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897 NE 91 Terr (7)- -^ CLOSETS BATH Twits B SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS N ALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS � ���e ' TOTAL FIXTURES CONTR. LIST I r CHUCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK .i'cr si: No,- 14- 4- co Application is hereby t■aac 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. ��77 ry `� Ownei s Name and Address L4_ 1 J/ / e_ n O 1 No. ?Y./ _ Street__1n e 9'/ s � 7;ez Registered Architect and /or Engi in neer ....._____ — ____.____ ,/ Employing Plumber's Name ..... 1es -. -- 6-4.5 __ � fe1 z No. ,/..5_17__27 Street.. _- �L L__- � ..... lT w Location and Legal Description Lot______ ........ ._— _._.._ -- Block _____._.___.__._ Subdivision Street and Number where work is to be performed-No._ Street / I9 ,/ State work to be performed and purpose of building (By Floors) _t n. 1 a • aa to aer 6 ! New Building _ Remodeling_ ._. Addition.___ Repairs No. of Stories. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City -Well. Amount of Permit $ -_� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce % ts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Flori : a 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 Inder this permit, as are licensed by Miami Shores Village. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank Capacity Gals.. Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit (Signed) NCI it? /9 Tel- V Date 4 -4 P Master Plumber. STATE OF FLORIDA, I gs. 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 hint 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 necessary by improper notice for Inspection, or faulty materials and /or workmanship. Permit No. /// y 1 Size Septic Tank Feet of Drain Tite Nature of Water Supply: City —Well Amount of Permit $ 2.00 ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date 3/15/51 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 John, J•Roth N 915 N.E. Street 91st•Terrace Registered Architect and /or Engineer } (a ik (Name Southern Heater $1.gg]y & N.W. Location and Legal Description Lot 26 - i` a of 25 Block Street and Number where work is to be performed —No 897 N • E . State work to be performed and purpose of building (By Floors) Installation New Building X Remodeling Addition Repairs (Signed) (Signed) Street Subdivision Golden Gate Park Street 91st.Terrace 38th.Street of. 100 gal. solar system No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 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 La , of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractor • or su - 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 .ite of t e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, in wor o be performed under this permit, as are licensed by Miami Shores Village. So th =r ��e ;;t; , ,Supply, by R. t1 alkel• , 6ontractor ` 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 him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASI FLOOR DRAIN DRINKING 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 X CHECK Permit No. /// y 1 Size Septic Tank Feet of Drain Tite Nature of Water Supply: City —Well Amount of Permit $ 2.00 ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date 3/15/51 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 John, J•Roth N 915 N.E. Street 91st•Terrace Registered Architect and /or Engineer } (a ik (Name Southern Heater $1.gg]y & N.W. Location and Legal Description Lot 26 - i` a of 25 Block Street and Number where work is to be performed —No 897 N • E . State work to be performed and purpose of building (By Floors) Installation New Building X Remodeling Addition Repairs (Signed) (Signed) Street Subdivision Golden Gate Park Street 91st.Terrace 38th.Street of. 100 gal. solar system No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 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 La , of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractor • or su - 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 .ite of t e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, in wor o be performed under this permit, as are licensed by Miami Shores Village. So th =r ��e ;;t; , ,Supply, by R. t1 alkel• , 6ontractor ` 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 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot a , Fl CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 10738 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE 195L Contractor's License No Amt. of Permit $ BY AUTHORITY 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 w t lans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this perftlit I assume responsibility or y either, myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Lot Owner . of r- _ Building r � . "� ° `d. MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 5390 B Address of - " a v ' Building d s, d" e 9: Work to be