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1234 NE 96 StJOB: AD: BUILDING ELECTRICAL PLUMBING • • • • Inspector's Report: - WORK • ▪ DONE BY • • • • • REQUESTED . • • • • ' � < • • The following is ready for Inspction: - WILL BE READY JOB: AD: BUILDING ELECTRICAL PLUMBING • • • The following is ready for Insrection: Inspector's Report: - c • WORK • • DONE BY t • • RE ,UESTED • • WILL BE READY • • • OW JOB: AD: BUILDING ELECTRICAL PLUMBING WORK DONE BY - REQUESTED The following is ready for Inspection: Inspectorls Report: - • • • WILL BE READY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT � APPLICATION FOR PLUMBING PERMIT / Gd Permit No., C __ Datc.J2L/ 0d 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 __ �_�C�'�'�!raie!e �____________ No Registered Architect and /or E s neer Employing Plumber's Name — ___ - -_ — No. Street_ Location and Legal Description Lot T/ Block eF Subdivision Street and Number where work is to be performed— No.__ –_____/. . -i State work to be performed and purpose of building (By Floors) New ______ Addition Repairs __._ No. of Stories__ " Size Septic Tank_ & 1' X 2 At• __.__ Type of Tank Feet of Drain Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: Cit Well.___-- -_— Size of Soakage Pit Street__ My Commission Expires (Signed) Capacity Gals Amount of Permit S_— ___�tt._ �r______�______ (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 this permit, u are licensed by Miami Shores Village. Street_ Notary Public. State of Florida Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. es ' 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 .__W__ 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 4. r 3 , / / / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT � APPLICATION FOR PLUMBING PERMIT / Gd Permit No., C __ Datc.J2L/ 0d 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 __ �_�C�'�'�!raie!e �____________ No Registered Architect and /or E s neer Employing Plumber's Name — ___ - -_ — No. Street_ Location and Legal Description Lot T/ Block eF Subdivision Street and Number where work is to be performed— No.__ –_____/. . -i State work to be performed and purpose of building (By Floors) New ______ Addition Repairs __._ No. of Stories__ " Size Septic Tank_ & 1' X 2 At• __.__ Type of Tank Feet of Drain Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: Cit Well.___-- -_— Size of Soakage Pit Street__ My Commission Expires (Signed) Capacity Gals Amount of Permit S_— ___�tt._ �r______�______ (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 this permit, u are licensed by Miami Shores Village. Street_ Notary Public. State of Florida Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. es ' 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 .__W__ 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. Owner's Name and Address Registered Architect and /or Engi Employing Plumber's Name _____ Size Septic Tan Feet of Drain Tile —__ /_ ■3 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City =Well. __________________ _ — _ Size of Soakage Pit STATE OF FLORIDA, COUNTY OF DADE. ss. , --MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT /6 7s- Date My Commission Expires No Street Type of Tank . (Signed) 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 Rith, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of vi No..i .34 _ — Street -- .. .4 Location and Legal Description Lot _______ _w _ ___ __Block Su — Street and Number where work is to be performed— No. Street.— State work to be performed and purpose of building (By Floors) New Building______________ Remodeling — _- Addition Repairs No. of Stories___ —._ —. Capacity Amount of Permit S_ (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 ork to be perforn ed under s 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 face therein by him stated are true. Notary Public. State of Florida Od Master Plumber. 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 T BATN ... LAVA. SLOP SINKS LAUNDRY T1 � 8 1 URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST V - CHECK . SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK , . -. L AA's Permit No. Owner's Name and Address Registered Architect and /or Engi Employing Plumber's Name _____ Size Septic Tan Feet of Drain Tile —__ /_ ■3 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City =Well. __________________ _ — _ Size of Soakage Pit STATE OF FLORIDA, COUNTY OF DADE. ss. , --MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT /6 7s- Date My Commission Expires No Street Type of Tank . (Signed) 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 Rith, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of vi No..i .34 _ — Street -- .. .4 Location and Legal Description Lot _______ _w _ ___ __Block Su — Street and Number where work is to be performed— No. Street.— State work to be performed and purpose of building (By Floors) New Building______________ Remodeling — _- Addition Repairs No. of Stories___ —._ —. Capacity Amount of Permit S_ (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 ork to be perforn ed under s 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 face therein by him stated are true. Notary Public. State of Florida Od Master Plumber. 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. 4 1 y . 'r' f ". • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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's Name and Address --� _ No.