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573 NE 102 St (7)Permit No 1_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING R'`;KMIT 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 C Lewis Registered Architect and /or Engineer____________ _______— Employing Plumber's Name Giffen Industries,_ Inc. N PO Box 1369 Street-.__ Coral Gables Location and Legal Description Lot _ ___.___— _____._____.___ Block Street and Number where work is to be performed —No 573 State work to be performed and purpose of building (By oors j New Building —_ ___ Remodeling Amount of Pe STATE OF FLORIDA, } COUNTY OF DADE. No._______ -_ Street 573 N. E. 102 �- Street Addition__________ Repairs No. of Stories_ 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 Replace 66— gallon solar tank. 1837 5/6/60 Date Subdivision N, E, 102 St. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ..ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P: manent 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. GI FFEN INDIISTR TES „ INC. (Signed) ____ J e t ' Hunter, Treas. 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 Plumbing Inspector. Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for Inspection, or faulty materials and /or workmanship. CLOSETS TUBS BATH TUBE LAVA. TORICS SINKS SLOP SINKS LAUNDRY Tues U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8 TOTAL FIXTURES CONTR. Lt$r CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST --- CHECK Permit No 1_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING R'`;KMIT 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 C Lewis Registered Architect and /or Engineer____________ _______— Employing Plumber's Name Giffen Industries,_ Inc. N PO Box 1369 Street-.__ Coral Gables Location and Legal Description Lot _ ___.___— _____._____.___ Block Street and Number where work is to be performed —No 573 State work to be performed and purpose of building (By oors j New Building —_ ___ Remodeling Amount of Pe STATE OF FLORIDA, } COUNTY OF DADE. No._______ -_ Street 573 N. E. 102 �- Street Addition__________ Repairs No. of Stories_ 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 Replace 66— gallon solar tank. 1837 5/6/60 Date Subdivision N, E, 102 St. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ..ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P: manent 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. GI FFEN INDIISTR TES „ INC. (Signed) ____ J e t ' Hunter, Treas. 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 Plumbing Inspector. Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for Inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA ❑ DATE ' ! 19_— o PERMIT N? 209 Contractor's License No. EZI ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder j ] Legal Lot Description Bl Address of Building CONTRACTOR OR BUILDER Subdi- vision Value of 11 Amount of Project $ 11 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. 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 regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT PRINT " Permit No. Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE , ;- PLUMBING INSPECTION DEPARTMENT / � APPLICATION FOR PLUMBING PERMIT .' (Signed) ( Signed) • l l ; My Commission Expires Notary Public, State of Florida 1 Date . --'' No. of Stories 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 Vi11ti'4rnl' *11 rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether hereiri specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address _' No. Street________ _____.__ Registered Architect and /or Engineer �l Employing Plumber's Name / A C-6'' (LC L' �_:= y __Y `-i �.�-�` No Street Location and Legal Description Lot r Block Subdivision 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__ _roes Repairs Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ' `/�_, . , r, ;. r Size of Soakage Pit . __.__ J ` ,x _ 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, on work to be performed under this permit, as are licensed by Miami Shores Village. 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. 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 1 SEPTIC TANK CONTR. LIST SEWER CONN. DRAIN P IELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL �� j J/ ' y /.L t. ,. " CHECK " Permit No. Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE , ;- PLUMBING INSPECTION DEPARTMENT / � APPLICATION FOR PLUMBING PERMIT .' (Signed) ( Signed) • l l ; My Commission Expires Notary Public, State of Florida 1 Date . --'' No. of Stories 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 Vi11ti'4rnl' *11 rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether hereiri specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address _' No. Street________ _____.__ Registered Architect and /or Engineer �l Employing Plumber's Name / A C-6'' (LC L' �_:= y __Y `-i �.�-�` No Street Location and Legal Description Lot r Block Subdivision 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__ _roes Repairs Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ' `/�_, . , r, ;. r Size of Soakage Pit . __.__ J ` ,x _ 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, on work to be performed under this permit, as are licensed by Miami Shores Village. 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. 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 or Builder Legal Lot Description Address of Building_ �-- This permit is gr ted to the con actor or builder named above to construct the building or to install the equipment or .evice described in the appli- cation 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 responsib' 'ty for a thorough knowled a of the rdinances and regulations pertaining to the work covered hereby whether shown on the plans or drawing o in the te ment 1 s or spef ifications ar9dtha Ale ssumes respon- sibility for work done by his agents, servants or employees. < � ^ -: _ _ Signed. ,�� may'' �� ; By PELT In consideration of the issuance to me of this permit I agree to perform the work covered here der 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 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. r ` CO1 OR BUILDE MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 6130 Work to be performed under this Permit gfo Subdi- vision Value of Project DATE ,'d' d 194‘`,4._ oontractor's 'cense No Amt. of Permit 4 PLUMBING 40-() BU LU[ NI3 Owner of Building 4 ' Architect and /or Engineer t � r Contractor or Builder__ ' Proposed Location In consideration of the issuance to plans and specifications thereof heretofore building ordinances and zoning laws of Dated `� _"� — `'h.