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PLUMBINGBUILDING ELECTRICAL PLUMBING ROOFING Owner of Building k o ❑ Work to be performed under this Permi Architect Contractor or Builder CONTRACTOR OR BUILDER � K MIAMI SHORES VILLA PERMIT 111 11 1 Subdi- vision Value of Project $ E. FLORIDA f DATE 195_L_ Contractor's License No Legal Lot 1 Bl. Description . Address of Building 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 the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • ;L., 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 -'re pertaining thereto and in strict conformity with the plans, drawings, statements or' specifications submitted to the proper authorities of Miami ShorEg i In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or mployee. Amt. of Permit $ BY AUTHORITY ..........0...- e::)6 Passed In for Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 08/28/2006 Inspector: Levrack, James Owner: Job Address: Project: Contractor: STOBS, CAROL 815 99 Street NE Friday, August 25, 2006 Miami Shores Village, FL 33138- <NONE> LASSETER PLUMBING CO INC uildinq Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 AUS31i Permit Type: Plumbing - Residential Inspection Type: Underground Rough Work Classification: Addition /Alteration Block: Phone Number (305)751 -1692 Parcel Number 1132060340100 Lot: Phone: 305- 893 -7180 Page 1 of 2 __ CLoszTL BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKI NO FOUNT' NS TOTAL FIXTURES CONTR. LIST - ~ � CHECK *^ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM•O POOL CONTR. LIST CHICK / - - -__ Permit No Registered Architect and /or E Employing Plumber's Name_ !'YA4r=v te— 4-49 Location and Legal Description Nature of Water Supply: City—Well Amount of Permit $_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 111 4Li -A .,t tn17 No.---------- - - - - -- _ Street__ Block_ (Signed) - (Signed). 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__ °�!_ 40 -0 .. ! _. No. ___._ a 4_ ._ Street N ` C. Subdivision Street Street and Number where work is to be performed —No State work to be performed and purpose of building (By N B Remodeling_ Addition. Repairs No. of Stories Size Septic Tank. ------------------- - - - - -- Type of Tank Feet of Drain Tile_ _Dist. Feet of Tank or Drain Field from Well :_Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his • •ligation as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P-. manent 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. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. E 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. Permit No is hereby ode for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein descri . 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 Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_ Block Subdivision -_____ Street and Number where work is to be performed —No 1 � 7 - ) .2_4_9 Street State work to be performed and purpose of building (By Floors)__________. New Building _ -_- _ -- Remodeling —__. —___ Addition_ Size Septic Tank Feet of Drain Tile STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank No._.___________._ Street_ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.___ _....... ___ ... -- _______........ ____ ___ Size of Soakage Pit Amount of Permit $ ---- - - - - -- — (Signed) Date G ✓- Repairs No. of Stories Capacity Gals ..... 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 5986, 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 perform under this permit, as are licensed by Miami Shores Village. Plumbing Inspector. ( 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. 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 URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N5 TOTAL FIXTURES CONTR. LIST CHICK — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIrT - -- CHICK Permit No is hereby ode for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein descri . 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 Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_ Block Subdivision -_____ Street and Number where work is to be performed —No 1 � 7 - ) .2_4_9 Street State work to be performed and purpose of building (By Floors)__________. New Building _ -_- _ -- Remodeling —__. —___ Addition_ Size Septic Tank Feet of Drain Tile STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank No._.___________._ Street_ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.___ _....... ___ ... -- _______........ ____ ___ Size of Soakage Pit Amount of Permit $ ---- - - - - -- — (Signed) Date G ✓- Repairs No. of Stories Capacity Gals ..... 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 5986, 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 perform under this permit, as are licensed by Miami Shores Village. Plumbing Inspector. ( 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. 