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1286 NE 98 St (2)Permit No G 1 r 3 / = s7. 1 _�...._ 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 et building during progress of work. r , l Owner's Name and Address �� _ No Registered Architect and /or E err Employing f lumber's Nome ,6 9 e «"'s' ji(p, 4.4e. Location and Legal Description Lot. Street and Number where work L to be performed —No State work to be performed and purpose of building (By Floors)____ New Build ing.___._-------- •- ..._.._.. Remodeling —__ _. -_ -_ __ Addition. Size Septic Tanti Feet of Drain Tile Nature of Water Supply City—Well. oca Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)— (Si rin•d ) Street. Street_..__ Repairs. No. of Stories. . ........ . Type of Tangy ..... __Capacity Cals._._.._ Feet of Tank or Drain Field from Well.__._._._—.___....____...__ Size of Soakage Pit. lumbing tor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obllg', . s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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 ' . ces u are required by the Act. The undersigned agrees to employ only such sub- contractors, work to be • . ormed and . . • Init, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 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 Y. -- --- '- _---- - -_ -•. - -' -- of the above described construction, that he has carefully read the foregoing application, and that be did sign the some, and that all facts therein by him stated are true. M Commission Expires Notary Public, State of Florida �� NOTE: Arre fee of $1.00 will bo roads wham snob M tm nepaotioa it mada•oawry by improper notice for btapfaulty diom, faulty CLOSET$ BATH Tuns aNOW[R$ LAVA- TORIES SINKS FLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN NKINO FOUNT' TOTAL FIETYR[S CONTR. LIST CNtCK SEPTIC TANK s [MICR CONN. DRAIN FIELD / i SOAKAOI. GREASE PIT TRAP SOLAR HEATER DRIP WELL $PRKLR. ST$T[M SW IM•O POOL Cow*. LIST �-- CHECK Permit No G 1 r 3 / = s7. 1 _�...._ 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 et building during progress of work. r , l Owner's Name and Address �� _ No Registered Architect and /or E err Employing f lumber's Nome ,6 9 e «"'s' ji(p, 4.4e. Location and Legal Description Lot. Street and Number where work L to be performed —No State work to be performed and purpose of building (By Floors)____ New Build ing.___._-------- •- ..._.._.. Remodeling —__ _. -_ -_ __ Addition. Size Septic Tanti Feet of Drain Tile Nature of Water Supply City—Well. oca Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)— (Si rin•d ) Street. Street_..__ Repairs. No. of Stories. . ........ . Type of Tangy ..... __Capacity Cals._._.._ Feet of Tank or Drain Field from Well.__._._._—.___....____...__ Size of Soakage Pit. lumbing tor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obllg', . s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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 ' . ces u are required by the Act. The undersigned agrees to employ only such sub- contractors, work to be • . ormed and . . • Init, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 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 Y. -- --- '- _---- - -_ -•. - -' -- of the above described construction, that he has carefully read the foregoing application, and that be did sign the some, and that all facts therein by him stated are true. M Commission Expires Notary Public, State of Florida �� NOTE: Arre fee of $1.00 will bo roads wham snob M tm nepaotioa it mada•oawry by improper notice for btapfaulty diom, faulty "