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37 NE 100 St (2)s. Architect Contractor k or Builder Q Legal Lot Description 11 B1., !" Address of Building / Signe MIAMI SHORES VILLAGE, FLORIDA BUILDING p PLUMBING ELECTRICAL ° 6 PERMIT N °• 9730 ROOFING ❑ Work to be performed under this Permit Owner of Building W ,ALL s Subdi- vision Sq Ft Value of 11 Amount of Project $ 11 Permit $ Date I 19 Clr" Contractor's License No. � °� 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,khown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants o) employees.; (- INSPECTOR) BY In consideration of the issuan 12 me of this permit I agree perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict con rmity with th plans, drawing statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit' f spons it o 11 work don by either, myself, my agent, servant or employee. CONT or BUILDER BY AUTHORITY MIAMI SHORES 1IILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. -- - ? _ _,_ Date � � r Application iE hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 _ . Employing Plumber's Name 'M (# M Size Septic Tank._ _ Feet of Drain Tile__ Nature of Water Supply: City —Well. _ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. W A J , cI _. No _ — 1 _ -__— Street- - NE / oQ kJ7 Location and Legal Description Lok___._____ _.— __._._._ _ ____._._.— Block_. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) _ _ _. New Building __ Remodeling � '' No._ � . 1_ Street . N _ Subdivision. Street_ __ _ E700 c—A - - - tO Addition_.__ _ _ ___ ____._.__ Repairs. ✓ - _ -- No. of Stories _ ___ __ _ Type of Tank Capacity Gals.. • Dist. Feet of Tank or Drain Field from Well._ . Size of Soakage Pit (Sign The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em • ed performed under this permit; and will post or cause to be posted' for inspection on the site of the work su required by the Act. The undersigned agrees to employ only such subcontractors, on i to be licensed by Miami Shores Village. ::robing :pecto. employer of labor ment, end 1 as com- im in the work to be otice or no'ices as are er this per nit, as are umber. Before me, the undersigned authority, a notary public, duly authorized to administ - oaths and take acknowledgn ents, personal! - 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 •acts 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 Tues U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL F'XTURES 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 MIAMI SHORES 1IILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. -- - ? _ _,_ Date � � r Application iE hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 _ . Employing Plumber's Name 'M (# M Size Septic Tank._ _ Feet of Drain Tile__ Nature of Water Supply: City —Well. _ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. W A J , cI _. No _ — 1 _ -__— Street- - NE / oQ kJ7 Location and Legal Description Lok___._____ _.— __._._._ _ ____._._.— Block_. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) _ _ _. New Building __ Remodeling � '' No._ � . 1_ Street . N _ Subdivision. Street_ __ _ E700 c—A - - - tO Addition_.__ _ _ ___ ____._.__ Repairs. ✓ - _ -- No. of Stories _ ___ __ _ Type of Tank Capacity Gals.. • Dist. Feet of Tank or Drain Field from Well._ . Size of Soakage Pit (Sign The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent S plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em • ed performed under this permit; and will post or cause to be posted' for inspection on the site of the work su required by the Act. The undersigned agrees to employ only such subcontractors, on i to be licensed by Miami Shores Village. ::robing :pecto. employer of labor ment, end 1 as com- im in the work to be otice or no'ices as are er this per nit, as are umber. Before me, the undersigned authority, a notary public, duly authorized to administ - oaths and take acknowledgn ents, personal! - 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 •acts 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. Own, Building Contractor jyr Builde - DesZription BUILDING ELECTRICAL PLUMBING '- Architect 1f Lot P RMIT N2 6281 Work to be performed under this Permit MIAMI SHORES VILLAGE, FLORIDA Bl. Subdi- vision DATE Contractor's / \ License No. 194L .,,,.,,,, Address of ‘„_,., ,,-,,,,,, .0' A .74. ( i Value of Building ....., I if l ' . ` - ` %.% \ Project Permit Amt. of , • .-./' r , , ...." This permit is gr ted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict c mpliance 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 respons ihty for a thorough knowledo‘6f the ordinances arid, ' . regulations pertaining to the work covered hereby whether shown on the plans o' dra ngs oriii at ments or specifications andat 'hi. assumes respon- sibility for work done by his agents, servants or employees. 4 A . .* , ,- IA Signed By4.. s . • . ...... V PEt OR ' In consideration of the issuance to me of this permit I agree to perforu1 the work covered hereunder in compliance with alj and 4egniati,ons pertaining thereto and in strict conformity with the plans, drawings, state ents or specifications submitted to the proper authorities of Miami Shoises(Villdge. In accep 7 g permit I atsume r spons ty for all work done by eith myself, my agent, servant or employee. ' , , OR AUTHORITY / , .46 ' ,,i, ' ' f',74.0W." , (.1 .,) tO Ihru.a.w.11 9 1 "e7":71'‘ j 4 Permit No I V% MIAMI SHQ4ES VILLA 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 741V2 (.-s) 0 a 1.) No 3 71 .,. Street / 0 0 37: Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No_ ______ 1 d 0 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile - 7_5 . Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ ss. (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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) Date 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 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 faultv materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUFTS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS TOTAL FIXTURES CONTR. LIST CHECK • SEPTIC SEWER TANK CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK j 4 Permit No I V% MIAMI SHQ4ES VILLA 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 741V2 (.-s) 0 a 1.) No 3 71 .,. Street / 0 0 37: Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No_ ______ 1 d 0 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile - 7_5 . Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ ss. (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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) Date 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 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 faultv materials and /or workmanship.