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485 NE 96 St (2)/ f /�� /NW 101. 4'35 g a 3 17 e too Amount of Permit i 15.00 NOTE: A re-inspection fee of *1. materials and /or wet My Co MOAMO EHORES VOILA SE EaWECT ON DEPAUM V AMA TION POR P6k N 0 PERMIT STATE OF FLORIDA, 1 u. COUNTY OF DADE. I Before me, the undersigned authority, a notary (ils , dElly a�4 i Morton Goldman to me well known, and who, being by me first duly In7zom, own nada of the above described construction, that /an Ens ca (Sf Permit No Application is hereby made for the appal of the detailed statement of the plasm and specifications herewith submitted for the building or other structure herein described. This application Is made I compliance and confoamity etith the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinagnns e Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied withh, w488 r d or set. A oopy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address r• D. C a s s i s Registered Architect and /or Engineer Employing Plumber's Nmno liL,R.Rnhhi n x. Sons — .., N€k 101,4}Ll° a.... ll .14. m,.. - .. ... Location and legal ption Lot Ig a 4 Sulsdiv. _ _ - -.�— Street and Numbes where work is to b pzsfom -No 485 NE 96 St reet, Miami _s,•._ -- ��`J� ? Q , ....�.. � State work to be performed and posy . s of b9P: b (By 171a )_____.Replane- Solar _T_atd _........ New Building.-_.-._— _._--_ .... ...•_.. Rome•.• tiling —_. _. _ __ Ad'•:;efara...___ —• - -- Repairs No. of Stories.......... Size Septic Tank— Ty of Tend: Feet of Drain Tile _ Fw2 of Toth car Drain ETialtlfrene Nature of Water Supply: City -Well. Size of Sockage 3 "12 (SId)__ h. off' Plumbing Inspector. The undersigned applicant for this building permit does baby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section SBZ3, Compiled General Laws of Florida Permanent Supplement, and lids com- plied with the provisions thereof, and will require clear compliance from all co or sub - contractors employed by him in the worle to he performed under this permit; and will post or ounce to he poste 11oz inspection on the site of the work such public notice or notices as err required by the Act. The undersigned agrees to employ only crib- ountaactors. on work to be performed under this permit, as are licensed by Miami Shores Village. gAmimister oaths and take aclu owIedgmento, personally appeared COMO Ltx.A says 3 -12 -84 N 485 NE 96 at.Stiami Shires — Capacity Gals. - - -- - — - •• - - - -- Muter Plumber. t h e Master Plumber that he did si the same, and that all facts . State of Florida Pi err' tasaoaary by - - notice for Inspection, et faulty Cl oi rT{ BATH TU0{ SHOWERS LAVA. YORI[S same � Ik CLOP 3K© LAUMOR TU ®© URINALS CATCN DA{II1 FLOOR DRAIN ORINKINO e*DUNT'N{ TOTAL TOTAL CONTR. LIST CHECK GOLAR MIAMI DEEP WELL 3PRC:LR. SYSTEM t3W IN'S POOL - - -� aseric TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT CREAMS TRAP Cetera. LIST - - r- CHECK / f /�� /NW 101. 4'35 g a 3 17 e too Amount of Permit i 15.00 NOTE: A re-inspection fee of *1. materials and /or wet My Co MOAMO EHORES VOILA SE EaWECT ON DEPAUM V AMA TION POR P6k N 0 PERMIT STATE OF FLORIDA, 1 u. COUNTY OF DADE. I Before me, the undersigned authority, a notary (ils , dElly a�4 i Morton Goldman to me well known, and who, being by me first duly In7zom, own nada of the above described construction, that /an Ens ca (Sf Permit No Application is hereby made for the appal of the detailed statement of the plasm and specifications herewith submitted for the building or other structure herein described. This application Is made I compliance and confoamity etith the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinagnns e Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied withh, w488 r d or set. A oopy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address r• D. C a s s i s Registered Architect and /or Engineer Employing Plumber's Nmno liL,R.Rnhhi n x. Sons — .., N€k 101,4}Ll° a.... ll .14. m,.. - .. ... Location and legal ption Lot Ig a 4 Sulsdiv. _ _ - -.�— Street and Numbes where work is to b pzsfom -No 485 NE 96 St reet, Miami _s,•._ -- ��`J� ? Q , ....�.. � State work to be performed and posy . s of b9P: b (By 171a )_____.Replane- Solar _T_atd _........ New Building.-_.-._— _._--_ .... ...•_.. Rome•.• tiling —_. _. _ __ Ad'•:;efara...___ —• - -- Repairs No. of Stories.......... Size Septic Tank— Ty of Tend: Feet of Drain Tile _ Fw2 of Toth car Drain ETialtlfrene Nature of Water Supply: City -Well. Size of Sockage 3 "12 (SId)__ h. off' Plumbing Inspector. The undersigned applicant for this building permit does baby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section SBZ3, Compiled General Laws of Florida Permanent Supplement, and lids com- plied with the provisions thereof, and will require clear compliance from all co or sub - contractors employed by him in the worle to he performed under this permit; and will post or ounce to he poste 11oz inspection on the site of the work such public notice or notices as err required by the Act. The undersigned agrees to employ only crib- ountaactors. on work to be performed under this permit, as are licensed by Miami Shores Village. gAmimister oaths and take aclu owIedgmento, personally appeared COMO Ltx.A says 3 -12 -84 N 485 NE 96 at.Stiami Shires — Capacity Gals. - - -- - — - •• - - - -- Muter Plumber. t h e Master Plumber that he did si the same, and that all facts . State of Florida Pi err' tasaoaary by - - notice for Inspection, et faulty BUILDING ELECTRICAL PLUMBING Owner of Building .. Architect Contractor or Builder _. Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 1155 Work to be performed under this Permit Bl. SL_ Subdi- vision DATE 194 Contractor's License No. Address of Value of Amt. of Building Project ii Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 he revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: B INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 1159 Work to be performed under this Permit Bl. Subdi- vision Value of Project DATE 1 94 Contractor's License No. 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 described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: B INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 1313 Work to be performed under this Permit Bl. Subdi- vision Value of Project CONTRACTOR OR BUILDER BY DATE 194 Contractor's License No. 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 described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work don a by either myself, my agent, servant or employee. .iw AUTHORITY i Permit No. MIAMI SHORES VILLAGE 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. Owner's Name and Address C • r— NI Registered Architect and /or Engineer Employing Plumber's Name ____ Rr f' K S Location and Legal Description Lot l #" ,•1 Street and Number where work is to be performed—No. .' (_ \. State work to be performed and purpose of building (By Floors) New Building. __ v _ ____ __ _ Remodeling _ ___ _ Addition Septic Tank. __ Feet of Drain Tile �t Nature of Water Supply: City — Well.__ - Amount 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 ss. appeared to me well known, and who. being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. My Commission Expires PLUMBING INSPECTION DEPARTMENT No. _- No r I Block 5' i N 7 1‘4 . 4 .f r Repairs Date____ l Street 1'4 r' Subdivision ! Street Capacity Gals. Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. (Signed) (Signed) /3 Notary Public, State of Florida Street ` - ¢- 't — i - ` Au a No. of Stories 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, on work to be performed under this permit, as are Master Plumber. authorized to administer oaths and take ackgov(ledgments, personally deposes and says that he is the -_ foregoing application, and that he did sign 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. GRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKL R. SYSTEM SWIM'G POOL CONTR LIST ✓ '/ CHECK Permit No. MIAMI SHORES VILLAGE 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. Owner's Name and Address C • r— NI Registered Architect and /or Engineer Employing Plumber's Name ____ Rr f' K S Location and Legal Description Lot l #" ,•1 Street and Number where work is to be performed—No. .' (_ \. State work to be performed and purpose of building (By Floors) New Building. __ v _ ____ __ _ Remodeling _ ___ _ Addition Septic Tank. __ Feet of Drain Tile �t Nature of Water Supply: City — Well.__ - Amount 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 ss. appeared to me well known, and who. being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. My Commission Expires PLUMBING INSPECTION DEPARTMENT No. _- No r I Block 5' i N 7 1‘4 . 4 .f r Repairs Date____ l Street 1'4 r' Subdivision ! Street Capacity Gals. Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. (Signed) (Signed) /3 Notary Public, State of Florida Street ` - ¢- 't — i - ` Au a No. of Stories 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, on work to be performed under this permit, as are Master Plumber. authorized to administer oaths and take ackgov(ledgments, personally deposes and says that he is the -_ foregoing application, and that he did sign 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. 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. Owner's Name and Address _ Registered Architect and /or Engineef Employing Plumber's Name Location and Legal Description Lot__ Street and Number where work is to be performed —No.. __•;!�',x' State work to be perforpied and purpose of building (By Floors) New Building ss. Remodeling My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Size Septic Tank' 7 Feet of Drain Tile -1 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.____ _ Size of Soakage Pit. Amount of Permit $ (Signed) 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. Block Addition STATE OF FLORIDA, k COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer • No. r I • z sp ' t( l . No. f ' < �` / Street ,. Type of Tank 7 . . . __Capacity Gals. rte. Date ' z / .' �ft • Subdivision _ _ % __77 • _ E� t Street ' 44: - 1i yI Repairs 1 _ No. of Stories 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 therein by him stated are true. Notary Public. State of Florida 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, on work to be performed under this permit, as are (Signed) ----- - -__ -= - -' -+ <'Z_ e.. `. oaths and take acknowledgments, personally 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 j, ..r, `^ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER 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. Owner's Name and Address _ Registered Architect and /or Engineef Employing Plumber's Name Location and Legal Description Lot__ Street and Number where work is to be performed —No.. __•;!