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PLUMBINGPens* 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. Thls application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. /P Owner's Name and Address c No. '? 6'4 1 /.. . Registered Architect and/or Engineer Employing Plumber's Name V /6:644./ Location and Legal Description Lot. .1.21 Blocir 78 Subdivision 35P Street and Number where work is to be performed—No 9 Pi street. 2.1) State work to be performedynd purpose of building (By Floors)____ New Remodeling_ Addition.. Repairs ...Type of T&nfr ..... Cals._______ _ Size Septic Feet of Drain Tile — _Dist. Feet of Tank or Drain Field from Wan . Nature of Water Supply: City—WelL Size of Soakage Pit_ Amount of Permit $ 7 (SliPled)- '13%1 Plumbing In vector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and 11,“ com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the woe., to Ile 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 (Signed) c2 7 - No. of Stories - Master 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 deposes and says that be is the of the above described construction, that he bas carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. Notary Public, State of Flails NOTE: A r.-inspection fee of $1.00 will be made wham moil solmspaotiom neade.msomemry by improper wake for inspectiom, or faulty materials and/ar worlananship. CLosirrs BATH Tu•. 11 " v "" LAVA. TORII, $INK• SLOP SINKS LAUNOR Tuns URINALS ills, NH FLOOR DRAIN DRINKING FOUNT'Ne 70AL. •IXTURE111 CONTR. LIST CHECK StPTIC TANK Sawa it DONN. DRAIN •PHILO SOAKAGE. PIT G TRAP SOLAR HICATIER DEEP WILL SPNKLN. $ 11w114• 0 POOL Co. Lin' / Como( Pens* 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. Thls application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. /P Owner's Name and Address c No. '? 6'4 1 /.. . Registered Architect and/or Engineer Employing Plumber's Name V /6:644./ Location and Legal Description Lot. .1.21 Blocir 78 Subdivision 35P Street and Number where work is to be performed—No 9 Pi street. 2.1) State work to be performedynd purpose of building (By Floors)____ New Remodeling_ Addition.. Repairs ...Type of T&nfr ..... Cals._______ _ Size Septic Feet of Drain Tile — _Dist. Feet of Tank or Drain Field from Wan . Nature of Water Supply: City—WelL Size of Soakage Pit_ Amount of Permit $ 7 (SliPled)- '13%1 Plumbing In vector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and 11,“ com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the woe., to Ile 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 (Signed) c2 7 - No. of Stories - Master 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 deposes and says that be is the of the above described construction, that he bas carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. Notary Public, State of Flails NOTE: A r.-inspection fee of $1.00 will be made wham moil solmspaotiom neade.msomemry by improper wake for inspectiom, or faulty materials and/ar worlananship. r - � CLOSETS BATH T aNOWLK/ LAVA. TORIES SIN" •INKS LAUNDRY Tune / ., NIHAU/ D MALIN C., FLOOR DRAIN DRINKING FOUNT'N• •CATCH TOYAL FIXTURES CONTR. List :3 / - / 3 CHICK 1 04- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DELP WELL •PRKLR. SYSTEM •WIM' POOL M 4's 0 W4 /✓ � I / G A r Comex � I 0 Permit No4 - 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 plats and specifications must be kept at building during progress of work. Owner's Name and Address W DA J i i) ` re O J E MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No .75 Registered Architect and /or Engineer __....- Employing Plumbcs s Name PO T O T , E wE t2 5 E t./K , N 0.. �G' T ..... Itreet.-. - , � Gt �' ... ' ".? - ..4 ( c S J Location and Legal Description Lot _1_ - Block 7 1 SubdlvWon .K ''1 / .5h'' 2C S S£ c.3 Street and Number where work is to be performed -No 7-3 A 51- Street_ State work to be performed and purpose of building (By Floors)____ - - - -- -_._. ._._ New Building.___._ _ _L'._.. Remodeling —_. ___ Addition -. ____ .