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405 NE 99 St (7)Date Type Insp'n Permit No. Name Approved Correction Re- Insp'n - 'MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Address C2- / d Company For Inspector: Time cUt BUILDING ELECTRICAL PLUMBING ROOFING ❑ MECH ❑ Owner of . R' h Building Architect Contractor or Builder Legal Description Address of Building PERMIT MIAMI SHORES VILLAGE, FLORIDA Work to be performed under Mr Cs , ? t / 2 W � f2 /P 1 This permit is granted to the contractor of builder named above to constr tion herefor in strict compliance with all ordinances pertaining thereto and with plans, drawings, statements or specifications tha may have been submitted to and at any time if the work is not done in compliance with such ordinances or if the permit is granted is the understandingthat the contractor or builder named above regulations pertaining to the work covered her by whether shown on the plans or sibility for work done by his agents, Derv" is or ,employees. CONTRACTOR or BUILDER 49502 this Permit Sq. Ft.: Value of ° Project $ Date Contractor's License No. 23 200/ r Permit: / / P f / �p CCF: I - S vision I ` °�,+� el Notary: O • 30 Bond. Radon: b Amount of Pi Permit: uct the building or to install the equipment or device described in the applica- the understanding that the work will be performed in compliance with any approved by the proper municipal authorities. This Permit may be revoked plans are changed without authorization. A further condition upon which this assumes the responsibility for a thorough knowledge of the ordinances and drawings or in the statements or specifications and that he assumes respon- (INSPECTOR) 082A200 07/24/01TOTL 366.20 BY BY Signed' t ` +7 1 l In consideration of the issuance tpp o this permit I agree to peiform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conf4Ofy with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume for all work done by either, myself, my agent, servant or employee. AUTHORITY Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Owner's Address / Job Address el C 5 ^ l C ' q ST Tax Folio Legal Description Owner/Lessee / Tenant 1141( ► ( 02.1.4.4" Master Permit # 1'4 -U 1j cf-• • ,.j , q q 41-t Contracting Co. MR . C ! .S Sf �' r6L� ) Ct/ ( i Address 14' 3-2, �G�` 2- a Qualifier �„ .e/ C► • a t..�,l� SS# Phone c j_4 CI IS .d °`"_ State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Permit Type (circle one): BUILDING ELECTRICAL ems'' WORK DESCRIPTION t 1.), G Square Ft. Estimated Cost (value /tom WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction zoning. Furth e�rtaTe,I authorize the above -named contractor to do the work stated. atureof owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT APPROVED: Zoning Mechanical RADON Building Plumbing Date Notary as to My Co tract • r or sion Expires: C.C.F. l " NOTARY ' BOND ?D© TOTAL DUE 6(!i Historically Designated: Yes No Phone 5O`S - 1 S 7- 2-e3/ Signature of Contract, or 1 er- Builder Date Electrical e Structural Engineer I VLLLAR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 AOMMEION EXP. MAR. 1,2012 3d/ PERMIT FOR: IA)] New System ' . [ Repair ] CONSTRUCTION APPLICANT: PROPERTY ADDRESS: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATME CONSTRUCTION PERMIT SYSTEM DESIGN AND SPECIFICATIONS T ( "t') ] GALLONS / GP D R A I N I E L. D O T H E R [.30Q] SQUARE ] SQUARE TYPE SYSTEM: CONFIGURATION: SPECIFICATIONS BY: APPROVED BY: • NAND PO SAL n i_, �� ,_, L I Li Existing System Abandonment LJ1/1, Th' /s' Cik S ter t' 5 5 LOT: ( ) I 3 BLOCK: 27 SUBDIVISION: [SECTION, TOWNSHIP, PROPERTY ID #: I/ £ 2 3 (a -017- 0 ,3 9 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SAFTISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN- SERIES [ ] A [ ].GALLONS / GPD CAPACITY MULTI- CHAMBERED /IN- SERIES [ ] N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @ [ ] DOSES PER 24 HRS # [ ] FEET PRIMARY DRAINFIELD SYSTEM E SYSTEM STANARD [ FILLED ] TRENCH [ BED LOCATION OF BENCHMARK: tl..Ji r " 0 9 ELEVATION OF PROPOSED SYSTEM SITE i [INCHES/ BOTTOM OF DRAINFIELD TO BE /FT] FILL REQUIRED: Vj OS] INCHES EXCAVATION REQUIRED: TITLE: DATE ISSUED: 14i �,;h EXPIRATION DATE: `p' es, c Ta BhpP: u R VIM DH 4016, 12/99 (Page ) oPevi�o�us °d'i? "�s �± �� .Q® , .; : d t unC+ �� g„f : . P 2 : h Department ant . pt. 3: Installer /Contractor pt. 4: Building. Department SYSTEM Holding Tank Temporary INCHES PERMIT NO. ° & DATE PAID: 7 ../9-60i FEE PAID: 7,t; . u a RECEIPT #: . / _ ®C [�] nnovative V LfS Q • RANGE, PARCEL NUMBER] e Y` . s° . 1//a [ABOVE/B BENCHMARK /REFERENCE POINT [ABOVE /: L0: ( BENCHMARK /REFERENCE POINT [ c ] 1,UP.M11 COM -ISE tcn VJ D.4I1. L`.e•,... a -.�.