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PLUMBING PERMITOther findings: STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Applicant �¢- 4A i x"; �a 5 P mit Number .8'0= 0 e 9 9 �r VE � P � 026/ PART I - SINSTALLATION INSPECTION AND FINAL INSTALLATION APPROVAL- Installer 0/ 04 -'; 7' Proper tank legend: Yes No Tank material Tank level: Yes No Tanks watertight: Yes No Tank size: gallons gallons gallons Proper tank outlet device: Yes No Manhole or marker to grade: Yes No Drainfield Trench Absorption Bed Length Width Length Width Length / 9 feet x / 1 feet =0P ft feet feet feet feet Length feet x feet = ft feet feet feet feet Proper No. drainlines: Yes ✓No feet feet feet feet Proper pipe separation: Yes ✓ No Total = ft2 / Total = ft Distribution box level: Yes No Systems located as permitted: Yes 1/ No Systems including plumbing stub -outs installed at proper elevation: Yes No Average depth to drainpipe invert from finished grade: / inches Maximum depth:.:)."f Inches Average depth of drainfield gravel: inches Minimum depth of gravel ).winches Proper gravel size: Yes No Gravel is suitable quality: Yes v No Backfill or fill material as required: (Quality) Yes L— No (Quantity) Yes ✓ No Inspected by Date $ JApproved by S s Tank Manufacturer g-A-A-; w (d HRS —H Form 4016, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 5744-002-4016-0) PART III - FINAL INSTLLATION APPROVAL Date 8 0l COUNTY PUBLIC HEALTH UNIT AN APPROVED I TIO DOES NOT GUARANTEE PERFORMANCE Note: Completed copies of this form ill be prov 'pd to the applicant, installer and the building department. Page 2 of 2 BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor( or Builder Legal Lot Description Contractor's License No. Work to be performed under this Permit ✓` _ " '�"""" ,1 f t• fp CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA . DATE ERM1T N? 5825 Bl. Subdi- vision 'BY t'c I Si ed • .. ;,. By �r INSPECTOR � AUTHORITY 194;7 Address of 7 i 77 �. / 0 •� Value of Amt. of Building ,,// 1 j Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device escribed 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 , wInes thetesponsibility for a thorough knowledge of the ordin ces and regulations pertaining to the work covered hereby whether shown on the plans or &awings or in the statements or specifications and-that ass s respon- sibility for work done by his agents, servants or employees. 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 ermit I assume responsibility for all work done by eith m self, yiy agent, servant or employee. 7 Registered Architect and /or Engineer - Employing Plumber's Name_ Size Septic Tank `.A S Feet of Drain Tile +.i Amount of Permit $__ ® -, to STATE OF FLORIDA, 1 COUNTY OF DADE. ss. • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - Permit No Y Date_ 4 ` '� 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_ le t7/ No 7� Afrie No. 1 Street___ Location and Legal Description Lot 4- 2 Block 20 Subdivision _Aid, s/,4F4 -See 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 No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply ell Size of Soakage Pit 1 ( Signed) ( Signed ) Streef Street 4/1/1 b i e My Commission Expires Notary Public, State of'Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this pernnit; 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. 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 SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK 7 Registered Architect and /or Engineer - Employing Plumber's Name_ Size Septic Tank `.A S Feet of Drain Tile +.i Amount of Permit $__ ® -, to STATE OF FLORIDA, 1 COUNTY OF DADE. ss. • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - Permit No Y Date_ 4 ` '� 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_ le t7/ No 7� Afrie No. 1 Street___ Location and Legal Description Lot 4- 2 Block 20 Subdivision _Aid, s/,4F4 -See 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 No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply ell Size of Soakage Pit 1 ( Signed) ( Signed ) Streef Street 4/1/1 b i e My Commission Expires Notary Public, State of'Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this pernnit; 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. 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. - BUILDING ELECTRICAL PLUMBING • CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 194 PERMIT N9 3065 Work to be performed under this Permit Owner of Building Architect Contractor or Builder s Legal Lot f': Bl. Description Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict 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. Subdi- vision Value of Project BY Contractor's ,' t License No. Amt. of Permit / AUTHORITY BUILDING ELECTRICAL PLUMBINB • • • • WORK • DONE BY: REQUESTED The following is ready for inspection: - Inspector's Report : - WILL BE READY // APPLICATION FOR PLUMBING PERMIT J Permit No.. ° Q� Date...J_ = .!