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510 NE 95 St (2)I,' ob Address ( - s S� of L 3 ,© 0 0 ( " 7 03 3?) Date �' f� �� Kl� � Tax Foli 10 ' ! ) Legal Descriptio ; Ik S � (7 ' Historically Designated: Yes No a qs 0 1/ Owner/I.essee / Tenant (�' �-►�5 � _ �iV�� -� Master Permit # `� Owner's Address , / a 9,s .S f Pho 3 or l 3 `- ..C-69 jj 7��. G�•x / y /9 C 3 Contracting Co. l ar P./iv-e- Pf!>i i , /Not A) , Address Qualifier j •eF A S 5 L SS# - Phone C S C Y - o ' /,‹ State # CF (.05 a.1.. Municipal # Competency # Ins. Co. i -Ave I-e i eS Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRIC PLUMBING M CHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Ca p 1<1 1c- „ p i r S Square Ft. Estimated Cost (value) 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 AN 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 perfonned to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S 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 as to My Commiss on E FEES: PERMIT APPROVED: Zoning Mechanical 13 3 N p( ANGELA U BECKER * OOM„CSSfON NUMBER 't CC786697 ;',,a �O C'l: o» ,- rA ic?S Os PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 7 o r to RADON C.C.F. til4eer ANGELA M BECKER lam ` t # OOMMtSSION NUMBER qP. Q CC786697 9t �C MY COMMISSION EMPIRES NOV. 15,2002 otary as to , ontract My Commission Expires: NOTARY -) BOND TOTAL DUE/j—C_ 6 O ate � ( Building �� 1 27 Electrical Plumbing , \ 1 \ \\ i Structural Engineer ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ITEM BATH BIDET D I SHWASHER 01S??OSAL DRINKING FOUNTAIN FLOOR CRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET UR I NAL WATER CLOSET INDIRECT WASTES WATER SLPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER - REPLACE LAWN SPRINKLER -WELL SWI) 4ING POOL WATER SERVICE ;EWER CONNECTIONS !TILITY -SEWER TILITY -WATER EPTIC TANK ELAY RAINFIELO, 4' TILE/RES. UWP & ABANDON SEPTIC TANK OAXAGE PIT CU. FT. ATCH BASIN ISO -LARGE WELL 3M STI TEA CRAIN )OF INLET 7LAR WATER HEATER IRE STANDPIPE CL PIPING VWN SPRINKLER SYSTEM LS RANGE :TER SET (GAS) S PIPING P pry ELECTRICAL TL8 C WELL UNIT FEE ITEM SWITCH OUTLETS LIGHT CUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIR/VETER CHANGE APPLIANCE CUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0- 1 HP MOTORS OVER 1- 3 HP MOTORS OVER 3- 5 NP MOTORS OVER 5- 8 HP MOTORS OVER 8- 10 FP MO T CfRS OVER 10- 25 HP MOTORS OVER 25-100 HP MOTORS OVER 100 HP A/C WINDOW AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS UNIT FEE ITEM SPACE HEATERS CENTRAL HEATING A/C (WIND) A/C (CENTRAL) DUCT WORK REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS /ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION RE INSPECTION SPECIAL PURPOSE CUTLETS COMMERCIAL SIGN TUBES FIXTLRES SIGN TRANSFORMERS SIGN TIME CLOCK ANTENNA TELEVISION CUTLETS VIOLATION REI`SPECTION UNIT FEE MECHANICAL Permit No '7.‘0 L Amount of Permit $ My Commission Expires 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. klrisOlA) No. 5'1 v Street Al L — G S r 1 Owner's Name and Address ' • , Registered Architect and /or Engin //14 `L e V e4L. i 3 w Sir -�� I$ Pl�0 `J Na. 3 0 .. _. �..�........ Itrt�.._.....� 51 , f ...,.. f Location as Legal Description Lot. 12 i.2_ Street and Number where work is to be performed —No r/ O /41 State work to be performed and purpose of building (By Floors) ___._ New Building.._..._ —_.._ _.. Remodeling—__ __. --__ Addition..- ___ - - -__ Repairs No. of Stories Ir ✓ — T41,14.1440 Size Septic Tank_._ Type of Tan Feet of Drain Tile Dist Feet of Tank or Drain Field from Well..._.__.___— _ -._.. Nature of Water Supply: City —Well. Size of Soakage Pit ( Signed) _ y-z kV. "~ Subdivision Notary Public, State of Florida 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 hati com- plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the worlr 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 err licensed by Miami Shores Village. required by the Act. The undersigned agrees to employ only such sub - contractors„ on to be perf under this permit, as are (Signed) - ._ . ..... .._... - 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 he has carefully read the foregoing application, and that be 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 whoa such trispaotima is ands.naomary by improper notion for breach" as faulty material. and /or workmanship. CLOS TS BATH TU[I SNOW[Ra LAVA. TORTom" SINKS BLOT $INKS Y LAUNDR TUaa URINALS C TC H SAAS FLOOR DRAIN DRINKING FOuNT'Ns TOTAL PItTUR[S CONTR. LIST CHICK SEPTIC TANK S[w[R CONN. DRAIN FIILD SOAKAO[ PIT G TRAP SOLAR MEATIER D[IP W �` 5PRKLR. SYSTIM SIN I RI' O P001. CONTR. LIIT LIST CHICK Permit No '7.