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410 NE 102 St (11)� hereby trade for the approval of the detailed statement of the plans and specifications herewith subr.w, .. I for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mia ••! Shores Village, Florida, a,;d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic of the Building Division of Ntiami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec fications must be kept at '.)uilding during progress of work. MR DENK ') ner s Name and Address ,egist!zed Architect and /or Engineer Nature of Water Supply: City —Well Amount of Permit ;_ _t�J ° � STATE OF FLORIDA, } as. COUNTY OF DADE. MIAMI SHORES VILLAGE • PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT :mploying Plumber's Name O r N E A L SEPTIC TANK CO. No-8350 ,N • W :.., Street 5 6 S T• 331k 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 Bloch Subdivision ..__.__ 410 N E . street 102ND STREET Addition Repairs X No of Stories 410 N.E. 102 STREET No. —.— — _. _.__„ Street ._.__...... . Size Septic Tank_...— ..-- •- •- ._----- ••------- - - - - -- ..Type of Tank Date Feet of Drain Feet of Tank or Drain Field from Well Capacity ^ ..als... Size of Soakage Pit ( Signed ) -• ./ e.∎L ._...b /. 4/3/81 ( Signed My CG 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 a ndloycr of Ia1Km under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent : upi lement, and 1 14. , ern•• ti• with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in r , A I rk r b- performed under this permit; and will post or cause to be posted' for inspection on the site of the work such pub]; notice x no icer . rs a; required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed ':x this r:rl.uL, ;.r . licensed by Miami Shores Village. Mast Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perior,e:: , ppearec: to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _ of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all acts. therein by him stated are true. NOTE: A re- inspection fee of ;1.00 will be made when such re- inspection Is made by improper notice for inipect!on, tlr toultry materials and /or workmanship. CLO•rT• BATH TUBS SNOWIER• LAVA. roams SINKS SLOP SINKS LAUNDRY rues URINALS CATCH BASIN FLOOR DRINKING DRAIN FOUNT'Ne I TOT••L FIKTIRI• CONTR. J LI'T — i CHICK SEPTIC TANK StWtR CONK. DRAIN F IIELD SOAKAGE PIT GRCA•C TRAP SOLAR HEATER DEEP WILL SPRKLR. S SWIM'O POOL Co. NTR LIST —_ -- r--- �r— �„r�- . CHICK —. 1 __ � hereby trade for the approval of the detailed statement of the plans and specifications herewith subr.w, .. I for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mia ••! Shores Village, Florida, a,;d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic of the Building Division of Ntiami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec fications must be kept at '.)uilding during progress of work. MR DENK ') ner s Name and Address ,egist!zed Architect and /or Engineer Nature of Water Supply: City —Well Amount of Permit ;_ _t�J ° � STATE OF FLORIDA, } as. COUNTY OF DADE. MIAMI SHORES VILLAGE • PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT :mploying Plumber's Name O r N E A L SEPTIC TANK CO. No-8350 ,N • W :.., Street 5 6 S T• 331k 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 Bloch Subdivision ..__.__ 410 N E . street 102ND STREET Addition Repairs X No of Stories 410 N.E. 102 STREET No. —.— — _. _.__„ Street ._.__...... . Size Septic Tank_...— ..-- •- •- ._----- ••------- - - - - -- ..Type of Tank Date Feet of Drain Feet of Tank or Drain Field from Well Capacity ^ ..als... Size of Soakage Pit ( Signed ) -• ./ e.∎L ._...b /. 4/3/81 ( Signed My CG 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 a ndloycr of Ia1Km under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent : upi lement, and 1 14. , ern•• ti• with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in r , A I rk r b- performed under this permit; and will post or cause to be posted' for inspection on the site of the work such pub]; notice x no icer . rs a; required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed ':x this r:rl.uL, ;.r . licensed by Miami Shores Village. Mast Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perior,e:: , ppearec: to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _ of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all acts. therein by him stated are true. NOTE: A re- inspection fee of ;1.00 will be made when such re- inspection Is made by improper notice for inipect!on, tlr toultry materials and /or workmanship. Permit No . Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. �,� ^' Owners Name and Address MIN vY _ 1 C Registered Architect and /or Engineeerr___ Employing Plumber's P __ fi _ 6 ,o � ? Block__ Street and Number where work is to be performed— No.