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489 NE 101 St (10)Permit Noj e 0V MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl{ 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 Dopy of approved plans and specifications must be kept at building during progress of work. -Sr Owner's Name and Address 4 ?c \ h1 No L LV t Street..)" Registered Architect and /or Engineer — Employing Pl s No.. ..—..K. U/ � �/ (- --._._.... .. y ... � . Itrwt.._ G . ) 2-f � I ^ A E I ')" Y a$o�"ana / L;egal ° ) c rlptio Lot. j7 A Block e/ subdlvwon/ 1P Street and Number where work L to be performed —No State work to,be performed and purpose of building (By Foors) G? 3 /Nt b a¢� 7 ._ ai 6 cP StOu6 //o ZNSi., Ut • . New Building_._..._ _ __._.........._.. Remodeling____ ___.__ Addition... _ ..__ Repair No. of Stories L Size Septic Tank_ Type of Tank__ Feet of Drain Tile. ___Dist. Feet of Tank or Drain Field from Well .. .- -. - ___ Nature of Water Supply: City—Well. Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, µ COUNTY OF DADE. 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 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort• to he 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 arP required by the Act. The undersigned agrees to employ only such sub-contra oo work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned author a notary puklic, dul authori ath administer omits and take acknowledgments, personally appeared c to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the._.__ w`'' � \' of the above described construction, that he has carefully read the foregoing application, and thee be did' sign the same, and that all facts therein by him stated a vj POSLIC BTATB 0? MOM __ _ NY COMMISSION IMP. NAR.28.1994 �m ,iNS, ti1tD My Com ion Notary 1P iI4Ic, $tats of Plnrfda (Signed) _ -4 (Signed) Date..._. 90 Street..jo 9f Muter Plumber. NOTE: A re- inspection fee of $1.00 will be roads whoa droll n-htspeotlas Y Naar Demur, by fm'proper stories for inspection, or faulty materials and /or worl®anship. CLOSETS BATH TUBS SHOWER• LAVA• TORIES SINK• SLOP SINKS LAUHORY Tuts URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL P11T11RES CONTI!. LIST CHECK SEPTIC TANK SEWER CONN. DRAM FIELD SOAKAGE PIT G TRAP SOLAR H EATER Mar WELL SPRKLR. SYSTEM SW IM POOL CONTII. LIST CHICK Permit Noj e 0V MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl{ submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of. Miami Shores Village shall be complied with, whether herein specified or not. A Dopy of approved plans and specifications must be kept at building during progress of work. -Sr Owner's Name and Address 4 ?c \ h1 No L LV t Street..)" Registered Architect and /or Engineer — Employing Pl s No.. ..—..K. U/ � �/ (- --._._.... .. y ... � . Itrwt.._ G . ) 2-f � I ^ A E I ')" Y a$o�"ana / L;egal ° ) c rlptio Lot. j7 A Block e/ subdlvwon/ 1P Street and Number where work L to be performed —No State work to,be performed and purpose of building (By Foors) G? 3 /Nt b a¢� 7 ._ ai 6 cP StOu6 //o ZNSi., Ut • . New Building_._..._ _ __._.........._.. Remodeling____ ___.__ Addition... _ ..__ Repair No. of Stories L Size Septic Tank_ Type of Tank__ Feet of Drain Tile. ___Dist. Feet of Tank or Drain Field from Well .. .- -. - ___ Nature of Water Supply: City—Well. Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, µ COUNTY OF DADE. 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 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort• to he 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 arP required by the Act. The undersigned agrees to employ only such sub-contra oo work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned author a notary puklic, dul authori ath administer omits and take acknowledgments, personally appeared c to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the._.__ w`'' � \' of the above described construction, that he has carefully read the foregoing application, and thee be did' sign the same, and that all facts therein by him stated a vj POSLIC BTATB 0? MOM __ _ NY COMMISSION IMP. NAR.28.1994 �m ,iNS, ti1tD My Com ion Notary 1P iI4Ic, $tats of Plnrfda (Signed) _ -4 (Signed) Date..._. 90 Street..jo 9f Muter Plumber. NOTE: A re- inspection fee of $1.00 will be roads whoa droll n-htspeotlas Y Naar Demur, by fm'proper stories for inspection, or faulty materials and /or worl®anship. Amount of Permit $ - -2. , .„ f44i! MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date..._.._.._ -/ .l. - • •-- - - - -.— Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su fitted 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. O Name and Address Paul Bullwillcel Registered Architect and /or Engineer ACME GAS CORP 1 NE 130 ST $ /t Pi b Q ACZIE oAS CORP [ Z / Location and' Legal Description Lot of ` 3 �Elo�� 9'L Street and Number where work performed—No to be performed—No 1 489 NE 01 STREET Street_. State work to be performed and purpose of building (By Fkrors) _-1N.STALL _100 LB T . T. F L.P GAS CY L FOR CKG New Building - -__._ _ .. Remodeling____......