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PLUMBING PERMIT1 Permit No. -- 2g2- 3 Sunply: l,c C am: Nature of Water STATE OF FLORIDA, COUNTY OF DADE. 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 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 Dixin No ,— 700 Registered Architect and /or Engineer____ (Dui lder� Fioefle Construct ion Employing Plumber's Name Mid Lyn_Plumbing Repair Inc. No — _ 11958 Location and Legal Description Lot 6L __i.__. Block_ Street and Number where work is to be performed — No 700 Street N.E. 101 Street State work to be performed and purpose of building (By Floors)__Remodel 2 bath rooms — Residence New Building Remodeling --X -- --__-- Addition__ Size Septic Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Amount of Permit $ (Signed) - - _ -� - _.Size of Soakage Pit Type of Tank_ Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed).. Repairs Date September 7 1966 N. E. 101 Street Street Street Subdivision No. of Stories. 1 ej My Commission Expires Notary Public, State of Florida V. Dixie Highway r ` Plumbing Inspector. 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 by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT *NS TOTAL FIXTURES CO TR. 2 2 2 6 CHECK _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK 1 Permit No. -- 2g2- 3 Sunply: l,c C am: Nature of Water STATE OF FLORIDA, COUNTY OF DADE. 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 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 Dixin No ,— 700 Registered Architect and /or Engineer____ (Dui lder� Fioefle Construct ion Employing Plumber's Name Mid Lyn_Plumbing Repair Inc. No — _ 11958 Location and Legal Description Lot 6L __i.__. Block_ Street and Number where work is to be performed — No 700 Street N.E. 101 Street State work to be performed and purpose of building (By Floors)__Remodel 2 bath rooms — Residence New Building Remodeling --X -- --__-- Addition__ Size Septic Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Amount of Permit $ (Signed) - - _ -� - _.Size of Soakage Pit Type of Tank_ Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed).. Repairs Date September 7 1966 N. E. 101 Street Street Street Subdivision No. of Stories. 1 ej My Commission Expires Notary Public, State of Florida V. Dixie Highway r ` Plumbing Inspector. 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 by improper notice for inspection, or faulty materials and /or workmanship. Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewit(!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 Zl 4 :. � 'L ` No. Street Registered Architect and /or En/ger f «^P,rploying Plumber's Name__(/' `" ``T Location and Legal Description Lot p Block Subdivision Stret and Number where work is to be performed—No. __ 7 b v) / j Street 1 Stat work to be performed and purpose of building (By Floors ) _ C G Annt of Permit $ SS. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • —: .(,I e- ` t_' No / //--1 )) Street Ne Building Remodeling Additign Date __. Repajt6__ No. of Stories Sivtic Tank - Type of Tank____ Capacity Gals. Ff Drain Tile Dist. Feet of Tank or Drain Field from Well N. of Water Supply: City —Well . _ _ Size of Soakage Pit N r d-u ,_ ( Signed) / / Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he un(lerstands and accepts his obligati s as an employer of labor unr the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plil with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be pennned 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 reaired by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licesed by Miami Shores Village. (Signed) ' "- t -__ 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 swam, 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. 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 SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'Ns TOTAL FIXTURES IN JI He SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM ' POOL LI GI Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewit(!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 Zl 4 :. � 'L ` No. Street Registered Architect and /or En/ger f «^P,rploying Plumber's Name__(/' `" ``T Location and Legal Description Lot p Block Subdivision Stret and Number where work is to be performed—No. __ 7 b v) / j Street 1 Stat work to be performed and purpose of building (By Floors ) _ C G Annt of Permit $ SS. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • —: .(,I e- ` t_' No / //--1 )) Street Ne Building Remodeling Additign Date __. Repajt6__ No. of Stories Sivtic Tank - Type of Tank____ Capacity Gals. Ff Drain Tile Dist. Feet of Tank or Drain Field from Well N. of Water Supply: City —Well . _ _ Size of Soakage Pit N r d-u ,_ ( Signed) / / Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he un(lerstands and accepts his obligati s as an employer of labor unr the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plil with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be pennned 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 reaired by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licesed by Miami Shores Village. (Signed) ' "- t -__ 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 swam, 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. 