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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 heredn specified or not. A copy of approved plans and specifications mud be kept et building during progress of work. Owner's Name and Address Registered Architect and/or gineer ‘?°Z 12 loyincr P De N „, ,, )?, 7 i.___,Z20_,.d 0 ig P , gez_.4..eeda s Location and Legal ption / Block c> Subdividon Street and Number where work is to be performed—No /4 c:C,/e7 gi;■ --'-'” Street. State work to be performed and purpose of building (By Floors).4... ga. :sax._ a - P. 4- it re <. ,.. c. , 2 L .... New Building. _ Remodeling—__ .._ Ad ion. Repairs - No. of Stories — f, Size Septic Tank__ Feet of Drain Tile. Nature of Water Supply: City—Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT /4 I L/LYN° Strept ..9Q _Type of Tank._ __Dist. Feet of Tank oe Drain Field from Well Size of Soakage Pit (Signed) LEVEROCK (Si e /73 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 li com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worir to he 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 arr required by the Act. The undersigned agrees to employ only such sub-contractors, on nder this permit, as are licensed by Miami Shores Village. .... Master Plumber. STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, • 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 We that he is the of the above described construction, that he bas carefully read the foregoing appliattion, 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 mob rolospeedrin la macie.neamery by nproper node* for feepection, or falsity materials and/or workmanship. CLosa BATH TU•S SHOWERS LAVA. TORIES IIIN SLOP SINKS LAUNDRY Tue. UPIINALS CATCH BASIN FLOOR DRAIN DRINK i NO FOUNT' NS TOTAL FIXTURES CONTR. LIST CHICK ....... SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE. PIT G TRAP SOLAR HEATER DEEP WELL 8 . SYSTE SWIM•0 POOL CONTR. LIST CHICK 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 heredn specified or not. A copy of approved plans and specifications mud be kept et building during progress of work. Owner's Name and Address Registered Architect and/or gineer ‘?°Z 12 loyincr P De N „, ,, )?, 7 i.___,Z20_,.d 0 ig P , gez_.4..eeda s Location and Legal ption / Block c> Subdividon Street and Number where work is to be performed—No /4 c:C,/e7 gi;■ --'-'” Street. State work to be performed and purpose of building (By Floors).4... ga. :sax._ a - P. 4- it re <. ,.. c. , 2 L .... New Building. _ Remodeling—__ .._ Ad ion. Repairs - No. of Stories — f, Size Septic Tank__ Feet of Drain Tile. Nature of Water Supply: City—Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT /4 I L/LYN° Strept ..9Q _Type of Tank._ __Dist. Feet of Tank oe Drain Field from Well Size of Soakage Pit (Signed) LEVEROCK (Si e /73 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 li com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worir to he 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 arr required by the Act. The undersigned agrees to employ only such sub-contractors, on nder this permit, as are licensed by Miami Shores Village. .... Master Plumber. STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, • 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 We that he is the of the above described construction, that he bas carefully read the foregoing appliattion, 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 mob rolospeedrin la macie.neamery by nproper node* for feepection, or falsity materials and/or workmanship. p"/ 0 Permit No.--------- •-- / - - - -- New Building Amount of Permit $ `- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby fnade for the approval of the detailed statement of the plans and specifications herewith submitted for the building or,other structure herein descri ed. 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. /n A, �y Owner's Name and Address________ _- No._IQ's / .ill - t ____ 'f_, Street - q Registered Architect and /or En ineer ..... _____ _ - -_ -�_ _ - ^ '"" 2- - - - - - - -- ,/ �` (� Employing Plumber's Name Q _- 4.( .(i. • C 10._ -111L_ �- ES' Location and Legal Description Lo_______, _ __ _ _ Block_ Subdi al Street C 7 / Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) _ Remodeling _.----- ---- ---- ----- --_ --- Addition Size Septic Tank n Type of Tank__ Capacity Gals. e` Feet of Drain Til _ 'k� - -= __Dist. Feet of Tank or Drain Field from Well Nature of Water Sup y: City —Well. Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o • t! ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors nployed 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 perfo rrred under this permit, as are licensed by Miami Shores Village. (Signed)-- ( (Signed) __-__ ILA Repairs_._ No. of Stories. Date STATE OF FLORIDA, se. • 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. Notary Public, State of Florida • My Commission Expires NOTE: A re- inspection fee of $LOO will be made when such re- inspection is made necessary . by improper notice for inspection, or faulty materials and /or workmanship. Master Plumber. CLU6@T'8 BATH TUBS J SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LICIT 1 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST _ CHECK p"/ 0 Permit No.--------- •-- / - - - -- New Building Amount of Permit $ `- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby fnade for the approval of the detailed statement of the plans and specifications herewith submitted for the building or,other structure herein descri ed. 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. /n A, �y Owner's Name and Address________ _- No._IQ's / .ill - t ____ 'f_, Street - q Registered Architect and /or En ineer ..... _____ _ - -_ -�_ _ - ^ '"" 2- - - - - - - -- ,/ �` (� Employing Plumber's Name Q _- 4.( .(i. • C 10._ -111L_ �- ES' Location and Legal Description Lo_______, _ __ _ _ Block_ Subdi al Street C 7 / Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) _ Remodeling _.