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54 NE 95 St (7)BUILDING ❑ PLUMBING, PERMIT ROOFING ❑ 0 Owner of �. . , t • Building Architect Contractor or Builder P A 14"-C .. v. • . 1w./ 'C. Legal Lot Description Bl Address of Building 41 kJ CONTRACTOR a BUILDER MIAMI SHORES VILLAGE, FLORIDA c1 + . - j N9 6245 Work to be performed under Signed: Subdi- vision Value of Project $ this Permit-- .`.. 4.s • cd DATE .T 2 19" Contractor's License No. 79'4 4 Itor" Amount of ? Permit $ v 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 drawings or in the statements or specifics ' s and tharbe assumes respon- sibility for work done by his agents, servants or employees. [1 j l In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complian hrith all ordinances lations pertai g thereto and in strict conf• ..ity with the plans, drawings, statements or specifications submitted to the proper au ities of Miami Shores Village. In tar cep I is permit I assu respo - .i�ty for aj k done by either, myself, my agent, servant or employee. BY AUTHORITY INSPECTOR *POT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT f�j 7 /—"" 3_ Permit No 1 1 7 Date...l _.._ _ .... -- 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 Shares 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 °R.. t L t A i' No. Street_.. AL � • L r x - Registered Architect and /or Engineer d 5 g 1 1°r S C P C ( 44-'1 >~ 1Qytn 1 Plumber's Nam[' ,. T` _ QNt <,.... Na 199 � __.,..,.. It�t.G.�G <..... _._ A 4 Location and Legal Description Lot Block Street and Number where work is to be performed —No. 5 9 Street- N. 9. T s 'T nJ� F State work to be performs l and purpose of building (By Floors) - -- I�2 p' --- £ Z — .__... -. R_.._ .. .... ............._ ....._....... _ ... New Building __ -___ _.._......... -._ -- Remodeling___ _ ._._ _ Addition_______ .. __ Repairs_ No. of Stories .............. Size Septic Tank o Type of Tank—.—... Feet of Drain Tile 2 e s a� �" nist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City —Well. Size of Soakage Pit. Amount of Permit = My Commiuion Esping (si (mooed .Capacity Plumbing In '. tor. 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 Pennanent 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 Muter Plumber. STATE OF FLORIDA, I a~ COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _.__.._ of the above described construction, that be has carefully read the foregoing application, and thst be did sign the same, and that all fads therein by him stated are true. Note y Public, State of Plourde NOTE: A re- inspection fee of 81.00 will be made what sssoh r ispaotios is med.ro. eseery by improper notice for teasp.ction, at faulty materials and /or walananship. CLOSETS BATH T une SHOWERS LAVA• TORIES SINK• SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR GRAIN DRINK NG FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK • SEPTIC TANK SEW ER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR MEATIER DEEP wau. S SYSTEM SWIM'G POOL - Comm LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT f�j 7 /—"" 3_ Permit No 1 1 7 Date...l _.._ _ .... -- 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 Shares 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 °R.. t L t A i' No. Street_.. AL � • L r x - Registered Architect and /or Engineer d 5 g 1 1°r S C P C ( 44-'1 >~ 1Qytn 1 Plumber's Nam[' ,. T` _ QNt <,.... Na 199 � __.,..,.. It�t.G.�G <..... _._ A 4 Location and Legal Description Lot Block Street and Number where work is to be performed —No. 5 9 Street- N. 9. T s 'T nJ� F State work to be performs l and purpose of building (By Floors) - -- I�2 p' --- £ Z — .__... -. R_.._ .. .... ............._ ....._....... _ ... New Building __ -___ _.._......... -._ -- Remodeling___ _ ._._ _ Addition_______ .. __ Repairs_ No. of Stories .............. Size Septic Tank o Type of Tank—.—... Feet of Drain Tile 2 e s a� �" nist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City —Well. Size of Soakage Pit. Amount of Permit = My Commiuion Esping (si (mooed .Capacity Plumbing In '. tor. 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 Pennanent 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 Muter Plumber. STATE OF FLORIDA, I a~ COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _.__.._ of the above described construction, that be has carefully read the foregoing application, and thst be did sign the same, and that all fads therein by him stated are true. Note y Public, State of Plourde NOTE: A re- inspection fee of 81.00 will be made what sssoh r ispaotios is med.ro. eseery by improper notice for teasp.ction, at faulty materials and /or walananship. Permit No ° °')5 f .0 Application is hereby made for the approval of the detailed statement of the plans and spedficaitions 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. E. Williams Registered Architect and /or Engineer Emphi g Plyxgbef's N N 0 rt)1 Dade S j , Location and Legal Description Lot. W dZ • or Street and Number where work L to be performed —No 5 State work to be performed and purpose of building (By Floors)______ Amount of Permit $ -Z e MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed NO?LI ivy 9 Size Septic Tank__ -Type of T■nk _._ .__._._....._....__., Feet of Drain Tile 200 •RQ..- f LDist. Feet of Tank or Drain Field from Well .. ._._._.__. Nature of Water Supply: City—Wells Size of Soakage Pit. atom Subdivisi .5— /'�' / NE 95 Street liic1['l l Crore New Building. - - -.._ — _.._.........._.. Remodeling— _.__..._____ Addition------ _ - -.__ Repsirs No. of Stories Capacity Gals • My Commission Expires Notary Public, State of Florida /! (si 5 1 i Kr3e, . 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 hgT com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wore to br 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 arr required by the Act. The undersigned agrees to employ only such sub - contractors, k to be . • • under Init as are licensed by Miami Shores Village. or ' lumber. STATE OF FLORIDA, I µ 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 the above described construction, that he has carefully read the foregoing application, aadl that he did slgn the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when nob n•iaspaottas V made•ueos.arry by Improper notice for hrpectIon, at faulty materials and /or worl®anship. CLOarTa BATH TUBS aMOW[Ra LAVA TORIES SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH •ASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIATUR[n CONTR. LIST _ CHECK SEPTIC TANK S[W[R CONK. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER our WCLI. •PRKLR. e M SW IM•G P001. CONTR. LIST - ,--- CN[CK Permit No ° °')5 f .0 Application is hereby made for the approval of the detailed statement of the plans and spedficaitions 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. E. Williams Registered Architect and /or Engineer Emphi g Plyxgbef's N N 0 rt)1 Dade S j , Location and Legal Description Lot. W dZ • or Street and Number where work L to be performed —No 5 State work to be performed and purpose of building (By Floors)______ Amount of Permit $ -Z e MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed NO?LI ivy 9 Size Septic Tank__ -Type of T■nk _._ .__._._....._....__., Feet of Drain Tile 200 •RQ..- f LDist. Feet of Tank or Drain Field from Well .. ._._._.__. Nature of Water Supply: City—Wells Size of Soakage Pit. atom Subdivisi .5— /'�' / NE 95 Street liic1['l l Crore New Building. - - -.._ — _.._.........._.. Remodeling— _.__..._____ Addition------ _ - -.__ Repsirs No. of Stories Capacity Gals • My Commission Expires Notary Public, State of Florida /! (si 5 1 i Kr3e, . 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 hgT com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wore to br 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 arr required by the Act. The undersigned agrees to employ only such sub - contractors, k to be . • • under Init as are licensed by Miami Shores Village. or ' lumber. STATE OF FLORIDA, I µ 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 the above described construction, that he has carefully read the foregoing application, aadl that he did slgn the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when nob n•iaspaottas V made•ueos.arry by Improper notice for hrpectIon, at faulty materials and /or worl®anship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description >r• Lot v Address of Building This t is granted to the applicadon �oe in strict with any plans, the wo sr be revoked oloe$ m any ciao the work is upon which this permit is ranted is the ordinances and to does poems that he assumes responsibility In consideration of the dons pertaining thereto and in strict Village. In aocepdng this permit I PERMIT N° 3775 \I) Worb to be performed under this Permit.i; )Yr' MIAMI SHORES VILLAGE, FLORIDA DATA .' Ggrll pewee Subdi- vision or builder named above to construct the buildi withpU ortlinances peendsdaigthateus aid ono* Basis in that, *ast tahnitttad With eittk R that ebo . to the work o *bathe by his yens, servant. or employees. , Signed: to me of with I free to form the work aor'ered per, dewlaps, .t - our responsibility for all work done by saber %VARriihG: This Cotistrtrction may Ge in volatioa � s+ P+asuction Scars Ge�teral Lim :tattons Order i41 .. rou are cautioned to consult your War Pr t board office before starting the 'fork authort ed this permit. to install de typo INaflCTOA in eO ei1 tow, lorwonn or 6emions s Mi+ _, tidtect 1.4 Builder statements or that may have t work is not ' . in ceuplianoe with such e s tothe c the cr for work done by his :=MICA tIMBING -ter of nsng vv:r PERMIT N? 5311 Work to be performed tinder this In consideration •of the Whence to me of die permit' epee 4 n 1 nu thereto and in star'# Aenforvai7 with due this permit I bility for ' 1 CONTRACTOR C. BTUILDSR MIAMI SHORES VILLAGE FLORIDA DAT ;: Cemeaetoies BUILDING ELECTRICAL PLUMBING Architect Owner of ` Building/ X.--"=":"'"'" Contractok or Buildgr :%w'*"' Legal Lot Description Address of Building PERMIT N° 1967 Work to be performed under this Pe CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE ,. l Contractor's License No. Subdi- vision Value of Project 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in c_os with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorisation. on. A tilit Mer upon which this permit is granted is the understanding that the contractor or builder named above assumes the: responsibility for a . the ordinances and regulations pertaining to the work covered hereby whether shown the the plan or drawings or in the statements Ot sgae' that he assumes responsibility for work done by his agents, servants or employees. p Signe ' By a INSPECTOR In consideration of the issuance to me of this permit I agree to perform he work covered hereunder in compliance with all ordinances and tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Village. In a t I respo L f for all work done bg either myself, my agent' +ant or employee. BUILDING ELECTRICAL PLUMBING Owner of -- Building V Legal Lot Description Architect Contractor or Builder (it CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE "Z PERMIT N° 5311 Contractor's ., / License No. / v 7 • Work to be performed under this Permit / O} (444444 1 r BL Subdi- vision Address of Value of Amt. of fl !i G Building <,' !,F � �, - f y ' - .. - Project Permit "` This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and 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 ge-Chant ewithgnt au ization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above asstriues the r ponsibilftyr thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the pt •or_dr&win s,. n the,$tateiyi,nts or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. j i .: -.„ --- ? , t ri Signed. u.. /ii- i ✓ V CTOR In consideration of the issuance to me of this permit I agree to perform the 'work co - d hereunder in compliance with,aiprdinances and pertaining thereto and in strict conformity with the plans, drawings, statements or specifi 'ons submitted to the proper authors of Miami Sh i ge. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY �•—� 194)_ , BUILDING PLUMB ING • • : • • • • • • • Inspector's Report: : • • • • ELECTRICAL : : : WORK DONE BY: • REQUESTED • • The following is ready for Inspection: „„:6/IX e' • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • i_ p ell J /6"..4 Owner's Name and Address Registered Architect and /or En Employing Plumber's Name Location and Legal Description Lot_ Amount of Permit S__W_4___ __ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No..L. ____ _ Z ______ Date / F Q 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 s • ed or not. A copy of approved plans and specifications must be kept at building during progress of wor Street and Number where work is to be performed —No.__ _ _Block _______ ___.__ Subdivision treet State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs_ Size Septic Tank �__ _ ____ __ �_______ Type of Tank Feet of Drain ______ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - e11 Size of Soakage Pit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that h understands and accepts is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of :Florida Permanent Supplement. and bas 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 t:he work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed nder this permit, as are licensed by Miami Shores Villatte. (Signed .Stzdl_ r --�- -� No. of Stories_ _Capacity Gals.