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360 NE 97 St (5)- of Permit No ( — Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_._. . !._ ? - - -_ - -- � - - -- __ No.3i 0 - - -AL / - -_ Street ._ 975 7- ; _ Registered Architect and /or Engineer __ - - -� �--- _- -- --- _ - -- --- Employing Plumbei s Name_ /YOD�% /�''J SL% ['� 7 ice! ---- N _ jef -5 ° /V Street -L S -3 . r" Location and Legal Description Lot. Block Subdivision Street and Number where work is to be performed —No -76.0--4/ / 9.75 ri Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition_ Size Septic Tank______ Feet of Drain Nature of Water Supply: City-- Well.____ _____________________.______— ____Size of Soakage Pit Amount of Permit $ � - The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has ce n- 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 th sit of the iyork such ¢uy)lic notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractor•, o work be licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. L P.379 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank _ Capacity Gals. 7 lDist. Feet of Tank or Drain Field from Well (Signed)- (Signed) Date Repairs My Comnnssion Expires Notary Public, State of Florida No. of Stories . . . ... .. ... -`y . ....... Plumbing Inspector. under this per :nit, as are 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 notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS S LAVA TORIES SINKS SLOP SINKS LAUNDRY TUas U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FI %TURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL NTR. Comm LIST ~ — ^ CHECK - of Permit No ( — Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_._. . !._ ? - - -_ - -- � - - -- __ No.3i 0 - - -AL / - -_ Street ._ 975 7- ; _ Registered Architect and /or Engineer __ - - -� �--- _- -- --- _ - -- --- Employing Plumbei s Name_ /YOD�% /�''J SL% ['� 7 ice! ---- N _ jef -5 ° /V Street -L S -3 . r" Location and Legal Description Lot. Block Subdivision Street and Number where work is to be performed —No -76.0--4/ / 9.75 ri Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition_ Size Septic Tank______ Feet of Drain Nature of Water Supply: City-- Well.____ _____________________.______— ____Size of Soakage Pit Amount of Permit $ � - The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has ce n- 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 th sit of the iyork such ¢uy)lic notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractor•, o work be licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. L P.379 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank _ Capacity Gals. 7 lDist. Feet of Tank or Drain Field from Well (Signed)- (Signed) Date Repairs My Comnnssion Expires Notary Public, State of Florida No. of Stories . . . ... .. ... -`y . ....... Plumbing Inspector. under this per :nit, as are 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 notice for inspection, or faulty materials and /or workmanship. Village o Miami Shores JOB INSPECTOR DATE ADDRESS INSPECTION TIME READY REMARKS N? 4522