— 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. Owners Name and Address.I C Registered Architect and /or En • eer E plc S PI 's ame f 4 C S _ .., N " 2 Z..... Itre.t.2 2sue' .. --- .,,-„. - Location and LegE scriition Lot_ s_.9 ± i / 313 1 °S Hlock , L Subdivladon. w .' L 47 Street and Number where work is to be performed —No 7 y 97e Street_ S r...•- •• - - - -. State work to be performed and purpose of building (By Floors)__.__ _ -.__ — New Building.._..._ ___.-- .-- ..... -. -_ -- Remodeling-- ._.._._ __ Addition e of Water Supply: City —Well. STATE OF FLORIDA, u. COUNTY OF DADE. J Size Septic Tank._ _Type of Tank— _ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well - -- - -_ _.— — __._ ....----- ....._ _ - -_ . — _ ..... __.— Amount of Permit $ (Signed My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT k 93 E,'7— c Zoes N.7.? 2 7 Street ._. r. • - -. -. -- ... Repairs No. of Stories. 0 4 j, - nT .T..�.._.. X34 Notary Public, State of Florida 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, nnd hr. 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 am required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) _ /: l / Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, Gad 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 $1.00 will be made whom snob nelaspeotioi it made.neoarsery by Improper notice for Inspection. or faulty materials and /or workmanship. CLO$rT• BATH Tull SMOWtRn LAVA• TORIES SIN" S BLOT SINKS LAUNDRY Tun• URINAL[ CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N• TOTAL PIIITURE• • — CONTR. LIST CHECK — SEPTIC TANK SEWER Comm. DRAIN F ICLO SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW 114'0 POOL Cop(r . LIST CHECK // APPLICATION FOR PLUMBING PERMIT J Permit No.. ° Q� Date...J_ = .!— 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. Owners Name and Address.I C Registered Architect and /or En • eer E plc S PI 's ame f 4 C S _ .., N " 2 Z..... Itre.t.2 2sue' .. --- .,,-„. - Location and LegE scriition Lot_ s_.9 ± i / 313 1 °S Hlock , L Subdivladon. w .' L 47 Street and Number where work is to be performed —No 7 y 97e Street_ S r...•- •• - - - -. State work to be performed and purpose of building (By Floors)__.__ _ -.__ — New Building.._..._ ___.-- .-- ..... -. -_ -- Remodeling-- ._.._._ __ Addition e of Water Supply: City —Well. STATE OF FLORIDA, u. COUNTY OF DADE. J Size Septic Tank._ _Type of Tank— _ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well - -- - -_ _.— — __._ ....----- ....._ _ - -_ . — _ ..... __.— Amount of Permit $ (Signed My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT k 93 E,'7— c Zoes N.7.? 2 7 Street ._. r. • - -. -. -- ... Repairs No. of Stories. 0 4 j, - nT .T..�.._.. X34 Notary Public, State of Florida 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, nnd hr. 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 am required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) _ /: l / Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, Gad 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 whom snob nelaspeotioi it made.neoarsery by Improper notice for Inspection. or faulty materials and /or workmanship. • N. 1\ y • PgS #237 Rev 11/79 fr / - 1 A/.2 /el 3z z 1., SECTION . SCALE DWG. By.,-- — / /‘' ,r ;‘ / f 7-74 - • / .4 . 2 . / 1 ■ ri ( \- ) 1' - • CeCC:Djp2(aL Wit 11 r c . • 17F / /7/ DATE / SHEET / of / J.O. A.F.E. 1 C LOSETS BATH TUBS SHOWER[ LAVA• T ORIES S SLOP SINKS LAUNDRY T un[' URINALS CATCH BASIN FLOOR DRINKING DRAIN FOUNT'N. r I TOTI.L FIETI R[S CONTR. L I T -� CHECK 1 - - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H DEEP WELL $PRKLR. SYSTEM eWIM'O POOL T. CLR LI ST I I __ CHICK Penns; No. . MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ef Date a— , tuns is hereby made for the approval of the detailed statement of the plans and specifications herewith subr.io'..,71 for the building or other .tructure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi< •! Shores Village, Florida, ,md all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic'. of the Building Division of lstiami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spet. ficatlons must be kept at Building during progress of work. ` wner's Name and Address ..... MIVE. " _w_.._..•_.._. No. 71 .F. i ! .___.__. Street_._Nt.. • .egist! red Architect and /or Engineer . to g P / y G�(� Up l bar m' W3 Block � .� .�.�./�"�- NO.�.�.�.... 8tre$t � l 1 / /�-� Location ands&gaf Descrrlpiiotr Lot. i k 3 U l Bloch / 0 *... r„ SubdivWo n.M_Sj 1.�- zts(? Street and Number where work is to be performed— No._ . __._. Street / S(. • State work to be performed and purpose of building (By Floors) New Building._ .._._.____.._ .................. Remodeling__— — ....._._ Addition Repairs t-"'"'" No of Stones Size Septic ...... of Tank cc Capacity Feet of Drain Tile. -_._c ° �.21 _ - -- _Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City — Well..___ — .... of Soakage Pit Amount of Permit $._ .... .....5. Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n;lloyer of hihoi under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Cum lement, and has Itn ;died with the provisions thereof, and will require similar compliance from all contractors or sub -contra performed under this permit; and will post or cause to be posted' for inspection on th . s to of the requ +red by the Act. The undersigned agrees to employ only such sub- contractor licensed by Miami Shores Village. STATE OF FLORIDA, u. COUNTY OF DADE. My Commission Expires (Signed) _ Notary Public, State of Florida • im in ' V, rk ce Y no icr . +s a. this Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acierowledgmegts, per r.e: ; , ppearec, 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 'acts therein by hin, stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re inspection is mede•neoessary by improper notice for inspe t!on, tlr fruity materials and /or workmanship. Permit No 06. ` T Owner's Name and Address Registered Architect and /or En:ineer _Employing Plumber's Name.. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Nor °" Bl Street and Number where work is to be performed —No /v State work to be performed and purpose of building (By Floors) ___.._._.. - ..__.__. New Building Remodeling__._ _ _ Addition Location and Legal Description Lot. Size Septic of Feet of Drain Tile.____ ____ ___ _Dist. Feet of Tank or Drain Field from Well. .._.... Nature of Wat • Supply. City— Well. __ _. __�_ _ _y�' : of Soakage Pit 4. !./ /% J Amount of Permit $ STATE OF FLORIDA, } ss. COUNTY OF DADE. 5' , 4 11- ts (Signed) Repairs 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 regulation° of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at building during progress of work. (Sived) ?l PY Stree( Capacity Gals._ 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 rum lement, and hail corv- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed l y him in ; a work to 1:, performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publt. notice or noricer ;as ar required by the Act. The undersigned agrees to employ only such sub - contractors, work to be perfo .....„3-er this r lnil silt ar ; licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal • r:ppearec to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ___..._ ..... - .............. .. ..._.._ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. No. of Stories. My Commission Expires Notary Public, State of Florida Masts Plumber. NOTE: A re- inspection fee of $1.00 will be made when each re- Inspection i. made'neoessary by improper notice for inspection, or faulty materials and /or workmanship. CLO[tT[ BATH TuBB SHOWERS LAVA• TORIES SINKB SLOP SINKS LAUNDRY Turns UR INALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•Ne TOTAL FIXT.R[• CONTR. LIOT -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEAT[ DEEP WELL SPRKLR. SYSTEM $WIM'O POOL CONrR. LIST -- CHECK Permit No 06. ` T Owner's Name and Address Registered Architect and /or En:ineer _Employing Plumber's Name.. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Nor °" Bl Street and Number where work is to be performed —No /v State work to be performed and purpose of building (By Floors) ___.._._.. - ..__.__. New Building Remodeling__._ _ _ Addition Location and Legal Description Lot. Size Septic of Feet of Drain Tile.____ ____ ___ _Dist. Feet of Tank or Drain Field from Well. .._.... Nature of Wat • Supply. City— Well. __ _. __�_ _ _y�' : of Soakage Pit 4. !./ /% J Amount of Permit $ STATE OF FLORIDA, } ss. COUNTY OF DADE. 5' , 4 11- ts (Signed) Repairs 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 regulation° of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at building during progress of work. (Sived) ?l PY Stree( Capacity Gals._ 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 rum lement, and hail corv- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed l y him in ; a work to 1:, performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publt. notice or noricer ;as ar required by the Act. The undersigned agrees to employ only such sub - contractors, work to be perfo .....„3-er this r lnil silt ar ; licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal • r:ppearec to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ___..._ ..... - .............. .. ..._.._ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. No. of Stories. My Commission Expires Notary Public, State of Florida Masts Plumber. NOTE: A re- inspection fee of $1.00 will be made when each re- Inspection i. made'neoessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contracto or Builde 4, MIAMI SHORES VILLAGE, FLORIDA DATE �. Work to be performed - under this Perini' Subdi- vision Legal Lot V Bl. Description pry r Value of 1 Amt. of Project Permit ' This permit is granted to the cOntiactor Or builder named above to construct the building or to install the equipment or d vice described in the appli- cation herefor in strict compliance with all-ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may e 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 es the't . + m nsibility fora through knowledge ss e •.. : nces and regulations pertaining to the work covered hereby whether shown on the plans { ngs a in the statements or specifications an� es respon- sibility for work done by his agents, servants or employees. Signed "..!