Loading...
PLUMBING PERMITMIAMI SHORES. VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Requ Date Type Insp'n Permit No. Name Address I R - cy c. , ,,, Company 0 i Phone # OS For Inspector: Ct IS 1 Approved Correction Re- Insp'n Fee Qualifier Buildin. Department BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical ( Plumbi g Mechanical Roofing Owner's Name (Fee Simple Titleholder) M el, 5S Q Owner's Address 120 tel q ( �T - Cit I',( fAtu ,5"hbir - state Tenant/Lessee Name Job Address (where the work is being done) 2 () ] L / f e City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated( YES) NO Si 6 1 4 e Contractor's Company Name ` l ( �C l t � 'j { wles # 3 J 5j.. Z T 3� Contractor's Address 9 6 I t lJ c yam' City M' l P1 1(/ State L Zip _ .3-16, Vie 0 4 S / 1 L */G /U I A( Architect/Engineer's Name (if applicable) . Phone # Architect/Engineer's Address City State Zip $ Value of Work For this Permit 4(J� Number of: Bays Stories Type of Work: ['Addition ['Alteration Describe Work: Q ._ Miami Shores Village Families [New t ic? (4) * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee $ "l . C.� Permit Fee $ / we Education/Training Fee $ Tech $ Scanning $ Code Enforcement $ Bond $ Struct. $ 10050 N.1 Miami Shores, l Tel: (3 Fax: (3 Permit No. ?( 2oB Master Permit No. a Zip 3 2 I Phone # Square Footage Of Work: Bedrooms Baths ❑ Repair/Replace ❑ Demolit Notary $ Radon $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opl + ∎Ck C! C-- : )) ' 4 B( B( Ci M M Ci A� co co W 0 ap "' PA C( C( Nc pr. wi fog inc TI da Nc Si: Pr M: ** St= ** Ar chc nding Company's Name (if applicable) nding Company's Address Y State Zip 'rtgage Lender's Name (if applicable) 'rtgage Lender's Address Y plication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has nmenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating ,struction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, -LLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC YNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all ilicable laws regulating construction and zoning. 'ARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, JNSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF )MMENCEMENT." tice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must 'raise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person ?se property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the section will not be approved and a reinspection fee will be charged. nature P,l/rl GC.. Xli... Owner or Agent - foregoing insgniment was acknowledged before me this /. 0 o tersonally known to me or who has produced EU d who did take an oath. as ides id take an bath. NOTARY P c� :•• ,;0� '• Sign: _� 1 - 4 w a': 1 Print: IT',It ii t My Commission E'&; (Certificate of Competency Holder) to Certificate or Registration No. Certificate of Competency No. �rrtrtdt. PLICATION APPROVED $Y: * ** State Zip ************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Signature The fore day of who is personal Contractor oing• ins tryment was acknowledged before me thisL 200, by known to moiwhq has produced Plans Examiner Engineer Zoning TEM ATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE IDET LIGHT OUTLETS CENTRAL HEATING ISHWASHER RECEPTACLES A/C (WIND) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) RINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK 1 LOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION :REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR RANGE TOP UNDERGROUND TANKS .AVATCRY OVEN ABOVE GROUND TANKS .AUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS :LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS WER MOTORS OVER 1- 3 HP HOT WATER BOILERS ;INK, POT /3 COMP. MOTORS OVER 3- 5 11' MECHANICAL VENTILATION ;INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES i NK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS tEWORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS JRINAL MOTORS OVER 25-100 HP COOLING TOWERS tiATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT•WASTES A/C WINDOW REINSPECTION PATER SLPPLY T0: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS _ HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMAING POOL OUTLETS COMdERCIAL WATER SERVICE 1 SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS ITILITY -SEWER SIGN TIME CLOCK ITILITY -WATER FIXTURES 3EPTIC TANK ANTENNA ;ELAY TELEVISION OUTLETS )RAINFIELD, 4' TILE/RES. VIOLATION 'UMP & ABANDON SEPTIC TANK EINSPECTION SOAKAGE PIT CU. FT. ;ATCH BASIN 7 A LTX; )1i ( 1 DISCHARGE WELL DOMESTIC WELL AREA GRAIN ROOF INLET 1 • SOLAR WATER HEATER .. =IRE STANDPIPE POOL PIPING • LAWN SPRINKLER SYSTEM 3AS RANGE 4 ETER SET (GAS) 3AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Permit No °G 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 et building during progress of work. Owner s Name and Address �1 � 1 �� � _� � No 1 a $ hLE • Street.. ct \ 1 I F: . . Registered Architect and /or Engineer ' i plc / yang // pi s ,Na \ � \ / i1 Doca �ni Le eu�fption Lot9 n`�,� 1 / 9�'/ Mork 7 Subdivision r'T V Street and Number where work is to be performed —No 1 '\ • 9 Street ..1._. -State work to be performed and purpose of building (By Floor)__._._ _••----- _--- .- -� - -- — ... New Building.. - - -._ _ __._.........._.. Remodeling—_. -- Addition.. ___... -.. -_ Repair No. of Stories Size Septic Tank— '�( _Type of Tank--_ 9 Feet of Drain Tile `� oe 2•'� -- __Dist Feet of Tank or Drain Field from WeU..._.