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. Amount of 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 Miaini 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept ai building during progress of work. Owner's Name and Address Gaifle5Ofl.CQ4 No Street Registered Architect and/or Engineer_ Employing Plumber's Name (TA ill • Goluicil Location and Legal Description Subdivision_ __Miami...Shores Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors). New Building 1 Remodeling Addition Repairs Size Septic Tank. Type of Tank. Capacity Cals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well City / ' Size of Soakage Pit 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 Pennanent Supplement, and h4s 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 perniit, as art licensed by Miami Shores Village. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.. Street_ (Signed). L.51 Plumbing Inspector (Signed)._ Date June--9 -19-53 Street No. of Stories I. Master Phunber. STATE OF FLORIDA, } u . COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 lac therein by him stated are true. Notary Public, State of Florida NO .E: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or Liu) mutat / and/or workmanship. CLoseTS OATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH SABIN FLOOR DRAIN DRINKiN0 FOUNT•NS TOTAL FIXTUREI ComTR. Ulm 2 i 1 2 _ '7 _ CHICK 12 ? St SEPTIC TANK I S, SEWER CONN. v DRAIN FIELD ,,,,o) 7sia SOAKAGE PIT GREASE TRAP set901 HEATER DEEP WELL .... SPRKLR. SYSTEM SWIM'O POOL fry'd..4. Comte. LusT .____L— / Pb / cm= SI) Pa Permit No. Amount of 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 Miaini 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept ai building during progress of work. Owner's Name and Address Gaifle5Ofl.CQ4 No Street Registered Architect and/or Engineer_ Employing Plumber's Name (TA ill • Goluicil Location and Legal Description Subdivision_ __Miami...Shores Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors). New Building 1 Remodeling Addition Repairs Size Septic Tank. Type of Tank. Capacity Cals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well City / ' Size of Soakage Pit 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 Pennanent Supplement, and h4s 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 perniit, as art licensed by Miami Shores Village. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.. Street_ (Signed). L.51 Plumbing Inspector (Signed)._ Date June--9 -19-53 Street No. of Stories I. Master Phunber. STATE OF FLORIDA, } u . COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 lac therein by him stated are true. Notary Public, State of Florida NO .E: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or Liu) mutat / and/or workmanship. C P Permit No. Size Septic Tank...___ -. -� Feet of Drain Tile Nature of Water Supply: City —Well. 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 Divisior 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. I Owner's Name and Address. 42e--_ .:.... No.___._.__ Street 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 _ /-6� — Street.' - 2 7 State work to be performed and purpose of building (By Floors)_ New Building Remodeling -_ Addition__ ______..___. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_____,�f!e -:._.. ________Capacity Gals.. __..6 1s t. Feet of Tank or Drain Field from Well 63- Size of Soakage Pit (Signed) Repairs. Date Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as al, employer of labor under the Florida Workmen's Compensation Act, being Section 5986, 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. g- - No. of Stories Master Plumber. STATE OF FLORIDA, w• COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 Jac therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or LW materials /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DR I NKI NO FOU NT'NS TOTAL FIXTURM -- CONTR. LIST I CHECK — __ SEPTIC TANK -SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST CHECK Permit No. Size Septic Tank...___ -. -� Feet of Drain Tile Nature of Water Supply: City —Well. 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 Divisior 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. I Owner's Name and Address. 42e--_ .:.... No.___._.__ Street 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 _ /-6� — Street.' - 2 7 State work to be performed and purpose of building (By Floors)_ New Building Remodeling -_ Addition__ ______..___. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_____,�f!e -:._.. ________Capacity Gals.. __..6 1s t. Feet of Tank or Drain Field from Well 63- Size of Soakage Pit (Signed) Repairs. Date Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as al, employer of labor under the Florida Workmen's Compensation Act, being Section 5986, 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. g- - No. of Stories Master Plumber. STATE OF FLORIDA, w• COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 Jac therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or LW materials /or workmanship. - -^ CLOSETS BATH Tu.. 6NOW[R• LAVA. TORIES a1NK• SLOP •INK[ LAUNDRY Tun• U RINAL/ CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES Corrrm. LIST CHECK •— SEPTIC TANK SIWIR CONK. DRAIN FIELD SOAKAGI PIT 0 TRAP SOLAR HEATIR DEEP WILL 5PRKLR. S M SW IM'O POOL COHTR. LIFT CHICK .