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350 NE 101 St (5)til-- /,',',.. ,„,,,'",_. , ,, • i/ ..._', ' • -- , ri REQUEST FbR INSPECTION i '• • ,,,,'• Company PI-IONE Job 4? Address ';'. re ' 11 ovi . .—..... , r /, ivii0 1 c k g ij o v-' Time Ready Date Ready A.M. EA, BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Lot I CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA DATE .1 t - 7 1954_ Contractor's License No PERMIT 1NT0 11546 ❑ Work to be performed under this Permit B1 Signed• In consideration of the issuance to me of this permit I agree to pertaining thereto and in strict conformity with the plans, drawings, sta In accepting this permit I assume responsibility for all work donefby ,— a ■ Subdi- vision 7.) LI • BY Address of / 4 Value of Amt. of �• y Buildin 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 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 drawingsar in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. ef..:.- '1111111; BY R vered hereunder in compliance with all ordinances and regulations tion• submitted to the proper authorities of Miami Shores Village. set or employee. AUTHORITY Size Septic Tank Feet of Drain Tile. Nature of Water Supply: City —Well Amount of Permit $ _ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Date AU/ 2,7 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 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. _MR S C) U0/3 S Registered Architect and /or Engineer ,�^ Employing Plumber's Name _ /.,L WTff 111 'J i l _ '! s Location and Legal Description Lot_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) / 1e (A V New Building Remodeling Addition Repairs Block Subdivision__ Street (Signed) No No. _Sr� Street Street___ . "_1GI__!___ !' (Signed) / Q 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 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 wo to be 7erformed unde this permit, as are licensed by Miami Shores Village. !! My Commission Expires Notary Public, State of Florida lumber. 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. 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 H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Size Septic Tank Feet of Drain Tile. Nature of Water Supply: City —Well Amount of Permit $ _ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Date AU/ 2,7 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 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. _MR S C) U0/3 S Registered Architect and /or Engineer ,�^ Employing Plumber's Name _ /.,L WTff 111 'J i l _ '! s Location and Legal Description Lot_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) / 1e (A V New Building Remodeling Addition Repairs Block Subdivision__ Street (Signed) No No. _Sr� Street Street___ . "_1GI__!___ !' (Signed) / Q 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 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 wo to be 7erformed unde this permit, as are licensed by Miami Shores Village. !! My Commission Expires Notary Public, State of Florida lumber. 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. 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. A., OWNER LOT BLOCK SUBDIVISION f t' s r�' '046' • Septic Tank • Miami cShores�llage F L O A I D A PLUMBING PERMIT 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. For a story building at J � 6 Fixtures • Fixtures Sewer Total $ Village Plumbing Inspector r •'' `/'' 4 � '�':' ! - ' Received Payment by N9 864 OWNER LOT BLOCK SUBDIVISION i 'i j :.;r / / t ' \.fir r Date f7 1 :A • Issued to 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. For a_/ story ,' ' building at - Fixtures Fixtures Sewer Septic Tank 1 c7 L arni Aores�i I llage F L O R A PLUMBING PERMIT N9 864 Total $ Village Plumbing Inspector Received Payment by •