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229 NE 100 StAmount of Permit $ P. ^a to No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT IMP ( Signed )._ r ( Signed)- - -. - .6 -_ `. -- Date O -- -- 3 O 9 6 rY 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. //�u�� Ownbr's Name and Address _ - »! m . " No. __ C __ _- 4 /S Street__! 6 6 6 9 Registered Architect and /or Engineer - -_ _ ----•--------------- ,_------- _-_ •---- .-._. Employing Plumber's Name M P_ 7 1? ® n1 b No. _3 0 � _— _' " Street.._. S Location and Legal Description Lot._-.-_---._-.____._. ___-- Block Subdivisio - - - -_ - -: P Street and Number where work is to be performed -No 2 2 1t ' 0 Street.. it 3 State work to be performed and impose of building (By Floors)_.__.___) '1 A . l dal._. P.g d4 Pk) New Building - Remodeling____ - _______ Addition____ Repairs Capacity Gals My Commission Expires Notary Public, State of Florida v P t 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 Master Plumber. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennan� upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl yed 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 are licensed by Miami Shores Village. Plumbing Inspector. STATE OF FLORIDA, I COUNTY OF DADE. 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 inspection, or faulty materials and /or workmanship. CLosm3 BATH TUBS SHOWER[ LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE6 Comm. LIST CHICK •� SEPTIC TANK SEWER CONN• DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM BWIM'O POOL _ - CONTR. LIST -- _ . CHECK Amount of Permit $ P. ^a to No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT IMP ( Signed )._ r ( Signed)- - -. - .6 -_ `. -- Date O -- -- 3 O 9 6 rY 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. //�u�� Ownbr's Name and Address _ - »! m . " No. __ C __ _- 4 /S Street__! 6 6 6 9 Registered Architect and /or Engineer - -_ _ ----•--------------- ,_------- _-_ •---- .-._. Employing Plumber's Name M P_ 7 1? ® n1 b No. _3 0 � _— _' " Street.._. S Location and Legal Description Lot._-.-_---._-.____._. ___-- Block Subdivisio - - - -_ - -: P Street and Number where work is to be performed -No 2 2 1t ' 0 Street.. it 3 State work to be performed and impose of building (By Floors)_.__.___) '1 A . l dal._. P.g d4 Pk) New Building - Remodeling____ - _______ Addition____ Repairs Capacity Gals My Commission Expires Notary Public, State of Florida v P t 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 Master Plumber. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennan� upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl yed 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 are licensed by Miami Shores Village. Plumbing Inspector. STATE OF FLORIDA, I COUNTY OF DADE. 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 inspection, or faulty materials and /or workmanship. Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith suI fitted for The building or other structure herein described. This application is made in compliance and confonnity 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. New Building Nature of Water Supply: City —Well Amount of Permit $__ State work to be performed and purpose of building (By Floors) ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) No. a lrGr Date 7 l / I__J 6 e Street • a f dc-P Owner's Name and Address Registered Architect and /or Engi eer Employing Plumber's Name_ i ___NIi + ____ -- No.963 "- 2 Street . O.A � / . ' Location and Legal Description Lot_ __ _-y f ___A.__!__ Block 2.9 Subdivision.,. Street and Number where work is to be performed —No _a My Commission Expires Notary Public, State of Florida Remodeling Addition Repairs No. of Stories Size Septic Tank 4 Q -0 Type of Tank Capacity Cals. Feet of Drain Tile 1__Q - - Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Inspector. The undersigned applicant for this building permit does hereby certify that he ncerstands and accepts his obligations employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gneral Laws of Florida Permanent ip ment, 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 arc licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. 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 inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES ON CTR. ST LI / n i / _i___ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / CHECK Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith suI fitted for The building or other structure herein described. This application is made in compliance and confonnity 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. New Building Nature of Water Supply: City —Well Amount of Permit $__ State work to be performed and purpose of building (By Floors) ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) No. a lrGr Date 7 l / I__J 6 e Street • a f dc-P Owner's Name and Address Registered Architect and /or Engi eer Employing Plumber's Name_ i ___NIi + ____ -- No.963 "- 2 Street . O.A � / . ' Location and Legal Description Lot_ __ _-y f ___A.__!__ Block 2.9 Subdivision.,. Street and Number where work is to be performed —No _a My Commission Expires Notary Public, State of Florida Remodeling Addition Repairs No. of Stories Size Septic Tank 4 Q -0 Type of Tank Capacity Cals. Feet of Drain Tile 1__Q - - Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Inspector. The undersigned applicant for this building permit does hereby certify that he ncerstands and accepts his obligations employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gneral Laws of Florida Permanent ip ment, 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 arc licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. 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 inspection, or faulty materials and /or workmanship. Uti►n -r of Bui1dling Architect c onttpctor or Boulder Lot Deac iption. 1 MIAMI SHORES VILLAGE. FLORIDA DATE PERMIT 1V° 9637 Contractor's License No BL Addr of Value of Amt. of Build g Project $ Permit $ y' This permit is gr lted to the contractor or builder named above to construct the building or to install the equipment or device described in the application heref• in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, d gs, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any timsts 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 is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations g 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 his agents, servants or employees. Work to be performed under this Permit Subdi- vision BY AUTHORITY 195 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 'ng thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. this permit I allUipe responsibility for all work done by either, myself, my agent, servant or employee.