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541 NE 94 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date.: IS Job Address S`} 1 NI E w4 St. Historically Designated: Yes No Master Permit # 7)1 9 0 - Phone C3 05) 7S7 —0g Address c 1sQ Qty 44 c - • Legal Description t' Owner/Lessee / Tenant Yac t e Owner's Address S 4 £ C 4 1%.- Contracting Co.ThQ, 1WQt,J jtann►�9(10fi's Qualifier 1.e,ta tile, 0 G �91n l ail State # (F C 0 % ci xO5 Municipal # Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAJ(PLUMBINGG MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION h � / CA 1''e-- f. Square Ft. Estimated Cost (value) l ice 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 accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. No as to l= • My Commissen Expire d; ` �►� i O F ..OQ.`. II$11 FEES: PERMIT APPROVED: Zoning Mechanical RADON C.C.F. Signa Tax Folio 11 — Ott — O$70 SS# Phone (303 ) '7 5 1...'4 • Notary as to•ontiact My Commist*Nlikyat OF ; ;`e Electrical Ins. Co. BOND TOTAL DUE'_ Date Date Structural Engineer TEM ATH TUB UNIT • FEE ITEM SWITCH CUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE MET - i . LIGHT OUTLETS CENTRAL HEATING 'SMASHER i RECEPTACLES A/C (WIND) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 'INKING FOUNTAIN i SERVICE SIZE IN AMPS SERVICE REPAIR/METER CHANGE OLCT MIRK REFRIGERATION PROCESS AND PRESS PIPING UNOERGROUNO TANKS LOOK GRAIN :EASE TRAP - [ APPLIANCE OUTLETS NTERCEPTOR - i E TOP AVATCRY -- 1 I OVEN ABOVE GROUND TANKS AUNDRY TRAY WATER HEATER U.F. PRESSLRE VESSELS LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS -qpER $ MOTORS OVER 1- 3 HP HOT WATER BOILERS INK, POT /3 014 P. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION INK, RESIOENCE MOTORS OVER S- 8 HP • TRANSPORTING ASSEIr8LIES ELEVATORS/ESCALATORS INK. SLOP j MOTORS OVER 8- 10 HP EWORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS . 'INAL MOTORS OVER 25-100 HP COMING TOWERS 'ATER CLOSET $1 MOTORS OVER 100 HP VIOLATION REINSPECTION NOIRECT WASTES 'N A/C WINOW 'ATER SUPPLY TO: moV /cold (TI AIR CONDITIONERS A/C UNIT rA.. ?: � a STRIP HEATER FIRE SPRJKKLER GENERATORS TRANSFORMERS _ HEATER -NEW INST. ] 1 i GENERATORS TRANSFORMERS HEATER - REPLACE - 1 - GENERATORS TRANSFORMERS LAWN SPRHB(LER -WELL SPECIAL PIRPOSE SWIMMING POOL i i I SETS COMMERCIAL WATER SERVICE i SIGN TUBES 1 EWER COP C'TIONS - i [SIGN TRANSFOUERS TILITY- SEWER - i SIGN TIME CLOCK - rILITY4ATER C FIXTLRES - EPTIC TANG( _ 1 ANTENNA ELAY [ - 8 TELEVISION CUTLETS T i :AIRFIELD, 4' TILE/RES. 1 VIOLATION i 1 .JJP_ & ABANDON SEPTIC TAN( � REINSPECTION JAKAGE PIT CU. FT. i 1 4TCH BASIN ISCHAAGE WELL i i NEST IC WELL :EA CRAIN ( _ - ■ L R WATER HEATER IRE STANDPIPE 0L PIPING - 1 i AWN SPRINKLER SYSTEM l TER SET (GAS) _ _ — .. -.. . �=• ..__.. -.__ ._�__ AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ,peer 23 `f 97-5_ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /2 -2 l Iob Address TV/ N6 9r s/ Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant e /it % Master Permit # J' a L Q Owner's Address Phone Contracting Co. - i a. , f /' /4-21 R/6 Address 2 ,0 ; Q Qualifier 6 //t Ge `6 C , S l �/S-v1. SS# Phone T 7 -1 , State # cxr'_ 0 /9i. f '9 Municipal # Competency # Address Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION iQt/t to / / f, k Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be 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 accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. otary as to Owner and/or Condo President Date My Commission Expires: APPROVED: Zoning Mechanical Plumbing Building Ins. Co. Signature of Contractor or Owner- Builder � ry as to Contractor or Owner- Builder My Commission Expires: Electrical Date Date OFFICIAL NOTARY SEAL NORMA G MORENO NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC360219 MY COMMISSION EXP. MAR. 29,1998 FEES: PERMIT RADON C.C.F. --S NOTARY S TOTAL DUE ( 4CDI".5T- 9 Engineering Permit No N 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. YA A / Owner's Name and Address No. 6 ' Street_.1J&i 9. 6 Registered Architect and /or Engineer ( Its 7 C � ~ / / E i t � d��0 Plumber's N o 0 �� � j r�+ -- rrF/E N. .. -. e... .. ItrNI,._.L. ..1.'+.. .. . ..._ l.OLE'd Leg :. 'ti L ot �' l % B subdivision. _ gQ�. ,��22 A' Street and Number where work is to be performed=No i / 11,-.P Street .l�/_.tZ: ...s7 State work to be performed and purpose of building (By Floors)__.____._. _. ./ _.31 _ _it .` 50'..O F.' .4.'...M. i le New Building.._------- _..__. .... ...._._ Remodeling____...... __.__.___ Addition_. _.__ - -.__ Repairs I.......... No. of Stories . Size Septic Tank__ - Feet of Drain Tile- — Nature of Water Supply: City —WeIL MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT — Type of Tank__ __ _Dist. Feet of Tank or Drain Field from Well..._._ _. ------ •- .--- .