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601 NE 96 St (11)MIAMI SHORES V c.' JOB ADDRESS INSPECTI TIME REA REMARKS: — IN SPECTO BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building PERMIT MIAMI SHORES VILLAGE, FLORIDA DATE N9 5950 Work to be performed under this Permit DATE 19 1 Contractor's License No. Subdi- vision Value of Amount of 1 Project $ II Permit $ ► , d above to construct the building or to install the equipment or device described in the applica- hereto and with the understanding that the work will be performed in compliance with any n submitted to and approved by the proper municipal authorities. This Permit may be revoked lances or if the plans are changed without authorization. A further condition upon which this lder named above assumes the responsibility for a thorough knowledge of the ordinances and on the plans or drawings or in the statements or specifications and that he assumes respon- Signed• INSPECTOR e to perform the work covered hereunder- in compliance with all ordincas and regulations statements or specifications submitted to the proper authorities of Miam? es Village. In as her, myself, my agent, servant or employee. AUTHORITY ♦Yeot 1' BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 5709 0 Owner of Building DATE Contractor's License No. Work to be performed under this Permit Architect Contractor or Builder ' Legal Lot Subdi- Description B1 vision Address of Value of Building 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. In consideration of the issuance to me pertaining thereto and in strict conformity with cepting this permit I assume responsibility for CONTRACTOR OR BUILISER BY Amount of Permit $ 1r Signed. INSPECTOR of this permit I agree to perform the work covered hereunder in compliance eolith all ordinances and regulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as ell work done by either, myself, my agent, servant or employee. C) — %e ti AUTHORITY 19 Permit No. t 457) 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 (Abel 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 at building during progress of work. Ownei s Name and Address. ��11i �©i?c - Ri c �i �� /c' 8 4'J No o D Street �p NS' /,/ Registered Architect and /or Engineer — .....__.___. Employing Plumber's Name.- _ -_ -•- - -. - - 1 Z? R. ed �oG ✓C, No. _ 4 _- - �'�-.1)..:!)_ Th ( ' Street -_ Location and Legal Description Lot----- •----- __.__._.__._ ..... - -- —_. -- Block_ -__ - - . ---- _- _-- ._._ -- -_ - -_- Subdivision Street and Number where work is to be performed —No. �_ I. � .. __ Street J State work to be performe and purpose of building (By Floors) � • Remodeling Addition___-..__. Repairs. .. . -. __- ..... No. of Stories New Building - g -- P Size Septic Tank Type of Tank_.- Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply City Well . -- .____ -- -. -- Size of Soakage Pit Amount of Permit $.. ...... -- '— w - - - - -- ------=- - -. —_. (Signed)__ Date _ - -____ AW 4 1/4* Capacity Gals. Plu bing Inspa. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as nu employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and his ,.c ,- 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 an 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 .,ppeare 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. My Commission Expires Notary Public, State of Florida 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 Ltd materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBA URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT NS TOTAL FIXTUREI CONTR. LIST 3 3 / D_ / 3 / CHECK SEPTIC TANK SEWER CONN. DRAIN F IELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL (. ,c O &'c ,e7de,c kvcc / eoo 4 54pg s 14/ spa CONTR. LIST CHECK / 4 4 Permit No. t 457) 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 (Abel 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 at building during progress of work. Ownei s Name and Address. ��11i �©i?c - Ri c �i �� /c' 8 4'J No o D Street �p NS' /,/ Registered Architect and /or Engineer — .....__.___. Employing Plumber's Name.- _ -_ -•- - -. - - 1 Z? R. ed �oG ✓C, No. _ 4 _- - �'�-.1)..:!)_ Th ( ' Street -_ Location and Legal Description Lot----- •----- __.__._.__._ ..... - -- —_. -- Block_ -__ - - . ---- _- _-- ._._ -- -_ - -_- Subdivision Street and Number where work is to be performed —No. �_ I. � .. __ Street J State work to be performe and purpose of building (By Floors) � • Remodeling Addition___-..__. Repairs. .. . -. __- ..... No. of Stories New Building - g -- P Size Septic Tank Type of Tank_.- Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply City Well . -- .____ -- -. -- Size of Soakage Pit Amount of Permit $.. ...... -- '— w - - - - -- ------=- - -. —_. (Signed)__ Date _ - -____ AW 4 1/4* Capacity Gals. Plu bing Inspa. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as nu employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and his ,.c ,- 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 an 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 .,ppeare 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. My Commission Expires Notary Public, State of Florida 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 Ltd materials and /or workmanship. Permit No __._ o LL 7 Employing Plumber's Name Location and Legal Description Lot Amount of Permit $— STATE OF FLORIDA, } COUNTY OF DADE. 00 Tronigas Registered Architect and /or Engineer _____________ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPLICATION FOR PLUMBING 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 Size Septic Tank-. Feet of Drain Tile___- ____---- - -- ....... - ___-_ -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well_.- _— — — ____Size of Soakage Pit ____. 'PT g„ A T,T, _GAS. . SMS E i 4:__ SP A r, HEALF.,R -___ ____Type of Tank._ Date_._- Dec. 22 1964 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ether 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 Miami ^ shores Pre sb a Chu ch 620 N o E , 96 St o -- -- - -- - No . -- - — - -- - - -- - -- Street. - ... No. 3795 N. W. Street — _ 2 1 St. Block Subdivision._ -- ------------ _ - -_ -- _ -- _ -- Street Repairs.. __ ..... -- - -.. No of Stories............. . (Signed)__ _ Capacity Gals. Plumb lnspecto:. 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 no'ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work be performed and this per nit. as are licensed by Miami Shores Village. (Signed)_ 28876 —C Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 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 SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N. TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POOL �. Comm LIST �" - -. — CHECK Permit No __._ o LL 7 Employing Plumber's Name Location and Legal Description Lot Amount of Permit $— STATE OF FLORIDA, } COUNTY OF DADE. 00 Tronigas Registered Architect and /or Engineer _____________ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPLICATION FOR PLUMBING 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 Size Septic Tank-. Feet of Drain Tile___- ____---- - -- ....... - ___-_ -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well_.- _— — — ____Size of Soakage Pit ____. 'PT g„ A T,T, _GAS. . SMS E i 4:__ SP A r, HEALF.,R -___ ____Type of Tank._ Date_._- Dec. 22 1964 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ether 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 Miami ^ shores Pre sb a Chu ch 620 N o E , 96 St o -- -- - -- - No . -- - — - -- - - -- - -- Street. - ... No. 3795 N. W. Street — _ 2 1 St. Block Subdivision._ -- ------------ _ - -_ -- _ -- _ -- Street Repairs.. __ ..... -- - -.. No of Stories............. . (Signed)__ _ Capacity Gals. Plumb lnspecto:. 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 no'ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work be performed and this per nit. as are licensed by Miami Shores Village. (Signed)_ 28876 —C Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 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. Sf owner Date: Z l 6 iQ S PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date_ Job Address 00/ is&C 'i:, .(7 Tax Folio Legal Description �t"Owgef / Lessee / Tenant / .,. no^ 114ster Permit # 730 Owner's Address / ' � % S� G4%,/ 4. one 7f I/ a‘ a/ ,6400 , �. o 4'r ,c H n. ag p i . a 4. L ti c /)D- /?9- t O O 44 21 Contracting Co. !O / ,4 17 4 0 aiN ,r�Su/o1 i Address �i /rl q .., : 44 AY/ 3 2/6 v Qualifier / v, W / • ® # F .A0 0 �'d State # Municipal # /73 2,d Competency # Ins.Co. y �� Architect /Engineer Address Bonding Company Address Mortgagor Permit Type(circle one): BUILDING ELECTRICAL MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION L� s // - A 44 3 u v/f an /or Condo Presid Carot o•s (otcry STATE .O `, Public M Comm Ex Notary as to Owner and /or Condo N@Idb My Commission Expires: ** * * * * * * * * ■ ofl FEES: PERMIT ('- RADON C.C.F. APPROVED: Fire Other Zoning Buildin Mechanical Plumbin Address �!J A/8 S '7 /929 i'Av /./. r F a / , APf,1 „cf J Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF' COMMENCEMENT *ND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU 1121= '` TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will _ be done in compliance with all applicable laws regulating co ; str on and zoning. Furthermore, I autho ze the above- n:m :.! contractor to do the work state Signature of Contractor or Owner- Builder Date:r• IRENE RESN CK HURSITZ NOTARY My Comm Exp. 8/24/97 :3 rTU,, Bond'cd By Service IPF Notary : to o :+ tr§ &too 33Owner- Builder My Commtsfga * S NOTARY �— * ; j ^,art 0. * * ** TOTAL DUE G>G. Electrical Engineering N___L, i / 7 / 7 / 7 L. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ Date ` `= "" PLUMBING PERMIT N° 8230 Contractor's ROOFING ❑ License No. f Y ❑ Work to be performed under this Permit Owner of Building ,r _ Architect Contractor or Builder r Legal Lot Description Bl Address of o Building " ,r 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 • ° r a' f (INSPECTOR) BY In consideration of the issuance to me of this permit ‘agree 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 this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER Subdi- v ision Sq. Ft. Value of I I Amount of Project $ II Permit $ BY AUTHORITY Permit No. 2 3 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. Owner's Name and AddressMUh/)i1_ �fM L 2 _ KOg...Xr &.Cf #4..