‘0 L Amount of Permit $ My Commission Expires 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. klrisOlA) No. 5'1 v Street Al L — G S r 1 Owner's Name and Address ' • , Registered Architect and /or Engin //14 `L e V e4L. i 3 w Sir -�� I$ Pl�0 `J Na. 3 0 .. _. �..�........ Itrt�.._.....� 51 , f ...,.. f Location as Legal Description Lot. 12 i.2_ Street and Number where work is to be performed —No r/ O /41 State work to be performed and purpose of building (By Floors) ___._ New Building.._..._ —_.._ _.. Remodeling—__ __. --__ Addition..- ___ - - -__ Repairs No. of Stories Ir ✓ — T41,14.1440 Size Septic Tank_._ Type of Tan Feet of Drain Tile Dist Feet of Tank or Drain Field from Well..._.__.___— _ -._.. Nature of Water Supply: City —Well. Size of Soakage Pit ( Signed) _ y-z kV. "~ Subdivision Notary Public, State of Florida 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 hati com- plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the worlr 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 err licensed by Miami Shores Village. required by the Act. The undersigned agrees to employ only such sub - contractors„ on to be perf under this permit, as are (Signed) - ._ . ..... .._... - 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 he has carefully read the foregoing application, and that be 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 whoa such trispaotima is ands.naomary by improper notion for breach" as faulty material. and /or workmanship. Permit No .1 !v - 4 1.__ Cr- 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. � Owners Name and Address TO �A t 14 4 1 " " ____ No. � Street .,/� e �l 1l . `�+!..• .. Registered Architect and /or Engineer ,,21 \ - - -• • -- -. -- tV6 4 0...m $81p 0 ij l'11� �. +0� e �: _'�1V � C.`e.® .�....... IdMMlf..� � _ _"�.. .. 'Loeation r a L Oe p tion Lot_ /D -1/ / dB`lo� -.5--1 5 nbdivWon — // Street and Number where work is to be performed —No .S70 , v� Street-.. a... .. . .....�.. State work to be performed and purpose of building (By Floors)_ -20/.!�P16_.. . ihoomeo - New Building.._..__ --- •-- ...... - - - -.. Remodeling —__. _- _--•__ Addition. .._.•__. - -__ Repair L "'" --- No. of Stories Size Septic Tank_.- 6 _Type of Tank_ _ ..... ______Capacity Gals.-- .. Feet of Drain Tile. _ 260 Feet of Tank or Drain Field from Well.. ____---- .--- .- -• - - -- - - -. -- Nature of Water Supply: ell- Size of Soakage Pit. Amount of Per (Signed) _ (Signed) Date..._.. �/ z6. . -- — — plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor performed under this permit; and will post or cause to be posted for inspection on the si - -- required by the Act. The undersigned agrees to employ only such sub-contractors, licensed by Miami Shore. Village. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor der the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and ha' mm- in the worir or notices as arr permit, as are STATE OF FLORIDA, 1 s.. COUNTY OF DADE. Before me, the undersigned authority, • 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 be is the. -_ -. -- . -_ - _ -•. -- _ _.... —._ of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florid. NOTE: A re- inspection fee of $1.00 will be made when ooh rolaipsodar Y reede y by Improper notice for Inspection, et fault' materials and/at werl®anahip. CLOSETS BATH TUBE SHOWER. LAVA• TORIES SINK• SLOP SINK. LAUNORT Tuns URINAL[ CATCH SA•IN FLOOR DRAIN DRINKING FOUNT' N• TOTAL Ft1TUR[. CONTTt. LIST -- CHECK — SEPTIC TANK SEWER CONK. DRAIN FI[LO SOAKAGE PIT G TRAP SOLAR HEATER bur WELL SYSTEM SWIM'O POOL CONTR. LIST CHECK � _ Permit No .1 !v - 4 1.__ Cr- 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. � Owners Name and Address TO �A t 14 4 1 " " ____ No. � Street .,/� e �l 1l . `�+!..