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9501 NE 2 Ave (7)M8:' MB SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPUICATION R PLUMBING PERMIT Permit No... _6..._ 1 Date..._... y....... -_...- - 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 in 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 plane and specifications must be kept at building during progress of work. Owner's Name and Address No..... Street_-.— _—._....._ ..... . - Registered Architect and /or Engineer /' •-- Employing Plumber in Plumber's Name / "r G Liazim iG ¢�__ iiti y Location and Legal Description Lot- Bloat. Street and Number where work is to be performed -No 2 q kL —q S 61' street. State work to be performed and purpose of building (By Fl ) -... -- New Building Remodeling__- J/_.-_ -- Addition Size Septic Tank- ---- - -- - -- -- — - - -- - -Typo of Tank__ -- Feat of Drain Tile _ - - - -- -Dist. Feat of Tank or Drain Field from Well - .. - Nature of Water Supply: City - Well.-_-- .__- .- ._._- _ -..- -- -___-___Size of Soakage Pit Amount of Permit $ (Signed) _ ( S i Repairs No. of Stories Capacity Gals rz °f umbing ns. tor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati .. fas an employer of labor under the Florida Workmen's Compensation Act, being Section 5886, Compiled General Laws of Florida Permanent pplement, 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 not as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be � under this mit, as are licensed by Miami Shores Village. - Master Plumber. STATE OF FLORIDA, t as. 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 dnpeees and says that he is the.- .__ ................ ... . ... .. .. ..._ _.. of the above described construction, that he has carefully Bead tha foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Eupires Notary 8arblio, State of Florida NOTE: A re- inspection fee of 01.E will be mode whza credN t anads.rsecessesy by barmen= nation far inspection, or faulty materials and/or workmanship. CLOaETG BATH TUBE SHOWERS LAVA- TOR160 SIPoKO SLOP 0INK0 LAUNDRY TUBS URINALS CATCH 8A61N FLOOR DRAIN DRINKING) FOUNT' N6 TOTAL FIXTURES GONTA. LIST ^�, `� Cruces( SEPTIC TANK SOWER CONN. DRAIN HELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•O POOL C0NTR. LIST r� CHRCR M8:' MB SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPUICATION R PLUMBING PERMIT Permit No... _6..._ 1 Date..._... y....... -_...- - 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 in 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 plane and specifications must be kept at building during progress of work. Owner's Name and Address No..... Street_-.— _—._....._ ..... . - Registered Architect and /or Engineer /' •-- Employing Plumber in Plumber's Name / "r G Liazim iG ¢�__ iiti y Location and Legal Description Lot- Bloat. Street and Number where work is to be performed -No 2 q kL —q S 61' street. State work to be performed and purpose of building (By Fl ) -... -- New Building Remodeling__- J/_.-_ -- Addition Size Septic Tank- ---- - -- - -- -- — - - -- - -Typo of Tank__ -- Feat of Drain Tile _ - - - -- -Dist. Feat of Tank or Drain Field from Well - .. - Nature of Water Supply: City - Well.-_-- .__- .- ._._- _ -..- -- -___-___Size of Soakage Pit Amount of Permit $ (Signed) _ ( S i Repairs No. of Stories Capacity Gals rz °f umbing ns. tor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati .. fas an employer of labor under the Florida Workmen's Compensation Act, being Section 5886, Compiled General Laws of Florida Permanent pplement, 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 not as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be � under this mit, as are licensed by Miami Shores Village. - Master Plumber. STATE OF FLORIDA, t as. 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 dnpeees and says that he is the.- .__ ................ ... . ... .. .. ..._ _.. of the above described construction, that he has carefully Bead tha foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Eupires Notary 8arblio, State of Florida NOTE: A re- inspection fee of 01.E will be mode whza credN t anads.rsecessesy by barmen= nation far inspection, or faulty materials and/or workmanship. Permit No . 2 . + D ate ��r - -- Application is hereby mode 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 "°' .tki a No. Registered Architect and /or Engineer Employing Plumber's Name . e Q E Location and Legal Description Lot_ Block__ tft Street and Number where work is to be performed -No 2- / q He Street f6 -•- State work to be performed and purpose of building (By Floors) New Building Remodeling__ _ r.l__...