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plumbingPermit 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 Eng' eer____w-_ Employing Plumber's Name.... - QNo...7/ Location and Legal Description Lot_ N_._____... _-_-_-_----_ _ ___ Block Street and Number where work is to be performed— No..______ . State work to be performed and purpose of building (By Floors) _ New Building Remodeling__ Size Septic Tank Feet of Drain Tile. Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, t . COUNTY OF DADE. E MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING '; .MIT No.- — Repairs (Signed)_ - -- (Signed). DateJD Street Street.- p" Subdivision. Street Type of Tank_ _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals. Plumbing nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his � . igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor- 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 wor 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. My Commission Expires Notary Public, State of Florida No. of Stories.... ........... Master Plumber. 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 INK 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 H EATER DEEP WELL SPRKLR. SYSTEM SW IM'O. POOL 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_ . ......... _________-- .- -_____ Registered Architect and /or Eng' eer____w-_ Employing Plumber's Name.... - QNo...7/ Location and Legal Description Lot_ N_._____... _-_-_-_----_ _ ___ Block Street and Number where work is to be performed— No..______ . State work to be performed and purpose of building (By Floors) _ New Building Remodeling__ Size Septic Tank Feet of Drain Tile. Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, t . COUNTY OF DADE. E MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING '; .MIT No.- — Repairs (Signed)_ - -- (Signed). DateJD Street Street.- p" Subdivision. Street Type of Tank_ _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals. Plumbing nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his � . igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor- 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 wor 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. My Commission Expires Notary Public, State of Florida No. of Stories.... ........... Master Plumber. 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 Architect Contractor or Builder Legal Description. Address of Building Lot ❑ MIAMI SHORES VILLAGE. FLORIDA DATE �' ° 1957 PERMIT N? 9399 Contractor's License No " P1 O CONTRACTOR OR BUILDER dr Bl. Work to be performed under this Permit • Subdi- vision Sq. Ft Value of Project $ 1 r Amt. of Permit $ - rt kl d ,? 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 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 furth cofdjtion upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a, thor ugh knowle ge 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 t t he assumes responsibility for work done by his agents, servants or employees. .$ Signed: r . F l"� ~. � BY Rte. INSPECTOR In consideration of the issuance to 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, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent,4ervant or employee. BY, AUTHORITY MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE PLUMBING CI PERMIT N9 9037 0 3 T Contractor's License No ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot t /.t4 baTRACTOR OR BUILDER Bl. Subdi- vision Sq. Ft Value of Project .'$ BY 0 1 e, N•r Amt. of 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 in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. t +„ Signed- za INSPECTOR In consideration of the issuance to 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, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY 17 Permit No r� 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. /, (- / �f /� ,� Owner's Name and Address ti /! ` '^' �t -tom✓ No. G l +1 L . Street �f L v � "" Registered Architect and /or En -7/� Employing Plumber's Name _ 1! _- l/A-44 41 p No. -_ -.1 . - ... Stree 1901-'41 Location and Legal Descrip • ,y Lot Bl Subdivision. _ Street C - ,17/ 46C Street and Number where work is to be performed —No de 7 1 .5 - 4 State work to be performed and purpose of building (By Floors) _ New Building Remodeling _ _ __ Addition Size Septic Tank _.--- _-- •--- _ - -_.._ _._...- _ -_- _-Type of Tank Amount of Permit 8 STATE OF FLORIDA, ( a. COUNTY OF DADE. I yam MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING P sY MiT (S)- ( signed >._.!. -_✓__. Date Repairs No. of Stories. Capacity Gals Feet of Drain -- - - -___ __ _ ._Dis�t.�Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. '�'4 -4!S1 ..__________ _..Size of Soakage Pit ................... ________ .............. _ P , , , ing 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. My Conunission Expires Notary Public, State of Florida 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 hin, stated are true. NOTE: A re- inspection fee of 81.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TU 86 SHOWERf LAVA. TORIES SINKS SLOP SINKS LAUNDRY TU{{ URINAL{ CATCH DAAIN FLOOR DRAIN DRINKING FOUNT'NO �/ J41 I A , TOTAL /IETUREf - -_ CONTR. LIST �J !/`\ f 1 -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DUI WELL SPRKLR. SYSTEM SW IM'O POOL �.f , A• u��'sl� �/ P" / CONTR. L / CHECK 1 - Permit No r� 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. /, (- / �f /� ,� Owner's Name and Address ti /! ` '^' �t -tom✓ No. G l +1 L . Street �f L v � "" Registered Architect and /or En -7/� Employing Plumber's Name _ 1! _- l/A-44 41 p No. -_ -.1 . - ... Stree 1901-'41 Location and Legal Descrip • ,y Lot Bl Subdivision. _ Street C - ,17/ 46C Street and Number where work is to be performed —No de 7 1 .5 - 4 State work to be performed and purpose of building (By Floors) _ New Building Remodeling _ _ __ Addition Size Septic Tank _.--- _-- •--- _ - -_.._ _._...- _ -_- _-Type of Tank Amount of Permit 8 STATE OF FLORIDA, ( a. COUNTY OF DADE. I yam MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING P sY MiT (S)- ( signed >._.!. -_✓__. Date Repairs No. of Stories. Capacity Gals Feet of Drain -- - - -___ __ _ ._Dis�t.�Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. '�'4 -4!S1 ..