performed under this Permit Signed 4 G y Subdi- vision Value of Project $ INSPECTOR 9 DATE � ` r 195 7 Contractor's License No. / f Amount of 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 air d-ihat he assumes responsibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perform ,the work cov "d hereunder in comp / liance�y�lth hutlinstoosk -� ions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications s� witted to the / a orf es of Miami Shores Village n' cepting this permit I assume responsibility for all work done by either, myself, my agent, or e m pl ye CONTRACTOR OR BUILDER BY - __ / AUTHORITY 6 , BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building C 0 P 'i r~ 6��i MIAMI SHORES VILLAGE. FLORIDA ❑ DATE C PERMIT N? 5364 Architect Contractor or Builder `` ! �, {� . >i T Legal Lot Description - 1 Bl Address of a - Building 6 ' 1 ") &' : ., 4 y u i> Contractor's License No. 1e, 195 Work to be performed under this Permit ew. 'P 4 . e)_ p ■ ; 7 Value of Project $ I F lo Subdi- vision Amount of 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 1 G fr ,d Signed. „BY • INSPECTOR / yy� 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 _'ertaining thereto and in strict conformity with the plans, drawings, statements or specifications / to the proper authorities of Miami Shores Village. In ac- opting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Permit No s �e.�- '- .-- - -- --- Owner's Name and Address C • D , Fleenor Registered ArcLitect and /or Engineer ____._____ — ____._.___ Employing Plumber's Name. .1 t Ch___ Amount of Permit $ 6 t1Q STATE OF FLORIDA, } ss. ;.O[UNTY OF DADE. My Con::nission Expires MIAMI SHORES VIL' a4 G PLUMBING INSPECTION DEPARTMEi APPLICATION FOR PLUMBING No 897 No 7121 (Signed)._ t+- _. ( Signed) _ Date.. 16 1957 7 -- Notary Public, State of Florida 1 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 o r not. A copy of approved plans and specifications must be kept at building during progress of work. street_ N . E. 91st Terrace Street N • W • 6th Avenue Location and Legal Description Lot________ _____ ____ _____________ _____ - -__ Block Subdivision Street and Number where work is to be performed —No. _897 __ _... Street N. E • 91s t Terrace State work to be performed and purpose of building (By Floors) New Building Remodeling _XL Addition__ _ XX Repairs No. of Stories . . . ........ ........... Size Septic Tank Type of Tank_ _ Capacity Gals 5.00®Gai1Qn -._ Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit i Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h'6 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, orrwork to be perf smed und'' this permit,. as are licensed by Miami Shores Village. ( - Master PI tuber. 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 Ilia, 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 T UBS SHOWERS LAVA- TORIES SINKS INKS SLOP SINKS LAUNDRY TUBS URINALS I NALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8 TOTAL FIXTURES CONTR. LIST 1 1 1 1 .L CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST 1 1 _ _ -_.- CHECK Permit No s �e.�- '- .-- - -- --- Owner's Name and Address C • D , Fleenor Registered ArcLitect and /or Engineer ____._____ — ____._.___ Employing Plumber's Name. .1 t Ch___ Amount of Permit $ 6 t1Q STATE OF FLORIDA, } ss. ;.O[UNTY OF DADE. My Con::nission Expires MIAMI SHORES VIL' a4 G PLUMBING INSPECTION DEPARTMEi APPLICATION FOR PLUMBING No 897 No 7121 (Signed)._ t+- _. ( Signed) _ Date.. 16 1957 7 -- Notary Public, State of Florida 1 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 o r not. A copy of approved plans and specifications must be kept at building during progress of work. street_ N . E. 91st Terrace Street N • W • 6th Avenue Location and Legal Description Lot________ _____ ____ _____________ _____ - -__ Block Subdivision Street and Number where work is to be performed —No. _897 __ _... Street N. E • 91s t Terrace State work to be performed and purpose of building (By Floors) New Building Remodeling _XL Addition__ _ XX Repairs No. of Stories . . . ........ ........... Size Septic Tank Type of Tank_ _ Capacity Gals 5.00®Gai1Qn -._ Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit i Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h'6 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, orrwork to be perf smed und'' this permit,. as are licensed by Miami Shores Village. ( - Master PI tuber. 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 Ilia, 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. Permit No. Amount of Permit $ / 07 3 � Date.__U l k_ \i 6 4 I. 