__ Repair 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-WeUL Size of Soakage Pit. Amount of Permit $ 1 ( Signed) _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and lists com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worn to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as err required by the Act. The undersigned agrees to employ only such sub-contractors, on ork to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ��� Cam' 74 .9:1,cPtrw_( T My Conn:minion Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the - •_ -. -- ...- •-- •---- _ -. -.. _ _ ... -- of the above described construction, that he has carefully read the foregoing application, and that be 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 whoa web Nisp•otlon 1e mode'seoanary by Improper notice for Impaction, or fealty materials and /or workmanship. Permit 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. Owner's Name and Address 1- c- - A-4 ik--...A.) No. if .3l Registered Architect and/or Engineer Prt- /,}: Employing Plumber's Name 4.4"- AZI (,-; i)/7/ .):r■/ ece,c_ ,. r NO.__L e a: 7- .Ziltiest--............... "•-.............-•• ...-,• Location and Legal Description Lot L1...._a,. 1E. Sli :19' 9/ 810eit 7 c i Subdivision Street and Number where work is to be performed-No 2 11:" `,IY 731 Street State work to be performed and purpose of building (By Floors)---.2 ...../ 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 ___....__._ ..... _ ..... Nature of Water Supply: City-WelL Size of Soakage Pit Amount of Permit s_id5 (Signed)- -))1 ___ _... .... ..... ..._ Plumbing Inipector. 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 5968, Compiled General Laws of Florida Permanent Supplement, and lia.( cx-rm- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wor1, to be performed under this permit; and will post or cause to be posted for inspection on the sit , the work public otice or notices as RIP required by the Act. The undersigned agrees to employ only such sub-contractors, wk to be ormed u er this perm as it, 4 WO licensed by Miami Shores Village. IL (Signed) Date- -- streetV ....... ..... ..... P I c Master Plumber. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be did sips the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, Stets of Florida NOTE: A re-inspection fee of $1.00 will be made arises ash sas4lipsotios M =de nessesery by improper sodas for Wootton, or faulty materials and/or workmanship. CLoarrs BATH TUBS SNOWPLOW LAVA. T onic s SINKS SLOP SINKS LAUPPOPI TWOS URINALS CATCH DAWN FLOOR DRAIN DRINRi No FOUNT' NS /ix TIMES CONTPI. LIST CHECK SEPTIC TANK SIWER CONN. DRAIN Film ° SOAKAGE PIT G TRAP SOLAR HEAT ER DUO. WELL SPRICLR. • SW IWO POOL Comm LIST CHICK Permit 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. Owner's Name and Address 1- c- - A-4 ik--...A.) No. if .3l Registered Architect and/or Engineer Prt- /,}: Employing Plumber's Name 4.4"- AZI (,-; i)/7/ .):r■/ ece,c_ ,. r NO.__L e a: 7- .Ziltiest--............... "•-.............-•• ...-,• Location and Legal Description Lot L1...._a,. 1E. Sli :19' 9/ 810eit 7 c i Subdivision Street and Number where work is to be performed-No 2 11:" `,IY 731 Street State work to be performed and purpose of building (By Floors)---.2 ...../ 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 ___....__._ ..... _ ..... Nature of Water Supply: City-WelL Size of Soakage Pit Amount of Permit s_id5 (Signed)- -))1 ___ _... .... ..... ..._ Plumbing Inipector. 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 5968, Compiled General Laws of Florida Permanent Supplement, and lia.( cx-rm- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wor1, to be performed under this permit; and will post or cause to be posted for inspection on the sit , the work public otice or notices as RIP required by the Act. The undersigned agrees to employ only such sub-contractors, wk to be ormed u er this perm as it, 4 WO licensed by Miami Shores Village. IL (Signed) Date- -- streetV ....... ..... ..... P I c Master Plumber. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be did sips the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, Stets of Florida NOTE: A re-inspection fee of $1.00 will be made arises ash sas4lipsotios M =de nessesery by improper sodas for Wootton, or faulty materials and/or workmanship. 