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560 NE 102 St (8)MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ?mo Permit No 241 °31. D a t e..._.._.._._. t `. ...__..._.� 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 14_Vp6A.1- y. No �6 o Street._! E ID s7 Registered ArchitectM 1 qn d/or En ' 1 -- t __. .._ rV11 cm a dift / 1 c t --�� �-� �_____ Employing Plumbers Name ,B f -ist A A 4 - • • �l No .._.. a�l i...L. ...... IttwR-."- ..... N � .. - Location d Leg / �k to be performed -No � 6 S /. ption Mork 94 * �Subdivision s. IVA /i S nd4rum % fv c 0 E..__.._ v 2 " �"� -- _. 7 ind w er� �/'� p / ..A ..� State work to be performed and purpose of building (By Floors)__._. e!_iNx 0.. __2� 0 -. .. Z ...p . -.3.- No. of Stories Amount of Permit $1 New Building..__.._ _ _.._.........._.. Remodeling____ __. -_- Addition...- ..__..__ Repair /. Size Septic Tank_..- Type of Tank—_. Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well..._.__ Nature of Water Supply: City-WeIL Size of Soakage Pit. (sue) — . IX. . _ '131. 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 5989, Compiled General Laws of Florida Permanent Supplement, and liar 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 h public notice or notices as are required by tkie Act. The undersigned agrees to employ only such sub-contractors, on k to , and this permit as ni are licensed by Miami Shores Village. (Signed STATE OF FLORIDA, 1 µ 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 be 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 facts therein by him stated are true. My Commission Expires Notary Public, State of PlorkIa NOTE: A re- inspection fee of $1.00 will be made whys smolt misapsotfoa Is soede•aeoassary by ioproper stotioe for impaction, or faulty materials and /or workmanship. CLO SETS BATH TUMID SHOWERS LAVA- TORIES SINK/ SLOP SINKS LAUNDRY Tue. U RINAL/ CATCH 'A /IN FLOOR DRAIN OINKING DRINK FOUNT 'NS TOTAL •UITURE111 — CONTR. LIST CHECK SEPTIC TANK SEWER CONK. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR MUTER DEEP WELL aPRKLR. SYSTEM SW IM'G POOL CONrR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ?mo Permit No 241 °31. D a t e..._.._.._._. t `. ...__..._.� 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 14_Vp6A.1- y. No �6 o Street._! E ID s7 Registered ArchitectM 1 qn d/or En ' 1 -- t __. .._ rV11 cm a dift / 1 c t --�� �-� �_____ Employing Plumbers Name ,B f -ist A A 4 - • • �l No .._.. a�l i...L. ...... IttwR-."- ..... N � .. - Location d Leg / �k to be performed -No � 6 S /. ption Mork 94 * �Subdivision s. IVA /i S nd4rum % fv c 0 E..__.._ v 2 " �"� -- _. 7 ind w er� �/'� p / ..A ..� State work to be performed and purpose of building (By Floors)__._. e!_iNx 0.. __2� 0 -. .. Z ...p . -.3.- No. of Stories Amount of Permit $1 New Building..__.._ _ _.._.........._.. Remodeling____ __. -_- Addition...- ..__..__ Repair /. Size Septic Tank_..- Type of Tank—_. Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well..._.__ Nature of Water Supply: City-WeIL Size of Soakage Pit. (sue) — . IX. . _ '131. 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 5989, Compiled General Laws of Florida Permanent Supplement, and liar 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 h public notice or notices as are required by tkie Act. The undersigned agrees to employ only such sub-contractors, on k to , and this permit as ni are licensed by Miami Shores Village. (Signed STATE OF FLORIDA, 1 µ 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 be 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 facts therein by him stated are true. My Commission Expires Notary Public, State of PlorkIa NOTE: A re- inspection fee of $1.00 will be made whys smolt misapsotfoa Is soede•aeoassary by ioproper stotioe for impaction, or faulty materials and /or workmanship. STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Per i Number g`7-0973 5 oiv -�' /o,,,� /�C " 11,g/ PART II - SYSTEM INSTALLATION INSPECTION AND FINAL INSTALLATI APPROVAL Installer Applicant Other findings Proper tank legend: Yes )1/'`¢ No Tanks watertight: Yes Proper tank outlet device: Length Wldth feet feet feet feet feet feet Total = ft No Yes No Drainfield Trench Proper gravel size: Yes No HRS—H Form 4016, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 6744 -002- 4016 -0) Tank material Tank size ',nab width feet feet Inspected by Tank Manufacturer N/' PART III - FINAL I STALLATION APPROVAL Dater O ?Approved by: p�fir '— •�e- (7-0 Tank level: Yes gallons gallons gallons Manhole or marker to grade: Yes No Absorption Bed Length ' 6 feet x R feet =o? ft Ze Length feet x feet= ft feet feet Proper No. drainlines: Yes ✓No feet feet Proper pipe separation: Yes No Total = ft Distribution box level: Yes?