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776 NE 95 St (11)' Permit No. 3 / T Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MOL O SHORES VOL AG PLUMBING INSPECTION DEPAIRTMl.I•:" PPLOCQMAO G'©I PWMMBO G 41M, 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 confoi-114 with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Sores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or nr?. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address B_biller__Arll:�?�r.:i4 7L______ _ N 77 0Eo Street 95th �t 0 9 Register d /or Engineer _____ — Employing »lam Name_ _aout hejn DPY11Yn� & Equip. No. __105.1 E..o. -__ st - 52nd a a Hia lea h Location and Legal Description Lot_ -_ ...__ ........ __..________.... _ Block__ __ _— . Subdivision Street and Numbar where work is to be performed—No—&&nS a ig €l b 0 ®@ _ . _ _ ., Street State work to be performed and purpose of building (By Floors) __.`gyp __a11.P.a__32.-1i--_ Ic .p .thk_l e n 47$:tEna New Building _____ Remodeling__ _ Addition__._____ Repairs No. of Stories .. .................... Siam Septic Tank Type of Tank_ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Gl Nature of Water Supply: City — Well..--_._..` ilp_o ___3 2 ali_______._Size of Soakage Pit i l (Signed)_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P lganent 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. Date 3.0 /3_0/62. J - Master EttErnSeill Drillers Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOIIETII BATH TU BS S H OWERS LAVA- TORIES SINKS SLOP SINKO LAUNDRY TUDB I NALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIOT CHECK • SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. 1.104 - --- CHECK ' Permit No. 3 / T Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MOL O SHORES VOL AG PLUMBING INSPECTION DEPAIRTMl.I•:" PPLOCQMAO G'©I PWMMBO G 41M, 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 confoi-114 with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Sores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or nr?. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address B_biller__Arll:�?�r.:i4 7L______ _ N 77 0Eo Street 95th �t 0 9 Register d /or Engineer _____ — Employing »lam Name_ _aout hejn DPY11Yn� & Equip. No. __105.1 E..o. -__ st - 52nd a a Hia lea h Location and Legal Description Lot_ -_ ...__ ........ __..________.... _ Block__ __ _— . Subdivision Street and Numbar where work is to be performed—No—&&nS a ig €l b 0 ®@ _ . _ _ ., Street State work to be performed and purpose of building (By Floors) __.`gyp __a11.P.a__32.-1i--_ Ic .p .thk_l e n 47$:tEna New Building _____ Remodeling__ _ Addition__._____ Repairs No. of Stories .. .................... Siam Septic Tank Type of Tank_ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Gl Nature of Water Supply: City — Well..--_._..` ilp_o ___3 2 ali_______._Size of Soakage Pit i l (Signed)_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P lganent 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. Date 3.0 /3_0/62. J - Master EttErnSeill Drillers Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. IN C IN G►_ ELECTRICAL PLUMBING Owner of . p° Building ` Architect Contractor or Builder // L'egal Lot Description MIAMI SHORES VILLAGE, FLORIDA ERM1T N° 4424 Work to be performed under this Permi OR BUILDER Subdi- vision Address of � Value of Building_ 17 ; rli Project 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 w th 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 drawin or iri the statements or specifications and that he assumes r spon- sibility for work done by his agents, servants or employees. ✓ r ]-;). Signed. By (//1 7) i INSPE R In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with I — dinances and hggµlatippns pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autho itie.'of Miami ShoWs°Vill4ge. In accep , pe it I fr ume res�a: for all work done by either myself, my agent, servant or emp ik AUTHORITY BY DATE `r� a � Jl 1 944 Contractor's j) License No. �'` n)' .l .0 Permit No. & G\MO SNORES MOILA@ E PLUMBING INSPECTION DEPARTMENT ,APPdDc " TOON FOR FPM i I A D N 8 PERM Date /2 2 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Orner a Name and Address., / No. 4 Street-- - Registered Architect and /or Engineer___ -. —__ -_ _ - ,--- __ - -_- Employing Plumbers Name! ` y 1 ' :? -: r ` 2 r ! No.