__q I S • • State work to be performed and purpose of building (By Floors) ..... _..... __________...... _ New Building ______ Remodeling___ _________ Addition__ - Repairs No. of Stories. Location and Legal Description Lot__ Size Septic Tank Feet of Drain Nature of Water Supply: ' ty —Well. Amount of Permit $_ STATE OF FLORIDA, 1 COUNTY OF DADE. I �J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.__ J_ ' O__N * -___ Street __) T ' 13441b._ — ------- - - - - -- g street--- �- `�--------- - - - - -- _Type of Tank Capacity Gals _ 'st. Feet of Tank or Drain Field from 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 tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)__ Date /-17-61 M Commission Expires Notary Public, State of Florida Subdivision Street ( 4 .c� Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or worlonanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES NKS SINKS SLOP SINKS LAUNDRY TUBS URINALS I NALS 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 COrTTR. LIST CHECK Permit No . Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. �,� ^' Owners Name and Address MIN vY _ 1 C Registered Architect and /or Engineeerr___ Employing Plumber's P __ fi _ 6 ,o � ? Block__ Street and Number where work is to be performed— No.__q I S • • State work to be performed and purpose of building (By Floors) ..... _..... __________...... _ New Building ______ Remodeling___ _________ Addition__ - Repairs No. of Stories. Location and Legal Description Lot__ Size Septic Tank Feet of Drain Nature of Water Supply: ' ty —Well. Amount of Permit $_ STATE OF FLORIDA, 1 COUNTY OF DADE. I �J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.__ J_ ' O__N * -___ Street __) T ' 13441b._ — ------- - - - - -- g street--- �- `�--------- - - - - -- _Type of Tank Capacity Gals _ 'st. Feet of Tank or Drain Field from 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 tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)__ Date /-17-61 M Commission Expires Notary Public, State of Florida Subdivision Street ( 4 .c� Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or worlonanship. br_itidt vt, F 7 , Date ` 3 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 b kept at building during progress of work. Owner's Name and Address - - -- ° _! _ ! -- _`__ -__ _ -_ -- ` No._. __ - +�./ • t`^ , �4 �' (7 - Street_ _ - - -- Registered Architect and /or" S.:ineer T______ _ _ ; —_ Employing Plumber's Nam _ _ - �!_ _ - - -_ -- No.- __--- _ _-_ J_L . '• 1VStreet___ l Location and Legal Descrip ton �.,J Block_ Subdivision Street and Number where work is to be performed —No - / 10 /1-i_effi t Street__ 1. s fri State work to be performed and purpose of building (By Floors) _- __--------------------- - -__ - New Building _ Remodeling____ _______ Addition____ Repairs No. of Stories. _ Size Septic Tank Feet of Drain Tile 1V Nature of Water Supply ity— Well. _____: (Signed) LUL '' Lir Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h. .ligation as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida ainanent 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, ork to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit $ STATE OF FLORIDA, I es, COUNTY OF DADE. e_d - • My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_ _LDist. Feet of Tank or Drain Field from Well _--- .------ -•_ - -_ - _____ -- -Size of Soakage Pit (Signed) Capacity Gals._ bit / 11, Masteerlumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared .1'• 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. . 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 COrmt. LIST CHECK - -_- br_itidt vt, F 7 , Date ` 3 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 b kept at building during progress of work. Owner's Name and Address - - -- ° _! _ ! -- _`__ -__ _ -_ -- ` No._. __ - +�./ • t`^ , �4 �' (7 - Street_ _ - - -- Registered Architect and /or" S.:ineer T______ _ _ ; —_ Employing Plumber's Nam _ _ - �!_ _ - - -_ -- No.- __--- _ _-_ J_L . '• 1VStreet___ l Location and Legal Descrip ton �.,J Block_ Subdivision Street and Number where work is to be performed —No - / 10 /1-i_effi t Street__ 1. s fri State work to be performed and purpose of building (By Floors) _- __--------------------- - -__ - New Building _ Remodeling____ _______ Addition____ Repairs No. of Stories. _ Size Septic Tank Feet of Drain Tile 1V Nature of Water Supply ity— Well. _____: (Signed) LUL '' Lir Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h. .ligation as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida ainanent 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, ork to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit $ STATE OF FLORIDA, I es, COUNTY OF DADE. e_d - • My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_ _LDist. Feet of Tank or Drain Field from Well _--- .