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144 NE 101 St (8)Company Phone # For Inspector: � Approved G ' Correction / ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n Permit No. Name Address / 7 / Ati f� / / 6 / Name / Address / Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Ins Permit No. For Inspector: L i e37 PP Na Date Approved / / Correction ❑ Re- Insp'n Fee ❑ ,6 Date Time Type Insp' Permit No. -- -Name Address / Company Phone # For Inspect Approv Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Permit No. �; , Name /4/ 1 Lj'� /tea L�Ci��'� A-- Address ) l J Company Phone # For Inspector: Approved 1 Correction Re- Insp'n Fee W/O # 134557 Permit Amount of Permit $ 15g, 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 Size Septic Tank__. -Type of Tangy ___ Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well. ...�._ Nature of Water Supply: City —Well Size of Soakage Pit. ( signed )_ �! _'!T^! .`" Ot. z 3 Date..._ 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. Owners Name and Address Shores Ghr3,stia Ch urch N 144 N. V, Street.. U1 Registered Architect and /or Engineer $ ryin pi '. N Pi C Gas Com_pana ....e No, .......e,..__..�.....�.. 25j b,.. /..Street Location and LegaltYon Lot 9 Bkx� -� SubdivWon.�, Repairs No. of Stories. ........ . 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 employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan 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 err required by the Act. The undersigned agrees to employ only such sub - contractors, work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) a� Master Plumber. STATE OF FLORIDA, 1 µ 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 what smolt misspeaks 1. mad•• seoa.a.ry by boyroper notice for Inspection, or faulty materials sad /or wal®amship. GLO.xTa BATH TUG[ SHOWERS LAVA• TORItl aINK• SLOP LAUNDRY Tun• U RINALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'Nf t� v w l ` o TOTAL RUPTURE[ Goan'. LIST • /5" Q CHECK w SEPTIC TANK SEWER Comm. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER O[ue WELL SPRKLR. SYSTEM •WIM•O POOL i" CONTR. LIST CHECK W/O # 134557 Permit Amount of Permit $ 15g, 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 Size Septic Tank__. -Type of Tangy ___ Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well. ...�._ Nature of Water Supply: City —Well Size of Soakage Pit. ( signed )_ �! _'!T^! .`" Ot. z 3 Date..._ 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. Owners Name and Address Shores Ghr3,stia Ch urch N 144 N. V, Street.. U1 Registered Architect and /or Engineer $ ryin pi '. N Pi C Gas Com_pana ....e No, .......e,..__..�.....�.. 25j b,.. /..Street Location and LegaltYon Lot 9 Bkx� -� SubdivWon.�, Repairs No. of Stories. ........ . 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 employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan 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 err required by the Act. The undersigned agrees to employ only such sub - contractors, work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) a� Master Plumber. STATE OF FLORIDA, 1 µ 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 what smolt misspeaks 1. mad•• seoa.a.ry by boyroper notice for Inspection, or faulty materials sad /or wal®amship. _ - -, CL �� ` BATH TU[• � LAVA- TORI S I NKS SLOP $INKS LAUNDRY TUE• UR CATCH BASIN FLOOR DRAIN ORINKINO FOUNT•N{ Dryer 4.00 V__ _— TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK S[wIR CONN. DRAIN FIELD SOAKAOL PIT 0 TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM eW IM'O POOL CONTR. L1R CHECK MIAMI" SHORES "VILLAGE PLUMBING INSPECTION DEPARTMENT APP! I:ATION FOP: PLUMBING PERMIT 2%0 Permit No `_ ( 3 - i _ Da te Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for tip 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.._.._._._.___ Rev : John Palmer Jr. No _ 144 StreetN: N.E. 101 St. Registered Architect and /or Engineer.. Employing Plumber's Name Tmapig.aS Iztc ___ . _ .._._ _ _.._.. No..._ 757_0...N_ Street...N..W.. 14 ._S.t.. Location and Legal Description Lot __. _._..___._._..___ _ _ _ Block... _ _..___..._ Subdivision Street and Number where work is t o be performed— No..._..__ _ _ __._..._____..__. ___ 144 Street N.E. 101 St. S t a t e work to be performed and purpose of building (By Floors) _ - - -. R . &S Dryer - Residence New.Bufding _ _,_._ ,_ _ ............._. Remodeling._.._ .... Addition. -._ Repairs No. of Stories Type of Tank. Capacity Gals.. Feet of Drain Tile._ ._--._._..__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit Size Septic Tank.._. -.-_ -.-- Amount of Permit $ 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 5968, Compiled General Laws of Florida Permanent Supplement, and lids com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors eI1eT 1n••••d by him in the •• +: b to hp performed under this pennit; and will post or cause to be posted for inspection on fhv site of the work such 4 nrli. or uuucl•■ as are required by the Act. The undersigned agrees to employ only such sub- contr:< rs, on work to be p -r'r• . 