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PLUMBINGMIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No....._/ I Date........_ � - / .- s/.__. 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.--- +s2'r—'r�''� •- __ No.- ------ ------ ---------------- - Street --____—___.______.--------------------- Registered Architect and/or Engineer-_ Employing Plumber's Name....__..l.c'�� � No. _-------- - Street._ Location and Legal Description Lot_-- Block_ ___________. Subdi Street and Number where work is to be performed -No. - -S C, Street_ State work to be performed and purpose of building (BY Flaors)---------------------------- ------- ------- ----------------------------------------------- ---------- New Building------- --------- -------- Remodeling-----_ ---------- _------ -- Addition---__._..._...-...._.. Repairs ------------ -------------- No. of Stories-- B ATH LAVA SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLCSETB TUBS SHOWERS TORIES SINKS SINKS TUBB URINALS BASIN DRAIN FOUNT'N6 FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTM. LIST CHECK f Size Septic Tank__..._ �� Type of Tank— �' _-�__.--.------Capacity Gals.__._..—_..._......_.---- .--- ••- ��st. Feet of Tank or Dram Field from Well.--.-_----.-- ----- _------------- ___. Feet of Drain Tile_._._.___. . Nature of Water Supply: City -Well. 1L j_L7L.______---_.__ g ___�_ Size of Soakage Pit ...... ____...__.._.__ _.. _---------- ---- ... Amount of Permit $ -------- ---_-------_--_.__._.--..- _-..__, (Signed)__-.._. - _-............. ........... Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Cenral 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 poster]' 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. ( Signed) -I_G r um 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 construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My vmmission Expires Notary Public, State of Florida NOTE: A r on fee of $1.00 will be made when such re -inspection is made -necessary by improper notice for inspection, or faulty materials andlor lmaansbip. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No,--Ma"'i _ 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..._ , _ _►�! � 4, S ' _ �•-----•--------------- No.--_/ -54 e, -_- Street _____).Lk(�_1----- __t__. Registered Architect and/or Engine �- _....__.............. ---�. - - .._...._ _ _---------- --__........................... Employing Plumber's Name....__&! ------------ Street —-✓�'�----- - J T Location and Legal Description Lot..... .............. 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 ------- __ _ __._.. Repairs........... _ ............ No. of Stories------------------------- B ATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING Ci TOTAL CLOSETS TUBS SHOWERB TORIES SINKS SINKS Tuns URINALS BASIN DRAIN FOuNT'NS ♦l".J ��. FIXTURES caN7R. I 1 I l 2 LIST ,� CHECK SEPTIC iSEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SW IM'G [r TANK CONN. FIELD FLIT TRAP HEATER WELL SYSTEM POOL,_ CL (� - i ST LI.7 CHECK ' O O V Size Septic Tank --------: ---------------------------------Type of Tank ----------- ------------ ---------- ------------------------ Capacity Gals ------ ..... ......_.._... _....... . Feet of Drain Tile -------- ----------------- ------ -- ------- ist. Feet of Tank or Drain Field from Nature of of Water Supply City ell.�..:._�___-_- ----------- Size of Soakage Pit ........ ----------------- ---------- ..__...`..__.._.... _.......... - __ .._... _..-....._. Amount of Permit (Signed)-......-.___ - - — Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5998, Compiled General Laws of Florida Permanent Supplement, and hus 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 regttired 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 Sham Village. 3 1_ (Signed) Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. L 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 dulysworn, upon oath deposes and -says that he. -is the- --------_--------------•------------- ..__................ ..._ of the above described c uction, that he has ccfuliy read the foregoing application, and that he did sign the same, and that all facts therein by him stated oar I rar e. - My Co_mmsion Expires_..___ -Notary Public, State of Florida - - - is 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No...i - D._ _ __.-.... _ �'! ..Y--- rs, Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fort a building or other ate. 