- ..__.. —_ Addition.. _ Repairs No. of Stories ............ Size Septic Tank__ _Type of Tank__ Feet of Drain Tile Dist Feet of Tank or Drain Field from Well. Nature of Water Supply: City—Well. Size of Soakage Pit. 101 street No. Street.. 1489 NE ( Signed) _tA SO I' - 3 93 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 5988, Compiled General Laws of Florida Permanent Supplement, and !tax com- piled with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work co 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- contractor, on work to be performed under this permit, as are licensed by Miami Shores Villages (Signed) Master Plumber. STATE OF FLORIDA, r 1 te' ' G E 2 r C o �. ► — u 0 o 0 4 p COUNTY OF DADE. ..1)///01 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ( A w 1 n� E/5-/tN (C ( n/ to me well known, and who, being by me first duly sworn, upon oath deposes and soya that be it therein by him stated are true. ___ of the above described construction. that h has carefuliy lead the foregoing application, and that be did sign the same, and that all facts ARY PUBLIC ST OF FLORIDA�� COgrISS10N Gyp, MAR lo ND. My pE Notary Public, State of Florida ffjiYtMENERAI INS. UND. NOTE: A re•inspection fee of 11.00 will be made when mob se•Inapeotian it snade by improper notice kw Inspection, or faulty materials and/or walmaaship. CLOSETS BATH Tus. SHOWERS LAVA• TORIES /INKS SLOP SINKS LAUNDRY Tugs URINAL/ CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N• GAS - I, GAS RANGE LINE TOTAL ',slums, -- CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR MEATIER DRIP WILL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK - r Amount of Permit $ - -2. , .„ f44i! MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date..._.._.._ -/ .l. - • •-- - - - -.— Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su fitted 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. O Name and Address Paul Bullwillcel Registered Architect and /or Engineer ACME GAS CORP 1 NE 130 ST $ /t Pi b Q ACZIE oAS CORP [ Z / Location and' Legal Description Lot of ` 3 �Elo�� 9'L Street and Number where work performed—No to be performed—No 1 489 NE 01 STREET Street_. State work to be performed and purpose of building (By Fkrors) _-1N.STALL _100 LB T . T. F L.P GAS CY L FOR CKG New Building - -__._ _ .. Remodeling____......- ..__.. —_ Addition.. _ Repairs No. of Stories ............ Size Septic Tank__ _Type of Tank__ Feet of Drain Tile Dist Feet of Tank or Drain Field from Well. Nature of Water Supply: City—Well. Size of Soakage Pit. 101 street No. Street.. 1489 NE ( Signed) _tA SO I' - 3 93 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 5988, Compiled General Laws of Florida Permanent Supplement, and !tax com- piled with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work co 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- contractor, on work to be performed under this permit, as are licensed by Miami Shores Villages (Signed) Master Plumber. STATE OF FLORIDA, r 1 te' ' G E 2 r C o �. ► — u 0 o 0 4 p COUNTY OF DADE. ..1)///01 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ( A w 1 n� E/5-/tN (C ( n/ to me well known, and who, being by me first duly sworn, upon oath deposes and soya that be it therein by him stated are true. ___ of the above described construction. that h has carefuliy lead the foregoing application, and that be did sign the same, and that all facts ARY PUBLIC ST OF FLORIDA�� COgrISS10N Gyp, MAR lo ND. My pE Notary Public, State of Florida ffjiYtMENERAI INS. UND. NOTE: A re•inspection fee of 11.00 will be made when mob se•Inapeotian it snade by improper notice kw Inspection, or faulty materials and/or walmaaship. ACME GAS.CORP 1419 130K- •\ A .;) ) 1 / 1 17-• 1 , q 1 ..cZ 2 C7 • • /o/ s 0 Cr F 0/0 / / ./ 4> Pi' ' / r? z/ PAUL BOLLWINKEL 489 N1,E. Ii ST miA MI 51--1 OgF.S F Permit No 3 __ Z® __ Date 1 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. ___ I/ F . ----Q 1 S / Owner's Name and Address -- - - - - -- -- No. - - - - -- �_ Street__ 1 - - --• Registered Architect and /or Engineer__________________ _ 2 Employing Plumber's Name___ L J Q n i 243L _____- No.___` s52 0 Street_ —_11/ / _ tJ___ S Location and Legal Description Lot________ Size Septic Tank Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ---- ...... _____________ 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____ Addition__ T ype o f T - _ Capacity Gals .. Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.