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46 NE 101 St (5)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildi g Inspection Request c f Date 5 Type Insp'n 14 Permit No. e' R-- Name C-C- Address / / : / / Company Phone # Inspection Date Approved Correction Re- Insp'n Fee Permit No ....... I. 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 Engin Employing Plumber's Name Location and Legal Description Lot_ Street and Number where work is to be performed—No / 7 1 :" State work to be performed and purpose of building (By Floors) _._...._....__ New Building Remodeling____ — -• -_ -- Addition.. Size Septic Tank_-- _ - - ---- -- - Feet of Drain Tile._ -- — Nature of Water Supply: City—Well. /Ord ) ? V G Amount of Permit $ STATE OF FLORIDA, t u. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date....._ )``? j? -t -.•• ... - -- — — A ,t /1"fi e No. ` Street_ .. o . ._..._. d- of Tank___ —Dist. Feet of Tank or Drain Field from Well. Size of Street..% L LA—I: —I - Block Subdivlaion.__ _ Street /4 .. ..© / .... _..._.. (Signed) (Signed) Repairs ✓ No. of Stories Capacity Gals. and.Pr'L Plumbing l>sppector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli : (ions as an employer of labor u nder the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Penn: ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e ployed 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 perk. 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 hire stated are true. Notary Public, State of Florida Muter Plumber. NOTE: A re-inspection fee of 0.00 will be made when such re- inspection is made .necessary by improper notice for Inspection, or faulty materials and /or workmanship. CLOSETS BATH TUB[ SHOWERS LAVA. TORIES SINKS SLOP SINK LAUNDRY TUSS URINALS CATCH B ASIN FLOOR DRAIN DRINKING FOUNT•NB TOTAL FIXTURES CONTR. - LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•O P001. CONTR. �- LIST CHECK Permit No ....... I. 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 Engin Employing Plumber's Name Location and Legal Description Lot_ Street and Number where work is to be performed—No / 7 1 :" State work to be performed and purpose of building (By Floors) _._...._....__ New Building Remodeling____ — -• -_ -- Addition.. Size Septic Tank_-- _ - - ---- -- - Feet of Drain Tile._ -- — Nature of Water Supply: City—Well. /Ord ) ? V G Amount of Permit $ STATE OF FLORIDA, t u. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date....._ )``? j? -t -.•• ... - -- — — A ,t /1"fi e No. ` Street_ .. o . ._..._. d- of Tank___ —Dist. Feet of Tank or Drain Field from Well. Size of Street..% L LA—I: —I - Block Subdivlaion.__ _ Street /4 .. ..© / .... _..._.. (Signed) (Signed) Repairs ✓ No. of Stories Capacity Gals. and.Pr'L Plumbing l>sppector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli : (ions as an employer of labor u nder the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Penn: ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e ployed 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 perk. 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 hire stated are true. Notary Public, State of Florida Muter Plumber. NOTE: A re-inspection fee of 0.00 will be made when such re- inspection is made .necessary by improper notice for Inspection, or faulty materials and /or workmanship. Permit No 1 ?9 Owner's Name and Address Size Septic Tank ..... Amount of Permit $ J. CCv U STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby mad for A the approval of the detailed statement of the PP Y pp 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. No.. Date 6 - Street Registered Architect and /or Engineer ..... __._ _ Employing Plumber's Name- --. -__ _ _ No.. Street —__ .__— Location and Legal Description Lot Block Street and Number where work is to be performed —No __,4_1(2._n* £ '' � D 1 Street. State work to be performed and purpose of building (By Floors)____._ _ -_ -_ -- New Building--_ -.._ —_ __ Remodeling - -_ --- - -____ . __ Addition._ (Signed) _ Repairs No. of Stories... Type of Tank— _ Capacity Gals My Commission Expires Notary Public, State of Florida Feet of Drain Tile-______ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — 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. 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 worlcmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES S INKS SLOP SINKS LAUNDRY TUBS UR CATCH BASIN FLOOR DRAIN DRINK! DRINKING FOUNT' NS 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 CHICK !— Permit No 1 ?9 Owner's Name and Address Size Septic Tank ..... Amount of Permit $ J. CCv U STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby mad for A the approval of the detailed statement of the PP Y pp 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. No.. Date 6 - Street Registered Architect and /or Engineer ..... __._ _ Employing Plumber's Name- --. -__ _ _ No.. Street —__ .__— Location and Legal Description Lot Block Street and Number where work is to be performed —No __,4_1(2._n* £ '' � D 1 Street. State work to be performed and purpose of building (By Floors)____._ _ -_ -_ -- New Building--_ -.._ —_ __ Remodeling - -_ --- - -____ . __ Addition._ (Signed) _ Repairs No. of Stories... Type of Tank— _ Capacity Gals My Commission Expires Notary Public, State of Florida Feet of Drain Tile-______ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — 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. 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 worlcmanship. Owner's Name and Address Location and legal description of lot to be built on: Lot Block STATE OF FLORIDA, COUNTY OF DADE. j Ss. peared Disapproved ( MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. 