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Pool plumbingType Insp' Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque 1.�1•i1r Da te.S Phone # For Inspector:S(l 1 Approved Correction ❑ Re- Insp'n Fee ❑ Time J Address , z01 l M Company 121-Q0i MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n p�,,�� Permit No. L Z O^J Name f �� Address Company Phone # For Inspector: )7 Approved Correction ❑ Re- Insp'n Fee ❑ 03 Time V1), D & gate Date Type Insp'n Permit No Name Address Company Phone # For Inspector: Approved Correction' Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time p , /I At 4 't7© da �l Mateo me 003. L, a � Miami Shores Village 10050 NE 2nd Avenue Plumbing Permit Phone: 305 - 795 -2204 Permit Number: PL2002 -310 Printed: 11 /20/2002 Applicant: FRANCISCO CAMPA Owner: CAMPA FRANCISCO JOB ADDRESS: 1201 NE 91 TERR Contractor MIDWAY WELL DRILLING Contractor's Address: 4430 NW 207 DR Local Phone: 305 - 624 -3494 Parcel # 1132050010210 Fees: Description Amount FEE2002 - 6448 Building Permit Application Fee $60.00 Total Fees: $60.00 Permit Status: Approved Permit Expiration: 5/13/2003 Construction Value: Work: WELL If there is no permit package accessible on the job -site for in fee is $50.00, which must be paid in advance before calling for This Permit is granted to the contractor or builder named above to construct the 1 ordinances pertaining thereto and with the nderstanding that the work will be perfo and approved by the proper municipal authorities. This Permit may be revoked at authorization. A further condition upon which this permit is granted is the understar ordinances and regulations pertaining to the work covered hereby whether shown o by his agents, servants or employees. Si In consideration of the issuance to me of this permit, I agree to perform the work with the plans, drawings, statements or specifications submitted to the proper autt myself, my agent, servants or employes. Signed: Legal Description: WATERSEDGE PB 9 -141 LOT 25 & E5FT OF LOT 24 & WLY 20FT OF LOT 26 ECTOR) (Contractor o • _ _ ._ .__- . •h,,.e will ha no inspections. Re- inspection I t PAY TO THE ORDER OF FRANCISCO J. CAMPA 1201 NE 91 TERRACE 305 - 754 - 8888 MIAMI SHORES, FL 33138 Mellon Unite Miami, Flwldo $1,000.00 National Bank MEMO Page 1 of 1 Total Fees: $60.00 Total Receipts: $0.00 63 -9649 670 0092524578 � fZQ DATE $ 6a- DOLLARS 00 0.16 an Disk CONTRACTOR Name /it'ioGYr✓$ G O / 2.4. J�F Ci Address J /Ae .v.E 9, ' - 'e'4c Home Telephone -50.S 75 SS g $, Name ld a i J / a e 1 10 n69 License No. Demolish Relocation of Structure Address Shell Only Foundation Only Telephone 3 y Fax Add'l Detachment Qualifier Na PROPERTY OWNER Name /it'ioGYr✓$ G O / 2.4. J�F Ci Address J /Ae .v.E 9, ' - 'e'4c Home Telephone -50.S 75 SS g $, Business Telephone `` Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add't Attachment Other Add'l Detachment Other Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary Cl PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ Acleitk 6/J-. $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) (x . x/1000 0) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE CONDITION OF A PPROVA L Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION > &Job Address: // Address Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 1( ?eJ u . T,!.c.c Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. l / City n � of Work `L�aX State PERMIT APPLICATION 33/3 S' Zip Zoning Linear Feet Square Feet Units Floors �alue of Work o0 / Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. Tl'PE Outlet, Appliance QTY. 'I'1'PE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply 2 Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signa Signature of Contractor / Qualifier `Print Name Signature of N:. ry Public - tate of Florida Signature of Notary Public - State of Florida .0 0 1 " Angela M Becker SEAL: 7 • M Commission D0150048 a Expires November 14, 2000 Personally known OR, Produced Identification Personally known OR, Produced Identification SEAL: .C,e vclsco nd subscribed before me this PERMIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI -DADE Print Name Sworn to and subscribed before me this day of Type of Identification Produced: Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: CONTRACTOR " • • 1 Name ( 1 21/ n °V 7 Name C.5 5.5 IS - � 1 S Address C O VSw License No. Fax Address Mc 1..I. A• 6 t� 1 5'1 5 +, Fl ?\ J 1 62. Telephone % Fax Relocation of Structure Qualifier Name °4.#. . Foundation Only PROPERTY OWNER Name ( 1 21/ n °V 7 License No. Address C O VSw Name rrA .5 ∎ sCO � Fax Repair P Address V 2-O ∎ IJF '11 I trr , jJ\ 4j . Sktert ( \ 3 313 % , home Telephone Relocation of Structure Shell Only Business Telephone Foundation Only Add'I Attachment Fax Other Add'I Detachment ENGINEEER Name ( 1 21/ n °V 7 License No. Address C O VSw Telephone ,; ; n ( 0 '7 43 J G a j Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other 1$O RE G Ij 8)o F �ORIDP' , INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step I. Complete the attached permit application which must be si ng ed by the propert owner and y qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 0-4\ WF 11 °err Address Apt. Folio Number Lot 2< Subdivision t"..)0..\--v Current t, Use of Property Proposed Use of Property Tenant Information Block Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name Address License No. Telephone Fax Master Permit No. Subsidiary Permit No. Description of Work City State ?b\ f r Prn PB ( PG 141 Zoning Linear Feet Square Feet Units Floors Value of Work _ 4 OD Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT APPLICATION 33i3S Zip Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Co 1 : cement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the broc illage Hall on Construction Lien Law and Choosing a Contractor. I STAT OF FLORIDA, COUNTY OF MIAMI -DADE ti) '� oRIDA, COUNTY OF MIAMI -DADE • ure of . for / Qualifier re me this Print Name Sworn to and subscribed be Sign if t .Notary SEAL: SHERMAN Notary Public, State of Florida My comm. exp. May 24, 2003 , nrn. No. CC819725 OR, Produced Identification Personally known cation day of D Type of Identification Produced: Pri Sv t Name Personally known PERMIT APPLICATION d subscribed before ' e ., s 2 41 day of 0 tar ubl - S ' ' *SHERMAN otary Public, State of Florida My comm. exp. May 24, 2003 Comm CC81 ^ OR, Produced Identification Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven � Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. 