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1230 NE 91 Terr (8)Date Legal Description Historically Designated: Yes No 'y1 q N Owner/Lessee / Tenant �1 �7R s 7/ 1. -9 i4 G / / Master Permit # ( 4/ .3) l b [ Owner's Address / ( /V/ 1. / f � Contracting Co. C 4 s f 4 fiL E1 h i ,., q 7,.rcAddress 2 k,c t . 7 S Qualifier CA AO S 1 - CC 1D 0 S SS# ` - Phone 30G State # G c._ '37 1) D Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAILUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION A- /-C r net, /C PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 0 Job Address L 2,30 C ttAA–CCax Folio Square Ft. Estimated Cost (value) 2. 5(22 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 con c o o do the work stated. 4 owner and/or Condo President ovmer Notary as to Owner and/or Condo President My Commission Expires: Date FEES: PERMIT C h ' RADON C.C.F Date otary as t Contrac My Commission Expir s w a� oFF�c a t. Morn:; AL O A P d A NGE ._ 6s acKER 4. J 'r∎ a. ' .,.E yzr 1 Phone BOND OD APPROVED: Zoning Building Electrical Mechanical Plumbing Structural Engineer TOTAL D UE ITEM BATH TLB UNIT FEE ITEM SNITCH CUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT CUTLETS CENTRAL HEATING DISHWASHER / RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY ,„„ I OVEN ABOVE GROUND TANKS LAUNDRY TRAY .4.i WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER CAP © MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSET LIES SINK, IP 16 a . 4 - MOTORS OVER 8- 10 FP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL MO TCRS OVER 25-100 FP COOLING TOWERS WATER CLOSET CAQ ®c ( MOTORS OVER 100 FP 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 SWIMfi1ING POOL OUTLETS COWERCIAL WATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFCRMERS JTILITY -SEWER SIGN TIME CLOCK ITILITY -WATER FIXTURES ;EPTIC TANK A,,1TEKNA ELAY TELEVISION CUTLETS RAINFIELD, 4' TILE/RES. VIOLATION U1,P & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. ATCH BASIN ISO -ARGE WELL OMESTIC WELL . REA DRAIN OOF INLET OLAR WATER HEATER IRE STANDPIPE ?OL PIPING AWN SPRINKLER SYSTEM AS RANGE :TER SET (GAS) ^--�- LS 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 CONT/2. Lam CLOSETel BATH T SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CHI'-OK — ..■................. SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWING POOL CONTR. LIST . / —.--.-- _ CHECK aiL MIAMI SHORES VILLAGE ..... /6 New Building Remodeling Size Septic Tank_ Amount of Permit $ PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is he.:eby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other sislyature 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. . _ 4„,), . , .- . c---; , . , N ., . Owner's Name and Address No. Street. Registered Architect and/or Engineer _.............. ... . . ...,.... „42 (7 k '''') p ''' 'A '' Employing Plumber's Name '-`)---- ^' 2 ' ''''' s ' 4.' s ,, • Street.' (...J Location and Legal Descriptio ot.....__ ...... ________ ...... ___ Block._ ,..._______ ..... Subdivision Strut and Number where work is to be performed—No -I >'? / l; ' < Street State work to be performed and purpose of building (By Floors ).___________ Addition Repairs No. of Stories .... __Type of Tank__ Capacity Gals Feet of Drain Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well._________ ....... of Soakage Pit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work 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) My Commission Expires Notary Public, State of Florida Master Plumber. MTh 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 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 woilimanthip. • 4. Permit No. / 4 _k k‘°' oa_ i 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. Owners Name and Address Registered Architect and /or Engineer Employing Plumber's MAP Q Location and Legal Description Lot STATE OF FLORIDA, } COUNTY OF DADE. as. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No / a 3 C 91„_(427 State work to be performed and purpose of building (By Floors)- _....._.....— _.____ —� No. J 3 C Amount of Permit $Qf� --- (Signed) - - - -- - -. _ Street..._°-L Subdivision Street. Size Septic Tank.- _Type of Tank_ Feet of Drain Tile- _.__._ ._Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit. 0 (Signed _ __i_c. rrc�svL New Building. _ _ __ _ _ _ _ Remodeling _ Addition...