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1460 NE 101 St (12)BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA DATE ' � 19 o PERMIT N9 4202 Contractor's o License No. ?' ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Description II Bl Subdi- vision Address of - Value of 11 Amount of Building Project $ 11 Permit $ s 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed. 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 ac. cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ASSOT C1-"Ire BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS p°_ � _W r �S 1` TOTAL FIXTURES ale R ,� /� 1 7$ ^- �'(( JJ ',' � CHICK � A Z 5 iso i 5 �. -- �_- 5 — 7 .� _ - -_ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP ER lip. DEEP WELL SPRKLR. SYSTEM SWIM•G POOL �Y 'D �7 • � CONTR. LIST O 4° 5A Pre re .4. ; 6 D `! CHICK - Permit No Application is hereby m for the approval of the detailed statement of the plans and specifications he th • bmitted or the building or o er structure herein descri This application is made in compliance and conformity with the Building Ordinance of Miam 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 wor Owners Name and Address_ - -- ______ _____ No-i_ _OA__.__ _____ Street Registered Architect and /or Engine, .. d a� Employing Plumber's Name n _ �.____� No. _L, _ f Location and Legal Description Lot. ______ .____._ Block Street and Number where work is to be performed—No 7b T State work to be performed and purpose of building (By Floors)_ ew Building. Remodeling —_ ___ Addition. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. STATE OF FLORIDA, f COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT My Commission Expires _Type of The undersigned applicant for this building permit does under the Florida Worlanen's Compensation Act, being Section 5 plied with the provisions thereof, and will require similar compliance from performed under this permit; and will post or cause to be posted' for inspection on the required by tlie Act. The undersigned agrees to employ only such sub- contractors licensed by Miami Shores Village. Street _Dist. Feet of Tank or Drain Field from Well 15 5 j Ision , • s ,p Repairs No. of Stories Capacity Gals - Size of Soakage Pit rstands and accepts his obligations an empl yer /f labor Laws of Florida Permanent Supplement, dAiias com- rs or sub - contractors employed by him in t e work to be site of the work such public notice or notices as are on work to be performed uz}der this permit, are Master Plumbe 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 $$hove 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 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.