__ Addition..._..._ Repairs No. of Stories Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLIC TION FOR PLUMBING PERMIT (Signed)- (Si Capacity Gals. Size Septic Taal_ _.- -- --•- - - - -- Type of Tank —_ --- ----- - - - - -• Feet of Drain Tile.__— ____ _- -Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City - Well. -- _-- _-- -___ -- - _. -_____Size of Soakage Pit • Plumbing Inspector. as an employer of labor upplement, and Isar copi- ed by him in the work to be The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennant plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl 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 der this permit, -• licensed by Miami Shores Villages STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, penally 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 const ruction, that be has carefully read the foregoing application, and that he did sign the same, and that all fads therein by him stated are true. My Commission Encplres Notary Public, State of Florida NOTE: A re- inspection fee of O1.O mill bo made why cam is emademezessary by improper notice: for inspection, or faulty materials and /cs eforkmanship. . CATCH BASIN FLOOR DRAIN DRINKING FOUNT•Ne 1,1/4 5 114 .-L TOTAL FIXTURE* CLOSETS BATH TUBO SHOWERS LAVA. Ton SIPoKO SLOP BUNKO LAUNDRY TUBE URINAL® CONTR. LIST / ` // CHECK SEPTIC TANK SEWER CONN. DRAIN P IELD SOAKAGE PIT GREASE TRAP SOLAR NEATER DEEP WELL SPRKLR. 5 SWIM'0 POOL CoNTR. LIST CHECK Permit No . 2 . + D ate ��r - -- Application is hereby mode 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 "°' .tki a No. Registered Architect and /or Engineer Employing Plumber's Name . e Q E Location and Legal Description Lot_ Block__ tft Street and Number where work is to be performed -No 2- / q He Street f6 -•- State work to be performed and purpose of building (By Floors) New Building Remodeling__ _ r.l__...__ Addition..._..._ Repairs No. of Stories Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLIC TION FOR PLUMBING PERMIT (Signed)- (Si Capacity Gals. Size Septic Taal_ _.- -- --•- - - - -- Type of Tank —_ --- ----- - - - - -• Feet of Drain Tile.__— ____ _- -Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City - Well. -- _-- _-- -___ -- - _. -_____Size of Soakage Pit • Plumbing Inspector. as an employer of labor upplement, and Isar copi- ed by him in the work to be The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennant plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl 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 der this permit, -• licensed by Miami Shores Villages STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, penally 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 const ruction, that be has carefully read the foregoing application, and that he did sign the same, and that all fads therein by him stated are true. My Commission Encplres Notary Public, State of Florida NOTE: A re- inspection fee of O1.O mill bo made why cam is emademezessary by improper notice: for inspection, or faulty materials and /cs eforkmanship. . Permit No 10 C /0 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 work. Owner's Name and Address A 1 7bEr Registered Architect and /or Engineer Employing Plumber's Name.__M_LA_4_ Location and Legal Description Lot_____ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) _______ Rekit Block New Building Remodeling Addition._ Size Septic Tank__-_ ___ ______--------------------- Feet of Drain Tile Nature of Water Supply: City— Well.____._ Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida plied with the provisions thereof, and will require similar compliance from all contractors or sub -contr performed under this permit; and will post or cause to be posted for inspection on the ' of the required by the Act. The undersigned agrees to employ only such sub - contractors, ork t licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. materials and /or workmanship. No (Signed)_ Date - •OC-7_ !/9.6 _. - - -- street 95 -- - -- - -- - - LL _ - Street_G{/ � 9 Subdivision_ ._:_ �_------ __ - - -- � ' � ' street_ 3 . 0 ' 1- . oC1( - � As Repairs No. of Stories ... .............. . ... Type of Tank _Dist. Feet of Tank or Drain Field from Well ---- -- -- __ -_ -- —_ -- -_Size of Soakage Pit Capacity Gals Plumbing Inspector. his obligations as an employer of labor ent Supplement, and has com- loyed by him in the work to be public notice or notices as are ed . • er this permit. as are 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 f 1 1 i 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. LIST CHECK Permit No 10 C /0 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 work. Owner's Name and Address A 1 7bEr Registered Architect and /or Engineer Employing Plumber's Name.