Loading...
1042 NE 91 Terr- -^ CLOSRS BATH Tung aNOW[Ra LAVA. TORIES sINKa SLOP SINKS LAUNDRY TUSS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS \,(1!/ Vi '1 Nor OW TOTAL FIXTUR[a DOWN. LIST I ' "2— ' CHECK I SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE Pit GREASE TRAP SOLAR HATER DEEP WELL SPRKLR. SYSTEM IWIM'O POOL COHTR. L in' 1 �- CHECK15 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No I 1 -73 Date..._.. .. U .l_ ! f G ! 15 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith fitted 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 1 1 11 h 'd' -:,•• Registered Architect and /or Engineer c-1'; P '''1"e'Y Employing Plumber's Name Leo's _ PI YYt $ i 1 f� _..,... Na S .... ..._ ,... ttrtat�N 1� II ,,....,,..,.. _ Location and Legal Description Lot_ f _ ° . L 121 4 " Mork Subdivision. Ul cb: - Street and Number where work is to be performed —No I 0 State work to be performe8 and purpose of building (By Floors)__.__ ___ New Building..._._ — _ Remodeling____......._.. ___ Addition..___X ..__... Repairs No. of Stories. - ----- • .... Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—Well. Amount of Permit a 1 -1. No.10 Street_. N E q l %- Type of Tank_______ Mt. Feet of Tank or Drain Field from Well Size of Soakage Pit. (Signed) (_r 'l2 X XA Street_ N ... ct.._I 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 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 the site the :. blic notice or notices as are required by die Act. The undersigned agrees to employ only such sub -con • ` • k �' �! pert' under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take admowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the _.w.._..._.._..._.._.. _ _... _.. of the above described construction, that be has carefully read the Foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission E=pina Notary Public, State of Florida NOTE: A re- inspection fee of 81.00 will be made when enth r.bspeodas is ande'neoeeMty by bumper notice for app. or faulty materials and /or workmaaahip. Date 1 J Job Address ©'1 -,' Q Legal Description Lessee / Tenant Owner's Address "e 97 &71.-4_, Phone 7T7- a Contracting Co. `�C�_�. MeL 11,4446 )f U" as s (3.2/ SIGO /8(o (.014\(. Qualifierinewkill t State # Municipal # Competency # 0,214.5'3 Ins.Co. Gil Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one : BUILDING ELECTRICAL MECHANICtL ROOFING PPAVING FENCE SIGN WORK DESCRIPTION *1 LOC&Ii eXi Ots3 / o / Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 4 A O _ illtol ignature • 0 0 • 1% �• res ident -Date: NOT BUD YFORI) PU C STATE OF FLORIDA; „Aid mk:' • Zr tT liO.C.r3 ary as o •der anil/br — Con My Commiss Expires: ** * APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE "Sa 2C7 sident Zoning Buildin Mechanical Plumbin • issi• g i 7sA�:Y L A NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC364805 MY *OMMISAON EXP vfAR, 28 1998 ont Notary My Co Tax Folio Master Permit # Signature of Contractor or Owner- Builder Date: ractor or Owner - Builder * ** FEES: PERMIT :357- RADON C.C.F. r 1) NOTARY TOTAL DUE 3S S(` Fire Other Electrical Engineering Permit No 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 . LZ ' d ' / No.. L 4 Registered Architect and /or Engineer Employing Plumber's Name.... d �'� etreet..4 i . / < -- ,•• 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) New Building _ Remodeling _ — _..__ -• MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT /v 71 /3/ --q / Bloc& Addition.. Size Septic Tanlc_ -------- - - - - -- - - - - -- 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 Z / Q • - s Street. (Signed)- umbing I • - or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat . 5 as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennane Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Repairs No. of Stories Capacity Gals. Date...__. `- -/- .- �- — STATE OF FLORIDA, f COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Master Plumber. 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 0.00 will be made when such re•Inspecticn L mada•neoessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUB• SHOWERe LAVA TORII* SINK* SLOP SINKS LAUNDRY Tuee URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'Ne TOTAL FIXTURES CONTR. LT0T CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SrRKLR. SYSTEM SWIM'G POOL i^I JJ, 414 / J Alee , L . / p /,4 N A t ' 4i / �y 2,00 d i — /0,2) / / 2 re) CONTR. LIFT .3,.;2 .C n 1-y, 2JV CHECK Permit No 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 . LZ ' d ' / No.. L 4 Registered Architect and /or Engineer Employing Plumber's Name.... d �'� etreet..4 i . / < -- ,•• 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) New Building _ Remodeling _ — _..__ -• MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT /v 71 /3/ --q / Bloc& Addition.. Size Septic Tanlc_ -------- - - - - -- - - - - -- 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 Z / Q • - s Street. (Signed)- umbing I • - or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat . 5 as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennane Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Repairs No. of Stories Capacity Gals. Date...__. `- -/- .- �- — STATE OF FLORIDA, f COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Master Plumber. 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 0.00 will be made when such re•Inspecticn L mada•neoessary by improper notice for inspection, or faulty materials and /or workmanship. ATL S / 12-2 PgS /1237 I o _ - N • S F� 6 LL1 N. R/vd LOT •/94,2 ,Y E. q / ee/P /9 : c .riice. 11.3` t"t Or M. .&4 N. E. 173th STREET NORTH MIAMI, RORIfTA ,° ?OP X26' $EA7V /C TO .SLA't" • /04/07 / ,c� 9 /?5 - ic A2/�'c / I,/9,2 / .l`/ e e7 .4)4 SHEET of\ /�� /V� (/ `J _ • J. 0 ./% 14)44 A.F.E. ''" '