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9380Datt4.d2r4i. /1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewth submitted for the building or: other structure hewn 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 wor Permit No. 9glD Owner's Name and Address Registered Architect and /or Engineer Employing Phnnber's Name !/ P/2.a Zap_ Location and Legal Description Blom Street and Number where work is to be performed-No.- State work to be performe8 and purpose of building (By Floors) New Burbling Remodeling Addition A Airs _._ Size Septic Tapir Feet of Drain Tile . Dist. Feet of Tank or Drain Field from Well Amount of Permit $ �' STATE OF FLORIDA, l COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tapir (signed) Street.. Capacity Gals. No. of Stories_ _....__ _.____ (Signed) 4 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 6986, 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, to be ed under this permit, as are licensed by Miami Shores Village. Plumbing Inspector. 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 dePeeee and Ws 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 Ounmission Ezphos Notary Public, State of Florida NOTE: A re-inspection fee of $L00 will be made when such re-inspection is made'necessary by improper notice for inspection, or faulty materials and /or wbrlanansbip. \ CLOUTS BATH TUBS SHOWERa LAVA. TORIES 811005 SLOP SINKS LAUNDRY TUBS URINALS CATCX BASIN PLOOR DRAIN DRINKING rOUNT'N6 TOTAL FIXTURES CONTR. LIST macs SEPTIC TANK SEWER CONN. DRAIN PIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. Orville.' SWWIM'O Pool comm. LIST T CXECK Datt4.d2r4i. /1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewth submitted for the building or: other structure hewn 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 wor Permit No. 9glD Owner's Name and Address Registered Architect and /or Engineer Employing Phnnber's Name !/ P/2.a Zap_ Location and Legal Description Blom Street and Number where work is to be performed-No.- State work to be performe8 and purpose of building (By Floors) New Burbling Remodeling Addition A Airs _._ Size Septic Tapir Feet of Drain Tile . Dist. Feet of Tank or Drain Field from Well Amount of Permit $ �' STATE OF FLORIDA, l COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tapir (signed) Street.. Capacity Gals. No. of Stories_ _....__ _.____ (Signed) 4 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 6986, 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, to be ed under this permit, as are licensed by Miami Shores Village. Plumbing Inspector. 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 dePeeee and Ws 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 Ounmission Ezphos Notary Public, State of Florida NOTE: A re-inspection fee of $L00 will be made when such re-inspection is made'necessary by improper notice for inspection, or faulty materials and /or wbrlanansbip. \ BUILDING ❑ ELECTRICAL PLUMBING 1OOF1G Owner of ,. Building CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Work to be performed under this Permit try Date BY AUTHORITY Contractor's License No. coo - =-� A -" ^��� T.-.�•f:- — ��� =-�� � �'- may- - -� Legal Lot Description 11 Bl. Subdi- vision Sq. Ft. Address of Value of 11 Amount of Building Project $ f Permit $ :iedc 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 pertaininS+ thereto and with the understanding that the work will be performed in compliance with any 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 ho assumes respon- sibility for work done by his agents, servants or employees. Signed.`' (INSPECTOR) BY In consideration of the issnnnre_ to me of this f - ermi agree to perform- wor k covered hereuupder 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 Vilrage. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.