- . - Size of of Soakage Pit ( si __ S-0 - .1 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 59813, Compiled General Laws of Florida Perinanent Supplement, and has Corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him In the wore to he performed under this permit; and will post or cause to be posted' for inspection on the site of the wor public notice or notices as err required by the Act. The undersigned agrees to employ only such sub - contractors, , . work to �� under this permit, as are licensed by Miami Shores Village. (Si Master Plumber. STATE OF FLORIDA, t ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly anthorized 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 dips 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 $LOO will be made wham such i..M iaottos le mede by Improper notice for beeped" co faulty materials aad /or workmanship. CLOSETS BATH TOSS SHOWERS a LAVA- TORIES SINKS SLOP SINKS LAUNORY Tuns UR INALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N• TOTAL •IIITURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEV WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No N 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. YA A / Owner's Name and Address No. 6 ' Street_.1J&i 9. 6 Registered Architect and /or Engineer ( Its 7 C � ~ / / E i t � d��0 Plumber's N o 0 �� � j r�+ -- rrF/E N. .. -. e... .. ItrNI,._.L. ..1.'+.. .. . ..._ l.OLE'd Leg :. 'ti L ot �' l % B subdivision. _ gQ�. ,��22 A' Street and Number where work is to be performed=No i / 11,-.P Street .l�/_.tZ: ...s7 State work to be performed and purpose of building (By Floors)__.____._. _. ./ _.31 _ _it .` 50'..O F.' .4.'...M. i le New Building.._------- _..__. .... ...._._ Remodeling____...... __.__.___ Addition_. _.__ - -.__ Repairs I.......... No. of Stories . Size Septic Tank__ - Feet of Drain Tile- — Nature of Water Supply: City —WeIL MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT — Type of Tank__ __ _Dist. Feet of Tank or Drain Field from Well..._._ _. ------ •- .--- .- . - Size of of Soakage Pit ( si __ S-0 - .1 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 59813, Compiled General Laws of Florida Perinanent Supplement, and has Corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him In the wore to he performed under this permit; and will post or cause to be posted' for inspection on the site of the wor public notice or notices as err required by the Act. The undersigned agrees to employ only such sub - contractors, , . work to �� under this permit, as are licensed by Miami Shores Village. (Si Master Plumber. STATE OF FLORIDA, t ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly anthorized 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 dips 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 $LOO will be made wham such i..M iaottos le mede by Improper notice for beeped" co faulty materials aad /or workmanship. s .s i t 7 . / t a ri' Permit No Z 9 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date..._.. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. YPt2L k Owners Name and Address Registered Architect and /or Engineer M M IAI "nee' ,8/011 Employing Plumber's Location and Legal Description Lot Street and Number where work is to be performed —No 54. No S4-1 street.. E 7 A lit Blo.4 SubdivLdon. _ State work to be performed and purpose of building (By Floon)__.___.--15 .6.X__. SQ New Building--. - _ .___ Remodeling_—__._.__..__ Addition. _ Repain. No. of Stories .................. . Size Septic Tank— Type of Tank____ Feet of Drain Tile test Feet of Tank or Drain Field from Welk..._•------ __...._ Nature of Water Supply: City—Well. Size of Soakage Pit Amount of Permit $ (Signed)_ ' 1.6-1/ ..... _ . 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 5986, Compiled General Laws of Florida Permanent Supplement, and hat corn- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors toyed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the si e of the work ch •ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, . .. k to • - pert • under this permit, as are licensed by Miami Shores Village. (Si STATE OF FLORIDA, l COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ._.__.._ .._.._.- •-- -. - -.• - - . -- - -- _ -• of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission E Notary Public, State of Florida NOTE: A re- inspection fee of $LAO will be made wham amok srrispeotba Y m.delseeewary by bripropee notice for Impaction, or faulty materials and /or workmanship. Master Plumber. CLesrTs BATH Tuns aa NOW[R LAVA• Topics SINK• SLOP SINKS LAUNDRY Tuna "NA" CATCH BASIN FLOOR DRAIN DRINKING FOUNT NS TOTAL PIITUREa Corers. LIST CHICK SEPTIC TANK SEWER CONK. DRAIN FIELD SOAKAOI PIT G TRAP SOLAR HEATER DRIP WILL SPRKLR. SYSTEM SW IM•O POOL CONTR. LIST CHECK s .s i t 7 . / t a ri' Permit No Z 9 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date..._.. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. YPt2L k Owners Name and Address Registered Architect and /or Engineer M M IAI "nee' ,8/011 Employing Plumber's Location and Legal Description Lot Street and Number where work is to be performed —No 54. No S4-1 street.. E 7 A lit Blo.4 SubdivLdon. _ State work to be performed and purpose of building (By Floon)__.___.--15 .6.X__. SQ New Building--. - _ .___ Remodeling_—__._.__..__ Addition. _ Repain. No. of Stories .................. . Size Septic Tank— Type of Tank____ Feet of Drain Tile test Feet of Tank or Drain Field from Welk..._•------ __...._ Nature of Water Supply: City—Well. Size of Soakage Pit Amount of Permit $ (Signed)_ ' 1.6-1/ ..... _ . 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 5986, Compiled General Laws of Florida Permanent Supplement, and hat corn- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors toyed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the si e of the work ch •ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, . .. k to • - pert • under this permit, as are licensed by Miami Shores Village. (Si STATE OF FLORIDA, l COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ._.__.._ .._.._.- •-- -. - -.• - - . -- - -- _ -• of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission E Notary Public, State of Florida NOTE: A re- inspection fee of $LAO will be made wham amok srrispeotba Y m.delseeewary by bripropee notice for Impaction, or faulty materials and /or workmanship. Master Plumber. • MIAMI SHORES VILLAGE, FLORIDA • BUILDING ❑ ELECTRICAL ❑ PLUMBING PERMIT N9 5176 6 Confiacto= s License No. t tro ROOFING ❑ ❑ Work to be performed under this Perini Owner of Building 1 Architect Contractor r, or Builder Legal Lot Description CONTRACTOR OR BUILDER B1 J Subdi- vision Address of ! Value of II Amount of ' Building • • ' �` • ,' '1 -- '` Project $— I I Permit $ 7 • .) This permit is granted to the contractor or b 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 specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed BY AUTHORITY L.. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance sdith all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac. cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. ABBOT JOB: • BUILDING • • ELECTRICAL . • PLUMBING • The following is ready for Inspection: - Inspector's Report : - • ▪ WORK • ▪ DONE BY: :REQUESTED � 4, -/1" , a WILL BE READY 1 JOB: BUILDING ELECTR ICAL PLUMBING • • • • • . The following is ready for Inspection: Inspector's Report : - AD: . • • • WORK : • DONE BY: :REQUESTED : : : 0,,,a+o-ii; : : : / # ;•:. 7.14) WILL BE READY JOB: BUILDING • • ELECTRICAL : • • : WORK PLUMBING • G/ : DONE BY: • • • �-` / / ! f Inspector's Report: • • • • • • • • • • REQUESTED • • • : • • • • • AD: The following ready is read for Inspection: _.6 - WILL BE READY /7/ Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bui mg or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores V lage, 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 B ilding Division of Miami Shores Village shall be complied with, wh er ht'rein cified 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 Engineer Employing Plumber's Name f 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_ i n 4 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 Amount of Permit $ F APPLICATION FOR PLUMBING PERMIT Date { 1, Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that ate understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be perform under this permit, as a„.1 licensed by Miami Shores Village. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT P No Street .1 la.4.4j Pe - t ----- -�-- ---- ��– -- —� � ' No.,d�.l.._3_ – 7# r 1 ' 'Street - (Signed) (Signed) 7 Repairs "'L1A 1 5 ) Subdiv io ,re Street Notary Public. State of Florida No. of Stories__- Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that 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 NN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK t Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bui mg or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores V lage, 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 B ilding Division of Miami Shores Village shall be complied with, wh er ht'rein cified 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 Engineer Employing Plumber's Name f 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_ i n 4 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 Amount of Permit $ F APPLICATION FOR PLUMBING PERMIT Date { 1, Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that ate understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be perform under this permit, as a„.1 licensed by Miami Shores Village. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT P No Street .1 la.4.4j Pe - t ----- -�-- ---- ��– -- —� � ' No.,d�.l.._3_ – 7# r 1 ' 'Street - (Signed) (Signed) 7 Repairs "'L1A 1 5 ) Subdiv io ,re Street Notary Public. State of Florida No. of Stories__- Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that 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. Permit No.. `__t,..2 New Building —__ Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT t No.