----------- .----- - - - - -- Street_ Location and Legal Description Lot. __- ___- .•__.__. __ - - -- Block__ __ __.._ Subdivision Street and Number where work is to be performed —No ‘— ___ __ _ ________ Street_ - ,. _ ?J ° .5 6— State work to be performed and purpose of building (By Floors)_ 1� =K - - -- � fell--e __ ��'� -� �' a 2i2...= . �!: <� � -C i t New Building. Remodeling Addition. -._ Repairs - ... No. of Stories .................. Size Septic Tank Type of Tank-_ Feat of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Fit Nature of Water Supply: City—Well (Signed) ___..... Capacity Gals. Amount of Permit s- _______ ..... - �JJ Plum nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ar employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S ''ent, and has coin - plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed .y 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 ars flies by Miami Shores Village. Master Plumber. STATE OF FLORIDA, se. COUNTY OF DADE. Q Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare 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 tac therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or hail materials and /or workmanship. CLOSH40 BATH YU89 SHOWQWe LAVA. TORIES SIPoK6 SLOP SINKS LAUNDRT 'rues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT ' NS TOTAL FIKTGRCI CONTa. LIST - Cowen SHPYIC TANK SEWCR CONN. DRAIN PIHLO SOAKAGE PIT GREASG TRAP SOLAR HQATSR DQQP WCLL SPRKLR. BYSTQM SWIM 'G POOL COCJTR. LIOT - CHQCtt Permit No. & G\MO SNORES MOILA@ E PLUMBING INSPECTION DEPARTMENT ,APPdDc " TOON FOR FPM i I A D N 8 PERM Date /2 2 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Orner a Name and Address., / No. 4 Street-- - Registered Architect and /or Engineer___ -. —__ -_ _ - ,--- __ - -_- Employing Plumbers Name! ` y 1 ' :? -: r ` 2 r ! No.----------- .----- - - - - -- Street_ Location and Legal Description Lot. __- ___- .•__.__. __ - - -- Block__ __ __.._ Subdivision Street and Number where work is to be performed —No ‘— ___ __ _ ________ Street_ - ,. _ ?J ° .5 6— State work to be performed and purpose of building (By Floors)_ 1� =K - - -- � fell--e __ ��'� -� �' a 2i2...= . �!: <� � -C i t New Building. Remodeling Addition. -._ Repairs - ... No. of Stories .................. Size Septic Tank Type of Tank-_ Feat of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Fit Nature of Water Supply: City—Well (Signed) ___..... Capacity Gals. Amount of Permit s- _______ ..... - �JJ Plum nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ar employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S ''ent, and has coin - plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed .y 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 ars flies by Miami Shores Village. Master Plumber. STATE OF FLORIDA, se. COUNTY OF DADE. Q Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare 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 tac therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or hail materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL ❑ PERMIT N? 15486 Contractor's PLUMBING ❑ License No. ROOFING ❑ Work to be performed under this Permit Owner of Architect Contractor or Builder Legal Lot II Bl. Description Address of Building _ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application 'Icr:for 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 ■;canted 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 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER Subdi- vision Value of Project $ RV Amt. of Permit $ AUTHORITY Permit No C i Date. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein opetified or not. A copy of approved plans and apecificatlona must be kept of building during progress of work. - ( Q J a Vti C p N 7 G Nu•- Street." c Owner's Name and Address __,_ �.�.__ .. _...--. Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_ � y Blarh Street and Number where work is to be performed -No Q 7 6 M . . Street_ q. S ...... . . . .... State work to be performed and purpose of building (By Flaaro)___ -__ -- Z4 7• k P,64 _ Addition__. -... . Repairs No. of Stories.. .. �.... . . New Building Remodeling Amount of Permit $ STATE OF FLORIDA, I ea COUNTY OF DADE. MO,AMO SNORES VOLU,GE PLUMBING INSPECTION DEPARTMENT QPPLOCAJDODJ FOE PdJM(Oh1G PERMIT —7 .,.,J.:.... .. (Sign Size Septic Tank- — -- - - - -- - - - -- - T ype of Tank- - - -- - Feet of Drain Tile._._ .- -.._Dist. Feat of Tank or Drain Field from Well Nature of Water Supply: City - Well.-- _.__------ .-- - -- - - -- -..Size of Soakage Pit Capacity Gels 7 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 5888, Compiled General Laws of Florida Permanent S plement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed y 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, k to ba performed under this permit, as are licensed by Miami Shored Village. (Sipes) - — � - ¢_ a - 2e &..pSsv. P l m Before an the undersigned uthority,, notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 8elel 4 /3 Loss &.e . -� — _.. to me well known, and who, being by me first duly scorn, upon oath d pones and says that he is the.-- �'�s /fie /i} .... ... . ... . of the above described construction, that he has carefully mead the rage g and that :..- did sign the same. and that all facts > s UL A true. P Ftaf2t0A Ay LARG2 // y► MY COMMISSION EXPIRES JAN. 6 - 1978 l/ _ tea y : F-v RTaoary Public, State of Fbmida PIlyliabing Inspector. NOTE: A re- inspection fee of 01.00 will b e maw w h a m c n b sa m by ianprc or =Sox; for fnopectfaaa, as faulty materials end /az workmanship. TOTAL PP 1itTURao CLOOQTO BATH TUBO E/HOW¢RO LAVA TORI¢o SIPoKO SLOP DINK0 LAUNDRY 'rum URIPoALO CATCH BAOIN P LOOR DRAIN DRINKING FOUNT' NO LIOT CHECK —s SEPTIC TANK SEWER CONN. DRAIN PI¢LO SOARAO¢ PIT GR¢A0¢ TRAP SOLAR HEATER D¢¢P W¢LL BPRKLR. SYOT¢C7 Owlk7'O POOL CO N TR. 1 ^ U ,— — LIOT CN¢ca Permit No C i Date. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein opetified or not. A copy of approved plans and apecificatlona must be kept of building during progress of work. - ( Q J a Vti C p N 7 G Nu•- Street." c Owner's Name and Address __,_ �.�.__ .. _...--. Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_ � y Blarh Street and Number where work is to be performed -No Q 7 6 M . . Street_ q. S ...... . . . .... State work to be performed and purpose of building (By Flaaro)___ -__ -- Z4 7• k P,64 _ Addition__. -... . Repairs No. of Stories.. .. �.... . . New Building Remodeling Amount of Permit $ STATE OF FLORIDA, I ea COUNTY OF DADE. MO,AMO SNORES VOLU,GE PLUMBING INSPECTION DEPARTMENT QPPLOCAJDODJ FOE PdJM(Oh1G PERMIT —7 .,.,J.:.... .. (Sign Size Septic Tank- — -- - - - -- - - - -- - T ype of Tank- - - -- - Feet of Drain Tile._._ .- -.._Dist. Feat of Tank or Drain Field from Well Nature of Water Supply: City - Well.-- _.__------ .-- - -- - - -- -..Size of Soakage Pit Capacity Gels 7 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 5888, Compiled General Laws of Florida Permanent S plement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed y 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, k to ba performed under this permit, as are licensed by Miami Shored Village. (Sipes) - — � - ¢_ a - 2e &..pSsv. P l m Before an the undersigned uthority,, notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 8elel 4 /3 Loss &.e . -� — _.. to me well known, and who, being by me first duly scorn, upon oath d pones and says that he is the.-- �'�s /fie /i} .... ... . ... . of the above described construction, that he has carefully mead the rage g and that :..