Loading...
PLUMBING PERMITSTATE OF FLORIDA, ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No 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 r Owner's Name and Address ti/ � 9 � *� 7 Street.-- .__._. _ ..y. _....._ .... Registered Architect and /or Engineer Employing Plumber's Name,i.dl t .l. f.1224.0.9 ... Location and Legal Description Lot. Street and Number where work is to be performed—No Street. _ ._. . 6.. 5 1_3_ State work to be performed and purpose of building (By Floors j__.__��,� __. 9 i � . New Remodeling__.__ ____ -_ _ _ Addition_.._.___.._ Repairs No. of Stories. Bloom 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)- Notary Public, State of Florida Subdivision- -.__ • 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 Su..lement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors emplo y im in the work to be performed under this permit; and will post or cause to be posted for inspection on the si . the work such .ohmic otice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be pe . rm. er • nit, 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 dep oses 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. materi NOTE: Arrwinspeeon fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty CLOSETS TBATH U86 SHOWERS LAVA- TR8 SINKS SLOP SINKS LAUNDRY TOSS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS T OTA FIXTURES CONTR. LtaT CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CowrR. LIST {I� 1 CHECK STATE OF FLORIDA, ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No 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 r Owner's Name and Address ti/ � 9 � *� 7 Street.-- .__._. _ ..y. _....._ .... Registered Architect and /or Engineer Employing Plumber's Name,i.dl t .l. f.1224.0.9 ... Location and Legal Description Lot. Street and Number where work is to be performed—No Street. _ ._. . 6.. 5 1_3_ State work to be performed and purpose of building (By Floors j__.__��,� __. 9 i � . New Remodeling__.__ ____ -_ _ _ Addition_.._.___.._ Repairs No. of Stories. Bloom 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)- Notary Public, State of Florida Subdivision- -.__ • 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 Su..lement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors emplo y im in the work to be performed under this permit; and will post or cause to be posted for inspection on the si . the work such .ohmic otice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be pe . rm. er • nit, 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 dep oses 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. materi NOTE: Arrwinspeeon fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty ^ !0 S � Permit No _ -- __. _- c �_ _ _ _ — �. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Appl.cation 1 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Di.. slon of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ - _.- _._ __________ Registered Architect and /or Engineer f7A 11 Employing Plumber's Name Location and Legal Description Lot___ _ Street and Number where work is to be performed —No 1'1 State work to be performed and purpose of building (By Floors) _ Size Septic Tank_.. _ __ __ - -J No New Building - ___ -- _ - • -- -_- ... Remodeliing__.._ -_. _.. __ __ _ . Addition___- Repairs. Feet of Drain Tile. .. -- 1 i - _Dist. Feet of Tank or Drain Field from Well.. Nature of Water Supply. City —Well. STATE OF FLORIDA, } COUNTY OF DADE. _ Si •3 of Soakage Pit __ (Signed)_ ._ : ' _. (Signed) - -- - -LL Date _ ._ _ Street _ Subdivision_ -- Street_ _ _ . ...._ .__ No. of Stories _ - _Capacity Gals.. PL.mb-ag In:pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligairs as an e nployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennane Supplement, ^n I 1 as om plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin in the wor 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 no ices as are required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledge eats, personall 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 acts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBE SHOWERS LAVA- TORIES NKS SINKS SLOP SINKS LAUNDRY Twits B I NAS URINALS CATCH BASIN FLOOR DRAIN DRINK! NO FOU"T'NS TOTAL F %TURES CONTR. LIST CHECK s SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. 1 -- CHECK ^ !0 S � Permit No _ -- __. _- c �_ _ _ _ — �. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Appl.cation 1 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Di.. slon of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ - _.- _._ __________ Registered Architect and /or Engineer f7A 11 Employing Plumber's Name Location and Legal Description Lot___ _ Street and Number where work is to be performed —No 1'1 State work to be performed and purpose of building (By Floors) _ Size Septic Tank_.. _ __ __ - -J No New Building - ___ -- _ - • -- -_- ... Remodeliing__.._ -_. _.. __ __ _ . Addition___- Repairs. Feet of Drain Tile. .. -- 1 i - _Dist. Feet of Tank or Drain Field from Well.. Nature of Water Supply. City —Well. STATE OF FLORIDA, } COUNTY OF DADE. _ Si •3 of Soakage Pit __ (Signed)_ ._ : ' _. (Signed) - -- - -LL Date _ ._ _ Street _ Subdivision_ -- Street_ _ _ . ...._ .__ No. of Stories _ - _Capacity Gals.. PL.mb-ag In:pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligairs as an e nployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennane Supplement, ^n I 1 as om plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin in the wor 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 no ices as are required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledge eats, personall 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 acts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING 111 MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING o PERMIT Np 9405 ROOFING ❑ Owner of Building c Architect ,.- Contractor VA {\ or Builder 0 ' ` t i,.'r -ii r) ! 1 t_ , r Legal Lat j Description Bl Address of ++� ( �r i; 1 � Building L- �. / \i 7 / - CONTRACTOR or B LDER Work to be performed under this Permit tc Date /j_1 19 Contractor's - . r 1 r License No. Subdi- vision Sq. Ft. Q, Value of 11 Amount of C. Project $ II 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plan, 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 respon- sibility for work done by his agents, ser v) nts or`employees. Signed . 1-. 4 — - f. * ft= " (INSPECTOR) BY In consideration of the issuance to me of this permit I agree ,t perform the work covered hereunder in compliance with all ordinances and regulation, pertaining thereto and in strict conformity with the plans, drawings, atements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I ssume responsibility for all wi k donrfby either, myself, m ?At, servant or employee. BY AUTHORITY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT v /8 /9 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. Permit No. ' ___ Date Owner's Name and Address Architect and /or Eng ` ineer _____________ T / Employing Plumber's Name 42-S__ __ -171 �!� Location and Legal Description Lot ____ — Street and Number where work is to be performed —No. ••••ll p _ State work to be performed and purpose of building (By Floors) New Building Remodeling Size Septic Tank Type of Tank Feet of Drain Tile Nature of Water Supp / 7 s - -- - / 5 ; :;:::; $ jb ZJ . b No Street Addition Repairs. /67 Dist. Feet of Tank or Drain Field from Well ____________ Size of Soakage Pit No Street Block___ 25 Subdivision _ Street_E (Si_ .ed) Capacity Gals. No. of Stories Plumbing Inspector. 7 5 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of lab pr .. .wider the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- lied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be q f [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 Di censed by Miami Shores Village. • • " / ( Master Plumber. STATE OF FLORIDA, 1 ss. o COUNTY OF DADE. j 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 CL LIST IST • / t / . CHECK 9 . 0 t SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT v /8 /9 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. Permit No. ' ___ Date Owner's Name and Address Architect and /or Eng ` ineer _____________ T / Employing Plumber's Name 42-S__ __ -171 �!� Location and Legal Description Lot ____ — Street and Number where work is to be performed —No. ••••ll p _ State work to be performed and purpose of building (By Floors) New Building Remodeling Size Septic Tank Type of Tank Feet of Drain Tile Nature of Water Supp / 7 s - -- - / 5 ; :;:::; $ jb ZJ . b No Street Addition Repairs. /67 Dist. Feet of Tank or Drain Field from Well ____________ Size of Soakage Pit No Street Block___ 25 Subdivision _ Street_E (Si_ .ed) Capacity Gals. No. of Stories Plumbing Inspector. 7 5 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of lab pr .. .wider the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- lied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be q f [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 Di censed by Miami Shores Village. • • " / ( Master Plumber. STATE OF FLORIDA, 1 ss. o COUNTY OF DADE. j 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. Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 4 \ Date t Permit No. � C 3 — 7 c Name 7 O Address Company 6N. !1 r Phone # Inspection Date Approved Correction Re- Insp'n Fee 6(' 0 6 In ec r o ments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. inspection Number: INSP -19655 Inspection Date: 06/12/2006 Inspector: Levrack, James Owner: Job Address: Project: <NONE> Contractor: MARLIN PLUMBING OF MIAMI INC DOMLESKY, ROBERT 285 91 Street NE Miami Shores Village, FL 33138- Building Department Comments Friday, June 9, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: 'RP Lf05ZQ) Permit Number: PL2005 -72 Permit Type: Imported Permit Inspection Type: Final Work Classification: Kitchen Cabinets Phone Number Parcel Number 1132060133460 Lot: Phone: 305 - 652 -6108 Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbin Mechanical Roofing Owner's Name (Fee Simple Titleholder) 4.4 an/ ( 1f. e km/64 Phone # 99/ • Owner's Address !i 8.5 /v/ 9/ ( /'f/ea, City /Ni s ii ( /'ore, State /- Zip 3.i' /.'F Tenant/Lessee Name Phone # 3US' 29f- /29S Job Address (where the work is being done) 28.5 we 9/ (/'7rec 7' City Miami Shores Village County Miami -Dade Zip -3.3/,3, Is Building Historically Designated YES NO t/ Contractor's Company Name /t r//n ��urd Contractor's Address 20 /f/.f 44 7 / City /Vor /IA 'A /H / 4 d State Qualifier R/% Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit f `9 • 00 Type of Work: ❑A // [alteration �! ❑New ❑ Repair/Replace ❑ Demolition Describe Work: c/ f' r / lei /C /e" / / ITT r6G c �i✓�0 �� / 7 6v. Submittal Fee $ � Permit Fee $ r 30 CCF $ CO /CC Notary $ Training/Education Fee $ 0 Technology Fee $ 3. ra Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (303) 795.2204 Fax: 05) 756.8972 Permit No. Master Permit No. tiN Phone # 30S' 52 - .303( zip 3.3/99 Pc_ 0 - ,eePo--c) 6 1( Square Footage Of Work: Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is •issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatu( ek or Agent The foregoing instrument was acknowledged before me this day of XG rd , 20 0S, by SAM e 40M /e..'i who is personally known to me or who has produced As identification and who did take an oath. NOTARY P U$YfC: Sign: Prin My Commission Expires: 4 ,0 1 0\ Ines NbMero +P • My Commission D0054320 / � P✓ 6 / %,„ Expires September 22, 2005 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. s� Certificate of Competency No. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** / APPLICATION APPROVED BY: Chc 12/15/03 ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** s J 7 -0 - Plans Examiner Engineer Zoning Signature Co i'i actor The foregoing instrument was ac / owledged before me this / day of VA , 20 t ( , by f%/ f Gt'/ ��ti- , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: er 04 Ines MOrNerO !! r Lfjb My Comet D00M= Prl _Z e, /0€ >` n Expires September 22, 2005 y Commission Expires: ITEM ' BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL 1 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 OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP 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 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 OUTLETS COMAERC I AL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA _ RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON 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 B. OBTAINED OTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADO'L NSRC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMM /DD/YYI POLICY EXPIRATION DATF IMM/DD/YYI LIMITS INSURED MARLIN PLUMBING OF MIAMI INC. 20145 N E 16th Place Miami, FL 33179 Fax # 305 652 3135 A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 21SBABP3303 05/08/2004 05/08/2005 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PRFMISFS (Fa nrnirenrr) $ 300,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY FIE I] LOC PRODUCTS - COMP /OP AGG $ 2,000,000 - I AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ — PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ 7 OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 83025781 12/01/2004 12/01/2005 WC STATU- I X] TORY I M TS I I E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ACOR CERTIFICATE OF LIABILITY INSURANCE 10 /28 /200 ) BUT FAILURE TO MAIL SUCH NOTICE OF ANY KIND UPON THE INSURER, ITS PRODUCER (954) 724 -7000 FAX (954) 724 -7024 Keyes Coverage, Inc. 8201 West McNab Road Tamarac, FL 33321 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED MARLIN PLUMBING OF MIAMI INC. 20145 