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350 NE 100 St (4)Amount of Permit $__ APPLICATION FOR PLUMBING PERMIT Permit No. ` ^ " Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit 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. r / �. Owner's Name and Address ____– .,:'L / ��_� r a1'�- �- s_c�� -' No y��_r______W Streetl�_.!'e• • f1.___�!»• -� Registered Architect and /or Engineer __ p E mploying Plumber's Name . No j4 • ' Stree �,lC�r_'r F'c _..c__ Location and Legal Description Lot__ 7 Blo ck Subdivision_________________ Street and Number where work is to be performed —No.__ u_�.1_� _________ Stree_ fi__ _1 ___ __ State work to be erformed and purpose of building Floors) ___- / 1�___a.L ,1 .if P P P g (By Floors Qr�.•r� l __ Z_It.2! New Building Remodeling Addition Repairs ____ No. of Stories My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT rr^ (Signed) .* e , .„,• "' t • Notary Public. State of Florida Size Septic T a n k _ _ _ _ _ w_______________ 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 Plu bing Inspector. The undersigned applicant for this building permit does hereby certify thft''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. / ,/*T (Signed)/ • ei• /Mastet Plember. 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 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 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 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKKGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM 5 IM'G OOL CONTR. LIST CHECK Amount of Permit $__ APPLICATION FOR PLUMBING PERMIT Permit No. ` ^ " Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit 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. r / �. Owner's Name and Address ____– .,:'L / ��_� r a1'�- �- s_c�� -' No y��_r______W Streetl�_.!'e• • f1.___�!»• -� Registered Architect and /or Engineer __ p E mploying Plumber's Name . No j4 • ' Stree �,lC�r_'r F'c _..c__ Location and Legal Description Lot__ 7 Blo ck Subdivision_________________ Street and Number where work is to be performed —No.__ u_�.1_� _________ Stree_ fi__ _1 ___ __ State work to be erformed and purpose of building Floors) ___- / 1�___a.L ,1 .if P P P g (By Floors Qr�.•r� l __ Z_It.2! New Building Remodeling Addition Repairs ____ No. of Stories My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT rr^ (Signed) .* e , .„,• "' t • Notary Public. State of Florida Size Septic T a n k _ _ _ _ _ w_______________ 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 Plu bing Inspector. The undersigned applicant for this building permit does hereby certify thft''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. / ,/*T (Signed)/ • ei• /Mastet Plember. 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 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 made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 2G2 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 submit 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 __ _xz Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot__ STATE OF FLORIDA, COUNTY OF DADE. j ss. :tip' No j;,11.7 S treetf__:`___1__._ Street and Number where work is to be performed —No. -_ 3 a Amount of Permit (Signed) No < - -_ -_ Scree �,.1i<< �► 1r', �.r Block Street ' / `��h – – State work to be performed and purpose of building (By Floors) – �L.t_' 1✓!�' L >r°' l.C/�Lt 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 —Well Size of Soakage Pit Date- f __ _Capacity Gals.___________________ — Plu bing Inspector. The undersigned applicant for this building permit does hereby certify thKhe 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. 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 workmanship. CLOSETS BATH TUDS 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 SOLAR HEATER DEEP WELL SPRKLR. SYSTEM S WO OOL CONTR. LIST CHECK 2G2 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 submit 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 __ _xz Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot__ STATE OF FLORIDA, COUNTY OF DADE. j ss. :tip' No j;,11.7 S treetf__:`___1__._ Street and Number where work is to be performed —No. -_ 3 a Amount of Permit (Signed) No < - -_ -_ Scree �,.1i<< �► 1r', �.r Block Street ' / `��h – – State work to be performed and purpose of building (By Floors) – �L.t_' 1✓!�' L >r°' l.C/�Lt 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 —Well Size of Soakage Pit Date- f __ _Capacity Gals.___________________ — Plu bing Inspector. The undersigned applicant for this building permit does hereby certify thKhe 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. 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 workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder . f MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 2295 Work to be performed under this Permit - Subdi- visio Legal Lot Bl. Description Address of 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 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 all work done by either myself, my agent, servant or employee. Value of Project DATE 1 , 1944_ Contractor's "— License No. Amt. of Permit CONTRACTOR BUILDER BY AUTHORITY • .