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841 NE 98 St (3)MIMING ❑ ELECTRICAL ❑ PLUMBING ROOFING - ❑ Owner of Building Architect Contractor or Builder r` Legal Lot II Bi. Description. Address of Building ti CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT IN? 11766 Work to be performed under this Permit �r ,r 1' Subdi- Vision Value of Project $ DATE , °` 195 Contractor's License No Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed BY INSPECTOR l � l In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all oilOances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities 6r Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Registered Architect and /or Engineer Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No /17 g Date /If — - - - -- • A. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of. the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. • Owner's Name and Address ����`� __________ No Street s• No Street Location and Legal Description Lot — ____________ Block_ Subdivision Street and Number where work is to be performed —No. c __ Street 1 ` , -J - State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs No. of Stories Size Septic Tank_- -_ „ e_ Feet of Drain Tile �� e Nature of Water Supply: City —Well Amount of Permit $ Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) Capacity Gals My Commission Expires Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / ( Signed) Master Plumber. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP 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 Registered Architect and /or Engineer Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No /17 g Date /If — - - - -- • A. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of. the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. • Owner's Name and Address ����`� __________ No Street s• No Street Location and Legal Description Lot — ____________ Block_ Subdivision Street and Number where work is to be performed —No. c __ Street 1 ` , -J - State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs No. of Stories Size Septic Tank_- -_ „ e_ Feet of Drain Tile �� e Nature of Water Supply: City —Well Amount of Permit $ Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) Capacity Gals My Commission Expires Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / ( Signed) Master Plumber. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Size Septic Tank Feet of Drain Tile Z49,7 Porncit 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 1)ivision 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. p Owner's Name and Address t tL � CC'' q _____ - No. 8 -�( - / __..!_1'_� . Registered Architect and /or Engineer Employing Plumber's Name No._______..______ Street-- Location and Legal Description ___ Subdivision Street and Number where work is to be performed —No.__ e �� ' t_. —___ ___. Street 9, ' 'S / State work to be performed and purpose of building (By Floors)___ New Building ___ Remodeling_______ Addition Repairs Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date--- - - - - -_ - 54 =Pr . Street . -I' No. of Stories - .... _Type of Tank_ Capacity Gals FT 240C-Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City--Well _____Size of Soakage Pit ( Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed performed under this permit; and will post or cause to be posted for inspection on the site of the work such public required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under licensed by Miami Shores Village. (Signed) A/uSianl6: ,e Plumbing Inspector. an employer of labor ement, and has com- him in the work to be notice or notices as are this permit, as are Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My 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 U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIOT CHUCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CNHCK Size Septic Tank Feet of Drain Tile Z49,7 Porncit 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 1)ivision 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. p Owner's Name and Address t tL � CC'' q _____ - No. 8 -�( - / __..!_1'_� . Registered Architect and /or Engineer Employing Plumber's Name No._______..______ Street-- Location and Legal Description ___ Subdivision Street and Number where work is to be performed —No.__ e �� ' t_. —___ ___. Street 9, ' 'S / State work to be performed and purpose of building (By Floors)___ New Building ___ Remodeling_______ Addition Repairs Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date--- - - - - -_ - 54 =Pr . Street . -I' No. of Stories - .... _Type of Tank_ Capacity Gals FT 240C-Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City--Well _____Size of Soakage Pit ( Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed performed under this permit; and will post or cause to be posted for inspection on the site of the work such public required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under licensed by Miami Shores Village. (Signed) A/uSianl6: ,e Plumbing Inspector. an employer of labor ement, and has com- him in the work to be notice or notices as are this permit, as are Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My 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 MOl kkAO SNORES VBJ.QGE PLUMBING INSPECTION DEPARTMENT eAPPLU "CATOON FOR PLUMBING PERMIT Date..