- did sign the same. and that all facts > s UL A true. P Ftaf2t0A Ay LARG2 // y► MY COMMISSION EXPIRES JAN. 6 - 1978 l/ _ tea y : F-v RTaoary Public, State of Fbmida PIlyliabing Inspector. NOTE: A re- inspection fee of 01.00 will b e maw w h a m c n b sa m by ianprc or =Sox; for fnopectfaaa, as faulty materials end /az workmanship. A - ; MOQGM SNORES VOddz©[ P®(6 Ta oral PLUMBING INSPECTION DEPARTMENT a a & °T IAPPLOCQTOOInI FOE PUMMBOM KRAFT MOT 1 � 76-' P ermit No Date..._ .6 °25 7. - 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 opa ified or not. A copy of approved plans and specifications must be kept of building during progress of work. 95th Owneao Name and Address Plumbing Shoff fox I �Fe.ustd.a_- 776 -�I t s4 ee.t Registered Architect and /or Engineer --- Employing Plumber's Name __. Rase -- p-U - -- ;--,- No,.P' -B.9X „ 3 44,,. Location and Legal Description Lot_ Bloat Subdivision _----- '--- _----- _ - - -, -_ Street and Number where work is to be performed -No SI ai' e State work to be performed and purpose of building ()By Flacon) _ New Building Remodeling___ - -____ -_ Addition Sims Septic Tank __— ._--- •----- •--- •--- - - - - -- ._Type of Tank-------- ......... -___ Feat of Drain Tile_ -___- __--__ -- -Dist. Feet of Tank or Drain Field from Well . - Nature of Water Supply: City - Well._-- _- ___________ - -____ __--__-Size of Soakage Pit Amount of Permit $ $8.00 Repairs No. of Stories . .... (Signed)_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati. an employer of labor under the Florida Workmen's Compensation Act, being Section 5888, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on wok to be performed under this permit, as are Iloznsed by Miami Shores Village. (Sites) rz eQ,7 DA-4 eo, Street Capacity Gals r. STATE OF FLORIDA, t 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 depoceo and rays that he in the ._ .___._..... of the above described construction, that be hos carefully read the foregning applicatlen, and that he did sign the same. and that all facts therein by him stated are true. My Commission Expires Rio3nry Public, State of Florida bing Inspector. Master Plumber. NOTE: A re inspection fee of 01.00 will be mach calms B i to Eni3 'IZSZ=Zif by improper natiaa for Gnspez a, cr faulty materials and /cr workmanship. CLOOE TO BATH TUBO SNOWERO LAVA- TORIEO SIPoKO SLOP 131NKO LAUNORY TUDO UR INALO CATCH DAAIN FLOOR DRAIN DRINKING FOUNT'NO TOTAL R IIAYUREO CONTR. LIOT CHOCK SEPTIC TANK SEWER DRAIN CONK. PIELD SOAKAGE PIT ft 0 °$4 GREAOE TRAP 0 00 SOLAR HEATER DEEP WELL SPRKLR. SYOTEIR SW IN'S POOL Coonp, LIDT CHECK g °9U .. UV ibt, sea ' • : • �- 1 MOQGM SNORES VOddz©[ P®(6 Ta oral PLUMBING INSPECTION DEPARTMENT a a & °T IAPPLOCQTOOInI FOE PUMMBOM KRAFT MOT 1 � 76-' P ermit No Date..._ .6 °25 7. - 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 opa ified or not. A copy of approved plans and specifications must be kept of building during progress of work. 95th Owneao Name and Address Plumbing Shoff fox I �Fe.ustd.a_- 776 -�I t s4 ee.t Registered Architect and /or Engineer --- Employing Plumber's Name __. Rase -- p-U - -- ;--,- No,.P' -B.9X „ 3 44,,. Location and Legal Description Lot_ Bloat Subdivision _----- '--- _----- _ - - -, -_ Street and Number where work is to be performed -No SI ai' e State work to be performed and purpose of building ()By Flacon) _ New Building Remodeling___ - -____ -_ Addition Sims Septic Tank __— ._--- •----- •--- •--- - - - - -- ._Type of Tank-------- ......... -___ Feat of Drain Tile_ -___- __--__ -- -Dist. Feet of Tank or Drain Field from Well . - Nature of Water Supply: City - Well._-- _- ___________ - -____ __--__-Size of Soakage Pit Amount of Permit $ $8.00 Repairs No. of Stories . .... (Signed)_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati. an employer of labor under the Florida Workmen's Compensation Act, being Section 5888, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on wok to be performed under this permit, as are Iloznsed by Miami Shores Village. (Sites) rz eQ,7 DA-4 eo, Street Capacity Gals r. STATE OF FLORIDA, t 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 depoceo and rays that he in the ._ .___._..... of the above described construction, that be hos carefully read the foregning applicatlen, and that he did sign the same. and that all facts therein by him stated are true. My Commission Expires Rio3nry Public, State of Florida bing Inspector. Master Plumber. NOTE: A re inspection fee of 01.00 will be mach calms B i to Eni3 'IZSZ=Zif by improper natiaa for Gnspez a, cr faulty materials and /cr workmanship.