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PLUMBING PERMITSPERMIT O APPLICATION FOR MIAMI SHORES VILL Date Job Address / V 1 �1 / f T Tax Folio / / " 6 ' ° f / el -0 f 0 Legal Description Owner/Lessee / Tenant %.7 N ''° " /-Th 7 Y ' /NY. �. Owners Address / 9 '' ,3"4 e NI- G eel./ Contracting Co. 0 IA) 'j e,\I" Address Qualifier SS# State # Municipal # Competency # Architect/Engineer Address Bonding Company , Address Mortgagor - + Address Permit Type (circle one)4B BUILDING ELECTRIC PLUMBIN MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION / l [ 4'rt -- " „ a CC_ -4 ~ - 1z. aeo 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.) Square Ft. Estimated Cost (value) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be don pliance with all : pplicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work ed. Signature of owner and/or Condo President Notary as to Owner and/or Condo President My Commission Expires: My Commission E // gd FEES: PERMIT ` ( RADON APPROVED: Zoning Building '' Historically Designated: Yes No 97/1. Mechanical Plumbing 971 )4/moo �.;' rt•; er- Bumt:�r ' • Date Signa Date Notary as to Con . t -`'"' �- 0 C.C.F. 7 . N OTARY Master Permit l # Phone l � %r Electrical Phone Ins. Co. I '1 or o U ;; :4 y inTARY PUBLIC STATE OF ILORJDA COMMISSION NO. CC71413 MY COMMISSION EXP. MAR.1 Date r BOND - 6114 " / TOTAL DUE 1 Structural Engineer Note: This drawing is an artistic interpretation of the general appearance of the floor plan. It is not meant to be an exact rendition. THE HOME DEPOT 7120CA20 MAURICIO CASTILLO 102 N.E. 91 ST. MIAMI, FL. Dwg no. Note: This drawing is an artistic interpretation of the general appearance of the floor plan. It is not meant to be an exact rendition. THE HOME DEPOT 7120CA20 MAURICIO CASTILLO 102 N.E. 91 ST. MIAMI, FL. Dwg no. PERMIT APPLIC FOR MIAMI SHORES VILLAGE Date 47/ - /°OJob Address /CI 2 ist£ J / ` Tax Folio J //- / d / ` 0 / 1 7 - 0 0 / JJ �c Legal Description G-01 1I A 161219-k 701-17v4 A ( Historically Designated: Yes No Owner/Lessee / Tenant 5 CcaYits 1 / 2 -7virr put; Master Permit # 7 7/ 2. Owner's Address ✓D.f. frT ( //W 7r iv / rte Phoner r 4 Z' r 9 Contracting Co. 0 WA/ ER Address Qualifier State # Municipal # Ins. Co. Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle one). : UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN constructio Notary as to Owner My Commission Expir APPROVED: Zoning Mechanical and/or Co Poe p iii • OF 0. WORK DESCRIPTION Rf p(oc e LC ttc(fien c'cih; rt e'tS re - 6cti it room Rer+ -tone ctv\d replace r 1ooC -1-; 1 . t - ' v9hout house , Demo f - I - c Or1 On y Ft. Estimated Cost value � � OD D Square t. ( ) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). ,I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I rtify that all the for • ing information is accurate and that all work - do e ermore, I auth o • esident FEES: PERMIT 2' - RADON Building Plumbing the above -named contractor to do the w /2 Date Nilda M. Castillo Commission # CC 774 R(c g 0 ED THRU ate AI i.ANIIC eONOINO CO., INC. 0 0 C.C.F. 3. 60 SS# Competency # Address Signa NOTARY stated. Phone e of Contractor or Owner- Builder pliance with all laws regulating Notary as to Contractor or Owner - Builder Date My Conunission Expires: BOND ;0 /L 0 TOTAL DUE 7�? ' 7 6 Da 7/ 2 Electrical Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 7� I Date s 'OD Job Address 0 � ' ? / s f Tax Folio / / 34 01 011 D 0 / 0 Legal Description / �" w / Z Historically Designated: Yes No Owner/Lessee / Tenant ■77.) W aY / i• 1 114 ~ J/ - 41vil Master Permit # ( ` Owners Address 1 ( iY • f r d y / D Phone 13 0 �J g7 / Contracting Co. M I(Z" C?) ?It" R 14JL2 69€1C) Address J 0 4 CgitaA400AA 3IUD. K at F/• Qualifier ,10 , 0 I"I.Am - i/mut SS# - - Phone S)3(/// 405q State # Municipal # Competency # n Z) ns. Co. Address Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Signature of owner WORK DESCRIPTION 1 ap jD(t : 2 --wk-- t - Barki- T�13 2 - lovd It i - rowers 2• SH wers Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MEC CAL WORK. OWNERS AFFIDAVIT: certi construction and A gell% "fair an Condo' e APPROVED: Zoning Building Mechanical Plumbing 1 the foregoin ormation is accurate and that all work wi be done in complian with all applicable laws regulating I authorize ' above -named contractor to do the work sta ate Notary as to Owner and/or Condo President Date My Commission Expires: Signa Notary as to Contrac My Commission V/ FEES: PERMIT 0 RADON C.C.F.' NOTARY `� ° Electrical 1 5 00 2 S A0 Dat MICHELLE JIMEI1te MY Comm Exp. 8/W2002 No. CC 761348 Knonvl I J Ofher I.D. BOND TOTAL DUE 90V Structural Engineer Company Job Address Inspection Time Ready__ Date Ready R: • UEST FOR EC ION c A.M. P.M. APPLICATION FOR PLUMBING PERMIT Permit No. -1 d+1 4?