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PLUMBINGBUILDING ELECTRICAL PLUMBING Architect Contractor or Builder CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 194.E PERMIT N? 6718 Work to be performed Hander this Permit Owner of Building Contractor's License No. Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building r Project Permit ,. This perm is g rant to the cont ractor or b uilder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granied is the unders 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 - 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 ajid Segii�aJns 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. BY AUTHORITY Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other stricture herein described. This application is made in compliance and conformity with the Building Ordinance of Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rule:; 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 he kept at building during progress of work Owner's Name and Address 1 -. -1• c- - - ---- L - - {�L_ No. r_ ' .. C Street i Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot ______, i C Street and Number where work is to be performed— No.___/./. jl New Building CONTR. LIST CHECK CONTR. LIST CHECK BATH CLOSETS I TUBS SEPTIC SEWER TANK CONN. SHOWERS ;? DRAIN FIELD Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VI LAGE PLUMBING INSPECTION DEPAR - NT APPLICATION FOR PLUMBI'Np PERMIT State work to be performed and purpose of building (By Floors) Remodeling Addition ._ LAVA- TORIES SOAKAGE PIT SINKS 1 GREASE TRAP SOLAR HEATER Type of Tank ?/ DEEP WELL Block SLOP LAUNDRY SINKS TUBS URINALS Size Septic Tank - Feet of Drain Tile _ e l_ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit (Signed) r - - Repaid SPRKLR. SW IM'G SYSTEM POOL ` -* ` Date __ �. _- e ��t r :%Str _.- Subdivisior - f _t Street / . CATCH FLOOR - DkINKIN.; BASIN DRAIN 1 FOUNT NS / G`' No. of Stories ,r 4,11 r n , _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, Conipiled General Law.. of Florida Permanent Supplement, and has com- plied 's ith the provisions thereof, and will require similar compliance from all contractors cr sub- contractors employed by girl in the work to he performed under this permit; and will post or cause to he 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 ti be performed under this permit, as are licensed by Miami Shores Village. _. * / ! , Master Plumber. TOTAL FIXTURES Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida 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 Mat he did sign the salve, and - hat 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. BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description Address of Building Owner of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N2 6718 Work to be performed under this Permit Bl. Subdi- vision Value of Project DATE 194_ Contractor's License No. Amt. of Permit This permit is granteok to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans 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 INSPECTOR In consideration of the issuance to me of this pennit 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. BY AUTHORITY Permit Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner a Name and Address _ __-- _- _— ____._________ —_ - - -- Registered Architect and /or Engineer___ Employing Plumber's Name • No. Location and Legal Description Lot--- __ - - - -- _ .__r _ ___ _ Blork ; Street and Number where work is to be performed —No /.�: State work to be performed and purpose of building (By Floo )__------ .... __ -_ ___--__- ___.___ _ New Building - Remodeling__ _ __ Addition_ Size Septic Tank_ _- _ _ - --- - - -- -- Type of Tank Feet of Drain Tile___ Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. E' OAMO VI ©PEES VILLAGE PLUM MO O INSPECTION DEPARTMENT Q:i)PLCA i ©k1 I WWAMUINO PERMIT No.�____ Pict, Feet of Tank or Drain Field from Well. b (Signed) _ -- " ( Signed) Date - - -- Street Subdivision Street- Repairs No. of Stories_ _ Capacity Gals.__ Nature of Water Supply: City — Well.__-__ ____- __- ....... of .Soakage Pit i The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati /as an employer of labor under the Florida Workmen's Compensation Act, being Section 5888, Compiled General Laws of Florida Pennanen $tipplement, 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 tfie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are lick by Miami Shoes Villago. Street. ! ..... _ (c r My Commission Expires Notary Public, State of Florida Master Plumber. umbing li spectdr. 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 81.00 will be made why ouch re- inspection is made necessary by improper notic-3 for ins! '►, or faulty materials and/ca workmanship. t.'LOIIdYS BATH TUBS S LAVA- TORIES GIN" SLOP SINKS LAUNDRY TU88 U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL Iv CONTR. - -- CHECK Permit Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner a Name and Address _ __-- _- _— ____._________ —_ - - -- Registered Architect and /or Engineer___ Employing Plumber's Name • No. Location and Legal Description Lot--- __ - - - -- _ .__r _ ___ _ Blork ; Street and Number where work is to be performed —No /.�: State work to be performed and purpose of building (By Floo )__------ .... __ -_ ___--__- ___.___ _ New Building - Remodeling__ _ __ Addition_ Size Septic Tank_ _- _ _ - --- - - -- -- Type of Tank Feet of Drain Tile___ Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. E' OAMO VI ©PEES VILLAGE PLUM MO O INSPECTION DEPARTMENT Q:i)PLCA i ©k1 I WWAMUINO PERMIT No.�____ Pict, Feet of Tank or Drain Field from Well. b (Signed) _ -- " ( Signed) Date - - -- Street Subdivision Street- Repairs No. of Stories_ _ Capacity Gals.__ Nature of Water Supply: City — Well.__-__ ____- __- ....... of .Soakage Pit i The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati /as an employer of labor under the Florida Workmen's Compensation Act, being Section 5888, Compiled General Laws of Florida Pennanen $tipplement, 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 tfie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are lick by Miami Shoes Villago. Street. ! ..... _ (c r My Commission Expires Notary Public, State of Florida Master Plumber. umbing li spectdr. 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 81.00 will be made why ouch re- inspection is made necessary by improper notic-3 for ins! '►, or faulty materials and/ca workmanship.