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304 NE 99 St (4)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 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 6:: /131-L0--__ Registered Architect and /or Engineer l - Employing Plumber's Name. ..i )iJ _1!�'IC /, !� ( No,...- ....._l .. .d. 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 ` New Building Remodeling Addition... -..._ Repairs No. of Stories Size Septic Tank .— -------- - - - - -- — - --- - T ype of Tank__ Feat of Drain Tile._.._— _.---- _...Dist. Feet of Tank or Drain Field from Well - Nature of Water Supply: of Soakage Pit Amount of Permit $ Block Subdivision Q� A �^ C 7 4 " street_ d 1.....••!- `� (Signed)_ Date ..._.._.. No. ___3 O I Street A2. . 3 7 Capacity Gab. 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 has com- m in the work to be ce or notices as are nit, as are plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ performed under this permit; and will post or cause to be posted' for inspection on the site of the work such p required by the Act. The undersigned agrees to employ only such sub - contractors, on to be perfo licensed by Miami Shores Village. My Conunission Expires (Signed Notary Publio, State of Florida .,,..,.. 8t;eet....t/ E Plumbing Inspector. STATE OF FLORIDA, 1 u. 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 be has carefully read the foregoing application, and that he did sign the same, and that all fads therein by him stated are true. NOTE: A re- inspection fee of 11.00 will be made when aiseh re-inspection is made necessary by improper notice for inspection, or faulty materials and /cc workmanship. CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N. TOTAL. FIXTURES CLOSETS BATH TUBS SHOWERS LAVA• Tomas 61NKS SLOP SINKS LAUNDRY Tugs URINALS CO NT/I . LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM POOL Gwent. �- LIST CHICK 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 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 6:: /131-L0--__ Registered Architect and /or Engineer l - Employing Plumber's Name. ..i )iJ _1!�'IC /, !� ( No,...- ....._l .. .d. 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 ` New Building Remodeling Addition... -..._ Repairs No. of Stories Size Septic Tank .— -------- - - - - -- — - --- - T ype of Tank__ Feat of Drain Tile._.._— _.---- _...Dist. Feet of Tank or Drain Field from Well - Nature of Water Supply: of Soakage Pit Amount of Permit $ Block Subdivision Q� A �^ C 7 4 " street_ d 1.....••!- `� (Signed)_ Date ..._.._.. No. ___3 O I Street A2. . 3 7 Capacity Gab. 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 has com- m in the work to be ce or notices as are nit, as are plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ performed under this permit; and will post or cause to be posted' for inspection on the site of the work such p required by the Act. The undersigned agrees to employ only such sub - contractors, on to be perfo licensed by Miami Shores Village. My Conunission Expires (Signed Notary Publio, State of Florida .,,..,.. 8t;eet....t/ E Plumbing Inspector. STATE OF FLORIDA, 1 u. 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 be has carefully read the foregoing application, and that he did sign the same, and that all fads therein by him stated are true. NOTE: A re- inspection fee of 11.00 will be made when aiseh re-inspection is made necessary by improper notice for inspection, or faulty materials and /cc workmanship. it- Permit No ___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application 1 hereby made for the approval of the detailed statement of the plans and specifications herewith su structure herein described. This application is made in compliance and conformity with the Building Ordinance o tted for ? e build ng or other iami 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 th Building Dv. lion of M?anii 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_ Registered Architect and /or Engineer _ Employing Plumber's Name ___ ..... L4 -5 G%_- -L D &m /I•L No._ - L�� 3G� _ _ -- _ Street. it/.tS 94 • . _ _ Block_ 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_ Size Septic Tank___ _ __ .. -- - Feet of Drain Tile_ .. __ __ _ _ __ _ __- _Dist. Feet of Tank or Drain Field from Well.. _ Nature of Water Supply. City —Well. _ -_ _ Si e of Soakage Pit Amount of Permit $ - - 3 - - - - -- - - (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 5988, Compiled General Laws of Florida Permanent Supplement, 'n'l I as 'am • plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin 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 no ices as are required by tlie Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. My Commission Expires ( Signed) __. - - - - -- -- S treet- .A/. .E. .. Street ..... . . Date _--_ Subdivision.._ _ __. No. of Stories - .Capacity Gals. - Ph.m 4 In .pecto. l er Plu ber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn eats, personal) 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 apphcation, and that he did sign the