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1196 NE 98 St (4)BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building - Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 13812 f l Work to be performed under this Permit Bl. 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 application 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 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 responsibility for work done by his agents, servants or employees. ,y Signed: BY In consideration of the issuance to me of this permit I agsee to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in /grid 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. Subdi- vision Value of Project $ BY DATE Contractor's License No ar 195 Amt. of Permit $ AUTHORITY 1/ /'1•jt A/ Writ T, it co. Al. /*Am j IACH, fix 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 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. No. —_ 11/0 /l _ .s s� Registered Architect and /or Engineer n. Employing Plumber's Name. PIRA Location and Legal Description Lot._. _._ _ — Block_ Street and Number where work is to be performed —No._ j /_ Ne___± State work to be performed and purpose of building (By Floors). New Building. Remodeling Addition Repairs Size Septic Tank Nature of Water Supply: City —Well Amount of Permit $ O MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No./ y d N � _--- _ - - - -- street- /(3 5 Subdivision Type of Tank— rr t Feet of Drain Tile 1j__o--- . - -jt kit - Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals. ( Signed )- ------- .--- .- .--- ... - _.__a • The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors on work t be performed under this permit, as art licensed by Miami Shores Village. (Signed) Date_ /%5 , Street. No. of Stories Plumbing Inspector. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. 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 tac 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 f:.ul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY 'ruse U RINALS CATCH FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURLI CONTR. LIST CHECK __ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CM[CK /'1•jt A/ Writ T, it co. Al. /*Am j IACH, fix 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 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. No. —_ 11/0 /l _ .s s� Registered Architect and /or Engineer n. Employing Plumber's Name. PIRA Location and Legal Description Lot._. _._ _ — Block_ Street and Number where work is to be performed —No._ j /_ Ne___± State work to be performed and purpose of building (By Floors). New Building. Remodeling Addition Repairs Size Septic Tank Nature of Water Supply: City —Well Amount of Permit $ O MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No./ y d N � _--- _ - - - -- street- /(3 5 Subdivision Type of Tank— rr t Feet of Drain Tile 1j__o--- . - -jt kit - Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals. ( Signed )- ------- .--- .- .--- ... - _.__a • The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors on work t be performed under this permit, as art licensed by Miami Shores Village. (Signed) Date_ /%5 , Street. No. of Stories Plumbing Inspector. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. 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 tac 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 f:.ul materials and /or workmanship.