-.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 be kept at building during progress of work. / Owner's Name and Address____ No /6 2.- h e 7 _ Street J Registered Architect and /or Engine Location and Legal Description Lot i 4 i Employing Plumber's Name __ _________ , No._ Block Nature of Supply: City —Well and Number where work is to be performed ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (Signed) r Date • Street State work to be performed and purpose of building (By Floors) 1 New Building RemodelingL Addition Repairs No. of Stories Street Size Septic..Tank _________ i 1 ( . Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well f Water Su 1 Cit —Well Size of Soakage Pit 6 Amount of Permit $ ig ned ) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an ei toyer of labor under the Florida Workmen's Compensation Act, tieing 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 ' only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. R' ,'4lumbin STATE OF FLORIDA, 1 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 Subdivision __ nspector. aster Plumber. NOTE: A re inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES ! SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT •NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT 1 GREASE I TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST I ' CHECK Ii APPLICATION FOR PLUMBING PERMIT Permit No. -1 d+1 4?-.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 be kept at building during progress of work. / Owner's Name and Address____ No /6 2.- h e 7 _ Street J Registered Architect and /or Engine Location and Legal Description Lot i 4 i Employing Plumber's Name __ _________ , No._ Block Nature of Supply: City —Well and Number where work is to be performed ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (Signed) r Date • Street State work to be performed and purpose of building (By Floors) 1 New Building RemodelingL Addition Repairs No. of Stories Street Size Septic..Tank _________ i 1 ( . Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well f Water Su 1 Cit —Well Size of Soakage Pit 6 Amount of Permit $ ig ned ) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an ei toyer of labor under the Florida Workmen's Compensation Act, tieing 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 ' only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. R' ,'4lumbin STATE OF FLORIDA, 1 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 Subdivision __ nspector. aster Plumber. NOTE: A re inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SKETCH OF SURVEY 1124 (DT 13 BOUNDARY SURVEY SCALE 1 "= *7 Sle2T te0,541 A -r PAV6t -i rtr LOT at I` • AO: � 1.1 i�ot-I F Y 76, _D L 3 LoT12 P I I PROPERTY ADDRESS: /02 A/E , y/ -r 5 T f-1 /4 1 / 5AeRe FG . LEGAL DESCRIPTION • /2 GF LOT 2 BLOCK 7 OF £G PO&TAZ. _ tcT „t .44/,0 7W ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 9 AT PAGE /4,.5 OF THE PUBLIC RECORDS OF COUNTY, FLORIDA. �.C/e5T LOCATION SKETCH SCALE 1". so' 2I . u 2 N I NOTES: THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS. IF ANY. AFFECTING THE PROPERTY THIS SURVEY IS SUBJECT TO DEDICATIONS. LIMITATIONS, RESTRICTIONS. RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY. IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN. EY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY. IF SHOWN. ELEVATIONS ARE REFERRED TO N.G.V.D. OF 1929. UNLESS OTHERWISE NOTED, THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTINGS AND/OR FOUNDATIONS. V ) z 0 W on co L1! CC C , r ^J O 0 LU J Q 7- cu 5 rsa r c < = = u s z c z H h h 9— " n n n„ n it " n ¢ z ti v. vi in 9 = FIELD WORK 4- Field BooK f 144 Q Date This cerhhes that a survey of the orooeny aeschoee nereon was mane under me supervision and that the survey meets the minimum tecnmcai s,anoaras set lorth Dv Ine Florida Boam 01 orotessional Jana surveyors in cnaoter 61G Fbnca Admmtstrauve code. pursuant to section 472.027. Florda statues. ¢- q.76. CERTIFIED TO: ESPERANZA SANZ FAIRWAY TITLE COMPANY INC. GUARANTEE TITLE $ TRUST, INC. NORTHSTAR MORTGAGE CORP. THE FLA FLOOD INSURANCE RATE MAP DATED ?