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 n Owner's Name and Address 0 Y4 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer Employing Plumber's Name F _ U it, L ..J.r tii ke . a • No Street ` � a Location and Legal Description Lot lia, 1— �_ _____Block n 1 �-,. Subdivisions0_1=-.K.1____Calli.:____ F1- 1 ` _t f` Street '-'11 .9 c - P- (4--. Street and Number where work is to be performed —No No +1 _S i e Street L ( c State work to be perfo ied 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 UN-' - -r, Dist. Feet of Tank or Drain Field from Well Nature of Water Supply Well ( " Size of Soakage Pit (Signed) _•- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he rstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge • Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contra 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 � ork to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. 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 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 workmanship. r, CLOSETS BATH T UBS SHOWERS LAVA - TORIES SINKS SLOP - SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS �hee hilQ `} OAL FIXTURES CLIST LIST IST t • • CHECK q 1� l 1 1S' o °� {< 1 cE) 1 1 -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SWIM'G POOL C4 ,4 0 �� � CONTR. LIST 1 1111 9 ( ' CHECK I,°° 1 4 ' ° r5 0 ) c! Permit No. Amount of Permit $ / 07 3 � Date.__U l k_ \i 6 4 I. 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 n Owner's Name and Address 0 Y4 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer Employing Plumber's Name F _ U it, L ..J.r tii ke . a • No Street ` � a Location and Legal Description Lot lia, 1— �_ _____Block n 1 �-,. Subdivisions0_1=-.K.1____Calli.:____ F1- 1 ` _t f` Street '-'11 .9 c - P- (4--. Street and Number where work is to be performed —No No +1 _S i e Street L ( c State work to be perfo ied 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 UN-' - -r, Dist. Feet of Tank or Drain Field from Well Nature of Water Supply Well ( " Size of Soakage Pit (Signed) _•- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he rstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge • Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contra 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 � ork to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. 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 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 workmanship. r, MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date jd / 1 , 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 he kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name e- Je " - PE'o No. L /' _ t (? i'29`?,-A? � Location and Legal Description Lot c" Block � Subdivision_ Street and Number where work is to be performed —No. ?2 � a_� Strom C� State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Septic Tank Feet of Drain Tile • s Amount of Permit $ Type of Tank age ' Capacity Gals (nr© Dist. Feet of Tank or Drain Field from Well Nb W.c -C -4 Nature of Water Supply: City —Well Size of Soakage Pit ss. ( Signed) No. __ r Street � / My Commission Expires 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 performed under this permit, as are licensed by Miami Shores Village. ( Signed) der. 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 by him stated are true. a 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 TU BS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST �fi O D .> / CHECK - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL / C O T . / eG'O'g® CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date jd / 1 , 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 he kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name e- Je " - PE'o No. L /' _ t (? i'29`?,-A? � Location and Legal Description Lot c" Block � Subdivision_ Street and Number where work is to be performed —No. ?2 � a_� Strom C� State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Septic Tank Feet of Drain Tile • s Amount of Permit $ Type of Tank age ' Capacity Gals (nr© Dist. Feet of Tank or Drain Field from Well Nb W.c -C -4 Nature of Water Supply: City —Well Size of Soakage Pit ss. ( Signed) No. __ r Street � / My Commission Expires 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 performed under this permit, as are licensed by Miami Shores Village. ( Signed) der. 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 by him stated are true. a 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. aU4DING LPCTRICAL LUMBING zOOFING )caner of wilding r f Architeey Contrctgtor or Builder Legal ' Lot Description ❑ DATF ❑ PERMIT IT ?. 11121 ❑ Work to be performed under this Permit MIAMI SHORES VILLAGE. FLORIDA Address of Value of (I Amt. of Building � �a 2 ) i' / 7 ,c. _.. Project $ Permit $ o _ H 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. R B ILDER BL Subdi- vision Signed • ✓ f> '- v °� ' ,�� -,-/'.--- � X , BY j 5 - - d % INSPE ' .