--- �, _r_O� Registered Architect and /or Engineer W ... T I� 3 Streec. Employing Plumber's Name ____ — No street _ ; ,�, �_ i s - - - _nip-4 -119 . Location and Legal Description at_________________ _ Block Subdivision PI Street and Number where work is to be performed —No y - St . m State work to be performed and purpose of building (By Floors) —_ New Building_ Size Septic Tank_ Feet of Drain Tile —_— Nature of Water Supply: City —Well. Amount of Permit S_ Remodeling Addition____ Repairs �! Type of Tank Dist. Feet of Tank or Drain Field from Well__ Size of Soakage Pit (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 this permit, u are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. es ' My Commission Expires (Signed) D ate — ,_ ... Capacity Gals._ Notary Public. State of Florida No. of Stories______ _. • f. acknowledgments, r g , pe y Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take appeared ______Y — .�__ 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 DRINK! NO FOUNT' NS TOTAL FIXTURES CoNTR. LIST --- /}- ♦ f CHECK SEPTTIIC TANK J / DRAIN FIELD SOAK PIT REASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHECK • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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's Name and Address --� _ No.--- �, _r_O� Registered Architect and /or Engineer W ... T I� 3 Streec. Employing Plumber's Name ____ — No street _ ; ,�, �_ i s - - - _nip-4 -119 . Location and Legal Description at_________________ _ Block Subdivision PI Street and Number where work is to be performed —No y - St . m State work to be performed and purpose of building (By Floors) —_ New Building_ Size Septic Tank_ Feet of Drain Tile —_— Nature of Water Supply: City —Well. Amount of Permit S_ Remodeling Addition____ Repairs �! Type of Tank Dist. Feet of Tank or Drain Field from Well__ Size of Soakage Pit (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 this permit, u are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. es ' My Commission Expires (Signed) D ate — ,_ ... Capacity Gals._ Notary Public. State of Florida No. of Stories______ _. • f. acknowledgments, r g , pe y Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take appeared ______Y — .�__ 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 _ `'7i 4 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 � ' — f ' t t No. C 9p Registered Architect and /or Engine Employing Plumber's Name Feet of Drain Tile r-- Size Septic Tank Type of Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date 1 Z !! ,2 4 Streetal_i ^ C7.1 I Location and Legal Description Lot _ I Block Q"- Street and Number where work is to be performed —No._ t ?_4,K5 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs No. of Stories r -- 4' 4. Capacity Gals. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well .Size of Soakage Pit. of Permit $ -- 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. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly appeared s s. My Commission Expires (Signed) Le Plumbing Inspector. rtify that he 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, cyt ,, pJ�rk to per rmed under this permit, as are . r► � 't. (Signed rL #_ `it ! 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 therein by him stated are true. Street /°." - j # / Subdivision _____ 4_'____ ( Street authorized to administer oaths and take acknowledgments, personally Notary Public, State of Florida Master Plumber. tr the same, and that all facts 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 Permit No _ `'7i 4 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 � ' — f ' t t No. C 9p Registered Architect and /or Engine Employing Plumber's Name Feet of Drain Tile r-- Size Septic Tank Type of Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date 1 Z !! ,2 4 Streetal_i ^ C7.1 I Location and Legal Description Lot _ I Block Q"- Street and Number where work is to be performed —No._ t ?_4,K5 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs No. of Stories r -- 4' 4. Capacity Gals. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well .Size of Soakage Pit. of Permit $ -- 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. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly appeared s s. My Commission Expires (Signed) Le Plumbing Inspector. rtify that he 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, cyt ,, pJ�rk to per rmed under this permit, as are . r► � 't. (Signed rL #_ `it ! 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 therein by him stated are true. Street /°." - j # / Subdivision _____ 4_'____ ( Street authorized to administer oaths and take acknowledgments, personally Notary Public, State of Florida Master Plumber. tr the same, and that all facts 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 Permit No/ / _ __ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. q Owner's Name and Address ( • / ` ' < < 1 No. / 1 3 U Street _ Registered Architect and /or Engineer A Employing Plumber's Name No. Street 1'._ . C _.__;_ 7 , Location and Legal Description Lot ' ' Mock // Subdivision Street and Number where work is to be performed— No. ___1.1 -_ _3_ r: ' J • State work to be performed and purpose of building (By Floors) c New Building Remodeling Addition Size Septic Tank Feet of Drain Tile___3 U. STATE OF FLORIDA, t COUNTY OF DADE. Type of Tank SS. f / 4f Dist. Feet of Tank or Drain Field from Well Street Date N.. - ' 1;Aa f} !NC. , Fib. Repairs No. of Stories Capacity Gals. __1 - __ Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $ (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 hint 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. (Signed) Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 Tuns 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 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No/ / _ __ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. q Owner's Name and Address ( • / ` ' < < 1 No. / 1 3 U Street _ Registered Architect and /or Engineer A Employing Plumber's Name No. Street 1'._ . C _.