .,�(.�0',.� -4•.4 ` . . } , •.rt,0 CONTRACTOR OR BUILT R BY AUTHORITY MIAivll SHORES VILLAGE, FLA. N? 6000 / JO1f / f r r4 47-, ' _, mss _ 7t ADDRESS INSPECTION r4 '- I � t : � P , _ c ek TIME READY r A `' REMARKS: , vim INSPECTOR DATE 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 A__ _ . _ -4�1_ No._�. - - -_ l v5 Street 7 �,� Registered Arcaitect and /or Engineer ... _._____ —___ __ ____ ____ - -- ---- - - - - -- Employing Plumber's Name__hiLit_iii.l__ ia e_d___��ePP c `iif _ No. _._________1 -C Street_ _4 , r4 New Building 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) Site Septic Tank----- ----- - - - --- - -- - Feet of Drain Tile - - - - -- Nature of Water Supply: City — Well. ______ — �_ -- - - - --- -- Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r";iaMIT Addition Blorlr Subdivision L\ O Street .! e L -!t y--- 411 � i.'r) £L P , o r4" • Type of Tank_ _-__Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit (Signed) P " mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup lement, 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 sit - • the work such pu • Lc notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, o k to be per : e• 'under this permit, as are Hemmed by Miami Shores Village. (Sign Date Repairs No. of Stories - Capacity Gals. My Coaunission Expires Notary Public, State of Florida PRP. /‘; /94 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 Tues U RINALS CATCH BASIN FLOOR DRAIN DRINK! NG FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONK. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEP•TER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK 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 A__ _ . _ -4�1_ No._�. - - -_ l v5 Street 7 �,� Registered Arcaitect and /or Engineer ... _._____ —___ __ ____ ____ - -- ---- - - - - -- Employing Plumber's Name__hiLit_iii.l__ ia e_d___��ePP c `iif _ No. _._________1 -C Street_ _4 , r4 New Building 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) Site Septic Tank----- ----- - - - --- - -- - Feet of Drain Tile - - - - -- Nature of Water Supply: City — Well. ______ — �_ -- - - - --- -- Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r";iaMIT Addition Blorlr Subdivision L\ O Street .! e L -!t y--- 411 � i.'r) £L P , o r4" • Type of Tank_ _-__Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit (Signed) P " mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup lement, 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 sit - • the work such pu • Lc notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, o k to be per : e• 'under this permit, as are Hemmed by Miami Shores Village. (Sign Date Repairs No. of Stories - Capacity Gals. My Coaunission Expires Notary Public, State of Florida PRP. /‘; /94 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.