/ No Systems located as permitted: Yes ` No Systems including plumbing stub -outs installed at proper elevation: Yes No Average depth to drainpipe invert from finished grade: winches Maximum depth ca9 Inches Average depth of drainfield gravel / yinches Minimum depth of gravel: inches Gravel is suitable quality: Yes -' No Backfill or fill material as required: (Quality) Yes _L No (Quantity) Yes L No AN APPROVED INSTALLATION DOES NOT GUARANTEE PERFORMANCE Date g- ` ?7 r COUNTY PUBLIC HERCTH UNIT Note: Completed copies of this form will be provided to the applicant, installer and the building department. Page 2 of 2 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. Owner's Name and Address A ' 6',� , - No . _� __.. - — 6CY - - —_ Street. - Registered Architect and /or Engineer-41J- Employing Plumber's Name (_ Street.. 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 Size Septic Amount of Permit $ STATE OF FLORIDA, 1 38. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLBCATION FOR PLUMBING PERMIT Type of Tank- (Signed)_ (Signed). Date-- ---- - -- _ -- {- Block _ � Subdivisision---- Street- �'"1 ' x- 7 Addition..._ Repairs L No. of Stories. . ......... . . Capacity Gals Feet of Drain Tile--_____ _____ -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.____— ....... _ ..... __.____..... _ -- ______._Size of Soakage Pit Plumbing Inspector. 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 Ilas com- plier with the provisions thereof, and will require similar compliance from all contractors : contractors ployed 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 a wor ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, w. to der — .. er this permit, as are licensed by Miami Shores Village. 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 notico for insp . n, or faulty materials and /or workmanship. CLOSETS TUBS BATH TUBE SHOWER! LAVA. TORIES S SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKI NG 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 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. Owner's Name and Address A ' 6',� , - No . _� __.. - — 6CY - - —_ Street. - Registered Architect and /or Engineer-41J- Employing Plumber's Name (_ Street.. 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 Size Septic Amount of Permit $ STATE OF FLORIDA, 1 38. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLBCATION FOR PLUMBING PERMIT Type of Tank- (Signed)_ (Signed). Date-- ---- - -- _ -- {- Block _ � Subdivisision---- Street- �'"1 ' x- 7 Addition..._ Repairs L No. of Stories. . ......... . . Capacity Gals Feet of Drain Tile--_____ _____ -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.____— ....... _ ..... __.____..... _ -- ______._Size of Soakage Pit Plumbing Inspector. 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 Ilas com- plier with the provisions thereof, and will require similar compliance from all contractors : contractors ployed 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 a wor ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, w. to der — .. er this permit, as are licensed by Miami Shores Village. 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 notico for insp . n, or faulty materials and /or workmanship. -, - , , MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °"i1,; tIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein 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 Ai (AM 1 li o� No. __ 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 Amount of Permit $ No.- - - S C Street A/4- / � �s 6i6 l (Signed) Street.. My Commission Expires Notary Public, State of Florida S - C Block--_ _. Subdivision S:' 0 Street ■'� / e Z-- • ii ) e work to be performed and purpose of building (By Floors)_.____ i1_ ____ [AO Of ii e ' IA , New Building _ _. _._ Remodeling - -_ ___ —_- Addition. - ___ —• —. -_ Repairs t..,--% No. of Stories. . ..... Type of Tank __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 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 e s of the wor I c public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub - contracto on •rk to perfor 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 administ 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 INKS SINKS SLOP SINKS LAUNDRY rues U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWING POOL CoNTR. LIST _. CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °"i1,; tIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein 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 Ai (AM 1 li o� No. __ 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 Amount of Permit $ No.