Loading...
431 NE 100 St (2)r9 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 Mrs. _Gordon Registered Architect and /or Engineer__ Employing Plumber's Name A.B.C, _gip c--- T'aBJ_ SLY. 9_.___ -..._ No.._ - 312 Street__ N•W• -_3 St.. Location and Legal Description Lot- _ Block_____ Street and Number where work is to be performed —No 4 3 1 State work to be performed and purpose of building (By Floors) New Building ___ Remodeling_____ _ ___ Addition. Date 9 -1.2 No. _- - - - -_. -- street. N.E. 100th St. Subdivision Street N.E. 100th St. Repairs .Z No. of Stories. Size Septic Tank - - -- - -- Feet of Drain Tile 1 9 1 Nature of Water Supply: City—Well. Amount of Permit STATE OF FLORIDA, ss. COUNTY OF DADE. My Commission Expires Type of Tank _Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit - ( Signed )= Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ': tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per anen Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors mplo ed 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 ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be formed under this permit, as are licensed by Mimi Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and. says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of 81.00 will be made when such re- inspection is made•nec s'ary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SS INK SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURES GONTR. LIST !— -- CHECK • • SEPTIC. TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL Cowrie. CONT LIST CHECK '— -- r9 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 Mrs. _Gordon Registered Architect and /or Engineer__ Employing Plumber's Name A.B.C, _gip c--- T'aBJ_ SLY. 9_.___ -..._ No.._ - 312 Street__ N•W• -_3 St.. Location and Legal Description Lot- _ Block_____ Street and Number where work is to be performed —No 4 3 1 State work to be performed and purpose of building (By Floors) New Building ___ Remodeling_____ _ ___ Addition. Date 9 -1.2 No. _- - - - -_. -- street. N.E. 100th St. Subdivision Street N.E. 100th St. Repairs .Z No. of Stories. Size Septic Tank - - -- - -- Feet of Drain Tile 1 9 1 Nature of Water Supply: City—Well. Amount of Permit STATE OF FLORIDA, ss. COUNTY OF DADE. My Commission Expires Type of Tank _Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit - ( Signed )= Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ': tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per anen Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors mplo ed 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 ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be formed under this permit, as are licensed by Mimi Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and. says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of 81.00 will be made when such re- inspection is made•nec s'ary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ❑ ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot as CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, PERMIT N? 8915 Bl. Work to be performed under this Permit r 4 Subdi- vision FLORIDA Sq. Ft Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ BY AUTHORITY 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 regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Pennit No ` l / 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 LS11 iii_ a4Lttiz— COa___ —___ -- -- _- __- _._ ..... No._ x 47_ StreetI•L__l9_._3ta Registered Architect and /or Engineer __________ — __ Employing Plumber's Name - A,A T '( —. —_ — ________ No. __4 $ te _ Street_ Location and Legal Description Lot____ _______ _________ _ _ Blorti Street and Ntunber where work is to be performed —No State work to be performed and purpose of building (By Floors)_ New Building L______ ___ Remodeling_____ _______ Addition-- ______._ Repairs No. of Stories Size Septic Tank 600 -- Feet of Drain Tile 251 Nature of Water Supply: City —Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEK. APPLICATION FOR PLUMBING 3, MIT Amount of Permit $----------------- - -4.Q0 ___ ------ - - - - -_ _ — -- ( Signed STATE OF FLORIDA, I is. COUNTY OF DADE. (Signed)_ Date June 18 Subdivision-. Street gages 100 St. Type of Tank Capacity Gals _Dist. Feet of Tank or Drain Field from 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 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 'tice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, o T+ I rk to be perfumed I nde this permit, as are licensed by Miami Shores Village. My Conunission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly swom, 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. CI_OIIIETB BATH TUB6 SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUee URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST _X_.— - - - CHECK = Pennit No ` l / 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 LS11 iii_ a4Lttiz— COa___ —___ -- -- _- __- _._ ..... No._ x 47_ StreetI•L__l9_._3ta Registered Architect and /or Engineer __________ — __ Employing Plumber's Name - A,A T '( —. —_ — ________ No. __4 $ te _ Street_ Location and Legal Description Lot____ _______ _________ _ _ Blorti Street and Ntunber where work is to be performed —No State work to be performed and purpose of building (By Floors)_ New Building L______ ___ Remodeling_____ _______ Addition-- ______._ Repairs No. of Stories Size Septic Tank 600 -- Feet of Drain Tile 251 Nature of Water Supply: City —Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEK. APPLICATION FOR PLUMBING 3, MIT Amount of Permit $----------------- - -4.Q0 ___ ------ - - - - -_ _ — -- ( Signed STATE OF FLORIDA, I is. COUNTY OF DADE. (Signed)_ Date June 18 Subdivision-. Street gages 100 St. Type of Tank Capacity Gals _Dist. Feet of Tank or Drain Field from 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 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 'tice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, o T+ I rk to be perfumed I nde this permit, as are licensed by Miami Shores Village. My Conunission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly swom, 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.