• .. Registered Architect and /or Engineer ,,21 \ - - -• • -- -. -- tV6 4 0...m $81p 0 ij l'11� �. +0� e �: _'�1V � C.`e.® .�....... IdMMlf..� � _ _"�.. .. 'Loeation r a L Oe p tion Lot_ /D -1/ / dB`lo� -.5--1 5 nbdivWon — // Street and Number where work is to be performed —No .S70 , v� Street-.. a... .. . .....�.. State work to be performed and purpose of building (By Floors)_ -20/.!�P16_.. . ihoomeo - New Building.._..__ --- •-- ...... - - - -.. Remodeling —__. _- _--•__ Addition. .._.•__. - -__ Repair L "'" --- No. of Stories Size Septic Tank_.- 6 _Type of Tank_ _ ..... ______Capacity Gals.-- .. Feet of Drain Tile. _ 260 Feet of Tank or Drain Field from Well.. ____---- .--- .- -• - - -- - - -. -- Nature of Water Supply: ell- Size of Soakage Pit. Amount of Per (Signed) _ (Signed) Date..._.. �/ z6. . -- — — plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor performed under this permit; and will post or cause to be posted for inspection on the si - -- required by the Act. The undersigned agrees to employ only such sub-contractors, licensed by Miami Shore. Village. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor der the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and ha' mm- in the worir or notices as arr permit, as are STATE OF FLORIDA, 1 s.. COUNTY OF DADE. Before me, the undersigned authority, • 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 be is the. -_ -. -- . -_ - _ -•. -- _ _.... —._ of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florid. NOTE: A re- inspection fee of $1.00 will be made when ooh rolaipsodar Y reede y by Improper notice for Inspection, et fault' materials and/at werl®anahip. BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 6097 Owner of Building iN> Architect Contractor or Builder Legal Description Address of Building ff-. Lot Bl. t ' a. } , ?x.10 �1 . CONTRACTOR OR BUILDER BY f' Value of Project Signed. ° BY INSPECTOR DATE Contractor's License No. Work to be performed under this Permit Subdi- vision Amount 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 furthe obdition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowle • ge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statemplits or specifications and • t he assumes responsibility for work done by his agents, servants or employees. 195 7 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances `• • d 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 or employee. AUTHORITY 6 • MIAMI SHORES VILLAGE Plumb-ing - Permi t Permit # 53 Miami Shores Village, Fla. ir Permission is hereby granted )140.41134.41., / `• ; .. � , =�, to install the following described plumbing, in accordance with th'3 laws, statutes and regu1_at;.ons of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a At No. " Lot Block Subdivision Fixtures a t& C./ ,. _' `y .? ' ',f.: tii , i i As Shown on attached approved plans. FIXTURES ROUGHED IN l l • FIXTURES SET r ti'h w SEVER SEPTIC TANK $ TOTAL';` ' I_ 4 1;4 444t r d� 41 Lre 100 Payment Received. / ..,3 BY Village Plumbing Inspector This permit issued subject to approval of County Plumbing Inspector 2( ._41 • DATE ISSUED TO to install the following described plumbing, in accordance the laws, statutes and rcgalations of Miami Shores Village, Ficr da and the State of is lo .-i ; governing plumbing and drain- age work done in Miami Shc•, Village, Florida. FOR A FIXTURES SEWER SEPTIC 'rAl�TTT ; _1/ TOTAL h Village Plumbing Inspector MIAMI SHORES VILLAGE FLA.. STORY ;;. PLUMBING PERMIT • FIXTUR..: S- 'or"' NO. a Payment Recei.4ied ti- rr By 54 BUILDING This permit issued subject to approval of County Plumbing Inspector CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNTAINS TOTAL FIXTURES 7 / / P i 14 Sketch position of building and lot lines in square (which represents an entire city block), showing on which street the building and lot faces; also show exact location of "Y" in street and position of lateral or septic tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all underground pipes for future references. WEST NORTH A SOUTH EAST Remarks: NORTH SOUTH A -244 5 -35 5M I herewith submit the following plan of plumbing for approval: 0 Employing Plumber Work executed by New For a Owner or Agent Ground Dwelling Plan No ' ^ E Builder or Contractor is DIVISION OF PLUMBIG INSPECTION DEPARTMENT OF PUliLIC SERVICE MIAMI, FLORIDA Store Date ROUGH -IN INSPECTION Rough -In Rain Leader A M P M. Approved by Condemned by REMARKS Old ❑ Story ❑ ❑ Garage ❑ 1. 