____ --__ Repairs.._ No. of Stories. ........._..... -. -- Capacity ---- - - - - -- - - 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 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 1 J7_lbur J o Coleman to me well known, and who, being by me first duly sworn, upon oath dep oses and says that he is the. T ter Plumber 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. OVARY PUBLIC STATE OF FLORIDA AT LARGE / i ' MYCOMMISSICLEXPI RFC Fig -22 -1.430 ,s', /1( 8 O N DFf , C' '**. N Public, State of Florida materials NOTE: A fee of $1.00 will be made whin such re•inspection is made'necessary by improper notice for inspection, or faulty p CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tuns URINAL. CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS r A � ' c TOTAL FIXTURES CONTR. LIST u / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'0 POOL CONTR. LIST CHECK • 4. Permit No. / 4 _k k‘°' oa_ i 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. Owners Name and Address Registered Architect and /or Engineer Employing Plumber's MAP Q Location and Legal Description Lot STATE OF FLORIDA, } COUNTY OF DADE. as. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No / a 3 C 91„_(427 State work to be performed and purpose of building (By Floors)- _....._.....— _.____ —� No. J 3 C Amount of Permit $Qf� --- (Signed) - - - -- - -. _ Street..._°-L Subdivision Street. Size Septic Tank.- _Type of Tank_ Feet of Drain Tile- _.__._ ._Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit. 0 (Signed _ __i_c. rrc�svL New Building. _ _ __ _ _ _ _ Remodeling _ Addition...____ --__ Repairs.._ No. of Stories. ........._..... -. -- Capacity ---- - - - - -- - - 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 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 1 J7_lbur J o Coleman to me well known, and who, being by me first duly sworn, upon oath dep oses and says that he is the. T ter Plumber 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. OVARY PUBLIC STATE OF FLORIDA AT LARGE / i ' MYCOMMISSICLEXPI RFC Fig -22 -1.430 ,s', /1( 8 O N DFf , C' '**. N Public, State of Florida materials NOTE: A fee of $1.00 will be made whin such re•inspection is made'necessary by improper notice for inspection, or faulty p Permit No Amount of Permit $ a STATE OF FLORIDA, COUNTY OF DADE. j MIAMI SHORES VIL'LAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING G' 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. a Owner's Name and Address____,. c; L____ _ _��_- ---- - No.- _' --_ -- Street f '` Registered Architect and /or E n ___ __ No. __- _- . `._ _ e . e___ — _____ ...______....._._ __ .___ � Location and Legal Descripti Lot_' 1 _ _ 1 f 1 — Block-__ ' Subdivision `' P..... l 71.E `.�.._. I - E 4 or - e 8 a Street and Number where work is to be performed —No r7... 3 - 0 - a° - i i — Street ..- ..A...LZ- Stete work to be performed and purpose of building (By Floors)_ New Building ___ Remodeling_. -_ ___ Addition Repairs No. of Stories_ _ Date 1/ - Size Septic Tank ______Type of Tank Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.____ _ _ __..Size of Soakage Pit Capacity Gals (Signed) _ 62t , .= , umbing 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 Fl da 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. Master Plumber. Bafore 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 TUBS TUBS SHOWLRD • LAVA• TORIES SINKS SLOP SINKS LAUNDRY TUBE U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. IST LIST / / / CHECK --- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DELP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST / � CHECK Permit No Amount of Permit $ a STATE OF FLORIDA, COUNTY OF DADE. j MIAMI SHORES VIL'LAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING G' 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. a Owner's Name and Address____,. c; L____ _ _��_- ---- - No.- _' --_ -- Street f '` Registered Architect and /or E n ___ __ No. __- _- . `._ _ e . e___ — _____ ...______....._._ __ .___ � Location and Legal Descripti Lot_' 1 _ _ 1 f 1 — Block-__ ' Subdivision `' P..... l 71.E `.�.._. I - E 4 or - e 8 a Street and Number where work is to be performed —No r7... 3 - 0 - a° - i i — Street ..- ..A...LZ- Stete work to be performed and purpose of building (By Floors)_ New Building ___ Remodeling_. -_ ___ Addition Repairs No. of Stories_ _ Date 1/ - Size Septic Tank ______Type of Tank Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.____ _ _ __..Size of Soakage Pit Capacity Gals (Signed) _ 62t , .= , umbing 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 Fl da 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. Master Plumber. Bafore 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. _ _ CLOGR1' „........-,. GASH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES comril. --_— CHIME ____ - ,................ . SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL ...-.. SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST de 4 (1 CWiCK ry Pe, f rial e 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 wor Size Septic Tank Owner's Name and Address Registered Architect and/or Engineer Nature of Water Supply: City—Well. Amount of Permit $_. ....... .... MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ No._ Type of .......... — (Signed)- (Signed Date Employing Plumber's Name Location and Legal Description Lot Block Street and Number where work is to be performed—No b2- e'LZ Z State work to be performed and purpose of building (By Floors) New Building Remodeling_ Addition Repairs No. of Stories Streei__ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit tV N Fkmbing 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 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. Street_ 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. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida Master Plumber. 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. CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address__ Registered Architect and /or En Employing Plumber's Name__ Nature of Water Supply: City —Well Amount of Permit $ ..... MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street_• Location and Legal Description Lot_-•_ __-___ ....... ________ ___ __- --. Block_ Subdivision Street and Number where work is to be performed —No.J t— . — e diet 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_— Capacity Gals._ _____ Feet of Drain Tile ( fT`-Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit ( Signed) - -• -- ( Signed ____21_.C___t__ f umbing Insi4ector. O. The undersigned applicant for this building permit doe,s hereby certify that he understands and accepts his obligati an employer of labor under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent ement, and has c•orn- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employ y him in the work to be performed under this permit; and vrill 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 penult, as are licensed by Miami Shores Village. this STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida ie; - (4%f Master Plumber. • 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 T BATH L SHOWERS LAVA S SINKS I SLOP L LAUNDRY U URINALS C CATCH F FLOOR D DRINKING T TOTAL CONTR. LIST Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address__ Registered Architect and /or En Employing Plumber's Name__ Nature of Water Supply: City —Well Amount of Permit $ ..... MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street_• Location and Legal Description Lot_-•_ __-___ ....... ________ ___ __- --. Block_ Subdivision Street and Number where work is to be performed —No.J t— . — e diet 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_— Capacity Gals._ _____ Feet of Drain Tile ( fT`-Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit ( Signed) - -• -- ( Signed ____21_.C___t__ f umbing Insi4ector. O. The undersigned applicant for this building permit doe,s hereby certify that he understands and accepts his obligati an employer of labor under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent ement, and has c•orn- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employ y him in the work to be performed under this permit; and vrill 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 penult, as are licensed by Miami Shores Village. this STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida ie; - (4%f Master Plumber. • 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 Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 9828 Bl. Work to be performed under this Permit Subdi- vision DATF Contractor's License No Sq. Ft Value of Project $ Amt. of ,r - 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 statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • 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 pertaining thereto and in strict conformity with the plans, drawings, 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. BY AUTHORITY BUILDING ❑ ELECTRICAL ❑ DATE 19L ii_ PLUMBING E P ERMIT N? 9830 Contractor's License No ROOFING ❑ ❑ Work to be performed under this Permit_ r ( - t' Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building r CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA tf Bi. .9t Subdi- vision Sq. Ft Value of Project $ 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 statements or specificatioj s and that he assumes responsibility for work done by his agents, servants or employees. Amt. of Permit BY AUTHORITY {r: +''` j Signed: ., , ere ri t 1• 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 pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this pe it I assume respo for all work don by either, } myself, my agent, servant or employee. �. lJ Y ,� f t ) 1 7 Permit No M 3 R' 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 G e Q.r i'"P 7 1 , (r No. Registered Architect and /or Engineer Po tac'e SeT-L; c Empleyteg plumber's Nwe i ig and Le Des ®o Lot a7 / 144, '¢ e gs- / glad g(� Street and Number where work is to be performed —No Street. _ State work to be performed and purpose of building (By Floors) __ ._._ New Building- . - - -._ — _..