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440 NE 94 St (12)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 _ 2 No., .._.. _. Registered Architect and /or Engineer ES PLUMBING gt Employing Plumbers Name 536 N. v v . 7th, A S r .u`.MO,...- ... - , .e.,,,...m. ,...._ Street..... Location and Legal Description Lot 144 l` i 5 Fiox;el Blor,L O Street and Number where work is to be performed —No � D N I'Y Street ................. _..._.......... ......... State work to be performed and purpose of building (By Floors) Feet of Drain Tile. — Nature of Water Suppl STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling___— _ ... -_ Addition Size Septic Tank_..--- -• - - -- — — - - -- - T Ype of Tank— _ _— _Dist. Feet of Tank or Drain Field from Well. of Soakage Pit Amount of Permit $ Y3 sV (Signed)- (Signed ) Date. _ ID - ... Capacity Cals Repairs No. of Stories.. ..... . 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 Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he Is the._.__ ............. ._._.. - -• _ •- - . - -.._ of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of ;1.00 will be made when such re4nspecdoo 1. made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUB[ SHOWIRB LAVA• TORI[B SINKS SLOP SINK[ LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N[ TOTAL FIXTURES A / NT CL L CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP EATER DE EP WE LL SPRKLR. S SWIM•0 POOL � y / PO, Co. NTR ___L___ .--1—_ LI[T 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 _ 2 No., .._.. _. Registered Architect and /or Engineer ES PLUMBING gt Employing Plumbers Name 536 N. v v . 7th, A S r .u`.MO,...- ... - , .e.,,,...m. ,...._ Street..... Location and Legal Description Lot 144 l` i 5 Fiox;el Blor,L O Street and Number where work is to be performed —No � D N I'Y Street ................. _..._.......... ......... State work to be performed and purpose of building (By Floors) Feet of Drain Tile. — Nature of Water Suppl STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling___— _ ... -_ Addition Size Septic Tank_..--- -• - - -- — — - - -- - T Ype of Tank— _ _— _Dist. Feet of Tank or Drain Field from Well. of Soakage Pit Amount of Permit $ Y3 sV (Signed)- (Signed ) Date. _ ID - ... Capacity Cals Repairs No. of Stories.. ..... . 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 Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he Is the._.__ ............. ._._.. - -• _ •- - . - -.._ of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of ;1.00 will be made when such re4nspecdoo 1. made necessary by improper notice for inspection, or faulty materials and /or workmanship. Date ‘ Job Address PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 4to mg: 94 sh Owner / Lessee / Tenant ALdtE PN EZ-S Owner's Address 17Q ►r .14 Contracting Co. 7 PLr/1113 M C-2 /NC, Qualifier ic/OAMI LD STnI T SS4f - - Permit Type(circle one): BUILDING ELECTRICAL WORK DESCRIPTION klrr "Arif2. /3AT4 /- EitArn 6irvela Square Ft. Estimated Cost(value) Signature of owner and /or Condo President Date: APPROVED: Zoning Mechanical Plumbi Tax Folio //-3:3201S-0)9 -0330 Legal Description Master Permit it 404 Phone 7S 416s/ Address 32 A I A" Phone g5 457 4©)) State # # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address MECHANICAL ROOFING PAVING FENCE SIGN 54 . ,G. 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 performed 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 accurat: and that all work will be done in compliance with all applicable laws regulating = •nstruction n• zoning. ` urthermore, I authorize the above -named contractor to do the work stat Signature o Date: # - ,90001 °6 ontractor or Owner- Builder Notary as to Owner and /or Condo President Notary as Contractor or Owner- Builder My Commission Expires: My Commission Expires: �q'�'� r "••, Maryellen WMte ii? MY COMMISSION 11 CC614406 EXPIRES ** * * * * * * * * * z,. : •: * Jerry 20, 200* * * ** �.' , BONDED THRU TROY FAIN INSURANCE, INC. FEES: PERMIT y 0 RADON C.C.F. 1 • NOTARY TOTAL DUE 1 -' Fire Other Electrical Engineering ITEM BATH TU3 8IOET DISHWASHER O I SAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES 'WASHER SHOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES WATER SIPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER- REPLACE LAWN SPRINKLER -WELL SW I Mf 4I NG P00L WATER SERVICE SEWER CONNECTIONS UTILITY -SEWER UTILITY - 'HATER SEPTIC TANK RELAY ORAINFIELQ. 