� Y By INSPEC- `OR's In consideration of the issuance to me of this permit I agree to perform the -work covered here nder in compliance with all ordinances and regulations pertaining thereto and in strict conformity N ith the plans, drawings, statements or specifications submitted to the proper authorities of Miami_Shores Village. In accepting this permit I assume responsib or all work done by - hh sel y agent, servant or employee. rig t; 4 . CONTRACTOR OR BUILDER • Contractor's License No. AUTHORITY •• 194 BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE, 4 -) t94 PERMIT N9 3013 Work to be performed under this Permit Bl. Subdi- vision Value of Project Contractor's License No. 44 Owner of d . Building Architect Contractor or Builder << Legal Lot Description Address of Building This perm t is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above, assumes, the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings ' or in- the- statements or specific Lions and that he assumes responsibility for work done by his agents, servants or employees. Signed , By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict 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 Amt. of Permit AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3070 Work to be erformed under° this Permit i/ // _ /- --Dr � Loth 4 2 1, f B l. 0 D Subdi- vision Value of Project DATE Contractor License No. Amt. of Permit // 194 ,0 0 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authoritios. 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 na -d above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown &n tie pl .. s or dra 'ngsa. r in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the ' rk covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, stateme is 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. BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor r or Builder '' MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3070 Work to be performed under this Permit DATE Subdi- vision Value of Project Contractorrs License No. 194" Legal Lot BI. Description Address of ,:'. Building 1:-/ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: s By INSPECTOR Amt. of Permit In consideration of the issuance to me of this permit I agree to perform the wbrk covered hereunder in compliance with all ordinances and regula- tions 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 63 JOB : BUILDING ELECTRICAL PLUMBING : • CL" 3 4 ADD: rig 71 T ORK 1i0I�TE BY: • REQUESTED The following is ready for inspection: - Inspector's Report :_ ZNILL BE READY 1 1 • ( 1 1 BUILDING ELECTRICAL PLUMBING .• • • /2 The following 398 ready for inspection:- Inspector is Report :- WORK : DONE BY: REQUESTED. - - r ---- WI MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 2 Permit Date – 1 (- t a Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted f) 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 () j L Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: City —Well ss. appeared My Commission Expires No. _ _ Street Registered Architect and /or Engineer �__ �E21 6 t " 1 Employing Plumber's Name �S :,� ' ' ,r No 1_ tsi Street t" r — — t – –R�r Location and Legal Description Lot_ '..T =___ L__ f "# Block Subdivision______ ±_.i____ ________________ Street and Number where work is to be performed —No 1__i____ _ Street_ ______ ■-• ___ ______________ — __ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Type of Tank . - Capacity Gals Amount of Permit $__ (Signed) Di t\ F Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that e understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �) \, Z (Signed) }, LI Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally Notary Public. State of Florida to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAYA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / ✓ CHECK t / i A MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 2 Permit Date – 1 (- t a Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted f) 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 () j L Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: City —Well ss. appeared My Commission Expires No. _ _ Street Registered Architect and /or Engineer �__ �E21 6 t " 1 Employing Plumber's Name �S :,� ' ' ,r No 1_ tsi Street t" r — — t – –R�r Location and Legal Description Lot_ '..T =___ L__ f "# Block Subdivision______ ±_.i____ ________________ Street and Number where work is to be performed —No 1__i____ _ Street_ ______ ■-• ___ ______________ — __ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Type of Tank . - Capacity Gals Amount of Permit $__ (Signed) Di t\ F Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that e understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �) \, Z (Signed) }, LI Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally Notary Public. State of Florida 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. A e?; PAAAm-L 0 Permit No 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 _W_._R,___?N1ITiTCI,,e2' No B261 Street NE 3rd AV enue Registered