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435 NE 101 St (12)e'b =t aalt P7o fil°"-° ^ Date-- -- ... -__/ ® '- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or:other str.cture 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 arid specifications must be kept at building during progress of work. Owner's Name and Address__si!�____1 �c Registered Architect and /or Engi er ..... _______ ..... ______ -_ -- ^- _ - __ - -_ - __ -- Employing Plumbers Name Location and. Legal Description . •k_.__ _ - -__ _ - ____ -- Block Subdivision__ -__ Street and Number where work is to be performed—No .- ...W.1 1 / k . Street_ State work to be performed and purpose of building (By Floors)—_ ..... _ .... _______ ...... _ New Building Remodeling Repairs No. of Stories . Size Septic Tank _------ __- _ - - - -- Type of Tank MIAMI SHORES . VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ My Commission Expires (Signed)_ No.__ _ Street_ Capacity Gals Feet of Drain Tile___________ _____________ _____ -___ -- ___Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl: City — Well.____._ ______Size of Soakage Pit Plumb g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplem plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by hi ployer of labor t, and has min- im the work tobe 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 recpiired 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) Notary Public, State of Florida 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 t1 a 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 N SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N6 TOTAL. FIXTURES CONTR. LIST .. �.. .. __ - +� -•._.. CHECK 666 � • r ^_ SEPTIC TANK SEWER CONN. DRAIN. FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST _ - - CHECK - e'b =t aalt P7o fil°"-° ^ Date-- -- ... -__/ ® '- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or:other str.cture 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 arid specifications must be kept at building during progress of work. Owner's Name and Address__si!�____1 �c Registered Architect and /or Engi er ..... _______ ..... ______ -_ -- ^- _ - __ - -_ - __ -- Employing Plumbers Name Location and. Legal Description . •k_.__ _ - -__ _ - ____ -- Block Subdivision__ -__ Street and Number where work is to be performed—No .- ...W.1 1 / k . Street_ State work to be performed and purpose of building (By Floors)—_ ..... _ .... _______ ...... _ New Building Remodeling Repairs No. of Stories . Size Septic Tank _------ __- _ - - - -- Type of Tank MIAMI SHORES . VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ My Commission Expires (Signed)_ No.__ _ Street_ Capacity Gals Feet of Drain Tile___________ _____________ _____ -___ -- ___Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl: City — Well.____._ ______Size of Soakage Pit Plumb g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplem plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by hi ployer of labor t, and has min- im the work tobe 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 recpiired 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) Notary Public, State of Florida 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 t1 a 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 Owner of Building Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 10950 e Work to be performed under this 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 drawings or;tin the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: Subdi- vision INSP TOR DATP '— Contractor's License No >100 195 BY In consideration of the issuance' me of this permit I agree - to/perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawing(, tatements or specifications submitted to the propet a,utlorities of Miami Shores Village. In accepting this permit I assume responsibility for al work donne , y either, my�elp, a ent, servant or employee. f ,,/, , err CONTRACTOR OR BUILDER ti BY AUTHORITY Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date /- V 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, aild 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 he kept at building during progress of work. Owner's Name and Address (SO ✓ /� °S No. �Q Registered Architect and /or En 1✓J� Employing Plumber's Name Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. C ` > No Street .,••, -r Street i " r Location and Legal Description Lot Block Subdivision ,r ! ` Street Street and Number where work is to be performed —No. 3 J State work to be performed and purpose of building (By Floors) - '?` �' ! � � • New Building Remodeling Addition Repairs No. of Stories Capacity Gals_ Size Septic Tank Tyre of Tank Dist. Feet of Tank or Drain Field from Well Feet of Drain Tile Nature of Water Supply Well Size of Soakage Pit / _ r (Signed) y ► — " 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 work to be performed under this permit, as are licensed by Miami Shores Village. 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. • (Signed) V1✓ �/ Lid 4 Master Plumber. 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 tdt. -�V c * LAUNDRY ( TUBS 'I ,,,F URINALS. CATCH BASIN FLOOR DRAIN DRINKING FOUNT' '7 a - TOTAL FIXTURES CONTR. / ® Y /, /f CHECK "�. � � � :. i li ,� - v . R SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP id HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL (',",�. $. 4 �j! p �, CONTR. LIST / / L t CHECK = . \: 4, i Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date /- V 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, aild 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 he kept at building during progress of work. Owner's Name and Address (SO ✓ /� °S No. �Q Registered Architect and /or En 1✓J� Employing Plumber's Name Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. C ` > No Street .,••, -r Street i " r Location and Legal Description Lot Block Subdivision ,r ! ` Street Street and Number where work is to be performed —No. 3 J State work to be performed and purpose of building (By Floors) - '?` �' ! � � • New Building Remodeling Addition Repairs No. of Stories Capacity Gals_ Size Septic Tank Tyre of Tank Dist. Feet of Tank or Drain Field from Well Feet of Drain Tile Nature of Water Supply Well Size of Soakage Pit / _ r (Signed) y ► — " 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 work to be performed under this permit, as are licensed by Miami Shores Village. 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. • (Signed) V1✓ �/ Lid 4 Master Plumber. 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.