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PLUMBINGDate Type Insp'n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Re Address pJ t C • l a_ Company _.S l lI Phone # ; 6 ^ SS3 -S Inspection Date Approved Correction Re- Insp'n Fee AP R 7pr, BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) / /l_. itleholder) w l Phone # p � Owner's Address 95 0 g IV City q -C State Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name jr rC.. Contractor'', Address . q 4/6 City A/f 4/77/ - State Qualifier : i / :h/tit) Architect/Engineer's Name (if applicable) Architect/Engineer's Address City $ Value of Work For this Permit Type of Work: Describe Work: Miami Shores Village Building Department Q State f �l OOH County Miami -Dade NO .1 ?kaki/. * * * * * * * *t * *,yk * * * * * ** ** ** *F * * * * * * * ** • r County Escrow Fee $ 50 V Permit Fee $ Education/Training Fee $ -0 Tech $ 3 . S Scanning $ Code Enforcement $ Bond $ ll Str ru uct. $ y Minus Plans Check Fee $ Total Fee Now Due $ V Permit No.L 09 1 $ Master Permit No. Mechanical Roofmg Zip Phone # Zip hone # Zip . /6Cc - Phone # 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Zip Square Footage Of Work: Number of: Bays Stories Families Bedrooms Baths Addition ['Alteration [New ❑ Repair/Replace ❑ Demolition * * * * * * * * * * * * * * * ** Notary $ iSr; .Radon $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 411 Signature The foregoing day of who • chc7/7 /o3 wner or Agent trument was acknowledged before me this 20 , by onally knpatitbt State Certificate or Registration No. APPLICATION APPROVED B7f: duced {7- Z- o did take an oath. NOTARY P IIIG'G Sign: Contractor The foregoing i strument was acknowledged before me this day of A i� , 20 lt ` t •n. JAL 42k. • wh. • e an oath. 4 A /3 — 07 Plans Examiner Engineer Zoning Print: r • Print: i /' • 'Arti c• My Commission My Commissi l� :- � �� 0 (Certificate of Competency Holder) Certificate of Competency No. ADDENDUM TO BUILDING PERMIT APPLICATION ;AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM SPACE HEATERS MIT FEE TEM ;ATH TUB UNIT • FEE ITEM SWITCH OUTLETS UNIT FEE :IDET 1 1 LIGHT OUTLETS CENTRAL HEATING ;1St-RASHER RECEPTACLES A/C (WIND) iISAOSAL 1 SERVICE TE1 RARY . A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOOR GRAIN SERVICE REPAIR/IETER CHANGE REFRIGERATION sIEASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING -. • NTERCEPTOR RANGE TOP UNDERQ CU110 TANKS AVATORY OVEN ABOVE GROUND TANKS AUIORY TRAY 1 WATER HEATER - -- U.F. PRESSURE VESSELS LATHES WASHER j IATCRS 0- 1 HP - STEAM BOILERS }LOWER - hOTC1 S OVER 1- 3 HP HOT WATER BOILERS INK , POT /3 COMP. - MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION ;INK, RESIOENCE - M3TCRS OVER - 8 HP TRANSPORTING ASSEMBLIES =INK. SLOP MOTORS OVER 8- 10 FP - ELEVATORS/ESCALATORS EWORARY WATER CLOSET — 1 MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS . >QINAL MOTORS OVER 25-100 HP - COOLING TOWERS :ATER CLOSET MOTORS OVER 100 IP VIOLATION .ND IRECT WASTES A/C WIIOW RE I NSPECTION _ :ATER SUPPLY TO 1 1 AIR CONDITIONERS - A/C UNIT STRIP HEATER FIRE SPRINKLER I GENERATORS TRANSFORMERS • HEATER -NEW INST. 1_ GENERATORS TRANSFORMERS HEATER- REPLACE 1 GENERATORS_ TRANSFORMERS - - LAWN SPRINKLER -WELL L 1 SPECIAL PI,RPOSE - SWIMMING POOL OUTLETS CQJ ERCIAL - I WATER SERVICE 1 1 SIGN TIES - EWER CONRECT I ONS _ 1 SIGN TRANSFORMERS TILITY -SEWER 1 SIGN TIME CLOCK - - HL ITY -WATER 1 FIXTLRES EPT I C TANG( 1 I ANTENNA ' FLAY L TELEVISION OUTLETS 1 E I .AINFIELD. 4' TILE/RES. _ VIOLATION 1PJ ABAICON SEPTIC TANK 1 l RE INSPECTION 1 OAKAGE PIT CU. FT. I _ 1 1 1 1 ATCH BASIN 1 L ISCHARGE WELL 1 :WES T IC WELL 1 REA CRAIN OOF INLET 1 1 OLAR WATER HEATER 1 1 IRE STANPP IPE 1 1 1 - COL PIPING - AWN SPRINKLER SYSTEM 1 - ETER SET (GASH _ - . PIPING AS NG 1 � � r ADDENDUM TO BUILDING PERMIT APPLICATION ;AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2004 -115 Printed: 4/13/2004 Applicant: KAREN Owner: MILLER JOB ADDRESS: 258 NE 92 Parcel # 1132060133390 Signed: (INSPECTOR) Plumbing Permit MILLER KAREN ST Contractor THE NEW MIAMI SHORES PLUMBING Contractor's Address: 900 NW 144 ST Local Phone: 786 553 - 5424 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 5 & W1/2 OF LOT 4 & E1OFT OF LOT 6 Fees: Description Amount FEE2004 -3912 Building Fee $130.00 FEE2004 -3913 CCF $1.20 FEE2004 -3914 Technology Fee $3.25 FEE2004 -3915 Training and Education Fee $0.40 Total Fees: $134.85 Total Fees: $131 Total Receipts: $0.00 8`I Permit Status: APPROVED Permit Expiration: 10/9/2004 Construction Value: $1,700.00 Work: REPLACE WATER SERVICE 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 accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: REQUEST FOR INSPECTION Company PHONE Job die/A/A Address Inspection Time Ready Date Ready P.M. Permit No 7 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. Add No j Registered Architect and /or Engineer___ Employing Plumber's Name _ No Street Location and Legal Description Lot 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 No. of Stories Nature of Water Supply: City —We Amount of Permit $ L STATE OF FLORIDA, 1 COUNTY OF DADE. I d ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) Date (Signed) <",;- Street Street � ( i d Size Septic Tank Type of Tank Capacity Gals . Feet of Drain Tile_00 - 7 Dist. Feet of Tank or Drain Field from 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 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 perfonned 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. My Commission Expires Notary Public, State of Florida Master lumber. 