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SEPTICMIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ___ . - � !_ _ ___- Date ! 14 iN t 1 � /,9 Application i- 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 th ' Building Di"'sion 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. q Owner's Name and Address_ .......... —_— street_ ' v / ® r Registered Architect and /or Engineer .. _ Employing Plumber's Name M t /1111L _ J)i e 1 /. No._ _ __ ____]_21.1....... /1A t Street . 1 Location and Legal Description Lot_______.___ __.—__._._.____..— -_.— Block_.___ ._ Subdivision. -_ . .._- Street and Number where work is to be performed —No Street _ _ _ .. _. -. State w o r k to be performed and purpose of building (By Floors) _ _ . - _ Re- C 1 . •_ A ► A L : f e ( 2-S 15 L-®C Z . New Building _ -____ - _ -_ -- -- -.__ -- Remodeling —_ -- - -_ - Addition____ - - - - - - - - - - - -R e p a i r s . v- - - _ ___ No. of Stories . .. Size Septic Tank_ -_ _ - Feet of Drain Tile__ - _ -_- -• - -_ -- -_ Nature of Water Supply. City—Well. Amount of Permit $ - __Dist. Feet of Tank or Drain Field from Well._ _- _ _ Si -e of Soakage Pit (S .Capacity Gals. Ph-mbmg In:pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an enployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinanen upplement, :+nil 1 as .om•- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e . oyed y hin in the work to be performed under this permit; and will post or cause to be posted' for inspection on the iti the work ch pub notice or no ices as are required by tlie Act. The undersigned agrees to employ only such sub - contractors, k to b = perfo. n: e this per nit, as are licensed by Miami Shores Village. , l STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgu ents, personall appeared Plumber. 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 Conunission 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 S INKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUZT'NS TOTAL F KTURES 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 CHICK _ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ___ . - � !_ _ ___- Date ! 14 iN t 1 � /,9 Application i- 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 th ' Building Di"'sion 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. q Owner's Name and Address_ .......... —_— street_ ' v / ® r Registered Architect and /or Engineer .. _ Employing Plumber's Name M t /1111L _ J)i e 1 /. No._ _ __ ____]_21.1....... /1A t Street . 1 Location and Legal Description Lot_______.___ __.—__._._.____..— -_.— Block_.___ ._ Subdivision. -_ . .._- Street and Number where work is to be performed —No Street _ _ _ .. _. -. State w o r k to be performed and purpose of building (By Floors) _ _ . - _ Re- C 1 . •_ A ► A L : f e ( 2-S 15 L-®C Z . New Building _ -____ - _ -_ -- -- -.__ -- Remodeling —_ -- - -_ - Addition____ - - - - - - - - - - - -R e p a i r s . v- - - _ ___ No. of Stories . .. Size Septic Tank_ -_ _ - Feet of Drain Tile__ - _ -_- -• - -_ -- -_ Nature of Water Supply. City—Well. Amount of Permit $ - __Dist. Feet of Tank or Drain Field from Well._ _- _ _ Si -e of Soakage Pit (S .Capacity Gals. Ph-mbmg In:pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an enployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinanen upplement, :+nil 1 as .om•- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e . oyed y hin in the work to be performed under this permit; and will post or cause to be posted' for inspection on the iti the work ch pub notice or no ices as are required by tlie Act. The undersigned agrees to employ only such sub - contractors, k to b = perfo. n: e this per nit, as are licensed by Miami Shores Village. , l STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgu ents, personall appeared Plumber. 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 Conunission 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 ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL Date�> 1 19t PLUMBING 0 PERMIT N9 9743 Contractor's ROOFING ❑ License No. C: " `. �/ Owner of Building ) Architect • Work to be performed under this Permit Contractor or Builder � Gi ; (4 .e`�±� Gt:✓ / , 4' �' 1...: Legal Lot Description I I I B1 Address g 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 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. J t Si i d , .l . L aft _ .- r . L � fit +� / U s l (INSPECTOR) BY ! ‘,,,t',,, uance to me of this perm conformity with the plans, neJ�spoy�bility for all k In consideration of t pertaining theret d in In accepting thiJ`.