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390 NE 101 St (11)LLT l n5n + CHICK 4 Permit No c-F: °1 Date_._--- .... 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 _ - -B 111_ — W ightm a n__._..._ No. 3_9D N . . 1(1. S4ter e_e t Registered Architect and /or Engineer_____--- _ ____—___ — _ _ —__--- ----- -- -- -- -••--- -- ---- _- -__ --_ Employing Plumber's Name R os-e S pp-t4 C T 1. r n . 0 ._ 344 X31: -e a-h Street--• Location and Legal Description Blork Subdivision Street a n d Number where work is to be performed —No 390 N - E �n 1 S t T P A street State work to be performed and purpose of building (By Floors) _ _------------------- _____ -- New Building -_ - - -_ ___ -- _ -- Remodeling— _---- - - - - -_ ____ -- Addition_ ___ -._ Repairs No. of Stories. Size Septic Tank_____ — - - - -- ---- - - - - -- -Type of Tank ___ Feet of Drain Tile_— ______............... __..... -_______Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.____ _ __________________ _Size of Soakage Pit 1 —PO & Abandon Amount of Permit $ 4X�n $iQCL STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o•j!'ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has com- plier 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). Capacity Gals Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida Master 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 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 insp , In, or faulty materials and/or workmanship. CLOSETS BATH S SHOWERS L LAVA- S SINKS S SLOP L LAUNDRY U URINALS C CATCH F FLOOR D DRINKING T TOTAL CONTR. LIST CHECK SEPTIC SEWER D DRAIN S SOAKAGE G GREASE S SOLAR D DEEP S SPRKLR. S SW IM•G CONTR. /10 4 Permit No c-F: °1 Date_._--- .... 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 _ - -B 111_ — W ightm a n__._..._ No. 3_9D N . . 1(1. S4ter e_e t Registered Architect and /or Engineer_____--- _ ____—___ — _ _ —__--- ----- -- -- -- -••--- -- ---- _- -__ --_ Employing Plumber's Name R os-e S pp-t4 C T 1. r n . 0 ._ 344 X31: -e a-h Street--• Location and Legal Description Blork Subdivision Street a n d Number where work is to be performed —No 390 N - E �n 1 S t T P A street State work to be performed and purpose of building (By Floors) _ _------------------- _____ -- New Building -_ - - -_ ___ -- _ -- Remodeling— _---- - - - - -_ ____ -- Addition_ ___ -._ Repairs No. of Stories. Size Septic Tank_____ — - - - -- ---- - - - - -- -Type of Tank ___ Feet of Drain Tile_— ______............... __..... -_______Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.____ _ __________________ _Size of Soakage Pit 1 —PO & Abandon Amount of Permit $ 4X�n $iQCL STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o•j!'ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has com- plier 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). Capacity Gals Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida Master 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 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 insp , In, or faulty materials and/or workmanship. BUILDING p MIAMI SHORES VILLAGE, FLORIDA •" ELECTRICAL ❑ Date Z _i— 19 �•• PLUMBING ❑ PERMIT N? 8794 C ontractor's ROOFING ❑ Li cense No. ❑ Work to be performed under this Permit Owner of Building r • Architect Contractor or Builder Legal Lat Description Address of Building , if 4 • 1 Bl P y... 1'4 Subdi- vision Sq. Ft. Value of II Amount of Project $ 11 Permit $ t ' 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 assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the pl s or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employ/es. / / Signed 41 I. tZ": } NSPECZQF) BY In consideration of the issuance to me of this permit I a ree o perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, dra statements or specifications submitted to the pioper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work one by either, myself, my agent, servant or employee. CONTRACTOR or BUILD BY / j°41./g t AUTHORITY Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su`b mitt =•for the buildin or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi mi 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, w ether h in 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 Location and Legal Description Lot____ ________ —_____ Street and Number where work is to be performed —No __3-Y Street State work to be performed and purpose of building (By Floors) ________ N Building Remodeling_____ ____ Addition 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 __Size of/akage Pit Nature of Water Supply: City —Well Amount of Permit $_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _____ No._. — _. — Block Subdivision (Signed) _ (Signed) Date____ Ng. Street lei No._ Street. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as mployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supp ent, and Ilas com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by im 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 p licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida t, as are er Plumber. 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. 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 S LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS INALS 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 -• .._ . _ �.. .-... .. <a _, _ ... .. Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su`b mitt =•for the buildin or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi mi 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, w ether h in 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 Location and Legal Description Lot____ ________ —_____ Street and Number where work is to be performed —No __3-Y Street State work to be performed and purpose of building (By Floors) ________ N Building Remodeling_____ ____ Addition 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 __Size of/akage Pit Nature of Water Supply: City —Well Amount of Permit $_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _____ No._. — _. — Block Subdivision (Signed) _ (Signed) Date____ Ng. Street lei No._ Street. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as mployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supp ent, and Ilas com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by im 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 p licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida t, as are er Plumber. 