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. I 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. PI // Y 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 SW IM'G POOL CONTR. LI ST CHECK Permit No 7 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. Add No j Registered Architect and /or Engineer___ Employing Plumber's Name _ No Street Location and Legal Description Lot 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 No. of Stories Nature of Water Supply: City —We Amount of Permit $ L STATE OF FLORIDA, 1 COUNTY OF DADE. I d ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) Date (Signed) <",;- Street Street � ( i d Size Septic Tank Type of Tank Capacity Gals . Feet of Drain Tile_00 - 7 Dist. Feet of Tank or Drain Field from 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 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 perfonned 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. My Commission Expires Notary Public, State of Florida Master lumber. 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. I 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. PI // Y BUILDING ELECTRICAL PLUME!NG PERMIT N? 7588 Work to be performed under this Permit Owner of at " Building CONTRA �R • �B _�' "` Or MIAMI SHORES VILLAGE, FLORIDA - DATE .5/4 Contractor's Signed. 1947 License No. 1! a ,,„, Architect Contractor or Builder Legal Lot Description Address of Building This permit is granted to t e contractor o builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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. Subdi- vision Value of Project Amt. of _ ✓ /�} Permit ? 4.="104. Z-.-o By INSPECTOR In consideration of the issuance to me of this permit I agree to perform work covered hereunder in compliance Ivith all ordi at4"ces and regulations pertaining thereto and in strict conformity with the plans, drawings, stateme ts or specifications submitted to the proper authorities of Miami Shores Village. In accepting thi permit I assume sp ' sibility for a work done by either myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder ._ Legal Lot Description sibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perfo MIAMI SHORES VILLAGE, FLORIDA oo DAT 9 PERMIT N° 7603 Work to be performed under this Permit Building f // 194 Contractor's License No. Subdi- vision Address of ^ .�^ Value of Amt. of Building[ :J �� _ Project Permit .2 / J This permit is granted tb the contractor or builder named above to construct the building or to install the equipment or device 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 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- Signed• 4 , -1q te-By INSPECTOR work covered hereunder in compliance wi ordinan regutioiis pertaining thereto and in stri t conformity with the plans, drawings, statemennts 6r`specifications submitted to the prop aut�ies of M Shtfe§ \nage. In accep..g this permit I . f ' e responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY REQUEST FOR INSPECTION Company, Job 7_,///4/ Address h f U )//) / Inspection J )(,)i12 Time Ready Date Ready P.M. Permit No 7 O3 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 �� Street_ Registered Architect and /or Engin Employing Plumber's Name Location and Legal Description Lot Block ubdivi ' n Street and Number where work is to be performed —No C __[1 S ub State work to be performed and purpose of building (By Floors New Building Remodeling Addition Repairs No. of Stories Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Nature f Water Supply: C' y— We11. The undersigned applicant for this building permit does hereby certify under the Florida Workmen's Compensation Act, being Section 5966, Corn plied with the provisions thereof, and will require similar compliance from performed under this permit; and will post or cause to be posted for i required by the Act. The undersigned agrees to employ. only such sub - contra licensed by Miami Shores Village. Date No Street Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well of S age Pit at he underst 'led General 11 contractors inspecti � on the (Sign ( Signed) Plumbing nspector. ds and accepts his obliga '.ns as an emp .yer of labor ws of Florida Permanent Supplement, d has com- or sub - contractors employed by him in t e work to be ite of the work such public notice or otices as are s, on work' to be performed un a this 'ermit, as are My Commission Expires Notary Public, State of Florida Master Street 12 . ( ,., lumber. 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 V 4 . CHECK / p SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No 7 O3 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 �� Street_ Registered Architect and /or Engin Employing Plumber's Name Location and Legal Description Lot Block ubdivi ' n Street and Number where work is to be performed —No C __[1 S ub State work to be performed and purpose of building (By Floors New Building Remodeling Addition Repairs No. of Stories Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Nature f Water Supply: C' y— We11. The undersigned applicant for this building permit does hereby certify under the Florida Workmen's Compensation Act, being Section 5966, Corn plied with the provisions thereof, and will require similar compliance from performed under this permit; and will post or cause to be posted for i required by the Act. The undersigned agrees to employ. only such sub - contra licensed by Miami Shores Village. Date No Street Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well of S age Pit at he underst 'led General 11 contractors inspecti � on the (Sign ( Signed) Plumbing nspector. ds and accepts his obliga '.ns as an emp .yer of labor ws of Florida Permanent Supplement, d has com- or sub - contractors employed by him in t e work to be ite of the work such public notice or otices as are s, on work' to be performed un a this 'ermit, as are My Commission Expires Notary Public, State of Florida Master Street 12 . ( ,., lumber. 