- —_ 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 ._ . Amount of Permit $ (Signed) Date_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Street—:—. _ —e' Registered Architect and /or Engineer —____,d___---_—_____________________ __________— _______________ —____ Employing Plumber's Name ____,:_1_____ —_,4_ No.______— _________ ______—_ Street_'_ —_ ! •._ ___ ' Location and Legal Description Lot__ __ ,;`___ :_, ___ , _____Block_— " Subdipy�cion— '_ . w _______ d / Street and Number where work is to be ____ . J Street pe rformed— No. t---- �---- - ! . - -- - - - -_ -_ �' .. State work to be performed and purpose of building (By Floors) Remodeling Addition Repaits No. of Stories_ Capacity Gals.__— _______. -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) - - =- - -- —_ Master Plumber. 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. 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST t CHECK t / SEPTIC TANK SEWER CONN. DRAIN FI EL _ SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST CHECK Permit No.. `__t,..2 New Building —__ Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT t No.- —_ 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 ._ . Amount of Permit $ (Signed) Date_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Street—:—. _ —e' Registered Architect and /or Engineer —____,d___---_—_____________________ __________— _______________ —____ Employing Plumber's Name ____,:_1_____ —_,4_ No.______— _________ ______—_ Street_'_ —_ ! •._ ___ ' Location and Legal Description Lot__ __ ,;`___ :_, ___ , _____Block_— " Subdipy�cion— '_ . w _______ d / Street and Number where work is to be ____ . J Street pe rformed— No. t---- �---- - ! . - -- - - - -_ -_ �' .. State work to be performed and purpose of building (By Floors) Remodeling Addition Repaits No. of Stories_ Capacity Gals.__— _______. -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) - - =- - -- —_ Master Plumber. 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. 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. BUILDING ELECTRICAL PLUMBING Owner of wilding hitect actor 'der 7tion ss of ng Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 2590 Work to be performed under this Permit Bl. Subdi- vision Value of Project DATE 194 " Cy Contractor's License No. • E Amt. of Permit his permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the ion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance y plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may ked 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 hich this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of inances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and assumes responsibility for work done by his agents, servants or employees. .x Signed: By INSPECTOR ' consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- raining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami S In accepting this per�}iit I assume responsibility for all work done by either myself, my agent, servant or employee. r 1 CONTRACTOR OR BUILDER J I> A RITY BUILDING ❑ ELECTRICAL PLUMBING ROOFING ❑ Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 15365 Work to be performed under this Permit Architect Contractor or Builder k ' Legal Lot II Bl. Description Address of J e -4 Building Subdi- vision Value of Project $ DATE Contractor's License No Amt. of Permit $ 3 195 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A 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. r: 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 a4cepting this permit I assume respons Jilitp for all work done by either', myself, my,agen servant or employee. CONTRACTOR 0 lt BUILDER BY" " AUTHORITY Permit No.. _ - - - 4 Owner's Name and Address. New Building. _ -_ Remodeling Feet of Drain Tile Size Septic Tank - Type of Tank_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. — Size of Soakage Pit ( Signed Repairs. Date Y7 /sue 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. No. -- _...`�? Street -= = -- 1-- A - • Registered Architect and /or Engineer ______ ._____ _.____...._____.__. Employing Plumber's f J . i s Nam . - _ .t !?� �c o_Y�_T f_. �/ (,� � - - - )9 e t 4 - ) / � s No._ .._.__._.._._ Street__ Ll _ _ Location and Legal Description Lot.____..._.._.- ...______._ _____ _.__-- .. ----_ Bl __ .._.. Subdivision Street and Number where work is to be performed —No. �� � _S %�L' —`� ....__.. L Street. - - -•- .................... - State work to be performed and purpose of building (By Floors)_ Capacity Gals. -------------------- My Commission Expires Notary Public, State of Florida No. of Stories Amount of Permit $- — ..