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500 NE 96 StPermit No. 1 ✓ �' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby mane 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well . Amount of Permit $. g Type of Tank_ f l Owner's Name and Address Registered Architect and /or Engineer _ _.... i Employing Plumber's Name __ ..4 - ._ .. ,r_ _,!T _/ : L €s.._ No._ _ . - ._' _ ' Street - _ -� -.1- ' t.i.f Location and Legal Description Lot .___._.._ -_-__- _________ — _.______.__._____.._ Block - . Subdivisio}i t }•� y Street and Number where work is to be performed —No. — � Fc Street. / ..t State work to be performed and purpose of building (By Floors)._ New Building - Remodeling Addition_ Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit — -- . — _ — _ -- . — _ _ -- (Signed; (signed)_ Repairs Date Street _ l I �__ 1 Capacity Gals. No. of Stories My Commission Expires Notary Public, State of Florida Plumbing Ina.., :or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a„ employer of )br under the Florida Workmen s Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, c.ir! h plied with the provisions thereof, and will require similar compliance from all contractors or sub contractors employed by him in the wo k I,, 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 1" as are licensed by Miami Shores Village. blaster Plumber. STATE OF FLORIDA, i u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 tac 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 t, ul materials and/or workmanship. CLOSETS BATH TUB9 SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS INALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT NS TOTAL FIXTURE* CONTR. LIST CHECK ! _____, , - -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SWIM 0 POOL. CONTR. LIST CHECK Permit No. 1 ✓ �' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby mane 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well . Amount of Permit $. g Type of Tank_ f l Owner's Name and Address Registered Architect and /or Engineer _ _.... i Employing Plumber's Name __ ..4 - ._ .. ,r_ _,!T _/ : L €s.._ No._ _ . - ._' _ ' Street - _ -� -.1- ' t.i.f Location and Legal Description Lot .___._.._ -_-__- _________ — _.______.__._____.._ Block - . Subdivisio}i t }•� y Street and Number where work is to be performed —No. — � Fc Street. / ..t State work to be performed and purpose of building (By Floors)._ New Building - Remodeling Addition_ Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit — -- . — _ — _ -- . — _ _ -- (Signed; (signed)_ Repairs Date Street _ l I �__ 1 Capacity Gals. No. of Stories My Commission Expires Notary Public, State of Florida Plumbing Ina.., :or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a„ employer of )br under the Florida Workmen s Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, c.ir! h plied with the provisions thereof, and will require similar compliance from all contractors or sub contractors employed by him in the wo k I,, 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 1" as are licensed by Miami Shores Village. blaster Plumber. STATE OF FLORIDA, i u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 tac 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 t, ul materials and/or workmanship. - -^ CLOSETS BATH TUBS SHOWERS LAVA. RT TOE SINKS SLOP SINKS LAUN Turns U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS - TOTAL FIKTUREI -' - CONTR LIST a ��_! N '/, _ CHECK g.. �JJ i 1 1 I s\ O ,!��� / "' f SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM G POOL CONTR. LIST ` ` i. CHECK Permit No. t 4 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby mad for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. his 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. I Owner's Name and Address ___ _ .1, =r '' '° _ ' No.___ Street Registered Architect and /or Engineer .__ _ Employing Plumber's Name . 14,11 -1, -.4 - _ `� ;..-.- `+L: . = l4i.L._� ..t_.....,,,,,,.,.__._ No._ Street -_ Location and Legal Description Lot ____________ ..... __�...___ _ Bock_ - ___ __ __ - - - -- _ - _._ - -. Subdivision _..----------- - - - - -- -- - - - - - -- - Street and Number where work is to be performed- No -____ f_ _ Street. State work to be performed and purpose of building (By Floors) New Building Remodeling ..