__. - - - - -. Nature of Water Supply: City—WeIL Size of Soakage Pit Amount of Permit $ . ® v ( Signed) _ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed( /VIP 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 5988, Compiled General Laws of Florida Permanent Supplement, and hie com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worn to he 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 an- required by the Act. The undersigned agrees to employ only such sub- oontractorsy. on work to be performed � nder t pert as are Loensed by Miami Shores Village. aster Plumber. STATE OF FLORIDA, ( 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 deposes and says that he is the ..._ .._ ._...--- - -.... _ _.... — _.. of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be mods whoa wain sr•speollau Y rnadelseceasary by improper notice for inspection, er faulty materials and /or workmanship. CLOSETS OATH TUI. aNOW[Ra LAVA- TOR'[/ /INK[ SLOP SINKS LAUNDR Tuns URINALS CATCH SAWN FLOOR DRAIN DRINK' NO FOUNT 'NS TOTAL Flttunts CONTR. LIST CHICK e SEPTIC TANK SIWIR CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SYSTEM IIWIM'O POOL comm. LIS 1 , r—�- CHECK Permit No °G 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 et building during progress of work. Owner s Name and Address �1 � 1 �� � _� � No 1 a $ hLE • Street.. ct \ 1 I F: . . Registered Architect and /or Engineer ' i plc / yang // pi s ,Na \ � \ / i1 Doca �ni Le eu�fption Lot9 n`�,� 1 / 9�'/ Mork 7 Subdivision r'T V Street and Number where work is to be performed —No 1 '\ • 9 Street ..1._. -State work to be performed and purpose of building (By Floor)__._._ _••----- _--- .- -� - -- — ... New Building.. - - -._ _ __._.........._.. Remodeling—_. -- Addition.. ___... -.. -_ Repair No. of Stories Size Septic Tank— '�( _Type of Tank--_ 9 Feet of Drain Tile `� oe 2•'� -- __Dist Feet of Tank or Drain Field from WeU..._.__. - - - - -. Nature of Water Supply: City—WeIL Size of Soakage Pit Amount of Permit $ . ® v ( Signed) _ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed( /VIP 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 5988, Compiled General Laws of Florida Permanent Supplement, and hie com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worn to he 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 an- required by the Act. The undersigned agrees to employ only such sub- oontractorsy. on work to be performed � nder t pert as are Loensed by Miami Shores Village. aster Plumber. STATE OF FLORIDA, ( 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 deposes and says that he is the ..._ .._ ._...--- - -.... _ _.... — _.. of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be mods whoa wain sr•speollau Y rnadelseceasary by improper notice for inspection, er faulty materials and /or workmanship. I '"..') • Date of Application D Q 6 C1 STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Type of Establishment HRS-H Form 4015, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number: 5744 -001 - 4015 -1) Authority: Chapter 381, FS Chapter 100 -6, FAC Permit Application Number PART 1 - APPLICATION 6 _5?S Name of Owner 1i1 C . �j to E SC` G \ Telephone Number � Mailing Address of Owner 1 Po r t F ST Owner's Agent ! lam\ vR ! � :r.� ` � 1 i i C'` Builder Agent's Mailing Address i 4'(1 .0 V.3 . A J. Telephone No 1 - c' �r 5 �f Property Street Address 1 3 C. C\ • Z. . Lot No Block No Subdivision Date Subdivided NOTE: IF NOT IN A SUBDIVISION ATTACH A METES AND BOUNDS DESCRIPTION This Application is for: New System Repair v Existing System TOTAL FLOW = Type of No. Bedrooms Heated or Cooled Area No. Dwelling Residential (each dwelling unit) (each dwelling unit) Units SQ t ft2. Exact Directions to Property AUDIT CONTROL NO 136226 Applicant's Signature Sewage Flow Sewage Flow (Gallons per day) Based On ft QI Sewage Flow (Gallons per day) Page 1 of 3 Permit Neg 1F New Building. Remodeling__ 0 Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed (Signed) iE Street. 3 - 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 , , "...., _ , I NO/ a20 .6 Sired-. 7 / r / . Registered Architect and/or Engin , / -,k ,_., a.,ei--2- litreet..a2.." )4 0' ---- Employing rlm es Nme 74 t ai A Z Subctivisioni-LLYZ-eY___4._ Street and Number where work is to be performed-No M 0 77 State work to be performed and purpose ql-building--(-Brirli)__ Addition. Repairs No. of Stories ... 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. 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 5988, Compiled General Laws of Florida Permanent Supplement, and Iii com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to he performed under this permit; and will post or MUM to be posted' for inspection on the site of the work such public notice or notices as 0./1` 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. Mesta PZumbei...... 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 depose. and says that he is the of the above described construction, that he has carefully reed the foregoing application, and that be did sign the cause, mud 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 mesh reinspeedon soade.neosewry by mper aotle® few iin;pattal„ cat faulty materials and/or workmanship. CLOSETS BAIN TUBS *1 LAVA- Tomas SIN" SLOP SINKS LA UNDR Tuns URINALS CATCH I NH FLOO R DRAIN DRINK! NO FOUNTWS TOTAL •IATURES Corfni. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOA KAGIL PIT G TRAP SOLAR HEATER DaiP WELL Irsocut. SYSTEM fhb IWO POOL Comm. LIST ,------ CHECK Permit Neg 1F New Building. Remodeling__ 0 Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed (Signed) iE Street. 3 - 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 , , "...., _ , I NO/ a20 .6 Sired-. 7 / r / . Registered Architect and/or Engin , / -,k ,_., a.,ei--2- litreet..a2.." )4 0' ---- Employing rlm es Nme 74 t ai A Z Subctivisioni-LLYZ-eY___4._ Street and Number where work is to be performed-No M 0 77 State work to be performed and purpose ql-building--(-Brirli)__ Addition. Repairs No. of Stories ... 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. 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 5988, Compiled General Laws of Florida Permanent Supplement, and Iii com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to he performed under this permit; and will post or MUM to be posted' for inspection on the site of the work such public notice or notices as 0./1` 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. Mesta PZumbei...... 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 depose. and says that he is the of the above described construction, that he has carefully reed the foregoing application, and that be did sign the cause, mud 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 mesh reinspeedon soade.neosewry by mper aotle® few iin;pattal„ cat faulty materials and/or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA ❑ DATE 19_ PERMIT N? 3727 Contractor s License No. ❑ Work to be performed under this Permit ;.v B1 Subdi- vision Address of / / - Value of I Amount of Building ? Project $ I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the apt tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be re% at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes rei sibility for work done by his agents, servants or employees. / / .' Signed �� ! INSPEC In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regult Pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. 1 - opting this permit I assume responsibility for aIr tvork done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ABBOT BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building t. MIAMI SHORES VILLAGE. FLORIDA ❑ DATE 195__4_ PERMIT N? 5795 Contractor's License No. Lot CONTRACTOR OR BUILDER Bl. Work to be performed under this Permit !' Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application hers in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY • INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 0 UILDING LECTRICAL LUMBING )caner of uilding : ontractor r Builder x egal Lot lescription 1 ' CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 8591 Work to be performed under this Permit rchitect Bl. Sii- vision ddress of uilding r This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- -tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any fans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- bility for work done by his agents, servants or employees. Signed. , f By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the vyork covered hereunder in compliance with all ordinances and regulations r rtaining thereto and • strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of lefiami Shores Village. • accepting this pen I assume responsibility for all work done by tither myself, my agent, servant or employee. Value of Project DATE 194 Contractor's License No. Amt. of Permit BY AUTHORITY REQUEST FOR INSPECTION Company PHONE Job Address Inspection Time Ready A.M. P.M. Date Ready At No. Size Septic Tank Amount of Permit $ __, %._____: STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT plication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other tucture 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. i { Owner's Name and Address .___. `.' - -`__ _ ' �_✓ ��- No. / t Street Registered Architect and /or Engineer Employing Plumber's Name .. - f - t; / .1 S , � No. ' Street c Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No. ______: .�___!' r ' ✓�' �- State work to be performed and purpose of building (By Floors) Street New Building - _ - -- __ __ -- -- - Remodeling Addition.- - -- _ - --- -_ - _ - -- _- Repairs -_ t . /2- Date Type of Tank____ Capacity Gals. Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Weft — 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 undersigned agrees to employ only such sub - contractors, on work to by Serforme0 tvr}der this permit, as arc licensed by Miami Shores Village. (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 _I CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER - DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK At No. Size Septic Tank Amount of Permit $ __, %._____: STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT plication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other tucture 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. i { Owner's Name and Address .___. `.' - -`__ _ ' �_✓ ��- No. / t Street Registered Architect and /or Engineer Employing Plumber's Name .. - f - t; / .1 S , � No. ' Street c Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No. ______: .