�. vr..F v' ,? ti, :art:,: ; TH5 PER°f.F1• €; ,�� *Amar rfi =,F. rti S ' I Fame OF DMINREL (LEV1°•' 1 � TITLE: Page 1 of 3 IINSTRUCTIIONS: PERMIT NUMBER: CONSTRUCTION PERMIT FOR: SYSTEM DESIIGN AND SPECIFICATIONS: o'• Permit tracking number assigned by CPHU. Check type of permit, if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. H3ox or street mailing address for applicant or agent. LOT, BLOCK, SUIBDWESIION or PROPERTY IID #: 27 character id number for property. (CIH[D may require property appraiser HD # or section/township /range /parcel number) TANK: Minimum specifications from Chapter 641E-6, FAC. DIRAIINIFHELD: Minimum specifications from Chapter 64E-6, FAC. OTIHIIEIR: Other specifications, such as operating permit requirements, low - volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed. APPROVED BY: County Health Department (CHD) personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by CHID EXPIRATION DATE: One year from date issued if the system has not been installed. 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Notes: By % i'{ AP44.S °PA Pro) -I P" Site Plan SuL fnitted by: Plan Approved - -; i 7 IRE y ` 4 T) f , • - STATE OF FLORIDA / d ' DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES -"d r ?) APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTIO P ERMI T ' -A �' (-'' i t,: 01 2.20.(--1 ALL CHANGES MUST BE PART II - SITE PLAN SIGNATURE Not Approved HRS -H Form 4015,.F.eb 85 (Obsoletes previous editions which may not be used) (Stock NumberD44- 002 - 4015 -6) o Permit Application Number s APPR. #VED BY THE COUNTY PUBLIC HEALTH UNIT " Date » County Public Unit Page 2 of 3 Date 3 -22 -93 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 405 NE 99 STREET Description A "'/34 iy J/ Owner / Lessee / Tenant ZOROVICH Owner's Address 405 NE 99 STREET, MIAMI SHORES 33138 Phone 754 -1285 Contracting Co. NORTH DADE SEPTIC TANK Qualifier DENNIS NEVILLE SS# Phone 754 -3375 of Contractor or Owner - Builder NOTARY TOTAL DUE Fire Other Building Electrical Engineering BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ar Date ! 19 ELECTRICAL ❑ PLUMBING ® PERMIT N° 9582 Contractor's ©•,? ROOFING ❑ License No. Owner of r . Building d % c' Co. !l Architect Contractor o . 6 , L L o or Builder Legal Lox Description Address of J Building ❑ Work to be performed under this Permit CONTRACTOR or BUILDER S40= t BI Subdi- vision Sq Ft Value of II Amount of Project $ II 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 he assumes respon- sibility for work done by his agents, servants or employees. !fi ♦ Lam / "'.;79�.= � t~ / Signed- (INSPECTOR) BY In consideration of the issuance to me of this permit I agree t¢erform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done 1Sleither,>myself my agent, servant or employee. BY AUTHORITY 4 Permit No — — Amount of Permit $ 3.00 STATE OF FLORIDA, COUNTY OF DADE. J 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 Betty_Z.r.vieh No__ 405 N. E. 99th St. Registered Architect and /or Engineer _____ ____- ------ w__-_ -_ _ _— -- --- ---- _- _--------- -_ -_._ Employing Plumber's Name 0 . G. Lloyd 8 601 N.W. 22nd Ave., Miami -- — — -- - No. -- - -- — Street- - 33147 Location and Legal Description Lot____.__ ___...... ___ -__ Block__ . — Subdivision Street and Number where work is to be performed—No.-1' 05 State work to be performed and purpose of building (By Floors ) __ New Building Remodeling ____ Addition Capacity Gals. Size Septic Tank Type of Tank 38 t re __ moist. Feet of Tank or Drain Field from Well Feet of Drain Tile--- _---- - - - - -- --- - - - - -- - Nature of Water Supply: City —Well — __________________._Size of Soakage Pit (Signed)_ lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat /s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennane 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)._ Date. Jan, 5_, 1968 Repairs No. of Stories Street N. E. 99th St. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acicnowledguients, personally appeared 0. G. Lloyd 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. z /7_7/ d‘ -,?- 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 TUBE UR URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN PIELO SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK 4 Permit No — — Amount of Permit $ 3.00 STATE OF FLORIDA, COUNTY OF DADE. J 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 Betty_Z.r.vieh No__ 405 N. E. 99th St. Registered Architect and /or Engineer _____ ____- ------ w__-_ -_ _ _— -- --- ---- _- _--------- -_ -_._ Employing Plumber's Name 0 . G. Lloyd 8 601 N.W. 22nd Ave., Miami -- — — -- - No. -- - -- — Street- - 33147 Location and Legal Description Lot____.__ ___...... ___ -__ Block__ . — Subdivision Street and Number where work is to be performed—No.-1' 05 State work to be performed and purpose of building (By Floors ) __ New Building Remodeling ____ Addition Capacity Gals. Size Septic Tank Type of Tank 38 t re __ moist. Feet of Tank or Drain Field from Well Feet of Drain Tile--- _---- - - - - -- --- - - - - -- - Nature of Water Supply: City —Well — __________________._Size of Soakage Pit (Signed)_ lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat /s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennane 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)._ Date. Jan, 5_, 1968 Repairs No. of Stories Street N. E. 99th St. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acicnowledguients, personally appeared 0. G. Lloyd 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. z /7_7/ d‘ -,?- 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ' »' .r•' Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 6803 Work to be performed under this Permit B1 Address of 0 Y ' ?;�� , Value of Building ` ' Project $ 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 he assumes respon- sibility for work done by his agents, servants or employees. INSPECTOR of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as all work done by either, myself, my agent, servant or employee. In consideration of the issuance to me pertaining thereto and in strict conformity with cepting this per mmit I assume responsibility for g CONTRACTOR OR BUILDER , Signed' BY Subdi- vision DATE Contractors / License No. k '� 19' Amount of p ' ' c. Permit $ .. te a. ',. AUTHORITY ABBOT • P e r m i t No.__ cam, O 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte or 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 Registered Architect and /or Eng Employing Plumber's Name Size Septic Tank Feet of Drain Tile._ ____I Nature of Water Supply: City —Well. - -- a:Zr Amount of Permit $_ . STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot V Block Street and Number where work is to be performed —No 4 State work to be performed and purpose of building (By Floors) ___.---_----- _.________- ._____.__ New Building __ ___ Remodeling .__ _________ Addition Repairs No. of Stories ... ..... .. ......... .... My Commission Expires of Tank Capacity Gals . ee of Tank - or Drain Field from Well . __Size of Soakage Pit (Signed) _ Plumbing .ctor. 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 tlie 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).___ Date_. Street. Street. Subdivision Street 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 worlananship. CLOSETS BATH TUBS SHOWERS LAVA TORIES NKS SINKS SLOP SINKS LAUNDRY TU86 URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE J - PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. L IST --- - - CHECK • P e r m i t No.__ cam, O 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte or 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 Registered Architect and /or Eng Employing Plumber's Name Size Septic Tank Feet of Drain Tile._ ____I Nature of Water Supply: City —Well. - -- a:Zr Amount of Permit $_ . STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot V Block Street and Number where work is to be performed —No 4 State work to be performed and purpose of building (By Floors) ___.---_----- _.________- ._____.__ New Building __ ___ Remodeling .__ _________ Addition Repairs No. of Stories ... ..... .. ......... .... My Commission Expires of Tank Capacity Gals . ee of Tank - or Drain Field from Well . __Size of Soakage Pit (Signed) _ Plumbing .ctor. 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 tlie 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).___ Date_. Street. Street. Subdivision Street 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 worlananship. ...� -- CLOUTS B TUBS s Tu SHOWERS LAVA. TORIES NKS SINKS SLOP SINKS LAUNDRY TUBS I NAS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N6 TOTAL FIXTURES CONTR. LIST C am. --- — .--- - -- " SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK -. kcavlit: N ..._ Y .._ -,l Date_---- _____ am` ....... _ Owner's Name and Address No._.._.____ Street Registered Architect and /or En�r —.. __ ----- - Employing Plumber's Name > Location and Legal Description Lot__...._ / _ _______ _ _ ..6 Subdivision Street and Number where work is to be performed— No.__ I Y Street State work to be performed and purpose of building (By Floors) _-------------------------. New Building __. Remodeling___ ___ Addition________.__ Repairs No. of Stories_ 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. Size Septic Tank '// Feet of Drain Tile_ Nature of Water Supply: City — Well. -_ - -. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street. Capacity Gals from Well .Size of Soakage Pit Plul;ibing 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)_ 1 __ STATE OF FLORIDA, I e 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 Commission Expires Notary Public, State of Florida Master Plumber. 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 worlananship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building 0 PERMIT 11T° 2918 0 • MIAMI SHORES VILLAGE. FLORIDA DATE Contractor's License No Work to be performed under this Permit B1 Subdi- vision Value of Project $ Amount of 5 Permit $ This permit is granted to the contractor or builder named above to construc 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 drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY a y Permit No Date / — 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. STATE OF FLORIDA, } ss, COUNTY OF DADE. Registered Architect and /or Engineer_.