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453 NE 99 StJ BUILDING ELECTRICAL PLUMBING Owner of Building Lot 1; CONTRACTOR OR BUILDER MIAMI SHORES VILLAG, FLORIDA DATE PERMIT N? 7427 Work to P erfo ed under this Permit Al AIL r Value of Project Architect Contractor or Builder Legal Description Address of Building This permit i granted to e contractor or buil r .med above t.'con ct the building or cation herefor in strict compliance with all ordinances ert ining thereto nd w th the u derstand' plans, drawings, statements or specifications that may have been submi ed to and appro •d by at any time if the work is not done in compliance with such ordinances or if the plans chan ' d permit is granted is the understanding that the contractor or builder named above ass . es th •,, es. regulations pertaining to the work covered hereby whether shown on the plans or dra ings o ' sibility for work done by his agents, servants or employees. .. • e s 0 s Amt. of • Permit all In consideration of the issuance to me of this permit I agree to perform the w k covered hereunder in compliance with pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper auth In acc tin . s permit I assume responsibility :for all work done by either myself, my agent, servant or employee. Bl. Si Subdi- vision BY SP 'CM C •R 194._ Contractor's License No t• stall the equipment or de ice describ .. e appli- the work will be performed in compliance wi h• any r•. municipal authorities. This Permit may be revoked 7 ioi, . uthorization. further condition upon which his nsib ity or a tho knowledge of the ordin nd e st i • cations and that he s . . /.on- nancel a s of Mia AUTHORITY regulations ored Village. r : ontractor r Builder L it egal Bl. )escription ddress of uilding This permit i granted to a contractor or buil. =r . med above t. conSf&uct the building or {tion herefor in strict compliance with all ordinance . er fining thereto : nd w th the understandi lans, drawings, statements or specifications that may have been submi ed to and appro d by t any time if the work is not done in compliance with such ordinances or if the plans e than d ermit is granted is the understanding that the contractor or builder named above ass es th res ;gulations pertaining to the work covered hereby whether shown on the plans or dr ings o i bility for work done by his agents, servants or employees. ,LI Signed. Value of Project t • • ALAN pr i n e to e Amt. of Permit UILDING LECTRICAL LUMBING )wner of uilding rchitect Lot s" CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 7427 Work to perfo}ilned under this Permit _ f fi Subdi- vision BY NS R 1941_ stall the equipment or de • ice descri. e appli- th the work will be performed in compliance with any II II municipal authorities. This Permit may be revoked �i out.,tuthorization.: further condition upon which this si 1it\for a tho , knowledge of the ord es and st le ts cations and that he ss espon- ..'1�� In consideration of the issuance to me of this permit I agree to perform the w.rk covered hereunder in compliance with all ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper auth accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. DATE Contractor's License No manes and regulations s of Miami Shores Village. AUTHORITY Permit No 7 Application] her structure herein d scri and all provisions of of Miami Shores Vill building during progr Owner Name and Ad Registered Architect and /or Engineer Size Septic Tank Feet of Drain Tile Amount of Permit $ ss. 0 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT . e' o ' - proval of the detailed statement of the plans and specifications herewith submitted for the building or other eplication is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, I - 1 . s of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division . sha I be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at f work. , ess No._ Employing Plumber's Name__ "' No. Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be perforied—No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Type of Tank Capacity Gals / Dist. Feet of Tank)or Drain Field from Well Nature of Water Supply: City -Well / L ® Size of Soakage Pit ( S The undersigned applicant lor this building permit does hereby certify that he unserstands and accepts his obligations as nployer of 1 or under ,the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has c m- 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 y' 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. Street_, No. of Stories 'uI Plumbinj Inspector . Master Plumber. CLOSETS BATH TUBS SHOWERS LAVA - TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES -- CONTR. LIST ) A �, �f - -_ CHECK C 7S VS �ia ..�C, C / SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST / / ' CHECK 1 /Ce, Permit No 7 Application] her structure herein d scri and all provisions of of Miami Shores Vill building during progr Owner Name and Ad Registered Architect and /or Engineer Size Septic Tank Feet of Drain Tile Amount of Permit $ ss. 0 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT . e' o ' - proval of the detailed statement of the plans and specifications herewith submitted for the building or other eplication is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, I - 1 . s of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division . sha I be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at f work. , ess No._ Employing Plumber's Name__ "' No. Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be perforied—No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Type of Tank Capacity Gals / Dist. Feet of Tank)or Drain Field from Well Nature of Water Supply: City -Well / L ® Size of Soakage Pit ( S The undersigned applicant lor this building permit does hereby certify that he unserstands and accepts his obligations as nployer of 1 or under ,the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has c m- 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 y' 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. Street_, No. of Stories 'uI Plumbinj Inspector . Master Plumber. FIXTURES I meat I Fl I Floor Floor Floor Floor Floor Floor Floor Floor Floor age Attic Yard Stable Total Septic Tanks Bunson Burners . Water Closets Other Appliances Bath Tubs Wall Heaters Basins , Wash Trays Sinks Water Heaters Slop Sinks Garage Drains Shower Baths Grease Traps d Floor Drains Stoves Bunson Burners Water Heaters Other Appliances Wall Heaters APPLICATION FOR PLUMBING AND GAS PERMIT Division of Building Inspection Hollywood, Florida To the Division of Building Inspection: The undersigned hereby applies for a permit to do plumbing according to the following specifications and plan: Location: Street No. Building, New or Old? Used for What? Number of Stories_ Owner's Name Where is sewer or septic tank situated? How far distant from any dwelling, well or cistern is the septic tank? Do windows in closet apartments open directly to outer air? What is size of main soil pipe? Of what material is soil pipe? First Inspection Hollywood, Florida, , 19_. GAS Make all checks payable to City of Hollywood Permit No Application No Fee Final Inspection_ Applicant's Name Approval Certificate Issued Address - /7 a :1 r/ t -- .