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864 NE 91 Terr (8)Date - / I - 0 1 WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 86., LP nl e q / Tax Folio Historically Designated: Yes No Master Permit # Legal Description Owner/Lessee / Tenant K o m ot---a Owner's Address Phone 305 b 0 0 l/ 3 ) Contracting Co. NO V ✓ Ci(V P ( 1 Cf Address c, 6 I Al . �l. 118 Sf . Nl l /C ✓YYt// Qualifier - 76k pkt, k. A 1l l SS# Phone 30 S 6 / 00 0 q State # Municipal # Competency # C F CO 3 Ins. Co.e.2i3-7 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA PLUMB1NN MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost (value) 7 0 0 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 a' . ' • amed contractor to do the work stated. dka C ( i� Signature of ov�ner and/or Condo President gnature of Con Owner Builder Date Notary as to 0 d/or ondo President Date My Commission Expires: FEES: PERMIT IMO t.c-f-!-,,f , - l / - a l P.3X;a Luocke Comonneion * CC i1540212 Emilia hum 25, 200 " Atlantiri Akeebarg 013., twc. APPROVED: Zoning Mechanical Plumbing Z!� 67 l / yo 4-1 1-0 ( Date Building ctor or Notary as to ct br or Owner- Builder My Commission Expires: Electrical �- /1 - ol Date Roller Luecke Commission 6+ CC /64282 kzpirea lane 23, 2'08 P Thn44Tru °ira a 06., lea C.C.F. 6 0 NOTARY BOND TOTAL DUE Engineering ITEM 3ATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE 3IOET LIGHT OUTLETS 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 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 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE 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 SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP R. ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM 3AS RANGE METER SET (GAS) 3AS 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 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE z /Z 1 V p� ! ^ 3 r Date /[ Job Ad b64 P' `� ^ t QPP Tax Folio Legal Description Historically Designated: Yes No v r/Lessee / Tenant Owner's Address P134, vvoirt Master Permit # 45 7 Phone ( 3o5) .5 et- 5 ?- Contracting Co. 5 o^' a Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor g f e4) 1 4i L N 42)+ JO UV Address Permit Type (circle one): BUILDING ELECTRICAL Square Ft. 14o (c7 LUMBING 7'rcc MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 5 t" K N . N 6 SYS t,t 2j - �G�S Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of odn and/or Condo President My Conunission Expires: APPROVED: Zoning Building Mechanical Plumbing 3/Wei 3g ° i ature of Contractor or Owner - Builder � � gr► Date 00 Notary as to Owner and/or Condo President Date Notary as to Con My Co c ,.;, ,., F v p rep• (2Y P OFRCIAL NOTARY SEAL ' � �1s1(tR UA T s r , n F�� wa NUmaza rv.i a CC797277 n _ OF R.d MY DEC. 17 FEES: PERMIT . RADON BOND Electrical r - 3/9-WY?' or or Owner - Builder Date TOTAL DUE Structural Engineer 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. } L /= /�� / ' / & ` (.� / /A2__ No 1 � (/ Street /- " Owner's Name and Address — Registered Architect and /or A• ! me /er/� Employing Plumber's Name !I -�1L —N (2176 Location and Legal Description Lot Block Street and Number where work is to be performed —No 'Y State work to be performed and purpose of building (By Floors) .___. — New Building_.. - -- .--------- - - - - -- -- - - -- Remodeling — _ --- __ -_ -- Addition Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. f (Signed) (Signed) Size Septic Tank- - .` - - - -` -- Feet of Drain' e — "" `."F r i of T nk or Drain Field from Well .. Nature of Water Supply: City — Well..— ...---- ----- ---- --- - - ---- •.Size of Soakage Pit Date - - P - a Capacity Gals ��.� ,... /677- . Street.- lJ ' — Q / .7 Repairs No. of Stories.. ....... P Iri.ap�c orr' 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 5986, Compiled General Laws of Florida Permanent Sup6lement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed / him in the work be performed under this permit; and will post or cause to be posted' for inspection on the s e o e work such publ - notic _ or notices as ,, - required by the Act The undersigned agrees to employ only such sub - contractors, wor to be erfbrmed under i s permit. as ar 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 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 be has carefully rend the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made wheat =oh in-kaapecalasa is t aede•neeessary by improper notice foe inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SNOW ERO LAVA- TORIES SINKS SLOP SINKS LAUNDRY Twos URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NO TOTAL FIXTURES CONTR. LIST CHECK ■ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•S POOL CONTR LIST CHECK 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. } L /= /�� / ' / & ` (.� / /A2__ No 1 � (/ Street /- " Owner's Name and Address — Registered Architect and /or A• ! me /er/� Employing Plumber's Name !I -�1L —N (2176 Location and Legal Description Lot Block Street and Number where work is to be performed —No 'Y State work to be performed and purpose of building (By Floors) .