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PLUMBINGBUILDING ELECTRICAL PLUMBING Owner of Building C. Architect Contractor or Builder ✓ Legal Description Work Lot f J / ' /c MIAMI SHORES VILLAGE, FLORID PERMIT N? 1148 e performed under this Permi • Bl. ddress of +� uilding i ( i BY v isi o n v/ (( ision DAT + _ 19 Contract/8 License No r / it ff Value of Amt. of w t Project Permit --~" ,, .•.+"► ! I • 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 plication herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance th any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may 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 on which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of e ordinances and regulations pertaining to the work covered hereby whether shown on the plans 91 dr or in the statements or specifications and • at he assumes responsibility for work done by his agents, servants or employeee:'"'1 4 ! / r' Signed• I ' jr 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- s pertaining thereto and in strict conformity with the plans, drawings, statements or s. ifications submitted to the proper authorities of Miami Shores age. In accepting pis pert I assup►e responsibility for all work done either mys my agent, servant or employee. i 40 .' 11 CONTR C OR ` BUILDER AUTHORITY $2 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 Registered Architect and /or Engineer Employing Plumber's Name _- - "'' ' No 2.1 4 0 / � f Location and Legal Description Lot___ W -, 10 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 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. Amount of Permit $_ipb. •�'""' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition Repairs No. of Stories (Signed) (Signed Street__ D a t e _ No. — I Street 10 Street__ 1 A 111 39 Subdivision___! _5 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligyllons 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 w to b .erform unde his�ermit, as are licensed by Miami Shores Village. / L 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. ss. 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. SWIM SYSTEM .o f POOL VVV CONTR. LIST CHECK $2 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 Registered Architect and /or Engineer Employing Plumber's Name _- - "'' ' No 2.1 4 0 / � f Location and Legal Description Lot___ W -, 10 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 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. Amount of Permit $_ipb. •�'""' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition Repairs No. of Stories (Signed) (Signed Street__ D a t e _ No. — I Street 10 Street__ 1 A 111 39 Subdivision___! _5 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligyllons 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 w to b .erform unde his�ermit, as are licensed by Miami Shores Village. / L 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. ss. 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No t___/ 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 E Employing Plumber's Name qq �� t ! Location and Legal Description Lot___ »' 1 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 Addition 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 Amount of Permit $_ (Signed) STATE OF FLORIDA, k COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly appeared ss. to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. My Commission Expires (Signed) No. 7 No.2_ =. t �--2 47 Repairs Date_ / Street -' Subdivision ' Street t ' ' E Notary Public. State of Florida No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligions 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 underj, this permit, as are licensed by Miami Shores Village. ' Master Plumber. authorized to administer oaths and take acknowledgments, personally deposes and says that he is the foregoing application, and that he did sign the same, and that all facts 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 p CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No t___/ 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 E Employing Plumber's Name qq �� t ! Location and Legal Description Lot___ »' 1 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 Addition 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 Amount of Permit $_ (Signed) STATE OF FLORIDA, k COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly appeared ss. to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. My Commission Expires (Signed) No. 7 No.2_ =. t �--2 47 Repairs Date_ / Street -' Subdivision ' Street t ' ' E Notary Public. State of Florida No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligions 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 underj, this permit, as are licensed by Miami Shores Village. ' Master Plumber. authorized to administer oaths and take acknowledgments, personally deposes and says that he is the foregoing application, and that he did sign the same, and that all facts 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. • Date ..Y LOT )64 BLOCK Issued to A V / Fixtures Fixtures Sewer Septic Tank /. I OWNER iami cSliores9llage F L O R D A PLUMBING PERMIT Total $ Village Plumbing Inspector Received Payment by Y •° 797 SUBDIVISION )w iv to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. � / f For a_story ti building at '" J./ •