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50 NE 96 St (5)
C' ce Permit No / Z 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 H No. - - - - - 5.0 Registered Architect and /or Employing Name - - -- CO- t C d /u - NA; N) K /e P" Co No. 317 ®( Street_ $ Location and Legal Description / _ Lot--_---_ ..... _____._________._-_____.�-_ Block- Subdivision Street and Number where work is to be performed -No o ®® S Street -� State work to he performed and purpose of building (By Floors) _�L!_P. ` f __ _ V � < r t '�' ! < 1 v S s f e ", New Building ___ ___________ ______ Remodeling-_-_- ______ Addition--.______ Repairs No. of Stories. Amount of Permit $_ - -- _ - -__. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING "4 -;ki HiT (Signed)- n (Signed)__ ‘ed•Zd Street 6 Si Size Septic Tank___ ...... __ -_ -- Type of Tank ireet of Drain Tile.- _----- ____ -- _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well.___ -I_C (j - -__ ____ -_ Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts" his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of FloOda 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 ork to be performed under this permit, as are licensed by Miami Shores Village. Mainupillumbeu. Notary Public, State of Florida d' S ?ATE 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 materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TU88 U RINALS 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•O POOL CONTR. LIST co-icon C' ce Permit No / Z 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 H No. - - - - - 5.0 Registered Architect and /or Employing Name - - -- CO- t C d /u - NA; N) K /e P" Co No. 317 ®( Street_ $ Location and Legal Description / _ Lot--_---_ ..... _____._________._-_____.�-_ Block- Subdivision Street and Number where work is to be performed -No o ®® S Street -� State work to he performed and purpose of building (By Floors) _�L!_P. ` f __ _ V � < r t '�' ! < 1 v S s f e ", New Building ___ ___________ ______ Remodeling-_-_- ______ Addition--.______ Repairs No. of Stories. Amount of Permit $_ - -- _ - -__. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING "4 -;ki HiT (Signed)- n (Signed)__ ‘ed•Zd Street 6 Si Size Septic Tank___ ...... __ -_ -- Type of Tank ireet of Drain Tile.- _----- ____ -- _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well.___ -I_C (j - -__ ____ -_ Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts" his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of FloOda 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 ork to be performed under this permit, as are licensed by Miami Shores Village. Mainupillumbeu. Notary Public, State of Florida d' S ?ATE 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 materials and /or workmanship. Permit No. Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. NOTE: materials MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made fdr the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of M1=11 Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address -- 8 / /J_ ®_j _ _-_ A /)1 /U. '2 No. _--- - - - - -- Street--_.... - Registered Architect and /or �, a _ Employing Plumber's Name f-__ . &k, W 3 / '. J/)//& IALf,No. Ai Street_. ? — - Location and Legal Description Lot_.----- - - - -_- _ - -_ _._ Block Subdivision Street and Number where work is to be performed— No._., O_/V F — d�2` —. Street State work to he performed and purpose of building (By Floors)_______ _.------_------____ -- New Building ___- Remodeling.__ —_ ___ Addition______.__.__.._ Repairs No. of Stories- (Signed) _ (Signed Size Septic Tank _X$__ - of Capacity Gals. Feet of Drain 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 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contracto QT sub- contra ytc employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on th site v �of the w, rk such public notice or notices as are required licensed Miami Shores Villa by undersigned fined agrees to employ only such sub- contractory, on work to , be ;form d ender this permit, as are by g lI a _``, Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. %inspection fee of $1.00 will be made when such re- inspection is made • necessary by improper notice for inspection, or faulty worlmvmchip. CLOSETS B ATH TOS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY T UBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CORN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWING POOL CONTR. LIST CHECK - Permit No. Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. NOTE: materials MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made fdr the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of M1=11 Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address -- 8 / /J_ ®_j _ _-_ A /)1 /U. '2 No. _--- - - - - -- Street--_.... - Registered Architect and /or �, a _ Employing Plumber's Name f-__ . &k, W 3 / '. J/)//& IALf,No. Ai Street_. ? — - Location and Legal Description Lot_.----- - - - -_- _ - -_ _._ Block Subdivision Street and Number where work is to be performed— No._., O_/V F — d�2` —. Street State work to he performed and purpose of building (By Floors)_______ _.