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PLUMBING PERMITSPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date L Job Address q(077 /(J E' _U 7 Tax Folio Description Legal Historically Designated: Yes g P Owner/Lessee / Tenant gr, /4 /GApii, Owners Address W7 ,E cil , Ter giier Contractin Co. ga Y (: ,0 9 Plcu bit l4 r , WW1 0 Qualifier ,�,`��� �.1 I State # o g€2. Municipal # Competency # Architect/Engineer Address Bonding Company Address Mortgagor - Permit Type (circle one): BUILDING ELECTRICA PLUMBIN j WORK DESCRIPTION 5 AA* n.r»m. Q s ^^ao R- — �� t Square Ft. Estimated Cost (value) laws re ting constructi Notary as to Owner My Commisi � t gay • , �,, , . 311 at Bonded • Service Ins. No. CCS t its - . It � ( RADON FEES: FERMI Date APPROVED: Zoning Building Mechanical Plumbing Kr� Ins. co.z04141 rat A /3- MECHANICAL ROOFING PAVING FENCE SIGN rlkf�6+�� - 9 ©' 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: ert`' that all the foregoing information is accurate and that all work will be done in compliance with all applicable urthermore e the above -named contractor to do the work stated. Notary as to Contractor My Commissss Electrical T OMAR DELA Y. My Comm Exp. 3/141N &laded By Serves his No. CCS+oo$ (1 p OM* twM 1 o1hlB" a-- C.C.F. �7 Yi (X/!I NOTARY BOND Stirt TOTAL DUE Date Date Engineering ITEM BATH TUB UNIT If FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIOET LIGHT OUTLETS CENTRAL HEATING DISHWASHER 1 RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY 2 OVEN ABOVE GROUND TANKS LAUNDRY TRAY 1 WATER HEATER U.F. PRESSLRE VESSELS CLOTHES WASHER 1 MOTORS 0- 1 HP r STEAM BOILERS SHOWER ', MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIOENCE 1 MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK. SLOP IIOTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS . URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS _ HEATER -REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL CUTLETS C0MERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY-SEWER SIGN TIME CLOCK UTILITY -WATER FIXTI.RES SEPTIC TAN( ANTENNA RELAY TELEVISION OUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION _ PUMP 5 ABAOON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER • FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Permit No. New Building Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ss. State work to be performed and purpose of building (By Floors) My Commission Expires Remodeling Addition 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 —Well. Size of Soakage Pit ) (Signed) 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 he kept at building during progress of work. No. f Street Owner's Name and Address _- Registered Architect and /or Engineer Employing Plumber's Name ,__ __ _ . _ --- _ — _ No. __,- _ Street Location and Legal Description Lot T Block _ Subdivision.. .t Street and Number where work is to be performed —No. _________ -__ __ Street _.. .- No. of Stories 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 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 he performed under this permit; and will post or cause to be posted for inspection on the site of the work such pub]e notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed tinder this permit, as arc 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 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 SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINK FOUNT'NS1 TOTAL FIXTURES CONTR. LIST — __I CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL I __ CONTR. LIST CHECK Permit No. New Building Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ss. State work to be performed and purpose of building (By Floors) My Commission Expires Remodeling Addition 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 —Well. Size of Soakage Pit ) (Signed) 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 he kept at building during progress of work. No. f Street Owner's Name and Address _- Registered Architect and /or Engineer Employing Plumber's Name ,__ __ _ . _ --- _ — _ No. __,- _ Street Location and Legal Description Lot T Block _ Subdivision.. .t Street and Number where work is to be performed —No. _________ -__ __ Street _.. .- No. of Stories 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 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 he performed under this permit; and will post or cause to be posted for inspection on the site of the work such pub]e notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed tinder this permit, as arc 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 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. Permit No. STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. ___ Size of Soakage Pit._ Amount of Permit $ (Signed) (Signed) ___./ Application is liereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must he kept at building during progress of work. Owner's Name and Address.. -1 ^ ` /7; No._r._� Registered Architect and /or Engineer. ,.e Employing Plumber's Name _ "J "_�lt � j' <__j__r__._,' � No __� .c __ +!' .. t Street _ . - - Location and Legal Description Lot Block z` Subdivision ✓ �' Street and Number where work is to be performed —No _ t' ' Street `- State work to be performed and purpose of building (By Floors) New Building . __ __ _ _ Remodeling Addition Repairs_ Type of Tank .Capacity Gals. Date 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 corn - 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 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. No. of Stories / 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 Street / ,'_. CC_v F 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 SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRINKING DRAIN 1 FOUNT'NSI i'fla 414- I-• rr /. , TOTAL FIXTURES CONTR. LIST �}� /' / { ( c �i ( w. CO (i� I < (C J' I .. ,.. CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE SOLAR TRAP HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST _. -.