4 Registered Architect and /or Engineer Name and address of licensed contractor Building Inspector S dikision Street and Number where work is to be done ` Y State work to be done and purpose of building (by floors),._ Chairman Member Date No Street___ / e if o c. an Ly . 3/ s4/ 4Z/1 141J toe, ,19 for no other purpose. New Building Remodeling Addition / Repairs No. of Stories To be constructed of Kind -of foundation__ l;po€ overing Estimated Total cost of improvements $ J T ' v �` Amount of Permit $ Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may, be sent to 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 complied 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 ( s bcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. n- rf�f (, ��� Remarks (Signed) h wti_n -..�. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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 are true. r . by _... therein him stated � �, Permit No.___ ___ Date_Ao&I / 0 I Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making orrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when .uch re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT VC- 7 Date_________ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm' ted for a building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of iami 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.,-- y . Owner's Name and Address U--r- -___ ___L°____� • N o s- Registered Architect and /or Engineer _ ~ Employing Plumber's Name — ' _'_ ' l -- �' t, No Location and Legal Description Lot_____ —_ Street and Number where work is to be performed —No Size Septic Tank___ Feet of Drain Tile_ Nature of Water Supply: City —Well 1 i __Block • State work to be performed and purpose of building (By Floors) New Building Remodeling Addition_ Street /7 S et J `----- --__! - /_ - -- ---_ Subdivision__ ___ ______ ________— _____________ Repay ' No. of Stories_ Type of Tank . Capacity Gals._____________ ______ Dist. Feet of Tank or Drain Field from ize of Soa (Signed) My Commission Expires ; .. T Notary Public. Master Plumber. --------------------- Amount of Permit $_ —_ - -__ _ __________— ______- -___ —_ (Signed) _____________________________________________ 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 under signed agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 � th4 of the above described construction, that he has carefully read the foregoing application an t he did sigp the same, and hat all fa therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re-ins . tion is made necessary by infproper 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 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT VC- 7 Date_________ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm' ted for a building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of iami 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.,-- y . Owner's Name and Address U--r- -___ ___L°____� • N o s- Registered Architect and /or Engineer _ ~ Employing Plumber's Name — ' _'_ ' l -- �' t, No Location and Legal Description Lot_____ —_ Street and Number where work is to be performed —No Size Septic Tank___ Feet of Drain Tile_ Nature of Water Supply: City —Well 1 i __Block • State work to be performed and purpose of building (By Floors) New Building Remodeling Addition_ Street /7 S et J `----- --__! - /_ - -- ---_ Subdivision__ ___ ______ ________— _____________ Repay ' No. of Stories_ Type of Tank . Capacity Gals._____________ ______ Dist. Feet of Tank or Drain Field from ize of Soa (Signed) My Commission Expires ; .. T Notary Public. Master Plumber. --------------------- Amount of Permit $_ —_ - -__ _ __________— ______- -___ —_ (Signed) _____________________________________________ 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 under signed agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 � th4 of the above described construction, that he has carefully read the foregoing application an t he did sigp the same, and hat all fa therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re-ins . tion is made necessary by infproper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Legal Lot Bl" Description Address of Building MIAMI SHORES VILLAGE, FLORIDA 1 / DATE / �' '` r Y` t' 194. Contractor's License No. PERMIT N9 3467 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Subdi- vision Value of Project WARNING; This ConstrpetiOn mei be lei violet%nn f war Production Board General Limitations Q•(Pir 4 You are cautioned to consult your War P►o t;odrd office before starting the work authorized in this./permit. % 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. Signed• By 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 regula- tions pertaining thereto and /in strict coi formity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting is ezt#ii 'I ssutrzke responsibility for all work done by either myself, my agent, servant or employee. • ,r� CONTRACTOR OR BUILDER BY AUTHORITY z DING f.CTRICAL IUMBING _ caner of uildingd� O1ITRACTOI OR BUIL s E MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N9 3467 4 3i/ Contractor License No ql Work to be performed under this Permit Architect t Subdi- vision BY 4/ vA440 °, E c® h1 p r ia 6! !fi Jr;,„u,. ur IN3r Production Board General Limitations Ordc: Vou are cautinnpd to c suit your Wen Production Bo^ d officer the o #t ii Contractor or Builder - `t j '+, , ! .. - 9 Legal Lot B1 Description Address of �t ,, Value of Amt. of Building ! (fa f '. / Kb< I Project 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 r drawings or in the statements or. specifications and i that he assumes responsibility for work done by his agents, servants or employees. r , ;' 1 ; k, Signed • % r U B '; /. INSPECTpR -;-A In consideration of the issuance to me of this permit I agree to perform the work cove ed hereundek in compliance with all ordinances and regula- tions pertaining thereto . nd n s rict co, ormity with the pla . • rawings, statements or spic submitted to the proper aytksrities of Miami SJ�pgs Village. In acceptin: is .ems + ;ss e res. nsibility f all ork don •.y either myself, my agent, servant or employee. r r 1 •V `:11 r S AUTHORITY 194— MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. 