Loading...
40 NE 95 St (6)Permit No : -_ - -_- Date /( Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engine______ Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -0--71-..1-f-/-7/ No. No._ Location and Legal Description ______ 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 / Street_ __.f.!r� - Street__ Street. Addition____________ Repairs No. of Stories . . .............. ...... Size Septic Tank .................. Type of Tank Feet of Drain Tile _____Dist. Feet of Tank / oP.Drain Field from Well._ Nature of Water Supply: City — Well. t �__. 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 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, 1 COUNTY OF DADE. (Signed)_ (Signed) Capacity Gals. 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•rlecessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS TUBS TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH mks IN 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 F OOL CONTR. LIST CHECK — Permit No : -_ - -_- Date /( Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engine______ Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -0--71-..1-f-/-7/ No. No._ Location and Legal Description ______ 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 / Street_ __.f.!r� - Street__ Street. Addition____________ Repairs No. of Stories . . .............. ...... Size Septic Tank .................. Type of Tank Feet of Drain Tile _____Dist. Feet of Tank / oP.Drain Field from Well._ Nature of Water Supply: City — Well. t �__. 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 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, 1 COUNTY OF DADE. (Signed)_ (Signed) Capacity Gals. 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•rlecessary by improper notice for inspection, or faulty materials and /or workmanship. i , 547 i t. Nature of Water Supply: City —Well Amount of Permit $ • My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Applu:aiion is bereby msde 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 _J_ No._ - Street RegZdS rcec Plumber's Name�� — _1__4 1V _ I:_ MN Street Location and Legal Description Lot__—_—___.__ — lock a Subdivision. ____._ Street and Number where work is t� be performed —No �� a Street State work to be performed and purpose of building (By Floors) New Building _____ ........ _____.. Remodeling___-_ ____ Addition__._ Repairs Size Septic Tank Type of Tank__ Capacity Gals C Feet of Drain Tile S - 4. 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 5988, Compiled General Laws of Florida Permanent Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed )_____ Date _// A-". / No. of Stories. M aster Plumber. SATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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. 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 plate ials and/or workmanship. CLQBCrs BATH TUBE SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS INAS CATCH BASIN FLOOR DRAIN DRINK NO FOUNT' N5 TOTAL FIXTURES GONTR. LIST — - -_ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM O POOL CONTN. LIST CHECK , 547 i t. Nature of Water Supply: City —Well Amount of Permit $ • My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Applu:aiion is bereby msde 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 _J_ No._ - Street RegZdS rcec Plumber's Name�� — _1__4 1V _ I:_ MN Street Location and Legal Description Lot__—_—___.__ — lock a Subdivision. ____._ Street and Number where work is t� be performed —No �� a Street State work to be performed and purpose of building (By Floors) New Building _____ ........ _____.. Remodeling___-_ ____ Addition__._ Repairs Size Septic Tank Type of Tank__ Capacity Gals C Feet of Drain Tile S - 4. 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 5988, Compiled General Laws of Florida Permanent Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed )_____ Date _// A-". / No. of Stories. M aster Plumber. SATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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. 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 plate ials and/or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT :r'e•.. 4 z Date i•�� Application is hereby mai!e 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 buii'11r! during progress of work. - Owae 'a Nart:e and Address _._______ __.-___ ____—___. Registered Architect and /or Engin Employing Plumber's Name - _Y_ -- No.__ -_— _ - __.._- Str Location and Legal Descriptio t_._____ -_ _ _______ _ _ _ _ _ —Block Subdivisi :itreet and Number where work is to be performed -No L E c � S ��- Street /G Siva work to be performed and purpose of building (By Floors) -. Remodeling Add New Building _ _- _ - -- g_._______._____.___. _S� ition_• Size Septic Tank Feet of Drain Tile_____ Type of Tank Nature cf Water Supply: City - Well. - - -- ....... of Soakage Pit Amount of Permit $ t_ My Commission Expires (Signed) Repairs Capacity Gals ___Dist. Feet of Tank or Drain Field from Well Street No. of Stories. - .....t__..- .... . Plumbing Inspector. I The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob)Sgyhions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perinanefit Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. - STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to are well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ o; 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. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•rleoessary by improper notice for inspection, or faulty materials and /or workxnanship. CLC'3Er us YH UCili SHOWERS LAVA- TORIES N SINKS NKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES Clz rare. / SZPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G F OOL LIST ...... CHf_CK ( MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT :r'e•.. 4 z Date i•�� Application is hereby mai!e 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 buii'11r! during progress of work. - Owae 'a Nart:e and Address _._______ __.-___ ____—___. Registered Architect and /or Engin Employing Plumber's Name - _Y_ -- No.__ -_— _ - __.._- Str Location and Legal Descriptio t_._____ -_ _ _______ _ _ _ _ _ —Block Subdivisi :itreet and Number where work is to be performed -No L E c � S ��- Street /G Siva work to be performed and purpose of building (By Floors) -. Remodeling Add New Building _ _- _ - -- g_._______._____.___. _S� ition_• Size Septic Tank Feet of Drain Tile_____ Type of Tank Nature cf Water Supply: City - Well. - - -- ....... of Soakage Pit Amount of Permit $ t_ My Commission Expires (Signed) Repairs Capacity Gals ___Dist. Feet of Tank or Drain Field from Well Street No. of Stories. - .....t__..