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. 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 ROOFING Owner of Building L✓ Architect Contractor or Builder Legal Description Address of Building r' Lot T ,V /r! '. , 3 9* MIAMI SHORES VILLAGE, FLORIDA t7 ❑ DATE /'r 6 " 195 6 ' ❑ PERMIT N? 3025 Contractor's License No. Iva ❑ Work to be performed under this Permit 0 CONTRACTOR OR BUILDER i a1 This permit is granted to the contractor or builder named above to construc 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•"" INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covdred 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. ? S Value of Project $ vision Amount of Permit $ 1• c?' AUTHORITY a„ Permit No - _ ___ - -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted foy"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. /J Owner's Name and Address Registered Architect and /or Engi Employing Plumber's Name ._ - _• -Ol *�" -- -- - i / No.__2- .‘. __ -!Y__ meet___ Location and Legal Description Lot_•_-- _________ ___— .__"�_-� Block - Subdivision__._.__: Street and Number where work is to be performed— No._ -22(P _ 7 i?.t'— .-� _- Street-__/ __Q State work to be performed and purpose of building (By Floors)._ New Building Remodeling ___ Addition__ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ r 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 5968, 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. aa. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING " •;e,, MgT _Type of Tank Capacity Gals ea of Tank or Drain Field from Well Size of Soakage Pit ( Signed) (Signed). Ott l J No. No.- — ..3_,/ e ill - a eet. 1 '__ My Commission Expires Notary Public, State of Florida Master Plumber. Repairs No. of Stories STATE OF FLORIDA, t 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. 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 worlmanship. CLO86TB BATH TUBS SHOWER! LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS S 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 - _ ___ - -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted foy"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. /J Owner's Name and Address Registered Architect and /or Engi Employing Plumber's Name ._ - _• -Ol *�" -- -- - i / No.__2- .‘. __ -!Y__ meet___ Location and Legal Description Lot_•_-- _________ ___— .__"�_-� Block - Subdivision__._.__: Street and Number where work is to be performed— No._ -22(P _ 7 i?.t'— .-� _- Street-__/ __Q State work to be performed and purpose of building (By Floors)._ New Building Remodeling ___ Addition__ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ r 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 5968, 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. aa. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING " •;e,, MgT _Type of Tank Capacity Gals ea of Tank or Drain Field from Well Size of Soakage Pit ( Signed) (Signed). Ott l J No. No.- — ..3_,/ e ill - a eet. 1 '__ My Commission Expires Notary Public, State of Florida Master Plumber. Repairs No. of Stories STATE OF FLORIDA, t 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. 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 worlmanship. 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 STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street__a' Employing Plumber's Name _7 '` �_ No Street_. .'</ Location and Legal Description Lot __Block Street and Number where work is to be performed—No � _________________ Street State work to be erformed and purpose of building P P P g (By Floors) -- r- ---- --= ---- -- ----- --- -=- New Building Remodeling Addition Repairs No. of Stories Size Septic Tank —' Feet of Drain Tile_ __Lf -__'� ` �.�___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well .Size of Soakage Pit. Type of Tank . Capacity Gals ......... _____ —_�_ Amount Of Permit $ (Signed) The undersigne pplicant 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 under signed agrees to employ only such sub - contractors, 6n work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 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. r- My Commission Expires 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 tna ials and /or workmanship. Date ______ __ _________ Notary Public, State of Florida r Plumbing Inspector. Master Plumber. CLOSETS BATH TU BS SHOWERS LAVA- y 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 Ale VP" 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 STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street__a' Employing Plumber's Name _7 '` �_ No Street_. .'</ Location and Legal Description Lot __Block Street and Number where work is to be performed—No � _________________ Street State work to be erformed and purpose of building P P P g (By Floors) -- r- ---- --= ---- -- ----- --- -=- New Building Remodeling Addition Repairs No. of Stories Size Septic Tank —' Feet of Drain Tile_ __Lf -__'� ` �.�___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well .Size of Soakage Pit. Type of Tank . Capacity Gals ......... _____ —_�_ Amount Of Permit $ (Signed) The undersigne pplicant 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 under signed agrees to employ only such sub - contractors, 6n work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 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. r- My Commission Expires 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 tna ials and /or workmanship. Date ______ __ _________ Notary Public, State of Florida r Plumbing Inspector. Master Plumber. JOB: BUILDING ELECTRICAL PLUMBINB WORK : DOPE BY: REUESTED WILL BE READY 1 7 / The following is ready for inspection:- ./OD Inspector's Report:- OWNER LOT BLOCK SUBDIVISION Date ../0 ; liked to } ✓Yr • r; aiami Jhores F L 0 R I D A PLUMBING PERMIT N9 871 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 kliami Shores Village, Florida. For a_story b uilding at i {, / Fixtures Fixtures $ Sewer $ Septic Tank / $ � - •- • Total $ fr Village Plumbing Inspector •� r'" �" ';° " " d�-'r' g g P Received Payment by OWNER LOT BLOCK SUBDIVISION Fixtures $ Sewer $ Septic Tank ' " $ aiami Jhores illage F L 0 R I D A PLUMBING PERMIT N9 871 Date 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 I' story i building at Fixtures Total $ Village Plumbing Inspector Received Payment by