�',x' State work to be perforpied and purpose of building (By Floors) New Building ss. Remodeling My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Size Septic Tank' 7 Feet of Drain Tile -1 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.____ _ Size of Soakage Pit. Amount of Permit $ (Signed) 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. Block Addition STATE OF FLORIDA, k COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer • No. r I • z sp ' t( l . No. f ' < �` / Street ,. Type of Tank 7 . . . __Capacity Gals. rte. Date ' z / .' �ft • Subdivision _ _ % __77 • _ E� t Street ' 44: - 1i yI Repairs 1 _ No. of Stories 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 therein by him stated are true. Notary Public. State of Florida 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, on work to be performed under this permit, as are (Signed) ----- - -__ -= - -' -+ <'Z_ e.. `. oaths and take acknowledgments, personally 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. 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 S. Registered Architect and /or Engineer Employing Plumber's Name / Location and Legal Description Lot — __ 1 i Block i Subdivision 41 Y Street and Number where work is to be performed— No..._ _ ___ 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 $ 11 11016 . : MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling _ Addition Type of Tank No. /4 F • r No. Street Repairs Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. Street My Commission Expires Notary Public, State of Florida No. of Stories Capacity Gals. (Signed) - w` Plumlg Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his.obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 1_ fin— - — —- Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST / L c'J / ( �l }� CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST v _ CHECK 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 S. Registered Architect and /or Engineer Employing Plumber's Name / Location and Legal Description Lot — __ 1 i Block i Subdivision 41 Y Street and Number where work is to be performed— No..._ _ ___ 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 $ 11 11016 . : MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling _ Addition Type of Tank No. /4 F • r No. Street Repairs Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. Street My Commission Expires Notary Public, State of Florida No. of Stories Capacity Gals. (Signed) - w` Plumlg Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his.obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 1_ fin— - — —- Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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. MIAMI SHORES VILLAGE, FLA. JOB K. • ADDRESS INSPECTION 4 TIME READY \ REMARKS : • N? 6283 INSPECTOR- DATE Permit No. ..• New Building ._ ____ Remodeling t „ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. Size of Soakage Pit. Amount of Permit $ (Signed) ss. APPLICATION FOR PLUMBING PERMIT Date C�Y 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 ___ '____ ' ^r--.;r ..__.__ No. y ,.►_ Registered Architect and /or Engineer - r Employing Plumber's Name .___•..-- -/ '._____a_..4. .... 'T a ',I ____ ___ No Y E Street ` !_! �j Location and Legal Description Lot / - ". 2f) • " Block____. 6 Subdivision Street and Number where work is to be performed— No. _____.___ State work to be performed and purpose of building (By Floors) Capacity Gals. Street ___I/ Street Addition Repairs ______ No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. a // (Signed _ Master Plumber. STATE OF FLORIDA, t 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. 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 H EATER DEEP WELL SPRKLR, SYSTEM SW IM'G POOL CONTR. LIST X CHECK Permit No. ..• New Building ._ ____ Remodeling t „ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. Size of Soakage Pit. Amount of Permit $ (Signed) ss. APPLICATION FOR PLUMBING PERMIT Date C�Y 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 ___ '____ ' ^r--.;r ..__.__ No. y ,.►_ Registered Architect and /or Engineer - r Employing Plumber's Name .___•..-- -/ '._____a_..4. .... 'T a ',I ____ ___ No Y E Street ` !_! �j Location and Legal Description Lot / - ". 2f) • " Block____. 6 Subdivision Street and Number where work is to be performed— No. _____.___ State work to be performed and purpose of building (By Floors) Capacity Gals. Street ___I/ Street Addition Repairs ______ No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. a // (Signed _ Master Plumber. STATE OF FLORIDA, t 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. Permit No. _. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 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. Owner's Name and Address _ i:;__.� ____ r> > I!�' No. __ Street Registered Architect and /or Engineer r _ ,�. .._________ _____ ___�___: _______ Employing Plumber's Name ' /I Street and Number where work is to be performed —No Size Septic Tank. Feet of Drain Tile STATE OF FLORIDA, j ss. COUNTY OF DADE. Type of Tank '.4/_!? No. 4 / Location and Legal Description Lot____ ;r__._ ''- Block Subdivision__,____ State work to be performed and purpose of building (By Floors) __4, —� -_ New Building ' Remodeling Addition Repairs No. of Stories Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: Cify —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 him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Street % Date -- 't Street Capacity Gals — —� — 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 Master Pli.ciber, 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 . � f i , .. ' � CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. IST LIST CHECK Permit No. _. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 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. Owner's Name and Address _ i:;__.� ____ r> > I!�' No. __ Street Registered Architect and /or Engineer r _ ,�. .._________ _____ ___�___: _______ Employing Plumber's Name ' /I Street and Number where work is to be performed —No Size Septic Tank. Feet of Drain Tile STATE OF FLORIDA, j ss. COUNTY OF DADE. Type of Tank '.4/_!? No. 4 / Location and Legal Description Lot____ ;r__._ ''- Block Subdivision__,____ State work to be performed and purpose of building (By Floors) __4, —� -_ New Building ' Remodeling Addition Repairs No. of Stories Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: Cify —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 him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Street % Date -- 't Street Capacity Gals — —� — 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 Master Pli.ciber, 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 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 Name _ - No Street______ Location and Legal Description Lot____, Block Subdivision 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 Size Septic Tank Feet of Drain Tile_____ Nature of Water Supply: City — Well.____ _ - _ Amount 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, i ss. COUNTY OF DADE. My Commission Expires PLUMBING INSPECTION DEPARTMENT MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. (Signed) ------ -�- --- 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, on work to be performed under this permit, as are (Signed) Before me, the undersigned authority, a notary public, duly 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 therein by him stated are true. Notary Public, State of Florida i Master Plumber. Street No. of Stories authorized to administer oaths and take acknowledgments, personally 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.__ � ``____________________ 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 Name _ - No Street______ Location and Legal Description Lot____, Block Subdivision 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 Size Septic Tank Feet of Drain Tile_____ Nature of Water Supply: City — Well.____ _ - _ Amount 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, i ss. COUNTY OF DADE. My Commission Expires PLUMBING INSPECTION DEPARTMENT MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. (Signed) ------ -�- --- 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, on work to be performed under this permit, as are (Signed) Before me, the undersigned authority, a notary public, duly 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 therein by him stated are true. Notary Public, State of Florida i Master Plumber. Street No. of Stories authorized to administer oaths and take acknowledgments, personally 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. JOB; ADD: BUILDING ELECTRICAL : PLUMBING Inspector's'Report: • : WORK • : DONE BY: • • • • • • The following is ready for Inspection: -• 1 • • • • • • FETaEST oR • INSP ECTIO. WAS HARE WILL BE READY • NOTE: REQUESTS FOR INSPEC ':IO S iaJST BE MADE BY THE CONTRACTOR PERFORI.4ING THE WORK. 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. , 9 Owner's Name and Address ___._ ___.___________ No Street Registered Architect and /or Engineer __, Employing Plumber's Name Amount of Permit $ APPLICATION FOR PLUMBING PERMIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No._.__ Street. Location and Legal Description Lot Block � •? Subdivision__���� _;w� Size Septic Tank Type of Tank Capacity Gals (Signed) (Signed /.. Street 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 Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well 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 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work . to be performed under this permit, as are licensed by Miami Shores Village. i STATE OF FLORIDA, 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. Master Plumber. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST ‘' 4 CHECK 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. , 9 Owner's Name and Address ___._ ___.___________ No Street Registered Architect and /or Engineer __, Employing Plumber's Name Amount of Permit $ APPLICATION FOR PLUMBING PERMIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No._.__ Street. Location and Legal Description Lot Block � •? Subdivision__���� _;w� Size Septic Tank Type of Tank Capacity Gals (Signed) (Signed /.. Street 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 Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well 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 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work . to be performed under this permit, as are licensed by Miami Shores Village. i STATE OF FLORIDA, 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. Master Plumber. 