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372 NE 98 St (8)BUILDING IFLECTRICAL • IlLUMBING v .1, _Owner of 'Building Architect Contractor or Builder 441140 OB Fogl4= Legal Lot Bl. 4/2 Subdi- Description 3 '2.- r . / . f. vision Address of 3 2. . g . , , i ....., v . Project Building Value of This permit 1 s granted to the contractor or builder 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 knowle•e of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans rigs . .6 the statements or specifications sumes respon- Signed. ' .-i- /,.., g, , ..4.4 By tie , i INS ' CTOR 4 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with iii14rdinances and2eg5agonP; pertaining thereto and in strict con *ty with the lans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting g this permit I as ume espn bility for a work done by either myself, my agent, servant or employee. . . sibihty for work done by his agents, servants or employees. o CONTRACTOR OR ; ILDER MIAMI SHORES VILLAGE, FLORIDA - 2 DATE 194Z PERMIT N° 5728 Contractor's License No Work to be performed under this Permit /1• f2e44 • 11 BY /1 Amt. of Permit jec.4?) AUTHORITY 1 BUILDING 'ELECTRICAL PLUMBING Owner of 9\ Building , • ti Architect Contractor , or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA ,PERMIT N° 5759 Work to be performed under this Permit Bl. Subdi- vision Address of � fr Value of Amt. of !j i 74-- Building 5 7 2 1 . a Project Permit rr 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 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 ordinances and regulations pertaining to the work covered hereby whether shown on the plans ovirevings, or in the statement specifications andd sn" t he as rtes respon- Signed. t9 � ' F ;. Q?./,' :r. A B y b 1' Y '' INSPEC 'bR �� In consideration of the issuance to me of this permit I agree to perform the work covered herei9 in compliance with all ordinances and regulations perta ing thereto and in strict confo ith the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. pting this permit II ass ` `ire ons' .. j for all work done by either myself, y agent, servant or employee. • CONTRACTOR OR BUILDER sibility for work done by his agents, servants or employees. BY DATE Contractor's License No. ;--f / 194 f AUTHORITY 1 • 7 5 BUILDING ELECTRICAL PLUMBING ROOFING Owner of r' Building • DATE i 195 PERMIT N? 6534 Contractor's License No. MIAMI SHORES VILLAGE, FLORIDA Architect Contractor or Builder 4. 0- 7' c t=2. " ti . 7 , Legal Lot r Description — 11 Bl Address of r' ' " ti a' # Building , .0./ _ �' ., CONTRACTOR OR BUILDER Work to be performed under this Permit 7? Subdi- vision Value of Project $ BY Amount of i 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 .L the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in statements or specific lions and that he assumes responsibility for work done by his agents, servants or employees. l ,� - b f R y Signed- eft 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, or er f5foyee. AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or BuildPr Legal Description Address of Lot E Building i n Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 11427 • Bl. Subdi- vision Value of Project $ DATE 195 Contractor's License No a 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 drawingsvr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. _ s -- - Signed • 7 / BY 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 thia+nermil -T acc,imee recprnsibility f all wnrk —Anne by either, myself, my agent servant nr empinyee, BY AUTHORITY BUILDING ELECTRICAL PLUMBING P CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5759 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of _ Value of Amt. of Building Project 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil 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 respon- sibility for work done by his agents, servants or employees. Subdi- vision DATE 194_ Contractor's License No. Signed. By • 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 assurff responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contracto or Builde Legal Descripti Address Building P ERMIT N9 9493 CONTRACTOR OR L' UILDER MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit DATE Contractor's License No 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 fora 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. r, BY AUTHORITY 195 Signed - gy 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. I 7 r ,t_ C ti . 4 ., r 1 o r .