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725 NE 96 St (6)MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Z - -- 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 Dopy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ,S Gh 41 r Registered Architect and /or Engineer Public Gas Co. r,.. N a 6890 N W , ,2 5t r re eet „ - - -,,, Employing Plumber's Name -� �/�j' - �.oca a and L eg 1 � pt i n Lot _.;_f Bic `� / SubdivWon. * bG No 72S N_ E_. Street_ - -_ St7 eet Street and Number where work tr to be performed —No 725 N . E . 96 Street starlet:.. _...__.._._ State work to be perfonmeil and purpose of building (By-Floors) __ 0 ( J New Building__ -_ _-___ - _ Remodeling____ _. __ Addition.. __ . ..__ Repairs. No. of Stories...... ..... . Amount of Permit 8 .... _...____._Capacity C.L..._.._ Size Septic Tank__ Type of Tan Feet of Drain Tile Dt Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. (si ' C-t ' f (Sgt ) Plumbing 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 5988, 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, on work to be performed under this permit, as are licensed by Miami Shores Village. ex Master Plumber. STATE OF FLORIDA, l u. COUNTY OF DADE. I 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 be is the __.._ ___.._..._.. -... _ _...._. of the above described construction, that be 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 81.00 will be made whoa mob sl..hspaodoa is nuolunsoessery by itnproper notice for inspection, or faulty materials and /or workmanship. URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CLOSETS BATH Tun[ S HOWERS LAVA. TOPICS SINKS SLOP SINKS LAUNDRY Tuns comm. LIST CHICK ��- _ SEPTIC TANK SEWIR CONN. DRAIN FIILD SOAKAGE PIT GRIMM TRAP SOLAR HEATER MRCP WILL 8 . SYSTEM SWIM'O POOL r- CONTR. LIST CHICK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Z - -- 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 Dopy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ,S Gh 41 r Registered Architect and /or Engineer Public Gas Co. r,.. N a 6890 N W , ,2 5t r re eet „ - - -,,, Employing Plumber's Name -� �/�j' - �.oca a and L eg 1 � pt i n Lot _.;_f Bic `� / SubdivWon. * bG No 72S N_ E_. Street_ - -_ St7 eet Street and Number where work tr to be performed —No 725 N . E . 96 Street starlet:.. _...__.._._ State work to be perfonmeil and purpose of building (By-Floors) __ 0 ( J New Building__ -_ _-___ - _ Remodeling____ _. __ Addition.. __ . ..__ Repairs. No. of Stories...... ..... . Amount of Permit 8 .... _...____._Capacity C.L..._.._ Size Septic Tank__ Type of Tan Feet of Drain Tile Dt Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. (si ' C-t ' f (Sgt ) Plumbing 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 5988, 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, on work to be performed under this permit, as are licensed by Miami Shores Village. ex Master Plumber. STATE OF FLORIDA, l u. COUNTY OF DADE. I 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 be is the __.._ ___.._..._.. -... _ _...._. of the above described construction, that be 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 81.00 will be made whoa mob sl..hspaodoa is nuolunsoessery by itnproper notice for inspection, or faulty materials and /or workmanship. • de MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit 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. Owner's Name and Address Registered Architect and /or er Employing Plumber's Name Location and Legal Description Lot _ — Bl 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 Size Septic Tank Feet of Drain Tile__ Amount of Permit $__ 49-1) My Commission Expires Dist. Feet of Tank or Drain Field from Well - (Signed) The undersigned applicant for this building permit does hereby certify that he ,, rid)J under the Florida Workmen's Compensation Act, being Section 5966, Compiled G al plied with the provisions thereof, and will require similar compliance from all contractors performed under this permit; and will post or cause to be posted for inspection on the required by the Act. The undersigned agfees to employ only such sub - contractors, licensed by Miami Shores Village. ( Sign No. Street No. Street Nature of Water Supply: City —Well. Size of Soakage Pit Subdivision Addition Repairs No. of Stories Type of Tank Capacit Gals t11 umbing Inspector. r stands and accepts his obligations an employer of labor La of Florida Permanent Supplement, and has com- r sib- contractors employed by him in the work to be of the work such public notice or notices as are perfgrrmed under this permit, as are Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 1 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. 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 SEWER TANK CONN. DRAIN P IELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CLI LIST / Y CHECK • de MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit 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. Owner's Name and Address Registered Architect and /or er Employing Plumber's Name Location and Legal Description Lot _ — Bl 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 Size Septic Tank Feet of Drain Tile__ Amount of Permit $__ 49-1) My Commission Expires Dist. Feet of Tank or Drain Field from Well - (Signed) The undersigned applicant for this building permit does hereby certify that he ,, rid)J under the Florida Workmen's Compensation Act, being Section 5966, Compiled G al plied with the provisions thereof, and will require similar compliance from all contractors performed under this permit; and will post or cause to be posted for inspection on the required by the Act. The undersigned agfees to employ only such sub - contractors, licensed by Miami Shores Village. ( Sign No. Street No. Street Nature of Water Supply: City —Well. Size of Soakage Pit Subdivision Addition Repairs No. of Stories Type of Tank Capacit Gals t11 umbing Inspector. r stands and accepts his obligations an employer of labor La of Florida Permanent Supplement, and has com- r sib- contractors employed by him in the work to be of the work such public notice or notices as are perfgrrmed under this permit, as are Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 1 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT w oo. , Permit No.9 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 Owner's Name and Address 1- 64,--1 ...,2.