• - - NAME LOT BLOCK NAME ADDRESS SVB- DI VISION • t --- ADDRESS ADDRESS MIAMI SHORES VILLA E BUILIifNG DEPARTMENT/ me of this permit I hereby .agree to the proposed construction in strict by me submitted, and in tompliance with all provisions of all buildia Miami Shores Village anti all rules and regulations of the bulirde , 19_ — LIGON NO. LICENSE NO. 0 NO. STREET This permit is issued to To_____________ -- the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condi4on that all facts stated in the application are true and that the construction complies strictly with the plans and ,specifications submitted, and in accordalaee and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores : illage. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any „rllstige,l`q' the plans and specifications unaatWorizedby biting inspector. AMOUNT RECD. PAYMENT ACCT. DEPT. INSPECTOR conformity with the application an lags of the State of Florida, all of Miami Shores Village. (SEAL) go TE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. e- inspection of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. .. JOB: 71 PLUMBING BUILDING • ELECTRICAL : • : DONE BY: • • • • Inspector's Report: - • • • WORK : REQUESTED AD: READY The following is ready for Inspection: - APPLICATION FOR PLUMBING PERMIT g ��, /: <% Permit No __1 7 6. Date__ _ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith ubmit d for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordin e 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 Eny eer Employing Plumber's Name/.... ame/: . Amount of Permit $ STATE OF FLORIDA, ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Location and Legal Description Lot_ L__ Street and Number where work is to be performed —No. (Signed) No. Street Street Subdivision Street". > f State work to be performed and purpose of building (By Floors) ' 6. 7' New Building Remodeling____. Addition ' Repairs No. of Stories 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 '7 P 'umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations s 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) ' Master Plumbe /A ta( / r Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida 4 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 Jr SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST t/ CHECK APPLICATION FOR PLUMBING PERMIT g ��, /: <% Permit No __1 7 6. Date__ _ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith ubmit d for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordin e 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 Eny eer Employing Plumber's Name/.... ame/: . Amount of Permit $ STATE OF FLORIDA, ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Location and Legal Description Lot_ L__ Street and Number where work is to be performed —No. (Signed) No. Street Street Subdivision Street". > f State work to be performed and purpose of building (By Floors) ' 6. 7' New Building Remodeling____. Addition ' Repairs No. of Stories 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 '7 P 'umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations s 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) ' Master Plumbe /A ta( / r Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida 4 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.___ MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Date I g Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ___.____ No._ _ ''' / GZ- ' ___ - - -1 - ___ -�► • Street e f Registered Architect and /or Engineer .. ____,_ r. Employing Plumber's Name 'L____ _ l r _ No !d I e A S _; /- - 4 Location and Legal Description Lot____ q' �s Block _ Subdivision_ __� _1..2____— 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 ____ No. of Stories Size Septic Tank Type of Tank Feet of Drain Tile 7 PLUMBING INSPECTION DEPARTMENT Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of W ater Supply: City —Well Size of Soakage Pit Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his qbligations 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 he work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub-contractors, o work to be p orm der his 'permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, ss. COUNTY OF DADE. My Commission Expires (Signed) to administer oaths and take Master Plumber. Before me, the undersigned authority, a notary public, duly authorized appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida acknowledgments, personally 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 / 1 / 1 / ( CHECK SEPTIC AN= SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR, SYSTEM SWIM 'G POOL CONTR. LIST CHECK - eat) Permit No.___ MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Date I g Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ___.