- s r v , C 1 - . D ,,' g — .? n , Lot Bl Subdi- vision if J el 1 F " " _ s _ g Sa. Ft Amt. of Permit = $ - '; "' Value of Project $ BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contracto or Builde Legal Descripti Address Building P ERMIT N9 9493 CONTRACTOR OR L' UILDER MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit DATE Contractor's License No 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 fora 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. r, BY AUTHORITY 195 Signed - gy 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. I 7 Permit No. App;Ration Is hereby made for the approval of the detailed ataternent of the plans and specifications herewith submitted for the kidding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all pros isions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation of the Building Division of Miami Shores ViiLsge shall be complied with, whether herein specified er not. A copy of approved plans and specifications must be kept at - illi.L_I— ____________ No.________E.____.._ .___ st,,,c.i ..E. 7 ' ) ,'. 7.. , • building during progress of work. Owner's Name and Address ..... e.5__- i •••_, Registered Architect and /or Engineer ._ - —_ 1. Employing Plumber's Name ..M.1 A.vtt_i- _-f- ,GM.�'1� C- ciC' T S tA �,- - -- m .e. ...., ltFG28.. '� . JC._.:7 57 0 i,"1 A - 1 . .'et - - -, r ,,. 7A-N -N c'e'r'1+ -c ',- Location and Legal Description L. ot._._- -.___--- ..- ------ _________ - - -. Bloch_ --.- ----- --- ...... Subdiviu{on ._ .......... ._- ..... -- -_ _.. Street and Nurnber where work is to be performed- No.._- _.___._— _- .._...__ ____ State work to be performed and purpose of building (By Floor•a)..._...2.3. -.-- ._ Lti..G.I( :. Rf ., Al.. - New Building ... -- --.... .. . --- Remodeling-- -___ -. .. - -- --- . -. - -. Addition CONTR. LIOT CN[CK CONTR LIOT C■aca C LOOaT0 SEPTIC TANK BATH TuaO SEWER CONN Sue Septic Tank_... - -. Amount of Permit S_ SNOW aR0 Feat of Drain Tile._ DRAIN FIELD LAVA• TORISO SOAKAOO PIT Nature of Water Supply: City -Well. __ -- My Conwussion Expires PLUMBING INSPECTION DEPARTMENT A P P 6OCL=.IUOOJV PLUM OUVG PLGWIIVYOII op talNao GRSAOS CO LAR TRAP NfATSR LAUNDRY 7000 URINALO CATCH BAOIN ntiaP VISLL _ -_ -- -.Type of Tank __--.Dist. Feet of Tank or Drain Field fn urn Well (Signed) (Si Date Repairs_ j' . No. of Stories FLOOR DRINI,NO DRAIN FOUNT NO Capacity Gain. ______ ... Size of Soakage Pit TOTAL VIII T U 550 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ohh,/A' 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 provisnms 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 wort a -h t h!Ic notice or notices as are requirrd by the Act. The undersigned agrees to employ only such crib - contractors, . work to jormed under this permit, As are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Notary Public, State of Fluridn to me well known, and who, being by me first duly sworn, upon oath &1paces and says that he io the . . _ -. of the above described construction, that he has carefully rend the §nrtzp3MinG application, and that be did sign the acme, and that all facia therein by his, stated are true. NOTE: A re- inspection fee of 01.00 will her mach aura garb so -"alum Lo siticskruz=3earry by improper ssntiaa for lnop or faulty materials and /or workmPDAhip Permit No -/. 7 4 ..._ _ 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 hiiami 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. fi Owner's Name and Address ___ _ _�..— N 3 2 Z Street.) Registered Architect and /or En ine Employing Plumber's Namo.-- L 2'1a. �' . U✓ .• ... N ,,,., l_„�,2, /U f. 64reet...e.�..�.�..� ... 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__ Size Septic Tank_ Feet of Drain Tile. Amount of Permit $ STATE OF FLORIDA, + ( as. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Teak __...- _ -_ _,_ _Dist. Feet of Tank or Drain Field from Well (Signed)_ -. -L Street Nature of Water Supply: __..--_-_-Size of Soakage Pit Subdivision Repairs No. of Stories Capacity Gals. Notary Public, State of Florida P1u bang Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supp ment, and Ilas 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 required by the Act sub-contractors, on formed under The undersigned agrees to employ only such sub- contra s notices � o r t t his permit, licensed by Miami Shores Village. / (Signed) as MS are are 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 acme, and that all facts therein by him stated are true. materials NOTE: A r re -inspection fee of $1.00 will be made when such re- inspection is made.neoessary by improper notice for inspection, or faulty CLOSETS BATH TUBE S LAVA. TORIES SINKe SLOP SINKS LAUNDRY rues U RINAL[ CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 -- TOTAL FIXTURES CONTR. LIST 9 / � ( L J CHECK I (` -S — — l 2 S SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL BPRKLR. SYSTEM BWIM'G POOL CONTR. LIST - CHECK Permit No -/. 7 4 ..._ _ 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 hiiami 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. fi Owner's Name and Address ___ _ _�..— N 3 2 Z Street.) Registered Architect and /or En ine Employing Plumber's Namo.-- L 2'1a. �' . U✓ .• ... N ,,,., l_„�,2, /U f. 64reet...e.�..