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. Permit No. __ _43 Nature of Water Supply: ity —Well Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) Street__ 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. Registered Architect and /or Engineer Employing Plumber's Name a"-' /5'44. at —A No / ''' U' Street (6 / ct° Location and Legal Description Lot Block Subdivision_ Street and Number where work is to be performed —No A -sd VI E. Street Q State work to be performed and purpose of building (By Floors) New Building V 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 Size of Soakage Pit umbii g 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. ,� + My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 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 cpnstruction, 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 o CONTR. LIST CHECK Permit No. __ _43 Nature of Water Supply: ity —Well Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) Street__ 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. Registered Architect and /or Engineer Employing Plumber's Name a"-' /5'44. at —A No / ''' U' Street (6 / ct° Location and Legal Description Lot Block Subdivision_ Street and Number where work is to be performed —No A -sd VI E. Street Q State work to be performed and purpose of building (By Floors) New Building V 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 Size of Soakage Pit umbii g 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. ,� + My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 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 cpnstruction, 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. e s1/4 JUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal • Lot Description • d! MIAMI SHORES VILLAGE, FLORIDA /PERMIT N? 4589 Work to be performed under this Permit f e, Bl. CONTRACTOR OR BUILDER BY DATE Contractor's License No. Subdi- vision 4 i 3 '1 . 194 1 Address of Building This permit is granted to the contractor or builder named above to construct the buileting or to install the equipment or device desc 'be n the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in cony nce 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 r �r I► INSI'ECTOR 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 accepting this permit I assume responsibiity f r all work done by either myself, my agent, servant or employee. Value of Project Amt. of Permit AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE ,PERMIT N° 4432 Work to be performed under this Permit Architect err - „ow Contractor's License No. 194 Contractor !: or Builder Legal Lot Bl. Subdi- Description vision Address of f + 7, �` 4► P roject Value of Amt. of Permit ' Building , This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in e . pli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance 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. ,, . :r> Signed. ' ' ``ya 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 accepting this permit I assume responsibility fox all work done by either myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building 'MIAMI SHORES VILLAGE, FLORIDA DATE ERMIT N? 4432 , Work to be' performed under this Permit '"11 +te Architect Contractor or Builder Legal Lot Description Address of ff ,R ' _ ,� Value of �." "Amt..of Building J ' `• ' !' ' Project ;'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 appli - , cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work willbe '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 maybe 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 lie assumes respon- sibility for work done by his agents, servants or employees. Q. Signed• Q. By INS CTOR In consideration' of the issuance,to mei'of this, permit I agree to perform the work covered hereunder in compliance with • all ordinances and reggul . pertaining thereto and • in strict confor ity .with the. plans, drawings,'statements or specifications submitted to the proper`a o f Miami Sh'�Ies�Ulllage: In accepting this permit\I as ume for all work done by either myself, my agent, servant or employee. '' - AUTHORITY .. T Bi. Subdi- vision Contractor's License No. //b - BUILDING ELECTRICAL PLUMBING In consider pertaining thereto In accepting this p ation of the issuance to me of and in . rict conformity with er ume responsibiity L . , �_.rrl.•l i • t'"�.r CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 194 4 ERMIT N? 4589 Fork to be performed under this Permi i Owner of Building Architect Contractor 1 or Builder Legal Lot Bl. Subdi Description '' vision • Address of j j Value of Amt. of f`° Building `�' " ° Ir 1I P roject 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 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 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 th estatement's or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed• By INSPECTOR this permit I agree to perform the work covered hereunder in compliance with alcdinances and irgulgt ns`�f the plans; drawings, statements or specifications submitted to the proper authori i of Miami Short's Tillage."'' r work done by either myself, my agent, servant or employee. Contractor's License No. '/ • + i BY AU HORITY