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1022 NE 91 Terr (11)• Date t Job Address V % (967el NA 9/ 7P11' • Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant y 677/ SP / TO S Owner's Address Contracting Cox P O / (J a / /1 Qualifier FEES: PERMIT APPROVED: Zoning Mechanical State # G f C O SS 6 7 S Municipal # WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ommission , ANGEL!' .^ BECKER 2 1 (I n co 3 :!(; HUMBER t w e ".,a „ u C97 1 3, ,• r. v *:^_, ' ' ':3. - , +�;� EXPIRES OF Fk. �(/ . ,, / `•2002 Square Ft. Estimated Cost (value) 4' WARNING TO OWNER: YOU MUST RECORD A NOTICE OF C OMMENCEMENT 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 constructio m 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 ormation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I thorize the we -n •. jed con s3; to do the work stated. RADON Competency # ELECTRICA 1 C.C.F. Building Address Address Address PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN NOTARS.fO BOND Plumbing Structural Engineer Master Permit # ' Cf / q Phone 305 , 1/4 , Z9 , lz /3 ( /� -�- - D� • �� f3M1 Phone 4- Address No as to Con My Commission Electrical Jos xpires: CLAMS; VILIJ.R N+;7ZARY PUBLIC STATE OF FLORIDA COMMISSION NO. x714103 MY COMMISSION EXP. MAR. TOTAL DUE Ins. Co. 76r 785f.3'O Date ']03/13/81 cr C teiS, •i■ BUSINESS Q ADORES. 8 0 0 DADE COUNTY TRADE NAME CDR•. NAME MAILING ADDRESS i Palm • • Ave 04 9 A I I * 1 *, A -104r401wlW * i4•2 , . + n CONSTFUCT IOA 114101141 IA 4000 TH CER1IFIr3 P14PC$ C (04, f, NAMED 11t:1.4).% I3 Ct'IIII( UN>>i•:it HE )VIS:01R4 1c9 v•i :AFt fAV$I *$vti J*( tirrr,*,I,,. MARCIA PLUMBING INC 1950 W 4 Ave Hialeah F1 3301 CITY STATE ZIP Homey LICENSED AND AUTHORIZED TO DO BUSINESS AS A CONTRACTOR AS 6PECIFIED HEREON. HERNA►NDE2. RO2UI MARCIA PCLMEt1G CGAl� 8410 PALM • AYENIE HIALFAH FL 33C1C MUNICIPAL Col9TRACTOR JS C1rIMTI���` LICENSE 0 ACCT. NO. VB ���� LICENSE 1981 EXPIRES MUNICIPALITIES LISTED BELOW ICENS DUE iNIS L E VALID ONLY IN 1ST SEPT. 30 66.2 LICENSEE MUST REGISTER OCT 14 CITY WHERE WOR IS DONE THIS LICENSE ISSUED IN PURSUANCE OF METROPOLITAN DADE COUNTY ORDINANCE FCO20309 STATE NO. � ��� ) p . � . /� f p • �/� CERT. OF COMPETENCY _10360—. TYPE OF CONTRACTOR �^ Ork• f, S • ••S Bitietoli AMOU N� n n s+ --- AMYL CATEGORIES _ TOTAL AMOUNT 2 0 0-0 1 WEST MIAMI 201 10 07871 1 4 0C 1 PAYMENT RECEIVED AS CERTIFIED ABOVE - DADE COUNTY TAX COLLECTOR. MIAMI. FLORIDA THIS FORM BECOMES A RECEIPT ONLY WHEN VALIDATED BY RECEIPTING MACHINE SHOWING NUMBER - DATE - AMOUNT PAID HAL HARBOUR BAY HARBOR ISLANDS BISCAYNE PARK CORAL GABLES EL PORTAL FLORIDA CITY GOLDEN BEACH HIALEAH GARDENS HOMESTEAD ISLANDIA MEDLEY MIAMI MIAMI BEACH MIAMI SHORES MIAMI SPRINGS NORTH BAY VILLAGE NORTH MIAMI NORTH MIAMI BEACH OPA LOCKA PENNSUCO SOUTH MIAMI SURFSIDE SWEETWATER VIRGINIA GARDENS s • .- f • y 0686 FOR t 4 I I . • r • Perini, No... ...... Location and Legal Description Lot. New Building-- ...._.____.-- • ... .............. Remodeling Amount of Permit $ 00 STATE OF FLORIDA, as. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT :ippllc.,tun, is hereby mode for the approval of the detailed statement of the plans and specifications herewith subrr: structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.: and all pros isions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic' • of Miami Shores Village shall be complied with, whethez. specified or not. A copy of approved plans and spec Building during progress of work. 1 `.)vnei s Name and Address ..... t�t; ✓ % _.mi : _ ..__.._. No fX /Street. .cgist: red Architect and /or Engineer ?mploying Plumber's Name .11":) /1!1 ? ,F :.,'. , 7 " ' No.. Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Date e ! treet...41PitzNi ,.,t9 Street Addition. -._.. � Repairs No of Stones Size Septic ......... 