9 7 Date_____. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm ted for e building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of iami 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 Registered Architect and /or Engineer Employing Plumber's Name No. C-' f-,12 /,p _�Y Street_ Size Septic Tank Feet of Drain Tile________— Nature of Water Supply: City —Well. STATE OF FLORIDA, COUNTY OF DADE. ss. Amount of Permit $__ __ Type of Tank 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 ________________________ Addition__ _Block__ Dist. Feet of Tank or Drain Field from __Sf!____.__________. Street__ / Z CL (Signed) Repai Subdivision_ My Commission Expires ` J J Notary Public. No. of Stories__ _Capacity Gals.___________— ______ --- - - - - -- (Signed) -- --- --- __-_ - - -- ---- ------- - - - - -- - - -- 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 under signed 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 they' of the above described construction, that he has carefully read the foregoing application an • t_t /he did sigp the same, and that all fa therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re -ins lion is made necessary by i4tf 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 TOTAL FIXTURES CONTR. LIST • CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. 9 7 Date_____. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm ted for e building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of iami 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 Registered Architect and /or Engineer Employing Plumber's Name No. C-' f-,12 /,p _�Y Street_ Size Septic Tank Feet of Drain Tile________— Nature of Water Supply: City —Well. STATE OF FLORIDA, COUNTY OF DADE. ss. Amount of Permit $__ __ Type of Tank 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 ________________________ Addition__ _Block__ Dist. Feet of Tank or Drain Field from __Sf!____.__________. Street__ / Z CL (Signed) Repai Subdivision_ My Commission Expires ` J J Notary Public. No. of Stories__ _Capacity Gals.___________— ______ --- - - - - -- (Signed) -- --- --- __-_ - - -- ---- ------- - - - - -- - - -- 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 under signed 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 they' of the above described construction, that he has carefully read the foregoing application an • t_t /he did sigp the same, and that all fa therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re -ins lion is made necessary by i4tf notice for inspection, or faulty materials and /or workmanship. OWNER LOT BLOCK SUBDIVISION Miami Jhoresllage F L 0 ft 1 D A PLUMBING PERMIT N9 1192 rf rw2 /may Issued to /14 to install the following described plumbing, in acc dance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a_story I building at r°% Fixtures Fixtures $ Sewer $ is Tank $ Total $ /Q 0 Village Plumbing Inspector „ �°,��' Received Payment b y " :114 " / Jo BUILDING ELECTRICAL PLUMBINB. ▪ ` .7 OR K DONE BY: The following is ready for inspection: Inspector's Report:- REQUEST D : WILL BE RFWDY NO. STREET PART OF LOT LOT BLOCK SUBDIVISION ROOF i OST OF BUILDING ,' r � PERMIT FEE ie 4.7 4" ac FRONT DEPTH HEIGHT STORIES Tyr -of, CONSTRUCTION biAme; Tile Concrete, Stucco B 1 :DING TO BE U ED FOR eEidence, Apts., Stores, Hotel ROOF i OST OF BUILDING ,' r � PERMIT FEE ie 4.7 4" Dated Owner of Building / Architect BUILDING PERMIT Contractor or Builder / ;' (7 Miami Shores Village, Florida e PROPOSED LOCATION DESCRIPTION OF BUILDING MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR r ' .+v ° 545 f d / This permit is issued to f t 974 g To +- ',a/ ' 1 -- the building above described, as per application, Plans and Specifications heretofore filed in this offs that all facts stated in the application are true and that the construction complies strictly with t and compliance with the building laws of the State of Florida and with the building ordinances . This permit is granted upon the express condition Tans and specifications submitted, and in accordance zoning laws of Miami Shores Village, and rules and '• e gulations of the building department of Miami Shores Village. This permit may be revoked at atl time upon the violation of any provisions of said ws, ordinances or rules and regulations, or upon any change in the plans and specifications unauQhorized },y the b ilding in ctore . - r BUILDING IINSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Mian►i}Shores Village. .+ e r Y r• (SEAL) MIAMI SHORES VILLAGE, FLA. APPLICATION FOR SEPTIC TANK PERMIT • DIVISION OF PLUMBINSNSPECTION Date: / c the following application fot'a permit covering I herewith submit g pP the installation of a Septic Tank • • Soakage Pit: : Relaying: New Feet of drain tile: 1 Installed by: Address: (NEW:j7, Old: For a (Store: Garage: Apt: Hotel: Office Bldg. (Res:22. Garage wash floor: Waste water from a: Additional information: APPROVED BY: Remarks: PERMIT NO. /1 F - Story: Addition: Remodeled: Building has: Stores; Offices; Apts; Hotel Rms; Bedrums Owner or Agent: ,� Zdrp,A�l'�' �/ Address: 14 ul /0 Lot No., .5. Block No. M 0 SUBDIVISION Address of work: 6' )1 g, o ® No. of Plumbing Fixtures: 2 Laundry Tubs: Floor Drains: Nature of water supply: City: A,' Well: Feet Distant from all wells: Type of tank installed:: Tank capacity in gallons: a Size of Soakage Pit: Purpose of same: c-,w,A Ready for Inspect-ion: Date: 1 °3/ 3 , Time: CONDEMNED BY: 1 i v / ° / 7 fr t1 Tar A 'L t "--4 r V 4=� 1 r. Grp � � d r' 4 •