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PLUMBINGBUI1DIG ELECTRICAL PLUMBING ROOFING Owxter of Building CAtiLt. 4 s Architect Contractor or Builder Legal.. Lot Description II Bl. i g Bu Address n of .te �. tC . Building �► lei NTRACTOR 0 MA NI SHORES VILLAGE, FLORIDA DATE , + 19' PERMIT x9 5082 Work to be performed under this Permit 774 =+ PC. In consideration of . the issuance to me of this permit I agree to perform the work covered hereunder in comp pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper ceptinq this permit I assume responsibility for Bill work done by el er, myself, my 'gent, servant or employee. et‘ Contractor's License No. Subdi- vision 1I Amount of 4> O� f Permit $ - This permit is granted to the contractor or builder n d above to cons ruct 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 plant, 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 et if the plans are cheesed wit:hoot authorization. A further monition was which this permit is grassed is the understaadieg duet the esserraietor or bonder named above assumes the reepo iity, for a thorough keowled a e# ordinances and regulations pertaining to the wont covered hereby whether shown on doe plans or drawings or in the statements or specifics =es and than a ssames respon- sibility for work done by his agents, servants or employees. Value of Proiect Signed: 1 _. .� °SECTOR all . ordinances and regulations of Miami Shores Village. In ac AUTHORITY A44OT MIAMI SHORES VILLAGE,FLA. N9 5'744 JOB Vi T/1 6/ F 5G Mo. r7SPT, ADDRESS J6-3 At 1 • 99 S T INSPECTION 3 - /, ' TIME READY .� - 1 1 0 - (.1 REMARKS: c INSPECTOR DATE 1r - Permit No o s v 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. j� q C� Owner's Name and Address C///4 _ /1 ! V L - _ ll.____._ - No. __- / _ Street 4e,.. 1..,( `sT Registered Architect and /or Engineer r.A ..... -___-- ____— _________— — T - _-- - -. - -- _--- - /`, ! Employing Plumber's Nam e�V[ -_v_Pc L / ? � Y . .1 � No./ i G__ _____ _ Street-. !L �� / Location and Legal Description Lot ____________ _________ __ Block pp Street and Number where work is to be performed —No �� (-r Street__ /YE f5' 57 State work to be performed and purpose of building (By Floors)____ New Building __ Remodeling Amount of Permit $ s� Size Septic Tank Type of Tank ,C' Feet of Drain Tile 3DZ 1 /r � _ / .4 LA_y _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._______ _ ____ Size of Soakage Pit STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition._______._ Repairs No. of Stories (Signed)- Date__ _.__.. Subdivision _---- __ -_ -- Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ..ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per anent 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 the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, work to be perform nder this permit, as are licensed by Miami Shores Village. 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 swom, 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 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 O LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBE U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONK. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL COHTR. LIST ^ CHECK 1r - Permit No o s v 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. j� q C� Owner's Name and Address C///4 _ /1 ! V L - _ ll.____._ - No. __- / _ Street 4e,.. 1..,( `sT Registered Architect and /or Engineer r.A ..... -___-- ____— _________— — T - _-- - -. - -- _--- - /`, ! Employing Plumber's Nam e�V[ -_v_Pc L / ? � Y . .1 � No./ i G__ _____ _ Street-. !L �� / Location and Legal Description Lot ____________ _________ __ Block pp Street and Number where work is to be performed —No �� (-r Street__ /YE f5' 57 State work to be performed and purpose of building (By Floors)____ New Building __ Remodeling Amount of Permit $ s� Size Septic Tank Type of Tank ,C' Feet of Drain Tile 3DZ 1 /r � _ / .4 LA_y _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._______ _ ____ Size of Soakage Pit STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition._______._ Repairs No. of Stories (Signed)- Date__ _.__.. Subdivision _---- __ -_ -- Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ..ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per anent 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 the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, work to be perform nder this permit, as are licensed by Miami Shores Village. 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 swom, 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 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.