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350 NE 95 St (9)Permit No 6 2.5 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ^ MIT 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 Slate 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 (4/(ec-- Registered Architect and /or Engineer Employing Plumber's Name./1/- _,‘ .. No. � Street_ 1 Block Street and Number where work is to be performed— No.___.,c ® _ . State work to be performed and purpose of building (By Floors)_ 2 Z I �- !�___ 4_., -3 2; C Size Septic Tank Feet of Drain Tile.___ Location and Legal Description Lot Amount of Permit S - - -� My Commission Expires New Building __ Remodeling ______- ____________.______ Addition._._.___ Repairs No. of Stories.,,/ Type of Tank _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.._______________ ..... ______..... __________Size of Soakage Pit P umbing Spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permn. ent 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 wil'. 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. Subdivision _ Street 9-.* -.* ` / Capacity Gals ( Signed WI: � Date ---- - - .......... Street_ 4/ • Notary Public, State of Florida Muter Plumber. STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned autl:.ority, 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 ,81.00 will be made when such re- inspection is made • necessary by improper notice for Inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS S LAVA TOR1E6 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 CATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST _ CHECK Permit No 6 2.5 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ^ MIT 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 Slate 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 (4/(ec-- Registered Architect and /or Engineer Employing Plumber's Name./1/- _,‘ .. No. � Street_ 1 Block Street and Number where work is to be performed— No.___.,c ® _ . State work to be performed and purpose of building (By Floors)_ 2 Z I �- !�___ 4_., -3 2; C Size Septic Tank Feet of Drain Tile.___ Location and Legal Description Lot Amount of Permit S - - -� My Commission Expires New Building __ Remodeling ______- ____________.______ Addition._._.___ Repairs No. of Stories.,,/ Type of Tank _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.._______________ ..... ______..... __________Size of Soakage Pit P umbing Spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permn. ent 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 wil'. 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. Subdivision _ Street 9-.* -.* ` / Capacity Gals ( Signed WI: � Date ---- - - .......... Street_ 4/ • Notary Public, State of Florida Muter Plumber. STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned autl:.ority, 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 ,81.00 will be made when such re- inspection is made • necessary by improper notice for Inspection, or faulty materials and /or workmanship. Permit No 4 7 J 7. Amount of Permit $ MIAMI SHORES VI ?. ,AGYi PLUMBING INSPECTION DEPARTMEI<'' APPLICATION FOR PLUMBING Application is hereby made for the approval of the detailed statement of plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conf» - iu,j with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miam! Si ores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified nr rut. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address .J r .Ch -___ -- No. 35.0_ ATE. 95th. Street_ — __ - _- - Registered Architect and /or Engineer.- _ ___ __— _______________ -- _. _... .-- -__ --- Employing Plumber's Plumber's Name PUBLIC GAS COM ?ANYNo._ I� .1 ' th Avvp Location and Legal Description Lot_. _..__.____. Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors)_ New Building ______ ___ Remodeling Addition_____.__._______ __..._ Repairs No. of Stories Block_ Size Septic Tank — Type of Tank_ Capacity ..... Feet of Drain Tile.__ ...... - ................... _-- ____ -- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._ _._____ ____Size of Soakage Pit (Signed)- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the 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. (Signed)._ Date December 1, 1956 Subdivision Street 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 hiro stated are true. My Conunissi 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 SHOWER! LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUea U RINALS 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 Permit No 4 7 J 7. Amount of Permit $ MIAMI SHORES VI ?. ,AGYi PLUMBING INSPECTION DEPARTMEI<'' APPLICATION FOR PLUMBING Application is hereby made for the approval of the detailed statement of plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conf» - iu,j with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miam! Si ores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified nr rut. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address .J r .Ch -___ -- No. 35.0_ ATE. 95th. Street_ — __ - _- - Registered Architect and /or Engineer.- _ ___ __— _______________ -- _. _... .