- _____ - ... — _--_--------------------- _--- _------ . - _____ Employing Plumber's Name �` _ � No._ 7 - _eAtreet. Location and Legal Description LoE____.� 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_ igts Amount of Permit $ l --- _____---------- _--- __ - -_— ( Signed) _ -- - IC---- - - -_ -� My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN'' APPLICATION FOR PLUMBING `' ,MIT No. ___/® Street. Block_ Subdivision Street 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: ty Well._.____ ____ ___ Size of Soakage Pit - `/ r='�,� —Sri �c'< .a�� _ ✓ -- - -_ 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. 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 worlonanship. CLOSETS BATH TUBS SHOWER! LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FI %TURES 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 Date / — 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. STATE OF FLORIDA, } ss, COUNTY OF DADE. Registered Architect and /or Engineer_.- _____ - ... — _--_--------------------- _--- _------ . - _____ Employing Plumber's Name �` _ � No._ 7 - _eAtreet. Location and Legal Description LoE____.� 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_ igts Amount of Permit $ l --- _____---------- _--- __ - -_— ( Signed) _ -- - IC---- - - -_ -� My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN'' APPLICATION FOR PLUMBING `' ,MIT No. ___/® Street. Block_ Subdivision Street 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: ty Well._.____ ____ ___ Size of Soakage Pit - `/ r='�,� —Sri �c'< .a�� _ ✓ -- - -_ 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. 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 worlonanship. BUILDING ELECTRICAL PLUMBING HOOFING Owner of Building b / Contractor or Builder Legal Description Address of Building Ati MIAMI SHORES VILLAGE. FLORIDA • Architect Lot B1 PERMIT N? 7165 Work to be performed under this Permit r 1 7 Value of Project $ f 4 DATF. Contractor's License No. Subdi- vision I Amount of Permit $ 195 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 drawings or in _,ilia statements or specifications and th''dt he assumes responsibility for work done by his agents, servants or employees. ? O• Signed _ ✓ {a Z,. 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 specificgtionsubmitted the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my ; agent, servant or enfloyee. CONTRACTOR OR BUILDER BY AUTHORITY 6 .C4-17:' 44r' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEi'sn' APPLICATION FOR PLUMBING ry' M iFIIT Permit No._ 7 ( S -..._- Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subn{ifted 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__ C _ AF t• l Z o ✓ 3 ~ _ /1 / ,k— street . - -_9 9 S Registered Architect and /or Engineer m Employing Plumber's Nae_._. k 6 v i' .AP._ll____LAL No._1. 2-3__ 44_ Street_.__ 5 ' Block ._._.._._ Subdivision Location and Legal Description Lot-_ .- Street and Number where work is to be performed— I9i Y /✓4 2 Street 9.9 c— State work to be performed and purpose of building (By Floors)_ 1311116 !V ____R e 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 Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. as. — My Commission Expires ( Signed)._ (Sigma ).T),....11. nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S • pplement, 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 tlie 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. 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 14/ATS14- am , a le T�IC pulp WAf ^ " ' l tFIXTURES TOTAL CONTR. CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POOL - -CYST CHECK 44r' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEi'sn' APPLICATION FOR PLUMBING ry' M iFIIT Permit No._ 7 ( S -..._- Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subn{ifted 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__ C _ AF t• l Z o ✓ 3 ~ _ /1 / ,k— street . - -_9 9 S Registered Architect and /or Engineer m Employing Plumber's Nae_._. k 6 v i' .AP._ll____LAL No._1. 2-3__ 44_ Street_.__ 5 ' Block ._._.._._ Subdivision Location and Legal Description Lot-_ .- Street and Number where work is to be performed— I9i Y /✓4 2 Street 9.9 c— State work to be performed and purpose of building (By Floors)_ 1311116 !V ____R e 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 Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. as. — My Commission Expires ( Signed)._ (Sigma ).T),....11. nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S • pplement, 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 tlie 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. 