-_- 11- 1Q7-75 Application is hereby made for the approval of the detailed statement of a plans and /specifications herewith submitted for the building or other structure herein described. This application is made in compliance and forfnity vtith the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of iami 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 Richard_ Kentiey ---- ____ -- No._ 1 Street - - - - __ 98t Street O'Neal Septic Tank Co, P.O. BO', Registered Architect and /or Engineer ----- _____ -- Employing Plumber's Name Location and Legal Description Lot_____ ___________ Subdivision Street and Number where work is to be performed—No.. __ 841 N 98th Street Street State work to be performed and purpose of building (By Floors) New Building Remodeling X Size Septic Tank Feet of Drain Tile Nature of Water Supply: City — Well Size of Soakage Pit - Pump and abandon k Amount of Permit $ --------------------- - - - - -- (Signed) r — STATE OF FLORIDA, I COUNTY OF DADE. 1050 Addition No.. Type of Tank Sept ic Repairs 400 sq. ft. Dist. Feet of Tank or Drain Field from Well 440629 Tamiami Station Miami, Fla, )X/ Street_ No. of Stories Capacity Gals- -- -- - -- - - -- -1 05() (Signed)_ SY /teef-- Master Plumber. My Commission Expires Notary Public, State of Florida lumbing• • actor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga . ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida PermaneptSupplement, 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for insp ', 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 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 MOl kkAO SNORES VBJ.QGE PLUMBING INSPECTION DEPARTMENT eAPPLU "CATOON FOR PLUMBING PERMIT Date..-_- 11- 1Q7-75 Application is hereby made for the approval of the detailed statement of a plans and /specifications herewith submitted for the building or other structure herein described. This application is made in compliance and forfnity vtith the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of iami 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 Richard_ Kentiey ---- ____ -- No._ 1 Street - - - - __ 98t Street O'Neal Septic Tank Co, P.O. BO', Registered Architect and /or Engineer ----- _____ -- Employing Plumber's Name Location and Legal Description Lot_____ ___________ Subdivision Street and Number where work is to be performed—No.. __ 841 N 98th Street Street State work to be performed and purpose of building (By Floors) New Building Remodeling X Size Septic Tank Feet of Drain Tile Nature of Water Supply: City — Well Size of Soakage Pit - Pump and abandon k Amount of Permit $ --------------------- - - - - -- (Signed) r — STATE OF FLORIDA, I COUNTY OF DADE. 1050 Addition No.. Type of Tank Sept ic Repairs 400 sq. ft. Dist. Feet of Tank or Drain Field from Well 440629 Tamiami Station Miami, Fla, )X/ Street_ No. of Stories Capacity Gals- -- -- - -- - - -- -1 05() (Signed)_ SY /teef-- Master Plumber. My Commission Expires Notary Public, State of Florida lumbing• • actor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga . ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida PermaneptSupplement, 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for insp ', or faulty materials and /or workmanship. Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. tl; g i P T Registered Architect and /or En gin L �M13 --- Owner's Name and Address Employing Plumber's Name 9} -}- W. 7f h Avedvics Bloch Location and Legal Description Lg}T - - -- — 77 ' Street Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors)_ New Building... Remodeling Size Septic T ._----------------- - - - - -- T Ype of Tank_- 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 $ MI MI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition _.._. No. _ _ —_ Street. (Signed) (Signed) Date..._..6.- - /: Repairs No. of Stories.. .... Capacity Gals.. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation an employer of labor under the Florida Workmen's Compensation Act, being Section 5888, 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 employell by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly swam, upan oath deposes and says that he is the ..-- ---- ---- - -- - - - - - --- -- -- - -- _.. of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by hirr, stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whsza rarcb re•inspectfon is ®ede•neoessary by improper notice for inspection, or faulty materials and / or workmanship. CLOSETS B ATH T UBS SHOWERS LAVA- TORIES SINKS GLOP RINKS DR Y LAUN TUSB URINALS C eABIN ATCH FLOOR DRAIN DRINKING ROUNT'NB TOTAL FIXTURE• CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP W[LL BPRKLR. SYBTIW BWIH'O POOL CONTR. LIST CHICK 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. tl; g i P T Registered Architect and /or En gin L �M13 --- Owner's Name and Address Employing Plumber's Name 9} -}- W. 7f h Avedvics Bloch Location and Legal Description Lg}T - - -- — 77 ' Street Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors)_ New Building... Remodeling Size Septic T ._----------------- - - - - -- T Ype of Tank_- 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 $ MI MI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition _.._. No. _ _ —_ Street. (Signed) (Signed) Date..._..6.