1 Septic Connection Repair Circuits 1%ater Ileater Drainfield, 4" Tile/Res. Dishwasher Low -volt, Television Service, Number of Amps Drains, Area MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid � Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs lar Water Ileater Bidet Filter Replace Pool Piping ! Cr...) Sprinkler Repair Cap - Fixture Fountain Pump and Abandon � Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray 1 Septic Connection 1%ater Ileater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Ileater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page), PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical Mechanical Plumbing /4%63 Jroa Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) Cl FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine $ Zoning Review $ $ ( sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ REVIEWED AND PREPARED BY: PERMIT APPLICATION ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com BUILDING ❑ ELECTRICAL PLUMBING PERMIT ROOFING ❑ ❑ Work to / Owner of Building Architect Legal Lox Description Address of Building i cri or Builder i Contractor _,�' . -, Z / 4""--- - Z.f ____-_,,J. 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 thg plans or drawings or in the statements or specifications and that ho assumes respon- sibility for work done by his agents, servants or e plc) egs / - Signed CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA r- / 7 N4 ? -12 )- 9072 Contractor's / 3 License No. A y- O (INSPECTOR) BY In consideration of the issuance to me of this permit I ree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, dra ings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. be performed under his Permit BY Date __. 19_4; 7 Subdi- vision Sq Ft Value of 11 Amount of Project $ 11 Permit $ AUTHORITY NCISCO Owner: CAM PA OB ADDRESS: 1201 NE 91 Contractor ESSIG POOLS nn Local Phone: 0 CZ h i / I / '_a ed National r loUp .11/ DO�1 8 un • 330 20 11 ' If there is no oerml+ r' -.' - - -- ESSIG POOLS, INC. 1800 NE 151ST STREET NORTH MIAMI, FL 33162 PAY TO THE ORDER OF FOR 4 Applicant: FRA Parcel # 1132050010210 Legal Description: WATERSEDGE Fees: FEE2002 - 6638 Description Building Fee Total Fees: Amount $90.00 $90.00 Total Fees: $90.00 Total Receipts: $0.00 Permit Status: Approved Work: POOL PIPING 3 © / Mellon Uni Miami, Florida Permit Expiration: 5/19/2003 Plumbing Permit Permit Number: PL2002 -319 CAMPA FRANCISCO TERR Contractor's Address: Construction Value: Page 1 of 1 PB 9 -141 LOT 25 & E5FT OF LOT 24 & WLY 20FT OF LOT 26 $900.00 m7,22" �,•- . 1. 1�p'=- Ti!!?LHM- •iv1r..,MU.•.• =•vw'r 63 -9642 670 g( Re- inspection ication herefor in strict compliance with all fications that may have been submitted to or if the plans are changed without ionsibility for a thorough knowledge of the :hat he assumes responsibility for work done s pertaining thereto and in strict conformity sponisibility for all work done by either Permit No 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Hawkins 1201 NE Owner's Name and Address Y - r s • C • No. Street 91 Terrace Registered Architect and/or Engineer___._ Employing Plumber's Name Peoples Gas Sister No.. 546 NE Street_ 125th Street Location and Legal Description __ Block_ Subdivision Street and Number where work is to be performed—No. State work to be performed and purpose of building (By Floors) New Building Size Septic Tank_ _____ _____ ______ __Type of Tank_ Feet of Drain Tile__ _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City—Well ---------- Amount of Permit $_ Remodeling__ _ Addition Repairs No. of Stories. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N 67-924 7g7-4 Capacity Gals (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 coin- 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 ( Signed )_ licensed by Miami Shores Village. A/or 2 3 17 Date Street Plumbing Inspector. Master Plumber. STATE OF FLORIDA, I 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 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 SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINK I NG FOUNT'NS Ran 4 ,, 1 TOTAL FIXTURES 1 CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I M • G POOL CONTR. LIST CHECK Permit No 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Hawkins 1201 NE Owner's Name and Address Y - r s • C • No. Street 91 Terrace Registered Architect and/or Engineer___._ Employing Plumber's Name Peoples Gas Sister No.. 546 NE Street_ 125th Street Location and Legal Description __ Block_ Subdivision Street and Number where work is to be performed—No. State work to be performed and purpose of building (By Floors) New Building Size Septic Tank_ _____ _____ ______ __Type of Tank_ Feet of Drain Tile__ _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City—Well ---------- Amount of Permit $_ Remodeling__ _ Addition Repairs No. of Stories. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N 67-924 7g7-4 Capacity Gals (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 coin- 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 ( Signed )_ licensed by Miami Shores Village. A/or 2 3 17 Date Street Plumbing Inspector. Master Plumber. STATE OF FLORIDA, I 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 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.