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PLUMBINGMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date - , "4 2. Time Type Insp'n A.a.-;4//fr-enee Permit No. .72 oLala - ! O t Name Oya. rG u n Address ® Ng 0751 Compan /? �O/ Phone # 3o S° a ©g Y For Inspector: 1/0—O2. Name & Date Approved Correction 5 r{ � 77 ATV Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dates X r Time Type Insp'n ( /% ' 4.4.)14 Permit No. Name Address Company Phone # For Inspector: 5' /3 - Approved Correction Re-Insp'n Fee ❑ oo2 .0/ten R4 0 Ng g s74 -felY & Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date -, 3 1 02.1 Time Type Insp'n elP6t, Permit No. � � 200 •/D j 8 / oOZ -g Z.2 Name (c (9‘: q /I yQ,Y'Z vr Address O 4/r / 9 LS Company Phone # 36S' " ed �7 For Inspector: (o —p - 02) Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n 0 0 d Permit Na Name Address 1 I Phone # � L1 b 1 ' 06.V For Inspector ` / ( 3— /Nar�e�& Date Company Approved Correction Re -Insp' n Fee MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ DATF ELECTRICAL ❑ , PERMIT IN? 12094 PLUMBING, ROOFING [] Work to be performed under this Permit Owner of Building 4 Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER A BI. Subdi- vision Value of Amt. of �v ' Project $ 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. BY Contractor's License No 195 Signed:_ '" 4 . y BY j ! ;1NSPECTOR 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. AUTHORITY Permit No. Owner's Name and Address Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: City —Well My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION F R PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications here(ith 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. p� _ P No 0 � � Date Street 'f_-. .�1L�< Registered Architect and /or Engine; Employing Plumber's Name No-.31A3 Street_Z( Location and Legal :Description Lot Block________.._ Subdivision 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____ Repairs No. of Stories . _ _._._.... Street Type of Tani- Capacity Gals ��px'4 Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit =7 Amount of Permit $ (Signed)___t umbing 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. �J�- (Signed). ,,, STATE OF FLORIDA, ss, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hire stated, are true. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $L00 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 RINALS 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 SWIM•G POOL __ ____ CONTR. LIST N. r CHECK Permit No. Owner's Name and Address Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: City —Well My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION F R PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications here(ith 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. p� _ P No 0 � � Date Street 'f_-. .�1L�< Registered Architect and /or Engine; Employing Plumber's Name No-.31A3 Street_Z( Location and Legal :Description Lot Block________.._ Subdivision 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____ Repairs No. of Stories . _ _._._.... Street Type of Tani- Capacity Gals ��px'4 Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit =7 Amount of Permit $ (Signed)___t umbing 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. �J�- (Signed). ,,, STATE OF FLORIDA, ss, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hire stated, are true. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $L00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. Square Ft WORK DESCRIPTION FEES: PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date A.. Job Address 8 4 2 1 / °13 Tax Folio I/ g 0 / 4 v 2 C-CD Legal Description Gc7 ////7 Qw 7r i'YO -71 Historically Designated: Yes P( No p� Owner/Lessee / Tenant n/t • 74',W ' ' ' dy. �� Master Permit # �v C c ' /CL V- Owner's Address geppoW. fis I' it f - 3; 7" MY, Phone 7 a' WV. 4 Contracting Co. A Pt—o& 7 ilea ' 1 %Ms Address // 246o 61/e4) /4i. / '? ' , 2113 df / Qualifier Astroa- A- ' ..egg ss# - Phone 34 W eV 9* State # C/GD,/ PI" Municipal # Competency # Ins. Co. Architect/Engineer tatt'a . 4 4 a */ AA- • Address 2 / 9 ° « AO. s M . Bonding Company �/A Address Mortgagor f° Address Permit Type (circle one): BUILDING ELECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN / 9A /)1/0?-D4- /11V1-7c; 6'71 (z3,sT4.) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws re: g construction • zoning. Furthermore, I authorize the above -named contracts do the wol stated. /iio rb Signature of owner ;•t d/or Corj[i President Date Not as to Owne My Commission E PiW NNS sE, ,. .� D p te 4 t d a� 8 t:aa ZT 3{ io COMMISSION NUMBER f , � + . ! 14i .759:125 � DOOLORES' i:irf Efrt'£:''t'F'. rte. I n COMMISSION NUMBER >p Q CC 7591 7.... 