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141 NE 102 St (7)( / 3 ' /3 /i G X11 5 - / MIAMI SHORES VILLAGE L 7 - `j ' _ /3 Permit No ( r 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 oa(mtllied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. \ �� / // C'4 / Owner's Name and Address �X / / // / No / «/ Street.._ L ./ 0 S� Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot. Street and Number where work is to be performed —No PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Bk>� / 4L7 State work to be performed and purpose of building (By Floors) New Building..__._ _-------- ......._.. Remodeling___ _ — Addition Size Septic Tank.__ Feet of Drain Tile. Nature of Water Supply: City —Well. Amount of Permit $ --t _Type of Tank__ -- _--- __ -_ -. Feet of Tank or Drain Field from Well. Size of Soakage Pit (Signed)_ (Signed) e, -q 7 . Na. ZJ .1z1 .. 0 Subdivision // Repairs No. of Stories ........ Capacity Cals... _.. 1N - 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 Flo • a Pert plied with the provisions thereof, and will require similar compliance from all contractors or sub -con performed under this permit; and will post or cause to be posted' for inspection on the site • the required by die Act. The undersigned agrees to employ only such sub - contractors, licensed by Miami Shores Village. 47,..14•0 4 ement, and hav cam- employed by h'm in the work to he such • ublic or •. as err Me are Master Plumber. �- - STATE OF FLORIDA, I µ COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath depose. 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 Walt misopaodos is mada ary by improper notice far inspection, or faulty motorists aad /or workmanship. CLOSSTS BATH Toss SHOWERS LAVA• TORIES SINK. SLOP SINKS LAUNDRY TYaS URINALS CATCH BASIN FLOOR DRAIN DRINK! NO FOUNTWS TOTAL FIXTURES Gomm. LIST CHECK -- SEPTIC TANK SEWER CONN. DRAIN PIELD SOAKAGE PIT G TRAP SOLAR HEATER Due WELL SPRKLR. 5 M SW IM'G POOL CONTR. LIST CHECK ( / 3 ' /3 /i G X11 5 - / MIAMI SHORES VILLAGE L 7 - `j ' _ /3 Permit No ( r 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 oa(mtllied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. \ �� / // C'4 / Owner's Name and Address �X / / // / No / «/ Street.._ L ./ 0 S� Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot. Street and Number where work is to be performed —No PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Bk>� / 4L7 State work to be performed and purpose of building (By Floors) New Building..__._ _-------- ......._.. Remodeling___ _ — Addition Size Septic Tank.__ Feet of Drain Tile. Nature of Water Supply: City —Well. Amount of Permit $ --t _Type of Tank__ -- _--- __ -_ -. Feet of Tank or Drain Field from Well. Size of Soakage Pit (Signed)_ (Signed) e, -q 7 . Na. ZJ .1z1 .. 0 Subdivision // Repairs No. of Stories ........ Capacity Cals... _.. 1N - 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 Flo • a Pert plied with the provisions thereof, and will require similar compliance from all contractors or sub -con performed under this permit; and will post or cause to be posted' for inspection on the site • the required by die Act. The undersigned agrees to employ only such sub - contractors, licensed by Miami Shores Village. 47,..14•0 4 ement, and hav cam- employed by h'm in the work to he such • ublic or •. as err Me are Master Plumber. �- - STATE OF FLORIDA, I µ COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath depose. 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 Walt misopaodos is mada ary by improper notice far inspection, or faulty motorists aad /or workmanship. Address of Building d MIAMI SHORES VILLAGE, FLORIDA ❑ DATE ❑ PERMIT N? 13564 BUILDING ELECTRICAL PLUMBING ROOFING Owner of /'� L) Building 1 / � �.r -► Architect cnact � j > /���y /J 9 / f or o B or t ,� I7N ' Legal L I BI. Description /4 V NE /e'.2 ❑ ork to be performed under this Permit 1 7 This permit is granted to the contractor or builder named above to on herefor in strict compliance with all ordinances pertaining thereto and with drawings, statements or specifications that may have been submitted to and a time if the work is not done in compliance with such ordinances or if the plans granted is the understanding that the contractor or builder named above assum pertaining to the work covered hereby whether shown on the - plans...ox_dr. ing done by his agents, servants or employees. Signed• 195 Contractor' License No Subdi- vision Value of Project $ ?tr /co R In consideration of the iilmance to me of this permit I agree to perform th work covered hereunder in compliance pertaining thereto and in strict conf'. : '+ with the plans, drawings, statements or . pecifications snlanlitted to the proper au In acre t ing this permit I assume r sponsi w• dons, by either, my f, my agent, serbant or employee. p r CONTRACTOR Oit BUILDER BY Amt. of Permit ruct the buil• •: •r- ta.iistall the equipment or device described in the a ' lion e unders • ing that the ork will be performed in compliance with any p a s, the proper mu • cipal authorities. This Permit may be revoked at any orization. A further condition upon which this permit is ponsi•ility for a thorough knowledge of the ordinances and regulations statements or specifications and that he assumes responsibility for work and regulations Shores Village. Permit No. Application is hereby made or the approval of the detailed statement of the plans and specifications herewith su',mitted for the building or othei structure herein described his application is made in compliance and conformity with the Building Ordinance of Mialni Shores Village, Florida and all provisions of the aws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. ,iq i / ? Owner's Name and Address. �� � No._, Street Size Septic Tank Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Registered Architect and /or Employing Plumber's Location and Legal Description Lot___ Street and Number where work is to be performed— No.______ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Type of Tank_ _ Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Piti. Nature of Water Supply: City —Well. gginee,r My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block I --- (Signed)_ Street.. Date__ 7 Street -� /.�_ s ue/ Subdivision . ___________.__ F ) No. of Stories mbing I derstands and accepts his obligations as an empl eneral Laws of Florida Perinanent Supplement, contractors or sub - contractors employed by him in The undersigned applicant for this b does hereby certify that he under the Florida Workmen's Compensation Act, being Section 5966, Compiled plied with the provisions thereof, and will require similar compliance from") performed under this permit; and will post or cause to be posted for inspection on the site, of the work such public notice o required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed u ler t licensed by Miami Shores Village. (Signeci)r) -, i,_ it pector. er of labor d has com- e work to be notices as are permit, as arc MashPlmr be / F ,. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fac therein by him stated are true. 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 faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS INK SLOP SINK! LAUNDRY Tuns U RINAL! CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE CONTR. LIST - CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD AKAOE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. Application is hereby made or the approval of the detailed statement of the plans and specifications herewith su',mitted for the building or othei structure herein described his application is made in compliance and conformity with the Building Ordinance of Mialni Shores Village, Florida and all provisions of the aws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. ,iq i / ? Owner's Name and Address. �� � No._, Street Size Septic Tank Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Registered Architect and /or Employing Plumber's Location and Legal Description Lot___ Street and Number where work is to be performed— No.______ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Type of Tank_ _ Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Piti. Nature of Water Supply: City —Well. gginee,r My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block I --- (Signed)_ Street.. Date__ 7 Street -� /.�_ s ue/ Subdivision . ___________.__ F ) No. of Stories mbing I derstands and accepts his obligations as an empl eneral Laws of Florida Perinanent Supplement, contractors or sub - contractors employed by him in The undersigned applicant for this b does hereby certify that he under the Florida Workmen's Compensation Act, being Section 5966, Compiled plied with the provisions thereof, and will require similar compliance from") performed under this permit; and will post or cause to be posted for inspection on the site, of the work such public notice o required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed u ler t licensed by Miami Shores Village. (Signeci)r) -, i,_ it pector. er of labor d has com- e work to be notices as are permit, as arc MashPlmr be / F ,. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fac therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Legal Lot Bl. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 3625 Work to be performed under this Permit Owner of Building Architect Contractor or Builder CONTRACTOR OR BUILDER BY DATE 194. Contractor's License No. V RR +.I!'1G; 1hiS C i1}n3t'riff.'liQr, tcy T �f (' r P.fli. 1ot•<°,i, Rtv ^tl! {' t > i ttl X21+ itc! � at!Ti2t$ " �:3c Li”.. i41 ;` E0`.6 aJ tli l:l}. °I.'e 99 a 9 irk_: E3 :eJre 8iaarita g d'rL JS ' :4 x.. d.l�alT in Subdi- vision Value of Project Amt. of 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 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, drav� "ings, st tements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work doneyy either myself, my agent, servant or employee. P AUTHORITY APPLICATION FOR PLUMBING PERMIT Permit No--; .� v 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 g.0 building during progress of work. 4 - /jib/ Owner's Name and Address ___ Registered Architect and /. Engineer ____ Employing Plumber' (t iS Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (Signed) (Signed No ,74/ Block Type Size. of Soakage P' .__ -.! Date__ Street Street Notary Public. State of Florida J.70 z Street. 1 Subdivision__ ..... ___________— __________ Remodeling __ Addition__ _W Repairs No. of Stories Size Septic Tank_ Feet of Drain _ Dist. Feet of Tank 6r Drain Field from Well_ ____ __� ____________________ _.._ --_ Nature of Water Supply: City —Well _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 under signed agrees to employ only such sub-contractors, work to be performed under this permit, as are licensed by Miami Shores Village. 