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500 NE 97 St (2)Permit No APPLICATION 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. ! 1 ; Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name ___. �_ 4, Location and Legal Description Lot d _�.1 Block f i Street and Number where work is to be performed —No i State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Amount of Permit $_________ s s. MIAMI SHORES VILLAGE My Commission Expires PLUMBING INSPECTION DEPARTMENT No. ` Street__1!. (Signed No I / rV Street_._ is Subdivision Street_ Date Capacity Gals. Notary Public. State of Florida Repairs No. of Stories Size Septic Tp k 9 Type of Tank Feet of Dra' Tile Dist. Feet of Tank or Drain Field feign Weil Nature of Eater Supply: City —Well Size of Spakage Pitt 4 - -- l -- - — r" f 1 lumbing Ins - ctor. J / The undersigned applicant for this building permit does hereby certify that he understands and accepts his '.. ions as an em.l. r 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 - contract on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty 'als 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 APPLICATION 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. ! 1 ; Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name ___. �_ 4, Location and Legal Description Lot d _�.1 Block f i Street and Number where work is to be performed —No i State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Amount of Permit $_________ s s. MIAMI SHORES VILLAGE My Commission Expires PLUMBING INSPECTION DEPARTMENT No. ` Street__1!. (Signed No I / rV Street_._ is Subdivision Street_ Date Capacity Gals. Notary Public. State of Florida Repairs No. of Stories Size Septic Tp k 9 Type of Tank Feet of Dra' Tile Dist. Feet of Tank or Drain Field feign Weil Nature of Eater Supply: City —Well Size of Spakage Pitt 4 - -- l -- - — r" f 1 lumbing Ins - ctor. J / The undersigned applicant for this building permit does hereby certify that he understands and accepts his '.. ions as an em.l. r 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 - contract on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty 'als and /or workmanship. Date Legal i - 'ption Historically Designated: Yes No Owner/Lessee / Tenant G� �,_ � p rr!U /?� Master Permit # Owner's Address Contracting Co. � p /7//5 . S.C, At i Address /✓o/r G ir/ 7 i—o SS# Qualifier State # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL Estimated Cost (value) //3 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Square Ft. ' 0 0 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address S C 6 (/V r 7 S' Folio Municipal # Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. e rte' 7 -t c ignature of owner and/or Condo Notary as to Owner and/or Condo President My Commission Expires: 1F ''11/ r'r:rt,:l NOiAfiy SEAL O� � sC: v W ')AVIS t ts.f �'3 * COMMISSION NUMBER 7 ., >. q CC255237 f `� , J �• f JV COMMISSION EXP. 26 , 1997 FEES: PERMIT c 6- /1/jz , 7 ,,r Phone 7 C 7 5 Z RAD APPROVED: Zoning Building Mechanical Plumbing 7/c/56 Date Competency # Ins. Co. Address Address Address (P- Signatur• • Contractor or uilder Natary FicT!'la My co,:, ►,,. Ma; ,7.,., 24, 1339 Notary as PciaPaliD or Owner- Builder My Commission Expires: C.C.F. NOTARY Electrical ate 96 Date TOTAL DUE • Engineering coast • _the u approv Subdi- on the work covered hereunder in compliance with all ord or specifications submitted to the proper authorises of myself, my agent, servant or employee. = �ICAL .13M ING _ PIN'G E] ork to be perfo Amer of gilding / 1 G k� Architect Contractor or Builder Legal Description Address of Building This permit is gran tli tfee contractor or budder named herefor .itL. strict compliance with all ordinances pertaining thereto drawings, statements or specifications that may have been submitted time if the -work is not done in compliance with such ordinances or -If he granted-is the understanding that the contractor or builder named ab pertaining to the workcovered hereby whether shown on the plans or done by his agents, servants or employees. In consideration of the issuance to me of this perm* pertainink thereto and in strict conformity with the plans, d In accepting this permit I assume 1eepopsibility for work CONTRACTOR MIAMI SHORES VILLAGE, FLORIDA C PERMIT IT? 11107 under this Permit Sued ng or to install egui device d ding that the wilt be ed in compece ea the proper m , apel a This Permit say be are anged without a .. r condition up�a es the responsibility - knowledge of the gs or in the • r specifications and - he_ DA Amt. of Permit Permit No Amount of Permit $ STATE OF FLORIDA, } ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby mac for the approval of the detailed statement of the plans and specifications herewith submitted for the buildin 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 • L7JLrz i__L!4�_ No �O O Street i�/ _ �+ Registered Architect and /or E i eer ! _____�_/��/ �p Employing Plumber's Name_- eJ !BL T 4/ - r ' 'l__!