Loading...
141 NE 102 St (9)Date 16) /q Job Address /Y/ / /&E /02-- St Tax Folio )/ 426 /b W 7 Legal Description � 13 a , / � ! U7 Owner / Lessee / Tenant /97e7IZJ LL Master Permit ,55,15:5 ;35 5 Owner's Address Spy' Phone ? r ' `0' Contracting Co. Alt-to V)iiArYX S ez5 c- iitrng /A/C Notary as to My CO>aII1SS10Ij • j Mi- :: KRISTEN WOODCOX ? Il i� MT COMMISSION EXPIRES 4r m � : AUGUST le, 1995 .. F OFF' o �. *, ** * APPROVED: PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY • (OWNER TO RETAIN COPY) Zoning Mechanical * * * * Address g ALAL) 6 C-7 Qualifier ,PENN /S intiAt4g4litid Phone - 75/-24 44 7 4 (4. n /N/ State wC7 2 e — Municipal 'k Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELE ICAL 'LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION `� C� V e'&LL�; Q� ,-/n0A4 -- ) 4 0 , / libi" WateA ,ALP th A - It z P/36 1 - z - a iM Square Ft. Estimated Cost(value) /j C9 . 6, J Signature of Contractor o * * * Building Electrical WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I author e the above -d contractor to do the work state ure of owne ` and /or Condo President er-Builder \ Dte� / , ���.:.�''�` a A TO .� 4LL Nota y:a - t - r• 4prac yrTE nav P7tr -Bui der _ � My Comltli .•7, ;, 4 EXPIRES tvA m"'� AUGUST 15, 1990 *. OF F!. • �' * * * FEES: PERMIT l RADON C . C . F . 1((71;7 NOTARY TOTAL DUF5 / O8 ** Fire Other Engineering ITEM BATH TUB UNIT FEE ITEM ' SWITCH L OUTLETS UNIT FEE ITEM SPACE HEATERS CENTRAL HEATING UNIT FEE BIDET LIGHT OUTLETS DISHWASHER RECEPTACLES ~� A/C (WIND) DISPOSAL SERVICE: TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE„ SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS ' 0- 1 HP • STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MOTORS ;OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 If VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION - WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMAING POOL OUTLETSICOMMERCIAL WATER SERVICE J SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS 1TILITY -SEWER SIGN TIME CLOCK JTILITY -WATER FIXTURES ;EPTIC TANK ANTENNA ' IELAY TELEVISION OUTLETS 1LAINFIELD, 4" TILE/RES. VIOLATION 'UMP 8 ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. r :ATCH BASIN IISCHARGE WELL IOMESTIC WELL AREA DRAIN ,OOF INLET . OLAR WATER HEATER - IRE STANDPIPE t OOL PIPING AWN SPRINKLER SYSTEM k AS RANGE ETER SET (GAS) AS PIPING r PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL l (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SI;NATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) • MECHANICAL Owner's Name and Address Size Septic Tank Feet of Drain Tile. ______ Nature of Water Supply: City —Well Amount of Permit — — = MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING Permit No x_42_ Date c f 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. Registered Architect and /or Engineer ---____ ______ _------- - ��-- _-- -- - - -- Employing Plumber's Name -e 0 ,F __ '1 ' /:64- -- P N C!____ - -. No. 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 ))J. New Building Remodeling_ ________ Addition_ _______. Type of Tank_ e � No.___ -_1 �� __ ' ��__ Street (Si 3.3._ ;- Street._ 4- ` J 27' I' Sts t v< Repairs No. of Stories. j Subdivision Capacity Gals (Signed) - -- — - -- _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit i My Commission Expires Notary Public, State of Florida aster Plumber PI bang 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, 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 s . . ublic notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on w. rk to . - perfo d under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 1 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 $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /or worlananship. CLOSITa BATH Tues SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuas URINALS CATCH BASIN FLOOR DRAIN DRINK NO FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL Cr. OTR LIST `t r _ . 4, P ,a . e , -, - -- - CHECK i Owner's Name and Address Size Septic Tank Feet of Drain Tile. ______ Nature of Water Supply: City —Well Amount of Permit — — = MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING Permit No x_42_ Date c f Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer ---____ ______ _------- - ��-- _-- -- - - -- Employing Plumber's Name -e 0 ,F __ '1 ' /:64- -- P N C!____ - -. No. Location and Legal Description Lot._._____ Street and Number where work is to be performed— No. -_— _ _ ±$ State work to be performed and purpose of building (By Floors ))J. New Building Remodeling_ ________ Addition_ _______. Type of Tank_ e � No.