Loading...
PLUMBING(2J Permit Owner's Name and Address ' U (------ - - - - -- Registered Architect and /or Eng___ Employing Plumber's Name___- .__ _ ° �`_ J _ Location and Legal Description Lot_______ ....... Street and Number where work is to be performed- No.___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. ------------ Date SC�. •--- No. - - - Street Street. Subdivision - Street State work to be performed and purpose of building (By Floors)_-_______-- ___- _____._._ N Building __ Remodeling.__-- Addition._______ Repairs No. of Stories. Size Septic Tank_ Feet of Drain Tile __ -C 1 14426 Nature of Water Supply: City - Well Amount of Permit $ • -=== _ - - - -- - - - - — (Signed)._ Capacity Gals of Tank f Tank or Drain Field from Well __Size of Soakage Pit 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. L Master Plumb er. STATE OF FLORIDA, as. 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 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 SWIM'G POOL — -- CONTR. LIST - • CHECK (2J Permit Owner's Name and Address ' U (------ - - - - -- Registered Architect and /or Eng___ Employing Plumber's Name___- .__ _ ° �`_ J _ Location and Legal Description Lot_______ ....... Street and Number where work is to be performed- No.___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. ------------ Date SC�. •--- No. - - - Street Street. Subdivision - Street State work to be performed and purpose of building (By Floors)_-_______-- ___- _____._._ N Building __ Remodeling.__-- Addition._______ Repairs No. of Stories. Size Septic Tank_ Feet of Drain Tile __ -C 1 14426 Nature of Water Supply: City - Well Amount of Permit $ • -=== _ - - - -- - - - - — (Signed)._ Capacity Gals of Tank f Tank or Drain Field from Well __Size of Soakage Pit 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. L Master Plumb er. STATE OF FLORIDA, as. 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 1673 Contractor's License No 0 Work to be performed under this Permit BI Subdi- vision Value of Project $ DATE 195_1 Amount 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 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibi:Lity for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 v 'Pilkgeo f Miami Shores N° 3367 JOB ADDRESS INSPECTION TIME READY REMARKS JOB: ° BUILDING : ELECTRICAL W OR K DONE BY: PLUMBING • • REQUESTED : WILL BE READY � y The Following is ready for inspection: - Inspector's Report: - ADD: MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.- Date._ - Date-- . 6 - - - -••- -- - -- - -• - -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s miffed 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___ r >f _ __ - - No., d .: i. _._ Street ,> Registered Architect and /or Engine!` � .a- — - - r. 2, No.._------ _--- _- -_ -_ -- Street Employing Plumber's Name Location and Legal Description Lot_ _________— __- ___—__. _ Block Subdivision _ Street and Number where work is to be performed —No , Ya 2 Street. 5 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 Amount of Permit $___ STATE OF FLORIDA, COUNTY OF DADE. J ( Signed) __ Capacity Gals Feet of Drain Tile. _ ____Dist. Feet of Tank or Drain Field from Well Nature offer Sup ly:.5ity— Well.___ r j1 - _.._ ___________ 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 Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and .that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHCIWIge LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. UST CHICK _ SEPTIC TANK SEWER CONN. DFIAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WE SPRKLR. SYSTEM SWIM•G POOL 1________ CONTR. LIST - dd��Il CHECK / MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.- Date._ - Date-- . 6 - - - -••- -- - -- - -• - -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s miffed 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___ r >f _ __ - - No., d .: i. _._ Street ,> Registered Architect and /or Engine!` � .a- — - - r. 2, No.._------ _--- _- -_ -_ -- Street Employing Plumber's Name Location and Legal Description Lot_ _________— __- ___—__. _ Block Subdivision _ Street and Number where work is to be performed —No , Ya 2 Street. 5 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 Amount of Permit $___ STATE OF FLORIDA, COUNTY OF DADE. J ( Signed) __ Capacity Gals Feet of Drain Tile. _ ____Dist. Feet of Tank or Drain Field from Well Nature offer Sup ly:.5ity— Well.___ r j1 - _.._ ___________ 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 Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and .that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. _ - l - 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..