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230 NE 101 StBUILDING ELECTRICAL PLUMBING PERMIT N9 1267 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Description -- Address of Building MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project 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 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 regula- tions 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 alt work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY DATE 19 Contractor's License No - 1 Amt. of Permit AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Contractor or Builder Legal Description Lot t r Architect Building 234 Address of /� ' 1[ /(/ 7 MIAMI SHORES VILLAGE, FLORIDA DATE ((t / 1 - Contractor's License No PERMIT N? 1150 Work to be performed under this Permit Bl. Subdi- vision Value of Project 1_. 4 "(< Amt. of Permit 5: 7J" 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 , plication herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance 'th any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may 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 'on which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of ordinances and regulations pertaining to the work covered hereby whether shpw on the plan o drawings or in the statements or specifications and it he assumes responsibility for work done by his agents, servants or employees. [ Signed. // 4* (.// 4 * t ev B INSPECTO In consideration of the issuance to me of this permit I agree to perform the work covered hereund in compliance with all ordinances and regula- s pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores age. In a epting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. /14 ..-1 go . CONTRACTOR OR BUILDER BY AUTHORPl Permit No. . ___ / __ 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. Owner's Name and Address Canady No Street Registered Architect and /or Engineer Employing Plumber's Name Gaines Location and Legal Description Lot a _ Street and Number where work is to be performed —No 230 N. State work to be performed and purpose of building (By Floors) New Building _X Remodeling Addition Repairs No. of Stories- Size Septic Tank 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 Amount of Permit $_.5_.7.5 (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly ss. My Commission Expires No. 1L1_4 Street_ __ NE___2 Av.e . Block 34 Subdivision-_.jIQ.j.a,-}.j_—Shore E street-- 101at. -- _S ta_3- N Date__August___15,____1940 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 under signed agrees to employ only such sub - contractors, on work to b . pe • under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumber. 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 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. 2 1 1 1 1 6 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. . ___ / __ 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. Owner's Name and Address Canady No Street Registered Architect and /or Engineer Employing Plumber's Name Gaines Location and Legal Description Lot a _ Street and Number where work is to be performed —No 230 N. State work to be performed and purpose of building (By Floors) New Building _X Remodeling Addition Repairs No. of Stories- Size Septic Tank 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 Amount of Permit $_.5_.7.5 (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly ss. My Commission Expires No. 1L1_4 Street_ __ NE___2 Av.e . Block 34 Subdivision-_.jIQ.j.a,-}.j_—Shore E street-- 101at. -- _S ta_3- N Date__August___15,____1940 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 under signed agrees to employ only such sub - contractors, on work to b . pe • under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumber. 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 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT J y APPLICATION FOR PLUMBING PERMIT Permit No 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 Engi eee � r //��� � Employing Plumber's Name _ lJ'CA?t Location and Legal Description Lot_ W L.?c___g Block Street and Number where work is to be performed —No!_ %(/'t State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Size Septic Tank Type of Tank Amount of Permit $______ a Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires 112 No Ar V Street— Al W 14-74 _ (Signed) Date_ IZ 3 0 StreetMi '' /b /1- Subdivision Streetl_Y P 1, Repairs No. of Stories Capacity Gals..______ !Q - - - - -- — — — _____ (Si I> ilisesAlv Notary Public, State of Florida 1 / Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli a 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 under signed agrees to employ only such sub - contractors, on work to be perform under this ermit, as are licensed by Miami Shores Village. 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 /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS 1 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 SWIM'G POOL CONTR. LIST CHECK 40 0 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT J y APPLICATION FOR PLUMBING PERMIT Permit No 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 Engi eee � r //��� � Employing Plumber's Name _ lJ'CA?t Location and Legal Description Lot_ W L.?c___g Block Street and Number where work is to be performed —No!_ %(/'t State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Size Septic Tank Type of Tank Amount of Permit $______ a Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires 112 No Ar V Street— Al W 14-74 _ (Signed) Date_ IZ 3 0 StreetMi '' /b /1- Subdivision Streetl_Y P 1, Repairs No. of Stories Capacity Gals..______ !Q - - - - -- — — — _____ (Si I> ilisesAlv Notary Public, State of Florida 1 / Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli a 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 under signed agrees to employ only such sub - contractors, on work to be perform under this ermit, as are licensed by Miami Shores Village. 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 /or workmanship. JOB: : ett(Ate (Lk 2 el L /c (S✓ ADD: : WORK BUILDING • : DONE BY: • • • REQUEST FOR ELECTRICAL • INSPECTION ' WAS MADE PLUMBING The following is ready for Inspection: Inspector's eport: • • • • • • • • • • • • ( sae : WILL BE READY • • • 1 4- NOTE: REQUESTS FOR INSPEb IONS MUST BE MADE BY THE CONTRACTOR PERFORMING THE WORK. appeared Size Septic Tank__ Amount of Permit $ Permit No.. i 04) z 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 complieVwitJi, 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 Employing Plumber's Name --/ Location and Legal Description Lot ��jj Street and Number where work is to be performed— No.