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. BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 8838 Work to be performed under this Permit Owner of Building DATE 19 Contractor's License No. Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. 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 regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Permit No. __ // 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 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 Architect and /or Engineer.___ Employing Plumber's Name 1.'_} '4' - No. ?1 3 Street 4 ". j Block / 7 Subdivision 712 ' S Location and Legal Description Lot �Q.!! AL Street . --� 5 - -� Nature of Water Supply:' City -Well Amount of Permit $ 0 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. / / L - - - -- - -_ -- Street 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. Repairs Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ohliga ' s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane upplement, 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 'censed by Miami Shores Village. g ) (Si red��E� f1�= t - / Master Plumber. w Mk 5 7 Jl No. of Stories TE OF FLORIDA, 1 ss. NTY OF DADE. efore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 11 known, and who, being by me first duly sworn, upon oath deposes and says that he is the love described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts him stated are true. My Commission Expires Notary Public, State of Florida A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT NS I TOTAL FIXTURES CONTR. LIST 2 3 / , f L 2 3 ! _ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL. SPRKLR. SYSTEM SWIM 'G POOL Po /y.- Ai / `' 7 / J CONTR. LIST —/ +/-- / CHECK / Permit No. __ // 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 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 Architect and /or Engineer.___ Employing Plumber's Name 1.'_} '4' - No. ?1 3 Street 4 ". j Block / 7 Subdivision 712 ' S Location and Legal Description Lot �Q.!! AL Street . --� 5 - -� Nature of Water Supply:' City -Well Amount of Permit $ 0 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. / / L - - - -- - -_ -- Street 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. Repairs Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ohliga ' s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane upplement, 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 'censed by Miami Shores Village. g ) (Si red��E� f1�= t - / Master Plumber. w Mk 5 7 Jl No. of Stories TE OF FLORIDA, 1 ss. NTY OF DADE. efore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 11 known, and who, being by me first duly sworn, upon oath deposes and says that he is the love described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts him stated are true. My Commission Expires Notary Public, State of Florida A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty or workmanship. DATE MAP NO. BLDG. PMT. PLBG. PMT. SEPTIC PERMIT REINSP. FEE / ,..r, Application is herewith submitted for a permit covering the installation of: PLUMBING, SEPTIC TANK, DRY WELL, RELAY DRAIN, GAS, SOLAR HEATER. Owner L Installed By Address of Job / T ,ay. Tub Shower Sink Water Closet Urinal T ,aundry Tray Plumbing Inspector 0.28 2M 1.40 DADE COUNTY ZONING DEPARTMENT APPLICATION FOR PLUMBING AND SEPTIC TANK PERMITS /_ Fixtures Fixtures For aX New Old Story Addn. Remodeled, Bldg. Has Stores Offices Apts Hotel Rooms Red Rooms Septic Tank ( (, r Gallons_ / r`,y Ft. of Drain Tile Gal Dry Well Use of Building Conform to Zoning O.K. by Well Grease Trap Rough Plbg Tank Roof Drain Condemned Floor Dr. Slop Sink Sewer Total Fixtures Gas Outlets Gallon _Solar Heater Final Subdivision Lot -t' '77.^ Block / ✓ MECHANICAL PLAN PLOT PLAN 1 ' BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE; F'Ls RIDA • DATE = , f � - . ` 1944_ Contractor's License No PERMIT N° 7911 Work to be performed under this Permit /ef Architect Contractor or Builder Legal Lot ° Bl. Subdi- Description vision Address of � Value of II Amt. of j Zr ` / Project Permit 7 e This iiermit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is .granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed • F-''t ..1" / wet ., - By INSPECTOR In consideration of the issuance to me of this permit I agree to perform(' w ork covered hereunder in compliance with all ordinances hnd regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities Sim 's of Miami S Vj1 e. In accepting this permit I assume responsibility for a work done by either myself, my agent, servant or employee. 7 t - . OR BUILDER AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description • • MIAMI SHORES VILLAGE; FLORIDA Lot e ,PERMIT N? 8013 t. Work to be performed under this Permit e / .. ... Bl. Subdi- vision DATE %— 1:. Co;rltractor's License No Address of ,, 7 , Value of Amt. of Building / / e " / /' / / it' Project Permit 7 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 ap; cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with s plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revok 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 ti permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances ai regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respo . sibility 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 regulation: pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorflFA of Miami Shorts.' 