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429 NE 101 St (11)BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA Owner of Building Architect Contractor or Builder Legal Lot Description. Address of Building CONTRACTOR OR BUILDER PERMIT N° 9500 Work to be performed under this Piiiniit Bl. Subdi- vision Value of Project $ DATE Contractor's License No Amt. of Permit $ ! •f . 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 andith the understanding that the work will be performed in compliance with any plans, lrawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any me 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 anted is the understanding that the contractor or builder named above assumes the responsibility fQr a thorough knowledge of the ordinances and re lotions -taining to the work covered hereby whether shown on the plans or drawings or in the statementa/or specifications and that he assumes responsibilit or work ie by his agents, servants or employees. !' � J n / .�„r Signed: BY �.; �, .: INSPECTOR In consideration of the issuance to me of this permit I agree to perform rk covered hereunder in compliance with all 9 dinances and regulations ling thereto and in strict conformity with the plans, drawings, statements or spec t cations submitted to the proper authorities /of Miami Shores Village. ..pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee BY 195' 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 No Registered Architect and /or Engineerr / � ` Employing Plumber's Name ! __,�_ 4/1..41 Location and Legal Description Lot Street and Number where work is to be performed —No STATE OF FLORIDA, ) COUNTY OF DADE. Ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors) �✓ No Amount of Permit $__ / ( Signed) ( Signed ) - - - - --- (7 Date Street /0/ Block k E / 0 / Street Subdivision New 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 Nature of Water Supp1 City— ell Size of Soakage Pit umbing Inspector. The undersigned applicant for this building permit does hereby certify that he ' n u erstands and accepts his obliga as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled G-n-ral Laws of Florida Penman ipplement, 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. ":// 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. 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 (4 JQ + "F- F✓ 1 w(.r-/4y TOTAL FIXTURES CONTR. LIST 3 2 �J / , CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL, SPRKLR. SYSTEM SWIM'G POOL E4.40,0 iV'. CONTR. LIST / CHECK 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 No Registered Architect and /or Engineerr / � ` Employing Plumber's Name ! __,�_ 4/1..41 Location and Legal Description Lot Street and Number where work is to be performed —No STATE OF FLORIDA, ) COUNTY OF DADE. Ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors) �✓ No Amount of Permit $__ / ( Signed) ( Signed ) - - - - --- (7 Date Street /0/ Block k E / 0 / Street Subdivision New 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 Nature of Water Supp1 City— ell Size of Soakage Pit umbing Inspector. The undersigned applicant for this building permit does hereby certify that he ' n u erstands and accepts his obliga as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled G-n-ral Laws of Florida Penman ipplement, 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. ":// 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. 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.