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1351 NE 101 St (3)Permit No 1 104 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 regulation 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. Owners Name and Address Amount of Permit $ STATE OF FLORIDA, sa. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N /3s7 /VC: st .._. / _ a / S ' registered Architect and /or Engineer r /� �. ',Employing Plumber's Name �� ` . = - �N e Pl l 7 E5. NO,. � 8tteeL.V�� / • : -a -3 313 Location and Legal Description Lot_ /nork Sub�d ...--- __.._- __ __. Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By rs )_ g / �_4'� 0.61'02 Z 4'4' L 41.0 AX U/fR,6( + £ L o e47'4e • New Building Remodeling V - -__— Addition._ __._ Repairs No. of Stories Size Septic Tank ------------- •----- - - - -_— __..Type of Tank_ Feet of Drain Tile__.-- — - -__Dist. Feet of Tank or Drain Field from Well ----_-----• - -_ _ -- Nature of Water Supply: City — Well.-____-_-____. —_ --_ __—______Size of Soakage Pit f ro (siened)`i, AB W6 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 5988, Compiled General Laws of Florida Permanent £upi,lement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed I'y him in t! a work co b- performed under this permit; and will post or cause to be posted' for inspection on the site of e work such p bit^ notice or noticcr as are required by the Act. The undersigned agrees to employ only such sub - contractors, on a to be perfo d �ca this p'rinit, ari licensed by Miami Shores Village. Date...- ......— AP _7q Capacity Gals. _ Mascot Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personal;; uppeared' 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 hire stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $L00 will be made when such re-iaspeetilan is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. CLO[Ra BATH TUB[ SHOW[Ra LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tugs URINALS CATCH BASIN FLOOR DRAIN DRINK NO FOUNT'Ne TOTAL FIXTURES CONTR. LINT _— CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SWING POOL C ONTR. LIST — CHECK Permit No 1 104 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 regulation 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. Owners Name and Address Amount of Permit $ STATE OF FLORIDA, sa. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N /3s7 /VC: st .._. / _ a / S ' registered Architect and /or Engineer r /� �. ',Employing Plumber's Name �� ` . = - �N e Pl l 7 E5. NO,. � 8tteeL.V�� / • : -a -3 313 Location and Legal Description Lot_ /nork Sub�d ...--- __.._- __ __. Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By rs )_ g / �_4'� 0.61'02 Z 4'4' L 41.0 AX U/fR,6( + £ L o e47'4e • New Building Remodeling V - -__— Addition._ __._ Repairs No. of Stories Size Septic Tank ------------- •----- - - - -_— __..Type of Tank_ Feet of Drain Tile__.-- — - -__Dist. Feet of Tank or Drain Field from Well ----_-----• - -_ _ -- Nature of Water Supply: City — Well.-____-_-____. —_ --_ __—______Size of Soakage Pit f ro (siened)`i, AB W6 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 5988, Compiled General Laws of Florida Permanent £upi,lement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed I'y him in t! a work co b- performed under this permit; and will post or cause to be posted' for inspection on the site of e work such p bit^ notice or noticcr as are required by the Act. The undersigned agrees to employ only such sub - contractors, on a to be perfo d �ca this p'rinit, ari licensed by Miami Shores Village. Date...- ......— AP _7q Capacity Gals. _ Mascot Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personal;; uppeared' 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 hire stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $L00 will be made when such re-iaspeetilan is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA .UILDING ❑ DATE l 4 c 19 rLECTRICAL ❑ PERMIT N? 15856 Contractor's PLUMBING License No ROOFING ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ,J CJi jZ w1' M rte' 44 i ..►' Subdi- ' ,� vision i e : '( °' r Value of Amt. of { jr . mot / J : ' ' Project $ Permit $ permit is granted to the contractor or builder named above to C,( nstruct 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\ drawings or irj the statements or specifications and th3; he ssume responsibility for work done by his agents, servants or employees. ,, • ^°'"'°'"" Signed a a r f t _ .t` INSPECTO er° "t w ork covered hereunder In consideration of the issuance to me of this permit I agree t.: perform the compliance with all o dinances and regulations pertaining thereto and in strict conformity with the plans, drawings ,statements or specifications submitted to the proper authorities • Miami Shores Village. In accepting this permit I assume responsibility for all work• drntieliy either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER rte' BY AUTHORITY BUILDING ❑ ELECTRICAL ❑ PERMIT PLUMBING 1:1'' ROOFING Owner of Building Architect Contractor or Builder �.. Legal Lot II Bf Description Address of Building ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA N? 15048 Subdi- vision Value of Project $ '/ DATE 195 Contractor's License No Amt. Permit of $ BY AUTHORITY 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 • t_. L BY S "•'• 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 thereito 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building I & '� ❑ , PERMIT N° 14824 ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA u Subdi- vision Value of Project $ DATE Contractor's License No. Amt, of 91/ Permit $ / r ' 195 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. /.5 4/e Location and Legal Description Lot. and Number where work is to be performed —No 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 ai building during progress of work. Owner's Name and Address. - - --- - 9' -- Y - _ - - - -- - ---- - - - - -- No. Registered Architect and /or Eng Employing Plumber's Name ^° - -- ,�"' State work to be performed and purpose of building (By Fkrors)_- __........... New Building . -_ Remodeling Addition Repairs. Nature of Water Supply; City —Well Date Street Street - Subdivision ----------- - - - - -- �� street_ No. of Stories Size Septic Tank Type of Tank_ of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed Capacity Gals Amount of Permit $ i-cIt — � __ (Signed)_ 1-.- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ail employer of labor under the Florida Workmen's Compensation Act, being Section •5986, Compiled General Laws of Florida Permanent Supplement, and hi;..; :::in- 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 r -rmit, as are $tensed by Miami Shores Village. 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 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 Ltd materials and /or workmanship. CLOSETS BATH . TUBS SHOWERS LAVA- TORIES SINKS SLOP SINK. LAUNDRY TUeS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURE! CONTR. LIST — CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHICK Permit No. /.5 4/e Location and Legal Description Lot. and Number where work is to be performed —No 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 ai building during progress of work. Owner's Name and Address. - - --- - 9' -- Y - _ - - - -- - ---- - - - - -- No. Registered Architect and /or Eng Employing Plumber's Name ^° - -- ,�"' State work to be performed and purpose of building (By Fkrors)_- __........... New Building . -_ Remodeling Addition Repairs. Nature of Water Supply; City —Well Date Street Street - Subdivision ----------- - - - - -- �� street_ No. of Stories Size Septic Tank Type of Tank_ of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed Capacity Gals Amount of Permit $ i-cIt — � __ (Signed)_ 1-.- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ail employer of labor under the Florida Workmen's Compensation Act, being Section •5986, Compiled General Laws of Florida Permanent Supplement, and hi;..; :::in- 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 r -rmit, as are $tensed by Miami Shores Village. 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 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 Ltd materials and /or workmanship. BUILDING PERMIT NO. installation SEPTIC TANK NE[ INSTALLED BY of: OWNER OR CONTRACTOR LOT NO. ADDRESS OF WORK DEPARTMENT OF PUBLIC 1 .7• KS DIVISION OF PLUMING INSPECTION PERMIT NO. P DATE I herewith submit the following application for a permit covering the 7/fe, SOAK E PIT FEET OF DRAIN TILE BUILDING HAS STORES HOTPI, ROOMS TYPE OF TANK INSTALL-ED SIZE OF SOAKAGE PIT ADDITIONAL INFORMATION READY FOR INSPECTION: DATE APPROVED BY BLCCK ADDRESS CONDEMNED BY NEW ' OLD STORY ADDITION REMODELED STORE GARAGE APARTIV ENT HOTEL OFFICE BLDG. DUPLEX RESIDENCE GARAGE WASH FLOOR WASTE WATT, FRQ;I A OFFICES APTS. 'BEDROOM ADDRESS SUBDIVISION /ds - e - /Ai/ L /d/44 A tA f elTANK CAPACITY IN GALLONS PURPOSE OF SAME TIME Permit No._, v Amount of Permit $ Application is hereby made for the approval of the detailed statement of the plans and specifications herewi , ubnittted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordin.,j'e 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 .i building during progress of work. Owner's Name and Address 11 ___ Caa __ No Street Registered Architect and /or Engineer Employing Plumber's Name 6. 8 Location and Legal Description Lot _- _- _ -_____ Block_ Y___ ___________.___________________ Subdivision Street and Number where work is to be performed —No / 3 SY ___________ Street_ g / / State work to be performed and purpose of building (By Floors) _ New Building Jr Remodeling Addition__. Repairs Size Septic Tank Type of Tank_ _ Capacity Gals Feet of Drain Tile Nature of Water Supp ell MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date " A No 3 e / Street 5 « X- 4 .r t;`t. No. of Stories Dist. Feet of Tank or Drain Field from WeIL 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 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 an licensed by Miami Shores Village. 3 Size of Soakage Pit ( Signed)- (Signed) - Plumbing nspector. Master Plumber. STATE OF FLORIDA, ) i 10 COUNTY OF DADE. 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 Paul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS kaZ TOTAL FIXTURE! - - CONTR. LIST / ` 3 / / CHECK / � p j� j d� �y/ ( qq� ��d® c 74_ �J /S ® SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER ^ ^ DDEEP WELL SPRKLR. SYSTEM SW IM'O POOL 9 � CONTR. A r 4 LIST CHECK Permit No._, v Amount of Permit $ Application is hereby made for the approval of the detailed statement of the plans and specifications herewi , ubnittted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordin.,j'e 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 .i building during progress of work. Owner's Name and Address 11 ___ Caa __ No Street Registered Architect and /or Engineer Employing Plumber's Name 6. 8 Location and Legal Description Lot _- _- _ -_____ Block_ Y___ ___________.