-_—_--- ....... -------- •---- ..... ---- -- - - -- -- -Size of Soakage Pit (Signed ) Repairs No. of Stories The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a oyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supple - and has cmn- 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 wor to performed under this permit, as are licensed by Miami Shores Village. Street Subdivision _ rs •� Plumb Inspector. Master Plumber. STATE OF FLORIDA, 1 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 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 workmanship. CLOSETS BATH T _S M SHOWERS I LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N5 TOTAL FIXTURES CONTR. LIST 5 f ( (I CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK F Permit No 3 __ Z® __ Date 1 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. ___ I/ F . ----Q 1 S / Owner's Name and Address -- - - - - -- -- No. - - - - -- �_ Street__ 1 - - --• Registered Architect and /or Engineer__________________ _ 2 Employing Plumber's Name___ L J Q n i 243L _____- No.___` s52 0 Street_ —_11/ / _ tJ___ S Location and Legal Description Lot________ Size Septic Tank Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ---- ...... _____________ 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____ Addition__ T ype o f T - _ Capacity Gals .. Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.-_—_--- ....... -------- •---- ..... ---- -- - - -- -- -Size of Soakage Pit (Signed ) Repairs No. of Stories The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a oyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supple - and has cmn- 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 wor to performed under this permit, as are licensed by Miami Shores Village. Street Subdivision _ rs •� Plumb Inspector. Master Plumber. STATE OF FLORIDA, 1 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 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 workmanship. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ Date 'R. ' "' % 19_47 PLUMBING DI PERMIT N? 8432 Contractor's License 4 " ROOFING ❑ Owner of j Building C Ow 1 - 4 - . 71rrr ❑ Work to be performed under this Permit Architect Contractor ,�._ or Builder 1 • '•"► 4.11.1._<••• Legal Lot Description 1 BI Address of 4 e7 t C / 0/ 6 ri Building !� • ... `, l S.., 1, Subdi- vision Sq Ft Value of I I Amount of �-- Project $ II 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 sh.wn on the plans or dra ings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, se a o loyees. F Signed• r � � I•NST/e TOR) BY In consideration of the issuance to me of this permit I agree to orm the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, star-ments or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by ither, myself, my agent, servant or employee. 9 • it ,r s ''� • I C'i . ... CONTRACTOR or BUILDER` BY AUTHORITY l ��t. P e r m i t No..- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ,A Y (- Date 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 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. L., No Street • Registered Architect and/or Engineer._._.__..__ - -- -- __. Employing Plumber's Name No. Street..._ Location and Legal Description Lot.. . ___ Block _____ -------- _ -_ - -- Subdivision -_ Street and Number where work is to be performed -No I-Z - G , .____._ -- Street_ _.__.../ Z !' State work to be performed and purpose of building (By Floors)__ New Building ___ Remodeling Addition__. __- Repairs No. of Stories Size Septic Tank Type of Tank_ Feet of Drain Tile Dist. Feet of Tank or Drain Field from We_IL :. Soakage Pit._. Nature of Water Supply: City -Well. Amount of Permit $ Capacity Cals. (Signed)._ L (Signed).- -. - -- �-�— Plumbing Inspector. The undersigned applicant for this ding permit does hereby certify that he understand and/accepts his obligations as an employer of labor under the Florida Workmen's Comp sation Act, being Section 5968, Compiled General Laws -of'Florida Permanent Supplement, and hL,s cs ;,n- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work :o 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 art licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Pluinber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 iac 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 feu) materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINK• LAUNDRY 'rues URINALS I NALS CATCH BAaIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURE! CONTR. LIST CHECK — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHECK - P e r m i t No..- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ,A Y (- Date 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 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. L., No Street • Registered Architect and/or Engineer._._.__..