__ 111/- ____ C._j XI e No._1 - Street--/? C 9P Registered Architect and /or Engineer Employing Plumber's Name__OQ. ` . Cs) -y! _._! C, Location and Legal Description Lot._____ Street and Number where work is to be performed —No Street 1 - �e t7.J FXt.7 eovc State work to be performed and purpose of building (By Floors)__1_ .5 6 j/ 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 Nature of Water Supply: City —Well. Amount of Permit $ f MIAMI SHORES VIL'IAaGE PLUMBING INSPECTION DEPARTMENT;' APPLICATION FOR PLUMBING °" :L MIT No- 4 Stree Block (Signed)- Date /0—/0 - 46 Subdi vision ..._----- _- .- .-- .----- ____ -- 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 Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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) aster Plumber. STATE OF FLORIDA, 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. 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 •ne' scary by improper notice for inspection, or faulty materials and /or workmanship. CLOf[T6 BATH TUBS eJNOWBRf LAVA- TORIES SINKS . SLOP SINKS LAUNDRY Tues U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CON'e'i3. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST _ CHECK I Permit No. _ - l - 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..__ 111/- ____ C._j XI e No._1 - Street--/? C 9P Registered Architect and /or Engineer Employing Plumber's Name__OQ. ` . Cs) -y! _._! C, Location and Legal Description Lot._____ Street and Number where work is to be performed —No Street 1 - �e t7.J FXt.7 eovc State work to be performed and purpose of building (By Floors)__1_ .5 6 j/ 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 Nature of Water Supply: City —Well. Amount of Permit $ f MIAMI SHORES VIL'IAaGE PLUMBING INSPECTION DEPARTMENT;' APPLICATION FOR PLUMBING °" :L MIT No- 4 Stree Block (Signed)- Date /0—/0 - 46 Subdi vision ..._----- _- .- .-- .----- ____ -- 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 Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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) aster Plumber. STATE OF FLORIDA, 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. 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 •ne' scary by improper notice for inspection, or faulty materials and /or workmanship. Village of Miami Shores 10059 N. E. 2nd Ave., Miami Shores, Fla. uck 1PLYMBING ,ce J. M. (BUCK) COUNCIL. PREY. 4150 N. W. SEVENTH AVENUE MIAMI 37, FLORIDA PL 9.5718 APPLICATION FOR PLUMBING PERMIT: For: Mrs. Wm. Cayne 909 N. E. 99th St., Set on existing rough. 1 - Closet Comb. OCTOBER 9, 1958 BUCK PLUMBING, INC. NOTE: Ready to be put on Board for Inspection MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ PERMIT o PLUMBING N. 7905 ROOFING E Owner of Building r Architect Contractor or Builder Legal Description Address of Building Lot ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER Bl. Subdi- vision Sq. Ft Value of Project $ DATE t ! 195 Contractor's License No 1 Amt. of J r (, 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: 6Y ` 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. BY AUTHORITY Permit No 2-3 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING C? ;`v.MIT Date / , " 'C' T 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. 71 \ > Owner's Name and Address (,J i!1_ +__tea 6'4 CI- c No l b e t ______ Street_ .fiL 17 ; >. Registered Architect and /or Engineer_ __________ Employing Plumber's Name c-1 ___ 1 -� rn �,ii �� _ s� �? _-- k� . ✓4 - - Street_ - - - IA — � --- • - - - -� _:.._.. - - -•• Location and Legal Description Lot____.___ .... __________ -. Block Street and Number where work is to be performed -No Subdivision Street State work to be performed and purpose of building (By Floors)__ .s-- . __tti: o Srt_ t .s.a.�.c- __ta.____ 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 Nature of Water Supply: City -Well - - _______Size of Soakage Pit 85. Capacity Gals (Signed) My Commission Expires Notary Public, State of Florida Amount of Permit $ -- - - - - - - -- - - -- - - - - -- (Signed)- --- - -- - ' - •i Master Plumber. umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ' . ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penna.? Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em oyed 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, 1 COUNTY OF DADE. I 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 worlananship. CLOSETS BATH Tues S LAVA. TORI68 SINKS 6 SLOP SINKS LAUNDRY TUSB URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK ^- ~ 1 � - -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SWIM' GI POOL CONTR. LIST CHECK Permit No 2-3 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING C? ;`v.MIT Date / , " 'C' T 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. 71 \ > Owner's Name and Address (,J i!1_ +__tea 6'4 CI- c No l b e t ______ Street_ .fiL 17 ; >. Registered Architect and /or Engineer_ __________ Employing Plumber's Name c-1 ___ 1 -� rn �,ii �� _ s� �? _-- k� . ✓4 - - Street_ - - - IA — � --- • - - - -� _:.._.. - - -•• Location and Legal Description Lot____.___ .... __________ -. Block Street and Number where work is to be performed -No Subdivision Street State work to be performed and purpose of building (By Floors)__ .s-- . __tti: o Srt_ t .s.a.