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101 NE 102 St (8)BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA 0 Date P UM PLUMBING L ❑ PERMIT N_ . 4789 ROOFING 0 0 ❑ Work to be performed under this Permit R0a1 L - .SST troo, K Owner of Building Architect Contractor or Builder Legal Description Address of Building Signe In consideration of the is pertaining thereto and in strict conf In accepting this permit I assume 1- .b -ev-1 o re 4A P) Jbi6 r .7 Lot 3 cl 0L i MR / 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 t 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 compl nce with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work ve .. h eby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agen s, . nt. • r employees. CONTRACTOR or BUILDER Subdi- vision f/ -3 /oI -G i fyui 440,:42 a.eichii a pi, Permit: O CCF: Notary: Bond: Radon: Amount of 6,57e c) Permit: Sq. Ft.: Value of Project $l Contractor's License No. (INSPECTOR) BY of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. onsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY n000 . * • Permit No .___ Size Septic Tank. Feet of Drain Tile. Nature of Water Supply: Amount of Permit $------- _1 -�-�- STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) _ y (Signed) -_ );_/' - yt Date..._ - 3- L ® 55 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 ....... No._._.--- .... Street Registered Architect and /or Engi -�__ -------------_--_.----__.__- Employing Plumber's Name '<"12 No.------ - - - - - -- Street_ Location and Legal Description Lot--_.-_ ..... _._..__._•- •- __._—_-___.___ Block- Subdivision - Street and Number where work is to be performed -No / 0 / ' .4 Q Street State work to be performed and purpose of building (By Floors)____ _------- --------- ____ -- New Building Remodeling - _ — ._____ Addition._______.__.__________ Repairs No. of Stories. --- _ -__ -- - _Type of Tank_ _Mist Feet of Tank or Drain Field from Well --_..... -__ ..... - ---- _- .... _.____-__ _. Size of Soakage Pit 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 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida 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- on fee of $1.00 will be made when such re- inspection is made - necessary by improper notice for inspection, or faulty materials and / . „ kmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB y - - r ,0.e" TOTAL FIXTURES CONTR. LIST o -_ -- CHECK ✓ r( SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP BIPbYR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL $ - , ; -,- 1/. -,, LIST _ CHECK . * • Permit No .___ Size Septic Tank. Feet of Drain Tile. Nature of Water Supply: Amount of Permit $------- _1 -�-�- STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) _ y (Signed) -_ );_/' - yt Date..._ - 3- L ® 55 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 ....... No._._.--- .... Street Registered Architect and /or Engi -�__ -------------_--_.----__.__- Employing Plumber's Name '<"12 No.------ - - - - - -- Street_ Location and Legal Description Lot--_.-_ ..... _._..__._•- •- __._—_-___.___ Block- Subdivision - Street and Number where work is to be performed -No / 0 / ' .4 Q Street State work to be performed and purpose of building (By Floors)____ _------- --------- ____ -- New Building Remodeling - _ — ._____ Addition._______.__.__________ Repairs No. of Stories. --- _ -__ -- - _Type of Tank_ _Mist Feet of Tank or Drain Field from Well --_..... -__ ..... - ---- _- .... _.____-__ _. Size of Soakage Pit 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 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida 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- on fee of $1.00 will be made when such re- inspection is made - necessary by improper notice for inspection, or faulty materials and / . „ kmanship. es" i 6). - ' /a/ A/ /4e • =- /4 X/. c'j O 7 iak i pi/44w 11,0,11I • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date /7j5.5 , 19 Owner's Name and Address S._.5..__ No.20 Street____ RE 104th St. Registered Architect and /or Engineer Name and address of licensed contractor Latxlg.__RQOfiXXg--.and Tile Co., 430 N. W. 79th St. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done W a E. 102nd St State work to be done and purpose of building (by floors) and for no other purpose. New Building X. Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering tile Estimated Total cost of improvements $ Amount of Permit $ 5.00 Zone cubage required .Plan Cubage Distance to next nearest building.._. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such ppublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors on work to be performed under this permit, as are licensed by Miami Shores Village. Lang Roofing and Tile o. r llnc. Remarks _ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. .. Oe Permit No..._./% 3, Date___ /ea? _ ro Read, Sworn to and Subscribed before me. Disapproved Date vv Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member ..._ Member Member ....... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.