- - - S C Street A/4- / � �s 6i6 l (Signed) Street.. My Commission Expires Notary Public, State of Florida S - C Block--_ _. Subdivision S:' 0 Street ■'� / e Z-- • ii ) e work to be performed and purpose of building (By Floors)_.____ i1_ ____ [AO Of ii e ' IA , New Building _ _. _._ Remodeling - -_ ___ —_- Addition. - ___ —• —. -_ Repairs t..,--% No. of Stories. . ..... Type of Tank __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 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 e s of the wor I c public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub - contracto on •rk to perfor 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 administ 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 9/ 7 9 Size Septic Tank Feet of Drain Tile Amount of Permit $ Nature of Water Supply: City —Well ss. MIAMI - SHORES VILLAGE ' PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No S.+/ Date__ t Street Application is hereby made for the approval of the detailed statement of the plans and specifications herewith,ubmitted 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 Engiq e Employing Plumber's Name ____ ' 7 Street__ Location and Legal Description Lot Subdivision Block Street and Number where work is to be performed—No Street State work to be performed and purpose of building (By Floors)____ Repairs New Building Remodeling No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tons 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, on work to be performed under this permit, as are licensed by Miami Shores Village. ) ,,) ' 1 ( Signed) `"�' � r "04.4 ". 1-71- Master' Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 CHECK __— SEPTIC TANK SEWER CONN. DRAIN FIELD OAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No 9/ 7 9 Size Septic Tank Feet of Drain Tile Amount of Permit $ Nature of Water Supply: City —Well ss. MIAMI - SHORES VILLAGE ' PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No S.+/ Date__ t Street Application is hereby made for the approval of the detailed statement of the plans and specifications herewith,ubmitted 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 Engiq e Employing Plumber's Name ____ ' 7 Street__ Location and Legal Description Lot Subdivision Block Street and Number where work is to be performed—No Street State work to be performed and purpose of building (By Floors)____ Repairs New Building Remodeling No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tons 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, on work to be performed under this permit, as are licensed by Miami Shores Village. ) ,,) ' 1 ( Signed) `"�' � r "04.4 ". 1-71- Master' Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. Bu he dra tim ra er on C r In consideration of the issuance to me o is permit fining thereto and in strict conformity with th • ans, dr • this ponsibility fo ALTO .OR BUILDS MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9179 Architect tractor s 1 wilder �f t De � Lot 1. Building Of 1/2- 2 �••. Subdi- vision Value of Project $ INSPECTOR ee to perform the work covered hereunder in comp ngs, statements or specifications submitted to the pro done by either, myself, my agent, servant or employee. ork to be performed under this Permit DATE _ Contraclbr's License No. ' / 7.4,61 tk'f ( c. Amt. of Permit $ BY AUTHORITY This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the or in strict compliance with all ordinances pertaining thereto and with ings, statements or specifications that may have been submitted to and if the work is not done in compliance with such ordinances or if he d is the understanding that the contractor or builder named ab v is to the work covered hereby whether shown on the plans by his agents, servants or employees. i plicatfon understanding that the work will be performed in compliance with any plans, proved by the proper municipal authorities. This Permit may be revoked at any ns are changed without authorization. A further condition upon which this permit is ssumes the responsibility for a thorough knowledge of the ordinances and regulations rawings oo in the statements or specifications and that he assumes responsibility for work nee with all ordinances and regulations er authorities of Miami Shores Village. Permit No Registered Architect a APPLICATION FOR PLUMBING PERMIT /c 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 or nances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whet erein specified or not. A copy of approved plans and specifications must be ke$t' at building during progress of work. Owner's Name and Address __ Employing Plu...er's Name Amount of Permit S- _ -/'_ es. MIAMI SHORES VILLAGE Size Septic Tank___— ____ —__ Feet of Drain Tile______ Nature of Water Supply: City —Well My Commission Expires PLUMBING INSPECTION DEPARTMENT The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly No t Q Street_._J! _,C__C/ ___ 7 3 6 Location and Legal Description Lot_ Street and Number where work is to be performeNo State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs 4.111:✓ _Block Date____ —___ Street Subdivision__—__ c` 2/ __ Street /1:2_,e7 Type of Tank . — _Capacity Gals. Dist. Feet of Tank or Drain Field from Well___________________________ _ Notary Public. State of Florida No. of Stories Size of o kage Pit.