+r BUILDING ELECTRICAL PLUMBING Owner of Building i s-- t.e: ..,;,,, Leg al Lot ' /- Description V Address of Building ) `) MIAMI SHORES VILLAGE, FLORIDA DATE 194 —J PERMIT ■9 1640 Work to be performed under this Permit Architect Contractor ~!' or Builder' 4 , • • r;. 1 BI. 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 she work covered hereunder in compliance with all ordinances and regula- ions pert • ing thereto and in strict conformity with the plans, drawings, stF3nents or specifications submitted to the proper authorities of Miami Shores tillage. ; j accepting this perm' assume responsibil' y for all work don i3y either myself, my agent, servant or employee. • Subdi- vision Value of Project • CONTRACTOR OR BUILDER /4, Contractor's License No. Amt. of Permit 4 ;07.,'" • BY AUTHORITY 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 _�____t__�'f' Registered Architect and /or Engineer Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot Block Subdivision_ ____ _________— _______ _____ _____ Street State work to be performed and purpose of building (By Floors) JJ ��__2_".._ _� ^ ' � �_' %. ' ` .f ;.__ . Street and Number where work is to be performed —No No �_�. Street Street sl New Building — Remodeling Addition Repairs 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 My Commission Expires • 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 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. (Signed) Date - - - -- _ ,� — STATE OF FLORIDA, 1 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. Notary Public. State of Florida No. of Stories Master 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 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 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 _�____t__�'f' Registered Architect and /or Engineer Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot Block Subdivision_ ____ _________— _______ _____ _____ Street State work to be performed and purpose of building (By Floors) JJ ��__2_".._ _� ^ ' � �_' %. ' ` .f ;.__ . Street and Number where work is to be performed —No No �_�. Street Street sl New Building — Remodeling Addition Repairs 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 My Commission Expires • 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 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. (Signed) Date - - - -- _ ,� — STATE OF FLORIDA, 1 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. Notary Public. State of Florida No. of Stories Master 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. Size Septic Tank Type of Tank Nature of Water Supply: City —Well Amount of Permit $_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - -(Signed) ` C_ — — (Signed) Permit No. Date j a 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 -0e4c x 1_ ' ' ' No. _ft .r:2__ Street_ Registered Architect and /or Engineer , ____+__ ._—_____________ _________ _____ Employing Plumber's Name ___ c'_,/+_ . � y � a lc 's� No., • _ )2 Street . Location and Legal Description Lot Block Subdivision______,_ Street and Number where work is to be performed —No ., _.> '' 21__ Street__ .1 - ' E State work to be performed and purpose of building (By Floors) __ /_ 4!'ef_2.! .r New Building Remodeling Addition Repairs No. of Stories Capacity Gals._________ ______ — -- — Feet of Drain Tile Dist. Feet o or Drain Field from Well Size of Soakage Pit. 1 Plust ing 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 permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA. 1 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 workmanship. 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 SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST � I T -/I/` CHECK Size Septic Tank Type of Tank Nature of Water Supply: City —Well Amount of Permit $_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - -(Signed) ` C_ — — (Signed) Permit No. Date j a 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 -0e4c x 1_ ' ' ' No. _ft .r:2__ Street_ Registered Architect and /or Engineer , ____+__ ._—_____________ _________ _____ Employing Plumber's Name ___ c'_,/+_ . � y � a lc 's� No., • _ )2 Street . Location and Legal Description Lot Block Subdivision______,_ Street and Number where work is to be performed —No ., _.> '' 21__ Street__ .1 - ' E State work to be performed and purpose of building (By Floors) __ /_ 4!'ef_2.! .r New Building Remodeling Addition Repairs No. of Stories Capacity Gals._________ ______ — -- — Feet of Drain Tile Dist. Feet o or Drain Field from Well Size of Soakage Pit. 1 Plust ing 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 permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA. 1 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 workmanship. Permit No._. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 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 building during progress of work. en Owner's Name and Address Registered Architect and /or Engineer ,cQd . Lt1L( Employing Plumber's Name J Location and Legal Description Lot_ __ Amount of Permit $ -= .......