___ -_1 �� __ ' ��__ Street (Si 3.3._ ;- Street._ 4- ` J 27' I' Sts t v< Repairs No. of Stories. j Subdivision Capacity Gals (Signed) - -- — - -- _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit i My Commission Expires Notary Public, State of Florida aster Plumber PI bang 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, 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 s . . ublic notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on w. rk to . - perfo d under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 1 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•neoessary by improper notice for inspection, or faulty materials and /or worlananship. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE 195 PLUMBING. ® PERMIT N? 8398 Contractors License No ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot I Bl. Subdi- vision o Sq. Ft ; Z [ �_ /' . / Value of Amt. of f t / t Project $ Permit $ CONTRACTOR OR BUILDEI BY AUTHORITY 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 kntiwledge 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. r' Signed• / ...., f ........R. 8Y INSPECTOR r, In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 'OM*" Permit No. 6 2 —et 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 ............ ' _ Cj Registered Architect and /or E / �i Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors)______ ________ New Building--- -_- _-__ -- Remodeling_ Addition Date No _ � W_i__ Street / ® 4— � ''.es. .____ - -- No._ If _ q J Street_ o AL. Location and Legal Description Block Subdivision o / �- Street and Number where work is to be performed —No 4 L � ' Street .___.1__12 � f� Repairs No. of Stories. Size Septic Tank ---------------------- -------- - - -- -----Type of Tank__ 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 $__ (Signed).- 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 Pennanent 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. STATE OF FLORIDA, I es. COUNTY OF DADE. (Signed). Capacity Gals 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- infection 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 SHOWER! LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT' NS TOTAL FIXTURES CONTR. LIST a CHICK : a 1 f"ti_, ... ��, y�tt V ,_, SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL COHTR• LIST CHECK Permit No. 6 2 —et 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 ............ ' _ Cj Registered Architect and /or E / �i Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors)______ ________ New Building--- -_- _-__ -- Remodeling_ Addition Date No _ � W_i__ Street / ® 4— � ''.es. .____ - -- No._ If _ q J Street_ o AL. Location and Legal Description Block Subdivision o / �- Street and Number where work is to be performed —No 4 L � ' Street .___.1__12 � f� Repairs No. of Stories. Size Septic Tank ---------------------- -------- - - -- -----Type of Tank__ 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 $__ (Signed).- 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 Pennanent 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. STATE OF FLORIDA, I es. COUNTY OF DADE. (Signed). Capacity Gals 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- infection 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. Owner of ' l ) Building BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 5293 4 Work to be performed under this Permit 4 �' .4 •a J r, E, d. r- - tS J ' Bl. CONTRACTOR OR BUILDER BY Subdi- vision A? Value of Project $ DATE r ` 195 Contractor's License No. 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. f Signed. L ./ / ° BY; ,. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered heunder 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Amount of t ' Permit $ AUTHORITY 6.6";7-- Permit No. APPLICATION FOR PLUMBING PERMIT I 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 at building during progress of work. N u 1A' Owner's Name and Address ___. Y • • W6.1.1.) . _____________________ No. __�_ _1 N 1 L Street_______ Registered Architect and /or Engineer Employing Plumber's Name __ I.c1 Cll L L 0 Location and Legal Description Lot____ ___ __________ __________________________Block _____ —M Subdivision_ _______________________________ Street and Number where work is to be performed —No i 41 / 4. • ' / :W_____ Street_ _____ ___ „__�___ State work to be performed and purpose of building (By Floors) New Building MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Date No 4 a ' ' ” Street _ ''( r __ Remodeling Addition Repairs No. of Stories___ _____ Size Septic Tank w __ ___ _ __— _______ — ______ Type of Tank . _Capacity Gals.__ ______._ ____ Feet of Drain Tile____-- _ _________ _____ ___ —___ Dist. Feet of Tank or Drain Field from Well_______W___�_______ Nature of Water Supply: City —Well. _.Size of Soakage Pit Amount of Permit $ (Signed) 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. (Signed) (/ �G`' -. .0 Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared -- -� w_w.