'M ' 4o iv;,; ca.pnwssioN rxwnes oFF� RADON Estimated Cost (value) Signature of Co actor o Owner - Builder Date Notary as to Contractor or Owner- Builder My Commission Expires: NOTARY BOND TOTAL DUE Date APPROVED: Zoning Building Electrical Mechanical Plumbing / Engineering 0 r\ PAY TO TI-IF ORDER OF Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/8/02 Applicant: MR & MRS Owner: JOB ADDRESS: 860 NE 98 Contractor REGENCY POOL & SPA OF FLA INC Local Phone: 954 - 424 - 0134 Parcel # 1132060142550 Permit Status: Work: POOL & SPA PIPING & HEATER Approved Permit Expiration: REGENCY POOL & SPA OF FLORIDA, INC. (954) 424 -0134 11260 N.W. 14 STREET PLANTATION, FL 33323 10/23/02 OYARZUN ST OCEAN BANK 6 12005 SW 26TH STREET MIAMI, FLORIDA 33175 63- 1139/660 [In Per Permit Number: PL2002 -104 Contractor's Address: DOING BUS IN DADE CO Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 4 & ALL OF LOTS 5 & 6 & E25FT OF Fees: FEE2002 -2385 Description Building Fee Total Fees: Amount $175.00 $175.00 Total Fees: $175.00 Total Receipts: $0.00 Construction Value: $3,800.00 Page 1 of 1 100086 L6 1:0660 L 3.39 D: 0606065503 008616 DATE AMOUNT X03. 8 et h am/ 114/2,4--A-,JDz_, 4,t)( p_,Leq co,(A -y I<< s kb Vr spection herefor in strict compliance with all s that may have been submitted to le plans are changed without ity for a thorough knowledge of the assumes responsibility for work done lining thereto and in strict conformity ibility for all work done by either JOB ADDRESS N' APPLICANT X11 r4 4 2 PHONE lY APRUCATION SHEET OF MISCELLANEOUS `//a F/(2 CRITIQUE SHEET PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING ! ZONING DEPARTMENT' SECTION ZONING ELECTRICAL MECHANICAL PLUMBING FIRE --‘ "f\ BUILDING OFFICIAL DATE ZO. L 6 ' COMMENTS efbo/ 0 d (7 y ' tIto75e7'l A64-- 'ACC 4 - 4 // 5-RF e- . o S A/ /5 R 66C/14/6 614/73 DoT „'Amu / C-1 es. f ik_. L Aid? 5 44C 'ier/ E -Air 1.317-4- 7 /5 : /"-7ia li of ��� 7 t1 C ,. AVE 7 l 0 Z , bra j l anc e 55Y t{ l Ace <<. (ti■ Wt -) 0 01 dwe 15 e t� c ( gre (5 AA a vt cpe . rcx riv � j��C� /55ite ivM T �E�aGCIC� 1. Subject to coceptlanca with ell Federal, State. Co(„- tty,YUe Met tad regutatc ts. Wine tssuntG na responslb' ty for accuracy ofloc resutts (Cott these plans. 2. Thtt copy of plans must be eYallthla oa buRclin4 ttte or no ic- mac - lon will be conducted_ c INITIALS Oevrj 4 • Aze...te..6 ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION ZONING' JOB ADDRESS. 140 N i T APPLICANT tj (i4. PHONE # APPUOATION SHEET_ OF MISCELLANEOUS DATE T8T Nb * * * * *1 ZONING CRITIQUE SHEET COMMENTS IV(v /O a a y' / /orecri v /ooL w/ 5eZF 2� o - seal- 60 . IAA, 6 aTf3 /vo 0 ' QL ' • )10 „08, 00 0 /: T 3WI1 380d 38dd 3003 1101 X2I /X1 3e1018 (e) L 77 T 7 E tv ,-ri® of Gez,t t 6Pm9 .� 6T899L171796T6 N0I1 -- • - - =2I3W I 1 ZL689SLS08:Xdd TS:80 80, 9T /170 3WI1 1NIbd * ** 100d3 NOISSIWSNda * ** PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subled tc carnpilana with eH Fedea4 State. Coc- tty.■lso rates trial requtaCona YU1a;e tssca= no responatlity for aeoutdey atlor tasatta ttaxa Case plans. 2. Thlt copy o! plans mutt ba artlItbla oa t>uBdinl cite or as Inspection ertfl be canductad_ =39dd cI0c1d3 INITIALS X1 T9:80 9T /170 SL8 3111 .0 N 3QOW 1eId1S 31I3 Permit No. Application is hereby mad 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 Registered Architect and /or Engineer Employing Plumber's Name_ Location and Legal Descript; 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 Repairs No. of Stories Size Septic Tank 4; o Feet of Drain Tile Nature of Water Suppl l Amount of Permit $__ - �__ - ss. My Commission Expires MIAMI SORES 'VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Lot Block Subdivision Go" ° Street 9' ° Type of Tank Capacity Gals Dist. Feet Tank or Drain Field from Well f Well. Size of Soakage Pit ( Signed) _7l- ° Date No Street No Street (Signed) 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. Notary Public, State of Florida • Plumbing Inspector. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared • to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 0,5re Dec7yJ G % tv �^e �� I 1 TOTAL XTURES C LIFT LIST c7 �J', I/ Q / 1 CHECK sue SEPTIC TANK It ., 7 py / N .f \ 7,-11 (� / r _• ( �� ,5_ SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST ' -- A CHECK O5 Permit No. Application is hereby mad 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 Registered Architect and /or Engineer Employing Plumber's Name_ Location and Legal Descript; 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 Repairs No. of Stories Size Septic Tank 4; o Feet of Drain Tile Nature of Water Suppl l Amount of Permit $__ - �__ - ss. My Commission Expires MIAMI SORES 'VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Lot Block Subdivision Go" ° Street 9' ° Type of Tank Capacity Gals Dist. Feet Tank or Drain Field from Well f Well. Size of Soakage Pit ( Signed) _7l- ° Date No Street No Street (Signed) 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. Notary Public, State of Florida • Plumbing Inspector. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared • to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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..... 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 /< th t-=-' Y9 2 e No. "6 0 Registered Architect and /or Engineer Employing Plumber's Name ..6 7! LL.-1 Location and Legal Description Lot- �¢ Street and Number where work is to be performed -No Street- 111, 241 ..... -..._. State work to be performed and purpose of building (By Floors)___,Ad. •_____ .'P` `' .Z7,42. �A New Building Remodeling V _ _ Addition..- __..__ Repairs CONTA. LIST CHECK CONTR. LIST CHICK CLOSETS SEPTIC TANK Amount of Permit $ BATH TUBS SEW aR CONN. STATE OF FLORIDA., COUNTY OF DADE. SHOWERS DRAIN FIELD LAVA• TORIES SOAKAGE P17 My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION IFOR PLUMBING PERMIT a. aicii7/mr/ `• ;35" - of ffilock -.— -- Subdivision- 41.L :_ !:fae rf SINKS GREASE TRAP SLOP SINKS SOLAR HEATER LAUNOR Taos DaIP WELL URINALS SPRKLR. SYSTEM (Signed) CATCH BASIN SWIM'O Pool Size Septic Tank _. —• -- - - - -- - - - -- - T ype of Tank— - - - - ......_.... Feet of Drain Tile. —Dist. Feet of Tank or Drain Field from Well ... - Nature of Water Supply: City- We11•_--------------- - -- -•- •____,._.Size of Soakage Pit No. of Stories . FLOOR DRAIN StreeL ......./Js 091MKI NO FOUNT'NS Capacity Cals.---------- - - - - -- ---- - - - - -- .. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi gations as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and liar 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, its are licensed by Miami Shores Village. 7 /, (Signed) fC.- Muter Plumber. Notary Public, State of Florida TOTAL FIXTURES Plumbing Inspector. 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 .ores and says that he is the - - -. - -- -- . - - -- -- -- --- -- -- - -- of the above described construction, that be has carefully read the regoing application, and that he did sign the same, and that all facts therein by hire stated are true. NOTE: A re- inspection fee of $1.00 will be made whew cm& re- kaopecdoo is made by bnproper notice for inspection, or faulty materials and /or workmanship. Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIA SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLIC TION 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 buildi g 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. �/ ,p d_ Owner's Name and Address A /P5 4 _1` p� - i 'v No.__ Street Registered Architect and /or Engineer __ Employing Plumber's Name____ CA - ____ kite _Q_ ______ No._____.__________ Street Location and Legal Description Lot__.___._ _________ __._____...... _____ —__ _._ Block_ Subdivision q Street and Number where work is to be performed— No.__ ?ka_______._______ Street_/i/ !___ ,517. State work to be performed and purpose of building (By Floors) New Building Remodeling _ Addition Repairs No. of Stories Size Septic Tank _ Type of Tank Capacity Gals. ..... Feet of Drain Tile._ _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit F4 ( Signed) _ (Signed). 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. 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. CLOBRTS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N6 TOTAL FIXTURES CONTR. LINT CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM - G POOL CONTR. LIST - CHECK Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIA SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLIC TION 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 buildi g 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. �/ ,p d_ Owner's Name and Address A /P5 4 _1` p� - i 'v No.__ Street Registered Architect and /or Engineer __ Employing Plumber's Name____ CA - ____ kite _Q_ ______ No._____.__________ Street Location and Legal Description Lot__.___._ _________ __._____...... _____ —__ _._ Block_ Subdivision q Street and Number where work is to be performed— No.__ ?ka_______._______ Street_/i/ !___ ,517. State work to be performed and purpose of building (By Floors) New Building Remodeling _ Addition Repairs No. of Stories Size Septic Tank _ Type of Tank Capacity Gals. ..... Feet of Drain Tile._ _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit F4 ( Signed) _ (Signed). 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. 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. c. PLUM J. M. (BUCK) COUNCIL. PRES. 4150 N. W. SEVENTH AVENUE MIAMI 37. FLORIDA PL 9-5718 Village of Miami Shores Division of Plumbing Inspection 10050 N. E. 2nd Avenut Miami Shores, Florida APPLICATION FOR PLUMBING PERMIT: y, °0 For: M. Erikson 860 N. E. 98 Street) Set Water Heater on existing roughing. (Electric) NOTE: Ready to be put on Board for inspection. July 29, 1957 BUCK PLUMBING, INC.