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456 NE 100 Sto21 Permit N New Building Remodeling Addition 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 I ► be complied with, whether herein specified or n . y of :o owed plans and specifications must be kept at building duri :_ he progreof work. . ,,� Owner's Name and AddressC �/ 11/1 G 4 c / C' ( V / (ter?? r 7 3 C� 1 l• T ��� Na No . Street — Registered Architect and /or Engin m to i g P r �� /I /11 t A� t rioNee /' « S� � /\/ :L -- rJve l ber's Name f7)13 /- - T i C Anil( No. Street Location andZegal Descnption Lot r1 .7 / s'- )'✓�v v Block l Subdivision V JZ Street and Number where work is to be performed — No. 4-G ! 1©L Zr � � Street State work to be performed and purpose of building (By Floors) I...- ` ( 300 f R Ar M , et. 7 ;7 -load Date 3 */ 9 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 - W Amount of Permit $ 2 a J Size of Soakage Pit (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 complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to b 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 :. quired by t • Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miam ores Villa: -. (Signed ��i� a _ 7 j 71111 STATE OF FL? IDA, COUNTY OF M ADE. ss. 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $25.00 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 FOUNTAINS 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 o21 Permit N New Building Remodeling Addition 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 I ► be complied with, whether herein specified or n . y of :o owed plans and specifications must be kept at building duri :_ he progreof work. . ,,� Owner's Name and AddressC �/ 11/1 G 4 c / C' ( V / (ter?? r 7 3 C� 1 l• T ��� Na No . Street — Registered Architect and /or Engin m to i g P r �� /I /11 t A� t rioNee /' « S� � /\/ :L -- rJve l ber's Name f7)13 /- - T i C Anil( No. Street Location andZegal Descnption Lot r1 .7 / s'- )'✓�v v Block l Subdivision V JZ Street and Number where work is to be performed — No. 4-G ! 1©L Zr � � Street State work to be performed and purpose of building (By Floors) I...- ` ( 300 f R Ar M , et. 7 ;7 -load Date 3 */ 9 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 - W Amount of Permit $ 2 a J Size of Soakage Pit (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 complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to b 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 :. quired by t • Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miam ores Villa: -. (Signed ��i� a _ 7 j 71111 STATE OF FL? IDA, COUNTY OF M ADE. ss. 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING jr PERMIT Np 9813 ROOFING ❑ Owner of Architect Contractor or Builder Legal Description Address of Building Lat r, r Work to be performed under this Permit 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 shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed (INSPECTOR) BY In consideration of the issuance to me of this periptit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plan, 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. t CONTRACTOR or BUILDER Subdi- vision Sq. Ft. Value of Project BY 4: Contractor's License No. 11 Amount of 11 Permit $ AUTHORITY Permit No. 91/ _ _ - it/&2/7 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 Registered Architect and /or Eng eer Employing Plumber's Name___ er a / 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 Location and Legal Description Lot_ Size Septic Tank Feet of Drain Tile Amount of Permit $ Nature of Water Supply: City—Well Addition (SL d) _ _ ?- (Signed Street. ) - Street Date . - .......................... Street__ /0 0 Subdivision C /00 Repairs No. of Stories 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 Kis obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and Ilas 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 w'rk to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. j 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 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 UR 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. 91/ _ _ - it/&2/7 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 Registered Architect and /or Eng eer Employing Plumber's Name___ er a / 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 Location and Legal Description Lot_ Size Septic Tank Feet of Drain Tile Amount of Permit $ Nature of Water Supply: City—Well Addition (SL d) _ _ ?- (Signed Street. ) - Street Date . - .......................... Street__ /0 0 Subdivision C /00 Repairs No. of Stories 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 Kis obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and Ilas 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 w'rk to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. j 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 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. BUILDING ELECTRICAL PLUMBING PERMIT N° 4464 Work to be performed under this Permit 4** Owner of B uilding chitect CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE l &, 194 Subdi- vision Contractor's License No. re) 9 . Contractor or Builder Legal Lot Bl. Description Address of C { i/ ` Value of Amt. of Building Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in e appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in co .lianr with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit a. .e 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 n 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 drrowings o in t statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. f�1.1 „ Signed INSPECTOR By 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 I asCt e done by either myself, my agent, servant or employee. 40-440" BY AUTHORITY