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PLUMBING PERMIT
BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA DATE. PERMIT N° 3820 O Work to be performed under this Permit Owner of Building , Architect Contractor or Builder ' CONTRACTOR OR BUILDER Legal Lot Subdi- Contractor's License No. BY AUTHORITY 19 A • Description ____ Bl vision ':' Address of i ; '-'4 `k 4 f / ; ?' Value of II Amount of I" ,-, Building . l" Project $ 11 Permit $ .' c 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 of Miami Shores Village. In ac• cepting this permit I assume responsibility for all work done by either, myself, my agent, sent or employee. Y -,' 1 A , ABBOT PRINT BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA DATE. `--° ® PERMIT N? 3776 Contractor s License No. El Owner of i Building .,�., (7 i4, , i 1 Architect Contractor or Builder ' t1 ^ & Legal Lot Subdi- 19 ' Work to be performed under this Permit Description Bl vision f r r. r 'r Address of °.; ' '4'.., ° -. i k: d Value $ �� Permit $ of 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, thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in,the statements specifications and that he assumes respon- sibility for work done by his agents, servants or employees. • Signed. e ' 0 _ '` INSPECTOR to, In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance ;v rith all ordinances and: regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authgrities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by eith myself , my agent, servant or employee. it 4! I I &'j r `E 1 t4-, 7} J t /A• ,- 4 F CONTRA :IYR'OR BUILDER= BY'' l - -' CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS N S CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST � Z1 Z--- Z--.. / CHECK - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL ~ -- CONTR. LIST CHECK Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $__ _ `:C My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No a _ __ Date_Z 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 Registered Architect and /or Engineer ________ Employing Plumber's Name,PV No.7..,4- 5 _ Street-X4::• Location and Legal Description Lot.____ __.__ _ ______ Block__ __. _._.._..._._ Subdivision Street and Number where work is to be performed— No.__ State work to be performed and purpose of building (By Floors)_ New Building _____ Remodeling Ld` /G. No. // 2 K--- - Addition________._ Repairs No. of Stories Type of Tank_ Capacity Gals __Dist. Feet of Tank or Drain Field from Well -Size of Soakage Pit (SigIIed)_ Plumbing Inspe,ctor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli Lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perm: ent 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 ai re required by the Act. The undersigned agrees to employ only such sub - contractors, on worn to be pert• ' 'r this lermit, licensed by Miami Shores Village. Street_! '-E-- 1/ f . . ., n , Notary Public, State of Florida Street STATE OF FLORIDA, 1 COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. e 3 441 -2 44- -A4zo • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date_ .. / ._. 3 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 Ownei L s Name and Address � / '. X Registered Architect and /or Engineer_-_-_ __ Employing Plumber's Name �' - f' _y` l�To`' — Street_ Location and Legal Description Lot____..._ M._______ ! �- �A A� Block l�1 Subdivision Street and Number where work is to be performed —No -11 -V_.1 ! "Street State work to be performed and purpose of building (By Floors ) ____--- ___________ _______._______ -- New Building _ -__ -- Remodeling -- -- ____ -- Addition Size Septic Tank Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. My Commission Expires Nature of Water Supply: ...... ______________.... _______-____Size of Soakage Pit Street Repairs No. of Stories ... .............. ......... __Type of Tank__-__ Capacity Gals t. Feet of Tank or Drain Field from Well ( Signed ) - - -� (Signed) -- umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent pplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo` 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 pu.lic 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or worlcmanship. CLOSETS BATH TUBS SHOWER! LAVA- TORIES S6 SINKS SLOP SINKS LAUNDRY TUBS UR 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 Date_ .. / ._. 3 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 Ownei L s Name and Address � / '. X Registered Architect and /or Engineer_-_-_ __ Employing Plumber's Name �' - f' _y` l�To`' — Street_ Location and Legal Description Lot____..._ M._______ ! �- �A A� Block l�1 Subdivision Street and Number where work is to be performed —No -11 -V_.1 ! "Street State work to be performed and purpose of building (By Floors ) ____--- ___________ _______._______ -- New Building _ -__ -- Remodeling -- -- ____ -- Addition Size Septic Tank Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. My Commission Expires Nature of Water Supply: ...... ______________.... _______-____Size of Soakage Pit Street Repairs No. of Stories ... .............. ......... __Type of Tank__-__ Capacity Gals t. Feet of Tank or Drain Field from Well ( Signed ) - - -� (Signed) -- umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent pplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo` 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 pu.lic 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or worlcmanship. Permit :fin. - -�'" 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 Registered Architect and /or En ineer Emp lo ying Plumber's Name_ . Street__ Location and Legal Description Lot_ _ _ _ _____. __._ _ —___ , Bloc _ Subdivision. Street and Number where work is to be performed —No P,`_U ' ._,,l Street State work to be performed and purpose of building (By Floors)_— .