4 o /6 j ,''' Lot No. / // Block No. Subdivision Address �� �, r` Q' : e; ✓ ^ Sewer Connections At center of St. ❑ At curb ❑ SEWER INSPECTION Apartment ❑ Address Address Date— A M P M Approved by Condemned by REMARKS , Sewer Permit No 19 Addition ❑ Remodeled ❑ Hotel ❑ Office Bldg. ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank Existing bldg. drain ❑ To dry well ❑ A charge of $1A0 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date FINAL INSPECTION A M P M. Approved by Condemned by REMARKS THIS SPACE FOR ELEVATION SKETCH j A PERSPECTIVE SKETCH WILL BE SUFFICIENT In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to PROVIDED THE WORK CAN BE CLEARLY SHOWN correspond with the opening shown in floor plan or ground Milan on opposite page. 1 i THIS SPACE FOR PLAN SKETCH Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in reference to same. Jii ftze ' t • N I • t , - v / 4 ISSUED TO DATE . • 4 .? MIAMI SHORES VILLAGE FLA: PLUMBING PERMIT NO. 544 to install the fellowing described plilTbing, in accordance the laws, statutes and regalations of Miami Shores Village, Ficrida and the State of Flo governing plumbing and drain- age work done in Miami shores Village, Florida, FOR A STORY - BUILDING AT eNVd FIXTURES SEWER SEPTIC TANK FIXTUM1S ' Payment Received By ■•■■•••■ TOTAL 4 / .ft. wo e_ Village Plumbing Inspector This permit issued subject to approval of County Plumbing Inspector REQUEST ,FOR INSPECTION Company ��� I`t!,A \ , - �' : E-� -c ). t PHONE lb Job t Address v--4 Inspection , Time Ready Date Ready CA.M) 106C , P P.M. Permit No.)__ _1 4 Date Application is hereby made for the approval of the detailed statement of the plans and specification's 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 _ __� No Registered Architect and /or Engineer Employing Plumber's Name 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) STATE OF FLORIDA, COUNTY OF DADE. Nature of Water Supply: City —Well Amount of Permit $ 1� ss. My Commission Expires agrees MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No ( Signed ) " Street,/ 7 Street !: • Subdivision e Street "/./: ,9 ''r • 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 Size of Soakage Pit 1 bing Inspector. The undersigned applicant for this building permit does hereby certify that he under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene plied with the provisions thereof, and will require similar compliance from all contr 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 to employ only such sub- cozctors, on Work to performed under this permit, as are licensed by Miami Shores Village. 0A11 " I ' • n. rstands and accepts his obligati an employer of labor al Laws of Florida Permanen upplement, and has com- tors or sub - contractors employed by him in the work to be Notary Public, State of Florida • . J ` ,Maste Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. —MAW— 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 DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No.)__ _1 4 Date Application is hereby made for the approval of the detailed statement of the plans and specification's 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 _ __� No Registered Architect and /or Engineer Employing Plumber's Name 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) STATE OF FLORIDA, COUNTY OF DADE. Nature of Water Supply: City —Well Amount of Permit $ 1� ss. My Commission Expires agrees MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No ( Signed ) " Street,/ 7 Street !: • Subdivision e Street "/./: ,9 ''r • 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 Size of Soakage Pit 1 bing Inspector. The undersigned applicant for this building permit does hereby certify that he under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene plied with the provisions thereof, and will require similar compliance from all contr 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 to employ only such sub- cozctors, on Work to performed under this permit, as are licensed by Miami Shores Village. 