------ -•_ - -_ - _____ -- -Size of Soakage Pit (Signed) Capacity Gals._ bit / 11, Masteerlumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared .1'• 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. . 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. BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA ° PERMIT N? 9927 Work to be performed under this Permit Owner of , Building ` Architect Contractor or Builder Legal Lot II 81. Description Address of Building Subdi- vision Sq. Ft Value of Project $ BY DATF 195 Contractor's r 1 • License No. Amt. of Permit $ 4 .� 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: B 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, statements or specification's 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. AUTHORITY CONTRACTOR bR BUILDER I BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA ❑ DATE 195 ❑ PERMIT N? 14829 ❑ Work to be performed under this Permit Owner of --�- Building •� Architect Contractor or Builder Legal Lot II BI. Description Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • t 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, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either,. myself, my agent, servant or employee. CONTRACTOR OR BUILDER Subdi- vision Value of Project $ Contractor's License No Amt. of Permit $ BY AUTHORITY ►T � B4]LDING ELECTRICAL PLUMBING Owner of Building :Le MIAMI SHORES VILLAGE, FLORIDA DATE O �' - 1947 PERMIT . N? 5622 Work to be performed under this Permit ^ Architect Contractor or Builder Legal Lot Description Address of (12/ Building This permit is granted to the contractor or builder named above to construct the building or to install the. equipment. or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any . plans, drawings, statements or specifications that may 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 thus. 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 drawings or in the statements or specifications. and that h' ssumes respon sibility for work done by his agents, servants or employees. Bl. Signed Subdi- vision Value of Project Contractor's License No. IN ECTOR In consideration of the issuance to me of this permit I agree to perform the work covered ereunder in compliance wit pertaining thereto and in strict conformity with the plans, drawings, statements or specifications 'submitted to the proper au In accepting this permit I assume responsibility for all work done by either "myself, my agent; servant or, employee. CONTRACTOR OR BUILDER BY /J74 Amt. d dl f.- ra Perim � -- -ordinances ar es of Miami S B AUTHORITY Permit No 6-6 2 MIAMI SHORES VILLAGE ' PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. . Owner's Name and Address - Registered Architect and /or Engineer .._ Employing Plumber's Name C4:_ "= No Street Location and Legal Description Lot_ a Block Subdivision , ` a Street and Number where work is to be performed —No 1/A_ 4° L S e t "41 . , t' ` `.' . ' ' ., • 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 ' . 1�` Dist. Feet of Tank or Drain Field from Well \ Nature of Water Supply: City —Well Size of Soakage Pit \ at of Permit $ (Signed) undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor e Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- h the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be 1 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 ')y the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are Miami Shores Village. - - (Signed) Date - No Street Plumbing Inspector. CFLORIDA, t ss. ■ DADE. f the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 1 to met, therein bribed co being ructtion d that he has carefully read the deposes regoing application, and that he did sign the same, and that all facts ted are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE materials and ection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty manship. 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 SW IM'G POOL CONTR. LIST CHECK Permit No 6-6 2 MIAMI SHORES VILLAGE ' PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. . Owner's Name and Address - Registered Architect and /or Engineer .._ Employing Plumber's Name C4:_ "= No Street Location and Legal Description Lot_ a Block Subdivision , ` a Street and Number where work is to be performed —No 1/A_ 4° L S e t "41 . , t' ` `.' . ' ' ., • 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 ' . 