-- -__ --- Employing Plumber's Plumber's Name PUBLIC GAS COM ?ANYNo._ I� .1 ' th Avvp Location and Legal Description Lot_. _..__.____. Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors)_ New Building ______ ___ Remodeling Addition_____.__._______ __..._ Repairs No. of Stories Block_ Size Septic Tank — Type of Tank_ Capacity ..... Feet of Drain Tile.__ ...... - ................... _-- ____ -- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._ _._____ ____Size of Soakage Pit (Signed)- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the 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. (Signed)._ Date December 1, 1956 Subdivision Street 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 hiro stated are true. My Conunissi Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made .necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. ?? kro Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or //E����ngineer __________ ____ _______�__ A� Employing Plumber's Name/kir/ p°.1_6M SC...? 7‘c _ _VI h __ -_ No._l.F a1 S __ -__ Street-.! �lif- ... 4 v'► Location and Legal Description Lot__-_-- -__- . ...... ____- _- _______ -___�_ Block-__ __ Subdivision Street and Number where work is to be performed —No. J s' 9 .r.. - S 1:,_ Street State work to be performed and purpose of building (By Floors)__ _____________ New Building -__ _ Remodeling _____ .......... ___ -- Addition__ -- ±! Repairs Size Septic Tank O 6 G 4 Feet of Drain Tile.__ J L _ ___.____ Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Amount of Permit $ 1 Type of Tank-_-- ._ -- Cif 5 __Size of Soakage Pit (Signed)_ PI bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations n employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Su 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 pos.: 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 w to be performed licensed by Miami Shores Village. Date Capacity Gals. 7 �1k Street _ -__ . 9s' J T My Commission Expires Notary Public, State of Florida No. of Stories- r this pennit, as are STATE OF FLORIDA, 1 COUNTY OF DADE. j 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 SNOWERB LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS UR URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAICAGE P IT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'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. ?? kro Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or //E����ngineer __________ ____ _______�__ A� Employing Plumber's Name/kir/ p°.1_6M SC...? 7‘c _ _VI h __ -_ No._l.F a1 S __ -__ Street-.! �lif- ... 4 v'► Location and Legal Description Lot__-_-- -__- . ...... ____- _- _______ -___�_ Block-__ __ Subdivision Street and Number where work is to be performed —No. J s' 9 .r.. - S 1:,_ Street State work to be performed and purpose of building (By Floors)__ _____________ New Building -__ _ Remodeling _____ .......... ___ -- Addition__ -- ±! Repairs Size Septic Tank O 6 G 4 Feet of Drain Tile.__ J L _ ___.____ Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Amount of Permit $ 1 Type of Tank-_-- ._ -- Cif 5 __Size of Soakage Pit (Signed)_ PI bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations n employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Su 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 pos.: 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 w to be performed licensed by Miami Shores Village. Date Capacity Gals. 7 �1k Street _ -__ . 9s' J T My Commission Expires Notary Public, State of Florida No. of Stories- r this pennit, as are STATE OF FLORIDA, 1 COUNTY OF DADE. j 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. New Building Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herem descnbed. 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 th Building Divsion of Wand 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. ... 0 Owner's -_ _— _ - ------- -•_ -._ No.----- ____ -_ -__�_v Street_ . Registered Architect and /or Engineer . _ —_�'�__ —__ Employing Plumber's Name C 1 f ` / tttta /A �l S 3 ! � e t . /1 �. 7 rk it t'r - --- No.. -- — — Street . . Location and Legal Description Lot_________ ____________ - ---- Block_ _ Subdivision.— _ -- Street and Number where work is to bi performed —No 3 S 0 fv <L • ? p�, s 1 L _ State work to be performed and purpo: a of building (By Floors) _ . _ .5 7 l C. Rernodeling�_ —_ -- -- _ ._ _ Addition_--- 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. _ -_ - Si 3 of Soakage Pit - (Signed). - -- -- - - -- - - Date Capacity Gals. _.. No. of Stories — PL.mb In:pecto. 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, ^nJ 1 as cm -- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin. 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 no Ices as are required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. �. ( Signed )_.. I Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn'ents, personall 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 acts 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 SISIN" SLOP SINKS LAUNDRY TU B S I NAS URL CATCH BASIN FLOOR DRAIN DRINKING FOURT'N6 TOTAL F %TURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN PIELO :SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST // - -- CHECK New Building Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herem descnbed. 