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1170 NE 100 St (7)BUILDING ❑ ELECTRICAL ❑ DATE f PLUMBING ® PER N9 7898 ROOFING ❑ Owner of Building.. « ;+:. + 7 • a a,t : Architect Contractor or Builder Legal Description Address of Building Lot frio 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 tffiat he assumes responsibility for work done by his agents, servants or employees. mss, f or Signed • r ,.. « < c°',' " 16Y INSPECTOR In consideration of the issuance to me of this permit I agree to .perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications ,submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. • CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA ,t 7o' Bl. Work to be performed under this Permit j Subdi- vision Sq. Ft Value of Project $ BY 4.14 44it C Contractor's License No Amt. of Permit $ AUTHORITY et c~. 17 Nature of Water Supply: City —Well Amount of Permit $ ss. • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit Np� `r C , Date / .� t/ — Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. _ Owner's Name and Address__ __ _ __ r if..- .e,i0t,..0 No ) / 7 0 Street / / ,E, /� 'A Registered Architect and /or E gineer - !Z _ ' ' 6� 9 t E_ e Employing Plumber's Name_ X` 45 -'"- "_ 1 __.....04 ` --- e___cg 1 No.___!_____ 1 Street_ _ .r__ �'-`'� Location and Legal Description Lot I Block_!__7_$ Subdivision__M_-_ / r Street and Number where work is to be performed— No.__1 J 7 0 Street S, I / C`'" State work to be performed and purpose of building (By Floors) New Building 1■ Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 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. 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 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 CONTR. LIST 1 jjj / / ///CCC/// 2 / _ /// CHECK I SEPTIC TANK SEWER CONN. DRAIN P IELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Nature of Water Supply: City —Well Amount of Permit $ ss. • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit Np� `r C , Date / .� t/ — Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. _ Owner's Name and Address__ __ _ __ r if..- .e,i0t,..0 No ) / 7 0 Street / / ,E, /� 'A Registered Architect and /or E gineer - !Z _ ' ' 6� 9 t E_ e Employing Plumber's Name_ X` 45 -'"- "_ 1 __.....04 ` --- e___cg 1 No.___!_____ 1 Street_ _ .r__ �'-`'� Location and Legal Description Lot I Block_!__7_$ Subdivision__M_-_ / r Street and Number where work is to be performed— No.__1 J 7 0 Street S, I / C`'" State work to be performed and purpose of building (By Floors) New Building 1■ Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 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. 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 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 MIAMI SHORES VILLAGE, FLORIDA r DATE 10.Jr= . .. ERMIT N? 4928 o � „ A - rt.' : 44,1_ cif 1 ,York to be erformed under this Permit / Owner of , / C.. 44,'!(- ,,,� x . :f .. . �,; _461 ' Building Signed. • O Contractor's Licgnse No. ...:r Architect Contractor or Builder Legal . Description Address of J j Building • • This per is granted to the contractor. or built er named above to construct the building or to install the equipment or a evice de riled in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the will be performed in ompliance- with any plansi ► drawings, statements or specifications that may have been submitted to and approved by the roper i i {nicipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the pl e cha �c� ithourautl;}pfrjation. A further condition upon which this permit is granted is the understanding that the contractor or builder named above sumes the r(sponsibhty= fdr ar thorough knowledge of the ordinances and regulations pertaining o the work covered hereby whether shown o n the plan . ,a, . wings or in the tatemeiits specifications and that he assumes respon- iility for w ork don by his agents, se or employees. rj,� : / ' - • i ;•: By INSPECTOR In consideration of the issuance to me of this permit I agree to perf the work covered hereunder in compliance with f1l andoleFu1 tong ' pertaining th and in strict conformity. with the plans, drawings, statements or specifications submitted to the proper authorities'' of Miami Shores Wage. I a is permit I assume respon }�� f r all work done by eithet myself, my agent, servant or employee. fr,_ , I tq CONTRACTOR OR BUILD BY AUTHORITY BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description Address of 1 Building t Owner of Building Lot Contractor's License No Work to be performed under this Permit 1 4171- CONTRACTOR OR BUILDER' MIAMI SHORES VILLAGE, FLORIDA t ERMIT N° 4928 Bl. Subdi- vision alue of Project BY DATE '` J 194 Arnt. of Permit This perm is granted to the contractor or buil er named above to construct the building or to install the equipment or . evice'de ribed in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed i ompliance with any plans;rydrawings, statements or specifications that may have been submitted to and appr yed by the proper i$unicipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the pb . re cha • withoutfauthoii7ation. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes ,Clio .rOsponsibi1 ty'fOr ' thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plap wings or in the states e s or specifications and that he assumes respon- ' gibility for work done by his agents, servants or employees. r .y y Signed. By INSPECTOR In consideration of the issuance to me of this permit I agree to perfgrm the work covered hereunder in compliance with all ordinances and regul ons pertaining th and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores lage. In ace p its permit I assume respon i ility for all work done by either myself, my agent, servant or employee. AP r I AUTHORITY