___— ___.__. New Building _ -- -.- __- Remodeling_- —_ -___ Addition_ Size Septic Tank Feet of Drain Tile. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. My Conunission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT T -Dist. eet or Drain Field from Well (Signed) -_ _ , 1, 1 _F- Date Z Repairs No. of Stories ank— Capacity Gals Nature of Water Supply: City — 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 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. (Signed). ) 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. 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 TUBS SHOWERS LAVA. RI TOES SIN SINKS SLOP SINKB LAUNDRY BS Tires I NAS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FI %TURE6 CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CoKTR. LIST CHECK ` - -- Permit :fin. - -�'" 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 Registered Architect and /or En ineer Emp lo ying Plumber's Name_ . Street__ Location and Legal Description Lot_ _ _ _ _____. __._ _ —___ , Bloc _ Subdivision. Street and Number where work is to be performed —No P,`_U ' ._,,l Street State work to be performed and purpose of building (By Floors)_— .___— ___.__. New Building _ -- -.- __- Remodeling_- —_ -___ Addition_ Size Septic Tank Feet of Drain Tile. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. My Conunission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT T -Dist. eet or Drain Field from Well (Signed) -_ _ , 1, 1 _F- Date Z Repairs No. of Stories ank— Capacity Gals Nature of Water Supply: City — 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 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. (Signed). ) 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and/or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Address of Building f a ❑ DATE PERMIT N° 5859 Contractor's License No. Owner of Building I> Architect Contractor or Builder Legal Lot Description � Bl. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit BY 0 Subdi- vision Value of Project J 195 Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 3` ' „• �� 1; Signed. - INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder, ifi 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. 6 „ / i. / -", AUTHORITY 6 Permit No S7i Owners Name and Address. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City — Well. ______ gyp? �°S— �`' ---f- 61- o d MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING "`�•�11 bP e /5 9 Application is hereby made for the approval of the detailed statement of the plans and specifications here i submit d for the building or other structure herein described. This application is made in compliance and conformity with the Building Ord' ce 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 . 6 /" 4 e l— No - -/1.7. Registered Architect and /or Engineer_ --_-- _--- -_--- -_----- -_-- - -- - -- _-•- _- - - -- -• Employing Plumber's Name IA) Location and Legal Description Lot.___ — _____. _ _____ _ —_ Block_ _..___________. Subdivision Street and Number where work is to be performed —No // 7 Street t i` r. /©/ State work to be performed and purpose of building (By Floors) - ___ New Building ____._ Remodeling_____ Addition Repairs No. of Stories Type of Tank Capacity Gals. _Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit Amount of Permit — - -- ( Signed)_ - -- Date.... Street r.(-/' dl Street_— — — — .-- --- -- ----- ----_ -• Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations 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 work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub - contractors, oj2worly to be performed under is erinit, as e licensed by Miami Shores Village. STATE OF FLORIDA, I COUNTY OF DADE. 88. ( Signed ) - 'P � U Master Plum er. 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 by improper notice for inspection, or faulty materials and/or workmanship. CL08ET8 BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY 'rues URINALS CATCH FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR NEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No S7i Owners Name and Address. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City — Well. ______ gyp? �°S— �`' ---f- 61- o d MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING "`�•�11 bP e /5 9 Application is hereby made for the approval of the detailed statement of the plans and specifications here i submit d for the building or other structure herein described. This application is made in compliance and conformity with the Building Ord' ce 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 . 6 /" 4 e l— No - -/1.7. Registered Architect and /or Engineer_ --_-- _--- -_--- -_----- -_-- - -- - -- _-•- _- - - -- -• Employing Plumber's Name IA) Location and Legal Description Lot.___ — _____. _ _____ _ —_ Block_ _..___________. Subdivision Street and Number where work is to be performed —No // 7 Street t i` r. /©/ State work to be performed and purpose of building (By Floors) - ___ New Building ____._ Remodeling_____ Addition Repairs No. of Stories Type of Tank Capacity Gals. _Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit Amount of Permit — - -- ( Signed)_ - -- Date.... Street r.(-/' dl Street_— — — — .-- --- -- ----- ----_ -• Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations 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 work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub - contractors, oj2worly to be performed under is erinit, as e licensed by Miami Shores Village. STATE OF FLORIDA, I COUNTY OF DADE. 88. ( Signed ) - 'P � U Master Plum er. 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 by improper notice for inspection, or faulty materials and/or workmanship. Permit No Application structure h and all provisfo of Miami b 50 .g Y,s • I r ,ade for f �ti Own eJs a Addres Y ter d Architect and /or ineer • lo g Plumber's Nam Locatidn and Legal Description Lot /3 New Building ✓ Remodeling Addition Size Septic Tank —� ___Type of Tank Feet of Drain Tile Nature of Water Sup Amount of Permit $__ STATE OF FLORIDA, COUNTY OF DADE. ss. Well. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street__ O 1 Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit t Signed) • • Date O • , oval of the detailed statement of the plans and specifications herewith submitted for the building or other application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, e Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division e shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at ss of work. No. < j / $; / - Street /a / No. 1 3 1 Streetry a4.. _ Block / 5� Subdiv on G g• Street and Number where work is to be performed —No. / L 7 State work to be performed and purpose of building (By Floors) Repairs No. Qf Stories___] pacity Gals The undersigned applicant for this building permit does hereby certif that • nderstands and accepts his obligations a n under the Florida Workmen's Compensation Act, being Section 5966, Comp General Laws of Florida Permanent Supp em plied with the provisions 'thereof, and will require similar compliance from all contractors or sub - contractors employed by him performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under th licensed by Miami Shores Village. 1/, Plum g Inspe Notary Public, State of Florida empl r of labor ent, . nd has corn - in e work to be o notices as are permit, as are 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 -i 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 DRI NKI FOUNT' NS TOTAL FIXTURES CONTR. LIST / r -- i6 6 � -- /1t') 3 J � - / SPRKLR. SYSTEM SW POOL le- // CHECK '•�J ` SEPTIC TANK WER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL CONTR. IST LIST • CHECK Permit No Application structure h and all provisfo of Miami b 50 .g Y,s • I r ,ade for f �ti Own eJs a Addres Y ter d Architect and /or ineer • lo g Plumber's Nam Locatidn and Legal Description Lot /3 New Building ✓ Remodeling Addition Size Septic Tank —� ___Type of Tank Feet of Drain Tile Nature of Water Sup Amount of Permit $__ STATE OF FLORIDA, COUNTY OF DADE. ss. Well. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street__ O 1 Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit t Signed) • • Date O • , oval of the detailed statement of the plans and specifications herewith submitted for the building or other application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, e Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division e shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at ss of work. No. < j / $; / - Street /a / No. 1 3 1 Streetry a4.. _ Block / 5� Subdiv on G g• Street and Number where work is to be performed —No. / L 7 State work to be performed and purpose of building (By Floors) Repairs No. Qf Stories___] pacity Gals The undersigned applicant for this building permit does hereby certif that • nderstands and accepts his obligations a n under the Florida Workmen's Compensation Act, being Section 5966, Comp General Laws of Florida Permanent Supp em plied with the provisions 'thereof, and will require similar compliance from all contractors or sub - contractors employed by him performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under th licensed by Miami Shores Village. 1/, Plum g Inspe Notary Public, State of Florida empl r of labor ent, . nd has corn - in e work to be o notices as are permit, as are 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 -i 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. t 4 UILDING LECTRICAL LUMBING wner of wilding rchitect ontractor Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 8454 be performed under this Permit egal Lot • Bl. escription ddress 1� � ress o a Project loe of This permit is anted to the contractor or builder name bove to con uct the buildini or to install the equipment or device described in • ppli- tion herefor in stri compliance with all ordinances pertainin thereto and ith the understanding that the work will be performed in coinpli o ce with any ans, drawings, statements or specifications that may have been submitted to and approved bq t proper municipal authorities. This Per •' n r . • revoked any time if the work is not done in compliance with such ordinances or if the plan are change: without authori ' ch this :rmit is granted is the understanding that the contractor or builder named above as umes the r spopsibili or a orough knowledge o rihe + rdinances and gulations pertaining to the work covered hereby whether shown on the plans or . wings hr ' the`statem _ . .r specifications and th. he +.sumes respon- iility for work done by his agents, servants or employees. In consideration of the issuance to me of this perms agree to perfo . the work covered hereunder in compliance with al dinances .•od regulations •rtaining thereto and in strict conformity with the plans, d?awiiags -scat ihents or specifications submitted to the proper autho es of Miami ores Village. accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. f CONTRACTOR OR BUILDER Subdi- vision BY DATE % it. ( 194_ Contractor's License No. Amt. of Permit AUTHORITY