------_------____ -- New Building ___- Remodeling.__ —_ ___ Addition______.__.__.._ Repairs No. of Stories- (Signed) _ (Signed Size Septic Tank _X$__ - of Capacity Gals. Feet of Drain 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 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contracto QT sub- contra ytc employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on th site v �of the w, rk such public notice or notices as are required licensed Miami Shores Villa by undersigned fined agrees to employ only such sub- contractory, on work to , be ;form d ender this permit, as are by g lI a _``, Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. %inspection fee of $1.00 will be made when such re- inspection is made • necessary by improper notice for inspection, or faulty worlmvmchip. Permit No. New Building _ Amount of Permit $ -- STATE OF FLORIDA, t COUNTY OF DADE. SS. 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 - _ei A;..._i.,,.1__i - -- t t Registered Architect and /or Engineer Employing Plumber's Name.' '. _�^�' - --L T _ No. /)-2 /)-2 _ 4 - /J. Location and Legal Descriptie(n Lot _ - i__ 41_ __(,.__ _ ___ Block Subdivision.,llLs.rc..-1_ ` __ f Street and Number where work is to be performed— o t. 11 - 2 __ G �a..c Street _. , State work to be performed and purpose of building (By Floors) Remodeling _ Addition No. /./ >J 6tr.clet- _2 e/ J Repairs Type of Tank Capacity Gals. _. __- Dist. Feet of Tank or Drain Field from Well Size Septic Tank _. -- Feet of Drain Tile Nature of Water Supply: City—Well. _ Size of Soakage Pit _ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are, licensed by Miami Shores Village. (Signed) Date /- No. of Stories I 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 c P , r"s• Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship,_ BATH CLOSETS TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS __ _ — 4K 'I . tl' (� ' 2 L [ `, � ! [s L.�. ji Arte ( b C "' J ... . T OTAL r ^ TURFS 1...4a. / / / ' / j / i cffeetc . ' , ___ SEPTIC TANK EWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL W. 474 8 1 ÷ ' {.t. r ` u. CONTR. LIST J CHECK Permit No. New Building _ Amount of Permit $ -- STATE OF FLORIDA, t COUNTY OF DADE. SS. 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 - _ei A;..._i.,,.1__i - -- t t Registered Architect and /or Engineer Employing Plumber's Name.' '. _�^�' - --L T _ No. /)-2 /)-2 _ 4 - /J. Location and Legal Descriptie(n Lot _ - i__ 41_ __(,.__ _ ___ Block Subdivision.,llLs.rc..-1_ ` __ f Street and Number where work is to be performed— o t. 11 - 2 __ G �a..c Street _. , State work to be performed and purpose of building (By Floors) Remodeling _ Addition No. /./ >J 6tr.clet- _2 e/ J Repairs Type of Tank Capacity Gals. _. __- Dist. Feet of Tank or Drain Field from Well Size Septic Tank _. -- Feet of Drain Tile Nature of Water Supply: City—Well. _ Size of Soakage Pit _ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are, licensed by Miami Shores Village. (Signed) Date /- No. of Stories I 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 c P , r"s• Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship,_ S ^ / ~ , BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 7286 Work to be performed under this Permit Bl Signed. DATE 195 Contractor's -e License No. Subdi- vision INSPECTOR Address of Value of v I Amount of Building Project $ I 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. -BY: In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY s Permit No 1 ^ -- 1 Amount of Pes nit 4 • IAMI SHE RES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICAYBON FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building OT 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 ge Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to • performed—No State work to be performed and purpose of building (By Pl'otee)__. a New Building _------- ...- ... - - - - -- Remodeling Addition No. 5D )25'14 Street._ •1.x.4+1 ®7.. 6 t �U,m,�. koek (Sigacd)- (Signed) Capacity t Ala Sic, Septic Tang — -- -- — — -- -- Type of Trete Feet of Drain Tile." e5T _`0 -� ' ' —' "f —Est. Feet of Tank or Drain Field from Well Nature of Water Supply: City —`. �; ---- - -.__ —_ — _.size of Soakage Pit G� ! My Commission Expins Nary Peleliu, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatfbles as an employer of labor under the Florida Workmen's Compensation Act, being Section SE8B, Compiled General Laws of Florida Pennanen ,/Supplement, and has com- plied with the provisions thereof, and will require simmilar 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 to be performed under this permit, as are licensed by Miami Shores Village, STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ecimowledgnrents, personally appeared to me well known, and who, being by me first duly mare, upon oath dieposes and says that he is the...__.._ .....-- •.