____ No._ _ ''' / GZ- ' ___ - - -1 - ___ -�► • Street e f Registered Architect and /or Engineer .. ____,_ r. Employing Plumber's Name 'L____ _ l r _ No !d I e A S _; /- - 4 Location and Legal Description Lot____ q' �s Block _ Subdivision_ __� _1..2____— 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 ____ No. of Stories Size Septic Tank Type of Tank Feet of Drain Tile 7 PLUMBING INSPECTION DEPARTMENT Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of W ater Supply: City —Well Size of Soakage Pit Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his qbligations 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 he work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub-contractors, o work to be p orm der his 'permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, ss. COUNTY OF DADE. My Commission Expires (Signed) to administer oaths and take Master Plumber. Before me, the undersigned authority, a notary public, duly authorized appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida acknowledgments, personally 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 Registered Architect and /or t er MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Employing Plumber's Name Location and Legal Description Lot_____ Block_ 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 Date Street_ S Subdivision_ Q ,r d:/ /.. No Street Repairs No. of Stories. Size Septic Tank '� _ _ Type of Tank Feet of Drain Tile 7 tiJ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $_— *- __(Signed) Capacity Gals _________ - - ______ — — -- -- — Plum ingAspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his }(gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pertlfanent 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 he work such public notice or /notices as are required by the Act. The under signed agrees to employ only such sub - contractors, o work to be or der his `permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, j ss. COUNTY OF DADE. (Signed) Before me, the undersigned authority, a notary public, duly authorized 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 Ex res NOTE: A re- inspection fee of materials and /or workmanship. to administer oaths and take Notary Public, State of Florida Master Plumber. acknowledgments, personally i be made when such re- inspection is made necessary by improper notice for inspection, or faulty p CLOSETS TT BATH TUBS SHOWERS LAVA- TORIES SINKS TT / SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. tifet / 7 CHECK SEPTIC NK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR, SYSTEM SWIM'G POOL CONTR. LIST CHECK l /. L.— Permit No Owner's Name and Address Registered Architect and /or t er MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Employing Plumber's Name Location and Legal Description Lot_____ Block_ 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 Date Street_ S Subdivision_ Q ,r d:/ /.. No Street Repairs No. of Stories. Size Septic Tank '� _ _ Type of Tank Feet of Drain Tile 7 tiJ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $_— *- __(Signed) Capacity Gals _________ - - ______ — — -- -- — Plum ingAspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his }(gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pertlfanent 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 he work such public notice or /notices as are required by the Act. The under signed agrees to employ only such sub - contractors, o work to be or der his `permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, j ss. COUNTY OF DADE. (Signed) Before me, the undersigned authority, a notary public, duly authorized 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 Ex res NOTE: A re- inspection fee of materials and /or workmanship. to administer oaths and take Notary Public, State of Florida Master Plumber. acknowledgments, personally i be made when such re- inspection is made necessary by improper notice for inspection, or faulty p i� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit N _____ _ fir'' Application is hereby made for the approval of the detailed statement of the plans and specifications herew,fh ubmiI for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordin a 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, , ` i 2/7, , Owner's Name and Address c:_!i_____'________, " No. Street Registered Architect and /or En eer STATE OF FLORIDA, ss. COUNTY OF DADE. Date_ ' ____; ______ Employing Plumber's Nam - - --� - l t.. EC No Street Location and Legal Description Lot_10 _ _7f_ — __ _- _ I Bl Subdivision I S 4° t Street and Number where work is to be performed —No -'' -- ,,� / j' C� • ! Street State work to be performed and purpose of building (By Floors) !/! My Commission Expires Notary Public, 'State of Florida °: 0 New Building Remodeling Addition Repairs No. of Stories 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 $_ —__Q4 (Signed)____ L "M �___ umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation s 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. " p (Signed) . ..-- - - - -'- �----------- -- - -SC Master Plumbe Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take r • nowledgments, 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 DEEP HEATER WELL �`- SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit N _____ _ fir'' Application is hereby made for the approval of the detailed statement of the plans and specifications herew,fh ubmiI for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordin a 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, , ` i 2/7, , Owner's Name and Address c:_!i_____'________, " No. Street Registered Architect and /or En eer STATE OF FLORIDA, ss. COUNTY OF DADE. Date_ ' ____; ______ Employing Plumber's Nam - - --� - l t.. EC No Street Location and Legal Description Lot_10 _ _7f_ — __ _- _ I Bl Subdivision I S 4° t Street and Number where work is to be performed —No -'' -- ,,� / j' C� • ! Street State work to be performed and purpose of building (By Floors) !/! My Commission Expires Notary Public, 'State of Florida °: 0 New Building Remodeling Addition Repairs No. of Stories 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 $_ —__Q4 (Signed)____ L "M �___ umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation s 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. " p (Signed) . ..-- - - - -'- �----------- -- - -SC Master Plumbe Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take r • nowledgments, 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.