��T No. 17 6 Street Block__ Location and Legal Description Lot Street and Number where work is to be performed— No.__ &Lily //�� State work to be performed and purpose of building (By Floors) % _ __ . __f__�,` k V • - New Building Remodeling Addition Repairs 1 ' No. of Stories ( Signed) Size Septic Tank / Type of Tank Capaci Feet of Drain Tile Dist. Feet of Tank or Drain Field from Wel Nature of Water Supply: City—Well Size of Soakage The undersigned applidant for this building . it does e . • that he I • Lands and accepts his obligations as an employ of labor under the Florida Workmen's Compensation Act, bein_ Section 5966, Compi e. eneral 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 e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on wo to . / . erfo .. ed r th' permit, as licensed by Miami Shores Village. ( Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Date � t l M ch__'- ‘ Gal Notary Public, State of Florida bing Insp Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS URI CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURE$ 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 Amount of Permit $ STATE OF FLORIDA, } ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby mac for the approval of the detailed statement of the plans and specifications herewith submitted for the buildin 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 • L7JLrz i__L!4�_ No �O O Street i�/ _ �+ Registered Architect and /or E i eer ! _____�_/��/ �p Employing Plumber's Name_- eJ !BL T 4/ - r ' 'l__!��T No. 17 6 Street Block__ Location and Legal Description Lot Street and Number where work is to be performed— No.__ &Lily //�� State work to be performed and purpose of building (By Floors) % _ __ . __f__�,` k V • - New Building Remodeling Addition Repairs 1 ' No. of Stories ( Signed) Size Septic Tank / Type of Tank Capaci Feet of Drain Tile Dist. Feet of Tank or Drain Field from Wel Nature of Water Supply: City—Well Size of Soakage The undersigned applidant for this building . it does e . • that he I • Lands and accepts his obligations as an employ of labor under the Florida Workmen's Compensation Act, bein_ Section 5966, Compi e. eneral 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 e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on wo to . / . erfo .. ed r th' permit, as licensed by Miami Shores Village. ( Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Date � t l M ch__'- ‘ Gal Notary Public, State of Florida bing Insp 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. Permit No._ .# __ Date Q _ ___Z_______,_ 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. /��j / ,/ Owner's Name and Address f t_t____ _ L_t7�_.G1' No 5 6 7 , 4 Street " �-C Registered Architect d /or Engineer e / 4/71ef Employing s am State work to be performed and purpose of building (By Floors) New Building Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 1_c..c/./ Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. My Commission Expires (Signed) ( Signed ) ___ No. - .170- - Block. Subdivision Location and Legal Description Lot n (' Street and Number where work is to be performed —No. 5 � Street 1 ■ ✓� Addition Repairs No. of Stories_ Capacity Gals. Plumb' r Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an ployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 Toni URINALS CATCH BASIN FLOOR DRAIN DRINK! NO FOUNT' NS TOTAL FIXTURE{ CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER JSfi.R.- WELL 4 SPRKLR. SYSTEM SWIM •G POOL • CONTR. LIST CHECK Permit No._ .