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434 NE 102 StBUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT Lot II Bl r • N° 4295 Value of Project $ DATE Contractor's License No. 19 '' Work to be performed under this Permit Subdi- vision Amount 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. - Signed . 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. ' J.? CONTRACTOR OR BUILDER BY AUTHORITY BOT Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewit subm(ed 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 n Owner's Name and Address -- /- Registered Architect and /or En ineer_____ _______________ Employing Plumber's Name t D _ ) Location and Legal Description Lot-______ _____ __— _______ STATE OF FLORIDA, 18s. COUNTY OF DADE. Size Septic Tank _ -- Feet of Drain Tile Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) _: c 4 -0 New Building __ Remodeling__. __ ___ Addition__ Type of Tank_ Date No. _ 3__.__ Street_.9 I 0 Block __.________ Subdivision Street (Signed) ( Signed) ____. No._ _� - � - -__ Street. 221 16 Repairs _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.______ ___ ____________------ _____________ ____Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts h�.bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida s manent Supplement, and leas com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contracto s 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. v • 2. No. of Stories Capacity Gals Plumbing Inspector. 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 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 S ' CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIaT CHECK - -- Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewit subm(ed 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 n Owner's Name and Address -- /- Registered Architect and /or En ineer_____ _______________ Employing Plumber's Name t D _ ) Location and Legal Description Lot-______ _____ __— _______ STATE OF FLORIDA, 18s. COUNTY OF DADE. Size Septic Tank _ -- Feet of Drain Tile Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) _: c 4 -0 New Building __ Remodeling__. __ ___ Addition__ Type of Tank_ Date No. _ 3__.__ Street_.9 I 0 Block __.________ Subdivision Street (Signed) ( Signed) ____. No._ _� - � - -__ Street. 221 16 Repairs _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.______ ___ ____________------ _____________ ____Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts h�.bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida s manent Supplement, and leas com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contracto s 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. v • 2. No. of Stories Capacity Gals Plumbing Inspector. 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 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. ............. C BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY 'rues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 ' �Cy,S ti, -n y �� a , om = TOTAL FI %TUREB CONTR. Liar CIIZCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL COHTR. LIST _. CHECK t c- Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s}rbmitted f4 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 !/ate_____ � .L ____ No.______<_ `S /___._f_`'! Street /e ' J Registered Architect and /or Enginn / ____— _______ Employing Plumbei s Name ___. " � / � � Location and Legal Description' Lot Street and Number where work is to be performed —No Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well STATE OF FLORIDA, COUNTY OF DADE. I MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Street State work to be performed and purpose of building (By Floors)_-- ____ -- - ------------- __ -_ -_ New Building___ Remodeling______ ______ Addition Repairs No. of Stories. Type of Tank _Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit D-Dt Amount of Permit i (Signed) Date sR No.__' 4 $ Street___ l" Subdivision '/Z /a SS� Capacity Gals. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanen plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ performed under this permit; and will post or cause to be posted' for inspection on the site of e work such pub required by the Act. The undersigned agrees to employ only such sub- contractors, on wor co be performed and licensed by Miami Shores Village. Plumbing Ins s ector. s as an employer of labor pplement, and has com- by him in the work to be is notice or notices as are permit, as are 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 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 workmanship. l'onr.1+ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT I Lp3 Application is hereby :Hale for the approval of the detailed statement of the plans and specifications here h su 'mitted 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 0 _ - _ ___. , ___ .____ No._— .__________._ Street Registered Architect and /or Engineer_-_-_--__________ Employing Plumber's Name__h. 0101 _ A) CA No._4.2 3 .4- .a4_49 Street-- ��yy►► DD �5.�.�_ _ Location and Legal Description Lot_..SL._ � ___ _ Block 1 B -L' Subdivision ItS....efr. Y _ - _ Street and Number where work is to be performed —No H l i 1 O. Street. State work to be performed and purpose of building (By Floors)_._- _____ -____ New Building Remodeling_._._ ___._.__ Addition__ Repairs No. of Stories. _Type of Tank __Dist. Feet of Tank or Drain Field from Well of Water Supply: it ell._______________:___________ _____Size of Soakage Pit Size Septic Tank Feet of Drain Tile Amount of Permit $ My Commission Expires (Signed) _ Capacity Gals umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat , : as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pernanen pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo • . 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. ( Signed )._ __. fl - i -- .. Master Plumber STATE OF FLORIDA, COUNTY OF DADE. j 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_ 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 matrarials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TU88 URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS {�� f I M TOTAL FIXTURES CONTR. LIST 1 I 1 f CHECK — + -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL J Q 1 `7 .., CONTR. LIST CHECK - -- l'onr.1+ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT I Lp3 Application is hereby :Hale for the approval of the detailed statement of the plans and specifications here h su 'mitted 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 0 _ - _ ___. , ___ .____ No._— .__________._ Street Registered Architect and /or Engineer_-_-_--__________ Employing Plumber's Name__h. 0101 _ A) CA No._4.2 3 .4- .a4_49 Street-- ��yy►► DD �5.�.�_ _ Location and Legal Description Lot_..SL._ � ___ _ Block 1 B -L' Subdivision ItS....efr. Y _ - _ Street and Number where work is to be performed —No H l i 1 O. Street. State work to be performed and purpose of building (By Floors)_._- _____ -____ New Building Remodeling_._._ ___._.__ Addition__ Repairs No. of Stories. _Type of Tank __Dist. Feet of Tank or Drain Field from Well of Water Supply: it ell._______________:___________ _____Size of Soakage Pit Size Septic Tank Feet of Drain Tile Amount of Permit $ My Commission Expires (Signed) _ Capacity Gals umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat , : as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pernanen pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo • . 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. ( Signed )._ __. fl - i -- .. Master Plumber STATE OF FLORIDA, COUNTY OF DADE. j 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_ 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 matrarials and /or workmanship. t MI /'A