--- ....._ -•_ -. Remodeling____. __ Addition.. ___ r./Pr S treet._. 1. a l C i _.. Repair "' No. of Stories Size Septic Tank._- _Type of Tank --. n C So ft —Dist Feet of Tank or Drain Field from Well..._.—__— _ __._....— Feet of Drain Tile — •- -• - -•- __ ...... _.— Nature of Water Supply: City —Well. Size of Soakage Pit. Amount of Permit $ (Signed) - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5999, Compiled General Laws of Florida Permanent Supplement, anti Ilar com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the woe. 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 err required by the Act. The undersigned agrees to employ only such sub-contractors, on yratk to be y -. • • under g. permit, as are licensed by Miami Shores Village. (Signed) 76Z or Plumber. STATE OF FLORIDA, i COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be 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. M Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be spade whoa each misspeaks is spade•aaoaaaary by improper notice for Miprection, or faulty materials and /or workmsanahip. CLOSETS BATH Tuns SNOW[Ra LAVA. TORIES SINKS SLOP SINK[ LAUNDRY Tuna URINALS CATCH BASIN FLOOR DRAIN ORINKINO FOUNT' NS —, TOTAL FIATUR[a ■.. CONTR. LIST CHICK — SEPTIC TANK S[W[R CONN. DRAIN FIELD SOAKAO[ PIT G TRAP SOLAR HEATER Mao WILL SW IN'S POOL COMM LIST '_ r� CHICK Permit No M 3 R' 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 G e Q.r i'"P 7 1 , (r No. Registered Architect and /or Engineer Po tac'e SeT-L; c Empleyteg plumber's Nwe i ig and Le Des ®o Lot a7 / 144, '¢ e gs- / glad g(� Street and Number where work is to be performed —No Street. _ State work to be performed and purpose of building (By Floors) __ ._._ New Building- . - - -._ — _..--- ....._ -•_ -. Remodeling____. __ Addition.. ___ r./Pr S treet._. 1. a l C i _.. Repair "' No. of Stories Size Septic Tank._- _Type of Tank --. n C So ft —Dist Feet of Tank or Drain Field from Well..._.—__— _ __._....— Feet of Drain Tile — •- -• - -•- __ ...... _.— Nature of Water Supply: City —Well. Size of Soakage Pit. Amount of Permit $ (Signed) - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5999, Compiled General Laws of Florida Permanent Supplement, anti Ilar com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the woe. 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 err required by the Act. The undersigned agrees to employ only such sub-contractors, on yratk to be y -. • • under g. permit, as are licensed by Miami Shores Village. (Signed) 76Z or Plumber. STATE OF FLORIDA, i COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be 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. M Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be spade whoa each misspeaks is spade•aaoaaaary by improper notice for Miprection, or faulty materials and /or workmsanahip. Proper tank legend: Yes Tanks watertight Yes Proper tank outlet device: Length Width feet feet i feet feet fr feet feet Total = ft Other findings' 0 Drainfield Trench Inspected by ,P) �j.1d����� Lngtb Systems located as permitted: Yes No HRS—H Form 4018, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 5744 - 002 - 4018 -0) STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Applicant Permit N u m b e r - /Z3 o 4/ /6R- ,27 - --- -- - PART II - SYSTEM INSTALLATION INSPECTION AND FINAL INSTALLATION APPROVAL Installer ,4% /)c'da 5 /r T /1/ ank Manufacturer Tank material esiv Tank level: Yes Systems including plumbing stub -outs installed at proper elevation: Yes 4 _ 5.50 Average depth to drainpipe invert from finished grade: inches Maximum depth' Inches Average depth of drainfield gravel' Pt' inches Minimum depth of gravel' � 2 - inches Proper gravel size: Yes No Gravel is suitable quality: Yes No Backfill or fill material as required: (Quality) Yes L � No (Quantity) Yes No 2 iz t )Z6: -------------------------------- -- - -PA I NAL I NST APPROVAL Date ! 7 A proved by )k- COUNTY PUBLIC HEALTH UNIT AN APPROVED INSTALLATION DOES NOT GUARANTEE PERFORMANCE Tank size• w gallons '' gallons gallons Manhole or marker to grade: Yes I" /lo Absorption Bed Wldth Length. feetx '` C feet = �� ft2 feet feet Length feet x feet= ft feet feet Proper No. drainlines: Yes (` No feet feet Proper pipe separation: Yes ± No -� 17i Total = ft Distribution box level: Yes /� Date /0 . / :C Note: Completed copies of this form will be provided to the applicant, installer and the building department. 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