'older this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. (Signed). 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. My Commission Expires Notary Public, State of Florida ., yr fa ;:':y 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 wo[kmanship. Permit No. f ( I er 3Q_ (9 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 Registered Architect and /or Employing Plumber's Name Size Septic Tank___ Feet of Drain Tile_ Nature of Water Supply: City- Well.-------- _----------- _ __ - Amount of Permit $ /� 0 STATE OF FLORIDA, COUNTY OF DADE. 1 g ees------ _____ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No r 0 Location and Legal Description - z, Location and Number where work is to be performed -No 0 tat work to be performed and purpose of building (By Floors) 35Iecv.Building Remodeling_ __________.____ Addition Repairs No. of Stories Type of Tank_ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well __ ____Size of Soakage Pit ( Signed ) - -- 64 Plumbing Inspector. - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Penman- Supplement, and bus 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 tlie Act. The undersigned agrees to employ only such sub - contractors, on wprk to be performed undey this permit, as are licensed by Miami Shores Village. Date_ - - No. 1 — - - Street_iF--1 /0- / S ' -- Street-__ Su di ot► Street_-' 1 _ _ ka _t 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. er Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUB$ SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS I NAS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST T / CHECK -- - -- SEPTIC TANK SEWER • CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. UST / - -. CHECK Permit No. f ( I er 3Q_ (9 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 Registered Architect and /or Employing Plumber's Name Size Septic Tank___ Feet of Drain Tile_ Nature of Water Supply: City- Well.-------- _----------- _ __ - Amount of Permit $ /� 0 STATE OF FLORIDA, COUNTY OF DADE. 1 g ees------ _____ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No r 0 Location and Legal Description - z, Location and Number where work is to be performed -No 0 tat work to be performed and purpose of building (By Floors) 35Iecv.Building Remodeling_ __________.____ Addition Repairs No. of Stories Type of Tank_ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well __ ____Size of Soakage Pit ( Signed ) - -- 64 Plumbing Inspector. - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Penman- Supplement, and bus 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 tlie Act. The undersigned agrees to employ only such sub - contractors, on wprk to be performed undey this permit, as are licensed by Miami Shores Village. Date_ - - No. 1 — - - Street_iF--1 /0- / S ' -- Street-__ Su di ot► Street_-' 1 _ _ ka _t 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. er Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. Permit No./ :51 Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank Type of Tank_ - Feet of Drain Tile Nature of Water Supply: City —Well ion ........... Repairs._ Repairs .. ...... ...... Dist. Feet of Tank or Drain Field from Well (Signed) D No._ Street. Location and Legal Description Lot-.__.._.---- _ ... .. -____. -- Block__ _ ___ . _.-- _---- _------ _ -_ - -- Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)' New Building Remodeling Ad fLa pacity Gals. /4 Application is here ri for the approval of the detailed statement of the plans and specifications herewith sub .i'tte.J /for the building or other structure herein d cri ed. This application is made in compliance and conformity with the Building Ordinance of iami Shores Village, Florida and all provision 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 Shore 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. No._ ... Owner's Name and Address ---- -__._. - -- Registered Architect and /or Engineer Employing Plumber's Name Street . /0/St No. of Stories Plumbing . ector. The undersigned applicant for this • - •ng permit does hereby cer that he erstands and accepts his obligations as ^n ei • loyer of labor under the Florida Workmen's Compensation Act, being Section 5966, eral Laws of Florida Pennanent Supplement, and has corn - plied with the provisions thereof, and will require similar compliance •ntractors 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. Master Plumber. STATE OF FLORIDA, u. 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 tav therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Ltd materials and /or workmanship. CLOSET$ BATH TUBS SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT* NS TOTAL FIXTURES CONTR. LIST ---- CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WILL SPRKLR. SYSTEM SW IM'O POOL CoNTR. LIeT CHECK / Permit No./ :51 Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank Type of Tank_ - Feet of Drain Tile Nature of Water Supply: City —Well ion ........... Repairs._ Repairs .. ...... ...... Dist. Feet of Tank or Drain Field from Well (Signed) D No._ Street. Location and Legal Description Lot-.