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910 NE 99 St (9)�/ Co APPLICATION FOR PLUMBING PERMIT / Permit No ° 0 k D ate... O Z ,L._7/r , _ - -- - - ...__..._.� 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. Owners Name and Address Registered Architect an or Engin g I 's N ∎ e l m 1\ r M to inn and Legal Description Lot Street and Number where work is to be performed —No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (SI Rink (KO Sub& N D Street L� 7r� SL . _ _ State work to be performed and purpose of building (By Floors )_____ _ _ _ �. .. V �l On 'A 1 �'- d • _. . New Building. Remodeling —_ ___. _ _ Repairs No. of Stories No 9i, Size Septic Tank__ _Type of Tank____ Feet of Drain Tile Dist- Feet of Tank oe Drain Field from Well .. ._.___..__ Nature of Water Supply: City —Well. Size of Soakage Pit Street ...�"� 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 5968, 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 weer to he performed under this permit; and will post or cause to be posted for inspection on the site of the wor ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, work to caned under this permit, as are licensed by Miami Shores Village. ,` • El asi STATE OF FLORIDA, 1 µ COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath depose/ and says that he is the ..._ ......._..._.. -.... _ _.... —. _ -. of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expire Notary Public, State of Florida aster Plumber. - NOTE: A re- inspection fee of $1.00 will be made when snob reigned= is made'asoaoary by Improper notice for Inspection, or helty materials and /or workmanship. CLOScrs BATH Tu •[ aNOW[R/ LAVA• TORI[/ SINK/ SLOP SINK/ LAUNDR Tuve URINAL/ CATCH BASIN FLOOR DRAIN DRINKI NO FOUNT WS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FI LLD SOAKAGE PIT G TRAP SOLAR HEATER D[5P WELL BPRKLR. S M SW IM'O POOL - CONTR. LIST -_ .-- CHECK �/ Co APPLICATION FOR PLUMBING PERMIT / Permit No ° 0 k D ate... O Z ,L._7/r , _ - -- - - ...__..._.� 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. Owners Name and Address Registered Architect an or Engin g I 's N ∎ e l m 1\ r M to inn and Legal Description Lot Street and Number where work is to be performed —No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (SI Rink (KO Sub& N D Street L� 7r� SL . _ _ State work to be performed and purpose of building (By Floors )_____ _ _ _ �. .. V �l On 'A 1 �'- d • _. . New Building. Remodeling —_ ___. _ _ Repairs No. of Stories No 9i, Size Septic Tank__ _Type of Tank____ Feet of Drain Tile Dist- Feet of Tank oe Drain Field from Well .. ._.___..__ Nature of Water Supply: City —Well. Size of Soakage Pit Street ...�"� 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 5968, 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 weer to he performed under this permit; and will post or cause to be posted for inspection on the site of the wor ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, work to caned under this permit, as are licensed by Miami Shores Village. ,` • El asi STATE OF FLORIDA, 1 µ COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath depose/ and says that he is the ..._ ......._..._.. -.... _ _.... —. _ -. of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expire Notary Public, State of Florida aster Plumber. - NOTE: A re- inspection fee of $1.00 will be made when snob reigned= is made'asoaoary by Improper notice for Inspection, or helty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT , Permit No s�/ 7 7 Date ...-- •---- -- --- •— •- • MARCH 31ST -- _....._ 80 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 DEAN C L A E S E N N 910 N• E. Registered Architect and /or Engineer - Employhi` Plumber's Name 0 '.LE AL._IE.P T T C T 9 N K rizitz i Location and Legal Description Lot. Block SubdI on._ __ __.. 33166 Street and Number where work is to be performed —No 910 N • E • Street. 99TH STREET 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 2 S Q • F2. Dfst Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pik ..... Amount of Permit $ 6-:11 Capacity Gals..._...-...__ (Signed)__L �11a_ 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 u are required by die Act. The undersigned agrees to employ only such sub- contractor, on work to be performed under this permit, as are licensed by Miami Shores Village. ( C K Master Plumber. STATE OF FLORIDA, I .s. 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 dep ores and says that he is the ._____._..._.._---- • - - -. - - ... - -- of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re inspection fee of $1.00 will be made whoa mob misapeotian M mede•neoewrr by improper notice for inspection, at faulty materials and/or workmanship. CLOSETS BATH TUBS 11 LAVA• TORIES SIN" SLOP SINKS LAUNDRY Tuns URINALS CATCH Oasis FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD 200 SOAKAGE PIT GREASE TRAP SOLAR HEATER Davi WELL SPRKLR. SYSTEM SWIM'G P001. c CHECK - Q.FT r _ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT , Permit No s�/ 7 7 Date ...-- •---- -- --- •— •- • MARCH 31ST -- _....._ 80 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 DEAN C L A E S E N N 910 N• E. Registered Architect and /or Engineer - Employhi` Plumber's Name 0 '.LE AL._IE.P T T C T 9 N K rizitz i Location and Legal Description Lot. Block SubdI on._ __ __.. 33166 Street and Number where work is to be performed —No 910 N • E • Street. 99TH STREET 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 2 S Q • F2. Dfst Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pik ..... Amount of Permit $ 6-:11 Capacity Gals..._...-...__ (Signed)__L �11a_ 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 u are required by die Act. The undersigned agrees to employ only such sub- contractor, on work to be performed under this permit, as are licensed by Miami Shores Village. ( C K Master Plumber. STATE OF FLORIDA, I .s. 