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426 NE 102 St (10)Permit No Application is-4i re y :sh ade 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 1 - ^.f../ - T 1 - - F— __` _ No._._ Street > ' Registered Architect and /or Erxi eer Employing Plumber's Name_--- '1_- -_____.__� - CO4 A INo. —s.l -... Location and Legal Description Lot Street and Number where work is to be performed —No 4 C State work to be performed and purpose of building (By Floors)___... ST._A L4 rL.g/✓_- - - - _Of New Building _.._._._.. _.. Remodeling. Addition Repairs No. of Stories Size Septic Tank. .... Feet of Drain Tile-__ -_ Nature of Water Supply Amount of Permit $. STATE OF FLORIDA, COUNTY OF DADE. j MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT po Block Subdivision ..... ___.- ...... ------ - - - -._ __ - - -- Type of Tank__ Capacity ......... _Dist. Feet of Tank or Drain Field from Well .._.._____.___.._____ ..... ______.__..... __-_----_-_Size of Soakage Pit (Signed)_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o 'gations 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 b hint in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of e work such public ; otice or notices as . are required by the Act. The undersigned agrees to employ only such sub - contractors, on wor , to be performed de this - Init, as are licensed by Miami Shores Village. ( Signed )______ Street Date 3 r°-.. 7 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 aster Plumber. NOTE: A re- inspection fee of $L00 will be made when such re-inspection is made •necessary by improper notice for inspection, or faulty materials and /or worlonanship. CLOBETu B BATH L SHOWERS I LAVA. S SINKS S SLOP L LAUNDRY U U C CATCH F FLOOR D DRINK! NO T TOTAL CONTR. -.. _ _.....___.. CHECK SEPTIC S SEWER D DRAIN S SOAKAGE G GREASE S SOLAR D DEEP S SPRKLR. S SW IM'O - - Cowrie. 3 37 . CHECK t t- Application is-4i re y :sh ade 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 1 - ^.f../ - T 1 - - F— __` _ No._._ Street > ' Registered Architect and /or Erxi eer Employing Plumber's Name_--- '1_- -_____.__� - CO4 A INo. —s.l -... Location and Legal Description Lot Street and Number where work is to be performed —No 4 C State work to be performed and purpose of building (By Floors)___... ST._A L4 rL.g/✓_- - - - _Of New Building _.._._._.. _.. Remodeling. Addition Repairs No. of Stories Size Septic Tank. .... Feet of Drain Tile-__ -_ Nature of Water Supply Amount of Permit $. STATE OF FLORIDA, COUNTY OF DADE. j MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT po Block Subdivision ..... ___.- ...... ------ - - - -._ __ - - -- Type of Tank__ Capacity ......... _Dist. Feet of Tank or Drain Field from Well .._.._____.___.._____ ..... ______.__..... __-_----_-_Size of Soakage Pit (Signed)_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o 'gations 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 b hint in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of e work such public ; otice or notices as . are required by the Act. The undersigned agrees to employ only such sub - contractors, on wor , to be performed de this - Init, as are licensed by Miami Shores Village. ( Signed )______ Street Date 3 r°-.. 7 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 aster Plumber. NOTE: A re- inspection fee of $L00 will be made when such re-inspection is made •necessary by improper notice for inspection, or faulty materials and /or worlonanship. Contrac BUILDING - INSPECTION Permit No. 1 k LL Address work 3 Jo S Owner Foundation Lintel Final When ready AM 9.. 3 Received bL Date Time PLUMBING - ISPECTION Work done b_y_ Address of work Owner Septic Tank Drainfield Gas Plumbing - Final Rough When ready Received by Dato Time Z '4 V Permit No. Sewer AP,1 Too out PM j CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS TOTAL FIXTURES .CONTR. ' jLIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL • CLNTR. �{/'I LIST !M� CHECK - YD • Size Septic Tank Feet of Drain Tile M v I MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Date_ ___ _� ` Application 1 he by�a(ade for the approval of the detailed statement of the plans and specifications herewith sub for the building\ r ither structure herein described. This application is made in compliance and conformity with the Building Ordinance �f–'Miami Shores Village lorida, 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 i Street 2 Registered Architect and /or £n+tte4r . ______ Employing Plumber's Name s'y V No Street e � Location and Legal Description Lot er t / eA / 0 Block 9 / Subdivision_ /I _- -'_.,_— Street and Number where work is to be performed —No ) 6 Street 1 C Z I ___ State work to be performed and purpose of building (By Floors) New Building lei / Remodeling Addition Repairs No. of Stories __/ / 4 Dist. Feet of Tank or Drain Field from 'IC'ETt_ Nature of Water Supply: City —1,1r Size of Soakage Pit. Amount of Permit $__ — ____________ _______________________ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands ancLaccepts.his& obligation's 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 p erformed under this p •mit, as are licensed by Miami Shores Village. f My Commission Expires Type of Tank T a n k _ (Signed) STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is uade'n materials and /or workmanship. 