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 Capacity A Ails (Signed) ` L kAl3skfte rr • -I for the building or other ! Shores Village, Florida, of the Building Division fications must be kept at Plumbin3 Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n;lloycl of litho under the Florida W'Vorkrnen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent rum lenient, and has ,txz• lu d with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1 y him in ' ,e rk p b- perfenned under this permit; and will post or cause to be posted' for inspection on the site of the work such pub]' notice no icer +s a: required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed '.n this .1 :r,.lit, A4 ru . licensed by Miami Shores Village. r ) c =-- - .•=,,..� - r - . �..,.... :. .`` Mast is Plunr Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per.•orr: ; l ppearec. 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 hin, stated are true. My Commission Expires Notary Public, State of Flosicia NOTE: A re- inspection fee of $1.00 will be made when such re- Inspection is made•necessary by Improper notice for inspection, tsr mutt) materials and /or workmanship CLOSETS BATH TUBS SHOWERS oma TORI[• SINK• SLOP SINKS LAUNDRY Tugs U RINALS CATCH eA•IN FLOOR DRAIN DRINKING FGUNT•N• --+r— I TOT..L 1 R[• CONTR. IST L I'T / / / CHECK SEPTIC TANK SEWER CONN. DRAIN HELD SOAKAGE PIT G TRAP SOLAR H OUP WELL .__. SPRKLR. SY•TtM SWIM'O POOL CONTR. LIST i r C HICK I �,__ — • Perini, No... ...... Location and Legal Description Lot. New Building-- ...._.____.-- • ... .............. Remodeling Amount of Permit $ 00 STATE OF FLORIDA, as. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT :ippllc.,tun, is hereby mode for the approval of the detailed statement of the plans and specifications herewith subrr: structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.: and all pros isions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic' • of Miami Shores Village shall be complied with, whethez. specified or not. A copy of approved plans and spec Building during progress of work. 1 `.)vnei s Name and Address ..... t�t; ✓ % _.mi : _ ..__.._. No fX /Street. .cgist: red Architect and /or Engineer ?mploying Plumber's Name .11":) /1!1 ? ,F :.,'. , 7 " ' No.. Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Date e ! treet...41PitzNi ,.,t9 Street Addition. -._.. � Repairs No of Stones Size Septic ......... 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 Capacity A Ails (Signed) ` L kAl3skfte rr • -I for the building or other ! Shores Village, Florida, of the Building Division fications must be kept at Plumbin3 Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n;lloycl of litho under the Florida W'Vorkrnen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent rum lenient, and has ,txz• lu d with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1 y him in ' ,e rk p b- perfenned under this permit; and will post or cause to be posted' for inspection on the site of the work such pub]' notice no icer +s a: required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed '.n this .1 :r,.lit, A4 ru . licensed by Miami Shores Village. r ) c =-- - .•=,,..� - r - . �..,.... :. .`` Mast is Plunr Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per.•orr: ; l ppearec. 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 hin, stated are true. My Commission Expires Notary Public, State of Flosicia NOTE: A re- inspection fee of $1.00 will be made when such re- Inspection is made•necessary by Improper notice for inspection, tsr mutt) materials and /or workmanship 111111I1111I111" 101 1111111111 MOM F LOOR PLAN SCALE = V4 1L0 0 REMOVE EXIST. V P.JT 6LOCK, I NSTALL AWN. W *N. o P� UP EXIST. NEW 2 "X6'-8" S.F. DOOR REMOVE EXIST. R. 000R. K UP OPEN. INSTALL AWN W It. D. • 0 1 EUGENE DAVIS FARMER ARCH 1 T E C T 3630 SOUTHWEST 23R0 aTp6ET MIAMI _ FLOOIOA__i'a9nS nn7�n7aR 3630 SOUTHWEST 2380 STREE T MIAMI , FLORIDA,33145,442 -0238 30"X30" FIBER - GlASS SHOWER WALL THRU HAD RADA R D E N C E ALT. 4- ADD, IO22 NORTHEAST gl TER, MIAMI SNORES,FLA. 4 ‘-e-i 6. Ozitinau REV. 1- 2 ° -23i SER 3, THESE PLANS AiiE :,PP ;,OcED FOR ISSUANCE OF A BUILDING PERMIT VARIAF:CE(S) LISTED IN "REMARKS" Y,! W S ;!ORES BUILDING AND ZON:NG ii ; SPECIFICALLY LISTED BELOW. A: ID COU.ITY LAWS MUST BE COMPLIED Aut'vri'erl Signature Date • WITH NO V:.RI1°!