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999 NE 99 St (12)Form 190 3401 N. W. 31st Street Plumbing • Heating • Air Conditioning • Roofing • Sheet Metal • Appliances e., e.„ 1 1 o MIAMI, FLA. 33152 633-986 • • APPLICATION FOR PLUMBING PERMIT Permit No t New Building ____ ___ Remodeling —_� __ ____ Addition_ Size Septic Tank_ -- _ _ -- _ -- — - Type of Tank Feet of Drain Tile. Nature of Water Supply: City —Well . Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIA I SHORES VILLAGE PL MB1NG INSPECTION DEPARTMENT (Signed) Repairs /0/6 Date -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. p!�' e; Owner's Name and Address 5.e..2 _- _ ___ - - -.__ _ ._.__._.___ N0._�_._ L._____ -__ -- Street _e " Registered Architect and /or Engineer Street_YZ deiX-.e. Employing Plumber's Nam _1 No.. 14.8 e Location and Legal Description Lot__ ! ''" .__ g ____ -_ Block_ /.moo -- Subdivision_.. ' S .. — Street and Number where work is to be performed —No .. 77 _..j.!• Street ff State work to be performed and purpose of building (By Floors ) _____..____.___._________-___ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit No. of Stories. Notary Public, State of Florida Plumbing In c'tor. The undersigned applicant for this building permit does hereby certify that he understands and accepts h`.ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida rinanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS &A,' i lwiLi ,2 TOTAL FIXTURES -- cetera. `' f / .2 � _/_ — CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST - - CHECK • APPLICATION FOR PLUMBING PERMIT Permit No t New Building ____ ___ Remodeling —_� __ ____ Addition_ Size Septic Tank_ -- _ _ -- _ -- — - Type of Tank Feet of Drain Tile. Nature of Water Supply: City —Well . Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIA I SHORES VILLAGE PL MB1NG INSPECTION DEPARTMENT (Signed) Repairs /0/6 Date -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. p!�' e; Owner's Name and Address 5.e..2 _- _ ___ - - -.__ _ ._.__._.___ N0._�_._ L._____ -__ -- Street _e " Registered Architect and /or Engineer Street_YZ deiX-.e. Employing Plumber's Nam _1 No.. 14.8 e Location and Legal Description Lot__ ! ''" .__ g ____ -_ Block_ /.moo -- Subdivision_.. ' S .. — Street and Number where work is to be performed —No .. 77 _..j.!• Street ff State work to be performed and purpose of building (By Floors ) _____..____.___._________-___ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit No. of Stories. Notary Public, State of Florida Plumbing In c'tor. The undersigned applicant for this building permit does hereby certify that he understands and accepts h`.ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida rinanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building • it Q CI CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT x9 5809 Architect Contractor / r: . or Builder Legal Lot Description Bl. Work to be performed under this Permit DATE. Contractor's License No. 1 19 t . Subdi- vision Address of j - r Value of I Amount of Building 1 ., e' Project $ I 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed. • 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. BY AUTHORITY 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.___ No _ 9 - 7, ,,Street -_._ ___- Registered Architect and /or Engineer ----------- _ - - - - -_ - - - - -__ _�_¢. Employing Plumber's Location and Legal Description Lot Street and Number where work is to be performed —No C �—�- State work to be performed and purpose of building (By Floors)____ New Building __ _ -- Remodeling — -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block No. L4 Date v'-' _ Street_ , Subdivision 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 Nature of Water Supply: Well._____— __________ ____Size of Soakage Pit 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 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, COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ( Signed )_ Master Plumber. ing Inspector. 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 TUBS BATH TUBS SHOWERS LAVA- TORIES SLOP SINKS LAUNDRY TUBS URINAL CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES Gown. LIST _ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST „1 - -- _ CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.___ No _ 9 - 7, ,,Street -_._ ___- Registered Architect and /or Engineer ----------- _ - - - - -_ - - - - -__ _�_¢. Employing Plumber's Location and Legal Description Lot Street and Number where work is to be performed —No C �—�- State work to be performed and purpose of building (By Floors)____ New Building __ _ -- Remodeling — -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block No. L4 Date v'-' _ Street_ , Subdivision 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 Nature of Water Supply: Well._____— __________ ____Size of Soakage Pit 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 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, COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ( Signed )_ Master Plumber. ing Inspector. 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 4ILDING ELECTRICAL PLUMBING er of g Arc\itect font ctor: , or Builder Legal Lot Description 'A ! dress �f 97 / . MIAMI SHORES VILLAGE, FLORIDA DATE 194 PERMIT N° 4618 Work to be performe Bl. 4<41(-- under this Permit Signe Subdi- vision Value of Project Contractor's e License No. ! L� Axnt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or dice describe. 