73 Capacity Gals } ?/-74, i o the I Master Plumber. Notary. Public. State of Florida : tiottce for inspection, or faulty APPLICATION FOR PLUMBING PERMIT Permit No.____ __ __3_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s b ' fitted for the buil structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Villag 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 of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be building during progress of work. Owner's Name and Address Size Septic Tank Feet of Drain Tile ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. Street___ Registered Architect and /or -Ewgitreer Employing Plumber's Name Location and Legal Description Lot Block 1 Subdivision_ .!_ Street and Number where work is to be performed —No l___j� `� Street 1__�C__2_°`'� State work to be performed and purpose of building (By Floors) No. New Building J/ Remodeling Addition Repairs No. of Stories__ Amount of Permit $ (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary Type of Tank public, duly authorized to Dist. Feet of Tank or Drain Field from Jdd¢1'L•_ Date 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 therein by him stated are true. Street Capacity Gals. V J__ Nature of Water Supply: City — Tdrr Size of Soakage Pit. Notary Public. State of Florida Plumbing Inspector. Jul L' m r other orida, Division kept at v. 9t 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 petit, as are licensed by Miami Shores Village. (Signed) Master Plumber. administer oaths and take acknowledgments, personally 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 $INKS 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. CHECK LIST CHH ECK APPLICATION FOR PLUMBING PERMIT Permit No.____ __ __3_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s b ' fitted for the buil structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Villag 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 of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be building during progress of work. Owner's Name and Address Size Septic Tank Feet of Drain Tile ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. Street___ Registered Architect and /or -Ewgitreer Employing Plumber's Name Location and Legal Description Lot Block 1 Subdivision_ .!_ Street and Number where work is to be performed —No l___j� `� Street 1__�C__2_°`'� State work to be performed and purpose of building (By Floors) No. New Building J/ Remodeling Addition Repairs No. of Stories__ Amount of Permit $ (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary Type of Tank public, duly authorized to Dist. Feet of Tank or Drain Field from Jdd¢1'L•_ Date 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 therein by him stated are true. Street Capacity Gals. V J__ Nature of Water Supply: City — Tdrr Size of Soakage Pit. Notary Public. State of Florida Plumbing Inspector. Jul L' m r other orida, Division kept at v. 9t 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 petit, as are licensed by Miami Shores Village. (Signed) Master Plumber. administer oaths and take acknowledgments, personally 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. ZU, L PERMIT A N° 373 PLUMBING Sner of Building `" --P 1 ,g: NAME MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT l a JO ADDRESS LICENSE NO. Architect and /or Engineer ADDRESS Contractor or Builder NAME ADDRESS LICENSE NO. " \. °1�" Proposed Location 414 E 4._- - -- --- 1L --- - - - - -- - L BLOCK SUB - DIVISION NO STREET This permit is issued to y` _ a 4:�)..„�, A4, t• .r `` 14 -- , � -4 To the building above described, as per application, Plain and Spe heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. AMOUNT RECD. PAYMENT ACCT. DE PT. {,.g1' ..-NSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and ns and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building depart a of Miami Shores Village. { : `' r y} _ Dated �. M A. w ..: . , 19 q ? .. "� — — k\ . (SEAL) -- -- . NO A charge of $1.00;will bet made for making corrections or changes to this application after approval has been btained from the Planning Board. A re- inspection fee of $1.00 wi111'be made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. -E ELINTRM 't PERMIT A N° PLUMBING Owner of Building Contractor or Builder Proposed Location _1 Dated NAME Architect and /or Engineer/ NAME LOT 19� NAME BLOCK SUB - DIVISION 19 289 ADDRESS ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT ` NO: 1 ( LICENSE NO. LICENSE NO. F STREET This permit is issued to • 'r'" the building above described, as per application, Pl s and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true an, that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the 1State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. AMOUNT RECD. PAYMENT ACCT. DEPT. INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. B44.1.E)**1 EGT-R4ehL PLUMBING •0wner of Building PERMIT A N° 270 NAME I .