�F' • ! ' NO OTHER !)E''IAT!O S ; !;'i,.i T "P ORDINANCES WILL BE Pf : ;' :ITi i':!) ALL OTHER APP' ICAD E Si GTE WITH BY ALL PARTIES. FIRE DEPARTMENT PUBLIC WORMS POLICE DEPARTMENT \ '_h BUILDING DIRECTOR " V * I'Og, PLANNING & ZONING BOAW VILLAGE COUNCIL APPROVAL PRELIMINARY: FINAL: REMARKS: COMPLIANCE WITH THE SOUTH BY MIAMI SHORES VILLAGE IS SUB CONTRACTORS ARE f'- ",; ;..r ING REGULATIONS WHI=THER OR FLCFID :; E::1LDI. :G : :''*E AS AOOP7:_D REQU'RCD. T :;E A! ?;...ITECT, BU1L! :.R & ' • - ,: 0: " - "E CF AI `.l!ILD• NOT SPECIFICALLY INDICATED HEREIN. MIAMI SHORES VILLAGE Building Inspector BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement cm we plans and specifications herewith submitted for the build • ing or other structure herein dgscribcd. 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 the work. 3 ,r._. ._�.....__... »..... IF° Owner's Name and Address 1 wri y.... a..:., . _ ._ No...._....... _...» . Street._.... Registered Architect and /or Engineer........ .Gl.9e e . ,. „, „ „ „ „,.,. „,. „. . .... Name and address of licensed contractor -sue - Dei = 6 -- ••. 4 t�. . � "y Location and legal description of lot to be built on: Lot Block Subdivision ...... »_..... Street and Number where work is to be done /O_ -._ - .E4 /C. State work to be done and purpose of building (by floors) 13 H roe �__.. .and for no other purpose. New Building Remodeling .. Addition Repairi No. of Stories To be constructed of knkitd Kind of foundation C e 1 Vr Roof Covering Estimated Total cost of improvements $ /0. °' O Amount of Permit f.. Zone cubage required Plan Cubage Distance .to next nearest building. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to ..1 'lt°lVel._._ v� i.FB &d$.1 a .... r.� ...T...� ?...... lr...m.v.i 'A? 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 complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed ender 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 subcontractors, on work to pe performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. J ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 e. Permit No. / 112/1 1 Date X/ /1 ") I Read, Sworn to and Subscribed before me. Disapproved .. Date. Notary Public, State of Florida (Signed) My Commission Expires to me well lenown, PLANNING BOARD DATE C'rtair:nan Member Member Member Member.. .. _.....--- .•- . -• - - -. _ ...._ Member . _.._ ...._ _.._ ... Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the 1'I.innir,g l:u.ird. A re fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building • - tJ MIAMI SHORES VILLAGE, FLORIDA ❑ DATE. f lm. PERMIT 7487 Contractor's L ❑ License No. L 1 Is ❑ Work to be performed under this Permit C. a, f A •J Architect Contractor or Builder r r ?: ; to Legal Lot Description B1 19 C P, • s 71 t...1 t.. Subdi- vision Address of f t Value of - ` i l Amount of • Building 1 v 7.. id 7t - TIC• , Project $ 1 42 -r� 7 II Permit $ "} This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. ( .. ` Y - . INSPECTOR ,,i In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in comp ce with all ordinances aad regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the props authorities of Miami Shores Village. In ac- cepting this pe it I assume responsibility for ell work done by either, myself, my agent, servant or employee. � CONTRACTOR OR BUILDER BY AUTHORITY •OOT J 3 5 T .r `,/ Yerni_ No Application is hereby male 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 ,Jf 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 _1_ C 2 Lr1z-z2 -- No. - - - 2 Street._ /V 7/ 1 c'/t' Registered Architect and /or Engineer —__ _—__-_______ ___________.