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568 NE 102 St (10)MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No . 7°2 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submtfted 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 ,["' _ ^ Ce19/X/P0f5/9 J 6 CN� / Owaer's Name and Address \ �5 � ( i No. � Street. a — .. .. _.._ .. Registered Architect and /or Engineer si $p o ° Ph Nie /� J ( t h ff id'L�gal / l peon Lot * Bkxe f:9 . SubdivWoayi Qi g._Cz.y Street and Number where work is to be performed —No ..5 Wee me 4 /�L`� �_lv- /// /Aft • / 3,/e4 street. / 5 - -- State work to be performed and purpose of building (By Floers)2 /t L_ /NV J 1."149.1-4'91 /fcsf , /So �i�sf W ig/ • New Building..--- ._— _.._....... - -._.. Remodeling —_ —.__ Addition -- _ Repairs No. of Stories . . Size Septic Tank_... _Type of Tank_ Feet of Drain Tile DiRt- Feet of Tank or Drain Field from Well .- -- .- --------- .. _ - - .. _ Nature of Water Supply: City —WeIL Size of Soakage Pit Amount of Permit $ • t'170 (Signed)_ C_ L� 0 ty 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 5968, Compiled General Laws of Florida Permanent Supplement, and Itav com- phed with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the woe,. to be performed under this permit; and will post or cause to be posted' for inspectio a the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su • •, , tr on ; k to 1performed under this permit, as are licensed by Miami Shores Village. (Signed Notary Date..._.._._ _. / f9 STATE OF FLORIDA, 1 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 be is the.. -_-Q '•� 2 .._ of the } abov , �e ,, described construction, that be has carefully read the foregoing application, and did sign the tame, and that all facts therein h' cMS O Z iit,'STATE OF FLO1 I)L TAY COMMISSION EXPIRES APRIL 28. 4990, DONDCD THF1U NO • • i . •...I.sir.i L: tt:ti My Comasissioo Expires State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when mob rwlespectios le mede•neoesesry by improper Dodos for tripoeden, or fanny materials and /or wnrlomanship. CLoscrs BATH TU•• aNOW1Ra LAVA. TORIES SINKS SLOP sums LAUNORY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL PICTURES Comm LIST - CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SQAKAGt PIT G TRAP SOLAR HEATER Diu WELL SYSTEM SW,M'O P001. CONTR. ! LIST CHECK r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No . 7°2 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submtfted 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 ,["' _ ^ Ce19/X/P0f5/9 J 6 CN� / Owaer's Name and Address \ �5 � ( i No. � Street. a — .. .. _.._ .. Registered Architect and /or Engineer si $p o ° Ph Nie /� J ( t h ff id'L�gal / l peon Lot * Bkxe f:9 . SubdivWoayi Qi g._Cz.y Street and Number where work is to be performed —No ..5 Wee me 4 /�L`� �_lv- /// /Aft • / 3,/e4 street. / 5 - -- State work to be performed and purpose of building (By Floers)2 /t L_ /NV J 1."149.1-4'91 /fcsf , /So �i�sf W ig/ • New Building..--- ._— _.._....... - -._.. Remodeling —_ —.__ Addition -- _ Repairs No. of Stories . . Size Septic Tank_... _Type of Tank_ Feet of Drain Tile DiRt- Feet of Tank or Drain Field from Well .- -- .- --------- .. _ - - .. _ Nature of Water Supply: City —WeIL Size of Soakage Pit Amount of Permit $ • t'170 (Signed)_ C_ L� 0 ty 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 5968, Compiled General Laws of Florida Permanent Supplement, and Itav com- phed with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the woe,. to be performed under this permit; and will post or cause to be posted' for inspectio a the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su • •, , tr on ; k to 1performed under this permit, as are licensed by Miami Shores Village. (Signed Notary Date..._.._._ _. / f9 STATE OF FLORIDA, 1 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 be is the.. -_-Q '•� 2 .._ of the } abov , �e ,, described construction, that be has carefully read the foregoing application, and did sign the tame, and that all facts therein h' cMS O Z iit,'STATE OF FLO1 I)L TAY COMMISSION EXPIRES APRIL 28. 4990, DONDCD THF1U NO • • i . •...I.sir.i L: tt:ti My Comasissioo Expires State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when mob rwlespectios le mede•neoesesry by improper Dodos for tripoeden, or fanny materials and /or wnrlomanship. T0: CITY OF Factory Service Co. 8475 -N.W. 66 STREET MIAMI, FLA. 33166 DADE 591-9922 BROWARD 467-2320 FOR: WHOM IT MAY CONCERN I. the undersigned, hereby authorize nedd/er -D. / an employee of Factory Service Company. Inc.. to secure Dermits for work to be done by Factory Service Company. Inc., upon the presentation of permits application signed by me. permit application is for 3,4/ C / 22 Pi/W /9 MY Contratltor Certificate of Competency Number is 13299. )D Master Gas Fitter's limp, number ip 78C11P307. �� , YS. 8 :. "E : f21DA. BUILDING ELECTRICAL PLUMBING Owner of Building Architect MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5098 Contractor --/ or Builder This Legal Lot BI. ,� Subdi Description vision Address of L value of Amt. of � Building ?2. Project Permit permit is granted escribed in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wi[l be p formed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authori ies. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are clanged wittIt}}out authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assunast the resper}b'ibilit ' a tl •rough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dravfings or in t1 stat cents • s s ecifications and that he „Assumes respon- sibility for work done by his agents, servants or employees. ,'�� ”" r ` - 1,,+' Signed %° '° .70e • By In consideration of the issuance to me of this permit I agree to perform the wor k cored reunder in compliance w 1� ll ordinances eggy�lations pertaining thereto and in strict conformity with the plans, drawings, statements or specificatio submitted to the proper ail 6INties of Miami. M'illage. In acceptirig/ this permit I assume responsibility for all work done by either myself, my agent, s rvant or employee. CONTRACTOR O$ BUIL R v DATE License No Contractor's a-1,e AUTHORITY 194 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT /` APPLICATION FOR PLUMBING PERMIT Permit No Date Application is here 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 he kept at building during progress of work. Nature of Water Supply: City —Well ss. ( Signed) r, Owner's Name and Address No = ` Street Registered Architect and /or Engineer Employing Plumber's Name. No Street Location and Legal Description Lot jj Block Subdivision Street and Number where work is to be performed—No .. (' '_[ Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs My Commission Expires Notary Public, State of Florida No. of Stories Size Septic Tank Type of Tank Capacity Gals 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 simitar 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. V Master Plumber. 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 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 i SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT /` APPLICATION FOR PLUMBING PERMIT Permit No Date Application is here 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 he kept at building during progress of work. Nature of Water Supply: City —Well ss. ( Signed) r, Owner's Name and Address No = ` Street Registered Architect and /or Engineer Employing Plumber's Name. No Street Location and Legal Description Lot jj Block Subdivision Street and Number where work is to be performed—No .. (' '_[ Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs My Commission Expires Notary Public, State of Florida No. of Stories Size Septic Tank Type of Tank Capacity Gals 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 simitar 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. V Master Plumber. 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 made necessary by improper notice for inspection, or faulty materials and /or workmanship.