___ Addition_-__ ..... _ ..... _ __ _ __ Repairs Size Septic Tank Feet of Drain T 1e .__ - - - -- - _- - -' - - Nature of Water Supply: City -Well. Amount of Permit $- Type of Tank_ _ Capacity Gals Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit__ (Signed) (Signed) f r No. of Stories 7 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ari employer of :11.r: under the Florida Workmen `s Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and h..s n- plied with the provisions thereof, and will require similar compliance from all contractors or sub. con ctors employed by him in the wo be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on wphk to be performed this 1 as are licensed by Miami Shores Village. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare 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 iae therein by him stated are true. My Commission Expires Notary Public, State of Florida Plumbing Ins;, c::tor. Master Plumber. NOTE: A re- inspection fel of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or materials and /or workmanship. b0 ammo C1RIC PLTG ROOFING Ow ner of Building Architect Contractor or Builder Legal Description Lot Address of Building berefo � _ 'aa eed to the contractor `, ' p�j� • wit_ ik Nit itant. time statements or ce 'nth oan or builder r ilder named ; Amt of the work understanding a done fic the that r pertaining theret ve tconstruct t the g or to install the / granted is the may submitted ther and with $ ,^ pertaining t r s pe that the th a hav s een s to approved by understanding *the work mPm device d be :rata at IIIRY done by his s work no don covered in hereby o ctor or build plane p be perforated wed ! In consideration of the issuance that he assumes +� � r agents, , servants or emploYeee. Cher foam on the named abovenassumes the �O � p w t f T Th htn e� compliance Plana or drawings Se or in the eratem�, u� knowledge � dWoa tin i4tlOQe a the Ot Cb e fi Signed: ca lot and i ssuance to w erl I a this C p � avoaformity wit of this Permit I agree �Y l n+Aon e�aitti; for nln v k rawr , ab work covered Miami p don by eitherttemeate , m or eaficationa submitted d m co mpliance t coNTRAMOR OR BUILDER yetlf my agent, servant or emplAroptr authorities o and Shores MIAMI SHORES ❑ VILLIE. FLORIDA ❑ PER No er" 14309 O Woyjr to be performed under this P BY DA License N 195 Permit No Amount of Permit $ 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 p My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT wer f 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 Y __Q___i_�l Q r_ Registered Architect and /or Engineer_ �_ _ II Employing Plumber's Name Vt. u7' M �J Location and Legal Description Lot Block ubdivision No. �""'' Street 'L 6 Size Septic Tank Type of Tank ` Capacity Gals ( Signed).- --atX . + - - -- - it) S Notary Public, State of Florida Q Q Stree u iitildliaf . S1 n R ' o. 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 Plumbin spector. The undersigned applicant for this building peritty't does hereby certify that be uuclersands and accepts his obligations as an employer of labo under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. 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. I 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'S POOL POOL CONTR. LIST ✓�'Y7 ;- �T�' CHECK / e Oa Permit No Amount of Permit $ 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 p My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT wer f 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 Y __Q___i_�l Q r_ Registered Architect and /or Engineer_ �_ _ II Employing Plumber's Name Vt. u7' M �J Location and Legal Description Lot Block ubdivision No. �""'' Street 'L 6 Size Septic Tank Type of Tank ` Capacity Gals ( Signed).- --atX . + - - -- - it) S Notary Public, State of Florida Q Q Stree u iitildliaf . S1 n R ' o. 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 Plumbin spector. The undersigned applicant for this building peritty't does hereby certify that be uuclersands and accepts his obligations as an employer of labo under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. 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. I Permit No. 1 ti/ Owner's Name and Address Size Septic Tank 7f Feet of Drain Tile.