___. — New Building_.. - -- .--------- - - - - -- -- - - -- Remodeling — _ --- __ -_ -- Addition Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. f (Signed) (Signed) Size Septic Tank- - .` - - - -` -- Feet of Drain' e — "" `."F r i of T nk or Drain Field from Well .. Nature of Water Supply: City — Well..— ...---- ----- ---- --- - - ---- •.Size of Soakage Pit Date - - P - a Capacity Gals ��.� ,... /677- . Street.- lJ ' — Q / .7 Repairs No. of Stories.. ....... P Iri.ap�c orr' 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 5986, Compiled General Laws of Florida Permanent Sup6lement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed / him in the work be performed under this permit; and will post or cause to be posted' for inspection on the s e o e work such publ - notic _ or notices as ,, - required by the Act The undersigned agrees to employ only such sub - contractors, wor to be erfbrmed under i s permit. as ar 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 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 be has carefully rend the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made wheat =oh in-kaapecalasa is t aede•neeessary by improper notice foe inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT N2 4029 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work wil be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. 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. DATE 194 _. a . Contractor's License No. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No old _ - Date Jan. 10 1967 Application is hereby merle 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 . Egiamond No. _ 8_6) S -__.Ten Registered Architect and /or Engineer_ __________ Employing Plumber's Name 0 ±_Ne aL_ S c p.bi.a- _Lank 0 n . 22nd Sitei __J ie_. - Location and Legal Description Lot_-._---_......... —_— Block__ Street and Number where work is to be performed— No.__a 4__o- E eY9.1r3 _Th S_X'_AA St $k State work to be performed and purpose of building (By Floors)--_---- _...... _ ..... ___.__.... ___ .... _ drainfield ela New Building ....._ . Remodeling____ _.._ Addition__ Repairs o. of tone . - - Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' ,: + ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perna .e t Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp oyed 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. Amount of Permit 41_3_0_0D STATE OF FLORIDA, I as, COUNTY OF DADE. My Commission Expires Type of Tank._ Capacity Gals.__. Dist. Feet of Tank or Drain Field from Well ---------- •----- ____ -- -Size of Soakage Pit 32 block drainfleld relay (Signed) _ (Signed) Master Plumber. Subdivision 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. CL.�BPTB BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINK LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES 4 CONTF. LIST CHECK ......... SEPTIC TANK SEWER CONN. DRAIN SOAKAGE FIELD PIT GREASE SOLAR TRAP HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL co . — 32 block re1 ay 3raain_�ield CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No old _ - Date Jan. 10 1967 Application is hereby merle 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 . Egiamond No. _ 8_6) S -__.Ten Registered Architect and /or Engineer_ __________ Employing Plumber's Name 0 ±_Ne aL_ S c p.bi.a- _Lank 0 n . 22nd Sitei __J ie_. - Location and Legal Description Lot_-._---_......... —_— Block__ Street and Number where work is to be performed— No.__a 4__o- E eY9.1r3 _Th S_X'_AA St $k State work to be performed and purpose of building (By Floors)--_---- _...... _ ..... ___.__.... ___ .... _ drainfield ela New Building ....._ . Remodeling____ _.._ Addition__ Repairs o. of tone . - - Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' ,: + ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perna .e t Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp oyed 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. Amount of Permit 41_3_0_0D STATE OF FLORIDA, I as, COUNTY OF DADE. My Commission Expires Type of Tank._ Capacity Gals.__. Dist. Feet of Tank or Drain Field from Well ---------- •----- ____ -- -Size of Soakage Pit 32 block drainfleld relay (Signed) _ (Signed) Master Plumber. Subdivision 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BULL R ■ MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL ❑ PERMIT IC? 13806 PLUMBING ROOFING ❑ Work to be performed under this Permit BI. Subdi- vision Value of Project $ Contractor's License No 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. Amt. of Permit BY AUTHORITY Permit No.. __- l --D 6 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address OD . _ 61!"..,,®v---° No Street Registered Architect and /or Engineer � Employing Plumber's Name___ ________ ___ _ , pp ° ' ___ No. Street._ Location and Legal Description Lot____..