0A11 " I ' • n. rstands and accepts his obligati an employer of labor al Laws of Florida Permanen upplement, and has com- tors or sub - contractors employed by him in the work to be Notary Public, State of Florida • . J ` ,Maste Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. —MAW— Permit No ' 1 Date._. i_`P / _,_. ___ 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____ L!i! a gfeil?`gi.?_ No. -_ - !`" ------ - - - - -_ Street /"'E• ?i Registered Architect and /or Engineer-- -------- �__—-------- -- - -__ ____ Employing Plumber's Name _ ^_ —__._ No..___. _ _ __ _ Street— ________ Location and Legal Description Lot Mask Street and Number where work is to be performed —No '- ' At E, .7.3 Street ''1'R'?f S State work to be performed and purpose of building (By ` 11,a OW Cg. �g�, (r', New Building___________ ..... Remodeling_-_____ .... __ - -___ -- Addition_- --- _--- _ -__ -- Repairs. No. of Stories. Stories ......... Size Septic Tank__ Feet of Drain Tile._ Nature of Water Supply: City —Well. Amount of Permit $ 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)_ -- C 0 _ - _. (Signed) Subdivision _.._____— _-__._______. a 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 Permaient 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 tie 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. My Commission Expires Notary Public, State of Florida S% STATE OF FLORIDA, 1 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 • necescary by improper notice for insp ten, or faulty materials and /or workmanship. CLOBETe BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tiles B6 U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIeT ( ` , CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIeT CHECK Permit No ' 1 Date._. i_`P / _,_. ___ 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____ L!i! a gfeil?`gi.?_ No. -_ - !`" ------ - - - - -_ Street /"'E• ?i Registered Architect and /or Engineer-- -------- �__—-------- -- - -__ ____ Employing Plumber's Name _ ^_ —__._ No..___. _ _ __ _ Street— ________ Location and Legal Description Lot Mask Street and Number where work is to be performed —No '- ' At E, .7.3 Street ''1'R'?f S State work to be performed and purpose of building (By ` 11,a OW Cg. �g�, (r', New Building___________ ..... Remodeling_-_____ .... __ - -___ -- Addition_- --- _--- _ -__ -- Repairs. No. of Stories. Stories ......... Size Septic Tank__ Feet of Drain Tile._ Nature of Water Supply: City —Well. Amount of Permit $ 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)_ -- C 0 _ - _. (Signed) Subdivision _.._____— _-__._______. a 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 Permaient 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 tie 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. My Commission Expires Notary Public, State of Florida S% STATE OF FLORIDA, 1 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 • necescary by improper notice for insp ten, 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. Owner's Name and Address____ Registered Architect and /or Engin Employing Plumber's Name 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_ Size Septic Tank._- _________---------- ---- -----_______Type of Tank Feet of Drain Tile_ Nature of Water Supply: City— Well.____.--__ _____ ___ ___ __ --_ -_ Amount of Permit $_ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLIC TION FOR PLUMBING PERMIT Remodeling__ __________ _ _____ Addition._._ Repairs___ No. of Stories. _ _._._ .. . —Dist. Feet of Tank or Drain Field from Well Street_ Block__ Subdivision Street _ Capacity Gals. _— ____Size o ge Pit (Signed)__ (Signed)_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supp plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice required by the Act. The undersigned agrees to employ only such sub- contractors, on ork to be perfor jed under licensed by Miami Shores Village. STATE OF FLORIDA, I 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. Notary Public, State of Florida Plum .. Inspect ployer of labor t, and has com- m in the work to be or notices as are init, as are NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for insp. ,n, 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. / 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 Engin Employing Plumber's Name 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_ Size Septic Tank._- _________---------- ---- -----_______Type of Tank Feet of Drain Tile_ Nature of Water Supply: City— Well.