__M_LA_4_ Location and Legal Description Lot_____ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) _______ Rekit Block New Building Remodeling Addition._ Size Septic Tank__-_ ___ ______--------------------- Feet of Drain Tile Nature of Water Supply: City— Well.____._ Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida plied with the provisions thereof, and will require similar compliance from all contractors or sub -contr performed under this permit; and will post or cause to be posted for inspection on the ' of the required by the Act. The undersigned agrees to employ only such sub - contractors, ork t licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. materials and /or workmanship. No (Signed)_ Date - •OC-7_ !/9.6 _. - - -- street 95 -- - -- - -- - - LL _ - Street_G{/ � 9 Subdivision_ ._:_ �_------ __ - - -- � ' � ' street_ 3 . 0 ' 1- . oC1( - � As Repairs No. of Stories ... .............. . ... Type of Tank _Dist. Feet of Tank or Drain Field from Well ---- -- -- __ -_ -- —_ -- -_Size of Soakage Pit Capacity Gals Plumbing Inspector. his obligations as an employer of labor ent Supplement, and has com- loyed by him in the work to be public notice or notices as are ed . • er this permit. as are 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 f 1 1 i BUILDING ELECTRICAL PLiMBING Owner of Building Architect d� or Builder Cs4i Contractor Legal Lot B1: Description Address of �} Building F`�• t,! CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE v- _ ;L PERMIT N° 7533 Work to be performed under this Permit ,40 _mom Subdi- vision Value of /—' Project This permit is grante'to the contractor or builder named above to .construct the building or to install the equipment or devJ'ce described in the appli- cation herefor in strict comp ance with all ordinances pertaining thereto d 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 anytime if the work is not done in compliance with such ordinances or if the plans e c : nged without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above as mes i e responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or wing•r.r in the statements or specificati .. an• that he assumes respon- sibility for work done by his agents, servants or employees. INSPECTOR In consideration of ie issuance to of this permit I agree to perform work covered hereunder in comp iance with all . dinances and r���gul]atjns pertaining there'. nd • ? 1 onfo t ithithe plans, drawings, statements or specifications submitted to the proper authon`b" s` of Miami Shor2W.Vill e. In accepting '•. p .! ' sss}tm .ility, for all work don erby either myself my agent, servant or employee. BY Contractor's License No c Amt. of Permit y AUTHORITY 194 Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT � Date / " .Y1 _ / 17 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_ —__ �! / / __ — -- — No Street_` l- -r'.'_ _ Registered Architect and /or Engineer // ' Employing Plumber's Name C'_ U mpi _�__— No _ Street_ Location and Legal Description Lot__________________ — Street and Number where work is to be performed —No 2.e4___2/. ___ Street_ , y� ? 2L���. `'ti� .' State work to be performed and purpose of building (By Floors) 1�_"� . p c� — — ( �' . ,- - ' � _— __a___ -/ '` ,,r_ New Building________— __________ _ Remodeling Addition Repairs No. of Stories Size Septic Tank__ Feet of Drain Tile_ Nature of Water Supply: City —Well. Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. appeared SS. My Commission Expires ______ _ -- Block-------- - -____ _- - - - - -_ —_ Subdivision— ------ - - -� -_ _ - - - -_ _ -- Type of Tank Dist. Feet of Tank or Drain Field from Well_ Size of Soakage,Pit. 1 i Capacity Gals Notary Public. State of Florida _(Signed). - o f �, Plu Inspec r. 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 o 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) (i '_I )/1:Z/9'!.k777 D Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 ` _fi r- '' 'Y ' TOTAL %TURFS CONTR. LIST CHECK 1 O , G � if / i s� I SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT � Date / " .Y1 _ / 17 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_ —__ �! / / __ — -- — No Street_` l- -r'.'_ _ Registered Architect and /or Engineer // ' Employing Plumber's Name C'_ U mpi _�__— No _ Street_ Location and Legal Description Lot__________________ — Street and Number where work is to be performed —No 2.e4___2/. ___ Street_ , y� ? 