--- ____- -- -- - - - -_ ._ -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST / / 1 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. APPLICATION FOR PLUMBING PERMIT I 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 at building during progress of work. N u 1A' Owner's Name and Address ___. Y • • W6.1.1.) . _____________________ No. __�_ _1 N 1 L Street_______ Registered Architect and /or Engineer Employing Plumber's Name __ I.c1 Cll L L 0 Location and Legal Description Lot____ ___ __________ __________________________Block _____ —M Subdivision_ _______________________________ Street and Number where work is to be performed —No i 41 / 4. • ' / :W_____ Street_ _____ ___ „__�___ State work to be performed and purpose of building (By Floors) New Building MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Date No 4 a ' ' ” Street _ ''( r __ Remodeling Addition Repairs No. of Stories___ _____ Size Septic Tank w __ ___ _ __— _______ — ______ Type of Tank . _Capacity Gals.__ ______._ ____ Feet of Drain Tile____-- _ _________ _____ ___ —___ Dist. Feet of Tank or Drain Field from Well_______W___�_______ Nature of Water Supply: City —Well. _.Size of Soakage Pit Amount of Permit $ (Signed) 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. (Signed) (/ �G`' -. .0 Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared -- -� w_w.--- ____- -- -- - - - -_ ._ -- 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. Owner's Name and Address _ PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. - - - -_ Date_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specifiet. not. A copy of approved plans and specifications must be kept at building during progress of world 4 4, Location and Legal Description Lot_ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE 11/4 No.__ ' _ 1 !r C Registered Architect and /or Engineer Employing Plumber's Name _ J_i111_! No.__ _ _S `' " 4r. Street__ _Block Street and Number where work is to be performed —No. _/ ' ' ,,I ti. ____________'________ Street Amount of Permit $_ _(Signed) Street____ / 0 State work to be performed and purpose of building (By Floors) New Building________________ ______ Remodeling Addition Repairs No. of ........ Size Septic Tank______ —_____ ________ Type of Tank . Capacity Gals._-____- ________ Feet of Doll' Tile- _ 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 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) �s - C�s. / r 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. My Commission Expires Notary Public. State of Florida or 61 S sr � 4 , , . Subdivision ____________________ ___________ 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 Owner's Name and Address _ PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. - - - -_ Date_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specifiet. not. A copy of approved plans and specifications must be kept at building during progress of world 4 4, Location and Legal Description Lot_ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE 11/4 No.__ ' _ 1 !r C Registered Architect and /or Engineer Employing Plumber's Name _ J_i111_! No.__ _ _S `' " 4r. Street__ _Block Street and Number where work is to be performed —No. _/ ' ' ,,I ti. ____________'________ Street Amount of Permit $_ _(Signed) Street____ / 0 State work to be performed and purpose of building (By Floors) New Building________________ ______ Remodeling Addition Repairs No. of ........ Size Septic Tank______ —_____ ________ Type of Tank . Capacity Gals._-____- ________ Feet of Doll' Tile- _ 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 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) �s - C�s. / r 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. My Commission Expires Notary Public. State of Florida or 61 S sr � 4 , , . Subdivision ____________________ ___________ 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 Owner of Building r Architect' Contractor or Builder Legal Description Address of Building f / � t d Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ... , ( DATE "" / — 194 Contractor's License: No. is Permit ERMIT N° 3372 ,,. to ba.,performed under l Bl. r Signed• Subdi- vision Value of Project BY WARN !r(7. Th ;t 1f1 . l ._ INSPECTOR ce be,, a ,t. ry c r,11. n a utrior;Zecl 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 cbaeged without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above- the responsibility for a t o tigh. owledge of the ordinances and regulations pertaining to the work covered hereby whether shown the wings or in the statement 3'°iYspeS3°cations and that he assumes responsibility for work done by his agents, servants or employees. Ve 'e By 44. In consideration of the issuance to me of this permit I agree to perform the oO?covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, state or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by er myself, my agent, servant or employee. LE GTRte l LUMBING o wner of Building_ t` itect and /or Engineer ntractor er- $er e�__r_. P #oposed Locatio Dat PERMIT A N? 900 ADDRESS • ADDRESS 4 'MIAMI SHORES SHORES VILLAGE BUILDING IFMSPECON DEPARTMENT/ 19d roan I '` I' ADD 1 t y l // LOT / OLOCIC DIVISION NO., r R"" This permit is issued to___�_�_— In consideration of the issuance to me of this , petit I hereby agree to the proposed construction in strict pl aces and specifilcations thereof heretofore by me submitt and in compliance with all provisions of all building ti . laws of Miami Shores Village d all rules and regulations of buildin . de , 19" / F fie NOTE: A charge of $1.00 will be made for making corrections or changes to this aptilicati i4 after: approval has A re- inspection fee of $1.00 will be made when such re inspection is made necessary by improper notice for inspection To i a LICENSE NO. LIOEN$E .