- No.__- 6 0 / Street_. 5 Registered Architect and /or Engineer 11 B GM r r:A. 1,1% i a .tc1_P _r Employing Plumber's Name a RkED_ lac GoLA /RAI ,.._ l &Lc_ 8 B7- 7BJ8 No. - iIQ Street-- W. 2 -7 L4 577 1 4/ 0 4 1 . 0 i 0 - Location and Legal Description Block_. ' L S . � -c�X, -.A?xr Street__-L4�s C 1_ -5 e Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors)- .-___P lb_14_✓ / eQ.5 _- -. CliL,lge'kt New Building ✓ Remodeling_ Addition_______ Repairs No. of Stories. _ . j- Size Septic Tank Type of Tank_ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PER IT Date � QYs ,_J 76 4. Capacity Gals. __Size of Soakage Pit (Signed) _ P1 'T' ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supp ement, 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 M t er 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 $I.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES ,Y w SINKS If SLOP SINKS / LAUNDRY TUBS URINALS 1 CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 Exit 4,Arg OR `° TOTAL FIXTURES / CONTR. LIST cH6cx SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW MUG POOL CONTR. LIST / _ - - -_ CHECK Permit No. 2 3 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. Owner's Name and AddressMUh/)i1_ �fM L 2 _ KOg...Xr &.Cf #4..- No.__- 6 0 / Street_. 5 Registered Architect and /or Engineer 11 B GM r r:A. 1,1% i a .tc1_P _r Employing Plumber's Name a RkED_ lac GoLA /RAI ,.._ l &Lc_ 8 B7- 7BJ8 No. - iIQ Street-- W. 2 -7 L4 577 1 4/ 0 4 1 . 0 i 0 - Location and Legal Description Block_. ' L S . � -c�X, -.A?xr Street__-L4�s C 1_ -5 e Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors)- .-___P lb_14_✓ / eQ.5 _- -. CliL,lge'kt New Building ✓ Remodeling_ Addition_______ Repairs No. of Stories. _ . j- Size Septic Tank Type of Tank_ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PER IT Date � QYs ,_J 76 4. Capacity Gals. __Size of Soakage Pit (Signed) _ P1 'T' ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supp ement, 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 M t er 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 $I.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No._ --__ -- _ -- -- Registered Architect and /or En ineer Employing Plumber's Name 4 - / _Age ( • t New Building _- Remodeling Size Septic Tank 1 Feet of of Drain T' e_ _ vy Nature of Water S ppl'y: City—Well. Amount of Permit $- / 6 STATE OF FLORIDA, } COUNTY OF DADE. MI,'. MI 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 cther structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Location and Legal Description Lot // B1 Street and Number where work is to be performed— No.ia_,J 7 State work to be performed and purpose of building (By Floors) Addition (Signed)_ O. Date_. i 4 Repairs (Signed)- .. Street Subdivision---- - - ------ -• - - - - -- - -- No. of Stories . .. ............. . ... Capacity Gals. • - Field from Well __. ° Size of akage Pit _ ._. /7/‘ My Commission Expires Notary Public, State of Florida Plumbing Inspe 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 5986, Compiled General Laws of Florida Pennanent 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 die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this per•nit. as are licensed by Miami Shores Village. 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. 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 INKS SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST _ CHECK • •. SEPTIC TANK SEWER CONN. DRAIN SOAKAGE FIELD P 1T GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK / //) q �� �/ h `itd 1/t✓ Ai 5- / ``? (f7 _ Permit No._ --__ -- _ -- -- Registered Architect and /or En ineer Employing Plumber's Name 4 - / _Age ( • t New Building _- Remodeling Size Septic Tank 1 Feet of of Drain T' e_ _ vy Nature of Water S ppl'y: City—Well. Amount of Permit $- / 6 STATE OF FLORIDA, } COUNTY OF DADE. MI,'. MI 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 cther structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Location and Legal Description Lot // B1 Street and Number where work is to be performed— No.ia_,J 7 State work to be performed and purpose of building (By Floors) Addition (Signed)_ O. Date_. i 4 Repairs (Signed)- .. Street Subdivision---- - - ------ -• - - - - -- - -- No. of Stories . .. ............. . ... Capacity Gals. • - Field from Well __. ° Size of akage Pit _ ._. /7/‘ My Commission Expires Notary Public, State of Florida Plumbing Inspe 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 5986, Compiled General Laws of Florida Pennanent 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 die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this per•nit. as are licensed by Miami Shores Village. 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. 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.