------- -• - - -- — ( Signed)_-___ �� — -r' � 2 _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga +ions as at. 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. aster Plumber. STATE OF FLORIDA, ss, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally dppeare 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 tar 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 Ltd materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES S SLOP SINES LAUNDRY TUDS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS *DSG a TOTAL FocruseI CONTR. LIST / / / 2 3 CHECK / 60. 11 7�© k SEPTIC TANK SEWER CONN. DRAIN PIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM - G POOL CONTR. LIST CHECK Permit No.. _ - - - 4 Owner's Name and Address. New Building. _ -_ Remodeling Feet of Drain Tile Size Septic Tank - Type of Tank_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. — Size of Soakage Pit ( Signed Repairs. Date Y7 /sue 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. No. -- _...`�? Street -= = -- 1-- A - • Registered Architect and /or Engineer ______ ._____ _.____...._____.__. Employing Plumber's f J . i s Nam . - _ .t !?� �c o_Y�_T f_. �/ (,� � - - - )9 e t 4 - ) / � s No._ .._.__._.._._ Street__ Ll _ _ Location and Legal Description Lot.____..._.._.- ...______._ _____ _.__-- .. ----_ Bl __ .._.. Subdivision Street and Number where work is to be performed —No. �� � _S %�L' —`� ....__.. L Street. - - -•- .................... - State work to be performed and purpose of building (By Floors)_ Capacity Gals. -------------------- My Commission Expires Notary Public, State of Florida No. of Stories Amount of Permit $- — ..------- -• - - -- — ( Signed)_-___ �� — -r' � 2 _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga +ions as at. 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. aster Plumber. STATE OF FLORIDA, ss, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally dppeare 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 tar 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 Ltd materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder. Legal Lot Bl. Description Address of Building /J MIAMI SHORES VILLAGE, FLORIDA DATE � '"' 194,4 PERMIT N9 2606 Work to be performed under this Permit Subdi- vision Value of Project Amt. of Permit • r Contractor's License No. r' d This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A 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 cohered 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: r �•• - 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 regula- tions 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 BY AUTHORITY Application is hereby made for the approval of the detailed statement of the plans and specifications her ng or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores V lage, 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 B ilding Division of Miami Shores Village shall be complied with, wheker rein cified or not. A copy of approved plans and specifications must be kept at building during progress of work. 1 ` f 0111. +fir - ✓ r �' � j Owner's Name and Address ___ w • ,? �_'� _ No.__ Registered Architect and /or Engineer "L'° Employing Plumber's Name _/ ? . Location and Legal Description Lot �� '� lock Street and Number where work is to be performed MIAM PLL. INSPECTION DEPARTMENT PLICATION FOR PLUMBING PERMIT Date 10 .� It. with sub for the bui i State work to be performed and purpose of building (By Floors) _______________ New Building Remodeling ___ Addition ti SHORES VI LLAG E Size Septic Tank ..62 Type of Tank .__ #" •"t. Feet of Drain Tile___ '_ —_�__ Dist. Feet of Tank or Drain Field from Well The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such materials and /or workmanship. t i 11/ • ivy • Streeter_ -_- • ,„ .., „( fat Street - -A1 ' -- — ; 7 46.* Street_ I% s • Subdiv ion�L --`' ! ___ __ - r Repairs No. of Capacity Gals._ Nature of Water Supply: CityfrWel1 _____ __ Size of Soakage Pit _____ _____�_________� 7 7 Amount of Permit $ (Sig :.„/ ` ^ -E -- =yA11.` P lnmbing Inspector. rtify that understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performesi under this permit, u a (Signed)/ v_a , r - w P''! i Master Plumber. Notary Public. State of Florida E STATE OF FLORIDA, } V 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. re- inspection is made necessary by improper notice for inspection, or faulty 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 ONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK i Application is hereby made for the approval of the detailed statement of the plans and specifications her ng or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores V lage, 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 B ilding Division of Miami Shores Village shall be complied with, wheker rein cified or not. A copy of approved plans and specifications must be kept at building during progress of work. 1 ` f 0111. +fir - ✓ r �' � j Owner's Name and Address ___ w • ,? �_'� _ No.