Loading...
PLUMBINGPermit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address S..t_I� 1 �~ No. .1 r !D__L_A! Street Registered Architect and /or Engineer ..... - - - - -- _- _- _ -__ -- __ -- �- _•- _- -____ -- o. Employing Plumber's Name Street•. Location and Legal Description Lot_.__...___________._._ —._ _ Block � — _._____________.___. Subdivision � ,� Street and Number where work is to be performed —No 7 , Street_ State work to be performed and purpose of building (By Floors). New Building Remodeling___ __ _____ Addition. Size Septic Tank Feet of Drain'lPiie_ 3 Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN' APPLICATION FOR PLUMBING "' ,k MIT Date 1 ___. ? 7 _ 6 Repairs No. of Stories. Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob -'ations 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 contracto or ub-contr ors employe ..y im in the work to be performed under this permit; and will post or cause to be posted' for inspection on th site f the or su pub required by the Act. The undersigned agrees to employ only such sub- contractor on rk t licensed by Miami Shores Village. (Signed My Commission Expires Notary Public, State of Florida ce or notices as are this permit, as are Master Plumber. STATE OF FLORIDA, t 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 TUNS INALS URINALS CATCH BASIN FLOOR DRAIN ORINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address S..t_I� 1 �~ No. .1 r !D__L_A! Street Registered Architect and /or Engineer ..... - - - - -- _- _- _ -__ -- __ -- �- _•- _- -____ -- o. Employing Plumber's Name Street•. Location and Legal Description Lot_.__...___________._._ —._ _ Block � — _._____________.___. Subdivision � ,� Street and Number where work is to be performed —No 7 , Street_ State work to be performed and purpose of building (By Floors). New Building Remodeling___ __ _____ Addition. Size Septic Tank Feet of Drain'lPiie_ 3 Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN' APPLICATION FOR PLUMBING "' ,k MIT Date 1 ___. ? 7 _ 6 Repairs No. of Stories. Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob -'ations 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 contracto or ub-contr ors employe ..y im in the work to be performed under this permit; and will post or cause to be posted' for inspection on th site f the or su pub required by the Act. The undersigned agrees to employ only such sub- contractor on rk t licensed by Miami Shores Village. (Signed My Commission Expires Notary Public, State of Florida ce or notices as are this permit, as are Master Plumber. STATE OF FLORIDA, t 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. SING 1 ELECTRICAL .IN V ROOFING 0 Owner of • Building rt ` 1 f4 ► L t , Architect Contractor or Builder Legal Description ddress of Building This permit is ranted to the or b T herefor in strict compliance with all =r _, drawings, statements or sp@cifications time if the work is not done in compliance w s e gra d is the understanding', that the ecotraatoc-sr bulkier pe qs the work: covemzd hereby whether eilm3wa 1p1. done by his agent% servants or em In per taining In accepting: MIAMI SHORES VILLA I .4:■. Permit No. d tit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date /.. -`2 ' J- 5` 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._` ' 4 - - - /__ __." "" • L r r ' No _7 Street_--- Al Registered Architect and /or Engineer Employing Plumber's Name , 'i . V E j t--,7. . No.___.__. ___________ Street Location and Legal Description Lot._.__. ___ ... _ _. : ,�. e t e otsdk _ Subdivision 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____ Addition._.____ Repairs No. of Stories. Skze Septic Tank k`� .� � o •�� Tile ; - :!_''___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Amount of Permit 8-- ............ - ---________ ____Y__ _______ _ _.` (Signed) STATE OF FLORIDA, } COUNTY OF DADE. Type of Tank Capacity Gals. Size of Soakage Pit 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 5968, 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. (Signed)_ 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 Master Plumber. NOTE: A re- inspection fee of 81.00 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 Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING DRINK FOUNT' N6 TOTAL FIKTUREE CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK - -- Permit No. d tit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date /.. -`2 ' J- 5` 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._` ' 4 - - - /__ __." "" • L r r ' No _7 Street_--- Al Registered Architect and /or Engineer Employing Plumber's Name , 'i . V E j t--,7. . No.___.__. ___________ Street Location and Legal Description Lot._.__. ___ ... _ _. : ,�. e t e otsdk _ Subdivision 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____ Addition._.____ Repairs No. of Stories. Skze Septic Tank k`� .