----- ---- ---- ----- --_ --- Addition Size Septic Tank n Type of Tank__ Capacity Gals. e` Feet of Drain Til _ 'k� - -= __Dist. Feet of Tank or Drain Field from Well Nature of Water Sup y: City —Well. Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o • t! ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors nployed 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 perfo rrred under this permit, as are licensed by Miami Shores Village. (Signed)-- ( (Signed) __-__ ILA Repairs_._ No. of Stories. Date STATE OF FLORIDA, se. • 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. Notary Public, State of Florida • My Commission Expires NOTE: A re- inspection fee of $LOO will be made when such re- inspection is made necessary . by improper notice for inspection, or faulty materials and /or workmanship. Master Plumber. BUILDING ❑ ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA DATE �' n PERMIT IT? 12656 I ...l n Work to be performed under this Permit CONTRACTOR OR BUILDER Bl. Subdi- vision Value of Project $ Contractor's License No Amt. of Permit $ 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 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 responsibility for work done by his agents, servants or employees. Signed • -e., BY INSPECT& _" In consideration of the issuance to me of this permit I 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. BY AUTHORITY Permit No. ._. Registered Architect and /or Eng neer Employing Plumber's Name APPLICATION FOR PLUMBING PERMIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 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 • \-1-.) `^' No Street 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 Floors) _ New Building Remodeling Addition _________________________ Repairs No . Street Block . ___ Subdivision M. • e 4 - - Street _ Size Septic Tank Type of Tank_ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL O d 0 0 __Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ (Signed) (Signed)- Date No. of Stories 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 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 arc licensed by Miami Shores Village. • Master Plumber. STATE OF FLORIDA, } 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 fat. 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 faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE! CONTR. LIST - -- CHECK. SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK / T 1 , o d Permit No. ._. Registered Architect and /or Eng neer Employing Plumber's Name APPLICATION FOR PLUMBING PERMIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 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 • \-1-.) `^' No Street 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 Floors) _ New Building Remodeling Addition _________________________ Repairs No . Street Block . ___ Subdivision M. • e 4 - - Street _ Size Septic Tank Type of Tank_ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL O d 0 0 __Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ (Signed) (Signed)- Date No. of Stories 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 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 arc licensed by Miami Shores Village. • Master Plumber. STATE OF FLORIDA, } 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 fat. 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 faul materials and /or workmanship. / Permit No -tJ% 7;r - - - - Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. o/ Application is hereby made for the approval of the detailed statement of the plans and specifications her h submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordi . nce 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_ 7.4. 7 � No Street Registered Architect and /or Engineer Employing Plumber's Name ��l_t_!,�� 4.f No. Location and Legal Description Lot Block 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 7 e Type of Tank Capacity Gals ,0 0 - Feet of Drain Tile Nature of Water Supply: City —Well Size of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Dist. Feet of Tank or Drain Field from Well ( Signed) Street Da o Y 4Z Street 7f (Signed) • My Commission Expires Notary Public, State of Florida Subdivisio Repairs No. of Stories 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 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. 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 SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP .11411LMR HEATER ? , . DEEP, WELL SPRKLR. SYSTEM SWIM'G POOL - .1 " � CONTR. LIST / / 1 CHECK / Permit No -tJ% 7;r - - - - Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. o/ Application is hereby made for the approval of the detailed statement of the plans and specifications her h submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordi . nce 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_ 7.4. 7 � No Street Registered Architect and /or Engineer Employing Plumber's Name ��l_t_!,�� 4.f No. Location and Legal Description Lot Block 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 7 e Type of Tank Capacity Gals ,0 0 - Feet of Drain Tile Nature of Water Supply: City —Well Size of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Dist. Feet of Tank or Drain Field from Well ( Signed) Street Da o Y 4Z Street 7f (Signed) • My Commission Expires Notary Public, State of Florida Subdivisio Repairs No. of Stories 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 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. 