__ Registered Architect and /or Engineer "L'° Employing Plumber's Name _/ ? . Location and Legal Description Lot �� '� lock Street and Number where work is to be performed MIAM PLL. INSPECTION DEPARTMENT PLICATION FOR PLUMBING PERMIT Date 10 .� It. with sub for the bui i State work to be performed and purpose of building (By Floors) _______________ New Building Remodeling ___ Addition ti SHORES VI LLAG E Size Septic Tank ..62 Type of Tank .__ #" •"t. Feet of Drain Tile___ '_ —_�__ Dist. Feet of Tank or Drain Field from Well The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such materials and /or workmanship. t i 11/ • ivy • Streeter_ -_- • ,„ .., „( fat Street - -A1 ' -- — ; 7 46.* Street_ I% s • Subdiv ion�L --`' ! ___ __ - r Repairs No. of Capacity Gals._ Nature of Water Supply: CityfrWel1 _____ __ Size of Soakage Pit _____ _____�_________� 7 7 Amount of Permit $ (Sig :.„/ ` ^ -E -- =yA11.` P lnmbing Inspector. rtify that understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performesi under this permit, u a (Signed)/ v_a , r - w P''! i Master Plumber. Notary Public. State of Florida E STATE OF FLORIDA, } V 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. re- inspection is made necessary by improper notice for inspection, or faulty A 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 of work. Permit No. ut ing uring progress o wor /� �� Owner's Name and Address ___ l ��:��/' _ Registered Architect and /or Engineer / t . ' i1 - - ' • No. -/ Location and Legal Description Lot J1 Y��.____r Block -� — Subd' ' 'on____t __ �'t' Street and Number where work is to be performed —No != ____ – Street 4 Employing Plumber's Name — State work to be performed and purpose of building (By Floors) New Building_ _____[�!_ _ ______ Remodeling___ Addition Repai —___ No. of Size Septic Tank Amount of Permit $ "mow MIAMI H O RES VILLAGE PLU G. INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT My Commission Expires No. ________ Street & / __ _ s Date_ Type of Tank _____.____._____ _______ ___ _____ ___________— Capacity Gals Feet of Drain Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. _— _ ____ Size of Soakage Pit Notary Public. State of Florida 9 - (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under licensed by Miami Shores Village. (Signed) j — _— xx this permit, as Master Plumber. are 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 be 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 CHECK 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 of work. Permit No. ut ing uring progress o wor /� �� Owner's Name and Address ___ l ��:��/' _ Registered Architect and /or Engineer / t . ' i1 - - ' • No. -/ Location and Legal Description Lot J1 Y��.____r Block -� — Subd' ' 'on____t __ �'t' Street and Number where work is to be performed —No != ____ – Street 4 Employing Plumber's Name — State work to be performed and purpose of building (By Floors) New Building_ _____[�!_ _ ______ Remodeling___ Addition Repai —___ No. of Size Septic Tank Amount of Permit $ "mow MIAMI H O RES VILLAGE PLU G. INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT My Commission Expires No. ________ Street & / __ _ s Date_ Type of Tank _____.____._____ _______ ___ _____ ___________— Capacity Gals Feet of Drain Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. _— _ ____ Size of Soakage Pit Notary Public. State of Florida 9 - (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under licensed by Miami Shores Village. (Signed) j — _— xx this permit, as Master Plumber. are 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 be 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. u' � � / Permit No.___142 3 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_____ _ ...... 1 ____ — Street -LP 2. V J - . -- Registered Architect and /or Engineer ___________ . 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 Size Septic Tank Feet of Drain Tile__ Nature of Water Supply: City —Well Amount of Permit $_ — STATE OF FLORIDA, } ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.--- l -- - Street .4' . ... Block ,r/.0,1 r. Type of Tank__ Capacity Gals. _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)_ Plumhmg- Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this pennit. as are licensed by Miami Shores Village. Date — Subdivision.__- _ - -- Street Repairs_ No. of Stories.. _... ......... . _.. My Commission Expires Notary Public, State of Florida 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 • nerm.qcary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIl6 SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BA81N FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Permit No.___142 3 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_____ _ ...... 1 ____ — Street -LP 2. V J - . -- Registered Architect and /or Engineer ___________ . 