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 th Building Divsion of Wand 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. ... 0 Owner's -_ _— _ - ------- -•_ -._ No.----- ____ -_ -__�_v Street_ . Registered Architect and /or Engineer . _ —_�'�__ —__ Employing Plumber's Name C 1 f ` / tttta /A �l S 3 ! � e t . /1 �. 7 rk it t'r - --- No.. -- — — Street . . Location and Legal Description Lot_________ ____________ - ---- Block_ _ Subdivision.— _ -- Street and Number where work is to bi performed —No 3 S 0 fv <L • ? p�, s 1 L _ State work to be performed and purpo: a of building (By Floors) _ . _ .5 7 l C. Rernodeling�_ —_ -- -- _ ._ _ Addition_--- 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. _ -_ - Si 3 of Soakage Pit - (Signed). - -- -- - - -- - - Date Capacity Gals. _.. No. of Stories — PL.mb In:pecto. 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, ^nJ 1 as cm -- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin. 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 no Ices as are required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. �. ( Signed )_.. I Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn'ents, personall 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 acts 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. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA r Z $ eat ELECTRICAL ❑ Date 19 PLUMBING PERMIT .N? 10257 Contractor's d t t.7 ROOFING ❑ License No. ❑ Work to be performed under this Permit q. to- r SQ Owner of Building e r' r. t Architect Contractor or Builder /her 1 °, 0 0/04*. 9-* S e, 4 .c Legal Lot I Description II B1 a Address of 2,4‘40 � � 9:1 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 applica- tion 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 dr wings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, se nts o mployeep st Signed Lie CONTRACTOR or BUILDER In consideration of the issuance to me of this permit I agree to • form the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, - ents or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done b ether, myseJ, my agent, servant or employee. BY Subdi- vision Sq Ft Value of Project $ II Amount of 11 Permit $ CTOR) BY AUTHORITY rchiteet ontractor r Builder egal Iescription 4dress of •adding This permit is' grasped ation hereto' in mlct 4) lens, dra r, statasients Qr t any time css •ermit is apted is Perm for work done by Ws agar>in s ra I AEI ! SHOR ES VILLAGE, FLORIDA DATE N? 4807 lAcesase p ed under this Permit e tr(;' 7;1 j /1) clam' yeii- 'r ed above tai budding or to install the . ereto d w the understanding that the work the to and such or if the plans are ch `. r ut t o or bail named above assumes the reeionsibihrty for tl shown on the plans or drawings or in the stataements,+er Signed "r of this permit I egree to perform the work oovered hereunder in a :._, with all ordinances and t laps, dra , statements or specifications submitted to axe proper authorities of Miami for all work done 'der myself, my amt, servant or employee. UILDING LECTRICAL LUMBING wner of adding In consideration +Ot the •taiming thereto and in Mot n accepting this permit 1 anuses Lot Architect Contractor or Builder Legal Description Address of Building This permit is granted to the cation herefor in strict compliance plans, drawings statements or at any time it the work is not done permit is granted is the understand regulations pert to the work sibility for work one, y his wets, BUILDING ELECTRICAL PLUMBING Owner of Building In consideration of the pertaining thereto and in strict In accepting this 4. I ,4.c' . "s ' MIAMI PERMIT ees. S ORES VILLA N. 5126 be perform under this Perm Subdi- vision Value of Project o construct the building or to install the equi :. ent or le the - and with the understanding - te to and approved by the pro ► er municipal authosities ' � ding that the work be p a � z This Perndit'may be revpbed es or if the plans are clanged wi •. R ut authorization, A further condition upon which this conarrector. or budxer named above assumes the responsibility for a thorn .. &The ordinances and whether shown on the plans or drawings or in the statements or sp that Le alninee zeton Signed. E, FLORIDA DATE 'Sr **".34 '* 1 4 Contractor's License No. INSPECTOR ermit I agree to perform the work +aovered hereunder in compliance with all ordine wes and lens, drawings, statements or spe d:atfions submitted to the proper authorities of Miami Shyer work one by either myself, my agent, servant or employee. Architect Contractor or Builder • Legal Lot Description Address of .... Building it This permit is granted to the e cation herefor in strict compliance with plans, drawings, statements or at any time if the work is not done irR permit is granted is the underetandiog regulations pertaining to the o0v sibility for work done by his ems!, BUILDING ELECTRICAL PLUMBING Owner of Building In consideration of the issuance pertaining thereto and in strict piing this p MI PAR M IT MI SHORES VILLAGE, FLORIDA DATE : 71 IX"? 