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1180 NE 102 St (8)BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building CONTRACT:A BUILDER MIAMI SH ❑ DATE rlf "' a 195 n PERMIT fN 12319 ❑ Work to be performed 31. ORES VILLAGE, FLORIDA under this Permit Subdi- ,vision Value of Project $ Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above 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 th t he assumes respons done by his agents, servants or employees. a (1., Signed: L. 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, statemen r specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume iesponsibility for all work dole by either, myself, my agent, servant or employee. AUTHORITY Permit No. / _ I 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. his 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 __4.4At ' t b No Z Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_________________ _ —_____ Block ___ 2 _ __ 4 Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building i..,-/' Remodeling Addition __ Repairs No. of Stories Size Septic Tank r e 9 Feet of Drain Tile 1 Nature of Water Supply Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Type of Tank Capacity Gals.__ Dist Feet of Tank or Drain Field from Well Well L * Q Size of Soakage Pit The undersigned applicant f 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. 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. ( Signed) (Signed) Date 114. Street_1 No.a_a rS 3 7� Plumbing Inspectof_k— Master Plumber. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS' SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT'NS TOTAL FIXTURES CONTR. LIST CHECK ^ +� ./. S {/ J � / X / �TI /�J i % SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST / / /' 04) I / / �I [. I(�c 3 CHECK ' . Q 0 Permit No. / _ I 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. his 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 __4.4At ' t b No Z Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_________________ _ —_____ Block ___ 2 _ __ 4 Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building i..,-/' Remodeling Addition __ Repairs No. of Stories Size Septic Tank r e 9 Feet of Drain Tile 1 Nature of Water Supply Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Type of Tank Capacity Gals.__ Dist Feet of Tank or Drain Field from Well Well L * Q Size of Soakage Pit The undersigned applicant f 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. 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. ( Signed) (Signed) Date 114. Street_1 No.a_a rS 3 7� Plumbing Inspectof_k— Master Plumber.