Loading...
PLUMBINGPERMIT'APP'LICATION FOR MUNICIPALITIES OF DADE COUNTY Job Address 10 9 9 ►J E 99 . Legal Description / / re/lie, 4} 8' Master Permit # Owner / Lessee / Tenant 1099 J E 99ru. ST E'r" phone 6 -5 G' Contracting Co. � UI' LI C c tA.S Q . Address 6 9.90 k(Ct) 2.5r S'�2�� t• Owner's Address Qualifier E i L . (ElS4)EITe SS# State( Competency# Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION )k(5 7 L t— Bo Pe - 0 r= l � Cy,6. S t p, kI j) 2& �CE E X 1 5 T 1 6- I llt.S� L L 1 T(o kI. +4001-LIP 0 �C& 4(c,G ;AR-3-62 4Af Zs!U c Square Ft. Estimated Cost S O. 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. . 2e/ r -� - . ature of Owner and /or Condo President • /0- / I Notary to as My Commission * * PERMIT FEE: /10/5401 fQ'I i Owner and Condo President Expires: iRriARY PUBLIC STATE OF FLORIDA * Y COI±iI IWION EY,PIF*S 5/09/9* 3ondad thru Stenbler,Adams & t ' APPROVED: i e Zoning Mechanical Plumbin (OWNER TO RETAIN COPY) Building 2 6LL.3 Ins.Co. Address Address Address Tax Folio DO/./O/ Other - - phone ell 1 3 e 0 ature o Contractor or Owner-Builder Si Dare : i Nota as t ontractor o IC O�afki,t NOTARY P UB3 , My Commission Exp �V ce�SM EXPIRES: ApIiI 6, 1995. * * BONDEWIIRU NOTA* PUBLIC UWERWRITERik pp Electrical f� ki k sneering E /�1-- D 10 99 WE. 99 7 , 4 . STS ET VI-AM/ 3MCQES, "FL, 331 40,000 11-72-/ 5 R.& •kE.4172Z.AZ THIS INSTALLATION TO BE INSTALLED AND MAINTAINED IN ACCODDANC WITH P.A. V58 (1986 EDITION) AND ALL OTHER BL , E CODES 15ATE CONTRA OR O. ILDER MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATF / . sou - S 195 ELECTRICAL ❑ PERMIT N? 14198 Contractor's PLUMBING ,W' License No ROOFING ❑ Work to be performed under this Permit Owner of Building l y ' ...' .. 7 i.., , , :; Architect _. / '7._ Contractor ; F . or Builder ' .1 k -� r Legal Lot II 131. `► Subdi Description vision Address of y Value of 1 Amt. of $ Building / '3(1 9 1) j i Cf , i Project $ Permit V . 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 a assumes responsibility for work done by his agents, servants or employees. (`e. Signed • 7:.1:7 1"' ... .C. BY i � rk it ECTOR 'b'° In consideration of the issuance to me of this permit I agree to tigrform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statTinents or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume re ility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Permit No. 1. 17 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or oche, 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owners Name and Address .._ _ . MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer_,.. _. Employing Plumber's Name.. ...... ..... . ...2.-_; ,, ____--- _ -____ _ _ ` No.. Street - - - =_ ' :L t ' Location and Legal Description Lot____.._ -___ Block_ -_ — Subdivision ______.__..____ Street and Number where work is to be performed —No L — Street! l % <' ' (' y c State work to be performed and purpose of building (By Floors) / - _ _- __ -_-___ No. of Stories New Building '�� _ Remodeling __ Addition__.w____ .... _ __. Repairs__ 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 t‘ __ trta __•-- _-- ----- -- - - - - - -- __ -- "Size of Soakage Pit A mount of Permit $-- _____- -- .� _._-- - - -� -- - - - - - -- —• (Signed)_ Date (Signed) -_ - -- - , No._ Street .',. 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 Pennanent 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. STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 lac therein by him stated are true. My Commission Expires Notary Public, State of Florida NOT A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul materi and /or workmanship. CLOSETS BATH TUBS SNOW[RO LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUSB URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT•NS TOTAL FIXTURES -- CONTR. LIST ,.,.3 t- / I l // /: �- � CHECK 0 9 SI) ,/ 5 1S" I s -n 7s �.a _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP ( -SOLAR HEATER CUP WELL SPRKLR. SYSTEM SWIM POOL CONTR. LIST CHECK ., - — 1 C b 1 Permit No. 1. 17 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or oche, 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owners Name and Address .._ _ . MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer_,.. _. Employing Plumber's Name.. ...... ..... . ...2.-_; ,, ____--- _ -____ _ _ ` No.. Street - - - =_ ' :L t ' Location and Legal Description Lot____.._ -___ Block_ -_ — Subdivision ______.__..____ Street and Number where work is to be performed —No L — Street! l % <' ' (' y c State work to be performed and purpose of building (By Floors) / - _ _- __ -_-___ No. of Stories New Building '�� _ Remodeling __ Addition__.w____ .... _ __. Repairs__ 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 t‘ __ trta __•-- _-- ----- -- - - - - - -- __ -- "Size of Soakage Pit A mount of Permit $-- _____- -- .� _._-- - - -� -- - - - - - -- —• (Signed)_ Date (Signed) -_ - -- - , No._ Street .',. 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 Pennanent 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. STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 lac therein by him stated are true. My Commission Expires Notary Public, State of Florida NOT A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul materi and /or workmanship.