__ a My Commission Expires Notary Public. State of Florida 11 Plumber. STATE OF FLORIDA, COUNTY OF DADE. J es Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pereo 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 necessati by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTUI*ES 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 Owner's Name and Address Registered Architect and /or En Employing Plumber's Name Location and Legal Description Lot_ Amount of Permit S__W_4___ __ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No..L. ____ _ Z ______ Date / F Q 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 s • ed or not. A copy of approved plans and specifications must be kept at building during progress of wor Street and Number where work is to be performed —No.__ _ _Block _______ ___.__ Subdivision treet State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs_ Size Septic Tank �__ _ ____ __ �_______ Type of Tank Feet of Drain ______ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - e11 Size of Soakage Pit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that h understands and accepts is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of :Florida Permanent Supplement. and bas 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 t:he work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed nder this permit, as are licensed by Miami Shores Villatte. (Signed .Stzdl_ r --�- -� No. of Stories_ _Capacity Gals.__ a My Commission Expires Notary Public. State of Florida 11 Plumber. STATE OF FLORIDA, COUNTY OF DADE. J es Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pereo 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 necessati by improper notice for inspection, or faulty materials and /or workmanship. JOB: BUILDING • • • • • • • • • ELECTRICAL : 3CD; • 1 • • • • • • : WORK : DONE BY REQUESTED The following is ready for Inspection: Inspector's Report: - . . _ .•.: -.: , 2 - /9 : . . . . . . • ■ d • • • • • • 1 • • • 7 / ft- ill STATE OF FLORIDA, COUNTY OF DADE. 8s. MIAMI-SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBINI3 PERMIT State work to be performed and purpose of building (By Floors) New Building Remodeling Addition_ Type of Tank Size Septic Tank_ Feet of Drain _________�._ ist. Feet o Tank or Drain Field from Well Nature of Water Supply: City Well _ Size of e Pit._ Amount of Permit _____ ______�___ (Signed) (Signed) lrf `' 6 DA E ELI' _yes, .Capacity Gals My Commission Expires Notary Public. State of Florida Permit No 3 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 a:ad 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 � _t.,_ t_' A No ,._ Streets ' 9.....r-t/.44 Registered Architect and /or Engineer _____ __ __ _�___r____________ —_� r, .: m 1 f r 1' Employing Plumber's Name �______ '.__ w'_ _______r__ ____�,_: ___,:. __ -_ No._-- l__1: __ Street .__.e .:.' tA, n!L `` _ ` 0- I Location and Legal Descriptio Ire ot_ _ _A_ _ � . _:_________Block_________ e_______ Subdivision_ Ai S- • Street and Number where work is to be performed— No.____ _ _ Street 24/44: ' • 4 ``f r „pc _ Repairs No. of Stories__._ ____ PI bing The undersigned applicant for this building permit does hereby certify that he r'f* s tands ;sand accepts his obligations u an employer under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement. and com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed ender this permit, as ate licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made neces ary by improper notice for inspectiim, or holly materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUND NS TOTAL. 'mums C LIST V / a 1 / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 43 POOi. CONTR. LIST CHECK STATE OF FLORIDA, COUNTY OF DADE. 8s. MIAMI-SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBINI3 PERMIT State work to be performed and purpose of building (By Floors) New Building Remodeling Addition_ Type of Tank Size Septic Tank_ Feet of Drain _________�._ ist. Feet o Tank or Drain Field from Well Nature of Water Supply: City Well _ Size of e Pit._ Amount of Permit _____ ______�___ (Signed) (Signed) lrf `' 6 DA E ELI' _yes, .Capacity Gals My Commission Expires Notary Public. State of Florida Permit No 3 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 a:ad 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 � _t.,_ t_' A No ,._ Streets ' 9.....r-t/.44 Registered Architect and /or Engineer _____ __ __ _�___r____________ —_� r, .: m 1 f r 1' Employing Plumber's Name �______ '.__ w'_ _______r__ ____�,_: ___,:. __ -_ No._-- l__1: __ Street .__.e .:.' tA, n!L `` _ ` 0- I Location and Legal Descriptio Ire ot_ _ _A_ _ � . _:_________Block_________ e_______ Subdivision_ Ai S- • Street and Number where work is to be performed— No.