--- Il Permit No.CZIsi.1 Amount of Permit $ 0 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 Dopy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address E Registered Architect and /or Engineer £ 1 F bot'aDN r'l1 ! wo Ravi Pc �.Q�OTi c Paw" Location an Legal Bess tion bot,c. ALIES No Size Septic Tank_._ -Type of Tank__ Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well .. ._ - __-- - Nature of Water Supply: City —WeIL Size of Soakage Pit. •••••••41CL MVO. StreetalVIL saayaget g Subdivision Street and Number where work L to be performed —No St: � !.1L..__. �. State work to be performed and purpose of building (By Floors __-___..V. d es- JQo Q T-r ' C ) A / $J New Building- - -..._ __.._ _.. Remodeling —_ __ - -- Addition. (Si Repairs I No. of Stories... s Street.22___( 95, ' 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 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him In the wort- 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 err required by the Act. The undersigned agrees to employ only such sub-contractors, on work to • j'!' ormed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 µ 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 be did sign the same, and that all facts therein by him stated are true. 1 My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be spade whoa amok riBispaotion is asede.neceas-'r by hupsaper notice for Lespecttlon, or favity � teria1s and /or worlonaorhip. z. Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.__± - Q Gil_ .12. 7 No. Registered Architect and /or Engineer_______ Employing Plumber's Name .4.2Q1_"_L G'. 2 24 2_/1_.P_IZ E_jt- Z$No.____L /2 2. treet._.rt_ a' Location and Legal Description Lot..__..__ -- Blork Subdivision - . _______.__.__________ ____ CC a Street and Number where work is to be performed —No f' / � r ee _ State work to be performed and purpose of building (By Floors) _.ls�__ __ f ``� 1_ _IL_ — r e p e' _ a s 1 ( e New Building _____ .... ____ Remodeling_-_-_ ________ Addition._- _____ -_ Repairs No. of Stories._ ...................... Size Septic Tank Feet of Drain Tile-__ Nature of Water Supply: City —Well Amount of Permit 8 -• —• Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati•ns 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 empl• ed 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, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street Capacity Gals _Type of Tank_ _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)_ Date /L - 1 ` ( 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 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 $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. CLOGP.TS BATH Tues SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LI ST — — CHECK --- -� ...■. —. SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIMG POOL COMB. L1s•r CHECK z. Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.__± - Q Gil_ .12. 7 No. Registered Architect and /or Engineer_______ Employing Plumber's Name .4.2Q1_"_L G'. 2 24 2_/1_.P_IZ E_jt- Z$No.____L /2 2. treet._.rt_ a' Location and Legal Description Lot..__..__ -- Blork Subdivision - . _______.__.__________ ____ CC a Street and Number where work is to be performed —No f' / � r ee _ State work to be performed and purpose of building (By Floors) _.ls�__ __ f ``� 1_ _IL_ — r e p e' _ a s 1 ( e New Building _____ .... ____ Remodeling_-_-_ ________ Addition._- _____ -_ Repairs No. of Stories._ ...................... Size Septic Tank Feet of Drain Tile-__ Nature of Water Supply: City —Well Amount of Permit 8 -• —• Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati•ns 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 empl• ed 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, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street Capacity Gals _Type of Tank_ _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)_ Date /L - 1 ` ( 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 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•neoessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of 1 Building J Architect Contractor or Builder Legal - Description Address of Building Lk Lot . R MIAMI SHORES VILLAGE, FLORIDA PERMIT IN? 11463 II ❑ Work to be performed under this Permit w le r °' r t di, etS" y.v . � M . I CONTRACTOR OR BUILDER ;1 BL r • Subdi- vision Value of 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 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 abovfi"a es the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawl s or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: 4--4-CA4 • 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 assume responsibility for all work done by either, myself, my agent, servant or employee. DATP tip 1 Contractor's License No Amt. of Permit $ BY AUTHORITY 195