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 the work. Owner's Name and Address 1)4 (/ /.I) C _r e A 4. Registered Architect and/or Engineer PE = I `r- G 7 Name and address of licensed contractor ,2 / / eAA).1J/ 6)0,42-/i y ✓ Q boz C`-5. ,2/ : Sl(� J / - -`- I Location and legal description of lot to be built on: Lot / * Le ,. /B —7 t> Subdivision s + t lc ✓ r / Street and Number where work is to be done ff� '1j (. / j ,! State work to be done and purpose of building (by floors), state exterior colors (submit samples) /Ili f xi ( t (A New Building Remodeling MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Addition 4 Remarks (Signed) and for no other purpose. Repairs No. of Stories To be constructed of Kind of foundation_ Roof Covering 5.00(...:, Chi 1 11 �J , J'�C! i1 Estimated Total cost of improvements S Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the ovisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under t s permit; and oat 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 agre to emp y only s subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. y � ;C at 7 J,WL 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 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. 7 z Date! Permit No. Disapproved Date (Signed) J1/V V Building Inspector My Commission Expires Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Notary Public. State of Florida 7 -d26 to me well known. Chairman Member Member Member Member Member Council Approved late Disapproved _ Date NOTE: A charge of 525.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. Minn POOLINNIUMINIMUOMON Date 144 rgrtspertment Attention: Building Official I certify that I am the legal owner of the property described saye- AL, %OW St n accordance with Section 33-12(f), C.ode of Netreendif Bede County; I certify that I understand and agree that the swilelieg pee to be constructed at the *eve 'address cannot be used or filled mt* water until a separete penult has been obtained for an approved barrier, and such barrier arected, inspected and sproued. I further understand ft this certificitten haisrrer, 40011 •liidnite the need fbr Obtdining a perish and erecting an approved prior to final inspection and use of the pool. Note: This certification is to be submitted with. a ,P0.1 permit oplicittien- in duplicate. Permit No 2 3 Size Septic Task__ -Type of Tank__.__ Feet of Drain Tile Dist Feet of Tank or Drain Field from Well .. Nature of Water Supply: City —WeIL Size of Soakage Pit Amount of Permit S__L MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) _ ' V . 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. 1 Owners Name and Address Ph- AN t, n, Nr S r N No. " 1 3 e l Street .. N ` g W .c.517 . Registered Architect and /or Engineer ,\ Employing Plumber's Name ti I A QI©u-T 1 - i C 11 No , _ .�i�.._,.„._..,..... Itr ..e.� .l I J1 .. Location and Legal Description Lot_ _ .J ;( k31oc �� Subdivldon l/ ; 3 ._.... — Street and Number where work L to be perforated —No 3 k) C Street.._...__ 2. Y 5 .1.- State work to be performed and purpose of building (By Floors)_MAwl !' n..tr_illc1. - (4 -.. tt New Building.___ -- - ...... 4... - -- Remodeling__—— Addition.. _ Repairs ,X .............. No of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor 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 u .• permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } se. 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 - -_ -• -- .. - -------- -__ -.- _ _ 444_4 of the above described construction, that be has carefully reed 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 11.00 will be made when wor s+e.ispsafas i1 madl by improper notice for Inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS ""g" LAVA. TORIES SINKS SLOP SINKS LAUNDRY PUSS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N/ £L.0 01 /b. __ 4 $ / �� L= / TONAL FIIITUR[S CONTR. LIST 3 ' 2 I 1 .j DI Y / ‘ L i 3 z_C f i (4 f t� - CHECK -- 4 SEPTIC TANK SEWER CONN. DRAIN FIELD D SOAKAGE PIT G TRAP SOLAR HEATER DELP WELL 1PRKLR. SYSTEM 1VA IM•0 POOL l:�t "hj/� f 1 v I CONTR. LIST ,-- - CHECK C Permit No 2 3 Size Septic Task__ -Type of Tank__.__ Feet of Drain Tile Dist Feet of Tank or Drain Field from Well .. Nature of Water Supply: City —WeIL Size of Soakage Pit Amount of Permit S__L MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) _ ' V . 