__;_ 7 , Location and Legal Description Lot ' ' Mock // Subdivision Street and Number where work is to be performed— No. ___1.1 -_ _3_ r: ' J • State work to be performed and purpose of building (By Floors) c New Building Remodeling Addition Size Septic Tank Feet of Drain Tile___3 U. STATE OF FLORIDA, t COUNTY OF DADE. Type of Tank SS. f / 4f Dist. Feet of Tank or Drain Field from Well Street Date N.. - ' 1;Aa f} !NC. , Fib. Repairs No. of Stories Capacity Gals. __1 - __ Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $ (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 hint 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. (Signed) Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. v ermit $ grilTIPsffighPORIDA, COUNTY OF DADE. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—Well . ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) ( Signed) Street. Permit No. // Date Application is hereby made or 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 es �' 1 t ,_L__ e 4 ' No 1_2- 3 ki Street 92 ,,E 9'Z `r Registered Architect and/or Engineer ._, __{ s- a1 ,! Employing Plumber's Name 1 ?!' ____(r:__ No._r / 5 Street__1 _ Rf__r_.! . Location and Legal Description Lot /./...,i. ___ 9____ ./.1 ___ ______ Block '1 Subdivision Street and Number where work is to be performed —No 1 2 7 State work to be erformed and purpose of building (By Floors ) _- P Purr g c ...-s. New Building Remodeling Addi Repairs No. of Stories __Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of.Soakage Pit dersigned applicant for this b ding permit does certify that he derst: . s and accepts his obligations as an e oyer of labor orida Wor .'. n's Compens. on Act, being Section 5966, Compiled Ge ral L s of Florida Permanent Supplement, and has com- ons thereof, and require similar compliance from all contra 'rs .r sub - contractors employed by him in the work to be 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 the Act. The undersigned agrees to employ only such sub- contractors, on work to be perf ed under is permit as Miami Shores Village. / Master Plumber. are 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 deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts . therein by him stated are true. Notary Public, State of Florida 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 Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS l, 1� 111��• !!!��[ TOTAL FIXTURES CONTR. LIST CHECK A ! J 3 w /` 12.5 \ \�/ • - -- •75 — ■ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHECK / ` v ermit $ grilTIPsffighPORIDA, COUNTY OF DADE. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—Well . ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) ( Signed) Street. Permit No. // Date Application is hereby made or 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 es �' 1 t ,_L__ e 4 ' No 1_2- 3 ki Street 92 ,,E 9'Z `r Registered Architect and/or Engineer ._, __{ s- a1 ,! Employing Plumber's Name 1 ?!' ____(r:__ No._r / 5 Street__1 _ Rf__r_.! . Location and Legal Description Lot /./...,i. ___ 9____ ./.1 ___ ______ Block '1 Subdivision Street and Number where work is to be performed —No 1 2 7 State work to be erformed and purpose of building (By Floors ) _- P Purr g c ...-s. New Building Remodeling Addi Repairs No. of Stories __Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of.Soakage Pit dersigned applicant for this b ding permit does certify that he derst: . s and accepts his obligations as an e oyer of labor orida Wor .'. n's Compens. on Act, being Section 5966, Compiled Ge ral L s of Florida Permanent Supplement, and has com- ons thereof, and require similar compliance from all contra 'rs .r sub - contractors employed by him in the work to be 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 the Act. The undersigned agrees to employ only such sub- contractors, on work to be perf ed under is permit as Miami Shores Village. / Master Plumber. are 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 deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts . therein by him stated are true. Notary Public, State of Florida 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. ^ -_ CLOfRf BATH TUBE Sf NOW 6R LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS U CATCH BASIN FLOOR DRAIN DRINK! NO FOUNT' 1 1� /11 0 J TOTAL FIKTURE6 GL LIST FT / / / CHECK r--.r- ■ 5, E,,s/ L A (57" �. k , S -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW 114'0 POOL /)•-S %I(. -) 2„, u,I4 LIST CHECK Ouufr's Name and Address () _:`f _" - - -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Avr. is hereby s•.;<: for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other str-c 'ere herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, ay : di 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 ou'.1 Ai;,g during progress of work. Registered Architect and /or Engineer_ _ _ (° L /J /'� a ,r, �/ �? s // f- . _% Employing Plumber's Name._..�n��_ �� L �`�` / G _._ No./ Street.. l 2 _._ y Subdivision Street /t- r Location and Legal Description Lot ___ __ -- - - - - - -- __. _ Block Street and Number where work is to be performed —No / e? •' 1 State work to be performed and purpose of building (By Floors). ____.