- - - -- CHECK Permit No. STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. ___ Size of Soakage Pit._ Amount of Permit $ (Signed) (Signed) ___./ Application is liereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must he kept at building during progress of work. Owner's Name and Address.. -1 ^ ` /7; No._r._� Registered Architect and /or Engineer. ,.e Employing Plumber's Name _ "J "_�lt � j' <__j__r__._,' � No __� .c __ +!' .. t Street _ . - - Location and Legal Description Lot Block z` Subdivision ✓ �' Street and Number where work is to be performed —No _ t' ' Street `- State work to be performed and purpose of building (By Floors) New Building . __ __ _ _ Remodeling Addition Repairs_ Type of Tank .Capacity Gals. Date 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 corn - 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 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. No. of Stories / 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 Street / ,'_. CC_v F 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 10859 Work to be performed under this Permit Bl. Subdi- visi<m DATE r Value of Amt. of � Project $ Permit f / 1954 . Contractor's License No. BY AUTHORITY This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plan's, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that ,he assumes responsibility for work done by his agents, servants or employees. Signed: � BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village, In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Df f a tor er Lot ion Bl. Subdi- vision o f Value of Project $ Amt. of // Permit $ !' its permit is granted to the contractor or builder I strict compliance with all ordinances pertaining statements or specifications that may have been e work is not done in compliance with such ordinances J the understanding that the contractor or builder to the work covered hereby whether shown his agents, servants or employees. consideration of the issuance to me of this thereto and in strict conformity with the plans, ing this permit I assume responsibility for all named above to construct the building or to install the equipment or device described in the applica1tion thereto and with the understanding that the work will be performed in compliance with any pans, submitted to and approved by the proper municipal authorities. This Permit may be revoked at or if the plans are changed without authorization. A further condition upon which this permit named above assumes the responsibility for a thorough knowledge of the ordinances and regula on the plans or drawings or in the statements or specifications and that he assumes responsibility for vbork e Signed • BY any is 'ons INSPECTOR ..xq*•+va, permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations drawings, statements or specifications submitted to the proper authorities of Miami Shores Vi11 work done by either, myself, my agent, servant or employee. ge. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner Buildin Archite Contrac or Build Legal Descrip Addres Buildin T1 herefor ii d rawings, time if th granted i pertainin done by In pertainin In accept MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9556 Work to be performed under this Permit DATE 195 Contractor's License No BUILDING ELECTRICAL PLUMBING -! PERMIT N° 9364 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Building 1 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE / Subdi- vision Value of Project $ Contractor's License No. Amt. 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 applicaition herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this per t is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regula 'ons pertaining to the work covered hereby whether shown on the plans or drawings or in the statemel� s or specifications and that he assumes responsibility for ork 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 Villjage. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 195 PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO FT RETAIN COPY) Date Job Address p 7 7/ 9 Z Tax Folio fj jW c!, 4® 7 Legal Description] 42 •4l ' / /i 5 Master Permit # -5/0 O w / Lessee / Tenant ,,,E Owner's Address 9/v e Phone Contracting Co. Address Qualifier State # Competency& Ins.Co. Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBI MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION h Square Ft. PERMIT FEE: 3 C- (v0 APPROVED: Zoning Mechanical SS# - - Phone Address Address Address 4 1,4; ,;.4 Fire Building Plumbin Estimated Cost i®-6"�//e0‘ 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. (5? ..,„...e&-/ Signature f Owner n / or ondo President Signature of Contractor or Owner - Builder Date: Date: Notri a5 to Owner and /or on o President Notary as to Contractor or Owner - Builder My cbmraission Expires: 4/ My Commission Expires: * . * . * * * * * * * * * * * * Other Electrical 1i,, ∎ ■ ' ���Engineering 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 Ordin,ince 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 :wd regnlatious of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of appro\ ed plans and specifications m be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer. Employing Plumber's Name ,,, Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No._____________ State work to be performed and purpose of building (By Floors) New Building Size Septic Tank STATE OF FLORIDA, t COUNTY OF DADE. Amount of Permit $ ss. Remodeling My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition Type of Tank_ (Signed) No _ - -- ___ - No. Feet of Drain Tile - _ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Repairs Street _. (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 bas com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employe:: by hint in the work 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 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. Date