2L���. `'ti� .' State work to be performed and purpose of building (By Floors) 1�_"� . p c� — — ( �' . ,- - ' � _— __a___ -/ '` ,,r_ New Building________— __________ _ Remodeling Addition Repairs No. of Stories Size Septic Tank__ Feet of Drain Tile_ Nature of Water Supply: City —Well. Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. appeared SS. My Commission Expires ______ _ -- Block-------- - -____ _- - - - - -_ —_ Subdivision— ------ - - -� -_ _ - - - -_ _ -- Type of Tank Dist. Feet of Tank or Drain Field from Well_ Size of Soakage,Pit. 1 i Capacity Gals Notary Public. State of Florida _(Signed). - o f �, Plu Inspec r. 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 o 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) (i '_I )/1:Z/9'!.k777 D Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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. M °AIDkY /Ff? 7 Permit No. Amount of Permit $__ Owner's Name and Address Nature of Water Supply: City —Well MA I SHt Rt S VIE: tAGE PLUMBING INSPECTION DEPARTMEI'' APPLICATION FOR PLUMBING Ace o 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 confoi ariZy with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami ::bores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specifies I,.r :?n ^, A copy Df approved plans and specifications must be kept at building during progress of work. A IM ' No._ Date. 0 .2 Street Registered Architect and /or Engineer Employing Plumber's NameM / A i %Le° -_ems e7a°-�_ No._ /Z4 Street.._. ` 6 Location and Legal Description Lot.___ __ _______.______ _ _ _ Block _ ___ ____._._________. Subdivision , Street and Number where work is to be performed —No 7 1_ Street State work to be performed and purpose of building (By Floors)_ 111_.4.x.8,___ /16/11.42,10 2 ` _ - . eN New Building ___ Remodeling_ Addition- - -____ . -__ Repairs �— No. of Stories. _Type of Tank____ Capacity Gals Size Septic Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) - - 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 5988, 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 th ;ite of the wo ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contract s, o . work t erfonmed under this permit, as are licensed by Miami Shores Village. (Signed)._ ■ My Commission Expires Notary Public, State of Florida aster Plumber. STATE OF FLORIDA, I 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 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 aerials and /or workmanship. CLOSLTS BATH TUBS SHOWERS LAVA. TORIES SINKS `SLOP SINKS LAUNDRY TUBS U RINALS 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 CONTR. LIDT • CHECK M °AIDkY /Ff? 7 Permit No. Amount of Permit $__ Owner's Name and Address Nature of Water Supply: City —Well MA I SHt Rt S VIE: tAGE PLUMBING INSPECTION DEPARTMEI'' APPLICATION FOR PLUMBING Ace o 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 confoi ariZy with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami ::bores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specifies I,.r :?n ^, A copy Df approved plans and specifications must be kept at building during progress of work. A IM ' No._ Date. 0 .2 Street Registered Architect and /or Engineer Employing Plumber's NameM / A i %Le° -_ems e7a°-�_ No._ /Z4 Street.._. ` 6 Location and Legal Description Lot.___ __ _______.______ _ _ _ Block _ ___ ____._._________. Subdivision , Street and Number where work is to be performed —No 7 1_ Street State work to be performed and purpose of building (By Floors)_ 111_.4.x.8,___ /16/11.42,10 2 ` _ - . eN New Building ___ Remodeling_ Addition- - -____ . -__ Repairs �— No. of Stories. _Type of Tank____ Capacity Gals Size Septic Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) - - 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 5988, 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 th ;ite of the wo ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contract s, o . work t erfonmed under this permit, as are licensed by Miami Shores Village. (Signed)._ ■ My Commission Expires Notary Public, State of Florida aster Plumber. STATE OF FLORIDA, I 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 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 aerials and /or workmanship. a PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No d (° I 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._—. St. ........ Registered Architect and /or Engineer -- — Employing Pltunber's Name er_.0 /y2 a C, 1 % 4 _ -._ 3.11 YET ._._ No„ 2 F 2' 'a 4 ve Location and Legal Description Lot Street and Number where work is to be performed —No 2 / .9 ALL 9 .6" 7 Street. State work to be performed and purpose of building (By Floors) ___..