# __ Date Q _ ___Z_______,_ 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. /��j / ,/ Owner's Name and Address f t_t____ _ L_t7�_.G1' No 5 6 7 , 4 Street " �-C Registered Architect d /or Engineer e / 4/71ef Employing s am State work to be performed and purpose of building (By Floors) New Building Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 1_c..c/./ Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. My Commission Expires (Signed) ( Signed ) ___ No. - .170- - Block. Subdivision Location and Legal Description Lot n (' Street and Number where work is to be performed —No. 5 � Street 1 ■ ✓� Addition Repairs No. of Stories_ Capacity Gals. Plumb' r Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an ployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. Permit No a le? Registered Architect and /or Engineer ___e_'__ Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. u ' Employing Plumber's Name _ Location and Legal Description Lot Street and Number where work is to be performed —No %.rZTe,) State work to be performed and purpose of building (By Floors) New Building _ Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPLICATION FOR PLUMBING PERMIT Application is hereby m><de 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. No. _Cy '- No7 Block Addition (Signed) (Signed) r4 Street Street Sub Street- __.La.L Repairs No. of Stories__-_____ -__-. Size Septic Tank_ Type of. Tank Feet of Drain T i l e _ _ // gist. F et of T nk or Drain Field from Well Nature of Water Supply: Cii —Well. Size of Soakay Pit ..... ---- _____�__ Capacity Gals ..... ___.____a�� Plumbing tor. The undersigned applicant for this building permit does hereby certify that ('understands and accepts his obligations as an emplo of labor under the Florida Workmen's Compensation Act, being Section 5966, Compile • eneral 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 licensed by Miami Shores Village. performed under this permit, as ate My Commission Expires Notary Public. State of Florida to administer oaths and take acknowledgments, personally Before me, the undersigned authority, a notary public, duly authorized appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re inspection fee of $1.00 will be made when such re inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA - TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER WELL. SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK / ` Permit No a le? Registered Architect and /or Engineer ___e_'__ Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. u ' Employing Plumber's Name _ Location and Legal Description Lot Street and Number where work is to be performed —No %.rZTe,) State work to be performed and purpose of building (By Floors) New Building _ Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPLICATION FOR PLUMBING PERMIT Application is hereby m><de 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. No. _Cy '- No7 Block Addition (Signed) (Signed) r4 Street Street Sub Street- __.La.L Repairs No. of Stories__-_____ -__-. Size Septic Tank_ Type of. Tank Feet of Drain T i l e _ _ // gist. F et of T nk or Drain Field from Well Nature of Water Supply: Cii —Well. Size of Soakay Pit ..... ---- _____�__ Capacity Gals ..... ___.____a�� Plumbing tor. The undersigned applicant for this building permit does hereby certify that ('understands and accepts his obligations as an emplo of labor under the Florida Workmen's Compensation Act, being Section 5966, Compile • eneral 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 licensed by Miami Shores Village. performed under this permit, as ate My Commission Expires Notary Public. State of Florida to administer oaths and take acknowledgments, personally Before me, the undersigned authority, a notary public, duly authorized appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the 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. . 11 .4,40rO r 41 , • MIAMI SHORES yiLLAGE PLUMBING I N SP ECTION DEPARTMENT APPLICATION FOR PLUMIIING PERMIT Permit No. 411p Application is hereby made for the approval of the detailed statement of the plans and specifications bawl& subtakted for the structure herein described. This application is made in compliance and conformity with the Building Ordinance of Masai Shout and all provisions of the Laws of the State of Florida, all ordinances of Muni Shores "Village and all raise aad npbaitne of the of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spacificatione building during progress of work. Owner's Name and Address Registered Architect and/or E Employing Plumber's Name COIRTR. LIST CHECK CONTR. LIST CHECK Size Septic Feet of Nature of My Commission Expires ( Location and Legal Description / . ;' — Street and Number where work is to be performed—No._61/1_ State work to be performed and Purpose of building (By Floors) New Building — Remodeling. Addition No. of Sias Amount of Permit $ d114F (M4) The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's CoMpensation Act, being Section 5966, Compiled General Laws of Florida Perataaatt 34 plied with the provisions thereof. and will require similar compliance from all contractors or sub-coatractots employed by Mit performed under this permit; and will post or cause to be posted for inspection cia the site of the work Nati puilic guidee or required by the Act. The under signed agrees to employ only such sub-con be Wet this licensed by Miami Shores Village. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary publk, duly authorized to administer oaths and take acknowlsdgnmats, appeared to me well known, and who, being by me first duly sworn, upon oath deputes 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, therein by him stated are true. Notary PubliZState Rod& NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necemary by improper notice for inspection, or flaky materials and/or workmanship. Permit No `g 6' 7 5 / Amount of Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Street. Repairs (Signed)_ % ` _ T J Y Dace ... -- - ._... - - -- -- .._ — 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 Registered Architect and /or Engineer Epplong Plumber's N � a 49 �. L9 / / 1 l(S �/��i'4Na, ,• e..www�..wwwr...w.. .e atten. and Legal Descri on Lot 9` ' ) � 8 Subdivlsiongl..‘ Street and Number where work is to be performed —No 5 O 0 1\ )_ 9 7 5 State work to be performed and purpose of building (By Floors)___._ New Building -._ -- _ _ _.._.._......._.. Remodeling__ __ Addition. street.,C G ! / / _- '777717 My Commission Expires Notary Public, State of Florida No. of Stories Size Septic Tank__ Type of Tank. —Cc- ,- -- _._----- .- -...._ ._ Capacity ,/ Feet of Drain Tile S G -� f 7 DI Feet of Tank or Drain Field from Well... _.__.— __._.. -• -• -- - - -• -- Nature of Water Supply: City—We1L Size of Soakage Pit 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 5988, Compiled General Laws of Florida Permanent Supplement, and hav com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort; 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 err 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. /7' 0) / "Mastter Plumber. STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac personally appeared to me well known, and who being by me first duly swan, upon oath deposes and says that he is the ._ -. -- of the the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of *1.00 will be made whoa wok r inspeetiaa >. made by Improper notice for Impaction, ex fauky materials and/or workmanship. CLOIITa BATH TUBS SHOWERS LAVA Times SINKS SLOP SINK[ LAUNDRY TUI/ URINALS IA CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIITURES Copan. LIST CHICK _- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT 0 TRAP SOLAR HEATER DEEP WELL 5 SYSTEM SW 111•0 POOL CONTR. LIST CHECK r Permit No `g 6' 7 5 / Amount of Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Street. Repairs (Signed)_ % ` _ T J Y Dace ... -- - ._... - - -- -- .._ — 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 Registered Architect and /or Engineer Epplong Plumber's N � a 49 �. L9 / / 1 l(S �/��i'4Na, ,• e..www�..wwwr...w.. .e atten. and Legal Descri on Lot 9` ' ) � 8 Subdivlsiongl..‘ Street and Number where work is to be performed —No 5 O 0 1\ )_ 9 7 5 State work to be performed and purpose of building (By Floors)___._ New Building -._ -- _ _ _.._.._......._.. Remodeling__ __ Addition. street.,C G ! / / _- '777717 My Commission Expires Notary Public, State of Florida No. of Stories Size Septic Tank__ Type of Tank. —Cc- ,- -- _._----- .- -...._ ._ Capacity ,/ Feet of Drain Tile S G -� f 7 DI Feet of Tank or Drain Field from Well... _.__.— __._.. -• -• -- - - -• -- Nature of Water Supply: City—We1L Size of Soakage Pit 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 5988, Compiled General Laws of Florida Permanent Supplement, and hav com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort; 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 err 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. /7' 0) / "Mastter Plumber. STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac personally appeared to me well known, and who being by me first duly swan, upon oath deposes and says that he is the ._ -. -- of the the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of *1.00 will be made whoa wok r inspeetiaa >. made by Improper notice for Impaction, ex fauky materials and/or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No -__ ' Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address _ _ - =___ No. %_ Street " Registered Architect and /or Engineer_____ . Employing Plumber's Name41 l t ..