__ _ New Building - - - - -- ...... ___.___ Remodeling_ i _ ___ Addition__ 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.___._ ____._ of Soakage Pit Amol,nt of Permit _-- ..._----- •-- _— ___ —__ I Capacity Gals. / . / �. Date.-- - -- - -- - - - - ... • - - - -- No. a' Street. _ '"! Repairs No. of Stories.. - e7 ( Signed ) -- ( � ., / �� ` s — _ -c • 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- ;,lied 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, o work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) — -- Master Plumber. 5TAT:_, OF FLORIDA, t as. 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 workmanship. — w Permit No S..3_1111 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT S -15- 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Dr. 1 ru ms (.VG - - - t -� / �.. r Registered Architect and /or Engineer f Employing Plpmbar's N une G c i t Location and Legal Description Lot. s Blot& Subdivision Street and Number where work is to be performed —No. 11.-1)C o f - E, ?` treat. __.._.. State work to be performed and purpose of building (By Floors)_ - �..L New Building.— _____ - _ Remodeling -- Addition..._ Size Septic Tank_ _Type of Tank—_ - Capacity Gals.---- -•- - -.__._ __ �_ Feet of Drain Tile Di Feet of Tank or Drain Field from Well.. _ .___. _-- .__._ —. • - -�_ —_ Nature of Water Supply: City—Well. Size of Soakage Pit. Amount of Permit $ 3 ' (Signed) _ w Cv r STATE OF FLORIDA, } COUNTY OF DADE. (Signed) Repairs No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his j� gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri ent 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. Master Plumber...... Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. — .. .._... __._._ of the 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-inspectionfee of $1.00 will be made when such re-inspection is made'necesary by improper notice for inspection, or faulty materials and /or workmanship. CLOSR{ BATH TUBE SHOWERS LAVA. TORIIe SINKS SLOP SINKS LAUNDRY TUB{ URINAL{ CATCH BABIN FLOOR DRAIN ■' DRINKING FOUNT'N{ TOTAL FI %TUR[S CONTR. LIST CHECK —� SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHICK — w Permit No S..3_1111 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT S -15- 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Dr. 1 ru ms (.VG - - - t -� / �.. r Registered Architect and /or Engineer f Employing Plpmbar's N une G c i t Location and Legal Description Lot. s Blot& Subdivision Street and Number where work is to be performed —No. 11.-1)C o f - E, ?` treat. __.._.. State work to be performed and purpose of building (By Floors)_ - �..L New Building.— _____ - _ Remodeling -- Addition..._ Size Septic Tank_ _Type of Tank—_ - Capacity Gals.---- -•- - -.__._ __ �_ Feet of Drain Tile Di Feet of Tank or Drain Field from Well.. _ .___. _-- .__._ —. • - -�_ —_ Nature of Water Supply: City—Well. Size of Soakage Pit. Amount of Permit $ 3 ' (Signed) _ w Cv r STATE OF FLORIDA, } COUNTY OF DADE. (Signed) Repairs No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his j� gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri ent 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. Master Plumber...... Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. — .. .._... __._._ of the 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-inspectionfee of $1.00 will be made when such re-inspection is made'necesary by improper notice for inspection, or faulty materials and /or workmanship. CONTRACTING ALTERATIONS REPAIRS 4 COLEMAN PLUMBING COMPANY, INC. Dr, Irving Waldman 1234 N.E. 96th Street Miami Shores, Fla, 711 NORTHWEST 24TH STREET MIAMI, FLORIDA PHONE 635 -7112 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, Florida 33138 Check #4748 enclosed $3.00 May 19, 1972 — One Sewer Connection to Septic Tank yLf Permit No. • Owner's Name and Address Registered Architect and /or Eng' 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) Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLCATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and 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. , ; New Building —_ -- _ -- Remodeling_ Addition Repairs 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_ f ,F' /"., '. —. No._ No.__ Block (Signed) Street— Street — Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanen upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl 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 such public notice or notices as are required by tlie 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. j -. • , (Signed) L -/'� * `'`i f asteiP4fim No. of Stories... .. ....... My Commission Expires Notary Public, State of Florida lumbing I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.- -__ -.- of the 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 insp or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORic8 SINKS SLOP SINKS LAUNDRY TUBS RINALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST _ CHECK yLf Permit No. • Owner's Name and Address Registered Architect and /or Eng' 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) Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLCATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and 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. , ; New Building —_ -- _ -- Remodeling_ Addition Repairs 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_ f ,F' /"., '. —. No._ No.