�.c- __ta.____ 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 Nature of Water Supply: City -Well - - _______Size of Soakage Pit 85. Capacity Gals (Signed) My Commission Expires Notary Public, State of Florida Amount of Permit $ -- - - - - - - -- - - -- - - - - -- (Signed)- --- - -- - ' - •i Master Plumber. umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ' . ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penna.? Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em oyed 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, 1 COUNTY OF DADE. I 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 worlananship. FOR: William Cayne 909 N. E. 99 St., < PLUMBING PL 8.5718 Village of Miami Shores Division of Plumbing Inspection 10050 N. E. 2nd Avenue Miami, Florida J. M. (BUCK) COUNCIL, PRea. 4150 N. W. SEVENTH AVENUE MIAMI 37. FLORIDA APPLICATION FOR PLUMBING PERMIT: Set Dishwasher on existing roughing. October 23, 1957 BUCK PLUMBING, INC. Village of Miami Shores N° 3484 • 1 JOB ���a ADDRESS q Ai - t • y INSPECTION ta i■o"PMn I ►Q TIME READY REMARKS t-3 co, INSPECTOR DATE i" BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Address of ' "- Building r Lot MIAMI SHORES VILLAGE. FLORIDA ❑ DATE 195, PERMIT N? 6223 Contractor's `i F� License No. 0 ❑ Work to be performed under this Permit Owner of Building t 4 ' CONTRACTOR OR BUILDER 4, �. Bl. t s INSPECTOR Subdi- vision Value of Project $ Amount 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 r in the st5Aments or specifications, that he assumes responsibility for work done by his agents, servants or employees. Signed. lot) .. In consideration of the issuance to me of this permit I agree to perform the work covered hereunt'ler in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building c ` Architect Contractor or Builder Legal Lot Description Address of Building PERMIT N° 6793 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA 31 Work to be performed under this Permit Subdi- vision Value of Project $ ' DATE x 1954 Contractor's License No. Amount 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed BY: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• cepting this permit I assume responsibility for all work done by either, my m gent, servant or employee. t / i .,/ f / +1 / s, s•, �` r f t BY AUTHORITY 8::,a Permit No 2 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 v _ d - Registered Architect and /or Engineer ------------- ____ -- y - - -- Employing Plumber's Name Crin°' —__ _-- ____ -- No.___•----- _ —__ -- Street_ - - - -_. Location and Legal Description Lot_ Block. _ Subdivision Street and Number where work is to be performed —No -1 ' State work to be performed and purpose of building (By Floors) ------------- ___ -_- New Building _____ Remodeling____• _____ _______ ____ Repairs No. of Stories. Size Septic Tank Feet of Drain Tile__.__. Nature of Water Supply: City —Well Amount of Permit $ .- __ __°___ -- STATE OF FLORIDA, COUNTY OF DADE. j My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank _Dist. Feet of Tank or Drain Field from Well - Size of Soakage Pit — -- ( Signed)-- -•------- ..... -- (Signed) Date d - #- �+�1T Street. Street Capacity Gals 1 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 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, .' wo to be performed under .. .eranit, 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 construc that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or wort nanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES 61NK6 SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8 TOTAL FIXTURES Comm LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK - -- Permit No 2 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 v _ d - Registered Architect and /or Engineer ------------- ____ -- y - - -- Employing Plumber's Name Crin°' —__ _-- ____ -- No.___•----- _ —__ -- Street_ - - - -_. Location and Legal Description Lot_ Block. _ Subdivision Street and Number where work is to be performed —No -1 ' State work to be performed and purpose of building (By Floors) ------------- ___ -_- New Building _____ Remodeling____• _____ _______ ____ Repairs No. of Stories. Size Septic Tank Feet of Drain Tile__.__. Nature of Water Supply: City —Well Amount of Permit $ .- __ __°___ -- STATE OF FLORIDA, COUNTY OF DADE. j My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank _Dist. Feet of Tank or Drain Field from Well - Size of Soakage Pit — -- ( Signed)-- -•------- ..... -- (Signed) Date d - #- �+�1T Street. Street Capacity Gals 1 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 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, .' wo to be performed under .. .eranit, 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 construc that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or wort nanship. 