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30 NE 99 StUILDING LECTRICAL LUMBING 'wner of uilding rchitect 1 ontractor r Builder CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 194_ PERMIT N° 7440 Work to be performed under this Permit t -� Contractor's License No •egal L :rr , Bi. Subdi )escription � vision ddress of I Value of I Amt. of uilding t Project Per e This permit is granted to the contractor or build named above to cdnstruct the building or- to install the equipment or device described in the appli- ition herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be . performed in compliance with any tans, drawings, statements or specifications that may have been submitted `to and approved by the proper municipal authorities. This Permit may be revoked 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 ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and ;guiations pertaining to the work covered hereby whether shown on the plans or drawings or in' the stayements4r Oecifications and that he assumms resppn- bility for work done by his agents, servants or employees. - , f f : • q Signed. p 1 . ~' � B k INSPE In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordin es and gulations zrtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities o i accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. iami Shores Village. BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building CRACTO R OR BUILDER MIAMI SHARES VILLAGE, FLORID U .,, DATE P N 7440 Work to be performe Architect Contractor or Builder Legal Description Address of Building This per s granted to the contractor or bui , er ned above o cation herefor in strict compliance with all ordinances pertaining thereto a plans, drawings, statements or specifications that may have been submitte at any time if the work is not done in compliance with such ordinances permit is granted is the understanding that the contractor o,--builder nam regulations pertaining to the work covered hereby whethef shown o sibility for work done by his agents, servants or employees.' nder this Permit Fr PECTO BY,�J . „• 194_ Contractor's License No. e plans or Signed. Sub vision Value of Project �. nstruct the building with the i derstan o and ap :. oved by if the pla•'sJare ch sumes a*in Amt. of Permit o install the equipment or . ice describ the appli- that the work will be perf ed in complianc= ith any e proper municipal authorities. This Permit may be =yoked d wig. Agut authorization. A further condition upon which this spon'Hi 'ty for t.. rough knowledge of the ordin ces and the s e en . or . pecifications and that h- .ssu 'j s res on- In consideration of the issuance to me of this permit I agree t erform the : ork covered hereunder in compliance with all ordi pertaining thereto and in strict conformity with the plans, drawings, sta specifications submitted to the proper authorities In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. --� es an iami S AUTHORITY egulations res Village: .0 0 Amount of Permit $ . ....... Date � Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submi ed for the building or dter 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 Nature of Water Supply: STATE OF FLORIDA, COUNTY OF DADE. ss. Lr-ft ell . My Commission Expires r r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer '5 Employing Plumber's Name �"f _z_-„-___ z No 7 ry . . F F Alrilttreet 7 . !_ Location and Legal Description Lot __I __— Block Subdivision. 6-0 9 Street and Number where work is to be performed —No 3 d /YL Street 9 7 State work to be performed and purpose of building (By Floors) New Building f,'" Remodeling Addition Repairs . No. of Stories I Size Septic Tank !' Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ®0 Size of S (Signed The undersigned applicant for this buildin "permit does hereby certify that he unders nds and accepts his obligations as an employer labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General aws of Florida Permanent Supplement, and h com- plied with the provisions thereof, and will require similar compliance from all contra .rs 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 o. e site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such actors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed ) ry / Tf treet a a city Gals Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Plu . " g Inspe or. //' < < / Master Plumber. 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 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 j l -- 75 �� 7 5 / �� 1.5 . SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP #, HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL . LIST CHECK � Amount of Permit $ . ....... Date � Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submi ed for the building or dter 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 Nature of Water Supply: STATE OF FLORIDA, COUNTY OF DADE. ss. Lr-ft ell . My Commission Expires r r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer '5 Employing Plumber's Name �"f _z_-„-___ z No 7 ry . . F F Alrilttreet 7 . !_ Location and Legal Description Lot __I __— Block Subdivision. 6-0 9 Street and Number where work is to be performed —No 3 d /YL Street 9 7 State work to be performed and purpose of building (By Floors) New Building f,'" Remodeling Addition Repairs . No. of Stories I Size Septic Tank !' Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ®0 Size of S (Signed The undersigned applicant for this buildin "permit does hereby certify that he unders nds and accepts his obligations as an employer labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General aws of Florida Permanent Supplement, and h com- plied with the provisions thereof, and will require similar compliance from all contra .rs 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 o. e site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such actors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed ) ry / Tf treet a a city Gals Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Plu . " g Inspe or. //' < < / Master Plumber. 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 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.