__ Block (Signed) Street— Street — Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanen upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl 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 such public notice or notices as are required by tlie 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. j -. • , (Signed) L -/'� * `'`i f asteiP4fim No. of Stories... .. ....... My Commission Expires Notary Public, State of Florida lumbing I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.- -__ -.- of the 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 insp or faulty materials and /or workmanship. Permit No._.___ -}__ -- Date._ -_ - _-- _- - - -5 2 _ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building 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 Dr. ° dif13CS No._ Registered Architect and /or Engineer_____________________ �--- --- _._�_- - -_ - -_ Employing Plumber's Name R bs e Septic T a n k C o. P. 0. Boy H i a 1 a h str "___.____...____..___......_ ...__. Location and Legal Description Lot Block Subdivision_ _..___._ Street and Number where work is to be performed -No.__ L 234 Iv, F . A h -t h S iLe Se State work to be performed and purpose of building (By Floors) New Building ----- --- - - - - -- - ---__ Remodeling -- _- ____ -- Addition - Size Septic Tank_____ - 1 1200 -_ 417125 t ____ Feet of Drain Tile_ _ ________ Feet of Tank or Drain Field from Well Nature of Water Supply: City-Well. __ __________________ ______Size of Soakage Pit - - -- 1 -n. 8, Abandon - - - -- Amount of Permit $_ 8 , �0 STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT API' =t:.'ATION FOR PLUMBING PERMIT Type of Tank_ Repairs (Signed)- - - - -- t Capacity Gals._. No. of Stories ( - . My Commission Expires Notary Public, State of Florida ff 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- plier 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. 4 / ' -- ; ( signed ) - - -- -_. 1_ � . _�€� � . Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notk- for insg 's, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST --- _ CHECK Permit No._.___ -}__ -- Date._ -_ - _-- _- - - -5 2 _ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building 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 Dr. ° dif13CS No._ Registered Architect and /or Engineer_____________________ �--- --- _._�_- - -_ - -_ Employing Plumber's Name R bs e Septic T a n k C o. P. 0. Boy H i a 1 a h str "___.____...____..___......_ ...__. Location and Legal Description Lot Block Subdivision_ _..___._ Street and Number where work is to be performed -No.__ L 234 Iv, F . A h -t h S iLe Se State work to be performed and purpose of building (By Floors) New Building ----- --- - - - - -- - ---__ Remodeling -- _- ____ -- Addition - Size Septic Tank_____ - 1 1200 -_ 417125 t ____ Feet of Drain Tile_ _ ________ Feet of Tank or Drain Field from Well Nature of Water Supply: City-Well. __ __________________ ______Size of Soakage Pit - - -- 1 -n. 8, Abandon - - - -- Amount of Permit $_ 8 , �0 STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT API' =t:.'ATION FOR PLUMBING PERMIT Type of Tank_ Repairs (Signed)- - - - -- t Capacity Gals._. No. of Stories ( - . My Commission Expires Notary Public, State of Florida ff 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- plier 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. 4 / ' -- ; ( signed ) - - -- -_. 1_ � . _�€� � . Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notk- for insg 's, or faulty materials and /or workmanship. c-( Permit No 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 kcpt at building during progress of work. Owner's Name and Address ` -t No. /X. Street/...2 ... ... Registered Architect and/or Engineer — Employing Plumber's N ame 2111/10.111,721. 8treetaitr3 Sil/ ;4) • L:g / 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. Repairs No. of Stories Size Septic of Tank__ ----- Feet of Drab Tile_ _ _Mist. Feet of Tank or Drab Field from Well Nature of Water Supply: C __--..Size of Soakage Pit Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Capacity Cals..._.. ........... ...... . ...... . (Signed)_ PI mbtrrgInsits.,., The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Worlcmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Stipplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contract loyed 'him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site ot1ik sucli pu. c notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on 'ivorli to be p. • erf under this permit, as are licensed by Miami Shores Village. ( S e ' d(' Street 'VC' 76'; , Master Plumber. - STATE OF FLORIDA, i ss. 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 Fled& NOTE: A re-inspection fee of $1.00 will be made when such re-Inspectlon is mads by improper notice for Inspection, or faulty materials and/or workmanship. CLOSETS OATH TUS• SHOWER• LA VA- TORIES SINKS SLOP 6214,6 LAUNORY TUSS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT • NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD ■•■■...• SOAKAGI PIT GKEASE TRAP SOLAR NEATER DEEP WILL SPRKLR. SYSTEM SW IM •0 POOL Co. LIST • .. <, CHECK c-( Permit No 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 kcpt at building during progress of work. Owner's Name and Address ` -t No. /X. Street/...2 ... ... Registered Architect and/or Engineer — Employing Plumber's N ame 2111/10.111,721. 