__ - -- -- __. Employing Plumber's Name No. Street..._ Location and Legal Description Lot.. . ___ Block _____ -------- _ -_ - -- Subdivision -_ Street and Number where work is to be performed -No I-Z - G , .____._ -- Street_ _.__.../ Z !' State work to be performed and purpose of building (By Floors)__ New Building ___ Remodeling Addition__. __- Repairs No. of Stories Size Septic Tank Type of Tank_ Feet of Drain Tile Dist. Feet of Tank or Drain Field from We_IL :. Soakage Pit._. Nature of Water Supply: City -Well. Amount of Permit $ Capacity Cals. (Signed)._ L (Signed).- -. - -- �-�— Plumbing Inspector. The undersigned applicant for this ding permit does hereby certify that he understand and/accepts his obligations as an employer of labor under the Florida Workmen's Comp sation Act, being Section 5968, Compiled General Laws -of'Florida Permanent Supplement, and hL,s cs ;,n- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work :o 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 art licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Pluinber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 iac 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 feu) materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. ..._.. Date ... 1_-- - - ..................... 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 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 dur-ng progress of work. Owner's Name and Add' ess -..__ .. = . =" No _ -._.. Street Registered Architect and /or En eer _ . _ _ ...... . - _-.. . Employing Plumber's Name . No . Street- -._.___. Location and Legal Description Lot.. -_ _ .._ . _ Bloclr Subdivision Street and Number where work is to be performed —No 4 Street .__...--- - -.._ State work to be performed and purpose of building (By Floors)._ __..-- -_ - _-- New Building .. Remodeling __ Addition.__.._- ....- - -_ - -. Repairs ._- .__.._.._..__._...- _ - -.. No of Stories - My Conunission Expire Size Septic Tank - -.Type of Tank.. __. -. --------- .----- ..... - - -- ....-- •- • -_ -` -. - pac1ty Cals. _....... Feet of Drain Tile._ .__.Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City— Well ._—. Size of Soakage Pit Amount of Permit $ ( Signed)---_--_' _ Plumbing Inspector. The undersigned appli • t for this building permit does hereby certify that he underst nd accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 6988, 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 Share Village. STATE OF FLORIDA, i �. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the therein him stated t construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fat. 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 full materials and /or worlmoanship. CLOSETS OATH Tu.. SHOWERS LAVA- ToRiEs SINK. SLOP SINK. LAUNDRY Tu.. URINAL. CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NE TOTAL FIXTURE: — CONTR. LIsT CHL'CK TANK CONN. FIELD SOAKAGE PIT OE GREASE H E O ATKR WELL SYSTEM Poo / C LIST CHECK 't' _ ._ v c 47/ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. ..._.. Date ... 1_-- - - ..................... 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 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 dur-ng progress of work. Owner's Name and Add' ess -..__ .. = . =" No _ -._.. Street Registered Architect and /or En eer _ . _ _ ...... . - _-.. . Employing Plumber's Name . No . Street- -._.___. Location and Legal Description Lot.. -_ _ .._ . _ Bloclr Subdivision Street and Number where work is to be performed —No 4 Street .__...--- - -.._ State work to be performed and purpose of building (By Floors)._ __..-- -_ - _-- New Building .. Remodeling __ Addition.__.._- ....- - -_ - -. Repairs ._- .__.._.._..__._...- _ - -.. No of Stories - My Conunission Expire Size Septic Tank - -.Type of Tank.. __. -. --------- .----- ..... - - -- ....-- •- • -_ -` -. - pac1ty Cals. _....... Feet of Drain Tile._ .__.Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City— Well ._—. Size of Soakage Pit Amount of Permit $ ( Signed)---_--_' _ Plumbing Inspector. The undersigned appli • t for this building permit does hereby certify that he underst nd accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 6988, 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 Share Village. STATE OF FLORIDA, i �. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the therein him stated t construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fat. 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 full materials and /or worlmoanship. Permit No. _/ Q se. 0,3 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__ Amount of Permit $__ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot Block / Subdivision Street and Number where work is to be performed— I o __Q___ __ __ ____! O / Street State work to be performed and purpose of building New Building Remodeling Addition Repairs No. of Stories Size Septic Tank_ Type of Tank_ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit (Signed) (Signed) Date � ` Street re-L' Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that '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. I / J � Master Plumber. t�� �j STATE OF FLORIDA, ss. 