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 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 I r � CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGI RE -E PIT r SOL R HEA n DEEP WE l ` SPRK R, ;111.1 Y a , P SWIM'G POOL CONTR. LIST CHECK APPLICATION FOR PLUMBING PERMIT Permit No--; .� v 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 g.0 building during progress of work. 4 - /jib/ Owner's Name and Address ___ Registered Architect and /. Engineer ____ Employing Plumber' (t iS Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (Signed) (Signed No ,74/ Block Type Size. of Soakage P' .__ -.! Date__ Street Street Notary Public. State of Florida J.70 z Street. 1 Subdivision__ ..... ___________— __________ Remodeling __ Addition__ _W Repairs No. of Stories Size Septic Tank_ Feet of Drain _ Dist. Feet of Tank 6r Drain Field from Well_ ____ __� ____________________ _.._ --_ Nature of Water Supply: City —Well _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 under signed agrees to employ only such sub-contractors, work to be performed under this permit, as are licensed by Miami Shores Village. 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 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.___ Size Septic Tank Feet of Drain Tile STATE OF FLORIDA, COUNTY OF DADE. ss. 4'L2 - y 0 My Commission Expires Type of Tank Amount of Permit $_ f - - (Signed) 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. Y (Signe No. S►4 I__ ets a0e Owner's Name and Address _ Registered Architect and /or Engi Employing Plumber's Name t_ n __µ__ x� �_ _ o q � Location and Legal Descri Lot -- 2L — - Block / a Subdivision -- Street and Number where work is to be performed—No. al V/ )1P .s / Z Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories. 344 Date Capacity Gals Notary Public, State of Florida tteet___ t Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ltJbligations 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 lermit, as are licensed by Miami Shores Village. _ e 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 Permit No.___ Size Septic Tank Feet of Drain Tile STATE OF FLORIDA, COUNTY OF DADE. ss. 4'L2 - y 0 My Commission Expires Type of Tank Amount of Permit $_ f - - (Signed) 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. Y (Signe No. S►4 I__ ets a0e Owner's Name and Address _ Registered Architect and /or Engi Employing Plumber's Name t_ n __µ__ x� �_ _ o q � Location and Legal Descri Lot -- 2L — - Block / a Subdivision -- Street and Number where work is to be performed—No. al V/ )1P .s / Z Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories. 344 Date Capacity Gals Notary Public, State of Florida tteet___ t Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ltJbligations 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 lermit, as are licensed by Miami Shores Village. _ e 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. 1/4t . 6 Permit No Feet of Drain Tile Size Septic Tank ® ® Type of Tank._ Amount of Permit $_ �9 - STATE OF FLORIDA, ) j ss. COUNTY OF DADE. MIAMI SHORES VILLAGE 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 __ _ -4.ee! a_ __ �' No 25 s Registered Architect and /or Engler -- _. ° Employing Plumber's Name __T __�1 I/d � ''- - :" ''l `' : t--- 1 - No . .44 4 Location and Legal Descri n Lot___,- ' 2.. / Block • Street and Number where work is to be performed —No. 4/ /l t / State work to be performed and purpose of building (By Floors) _ New Building Remodeling Addition Repairs No. of Stories My Commission Expires PLUMBING INSPECTION DEPARTMENT c [Beet__ .•IP. ` �. Date feetp_ Subdivision___ 7 t = _ !d i — Capacity Gals. / Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ..legations 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 7 (Signed) (Signe to administer oaths Notary Public. State of Florida and take acknowledgments, personally Before me, the undersigned authority, a notary public, duly authorized appeared _r_____ 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 H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / l� CHECK • Permit No Feet of Drain Tile Size Septic Tank ® ® Type of Tank._ Amount of Permit $_ �9 - STATE OF FLORIDA, ) j ss. COUNTY OF DADE. MIAMI SHORES VILLAGE 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 __ _ -4.ee! a_ __ �' No 25 s Registered Architect and /or Engler -- _. ° Employing Plumber's Name __T __�1 I/d � ''- - :" ''l `' : t--- 1 - No . .44 4 Location and Legal Descri n Lot___,- ' 2.. / Block • Street and Number where work is to be performed —No. 4/ /l t / State work to be performed and purpose of building (By Floors) _ New Building Remodeling Addition Repairs No. of Stories My Commission Expires PLUMBING INSPECTION DEPARTMENT c [Beet__ .•IP. ` �. Date feetp_ Subdivision___ 7 t = _ !d i — Capacity Gals. / Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ..legations 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 7 (Signed) (Signe to administer oaths Notary Public. State of Florida and take acknowledgments, personally Before me, the undersigned authority, a notary public, duly authorized appeared _r_____ 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.