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 ELECTRICAL ❑ PLUMBING ROOFING Owner of �' Building Architect Contractor or Builder Legal Description Address of Building Lot ❑ MIAMI SHORES VILLAGE. FLORIDA : .) • iy OR CONTRACT PERMIT N° 7287 Work to be performed under this Permit , ,•A� ice.. B1 DATE 1 . 3 C . e �� C > Contractor's . License No. ‘' zr '7b 195 • Subdi- vision Value of Project BY 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 drawings or i he statements or specificationscan "that he crssumes responsibility for work done by his agents, servants or employees. .) (1 Signed. INSPECTOR Amount of Permit $ In consideration of the issuance to me of this permit I agree to perform the work covered hereunOer in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitte to the proper authorities of Miami Shores Village. In ac- cepting this per ' it I assume r responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY 6 o:., • Permit No. 7 2 k7 Date 6 ��1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. yy�� Owner's Name and Address__ __ „� _ _ _ _ _ ____ _ No. /et.s- Street_e _._ 7.7 • Registered Architect and /or En Employing Plumber's N __ __ _. _ � �i _ o.cr?�______ Street 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_ Addition. Size Septic Tank. Type of Tank_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING i hM1NIT Capacity Gals. ) Repairs No. of Stories. /pG Feet of Drain Tile. ___ /.. 7 r_ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.._____ _ _ _____Size of Soakage Pit Amount of Permit $ (Signed) (Signed). Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept ' is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Flori • . Permanent Supplement, and bus con - 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 perfor . under this permit, as are licensed by Miami Shores Village. 1,6 i Master Plumber. STATE OF FLORIDA, t 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 same, and that all facts therein by him stated are true. My Conunission Expires NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•nececsRry by improper notice for inspection, or faulty materials and /or worlonanship. Notary Public, State of Florida CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HE4TER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. /;'--- �r �_ • �- - - - -.- _. CHECK n A _ • Permit No. 7 2 k7 Date 6 ��1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. yy�� Owner's Name and Address__ __ „� _ _ _ _ _ ____ _ No. /et.s- Street_e _._ 7.7 • Registered Architect and /or En Employing Plumber's N __ __ _. _ � �i _ o.cr?�______ Street 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_ Addition. Size Septic Tank. Type of Tank_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING i hM1NIT Capacity Gals. ) Repairs No. of Stories. /pG Feet of Drain Tile. ___ /.. 7 r_ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.._____ _ _ _____Size of Soakage Pit Amount of Permit $ (Signed) (Signed). Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept ' is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Flori • . Permanent Supplement, and bus con - 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 perfor . under this permit, as are licensed by Miami Shores Village. 1,6 i Master Plumber. STATE OF FLORIDA, t 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 same, and that all facts therein by him stated are true. My Conunission Expires NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•nececsRry by improper notice for inspection, or faulty materials and /or worlonanship. Notary Public, State of Florida Permit No / 4 / 6 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 Registered Architect and /or Engineer Employing Plumber's Nam % °+-" Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No � 4' - Strut 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 Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street j r No Street Type of Tank Dist. Feet of Tank or Drain Field from Well (Signed) (Signed) Date Capacity Gals 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 perfonned 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, 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. 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 T UBS 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 / 4 / 6 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 Registered Architect and /or Engineer Employing Plumber's Nam % °+-" Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No � 4' - Strut 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 Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street j r No Street Type of Tank Dist. Feet of Tank or Drain Field from Well (Signed) (Signed) Date Capacity Gals 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 perfonned 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, 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. 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.