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 Wthe 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. 2/ eg Owner's Name and Address ---- _ No. - S v 5treek ..._� _ Registered Architect and/or Znrer___ -- No._ - _�___� St-_.._..__.-. le lii�� Employing Plumber's Name. _ �� - - -- Location and Legal Description Lot--- ..._------..._...... Bl -_... Subdivision..__ Street and Number where work is to be performed --No. Street ___._ _._ ! - �►/� ��u State work to be performed and purpose of building (By Floors) ' J New Building------------------------ -------- Remodeling----------------------- Addition..._.. - _... Repairs_-_._._........._...__. o. of Stories...-.._......_.......__. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETB� TUBS SHOWERS TORIlS SINKS SINKS TUBS _ URINALS BASIN DRAIN FDUNT'N6 FIXTURES 1-1 CONTR. LIST CHECK _ SEPTIC SEWER DRAIN I SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK_ CONI'I. RIELD PIT TRAP HEATER WELL SYSTEM POOL LIST CHECK SizeSeptic Tank--------------------------- ---------- -------Type of Tank --- -------------------------- - --- ---------------------------- Capacity Gals ---------------------------------- Feet of Drain Tile-------------------- ------------- _ Dist. Feet of Tank or Drain Field from Well ------ Size of Soakage Pit........ _.____. - - _ Nature of Water Supply: City -Weil. i -_. _ Amount of Permit ( Signed )_._ The undersigned applicant for this building permit does hereby certify that he 6&r xAs and accepts his obligations as an eCployer 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-con.traLlors employed by him in the work to be performed u-rder 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 to be performed s permit, .Is are lice nwd by Miami Shores Village. _ , Master Plumber. STATE OF FLORIDA, 15. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and -says that he is the ------------------------------------------------------------------ -------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. My Commission Expires _. _...-----...._._..._..--- Notary Public, State of Florida NOTE: A re -inspection fee of $1.00 will he made when such re -inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - Permit No----------j --0- -------z -------------- Date--- 2S---d''- w---- 968--------------------------- 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 ev lied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Cathey Coyl-- Ct�iovb CO. 1250 N. £. 96 h Owner's Name and Address_.—.- ��—_�-----------••---......... No..-___ Street__ Registered Architect and/or Eng-ssneer...------------------------_------------------------------------- ---------------------------------------------- ---- Employing Plumber's Name _.Q'Neat 19t0� & S,2PtiLC 9� CO. No. -1368 N.-•W. Street -29th Location and Legal Description Lot._.__.__. -. _..--- Block ................ Subdivision______________________________________________ Street and Number where work is to be performed —No -------- 1250N. C o 96 th Street. ------ ._..__-.-_-..-.... ._............... ... __.. _.— State work to be performed and purpose of building (By Floors) _______________________________________________________________________________. New Building Remodeling Addition ._----------------- Repairs -------------------------- No. of Stories ___________-______________ BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FoUNT'NS FIXTURES CONTR. LIST -- CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST �/ X CHECK /� Size Septic Taal.---- %50 Type of Tank_______ AZ-6 C4a Capacity Gals..—_ 7S0 -----._ � .......... ...........---.._....- Feet of Drain Tile __-__60 ------------------------------------- Dist. Feet of Tank or Drain Field from Well______________________________ __ -__- Nature of Water Supply: City—Well------------------------------------------------------------- Size of Soakage ------------- --_..-......... ..........._.-- -- 00 (Signed) ._ ......___Y-- ____�.�_._....._�_.......... Amount of Permit$-----.------------------------------------------------------------------------- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob 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. (Signed) aster Plumber. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. t 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 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. MIANi:F SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. - ._ Date- Appheation is Hereby made for the appraval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village F�iorida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of th' 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__ - . t% - - • - - -..^ - No.._.....--.....__.----- - /� 7� S / �Z�ll'1 ___-- street lL -- _-- - _ Registered Architect and/o ngineer _ � *— r - ��-r -- - ....... - Employing Plumber's Name ---------- No.. --------- .--__._...... . Street Location and Legal Description Lot._— Subdivision/v/�Pvt Street and Number where work is to be performed -No L2L.5Street- State work to be performeS and purpose of building (By Floors) _ .. P� f, 1 New Building.. ___------ __...._- __. _.- Remodeling------- --- -- -- -- - Addition---- v_ -- ---- -- - Repairs_ No. of Stories .. ... BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSITS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL Ti LIST CHECK Size Septic Tank.- - Type of Tank .Capacity Gals. Feet of Drain Tile ----- ------ ------------ - - -moist. Feet of Tank or Drain Field from Well._ Nature of Water Supply: City -Well. - ----- -- -- - - -- Si:-.e of Soakage Pit oa Amount of Permit $ __-� _ (Signed)_ is mbl*xg In:pecto. 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 Ilati com- plied with the provisions thereof, and will require similar compliance from all contractors or sub -contractors employed by him in the work to he performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or no'ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo. -: ed under this per nit, as are licensed by Miami Shores Village. Signed)-_ .. aster Plumber STATE OF FLORIDA, l so. COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall 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 acts therein by him stated are true. My Commission Expires Notary Public, State of Florida 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. rci• `' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No .. . �� Z I. Date Ju _ I9Li . Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herein described, This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village Friorida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of th Building Dr,, lion 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_ MY'____William _ Pull- _ _ No. _1250 _ — _ _- Street _ N. E. 9i Street Registered Architect and!or Engineer _ __ _.___._. _.... ......_......_. Employing Plumber's Name___ Q,txaWWI _Pltltrtii���o.,_I�ts._ No,- 143_ _ __ Street_ E•_-23 St. Hia.leak., Fla Location and Legal Description Block- Subdivision_ ._ 1250 N. E. 9G St. Street 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---- _. -_- Repairs_ No. of Stories . CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU"T'NS H.W.H10 TOTAL F %TURFS CONTR. LIST l l _ CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR Swim �T TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST l 1 T- CHECK 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. _-- _. _- Si of Soakage Pit Amount of Permit $ _ 12.00 _.... - (Signed). s'_. _ ..3--s. , Pl..mb -,g In:pecto. r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oliliga'ions as an a ployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, ­ml I av om.• plied with the provisions thereof, and will require similar compliance from all contractors or sub -contractors employed by bin 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 no Ices as are required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. (Signed)----- ` Master Plumber STATE OF FLORIDA, 1 �. COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledge ents, personall 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 acts therein by him stated are true. My Commission Expires Notary Public, State of Florida 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No _-- 3 a j Date -- Application i, hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building DOS sion of Miami Shores Village shall be comphed 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 - -------- z2dv- ____ --- _ - - ..-.._...__._ No._�7i5�--.__-- Streetlt/_E Registered Architect and Engineer /vl p ate7A i-., �7ae5t Employing Plumber's Name .-- -�_.__ __ _... . - N ._ - Y _ St, 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) _ _ //U i-q- - -P L- �f- New Building-------- -- - - --- --- --- Remodeling....