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5798BUILDING ELECTRICAL PLUMBING ROOFING 0 ❑ PERMIT N° 0 MIAMI SHORES VILLAGE, 5798 Contractor's License No. Work to be performed under this Permit Owner of d Building Architect Contractor or Builder Legal Lot Description Bi. Subdi- vision Address of .�- ,. {' Value of ' ""`° 11 Amount of Building 3 * Project $ 11 Permit $ This permit is, granted to the contractor or builder named above to construct the building or to install the equipment or herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perf drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. time it the work is not done in with such ordinances or if the plans are changed without authorization. A Furth granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough owled pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or speca . s and done by his agents, servants or employees. In consideration of the issuance to me pertaining thereto and in strict conformity with cepting this permit I assume responsibility for CONTRACTOR OR BUILDER Signed. device described in the application ed in compliance with any plans • it may be revoked at any condition upon which this permit is of th ordinances and regulations e mes responsibility for work INSPECTOR' of this permit I agree to perform the work cover the plans, drawings, statements or specifications all work done by either, myself, my agent, se f' p f ereunder in compliance with all ordinances and regulations milted to the proper authorities of Miami Shores Village. In ac- t or empioe. AUTHORITY 4-A?v- Permit No MIAMI SHORES VILlAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING "!1 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 �l 4, eHI . No /J �''r// // k— Street_ 77 � f Registered Architect and /or Engineer ,' Employing Plumber's Name 7-�— IVI Pi( No (9T -�4/� Street Z a-ze_ 49c Location and Legal Description Lot Block Street and Number where work is to be performed —No / 4 Y '/Y4—+ O.7t Street— State work to be performed and purpose of building (By Floors) New Building___ Remodeling Subdivision_-_ 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 Amount of Permit $ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige Fps as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors empl„> ed 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 die Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, COUNTY OF DADE. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 N TE: 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 - - LAVA• TOR(ES SINKS SLOP SINKS LAUNDRY Twits URINALS URINALS CATCH FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER ,1i//. WELL SPRKLR. SYSTEM $W IM'G POOL CoorrR. LIST �/ I --.-- .—.— CHECK 40 S 1 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 Amount of Permit $ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige Fps as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors empl„> ed 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 die Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, COUNTY OF DADE. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 N TE: 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.