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 Size Septic Tank Feet of Drain Tile__ Nature of Water Supply: City —Well Amount of Permit $_ — STATE OF FLORIDA, } ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.--- l -- - Street .4' . ... Block ,r/.0,1 r. Type of Tank__ Capacity Gals. _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)_ Plumhmg- Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this pennit. as are licensed by Miami Shores Village. Date — Subdivision.__- _ - -- Street Repairs_ No. of Stories.. _... ......... . _.. My Commission Expires Notary Public, State of Florida 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 • nerm.qcary by improper notice for inspection, or faulty materials and /or workmanship. • BUILDING ELECTRICAL PLUMBING ROOFING, Owner of — Building MIAMI SHORES VILLAGE, FLORIDA ° PERMIT N9 6330 Contractor's License No tJz,r Architect Contractor or Builder ( Legal Lot Description Work to be performed under this Permit 1 r; DATE 4- 1 1- `Qi 19 Subdi- vision Address of t r : Value of 11 Amount of Building = 4 '-i 1 + ( ( : ! � 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 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 specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. +: r. _` . _y�,.. 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 ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY AO POT s MIAMI SHORES VILLAGE, FLA. NO 5896' JOB ADDRESS -4 , INSPECTION INSPECTOR TIME READY M D - L7 REMARKS : DATE • Permit No. _._, _ 1_27 Date__ AeR ik4 ff_/ 964 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 d f during progress o work. Owner's Name and Address fffV UAR T Registered Architect and /or Engineer Employing Plumber's Name/ v J WI 1 P1O NAT - C' a>, 7 &)( No l 76 Street —� - 56 Location and Legal Description Lot... B1or& Subdivision Street and Number where work is to be performed — No. N5 / Street - ___ -- State work to be performed and purpose of building (By Floors)._ /0_ _�L. �C�2{� --- Ql / _._/iSN�nO� . CHI New Building___________ Remodeling_..___. Addition...___. - _---_---.. Repairs 1.000 No. of Stories -- - ...---- .•--- •• - - - - -- Size Septic Tank- — , _ _________Type e of Tank__._ Feet of Drain Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City—Well. Amount of Permit $ 00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Si No 541 Street_ -- ' _ • Capacity Gals 1 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 Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors - .. ed 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 ch p ..lic notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contra • Q work to . perfo . ed under this permit, as are Beamed 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. 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 wadmmanship. CLOSETS TUB„ TUBS SHOWER„ LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tuss U RINALS CATCH BA„tN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE„ comm. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD .SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL f CONTR. LIST CHECK • Permit No. _._, _ 1_27 Date__ AeR ik4 ff_/ 964 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 d f during progress o work. Owner's Name and Address fffV UAR T Registered Architect and /or Engineer Employing Plumber's Name/ v J WI 1 P1O NAT - C' a>, 7 &)( No l 76 Street —� - 56 Location and Legal Description Lot... B1or& Subdivision Street and Number where work is to be performed — No. N5 / Street - ___ -- State work to be performed and purpose of building (By Floors)._ /0_ _�L. �C�2{� --- Ql / _._/iSN�nO� . CHI New Building___________ Remodeling_..___. Addition...___. - _---_---.. Repairs 1.000 No. of Stories -- - ...---- .•--- •• - - - - -- Size Septic Tank- — , _ _________Type e of Tank__._ Feet of Drain Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City—Well. Amount of Permit $ 00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Si No 541 Street_ -- ' _ • Capacity Gals 1 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 Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors - .. ed 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 ch p ..lic notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contra • Q work to . perfo . ed under this permit, as are Beamed 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. 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 wadmmanship. Permit / .7 11 / 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. (.0 2 2 Co deStg Owner's Name and Address Registered Architect and/or Engin Employing Plumber's Name Location and Legal Description Street and Number where work is to be performed—No State work to be performed and purpose o g (By Floors)____ New Building Remodeling Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: City—Well. Amount of Permit $ STATE OF FLORIDA, 88. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 9 Street_ Block L4. Subdivision .... _ E Y street (Signed) (Signed)_ Date .... .... ........... Addition_______ Repairs_ No. of Stories. Type of Tank_ Capacity Gals __Dist. Feet of Tank or Drain Field from Well... ...... ___________ ................. ........... _ _ _Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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. CLOSETS BATH Tues SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS elat%' 1.._, TOTAL FIXTURES CONTR. LIST / CHECK -- SEPTIC TANK SEWER CONN. DRAIN r IEL D SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POO L !- CONTR. LIT 1 CHECK Permit / .7 11 / 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. (.0 2 2 Co deStg Owner's Name and Address Registered Architect and/or Engin Employing Plumber's Name Location and Legal Description Street and Number where work is to be performed—No State work to be performed and purpose o g (By Floors)____ New Building Remodeling Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: City—Well. Amount of Permit $ STATE OF FLORIDA, 88. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 9 Street_ Block L4. Subdivision .... _ E Y street (Signed) (Signed)_ Date .... .... ........... Addition_______ Repairs_ No. of Stories. Type of Tank_ Capacity Gals __Dist. Feet of Tank or Drain Field from Well... ...... ___________ ................. ........... _ _ _Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1 7 Date..._. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. //!! � Owner's Name and Address \ /A._ s.. No. Permit No.../ 37 d Registered Architect and /or Engineer Employing Plutnber's Nrt[itg _ 1-- 1n11`/ 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_ Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. slreet.2 g - .AS ST Block Subdivision S ` Street Remodeling____.___..__ ._ ___ Addition_____.._ _.._ Repairs___ v 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) - - n L (Signed) Plumber. v %) S f tic/ //s etri• ,C/-/ street__.2Le _ ./ _!_�°7'. No. of Stories. 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 5966, Compiled General Laws of Florida Perinanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo performed under this permit; and will post or cause to be posted' for inspection on the site of the work such required by the Act. The undersigned agrees to employ only such sub - contractors, on to be perf licensed by Miami Shores Village. by him in the work to be notice or notices as are mit, as are 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 dep oses 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 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 wo Notary Public, State of Florida • CLOSETS BATS TUBS SHOWERS LAVA- RI TOEB INKS SLOP SINKB LAUNDRY Tung URINALS CATCH BASIN FLOOR DRAIN DRINK NG FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK - -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL I CONTR. LIGT CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1 7 Date..._. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. //!! � Owner's Name and Address \ /A._ s.. No. Permit No.../ 37 d Registered Architect and /or Engineer Employing Plutnber's Nrt[itg _ 1-- 1n11`/ 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_ Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. slreet.2 g - .AS ST Block Subdivision S ` Street Remodeling____.___..__ ._ ___ Addition_____.._ _.._ Repairs___ v 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) - - n L (Signed) Plumber. v %) S f tic/ //s etri• ,C/-/ street__.2Le _ ./ _!_�°7'. No. of Stories. 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 5966, Compiled General Laws of Florida Perinanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo performed under this permit; and will post or cause to be posted' for inspection on the site of the work such required by the Act. The undersigned agrees to employ only such sub - contractors, on to be perf licensed by Miami Shores Village. by him in the work to be notice or notices as are mit, as are 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 dep oses 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 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 wo Notary Public, State of Florida • Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ° p2/ -®gZ. Time Type Insp'n � , / j4 Pr. ga5 5L6 Permit No. Name ed e Address , 5 / ! Q � 7 ' St' Company a 5 pp -757 44. / a � For Inspector: 2 Name & Date o° Approv Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date oZ 2Q 42 Time Type Insp'n 44941 J — /% /Y Permit No. G ®� Z` c Name Address y � /t/6 W J Company )&e:e2frif Phone # . . For Inspector:, � j /.- o 2 Name & Date Address Com Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 0 2 19 eG Time bti -14/ P ,ZO 2 - 6 Date Type Insp'n Permit No. Name P Yevee s /4"' 9f sY"' Phone # )'3 7J 7 pZ Y For Inspector: A _ �5' 2 Name & Date Approved ❑ /fr