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901 NE 91 TerrPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address q 06 NE q l TER Tax Fol io // e B� Q3 "& /l/ l/ ® ? 1?f Legal Description Ir /d Owner / Lessee / Tenant Owner's Address 901 NE TE R, t4S 33468 phone Contracting Co. NOR.T 14 DADE SEPTIC Address (9W my j 14 ) 5T EET Qualifier DE I N \EV1 LL ss# phone 754 - 331S State# 0258368 we,-Competenc Q28 #2_ Ins. Co. VELEt -.S Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL •LUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION 1KSTA Square Ft. 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. 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 info will be done in compliance with all applicable laws Furthermore, I authorize the above -named contractor to Signature Date: of Owner aid /or Condo President Kota a- to Owner :nd /or Condo President My Commission Exp res: NOTARY PUBLIC St ATE OF F :C T ; * *AT COMMI*ON EX PI E a*i::, . , i *; BONDED THRU HUC(LE;,:'::.Y Z, P.:S:.:CiA _5 PERMIT FEE: APPROVED: Fire Address Address Address Sig aturi of Da -: y * 0 " 00 � �� Zoning Building 3.1 .00 r Plumbing 4✓ OY' as to ommission Estimated Cost Other '7 5Li- -2662 / to m n is accurate and that all work egula ing construct * on — and zoning. o the w•rk stated. or Owner- Builder actor or Owner- Builder i PUBLIC; STA T2 OF 11.0 ;:f)A AT L:,;7:.- * MY CAIMMISSION *PIM:FS 1U:i*i ;, 1 t ONDED THRU HUCKLSZERi;Y a P:SSpcIAT.'.S Electrical � - - 1 CO L I T TR. I ' CLOarra B A T UB TN [ SNOW [RS LA VA• TORIES SINK$ SLOP $INK[ LAUNDRY TUaa URINALS CATCH BASIN FLOOR ORINKINO DRAIN RGUNT'Na TOT -,L FI[T I REa / / / /�-- — CHECK �L ! - _ - - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER Dace WILL SPRKLR. SYSTEM SWIM'G POOL CoNTR. LISTr— CHECK Penni. No. '..wner's Name and Address. ,egist .red Architect and /or Engineer :mploying Plumber's Name - At / ... Ci c Location and Legal Description Lot__ 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 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ 1i tensed by Miami Shores Village. ..14-r- 0 ., 602 Date. :,; is hereby made for the approval of the detailed etatement of the plans and specifications herewith subs r; .d for the building or other tructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.:. ! Shores Village, Florida, 4,:d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic' • of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and spec fications mist be kept at ',ullduig during progress of work. ..__... —. No. Street_.. F . 9/ .,.. ,,...- Street.Z. .., Block Subdivision.- __. - - Street and Number where work is to be performed—No. .___ / d / ,M / <_! ` Street State work to be performed and purpose of building (By Floors) New Building- ..- -. -- --.- Remodeling Addition. -. Repairs Capacity (' .als.. N. of Stones `iCV L Plumbin:i Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n;rloycr of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent ; upi lenient, snd Ilan 114 d with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in ' ,. -, ;k c b- on-funned under this permit; and will post or cause to be posted' for inspection on the site of the work such pub!: required by the Act. The undersigned agrees to employ only such b- contractors, an work to be performed notice l•. no ir..-r 1s a: r a this ," .r1 u,, .r . Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pes ior. , ' , pp. arec. r ...eS;_. _4_ y — — — — —_ -- 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 this _ ,e did sign the same, and that all acts therein by him stated pre true. • otary Public, Stale of Florida of Caw My Commission Emj My Commission Expires Notary Public, State of Florida NOTE: A re inspection fee of $1.00 will be made when such so-inspection is mode necessary by improper notice for inspection, materials and /os workmanship. or taunt) Owner 7J c;? __— Septic Tank & Drainfield Plumbing - Final When reagy Received by Date PLUMBING - IiTSPECTION Permit No Work done by Address of work q/ 0 \‘4 Gas Roujl Time //4.1 AM Top out X PM Permit No. f 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 tri lty� K /y�L�!k� No._ r 9 Registered Architect and /or Engineer __ _ _ F __ __ � ,� 0_ �� -_,._ ' Employing Plumber's Name __ r AAA No l O' Location and Legal Description Lot_4 / IJ� Block Street Street and Number where work is to be performed —No 7 II A/ 4E 9J 4'7 New Building Amount of Permit $__ 1 � APPLICATION FOR PLUMBING PERMIT SS. MIAMI SHORES VILLAGE My Commission Expires PLUMBING INSPECTION DEPARTMENT State work to be performed and purpose of building (By Floors) Remodeling Addition Repairs No. of Stories 1/ Size Septic Tank Type of Tank __ _t aP� ?_S Capacity Gals Feet of Drain Tile - 76 a ` Dist. Feet of Tank or Drain Field from Well o) Nature of Water Supply : iC ty —Well. Size 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 under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) i� ( � er 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. 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. ,&" 7LA' F/ � / Date_1 _ -- Street SubdivisionP_AE ) _!1!().L% Street •___ Street Notary Public, State of Florida (°7 4 �L }c% Master Plumber. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR i 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 SWIM'G POOL CONTR. LIST CHECK: Permit No. f 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 tri lty� K /y�L�!k� No._ r 9 Registered Architect and /or Engineer __ _ _ F __ __ � ,� 0_ �� -_,._ ' Employing Plumber's Name __ r AAA No l O' Location and Legal Description Lot_4 / IJ� Block Street Street and Number where work is to be performed —No 7 II A/ 4E 9J 4'7 New Building Amount of Permit $__ 1 � APPLICATION FOR PLUMBING PERMIT SS. MIAMI SHORES VILLAGE My Commission Expires PLUMBING INSPECTION DEPARTMENT State work to be performed and purpose of building (By Floors) Remodeling Addition Repairs No. of Stories 1/ Size Septic Tank Type of Tank __ _t aP� ?_S Capacity Gals Feet of Drain Tile - 76 a ` Dist. Feet of Tank or Drain Field from Well o) Nature of Water Supply : iC ty —Well. Size 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 under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) i� ( � er 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. 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. ,&" 7LA' F/ � / Date_1 _ -- Street SubdivisionP_AE ) _!1!().L% Street •___ Street Notary Public, State of Florida (°7 4 �L }c% Master Plumber. {tItu 11 Permit No Size Septic Tank Feet of Drain Tile_ ______ 6's "" Nature of Water Supply: City —Well. Amount of Permit $_ 7 I APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 9 A .Pe /� Registered Architect and /or Engineer PA_ 9/ 61 _ Employing Plumber's Name _ 4!____ No — '$ Location and Legal Description Lot/ _ __ � � B� Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories. My Commission Expires The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to ss. appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says of the above described construction, that he has carefully read the foregoing pplica therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Type of Tank _ ?E. Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) (Signed) No. _ 7/ d Date Street Street Subdiwisi��0 & _ _ C _ - _ E C T Z _ _ _ _ _ _ _ ___ f"C°_ Z. Street Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are the Capacity Gals ( /off Sr' Master Plumber. administer oaths and take acknowledgments, personally he did sign the same, and that all facts Notary Public. State of Florida made when such re- inspection is made necessary by improper notice for inspection, •or .faulty CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN 1 FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST. S r j CHECK / d I SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CON'TR. LIST CHE {tItu 11 Permit No Size Septic Tank Feet of Drain Tile_ ______ 6's "" Nature of Water Supply: City —Well. Amount of Permit $_ 7 I APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 9 A .Pe /� Registered Architect and /or Engineer PA_ 9/ 61 _ Employing Plumber's Name _ 4!____ No — '$ Location and Legal Description Lot/ _ __ � � B� Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories. My Commission Expires The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to ss. appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says of the above described construction, that he has carefully read the foregoing pplica therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Type of Tank _ ?E. Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) (Signed) No. _ 7/ d Date Street Street Subdiwisi��0 & _ _ C _ - _ E C T Z _ _ _ _ _ _ _ ___ f"C°_ Z. Street Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are the Capacity Gals ( /off Sr' Master Plumber. administer oaths and take acknowledgments, personally he did sign the same, and that all facts Notary Public. State of Florida made when such re- inspection is made necessary by improper notice for inspection, •or .faulty fr- 4 1 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 conformi the Building' Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinanc i of Miami S illage 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 Engineer Employing Plumber's Name d <- " In Location and Legal Description Lot / _ Y ' ss, My Commission Expires - I MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date a ,e'e Qfi 4 � ru .' Street and Number where work is to be performed —No o— did State work to be performed and purpose of building (By Floors) New Building Remodeling Size Septic Tank Type of Tank ._ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. .. Size of Soakage Pit The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit: and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. 0 j" c' STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly Street ) Block Subdivision - 11� 71 2 . / Street I, Addition Repairs No. of Stories (Signed) No. I No a A . " �-� Amount of Permit $ (Signed) c_r_ 1 ' to" ' Street Notary Public. State of Florida Via rtify that he understands an accepts his obligations as n (employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or suli- contractors employed by him in the work to be inspection on the site of I the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Mast2"r Plumber. ti' 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 hel 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. 