8treetaitr3 Sil/ ;4) • L:g / 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. Repairs No. of Stories Size Septic of Tank__ ----- Feet of Drab Tile_ _ _Mist. Feet of Tank or Drab Field from Well Nature of Water Supply: C __--..Size of Soakage Pit Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Capacity Cals..._.. ........... ...... . ...... . (Signed)_ PI mbtrrgInsits.,., The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Worlcmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Stipplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contract loyed 'him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site ot1ik sucli pu. c notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on 'ivorli to be p. • erf under this permit, as are licensed by Miami Shores Village. ( S e ' d(' Street 'VC' 76'; , Master Plumber. - STATE OF FLORIDA, i ss. 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 Fled& NOTE: A re-inspection fee of $1.00 will be made when such re-Inspectlon is mads by improper notice for Inspection, or faulty materials and/or workmanship. MIAMI SHORES FLAG$ PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING Permit No./ 7 _— Date_ Q a r' Application is hereby made for the approval of the detailed statement of the plans and specifications hear ritb 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 rube dad regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved lilac and specifications must be kept at building during progress of work. Owner'a Name and Address Registered Architect and /or Engot Employing Plumber's Name -"" . - . No S Location and Legal Description id• lock SnbdiVision,� — Street and Number where work is to be performed—No la 1 7 44 Stress State work to be performed and purpose of building (By Floors) New Building__ -__- - -_ - -- __ - -- Remodeling- - -_ _ --- _• - -_- __ Addition No s --$ Repairs__ Size Septic Tank_____ Feet of Drain Tile___— _________ —_______ Dist. Feet of Tank or Drain Field from Well Nature of Water Simply: City —Well Size of Soakage Pit Amount of Permit $ appeared My Commission Expires Type of Tank Capacity Gab _ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga . ns u 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- contractoll' 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 '! each public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, k to u r this permit, as are licensed by Miami Shores Village. (Signed) 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, pNaonally 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 difd sign the name, and that n11 facts therein by him stated are true. 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, materials and /or workmanship. CLOSETS BATH Twos SHOWERS LAVA- TORIES SINK. $LOP SINKS LAUNDRY Tusi URINAL/ CATCH BASIN FLOOR DRAIN ''FOUNT'NS DRINKING TOTAL FIXTURES COMM LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT 0 TRAP SOLAR HEATER DEEP WELL $PRKLR. SYSTEM $WIM'G FOOL CL I ST LIST CHECK MIAMI SHORES FLAG$ PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING Permit No./ 7 _— Date_ Q a r' Application is hereby made for the approval of the detailed statement of the plans and specifications hear ritb 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 rube dad regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved lilac and specifications must be kept at building during progress of work. Owner'a Name and Address Registered Architect and /or Engot Employing Plumber's Name -"" . - . No S Location and Legal Description id• lock SnbdiVision,� — Street and Number where work is to be performed—No la 1 7 44 Stress State work to be performed and purpose of building (By Floors) New Building__ -__- - -_ - -- __ - -- Remodeling- - -_ _ --- _• - -_- __ Addition No s --$ Repairs__ Size Septic Tank_____ Feet of Drain Tile___— _________ —_______ Dist. Feet of Tank or Drain Field from Well Nature of Water Simply: City —Well Size of Soakage Pit Amount of Permit $ appeared My Commission Expires Type of Tank Capacity Gab _ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga . ns u 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- contractoll' 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 '! each public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, k to u r this permit, as are licensed by Miami Shores Village. (Signed) 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, pNaonally 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 difd sign the name, and that n11 facts therein by him stated are true. 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, materials and /or workmanship. Permit No v 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. p \ n Owner's Name and Address y� `� �'Ynd- Registered Architect and /or Engineee Employing Plumber's Name l: — Location and Legal Description Lot___.____ .... -- _-. - - - - -_ __� . — Blockk_ _ __ �_ _ Subdivision Street and Number where work is to be performed —No 4 �� ' 5 c ' Street State work to be performed and purpose of building (By Floors)___. N Building Remodeling__.___ - -_— Addition...__.__.___..__. ____ -_ Repairs No. of Stories Size Septic Tarok — Type of Tank Capacity Gals Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ Size of Soakage Pit y / r Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his 6blsligations 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. (Signed) 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 tha therein by him stated are true. NOTARY PUBLIC STATE OF FLORIDA AT .: 4 L LT � 1.J.42 ommiss, UtESTELHO RS 1973 Date Street _/ a 1 otary Fublie, SI Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared tg`T _ he did sign trie that all . facts NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made'n =• ssary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS NALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST / /; i fl / -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CoNTR. LIST CHECK Permit No v 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. p \ n Owner's Name and Address y� `� �'Ynd- Registered Architect and /or Engineee Employing Plumber's Name l: — Location and Legal Description Lot___.