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 6708 Work to be performed under this Permi 1 Legal Lot / , B < Subdi- Description -' /, vision Address of Building L- This permi is granted to the co actor or b . ilde named above to construct the building or to install the equipment or device 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 responsib 'ty for a thorough knowledge of th dinances and regulations pertaining to the work covered hereby whether shown on the plans or awings or in th t ements or spec cations aid that :he sumes respon- Al Signed: S . L1 By? • v SPE OR In consideration of the issuance to me of this permit I agree to perform' the work covered hereunder in compliance witl ordinances4IndyeglaWions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miam VfIlage. In a ing this permit I responsibility .for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER sibility for work done by his agents, servants or employees. DATE Contractor's License 19419 Value of Project BY Amt. of Permit AUTHORITY BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description Address of Building Lot f ! d�'ir r MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 6708 Work to be performed under this Permit / c` .q-,• Owner of Building (%rtt Bl. e f._ Subdi- vision DATE ,' ` 194 Value of Project Contractor's License NQ. This permit is granted to the contractor or budder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 is inances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the sta €ments or specifications and he uines respon- sibility for work done by his agents, servants or employees. Amt. of Permit Signed. s' /d 4 . L By sf� 'INSPECTOR In consideration of the issuance to me of this permit I 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. { �,A.., _1..1. CONTRACTOR OR BUILDER BY AUTHORITY Permit No -I 7 7 , Date..._..l.._�_ :.�8 .......— ._._._ 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. No. /nl VP Registered Architect and /or Engineer £tn loyi 's N e Ore J 07/C 1 ��Y 1 1ki�vs- ._... NO./.PJ -.._.. emmer....... 8121101144161 6'S:: �Q . .p�;�. • .- Location and Le Description Lot S W as' / Y Mork v� SubdivWon�.l� Street and Number where work is to be performed —No /2 VP Street State work to be performed and purpose of building (By Floozs)__.__ _.._ — __ New Building ..__._— _.._.....-....._.. Remodeling— _.__._._____ Addition Size Septic Tank___ Feet of Drain Tile. JO o 4 Nature of Water Supply: City—Well. Amount of Permit $—t" MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Repairs -Type of Tank - -_- — •--- _ - -• -• _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. Capacity Cat...._..._...__ (signed)_ t<Y6 -4n 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 Pennanent Supplement, and has com- plied with the provisions thereof. and will require Itirnilar compliance from all contractors or sub- contractors employed by him in the worse 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 ere 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) street_Xt • 99 Sr No. of Stories. STATE OF FLORIDA, µ COUNTY OF DADE. j 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 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 ei Florida 3a.9 - 3c - /3 1 2,7 Master Plumber. NOTE: A re- inspection fee of 0.00 will be mad. when sash roliaspootfosi >. oada'aaoassary by improper moth for Impaction, or faulty materials and /or warl®anship. CLO•Ra BATH Twits SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tuns 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 $PRKLR. SYSTEM SW IM'O POOL CONTR. LIST CHECK Permit No -I 7 7 , Date..._..l.._�_ :.�8 .......— ._._._ 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. No. /nl VP Registered Architect and /or Engineer £tn loyi 's N e Ore J 07/C 1 ��Y 1 1ki�vs- ._... NO./.PJ -.._.. emmer....... 8121101144161 6'S:: �Q . .p�;�. • .- Location and Le Description Lot S W as' / Y Mork v� SubdivWon�.l� Street and Number where work is to be performed —No /2 VP Street State work to be performed and purpose of building (By Floozs)__.__ _.._ — __ New Building ..__._— _.._.....-....._.. Remodeling— _.__._._____ Addition Size Septic Tank___ Feet of Drain Tile. JO o 4 Nature of Water Supply: City—Well. Amount of Permit $—t" MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Repairs -Type of Tank - -_- — •--- _ - -• -• _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. Capacity Cat...._..._...__ (signed)_ t<Y6 -4n 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 Pennanent Supplement, and has com- plied with the provisions thereof. and will require Itirnilar compliance from all contractors or sub- contractors employed by him in the worse 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 ere 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) street_Xt • 99 Sr No. of Stories. STATE OF FLORIDA, µ COUNTY OF DADE. j 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 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 ei Florida 3a.9 - 3c - /3 1 2,7 Master Plumber. NOTE: A re- inspection fee of 0.00 will be mad. when sash roliaspootfosi >. oada'aaoassary by improper moth for Impaction, or faulty materials and /or warl®anship. STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Applicant Perr it F umbg� 7 � c=, / 7 PART II - SYS M IN E STALLATION INSPECTION AND FINAL INNSTALLATIO APPROVAL- Installer a 7 Proper tank legend: Yes/ /di No Tanks watertight: Yes Proper tank outlet device: Other findings Inspected by Ye No Drainfield Trench Length Width Length Width Length 3 5-feet x..12. feet =Y420 ft 30c, feet feet feet feet Length feet x feet= ft feet feet ! 1 feet feet Proper No. drainlines: Yes y No feet feet * feet feet Proper pipe separation: Yes 3. No Total = ft Total = ft Distribution box level: Yes No 1/ Systems located as permitted: Yes ice' No Systems including plumbing stub -outs installed at proper elevation: Yes b No \ Average depth to drainpipe invert from finished grade: / � inches IV depth 2 7 Inches 7 Average depth of drainfield gravel: j J � inches Minimum depth of gravel. - inches Proper gravel size: Yes 7 No � ! Gravel is suitable quality: Yes '' No Backfill or fill material as required: (Quality) Yes No (Quantity) Yes No Tank Manufacturer /v /14 Tank material Tank level: Yes No Tank size• gallons gallons gallons Manhole or marker to grade: Yes Al No PART III FINAL IN TALLATION APPROVAL - Date pproved by: Absorption Be AN APPROVED INSTALLATION DOES NOT GUARANTEE PERFORMANCE Date /_ COUNTY PUBLIC HEALTH UNIT Note: Completed copies of this form will be provided to the applicant, installer and the building department. HRS —H Form 4016, Jan 86 (Replaces Feb 85 edition which may be used) (Stock Number: 5744-002-4016-4) Page 2 of 2