___a State work to be performed and purpose of building (By Floors) k STATE OF FLORIDA, COUNTY OF DADE. as. APPLICATION FOR PLUMBING PERMIT MIAMI SHORES VILLAGE My Commission Expires PLUMBING INSPECTION DEPARTMENT I L/ - Type of Tank _ New Building Remodeling Addition No. Street _At '7 7 Block Subdivisio egg /c Street_d__fs _ No. Repairs Capacity Gals. 1 Feet of Drain Tile � Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. (Signed) Date ---- ________ -- � --- ______ 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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this pgfmit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 aster 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 1 TOTAL FIXTURES CONTR. LIST - I "' , CHECK SEPTIC TANK EWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST `. CHECK / appeared Size Septic Tank__ Amount of Permit $ Permit No.. i 04) z 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 complieVwitJi, 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 Employing Plumber's Name --/ Location and Legal Description Lot ��jj Street and Number where work is to be performed— No.___a State work to be performed and purpose of building (By Floors) k STATE OF FLORIDA, COUNTY OF DADE. as. APPLICATION FOR PLUMBING PERMIT MIAMI SHORES VILLAGE My Commission Expires PLUMBING INSPECTION DEPARTMENT I L/ - Type of Tank _ New Building Remodeling Addition No. Street _At '7 7 Block Subdivisio egg /c Street_d__fs _ No. Repairs Capacity Gals. 1 Feet of Drain Tile � Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. (Signed) Date ---- ________ -- � --- ______ 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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this pgfmit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 aster 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. BUILDING : : WORK • DONE BY ELECTRICAL: PLUMBING Inspector's Report: - • • : REQUESTED • • • • • • • • • • The following is ready for Inspection: 1 k w : WILL 1 BE READY r • • • APPLICATION FOR PLUMBING PERMIT 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 Permit No 7 MIAMI SHORES VILLAGE Registered Architect and /or Engi eer Employing Plumber's Name building during progress of work / . r, f. Owner's Name and Address �' -' /%,' Location and Legal Description Lot --,; ; Street and Number where work is to be performed —No PLUMBING INSPECTION DEPARTMENT ,t . It ) No Block State work to be performed and purpose of building (By Floors) No. rr . �) .�;- – - -- -- — – -- –sue Street ' J J~ � y� � li Subdivision / ffl 1"' 1)'`' StreetJ_W e - le- , . a Street er /0 1 :1 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 Amount of Permit $- _____Z (Signed) My Commission Expires Capacity Gals. Nature of Water Supply: City —Well. Size of Soakage Pit 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. +i! � 4 / CI ,�r 7;' } ' 1r s 0,_. .+ (� $A r . Mast STATE OF FLORIDA, } COUNTY OF DADE. ss. 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 Plumbing Inspector. 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 U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK APPLICATION FOR PLUMBING PERMIT 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 Permit No 7 MIAMI SHORES VILLAGE Registered Architect and /or Engi eer Employing Plumber's Name building during progress of work / . r, f. Owner's Name and Address �' -' /%,' Location and Legal Description Lot --,; ; Street and Number where work is to be performed —No PLUMBING INSPECTION DEPARTMENT ,t . It ) No Block State work to be performed and purpose of building (By Floors) No. rr . �) .�;- – - -- -- — – -- –sue Street ' J J~ � y� � li Subdivision / ffl 1"' 1)'`' StreetJ_W e - le- , . a Street er /0 1 :1 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 Amount of Permit $- _____Z (Signed) My Commission Expires Capacity Gals. Nature of Water Supply: City —Well. Size of Soakage Pit 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. +i! � 4 / CI ,�r 7;' } ' 1r s 0,_. .+ (� $A r . Mast STATE OF FLORIDA, } COUNTY OF DADE. ss. 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 Plumbing Inspector. 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. ! 0 Employing Plumber's Name New Building Z Remodeling Amount of Permit $_i..s75 The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under sig1e�~ agree to employ only such licensed by Miami Shores Village. // /'� I SS. 1 My 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. Owner's Name and Address Ia. Fa_ Qanady No. Street Registered Architect and /or Engineer C,_ JG Gainer Location and Legal Description Lot 9 Block Street and Number where work is to be performed —No. 230 N. E, State work to be performed and purpose of building (By Floors) No.__1114_ Street NE 2_ Awl.. 34 Street__- 14182.t.s_ NE Addition Capacity Gals 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 Size of Soakage Pit. (Signed) Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be Perfo „med under this permit, as are Alb 2 (./ ' � e. c) �. : � 1 (Signed) Date Repairs No. of Stories_ __1 Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 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 therein by him stated are true. foregoing application, and that he did sign the same, and that all facts 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 2 2 1 i� 1 1 1 V CHECK SEPTIC TANK SEWER CONN. DRAIN F IELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. ! 0 Employing Plumber's Name New Building Z Remodeling Amount of Permit $_i..s75 The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under sig1e�~ agree to employ only such licensed by Miami Shores Village. // /'� I SS. 1 My 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. Owner's Name and Address Ia. Fa_ Qanady No. Street Registered Architect and /or Engineer C,_ JG Gainer Location and Legal Description Lot 9 Block Street and Number where work is to be performed —No. 230 N. E, State work to be performed and purpose of building (By Floors) No.__1114_ Street NE 2_ Awl.. 34 Street__- 14182.t.s_ NE Addition Capacity Gals 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 Size of Soakage Pit. (Signed) Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be Perfo „med under this permit, as are Alb 2 (./ ' � e. c) �. : � 1 (Signed) Date Repairs No. of Stories_ __1 Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 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 therein by him stated are true. foregoing application, and that he did sign the same, and that all facts 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.