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PLUMBINGMIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ Date t t 19 P ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 9133 Contractor's ROOFING ❑ License No. Owner of Building ❑ Work to be performed under this Permit Architect Contractor or Builder • Legal Lox Description I I B1 f. A Address of :r Building 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. t Signed•` • v C ' % (INSPECTOR) BY 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. CONTRACTOR or BUILDER f3 4- A BY AUTHORITY Subdi- vision Sq. Ft. Value of Amount of Project $ I I Permit $ Date-- V6A 2 Z /Y7 Application is hereby ma fie 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 Ales and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved c i3lans and specifications must be kept at building during progress of work. �r - I 0" 77) (� - No. `'' O 0 Permit No V / Owner's Name and Address Registered Architect and /or Enginee ��1 - 11/kl Employing Plumber's Name Location and Legal Description Lot -- _- .-- - -__ Street and Number where work is to be performed—No._ State work to be performed and purpose of building (By Floors) New Building ._.____ Remodeling -- Size Septic Tank Feet of Drain Tile Amount of Permit $ Nature of Water Supply: City —Well. Type of Tank___ Capacity Gals. Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING P EMIT Street _/-f -EL 07( Sze . _elff c _44/ G Block r � � / Su bdivision.. ---_ 9 F!? 2 ' Street.:- /1� i ' , 1 Vc fic1_ax ��'4ht/a'[ - • boo -- (Signed ) Addition.________ Repairs No. of Stories 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 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 h public notice or notices as are required by the Act. The undersigned agrees to employ only such sub -contra :i�'ii work to work under this permit, as are licensed by Miami Shores Village. My Commission Expires � A re-inspection fee of $1 00 wi ll (Signed Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, C COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to a• , , ster 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. be made when such re- inspection is made • necessary by improper notice for inspection, or faulty a teruils / an or workmanship. CLOSE" TUBS TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING DRINK FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK • SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL I--- -- _ CONTR. LIST CHECK Date-- V6A 2 Z /Y7 Application is hereby ma fie 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 Ales and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved c i3lans and specifications must be kept at building during progress of work. �r - I 0" 77) (� - No. `'' O 0 Permit No V / Owner's Name and Address Registered Architect and /or Enginee ��1 - 11/kl Employing Plumber's Name Location and Legal Description Lot -- _- .-- - -__ Street and Number where work is to be performed—No._ State work to be performed and purpose of building (By Floors) New Building ._.____ Remodeling -- Size Septic Tank Feet of Drain Tile Amount of Permit $ Nature of Water Supply: City —Well. Type of Tank___ Capacity Gals. Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING P EMIT Street _/-f -EL 07( Sze . _elff c _44/ G Block r � � / Su bdivision.. ---_ 9 F!? 2 ' Street.:- /1� i ' , 1 Vc fic1_ax ��'4ht/a'[ - • boo -- (Signed ) Addition.________ Repairs No. of Stories 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 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 h public notice or notices as are required by the Act. The undersigned agrees to employ only such sub -contra :i�'ii work to work under this permit, as are licensed by Miami Shores Village. My Commission Expires � A re-inspection fee of $1 00 wi ll (Signed Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, C COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to a• , , ster 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. be made when such re- inspection is made • necessary by improper notice for inspection, or faulty a teruils / an or workmanship. Permit No STATE OF FLORIDA, COUNTY OF DADE. y Commission Expires 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 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. Location and Legal Description Lot. Block_ Street and Number where work is to be performed —No ../.3 State work to be performed and purpose of building (By Floors)_______ New Building v Remodeling Addition___ Amount of Permit $ a� _ (Signed) Date s ue 4 .No .J . . StreeL L & o s Owner's Name and Address Registered Architect and /or Engine ------------ __ -�__ — ____ -- Employing Plumber's Name - ?d__�t` -- -- No._l �l Street -1 -— g.5 - - - -_S- t!- ubdivlsion y� Street. /0/ F. /' , Repairs No. of Stories Size Septic Tank 0.0 - - - -- ® Type of Tank -_ et" 4_.4 _S _ 7 Capacity Gals .e .e O " S Feet of Drain Tile_ __> - aed _ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well .___ — C_1 � _______________ __.. Size of Soakage Pit 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 5966, Compiled General Laws of Florida Permanent Supplement, and has coin - 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. ee" (Signed) O //_ 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. Notary Public, State of Florida NOTE: A inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and / worlaaanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL —_— CONTR. LIST s ' rq � j� (� @ 0 ° i CHECK — L,(y d,pl Permit No STATE OF FLORIDA, COUNTY OF DADE. y Commission Expires 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 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. Location and Legal Description Lot. Block_ Street and Number where work is to be performed —No ../.3 State work to be performed and purpose of building (By Floors)_______ New Building v Remodeling Addition___ Amount of Permit $ a� _ (Signed) Date s ue 4 .No .J . . StreeL L & o s Owner's Name and Address Registered Architect and /or Engine ------------ __ -�__ — ____ -- Employing Plumber's Name - ?d__�t` -- -- No._l �l Street -1 -— g.5 - - - -_S- t!- ubdivlsion y� Street. /0/ F. /' , Repairs No. of Stories Size Septic Tank 0.0 - - - -- ® Type of Tank -_ et" 4_.4 _S _ 7 Capacity Gals .e .e O " S Feet of Drain Tile_ __> - aed _ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well .___ — C_1 � _______________ __.. Size of Soakage Pit 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 5966, Compiled General Laws of Florida Permanent Supplement, and has coin - 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. ee" (Signed) O //_ 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. Notary Public, State of Florida NOTE: A inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and / worlaaanship. r_— CLOSETS BATH TUNIS SHOWaRa LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tu.a URINALS CATCH BASIN FLOOR DRAIN DRINKI NO FOUNT'N• TOTAL FIXTURES — CONTR. LIST CHECK a SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. 