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1217 NE 100 StBUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ill gaS A t;. s j Architect Contractor or Builder fit/ - J 1 c Legal Lot Description Address of Building / Z 1 MIAMI SHORES VILLAGE. FLORIDA DATE i/ 1 195 PERMIT N9 4642 Co ntractor's /6 el, License No. Work to be performed under this Permit Bl This permit is granted to the contractor or builder named above to construc 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 specif ti. s and that he assumes responsibility for work done by his agents, servants or employees. Signed. 6 INSPE •R In consideration of the issuance to me of this permit I agree to perform the work covered • reunder in compliance w : 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 respo } ilty for all work done by either, myself, my agent, servant or employee. BY 2 .• • f Subdi- vision Value of Project $ �}' Amount of Permit $ AUTHORITY aye Permit No _. —. Date ..._ 3—( e Application is hereby made for the approval of the detailed statement of trio plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confosracy 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 MIAMI SHORES VIA .AGE PLUMBING INSPECTION DEPARTMEi ?' APPLICATION FOR PLUMBING ACV Registered Architect and /or Engineer ..... _____�__ ___________�_. Employing Plumber's Name Location and Legal Description Lot--_-._— Block__ 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 No.1A _1._.Z_ Street__. 1 6 0 No._ - — Street--- _ - - --- -- _ - - - -. Subdivision__ -__ -_ Street Repairs No. of Stories ......................... Size Septic Tank L `- • - - -, - Feet of Drain Tile__A Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. j eC Type of Tank_ ___ ___C_i! Capacity Gals. Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ! � , ' � � (Signed)- ---- �-- -• -- --- .� .� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinanent 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 wJrk 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. 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 Tuns U RINALS 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 / G _ —.— CHECK .0 .LL ..i N/ it W Permit No _. —. Date ..._ 3—( e Application is hereby made for the approval of the detailed statement of trio plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confosracy 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 MIAMI SHORES VIA .AGE PLUMBING INSPECTION DEPARTMEi ?' APPLICATION FOR PLUMBING ACV Registered Architect and /or Engineer ..... _____�__ ___________�_. Employing Plumber's Name Location and Legal Description Lot--_-._— Block__ 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 No.1A _1._.Z_ Street__. 1 6 0 No._ - — Street--- _ - - --- -- _ - - - -. Subdivision__ -__ -_ Street Repairs No. of Stories ......................... Size Septic Tank L `- • - - -, - Feet of Drain Tile__A Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. j eC Type of Tank_ ___ ___C_i! Capacity Gals. Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ! � , ' � � (Signed)- ---- �-- -• -- --- .� .� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinanent 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 wJrk 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. 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. MIAMI 1HORES VILLAGE, FLA. N9 5238 ADDRESS A) ! S INSPECTION •� P `r c- ry 0 TIME READY 4t REMARKS: 7P INSPECTOR `'' DATE 1\" "'