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950 NE 100 St (8),P' • Permit No/a 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.. Q Owner's Name and Address • A9:::€ t ` fe 1, No Street Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Descriptio$X of Street and Number where work is to be performed —No. q £ r Street .2 C State work to be performed and purpose of building (By Floors) Size Septic Tank • Feet of Drain Tile Nature of Water Suppl STATE OF FLORIDA, 1 COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ (Signed) .fl d/ e No. . 6 ��� Street f n_,► _ Block Subdivisio New Building Remodeling • Addition Repair _ p No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Well Size of Soakage Pit 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. ( Signed) � ; �) c, ( r mow' j Master Plumber. to me well known, and who, being by me first duly sworn, upon oath dep s and says that he is the of the above described construction, that he has carefully read the for oing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inslection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. • Date P ,/ —G - II f jj O Notary Public, State of Florida Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN DRINKING FOUNT'NS f � � L 4�✓ Wel'i. ir Or -, TOTAL FI %TURES CONTR. LIST 3 1 / 3 / / / f `r e `� .V, / 7o __ _ Q_ .24 CHECK 5 0.- `� A I /I • �� ��� • 26 .7i- {�' ♦ .V G SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST 4 1 • J �♦ /// . CHECK — ,P' • Permit No/a Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work.. Q Owner's Name and Address • A9:::€ t ` fe 1, No Street Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Descriptio$X of Street and Number where work is to be performed —No. q £ r Street .2 C State work to be performed and purpose of building (By Floors) Size Septic Tank • Feet of Drain Tile Nature of Water Suppl STATE OF FLORIDA, 1 COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ (Signed) .fl d/ e No. . 6 ��� Street f n_,► _ Block Subdivisio New Building Remodeling • Addition Repair _ p No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Well Size of Soakage Pit 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. ( Signed) � ; �) c, ( r mow' j Master Plumber. to me well known, and who, being by me first duly sworn, upon oath dep s and says that he is the of the above described construction, that he has carefully read the for oing 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- inslection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. • Date P ,/ —G - II f jj O Notary Public, State of Florida Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Descript n. Address of Building F1 rl Lot In consideration of the °rtaining thereto and in strict accepting this..permit I as MIAMI SHORES VILLAGE, FLORIDA DATE / 'Z' PERMIT N° 10424 Work to be performed under this Permit Bl. 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 sta ements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed• BY INSPECTOR issuance to me of this permit I agr• perform the work covered hereunder in compliance with all ordinances and regulations conformity with the plans, drawings, statements o specifications submitted to the proper authorities of Miami Shores Village. e resporsbility for all work done by e}telf my agent, servant or employee. CONTRACTOR OR MADER Subdi- vision Value of Project $ BY // 195 L Contractor's License No Amt. of Permit $ zs AUTHORITY