✓A y. r'', r. • th building above described, as per application, . " -ns and Specifications heretofore filed in t is office. This permit is granted upon the express condition t all facts stated in the application are tru. that the construction complies strictly y h the plans and specifications submitted, and in accordance compliance with the building laws of State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and Lions of the building department of ami S hes Vi ge. This This permit may be rey ed at any time upon. %the violation of any - provisions of said o - - 4 .rsAes and regulations, R c e in °7;1t s and specificat3ot .unauthorized h , inspector. the. building i .s' • ° 11 ° r r I/ 1 ! , t -� , RECD. PAYM ACCT. DEPT. INSPECTOR conformity with the application and lava of the State of Florida, all a,e 7 nt of Miami Shot" V . (SEAL) been obtained from the Planning Boaid. or faulty materials and /or workmaiahilp. rchitect and /or Engine C ontractor nZeilkier , Pl.oposed Location — ib 171:11 L I1'4G L&TRteAtL PERMIT A N? PLUMBING . O wner of Building This permit is issued 22 th4 building above described, as pe .plication, Plans and Specificatio thaqt all facts stated in the applic• n are true and that the construc' and compliance with the buildi laws of the State of Florida regulations of the building department of Mia Shores Village laves, ordinance o rules and regulations, or unng ange Mtiouwr RECD. PAYMENT A DEPT. 983 BUILDING INSP DEPARTMEN r- f1 " r' � . r ` . fr • LICENSE NO. ADDRESS ADDRESS 1 ADDRESS +� SUB- DIVISION ,� / A,' JP NO. MIAMI SHORES VILLAGE . VLixiL! . .-. LICEN . i STRE To ?' • . eretofore filed in this office. This permit is granted upon the express condition complies strictly with the plans and specifications submitted, and in accordance with the building ordinances and zoning laws of Miami Shores Village, and rules and This -permit may be revoked at any time upon the violation of +Cray Provisions of said the y f an l specificati A s un thopzed by. the building ' INSPECTOR In consideration of the issuance to me of this permit I here y agree to the proposed construction in strict conformity with the application and - ,s and apecifiations thereof heretofore by me submitted, and i compliance with all provisions of all building laws of the State of Florida, all the -ding ordinances and zoning laws of Miami Shores Villa Feiftd all rules and regulations of the buil ' g departm o • Miami Shores Villa 's A charge of $1.00 will be made for making corrections or changes to this appl #ion after approval has been obtained from the Plan rd. he 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Juno 6th 1940 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. i n Amount of Permit $______ �____________________ . ___ (Signed) 91� af_L No.___ / >1 3 _.greet Z ICS Owner's Name and Address Registered Architect and /or E g ineer Employing Plumber's Name Citr_Plumbing Co No 4333 Street L.W.+__2__dicsnua Location and Legal Description Lot 20 & 21 1 3 Sea 1. Mind g p _Block s S # S ubdivision__ ll__ �1 Sh Q S Street and Number where work is to be performed —No 141 Street _ lOeSta, State work to be performed and purpose of building (By Floors) New Building Z Remodeling Addition Repairs 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 (Signed My Commission Expires Notary Public. State of Florida No. of Stories 1 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. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. 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. 2 1 1 2 1 , 7 CHECK SEPTIC TANK SEWER CONN,i DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM $WIM'G POOL CONTR. LIST IV // CHECK Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Juno 6th 1940 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. i n Amount of Permit $______ �____________________ . ___ (Signed) 91� af_L No.___ / >1 3 _.greet Z ICS Owner's Name and Address Registered Architect and /or E g ineer Employing Plumber's Name Citr_Plumbing Co No 4333 Street L.W.