9 r/ 2/, �� 62/('! CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URIN CATCH BASIN I FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK CONTR. LIST SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CHECK &I\ 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 conformi the Building' Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinanc i of Miami S illage 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 Engineer Employing Plumber's Name d <- " In Location and Legal Description Lot / _ Y ' ss, My Commission Expires - I MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date a ,e'e Qfi 4 � ru .' Street and Number where work is to be performed —No o— did State work to be performed and purpose of building (By Floors) New Building Remodeling Size Septic Tank Type of Tank ._ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. .. Size of Soakage Pit The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit: and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. 0 j" c' STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly Street ) Block Subdivision - 11� 71 2 . / Street I, Addition Repairs No. of Stories (Signed) No. I No a A . " �-� Amount of Permit $ (Signed) c_r_ 1 ' to" ' Street Notary Public. State of Florida Via rtify that he understands an accepts his obligations as n (employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or suli- contractors employed by him in the work to be inspection on the site of I the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Mast2"r Plumber. ti' 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 hel 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. 9 r/ 2/, �� 62/('! 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. t•6-} j � Owner's Name and Address ___ 41,../0-6i4 C4 E No. Street Registered Architect and /or Engineer ___t = ' _ Employing Plumber's Name G (..44c "' •& ° / No Street / //� / Subdivision t Location and Legal Description Lot 4 I0 B lock Street and Number where work is to be performed —No 9' a / i Street 1,0 9/ P State work to be performed and purpose of building (By Floors) 1 ! New Building G^'` Remodeling_____ Addition Repairs No. of Stories ___l Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile I 0 49 Dist. Feet of Tank or Drain Field from Well � P Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, ss. COUNTY OF DADE. MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT My Commission Expires 9 Size of Soakage Pit. (Signed) Date Not 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 Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contraytors or sub icontractors employed by him in the work to be performed under this permit: and will post or cause to b pos fothns wr site of ithe work such public notice or notices as are required by the Act. The under signed agrees to emplo y 2 .A4 - rb-c rk{ to be performed under this permit, as are licensed by Miami Shores Village. �� ^ s �` Master Plumber. authorized Before me, the undersigned authority, a notary blic, du to administer I 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 lis 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN I FLOOR ' DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST l''' / � - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL 1 CONTR. LIST / / �A 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. t•6-} j � Owner's Name and Address ___ 41,../0-6i4 C4 E No. Street Registered Architect and /or Engineer ___t = ' _ Employing Plumber's Name G (..44c "' •& ° / No Street / //� / Subdivision t Location and Legal Description Lot 4 I0 B lock Street and Number where work is to be performed —No 9' a / i Street 1,0 9/ P State work to be performed and purpose of building (By Floors) 1 ! New Building G^'` Remodeling_____ Addition Repairs No. of Stories ___l Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile I 0 49 Dist. Feet of Tank or Drain Field from Well � P Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, ss. COUNTY OF DADE. MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT My Commission Expires 9 Size of Soakage Pit. (Signed) Date Not 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 Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contraytors or sub icontractors employed by him in the work to be performed under this permit: and will post or cause to b pos fothns wr site of ithe work such public notice or notices as are required by the Act. The under signed agrees to emplo y 2 .A4 - rb-c rk{ to be performed under this permit, as are licensed by Miami Shores Village. �� ^ s �` Master Plumber. authorized Before me, the undersigned authority, a notary blic, du to administer I 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 lis 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. /1 BUILDING ELECTRICAL PERMIT A ° 461 PLUMBING Owner of Building Architect and /or Engineer Contractor or Builder____ NAME Proposed Location — -- — — — — — — LOT BLOCK SUB- DIVISION NO. STREET This permit is issued to To______________ _________ _ _____ the building above described, as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. $ .