Street / Street __ Capacity Gals.. No. of Stories Notary Public, State of Florida Master Plumber. Before ire, 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 fec 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 DRINKING DRAIN , FOUNT NSI - -��- I TOTAL FIXTURES CONTR. LIST J CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE GREASE PIT TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL -' 1_ CONTR. LIST i - _ -_ —_ 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 Ordin,ince 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 :wd regnlatious of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of appro\ ed plans and specifications m be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer. Employing Plumber's Name ,,, Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No._____________ State work to be performed and purpose of building (By Floors) New Building Size Septic Tank STATE OF FLORIDA, t COUNTY OF DADE. Amount of Permit $ ss. Remodeling My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition Type of Tank_ (Signed) No _ - -- ___ - No. Feet of Drain Tile - _ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Repairs Street _. (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 bas com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employe:: by hint in the work 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 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. Date Street / Street __ Capacity Gals.. No. of Stories Notary Public, State of Florida Master Plumber. Before ire, 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 fec of $1.00 will be made when such re - inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. r ` Date � Job Address GcoN �� �\ *err Tax Folio Legal DescriptionciL0 bv q 1 feRS / Owner's Address Contracting Co. IC i )4 ov `e ) Address Qualifier DPN ( A Ce 1e' " Phone State #)M„JCT4 `•'Municipal # Competency # Ins.Co. Architect /Engineer W Address Bonding Company t \- 0 Mortgagor NI Permit Type(circle one)) :: BUILDING ELECTRICAL WORK DESCRIPTION MN*. Square Ft. 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 MECHANI WORK. OWNER'S AFFIDAVIT: I cert be do ' compliance wi au the above- y that all the fore:oing information is accu 'cable s r ::ulating construction ntr= �r to 'o th- ork stated. S ignatures 8»bii r" : n•,�Qn Date: > 0 N > Notary Public, State ; g � � C=1'11931011 No. ep,o� 0 � My Commission ELP. Notary as' o o ► My Commis ** * * FEES: PERMIT APPROVED: Lgn r PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Lessee / Tenant ko' t Q ‘ • [ arr 1 sident 656324 resident RADON C.C.F. f(0 Zoning Buildin Mechanical Plumbin Address Address Signa Date:) Nota My Co Master Permit # d Phone' S 1 - 35)3 MECHANICAL ROOFING PAVING PENCE SIGN OO Estimated Cost(value) \ D O p Wink 11 t gr pin, Joel 6 Notary Public, State of Florida `� ` G • • - ..n No. CC 656324 b oa a o t Crnnonic4 n Exy. 06/25/2001 1- 3.21:0 ■1401bh - -g qc �v�� all work will urthermore, I 0 r- Builder er- Builder TOTAL DUE Fire Other Electrical Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 6 Job Address ?/P 7 Ate 2/ / Enkax Folio Legal Description 14-Z-9/441C-41 Historically Designated: Yes O x /Lessee / TenantY ,'/ /� t)C� Master Permit # �V VS 2 / Owner's Address Contracting Co. Qualifier , 5 State # Architect/Engineer Bonding Company Mortgagor � 7 Wey 77 % c- pRoF ssop./ ./ 44s rpm/ : vc J k t # r M4 t9 i n S Municipal # 4/0 /t/ Q/zJC Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION zooid # 6N 6 ` 1 if» m (.51 e , � ceS O. '' 4' r ef i1lil ce 5 J e f'N FLCreigE tifrA-C6t00 Square Ft. 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. /5.- store of owner and/or Cond resident 4ignature o Contractor or � caner- Builder Date Notary as to Owner and/or Condo President Date My Commission Expires: C Clllillllllllll llllllllllllllllll mallllllllllq C( 4." P °e G. Manuel M. Ato ,S. < 9 , , Commission No. CC 186G27 -t. ? < � oFINo a My Commission lap' es 16/14/9 >>< I423 -3- NOTARY - Fla No • ce & sonriias Co.: 1<.1)111))))N1))))111)) , 111)))1))11)VAW. :..) FEES: PERMIT RADON Address SI A/4) - Competency # Address Address Address ECHANICAL ROOFING PAVING FENCE SIGN Estimated Cost (value) Phone 3 2 - 7$ // 4e, s4 c- .4+ , .)>G5D goS ?1S7efa'f Phone SJ 1/-12751..) Ins. Co. Notary as to Contractor or Owner - Builder My Cmirri ssi pllmmilamailNllmmi i: OY No Manuel M. A.tc ,< l' Notary Faire, State of Florida i ( c G. M,y Cocnmi s on Exg� 186627 ^ n %i . < E- 888.3410TARY - Fl.n. No ^uy Service & Boadin3 t: 517 115 11)) ) )) )) 1 ))))S1)1111))1)111))1W.V..s;W- C.C.F. NOTARY 0 BOND TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering ITEM BATH TIE UNIT FEE ITEM sx I TCH OUTLETS UNIT �� 1 7 ITEM SPACE HEATERS 615 Loy UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR CRAIN SERVICE REPAIR/1ETER CHANGE REFRIGERATION GREASE TRAP ` APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 hP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 if TRANSPORTING ASSEMBLIES SINK, SLOP _ MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 If VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SLPPLY TO: AIR CONDITIONERS ' A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • 'HEATER -NEW INST. j/ GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS - LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMA¢RCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK _ REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN " DISCHARGE WELL " DOMESTIC WELL AREA CRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS 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.) I2 0y n e l (3107 rog •jfdert, U5(- (045 fA/tg e gri,a Lel wArri N1'f/T -R PLUMBINGi / ELECTRICAL MECHANICAL owrvra 14 euc.` - ALs p r-1n Uu Dr t c . ebao C3o6) - 2 "3 55 6161 tkiE or p - rcexiz— C'S ® v' 2 PaLaA- STe4Lokf e �s 0 W T O - 14' V. AT / - k r s { -/. 4"L E 6,i/// -p ie. /WV lot-IAA 64S Mull iaS ; WsZo