- - /: Repairs No. of Stories.. .... Capacity Gals.. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation an employer of labor under the Florida Workmen's Compensation Act, being Section 5888, 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 employell by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly swam, upan oath deposes and says that he is the ..-- ---- ---- - -- - - - - - --- -- -- - -- _.. of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by hirr, stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whsza rarcb re•inspectfon is ®ede•neoessary by improper notice for inspection, or faulty materials and / or workmanship. I s� Z '3 Permit No -- MIA's I SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLIC TO N FOR PLUMBING PERMIT Date .5- �! _S= 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_.. <`_!._.'_ C r'_ -'4' ti G r No. — G Street.- ./f Registered Architect and /or Engineer ' l-07 c . -5) s Ys z' " ,s �' � _ , . z .s S T, Employing Plumber's Nam - - - No, - . .. ..<..,....,: ®tP13Et. :_.. Location and Legal Description Lot Block 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 Street Su bdivision ....... -- - - - -_- - _ -- Z.77 r 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 Permits im.._ (Signed)_ Plufnbing 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 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, an are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. (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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hirn stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of *1.00 will be made whoa such re-Inspection is mader necessary by bnproper notice for inspection, or fauky materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SIN" SINKS LAUNDRY TUB• URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE• CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL S•RKLR. SYSTEM $WIM'O POOL CoNTR. LIST CHECK I s� Z '3 Permit No -- MIA's I SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLIC TO N FOR PLUMBING PERMIT Date .5- �! _S= 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_.. <`_!._.'_ C r'_ -'4' ti G r No. — G Street.- ./f Registered Architect and /or Engineer ' l-07 c . -5) s Ys z' " ,s �' � _ , . z .s S T, Employing Plumber's Nam - - - No, - . .. ..<..,....,: ®tP13Et. :_.. Location and Legal Description Lot Block 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 Street Su bdivision ....... -- - - - -_- - _ -- Z.77 r 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 Permits im.._ (Signed)_ Plufnbing 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 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, an are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. (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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hirn stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of *1.00 will be made whoa such re-Inspection is mader necessary by bnproper notice for inspection, or fauky materials and /or workmanship. - 91 PEOPLES GAS -COMPANY • Date Permit Taken: Permit No. # =f m r i Account Nae ' ......... Installati Address „ . City r ,#.02.7 County Type of Account:,,. , 'esidentiel ,. xt : • ',Appliances to be used: . r • - • ' .. . • •-•; JY k 4 Total Connected. Load : iTherna Date Service Redred • SKETCH OF •INSTALLATION .; - .Show thefoll:owing:' , 1. Indicate North., "" ,- 5.. ,Lo"cation, Of. LP," storagEig4eof 2 All property lines t.. i , -,- . .. ', .' ' ' 64 LoCation. and Size of ,hnitse 'line stu§.,;...01 3. Location of structure on property. 7.:'DistanCe from L.P. storage ;to'''the 4. Distance of structure ' from ,, E Location of all electr,b,inies or equipinentA3'''' all property lines. ,,. . ..‘ •,, Such as- , p s and , airk .,, en,nditi 3 On,theiniici4K i eo • • .•'. `' ..Salesitepresentative: District Manager': '• Approved L.P. Installati Not Approved By: Form PgS #760-L.P. Capital A'at. No. Customer Acct. No. Q ,z)" e Job: . 7ity • , Commercial indnspria . „. • • • • - • • . • . . .1; • • • • • ' • • • • , ■••`. •1 .„: Does this account have n present supplier .Yes • Gas Company Notified': ............... . , • . •Dat n Supervisor: = c 7. • TYPE INSTALLATION '• '.• i•-•■ .t , Date: Returned To: Date Returned: Installation to be made by Distribution jnstallation.- ca Service Installation Scheduled for: Completedon: , • • tO ‘Al Dual Exchange Cylinders • Horizontal Tank(s) • • Metered Non Metered Vertical Tank(s) 4 Remote Tank Installation , Two Stage Regulation.'''. SPECIAL INSTRUCTIONS: N , 4 ;; ••• • • • 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. ti Owner's Name and Address u. _ '_L -24'' _, _ a 'G ( No Street Registered Architect and /or Engineer t Size Septic Tank Feet of Drain Tile Amount of Permit $/ STATE OF FLORIDA, COUNTY OF DADE. ss. Street and Number where work is to be performed —No. Nature of Water Supply City—WA MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Employing Plumber's Name 4n No ° Z P Street .......... Location and Legal Description Lot /6_____Y_1_. Block d ��. "" Subdivision__ Street t }1 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Type of Tank Capacity Gals Dis feet of Tank or Drain Field from Well Size of Soakage Pit c O ` I N The un der s i g ned applicant for this huildine nOIimt do I eby certify that hds and accepts his obligations as an employer of labor h '6966, Compiled General Laws of Florida Permanent Supplement, and has com- under the Florida Workmen's Compensation Act,lbei V. plied with the provisions thereof, and will re la ante f rom all contractors or sub - contractors employed by him in the work to be performed under this permit; and will pos r c:'ise o be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned ree employ only such sub - contractors, on work to, be performed under this permit, as are Miami Shores Village. ` licensed b y g - 40 - 3'/ 7 7, - ,, .1 .v, ( Signed) ` (Signed) Date_ My Commission Expires Notary Public, State of Florida Plumbing Inspector. 