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490 NE 101 St (2)/1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No° 1 Date...- - -_ - -_ Application is hereby made for the approval of the detailed statement of the plans and Ramifications 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 Addr Registered Architect and /or Engineer , ,� Ealllo g it bar''s% 7 � ' , - 'lion and g al DescN ptidc Lot L B Cr treet and Number where work L to be performed —No. /y f.� / 7 State work to be performed and purpose of building (By Floors) __._._ _ .------ _-- _ - -• -- New Building.._... — _ _.._ _.. Remodeling__ ___ Addition. No ___Z.2 Size Septic Tank— _Type of Tank__ C 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 8 " 620 (Sigaed The undersigned applicant for this building permit does hereby certify that he understands and accepts under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Fl plied with the provisions thereof, and will require similar compliance from all contractors or su performed under this permit; and will post or cause to be posted' for inspection on the site required by the Act. The undersigned agrees to employ only such sub - contractors, licensed by Miami Shores Village. My Commission Expires (Signed) Repairs No. of Stories Fee 7 Street ._ ti L 10/ No„ 6 _. kV .�Cb:_-1 y Streetz(C. / + � c- -•• - -- Notary Public, State of Florida Master Plum Plumbing Inspector. ations as an employer of labor a Pennane t Supplement, and hie corn- actors employed by him in the work to be work such public ce notices as are to be y orm " under wit, as are 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 be 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 81.80 will be made whoa snob rrispeotfata Y oede by improper notice for leespaectio , or faulty materials and /or wort nanrhip. STATE OF FLORIDA, as. COUNTY OF DADE. CLOSETS BATH TUNS "OWES* LAVA• TORIES SLOP SINK[ LAUNDR Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FCUNT'NS TOTAL •11*TUR[s CONTrI. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WILL S S M SWING POOL CONTR. LIST CHECK � 1 /1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No° 1 Date...- - -_ - -_ Application is hereby made for the approval of the detailed statement of the plans and Ramifications 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 Addr Registered Architect and /or Engineer , ,� Ealllo g it bar''s% 7 � ' , - 'lion and g al DescN ptidc Lot L B Cr treet and Number where work L to be performed —No. /y f.� / 7 State work to be performed and purpose of building (By Floors) __._._ _ .------ _-- _ - -• -- New Building.._... — _ _.._ _.. Remodeling__ ___ Addition. No ___Z.2 Size Septic Tank— _Type of Tank__ C 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 8 " 620 (Sigaed The undersigned applicant for this building permit does hereby certify that he understands and accepts under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Fl plied with the provisions thereof, and will require similar compliance from all contractors or su performed under this permit; and will post or cause to be posted' for inspection on the site required by the Act. The undersigned agrees to employ only such sub - contractors, licensed by Miami Shores Village. My Commission Expires (Signed) Repairs No. of Stories Fee 7 Street ._ ti L 10/ No„ 6 _. kV .�Cb:_-1 y Streetz(C. / + � c- -•• - -- Notary Public, State of Florida Master Plum Plumbing Inspector. ations as an employer of labor a Pennane t Supplement, and hie corn- actors employed by him in the work to be work such public ce notices as are to be y orm " under wit, as are 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 be 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 81.80 will be made whoa snob rrispeotfata Y oede by improper notice for leespaectio , or faulty materials and /or wort nanrhip. STATE OF FLORIDA, as. COUNTY OF DADE. MIAMI SHORES VILLAGE, FLA. N° 5112 JOB lL C A 7' .D "..9 � / � c� E` G . ter /e ADDRESS 1-50 AL INSPECTION D & ► l 1 �� TIME READY PirtA REMARKS: /al INSPECTOR DATE r 6 4 Village o of Miami Shores N? 4854 JOB , 6 €��' l , c ADDRESS 41 A oti l /eV INSPECTION vt=) V ► F / M ,J ., TIME READY REMARKS INSPECTOR 14 - 2 •A ? : DATE �° L 7- 3t 7- J -J 4 N.�. 5 AVE. :UILDING :LECTRICAL 'LUMBING :OOFING timer of . uilding - ! -ontractor r Builder egal tescription .ddress of uilding MIAMI SHORES VILLAGE. FLORIDA ❑ 9• t 195.6_ El DATF ❑ PERMIT N? 4205 �e tors 3 ❑ ° rchitect I Lot Work to be performed under this Permit Bl This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any =se 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 ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations Drtaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifi .. tions and that he assumes responsibility for work one by his agents, servants or employees. Signed. C o c+ 7 e Subdi- vision Value of Proj ect $ A' t INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered he =under in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submi ed to the proper authorities of Miami Shores Village. In ac- -.pting this permit I assume responsibility for all work done by either, myself, my aver t, servant or employee. oar. ..7 AUTHORITY Amount of 0 $ Permit Noi` 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 wor Owner's Name and Address... Registered Architect and /or E inee 4! Employing Plumber's Name_ n !_ yV 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 Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN';:' APPLICATION FOR PLUMBING 7 :L,AIT No.. Block__ Addition..._ Repairs No. of Stories ... ....................... Size Septic Tank e of Tank_ Capacity Gals. eet of Tank or Drain Field from Well _Size of Soakage Pit ( Signed) -- C` 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 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- contracto p on k to be per orme g�er this permit, s are licensed by Miami Shores Village. (Signed)._ Date t L.1" Street_ Street__ Subdivision /4,14 STATE OF FLORIDA, t es. COUNTY OF DADE. Eefore 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 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 S INKS SLOP SINKS LAUNDRY Tues URINALS R INALB 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 SWIM'S POOL CONTR. LIST x ` —_— CHECK Permit Noi` 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 wor Owner's Name and Address... Registered Architect and /or E inee 4! Employing Plumber's Name_ n !_ yV 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 Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN';:' APPLICATION FOR PLUMBING 7 :L,AIT No.. Block__ Addition..._ Repairs No. of Stories ... ....................... Size Septic Tank e of Tank_ Capacity Gals. eet of Tank or Drain Field from Well _Size of Soakage Pit ( Signed) -- C` 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 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- contracto p on k to be per orme g�er this permit, s are licensed by Miami Shores Village. (Signed)._ Date t L.1" Street_ Street__ Subdivision /4,14 STATE OF FLORIDA, t es. COUNTY OF DADE. Eefore 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 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.