__________ _..Size of Soakage Pit ................... ________ .............. _ P , , , ing 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. My Conunission Expires Notary Public, State of Florida 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 hin, stated are true. NOTE: A re- inspection fee of 81.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 3 i 4 �d BUILDING ELECTRICAL PLUMBING ROOFING Address of it, ' Building MIAMI SHORES VILLAGE, FLORIDA DATE ° PERMIT Owner of Z{ Building Architect Contractor' or Builder �-+ Legal Lot Description CONTRACTOR OR BUILDER Work to be performed under this Permit t f La t , 11 B 1 N9 5508 Subdi- vision BY Value of Project $ Contractor's License No. Amount of Permit $ 19 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..p v9 1 Signed �C� t' � -. i " � ,+- SPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder compliance wi t all ordinances and re 'hstions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoriti ls of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, mys ,, my- agent, servant or employee. AUTHORITY ..9oT Permit No. S - 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. _ ° 4__ �. Registered Architect and /or E neer _____ _____� - - -___ Employing Plumber's Name_ Location and Legal Description Lot Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) _ New Building _ Remodeling —_ -- �--- -_ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 09 G No._ Block Addition (Signed)- — Date__ Street__ _r f Subdivision Street Repairs No. of Stories Type of Tank —Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pere, : rent 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) — -- -- — 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 1 }e 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 worlananship. CLOSETS BATH TUBS SHOWERS O LAVA. TORIES SI NKS SLOP SINKS LAUNDRY TUBS URINALS L NAS CATCH. BASIN FLOOR DRAIN DRINKING FOUNT' N6 TOTAL FIXTURES CONTR. LIST _ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK 5 °1 - -- - - - Permit No. S - 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. _ ° 4__ �. Registered Architect and /or E neer _____ _____� - - -___ Employing Plumber's Name_ Location and Legal Description Lot Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) _ New Building _ Remodeling —_ -- �--- -_ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 09 G No._ Block Addition (Signed)- — Date__ Street__ _r f Subdivision Street Repairs No. of Stories Type of Tank —Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pere, : rent 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) — -- -- — 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 1 }e 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 worlananship. MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ , ELECTRICAL El DAT 195* PLUMBING o PERMIT N? 8968 License Contractor's a No ^ ROOFING ❑ Architect Contractor or Builder Legal Description Lot Address of Building ❑ Work to be performed under this Permit Owner of Building 4 u e�. CONTRACTOR OR BUILDER Bl. Subdi- vision Sq. Ft Value of Project $ 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 fufther 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: it' ! BY -' INSPECTOR 4 r In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinattt$s and regulations pertaining tl;eceto and in strict conformity with the plans, drawings, statements or specifications submitted' to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all,work done by either; myself, my agent, servant or employee. s L.° t y S . BY Amt. of Permit $ AUTHORITY 4 t. Permit No. n - G Date -17 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 compl)ed 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 Archit - and /or Enngneer Employing ' '. s ame Location and Legal Description Lot_-- _---__ ........ __.____ 5 ___ —Block_ U Street and Number where work is to be performed -No 1: ,' 6 State work to be performed and purpose of building (By Floors) __.__-_ _.. New Building __ ...-_ --- Remodeling __ Addition_ -- Size Septic Tank Feet of Drain Tile 3 Nature of Water Supply: City-Well Amount of Permit $ — M Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ° `t•�IMI9' No.__, /(oo o- Street. _?: a Type of Tank 'n-o-? ' ' Gals _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit No (Signed) (Signed). C Street is / Subdivision > Street 7 z - / o / /S-4 Repairs No. of Stories The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations ay' . employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Su' ment, and has cOin- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed: 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 publi notice or notices as are required by Elie 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. Notary Public, State of Florida Plurp . g Inspector. STATE OF FLORIDA, 1 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 $1.00 will be made when such re- inspection is made 'necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N$ TOTAL FIXTURE$ CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'GI POOL CONTR. LIST CHECK --- Permit No. n - G Date -17 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 compl)ed 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 Archit - and /or Enngneer Employing ' '. s ame Location and Legal Description Lot_-- _---__ ........ __.____ 5 ___ —Block_ U Street and Number where work is to be performed -No 1: ,' 6 State work to be performed and purpose of building (By Floors) __.__-_ _.. New Building __ ...-_ --- Remodeling __ Addition_ -- Size Septic Tank Feet of Drain Tile 3 Nature of Water Supply: City-Well Amount of Permit $ — M Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ° `t•�IMI9' No.__, /(oo o- Street. _?: a Type of Tank 'n-o-? ' ' Gals _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit No (Signed) (Signed). C Street is / Subdivision > Street 7 z - / o / /S-4 Repairs No. of Stories The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations ay' . employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Su' ment, and has cOin- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed: 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 publi notice or notices as are required by Elie 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. Notary Public, State of Florida Plurp . g Inspector. STATE OF FLORIDA, 1 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.