4' TILE/RES. PLNP & ABANDON SEPTIC TANK SOAKAGE PIT CU. FT. CATCH 3ASIN D I S�," 4ARGE WELL DOMESTIC WELL AREA CRAIN ROOF INLET SOAR MATER HEATER FIRE ST;NCPIFE POCL ?'PING LAWN 3PR INKLER SYSTEM GAS .1Nkr,E METER SET (GAS) GAS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION • (A.1 APPLICATION FOR BUILDING PERM_T ::UST ACCOMP N7 THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL UNIT rcc 1 ITEM SWITCH CUTLETS LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIRA€TTER CHANGE ` APPLIANCE CUTLETS RANGE TCP OVEN WATER HEATER MOTORS 0- 1 HP 1 MOTORS OVER 1- 3 HP MOTORS OVER 3- 5 HP MOTORS OVER 5- 8 HP MOTORS OVER 8- 10 HP .IGTCRS OVER 10- 25 HP MOTORS OVER 25-100 HP MOTORS OVER 100 HP A/C KINDOW AIR CCNDITIONERS STRIP HEATER GENERATORS TRANSFORMERS GENERATCts TRANSFORMERS GENERATORS TRANSFCRM€RS SPECIAL PLRPOSE CUTLETS CIERCIAL SIGN TLBES SIGN TRANSFORMERS SIGN TIME CLOCX F IXTIRES ANTENNA TELEVISION OUTLETS VIOLATION REINSPECTION UNIT FEE COOLING TOWERS I VIOLATION ITEM SPACE HEATERS CENTRAL HEATING A/C (CENTRAL) OLCT ?OK REINS?ECTION UNIT A/C (HIND) REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE C O TANKS U.F. PRESSLRE VESSELS FEE STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATOAS/ESCAUTCRS FIRE SPRINKLER SYSTEIIG MECHANICAL BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE. FLORIDA ❑ , ❑ DATE ' ❑ PERMIT N° 5 516 Contractor's License No. Architect Contractor or Builder Legal Lot Description Bl Address of { .f f , J , Building 195 Work to be performed under this Permit +�F 4. . .1 • Subdi- vision Value of I Amount of Project $ 11 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 it 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 cr in the statements or specificctfiopd and'that he assumes responsibility for work done by his agents, servants or employees. 7 • Signed. { .4 - _ .. - By,\ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent erva4. or employee. `., ,! T CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No / K' 9 2— Date. £ - ° /0 zez4 ._ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submior 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. Location and Legal Description Lot. Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City-Well. Amount of Permit $ Owner's Name and Address Registered Architect and /or En eer Employing Plumber's Name oil/ Type of Tanl _ No j � • 9 *e Street.. -_ _- (Sigma) -�- �= / Subdivision Street and Number where work is to be performed -No '/ / 9 Street.. . _..._.._. State work to be performed and purpose of building (By Floors) _ !Q .°� 5 te S73 .--- ........— . New Building_ - -- _— _.._. _.. Remodeling___.__._ __ Addition.. - -- ..._. Repairs_ No. of Stories. ......... .Capacity Gals- _—Dist. Feet of Tank or Drain Field from Well ..._.______._.___._...______- —_... Size of Soakage Pit-- bang Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati. :' u an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanen upplement, and har 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 cite of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, l COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer moths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fads therein by him stated are true. My Commission Expires Notary Public, State of Florida materials N: re-inspection km fee of $1.00 will be made when mei ie. w na edoe is made' by improper nodes for iaspectlm et faulty CLos TS BATH Tuns aNOW[Ra LAVA• TORIES SINKS SLOP a1NKi LAUNDRY TOSS URINALS CATCH BASIN FLOOR DRAIN DRINK NO PDUNT'NS TOTAL PI CONTR. LIST CHICK SEPTIC TANK SIWIR CONN. DRAIN FILLD SOAKAOL PIT GRIMM TRAP SOLAR HEATER Da IP WELL BPRKLR 8 SW 114'0 POOL CONTR. LIST i -ate tr �.. CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No / K' 9 2— Date. £ - ° /0 zez4 ._ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submior 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. Location and Legal Description Lot. Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City-Well. Amount of Permit $ Owner's Name and Address Registered Architect and /or En eer Employing Plumber's Name oil/ Type of Tanl _ No j � • 9 *e Street.. -_ _- (Sigma) -�- �= / Subdivision Street and Number where work is to be performed -No '/ / 9 Street.. . _..._.._. State work to be performed and purpose of building (By Floors) _ !Q .°� 5 te S73 .--- ........— . New Building_ - -- _— _.._. _.. Remodeling___.__._ __ Addition.. - -- ..._. Repairs_ No. of Stories. ......... .Capacity Gals- _—Dist. Feet of Tank or Drain Field from Well ..._.______._.___._...