____ .... -- _-. - - - - -_ __� . — Blockk_ _ __ �_ _ Subdivision Street and Number where work is to be performed —No 4 �� ' 5 c ' Street State work to be performed and purpose of building (By Floors)___. N Building Remodeling__.___ - -_— Addition...__.__.___..__. ____ -_ Repairs No. of Stories Size Septic Tarok — Type of Tank Capacity Gals Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ Size of Soakage Pit y / r Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his 6blsligations 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. (Signed) 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 tha therein by him stated are true. NOTARY PUBLIC STATE OF FLORIDA AT .: 4 L LT � 1.J.42 ommiss, UtESTELHO RS 1973 Date Street _/ a 1 otary Fublie, SI Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared tg`T _ he did sign trie that all . facts NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made'n =• ssary by improper notice for inspection, or faulty materials and /or workmanship. it � 1 r 1-4- � ' rJ' zpar � �`�esctl n L eg poor l Street and Number where work L to be performed —No STATE OF FLORIDA, as. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Flocea)_____ _ _ New Building__ _ _ _.._._........_.. Remodeling . _ __ Addition. —.._ Amount of Permit s—Pl !!'O (Signed - (IT Permit No...._ 74 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 �' I " /) / i/9 ( No. Street. .,Z, - '' Registered Architect and /or Engineer / !Hoek y� Subdivs1on 2 J.4 ..: ., ._ .� /AT �' ` Street .._..._.._... -- Repairs Size Septic Tank_ -Type of Tank__ Feet of Drain Tile --Dist. Feet of Tank cc Drain Field from Well... _. —_- ---- •-- ...--- ... - - -- - -- —. Nature of Water Supply: City —Well Size of Soakage Pit 4garailv 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 Ii,cr com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the woe.* 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 arr required by the Act. The undersigned agrees to employ only such sub- ontracto s, on work Abe perf d er this permit, as are licensed by Miami Shores Village. (/ Notary Public, State of Florida No. of Stories....... •..... Muter Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .- -_ _.__ ._ _ .__...- -_ - - -•- _ _ of the the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be ,Wade wham war rwirpealon V made• necessary by improper notice for lespectioa, or faulty materials and /ar worlananehip. CLOStT{ BATH Tun* SHOWER{ LAVA- TORIES SINK{ SLOP SINK{ LAUNOR TU {{ UR CA 1ASIN FLOOR DRAIN DRINKING FOUNT•NE TONAL FIIITURES Comm. LIST O / / / t ! �J CHECK — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL S SYSTEM •WIM•G POOL T COH•rw. LIST ■ CHECK it � 1 r 1-4- � ' rJ' zpar � �`�esctl n L eg poor l Street and Number where work L to be performed —No STATE OF FLORIDA, as. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Flocea)_____ _ _ New Building__ _ _ _.._._........_.. Remodeling . _ __ Addition. —.._ Amount of Permit s—Pl !!'O (Signed - (IT Permit No...._ 74 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 �' I " /) / i/9 ( No. Street. .,Z, - '' Registered Architect and /or Engineer / !Hoek y� Subdivs1on 2 J.4 ..: ., ._ .� /AT �' ` Street .._..._.._... -- Repairs Size Septic Tank_ -Type of Tank__ Feet of Drain Tile --Dist. Feet of Tank cc Drain Field from Well... _. —_- ---- •-- ...--- ... - - -- - -- —. Nature of Water Supply: City —Well Size of Soakage Pit 4garailv 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 Ii,cr com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the woe.* 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 arr required by the Act. The undersigned agrees to employ only such sub- ontracto s, on work Abe perf d er this permit, as are licensed by Miami Shores Village. (/ Notary Public, State of Florida No. of Stories....... •..... Muter Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .- -_ _.__ ._ _ .__...- -_ - - -•- _ _ of the the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be ,Wade wham war rwirpealon V made• necessary by improper notice for lespectioa, or faulty materials and /ar worlananehip. BUILDING ❑ ELECTBIC,AL PSG ROOFING Owner of Buil. • Legal Description Address of Building MIAMI SHORES VILLAGE. FLORIDA PERMIT ork to In consideration of the issuance to me of pertaining thereto and in stria conformity with In accepting this permit assume OR MUM IN? 11218 or Build Aleri Architect Ad Mirk r t Oontrct This permit is 1p� o ce sr p e e d to , � b herefor in Scaler w3� calf ordinances- thereto o and sad with h the drawiap etsitametite or specifications that may have submitted to and ap time if the work is not done in oompliancsoodth such ordinances or if the p granted is the understanding that the contractor or builder named above pertaining to the work covered hereby whether shown on the plans or dra done by his agents. servants or employees. DA Con Amt. of Permit • or to install the equipment or device d the work will be performed in unicipal authorities. This