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1270 NE 100 St
C LDB[T[ BATH TUB[ 6 LAVA• TORI[B 61 SLOP $INK• LAUNDRY T UB• URINALS CATCH e ABIN FLOOR DRAIN DRINKING FOUNr'NB ... TOT.,L FIETI RES ----- CL 1 LI T T I l l -- CHECK 1 ' _ SEPTIC SEWER DRAIN SOAKAGE G SOLAR Our SPRKLR. 6W IM'O TANK CONN. FIELO PIT TRAP M WELL SYSTEM POOL CONTR. LIST - h clomp' CN I Penni. Nu... -4 /7 1 / 41 9 _ 14 'honer'[ Naive and Address Size Septic Tank__. Feet of Drain Tile .____ Amount of Permit $ STATE OF FLORIDA, ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT :I,phc.IiR 11 is Lerchy made for the approval of the detailed statement of the plans and specifications herewith subs ii"...-1 for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi; ! Shores Village, Florida, ..:d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic- of the Building Division of Miami Shores Village shall be complied a�'th, whet�l gr herein specified or not. A copy of approved plans and spec fications must be kept at 'wilding during progress of work. ' _Ce b 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) New Building Remodeling Date / VE No 12 -7 0 Street_ / .egist _red Architect and /or Engineer S 7 :mploying Plumber's Name f!!11An^ -t2 N0.• ft Bloch /+] ��� Su ® ® ® bdivlsio / u.__... - -.- -_I .- 7 V .. r treet -/ 0 2_5D i]A.Ihs . sef Addition..._..._ Repairs L- No of Stones _._... of Tank— Capacity ^ .als._ _Dist. Feet of Tank or Drain Field from Well ( s i )_.\ 5? 1 lied with the provisions thereof, and will require similar compliance from all contractors or sub - perfonned under this permit; and will post or cause to be posted for inspection on the site of requ by the Act. The undersigned agrees to employ only such sub- contr :; rs, on licensed by MIAMI Shores Village. Nature of Water Supply: City — Well .___ _-- ._..__....__.____ ._______- -__..Size of Soakage Pit My Commission Expires Notary Public, State of Florida Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an endloyei of lobo under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent rum lament, and ila, rs employed 1 y him in ' .: ‘A+ rk t+ b° such pub!: notice x no icer / s a: ' a this � rl.ril .0 . Mast .A Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per;grr: ; l ppearec. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........................... .. .. r of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all acts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re-inspection V made necessary by Improper notice for inspect!on, <Ir unit) materials and /or workmanship. BUILDING ❑ Date S ZZ ELECTRICAL El PLUMBING C6 PERMIT N? 10376 Contractor's 0 f ROOFING ❑ License No Owner of Building . k' c. r ` 0 Architect Contractor or Builder 110' • r- i r, 0.,;,.... .5......, 7 : c' Legal Lot Description 1 Bl Address of Building /©cs 1 2 ? c- f, c.. ) / Signed RAC • -.G 1 (I R or BUILDER MIAMI SHORES VILLAGE, FLORIDA r 19 Work to be performed under this Permit ' ,,., I, l e r 1 Subdi- vision Sq. Ft. .3 r Value of II Amount of Project $ 11 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 a sumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or diwings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants of employees.' SPECTOR) BY In consideration of the issuance to me of this permit I agree perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawing statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work do/ by either, myself,ast5;,agent, servant or employee. e ge 777.--i '."1/ "44— BY AUTHORITY •/ Permit No _1_ - Registered Architect and /or Engin Employing Plumber's Name __. ...... Size Septic Tank__ - P Feet of Drain Tile -__ !� _. __ Nature of Water Supply: City-Well. Amount of Permit $ __ _ STATE OF FLORIDA, as. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application i= hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herein described. This application is made in comphance 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 th Building Div"sion 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. J� Owner's Name and Address _ ___� _1__ No 714,4 Location and Legal Description Lot_____-_ _.____.______ —_ _ ____ Bl Subdivision_ -- - ______ Street and Number where work is to be performed -No /9-7 P i 1121_ r__Atreet State work to be performed and purpose of building (By Floors)... _. _ New Building —__ -- - - - -- - __ -_ -- Remodeling—__. _ -- - Addition--.- _ _ ___ ____ -_ -_ Repairs_ _Dist. Feet of Tank or Drain Field from Well. _ __ _ _ Si a of Soakage Pit v << (Signed)._ _ Date eb_ A)/ r _ _._ No. of Stories - Capacity Gals. 4-1„, P1Lmbing In.pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig.. + . s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perinanen Supplement, and I as 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 no'ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledge ents, personal) 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 .acts 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 U CATCH BASIN FLOOR DRAIN DRINK NO FOUNT' NS TOTAL F % TORES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FI ELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST CHECK Permit No _1_ - Registered Architect and /or Engin Employing Plumber's Name __. ...... Size Septic Tank__ - P Feet of Drain Tile -__ !� _. __ Nature of Water Supply: City-Well. Amount of Permit $ __ _ STATE OF FLORIDA, as. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application i= hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herein described. This application is made in comphance 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 th Building Div"sion 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. J� Owner's Name and Address _ ___� _1__ No 714,4 Location and Legal Description Lot_____-_ _.____.______ —_ _ ____ Bl Subdivision_ -- - ______ Street and Number where work is to be performed -No /9-7 P i 1121_ r__Atreet State work to be performed and purpose of building (By Floors)... _. _ New Building —__ -- - - - -- - __ -_ -- Remodeling—__. _ -- - Addition--.- _ _ ___ ____ -_ -_ Repairs_ _Dist. Feet of Tank or Drain Field from Well. _ __ _ _ Si a of Soakage Pit v << (Signed)._ _ Date eb_ A)/ r _ _._ No. of Stories - Capacity Gals. 4-1„, P1Lmbing In.pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig.. + . s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perinanen Supplement, and I as 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 no'ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledge ents, personal) 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 .acts 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.