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 the same, and that all facts therein by him stated are true. My Commission Expires 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'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. IST LIST • •CHECK Permit No. _/ Q se. 0,3 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__ Amount of Permit $__ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot Block / Subdivision Street and Number where work is to be performed— I o __Q___ __ __ ____! O / Street State work to be performed and purpose of building New Building Remodeling Addition Repairs No. of Stories Size Septic Tank_ Type of Tank_ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit (Signed) (Signed) Date � ` Street re-L' Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that '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. I / J � Master Plumber. t�� �j STATE OF FLORIDA, ss. 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 the same, and that all facts therein by him stated are true. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Owner of Architect Contractor or Builder i Legal Lot DeOcriptialt sass of cro eilliveraiit is granted heret in svEict co lras d i1 dew ings, €t tem&nts- or sp eofko' time if the work is not don e gaOte4 i the vadsystaild pertaintog to the word e done by his. agents, serval-Ai' o In consideration of the r s s 'ertainiog thereto and in strict icon n accepting this permit 1 assn,:e,- i' , Oi (. aX r1, to c t ct'she building t dersta d g Ole A: Subd vision tie vcir cdr'et1 lie` t5nder i'ii compliance wi a ardi o- specifications submitted to the proper authorities of Mt self, my agent, se Tint or employee. I' or to -itai' the equipment or devise deserted iti dip apphcatibrri eh.g: t sorb 'will be performed i'D coreptiancQ 47.4 any O p et Iflpal 1orities Um* Permit may he y yoked' '4 a t� th$i d A further ea on won- this t; r,a� ns owled a t e ordtn a e -s pe and that he aspizes resphhsi lty tar vror CONTRACTO � 6' 7 Permit No._ ___1 r"? Owner's Name and Address 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. T us 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. Registered Architect and /or Engin Employing Plumber's. Name L9cation and Legal Descripti.b n Street and Number where work is to be performed —No State work to be perforned and purpose of building (By Floors) New Building . Remodeling Amount of Permit $ - flt�rL S ATE OF FLORIDA, 1 COUNTY OF DADE. I ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No lq--gf Street /i1 / Date- -' e 14 „7 ( Block Subdivision / 07 Street .l_Y__ Addition A Repairs No. of Stories Size Septic Tank i Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit (Signed) Px _e (Signed) e1 b Notary Public, State of Florida Plumbing Inspector. The undersigned appli c ( ant for this building permit does hereby certify that he u stands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene 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 perforned 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 I undersigned 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 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 ISHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES G UST LIST / I CHECK ' ) '` L. 1 - SEPTIC TANK SEWER CONN. I DRAIN I FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST / CHECK • � 6' 7 Permit No._ ___1 r"? Owner's Name and Address 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. T us 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. Registered Architect and /or Engin Employing Plumber's. Name L9cation and Legal Descripti.b n Street and Number where work is to be performed —No State work to be perforned and purpose of building (By Floors) New Building . Remodeling Amount of Permit $ - flt�rL S ATE OF FLORIDA, 1 COUNTY OF DADE. I ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No lq--gf Street /i1 / Date- -' e 14 „7 ( Block Subdivision / 07 Street .l_Y__ Addition A Repairs No. of Stories Size Septic Tank i Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit (Signed) Px _e (Signed) e1 b Notary Public, State of Florida Plumbing Inspector. The undersigned appli c ( ant for this building permit does hereby certify that he u stands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene 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 perforned 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 I undersigned 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 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.