____.--__ _____ ___ ___ __ --_ -_ Amount of Permit $_ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLIC TION FOR PLUMBING PERMIT Remodeling__ __________ _ _____ Addition._._ Repairs___ No. of Stories. _ _._._ .. . —Dist. Feet of Tank or Drain Field from Well Street_ Block__ Subdivision Street _ Capacity Gals. _— ____Size o ge Pit (Signed)__ (Signed)_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supp plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice required by the Act. The undersigned agrees to employ only such sub- contractors, on ork to be perfor jed under licensed by Miami Shores Village. STATE OF FLORIDA, I 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. Notary Public, State of Florida Plum .. Inspect ployer of labor t, and has com- m in the work to be or notices as are init, as are NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for insp. ,n, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building _ Architect Contractor or Builder Legal Lot Description Address of 3uilding ❑ PERMIT N° 10186 Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. Signed: 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 refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any •e 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 nted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations taining 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 e by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to pC rform the work covered hereunder in compliance with all ordinances and regulations la drawin ate ents or specifications submitted to roper authorities of Miami Shores Village. fining thereto and in strict conformity with the accepting this permit I assume responsibility for work d Ai t h r, mysel , my ent, servant or employee. AUTHORITY Permit No._.._......__. Date- . -_ -• -- / — ( - ? J 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, wh - er , specified or not. A copy of approved plans and specifications must • kept at building during progress of w Owner's Name and Addre Registered Architect and /or Engin Ei_nployipg Plombt Nam Location and Legal Description Lot ElocIr Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors)____ New Building.— _ - _ _ -- Remodeling Addition. Size Septic Tank_. Feet of Drain Tile. 7, Nature of Water Supply: ' ty—Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank._ Feet of Tank or Drain Field from Size of Soakage Pit ......... (Signed) _ 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 5968, Compiled General Laws of Florida Permanent 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 on the site of the work such public notice or notices as are required by die Act. The undersigned agrees to employ only such sub - contractors, on work to be per ed J this permit, as. are licensed by Miami Shores Village. s STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires (Signed Repairs.._ No. of Stories ..........._ Capacity Gals.-. _...__.._..._._.__..._. -- Plu • . ing Inspector. 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re is made•aecessary by improper notice for inspection, or faulty materials and /or workmanship. GLOER6 BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINK• LAUNDRY TU66 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 SWIM•O POOL CONTR. LIST - CHECK 7) Permit No._.._......__. Date- . -_ -• -- / — ( - ? J 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, wh - er , specified or not. A copy of approved plans and specifications must • kept at building during progress of w Owner's Name and Addre Registered Architect and /or Engin Ei_nployipg Plombt Nam Location and Legal Description Lot ElocIr Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors)____ New Building.