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321 NE 100 St (7)Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request o 331 Type Insp'n Permit No. 1—, Z.. a - '\ D t Name �� Address 3 R 1 . C / D 0 Company Phone # �?f 1 0 3 For Inspector. ii .fie Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dal Time Type Insp'n / Permit No. p, '1_0 n 1 Z b a Name I• Address 3 l .. C V 0,./A Compan Phone # / For Inspector: ) 2/ / [7 t & Date Approved Correction Re- Insp'n Fee Date Type Insp'n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTM 305- 795 -2204 Building Inspection Req est Address -3 S\ M Company Phone # For Inspector A' ) Approved Correction Re- Insp'n Fee ,, C- )bow,: MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date � L I?')_ Time � n Type Insp' Permit No?/ 200 Nameii$ Address //////34 1 Th r C n 11 Company Phone # For Inspector:) / / ck Date Approved Correction ❑ Re- Insp'n Fee ❑ Date Type Insp' Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Address . 3 a — ) /j Company 1 (f) /2 01- Phone # For Inspector. Approved Correction Re- Insp'n Fee "-) OP), �vu Date Time Type Insp'n ), A Permit No. Name CO 5 L 1 > ) Company Phone # For Inspect Appro)ed Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request yu/EFT3 r: ate Permit No. __ 9 Location and Legal Description Lot ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Block 9 9 Subdivision Size Septic Tank. __O__D .�- Type of Tank crLC C t d�tt' -y� ___ _ ___ —__ Capacity Gals. Feet of Drain Tile 1 � - S F7t Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit 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 her 'specified or not. A copy of approved plans and specificatio ' . r}� must b kept at building during progress of work. f. Owner's Name and Address C ii R i C -; T -_ - - -- -- ---- - y co L, c. No Street Registered Architect and/or gineer -^� --_ - - -- �,( 0 s d v.dt : e /3 /6 t o Street Street and Number where work is to be performed —No I s Street - jf State work to be performed and purpose of building (By Floors) ___ __.i New Building V Remodeling Addition Repairs ___ __ No. of Stories _. _ 2_ / Amount of Permit $ ( Signed) _ __ 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 perfonned 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. • ( Signed )- 5 Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before nee, the undersigned authority, a notary public, duly authorized to administer oaths and'. tike 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 re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT' NS TOTAL FIXTURES CONTR. LIST / '. / +'f f� — _- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL 1- 4- -- F. / ..... . • CONTR. LIST / / VVV 3 ry Q� i.$.-q- CHECK Permit No. __ 9 Location and Legal Description Lot ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Block 9 9 Subdivision Size Septic Tank. __O__D .�- Type of Tank crLC C t d�tt' -y� ___ _ ___ —__ Capacity Gals. Feet of Drain Tile 1 � - S F7t Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit 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 her 'specified or not. A copy of approved plans and specificatio ' . r}� must b kept at building during progress of work. f. Owner's Name and Address C ii R i C -; T -_ - - -- -- ---- - y co L, c. No Street Registered Architect and/or gineer -^� --_ - - -- �,( 0 s d v.dt : e /3 /6 t o Street Street and Number where work is to be performed —No I s Street - jf State work to be performed and purpose of building (By Floors) ___ __.i New Building V Remodeling Addition Repairs ___ __ No. of Stories _. _ 2_ / Amount of Permit $ ( Signed) _ __ 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 perfonned 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. • ( Signed )- 5 Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before nee, the undersigned authority, a notary public, duly authorized to administer oaths and'. tike 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 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.