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.... = -- __ate-- No. .. __ -- Street_._ . Registered Architect and /or Engineer ___________ _.___ ___Y_._._ Employing Plumbers Name ` / ....., 1 .. _ ' : ! e _I.,: Z No... . _ Street-✓ _« Location and Legal Description Lot--------------- ____ -- Block_ Subdivision .- ---- :-- .._..._._.---- _--- _-- -__ -.. Street and Number where work is to be performed —No ` Street , _ l',/ -1: 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 Feet of Drain Tile__ _______________Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well ._______ —___ Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, f COUNTY OF DADE. 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. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) _ Capacity Gals. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TU 8S SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS {I{.Y - , - 4 ' t j4v F XTURES CONTR. LIST / CHECK - -' ',fj\ _ . SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP \SOLAR EATER DEEP WELL SPRKLR. SYSTEM SW IM'G P001. CONTR. LIST A Il�y� _ _ ___- CHECK (/ /' F1 _ 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.... = -- __ate-- No. .. __ -- Street_._ . Registered Architect and /or Engineer ___________ _.___ ___Y_._._ Employing Plumbers Name ` / ....., 1 .. _ ' : ! e _I.,: Z No... . _ Street-✓ _« Location and Legal Description Lot--------------- ____ -- Block_ Subdivision .- ---- :-- .._..._._.---- _--- _-- -__ -.. Street and Number where work is to be performed —No ` Street , _ l',/ -1: 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 Feet of Drain Tile__ _______________Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well ._______ —___ Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, f COUNTY OF DADE. 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. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) _ Capacity Gals. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No ( Registered Architect and /or Engineer Employing Plumber's Name No.__ Size Septic Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank Date / Street_ 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. GJ. Owner's Name and Address ---..---- •_---- _-- _---- _ - _ - __-- ____ - -- No.__ Street O Location and Legal Description Loth _____ ._____ _ _! — _ _ Block--- Subdivision Street and Number where work is to be performed—No. __ / c, —� — Street State work to be performed and purpose of building (By Floors) ---_-_---------- ____ -- New Building modeling__ -_ __ -- Addition Repairs No. of Stories.... ............. Capacity Gals Feet of Drain Tile. __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.________-__- ....... __..___......... ________ Size of Soakage Pit Amount of Permit $ 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. 3 (Signed)_ Master Plumber. STATE OF FLORIDA, EL 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 be 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 OTE: 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 Twits Twits S LAVA- TORIES rfS"S K SLOP SINKS LAUNDRY TUBS U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURES CONTR. LIST / / CHECK rtr. l A - -- SEPTIC TANK SEWER CONN. DRAIN FI ELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST — T CHECK Permit No ( Registered Architect and /or Engineer Employing Plumber's Name No.__ Size Septic Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank Date / Street_ 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. GJ. Owner's Name and Address ---..---- •_---- _-- _---- _ - _ - __-- ____ - -- No.__ Street O Location and Legal Description Loth _____ ._____ _ _! — _ _ Block--- Subdivision Street and Number where work is to be performed—No. __ / c, —� — Street State work to be performed and purpose of building (By Floors) ---_-_---------- ____ -- New Building modeling__ -_ __ -- Addition Repairs No. of Stories.... ............. Capacity Gals Feet of Drain Tile. __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.________-__- ....... __..___......... ________ Size of Soakage Pit Amount of Permit $ 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. 3 (Signed)_ Master Plumber. STATE OF FLORIDA, EL 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 be 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 OTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship, BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA p PERMIT N? _ 2786 0 DATE ' 195 --- Contractor's License No Work to be performed under this Permit Bl Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. ...+�.r Signed. ..... - BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY a BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA ❑ DATE / 195 p/ PERMIT N? _ 2828 Contractor's License No. El D Work to be performed under this Permit /% CONTRACTOR OR BUILDER u 7" Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any lime 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. - Signed. i BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY e *EPA- Permit No t J� 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 alt. provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer ______________— Employing Plumber's Name '/_ Ir f r- /I' f Street_3_.L Location and Legal Description Lot__ _ 1 LE _____Block Subdivision__Ati .