____ _ _ Street 24/44: ' • 4 ``f r „pc _ Repairs No. of Stories__._ ____ PI bing The undersigned applicant for this building permit does hereby certify that he r'f* s tands ;sand accepts his obligations u an employer under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement. and com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed ender this permit, as ate licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made neces ary by improper notice for inspectiim, or holly materials and /or workmanship. 41111111111111/ Permit No. ( .L 7 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 regulation of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specification must be ltept at building during progress of wor Owner's Name and Address __ Registered Architect and /or En Employing Plumber's Name .-� F ` hio!�!_�__— ___ _-..... _- Street Location and Legal Description Lot_ - -_ h __ ��_M__ Subdivision ,Cf1"' i Street and Number where work is to be performed— No._�!N "!'Stree _ __4� 7 .'_•"t_ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.___________________ Repairs_ Size Septic Tank– Type (� Type of Tank _____._____. Capacity Gals Feet of Drain Tile__ ./ U __ '_ ____- __ -_ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City-- ell Size of Soakage Pit Amount of Permit $ _____ +� My Commission Expires M IAM I'S H O RES VILLAGE PLUMBING INSPECTION DEPARTMENT (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that h€ understands and accepts 4ia 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 a an required by the Act. The under signed agrees to employ only such sub - contractors, on work to be perform this permit, as are licensed by Miami Shores Village. (Signed) _ Date __ - _ F - 1 Notary Public, State of Florida No. of Stories_ . a STATE OF FLORIDA, COUNTY OF DADE. SS. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared -- — to me well known, and who, being by me first duly sworn. upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necesary by improper notice for inspection, materials and /or workmanship. Plumber. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATC:H BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL Ft7ITURSS CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 'GI Pool_ CONTR. LIST CHECK Permit No. ( .L 7 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 regulation of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specification must be ltept at building during progress of wor Owner's Name and Address __ Registered Architect and /or En Employing Plumber's Name .-� F ` hio!�!_�__— ___ _-..... _- Street Location and Legal Description Lot_ - -_ h __ ��_M__ Subdivision ,Cf1"' i Street and Number where work is to be performed— No._�!N "!'Stree _ __4� 7 .'_•"t_ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.___________________ Repairs_ Size Septic Tank– Type (� Type of Tank _____._____. Capacity Gals Feet of Drain Tile__ ./ U __ '_ ____- __ -_ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City-- ell Size of Soakage Pit Amount of Permit $ _____ +� My Commission Expires M IAM I'S H O RES VILLAGE PLUMBING INSPECTION DEPARTMENT (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that h€ understands and accepts 4ia 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 a an required by the Act. The under signed agrees to employ only such sub - contractors, on work to be perform this permit, as are licensed by Miami Shores Village. (Signed) _ Date __ - _ F - 1 Notary Public, State of Florida No. of Stories_ . a STATE OF FLORIDA, COUNTY OF DADE. SS. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared -- — to me well known, and who, being by me first duly sworn. upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necesary by improper notice for inspection, materials and /or workmanship. Plumber. MIAMI SHORES VILLAGE, FLORIDA BUILDING ELEL PICAL PLUMBING i v Owner of Architect Contractor or Builder Legal Description Address of Building Lot • Building CONTRACTOR OR BUILDER PERMIT N9 3775 Work to be performed under this Permit BI. Subdi- vision BY v �k Value of Project DATE Amt. of Permit r AUTHORITY 194 Contractor's L..- License No. ? This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted CO and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed• By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with dinances and e aQ tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper at ritties of Miam k I Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Permit No.. APPLICATION FOR PLUMBING PERMIT 4/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or or 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 la kept at building during progress of work. Owner's Name and Address !