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615 NE 97 St (7)BUILDING ELECTRICAL PLUMBING ROOFING va MIAMI SHORES VILLAGE, FLORIDA PERMIT x9 7549 Owner of F Building l r'' Architect Contractor or Builder Legal Lot Description II Bl Address of Building Work to be performed under this Permit DATE Contractor's j License No. f .. Subdi- vision Value of Project $ 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 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. Amount of Permit $ i t ..'. --'� 1 .. Signed 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 ao cepting this permit I assume responsibility for all work done by either, myself, my agent, scant or employee. ;e �- CONTRALTO OR BUILt1 R BY AUTHORITY A•1301 � BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA ❑ DATE ` 19 to PERMIT 0 ❑ Work to be performed under this Peraiit Owner of Building Architect Contractor or Builder z Legal Lot Description Bl CONTRACTOR OR BUILDER N° 7837 Address of Value of Building Project $ Contractor's �� a License No. Subdi- vision 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 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. s 'Signed. 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 plane, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for ell work done by either, myself, my agent servant or employee. BY AUTHORITY Amount of "2 Permit $ ♦B!OT '•4,a" BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 7730 Address of - • . tt Value of Building Project $ CONTRACTOR OR BUILDER BY DATE. 19 Contractor's License No. Work to be performed under this Permit Bl. Subdi- vision 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 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 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. Signed ! _ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compiiance 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 ae cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY AUSOT "�:•�� • BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA ❑ DATE 3 19 o PERMIT N? 7351 Contractor's License No. ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Description I Bl Address of Value of Building Project $ CONTRACTOR OR BUILDER BY Subdi- vision 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 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 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. Signed' „.INSPECfQR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all "gl dinances aad regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself,.niy agent, servant or employee. AUTHORITY 1 AB•OT Permit No 7 - Nature of Water Supply: City —Well Amount of Permit $ aer MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) -- -- -- Date ■T. 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. Owners Name and Address IV 6161 C"' • Mil, _ otV- 1 Q 1 No.___ -- ® 4 Street. -S7" Registered Architect and /or Engineer 'tr. 6 A V.1. p v Employing Plumber's Name___Tie / A c . 4° __ / C- No. - -- V e ' 424 StreL: / 46 11 h L , , Location and Legal Description -- ..... Subdivision A Al A Argil < Street and Number where work is to be performed— No.___CJ O 9 67 I. Screbt State work to be performed and purpose of building (By Floors) _ - 4/ / 0 / 4/ 6- / 0 0 8.- f / P / Ad' New B Remodeling_ _ — _________ Addition__._____.____.___ ____._ Repairs No. of Stories Size Septic Tank _ Type of Tank___ Capacity Gals Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit Plu t hing 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 work to be performed under this permit, as are licensed by Miami Shores Village. T / [ / ILI 1" / a CO STATE OF FLORIDA, } as. 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 hire stated are true. My Commission Expires Notary Public, State of Florida Mast;- um.er. 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. CLOSUTB BATH TUBS SHOWERS LAVA- TORIES SS INK SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CoNTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CoNTR. LIDT CHUCK Permit No 7 - Nature of Water Supply: City —Well Amount of Permit $ aer MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) -- -- -- Date ■T. 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. Owners Name and Address IV 6161 C"' • Mil, _ otV- 1 Q 1 No.___ -- ® 4 Street. -S7" Registered Architect and /or Engineer 'tr. 6 A V.1. p v Employing Plumber's Name___Tie / A c . 4° __ / C- No. - -- V e ' 424 StreL: / 46 11 h L , , Location and Legal Description -- ..... Subdivision A Al A Argil < Street and Number where work is to be performed— No.___CJ O 9 67 I. Screbt State work to be performed and purpose of building (By Floors) _ - 4/ / 0 / 4/ 6- / 0 0 8.- f / P / Ad' New B Remodeling_ _ — _________ Addition__._____.____.___ ____._ Repairs No. of Stories Size Septic Tank _ Type of Tank___ Capacity Gals Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit Plu t hing 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 work to be performed under this permit, as are licensed by Miami Shores Village. T / [ / ILI 1" / a CO STATE OF FLORIDA, } as. 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 hire stated are true. My Commission Expires Notary Public, State of Florida Mast;- um.er. 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 PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No £ / f Date 9,4e Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. J Owners Name and Address ; -__ - No. Street. Registered Architect and /or Eilglneer Employing Plumber's Name d / New Building _._ Remodeling Size Septic Tank_ Amount of Permit $ 6 ` No. Street. Location and Legal Description Lot____.__________ ___ -_� __- - - B1 Street and Number where work is to be performed -No -1 �-1-+� !/ State work to be performed and purpose of building (By Floors)._ (Signed)- ( Signed )-- - - Subdivision Addition________.______________ Repairs No. of Stories Capacity Gals. Type of Tank Feet of Drain Tile 7_47 ..._----- - - - -__ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City-Well. ____ _ —____Size of Soakage Pit mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation LT an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent .lement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ e. y 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. STATE OF FLORIDA, sc. 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 NALS 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. LIGT - CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No £ / f Date 9,4e Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. J Owners Name and Address ; -__ - No. Street. Registered Architect and /or Eilglneer Employing Plumber's Name d / New Building _._ Remodeling Size Septic Tank_ Amount of Permit $ 6 ` No. Street. Location and Legal Description Lot____.__________ ___ -_� __- - - B1 Street and Number where work is to be performed -No -1 �-1-+� !