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PLUMBING PERMITS
Owner's Address Owner/Lessee / Tenant Qualifier Robert E. Brincefield State # CFCO -19042 Municipal # Architect/Engineer Bonding Company Notary as to Owner and/or My Commission Expires: FEES: PERMIT .,/ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 9 - 7 -99 Job Address 525 N.E. 90th Street Legal Description Clifford Leander 525 N.E. 90th Street, Miami, F1 33138 c ontract i ng Co, Coastal Plumbing Co. of Miami WORK DESCRIP'T'ION Replace existing electric water heater Signature er and/or Condo President ndo President RADON Date "'"ltN Patricia Stover MY COMMISSION # CC839914 EXPIRES a .�` .. '• Je 28, 2003 4 I BONDEDTHRUT INC. APPROVED: Zoning Mechanical Plumbing 9 -7 -99 Date 9 -7 -99 Tax Folio Historically Designated: Yes No Square Ft. Estimated Cost (value) $200.00 ss# Phone 305- 651 -4429 Competency# 6264 Ins Co Collinsworth, Alter, et al Address Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL ' LUMBING MECHANICAL ROOFING PAVING FENCE SIGN 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). 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. Address Building _ 9 Master Permit # Phone 305 - 751 -8380 285 N.E. 185th Street, Miami, F1 33179 Signature of Contractor or 0 Electrical uilder Notary as to Contractor or O ' er- Builder My Commission Expires: Patricia Stover MY COMMISSION # CC839914 EXPIRES June 28, 2003 BONDED 1HRU TROY FAIN 4NSURANCE, INC TOTAL DUE 9 -7 -99 Date C.C.F.' NOTARY °�� ° BOND Date 9 -7 -99 Engineering .-� ` -� b�..�r'�i? ��. - - - - -- -- --- ---__._ .-_ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and di provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor . (Owner's r. a(Owner's Name and Address a c = _ __. ..... :_. L. - ._ CI -.1..1 2 � � G' �` � _ Street � Re Architect and /or En - - - - -_ _ ___ _..__ - - - - -_ Employing Plumber's Name 6)./..S72.1 ti 2 Lurttion and Legal Description Lot Strom and Number where work is to be performed —No State work to be performel and purpose of building (3y Floors)___. New Building_- ____— _- - -_ -_- - -- - -- - - - - - -- Remodeling_- _-___. Size Septic Tank_ Feet of Drain Tile.-__ -_ -- Nature of Water Supply: City—Well. Amcunt of Permit $- _ ...... _ - - -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition. ' - No.. C �� ^ _ Streets , << 4 if(' Subdivision__ Street. Block Type of Tank_ Capacity Gals .__Dist. Feet of Tank or Drain Field from Well _.-- --- -- --•-- --- -__ __. -- -Size of Soakage Pit (Signed)_ Repairs No. of Stories. 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 5968, 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 req-tair+ed 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)._ �la_ KLL G � Master Plumber. STATE E 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 easefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Conunission 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 rn>t vials and /or vorkffianship. BATH CLOSE= Tues SHOWERS LAVA- TORIES SINKS - SLOP SINKS LAUNDRY Tu s U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT' KO .. TOTAL FIXTURES Lam. LIt34 ` CMECt( —.__ "-y • SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL ecNrs. LIST CMBCK 1j J� ° .. , ` -- — .-� ` -� b�..�r'�i? ��. - - - - -- -- --- ---__._ .-_ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and di provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor . (Owner's r. a(Owner's Name and Address a c = _ __. ..... :_. L. - ._ CI -.1..1 2 � � G' �` � _ Street � Re Architect and /or En - - - - -_ _ ___ _..__ - - - - -_ Employing Plumber's Name 6)./..S72.1 ti 2 Lurttion and Legal Description Lot Strom and Number where work is to be performed —No State work to be performel and purpose of building (3y Floors)___. New Building_- ____— _- - -_ -_- - -- - -- - - - - - -- Remodeling_- _-___. Size Septic Tank_ Feet of Drain Tile.-__ -_ -- Nature of Water Supply: City—Well. Amcunt of Permit $- _ ...... _ - - -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition. ' - No.. C �� ^ _ Streets , << 4 if(' Subdivision__ Street. Block Type of Tank_ Capacity Gals .__Dist. Feet of Tank or Drain Field from Well _.-- --- -- --•-- --- -__ __. -- -Size of Soakage Pit (Signed)_ Repairs No. of Stories. 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 5968, 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 req-tair+ed 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)._ �la_ KLL G � Master Plumber. STATE E 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 easefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Conunission 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 rn>t vials and /or vorkffianship. APPLICI TION FOR PLUMBING PERMIT I .2 Pets f - L- __ `� .2 - 3 o _ .7 _ _ Date. Appli is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structur herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provision:. 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. O?:':.cso Name and Address P�11U Fe //MO 07 No :�? Registered Architect and /or Engineer Employing Plumber's Name 1" / C ‘ ^( - - - --._ No..J. ( C Street t / 2 :C Z Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /' Y ea ' Amount of Permit r STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT State work to be performed and purpose of building (By New Building - -. _— _ - -- -._ Remodeling _ Addition. ------ _---- __._.. Repairs No. of Stories. ....... . Size Septic Task__ _Type of Tank —__ Feet of Drain Tile..