� e ' .. In consideration of the issuance to me of this permit I agree t the work covered hereunder in compliance with all ordinances a nd 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. Contractor's License No 195 - " 4* Z 7 AI THORrur Describe Work: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbin _ Mechanical Roofing Owner's Name (Fee Simple Titleholder) 1450,./ f / ✓'OS I Phone # Owner's Address / 7,2 00 ,5 l) / th Ave City 7v1 /`Cl p14 / State F/. Tenant/Lessee Name Contractor's Company Name Submittal Fee SU Notary Scanning $3 • Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 It /iiuc y G- ' ®✓►t Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES State Certificate or Registration No. 5L no-a $ Value of Work For this Permit 2.-O0 Phone # 0�7 /vF TR. County Miami -Dade NO Zip 3 3 Phone # 3n8 234 5222 Contractor's Address /2/ 29 SCx) i3 / &IQ " -u '/ ' City k •l 1 1 State Zip : ±i Qualifier 0 1 O�1L ✓ m Certificate of Competency No. Architect /Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: ['Addition ['Alteration . CI New ['Repair /Replace © 8 Permit Fee $ Training /Education Fee $ e 0 * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning Bond $ '500 a' Structural Plan Review. $ Permit No. PL Off ` 1S6 Master Permit No. Zip ❑ Demolition CCF $ (c CO /CC ( Technology Fee $ .�� L W s' b`7 OFR "Y SEAL 6 z E0 Ma ,t; y U " .{ •• MI SSIQI N UMI 1 `C3 / 1 L M 'ad��l I MiES • F fP MAR. 17,2006 My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 ❑ ❑ O > o -o q 'a CD o O N 7 a �, 0 9 4 4. c IC Notice to Appttcant.' AS a conauion t0 trte issuance of u uuuutr, pc" mu wtut Uri GJ; tIMALC.1.4 vuScsc on,.00,.,.s- �......,,, ..t.t....,.,.... promise in good faith that a copy of the notice of conitnencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement Hurst be posted at the job site for the just inspection which occurs seven (7) days after the building permit is issz of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Or or, Ant � Contractor The foregoing instrument was acknowledged before me this The foregoing in ment was acknowledged before me this day of ____ , 20 , by , day of who is personally known to me or who has produced who is personally known to me or who has produced As identification a wlo•did take an oath. f as identification and who did take an oath. NOTARY S' Print: Signa J1 1 I NOTARY PUBLIC b co O j CP o r a d v t has til CT7 °Ding y --- Q) NS, 4 l"' j all �lJ R OF ,20,by * * * * * * * * * * * * * * * * * * * *. * * * * * * * * * * * * * ** ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ti fr / 7 _ Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/24/2005 Applicant: Owner: JOB ADDRESS: 897 NE 91 Contractor A LEAGUE CONTRACTORS, INC. Contractor's Address: 11400 N. KENDALL DR. SUITE 205 Local Phone: 305 - 234 -5222 Parcel # 1132060050300 Legal Description: GOLDEN GATE PARK ADDN PB 6 -130 LOT 26 & E1/2 LOT 25 BLK 2 LOT SIZE Fees: Description Amount FEE2005 -6491 Submittal Fee ($50.00) FEE2005 -6492 Building Fee $150.00 FEE2005 -6497 CCF $0.60 FEE2005 -6498 Training and Education Fee $0.20 FEE2005 -6499 Technology Fee $3.75 FEE2005 -6500 Scanning Fee $3.00 FEE2005 -6501 Builders Bond $300.00 Total Fees: $407.55 Total Fees: $407.55 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/12/2005 Construction Value: $200.00 Work: REPLACE EXSISTING LID FOR THE SEPTIC TANK Signed: (INSPECTOR) Plumbing Permit Permit Number: PL2005 -150 TERR Page 1 of 1 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: SI3 IC1S in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or buildings at the following address: Miami Shores Village, Florida BUILDER'S BOND KNOW ALL MEN BY THESE PRESENTS, that I, A LEAGUE CONTRACTORS, INC. of A LEAGUE CONTRACTORS, INC. 11400 N. KENDALL MIAMI FL 897 NE 91 TERR do hereby deposit with Miami Shores Village, Florida, the sum of: $300.00 and I agree with said Village that, when such construction shall have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me, used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the completion of such construction withing the meaning of such ordinances, the Village may clear and repair the same and pay the cost of such clearance and repairs out of the aforesaid Builder's Bond, and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then said Builders Bond shall be returned to me. Final: WITNESS MY HAND and Seal at Miami Shores Village, Florida this date: 5/24/2005 Signature INSTRUCTIONS TO BUILDER: When above mentioned construction is completed and the premises are cleared and repaired, take this bond to the Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement. VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused the surrounding premises to be cleared and repaired in as good condition as they were before commencing said construction WHEN CLEARED AND REPAIRED BY THE VILLAGE: Amount of Bond: $ Cost of clearing and repairs done by Village: $ Balance due Builder: $ Bond refund payable to applicant only. ($10.00 CHARGE IF BOND IS LOST OR DAMAGED) Cancelled: By Issued: 5/24/2005 Amount: $300.00 Bond #: FEE2005 -6501 Permit #: PL2005 -150 Village Building Inspector, Miami Shores (Date)