+__2__dicsnua Location and Legal Description Lot 20 & 21 1 3 Sea 1. Mind g p _Block s S # S ubdivision__ ll__ �1 Sh Q S Street and Number where work is to be performed —No 141 Street _ lOeSta, State work to be performed and purpose of building (By Floors) New Building Z Remodeling Addition Repairs 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 (Signed My Commission Expires Notary Public. State of Florida No. of Stories 1 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. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. 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. k ( - - 1, APPLICATION FOR PLUMBING PERMIT Permit r 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 Engineer Employing Plumber's Name Cie,'__ lvtabirwL_r%Q No 4113 Street ri....,_•__7 Location and Legal Description Lot 20 t `. 21 Block 11 i (IC Subdivision `twat :?ho Street and Number where work is to be performed —No. 141. Street 'at_ ; __1 , ta.+- State work to be performed and purpose of building (By Floors) New Building X Remodeling Addition Repairs No. of Stories 1 Amount of Permit $_ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Date June 6th 1940 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. Plumbing Inspector. rtify that he understands and accepts his oblf ations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Notary Public, State of Florida Master Plumber. 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 therein by him stated are true. foregoing application, and that he did sign the same, and that all facts 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 2 �r 1 1 h 3. 7 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL . CONTR. LIST / CHECK APPLICATION FOR PLUMBING PERMIT Permit r 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 Engineer Employing Plumber's Name Cie,'__ lvtabirwL_r%Q No 4113 Street ri....,_•__7 Location and Legal Description Lot 20 t `. 21 Block 11 i (IC Subdivision `twat :?ho Street and Number where work is to be performed —No. 141. Street 'at_ ; __1 , ta.+- State work to be performed and purpose of building (By Floors) New Building X Remodeling Addition Repairs No. of Stories 1 Amount of Permit $_ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Date June 6th 1940 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. Plumbing Inspector. rtify that he understands and accepts his oblf ations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Notary Public, State of Florida Master Plumber. 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 therein by him stated are true. foregoing application, and that he did sign the same, and that all facts 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. JOB: Q ( \ b k tt' • • BUILDING • : WORK ELECTRICAL • : DONE BY: PLUMBING : REQUESTED Inspector's Report: - • • • • • • • • • • • • • • • • • • • AD: The following is ready for Inspection: - 1 READY • Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name ... ..._ _�� Location and Legal Description Lot__ Amount of Permit $_ ss. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Permit No!Y� �'— 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 appiication 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. NoIiv,te.wL No._6 Street * b f Ct' 7 Block © (Signed) fir' (Signed) : fra; ''�'^"'i. = _ue. , Notary Public. State of Florida Street Subdivision ler_ fekt__ Street and Number where work is to be performed— No. /1__.C,[ /___1 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Nature of Water Supply: City —Well Size of Soakage Pit Dist. Feet of Tank or Drain Field from Well Plumbing Inspectt The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer Df 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. Master Plumber. 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 /) r 1 1 r �/ - � f/ 1 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name ... ..._ _�� Location and Legal Description Lot__ Amount of Permit $_ ss. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Permit No!Y� �'— 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 appiication 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. NoIiv,te.wL No._6 Street * b f Ct' 7 Block © (Signed) fir' (Signed) : fra; ''�'^"'i. = _ue. , Notary Public. State of Florida Street Subdivision ler_ fekt__ Street and Number where work is to be performed— No. /1__.C,[ /___1 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Nature of Water Supply: City —Well Size of Soakage Pit Dist. Feet of Tank or Drain Field from Well Plumbing Inspectt The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer Df 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. Master Plumber. 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. JOB: 4 Li (,{/t/t, L �. BUILDING ELECTRICAL: • PLUMBING . The following is ready for Inspection: Insp ttor's Report: - / c - ,____ • • AD: / / / • • • • • : WORK • DONE BY • • : REQUESTED • MI VGILL BE READY • • BUILDING : ELECTRICAL: • LUMBING : k/ / 1 • S Inspector's Report: - • • : WORK • DONE BY REQUESTED • • • • • • • • • ■ The following is ready for Inspection: