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PLUMBING PERMIT
Permit No 1 L / 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._._ Street _. Registered Architect and /or Engin :17:1/4 F Employing Plumber's Name < 7 - Location and Legal Description Lot � 3 - �" SubdivWon._ Street and Number where work is to be performed —No. ! t / © 4 / let- -- State work to be performed and purpose of building (By Floors) _ New Building __ Remodeling__ __ _ -.__ Addition. Size Septic Tank__. /#. Feet of Drain Tile._ l"- Nature of Water Supply: City —W Amount of Permit $ Type of Tank_—_ - ..Dist. Feet of Tank or Drain Field from Well. of Soakage Pit My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT L %_1' ( Sign 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 Isar 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 Date. - ° —r Capacity Gels. -- � — ce p f.. -4 W aster Plumber. No. of Stories STATE OF FLORIDA, µ 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 hirn 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 by improper notice for inspection, or faulty materials and /ar workmanship. 0 BATH T uns SHOW[Ra LAVA- TORIES SINK• SLOP PINKS LAUNDRY TUB[ URINAL'S BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWER CONK. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR NEATER DEEP WELL BPRKLR. SYSTEM SWIM'G POOL CONTR. �— LIST CHECK Permit No 1 L / 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._._ Street _. Registered Architect and /or Engin :17:1/4 F Employing Plumber's Name < 7 - Location and Legal Description Lot � 3 - �" SubdivWon._ Street and Number where work is to be performed —No. ! t / © 4 / let- -- State work to be performed and purpose of building (By Floors) _ New Building __ Remodeling__ __ _ -.__ Addition. Size Septic Tank__. /#. Feet of Drain Tile._ l"- Nature of Water Supply: City —W Amount of Permit $ Type of Tank_—_ - ..Dist. Feet of Tank or Drain Field from Well. of Soakage Pit My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT L %_1' ( Sign 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 Isar 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 Date. - ° —r Capacity Gels. -- � — ce p f.. -4 W aster Plumber. No. of Stories STATE OF FLORIDA, µ 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 hirn 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 by improper notice for inspection, or faulty materials and /ar workmanship. PERMIT APP FOR MIAMI SHORES VILLAGE 240 t Job Address l 10 N �� ; ; ; :) Tax Folio Legal Description i t a epic c ,K R. 1,04. te,, ;,ievt.Historically Designated: Yes / No Owner/Lessee / Tenant S1t v... T I c.h fi1. Master Permit # 9144 J 16 3 7S Owner's Address 1 1 hJ e. q $+ TC4 Phone l 6 - I G LI Contracting Co. ( 4 I1 Address Qualifier (L 0 SS# Phone Date 3 State # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION Square Ft. \ 44 / 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 wi ll 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 ii VIT: I certify that all the foregoing information is accurate and that all work will be done in cojppliance with all applicable laws regulating constru t4 : ning. Furthennore, I authorize the above - named contractor to do thy, work stated. Signature of owner and/or Condo as to Owner and/ Condo Commission Exvi FEES: PERMIT APPROVED: Zoning Mechanical 1n BUILDING ELECTRICAL ( LUMBING) MECHANICAL ROOFING PAVING FENCE SIGN hc,0-No Gk c i 1 hcA !NOTARY PiiTi1.IC STATE Or : LC!? IDA COMMISSION NO. CC552C':.9 .4Y MiMISSION DT. MAY 17,2CJCJ RADON Municipal # C.C.F. Building Plumbing _ O � Competency # Ins. Co. Address Address Address Estimated Cost (value) 35 to Contractor or Owner -B - 1 Date NOTARY Electrical BOND 60 TOTAL DUE O / Structural Engineer ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER I RECEPTACLES A/C (WIND) DISPOSAL i SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/14ETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIOENCE / MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/c WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMAING POOL OUTLETS COMdERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK RE INSPECTION i SOAKAGE PIT CU. FT. 1 CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA CRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING - LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION 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 ELECTRICAL MECHANICAL Q Robert E. Brincefield PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 11 -17 -98 Job Address 1210 N.E. 91st Terrace Tax Folio 11- 32050010500 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Steve P i cho Master Permit #3 7 d v owners Address 1210 N.E. 91st Terrace contractingco. Coastal Plumbing Co. of Miami Address Phone 305 - 759 -1941 285 N.E. 185th Street, Miami, F133179 ss# Phone 305 - 651 -4429 swot CFC0 -19042 Municipal # 6264 competency # 6264 Ins. co. Arord i n T ns . Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL) LUMBING) MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIP'T'ION • Replace existing electric water heater Square Ft Estimated Cost (value) $200.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. * *SEE ATTACHED APPLICATION PREVIOUSLY SUBMITTED Signature of owner and/or Condo President Date Signature of Contractor or Owner- Builder Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder Date My Commission Expires: FEES: PERMIT RADON C.C.F. My Commission Expires: TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbin Engineering NOTARY BOND Date 11 -3 -98 Job Address 1210 N . E .91st VEIEBIte? Tax Folio 1/ 3,2,0_5'001 0 Legal Description Historically Designated: Yes Owner/Lessee /Tenant Steve P i cho Master Permit # Owner's Address 1210 N.E. 91st Phone 305 -75 1941 contract Coastal Plumbing Co. of Miami Address 285 N.E 185th Street, Miami, F1 33179 Qualifier Robert E. Brincefield ss# Phone 305 - 651 -4429 State # CFC0 -19042 Municipal # 6264 . „ 6 •4 Ins. co. Aco rd i a Ins. Co. Architect/Engineer Address Bonding Company _ Ad • ss Mortgagor Permit Type (circle one): BUILDING ELECTRICAL m ' BIN ECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Replace existing elect Square Ft. Estimated Cost (value) Signature . owner and/or ■ e •r • RIC T: Ice th n• •on and .• ' . CIA ST et 3 WARNING TO OWNER: YO RESULT IN YOUR PAYING CONSULT WITH YOUR LEND Application is hereby certify that all work will permits are required for EL OWNER'S AFF laws regulating •..d�� Not as to dry .n. President My Com a wir4s.' N s *'- o ; ICC 477159 B = i9,9' T 0nd01bN o: OQ , �i,L'�p:;Fal�IfKO�: ftt C ST ;p%% %% %% a to obtain g. ndo President FEES: PERMIT RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE to do work and installation as indicated above, and on the attached addendum (if applicable). I the standards of all laws regulating construction in this jurisdiction. I understand that separate ING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. all the foregoing information is accurate and that all work will be done in compliance with all applicable Furthermore, I authorize the above -named contractor to do the work stated. //, // Date ate ter heater $200 no NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY MENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Signature of Contractor or Owned uilder / 1 C.C.F. Notary as to ci`ntrg >? My Commissaitgxpirez„ `O N IA; #CC477159 :oa . Inse % lO 0 NOTARY .-B411der BOND TOTAL DUE 00 X Date l� /3 ' Date APPROVED: Zoning Building ° Electrical Mechanical Plumbing Engineering MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.../el O D a t e..._ -._ -��� 'R — 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. 7,1/ - y, p Owners Name and Address On 4,140)A1 No. _ Street..4 1./ r .. Registered Architect and /or Engineer Employing Plumber's Nem, c�c, l �! �1�-� . Na b? ....... ItrMlL�.3 �..! .1!0, e Location and Legal Description Lot. Mork Subdivision /P Street and Number where work is to be performed -No / / siJ t 9/ Tek - . Street_. 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 oe Drain Field from Well .__ -___ Nature of Water Supply: City-Wells Size of Soakage Pit __________ ... ------_ Capadh' Gals Amount of Permit $-16 (Signed)_- - V My Commission Expires (Signed) Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and ham 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- eontracto v to e perf • • under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, i is. 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. NOTE: A re-inspection fee of 11.00 will be made whoa gook rolaspaolfas Y snadalaeoeesary by Improper Soda far bispectbo, or faulty materials and /or werl®aoship. CLOSETS BATH ys• -ruse S LAVA. TORIES S INKS SLOP SINKS LAUNDRY TOSS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS TOTAL FIXTURES —.- CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR NEATER DEEP WILL SPRKLR. SYSTEM SW1M'O POOL Comm LIFT I - CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.../el O D a t e..._ -._ -��� 'R — 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. 7,1/ - y, p Owners Name and Address On 4,140)A1 No. _ Street..4 1./ r .. Registered Architect and /or Engineer Employing Plumber's Nem, c�c, l �! �1�-� . Na b? ....... ItrMlL�.3 �..! .1!0, e Location and Legal Description Lot. Mork Subdivision /P Street and Number where work is to be performed -No / / siJ t 9/ Tek - . Street_. 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 oe Drain Field from Well .__ -___ Nature of Water Supply: City-Wells Size of Soakage Pit __________ ... ------_ Capadh' Gals Amount of Permit $-16 (Signed)_- - V My Commission Expires (Signed) Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and ham 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- eontracto v to e perf • • under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, i is. 