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501 NE 102 St (8)Permit No _ret 7f 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 E Employing Plumber's Nam; , No/.40.1dg.. t_ Stree_ t24- 4it Location and Legal Descri.tion Subdivbion_ Street and Number where work is to be performed—No d' Street - State work to be performed and purpose of building (By Floors)_ New Building Remodeling Addition Repairs No. of Stories... ......... ...... Size Septic Tank Nature of Water Supply: City—Well My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING. w,MIT No .A Alli StreeL ( Signed )_ Date. / Capacity Gals. Type of Tank Feet of Drain Tile_ Dist. Feet of Tank or Drain Field from 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 undersigned agrees to employ only such sub-contractors, licensed by Miami Shores Village. wor erfo this ri • mr are Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, , as. COUNTY OF DADE. Befoxe 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 bim stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made • necessary by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH Tues SHOWERS LAVA. TORIES SIN SLOP SINKS LAUNDRY Tiles URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT• NS TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM ---. SWIM•G POOL ■ CONTR. LIST - - - -__ CHICK Permit No _ret 7f 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 E Employing Plumber's Nam; , No/.40.1dg.. t_ Stree_ t24- 4it Location and Legal Descri.tion Subdivbion_ Street and Number where work is to be performed—No d' Street - State work to be performed and purpose of building (By Floors)_ New Building Remodeling Addition Repairs No. of Stories... ......... ...... Size Septic Tank Nature of Water Supply: City—Well My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING. w,MIT No .A Alli StreeL ( Signed )_ Date. / Capacity Gals. Type of Tank Feet of Drain Tile_ Dist. Feet of Tank or Drain Field from 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 undersigned agrees to employ only such sub-contractors, licensed by Miami Shores Village. wor erfo this ri • mr are Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, , as. COUNTY OF DADE. Befoxe 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 bim stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made • necessary by improper notice for inspection, or faulty materials and/or workmanship. Permit No Owner's Name and Address __5 • Location and Legal Description Lot__ _ ae ____ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building_ Amount of Permit $_ 7 77 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.ndt.-A -copy of approved plans and specifications must be kept at building during progress of work. • No Registered Architect and /or Engineer -t ` •, Employing Plumber's Name 4.4 Remodeling____ _Block (Signed) Addition Repairs_ (Signed) - - - - - - _- - - - - - D a t e AM sr - 7 71/-1 i _ Subdivision__ Size Septic Tank_ Type of Tank . — _Capacity Gals Feet of Drain Til e____________ ____ ________ Dist. Feet of Tank or Drain Field from Well ______ ___— ___�___�_ Nature of Water Supply: City —Well. Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by G by the Act. The under signed agrees to employ only such sub - contractors, on work t o be perfo under is permit, as are licensed b Miami Shores Village. /�� J My Commission Expires Notary Public. State of Florida Master Plumber. No. of Stories___ _____ STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS /// SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST I f / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST X CHECK Permit No Owner's Name and Address __5 • Location and Legal Description Lot__ _ ae ____ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building_ Amount of Permit $_ 7 77 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.ndt.-A -copy of approved plans and specifications must be kept at building during progress of work. • No Registered Architect and /or Engineer -t ` •, Employing Plumber's Name 4.4 Remodeling____ _Block (Signed) Addition Repairs_ (Signed) - - - - - - _- - - - - - D a t e AM sr - 7 71/-1 i _ Subdivision__ Size Septic Tank_ Type of Tank . — _Capacity Gals Feet of Drain Til e____________ ____ ________ Dist. Feet of Tank or Drain Field from Well ______ ___— ___�___�_ Nature of Water Supply: City —Well. Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by G by the Act. The under signed agrees to employ only such sub - contractors, on work t o be perfo under is permit, as are licensed b Miami Shores Village. /�� J My Commission Expires Notary Public. State of Florida Master Plumber. No. of Stories___ _____ STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, 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 Di of Miami Shores Village shall be complied with,- whether herein specified or not. A copy of approved plans and specifications must be kept building during progress of work. ,,r Owner's Name and Address —_�_� No. Street 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 Amount of Permit $_ (Signed) My Commission Expires Notary Public. State of Florida Registered Architect and /or Engineer ___ __w____ Employing Plumber's Name___ ______________ No Street__ .,t. Location and Legal Description Lot___= :,.___. I ____:4__ Block________ ___ ___— Subdivision____ ... : -_e ___A:____ Street and Number where work is to be performed— No._________.__ ..... ____�____. ._ ._ _____________ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories - (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. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U RI N ALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, 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 Di of Miami Shores Village shall be complied with,- whether herein specified or not. A copy of approved plans and specifications must be kept building during progress of work. ,,r Owner's Name and Address —_�_� No. Street 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 Amount of Permit $_ (Signed) My Commission Expires Notary Public. State of Florida Registered Architect and /or Engineer ___ __w____ Employing Plumber's Name___ ______________ No Street__ .,t. Location and Legal Description Lot___= :,.___. I ____:4__ Block________ ___ ___— Subdivision____ ... : -_e ___A:____ Street and Number where work is to be performed— No._________.__ ..... ____�____. ._ ._ _____________ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories - (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. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. . PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 7 2 /( Amount of Permit $_--_ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE Date_ __4e_t.__ _ 1 9 L 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 .Street_______________— ____ --_ Registered Architect and /or Engineer �98" - -- Employing Plumber's Name My__ Biwibinv Compny 4,1_231 No. _— __- 4545) Street_12t11_! --- Location and Legal Description Lot _13 17 1 of 14. Block_— ___93_____ ___________ Subdivision____ T nmilib.ares_____ Street and Number where work is to be performed —No. 501 V. 7 3.11_______— __ —_____ _ _ Street_____ 1 02nd_ State work to be performed and purpose of building (By Floors) __________ Residence New Building_____ Remodeling Addition Repairs No. of Size Septic Tank -6 � X 3 __ —_ —__ ._____ Type of Tank _ 2 ____Capacity Gals.___ — QQ Feet of Drain Tile____ 75 ______________ —___ _. Dist. Feet of Tank or Drain Field from Nature of Water Supply: City—Well.. ___ — ______________Size of Soakage Pit ..... _______________________________ (Signed) -------------- --- ---- ----- ---- ----- --- - - --- -- – - -_– — Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) J. M. Council = 38 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 Master Plumber. NOTE: A ie 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 C ONT R . 1 1 1 1 1 5 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST x x CHECK Permit No. . PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 7 2 /( Amount of Permit $_--_ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE Date_ __4e_t.__ _ 1 9 L 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 .Street_______________— ____ --_ Registered Architect and /or Engineer �98" - -- Employing Plumber's Name My__ Biwibinv Compny 4,1_231 No. _— __- 4545) Street_12t11_! --- Location and Legal Description Lot _13 17 1 of 14. Block_— ___93_____ ___________ Subdivision____ T nmilib.ares_____ Street and Number where work is to be performed —No. 501 V. 7 3.11_______— __ —_____ _ _ Street_____ 1 02nd_ State work to be performed and purpose of building (By Floors) __________ Residence New Building_____ Remodeling Addition Repairs No. of Size Septic Tank -6 � X 3 __ —_ —__ ._____ Type of Tank _ 2 ____Capacity Gals.___ — QQ Feet of Drain Tile____ 75 ______________ —___ _. Dist. Feet of Tank or Drain Field from Nature of Water Supply: City—Well.. ___ — ______________Size of Soakage Pit ..... _______________________________ (Signed) -------------- --- ---- ----- ---- ----- --- - - --- -- – - -_– — Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) J. M. Council = 38 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 Master Plumber. NOTE: A ie 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 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot - /) i'' BI. Description 7 Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 • 1840 Subdi- vision Value of Project DATE 19 Contractor's License No. Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes, the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawin or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: .. By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pe . ing beret. . rid - str' teeon mitt' a*ith the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Villa .. In acce a. assn a resptnsibility for all work done by either myself, my agent, servant or employee. 0 �I CONTRACTOR OR BL)IL1R �✓._ BY AUTHORITY JOB: BUILDING ELECTRICAL PLUMBING WORK DONE BY Inspector's Report: - REQUESTED WILL BE READY The following is ready for Inspection AD: JOB: BUILDING • • • • WORK • • DONE BY ELECTRICAL . , PLUMBING Inspector's Report: - • • • N , REQUESTED The following is ready for Inspection: AD: 6'„y • • • • • • • • WILL BE READY BUILDING ELECTRICAL PLUMBING Owner of ` Building r Architect Contractor or Builder 1 Legal Lot Bl. escription ddress of uilding P f MIAMI SHORES VILLAGE, FLORIDA ERM1T N9 1876 Work to be performed under this Permit Subdi- vision Value of Project DATE .t_ ---�- 194_11- Contractor's License No. Amt. of Permit • This ermit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the plication herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance /.11th any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may le 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 pon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of e ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and at he assumes responsibility for work done by his agents, servants or employees. . Signed: - _ By ' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- ,ons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores illage.. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. ,� r 0. �,+ _, A t - V /4714: 4 i - e ..`� i - f , .+�'. , .ar -�.- .. T/ 1! I . CONTRACTOR OR BUILDER BY AUTHORITY �.T O RES VILLAGE Permit No *et- iMBING INSPECTION DEPARTMENT A LICATION FOR PLUMBING PERMIT r . Date____ —_, Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the Sate of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied wit • whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. j Owner's Name and Address =." ___ No Street Registered Architect and /or Engineer Employing Plumber's Name.?—,' 1 s Location and Legal Description Lot__�:�_ — - 6 — -Block , '+--- • Street and Number where work is to be performed—No. _ _t -;,,,: T ;,,r_ " .�„ - .. r ' .e , --.1 State work to be performed and purpose of building (By Floors) � ..�_4• r S trce __mot_ � • ' 'rs_____' '� --�-� Subdivision - - + - -- -- - - - -- Street- _ I- =' New Building — _ Remodeling Addition Repairs ____ No. of Stories ______ ___.___. Size Septic Tank — _____— ________ Type of Tank _ Feet of Drain Tile___________ —_ —___ Dist. Feet of Tank or Drain Field from Well_ Nature of Water Supply: City —Well Size of Soakage Pit__ (Signed) _Capacity Amount of Permit $_______`____`� ____ Si ned �- y �' `•` Plumbing Ins or. 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, Com1ieGeneral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance fro‘ 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 pit, as are licensed by Miami Shores Village. My Commission Expires Notary Public. State of Florida / Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK . 9 , �.T O RES VILLAGE Permit No *et- iMBING INSPECTION DEPARTMENT A LICATION FOR PLUMBING PERMIT r . Date____ —_, Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the Sate of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied wit • whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. j Owner's Name and Address =." ___ No Street Registered Architect and /or Engineer Employing Plumber's Name.?—,' 1 s Location and Legal Description Lot__�:�_ — - 6 — -Block , '+--- • Street and Number where work is to be performed—No. _ _t -;,,,: T ;,,r_ " .�„ - .. r ' .e , --.1 State work to be performed and purpose of building (By Floors) � ..�_4• r S trce __mot_ � • ' 'rs_____' '� --�-� Subdivision - - + - -- -- - - - -- Street- _ I- =' New Building — _ Remodeling Addition Repairs ____ No. of Stories ______ ___.___. Size Septic Tank — _____— ________ Type of Tank _ Feet of Drain Tile___________ —_ —___ Dist. Feet of Tank or Drain Field from Well_ Nature of Water Supply: City —Well Size of Soakage Pit__ (Signed) _Capacity Amount of Permit $_______`____`� ____ Si ned �- y �' `•` Plumbing Ins or. 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, Com1ieGeneral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance fro‘ 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 pit, as are licensed by Miami Shores Village. My Commission Expires Notary Public. State of Florida / Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.