Architect and /or Engineer Employing Plumber's Name ___ No Street Location and Legal Description Lot_ a___Lat_s____ & 3 Block 10 Subdivision_ NIi arnl _ ShQr_8 Street and Number where work is to be performed —No 7a Street NE 101st Street State work to be performed and purpose of building (By Floors) New Building Ye s 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 __________________________ ______________________________ Amount of Permit $__2i 00 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. GIF OFIN G Cs.OMPANY STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires _(Signed) (Signed on Supt. 111110frXIXtxr x Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared S. C. Raymond to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. C ontra tar 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. .4e/1 Date Fell.____ a th,____1.9.42 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 TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKiNG FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST X CHECK Permit No 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 _W_._R,___?N1ITiTCI,,e2' No B261 Street NE 3rd AV enue Registered Architect and /or Engineer Employing Plumber's Name ___ No Street Location and Legal Description Lot_ a___Lat_s____ & 3 Block 10 Subdivision_ NIi arnl _ ShQr_8 Street and Number where work is to be performed —No 7a Street NE 101st Street State work to be performed and purpose of building (By Floors) New Building Ye s 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 __________________________ ______________________________ Amount of Permit $__2i 00 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. GIF OFIN G Cs.OMPANY STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires _(Signed) (Signed on Supt. 111110frXIXtxr x Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared S. C. Raymond to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. C ontra tar 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. .4e/1 Date Fell.____ a th,____1.9.42 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. MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Permit No..____.___ PLUMBING INSPECTION DEPARTMENT Application is hereby made for the approval of the detailed statement of the plans and specifications herewit. ' T3nitted 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 of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved building during progress of work. Owner's Name and Address ___._��� Registered Architect and /or Engineer Employing Plumber's Name : , s g Nor 1 Street Location and Legal Description Lot_ _ _ �_ _ 4 _ _ y ,_ ' _Block____ : �� • Subdivision L a ee k a. Street and Number where work is to be perfor edi No.__ I_(, . i / Street _ State work to be performed and purpose of building (By Floors) No . - - - - -- – _______ _____________ Street- -- _----------- _______ ______________ New Building Remodeling Addition Repairs No. of Stories Size Septic ________ Type of Tank . Capacity Gals.____- _- ____.___.______ Feet of Drain Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well — Size of Soakage Pit Amount of Permit $___ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires _(Signed) (Signed Date__ Notary Public. State of Florida and regulations of the Building Division plans and specifications must be kept at Master Plumber. STATE OF FLORIDA, i COUNTY OF DADE. J ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _------------_-- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is 'the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re inspection fee of $1.00 will be made when such re inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST g / / - / / • CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Permit No..____.___ PLUMBING INSPECTION DEPARTMENT Application is hereby made for the approval of the detailed statement of the plans and specifications herewit. ' T3nitted 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 of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved building during progress of work. Owner's Name and Address ___._��� Registered Architect and /or Engineer Employing Plumber's Name : , s g Nor 1 Street Location and Legal Description Lot_ _ _ �_ _ 4 _ _ y ,_ ' _Block____ : �� • Subdivision L a ee k a. Street and Number where work is to be perfor edi No.__ I_(, . i / Street _ State work to be performed and purpose of building (By Floors) No . - - - - -- – _______ _____________ Street- -- _----------- _______ ______________ New Building Remodeling Addition Repairs No. of Stories Size Septic ________ Type of Tank . Capacity Gals.____- _- ____.___.______ Feet of Drain Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well — Size of Soakage Pit Amount of Permit $___ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires _(Signed) (Signed Date__ Notary Public. State of Florida and regulations of the Building Division plans and specifications must be kept at Master Plumber. STATE OF FLORIDA, i COUNTY OF DADE. J ss. 