'n th appli N cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perfor ned in complian w th any . plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may b evoked stony time if the work is not done in compliance with such ordinances or if the plans are changed thout authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the res risibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plansyr't4 s or in �tateme or spec• ications and t h* s respon- sibility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinan. s . regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of M ; i • hores Village. In accepting this permit I assume responsibility for all work done by e$lIr myself, m Page servant or employee. / t J `^° • f 1 " - .. / it CONTRACTOR OR BUILDER BY � ) 2�U+i HL34 , �< Permit No. Owner's Name and Address __ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT / APPLICATION FOR PLUMBING PERMIT • Date__ __ / 7 _ _ / Application is hereby made for the approval y pproval of the detailed statement of the plans and specifications herewith submitteefor 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 ap v lans and specifications must be kept at building during progress of work / . f/� ,'/ Street__ '3 / GL- (. ff I / No. Registered Architect and /or En 'n Employing Plumber's Name _ _ _ ___,..... ? w__ ___- ___.`___L�__ ! _:_ No._ i _ � l L Street__.;,.. _r � .__-- f Location and Legal Description Lot_________ v? Blocjc ' .� � _____ Subdivision__.. ,eC ____— _______ . N.4 '.- " , :� .- �/ Street and Number where work is to be performed —No r ' r Street____Y____1.1__1L_ '___ ___ State work to be performed and purpose of building (By Floors) New Building_ .k Remodeling Addition Repairs No. of Stories l Amount of Permit $_ ZI7 II Size Septic Tank____ _ — _______ Type of Tank . __Capacity Gals._____________ —____— Feet of Drain Tile______ —__ ____ —_ Dist. Feet of Tank or Drain Field from Well_________—______________ __—�____ Nature of Water Supply: City —Well. Size of Soakagg/P�t _(Signed) 4. (Signed)1 — – =` ' My Commission Expires Notary Public. State of Florida 7 Plumbing Insprector. The undersigned applicant for this building permit does hereby certify thaVhe understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compi`'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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS ' TOTAL FIXTURES CONTR. LIST ''' �r - r / f / / -'1 ( (// CHECK ' SEPTIC TANK SEWER CONN. DRAIN MELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. Owner's Name and Address __ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT / APPLICATION FOR PLUMBING PERMIT • Date__ __ / 7 _ _ / Application is hereby made for the approval y pproval of the detailed statement of the plans and specifications herewith submitteefor 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 ap v lans and specifications must be kept at building during progress of work / . f/� ,'/ Street__ '3 / GL- (. ff I / No. Registered Architect and /or En 'n Employing Plumber's Name _ _ _ ___,..... ? w__ ___- ___.`___L�__ ! _:_ No._ i _ � l L Street__.;,.. _r � .__-- f Location and Legal Description Lot_________ v? Blocjc ' .� � _____ Subdivision__.. ,eC ____— _______ . N.4 '.- " , :� .- �/ Street and Number where work is to be performed —No r ' r Street____Y____1.1__1L_ '___ ___ State work to be performed and purpose of building (By Floors) New Building_ .k Remodeling Addition Repairs No. of Stories l Amount of Permit $_ ZI7 II Size Septic Tank____ _ — _______ Type of Tank . __Capacity Gals._____________ —____— Feet of Drain Tile______ —__ ____ —_ Dist. Feet of Tank or Drain Field from Well_________—______________ __—�____ Nature of Water Supply: City —Well. Size of Soakagg/P�t _(Signed) 4. (Signed)1 — – =` ' My Commission Expires Notary Public. State of Florida 7 Plumbing Insprector. The undersigned applicant for this building permit does hereby certify thaVhe understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compi`'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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 0 , I • t A' Permit No. Size Septic Tank_____ Amount of Permit $- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT /h Owner's Name and Address Registered Architect and /or Eng ry Employing Plumber's Name Location and Legal Description Lot__ Nature of Water Supply: City—Well. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary 7 PPLICATION 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 herrift sp ified or not. A copy of approved plans and specifications must be kept at building during progress of work. i' ' ss. My Commission Expires No Street___ Type of Tank . No y l i Streets — Subdivision ____ ...... ______y____ Street and Number where work is to be performed —No w Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Capacity Gals.__________ ____ Feet of Drain Dist. Feet of Tank or Drain Field from Well 4' " Size of Soakage Pit -------- _(Signed) ! Plumbing Inspector. The undersigned applicant for this building permit does hereby certify t'lie 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, gp work to be performed ut}d this permit, jp are licensed by Miami Shores Village. (Signed) Date Notary Public, State of Florida Master Plumber. public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. Size Septic Tank_____ Amount of Permit $- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT /h Owner's Name and Address Registered Architect and /or Eng ry Employing Plumber's Name Location and Legal Description Lot__ Nature of Water Supply: City—Well. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary 7 PPLICATION 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 herrift sp ified or not. A copy of approved plans and specifications must be kept at building during progress of work. i' ' ss. My Commission Expires No Street___ Type of Tank . No y l i Streets — Subdivision ____ ...... ______y____ Street and Number where work is to be performed —No w Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Capacity Gals.__________ ____ Feet of Drain Dist. Feet of Tank or Drain Field from Well 4' " Size of Soakage Pit -------- _(Signed) ! Plumbing Inspector. The undersigned applicant for this building permit does hereby certify t'lie 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, gp work to be performed ut}d this permit, jp are licensed by Miami Shores Village. (Signed) Date Notary Public, State of Florida Master Plumber. 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No / ; Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subnfitted 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 _ Subdivisi ,l _ Street State work to be performed and purpose of building (By Floors) Location and Legal Description Lot Nature of Water Supply: City —)Well STATE OF FLORIDA, COUNTY OF DADE. ss. Block Street and Number where work is to be performed—No No Street r No Street_-- — -- – – New Buil ding______________________ ______ Remodeling Addition Repairs No. of Size Septic Tank Type of Tank . Capacity Gals Feet of Drain Tile_____A_ ___________________ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. Amount of Permit $ _ _ `} ��_______(Signed) (Signed) Date ,,C_ cL ■ • , My Commission Expires Notary Public. State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compi 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS 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 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No / ; Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subnfitted 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 _ Subdivisi ,l _ Street State work to be performed and purpose of building (By Floors) Location and Legal Description Lot Nature of Water Supply: City —)Well STATE OF FLORIDA, COUNTY OF DADE. ss. Block Street and Number where work is to be performed—No No Street r No Street_-- — -- – – New Buil ding______________________ ______ Remodeling Addition Repairs No. of Size Septic Tank Type of Tank . Capacity Gals Feet of Drain Tile_____A_ ___________________ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. Amount of Permit $ _ _ `} ��_______(Signed) (Signed) Date ,,C_ cL ■ • , My Commission Expires Notary Public. State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compi 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. JOB: BUILDING PLUMBING ELECTRICAL : • • : The following is ready for Inspection: Inspector's Report: • • • • WORK . DONE BY: ( G • AD X 99 Lt E y 94; . REQUESTED • • • • • • 3 G� • : WILL BE READY Permit No Registered r d Architect and/or d/ E n n 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_ " t – ''" "' " I ��, N + o. lf!'yl � Street__ Employing __ __ _,._ [11 — c. ' . /' G to 8 Plumber's Na __� T -'"/ , +•'fir..' 1 No.___ / ____ r r 1 1 `4 / Street_ <<___ Location and Legal Description Lot_________ _________ ____ _.__________Blo_ i. l .f Street and Number where work is to be performed —No r° s___ w � d. . Date_`ct :,(4 Street 1''1_.s State work to be performed and purpose of building (By Floors) New Building_______ ______________ Remodeling Addition Repairs No. of Stories._ _ -._/ Size Septic Tank_______ _ —_ ________ __ ______ __________ Type of Tank . Capacity Gals.________ ______ Feet of Drain Tile__________ —__ —__ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit � L • „„ yr ___ ___________ _ __�L_ _ ✓ __� Amount of Permit $_ � < -- fx r (Signed) F 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 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) '•40_ r) .. . �;`�;a• ,. .. t'' Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES . ONTR. LIST -' +� �r 1 .1." / CHECK SEPTIC TANK SEWER DRAIN CONN. _ - -FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No Registered r d Architect and/or d/ E n n 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_ " t – ''" "' " I ��, N + o. lf!'yl � Street__ Employing __ __ _,._ [11 — c. ' . /' G to 8 Plumber's Na __� T -'"/ , +•'fir..' 1 No.___ / ____ r r 1 1 `4 / Street_ <<___ Location and Legal Description Lot_________ _________ ____ _.__________Blo_ i. l .f Street and Number where work is to be performed —No r° s___ w � d. . Date_`ct :,(4 Street 1''1_.s State work to be performed and purpose of building (By Floors) New Building_______ ______________ Remodeling Addition Repairs No. of Stories._ _ -._/ Size Septic Tank_______ _ —_ ________ __ ______ __________ Type of Tank . Capacity Gals.________ ______ Feet of Drain Tile__________ —__ —__ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit � L • „„ yr ___ ___________ _ __�L_ _ ✓ __� Amount of Permit $_ � < -- fx r (Signed) F 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 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) '•40_ r) .. . �;`�;a• ,. .. t'' Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING PERMIT N9 1958 Work to be performed under this Permit Owner of Building s ' Architect Contractor or- BezitdLr Legal Lot Bl. Description MIAMI SHORES VILLAGE, FLORIDA Subdi- vision . Address of , .. r r' Value of Amt. of Building �' Project Permit ,;" This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 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, 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. J Signed • –.7—t ,�, . By !�', INSPECTOR s r// '.Y f' (2: -1.4, CONTRACTOR OR BUILDER BY AUTHORITY DATE Contractor's License No.