____L_L Nature of Water Supply (City- Well. Amount of Permit $- / 1 ' 0 d My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Q r _e,e_ 1--1 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. Registered Architect and /or Engineer rap' Employing Plumber's Name____ i___C__ C A ' '__ _ _ !!�f_s�__ 1_ ip / No r s G Street 'W ' CA( 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 to Street We ' No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he erstands and accepts his oblig. ' as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge eral Laws of Florida Permanent upplement, 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 )______ _ _ :__ I !1_ Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. J 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 v Z. / 7 J T / I CHECK -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / / 5 CHECK Permit No. 1 ti/ Owner's Name and Address Size Septic Tank 7f Feet of Drain Tile.____L_L Nature of Water Supply (City- Well. Amount of Permit $- / 1 ' 0 d My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Q r _e,e_ 1--1 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. Registered Architect and /or Engineer rap' Employing Plumber's Name____ i___C__ C A ' '__ _ _ !!�f_s�__ 1_ ip / No r s G Street 'W ' CA( 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 to Street We ' No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he erstands and accepts his oblig. ' as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge eral Laws of Florida Permanent upplement, 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 )______ _ _ :__ I !1_ Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. J 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. f C. R. GIBSON PLUMBING AND HEATING CO. BISCAY ] E 1850 N. W. 36th Street MIAMI, FLORIDA 5 n* TELEPHONE 82 -6042 BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA 3 Date ELECTRICAL ❑ PLUMBING ki PERMIT N °. 9751 ROOFING ❑ Owner of Building Contractor or Builder ' 's A✓ Legal Lat Description Address of Building Signed• CONTRACTOR or BUILDER Work to be performed under this Permit L Architect H B1. ve Contractor's t' 7 l8 License No. Subdi- vision Sq Ft. Value of 11 Amount of Project $ I I Permit $ BY AUTHORITY 19C, 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with an 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 respon sibility for work done by his agents, servants or employees. t It 4/6 c(. (INSPECTOR) BY In consideration of the issuance to me of this per it I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the pla , 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. Architect Contractor or Builder Legal Description II Address of 44 / Building J ' ,.) I W � Lot MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL - ❑ /. PERMIT N? 14367 PLUMBING LAS ROOFING ❑ Owner of Building Work to be performed under this Permit Subdi- vision Value of Project $ DAT /..E195-- r " ' Contractor's License No. Amt. of Permit $ t/ This permit is granted to the contractor or builder named above to construct the building or to install the uipment 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 plats, 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 u which this permit is granted is the understanding that the contractor or budder named above assumes the responsibility for a thorough knowledge of the or and tee pertaining to the work covered hereby whether shown on the plane or drawings or in the statements or specifications and that he assumes responsibility of rwork done by his agents, servants or employees. Signed • BY .� L J 4 L.i. 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 accepting thispermit I assume porosibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Permit No ___ 7_ Appl cation i 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other struct .re herein descnbed 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 th Building Di • sion 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 andior Engin Employing Plumber's Name ___ _____ STATE OF FLORIDA, } COUNTY OF DADE. No. -- - -- - — _ Street - - Size Septic Tank___ _ Feet of Drain Tile_ Nature of Water Supply. ty—Well. A Amount of Permit $ _ c MIAMI SHORES VILLAGE ,,► 5-1/ �! �3 PLUMBING INSPECTION DEPARTMENT / te " � / APPLICATION FOR PLUMBING PERMIT t. Feet of Tank or Drain Field from Well._ __ _ Si • of Soakage Pit . -.