• ' Architect and/or Engineer N / Contractor or Builder_ ' -.A e ikakA/A- NAMe P1 • i (-- i 44 This permit is issued to 41/ j e-e. , :;;; * 4.4 , To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This . permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon ha i 'e in the plans and specifications unauthorized by the building inspector. I) .1 Proposed Location " 11"-"*. AMOUNT Dated LOT RECD. PAYMENT ACCT. ,7 t SUB-DIVISION 1 ,••• ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT > , 1949 ADDRESS Ze.at 0 In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and ans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building! department of Miami res Village. .-, LICENSE NO. LICENSE NO. , INSPECTOR • 19 (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be made when such re-inspection is made necessar by improper notice for inspection or faulty materials and/or workmanship. Bilrebrilt ELEe. PERMIT A N? PLUMBING Owner of Building If Architect and/or Engineer_ Contractor or Builder__L ited 1 .2 1 ' ' . ...1 --,,, .t•dr /.? ' . , .NA mg • a A ( AM 1/ 4 / ' e4./ i AMOUNT RECD. PAYMENT ACCT. DEPT. 191 SUB-DIVISION • ' 177 ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT _4 ' 1 :' NAME ADDRESS 1 Proposed Location -44 LOT BLO5K 191 LICENSE NO. •rd tri LICENSE NO. 14' NO. STREET , To 4. - This permit is issued to the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at agy time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthtrized by the building inspector. In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. INSPECTOR (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. Permit No. Amount of Permit $ My Commission Expires 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 -___ . ` No Street Registered Architect and /or Engitt er Employing Plumber's Name Location and Legal Description ot____ d Y ' Block A Street and Number where work is to be performed No L_4 Street State work to be performed and purpose of building (By loors New Building S ' 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. No. e Date — — (Signed) —sr'! " ` t /' (! !� _{:%fT [ 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. 1 r STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida Stree 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. No. of Stories___ ster Plumber. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST ,/, d l ' -}r f !!(/// CHECK 1 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LI ST / CHECK Permit No. Amount of Permit $ My Commission Expires 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 -___ . ` No Street Registered Architect and /or Engitt er Employing Plumber's Name Location and Legal Description ot____ d Y ' Block A Street and Number where work is to be performed No L_4 Street State work to be performed and purpose of building (By loors New Building S ' 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. No. e Date — — (Signed) —sr'! " ` t /' (! !� _{:%fT [ 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. 1 r STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida Stree 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. No. of Stories___ ster Plumber. 1 , JOHN F. GAFFNY PLUMBING CONTRACTOR 7718 N. E. 2NDAVENUE 'MIAMI, FLA. • N PHONE 7 -5284 • 0 0 Permit No. 5� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date ° _ Application is hereb}I` 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 s Vie — f r_3 • G __� 1 r Employing Plumber's Name_ f'_ d'''' d'''' ` c' c'__ ' "-me �..- L - I Street'__ `," Location and Legal Description Lot / ;.c 4/.. Block /l Subdivision_, w fi__— _____% Street and Number where work is to be performed—No .4 , _ & 4er Street /a_ ... 10 ' • , ' ze No Street Size Septic Tank Type of Tank Capacity Gals .__ -: Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 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 performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ss. My Commission Expires (Signed) 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 H EATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LI CHECK Permit No. 5� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date ° _ Application is hereb}I` 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 s Vie — f r_3 • G __� 1 r Employing Plumber's Name_ f'_ d'''' d'''' ` c' c'__ ' "-me �..- L - I Street'__ `," Location and Legal Description Lot / ;.c 4/.. Block /l Subdivision_, w fi__— _____% Street and Number where work is to be performed—No .4 , _ & 4er Street /a_ ... 10 ' • , ' ze No Street Size Septic Tank Type of Tank Capacity Gals .__ -: Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 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 performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ss. My Commission Expires (Signed) 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.