____.___ New Building _..- .... .............. Remodeling____ & --- Addition Amount of Permit $ e i 6 MIAMI SHORES VILLAGE Rio& Subdivision__-.__— _-,__,_ Size Septic Tank_ _— .— __. -_ —_- - - - - -- -Type of Tank Feet of Drain Tile._._ ____ . __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._— __._....__.___- ______ ..Size of Soakage Pit (Signed) (Si Capacity Gals Date Repairs No. of Stories 7 —' ? 7% ing Inspec 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 5968, Compiled General Laws of Florida Permanent Su•plement, 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 snit, as are licensed by Miami Shores Village. aster 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 he 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 he made whom specxdon is made'ne.oesrary by improper notice kw inspection, er faulty materials and /or workmanship. - - -' CLO6rTa BATH TU66 SHOWERS LAVA - TORIES SINKS SLOP SINK[ LAUNDRY TUB[ URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N! Tele Ksale TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE P IT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHECK a PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No d (° I 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._—. St. ........ Registered Architect and /or Engineer -- — Employing Pltunber's Name er_.0 /y2 a C, 1 % 4 _ -._ 3.11 YET ._._ No„ 2 F 2' 'a 4 ve Location and Legal Description Lot Street and Number where work is to be performed —No 2 / .9 ALL 9 .6" 7 Street. State work to be performed and purpose of building (By Floors) ___..____.___ New Building _..- .... .............. Remodeling____ & --- Addition Amount of Permit $ e i 6 MIAMI SHORES VILLAGE Rio& Subdivision__-.__— _-,__,_ Size Septic Tank_ _— .— __. -_ —_- - - - - -- -Type of Tank Feet of Drain Tile._._ ____ . __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._— __._....__.___- ______ ..Size of Soakage Pit (Signed) (Si Capacity Gals Date Repairs No. of Stories 7 —' ? 7% ing Inspec 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 5968, Compiled General Laws of Florida Permanent Su•plement, 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 snit, as are licensed by Miami Shores Village. aster 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 he 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 he made whom specxdon is made'ne.oesrary by improper notice kw inspection, er faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No....._. 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 GfI2I.C2.E eel Q 7 7 ,�/f No. Street. - Registered Architect and /or Engineer 6 � - -.--- l �� — � & 4 Employing Plumber's Name . 0G_.6 J1-g -2/1 ye Tr No, BUtat‘i .- Location and Legal Description Lot_ Street and Number where work is to be performed -No _- ��[�.` = -r Street. State work to be performed and purpose of building (By Floors) » 'W 4 W5 rZYlier ■°' New Building Remodeling s.' Addition., Repairs No. of Stories Size Septic Tank_ -- .--- - - - - -- — - - -- - Typo of Tank. - 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 $ STATE OF FLORIDA, t COUNTY OF DADE. (Signed)_ (Si Capacity Gals.. Plumbing In :tor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli,ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 .der 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made w =, +, mob io4n.peotlai is mode necessary by improper notice for Inspection, or faulty materials and /er workmanship. CLOSETS BATH Tulsa a LAVA• TORIES 51 "" SLOP OINKS LAUNDRY TUNIS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS SAP TOTAL FIXTURES CONTR. r 1 Z 1 / LIST CHECK p - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'0 POOL CONTA. i LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No....._. 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 GfI2I.C2.E eel Q 7 7 ,�/f No. Street. - Registered Architect and /or Engineer 6 � - -.--- l �� — � & 4 Employing Plumber's Name . 0G_.6 J1-g -2/1 ye Tr No, BUtat‘i .- Location and Legal Description Lot_ Street and Number where work is to be performed -No _- ��[�.` = -r Street. State work to be performed and purpose of building (By Floors) » 'W 4 W5 rZYlier ■°' New Building Remodeling s.' Addition., Repairs No. of Stories Size Septic Tank_ -- .