__ �` _ (Signed) - - -_ — Plumbing Inspector. Inspector. reify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub- contractorj, on work to be performed under this permit, as are � - e 0 26. c c / ( +' Master Pl. ------ - 6 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK Permit No Registered Architect a APPLICATION FOR PLUMBING PERMIT /c Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all or nances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whet erein specified or not. A copy of approved plans and specifications must be ke$t' at building during progress of work. Owner's Name and Address __ Employing Plu...er's Name Amount of Permit S- _ -/'_ es. MIAMI SHORES VILLAGE Size Septic Tank___— ____ —__ Feet of Drain Tile______ Nature of Water Supply: City —Well My Commission Expires PLUMBING INSPECTION DEPARTMENT The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly No t Q Street_._J! _,C__C/ ___ 7 3 6 Location and Legal Description Lot_ Street and Number where work is to be performeNo State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs 4.111:✓ _Block Date____ —___ Street Subdivision__—__ c` 2/ __ Street /1:2_,e7 Type of Tank . — _Capacity Gals. Dist. Feet of Tank or Drain Field from Well___________________________ _ Notary Public. State of Florida No. of Stories Size of o kage Pit.__ �` _ (Signed) - - -_ — Plumbing Inspector. Inspector. reify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub- contractorj, on work to be performed under this permit, as are � - e 0 26. c c / ( +' Master Pl. ------ - 6 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor Jr Builder Legal Description Address of r' Building'' This permit is granted to the contractor or builder application herefor in strict compliance with all ordinanc with any plans, drawings, statements or specifications that be revoked at any time if the work is not done in complian upon which this permit is granted is the understanding th the ordinances and regulations pertaining to the work cov that he assumes responsibility for work done by his agents Lot In consideratio t ons pertaining the Village. In acceptipk this permit I assume resp CON tRACT4R OR BUILDER MIA 1 SHORES VILLAGE, FLORIDA Bl. 'PERMIT' N? 3191 DATE 194,0 Contractor's License No. -- Work to be performed under this Permit `' r ._ '' �J * f ' / r Value of _ » Amt. of ProjelFr Permit / ( .- e •. constrttt he building or to install the equipment or device described in the g t mreto and with the understanding that the work will be performed in compliance a - bee submitted to and approved by the proper municipal authorities. This Permit may such rdinances or if the plans are changed without authorization. A faarther condition contractor or builder named abov assumes the responsibility for a thorough knowledge of hereby whether shown on the plaits or drawings or in the statements qr specifications and rvants or employees. }/ ...6 ~'""" rf Signed • ! « 2. ;,' By p .... INSPECTOR med a errai bdi- vision i t of the issuance to me of this permit I agree to perform theyork covered hereunder in compliance with all ordinances and regular'. o and in strict conformity j+;th the plans, drawings, statements -specifications submitted to the proper authorities of Miami Shores - ibility for altzat.k done by either j r.< 4 34.,4.(4,„ 541/ agenF, servant or employee. y � y I . rc f ra 11.,40,. AUTHORITY BUILDING ❑ ELECTRICAL ❑ Architect Contractor or Builder Legal Description Lot PLUMBING ROOFING ❑ ❑ Owner of Building Address of Building t' / CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N9 8975 Bi. Work to be performed under this Permit Subdi- vision DATE 195 Contractor's License No Sq. Ft Value of Project $ 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 • BY INSPECTOR In consideration of the issuance to me o this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity wit the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I a ume resptinsib• for work done by either, myself, my agent, servant or employee. O Amt. of Permit $ BY AUTHORITY A Dr BUILDING ELECTRICAL PLUMBINET The following is ready for inspection:- Inspector's Report:- IORI DONE BY: PLQUEF.TED 70/ VI11,1, BE READY • / _