194 Contractor's • License No Value of ournm , II Amt. of ) !j 4 Project Permit /' quitmeannia b K' der named above to construct the building or to install the equipment or device described in the appli- d'nances ertaining thereto and with the understanding that the work will be performed in compliance with any .diet may have been submitted to and approved by the proper municipal authorities. This Permit be revoked with such ordinances or if the plans are changed without authorization. A further condition this the contractor or builder named above assumes the resRonsibili ; for a thpro L h blow! ed e qf and Iii eby whether shown on the plans or eJr yings orj 2 employees. N? 5858 ed under this Perini Signed. Subdi- vision eilnit I agree to perform the work covered hereunder m compliance with all Tans, *wings statements or specifications submitted to the proper at c ork done by either myself, my agent, servant or employee. BY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building This permit is , . tq the cation herefor in strict comp plans, drawings, statements or at any time if th4 work is not permit is granted is the uudentandie. regulations pertaining to the work ability for work done by his asimta, In consideration of the innentis ` ertaining thereto end in stria% n accepting this penWit I assume I : M1 1 -1ORES VILLAGE, 1 "LDRIDA IT N. 4258 be pecker * d under this Perms Signed. I agree tOE perform 89 Lot ST ina t o construct the sJ,. ,, * or to instal the ment or device described in G tirare anal with the p et sten that the work [ be performed in e been submitted to and approved b the proper municipal authorities. This Permi such a ##dimness or if tho plans are changed without authorization. A further or Wider weed above assumes the responsibility for a th , a;., .., knowl of p shown on the plans or drawings or in the statements or sperm cations an #h: Subdi- sion Value of Project • INSPECTOR k ca d hereunder submitted or DATE Contractor's License No. f. #e)2 with OW this Contractor' ♦ , , Incense No. +1 BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building C This permit is granted I cation herefoz in strict comps plans, drawings, statements on ep at any time drawls, work is not dons permit is granted is the understanding ations pertaining to the Mprh ty for work done by his agents, In consideration of the imam* pertaining the and I in In accepting Si Subdi- vision Value of ,.» Amt of 11 a 4 Project Pe rndt ent or devise dearrilielfin . the It and with the understanding that the Work ' be performed- ii.eeeopiimee mitred to and approved by the prY =et municipal authorities. Ibk.Permit aes or if the plan are changed t authorization. A further named above eaeumes the a asibility for a thin nit the glens or « .: >> . ents or e:ib hnstruct the building or to' install the BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ,ri PERMIT N° Architect Contractor or Builder ' / ,e t r t / Legal Lot � Description 1 B1,... / Address of Building ,3S 4J % ` l .� 1. 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 P ertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may lave 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 .3r builder named above assumes the responsibility for a thorough knowled of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawing), or in the petements or specifications a that assumes responsibility for work done by his agents, servants or employees. ( q /' Signed•(.. � C} 'eAC OR'B ER MIAMI SHORES VILLAGE. 6695 Work to be performed under this Permit K Subdi- vision Value of Project $ INSPECTOR BY FLORIDA DATE 2 — Contractor's j is License No. Amount of Permit $ AUTHORITY 195 consideration of the issuance to me of this permit I agree to perform the work covered estunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications s itted to the proper authorities of Miami Shores Village. In ac• zepting this permit I assume responsibility for all work done by either, myself, my agent, se t or employee. Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 71 -/ D u v 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./ _B /Z i _ _ ___ — _-------------- ._._.. No. L •--- _____�. Street�!� - - -• �� - ST - - - -- Registered Architect Architect and /or Engineer Employing Plumber's Name fFD Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)... New Building___ -- _________ Remodeling___ _-- ___ - -- Addition Size Septic Tank_ Feet of Drain Tile Amount of Permit $_ _ C' Block Type of Tank_ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.____. ________ ___ ___ ________ ____ ____ — ____Size of Soakage Pit Repairs No. of Stories_ ... .. .... . . . (Signed)- Plu ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as : mployer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supple ent, 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. Date - / ^ .'2.. - 7 / Subdivision ._._.__.__.__._______ —_... Street - _ _________ - ................... Capacity Gals.