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1240 NE 100 StMIAMI SHORES VILLAGE, FLORIDA o BUILDING DATE. d I ( . 19 PLUMBING o PERMIT ROOFING ❑ t" �/ Work to be performed under this Permit Owner of Building '2�1� -�- LA9 --r Architect Contractor; or Builder'` i0 2 t.1.. Legal Lot Description Bl N° 6442 Signed. tt -, Contractor's , _. License No. Subdi- vision Address of � — Value of 1 Amount of Building 1 a 4 -1 1 0 0 •2'1 Project $ 1 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. ,-- 0 --- d" INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance 41th 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 ell work done by either, myself, my agent, servant or employee. t CONTRACTOR OR BUILDER BY AUTHORITY A. soT BUILDING ❑ ELECTRICAL PLUMBING ROOFING Owner of Building ` MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 15308 Contractor's License No ❑ Work to be performed under this Permit Architect Oontractor • or Builder " Legal Lot II BI. Description Address of Building Subdi- vision Value of Project $ 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. CONTRACTOR OR BUILDER 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. DATE // BY Amt. of Permit BY AUTHORITY 195 Permit No. S building during progress of work. y 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 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 Owner's Name and Address..._. A No Street Registered Architect and /or Engineer .._. Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_ Nature of Water Supply: City —Well No. Block_ _____ New Building - ._. Remodeling Addition.-._ .. .......... .. -. Repairs. Size Septic Tank-.._ o Type of Tank_ - Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL Size of Soakage Pit Amount of Permit $ (Signed) (Signed) Date f Street.. Subdivision .... .... No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understan d accepts his obliga'ions as N. employer of labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and hus c ..n- 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 pubhc 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 t'. rmit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally . *ppeare 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 tat. therein by him stated are true. mmission Expires Notary Public, State of Florida NOTE: A r inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Ltd materials and / ' workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TU08 U RI HALO CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE* CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 0 POOL CONTR. LIST CHECK Permit No. S building during progress of work. y 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 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 Owner's Name and Address..._. A No Street Registered Architect and /or Engineer .._. Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_ Nature of Water Supply: City —Well No. Block_ _____ New Building - ._. Remodeling Addition.-._ .. .......... .. -. Repairs. Size Septic Tank-.._ o Type of Tank_ - Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL Size of Soakage Pit Amount of Permit $ (Signed) (Signed) Date f Street.. Subdivision .... .... No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understan d accepts his obliga'ions as N. employer of labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and hus c ..n- 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 pubhc 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 t'. rmit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally . *ppeare 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 tat. therein by him stated are true. mmission Expires Notary Public, State of Florida NOTE: A r inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Ltd materials and / ' workmanship.