`. it CON RACTOR or BUI BY Subdi- vision Sq. Ft. Value of Project $ II Amount of II Permit $ agree to perform the work covered hereunder in compliance with all ordinances and regulations rawings, statements or specifications submitted to the proper authorities of Miami Shores Village. rk done by either, myself, my agent, servant or employee. AUTHORITY Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or oilier structure hereir described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws cf the State of Florida. all oidmances of Mi .mi Shores Village and all rules and regulations of the Building Divi:.i•,ii of .liianu Shore -- 1 iilage shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kep! at building durinz progress of the work. Owner's Name and Address Registered Architect and /or Engineer._ Name and address of licensed contractor.' _. % _ Location and legal description of lot to be built on. Lot_ Block Street and Number where work is to be done State work to be done and purpose of building (by floors) 11. New Building_ - Remodeling To be constructed of APPLICATION FOR BUILDING PERMIT _._ Kind of foundation Estimated T•:tal cost of improvements $__ Zone ^ubage r e q u i r e d . . . Distance to next nearest building__ _ _ Maximum live load to be borne by each floor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMEN`' Subdivision - -- %?:2 and for no other purpose. Addition_____ __ ___ _____ ___ Repairs_ _ _ _ No. of Stories Date Roof Covering._ Amount of Permit $_ _Plan Cubage Size of Building Lot Remarks_ __ _ (Sigried)._.k No Street. hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify chat he understands and accepts his obligations as an employer of l:.bor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gem -al Laws of Florida, P:.raianenn Snpplc 'lent, and h -s compl ed with he prov °ions thereof, and will require similar compliance from all contractors or sub - contractors emplo'.•ed by hint in the wo k to be p rf .-med under this permit: and will post or cause to be posted for inspection o the site of the work such public notice or notices as are requir-d by the Act. The undersigned agrees to employ only such s • •ntrr.c �Or�wor to be p 'forni' d under this permit as are licensed by Miami Shores Village. �� // STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths z.nd take acknowledgments, personally ipp- peared - _ PLANNING BOARD DATE Chairman Member ..... ......... Member _____ .__ _._ .__.._ _._ __ _ Member Member _ .__ . Member Council Approved _Date Disapproved -- •---- - - ---- -- - 19 to me well known, and who, being by me first d:ly sworn, upon oath depofes and says that he is the of th abov de.c. ibed • istruction t'l. t h. has carefully read the foregoing application, and that he did sign the same, and that all iacts therein by him stated are true. Permit No.______ ___ _. _T_ 9 - ._. Date__. - _ `z) o _ Read, Sworn to and Subscribed before me. Disapproved i Date. - Notary Public State of Florida (Signed) - Buildinspector My Com:nission Expires_ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application .after approval li.is bcc n obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is m.:_le necessary by improper notice for imp( --t'■m or fin.ity materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA ❑ DATE ❑ PERMIT N? 15196 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ID Work to be performed under this Permit Architect Contractor or Builder Legal Lot II BI. Description Address of Building Subdi- vision Value of Project $ Contractor's License No Amt. of Permit $ HOW This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in thie 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 st,uct conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit Vasiume responsibility fob all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILdER BY AUTHORITY - +• CLOSETS BATH TUBS SNOW[RO LAVA' TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS • TOTAL FIKTUREI Comm LIST CHECK SEPTIC TAN SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 0 POOL CONTR. LIST CHECK /1 build' during f k mg uring progress o work. Amount of Permit $- Owners Name and Address .-- -. )14 Registered Architect and/or ngineer Employing Plumber's N and Legal Description Lot . -- l.._- ._ .... MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. 1 C.° / Date 7 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at 1/?ii No._ Street and Number where work is to be performed —No .___.. ____ ___ _- __:.__ __.__... Street. State work to be pefformed and purpose of building (By Floors) New Building _ Remodeling Addition Repairs. Type of T ank Size Septic Tank Feet of Drain Tile _._. - - Dist. Feet of T or Drain Field from Well_ Nature of Water Supply: City —Well s _.__.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 nl, employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has cren- 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 slab- contractors w. to performed under this remit, as an licensed by Miami Shores Village. i / (Signed 4 A Street -. . No. of Stories ..... ........ Capacity Gals. -- v v• Master Plumber. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare 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 f ac 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 Lel materials aid /or workmanship.