___. i` 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 New Building Remodeling__ Size Septic Tank Feet of Drain Tile Amount of Permit $ _____ =-------------------------- - --- -- Block_ Street-_ - L "/ - _' < Subdivision._ Street 4 i: r c , � ��r � iii p Floors) - - -_ -i =_w y _ - tk -z-- >" `t- >----- - -� - Addition____ Repairs No. of Stories . . ... ........__ Type of Tank___ Capacity Gals. _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.________ _______.______ _____Size of Soakage Pit j 7 — — (Signed) - - c.- - lam My Commission Expires Notary Public, State of Florida - At- 4 a Lop Plu bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. t f (Signed)._ . ._et. Masier Phyr. , ' + STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oath, and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST - CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No -__ ' Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address _ _ - =___ No. %_ Street " Registered Architect and /or Engineer_____ . Employing Plumber's Name41 l t ..___. i` 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 New Building Remodeling__ Size Septic Tank Feet of Drain Tile Amount of Permit $ _____ =-------------------------- - --- -- Block_ Street-_ - L "/ - _' < Subdivision._ Street 4 i: r c , � ��r � iii p Floors) - - -_ -i =_w y _ - tk -z-- >" `t- >----- - -� - Addition____ Repairs No. of Stories . . ... ........__ Type of Tank___ Capacity Gals. _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.________ _______.______ _____Size of Soakage Pit j 7 — — (Signed) - - c.- - lam My Commission Expires Notary Public, State of Florida - At- 4 a Lop Plu bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. t f (Signed)._ . ._et. Masier Phyr. , ' + STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oath, 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. •A J. M. (BUCK) COUNCIL, PRES. 4150 N. W. SEVENTH AVENUE MIAMI 37, FLORIDA PHONE 7 -5718 Village of Miami Shores Division of Plumbing Inspection Miami Shores, Fla. APPLICATION FOR PLUMBING PERMIT: For: Mrs. Elizabeth Heaton 500 N. L. 97th St., Rough and Set: 1 — Closet Comb. 1 — Lay. November 3, 1952 Connect to existing Hot & Cold Lines. Connect to existing 4" Sewer Lines. BUCK PLUMBING INC. BUILDING ❑ DATF 195___ ELECTRICAL ❑ PERMIT IT? 13880 Contractor's PLUMBING (f License No ROOFING ❑ Work to be performed under this Permit Owner of ( Building Architect ..- "T Contractor q. or Builder � ✓' , f1...+..• Legal Lot II Bi. Subdi- Description, vision Address of *5 ' n Co / (�,�_ Building (� / This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time 0 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 regulat • ons pertaining to the work covered hereby whether shown on the plans or drawings or in the ptatements or specifications and that he assumes respgneibrlity or work done by his agents, servants or employees. MIAMI SHORES VILLAGE, FLORIDA Signed. Value of Project $ Oiso'l K1..A1 BY INSPECTOR ui Amt. of Permit "In consideration of the issuance to me of this permit I agree to p,{ the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done y either, myself, my agent, servant or employee. PERMIT APPLICATION FORMIAMI SHORES VILLAGE Date Job Address Soo ,(/6 97 STT al Tax Folio Legal Description Historically Designated: Yes Q / No Owner/Lessee / Tenant ��h'► tZ 1 4 o s >c Master Permit # Owner's Address GOO N tt 97 LS nac-t^r Phone 7 5 D g yY Address /et3 Wo37 /9"c Contracting Co. ' j /RC Qualifier /16 4G i 1 264 2— State # b Z 7 S't r,, Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Afeco .s WORK DESCRIPTION irs Square Ft. Estimated Cost (value) Z, DOOM WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (W YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. lure of owner and/or Condo Pre sident APPROVED: Zoning Mechanical FEES: PERMIT /1 IVU RADON •[$y F 4 t,11��ivr. Notary as to Owne r R94.9: id tt L % ' 1{5 • My Commission Elpik,, r r _ .._ C.C.F. /-� d NOTARY SS# Z46 - 33 - si/VL Phone S3! ~ • -r- Builder Contractor or Signature o OG No My as to Contractor or Owner - Builder =mission Exp Date es: _ S RENEE WILLIAMS NOTARY PUBLIC STATE OF F COMMISSION NO. CC838390 MY COMMISSION FJ(P. MAY 18 i c ,,\ Electrical BOND TOTAL DUE Date Structural Engineer ITEM 3ATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE 3IDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN :LOOR SERVICE SIZE IN AMPS DUCT WORK DRAIN SERVICE