___-- ____ -- -- __ — ___ Employing Plumbei s Name__1__x'P '_ /f' 5 �' s _ , STP f„ _ No.— gYG_.__ __ -. _ Street -1 t l s S C ' Location and Legal Description Lot---___-_--_-_ -___._ -____. _____ Block Subdivision Street and Number where work is to be performed —No /J Street /Y6 State work to be performed and purpose of building (By Floors)_--___ ... __-------_--_--_-_-- New Building______________ Remodeling__ Addition --- -___- ._ ....... _____ Repairs No. of Stories. . Size Septic Tank_._ ________________--------- ____ -- Type of Tank Feet of Drain Tile_ Nature of Water Supply: City — Well.___________ __.__- _________- __--- _--- ____ -- Size of Soakage Pit Amount of Permit $ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin a Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ei ' ed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work su 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. as. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Capacity Gals _Dist. Feet of Tank or Drain Field from Well - -- (Signed)_ ( Signed )------- -- - - - -�a Date __----- / /_l�_ /6 Master 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. 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. CLOSETS BATH TUBS SHOWERS LAVA. TORIES S INKS SLOP SINKS LAUNDRY TUBE URINALS INAS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS A � / /c 4 *Zs TOTAL FI %TURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IMO POOL CONrR. LIST _. CHECK J 3 5 T .r `,/ Yerni_ No Application is hereby male 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 ,Jf 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 _1_ C 2 Lr1z-z2 -- No. - - - 2 Street._ /V 7/ 1 c'/t' Registered Architect and /or Engineer —__ _—__-_______ ___________.___-- ____ -- -- __ — ___ Employing Plumbei s Name__1__x'P '_ /f' 5 �' s _ , STP f„ _ No.— gYG_.__ __ -. _ Street -1 t l s S C ' Location and Legal Description Lot---___-_--_-_ -___._ -____. _____ Block Subdivision Street and Number where work is to be performed —No /J Street /Y6 State work to be performed and purpose of building (By Floors)_--___ ... __-------_--_--_-_-- New Building______________ Remodeling__ Addition --- -___- ._ ....... _____ Repairs No. of Stories. . Size Septic Tank_._ ________________--------- ____ -- Type of Tank Feet of Drain Tile_ Nature of Water Supply: City — Well.___________ __.__- _________- __--- _--- ____ -- Size of Soakage Pit Amount of Permit $ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin a Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ei ' ed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work su 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. as. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Capacity Gals _Dist. Feet of Tank or Drain Field from Well - -- (Signed)_ ( Signed )------- -- - - - -�a Date __----- / /_l�_ /6 Master 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. 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. t'ta'.arit No.. Appiica;ion is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted the building or other strtsture 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 built-ling during progress of work. Cwner's Name and Address.._.__._._v_--__. _ C0_Le__ _¢' No.__ / a __ Street-,!' F/ 7 - Registered Architect and /or Engineer_._ _ Employing Plumber's Name /?° 5 _ Gct S Sy S 7 L -e!'? No.. — d street-_A/ � 1 a . , t< Location and Legal Description Lot_.__._ ____. _ ______._ _ — _. —Block Subdivision _.._ --__ .......... _______ Street and Number where work is to be performed —No a ° Street / t76--- 9' / 7 2 State work to be performed and purpose of building (By Floors)_ . _ New Building______________ ....... ______ Remodeling-_-____ --_______-_ Addition__- _ -___. Repairs No. of Stories. .... .....