% My Commission Expires 9 4, 4 * , No 3 J ! r. , Street_ ___1 Street and Number where work is to be performed —No 3 rato Xr State work to be performed and purpose of building (By Floors)! New Building Remodeling Addition No. Z J -- -- ®X' Streets 17 _ Block (Signed) (Signed) Subdivision Size Septic Tank Type of Tank Capacity Gals. s StreeC___ egit L9-4 irs No. of Stories Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. 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 com- plied with the provisions thereof, and will require similar compliance from all cont r • ors or sub - contractors employed by him in t work to b performed under this permit: and will post or cause to be posted for inspection o he site f the su pu lic notice or no required by the Act. The under signed agrees to employ only such sub- contr. • .rs, on }�o e work be per i f fiVr ' licensed by Miami Shores Village. fff Notary Public, State of Florida lislostertatermtwr STATE OF FLORIDA, i 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. 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 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 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. en Owner's Name and Address Registered Architect and /or Engineer ,cQd . Lt1L( Employing Plumber's Name J Location and Legal Description Lot_ __ Amount of Permit $ -= .......% My Commission Expires 9 4, 4 * , No 3 J ! r. , Street_ ___1 Street and Number where work is to be performed —No 3 rato Xr State work to be performed and purpose of building (By Floors)! New Building Remodeling Addition No. Z J -- -- ®X' Streets 17 _ Block (Signed) (Signed) Subdivision Size Septic Tank Type of Tank Capacity Gals. s StreeC___ egit L9-4 irs No. of Stories Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. 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 com- plied with the provisions thereof, and will require similar compliance from all cont r • ors or sub - contractors employed by him in t work to b performed under this permit: and will post or cause to be posted for inspection o he site f the su pu lic notice or no required by the Act. The under signed agrees to employ only such sub- contr. • .rs, on }�o e work be per i f fiVr ' licensed by Miami Shores Village. fff Notary Public, State of Florida lislostertatermtwr STATE OF FLORIDA, i 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. 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.../.6 " building during progress of work. Owner's Name and Address - x!_11.. Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_ _K/ _ New Building_ APPLICATION FOR PLUMBING PERMIT v" /Pi"? Date_A(1�. 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 Street and Number where work is to be performed—No. _3 4._ 4 ! i f. C Remodeling STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly appeared SS. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT ?IAA.. No 3 a d No.p 1 / Street V Block State work to be performed and purpose of building (By Floors) 1 G c _e2 Street____ Subdivision_ Street___Z e _�__� Addition Re irs Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well via No. of Stories Nature of Water Supply: City —Well. .Size of Soakage Pit. Pp 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 contr ors or sub - contractors employed by him in t work to b performed under this permit; and will post or cause to be posted for inspection o the site •f the work su required by the Act. The under signed agrees to employ only such sub- contr,, .rs, on to be per licensed by Miami Shores Village. ic notice R/V 0 (Signed) A-- -- ."Iwg ""'�.. MessaislitefiviVrr 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 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 material's and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH AS FLOOR DRAIN DRINKING FOUNT'NS TOTAL FI %TURES 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 Permit No.../.6 " building during progress of work. Owner's Name and Address - x!_11.. Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_ _K/ _ New Building_ APPLICATION FOR PLUMBING PERMIT v" /Pi"? Date_A(1�. 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 Street and Number where work is to be performed—No. _3 4._ 4 ! i f. C Remodeling STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly appeared SS. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT ?IAA.. No 3 a d No.p 1 / Street V Block State work to be performed and purpose of building (By Floors) 1 G c _e2 Street____ Subdivision_ Street___Z e _�__� Addition Re irs Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well via No. of Stories Nature of Water Supply: City —Well. .Size of Soakage Pit. Pp 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 contr ors or sub - contractors employed by him in t work to b performed under this permit; and will post or cause to be posted for inspection o the site •f the work su required by the Act. The under signed agrees to employ only such sub- contr,, .rs, on to be per licensed by Miami Shores Village. ic notice R/V 0 (Signed) A-- -- ."Iwg ""'�.. MessaislitefiviVrr 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 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 material's and /or workmanship.