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. Amount of Permit $ licensed by Miami Shores Village. appeared _______ 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 appiication 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 Name No. Street Location and Legal Description Lot_ __ Block Subdivision 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 Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile__ Nature of Water Supply: City —Well Size of Soakage Pit ss. Dist. Feet of Tank or Drain Field from Well The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such STATE OF FLORIDA, k COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly 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 therein by him stated are true. My Commission Expires (Signed) Plumbi.g 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, on work to be performed under this permit, as are (Signed) authorized to administer oaths and take acknowledgments, personally 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. Notary Public. State of Florida Master Plumber. sign the same, and that all facts CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT' 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 Amount of Permit $ licensed by Miami Shores Village. appeared _______ 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 appiication 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 Name No. Street Location and Legal Description Lot_ __ Block Subdivision 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 Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile__ Nature of Water Supply: City —Well Size of Soakage Pit ss. Dist. Feet of Tank or Drain Field from Well The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such STATE OF FLORIDA, k COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly 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 therein by him stated are true. My Commission Expires (Signed) Plumbi.g 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, on work to be performed under this permit, as are (Signed) authorized to administer oaths and take acknowledgments, personally 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. Notary Public. State of Florida Master Plumber. sign the same, and that all facts JOB: AD: BUILDING : : WORK • DONE BY ELECTRICAL: • PLUMBING REQUESTED WILL ,BE READY • • • • The following is ready for Inspection: Inspector's Report: - NI Permit Rio. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ea, MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the wilding or cther 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 CS N o._ - 1 r�- � - - - -- -- Street_ Registered Architect and /or Enginter -. Employing Plumber's Name 0 Location and Legal Description Lot Block 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 - -- - - - - -- - -- Street __.. Subdivision__ Street Feat of Drain TiW Size Septic Tank _ e QE To.f _ _ -- - - -- . -- -• - -- -_ -- Capacity Gals �! ____ ______Dist eet Tank or Drain Field from Well Nature of Water Supply: City—Well. -_ _ T_______________ -_ -- - ____._ -Size of Soakage Pit (Sign Repairs_ ........ - -_- -. - - -- No. of Stories. Master P1 Plcmbing Inospecto The undersigned applicant for this building permit does hereby certify that he understands and accepts his obhons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and . • com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the orlf '7° performed under this permit; and will post or cause to be posted' for inspection on the site of the w. such public o•ic/ 5 ar, required by die Act. The undersigned agrees to employ only such sub- contractors, on wor beerformnder th', perk, ase licensed by Miami Shores Village. ' Cam., Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal! • 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 $I.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH T UBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT N:, TOTAL F XTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST CHECK Permit Rio. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ea, MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the wilding or cther 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 CS N o._ - 1 r�- � - - - -- -- Street_ Registered Architect and /or Enginter -. Employing Plumber's Name 0 Location and Legal Description Lot Block 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 - -- - - - - -- - -- Street __.. Subdivision__ Street Feat of Drain TiW Size Septic Tank _ e QE To.f _ _ -- - - -- . -- -• - -- -_ -- Capacity Gals �! ____ ______Dist eet Tank or Drain Field from Well Nature of Water Supply: City—Well. -_ _ T_______________ -_ -- - ____._ -Size of Soakage Pit (Sign Repairs_ ........ - -_- -. - - -- No. of Stories. Master P1 Plcmbing Inospecto The undersigned applicant for this building permit does hereby certify that he understands and accepts his obhons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and . • com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the orlf '7° performed under this permit; and will post or cause to be posted' for inspection on the site of the w. such public o•ic/ 5 ar, required by die Act. The undersigned agrees to employ only such sub- contractors, on wor beerformnder th', perk, ase licensed by Miami Shores Village. ' Cam., Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal! • 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 $I.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.