% `_ • .ti Street 1 – – – -- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT , L�. No AO_ `;' *4 Street__ Date__.�!�.1_,,r. Remodeling Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Size of Soakage Pit Type of Tank . Capacity Dist. Feet of Tank or Drain Field from Well 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. • (Signed) __„ _..__ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST �) / J6` ------ ---1---_ / CHECK -s-- SEPTIC TANK SEWER CONN. DRAIN /PI EL SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL CONTR. LIST IET CHECK Permit No t J� 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 alt. provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer ______________— Employing Plumber's Name '/_ Ir f r- /I' f Street_3_.L Location and Legal Description Lot__ _ 1 LE _____Block Subdivision__Ati .% `_ • .ti Street 1 – – – -- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT , L�. No AO_ `;' *4 Street__ Date__.�!�.1_,,r. Remodeling Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Size of Soakage Pit Type of Tank . Capacity Dist. Feet of Tank or Drain Field from Well 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. • (Signed) __„ _..__ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. Y Application is here made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name MIAMI SHORES VILLAGE Location and Legal Description. Y.ot____t -_ _t—_ 4 Block t - ?_‘1 Subdivision__F' :_fit_. —____ Street and Number where work is to be performed —No Street___ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank A_ r 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 1 Amount of Permit $ ( _ (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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires (Signed No._____ Street Date __ – .. _- Notary Public. State of Florida Plumbing Inspector. Master t lufnber. STATE OF FLORIDA, 1 COUNTY OF DADE. I ;s. 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 /// ' v SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHECK PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. Y Application is here made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name MIAMI SHORES VILLAGE Location and Legal Description. Y.ot____t -_ _t—_ 4 Block t - ?_‘1 Subdivision__F' :_fit_. —____ Street and Number where work is to be performed —No Street___ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank A_ r 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 1 Amount of Permit $ ( _ (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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires (Signed No._____ Street Date __ – .. _- Notary Public. State of Florida Plumbing Inspector. Master t lufnber. STATE OF FLORIDA, 1 COUNTY OF DADE. I ;s. 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. BUILDING ELECTRICAL PLUMBING Owner o Building Architect Contracts or Builde Legal Descripti Address Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 2895 DATE Work to be performed under this Permit CONTRACTOR OR BUILDER BY Contractor's License No. 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: a . m �,. 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 regula- tions pertaining thereto and in strict conformity with the plans, drawings, statem nts or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume sesponsibility�'or all work done by either myself, my agent, servant or employee. AUTHORITY 1941— >r r � Jn Lot ' "' / r Bi. Subdi- vision )f f / Value of Project Amt. of Permit BUILDING ELECTRICAL PLUMBING Owner o Building Architect Contracts or Builde Legal Descripti Address Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 2895 DATE Work to be performed under this Permit CONTRACTOR OR BUILDER BY Contractor's License No. 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: a . m �,. 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 regula- tions pertaining thereto and in strict conformity with the plans, drawings, statem nts or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume sesponsibility�'or all work done by either myself, my agent, servant or employee. AUTHORITY 1941— PLUMBING J O B : Ifi' � ADD: ' BUILDING ELECTRICAL The Following is ready for inspection:. Inspector's Report: - W OR K DONE BY: • REQUESTED : T lIT :L BE READY • • f BUILDING ELECTRICAL PLUMBING 'owner of •jng ontractor or Builder +/-**--. Legal Description Lot fre" Work to be performed under this Permit / MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 2805 e9 itect Subdi- vision Value of Project �y r r DATE '' Contractor's License No. A ' Amt. of Permit 19 Address