REPAIR/I1TER CHANGE REFRIGERATION 3REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS .AVATORY OVEN ABOVE (MOUND TANKS .AUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS :LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS ' MOTORS OVER 1- 3 HP HOT WATER BOILERS INK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS Ebf'ORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS RINAL MOTCRS OVER 25-100 HP COOLING TOWERS ATER C LOSET MOTORS OVER 100 hP . VIOLATION NDIRECT WASTES A/C WINDOW REINSPECTION ATER SUPPLY TO: AIR CONDITIONERS . A/C UNIT FIRE STRIP HEATER SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. HEATER GENERATORS TRANSFORMERS - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIWING POOL WATER OUTLETS COMMERCIAL SERVICE SIGN TUBES WER CONNECTIONS ILITY SIGN TRANSFORMERS -SEWER • SIGN TIME CLOCK ILITY -WATER PTIC FIXTURES TANK LAY ANTENNA AINFIELO, TELEVISION OUTLETS 4' TILE/RES. VIOLATION +f' & ABANDON SEPTIC TANK VAGE REINSPECTION PIT CU. FT. ICH BASIN CHARGE WELL 1ESTIC WELL :A DRAIN IF INLET .AR WATER HEATER E STANDPIPE L PIPING N SPRINKLER SYSTEM RANGE ER 1 SET (GAS) - PIPING / 'ADDENDUM TO BUILDING.PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL or to install the a sesandiag that the BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description MIAMI SHORES VILLAGE, FL PERMIT N? 2754 Work to be perfor a this P Owner of Building f 4, (,/ �' t, . , • Address of Building This permit is granted to the - or builder ed above to construct the buildin application herefor in strict compli with all ordinances pertaining thereto and with the with any plans, drawings, statements o specifications that may have been submitted kw approved be revoked at any time if the work is not done in compliance with such ordinances or if the plans are upon which this permit is granted is understanding that the contractor or builder named above the ordinances and regulations pertai to the work covered hereby whether shown on s or that he assumes responsibility for work ns by his agents, servants or employees. Signed. In consideration of the issuance to me of this permit I agree to perform tions pertaining thereto sand in strict conformity with the plans, drawings, Village. In accepting s I assume-responsibility for all work CONTRACTOR OR BUII ER DA INSPECTOR By work covered hereunder is COMplianet with all ts or specifications submitted to the pioper myyl my agent, servant or-ebnpioyee. Architect Contractor or Builder =Legal Lot BL Description Address of Ending This permit is granted to the contractor or builder named above to consttvle the -bl lding a=non herefor in strict compliance with ell ordinances _pertaining thereto and with tlae Aims, drawings, statements or specifications thtdmiltaY have been submitted to and Hance with such ordinances or if the UILDING- s ELECTRICAL LUMBING Owner of Building any time • the work is not done in •emit is granted is the understanding tions pertaining to the work cov [ ty for work done by his agents, M IAMI SH ERMIT N 4764 Work tuo be performed under this Permit In consideration of the issuance to, me of this permit i ,s -+attaining thereto and in strict confoty with the, n ac cep y J assume responsibility for s t the contractor or builder named above whether shown on the plats or or employees. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be .performed in compliance with any plans, drawings, statements or specifications that May have been submitted to and approved by the proper municipal authorities. This Permit may be revoked' at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the tatements or specifications and that he ass) s respon- sibility for work done by his agents, servants or employees. gn B Signed: By Si i ��//\ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder i( compliance witii a ordinances a tu? pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami S e� Villa. In accep • . • this . ermi assume responsibility for all work done by either self, my agent, servant or employee. . Work to be performed under this Permit L.