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. 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 �Qn - FIXTURES C L ST c � - / c-.. 1 O CHECK it ' © P -Z. 1 t,, ) G %, '�1 , °n "1 6 c,,p ��� ✓/ SEPTIC TANK • SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL �J9 (.^ CONTR. LIST CHECK Permit No. _ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith' submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. ti Owner's Name and Address u. _ '_L -24'' _, _ a 'G ( No Street Registered Architect and /or Engineer t Size Septic Tank Feet of Drain Tile Amount of Permit $/ STATE OF FLORIDA, COUNTY OF DADE. ss. Street and Number where work is to be performed —No. Nature of Water Supply City—WA MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Employing Plumber's Name 4n No ° Z P Street .......... Location and Legal Description Lot /6_____Y_1_. Block d ��. "" Subdivision__ Street t }1 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Type of Tank Capacity Gals Dis feet of Tank or Drain Field from Well Size of Soakage Pit c O ` I N The un der s i g ned applicant for this huildine nOIimt do I eby certify that hds and accepts his obligations as an employer of labor h '6966, Compiled General Laws of Florida Permanent Supplement, and has com- under the Florida Workmen's Compensation Act,lbei V. plied with the provisions thereof, and will re la ante f rom all contractors or sub - contractors employed by him in the work to be performed under this permit; and will pos r c:'ise o be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned ree employ only such sub - contractors, on work to, be performed under this permit, as are Miami Shores Village. ` licensed b y g - 40 - 3'/ 7 7, - ,, .1 .v, ( Signed) ` (Signed) Date_ My Commission Expires Notary Public, State of Florida Plumbing Inspector. 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. 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. State work to be done and purpose of building (by floors) MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. Date 11-6-75 , 19 Owner's Name and Address._ Mr. Dick Kinney No. 841 Streeth_._E.0. .._. 9.8._St._ .... Registered Architect and /or Engineer LAWRENCE F WEISS Name and address of licensed contractor..__ AQUA CLEAR POOLS. INC. ........13177 W. Dixie Hwy Location and legal description of lot to be built on: �t Lot 16 & 1' Block 72 Subdivision Sect 0 _#3 Street and Number where work is to be done 841 N, E, 98th STREET Rest.- dent-ial._ Pool : ^ l New Building Remodeling To be constructed of Kind of foundation Roof Covering__......__.._. _ .. Estimated Total cost of improvements $._.ILi Amount of Permit $ Zone cubage required .Plan Cubage___. Distance to next nearest building___ _____ __ ______. Size of Building Lot Maximum live load to be borne by each floor.__ I hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may be sent to____ _ _ 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 complied 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 subco tra , o work .erformed under this permit, as are licensed by Miami Shores Village. i Remarks ( Signed) �_ _ ! / STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. Permit No ` � . _ 1 .__ r � l � _� Date _ Read, Sworn to and Subscribed before me. BUILDING INSPECTION DEPARTMENT Addition Repairs No. of Stories Disapproved _ - _ __ . Date ( / Signed) -- _ ,.. Bui .mg Inspector My Commission Expires._ __ PLANNING BOARD__ __ . DATE Chairman Member Member Member . Member Member _ Council Approved _Date Disapproved Notary Public, State of Florida and for no other purpose. Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING INSPECTION DEPARTMENT MIAMI SHORES VILL GE Date___ 11-6-75 19 Owner's Name and Address.. Mr_a.__ ___ annoy No.1341 Streetl, 98 St. Registered Architect and /or Engineer C �• YP+e� ISS Name and address of licensed contractor ..._.AwA__C EAtm__lt.QOLS._...,A. .U3 ? ?_ ... S "�_s.__DiXg @.._ 1wy. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. Location and legal description of lot to be built on: Lot 16 & 1 4 Block 7 APPLICATION FOR BUILDING PERMIT Subdivision._.