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. 1 Owners Name and Address Ph- AN t, n, Nr S r N No. " 1 3 e l Street .. N ` g W .c.517 . Registered Architect and /or Engineer ,\ Employing Plumber's Name ti I A QI©u-T 1 - i C 11 No , _ .�i�.._,.„._..,..... Itr ..e.� .l I J1 .. Location and Legal Description Lot_ _ .J ;( k31oc �� Subdivldon l/ ; 3 ._.... — Street and Number where work L to be perforated —No 3 k) C Street.._...__ 2. Y 5 .1.- State work to be performed and purpose of building (By Floors)_MAwl !' n..tr_illc1. - (4 -.. tt New Building.___ -- - ...... 4... - -- Remodeling__—— Addition.. _ Repairs ,X .............. No of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor 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 u .• permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } se. 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 - -_ -• -- .. - -------- -__ -.- _ _ 444_4 of the above described construction, that be has carefully reed 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 11.00 will be made when wor s+e.ispsafas i1 madl by improper notice for Inspection, or faulty materials and /or workmanship. STATE OF FLORIDA COUNTY OF DADE. J SS. APPLICATION FOR BUILDING 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 the work. vState wor to be done and urpose of building (by floors). state exterior colors (submit samples) Remarks ISignedl / MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Repairs Date — No. (3 7 y Owner's Name and Address "'e • /" " ' 49-Ce /G / Registered Architect and Engineer �J / / Name and address of licensed contractor�/�� / C /"t �/� // E / 1 " le L 42 6 - A" 9IGI' % 26.3 C .' ?0/ O Location and legal description of lot to be built on: Lot / Block Subdivision UJP reet and Number where work is to be done 7 f' 9 g Street „ S No. of Stories New Building Remodeling Addition To be constructed of Kind of foundation Roof Covering Total cost of improvements S Yoko Amount of Permit S t, Zone cubage required Plan Cubage Distance to next nearest building _ Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to 19 P and for no other purpose. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen', Compensation Act. being Section 5966, Compiled General Laws of Florida. Permanent Supplement, and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agre s to employ only such subcontractors. 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 Building Inspector My Commission Expires to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. Permit No. __t2 V T Date /975 / Read, Sworn to and Subscribed before me. 1 .1 Disapproved Date Notary Public, State of Florida (Signed) PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. - - -� CLOSR$ BATH TUBS SNOW[Ra LAVA• TORIIS SIN" • CATCH •INKS LAUNDRY Tim URINALS •ASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHICK SCPTIC TANK SEWER CONK. DRAIN FIILD SOAKAGS PIT G TRAP SOLAR WATER DRIP WILL SPRKLR. S SKIN'0 POOL CONTK. LIST r-- CHICK Permit No.g.fZ7.1 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 P1� Registered Architect and /or Engineer ,� g Employing Plumber': Namet f �u� � v � �_ N � • �G` /trMt.�/ ` Location and Legal Description Lot ,/4 Btoc�t L No._ 5-4 Street .. -L -0 .•4� Subdivision 7/ / 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--4(2 _.__ 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 —We1L Size of Soakage Pit Amount of Permit $ s Q6 (Signed)_ 4 c i y 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 hry com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worr 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 die Act. The undersigned agrees to anploy only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires (Signed �' Master 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 Notary Public, State of Florida Plumbing Inspector. to me well known, and who, being by me first duly swan, 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 acme, sod that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made whets emai sisp•otias it mnd••m•oa ary by improper modee for besp•ctlon, or faulty materials and /or workmanship.