-J No. Street Registered Architect and/or E gineer v _,,,, Employing Plumber's Name e No. Street Location and Legal Description Lot Street and Number where work is to be performed—No.___,7s42,..57 State work to be performed and purpose of building (By Floors) New Building ...ow- Remodeling Addition Repairs Block Size Septic Tank Type of Tank Capacity Gals. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply City4Well Size of Soakage Pit Feet of Drain Tile. Amount of Permit $ Y_, ( Signed ) The undersigned applicant for this building permit does hereby certify that he under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge 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 perrnit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be per,,Lucd under this permit, as licensed by Miami Shores Village. SS. (Sig Subdivision Street stands and accepts his obligations g 1 Laws of Florida Permanent Su No. of Stories /' bing Inspector. employer of labor ement, and has com- Maste are are STATE OF FLORIDA, t COUNTY OF DADE. I 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 CATCH BASIN FLOOR DRAIN DRINKING F 0 U NT • NS L"-.1 . b „ . a N I / 2, /A 1-• a 0 c TOTAL FIXTURES CONTR. LIST CHECK Z___ 1 / ("T2 / SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I M G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT w oo. , Permit No.9 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 Owner's Name and Address 1- 64,--1 ...,2.-J No. Street Registered Architect and/or E gineer v _,,,, Employing Plumber's Name e No. Street Location and Legal Description Lot Street and Number where work is to be performed—No.___,7s42,..57 State work to be performed and purpose of building (By Floors) New Building ...ow- Remodeling Addition Repairs Block Size Septic Tank Type of Tank Capacity Gals. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply City4Well Size of Soakage Pit Feet of Drain Tile. Amount of Permit $ Y_, ( Signed ) The undersigned applicant for this building permit does hereby certify that he under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge 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 perrnit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be per,,Lucd under this permit, as licensed by Miami Shores Village. SS. (Sig Subdivision Street stands and accepts his obligations g 1 Laws of Florida Permanent Su No. of Stories /' bing Inspector. employer of labor ement, and has com- Maste are are STATE OF FLORIDA, t COUNTY OF DADE. I 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. P) d - Permit. No •••• Application is hereby mane for the approval of the detailed statement of structure herein described. This application is made in compliance and coo ■ and all provisions of the Laws of the State of Florida, all ordinances of Mita, of Miami Shores Village shad be complied with, whether herein speef building during progress of work. Owner's Name a..nd Addres' iMAMI SHORPS VI, _ACL PLUMBING INSPECTION DEPARTMD-:' APPLICATION FOR PLUMBING Registered Ara?: ect Employing Plumber's Nami Location and Legal Descrtion Lot. Street and Number where work is to be performed-No State work to be performed and purpose of building (By Floors)._ Amount of Permit $ itTE or FLORIDA, t u. COUNTY OF DADE. --A- New Building --- Addition ..Type of Tank—. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City-Well._________ ...... ________ ..... of Soakage pit e Dist. Feet of Tank or Drain Field from Well Date /7/(1- ians and spec( . h'.3TIS herewith submitted for the building or other ; y with the Ordinance of Miami Shores Village Florida, eh rules and regulations of the Build, l3ivision . „ cf psoved pans and specifications must be kept at hfc //‘' Street. e lt, 9 /' No. / . Block Fr (Slimed) 612 Street. Repairs. No. of Stories Capacity Gals. P miring Insparar. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General 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, work to be performed under this permit, as are licensed by Muni Shores Village. . (Signed) - - , Msreteol, 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 hitt, stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspeetlan fee of $1.00 will be made when such re-inspection is made.necessary by improper notice for inspection, or faulty materials and/or worlcmanship. CLOSET* BATH rues - LAVA- TORIES 81 "" swop SINKS LAUNDRY rums URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS FIXTURES CONTR. LIST CHECK - SEPTIC TANK •■•••■•■■•••••■•-• SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DELP WILLI. ISPRKLR. SYSTEM SWIM POOL CONTR. LIST CHECK P) d - Permit. No •••• Application is hereby mane for the approval of the detailed statement of structure herein described. This application is made in compliance and coo ■ and all provisions of the Laws of the State of Florida, all ordinances of Mita, of Miami Shores Village shad be complied with, whether herein speef building during progress of work. Owner's Name a..nd Addres' iMAMI SHORPS VI, _ACL PLUMBING INSPECTION DEPARTMD-:' APPLICATION FOR PLUMBING Registered Ara?: ect Employing Plumber's Nami Location and Legal Descrtion Lot. Street and Number where work is to be performed-No State work to be performed and purpose of building (By Floors)._ Amount of Permit $ itTE or FLORIDA, t u. COUNTY OF DADE. --A- New Building --- Addition ..Type of Tank—. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City-Well._________ ...... ________ ..... of Soakage pit e Dist. Feet of Tank or Drain Field from Well Date /7/(1- ians and spec( . h'.3TIS herewith submitted for the building or other ; y with the Ordinance of Miami Shores Village Florida, eh rules and regulations of the Build, l3ivision . „ cf psoved pans and specifications must be kept at hfc //‘' Street. e lt, 9 /' No. / . Block Fr (Slimed) 612 Street. Repairs. No. of Stories Capacity Gals. P miring Insparar. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General 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, work to be performed under this permit, as are licensed by Muni Shores Village. . (Signed) - - , Msreteol, 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 hitt, stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspeetlan fee of $1.00 will be made when such re-inspection is made.necessary by improper notice for inspection, or faulty materials and/or worlcmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No c.c 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. g � Owners Name and Address t9 -Are l :, street .. _ A Registered Architect and /or Engineer Employing Plumber's Name Ma c Location and Legal Description Lot_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building..._.—._. -_ ____ Remodeling Amount of Permit $ STATE OF FLORIDA, u. COUNTY OF DADE. My Commission Expires 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. (Signed)_.___.. The undersigned applicant for this building permit does hereby certify that he under under the Florida Workmen's Compensation Act, being Section 5968, Compiled General plied with the provisions thereof, and will require similar compliance from all contractor performed under this permit; and will post or cause to be posted' for inspection on the required by the Act. The undersigned agrees to employ only such sub -con licensed by Miami Shores Village. Capacity Gals... _.. ds and accepts his obligations as an aws of Florida Permanent Supple or sub- contra • rs employed by hi e of the on work Notary Public, State of Florida Blor1• Subdivisionn `+' 5 Street. Floors) -- — {� t• -2�_ -__ <y e l Y . . Addition Repairs_._. No. of Stories.......... ..... Plumb n ec -C- Qpector. loyer of labor , and has cum- in the work to be ch public notice or notices as are under this permit, as are 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. NN O A re-inspection ne on fee of ;1.00 will be made when such re- Inspection is made•oessary by improper notice for inspection, or faulty kmansbip. CLOSETS BATH TUBS SHOWER{ LAVA- Toms SINKS SLOP SINKS LAUNDRY TU {{ U RINAL { CATCH BA {IN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURE{ CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER D[[• WELL SPRKLR. SYSTEM SWIM•O POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No c.c 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. g � Owners Name and Address t9 -Are l :, street .. _ A Registered Architect and /or Engineer Employing Plumber's Name Ma c Location and Legal Description Lot_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building..._.—._. -_ ____ Remodeling Amount of Permit $ STATE OF FLORIDA, u. COUNTY OF DADE. My Commission Expires 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. (Signed)_.___.. The undersigned applicant for this building permit does hereby certify that he under under the Florida Workmen's Compensation Act, being Section 5968, Compiled General plied with the provisions thereof, and will require similar compliance from all contractor performed under this permit; and will post or cause to be posted' for inspection on the required by the Act. The undersigned agrees to employ only such sub -con licensed by Miami Shores Village. Capacity Gals... _.. ds and accepts his obligations as an aws of Florida Permanent Supple or sub- contra • rs employed by hi e of the on work Notary Public, State of Florida Blor1• Subdivisionn `+' 5 Street. Floors) -- — {� t• -2�_ -__ <y e l Y . . Addition Repairs_._. No. of Stories.......... ..... Plumb n ec -C- Qpector. loyer of labor , and has cum- in the work to be ch public notice or notices as are under this permit, as are 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. NN O A re-inspection ne on fee of ;1.00 will be made when such re- Inspection is made•oessary by improper notice for inspection, or faulty kmansbip. ELECTRICAL 3 •LIII•181143 Owner of Building - .j Architect Contractor r - or Builder Legal Lot Description. Addreetz of _ 00 >/ ie r MIAMI SHORES VILLAGE. FLORIDA . _, e „ PERMIT N° 9156 f Ork t o be polio:mod under this Passit /L t. o' BI vision Value of Project $ or's License Amt of Permit $ • y ite 41) ..•0 :i This pooh is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application , haefor in sixiat compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, 4 ., drawings. utumwts or sPedfieetione that may have been submitted to and approved by the Prover munidpal authorities. This Permit may be revoked at fay time if the k is not done in oomplisn� with such ordinanca or if the plans are changed vntliost authorization. A further condition upon which this pea* is / granted is the understanding that contractor or builder named above assumes the responsthility for a thorough knowledge of the • ;Ad ausitaisse -0'4. . • to the work covered hereby whether shown on the plans o • gs or in the statements specifications and that he es responsibility for work. done by his agents, servants or employees. Signed* "t BY -,-": At o the plans, wing cation of the issuance to me of this permit agre .. .,, •rm the work covered hereunder in compliance vn strict wi resptifisilillity for all j_ one by er, myself, my agent, servant or employee. th s, "`SIF ' ts or specifications submitted to the proper authotiti Miami Shores Village. , inances and- regulations and in -!,- .a.. INSIMICTOR 2 ,1 • --, . 7' Aillle°4114 ,.. S' , 01.411L OR BUILDER BY AUTHORITY 1