______- —_... Size of Soakage Pit-- bang Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati. :' u an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanen upplement, and har 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 cite of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, l COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer moths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fads therein by him stated are true. My Commission Expires Notary Public, State of Florida materials N: re-inspection km fee of $1.00 will be made when mei ie. w na edoe is made' by improper nodes for iaspectlm et faulty Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT I0 7 6' _ "7- - - 6 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 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 Engj Employing Plumber's Name j � � I _ Location and Legal Description T..ot_ ` c( 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... No. Street.. Size Septic Tank_ _Type of Tank _ Feet of Drain Tile. _ ___.__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well Size of Soakage Pit (Signed)_ Subdivision Street.. _.._..._..._.- Repairs No. of Stories... Capacity lumbing Ins tor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati. 'as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent . upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to 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 matmi NOTE: e inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty CLOSETS TUBE BATH SHOWER• LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tuff U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'Ne TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL - C-CX -e , CONTR. LIST p� CHICK Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT I0 7 6' _ "7- - - 6 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 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 Engj Employing Plumber's Name j � � I _ Location and Legal Description T..ot_ ` c( 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... No. Street.. Size Septic Tank_ _Type of Tank _ Feet of Drain Tile. _ ___.__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well Size of Soakage Pit (Signed)_ Subdivision Street.. _.._..._..._.- Repairs No. of Stories... Capacity lumbing Ins tor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati. 'as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent . upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to 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 matmi NOTE: e inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty MIAMI SHORES VILLAGE, FLA. JOB ADDRESS %' INSPECTION TIME READY REMARKS• INSPECTOR a 1,14/4‘__ /fY 4,`a-ri-ft7i m- 1 � N_ 59 DATE /47-14)-7:-.0 - - -, CLOa[Ta OATH 'ruse use LAVA. TORIES SIN" SLOP LAUNDRY Tuaa URINAL! CATCH BASIN FLOOR DRAIN DRINK NO FOUNT' NS TOTAL PICTURES CONTR. LIST CHECK a SEPTIC TANK SEWER CONN. DRAIN ^ FIELD SOAKAGE PIT G TRAP SOLAR H UTER DEEP WALL a . SYSTEM SW IM'O POOL I ' f ! Comm. LIST CHICK Permit No 9 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERM 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 Leila F. Aiken No 440 Street N. E. 94th Street Registered Architect and /or Engineer K.0 P Z l i e L a,n d Assoc . Employing n um b er ' s Name Sally Dysart , Inc. N 16160 Biscayne B 1 v d . _......_:....._.._._..., -.. ,...,,.. Location and Legal Description Lot..5 6_1_1 mock 51 subdivision _Ilia m i Shores Sec 2 Street and Number where work is to be performed —No 440 N . E . 94th Street Street.. _..._...._..._._ State work to be performed and purpose of building (By 1.4?.m i_as.._P o o 1. P i2e i n g New Building. 1_ Remodeling—__ _ Addition... -_ - -- ....... Repairs No. of Stories... . ..... Size Septic Tank_.. Type of Tank___—. ._ - -... Feet of Drain Tile Dist Feet of Tank or Drain Field from Well .. ._.__.. Nature of Water Supply: City —We1L Size of SWIMM1ING POOL PIPE Amount of Permit $ (S .j ° -- -J . P urnbing 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 ha' 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 ea 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 Init, as are licensed by Miami Shores Village. i �_KS!9 (Signed).-k _.... ............. ._... Master Plumber. �- ._ STATE OF FLORIDA, I µ COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take admowledgnrents, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and mays that he is the ...__.._ .._. - _- •--- -..... _ _... _. _.. of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Conunission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when mace wispaotloe is orada'naoassary by improper notice for inspection. or fault' materials and /or workmanship.