1116ae In accepting this permit I assume responsibility for a work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILIZR BI(" AUTHORITY Owner of Building V_ / Architect Contractor or Builder =- ��� ^' /•� % = C Legal Lat Description I31. Address of rf Building 0 CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA Date BUILDING ❑ ELECTRICAL ❑ PLUMBING PERMIT ? 9392 ROOFING ❑ • t...../-4-/7" d . Work to be performed under this Permit { f r Contractor's License No. Subdi- vision Sq Ft Value of j Amount of Project $ II Permit $ ti 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 and plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon sibility for work done by his agents, servants or epiployeea, � Signed :__L_ / / � ` . (INSPECTOR) BY r ' In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation, pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all woek done by either, myself, my agent, servant or employee. :// s' BY AUTHORITY c+- `.. 4 ,,„ ..._„,i.,,,,,,,_,,,,-4.- Penult No 9 _,l___z Owner's Name and Address__________ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING " i•jkhgT amen A. Dixon New Building Remodeling_ _ _________ Addition__ Non.17, 1957 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 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 700 N.E. 100 St. No._________ _ Street Registered Architect and /or Engineer_• -_ ____— _______— __________ _ _�___ Employing Plumber's Name Septic Tank _ No.._2240 __ Street 10th. Ct. Location and Legal Description Lot_ _ Block___ Subdivision__ __.__.._......___ Street and Number where work is to be performed— No..___JQ ._ ___ -___ __- Street N • E • 100 Street State work to be performed and purpose of building (By Floors)______----- _. .___ -_• -- Repairs No. of Stories - __ Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile_ __ Rel a Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well _Size of Soakage Pit Amount of Permit $ 3.00 STATE OF FLORIDA, I COUNTY OF DADE. (Signed)_ ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus 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 •. ' . the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on w' k to be p o •; un• ' this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida 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 TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NB TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL. CONTR. LIST X __ CHECK Penult No 9 _,l___z Owner's Name and Address__________ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING " i•jkhgT amen A. Dixon New Building Remodeling_ _ _________ Addition__ Non.17, 1957 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 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 700 N.E. 100 St. No._________ _ Street Registered Architect and /or Engineer_• -_ ____— _______— __________ _ _�___ Employing Plumber's Name Septic Tank _ No.._2240 __ Street 10th. Ct. Location and Legal Description Lot_ _ Block___ Subdivision__ __.__.._......___ Street and Number where work is to be performed— No..___JQ ._ ___ -___ __- Street N • E • 100 Street State work to be performed and purpose of building (By Floors)______----- _. .___ -_• -- Repairs No. of Stories - __ Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile_ __ Rel a Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well _Size of Soakage Pit Amount of Permit $ 3.00 STATE OF FLORIDA, I COUNTY OF DADE. (Signed)_ ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus 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 •. ' . the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on w' k to be p o •; un• ' this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida 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. BUILbING E(ECTRICAL PLUMBING ROOFING Owner of Building - MIAMI SHORES VILLAGE, FLORIDA ❑ Date 9" � 1947 ❑ PERMIT �T° lr . 9121 c cen eNos Kd Architect Contractor a a: or Builder J Legal Lot 1 1 Description BI Address of / O 7 /P Building /l Work to be performed under this 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 shown o /+ he plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants o emp ees. Signed • "C/ ��� / (INSPECTOR) BY In consideration of the issuance to me of this permit agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, wings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all wor done by either, myself, my agent, servant or employee. Subdi- Nision Sq Ft Value of 11 Amount of . Project $ 11 Permit $ 3 CONTRACTOR or BUILDER BY AUTHORITY RADIO DISPATCHED PHONE: TU 7 -2613 Sept. 8, 1967 Miami Shores Village Div of Plu ibing Inspection Miami Shores, Fla Gentlemen: Enclosed is Permit No,9121 for 25' relay at 540 N. W. 108th Terr. This ivas sent to you in error with our check for $3.00 for permit. This is in County area.-- Your - refund- -will_ be_apprecqat a•_� Yours very truly, A A SEPTIC TANK COMPANY K. Kelly Sec -Tr Enc 4 4 Septic Ta#14 Campaiut Precast Septic Tank and Drain Tile Installations and Repairs Sanitary Cleanings — Underground Concrete Garbadors • Concrete Clothes Poles • Please send permit back with next permit or work to be done in the Shores and we will credit this amount to your next permit. Building & Zoning Dept. Miami Shores Village 2240 WEST 10TH COURT P. O. BOX 1012 HIALEAH. FLORIDA