___________________ Subdivision Street and Number where work is to be performed —No / 3 SY ___________ Street_ g / / State work to be performed and purpose of building (By Floors) _ New Building Jr Remodeling Addition__. Repairs Size Septic Tank Type of Tank_ _ Capacity Gals Feet of Drain Tile Nature of Water Supp ell MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date " A No 3 e / Street 5 « X- 4 .r t;`t. No. of Stories Dist. Feet of Tank or Drain Field from WeIL 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 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 an licensed by Miami Shores Village. 3 Size of Soakage Pit ( Signed)- (Signed) - Plumbing nspector. Master Plumber. STATE OF FLORIDA, ) i 10 COUNTY OF DADE. 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Paul materials and /or workmanship. Permit No C 4' Application is hereby made for the approval of the detailed statement of the plans and specifications herewi submitted for the building or other structure herein described. This application'4 made in compliance and conformity with the Building Ordii/ ce of Miami Shores Village, Florida, and all provisions of the Laws of the State of 1orida, all or$i ances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shallye, wi specified or not. A copy of approved plans and specifications must be kept at building during progress of work. + Owner's Name and Address__ . ..) __ _r- _ Registered Architect and /or Engineer .- .:.. _________. Employing Plumber's Name____ ,L...1 '_tom No -- / 0 Street__✓ . -°. 5i. Location and Legal Description Lot ,-- Block Subdivision Street and Number where work is to be performed_NR L3 - Street 7/ State work to be performed and purpose of boring (B Floors) New Building Remodpingt t.'') \ Addition Repairs Amount of Permit "• f' STATE OF FLORIDA, COUNTY OF IbADE. *` ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Date__ /elJ o Street No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile A Dist. Feet o Tank or Drain Field from Well_.i , Nature of Water Supply: City —Well _ Size of Soakage it (Sigyed') Ther i3 plicant for this building permit does hereby certify that he un rstandt ailii ak3c.epts his obligations as an employer of labor under the Florida ork n's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn- plied with the pr isions ereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed un er this permit; d will posror cause to be posted for inspection on the site of the work such public notice or notices as are required by The undIrsigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are sed by M1imf•Shores Village:\ Plumbing Inspector. 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 by me first duly sworn, upon oath deposes and says that he is the of the above difscrilsed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hin e.stafed are Itu. - Iy;.Commission Expires Notary Public, State of Florida NOTi3: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or worlananship. --f A . CLOSETS BATH TUBS SHOWERS LAV, TORIES SINKS SLO- SINK LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST f CHECK .._. ti .. + ..: • - � n.. `[ o , : - .a...: r,r•oyy.•e "` ►�... ..,.,.. r . :w.., .v ` SEP IC TA K eSEV ESi CONN. Dpn` FIELD' SOAKAGE PIT GRE SE TRAP SOLAR H EATER DE P W F ELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No C 4' Application is hereby made for the approval of the detailed statement of the plans and specifications herewi submitted for the building or other structure herein described. This application'4 made in compliance and conformity with the Building Ordii/ ce of Miami Shores Village, Florida, and all provisions of the Laws of the State of 1orida, all or$i ances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shallye, wi specified or not. A copy of approved plans and specifications must be kept at building during progress of work. + Owner's Name and Address__ . ..) __ _r- _ Registered Architect and /or Engineer .- .:.. _________. Employing Plumber's Name____ ,L...1 '_tom No -- / 0 Street__✓ . -°. 5i. Location and Legal Description Lot ,-- Block Subdivision Street and Number where work is to be performed_NR L3 - Street 7/ State work to be performed and purpose of boring (B Floors) New Building Remodpingt t.'') \ Addition Repairs Amount of Permit "• f' STATE OF FLORIDA, COUNTY OF IbADE. *` ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Date__ /elJ o Street No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile A Dist. Feet o Tank or Drain Field from Well_.i , Nature of Water Supply: City —Well _ Size of Soakage it (Sigyed') Ther i3 plicant for this building permit does hereby certify that he un rstandt ailii ak3c.epts his obligations as an employer of labor under the Florida ork n's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn- plied with the pr isions ereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed un er this permit; d will posror cause to be posted for inspection on the site of the work such public notice or notices as are required by The undIrsigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are sed by M1imf•Shores Village:\ Plumbing Inspector. 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 by me first duly sworn, upon oath deposes and says that he is the of the above difscrilsed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hin e.stafed are Itu. - Iy;.Commission Expires Notary Public, State of Florida NOTi3: 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 worlananship. --f A . ~ ,