--- - - - - -- — - - -- - Typo of Tank. - 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 $ STATE OF FLORIDA, t COUNTY OF DADE. (Signed)_ (Si Capacity Gals.. Plumbing In :tor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli,ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 .der 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made w =, +, mob io4n.peotlai is mode necessary by improper notice for Inspection, or faulty materials and /er workmanship. Permit No building during progress of work. Owner's Name and Address _. - _.._. No. Location and Legal bescription Lot 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 Street Registered Architect and /or Engineer - 6 . 1,614377.- _ - - Employing Plumber's Name .. ./�' - Bloeic Street and Number where work is to be performed -No 2 19 9- State work to be performed and purpose of building (By Fl ) __.___ N Building _ Remodeling —_ ___.._ _ Addition. 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. ___-__-__-___..Size of Soakage Pit Amount of Permit $ (Signed)_ ( Si 19 ' 7, ,ro Date. -.. ... 7 - $ No. of Stories 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 5968, Compiled General Laws of Florida Permanent Supplement, and her 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 pe mit, as are licensed by Miami Shores Village. Muter Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. j 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 fads therein by hire stated are true. My Commission Erpires Notary Public, State of Florida NOTE: A re-inspection fee of 81.00 will be »nom wIrma =011 miin:medics is m acro:scenery by Improper notice for inspection, or faulty materials and /ce workmanship. CLOSERS BATH TUag SHOWERS LAVA• TORIES 61144° SLOP SINK• LAUNDRY Twos UR INALS CATCH BASIN FLOOR DRAIN DRINKING FOUN•NS WL 9rjga TOTAL FIXTURES CONTR. LIST 2. CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•S POOL Colr R. LIST CHECK Permit No building during progress of work. Owner's Name and Address _. - _.._. No. Location and Legal bescription Lot 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 Street Registered Architect and /or Engineer - 6 . 1,614377.- _ - - Employing Plumber's Name .. ./�' - Bloeic Street and Number where work is to be performed -No 2 19 9- State work to be performed and purpose of building (By Fl ) __.___ N Building _ Remodeling —_ ___.._ _ Addition. 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. ___-__-__-___..Size of Soakage Pit Amount of Permit $ (Signed)_ ( Si 19 ' 7, ,ro Date. -.. ... 7 - $ No. of Stories 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 5968, Compiled General Laws of Florida Permanent Supplement, and her 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 pe mit, as are licensed by Miami Shores Village. Muter Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. j 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 fads therein by hire stated are true. My Commission Erpires Notary Public, State of Florida NOTE: A re-inspection fee of 81.00 will be »nom wIrma =011 miin:medics is m acro:scenery by Improper notice for inspection, or faulty materials and /ce workmanship. Permit No _..... - - -- 10- - 7 4- • 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 Aiiami 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 Engineer gg ��'e. Co r � e . ! 0 YE 4-� a" Employing Plumber's Name .b':1 �_�__ 8V0,..� �., � .. Location and Legal Description Lot. Block Street and Number where work is to be performed -No Amount of Permit a MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION F `! 11 PLUMBING PERMIT Street. State work to be performed and purpose of building (By Flcaro) _._.._._...-- New Building _ Remodeling ____ < ._.. -- Addition Repairs No. of Stories Size Septic Tanis - -- •---- --- - -• - -- - - - - -- -Type of Tank-__ Feat of Drain Tile. —Dist. Feet of Teak or Drain Field from Well Nature of Water Supply: City -Well. ___.__ -__.—. .-.Size of Soakage Pit (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as anployer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Supplem t, 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 not s s are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be under this per it )a s are licensed by Miami Shores Village. STATE OF FLORIDA, 1 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 road the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Conunission Expires Notary Public, State of Florida NOTE: A re- inspection fee of 01.00 will be made wham ors i is mede'neoeseary by improper notice for inspection, or faulty materials and /es workmanship. Capacity Cals Plumb Inspector. Master Plumber. LAUNDRY Tuoo URINALS CATCH B ASIN FLOOR DRAIN DRINKINGw FOUNT•Ne TO TAL FIXTURES -- CLOQQTO BATH TUSO SHOWQRO LAVA- TORIa0 131"3 SLOP 81NK0 tg 4rdd CONTR. LIOT ' 1 CHECK - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT CRQA06 TRAP SOLAR HMATQR DaeP WELL SPRKLR. SYSTEM SWIM'a POOL CONTR. LIST CHECK Permit No _..... - - -- 10- - 7 4- • 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 Aiiami 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 Engineer gg ��'e. Co r � e . ! 