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373 NE 101 St (3)BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Oontractor or Builder Legal Description Address of Building - Lot n PERMIT IT? 12412 II LV 11 MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit T L OR BUILDER Bl. Subdi- vision DATE "� (� Value of '�►�/ . 73 l 1 Q \I, a Project $ / . / f�- Contractor's License No Amt. of Permit BY AUTHORITY ��,,, 195 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 L' BY �4t INSPECTOR 6 rm In consideration of the issuance to me of this permit I agree to p 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 acceptirjg this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Oontractor or Builder Legal * Description ddress of P f h CONTRACTOR OR BUILDER . MIAMI SHORES VILLAGE FLORIDA PERMIT N? 10850 Lok Work to be performed under this Permit Bl. La Subdi- vision Value of Project $ DATE • 7 195._ Contractor's License No iilding ,.. `. - 3 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 refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any if t e 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 ted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations fining to the work covered hereby whether shown on the plans or drawings or •. the statements or specifications and that he assumes responsibility for work , y his agents, servants or employees. Signed • — _ +� -- BY Amt. of Permit 1 9 $ /•"""""•rte nsideration of the issuance to me of this permit I agree •to erform the work covered hereunder in compliance with all ordinances and regulations ereto and in strict conformity with the plans, drawing, tements or specifications submitted to the proper authorities of Miami Shores Village. g this permit I assume responsibility for all work don either, mysel�f, servant or employee. " _' ` _t_ AUTHORITY Permit No. I______ 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 v " "..I. tler_ -a_ No Street Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot________ z -- Block Subdivision Street and Number where work is to be performed —No d 7 ______2__- Street 1 [1 / 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 Dram Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) 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 work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) Repairs Date T No. of Stories Plumbing Inspector. 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. 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. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. I______ 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 v " "..I. tler_ -a_ No Street Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot________ z -- Block Subdivision Street and Number where work is to be performed —No d 7 ______2__- Street 1 [1 / 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 Dram Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) 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 work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) Repairs Date T No. of Stories Plumbing Inspector. 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. 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. Owner's Name and Address No Street Registered Architect and /or Engineer Employing Plumber's Name _ No. Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) Permit No. /' �J____,J 0 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. New Building ' __ L' d Ci L Nature of Water Suppl)✓ City} — — Size of Soakage Pit f — Size Septic Tank____'__ Type of Tank Capacity Gals. Feet of Drain Tile r Dist. Feet of Tank or Drain Field from Well re Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. I Remodeling Addition_ Repairs No. of Stories SS. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) Date ---------------- - - - - -- My Commission Expires Notary Public, State of Florida Plumbing Insnectnr The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an ei yc under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplemen , an 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 work to be performed under this permit, as are licensed by Miami 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. 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 -tea / L�� / / 5 l it) J -'7 • / J / SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G- POOL �.!�+ Q[. {.�- CONTR. LIST / ,} ✓ 3 ��/� j� - —�— / CHECK Owner's Name and Address No Street Registered Architect and /or Engineer Employing Plumber's Name _ No. Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) Permit No. /' �J____,J 0 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. New Building ' __ L' d Ci L Nature of Water Suppl)✓ City} — — Size of Soakage Pit f — Size Septic Tank____'__ Type of Tank Capacity Gals. Feet of Drain Tile r Dist. Feet of Tank or Drain Field from Well re Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. I Remodeling Addition_ Repairs No. of Stories SS. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) Date ---------------- - - - - -- My Commission Expires Notary Public, State of Florida Plumbing Insnectnr The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an ei yc under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplemen , an 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 work to be performed under this permit, as are licensed by Miami 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. 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.