___ _____ (i5)/ Master Plumber. STATE OF FLORIDA, EL COUNTY OF DADE. j 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 notica for insr «v, or faulty materials and /or workmanship. CLOSETS BATH TUBS SH LAVA TORIES SI SINKS SLOP SINKS LAUNDRY TUeB U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS Sf'%. Mf '7i� TOTAL FIXTURES CONTR. LIST --/- CHECK • _ SEPTIC TANK SEWER CONN. DRAIN FIELD SO kKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST CHECK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 71 -/ D u v 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./ _B /Z i _ _ ___ — _-------------- ._._.. No. L •--- _____�. Street�!� - - -• �� - ST - - - -- Registered Architect Architect and /or Engineer Employing Plumber's Name fFD Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)... New Building___ -- _________ Remodeling___ _-- ___ - -- Addition Size Septic Tank_ Feet of Drain Tile Amount of Permit $_ _ C' Block Type of Tank_ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.____. ________ ___ ___ ________ ____ ____ — ____Size of Soakage Pit Repairs No. of Stories_ ... .. .... . . . (Signed)- Plu ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as : mployer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supple ent, 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. Date - / ^ .'2.. - 7 / Subdivision ._._.__.__.__._______ —_... Street - _ _________ - ................... Capacity Gals.___ _____ (i5)/ Master Plumber. STATE OF FLORIDA, EL COUNTY OF DADE. j 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 notica for insr «v, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ❑ f EI cor ❑ w sp This permit is granted to the herefor in strict compliance with all drawings, statements or spedficadone time if the work is not done in comp granted is the understanding that dte pertaining to the work covered hereby . done by his agents, servants or employees. MI CONTRACTOR OR BUILDS@. AMI SHORES VILLAGE, FLORIDA DATE 12-$3 195 . MIT N? 14646 In consideration of the intiance to mk of this permit I agree pertaining thereto and in strict confo In accepting this permit I assume be performed under this Permit Value of Project $ no° Contractor's License No Amt. of Permit ntractor or builder named above to construct the building or to install the equipment or device described in the application rdinanices pertaining thereto and with the understanding that the work will be performed in compliance with any plans, nay have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ih such ordinances or if the plans are changed without authorization. A further condition upon which this permit ice, .etor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and shown on the plans or dra . • r s or i fhe statements or specifications and that he assumes responsibility for 4,S •,. / BY ttto CTOR the work covered hereunder in compliance with all ordinances and re the plans, drawings, is or specifications submitted to the proper authorities of Miaesi Shores Village ooafbility for all work done by r, myself, my agent, servant or employee. BY AUTHORITY BUILDING :; ELECTRICAL PLUMBING Owner of ' Building Architect Contractor or Builder Legal Description w Lot Address of y Building 2 s ) Work 1.0 be performed under this Permit ' PERMIT N? 5126 Ig s MIAMI SHORES VILLAGE, FLORIDA DATE 194 ' Subdi- vision t ■ Bl. 2) t j "~ Value of Project I L L 7 1 Contractor's License No. • Signed. By INSPECTOR it This permit is granted to the contractor builder named above to construct the building or to install the equipment or de ce described in the appli- cation herefor in strict compliance with ell ordinances pertaining thereto and w th the understanding that the work will be perfo ed 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 respon- sibility for work done by his agents, servs.nts or employees. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and re • . ons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autribiltiltes of Miami Sapresr ' age. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER /J / BY u AUTHORITY 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 applicatior.. 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 compliec` with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progres's of work..�,/y�� Owner's Name and Addressa1V"'f''C OA- Registered Architect and /or E eer_ Employing Plumber's Name_ Location and Legal Description Lot' — BISck ____________ _____ Street and Number where work is to be performed —No - 5'"6 2 ( , Street State work to be performed and purpose cf building (By Floors) 1V ew Building Remodeling Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile - -�r� Nature of Water Supply: City —Well. Amount of Permit $ d 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 b? 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. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit - - -- -- -- --- ------- - - - - -- - - - - - ( Signed) ( Signed) No Date i Street Street Subdivision • Master Plumber. - STATE OF FLORIDA, , COUNTY OF DADE. I 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 ''ATE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TOFU S SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL SEPTIC TANK SEWER CONN. DRAIN FIELD SOA(AGE PIT COMM 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 applicatior.. 