0 YE 4-� a" Employing Plumber's Name .b':1 �_�__ 8V0,..� �., � .. Location and Legal Description Lot. Block Street and Number where work is to be performed -No Amount of Permit a MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION F `! 11 PLUMBING PERMIT Street. State work to be performed and purpose of building (By Flcaro) _._.._._...-- New Building _ Remodeling ____ < ._.. -- Addition Repairs No. of Stories Size Septic Tanis - -- •---- --- - -• - -- - - - - -- -Type of Tank-__ Feat of Drain Tile. —Dist. Feet of Teak or Drain Field from Well Nature of Water Supply: City -Well. ___.__ -__.—. .-.Size of Soakage Pit (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as anployer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Supplem t, 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 not s s are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be under this per it )a s are licensed by Miami Shores Village. STATE OF FLORIDA, 1 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 road the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Conunission Expires Notary Public, State of Florida NOTE: A re- inspection fee of 01.00 will be made wham ors i is mede'neoeseary by improper notice for inspection, or faulty materials and /es workmanship. Capacity Cals Plumb Inspector. Master Plumber. 'Village of Miami Shores N° 3754 ADDRESS .4 G INSPECTION P TIME READY REMARKS TO Co u s a K. INSPECTOR DATE Z ° ' :S T, PERMIT APPLICATION FOR MIAMI SHO ES VILLAGE —,A0o Owner's Address 209 NE 95 St. Contracting Co. Douglas Orr Plumbing, Inc. Qualifier Wayne M. Orr WORK DESCRIPTION My Commission Expires: ** * * FEES: PERMIT APPROVED: * * * * Zoning Buildin Date 12/13/01 Job Address 209 NE 95 St. Tax Folio 3;0 t) ( 1 &. Legal Description Owner / Lessee / Tenant Bennett SS# Phone 305- RR71 -6R7 Install sump pump and owner supplied photo equipment Address 301 Flagler Dr.. Miami Springs State # CFC 052664 Municipal # Competency # 0012461 Ins.Co. R/7/02 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICA PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN Square Pt. Estimated Cost(value) 4 59 -R 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. 1 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. Signature of owner and /or Condo President Signatur of Contractor or Owner- Builder Date: Date: / Notary as to Owner and /or Condo President Notary as to Con My Commission Expi RADON C.C.F. J , NOTARY TOTAL DUE Fire Other Master Permit # 50369 Phone Apr tr OtBl Sara; DONNA P. FRANTZ r I Bonded Thal Notary Public Underwrifers ** Electrical Mechanical Plumbing Engineering 5 ���s ADDENDUM TO BUILDING PERMIT APPLICATION (AN AP LICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) .! PLUMBING BATH TUB DISHWASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER Saar SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER 'HEATER -NEW INST. HEATER - REPLACE LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE EWER CONNECTIONS ITILITY -SEWER • IT ILITY -WATER EPTIC TANK ELAY RAINFIELD, 4' TILE/RES. U)P 8 ABANDON SEPTIC TANK OAKAGE PIT CU. FT. ATCH BASIN ISCHARGE WELL 3MESTIC WELL . .EA DRAIN 10F INLET ]LAR WATER HEATER IRE STANDPIPE CL PIPING IN SPRINKLER SYSTEM S RANGE TER SET (GAS) .S PIPING ELECTRICAL MECHANICAL UNIT FEE ITEM SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIR/METER CHANGE APPLIANCE OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0- 1 HP MOTORS OVER 1- 3 HP MOTORS OVER 3- 5 If MOTORS OVER 5- 8 HP MOTORS OVER 8- 10 HP MOTORS OVER 10- 25 HP MOTORS OVER 25-100 HP MOTORS OVER 100 If A/C WINDOW AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COWERCIAL SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK FIXTLRES ANTENNA TELEVISION OUTLETS VIOLATION REINSPECTION UNIT FEE ITEM SPACE HEATERS CENTRAL HEATING A/C (WIND) A/C (CENTRAL) OXT WORK REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION RE INSPECTION UNIT FEE ITEM 5 y o On— PAY. TO THE ORDER OF DOUGLAS ORR PLUMBING, INC. GENERAL ACCOUNT 301 FLAGLER DRIVE MIAMI SPRINGS, FL 33166 Miami Shores Village Commercial Bank Of Florida Miami Springs Office Miami. FI. 63 -1037 660 smq 8 SECURITY FEATURES INCLUDED. DETAILS ON BACK. 11.0 28 30' ':06 X03771: 11 2 273 L011' /13/01 CHECK 028543 AMOUNT 7i. Ere NP AUTHORIZED SIGNATURE