__ /93 Street and Number where work is to be done 841 N.B. 98th STREET State work to be done and purpose of building (by floors) Residential Swimraing P_ool_ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories .... To be constructed of Kind of foundation Roof Covering_.... Estimated Total cost of improvements $_._,S'`�;n Amount of Permit $ Zone cubage required plan Cubage____ _. Distance to next nearest building__. ____ __ ____._.. _ .. Size of Building Lot Maximum live load to be borne by each floor___ I hereby submit all the plans and specifications fot said building. All notices with reference to the building and its construction may be sent to 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 complied 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Z STATE OF FLORIDA, COUNTY OF DADE. J ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 sarne, and that all facts therein by him stated are true. Permit No Date____. Read, Sworn to and Subscribed before me. Disapproved __ _ Date (Signed) Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD._ __ . DATE Chairman Member Member Member . Member Member _ Council Approved ____ __ _ Date Disapproved .... Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Permit No MIAs' 0 SHORES VILL E 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 - ___ Kra____D1C]S__Kil _e'y-_- __________ -- N 841 Registered Architect and /or Engineer____LA O`E .__ WLSS Employing Plumber's Name - --- Afn �__�r + .' �__. Q Q S� - -- NC No.__ 11377 Location and Legal Description Lot___ 1_6 & ,_ Block Street_ N ° E a 98 Street W o Dixie Hwy subdivision Miami Shores Sect #3 Street and Number where work is to be performed —No. -8 N.E. Q-8 th St, Street State work to be performed and purpose of building (By Floors) Residential Sw i mm i n g Pool New Building 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 Nature of Water Supply: City —Well Amount of Permit $__ _... STATE OF FLORIDA, t J °a. COUNTY OF DADE. f cJ ( Signed) I Date__ -- -_ _ ... - ......... Capacity Gals (Signed) LL! p ,�° My Commission Expires Notary Public, State of Florida Plumbing' The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an nployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplemnt, 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. .......... _ . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS OWER, SHOWERS LAVA- TORIES INKS SINKS SLOP SINK, LAUNDRY TUBS U 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 SWIM'G POOL. C ONTR. LIST v - y"„- _ - __ —_— _ CHECK L, . C.-:: -s — .�� `___....d Permit No MIAs' 0 SHORES VILL E 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 - ___ Kra____D1C]S__Kil _e'y-_- __________ -- N 841 Registered Architect and /or Engineer____LA O`E .__ WLSS Employing Plumber's Name - --- Afn �__�r + .' �__. Q Q S� - -- NC No.__ 11377 Location and Legal Description Lot___ 1_6 & ,_ Block Street_ N ° E a 98 Street W o Dixie Hwy subdivision Miami Shores Sect #3 Street and Number where work is to be performed —No. -8 N.E. Q-8 th St, Street State work to be performed and purpose of building (By Floors) Residential Sw i mm i n g Pool New Building 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 Nature of Water Supply: City —Well Amount of Permit $__ _... STATE OF FLORIDA, t J °a. COUNTY OF DADE. f cJ ( Signed) I Date__ -- -_ _ ... - ......... Capacity Gals (Signed) LL! p ,�° My Commission Expires Notary Public, State of Florida Plumbing' The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an nployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplemnt, 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. .......... _ . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. j My Commission Expires MI PSI'! 1 SHORES VILLa GE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 Bar, -- - Dick K {)y_- No. _84i_ Street...11.E...98 Registered Architect and /or Engineer LAWPr unass- ----- Employing Plumber's Name AQUA __CLEAR __P�0L- -?.NCB No.__ _ Street ___11.__._DiX$O-__HWry_ Location and Legal Description Lot .__46__ .&_ Block___ 7 Subdivision_liIj3mj S ior°na_._Soot Street and Number where work is to be perform —No....../141. N.R _- 9B-th—St*- Street #3 State work to be performed and purpose of building (By Floors) Residential Swimming Pool - - New Building Remodeling______ Addition Repairs No. of Stories Notary Public, State of Florida Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well _______Size of Soakage Pit (Signed) 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) _ &2.1 -, L dt - - - - -- -- --- aster 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. 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. CLOBSTB BATH TUBS SHOWERS LAVA- TORIES SIN" SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIDT — /../ - - -- — CHECK _ _.__ Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. j My Commission Expires MI PSI'! 1 SHORES VILLa GE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 Bar, -- - Dick K {)y_- No. _84i_ Street...11.E...98 Registered Architect and /or Engineer LAWPr unass- ----- Employing Plumber's Name AQUA __CLEAR __P�0L- -?.NCB No.__ _ Street ___11.__._DiX$O-__HWry_ Location and Legal Description Lot .__46__ .&_ Block___ 7 Subdivision_liIj3mj S ior°na_._Soot Street and Number where work is to be perform —No....../141. N.R _- 9B-th—St*- Street #3 State work to be performed and purpose of building (By Floors) Residential Swimming Pool - - New Building Remodeling______ Addition Repairs No. of Stories Notary Public, State of Florida Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well _______Size of Soakage Pit (Signed) 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) _ &2.1 -, L dt - - - - -- -- --- aster 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. 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.