--- • - - - - -. _ ....._ _ -- of the above described construction, that he bas carefully tad the foregoing application, and that he did sign the acme, and that all facts therein by him stated are true. NOTE: A re- inspection fee of OM reert be made via= reseinapeetion fs neede by riapragng negfze fag Inspection, or Feeley mat ala and /es weekmenship. CLOSETS BATH TUDa LiN 6R© LAAVA. vomas 5111"a GLOP SINE° LAUNDRY Tome URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS -- -- _ - - -. TOTAL F IKTUaES CONTR. LIST CHECK _s - ___ SEPTIC TANK SISWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR C.IFATER Darr WELL SPISELR. SYSTEM SWIS - G POOL CONTR. LIST CHECK s Permit No 1 ^ -- 1 Amount of Pes nit 4 • IAMI SHE RES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICAYBON FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building OT 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 ge Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to • performed—No State work to be performed and purpose of building (By Pl'otee)__. a New Building _------- ...- ... - - - - -- Remodeling Addition No. 5D )25'14 Street._ •1.x.4+1 ®7.. 6 t �U,m,�. koek (Sigacd)- (Signed) Capacity t Ala Sic, Septic Tang — -- -- — — -- -- Type of Trete Feet of Drain Tile." e5T _`0 -� ' ' —' "f —Est. Feet of Tank or Drain Field from Well Nature of Water Supply: City —`. �; ---- - -.__ —_ — _.size of Soakage Pit G� ! My Commission Expins Nary Peleliu, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatfbles as an employer of labor under the Florida Workmen's Compensation Act, being Section SE8B, Compiled General Laws of Florida Pennanen ,/Supplement, and has com- plied with the provisions thereof, and will require simmilar 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 to be performed under this permit, as are licensed by Miami Shores Village, STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ecimowledgnrents, personally appeared to me well known, and who, being by me first duly mare, upon oath dieposes and says that he is the...__.._ .....-- •.--- • - - - - -. _ ....._ _ -- of the above described construction, that he bas carefully tad the foregoing application, and that he did sign the acme, and that all facts therein by him stated are true. NOTE: A re- inspection fee of OM reert be made via= reseinapeetion fs neede by riapragng negfze fag Inspection, or Feeley mat ala and /es weekmenship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building PERMIT N? 2360 Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA DATE Work to be performed under this Permit Bl. BY Subdi- vision Value of Project $ 195 Contractor's License No. Amount 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 assum_s the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr 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 regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY 0 I CLOSETS BA TH T SHOW [R• LA VA• TORIES SINKS SLOP SINKS LAUNDRY TU•• URINALS CATCH BASIN FLOOR DRINKING GRAIN FOUNT'NS TOT..L F ETL RE• Concru. LI T CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SFRLR. K SYSTEM Swim'O POOL r — -_' ®� Co. ►rTR LIST CHICK I'enni, No. Q �. ,4pplic..tum Is hereby made for the approval of the detailed statement of the plans and specifications herewith subr i,' .1 for the building or other itructure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi. ! Shores Village, Florida, all provi of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic • of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spet fications must be kept at '.wilding during progress of work. /) '.)wuer's Name and Address . _......._ .egist red Architect and /or Engineer :mploying Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT r.. Location and Legal Description Lot. Block Street and Number where work is to be performed —No °5 _ C) Str State work to be performed and purpose of building (By Floors) e.'__t4-... -may /e6'7 New Building ........... _____ ... Remodeling__ _ ._ Addition..._..._ Repairs No of Stones Size Septic Tank_.. -- .._._ ..... _.__- _-•- ------ __...- ..Type of Tank Feet of Drain Tile.. .-.__ - -._._ __._Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ....... - .---- --- _-. - -.r .._Biz® of Soakage Pit Amount of Permit $ . STATE OF FLORIDA, t U COUNTY OF DADE. Cf1u C _. NO. _St reet_..! g��. (Si Capacity (' pals._._ (Signed)1,4. >- bL ± Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and acce',l his obligations as an en, ioyet of tolmt under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent rum lenient, find has sot- s- lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors • «yed I y him in • e 'a rk v by performed under this permit; and will post or cause to be posted' for inspection on the site of the work ch tlbl; notice ): no icer is a- requ +red by the Act. The undersigned agrees to employ only such sub - contractors, k to ' pe .eme4 -- t .. this ,, 11m, as . licensed by Miami Shores Village. 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 tnat all acts therein by him stated are true. My Commission Expires Notary Public, State of Florida Meta Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per.;or.at ; , pp+ear•.t. NOTE: A re- inspection fee of ;1.00 will be made when such rein l7 oside•necassary by lmpr+opeo =lice for I spv -ecn, to ireult) materials and /or workmanship.