•fier• - 221.d vy f , 9 Lot Q RACTOR •- BUILDER MIAMI SHORES VILLAGE, FLORIDA ERMIT N? 4764 Bl. v isi o n v I vision /f Value of Project BY DATE Contractor's License No. q,1 Amt. of Permit - Iry AUTHORITY 1944, MIAMI SHORES V - I RMIT N° 1017 BUILDING ELECTRICAL PLUMBING te l work Owner of Building �'✓ Architect \"""" contractor or ILk1 er Legal Description Address of Building This permit is granted to the contractor or builder named above to cots_ application herefor in strict compl with all ordinances pertaining thereto i wi with any plans, drawings, statements specifications that may have been subtp be revoked at any time if the work not done in compliance with such or upon which this permit, is granted is the understanding that the contractor or the ordinances and regulations per to the work coveted hereby whether sh that he assumes responsibility for work one by his agents, servants or employees. Signed In consideration of the is iu a nte to me of this permit I agree to perform the work covered hereunder i tions pertaining thereto and in strict %conformity with the plans, drawings, statements or specifications su Village. In -- ng this - assume responsibility for all one by either myself, agent, Permit No Amount of Permit S--_ appeared Application is hereby ml 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION! DEPARTMENT PPLICATION FOR PLUMBING PERMIT Date lC!�iI Owner's Name and Address Registered Architect and /or Engineer ` Employing Plumber's Name __ N Location and Legal Description Lot_ Street and Number where work is to be performed—No. %On State work to be performed and purpose of building (By Floors) New Building _ Remodeling Addition Size Septic Tank Feet of Drain Tile.______ Nature of Water Supply: C' Well My Commission Expires _Block ____ Type of Tank Capacity Cals. 1 k or Drain Field from Well ._ __.. e"' _. Size of Soaka ,,, Pit (Signed) The undersigned applicant for this building permit does hereby certify that under the Florida Workmen's Compensation Act, being Section 5966, (pile eneral Laws of Florida plied with the provisions thereof, and will require similar compliance film all contractors or sub - contract& performed under this permit; and will post or cause to be posted for inspection on the site of the work such required by the Act. The under signed agrees to employ only such sub - contractors, on work to be perform licensed by Miami Shores Village. (Signed Mt 4 Su bdivision r... Repairs _ - .____._ No .lof Stories.--._ understands and accepts hid obligations as an amyl STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknow Notary Public. State of Florida Plumbing 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 therein by him stated are true. r. of labor Su .. lement, and has to s- imintheworktObe lic notice or moths. as sot under this permit. as are facts NOTE: A re- inspection fee of $ 1.00 will be made when such re- inspection is made necessary by improper notice :for inspection. of f.0 materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N5 TOTAL FIXTUeeta CONTR. LIST • CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER illelgir WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No Amount of Permit S--_ appeared Application is hereby ml 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION! DEPARTMENT PPLICATION FOR PLUMBING PERMIT Date lC!�iI Owner's Name and Address Registered Architect and /or Engineer ` Employing Plumber's Name __ N Location and Legal Description Lot_ Street and Number where work is to be performed—No. %On State work to be performed and purpose of building (By Floors) New Building _ Remodeling Addition Size Septic Tank Feet of Drain Tile.______ Nature of Water Supply: C' Well My Commission Expires _Block ____ Type of Tank Capacity Cals. 1 k or Drain Field from Well ._ __.. e"' _. Size of Soaka ,,, Pit (Signed) The undersigned applicant for this building permit does hereby certify that under the Florida Workmen's Compensation Act, being Section 5966, (pile eneral Laws of Florida plied with the provisions thereof, and will require similar compliance film all contractors or sub - contract& performed under this permit; and will post or cause to be posted for inspection on the site of the work such required by the Act. The under signed agrees to employ only such sub - contractors, on work to be perform licensed by Miami Shores Village. (Signed Mt 4 Su bdivision r... Repairs _ - .____._ No .lof Stories.--._ understands and accepts hid obligations as an amyl STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknow Notary Public. State of Florida Plumbing 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 therein by him stated are true. r. of labor Su .. lement, and has to s- imintheworktObe lic notice or moths. as sot under this permit. as are facts NOTE: A re- inspection fee of $ 1.00 will be made when such re- inspection is made necessary by improper notice :for inspection. of f.0 materials and /or workmanship.