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540 NE 96 St (20)BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA 2 2 3 ELECTRICAL Date— 1 PLUMBING ° PERMIT N° 9707 ROOFING ❑ ❑ Work to be performed under this Permit Owner of g Building Architect or Builde ,•T A . ,�� k.r(.+Gt.. or Builder �•L • /� • Legal Lot Description Add of � ye Q, — _ 4` ' Building �/ �� 4' /.3 �i� 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 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 wort: covered hereb whether shown on ' e plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agen :s, servants or pia ees. Signed (INSPECTOR) BY In consideration of the issuance to - of this permit pertaining thereto and in strict conformity with the plans, In accepting this permit I assume responsibility for all w. 'k CONTRACTOR or ]3UILDER II B1 Contractor's License No. ',/l e Subdi- vision Sq Ft Value of 11 Amount of Project $ II Permit $ gree to perform the work covered hereunder in compliance with all ordinances and regulations wings, statements or specifications submitted to the proper authorities of Miami Shores Village. done by either, myselb m}?- agent, servant or employee. ode III BY AUTHORITY Permit No.__. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Enginee Employing Plumber's Name Amount of Permit $ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—Well. op MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N e E L / 0 Y.8- 9 Street No Z 3Street_4 Location and Legal Description Lot________ -------- — _____.________ __.___ Block___ Subdivision Street and Number where work is to be performed —No 7 4 / / E 9,r c� Street ))�� � �l�-'`_ State work to be performed and purpose of building ;By Floors) _ -_ -- ► -_ -- %- _ -- .____c' (ll/ A - {. New Building Remodeling ______________________ Addition Repairs No. of Stories. - --- (Signed) — ( Signed ); Date _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 understands and acre is 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 tlie 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. Raster Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 worlm►anship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINN.B 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 SW IM•G POOL CONTR. LIST -r - CHECK Permit No.__. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Enginee Employing Plumber's Name Amount of Permit $ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—Well. op MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N e E L / 0 Y.8- 9 Street No Z 3Street_4 Location and Legal Description Lot________ -------- — _____.________ __.___ Block___ Subdivision Street and Number where work is to be performed —No 7 4 / / E 9,r c� Street ))�� � �l�-'`_ State work to be performed and purpose of building ;By Floors) _ -_ -- ► -_ -- %- _ -- .____c' (ll/ A - {. New Building Remodeling ______________________ Addition Repairs No. of Stories. - --- (Signed) — ( Signed ); Date _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 understands and acre is 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 tlie 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. Raster Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 worlm►anship.