__— .___Dist. Feet of Tank or Drain Field from Well Nature of Water Supplyty—*ell Size of Soakage Pit (Signed)- 1) (Signed) 9 6 5 7 .Capacity `� -- Plumbing Insp Notary Public, State of Florida /. � The undersigned applicant for this building permit does hereby certify that he understands and accepts his oygations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pernianent 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 to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. CLOGIITS T BATH UBS SHOWERS TORIES SINKS SINKS LAUNDRY Tuns .? � ! "7C -' :y. FLOOR DRAIN DRINKING FOUNT'N6 A ✓ / TOTAL FIXTURES CONTR. LIST ° v im . � _ 3 / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIUT l ( / CHECK — APPLICI TION FOR PLUMBING PERMIT I .2 Pets f - L- __ `� .2 - 3 o _ .7 _ _ Date. Appli is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structur herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provision:. 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. O?:':.cso Name and Address P�11U Fe //MO 07 No :�? Registered Architect and /or Engineer Employing Plumber's Name 1" / C ‘ ^( - - - --._ No..J. ( C Street t / 2 :C Z Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /' Y ea ' Amount of Permit r STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT State work to be performed and purpose of building (By New Building - -. _— _ - -- -._ Remodeling _ Addition. ------ _---- __._.. Repairs No. of Stories. ....... . Size Septic Task__ _Type of Tank —__ Feet of Drain Tile..__— .___Dist. Feet of Tank or Drain Field from Well Nature of Water Supplyty—*ell Size of Soakage Pit (Signed)- 1) (Signed) 9 6 5 7 .Capacity `� -- Plumbing Insp Notary Public, State of Florida /. � The undersigned applicant for this building permit does hereby certify that he understands and accepts his oygations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pernianent 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 to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. Permit r _ � - Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lo Street and Number where work is to be performed —No R eK� State work to be performed and purpose of building (By Floors) New Building _-------- - - - - -- - ---_ -- Remodeling —_ — __ -_ -- Addition Amount of Permit $ STATE OF FLORIDA, I es. COUNTY OF DADE. CtBQMO EI ©nEs VOLLQGL MMHG D SPI;CTION DEPARTMENT aPpL clam© KO2 K©2 PLUMW 0 PERMIT MIT Block (Signed ) No. Repairs 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 end 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. Street. 4a-‘0 -NV Street-. —. Dater - -- - -- - - -- --- ----- - -.... Subdivision --01.C'.! Street_ -_- No of Stories. _ _ Size Septic Tank- .___- __Type of Tank: —_ Capacity Gals.__ -_ _6/� " Feet of Drain Tile_ el� ® - - - - -- -Dist. Feet of Tank o Drain Field from Well Nature of Water Supply: City — ell.____- -._ ... ___ ... ____ ____ Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his op(gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perin +nent Supplement, and has corn - 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 flee Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under , pernit, as are licensed by Mimi Shores Village. y Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of 01.00 will be made whae =oh re is made • nezessary by improper notic3 for ins a, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- YeRIEB OINKS SLOP SINKS LAUNDRY TUBS UR CATCH BASIN 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 SWIM•G POOL COHTR. LIST _ CHECK Permit r _ � - Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lo Street and Number where work is to be performed —No R eK� State work to be performed and purpose of building (By Floors) New Building _-------- - - - - -- - ---_ -- Remodeling —_ — __ -_ -- Addition Amount of Permit $ STATE OF FLORIDA, I es. COUNTY OF DADE. CtBQMO EI ©nEs VOLLQGL MMHG D SPI;CTION DEPARTMENT aPpL clam© KO2 K©2 PLUMW 0 PERMIT MIT Block (Signed ) No. Repairs 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 end 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. Street. 4a-‘0 -NV Street-. —. Dater - -- - -- - - -- --- ----- - -.... Subdivision --01.C'.! Street_ -_- No of Stories. _ _ Size Septic Tank- .___- __Type of Tank: —_ Capacity Gals.__ -_ _6/� " Feet of Drain Tile_ el� ® - - - - -- -Dist. Feet of Tank o Drain Field from Well Nature of Water Supply: City — ell.____- -._ ... ___ ... ____ ____ Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his op(gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perin +nent Supplement, and has corn - 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 flee Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under , pernit, as are licensed by Mimi Shores Village. y Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of 01.00 will be made whae =oh re is made • nezessary by improper notic3 for ins a, or faulty materials and /or workmanship.