—_.. -_ __ __ - - Addition_--- Repairs_ _..... - ___ No. of Stories - _. . CLOSIrTS BATH TUBS SHOWERS LAVA- TORUS SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU"T'N6 TOTAL F ifTURlS CONTR. CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR SYSTEM SW IM'G POOL CONTR. LIST CHICK Size Septic Tank.- _ -- -- -- - -- Type of Tank_ ____-- _ -- -Capacity Gals. Feet of Drain Tile___ _____ _ __ _ __ _ __ _ -- - --- moist. Feet of Tank or Drain Field from Well-_ Nature of Water Supply- City -Well. ____ __ _ _ _ __ Si.e of Soakage Pit Amount of Permit $ _ ---- - ------ _ ._...- _ ( Signed)- -- _-- -- __-- - - - Plumb=rig In+pecto. The undersigned applicant for this building permit does hereby certify that he understands and acct•pts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, ^nd I as :'om- plied with the provisions thereof, and will require similar compliance from all contractors or sub -contractors employed by hiw 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 no ices as are regWred by the Act. The undersigned agrees to employ only such sub -contractors, on work to be perfo: ed under this per nit, as are licensed by Miami Shores Village. Master Plumber STATE OF FLORIDA, 1 �. COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgu ents, personall appeared to me well therein by v �t� am s ring by me first duly sworn upon oath deposes and says a it , n the of the above *scribed construction, that he has care#ally read the foregoing application, and that he did sign the same, and that all acts My Commission Expires Notary Public, State of Florida NOTE. A re-in4metion fee of $1.00 will be made when such re -inspection is made necessary by improper notice for inspection, or faulty materials an /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT I✓ 7i jir - 7,1-7,,-1 Permit No...._1-� /� Date__._ ._.. .__ .. '� a-.-__.�� 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------... .._.� ._....._.... � . �. ._. _-- %`.= Registered Architect and/or Engineer ------ ---- ---------_--------__------_-_---_------- --------------- __-------- -_ -------- Employing Plumber's Name__C�p �°' Fj A� S'~ST.' No..-_ street - J'�d �_ .. 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- - -•--- -- ---- . . BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS �J��t�i �L-,� FIXTURES CONTR. 2,� CHKCK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G 47- TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL LIST CHKCK SizeSeptic 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 $ .12:._ ` 0 - ( Signed ) -T:0.�__.,.__. Plum InQs ec - pP,Ctor. 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 regWred 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.] (Signed)..__-._-__.. - . 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 construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida - NOTE: A re -inspection fee of $1.00 will be made when such re -inspection is made necessary by improper notice for insp ` 'n, or faulty materials and/or workmanship. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date 4/2/91 Job Address 1250 NE 96 ST. Legal Description Owner / Lessee / Tenant MR. WILLIAM PAUL Owner's Address 1250 NE 96 ST Contracting Co. BROOKS AMERICAN SPRINKLER CO. Tax Folio to-r Permit # ?*0 _ Phone Address 2430 N.W. 79 St. Qualif ier VANN ElIT 10-T SS# 261 State# 141$ Architect/Engineer Bonding Company Mortgagor Competency# Permit Type (circle one): BUILDING 0193 - 42 - 6789 Phone 691-11 Address Address Ins.Co.LIBERTY MUTUAL Address ELECTRICAL PLUMBING,MECHANICAL WORK DESCRIPTION SPRINKLER SYSTEM (LAWN) Square Ft. PAVING FENCE SIGN Estimated Cost $2,000.00 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 above, and on the attached addendum (if applicable). 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. r Signature 90� OW er and/or�Condo President Signature ff Contractor ors Q�, er-g i der r / r 01PAI Pull I- Nate of Florida Date: .� % Notary public, State of Florida Date �M Expires Al � // �l3TiSrtFiSSfCZ FxPirO` -SIOY 13, 1992 roy �n 0 r� l3 FY ,iggy �ee "�J �Thru Troy Fain • Insurance Inc. ` Tain � .