of ��, Building � ,/ X �� ° �`�'' 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 pI s or wings or in the statements or s ecificat}bns and that he assumes responsibility for work done by his agents, servants or employees. ' mployees. t Signed • ' ( e_ By INSPECTOR In consideration of the issuance to me of this permit I agree to perform-ire work covered hereunder in compliance with all ordinances and regula- tions 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. CONTRACTOR OR BUILDER BY / AUTHORITY Permit No �e �— MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __Y____/_ _1Y_ _AI 1�A__ __________ No _7,2 9 WI Street 4 Registered Architect and /or Engineer 'F�/� Employing Plumber's Name + - = ex !!V _ 'Q L Ai0 ex___ No.___ h+'44e Street..3_i'l . Location and Legal Description Lot__ ÷ Li_.t____.___________ Block 1 i 0_' Subdivision__Kt Ail I4 04A. _ -_ Street and Number where work is to be performed —No 9.42_, 7 • ,t!..k . _ Street I1 ' r State work to be performed and purpose of building (By Floors) New Building ..e __ Remodeling Addition Repairs No. of Stories t Size Septic 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 $_ F I:l a ,_ (Signed) Date__` -.l_ y9 _ Type of Tank . Capacity Gals ______ ________._____ STATE OF FLORIDA, COUNTY OF DADE. ss. 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. Plumbing,,Xispector. 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are litcn*ed by Miami Shores Village. (Signed) __ �e�- r_S,�V D S My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES $INKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK • T • SEPTIC TANK SEWER CONN. �y/ DRAIN . FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No �e �— MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __Y____/_ _1Y_ _AI 1�A__ __________ No _7,2 9 WI Street 4 Registered Architect and /or Engineer 'F�/� Employing Plumber's Name + - = ex !!V _ 'Q L Ai0 ex___ No.___ h+'44e Street..3_i'l . Location and Legal Description Lot__ ÷ Li_.t____.___________ Block 1 i 0_' Subdivision__Kt Ail I4 04A. _ -_ Street and Number where work is to be performed —No 9.42_, 7 • ,t!..k . _ Street I1 ' r State work to be performed and purpose of building (By Floors) New Building ..e __ Remodeling Addition Repairs No. of Stories t Size Septic 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 $_ F I:l a ,_ (Signed) Date__` -.l_ y9 _ Type of Tank . Capacity Gals ______ ________._____ STATE OF FLORIDA, COUNTY OF DADE. ss. 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. Plumbing,,Xispector. 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are litcn*ed by Miami Shores Village. (Signed) __ �e�- r_S,�V D S My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. P APLICATION FOR PLUMBING PERMIT Permit No >� Date r _ Application is here made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT r No._ - - -t Street _ to in Plumber's Name -- Em No .__ _ ' �_'__-_ Employing g ' � - «-- - °- •- a-- ,r-- - -- 7" . t i - -�-.' -- -te a � -�� -� -- ��- -ti-'` �--��rj-- Location and Legal Description i.ot___ __.,_ _ ' _ 4 ... Block 1 7 Subdivision__ 4. Street and Number where work is to be performed —No ___ Tti/ Street___iytr____,,:_ State work to be performed and purpose of building (By Floors) ` New Building Remodeling Addition Repairs No. of Stories Size Septic Tank 7 , 3 " - fet __________________ Type of Tank . . --,.2, -4L4.4.4.4,____ ______ Capacity Gals s _L-? d Feet of Drain Tile______ Dist. Feet of Tank or Drain Field from Well _i_ ____ Nature of Water Supply: City —Well. Size of Soakage Pit (Signed) - - - - - -- -- Plumbing Inspect 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) t' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally Notary Public, State of Florida a er 1 bet. "► 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'O POOL CONTR. LIST CV CHECK P APLICATION FOR PLUMBING PERMIT Permit No >� Date r _ Application is here made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT r No._ - - -t Street _ to in Plumber's Name -- Em No .__ _ ' �_'__-_ Employing g ' � - «-- - °- •- a-- ,r-- - -- 7" . t i - -�-.' -- -te a � -�� -� -- ��- -ti-'` �--��rj-- Location and Legal Description i.ot___ __.,_ _ ' _ 4 ... Block 1 7 Subdivision__ 4. Street and Number where work is to be performed —No ___ Tti/ Street___iytr____,,:_ State work to be performed and purpose of building (By Floors) ` New Building Remodeling Addition Repairs No. of Stories Size Septic Tank 7 , 3 " - fet __________________ Type of Tank . . --,.2, -4L4.4.4.4,____ ______ Capacity Gals s _L-? d Feet of Drain Tile______ Dist. Feet of Tank or Drain Field from Well _i_ ____ Nature of Water Supply: City —Well. Size of Soakage Pit (Signed) - - - - - -- -- Plumbing Inspect 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) t' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally Notary Public, State of Florida a er 1 bet. "► 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.