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 compliec` with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progres's of work..�,/y�� Owner's Name and Addressa1V"'f''C OA- Registered Architect and /or E eer_ Employing Plumber's Name_ Location and Legal Description Lot' — BISck ____________ _____ Street and Number where work is to be performed —No - 5'"6 2 ( , Street State work to be performed and purpose cf building (By Floors) 1V ew Building Remodeling Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile - -�r� Nature of Water Supply: City —Well. Amount of Permit $ d 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 b? 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. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit - - -- -- -- --- ------- - - - - -- - - - - - ( Signed) ( Signed) No Date i Street Street Subdivision • Master Plumber. - STATE OF FLORIDA, , COUNTY OF DADE. I 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 ''ATE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty and /or workmanship. • BUILDINq . ELECTRICAL PLUMBING . Owner of ��� 1, Building �+✓"'� Architect Contractor 114 * 4 4 440 or Builder Legal Lot Description sibility for work done by his agents, servants or employees. iii r CONTRACT Of OR BUILDER MIAMI SHORES VILLAGE, FLORIDA J �+ DATE 3 / '�"' i 1944 Contractor's License No. ERMIT No 4423 Work to be performed under this Permit ''" 4' Address of / 4 , i. 1 > Value of _ Building Project This perniit 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 al:. 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 thc.t 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 drawinpr statements or specifications and that he assumes respon- By .2$4./9N Signed. Subdi- vision 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 autlip ' 'es of Mi S&r llage. In acceptin p it ssum onsibility for all work done by either myself, my agent, servant or employee `+ 1°K Amt. of / f) c Permit 0 br AUTHORITY Permit No.�_, (5 1 3 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. Ownei s Name and Address. 9 ___-_ __LC_1e.g___1 _I -__.__- No._�__C 0_ _ Street_.. .____ ..__ ? � . wr Registered Architect and /or Engineer____te. __ t x° 1 1 ____ -- -- •- ��__ --- Employing Plumber's Name e it kl! 1 ' y �3 No._� !__X__.� _____.— Street_-Ef _./ L --_7_ -._. _ T Location and Legal Description Lot_ __.l t _7 BloAr 'V .� Subdivision4_5J.ca� e �_�__.__ Street and Number where work is to be performed —No 1 i 40 Street- - ___ f' C T" e State work to be performed and purpose of building (�P s) ,.0_�_ /.__ � _,�_.t _� - ------- -- -- -- - ----__-__ . New Building ____ -_--.- _._.________.__._ Remod'sling— ___.___�._— Addition_- _— .— �--_ -- Repairs No. of Stories . . ........ ...... . . ___________Type of Tank___ Date � / � e 7 ! Capacity Gals ._.._ Size Septic Tank_ Feet of Drain Tile ___-_Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Amount of Permit $_ -- -- - - - --Y — - -- STATE OF FLORIDA, } COUNTY OF DADE. ____— ______________._Size of Soakage Pit (Signed) _ ing Ins 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 5988, Compiled General Laws of Florida Permanent Su • :lement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed .�, 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 == 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 /ar worlananship. CLOStTB BATH TUBS SHOWERS LAI /A- TOR IEB SINKS SLOP SINKS LAUNDRY TUBB URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN PIELD SOAIAGE PIT GREASE' TRAP SOLAR HEATER DE EP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST - -.— CHECK Permit No.�_, (5 1 3 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. Ownei s Name and Address. 9 ___-_ __LC_1e.g___1 _I -__.__- No._�__C 0_ _ Street_.. .____ ..__ ? � . wr Registered Architect and /or Engineer____te. __ t x° 1 1 ____ -- -- •- ��__ --- Employing Plumber's Name e it kl! 1 ' y �3 No._� !__X__.� _____.— Street_-Ef _./ L --_7_ -._. _ T Location and Legal Description Lot_ __.l t _7 BloAr 'V .� Subdivision4_5J.ca� e �_�__.__ Street and Number where work is to be performed —No 1 i 40 Street- - ___ f' C T" e State work to be performed and purpose of building (�P s) ,.0_�_ /.__ � _,�_.t _� - ------- -- -- -- - ----__-__ . New Building ____ -_--.- _._.________.__._ Remod'sling— ___.___�._— Addition_- _— .— �--_ -- Repairs No. of Stories . . ........ ...... . . ___________Type of Tank___ Date � / � e 7 ! Capacity Gals ._.._ Size Septic Tank_ Feet of Drain Tile ___-_Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Amount of Permit $_ -- -- - - - --Y — - -- STATE OF FLORIDA, } COUNTY OF DADE. ____— ______________._Size of Soakage Pit (Signed) _ ing Ins 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 5988, Compiled General Laws of Florida Permanent Su • :lement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed .�, 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 == 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 /ar worlananship.