�: •. ,. Notary as to weer an/or Condo President atary as/# Contractor or Owner -Builder My Commissi Expires: My Commi ion Expires: PERMIT FEE: APPROVED: Fire Other Zoning Building Electrical Mechanical Plumbing 'Engineerin PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date 7•- /3--7 Zi Job Address %al5Z AJC 9 to S Tax Folio/1 Legal Description Owner / Lessee) / Tenant w, Q , i"f J L J Master Permit # Owner's Address iq ST) A)G Phone 757- 141 Contracting Co. L <<'N O q,__,DU nYt- Address d,3 33 tuV\J Qualifier Lou 15 e, V' eyU1" SS# /S S - S' _- 6 LIA6 Phone, 9zz-o6 21 State # 0W6 q314( Municipal it OD Z7IT79kmpetency # Ins .Co Architect/Engineer. Bonding Company Addres Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRIC PLUMBING. MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION )rZA4i N Square Ft. 7, 00 g Q Estimated Cost(value) .0 w 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 above, and on the attached addendum (if applicable). 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 a -named contractor to do the work stated. Signature of owner and/or Condo President Signature of Contractor or Owner -Builder Date: Notary Public, State of Florida Date' • — Notary Public, State of Florida iNy Comm. Exp. Feb. 11, 1��'�^ ( My Comm. Exp. Feb. 11, 1995 Bonded thru PICHARD Ins. P. ;; .e �� Banded thru PICHARD Ins. Agenry Notary as to Owner and/or Condo President Notary as to Contractor or owner -Builder My Commission Expires: My Commission Expires: ** * * * * * * * * * * * * * * * ** FEES: PERMIT 30 (OO RADON C . C . F . -_.0) NOTARY TOTAL DUE APPROVED: Other Electrical STATE OF rLonIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT ; Building Permit: Authority: Chapter 36 I, F.S. & Chapter I OD-G, F.A.C. Appllcallon/Permll Number Data Application Received .___. 4w/ . %/1 Application Is For: Foe Arnount Paid �G New SyslelTl: Repair: X Existing System: Experimental System (romporary): _ Recelpt 4r,• - Tani< Abandollrr,ent: Holding Tank: 011ior (Specify): _ Dale Paid/ J� NOTE: PERMITS EXPIRE ONE YEAR FROM THL DATE OF ISSUANCE AND ARE NOT RENEWABLE. REPAIR PERMITS AND HOLDING TANK.PERMITS EX13111E 90 DAYS FROM DATE Or ISSUANCE. APPROVAL OF A SYSTEM DOES NOT GUARArTITE SPECIFIC PERIOD OF TIME. TO BE COMPLETED UY APPLICANT: GENERAL INFORMATION Own: ;U 1 er�A. -J ( . c Owner's Mailing Address: ;Z � L;CrtiC )� 1 Owner's Agent: �aJG` (�.C�o-T>3l SATISFACTORY PERFOnMANCV jrV",-¢t1Y 4.. " '„i r. t(II Telephone: (Work) (Home) City: rn I 4111 I � State: Zip:'!�'.,, n Telophone:(V1).--j=- Agent's Malling Address: city: Property Street Address: 1 IM—b N_L"-- Exact Directions to Properly: G)16,k}'1111 State: Hk1) J lblzcn" Lot dl Block 11 Subdivision: Unit: Date Subdivided: Section: Township: Range: Parcel Number: Zoning Designation:_ "' Property size: ^Squaro Fool/Acres Water Supply: Private: Public: Limited ti5:'""' ;" V. ' Is Sanitary Sewer Available: Yes NoIf No, approxlmato ilia distance to Ilse sewer line closest to your properly;l� Is Public Water Available: Yes No If No, approximate the distance to ilia water fine closest to your properly:` "I' •.;!' BUILDING INFORMATION Type of ESI 11011TuIt OI Unlls Buliding Aron (Square Fool) A Of Poisons If Of Seals Ilours of Opereiloil. !+ 1I14I Coll une,cial nasldou cllclo ono) & Numbor of Bodroonxs Plumbing Fixtures: Garbage Grinders/Disposals: Spas/Hot Tubs: Flctor/Equipment Drains:.'- Ultra -low volume Flush Toilets: Other: BUILDING 17LAI•IS MUST BE ATTACIIED SIIOWIIIG OFFICES, BEDROOMS, TOTAL BUILDING AREA. AND ANY PERTINENT FEATUflCS nECO(REU pY kTy CHAPTER 10-6, F.A.C. IN ADDITION, A DETAILED SITPLAN ANDIOn sunvEY, 1111AW14 TO SCALI=,MUST UE ATfACIiED SHOWING I�It01'F_ U 1 i, DIMENSIONS, BUILDING LOCATV PERTINENT FEATURES nEOUIRED TO UE SU13MITTE0 VER CHAMIt foo-e.m, r.A.C. `ii , Annlicant's Slonature: ... STATE Or FLOIMDA �� DEPARTMENT OFL I-IEALTI-I � AND REHADILITATIVE SERVICES �t� '1 ONSITSEWAGE DISPOSAL SYSTEM CONSTnucTiON AND INSTALLAT'1! 1 I f \ti�nq •� .. Permil Applicallon _......................................................................PART II • SITE P Scale: Each block represenls 5 feel arld I inch — 50 feel. s Lu , � Lr Notes: -2,G 0 �' L� q 6 (. �(���� UCH d o( o c - j-o � .tZ{ � �'-r�,� (•:- j v �Q�j 4 U 6 IU f7a ,1H-� I U- (,V u—. , L� SIIC flan submitted by: e,niu7iinti flan Approved Nul Approved Dale Counly Public U P ,v G .�IO N O Z u a N c y oG f mm ur M, 4 Y OJ J � 7 Q • CZ W a � 7 G•" �'.P 1" D3•�'� � r G� �P y U i F Q •/ G.c b on G n P a si � # Uj w V Cr vi G � Ld [C 'Nj C a, 7 �• $ F 1 w Tiw -, 7 a G p .�.� o k O CL-- Twain. G 12,11 07 u y p•� a m a � w q d 3 ❑ ❑ ❑ ❑ ❑ P e� S3 A [tl C P l .Q.. Y' • C7 6i G�•1 L' 1n 11 >r L0 ❑•^G ❑ i7 ❑ G U " 7 Dd➢ ueni � va+ � O 9 V MX z n a G c� 13 cd p � C y a �' w 67 07 � � • .F.w C7 1 s. F� r, s.c�d�Ka�iri � � �;❑v ri � ❑ FY, �' 1 � �. 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