� � o •�� Tile ; - :!_''___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Amount of Permit 8-- ............ - ---________ ____Y__ _______ _ _.` (Signed) STATE OF FLORIDA, } COUNTY OF DADE. Type of Tank Capacity Gals. Size of Soakage Pit 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 5968, 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. (Signed)_ 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 Master Plumber. NOTE: A re- inspection fee of 81.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECtRICAL PLUMBING Owner Building In consideration of the issuance to me of this permit I agre pertaining thereto and in strict conf•rmity with the _plans, drawi In accepting this permit I as - r r�.o� ib" 'ty for all work done CONTRAC OR eR BUILDEh MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 6441 Bl. Subdi- vision DATE ( 194 Contractor's License Ialo Work to be pe5fprmed under this Permit Architect Contractor or Builder Legal Lot Description Address of Building This permit is gran cation herefor in strict co 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 • » assume the ibi " a thorough knowledge o •' ances and regulations pertaining to the work covered hereby whether shown on th » ans o drag i s or ; e ; t . , 'ts or spec . � ions an. ;. ; es respon- sibility for work done by his agents, servants or employees. Value of Amt. of Project 411.101Mb Permit to t T e comae or or buil r na ed aTiove to construct the building or to install the equipment or r ° described in the appli- hence with all ordinances pertaining thereto and with the understanding that the work will be perf med in compliance with any ork covered hereunder in compliance with ments or specifications submitted to the proper autho er m yself, my agent, servant or employee. BY ces iami S AUThOBITY Permit No I ( C f._ 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 Jack Lindheim N 117$ Street_ NE. Street Registered Architect and /or Engineer BRrooks- American Sprinkler Co. 2430 g N.h'. 79th Street Employing Plumber's Namb — ° -- - -- N O,. R- .,, .�....�...,....o.. ,..... .,. .................. -•.. Location and Legal Description Lot Block Subdivision__.____ — Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors) New Building __ Remodeling _ �_ - - -- 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 ;_8 Q-Q 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 Isar 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 .. . . under this permit, as are licensed by Miami Shores Village. , n 5", s.'4 My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition._______ Repairs No. of Stories (Signed)_ (Signed) 3-26-75 Date_______ ..... _....___ ...... - --- - - ---'- -- 117_ Street N, E. 99 St reet Capacity Gals. STATE OF FLORIDA, t as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida • Plumbing Inspector. Plumber. NOTE: A re- inspection fee of ;1.00 will be made when asseh se-inspection V mede by improper notice for inspection, or fault' materials and /or workmanship. CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINK* SLOP SINKS LAUNDRY rues URINAL.* CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NG TOTAL FIXTURES CONTR. LIST — CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. X LIST CHECK Permit No I ( C f._ 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 Jack Lindheim N 117$ Street_ NE. Street Registered Architect and /or Engineer BRrooks- American Sprinkler Co. 2430 g N.h'. 79th Street Employing Plumber's Namb — ° -- - -- N O,. R- .,, .�....�...,....o.. ,..... .,. .................. -•.. Location and Legal Description Lot Block Subdivision__.____ — Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors) New Building __ Remodeling _ �_ - - -- 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 ;_8 Q-Q 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 Isar 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 .. . . under this permit, as are licensed by Miami Shores Village. , n 5", s.'4 My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition._______ Repairs No. of Stories (Signed)_ (Signed) 3-26-75 Date_______ ..... _....___ ...... - --- - - ---'- -- 117_ Street N, E. 99 St reet Capacity Gals. STATE OF FLORIDA, t as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida • Plumbing Inspector. Plumber. NOTE: A re- inspection fee of ;1.00 will be made when asseh se-inspection V mede by improper notice for inspection, or fault' materials and /or workmanship. /- w c, /- 542 / iG , ra ',l //78 7! [ 99 sr &g,- j-'- Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bttding 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 b o. Street Employing Plumber's Name.. New Building. Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: City—Well Amount of Permit 3_ STATE OF FLORIDA, w. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and/or Street_ Location and Legal Description Lot__ Block Subdivision. Street and Number where work is to be performed—No E 2_ I:Street. State work to be performed and purpose of building (By Floors)__ Remodeling__ . Addition. Type of Tank_.._ Capacity Gals _Dist. Feet of Tank or Drain Field from Well . Size of Soakage Pit _421.S. ( Signed)_ 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 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 der this permit, as are licensed by Miami Shores Village. (Signed)i— Date 7— ;4 Repairs No. of Stories. Plumbing Inspector. My Commission Expires Notary Public, State of Florida 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. ¥ OTE: A re-inspection fee of 31.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty matfials and/or worlcmanship. CI BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tu.* URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST oo / 7 s ___/__ 7 f a cvu4k-,..st 7,7 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT bREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIWG POOL Corm. LIST --/--- CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bttding 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 b o. Street Employing Plumber's Name.. New Building. Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: City—Well Amount of Permit 3_ STATE OF FLORIDA, w. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and/or Street_ Location and Legal Description Lot__ Block Subdivision. Street and Number where work is to be performed—No E 2_ I:Street. State work to be performed and purpose of building (By Floors)__ Remodeling__ . Addition. Type of Tank_.._ Capacity Gals _Dist. Feet of Tank or Drain Field from Well . Size of Soakage Pit _421.S. ( Signed)_ 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 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 der this permit, as are licensed by Miami Shores Village. (Signed)i— Date 7— ;4 Repairs No. of Stories. Plumbing Inspector. My Commission Expires Notary Public, State of Florida 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. ¥ OTE: A re-inspection fee of 31.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty matfials and/or worlcmanship. �—.-- CLOSET/ TABS TUBS SHOWERS LAVA- TORIlS SINKS SLOP SINKS LAUNDRY Tuss U RINALS CATCH BASIN B FLOOR GRAIN DRINKING FOUNT' NS TOTAL FIXTURE' -- CONTR. LIST CHECK __ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR N [AT[R DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK — Permit No. _- .-/ 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 othlrl . 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 al building during progress of work. Owner's Name and Address _ `,ems! ' 00 Registered Architect and /or En in eer Employing Plumber's Name _��"-r"'" Location and Legal Description Lot-_ // _._ _._ Block_ Street and Number where work is to be performed —No. /1_ 2LL11 '' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Septic Tank eetot. .in Tile / Nature of Water Supply: City-Well STATE OF FLORIDA, u, COUNTY OF DADE. Amount of Permit $_. ...... (Signed) No. -/ // — G Repairs (Signed)- _ _✓C.�7 Street Date / /. J ~ q -Street �.__.....____..__.._. -- Subdivisio 9,7/•/- • No. of Stories -Type of Tank_ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit-_ _Capacity Gals. 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 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 pu • is notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perforr -d under this permit, as an licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 tat: 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 Lad materials and /or workmanship. BUILDING ELECTRICAL PLUMBfNG Owner of Building Architect Contracto or Build — f Legal Lot II Bl. Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE RMIT N° 6467 Work to be perf r -d under this Permi #(/�Jl/`/ L Address of Building This permit i granted to the contractor o .u' =a: name + Above to construct the building or to install the equipment or d ='< •e described in the appli- cation 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 knaI4ed a of the ordinances and regulations pertaining to the work covered hereby whether shown on the , % ings R in tementsifications and that he assumes respon- sibility for work done by his agents, servants or employees. - Contractor's cense Subdi- vision BY o .. In consideration of the issuance to me of this permit I agree t+ +erfo work covered hereunder in compliance ordinances pertaining thereto and in strict conformity wi the plans, drawings sta ents or specifications submitted to the proper a of Miami In ac epting +'s permit I ass e responsibih for all work done by ; . myself, my agent, servant or employee. AUTHORITY 1 — fpa /11€1",e/›...444 /a yd's`" ,5 1 m«; x «« «v; m »>» « »c « 1 1 » «v :»x«, , [ / r k r