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. NOTE: A re-inspection fee of 11.00 will be made whoa gook rolaspaolfas Y snadalaeoeesary by Improper Soda far bispectbo, or faulty materials and /or werl®aoship. • CLOSETS BATH TUei SHowIRS LAVA• TORIES SINK• SLOP SINKS LAUNDRY Tuns URINALS CATCH DRAIN FLOOR DRINKING DRAIN FOUNT•N• Hw 1 . , ' L TOY,. FIXTI RES _ __ CONTR. LIT �— I 1 _ CHECK ^� /• vV 3.190 3.00 — 70 — SEPTIC TANK SEwcR CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR H DEEP WILL SPRKLR. SYSTEM SWIM•O POOL — -- Cowl-R. LIST - - -� I CHICK ,'erne: Nu. X / 9 ■■1.pbl.,1111 is hereby mode for the approval of the detailed statement of the plans and specifications herewith subr r .'f for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.-.- f Shores Village, Florida, 4,1d all pros isions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic•' of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec ficatlons must be kept at iuilding during progress of work. ':)vner's Name and Address__. row _. .e led Architect and /or Engrnnenrr ' �r employing Plumber's Name dd6il�j L ®e� NO. ._ Location and Legal Description Lot_ Block Street and Number where work is to be performed —No leR) a E State work to be performed and purpose of building (By Floors) _ ..... _ ..... _...___._...... _ New Building Remodeling____ _.. ... --- Addition---_ Size Septic Tank_________ ...... of Tank - Capacity ° Ails. Feet of Drain Tile. Nature of Water Supply Amount of Permit $ 1 Q 00 STATE OF FLORIDA, I ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Dist. Feet of Tank or Drain Field from Well ... Well.---- .--- .--- •- -_ - •- - -_ ---- • -- -. - Size of Soakage Pit street_ .- /..F E '!/. Texx . (Signed) 1 (Signed)— sT Street N 5 1 ) e a = Repairs R Date _1/ 1.- - No of Stones Plumbing; Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an en ;Moyer of !allot under the Florida VVorkinen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent fupl lenient, and etas nx�• 1111-d with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in ' l: + -+ rk b- performned under this permit; and will post or cause to be posted for inspection on the site . the work such pnbl: notice 3: no ice!' rs a' requ'red by the Act. The undersigned agrees to employ only such sub - contractor, on to be perfornpel 'a this r r, ril, :,r . licensed by Miami Shores Village. Mut a Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per;orrt l ppearet. 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 tint all acts therein by hin, 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•neoessary by improper notice for inspection, or !suit) materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No I `�d J ...___...__ Date.._! O /6 7 z. 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 Hoe AJA16 %T / 2/'0 A f t� No. Streeal �W .. _ ._.. ... ... Registered Architect and /or En ' eer Employing Plumber's Name tizit t)644,a6 IA C - 1112° ;19cA) street......a-'-f... 4 Location and Legal Description Lot_ Block Subdivision Street and Number where work is to be performed —No J oZ I O /J 1` Street ..91 • State work to be performed and purpose of building (By Floors) New Building -_ - -_ _ - _ _.. Remodeling_ _ Addition Size Septic Tank Feet of Drain Tile _Type of Tank___— _Dist. Feet of Tank or Drain Field from Well..._ _...._ __._. . - - - - -- — _w Nature of Water Supply: City—Well. Size of Soakage Pit. Amount of Permit $ -57 0 0 STATE OF FLORIDA, COUNTY OF DADE. J My Commission Expires (Signed)- Plu . ing . Spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perin nt 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..._..__..__. __.._...- • - - - -- Notary Public, State of Florida 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. mater OTT: einspecti pee of $1.00 will be made when such ralnapection is made•neoessary by improper notice for inspection, or faulty CLOSETS BATH TUBE SHOWERS LAVA- TORIES SIN" SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN — DRINKING FOUNT'N[ TOTAL FIXTURE[ CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No I `�d J ...___...__ Date.._! O /6 7 z. 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 Hoe AJA16 %T / 2/'0 A f t� No. Streeal �W .. _ ._.. ... ... Registered Architect and /or En ' eer Employing Plumber's Name tizit t)644,a6 IA C - 1112° ;19cA) street......a-'-f... 4 Location and Legal Description Lot_ Block Subdivision Street and Number where work is to be performed —No J oZ I O /J 1` Street ..91 • State work to be performed and purpose of building (By Floors) New Building -_ - -_ _ - _ _.. Remodeling_ _ Addition Size Septic Tank Feet of Drain Tile _Type of Tank___— _Dist. Feet of Tank or Drain Field from Well..._ _...._ __._. . - - - - -- — _w Nature of Water Supply: City—Well. Size of Soakage Pit. Amount of Permit $ -57 0 0 STATE OF FLORIDA, COUNTY OF DADE. J My Commission Expires (Signed)- Plu . ing . Spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perin nt 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..._..__..__. __.._...- • - - - -- Notary Public, State of Florida 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. mater OTT: einspecti pee of $1.00 will be made when such ralnapection is made•neoessary by improper notice for inspection, or faulty MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No / `� , Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 6'_.._ _ eitt `f _'L° _!__--_�.___ /_._... No.___ / !_ 'f_�$t:eet, '1/ 7 ?i . -. Registered Architect and /or Engineer /1� �r'w �� /� �_� �� Employing Plumber's Name L' � _ O i � — �rel No.-_-_Z Street , i - e Amount of Permit $ �{� <�� STATE OF FLORIDA, 1 COUNTY OF DADE. J Location and Legal Description Lot_ Blod / _ Street and Number where work is to be performed —No.__ / �' / 0 1`" _ _.Sheet__ State work to be performed and purpose of building (By Floors)_____— � New Building - --_ _ _ -- Remodeling —__ - --__ Addition___S Repairs No. of Stories. _ - - .. ......... . .... Subdivision 1 re ,41, ' Size Septic Tank___T______ —____ _ 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 Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has cmn- 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 notic - : `as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performe• under this pert t, as are licensed by Miami Shores Village. i-- e- (Sign 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 er. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made• necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS ,-`J�` gF w TOTAL FI %TURES CONTR. Llsr 1 1 1 / -- CHECK _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST - - -- CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No / `� , Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 6'_.._ _ eitt `f _'L° _!__--_�.___ /_._... No.___ / !_ 'f_�$t:eet, '1/ 7 ?i . -. Registered Architect and /or Engineer /1� �r'w �� /� �_� �� Employing Plumber's Name L' � _ O i � — �rel No.-_-_Z Street , i - e Amount of Permit $ �{� <�� STATE OF FLORIDA, 1 COUNTY OF DADE. J Location and Legal Description Lot_ Blod / _ Street and Number where work is to be performed —No.__ / �' / 0 1`" _ _.Sheet__ State work to be performed and purpose of building (By Floors)_____— � New Building - --_ _ _ -- Remodeling —__ - --__ Addition___S Repairs No. of Stories. _ - - .. ......... . .... Subdivision 1 re ,41, ' Size Septic Tank___T______ —____ _ 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 Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has cmn- 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 notic - : `as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performe• under this pert t, as are licensed by Miami Shores Village. i-- e- (Sign 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 er. 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. Permit No.. -- 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 MR & MRS. JIM BROWN No. 1210 Street_ NE 91 TERRACE Registered Architect and /or Engineer JAMES RODGERS, PE Employing Plumber's NameAQUA CLEAR POOI5. INC . No 77 »e.......m.,,,.. 8treetYLA -D XIE...10.W1).x 15' #26 #27, 2 WATERSEDGE 141 Location and Legal Descriptio Blo ck Subdivision -- _. —_� 9� #2 1210 N.E. 1 TERRACE Street and Number where work is to be performed —No Str -•---------.----•--------- State work to be performed and purpose of building (By Floor)__-_-- ....SWIRELIN. . P_ UOL.. .EQR_.REG.REATIO New Building _ _ .----- •- •-- ..... -.. Remodeling__— — ._. - -- Addition..._ X__ 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: of Soakage Pit Amount of Permit $ ( it 0 0 (Signed) _ (Signed Capacity Gals. 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 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. STATE OF FLORIDA, 1 µ 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. My Commission Expires Notary Public, State of Florida Plum NOTE: A re- inspection fee of $1.00 will be made when such re- inspection Is mede.neoersary by improper notice for inspection, or faulty materials and /or workmanship. CLO$ITS BATH Tuee SS N OW LR LAVA- TORIES SIN" SINKS LAUNDRY Tuv• URINAL{ CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N• TOTAL FIXTURES CONTR. LIST — CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. S SWIN O POOL CONTR. LIST CHICK Permit No.. -- 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 MR & MRS. JIM BROWN No. 1210 Street_ NE 91 TERRACE Registered Architect and /or Engineer JAMES RODGERS, PE Employing Plumber's NameAQUA CLEAR POOI5. INC . No 77 »e.......m.,,,.. 8treetYLA -D XIE...10.W1).x 15' #26 #27, 2 WATERSEDGE 141 Location and Legal Descriptio Blo ck Subdivision -- _. —_� 9� #2 1210 N.E. 1 TERRACE Street and Number where work is to be performed —No Str -•---------.----•--------- State work to be performed and purpose of building (By Floor)__-_-- ....SWIRELIN. . P_ UOL.. .EQR_.REG.REATIO New Building _ _ .----- •- •-- ..... -.. Remodeling__— — ._. - -- Addition..._ X__ 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: of Soakage Pit Amount of Permit $ ( it 0 0 (Signed) _ (Signed Capacity Gals. 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 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. STATE OF FLORIDA, 1 µ 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. My Commission Expires Notary Public, State of Florida Plum NOTE: A re- inspection fee of $1.00 will be made when such re- inspection Is mede.neoersary by improper notice for inspection, or faulty materials and /or workmanship. 5-, 'Zr,/ Permit No 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl'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. ,p Owner's Name and Address..__ Registered Architect and /or Engineer-__________.____-__ .____.-____-- -------- _ - __ -- _ -- Employing Plumber's Name_.... B. ._ , � * -.J No..1cs — Street - -J L &i _ ........ Location and Legal Description Lot-_.___ ___.._._____ —_ — Block Subdivision . ___.._______ Street and Number where work is to be performed —No 42.1 Street- . - - -_. _L__ - e=1 ,,. State work to be performed and purpose of building (By Floors) _ __ - _ New Building ____ Remodeling _ Addition________.__ Repairs No. of Stories_ _ Size Septic Tank Feet of Drain Tile Nature of Water Supply! city—Well. fi Amount of Permit $ 74 - - - - - -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ^t;pAIT Type of Tank___ Capacity Gals _Dist. Feet of Tank or Drain Field from Well Date 6 1'i _Size of Soakage Pit (Signed)- — - My Commission Expires Notary Public, State of Florida _ Plumbing Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts his ofligations 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 of the work such public notice or notices as are required by die 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) -__� "/1 3� -- Mater 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 he did sign the same, and that all facts therein by hitr, 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 TUBE Tiles SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKI NG 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 5-, 'Zr,/ Permit No 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl'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. ,p Owner's Name and Address..__ Registered Architect and /or Engineer-__________.____-__ .____.-____-- -------- _ - __ -- _ -- Employing Plumber's Name_.... B. ._ , � * -.J No..1cs — Street - -J L &i _ ........ Location and Legal Description Lot-_.___ ___.._._____ —_ — Block Subdivision . ___.._______ Street and Number where work is to be performed —No 42.1 Street- . - - -_. _L__ - e=1 ,,. State work to be performed and purpose of building (By Floors) _ __ - _ New Building ____ Remodeling _ Addition________.__ Repairs No. of Stories_ _ Size Septic Tank Feet of Drain Tile Nature of Water Supply! city—Well. fi Amount of Permit $ 74 - - - - - -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ^t;pAIT Type of Tank___ Capacity Gals _Dist. Feet of Tank or Drain Field from Well Date 6 1'i _Size of Soakage Pit (Signed)- — - My Commission Expires Notary Public, State of Florida _ Plumbing Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts his ofligations 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 of the work such public notice or notices as are required by die 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) -__� "/1 3� -- Mater 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 he did sign the same, and that all facts therein by hitr, 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. Date..._.... _..� /. .. _... .... ,19.� �A 1141_5 , e . ...._._.. Ow�nei s Name and Address ' "t� ...: 1k No./ Street-11/r Registered Architect and /or Engineer ,,..;.� , ...... ..................,...,, •..... Name and address of licensed contractor.. - �2 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where, work is to be done t. cz�.. /-_d .45 State work to be done and rp se of building (by oors).. � eGr `ckotr r die Building To be constructed of Kind of foundation ,,. Roof Covering Estimated Total cost of improvements $ 11 Z .C) Amount of Permit $. 0 1 - 3 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 pl:lns and spe 'fications for said building. All notices with reference o the b pg and its construction may ,,p be sent to.. ... ! 0./frt. �`3- /C) � ��/ lr�� Z - The undersigned applicant for this building perinit 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 under this permit; and will post or cause to be posted for i , s ection on the si • th work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s •ntractors, performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed STATE OF FLORIDA, COUNTY OF DADE. 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 true. Permit No..i ' a Date 7 -4- - 72_ .- Read, Sworn to and Subscribed before me. Disapproved Date.. (Signed ) Remodeling. Buil ding Inspccto Addition Notary Public, State of Florida and for no other purpose. Repairs No. of Stories My Commission Expires to me well known, P ING BOARD DATE Chairman 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 Planning Board. 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. Permit No Owner's Name and Address Amount of 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. 1.- Registered Architect and /or Engineer - - - - -_ -- __ -� -_ Employing Plumber's Name.___ 4 -1_ -_ kfL_LLJ�_ , cam --- - No. Location and Legal Description Lot ___.._..___— __________ _ _ Block_ Street and Number where work is to be performed —No 5 2 )_ State work to be performed and purpose of building (By Floors) _ .____ New Building — ___________________ Remodeling_____ ___._ Addition 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.___ ( > j ____._Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio : s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, 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 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. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEI' APPLICATION FOR PLUMBING °' Repairs No. of Stories (Signed) _ "� y s r , � Date ` --- -•-- , No I-- --- ® - st& 9 -_ street_.Niy_7 / '1 i/ Subdivision Street Notary Public, State of Florida ing Inspector. • STATE OF FLORIDA, t 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 ay 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 SHOWER/ LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URI NALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FI %TURES 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 Owner's Name and Address Amount of 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. 1.- Registered Architect and /or Engineer - - - - -_ -- __ -� -_ Employing Plumber's Name.___ 4 -1_ -_ kfL_LLJ�_ , cam --- - No. Location and Legal Description Lot ___.._..___— __________ _ _ Block_ Street and Number where work is to be performed —No 5 2 )_ State work to be performed and purpose of building (By Floors) _ .____ New Building — ___________________ Remodeling_____ ___._ Addition 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.___ ( > j ____._Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio : s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, 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 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. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEI' APPLICATION FOR PLUMBING °' Repairs No. of Stories (Signed) _ "� y s r , � Date ` --- -•-- , No I-- --- ® - st& 9 -_ street_.Niy_7 / '1 i/ Subdivision Street Notary Public, State of Florida ing Inspector. • STATE OF FLORIDA, t 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 ay 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building E?� Lot MIAMI SHORES VILLAGE. FLORIDA DATF. PERMIT N? 7342 f Work to be performed under this Permi Bl Jr 14. Contractor's -+ License No. G O 195 Subdi- vision Value of C - I Amount of Project $ 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 application 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)tatements or specifications and that he assumes responsibility for work done by his agents, servants or employees. f f / Signed- In consideration of the issuance to me pertaining thereto and in strict conformity with cepting this permit I assume responsibility for CONTRACTOR OR BUILDER INSPECTOR of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- all work done by either, myself, my ggent, sery o t or employee. ' BY AUTHORITY BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building 1 �,itvf A J tgj Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 8115 t 81. Work to be performed under this Permit r Subdi- vision Sq. Ft Value of 2 Project $ f ✓T ' DATE 195 Contractor's License No Amt. of Permit BY AUTHORITT 7 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 application Rherefor 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 -me 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 anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations - staining to the work covered hereby whether shown on the plans or drawings or in the statements or .specific 'ons and that he assumes responsibility for work ne by his agents, servants or employees. �+ Signed • 4° f Y <f � BY INSPECTOR — In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations aining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. ccepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 7