1�` Dist. Feet of Tank or Drain Field from Well \ Nature of Water Supply: City —Well Size of Soakage Pit \ at of Permit $ (Signed) undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor e Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- h the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be 1 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 ')y the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are Miami Shores Village. - - (Signed) Date - No Street Plumbing Inspector. CFLORIDA, t ss. ■ DADE. f the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 1 to met, therein bribed co being ructtion d that he has carefully read the deposes regoing application, and that he did sign the same, and that all facts ted are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE materials and ection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty manship. ql PLUMBING - I1TSPLCTION o 0' Permit No. 1 10- f7 (Y-A lf e)b Work done 1:12 Address of work 4 / 0 -6,7z. Owner Septic Tank II, 9 39 --ewer Drainff_old Gas Plumbing - Final Rough 10 ToD out When reagy 7/ C4,‘■- 41/4„„.„.■-- Ct Received by Date // P Time 0 4_ AM PM Permit No New Building Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot work is to be p Street and Number where appeared 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 w Owner's Name and Address ad _ 1 M , ei State work to be performed and purpose of building (By Floors) Size Septic Tank____ Type of Tank ___ 1'. C r! Feet of Drain Tile__ 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. STATE OF FLORIDA, COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT /-w fru - qtt 0 3 Block erformed —No + /Q No o Remodeling Addition Repairs Dist. et of Tank or Drain Field from Well (Signed) Date Street d-e-eg? stree _ !I s Subdivision No. of Stories Capacity Gals.__ e - -- – — __ authorized to administer oaths and take acknowledgments, personally 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. Notary Public. State of Florida Master Plumber. 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 New Building Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot work is to be p Street and Number where appeared 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 w Owner's Name and Address ad _ 1 M , ei State work to be performed and purpose of building (By Floors) Size Septic Tank____ Type of Tank ___ 1'. C r! Feet of Drain Tile__ 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. STATE OF FLORIDA, COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT /-w fru - qtt 0 3 Block erformed —No + /Q No o Remodeling Addition Repairs Dist. et of Tank or Drain Field from Well (Signed) Date Street d-e-eg? stree _ !I s Subdivision No. of Stories Capacity Gals.__ e - -- – — __ authorized to administer oaths and take acknowledgments, personally 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. Notary Public. State of Florida Master Plumber. 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. s. Permit No 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 w 8, idie. • Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description APPLICATION FOR PLUMBING PERMIT Lot MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 1 Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. 9. My Commission Expires Remodeling Addition Repairs No. of Stories Dist. Feet of Tank or Drain Field from Well Type of Tank.____ Size of Soakage Pit (Signed) No Before me, the undersigned authority, a notary public, duly authorized to ►, \(D \\. � t \ `k Date 1 „A 's i 2. __ -- 1'1 4 Street - - - - -- s Subdivision_ Street _ 2 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, on work to be performed under this permit, as are licensed by Miami Shores Village. d#1 SS. (Signed) Master Plumber. 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK erk 11 -? -39 s. Permit No 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 w 8, idie. • Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description APPLICATION FOR PLUMBING PERMIT Lot MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 1 Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. 9. My Commission Expires Remodeling Addition Repairs No. of Stories Dist. Feet of Tank or Drain Field from Well Type of Tank.____ Size of Soakage Pit (Signed) No Before me, the undersigned authority, a notary public, duly authorized to ►, \(D \\. � t \ `k Date 1 „A 's i 2. __ -- 1'1 4 Street - - - - -- s Subdivision_ Street _ 2 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, on work to be performed under this permit, as are licensed by Miami Shores Village. d#1 SS. (Signed) Master Plumber. 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. 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. r ..1 ■