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1270 NE 100 St (6)Permit No ' 1r3 Size Septic Tank_-___ Feet of Drain Tile._ Nature of Water Supply: City -Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 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 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 ._______ _ ' --..-^-7- L 6 5 - - - -- __ - - -_ No. /___ -L_ -- _- . - -� -- Street / Registered Architect and /or E A ineer J k_ . C 0� S Employing Plumber's Name_ - _ �" _ - - ._ L- S No.--/ _ SIrlf _S)-.__ J ' treat- Location and Legal Description Lot__________ _3______. Bloc / Subdivision__ L /IU 1 /49 ge -r Street and Number where work is to be performed -No ( I— Street g__.0 v i State work to be performed and purpose of building (By Floors) New Building _.._ _._ Remodeling_ Addition____ Repairs (Signed)_ Date 2 3 L-5 r . My Commission Expires Notary Public, State of Florida No. of Stories- - ----- -- --- - -- - - __Type of Tank Capacity Gals._ _--_Dist. Feet of Tank or Drain Field from Well ------ _ ---_ -� —_ -- - Size of Soakage Pit Plum g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supple ent, 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- contractor . on work to rmed under this perinit, as are licensed by Miami Shores Village. 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for insp - or faulty materials and /or workmanship. CLOSETH BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY rues UR 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 FOOL Pi PI eM_ ^ _ - - -- CONTR. LIST CHECK Permit No ' 1r3 Size Septic Tank_-___ Feet of Drain Tile._ Nature of Water Supply: City -Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 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 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 ._______ _ ' --..-^-7- L 6 5 - - - -- __ - - -_ No. /___ -L_ -- _- . - -� -- Street / Registered Architect and /or E A ineer J k_ . C 0� S Employing Plumber's Name_ - _ �" _ - - ._ L- S No.--/ _ SIrlf _S)-.__ J ' treat- Location and Legal Description Lot__________ _3______. Bloc / Subdivision__ L /IU 1 /49 ge -r Street and Number where work is to be performed -No ( I— Street g__.0 v i State work to be performed and purpose of building (By Floors) New Building _.._ _._ Remodeling_ Addition____ Repairs (Signed)_ Date 2 3 L-5 r . My Commission Expires Notary Public, State of Florida No. of Stories- - ----- -- --- - -- - - __Type of Tank Capacity Gals._ _--_Dist. Feet of Tank or Drain Field from Well ------ _ ---_ -� —_ -- - Size of Soakage Pit Plum g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supple ent, 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- contractor . on work to rmed under this perinit, as are licensed by Miami Shores Village. 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for insp - or faulty materials and /or workmanship. MIAMI S 1-1 ES VILLAGE BUILDING INSPEC ION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 hereif► specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address M2 S Street and Number where work is to be done ■ - c —� —s Registered Architect and /or Engineer.....- .. TA F S Name and address of licensed contractor_.. _.._ .V _ —e.0 , L 0-0 L /5 J 0 L— l z 3 S Location and legal description of lot to be built on: Lot 3 Block /t)6 / O0 2¢ S% State work to be done and purpose of trying (by floors) VC. C-' . T - ' r 4.1/N /d/ G• \ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of g IJv Ati<nTXfoundati9n Roof Covering Estimated Total cost of improvements $ 400 D Amount of Permit -- 1-0?/ 3 Q Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit 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, Pennanent Supplement, and has complied 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 ins ection o he site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only suc s . w•nctors, o wA to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 tru Permit No /35 Date ead, Sworn to and Subscribed before me. Disapproved te. (Signed) Subdivision rAkt / av&'TD Ca-0 az= S Building Inspector 1 My •mmission Expires PLANNING Bj' D ' ATE Chairman Member Member Member Member .. .. Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged whersuclj re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Date.. 8 No 17-70 7 / Notary Public, State of Florida Street_ / Od '59..._... to me well known,