5 SW I POOL COPTS . LIST X . �- CHECK Permit No m q 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 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. Ben Pumo Owner's Name and Address Registered Architect and /or Engineer Employing Pl bar's Name Brooks - American Sprinkler Co. 11 i a-` �o //bard — !3 Bloch / on and Legal ption Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By F1oors)__._.Lawn Sprinklers 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)-19611. Size of Soakage Pit Amount of Permit $-4211' ' ( Signed)_ 1.\730V 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 hat corn_ tractors employed by him in the wort- ro be work such public notice or notices as are be under this permit, as are plied with the provisions thereof, and will require similar compliance from all contractors or su performed under this permit; and will post or cause to be posted for inspection on the site of required by the Act. The undersigned agrees to employ only such sub - contractors, on licensed by Miami Shores Village. My Commission Expires 1500 Street N.E. 101 (Signed) No. 1500 s ired _ 101 #1418 2/6/87 Notary Public, State of Florida SubdivWon..AWA Master Plumber. STATE OF FLORIDA, se. 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 depose. and says that he is the ._.___._ .. _......._.._.... _ _.... —._ of the above described construction, that be 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 salads when wait rolsapeotfan r wade by bnproper notice for inspection, or faulty materials and /or worlmsanahip. Permit No. 3 3 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 Kenneth Dunning - No. 1500 N. E. Street 101 St. Registered Architect and /or Engineer _ _________ — ___ Employing Plumber's Name TroLJigas Amount of er Pmit $ 2.00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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_____ Addition Repairs No. of Stories. Septic Tank Type of Tank_____ Capacity Gals. Feet of Drain Tile _______ Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.______— _________________Size of Soakage Pit Installed tank & stand-by generator. No._ 2540 N . W. Street______ 29 Ave. (Signed) - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his orations 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 erfo ed under this permit, as are licensed by Miami Shores Village. Date 8-30-67 Street ( Signed)._ • 37 Master Plumber. STATE OF FLORIDA, ss, 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. 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 worlananship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS INALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST CHECK Permit No. 3 3 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 Kenneth Dunning - No. 1500 N. E. Street 101 St. Registered Architect and /or Engineer _ _________ — ___ Employing Plumber's Name TroLJigas Amount of er Pmit $ 2.00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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_____ Addition Repairs No. of Stories. Septic Tank Type of Tank_____ Capacity Gals. Feet of Drain Tile _______ Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.______— _________________Size of Soakage Pit Installed tank & stand-by generator. No._ 2540 N . W. Street______ 29 Ave. (Signed) - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his orations 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 erfo ed under this permit, as are licensed by Miami Shores Village. Date 8-30-67 Street ( Signed)._ • 37 Master Plumber. STATE OF FLORIDA, ss, 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. 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 worlananship. \ Permit No a / 71 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 Engineer Q .____._____ — _._ -- _ -^ � �_�2_ -`!tsl 4 , c q� , �/ Employing Plumber's Name_ -. ie— 2__ No.__ c i Street__ Location and Legal Description Lot_ -- ____.___ __.__ Block_ - -- _---- _ -_ --- Subdivision Street and Number where work is to be performed— No.____-_ — .J�.ad?' 4_a Street State work to be performed and purpose of building (By Floors) New Building V Remodeling---- - - - -_- _ -- Addition______ -_ Repairs Size Septic Tank Feet of Drain Tile_ 11 Nature of Water Supply: Well..__1_'..____________ __..Size of Soakage Pit .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 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, COUNTY OF DADE. o. 5 O MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank • Dist. Feet of Tank or Drain Field from Well (Signed)_ ( Signed) Date.. No._______ ..... Street. My Commission Expires Notary Public, State of Florida 57 l No. of Stories..__. r2 ................ Capacity Gals a,,dg., 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. 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 / -si lanansbip. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS ��/ AAIt URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS /Q� i IJ� s , t TOTAL FIXTURES CONTR. LIST (p 14 CHECK CK �/ 36-6 J 2 3 h Q� /-c°0 f� ,- ,Zs' SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL dw, cr ,fir,: Is• %/ 3� /5 -- CONTR. LIST 3 2 B+ � / tJ� I ° - C /ere) CHECK \ Permit No a / 71 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 Engineer Q .____._____ — _._ -- _ -^ � �_�2_ -`!tsl 4 , c q� , �/ Employing Plumber's Name_ -. ie— 2__ No.__ c i Street__ Location and Legal Description Lot_ -- ____.___ __.__ Block_ - -- _---- _ -_ --- Subdivision Street and Number where work is to be performed— No.____-_ — .J�.ad?' 4_a Street State work to be performed and purpose of building (By Floors) New Building V Remodeling---- - - - -_- _ -- Addition______ -_ Repairs Size Septic Tank Feet of Drain Tile_ 11 Nature of Water Supply: Well..__1_'..____________ __..Size of Soakage Pit .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 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, COUNTY OF DADE. o. 5 O MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank • Dist. Feet of Tank or Drain Field from Well (Signed)_ ( Signed) Date.. No._______ ..... Street. My Commission Expires Notary Public, State of Florida 57 l No. of Stories..__. r2 ................ Capacity Gals a,,dg., 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. 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 / -si lanansbip. Village m f Piami Shores N • ,cam ADDRESS / S 4 d /V g JOB INSPECTION TIME READY REMARKS e;- ( • :7g f C) ,ems? INSPECTOR 4006 DATE 1 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA 0 p,. PERMIT N9 2460 DATE Contractor's License No. /- 195 Work to be performed under this Permit B1 J Subdi- vision Value of Project $ Amount of 3 Permit $ °~ This permit is granted to the contractor or builder named above to construc 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6490