__.._.---- _ ... .. -____. -- Block__ _ ___ . _.-- _---- _------ _ -_ - -- Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)' New Building Remodeling Ad fLa pacity Gals. /4 Application is here ri for the approval of the detailed statement of the plans and specifications herewith sub .i'tte.J /for the building or other structure herein d cri ed. This application is made in compliance and conformity with the Building Ordinance of iami Shores Village, Florida and all provision 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 Shore 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. No._ ... Owner's Name and Address ---- -__._. - -- Registered Architect and /or Engineer Employing Plumber's Name Street . /0/St No. of Stories Plumbing . ector. The undersigned applicant for this • - •ng permit does hereby cer that he erstands and accepts his obligations as ^n ei • loyer of labor under the Florida Workmen's Compensation Act, being Section 5966, eral Laws of Florida Pennanent Supplement, and has corn - plied with the provisions thereof, and will require similar compliance •ntractors 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. Master Plumber. STATE OF FLORIDA, u. 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 tav 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 ❑ ' ELECTRICAL PLUMBING Owner of Building r Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA j ❑ PERMIT N° 15197 ❑ Work to be performed under this Permit fl , c 1 1 ioa. Signed- Subdi- vision Value of Project $ BY Contras of s License No. Amt. of Permit $ This permit is granted to the contractor or builder named above to nstruct the building or to install the equipment or device describ in herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with icfpal authorities. This Permit may be revoked at done by his agents, servants or employees. f tr I PECTOA!�_ . In consideration of tl1e issuance to me of this permit I agree to perform the work covered hereunder in compliance wit ordinances pertaining thereto and in strict conformity With the plans, drawings, statements or specifications submitted to the proper authorities of Miami In accepting this permit I assume responility f all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BtJILDER AUTHORITY ication ans, drawings, statements or specifications that may have been submitted to and approved by the proper time if the work is not done in compliance with such ordinances or if the plans are changed without A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibilittyy for a tI orough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or spe ifications goareaMaio ity for work y nd regulations hores Village. site 1/9'- Issued to " -{t -. ; iami cJhores�illage F L O B D A PLUMBING PERMIT N9 1029 ; t8 in s tall t he following described plumbing, in accordance with the laws, statutes and regu- t i a tion i s of ,, Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a_story ' °'' building at / 1 4 ,` Fixtures Fixtures $ Sewer $ *tic Tank $ ' 0 Total $ r (. C Village Plumbing Inspector C. /V Received Payment by fr. OWNER , pfd LOT BLOCK SUBDIVISION -. ,rf�4 �_ f ; t` r a .f . _- �.'� «w � .? ad V � 3 /02 $i / `. ' ,F� `'�' site 1/9'- Issued to " -{t -. ; iami cJhores�illage F L O B D A PLUMBING PERMIT N9 1029 ; t8 in s tall t he following described plumbing, in accordance with the laws, statutes and regu- t i a tion i s of ,, Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a_story ' °'' building at / 1 4 ,` Fixtures Fixtures $ Sewer $ *tic Tank $ ' 0 Total $ r (. C Village Plumbing Inspector C. /V Received Payment by fr. OWNER LOT BLOCK SUBDIVISION aiami cShores9llage F L 0 R 1 D A PLUMBING PERMIT •9 1029 Date Issued to to install the following described plumbing, in accordance with the laws, statutes and• regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a—Lstory building at Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ ./ . Village Plumbing Inspector Received Payment by Date Issued to cliami cShores9llage F I. 0 R I D A PLUMBING PERMIT t EA" 4-- to install the following described plumbing, in accordance with the lave lations of Miami Shores Village, Florida and the State of Florida, go drainage work done in Miami Shores Village,'Florj i ii For a l_story : ' p building J Fixtures i/ { i 1 , ' Fixtures 7 $ 4. i $ /. Sewer Septic Tank $ Total $ 6, 3 Village Plumbing Inspector Received Payment by OWNER LOT BLOCK ,° /. k r v mo d` _ : ..t da/0 ,! t 3 Date Issued to cliami cShores9llage F I. 0 R I D A PLUMBING PERMIT t EA" 4-- to install the following described plumbing, in accordance with the lave lations of Miami Shores Village, Florida and the State of Florida, go drainage work done in Miami Shores Village,'Florj i ii For a l_story : ' p building J Fixtures i/ { i 1 , ' Fixtures 7 $ 4. i $ /. Sewer Septic Tank $ Total $ 6, 3 Village Plumbing Inspector Received Payment by