�.�..� ... 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__ Size Septic Tank_ Feet of Drain Tile. Amount of Permit $ STATE OF FLORIDA, + ( as. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Teak __...- _ -_ _,_ _Dist. Feet of Tank or Drain Field from Well (Signed)_ -. -L Street Nature of Water Supply: __..--_-_-Size of Soakage Pit Subdivision Repairs No. of Stories Capacity Gals. Notary Public, State of Florida P1u bang Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supp ment, and Ilas 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 required by the Act sub-contractors, on formed under The undersigned agrees to employ only such sub- contra s notices � o r t t his permit, licensed by Miami Shores Village. / (Signed) as MS are are 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 acme, and that all facts therein by him stated are true. materials NOTE: A r re -inspection fee of $1.00 will be made when such re- inspection is made.neoessary by improper notice for inspection, or faulty Permit No 5 5 3 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 7 No..1 4 Street Registered Architect and /or Engineer ..._______ Employing Plumber's Name ;4, Location and Legal Description Lot__________ _______________________ _ Subdivision Street and Number where work is to be performed— No._______._ — Street State work to be performed and purpose of building (By Floors). New Building Remodeling______ Addition________._ Repairs No. of Stories ........ ........... Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile r� ` `� ` ° � it. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING "n,ci�liT (Signed)_ No._ u Street Size of Soakage Pit (Signed)._ J 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 FJ6rida Permanent Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - ntractors 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. j / _ .. ' �� 2 Date My Commission Expires Notary Public, State of Florida 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 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 hilt, 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 Twos SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DR INK I NO FOUNT •NS TOTAL FIXTURES CONTR. LIST CHUCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM '0 POOL CONTR. LIST CHECK Permit No 5 5 3 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 7 No..1 4 Street Registered Architect and /or Engineer ..._______ Employing Plumber's Name ;4, Location and Legal Description Lot__________ _______________________ _ Subdivision Street and Number where work is to be performed— No._______._ — Street State work to be performed and purpose of building (By Floors). New Building Remodeling______ Addition________._ Repairs No. of Stories ........ ........... Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile r� ` `� ` ° � it. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING "n,ci�liT (Signed)_ No._ u Street Size of Soakage Pit (Signed)._ J 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 FJ6rida Permanent Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - ntractors 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. j / _ .. ' �� 2 Date My Commission Expires Notary Public, State of Florida 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 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 hilt, 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. Permit No Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING i`a,W1T D, TyL Lz No.__ ____ ` Street___91 Date. h" — a 7 — r ' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for theiilding 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. Registered Architect and /or Engineer �_______�___�____ — Employing Plumber's Name. %�a ":"` No.. 2/ / - -- •at Street___, 8' Location and Legal Description Lot — _ —___— Block____ Subdivision Street and Number where work is to be performed— No.____— ____— ___ —_____ ___ Street State work to be performed and purpose of building (By Floors) New Building Remodeling Size Septic Tank Feet of Drain Tile__ Nature of Water Supply: City —Well Loe-ie - Amount of Permit $ Addition fe.TjcLe p of Tank___ Capacity Gals. Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit (Signed)_ (Signed) Repairs No. of Stories .. . ....... ......... ing I ..actor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli:. Lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perman' t Supplement, and bus 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. STATE OF FLORIDA, 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. My Comnussion 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 faulty materials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES I SINKS SLOP SINKS LAUNDRY TUBE URINALS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HI: ‘TER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHOCK Permit No Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING i`a,W1T D, TyL Lz No.