____ 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 Amount of Permit $— My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Capacity Gals (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 5968, Compiled General Laws of Florida Permanent Supplement, and has corn - 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 tl;e 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).__ Date .- _.__l/ _ l.f _. e 2 Master Plumber. STATE OF FLORIDA, 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 he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 worinnanship. CLOSETS BATH TUBS S LAVA. TORIES SIN KS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS GQ. © or! S ets /` / �� TOTAL FIXTURES CONTR. LIST CHECK 5 Ace c7'eei SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST CHECK t'ta'.arit No.. Appiica;ion is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted the building or other strtsture 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 built-ling during progress of work. Cwner's Name and Address.._.__._._v_--__. _ C0_Le__ _¢' No.__ / a __ Street-,!' F/ 7 - Registered Architect and /or Engineer_._ _ Employing Plumber's Name /?° 5 _ Gct S Sy S 7 L -e!'? No.. — d street-_A/ � 1 a . , t< Location and Legal Description Lot_.__._ ____. _ ______._ _ — _. —Block Subdivision _.._ --__ .......... _______ Street and Number where work is to be performed —No a ° Street / t76--- 9' / 7 2 State work to be performed and purpose of building (By Floors)_ . _ New Building______________ ....... ______ Remodeling-_-____ --_______-_ Addition__- _ -___. Repairs No. of Stories. .... .....____ 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 Amount of Permit $— My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Capacity Gals (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 5968, Compiled General Laws of Florida Permanent Supplement, and has corn - 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 tl;e 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).__ Date .- _.__l/ _ l.f _. e 2 Master Plumber. STATE OF FLORIDA, 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 he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 worinnanship. M UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE E TLB ET LIGHT OUTLETS CENTRAL HEATING HWASHER RECEPTACLES A/C (WINO) ' SAL SERVICE TEMPORARY A/C (CENTRAL) NKING FOUNTAIN- SERVICE SIZE IN AMPS DUCT WORK OR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION ASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING ERCEPTOR RANGE TOP UNDERGROUND TANKS ATORY OVEN ABOVE (MOUND TANKS TRY TRAY WATER HEATER U.F. PRESSURE VESSELS TEES WASHER MOTORS 0- 1 HP STEAM BOILERS WER MOTORS OVER 1- 3 HP HOT WATER BOILERS K, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION K. RESIDENCE / MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES K. SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS PORARY WATER CLOSET MOTORS OVER 10- 25 PP FIRE SPRINKLER SYSTEMS NAL MOTORS OVER 25-100 HP COOLING TOWERS ER CLOSET MOTORS OVER 100 NP VIOLATION IRECT WASTES . A/C WINDOW REINSPECTION ER SUPPLY TO: AIR CONDITIONERS • /C UNIT STRIP HEATER IRE SPRINKLER GENERATORS TRANSFORMERS EATER -NEW INST. GENERATORS TRANSFORMERS EATER - REPLACE GENERATORS TRANSFORMERS AWN SPRINKLER -WELL SPECIAL PURPOSE R I IAd I NG POOL OUTLETS COMMERCIAL + } ATER SERVICE SIGN TUBES _R CONNECTIONS SIGN TRANSFORMERS .ITY -SEWER SIGN TIME CLOCK .ITY -WATER FIXTURES 'IC TANK ANTENNA �— iY TELEVISION OUTLETS ;NFIELD, 4 TILE/RES. VIOLATION ' & ABANDON SEPTIC TANK REINSPECTION AGE PIT CU. FT. 11 BASIN :1ARGE WELL :STIC WELL DRAIN INLET R WATER HEATER STANDPIPE PIPING ' SPRINKLER SYSTEM RANGE R SET (GAS) PIPING .- ADDENDUM TO BUILDING PERMIT APPLICATION N APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. BTAINE E OWNE NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) LUMBING ELECTRICAL MECHANICAL