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258 NE 100 St (2)be ? Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °`w.MIT Date l ----• Z � 7 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. _ �j � ��2 a- __ _ • Owner's Name and Address- - - - /.' ° ! �- - �------ -- : •- ____ -_ � � ' ___...-- _- -._ -._ No._ �..__ g._ Street__ /° C S Registered Architect and /or En 'neer ________ —_ -- —_-_-•-------------------.---_--_---- Employing ms's Name .. /V 7r1 C r c e € 1 _ C p s ^ / No. -_ 7 t' - - - - - -- Street_ Amount of Permit $.... STATE OF FLORIDA, t es. COUNTY OF DADE. 1 ( Signed) (Signed). e da3a Location and Legal Description Lot________ — ___.__..___..____ __ _ - Block Subdivision ...___._..._ -_ Street and Number where work is to be performed- No.____. f — Street. -�- - State work to be performed and purpose of building (By Floors j _l d /i1 __ -__- i A► lf l' °° Sy .i ? as OGUI R e.. 1 0 New Building _- _- ___________ _ ____ -- Remodeling -_ -- 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._. )f `v Size of Soakage Pit Capacity Gals umbing Inspecto . The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio. an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S pplement, 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 vork to be performed under this permit, as are licensed by Miami Shores Village. 4,075eae,/ 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 hin; 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 SIN" SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST . CHECK be ? Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °`w.MIT Date l ----• Z � 7 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. _ �j � ��2 a- __ _ • Owner's Name and Address- - - - /.' ° ! �- - �------ -- : •- ____ -_ � � ' ___...-- _- -._ -._ No._ �..__ g._ Street__ /° C S Registered Architect and /or En 'neer ________ —_ -- —_-_-•-------------------.---_--_---- Employing ms's Name .. /V 7r1 C r c e € 1 _ C p s ^ / No. -_ 7 t' - - - - - -- Street_ Amount of Permit $.... STATE OF FLORIDA, t es. COUNTY OF DADE. 1 ( Signed) (Signed). e da3a Location and Legal Description Lot________ — ___.__..___..____ __ _ - Block Subdivision ...___._..._ -_ Street and Number where work is to be performed- No.____. f — Street. -�- - State work to be performed and purpose of building (By Floors j _l d /i1 __ -__- i A► lf l' °° Sy .i ? as OGUI R e.. 1 0 New Building _- _- ___________ _ ____ -- Remodeling -_ -- 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._. )f `v Size of Soakage Pit Capacity Gals umbing Inspecto . The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio. an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S pplement, 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 vork to be performed under this permit, as are licensed by Miami Shores Village. 4,075eae,/ 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 hin; 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. BUILDING ELECTRICAL PLUMBING RO9FING Owner of Building 41 1' Architect Contractor or BuildeJ Legal Description Address of Z Building Lot MIAMI SHORES VILLAGE. FLORIDA r ❑ DATE ❑ PERMIT N° 5685 Contractor's Liceise No. CONTRACTOR OR, BUILDER Work to be performed under this Permit B1 Signed 195 Subdi- vision Value of ei Project $ INSPECTOR BY 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 furthor 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 drawin s cr in the statements or specifications anci that he assumes responsibility for work done by his agents, servants or employees. BY; Amount of Permit $ 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 ac- cepting is permit I assume responsibility for all work done by either, myself qty o;�ent servant or, employee. z - £ / b f /' ' r t ' I +� . t, £ , ' J ✓� .,�, j i ,� i w: Y,.c."t/ r�v t 1 .4E. J AUTHORITY 6 0673 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • Permit No 7 2 Date 1/4 r? °1 l `/ 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 � f P , ' 7 ' No Street Registered Architect and /or Engineer Employing Plumber's Name__- ° yri�`�` '" - No Street Location and Legal Description Lot ______ __ _____ _______ Block Subdivision Street and Number where work is to be performed —No. Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank -__ Type of Tank Capacity Gals Feet of Drain Tile f Dist. Feet of Tank or Drain Field from Well Nature of Water Supplys -Well Size of Soakage Pit Amount of Permit $ ______ 2 _ ( Signed) ,,,T. � r .., c^ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he iYfiderstands and accepts his obligatiflis 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 are licensed by Miami Shores Village. , , STATE OF FLORIDA, t COUNTY OF DADE. ss. My Commission Expires (Signed) _ 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. Notary Public, State of Florida Master Plumber. 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 CONTR. LIST /eft` 1J CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SO •AR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL { +• i ' ` • � CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • Permit No 7 2 Date 1/4 r? °1 l `/ 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 � f P , ' 7 ' No Street Registered Architect and /or Engineer Employing Plumber's Name__- ° yri�`�` '" - No Street Location and Legal Description Lot ______ __ _____ _______ Block Subdivision Street and Number where work is to be performed —No. Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank -__ Type of Tank Capacity Gals Feet of Drain Tile f Dist. Feet of Tank or Drain Field from Well Nature of Water Supplys -Well Size of Soakage Pit Amount of Permit $ ______ 2 _ ( Signed) ,,,T. � r .., c^ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he iYfiderstands and accepts his obligatiflis 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 are licensed by Miami Shores Village. , , STATE OF FLORIDA, t COUNTY OF DADE. ss. My Commission Expires (Signed) _ 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. Notary Public, State of Florida Master Plumber. 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.