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 dep ores and says that he is the ._____._..._.._---- • - - -. - - ... - -- of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re inspection fee of $1.00 will be made whoa mob misapeotian M mede•neoewrr by improper notice for inspection, at faulty materials and/or workmanship. - -^ CLOSETS BATH Tue• SNOWaR� LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tugs uRMALa I CATCH BASIN FLOOR DRAIN DRINK NO FOUNT' PIS TOTAL FIIITURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN F IELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW 1111'G POOL CONTR. LIST X CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No a -LS 9 Date Q 3 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. r 9 Owners Name and Address 0 -4 9 - 1 \ e L =�' °t t 9 n No. I o Street_. ` - 9q ' ... Registered Architect and /or Engineer - Employing Plumber's Na0 . . Location and Legal Description Lot. Mork Subdivision__ _ ._— Street and Number where work is to be performed -No Street_. .._..._._ State work to be performed and purpose of building (By FIoors) _____ New Building. ___ _ _ _ _ - . Remodeling___- ..- _- ._ -___ Addition._ - __ —..__ Repairs. No. of Stories. ................. Size Septic Tank._ Feet of Drain Tile Nature of Water Supply: City -Well. Amount of Permit $ 1 . S . • 0 _ 0 _ .Capacity Gals.. Type of r)lat. Feet of Tank or Drain Field from Well Size of Soakage Pit ....... __ ___._.__._..___.__.._. __.__.._._ 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 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 perfonnecl under this permit, as are licensed by Miami Shores Village. (Signed) .I , l r� 1/ Muter Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, • 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 dap deposes and says that be is the of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be grade wham war t+riaspeotlosi is mada•aaoessary by improper notice for inspection, or faulty materials and /or workn anship. 1� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT / / 26 Permit No Date Application i. hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herem descnbed. 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 th Building Div'sion 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. BIJOK No. 910 N.E. Street . _ 99th .St. Registered Architect and/or Engineer ... Employing Plumber's Name ABC SEPTIC TANK SERVICE _ No.. - 123 Street.. - th Location and Legal Description Lot____.___ Block. Street and Number where work is to be performed—No 910 N. _E State work to be performed and purpose of building (By Floors)._ New Building Remodeling Subdivision_ Street 29th . St . Addition__ Repairs. No. of Stories . . Size Septic Tank.. _ _ . Type of Tank ____ _ _ .Capacity Gals. Feet of Drain Tile. . _ 2 _5! _ _ _. _Dist. Feet of Tank or Drain Field from Weal. Nature of Water Supply: City—Well. _ _ Si , of Soakage Pit Amount of Permit $ _ ( Signed). ._ Pln bin In ;pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli Jions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma nt Supplement, oral 1 . plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by bin: 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 no•ices as are required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. . ed under this per nit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. (Signed )_. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personall 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 .acts 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 by improper notice for inspection, or faulty materials and/or worlananship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES 61 N" SLOP SINKS LAUNDRY Tuss URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N6 TOTAL F %TURES CONTR. LIST CHECK — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL. CONTR. LIST CHECK . -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT / / 26 Permit No Date Application i. hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herem descnbed. 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 th Building Div'sion 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. BIJOK No. 910 N.E. Street . _ 99th .St. Registered Architect and/or Engineer ... Employing Plumber's Name ABC SEPTIC TANK SERVICE _ No.. - 123 Street.. - th Location and Legal Description Lot____.___ Block. Street and Number where work is to be performed—No 910 N. _E State work to be performed and purpose of building (By Floors)._ New Building Remodeling Subdivision_ Street 29th . St . Addition__ Repairs. No. of Stories . . Size Septic Tank.. _ _ . Type of Tank ____ _ _ .Capacity Gals. Feet of Drain Tile. . _ 2 _5! _ _ _. _Dist. Feet of Tank or Drain Field from Weal. Nature of Water Supply: City—Well. _ _ Si , of Soakage Pit Amount of Permit $ _ ( Signed). ._ Pln bin In ;pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli Jions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma nt Supplement, oral 1 . plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by bin: 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 no•ices as are required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. . ed under this per nit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. (Signed )_. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personall 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 .acts 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 by improper notice for inspection, or faulty materials and/or worlananship. BUILDING ELECTRICAL PLUMBING Architect / Contractor (, /p ,,.; or Builder - 1 : f ' i2 - / : = Lot -- . .,y y / Legal Description Address of 7/' ' CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT •9 3220 Work to he erformed under this Permit Owner of Building Bl. Subdi- vision Value of P roject This per(nnit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in 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 malt 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 drativings or in the statements I- Anecificaji ns and that he assumes responsibility for work done by his agents, servants or employees. i �` �,• Signed• INSPECTOR In consideration of the issuance to me of this permit I agree to perform the }1fosk 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 mjse my agent, servant or employee. '13Y fr DATE Contractor's License No. j 1 •r {. �j �.�'�' y _ �f • Amt. of Permit 13y i • 4' AUTHORITY 194 the