/ State work to be performed and purpose of building (By Floors)._ (Signed)- ( Signed )-- - - Subdivision Addition________.______________ Repairs No. of Stories Capacity Gals. Type of Tank Feet of Drain Tile 7_47 ..._----- - - - -__ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City-Well. ____ _ —____Size of Soakage Pit mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation LT an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent .lement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ e. y 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. STATE OF FLORIDA, sc. 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. Al % Permit No '7 3 0 Ak0 MI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date•----- ____ - !o 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. q '7 No. — — — - - . Street C / / , Owners Name and Address Registered Architect and /or Engi j eer Employing Plumber's Name_ � _--- --- - -- �.�- - -- -- - - - - - -- -' ' �__ ' � _ No._ /— �Z "i' . �/! ° Street_ /7 ' (--' Location and Legal Description Lot____.. / _ / Block_ / O / Subdivision ° T __ : :_ / Street and Number where work is to be performed —No (� /'� Street q ,- t / 7 State work to be perfo d and purpose of building (By Floo:s)___—_-1-_—_____-._____.____— New Building _ Remodeling _____...________._____ Addition________._ Repairs No. of Stories. f' Siza 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 $ STATE OF FLORIDA, } COUNTY OF DADE. (Signed )- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig..`ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennant t Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em oyed 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 suc public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed undyp this permit, as are licensed by Miami Shores Village. (Signed) Capacity Gals 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.O0 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /ozr workmanship. CLCDIiTB BATH TUBS SNDWERII LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS URL CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FI %TURES LIST CONTR. / .3 - L - _4o CH¢CS SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP AMOR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL 6 ,4slar CONTR. LIST / a / CH¢C. Al % Permit No '7 3 0 Ak0 MI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date•----- ____ - !o 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. q '7 No. — — — - - . Street C / / , Owners Name and Address Registered Architect and /or Engi j eer Employing Plumber's Name_ � _--- --- - -- �.�- - -- -- - - - - - -- -' ' �__ ' � _ No._ /— �Z "i' . �/! ° Street_ /7 ' (--' Location and Legal Description Lot____.. / _ / Block_ / O / Subdivision ° T __ : :_ / Street and Number where work is to be performed —No (� /'� Street q ,- t / 7 State work to be perfo d and purpose of building (By Floo:s)___—_-1-_—_____-._____.____— New Building _ Remodeling _____...________._____ Addition________._ Repairs No. of Stories. f' Siza 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 $ STATE OF FLORIDA, } COUNTY OF DADE. (Signed )- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig..`ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennant t Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em oyed 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 suc public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed undyp this permit, as are licensed by Miami Shores Village. (Signed) Capacity Gals 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.O0 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /ozr workmanship. ..„ 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 ' r not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ . __ ,OGt/» 2 ` 1) --S. No.__ -_ / ■ 4.-. Street..-9 Registered Architect and /or Engineer-_------ �- - -___ Employing Plumber's }-_�_� _- -.•- •----- - - - - -_ -_ -•- _ i s Name -__ - - . _ N _ - 1 g P)-'r-72 - _ ,/ J E� ...__ Street___,._ ._ _ ___.........._ ----- Location and Legal Description Lo _ ._.__ _ B ock_ ___.__________..._._.... Subdivl on Street and Number where work is to be performed —No _C RC 9 2 - Street 97 State work to be performed and purpose of building (By Floors)_ New Building Remodeling _ ______ Addition._._ Repairs No. of Stories Feet of Drain Tile-__.- Nature of Water Supply: City —Well Amount of Permit gI csf n—e MIAMI SHORES VIR1,AG PLUMBING INSPECTION DEPARTME ' IFLICATION FOR PLUMBING " ,'4117 Size Septic Tank_ .------------- _----- _-------- __ -_ -- Type of Tank ( Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob :t' ons as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perin c. a nt Supplement, and bus 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 igned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Capacity Gals. __Dist. Feet of Tank or Drain Field from Well - -___ -- Size of Soakage Pit Date S't ATE OF FLORIDA, l C(.UNTF 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 Plumbing Inspec • . Muter 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 /es workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUB. URINAL. CATCH BASIN FLOOR DRAIN DRINKING DRINK FOUNT' NS TOTAL FIXTURES CONTR. LIST CHUCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL 11 ^n A /'''''";-'n � A _ C LIST , _ _ .�_ . L'XJ f / � : — CHHECK ECK I 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 ' r not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ . __ ,OGt/» 2 ` 1) --S. No.__ -_ / ■ 4.-. Street..-9 Registered Architect and /or Engineer-_------ �- - -___ Employing Plumber's }-_�_� _- -.•- •----- - - - - -_ -_ -•- _ i s Name -__ - - . _ N _ - 1 g P)-'r-72 - _ ,/ J E� ...__ Street___,._ ._ _ ___.........._ ----- Location and Legal Description Lo _ ._.__ _ B ock_ ___.__________..._._.... Subdivl on Street and Number where work is to be performed —No _C RC 9 2 - Street 97 State work to be performed and purpose of building (By Floors)_ New Building Remodeling _ ______ Addition._._ Repairs No. of Stories Feet of Drain Tile-__.- Nature of Water Supply: City —Well Amount of Permit gI csf n—e MIAMI SHORES VIR1,AG PLUMBING INSPECTION DEPARTME ' IFLICATION FOR PLUMBING " ,'4117 Size Septic Tank_ .------------- _----- _-------- __ -_ -- Type of Tank ( Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob :t' ons as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perin c. a nt Supplement, and bus 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 igned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Capacity Gals. __Dist. Feet of Tank or Drain Field from Well - -___ -- Size of Soakage Pit Date S't ATE OF FLORIDA, l C(.UNTF 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 Plumbing Inspec • . Muter 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 /es workmanship.