-- - - - - - -- AMOUNT NAME NAME ADDRESS ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT , 19 LICENSE NO. LICENSE NO. RECD. PAYMENT ACCT. DEPT. INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and pans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. Dated-- — — 19 — — ------------------ ----- -______----- ------ - - ---- -- --- ---- - - -- (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- 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. - ELECTRICAL PLUMBING O mer of Building Architect and /or Engineer 1 Proposed Location 1 / Dated This permit is issued to AMO PERMIT A N° 461 NAME LOT BLOCK • the building above described, as per application, Plans and that all facts stated in the application are true and that the and compliance with the building laws of the State of regulations of the building department of Miami Shores laws, ordinances or rules and regulations, or upon any RECD PAYME Contractor or Builder NAME SUB -D ISION Specifications heretofore filed in this ioffice. This permit is granted upon the express condition construction complies strictly with the plans and specifications submitted, and in accordance orida and with the building ordinances and zoning laws of Miami Shores Village, and rules and ll "a This permit may be revoked, at any time upon the violation of any provisions of said n the plans and specifications unauthorized by the b ilding inspector. E.,7 NT ACCT. DEPT 0 1 7 c _, 19 _ ADDRESS ADDRESS ADDRESS !MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT LICENSE NO. LICEN E , 19 To NO. sweer INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and arts and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ojdi yces and zoning laws of Miami Shores Village and all rules and regulations l of the building department of Miami Shores Village. — (SEAL) NOTE A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A 4e- 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. o i v a BtHi - DING ELECTRICAL PERMIT A N° 558 PLUMBING Owner of Building Architect and /or Engineer Contractor or Builder_ Proposed Location This permit is issued to AMOUNT Dated - NAME ADDRESS LICENSE NO. NAME ADDRESS NAME ADDRESS LICENSE NO. LOT - BLOCK SUB - DIVISION NO. STREET . RECD. PAYMENT ACCT. DEPT. 19 - -- — MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 19 To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- 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.__ 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 Engineer Employing Plumber's Name Location and Legal Description Lot MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ' ,PERMIT Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building � Remodeling Addition Size Septic Tank Type of Tank. Capacity Gals. Feet of Drain Tile______ 6 (�� Dist. c Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. �_t'fFr Size of Soakage Pit Amount of Permit $ _ STATE OF FLORIDA, j ss. COUNTY OF DADE. No. Street No Street Block_ ___l___ ti Subdivisio _ Street (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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 under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date Repairs No. of Stories___/ Plumbing Inspector. Master Plumber. to administer oaths and take acknowledgments, personally Before me, the undersigned authority, a notary public, duly authorized appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST t - -/' � // / / 1 {/� J //7 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / l/ CH ECK 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 Engineer Employing Plumber's Name Location and Legal Description Lot MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ' ,PERMIT Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building � Remodeling Addition Size Septic Tank Type of Tank. Capacity Gals. Feet of Drain Tile______ 6 (�� Dist. c Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. �_t'fFr Size of Soakage Pit Amount of Permit $ _ STATE OF FLORIDA, j ss. COUNTY OF DADE. No. Street No Street Block_ ___l___ ti Subdivisio _ Street (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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 under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date Repairs No. of Stories___/ Plumbing Inspector. Master Plumber. to administer oaths and take acknowledgments, personally Before me, the undersigned authority, a notary public, duly authorized appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. - CLOSETS BATH TUBS SHOWERS LAVA - TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST i CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST t' 1' CHECK Permit No. G MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date 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 work. Owner's Name and Address %✓ ^ / No. 1 ®1 h Street ? i Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Ji __ ! No (� L l Street () c . I .^ Block (1 Subdivision State work to be performed and purpose of building (By Floors) Street and Number where work is to be performed —No Street New Building Remodeling Addition ' Repairs No. of Stories My Commission Expires (Signed) / ✓v Size Septic Tank Type of Tank. Capacity Gals ._________________________�_ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit C) j / A / -j / �/' N ✓/ Amount of Permit $ (Signed) �l�rL '� -.. - = -_r ( ( � , __z 4f-- 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 1 STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths appeared re Plumber. ,Notary Public, State of Florida and take acknowledgments, personally 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. 0