- __ -_ Repairs. Date Capacity Gas. . _ Street _ Location and Legal Description Lot____ ___ _ _ ._ _._____ — _ _ __ Block_ _____ Subdivision- _ Street and Number where work is to be performed —No _X-- '-'' Street _ State work to be performed and purpose of building (By Floors). New Building - ____ -- - - - -- - -- - -- Remodeling_-____. __ __ - _ _ Addition._.- _.. No. of Stories . J/16 - 1 Signed)-- � � _ Ge cy -- _ _ Pl..mb ,g In.pecto. The undersigned applicant for this building permit does hereby certify that he understands and cc tshie obligations as an e nployer of labor under the Florida Workmen's Compensatio:tx Act, being Section 5966, Compiled GLncral Laws of Florida Pe manent Suppl ment, 'n 1 I a om plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ: d by hin in the wo k to be performed under this permit; and will post or cause to be posted' for inspection on the site of ,. • work such public notice or no Ices as are required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. a ' i , ��✓ (Signed) .�[ ° ,j/_�¢is_� _ Master Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledge ents, personall 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 .acts 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 SHOWER! LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS I NAS URINALS CA'. C BASIN FLOOR DRAY DRINKING FOU 1 NS TOTAL F XTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WE SPRKLR. SYSTEM SW IM'G POOL CONTR. L - ST -- CHECK Permit No ___ 7_ Appl cation i 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other struct .re herein descnbed 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 th Building Di • sion 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 andior Engin Employing Plumber's Name ___ _____ STATE OF FLORIDA, } COUNTY OF DADE. No. -- - -- - — _ Street - - Size Septic Tank___ _ Feet of Drain Tile_ Nature of Water Supply. ty—Well. A Amount of Permit $ _ c MIAMI SHORES VILLAGE ,,► 5-1/ �! �3 PLUMBING INSPECTION DEPARTMENT / te " � / APPLICATION FOR PLUMBING PERMIT t. Feet of Tank or Drain Field from Well._ __ _ Si • of Soakage Pit . -.- __ -_ Repairs. Date Capacity Gas. . _ Street _ Location and Legal Description Lot____ ___ _ _ ._ _._____ — _ _ __ Block_ _____ Subdivision- _ Street and Number where work is to be performed —No _X-- '-'' Street _ State work to be performed and purpose of building (By Floors). New Building - ____ -- - - - -- - -- - -- Remodeling_-____. __ __ - _ _ Addition._.- _.. No. of Stories . J/16 - 1 Signed)-- � � _ Ge cy -- _ _ Pl..mb ,g In.pecto. The undersigned applicant for this building permit does hereby certify that he understands and cc tshie obligations as an e nployer of labor under the Florida Workmen's Compensatio:tx Act, being Section 5966, Compiled GLncral Laws of Florida Pe manent Suppl ment, 'n 1 I a om plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ: d by hin in the wo k to be performed under this permit; and will post or cause to be posted' for inspection on the site of ,. • work such public notice or no Ices as are required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. a ' i , ��✓ (Signed) .�[ ° ,j/_�¢is_� _ Master Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledge ents, personall 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 .acts 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. Amount of ..: Ps^^ 03 500 . .161 .4 % ..... ....... Appheatiur. is Ilereay mada :or the c:pproval 'Ll 3 da-•-......f.:1z.d, at:Lanza: cf plans and harawith sahrnitted :cure hers.in describaz.l. TLL pplication is made in cc: :pl.:arm c..-ad, con:o:r,:y with the Crzli., -co of iv:Iami :21 and c:L" provis1ons of the Laws cf the State of .71anda, al." ordinances of 1/iii Shores Villag2 and all rulas and regulations c EuLdiag D'xision c: Elior,:s Village, shall be cornphod whothd: hozein spa. or not. A copy of approver: plans and specifications must he kept at hailLag d-in; prog;ress c: went. Add Edwin Browder Jr . N _500 s• N E . 96 St . P•egistezed i-.re:Litact and/or Engineer__ _ • N Tropigas Inc . N 254 0 N . W . N . W . 