► � g.,/ No Street Registered .Architect and /or Engineer Employing Plumber's Name 1,�_�C ss 4. O4_4 '! �1Me No._ 6a r 2 Y Street_ik.-AiLlteti—iteir Location and Legal Description Lot__Sat_ _____ Block_ Subdivision_ Street and Number where work is to be performed —No.__ � °_ a"IL � _--- -- _- Stree State work to be performed and purpose of building (By Floors) 1.1 New Building_ _ Re modeling___________._________. Addition Repai:ra Size Septic Tank_____ Feet of Drain Tile__ Nature of Water Supply: City Well Amount of Permit S. " == - VC ) STATE OF FLORIDA, COUNTY OF DADE. 88. My Commission Expires MIAMI SHORES VILLAI3E PLUMBING INSPECTION DEPARTMENT Type of Tank _ - - - - - - -- °° - - - - -- Dist. Feet of Tank or Drain Field from Well__ °_.__.. Size of Soakage Pit - (Signed) Inspector. The undersigned applicant for this building permit does hereby certify tat he understands and accepts his obligati an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement. and has coa- 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 :he work such public notice or notices as ate required by the Act. The under signed agrees to employ only such sub - contractors, on work to 3Ie performed under this permit, as art licensed by Miami Shores Village. I Date • -/ ....Capacity Gals. Ae) No. of Stories 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 fasts therein by him stated are true. Notal :y 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 inspsctiolb or hefty materials and /or workmanship. CLOSETS BATH Tuns 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 FOR PLUMBING PERMIT 4/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or or 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 la kept at building during progress of work. Owner's Name and Address !► � g.,/ No Street Registered .Architect and /or Engineer Employing Plumber's Name 1,�_�C ss 4. O4_4 '! �1Me No._ 6a r 2 Y Street_ik.-AiLlteti—iteir Location and Legal Description Lot__Sat_ _____ Block_ Subdivision_ Street and Number where work is to be performed —No.__ � °_ a"IL � _--- -- _- Stree State work to be performed and purpose of building (By Floors) 1.1 New Building_ _ Re modeling___________._________. Addition Repai:ra Size Septic Tank_____ Feet of Drain Tile__ Nature of Water Supply: City Well Amount of Permit S. " == - VC ) STATE OF FLORIDA, COUNTY OF DADE. 88. My Commission Expires MIAMI SHORES VILLAI3E PLUMBING INSPECTION DEPARTMENT Type of Tank _ - - - - - - -- °° - - - - -- Dist. Feet of Tank or Drain Field from Well__ °_.__.. Size of Soakage Pit - (Signed) Inspector. The undersigned applicant for this building permit does hereby certify tat he understands and accepts his obligati an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement. and has coa- 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 :he work such public notice or notices as ate required by the Act. The under signed agrees to employ only such sub - contractors, on work to 3Ie performed under this permit, as art licensed by Miami Shores Village. I Date • -/ ....Capacity Gals. Ae) No. of Stories 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 fasts therein by him stated are true. Notal :y 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 inspsctiolb or hefty materials and /or workmanship. Amount of Permit $__ Cc) MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. /,f 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 range, Solids, 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 Orion 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 . '1',S 4:: j/ No . Street_ Registered Architect and /or Engineer Employing Plumber's Name t;1 al__ G _ 1r: -f:_' No._ Street A/ MZ Location and Legal Description Lot_ *- c 1 y / -____.Block_ . _ -_ -_ Subdivision A • C • O,� ' Street and Number where work is to be performed— No. __s� 2` Street _ _L1 i. _.,9) --------------- _----- °----- _._.___ / ___ State work to be performed and purpose of building (By Floors) 4 - ' 4 - 7—/c .4 ) New Building_ __________M Remodeling Addition Repairs_ -. No. of Storks -____ —. Size Septic Tank_____ _ Type of Tank Feet of Drain TileM__________________ —___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. .Size of Soakage Pit Capacity Gals. 4 /Q My Commission Expires Notary Public, State of Florida 74- (Signed PI Itapectot The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or su'b- 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 an required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as an licensed by Miami Shores Village. / (Signed) Ved Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. as. 