— _ - _ _ -- Remodeling Addition. Size Septic Tank_. Feet of Drain Tile. 7, Nature of Water Supply: ' ty—Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank._ Feet of Tank or Drain Field from Size of Soakage Pit ......... (Signed) _ 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 5968, Compiled General Laws of Florida Permanent 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 on the site of the work such public notice or notices as are required by die Act. The undersigned agrees to employ only such sub - contractors, on work to be per ed J this permit, as. are licensed by Miami Shores Village. s STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires (Signed Repairs.._ No. of Stories ..........._ Capacity Gals.-. _...__.._..._._.__..._. -- Plu • . ing Inspector. 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re is made•aecessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No Owner's Name and Address -- --- - --- --- o- _ Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING [" ;EMIT Date 9 " 3- - 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. Cl No.--_ ® — - - Street_ C S No. -- - -- — - _— Street_ kA - -- (;1 !a.A -CL 1 Master Plu Registered Architect and /or Engin---__ -___ eer C Employing Plumber's Name ibi.5. kA_' bei44 Location and Legal Description _______ Block Street and Number where work is to be performed —No 5 CO State work to be performed and purpose of building (By Floors)La?L7ett ________ EaXrL New Building _ __- Remodeling _____ Addition_____. Repairs No. of Stories. Subdivision __.--_ - -_--- _ Street E 1 5 .uk — Capacity Gals Size Septic Tank 61) . -- _- ___ , s_4__ -____- Type of Tank___ �__ .tkc...S+ - Feet of Drain Tile 3- S , _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._______— C.-CV _ _____________________Size of Soakage Pit `1 ' X 8 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 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 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. 1 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. M Cossion E 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 worinmanship. CLOSETS BATH 6 Tulsa SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•O P001. CONTR. LIST CHECK I Permit No Owner's Name and Address -- --- - --- --- o- _ Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING [" ;EMIT Date 9 " 3- - 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. Cl No.--_ ® — - - Street_ C S No. -- - -- — - _— Street_ kA - -- (;1 !a.A -CL 1 Master Plu Registered Architect and /or Engin---__ -___ eer C Employing Plumber's Name ibi.5. kA_' bei44 Location and Legal Description _______ Block Street and Number where work is to be performed —No 5 CO State work to be performed and purpose of building (By Floors)La?L7ett ________ EaXrL New Building _ __- Remodeling _____ Addition_____. Repairs No. of Stories. Subdivision __.--_ - -_--- _ Street E 1 5 .uk — Capacity Gals Size Septic Tank 61) . -- _- ___ , s_4__ -____- Type of Tank___ �__ .tkc...S+ - Feet of Drain Tile 3- S , _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._______— C.-CV _ _____________________Size of Soakage Pit `1 ' X 8 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 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 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. 1 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. M Cossion E 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 worinmanship. Permit ; 533 Permission is hereby granted MIAMI SHORES VILLAGE Plumbing Miami Shores Village, to install the following described plumbing, in accordance with the laws, statutes and regulations of Miami Shores Village, Florida anC " the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a 4 At No. * 6 ;' M . Lot ��" � y Block � , � � Subdivision Fixtures,, W c. 21 / r, / / , , As Shown on attached approved plans. FIXTURES ROUGHED IN FIXTURES SET SEWER SEPTIC TANK TOTAL r Fla. ,.a' : rim Payment Received /,...4;,37 By e Village Plumbing Inspector This permit issued subject to approval of County Plumbing Inspector