- .... . Plumbing Inspector. I The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob)Sgyhions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perinanefit Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. - STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to are well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ o; 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. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•rleoessary by improper notice for inspection, or faulty materials and /or workxnanship. off Cr BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot PERMIT This permit is granted to the contractor or builder named above to construc 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. 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant cr employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Bl. Signed. N9 2996 Work to be performed under this Permit BY Subdi- vision Value of Project $ DATE 195.x; Contractor's License No. BY Amount of Permit $ J. AUTHORITY 1' 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 4 k.. No. 4'O_. _. __— Street/t/' 1 Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot. Street and Number where work is to be performed —No 6/d State work to be performed and purpose of building (By Floors)____ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building Remodeling_ . —.____ Addition Size Septic Tank__— .- ___-•- --- --- -- - - - -- ._Type of TPrik_- Feet of Drain Tile_ —___- — _-- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. — Amount of Permit $ My Commission Expires No .� .,...... Street..4ez. :, ..�°. Bloch Subdivision._ Street -- - -_ __ — •— Street' "x ect2 i 1.�S- It -►t fl Repairs No. of Stories -__._-_—_-Size of Soakage Pit (Signed)- 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 6888, Compiled General Laws of Florida Perinanent Supplement, and liar 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 Capacity Gals ._._...__.___._ 77 PIumbing Inspector. STATE OF FLORIDA, t 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 lie is the ._.__.. -- • - - -- .• •-- •• - - - -• -- ....._ _.. of the above described construction, that be has carefully reed the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Publlo, State of Florida NOTE: A re- inspection fee of $1.00 will be made when arch re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS NOW [ SRS LAVA- TORIES SINKS SLOP SINK[ LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N• TOTAL FIXTURES CONTR. LIST — CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL sPRKLR. SYSTEM SWI1 POCIL - - 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 4 k.. No. 4'O_. _. __— Street/t/' 1 Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot. Street and Number where work is to be performed —No 6/d State work to be performed and purpose of building (By Floors)____ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building Remodeling_ . —.____ Addition Size Septic Tank__— .- ___-•- --- --- -- - - - -- ._Type of TPrik_- Feet of Drain Tile_ —___- — _-- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. — Amount of Permit $ My Commission Expires No .� .,...... Street..4ez. :, ..�°. Bloch Subdivision._ Street -- - -_ __ — •— Street' "x ect2 i 1.�S- It -►t fl Repairs No. of Stories -__._-_—_-Size of Soakage Pit (Signed)- 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 6888, Compiled General Laws of Florida Perinanent Supplement, and liar 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 Capacity Gals ._._...__.___._ 77 PIumbing Inspector. STATE OF FLORIDA, t 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 lie is the ._.__.. -- • - - -- .• •-- •• - - - -• -- ....._ _.. of the above described construction, that be has carefully reed the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Publlo, State of Florida NOTE: A re- inspection fee of $1.00 will be made when arch 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. Owners Name and Address .,41e'Xit. Cv" No Registered Architect and /or Engineer 0, 7 /S /ne'l a re, P Employing Plwmberr Name Location and Legal Description Lot Bloch SubdfvWon.______. Street and Number where work is to be performed —No 'o /' // Street._ - 7e State work to be performed and purpose of building (By Floors) ___ti�� eL _..__ /° a,C New Building -- -- _ —_ - -- __. Remodeling— __._- _---__ Addition.- - -__. —_.._ Ropatrs_ No. of Stories .... Size Septic Tank — Feet of Drain Tile-L`L _. /! _Dist Feet of Tank or Drain Field from Well. Nature of Water Supply: Ci —Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank___... Size of Soakage Pit.. (Signed)- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation s an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent pplement, and Ilan 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 u are required by the Act. The undersigned agrees to employ only such sub - contractors, on w be perf�in� permit, as are licensed by Miami Shores Villages S/o , (iE Street... i S Capacity P1 big Inspector. Muter Plumber. STATE OF FLORIDA, ( 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 fads therein by him stated are true. M Commission Expos Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whet such rriaspemion le mede•mnaawry by improper notice for lbsspection, or faulty materials and /or workmanship. GLOetrs BATH Tuns S LAVA. TORIES SIN" SLOP SINKS LAUNDRY Tugs URINALS CATCH SAS! If FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE[ CONTR. LIST CHECK �e •_ SEPTIC TANK SEWER Comm. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DRIP WILL SPRKLR 5 SW IN'S POCIL CONTR. LIST MI/ I YJ r � CHICK 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. Owners Name and Address .,41e'Xit. Cv" No Registered Architect and /or Engineer 0, 7 /S /ne'l a re, P Employing Plwmberr Name Location and Legal Description Lot Bloch SubdfvWon.______. Street and Number where work is to be performed —No 'o /' // Street._ - 7e State work to be performed and purpose of building (By Floors) ___ti�� eL _..__ /° a,C New Building -- -- _ —_ - -- __. Remodeling— __._- _---__ Addition.- - -__. —_.._ Ropatrs_ No. of Stories .... Size Septic Tank — Feet of Drain Tile-L`L _. /! _Dist Feet of Tank or Drain Field from Well. Nature of Water Supply: Ci —Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank___... Size of Soakage Pit.. (Signed)- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation s an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent pplement, and Ilan 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 u are required by the Act. The undersigned agrees to employ only such sub - contractors, on w be perf�in� permit, as are licensed by Miami Shores Villages S/o , (iE Street... i S Capacity P1 big Inspector. Muter Plumber. STATE OF FLORIDA, ( 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 fads therein by him stated are true. M Commission Expos Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whet such rriaspemion le mede•mnaawry by improper notice for lbsspection, or faulty materials and /or workmanship.