Permit rization. A further condition a thorough knowledge of the or specifications and that he in the oe with `any plans, y be revoked at any u nano and permit is ordiaa rk BUILDING ELECTRtAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building • PERMIT N° 6320 Work to be performed under this Permi Lot MIAMI SHORES VILLAGE, FLORIDA l Subdi- vision This pe er name a e to construct the building or to install the equipment or d- ice described in e appli- cation herefor in strict compliance with all ordinances pertaining th . eto and with the un• -rstanding that the work will be performed in with any plans, drawings, statements or specifications that may have been submitted to and approv 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 ar anged without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above as •• - he r ility for a thorough knowledge of • e ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dra • gj or ' i• : t tions and e assumes respon- sibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perform the •vered hereunder in compliance th or ces an regu� W ahons pertaining thereto and • strict confo • +'t 'th the plans, drawings, statements or • - ' cations submitted to the proper autlY6llties of Miami S)fo Uage In acc ptin assume res •� •' for all work done by either myself, my agent, servant or employee. BY DATE R ito 19. Contractor's Li . nse No. AUTHORITY MIAMI SHORES VILLAGE. FLORIDA ING ❑ DATE I la. , '" 195.4_ cTRICAL ❑ . ,PERMIT IN? 11452 Contractor's UMBING License No OFING ❑ Work to be performed under this Permit -20/ i er of lding s�� hitect tractor uilder al cription dress of ilding Lot ii m 6 4, Subdi- vision Value of Project $ u Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device descri in the application for in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, [ wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ,.,me if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed' BY ./.$;„e eteats In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances an pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami ' r2 accepting this permit I assume respoorbl iey for all work done by either, myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Descriptio Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE r � 194 f Contractor's License No. PERMIT N° 2341 Work to be performed under this Permit Subdi- vision BY Preis= il Amt. 0 f 3 This is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application � 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 e 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 pon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of e ordinances and regulations pertaining to the work covered hereby whether shown on the plans or ng, or in the statements or specifications and hat he assumes responsibility for work done by his agents, servants or employees.- 0. ,..... Signed- =r" ' v -- 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- ns pertaining thereto gpd in strict conformity with the drawings, or ' r to the proper authorities of Miami Shores i�y �k , y 4 or employee. Ilage. In ting :4 AUTHORITY dry ✓ Co PPROVED: PERMIT APPLICATION FOR IVHAIVII SHORES VILLAGE •4 /` u 9 a Le ICA DIN Job Address ta.” ( N e / S Tax Folio -gal Description ironer / Lessee / Tenant S A silty 7 4/ '2v , tur A i of owner and /or Condo President ite: 4 5 � 7 �u- c((1- S-05-- 0 Or OFFI �? — • fiss JZARtASSE NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. C0.38377 * M*COMMI: ION EXP OCT. 21,1 President Master Permit # vner's Address t Jy A/e C n; j" M44 S6 I7 Phone lntracting Co. 1 G63 ✓yire'►ny Address 1610 'Id. 17 t-liv/ nalifier trJ r E(CrArP-- SS4i 757 — 4 e - 761,S' Phone Quo- el 5 q X tate !J Municipal !k ' 3 C Competency # Ins.Co. rchitect /Engineer Address 'rnding Company Address nrtgagor Address Irmit Type(circle one): BUILDING ELECTRICAL P INS MECHANICAL ROOFING PAVING_ ORK DESCRIPTION (04a f t f INC f?aM / rw ivare Ft. Estimated Cost(value) •9/ BI 00 ARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO O MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND U OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR OTICE OF COMMENCEMENT). npli.cation is hereby made to obtain a permit to do work and installation as indicated above, and n the attached addendum (if applicable). I certify that all work will be performed to meet the ►andards of all laws regulating construction in this jurisdiction. I understand that separate '.emits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. TIER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will • done in compliance with all applicable laws regulating construction and zoning. Furthermore, I 'ithorize,the above-named contractor to do the work stated. Signature of Contractor or /' er- Builder Date: Not as to Contr My ommis � , xpi .EW1EDER ' Nctory Par'iiC. State, of Florida . Cornidissioa No. s 333101 it * * * * 4 'oF t` 0 kly Comm wn Exp /0 �w ,,,v NonrY Setr *Lair: ice f (1 : X11111111111111 Fla N X tary:11:51) i D C.C.F. � NOTARY TOT Fire Other Zoning Building Electrical Mechanical Plumbin 1° EES: PERMIT 3S. RADON Engineering PgS #237 Rev 11/79 ko RP` zp pie 30 ° 15° ' v &Azle at 4HrP fiouse 0v-1SI pi\ ■ AO)" It I E Ie �� ��\ (tt f �� , nA�Q \ f5k ' fie'\ opF5 I \\__. Y 1 (+o GG'P (Pe . 571/ 1 Fc)it /04/61=> 71 64( t e prtessu 7 " b24/6 To' SECTION SCALE DWG. BY t ,\ P H COD X9-6( ro u - [S I oO P eoples GAS SYSTEM , Inc. 123 &'6 96 sf Mti4M I S !z►eccas 6S4 21 1 DATE f 0 1 a 7 SHEET of 1 J.O. A.F.E.