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. so so • MIAMI SHORES VILLA ( GE PLUMBING INSPECTION DEPARTMENT ^ APPLICATION FOR PLUMBING PERMIT Permit No _L Date —, —" is l / 1 /V" Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted f the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami ores 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 , W ' Registered Architect and /or Engineer \r ' � j 'A1 Employing Plumber's Name C ____�____ , No Street `\ � �� � }� IV Location and Legal Description Lot € 1 f q 1 _ Block / 0 Subdivision 1 Street and Number where work is to be performed -+-No 1__i "" "~°street -- _ tl ! ____ ______ i State work to be performed and purpose of buil 'ng (By Floors) New Building Remodeling Addition Repairs No. of Stories t ) Street 1 Capacity Gals. Dist., Fee of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Feet of Drain Tile__ --- --- ---- - - - - - Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. j ss. My Commission Expires (Signed) Notary Public. State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. /1�^a 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 SHOWERS LAVA- TORIES SINKS SLOP $INKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPT TA SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK ! , t +a ��tT ,^ t_ ' � 'e l c!__ [�_ T__f_ 4 F T_.__ _L T__L ♦ V Y..�.1 so so • MIAMI SHORES VILLA ( GE PLUMBING INSPECTION DEPARTMENT ^ APPLICATION FOR PLUMBING PERMIT Permit No _L Date —, —" is l / 1 /V" Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted f the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami ores 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 , W ' Registered Architect and /or Engineer \r ' � j 'A1 Employing Plumber's Name C ____�____ , No Street `\ � �� � }� IV Location and Legal Description Lot € 1 f q 1 _ Block / 0 Subdivision 1 Street and Number where work is to be performed -+-No 1__i "" "~°street -- _ tl ! ____ ______ i State work to be performed and purpose of buil 'ng (By Floors) New Building Remodeling Addition Repairs No. of Stories t ) Street 1 Capacity Gals. Dist., Fee of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Feet of Drain Tile__ --- --- ---- - - - - - Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. j ss. My Commission Expires (Signed) Notary Public. State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. /1�^a 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. Permit No 'e.0) / > 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 herewit ibinitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved• plans and specifications must be kept at building during progress of work. Owner's Name and Address ___- - Registered Architect and /or Engineer s _ _ Employing Plumber's Name f ! __`_!_ . f —?_" No ,_ l M 00, Location and Legal Description Lot_S. _�_ 4 = .1. y :f' Blocky /c_ /'t/ _ ,� y __ Subdivision_+ ° Street and Number where work is to be performe —No.__ c _6 l C _r, __ Street ...... __ —_ _ __ No. Street---- -- - - - - -- – – -- – - -- State work to be performed and purpose of building (By Floors) L_�__!�!'�r�f��'s�r4�1e Date__. New Building .4(e.________________ 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 Watcr Supply: City —Well. Amount of Permit $____ .Size of Soakage Pit (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) . =%" • ir.w1r 4"r�+. Master ' STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and tak• appeared _-- -- -- _- - - - -w_ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that he has carefully read the foregoing application, an" therein by him stated are true. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such • materials and /or workmanship. 1 Plumbing Inspector. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXT S CONTR. LIST -- /_ CHECK S TIC NK SEWER CONN. `•//' DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST,. CHECK Permit No 'e.0) / > 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 herewit ibinitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved• plans and specifications must be kept at building during progress of work. Owner's Name and Address ___- - Registered Architect and /or Engineer s _ _ Employing Plumber's Name f ! __`_!_ . f —?_" No ,_ l M 00, Location and Legal Description Lot_S. _�_ 4 = .1. y :f' Blocky /c_ /'t/ _ ,� y __ Subdivision_+ ° Street and Number where work is to be performe —No.__ c _6 l C _r, __ Street ...... __ —_ _ __ No. Street---- -- - - - - -- – – -- – - -- State work to be performed and purpose of building (By Floors) L_�__!�!'�r�f��'s�r4�1e Date__. New Building .4(e.________________ 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 Watcr Supply: City —Well. Amount of Permit $____ .Size of Soakage Pit (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) . =%" • ir.w1r 4"r�+. Master ' STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and tak• appeared _-- -- -- _- - - - -w_ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that he has carefully read the foregoing application, an" therein by him stated are true. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such • materials and /or workmanship. 1 Plumbing Inspector.