______ _Block___.___ __ Subdivision Street and Number where work is to be performed —No. ° $.�AL_.____._ � .- 9.. LF ~ State work to be performed and purpose of building (By Floors)_ New Building .- Remodeling Addition Repairs. 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.- ' 0 _ - - - - -- - Size of Soakage Pit Amount of Permit $ My Commission Expires (Signed) Date Capacity Gals. No. of Stories Notary Public, State of Florida 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 perform - . - under this permit, as an licensed by Miami Shores Village. (Sign ell) -. : — -C'- _& C-i..0 1 Master Plumber. STATE OF FLORIDA, sc. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .lppeare 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 i.Ic 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 f,nll material lad/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA - TORIES SINKS SLOP SINKS LAUN DRY TUBE URINALS INALS CATCH BABIN FLOOR DRAIN DRINKIMO FOUNT'NS / iiCO �, TOTAL FIXTURE! CONTR. LIST 3 J � - .. I / .41 CHECK 1) 5 U R �� l° nlJ G � � zs EP WELL -- - - — SEPTIC TANK SEWER CONN. AIN FIELD SOAKAGE PIT GREASE TRAP ,---,- , SPRKLR. SYSTEM SWIM '0 POOL I e � HEATER COHTR. LIST X' W 4 CHECK C2 . / O 0 j� / Q e) Permit No.. __- l --D 6 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address OD . _ 61!"..,,®v---° No Street Registered Architect and /or Engineer � Employing Plumber's Name___ ________ ___ _ , pp ° ' ___ No. Street._ Location and Legal Description Lot____..______ _Block___.___ __ Subdivision Street and Number where work is to be performed —No. ° $.�AL_.____._ � .- 9.. LF ~ State work to be performed and purpose of building (By Floors)_ New Building .- Remodeling Addition Repairs. 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.- ' 0 _ - - - - -- - Size of Soakage Pit Amount of Permit $ My Commission Expires (Signed) Date Capacity Gals. No. of Stories Notary Public, State of Florida 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 perform - . - under this permit, as an licensed by Miami Shores Village. (Sign ell) -. : — -C'- _& C-i..0 1 Master Plumber. STATE OF FLORIDA, sc. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .lppeare 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 i.Ic 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 f,nll material lad/or workmanship. st 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 Miaini 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 Divisior 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 Size Septic Tank -- ..... O D Nature of Water Supply: City —Well 0 v Amount of Permit $_ 1, - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot._ Block__ Subdivision • Street and Number where work is to be performed —No. 4:-C.D. ___ X11_._ E ._ Street- 2 _.L L t� — -- - No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Type of Tank___ Feet of Drain Tile � U Dist. Feet of Tank or Drain Field from Well —. Size of Soakage Pit (Signed) Date Street Capacity Gals. My Coinmission Expires Notary Public, State of Florida No. of Stories PlunThing Inspector. The undersigned applicant for this building permit does hereby certify that he understand and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws o lorida Pennanent 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 art licensed by Miami Shores Village. (Signed) -- / C-‘7 / M aster Plumber. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare 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 tae 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 Lail m terials and /or workmanship. CLOSETS BATN TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS - -- TOTAL FIKTUREI — —_ CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G 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 Miaini 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 Divisior 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 Size Septic Tank -- ..... O D Nature of Water Supply: City —Well 0 v Amount of Permit $_ 1, - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot._ Block__ Subdivision • Street and Number where work is to be performed —No. 4:-C.D. ___ X11_._ E ._ Street- 2 _.L L t� — -- - No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Type of Tank___ Feet of Drain Tile � U Dist. Feet of Tank or Drain Field from Well —. Size of Soakage Pit (Signed) Date Street Capacity Gals. My Coinmission Expires Notary Public, State of Florida No. of Stories PlunThing Inspector. The undersigned applicant for this building permit does hereby certify that he understand and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws o lorida Pennanent 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 art licensed by Miami Shores Village. (Signed) -- / C-‘7 / M aster Plumber. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare 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 tae 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 Lail m terials and /or workmanship.