same, and that all .acts 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 OWERS LAVA- TORIES INKB SINKS SLOP SINKS LAUNDRY TUBS U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU"T•NB TOTAL F XTURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WC- SPRKLR. i SYSTEM SWIM'G POOL CONTR. LIST , i // /" ' - -- CHICK it- Permit No ___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application 1 hereby made for the approval of the detailed statement of the plans and specifications herewith su structure herein described. This application is made in compliance and conformity with the Building Ordinance o tted for ? e build ng or other iami 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 th Building Dv. lion of M?anii 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_ Registered Architect and /or Engineer _ Employing Plumber's Name ___ ..... L4 -5 G%_- -L D &m /I•L No._ - L�� 3G� _ _ -- _ Street. it/.tS 94 • . _ _ Block_ 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_ Size Septic Tank___ _ __ .. -- - Feet of Drain Tile_ .. __ __ _ _ __ _ __- _Dist. Feet of Tank or Drain Field from Well.. _ Nature of Water Supply. City —Well. _ -_ _ Si e of Soakage Pit Amount of Permit $ - - 3 - - - - -- - - (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 5988, Compiled General Laws of Florida Permanent Supplement, 'n'l I as 'am • plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin 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 no ices as are required by tlie Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. My Commission Expires ( Signed) __. - - - - -- -- S treet- .A/. .E. .. Street ..... . . Date _--_ Subdivision.._ _ __. No. of Stories - .Capacity Gals. - Ph.m 4 In .pecto. l er Plu ber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn eats, personal) 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 apphcation, and that he did sign the same, and that all .acts 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. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA PLUMBING ELECTRICAL ° e PERMIT N? 8989 ROOFING ❑ Owner of Building ir Contractor or Builder Legal Lat Description I BI Address of -� ( " Building Work to be performed under this 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 applica- tion 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 ha assumes respon- sibility for work done by his agents, servants or employees. // � j i Signed / / % (INSPECTOR) BY ��^ �'c Il) In consideration of the issuance to me of this permit gree to perform the work covered hereunder in compliance with all ordinances and regulation pertaining thereto and in strict conformity with the plans, dr wings, 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, mkagent, servant or employee. r ! / CONTRACTOR or BUILDER BY! AUTHORITY / 1 Date Contractor's License No. T 196' 7 Subdi- vision Sq. Ft. Value of I Amount: of Project $ Permit $ .-y BUILDING ELECTRICAL PLUMBING Owner Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORID DATE . PERMIT N° 7128 Contract , 's License No. Work to be performed under this Permi Description Address of Building This peurn is granted • the contractor or b i er . med abov- o construct th buildin cation herefor in strict compliance with all ordinances pe . fining ther . and with the derst plans, drawings, statements or specifications that may have been sub ' tted to and app /ed at any time if the work is not done in compliance with such ordinances or if the plans (re c permit is granted is the understanding that the contractor or builder named above ass es regulations pertaining to the work covered hereby whether shown on th sibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER BY INSPECTOR nstall the equipment or • •vice des • in the appli- the work will be performed in comp • . with any r municipal authorities. This Permit may •. •yoked ut authorization. A further condition upon whi his • for a orough knowledge of the ordinances and d that he a mes pon- In consideration of the issuance to me-of this permit I agree to per • . k covered hereunder in compliance with all • • finances and r pertaining thereto and in strict coatormity with the plans, dra . ' . • s, state - • r ifications submitte • o the proper authorities of Miami Shor In accepting this permit I assume responsibility for all wor . ne • ei elf, , .: nt or e r • loyee. AUTHORITY ulations Village. N. REQUEST FOR`' INSPECTION Company /'s�� Of l /e PHONE Job / / v' . .e ci Address c' ' ?, c, f9 tit ' r Inspection 3 A / /'Li -,-1 . ` /1.4:- Time Ready / /.2v. Ai)). A.M. P.M. Date Ready /0 / -/V '7 Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted foethe 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. f'► L / j,� ✓ �j /Kr_ _L �r Owner's Name and Address &/� No <3 C Street__.. 9 S f Registered Architect and /or Engineer Employing Plumber's Name____L .6 fkly.s12,-s__ ___ No.___/ ; 2 Street ____ _ 6-6 __r.l f Block Subdivision Location and Legal Description Lot Street and Number where work is to be performed —No 20_'e. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition f Repairs_______ No. of Stories Size Septic Tank_____________ t Type of Tank Capacity Gals Feet of Drain Tile 7J Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl Well Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street �C _I j 97 Size of Soakage Pit - r -eat -- Date Q . F Notary Public, State of Florida The undersigned applita for this building permit does , .'y certify-t11at he underst ds and accepts his obligations as an erpl e of lab under the Florida Workmen Compensation Act, being Section 5966, Compile ge neral aws of Florida Permanent Supplement, and has co plied with the provisions th eof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to b 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) '�..- " e ;ti umber. STATE OF FLORIDA, ss. 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 salve, 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 SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LI ST r CHECK '7 Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted foethe 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. f'► L / j,� ✓ �j /Kr_ _L �r Owner's Name and Address &/� No <3 C Street__.. 9 S f Registered Architect and /or Engineer Employing Plumber's Name____L .6 fkly.s12,-s__ ___ No.___/ ; 2 Street ____ _ 6-6 __r.l f Block Subdivision Location and Legal Description Lot Street and Number where work is to be performed —No 20_'e. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition f Repairs_______ No. of Stories Size Septic Tank_____________ t Type of Tank Capacity Gals Feet of Drain Tile 7J Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl Well Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street �C _I j 97 Size of Soakage Pit - r -eat -- Date Q . F Notary Public, State of Florida The undersigned applita for this building permit does , .'y certify-t11at he underst ds and accepts his obligations as an erpl e of lab under the Florida Workmen Compensation Act, being Section 5966, Compile ge neral aws of Florida Permanent Supplement, and has co plied with the provisions th eof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to b 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) '�..- " e ;ti umber. STATE OF FLORIDA, ss. 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 salve, 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. J PPLICATION FOR PLUMBING PERMIT Permit No. .___ O Date 1 S tx!-v_L�.�_ 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 SC_!':___ /re Registered Architect and /or E ineer //```` f _____ • Employing Plumber's N ��- (zt � ' � -- �'t' "Cd // t 1 .._LL. No. Size Septic Tank Feet of Drain Tile_________ f ate S y: City —W 1 Amount of Permit $_ Q ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT _(Signed) No' ` Street. (Si 61 Street 7/ Location and Legal Description Lot_______________ _____________ ________________Block —_____ Subdivisio Street and Number where work is to be performed —No C_____ __ _r _ Street___ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs oaths and Type of Tank . Capacity Gals Dist. Feet of Tank or Drain Field from Well .Size of Soakage Pit -- 0 e My Commission Expires Notary Public. State of Florida 6 , , 1. ,,Master Plumber. '7Lc� ct 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 under signed agrees to employ only such sub - contract rs, on work to be performed under this permit, as are licensed by Miami Shores Village. Q STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer 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. take acknowledgments, personally 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 $LOP 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 SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. IST LIST CHECK J PPLICATION FOR PLUMBING PERMIT Permit No. .___ O Date 1 S tx!-v_L�.�_ 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 SC_!':___ /re Registered Architect and /or E ineer //```` f _____ • Employing Plumber's N ��- (zt � ' � -- �'t' "Cd // t 1 .._LL. No. Size Septic Tank Feet of Drain Tile_________ f ate S y: City —W 1 Amount of Permit $_ Q ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT _(Signed) No' ` Street. (Si 61 Street 7/ Location and Legal Description Lot_______________ _____________ ________________Block —_____ Subdivisio Street and Number where work is to be performed —No C_____ __ _r _ Street___ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs oaths and Type of Tank . Capacity Gals Dist. Feet of Tank or Drain Field from Well .Size of Soakage Pit -- 0 e My Commission Expires Notary Public. State of Florida 6 , , 1. ,,Master Plumber. '7Lc� ct 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 under signed agrees to employ only such sub - contract rs, on work to be performed under this permit, as are licensed by Miami Shores Village. Q STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer 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. take acknowledgments, personally 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. �j APPLICATION FOR PLUMBING PERMIT 2 (� Permit No..