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 ha 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 inapecti4U materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS Tom FIGIUMES 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 Amount of Permit $__ Cc) MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. /,f 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 range, Solids, 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 Orion 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 . '1',S 4:: j/ No . Street_ Registered Architect and /or Engineer Employing Plumber's Name t;1 al__ G _ 1r: -f:_' No._ Street A/ MZ Location and Legal Description Lot_ *- c 1 y / -____.Block_ . _ -_ -_ Subdivision A • C • O,� ' Street and Number where work is to be performed— No. __s� 2` Street _ _L1 i. _.,9) --------------- _----- °----- _._.___ / ___ State work to be performed and purpose of building (By Floors) 4 - ' 4 - 7—/c .4 ) New Building_ __________M Remodeling Addition Repairs_ -. No. of Storks -____ —. Size Septic Tank_____ _ Type of Tank Feet of Drain TileM__________________ —___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. .Size of Soakage Pit Capacity Gals. 4 /Q My Commission Expires Notary Public, State of Florida 74- (Signed PI Itapectot The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or su'b- 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 an required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as an licensed by Miami Shores Village. / (Signed) Ved Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. as. 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 ha 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 inapecti4U materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No `L ' i `� 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, 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. U " 4Pk! L �. No Registered Architect and /or 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 __ -- _ -- Remodeling----------- ___ -__ Addition Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ineer Size Septic Tank. ---_ Feet of Drain Tile____ j ' Nature of Water Supply: City—Well _ _Type of Tank (Signed "- - - - - - -- No._ ? 0 Street Block Subdivision_ - _- - - -- _.----- _____ -- - ..— Street -Dist. Feet of Tank or Drain Field from Well - -- __---------- _— .__- _- •-- -- -_ -- - Size of Soakage Pit Repairs No. of S t o r i e s. . . . . . . . . . . . . . . . . (Signed)._ 1/4- Street A _ Capacity Gals.... ._ 19-- - ice" a My Commission Expires Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl' tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri nt Supplement, and itas 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 th 'te of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contracto o work to be performed under this permit. as are licensed by Miami Shores Village. Master plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal! ' appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all Facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHICK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No `L ' i `� 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, 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. U " 4Pk! L �. No Registered Architect and /or 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 __ -- _ -- Remodeling----------- ___ -__ Addition Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ineer Size Septic Tank. ---_ Feet of Drain Tile____ j ' Nature of Water Supply: City—Well _ _Type of Tank (Signed "- - - - - - -- No._ ? 0 Street Block Subdivision_ - _- - - -- _.----- _____ -- - ..— Street -Dist. Feet of Tank or Drain Field from Well - -- __---------- _— .__- _- •-- -- -_ -- - Size of Soakage Pit Repairs No. of S t o r i e s. . . . . . . . . . . . . . . . . (Signed)._ 1/4- Street A _ Capacity Gals.... ._ 19-- - ice" a My Commission Expires Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obl' tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri nt Supplement, and itas 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 th 'te of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contracto o work to be performed under this permit. as are licensed by Miami Shores Village. Master plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal! ' 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.