__ ____ ` Street___91 Date. h" — a 7 — r ' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for theiilding 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. Registered Architect and /or Engineer �_______�___�____ — Employing Plumber's Name. %�a ":"` No.. 2/ / - -- •at Street___, 8' Location and Legal Description Lot — _ —___— Block____ Subdivision Street and Number where work is to be performed— No.____— ____— ___ —_____ ___ Street State work to be performed and purpose of building (By Floors) New Building Remodeling Size Septic Tank Feet of Drain Tile__ Nature of Water Supply: City —Well Loe-ie - Amount of Permit $ Addition fe.TjcLe p of Tank___ Capacity Gals. Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit (Signed)_ (Signed) Repairs No. of Stories .. . ....... ......... ing I ..actor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli:. Lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perman' t Supplement, and bus 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. STATE OF FLORIDA, 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. My Comnussion 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 faulty materials and/or workmanship. 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 herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. A Owner's Name and Address SS. �g e MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT • APPLICATION FOR PLUMBING PERMIT 1 __, No c Street and Number where work is to be performed—No __ _ - /T n i Amount of Permit $ — ____________ (Signed) Date . l `' /1 Street Registered Architect and /or Effgineer ,,. a-4-- -4 �' A n .7� /I )� , /1,7 . F o , • ' e , / i - " // Employing Plumber's Name_ -_ - _ — _ � No � - - - �� _ - '- Street ---- -=' -- � Location and Legal Description Lot____ _ F — Block_ L, , Subdivision__ Street - State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well — Size of Soakage Pit 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. ( ��, - , / u ( Signed) ____:� c ' s — Y Master Plumber. STATE OF FLORIDA, t 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 fo regoing application, 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 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 ,/,�. .0 Cia C� C^ it/))n� i/ ✓(G TOTAL FIXTURES CONTR. LIST / r G4 - .=.2....... V CHECK _- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK 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 herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. A Owner's Name and Address SS. �g e MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT • APPLICATION FOR PLUMBING PERMIT 1 __, No c Street and Number where work is to be performed—No __ _ - /T n i Amount of Permit $ — ____________ (Signed) Date . l `' /1 Street Registered Architect and /or Effgineer ,,. a-4-- -4 �' A n .7� /I )� , /1,7 . F o , • ' e , / i - " // Employing Plumber's Name_ -_ - _ — _ � No � - - - �� _ - '- Street ---- -=' -- � Location and Legal Description Lot____ _ F — Block_ L, , Subdivision__ Street - State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well — Size of Soakage Pit 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. ( ��, - , / u ( Signed) ____:� c ' s — Y Master Plumber. STATE OF FLORIDA, t 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 fo regoing application, 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 such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No c 13 Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl{ submit t'ed for the building or other structure herein described. This application is made in compliance and confonnity 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. ■ A - ,/ / N o __� °� Street : r $ - Owner's Name and Address____ � - - - - -- '-" s' Registered Architect and/or _E sneer r _ Emplo Plumber's Name__- is=-'1---- 0 Lori _ - _L_:-- _-- _- _______ No.__ -21 _2 .,. L.___ Street___,!____�..____�__.____ Location and Legal Description Lot Block Subdivision.__ = __ - Street and Number where work is to be performed —No _ � � LTt `� Street ___ __ c '_L� _,--' _r , State work to be performed and purpose of building (By Floors) `` -41,_ Z-_ _� l - � � ___�fL' C : ..( �S New Building /' Remodeling Addition k i Repairs No. of Stones Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ °l 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 perfonned under this permit; and will post or cause to be posted for inspection on th 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 undo ,this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed ):1_ Plumbing :Inspector. ( Signed) _ Date 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 fo regoing 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. 