___ " Date 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 ke.t at building during progress of work. ry Owner's Name and Address _ — ___S__j_ Registered Architect and /or E ineer Employing Plumber's N t. Location and Legal Description Lot /7 G /4_ No 9 k_(.2 _ _4(fi Stteet7/ Block Street and Number where work is to be performed —No _0 A l ,4 _(_ Street___ _ __''_________ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank___ Feet of Drain Tile__ f !ate Stft'y: City —) 1. Amount of Permit S. v MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Type of Tank . Capacity - -___ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. (Signed) No� Street 2 Plumbing In pector. The undersigned applicant for this building permit does hereby certify that he un4erstands 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. (Sig 4 My Commission Expires Notary Public. State of Florida , 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. aster Plumber. 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 SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. IET LIST CHECK �j APPLICATION FOR PLUMBING PERMIT 2 (� Permit No..___ " Date 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 ke.t at building during progress of work. ry Owner's Name and Address _ — ___S__j_ Registered Architect and /or E ineer Employing Plumber's N t. Location and Legal Description Lot /7 G /4_ No 9 k_(.2 _ _4(fi Stteet7/ Block Street and Number where work is to be performed —No _0 A l ,4 _(_ Street___ _ __''_________ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank___ Feet of Drain Tile__ f !ate Stft'y: City —) 1. Amount of Permit S. v MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Type of Tank . Capacity - -___ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. (Signed) No� Street 2 Plumbing In pector. The undersigned applicant for this building permit does hereby certify that he un4erstands 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss. (Sig 4 My Commission Expires Notary Public. State of Florida , 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. aster Plumber. BUILDING ELECTRICAL PLUMBING Owner of �/f �. Building `/ �/ r � TO BUILD MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT ■9 3082 } Contractor's , t; . License No. ��/ � f' �/ • C 'r Wor)f to b e pe orme under i d d this ermi P f �'.,... "✓ . " %-� Architect Contractor or Builde Legal Description Address of n E +�' Building c) V 2) r# • �( i .r. BI. Value of Project This permit is granted to the contractor or uilder 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 betlder named above 7lssumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether Shown, o the pl ns drawings or in the stateme pit specifications and that he assumes responsibility for work done by his agents, servants or employee'*.., t' f . � . z-: Signed • / /'• � . By r . e INSPECTOR / In consideration of the issuance to me of this permit I agree to rm th w ork covered hereunder in compliance witl{ all ordinances and regula- tions per ing thereto and in strict conformity with the plans, dr 4g5„statements or specifications submitted to the proper authorities of Miami Shores Village. i accepting this permit I assutt esponsibilit r all w "d neJ r myself, my agent, servant or employee. /' Amt. of Permit AUTHORITY 194 �/ JILDING ECTRICAL UMBING veer of iilding -chitect $ . .w Bl. igned: Subdi- vision Value of Project ilding rsta..ng th at ed b e pro ch _ ed with t respons in t Amt. Permit INSPECTOR covered hereunder in compliance with all or. nances and `re cations submitted the proper authorities of Miami Shore t or em oyee. AUTHORITY ontractor ' Builder 0 ' t_ gal ..,,,�„ Lot escription 3dress of - "tidi�Ig Ill I s p is granted to e contractor or buil� r �: ed above construct the tion 1Gerefor in strict compliance with all ordinances perta mg • there • : nd w th the u ans, 4rawm s statements or specifications that may have been subm ed to and appr any time if the work is not done in compliance with such ordinances or if the plans a a emit is granted�e the understanding that the contractor or builder named above assu gulations pertaining to the work covered hereby whether shown on Atty Atty for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perfo rtaini thereto and in strict conformity with the plans, draw'. • • state accepting this permit I assume responsibility for all work tie .y CONTRACTOR OR BUILDER e MIAMI SHORES VILLAGE, FLORIDA DATE MIT N° 7128 Work to be performed under this Permi 3f� a ileirsi#~44•4h Contractol$s Licenstlo. 194 • tall the equipment or de e descr . • the appli- he work will be performed in complia - ith any pe municipal authorities. This Permit may b •. ed o authorization. A further condition upon whic is ijii„ for a th o h knowle• • e of the ordinapces and ate that he ass es re on- ations illage. JOB: 4 ./..( BUILDING. • ELECTRICAL • PLUMBINB • Inspector's Report :- • • • • ADD: WORK 2 / DONE B-:/ 2 REQUESTED : WILL BE READY z 1 The following is ready for inspection:-