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1180 NE 100 St (9)Permit No.__ -- 7 O 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 E Employing Plumber's Name___ Location and Legal Description Lot - - - -- Street and Number where work is to be performed —No ,L) 2) '1 .0 Street State work to be performe8 and purpose of building (By Floors)__ New Building Remodeling___ ___ Addition._._ Repairs Size Septic 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 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. d MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT lL. (Signed)_ No.�__------ - - - - -- _ -- Street No. -- - —_ —_ _ Street Plumb The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennanent Supple plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by 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 this licensed by Miami Shores Village. ( Signed )------ __ _1/L__J_- . Date______ // b 40 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 No. of Stories NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inset. materials and /or workmanship. s pecto oyer of labor and has corn - in the work to be or notices as are permit, as are Mfister Plumber. m, or faulty CLOSETS BATH Tues SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY rues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN PIELO SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CoNTR. LIST CHECK Permit No.__ -- 7 O 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 E Employing Plumber's Name___ Location and Legal Description Lot - - - -- Street and Number where work is to be performed —No ,L) 2) '1 .0 Street State work to be performe8 and purpose of building (By Floors)__ New Building Remodeling___ ___ Addition._._ Repairs Size Septic 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 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. d MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT lL. (Signed)_ No.�__------ - - - - -- _ -- Street No. -- - —_ —_ _ Street Plumb The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennanent Supple plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by 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 this licensed by Miami Shores Village. ( Signed )------ __ _1/L__J_- . Date______ // b 40 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 No. of Stories NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inset. materials and /or workmanship. s pecto oyer of labor and has corn - in the work to be or notices as are permit, as are Mfister Plumber. m, or faulty BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building 11 n Architect Contractor or Builder Legal Lot II BI. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 13878 Work to be performed under this Permit Subdi- vision Value of Project $ BY DATE 195 Amt. of Permit $ AUTHORITY Contractor's License No 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. Signed • """`.'. BY 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. Permit No. Amount of Permit $ 2.5/ 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 m 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address - ,tai `x/l!lr'e'`� J/ 2/ • �z^ No 11 O Street /G O .�� Registered Architect and /or Engine N e - tNe. Employing Plumber's Name No . Street 2 E:�3;:d �: ittALEAH - Location and Legal Description Lot__ _. _ 5r� Block Subdivision 11I7I - -- Street and Number where work is to be performed —No 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 a o - - -l1 ' Dist. Feet of Tank or Drain Field from WelL Nature of Water Supply: City —Well Size of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understand d accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws f 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, ss_ COUNTY OF DADE. ( Signed) _ / v ,� Date___ f Street 1 Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fat 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 faul materials and /or workmanship. CLOSETS BATH TUBS SH LAVA- TORIES SINKS N SLOP SINKS LAUNDRY Turn; BS 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 SW IM'G POOL LAST C LtST CHECK 0 . Permit No. Amount of Permit $ 2.5/ 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 m 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address - ,tai `x/l!lr'e'`� J/ 2/ • �z^ No 11 O Street /G O .�� Registered Architect and /or Engine N e - tNe. Employing Plumber's Name No . Street 2 E:�3;:d �: ittALEAH - Location and Legal Description Lot__ _. _ 5r� Block Subdivision 11I7I - -- Street and Number where work is to be performed —No 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 a o - - -l1 ' Dist. Feet of Tank or Drain Field from WelL Nature of Water Supply: City —Well Size of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understand d accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws f 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, ss_ COUNTY OF DADE. ( Signed) _ / v ,� Date___ f Street 1 Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fat 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 faul materials and /or workmanship. BUILDING ELECTRICAL PLUMBING R QOFI Architect Contractor or Builder Legal Description Address of i t Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. PERMIT ■9 5009 Owner of Building Lot Bl Work to be performed under this Permit ��'��' 14— 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 ors eificationsand that he assumes responsibility for work done by his agents, servants or employees. // Subdi- vision Value of Project $ FLORIDA DATE e 6 1957 Contractors ' License No. ' 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 ace cepting'thi�permit,I assume responsibility for all work done by either, mself,,my agent, servant or employee. , BY } " ' Amount Permit $ o / R t. BY AUTHORITY 6