1 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 SW IM'G POOL CONTR. LIST CHECK Permit No c 13 Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl{ submit t'ed for the building or other structure herein described. This application is made in compliance and confonnity 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. ■ A - ,/ / N o __� °� Street : r $ - Owner's Name and Address____ � - - - - -- '-" s' Registered Architect and/or _E sneer r _ Emplo Plumber's Name__- is=-'1---- 0 Lori _ - _L_:-- _-- _- _______ No.__ -21 _2 .,. L.___ Street___,!____�..____�__.____ Location and Legal Description Lot Block Subdivision.__ = __ - Street and Number where work is to be performed —No _ � � LTt `� Street ___ __ c '_L� _,--' _r , State work to be performed and purpose of building (By Floors) `` -41,_ Z-_ _� l - � � ___�fL' C : ..( �S New Building /' Remodeling Addition k i Repairs No. of Stones Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ °l 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 perfonned under this permit; and will post or cause to be posted for inspection on th 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 undo ,this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed ):1_ Plumbing :Inspector. ( Signed) _ Date 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 fo regoing 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. 1 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 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 No . Street Registered Architect and /or Engineer Employing Plumber's Nam „ —` f ,) ":' Location and Legal Description Lot L -- -- Location /: lock_ ti /, 7 ,./- y Street and Number where work is to be performed— No.___ ' __c __� ___�____� :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 Nature of Water Supply: City — Well__ Size of Soakage Pit • (Signed of Pernlit $ ( Si g ) ss. My Commission Expires (Signed) MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No ! ! I L r'. Street_ t Type of Tank_ Dist. Feet of Tank or Drain Field from Well Date ..__, Subdivision Capacity Gals 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. STATE OF FLORIDA, 1 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 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. Master Plumper. 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 H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK 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 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 No . Street Registered Architect and /or Engineer Employing Plumber's Nam „ —` f ,) ":' Location and Legal Description Lot L -- -- Location /: lock_ ti /, 7 ,./- y Street and Number where work is to be performed— No.___ ' __c __� ___�____� :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 Nature of Water Supply: City — Well__ Size of Soakage Pit • (Signed of Pernlit $ ( Si g ) ss. My Commission Expires (Signed) MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No ! ! I L r'. Street_ t Type of Tank_ Dist. Feet of Tank or Drain Field from Well Date ..__, Subdivision Capacity Gals 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. STATE OF FLORIDA, 1 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 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. Master Plumper. New Building Nature of Water Supply: City —Well Amount of Permit $ ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) Date Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submifrftd for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of M(E{mi 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 L IK2 No Street___( Notary Public, State of Florida Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No.___`_.1.__y___,:. _2 - -Z; Street 6 F State work to be performed and purpose of building (By Floors) Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 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. (Signed) Master Plumber. STATE OF FLORIDA, t 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. 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 SINK:; LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD nn SOAK n j Af E GREASE SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST ' 'c CHECK �� New Building Nature of Water Supply: City —Well Amount of Permit $ ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) Date Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submifrftd for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of M(E{mi 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 L IK2 No Street___( Notary Public, State of Florida Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No.___`_.1.__y___,:. _2 - -Z; Street 6 F State work to be performed and purpose of building (By Floors) Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 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. (Signed) Master Plumber. STATE OF FLORIDA, t 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. 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.