2 Ave. G...1:1:..zz.,a1 Description Lot_ Etre. and. iiz worh is to ho per:ormold—No Stc...ta, won: to he performed and pulp-33a c hailang (Ly (Eignod)_ Sucvi3ion . N.E. 96 St. .; of Tanh e: Drain • ............... Feet of Tank or Drain :Field from Well :Sfatairo 2 Water Supply: City—Well. Size of Zoaltage, Pit • Capacity Gals._ • applicant for this building permit does :7-u certify that 113 und. a.c accepts his obligations as an employe: cf uncle,: the Florida Worlanon's Compensation Act, being ection 553, Compiled. Genera: Laws o: Florida Permanent Supplement, and Itas eon:- v.:di the provisions tharcof, and will require similar compliance from all cctors or i. employed by him in the won; o aladc r this p-it; and will post or cause to he posted' for inspection on the site c: the work such public natice or notices as are. 'di.: Act. ' undersigned agrees to employ only such sub-contit.c.tors, on wc,..l; to ha perforrnec: undar th:s pennit„is ara :17 • VT:L-3o. 2; . zr - r.bcr. 41184 Lofore L13, CA1.: undars:gn.„ authority, a notary pu:Lic, drily aS.:`,':13.:12C to oldi-ninister Cr.“:13 and take achnowleegments, porsonally appeu:ed r-.31nr ay tr.3 firat C..y sworn, upon oath cza cny:: that he is the L.a0V3 ▪ cm:L that he iias =dully read the iroroz, application, tdiz... that he did sign the soma, and that all ;acts • . • • • . ta-rum ay nun statud aro, n 2.:y "Commission EI:pires State of :?..;:::da . .............. ..... No. of* Stori-s _ ... • • .• • - • _ fze of =CAI will be made whoa cuah ra-insptztion lz made by improper notice for inspection, or faulty ina and/a.: wenanandaip. D LO10 TU OS 514°WER3 LAVA- TORIL-3 SIN:t3 SLOP SINKS LAUNDRY TUGS URINALG CAT D: 1 ,2,A,;N: FLOOR DRAIN DRINKING FOUNT' N5 1 ! 7:4", :,L Chang of Cd..'......z.. !.........: $ 1 00 1 c•-••••:e:: -- 1 1 s: ":.:.;:;t s..:1.-..2R CONN. DaA IN ' :1■ILD SOAKAGE PIT DRt.:AGZ TRAP SOLAR ;-; ILATZR D.:::::. W=LL ::: SYTE.":.; Slid I;.i • G FOOL. 1 C -- ! i I Amount of ..: Ps^^ 03 500 . .161 .4 % ..... ....... Appheatiur. is Ilereay mada :or the c:pproval 'Ll 3 da-•-......f.:1z.d, at:Lanza: cf plans and harawith sahrnitted :cure hers.in describaz.l. TLL pplication is made in cc: :pl.:arm c..-ad, con:o:r,:y with the Crzli., -co of iv:Iami :21 and c:L" provis1ons of the Laws cf the State of .71anda, al." ordinances of 1/iii Shores Villag2 and all rulas and regulations c EuLdiag D'xision c: Elior,:s Village, shall be cornphod whothd: hozein spa. or not. A copy of approver: plans and specifications must he kept at hailLag d-in; prog;ress c: went. Add Edwin Browder Jr . N _500 s• N E . 96 St . P•egistezed i-.re:Litact and/or Engineer__ _ • N Tropigas Inc . N 254 0 N . W . N . W . 2 Ave. G...1:1:..zz.,a1 Description Lot_ Etre. and. iiz worh is to ho per:ormold—No Stc...ta, won: to he performed and pulp-33a c hailang (Ly (Eignod)_ Sucvi3ion . N.E. 96 St. .; of Tanh e: Drain • ............... Feet of Tank or Drain :Field from Well :Sfatairo 2 Water Supply: City—Well. Size of Zoaltage, Pit • Capacity Gals._ • applicant for this building permit does :7-u certify that 113 und. a.c accepts his obligations as an employe: cf uncle,: the Florida Worlanon's Compensation Act, being ection 553, Compiled. Genera: Laws o: Florida Permanent Supplement, and Itas eon:- v.:di the provisions tharcof, and will require similar compliance from all cctors or i. employed by him in the won; o aladc r this p-it; and will post or cause to he posted' for inspection on the site c: the work such public natice or notices as are. 'di.: Act. ' undersigned agrees to employ only such sub-contit.c.tors, on wc,..l; to ha perforrnec: undar th:s pennit„is ara :17 • VT:L-3o. 2; . zr - r.bcr. 41184 Lofore L13, CA1.: undars:gn.„ authority, a notary pu:Lic, drily aS.:`,':13.:12C to oldi-ninister Cr.“:13 and take achnowleegments, porsonally appeu:ed r-.31nr ay tr.3 firat C..y sworn, upon oath cza cny:: that he is the L.a0V3 ▪ cm:L that he iias =dully read the iroroz, application, tdiz... that he did sign the soma, and that all ;acts • . • • • . ta-rum ay nun statud aro, n 2.:y "Commission EI:pires State of :?..;:::da . .............. ..... No. of* Stori-s _ ... • • .• • - • _ fze of =CAI will be made whoa cuah ra-insptztion lz made by improper notice for inspection, or faulty ina and/a.: wenanandaip.