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890 NE 100 St (5)BUILDING ELECTRICAL PLUMBING ROOFINo Owner of Building Architect Contractor or Builder Legal Description Lot PERMIT CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl N° 5184 DATE. { i - ii=I 9 Contractor's License No. 9 • Work to be performed under this Permit Subdi- vision Address of �..: Value of I Amount of Building - '' Project $ I 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 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 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 respon- sibility 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 covered hereun 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 ae cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT Permit No. ____l STATE OF FLORIDA, COUNTY OF DADE. Location and Legal Description Lot__ Size Septic Tank 7 0 U / 5l 4 L _ Type of Tank___ !it' 43 Feet of Drain Tile ! Nature of Water Supply: City —Well . My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)... ( Signed Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othe) 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. /� /� Owner's Name and Address / niPti / 1 iL1, Registered Architect and /or Engineer Employing Plumber's Name .__ lit)40 nij 50e No Street /3 Street..___ IJ N — Block__ _ _ __ _ _ _ _ Subdivision Street and Number where work is to be performed— No._ Street_ State work to be pe formed and purpose of building (By Floors) New Building Remodeling Addition__.______________ __._. Repairs No. of Stories Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals.._.._.__ 0 Plumbing Inspector. The undersigned app ' ant for this building permit does hereby certify that he understands' and accepts his obligations as an'employer of labor under the Florida Wor . en's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisio s thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this . ermit; 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, ork t be performed p1 er this permit, as art licensed by Miami Shores Village. G<- Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeal(' 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 lac therein by him stated are true. 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 Ltd materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOURTHS TOTAL FIXTURE, CONTR. LIST -- - -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWING POOL CONTR. LIST CHECK 1 _ Permit No. ____l STATE OF FLORIDA, COUNTY OF DADE. Location and Legal Description Lot__ Size Septic Tank 7 0 U / 5l 4 L _ Type of Tank___ !it' 43 Feet of Drain Tile ! Nature of Water Supply: City —Well . My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)... ( Signed Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othe) 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. /� /� Owner's Name and Address / niPti / 1 iL1, Registered Architect and /or Engineer Employing Plumber's Name .__ lit)40 nij 50e No Street /3 Street..___ IJ N — Block__ _ _ __ _ _ _ _ Subdivision Street and Number where work is to be performed— No._ Street_ State work to be pe formed and purpose of building (By Floors) New Building Remodeling Addition__.______________ __._. Repairs No. of Stories Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals.._.._.__ 0 Plumbing Inspector. The undersigned app ' ant for this building permit does hereby certify that he understands' and accepts his obligations as an'employer of labor under the Florida Wor . en's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisio s thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this . ermit; 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, ork t be performed p1 er this permit, as art licensed by Miami Shores Village. G<- Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeal(' 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 lac therein by him stated are true. 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 Ltd materials and /or workmanship.