�___!' r ' ✓�' �- State work to be performed and purpose of building (By Floors) Street New Building - _ - -- __ __ -- -- - Remodeling Addition.- - -- _ - --- -_ - _ - -- _- Repairs -_ t . /2- Date Type of Tank____ Capacity Gals. Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Weft — 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 undersigned agrees to employ only such sub - contractors, on work to by Serforme0 tvr}der this permit, as arc licensed by Miami Shores Village. (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. Permit No 7 z Registered Architect and /or Engineer______ Location and Legal Description Street and Number where work is to be performed —No Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)- (Si 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 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 02,4ed w No.__ . _--- _-- _ - -_ - Street./Vk Employing Plumber's Name- .1✓ G O 61 '- ( 6 ) No. -- 4i ' - ---- - Street__.- . — •_ --- Subdivision eet �J State work to be performed and purpose of building (By Floors) _- _.--- _--- - - - �!! New Building ___ Remodeling Addition Repairs �� No. of Stories. 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 Capacity Gals 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 em 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 pub ' notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, ork to b perforndunder 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. 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. CLOSET S BATH ',SHOWERS TUBS LAVA- TORIES SINK6 SLOP SINKS LAUNDRY TUeS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE6 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 7 z Registered Architect and /or Engineer______ Location and Legal Description Street and Number where work is to be performed —No Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)- (Si 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 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 02,4ed w No.__ . _--- _-- _ - -_ - Street./Vk Employing Plumber's Name- .1✓ G O 61 '- ( 6 ) No. -- 4i ' - ---- - Street__.- . — •_ --- Subdivision eet �J State work to be performed and purpose of building (By Floors) _- _.--- _--- - - - �!! New Building ___ Remodeling Addition Repairs �� No. of Stories. 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 Capacity Gals 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 em 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 pub ' notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, ork to b perforndunder 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. 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. MIAMI SHORES VILLAGE, FLA. JOB ADDRESS / f INSPECTION TIME READY � / / ,� . / / ' c REMARKS • I N9 6350 INSPECTOR DATE 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. ,p D Ul (n i��t ) Owner's Name and Address Registered Architect and /or Engineer__L____L-L....,,.._,�, Employing Plumber's Name. State work to be performed and purpose of building (By Floors)_._ New Building Remodeling ______ Addition STATE OF FLORIDA, COTJNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °` ,MIT Amount of Permit $___- __..._. ..... - ------ ____ -- — — (Signed) Date � - /t J7 No- Street Street. Location and Legal Description Lot_____ _____________________ _ _ Bloe.k y� Subdivision Street and Number where work is to be performed —No ) c2 `� L L'�J Street (Signed). Repairs Size Septic Tank_ - _----- _-- -- _ - - - - Type of Tank Feet of Drain Tile_ -! -__ :_:._� _ ____.__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— ....... _______ ...... _______-.Size of Soakage Pit Capacity Gals 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 Ilas 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 retired 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. 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 Ccnlmission Expires Notary Public, State of Florida No. of Stories. Maste er. 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 TUBE SHOWER/ LAVA- TORIEe SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINK NG FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST - 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. ,p D Ul (n i��t ) Owner's Name and Address Registered Architect and /or Engineer__L____L-L....,,.._,�, Employing Plumber's Name. State work to be performed and purpose of building (By Floors)_._ New Building Remodeling ______ Addition STATE OF FLORIDA, COTJNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °` ,MIT Amount of Permit $___- __..._. ..... - ------ ____ -- — — (Signed) Date � - /t J7 No- Street Street. Location and Legal Description Lot_____ _____________________ _ _ Bloe.k y� Subdivision Street and Number where work is to be performed —No ) c2 `� L L'�J Street (Signed). Repairs Size Septic Tank_ - _----- _-- -- _ - - - - Type of Tank Feet of Drain Tile_ -! -__ :_:._� _ ____.__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— ....... _______ ...... _______-.Size of Soakage Pit Capacity Gals 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 Ilas 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 retired 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. 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 Ccnlmission Expires Notary Public, State of Florida No. of Stories. Maste er. 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.