— td 4 14 PUBLISHED BY THE FEDERAL EMERGENCY MANAGMENT AGENCY (F.E.M.A.), DELINEATES THE HEREIN DESCRIBED LAND TO BE SITUATED WITHIN ZONE /1( Community No. Panel No. Suthx /z0&.52 C309.5 11 11 11 It n n n It J — .L — — Z � ` Z no 77 _ O scar E. ae J J Y z STATE OF FLORIDA Baez- Cusrdo P.L.S. N 5034 Order N° 964 - O4Ce Not valid. uniess signed Dated d Stemma wan emoossed sea BAEZ & `'` OCIATES, INC. LAND SURVEYOR •LAND PLANNERS 434 S. W. 63 rd Ave. • Miami. Ronda 33144 Office: (305) 265 -1002 • Fax: (305) 265-0608 1 11 11 11 11 11 11 11 11 9 m — x n 0 0 9 1 n 11 " _ :..1 7 v L y Z = z z O - ? V-- - - tit t Y • 3s s as !T 4.0 Poniractor i � 0 fgrilft'ett.ri: ". 01.*6(1 le t •= ager.asi, " •'?1 • • • q..p..!.,..n->•••'.-• . _ . ' • t • • . ••• .r • t9 1 .t 4 W.e' L • COPY _.�.— CLOSaTt BATH Twos •MOWERS LAVA. TORIES SINKS SLOP /INKS LAUNDRY TY,a UR INA CATCH •ASIN FLOOR DRAIN DRINK NO FOUNT' 81111 TOTAL PI11tYR CO — CONTR. LIST SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR NEATER Davi WELL S SYSTEM SWIM'G POOL CONTR. LIFT • CHECK �Cp "�J �— Permit No.. .C2,3 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application L 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. / � i (� l Owners Name and Address L I-' S - _ 0 1 No. /0,D / r r. Street...9 L.r0 4 — ... Registered Architect and /or Enpoeer Employing Plumber's Name --r,-. No, .:.� .L. / . . 6 ? . - Location and Legal Description Lot._ Block— Subdivision.______ Street and Number where work is to be performed —No. / t� D m- Street. 9' Lz . T State work to be performed and purpose of building (By Floors)--. _ _-.— New Building.— _..- -- _ _ Remodeling__—_......._.__.. —_ Addition.. — Repairs No. of Stories . .... Size Septic Tsnti Feet of Drain Nature of Water Supply: City —Wells Capacity Gals•--- -•- -• --._ �.__ — _.__ Type of Tanis_._.. Feet of Tank or Drain Field from ... Size of Soakage Pit Amount of Permit :40 l I' (Signed) rs k. , \" S'' UY The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and hot 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 u arc required by the Act. The undersigned agrees to employ only such sub-contracton, work to be perf er this permit, as are licensed by Miami Shores Village. (Signed) Plumbing Inspector. Master Plumber. STATE OF FLORIDA. l u. 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 dep oses and says that be is the - -•._ .._.._._._...__.. _ _... — __.._.._ of the above described construction, that be has carefully read there`aing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Fulda NOTE: A re- inspection fee of $1.00 will be made whoa such s•sp•otlae Y saade•a• essay by Improper modern for Impaction, of faulty materials and /or wakmanuhlp 3 / ° / PERMIT APPLICATION FOR MIAMI SHORES VILLAGE /OZ ,l/E' 9/ .11 Tax Folio Date 4 Legal Description Historically Designated: Yes No Owned / Tenant ��44l/RpOl" Master Permit # Owner's Address /ate /e0/‘' 7/ M Phone Contracting Co. riry Address eV,e F' ' Qualifier SS# ( - �� Phone 9SGS Y 9) State #��irar t fZ Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL ' LUMBIN MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION G�le c / ; Job Address Municipal # Competency # ,C', -s G_-) Square Ft. Estimated Cost (value) 90 ' WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. FEES: PERMIT 31: RADON APPROVED: Zoning Mechanical o!{ as to wn= . 4 aP Conde .;i 1;> � My Commission Expires: • �'" , oo?R0 C.C.F. * s NOTARY TOTAL DUE y 1 , Ins. Co. ignature of Contractor or Owner- Builder 9, U 2 otary as to Contractor ttorr orr OwackBuilder My Co rs igi`FRpbregFF :citi. : ,. O,: FAO Date Date Permit No. 10 d C V k0 0 Amount of Permit $ � pa Size Septic Tank � — Feet of Drain Tiles Nature of Water Supply: City —Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING' PERMIT r Date r e I o. 4 — — -- Application is hereby made for the approval of he 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 Flo L da, 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 _# 4 4 i -S • No. IQ _?. Street_ �1 _ ,t_ _ AU___i___ ___ Registered Architect and /or Eng Employing Plumber's Name VV 74.5 1 Street_i__ _)____ � Location and Legal Description Lot / _ ._W __�_ _9.- ____ Block__ Subdivision_- _ _ ! Street and Number where work is to be performed —No i_a__2,...______ 11. _ L ___ Street 9/ ___ _ ------------- ________ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories ____Type of Tank_ Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws'of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require 'similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, t COUNTY OF DADE. ss. (Signed) 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 BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. 10 d C V k0 0 Amount of Permit $ � pa Size Septic Tank � — Feet of Drain Tiles Nature of Water Supply: City —Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING' PERMIT r Date r e I o. 4 — — -- Application is hereby made for the approval of he 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 Flo L da, 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 _# 4 4 i -S • No. IQ _?. Street_ �1 _ ,t_ _ AU___i___ ___ Registered Architect and /or Eng Employing Plumber's Name VV 74.5 1 Street_i__ _)____ � Location and Legal Description Lot / _ ._W __�_ _9.- ____ Block__ Subdivision_- _ _ ! Street and Number where work is to be performed —No i_a__2,...______ 11. _ L ___ Street 9/ ___ _ ------------- ________ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories ____Type of Tank_ Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws'of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require 'similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, t COUNTY OF DADE. ss. (Signed) 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. New Building r� Size Septic Tank Feet of Drain Tile Nature of Water Supply City ,Well Amount of Permit $ 7 STATE OF FLORIDA, COUNTY OF DADE. ss. Remodeling My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date ( Signed ) _ - � X -� Permit No / 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 t ' ` t . C , No U Street `ll � / Registered Architect and /or inee ___ 1, .. - _.i.� ( Employing Plumber's Name 0 - - "`,I. tot C I No .>/ 9 Street ''L ' J y G� Location and Legal Description Lot / 4 IfSti - Block ________________________ Subdivision Street and Number where work is to be performed— No._ 1 71 02- Street (21 `v- e L --- of Tank - Capacity Gals _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit State work to be performed and purpose of building (By Floors) Addition Repairs No. of Stories (Signed) /LC ! ���•` �� plumbing Inspector. The undersigned applicant for this building permit does hereby certify. that heIiin /erstands and accepts his obligatio96 s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Coipiled General Laws of Florida Permanent plement, 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 beerformed under this permit, as are licensed by Miami Shores Village. 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. Notary Public, State of Florida 0 - i - r Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS / LAVA- TORIES / L/I SINKS / SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST 'Y �/� / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST • CHECK New Building r� Size Septic Tank Feet of Drain Tile Nature of Water Supply City ,Well Amount of Permit $ 7 STATE OF FLORIDA, COUNTY OF DADE. ss. Remodeling My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date ( Signed ) _ - � X -� Permit No / 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 t ' ` t . C , No U Street `ll � / Registered Architect and /or inee ___ 1, .. - _.i.� ( Employing Plumber's Name 0 - - "`,I. tot C I No .>/ 9 Street ''L ' J y G� Location and Legal Description Lot / 4 IfSti - Block ________________________ Subdivision Street and Number where work is to be performed— No._ 1 71 02- Street (21 `v- e L --- of Tank - Capacity Gals _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit State work to be performed and purpose of building (By Floors) Addition Repairs No. of Stories (Signed) /LC ! ���•` �� plumbing Inspector. The undersigned applicant for this building permit does hereby certify. that heIiin /erstands and accepts his obligatio96 s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Coipiled General Laws of Florida Permanent plement, 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 beerformed under this permit, as are licensed by Miami Shores Village. 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. Notary Public, State of Florida 0 - i - r Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.