N E 16th Place Miami, FL 33179 Fax # 305 652 3135 INSURER A: Hartford Fire Insurance Co INSURER B: Bridgefield Employers Insurance Co INSURER C: INSURER D: INSURER E: v GIN I If ■1+1 L. 1 IV City of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 -- °- - - --' - --- - SHOULD ANY OF THE ABOVE DESCRIBED EXPIRATION DATE THEREOF, THE ISSUING 10 DAYS WRITTEN NOTICE TO THE POLICIES BE CANCELLED BEFORE THE INSURER WILL ENDEAVOR TO MAIL CERTIFICATE HOLDER NAMED TO THE LEFT, SHALL IMPOSE NO OBLIGATION OR LIABILITY AGENTS OR REPRESENTATIVES. BUT FAILURE TO MAIL SUCH NOTICE OF ANY KIND UPON THE INSURER, ITS AUTHORIZED REPRESENTATIVE Carey Keyes /KEY19 at- cerj- ACORD 25 (2001/08) © ACORD CORPORATION 1988 ikc #1446213 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION • 4' CONSTRUCTION INDUSTRY LICENSING BOARD SEQ #L04061101389 BATCH NUMBER JEB BUSH GOVERNOR MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 14th FLOOR MIAMI, FL 33130 B1INE / LOCATION OWNER PAYMENT RECEIVED MIAMI-DADE COUNTY TAX COLLECTOR: 09/01/2004 00200000187 000075.00 SEE OTHER SIDE LICENSE NBR 06/11/20041030717377 CFC048292 The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2006 WALKER, EDWARD MARLIN PLUMBING OF MIAMI INC 20145 NE 16TH PLACE NORTH MIAMI BEACH FL 33179 sJSAMBEIRIP ING OF MIAMI INC DISPLAY AS REQUIRED BY LAW 2004 OCCUPATIONAL. LICENSE TAX 2005 MIAMI -DADE COUNTY - STATE OF FLORIDA EXPIRES SEPT. 30, 2005 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 THIS IS NOT A BILL -DO NOT PAY Rgl# Flo. 262710 -8 MARLIN PLUMBING OF MIAMI INC STATE #CFC048292 20145 NE 16 PL 33179 UNIN DADE COUNTY WORKER /S This isAILguPtkI M BING CONTRACTOR 1 TAX ONLY. IT DOES NOT PERMIT THE LICENSEE TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE CITIES. NOR C DOES IT DO NOT FORWARD EXEMPT THE LICENSEE FROM PERMIT REQUIRED R LICENSE EQUIRED BY MARLIN PLUMBING OF MIAMI INC LAW. THIS A O PERMIEQUIR CERTIFICATION OF NOT OF EDWARD WALKER LICENSEE'S OUALIFICA• TION 20145 N E 16 PL MIAMI FL 33179 DIANE CARR SECRETARY FIRST -CLASS , U.S. POSTAGE i PAID MIAMI, FL PERMIT NO. 231 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2005 -72 Printed: 3/18/2005 Applicant: JANINE DOMLESKY Owner: DOMLESKY JANINE JOB ADDRESS: 285 NE 91 ST Plumbing Permit Contractor MARLIN PLUMBING OF MIAMI INC Contractor's Address: 20145 NE 16 PL Local Phone: 305 - 652 -6108 Parcel # 1132060133460 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 20 & 21 BLK 25 LOT SIZE Fees: Description Amount FEE2005 -3490 Building Fee $130.00 FEE2005 -3491 CCF $0.60 FEE2005 -3492 Technology Fee $3.25 FEE2005 -3493 Training and Education Fee $0.20 FEE2005 -3494 Submittal Fee ($50.00) Total Fees: $84.05 Total Fees: $84.05 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 8/29/2005 Construction Value: $550.00 Work: KITCHEN PLUMBING REMODEL Signed: (INSPECTOR) Page 1 of 1 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: ,r% Permit No. 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 Registered Architect and /or Engineer _____ ___ --- __- - -- - -_ Block Employing Plumber's Name Location and Legal Description Lot. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No �9 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 y 9 * -� — Q //e n _ // (Signed)_ - ry LLB t., 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 tlie 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. ; 1 ' / P . l Amount of Permit $ _•_ - STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires Notary Public, State of Florida ...... Street Street---_-- -- --- --- --. - -- '- --- - - -- - Subdivision- Street Capacity Gals O0 4 - Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. GLOEETe BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tugs U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL COMM. LIST -- CHECK ,r% Permit No. 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 Registered Architect and /or Engineer _____ ___ --- __- - -- - -_ Block Employing Plumber's Name Location and Legal Description Lot. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No �9 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 y 9 * -� — Q //e n _ // (Signed)_ - ry LLB t., 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 tlie 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. ; 1 ' / P . l Amount of Permit $ _•_ - STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires Notary Public, State of Florida ...... Street Street---_-- -- --- --- --. - -- '- --- - - -- - Subdivision- Street Capacity Gals O0 4 - Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. Date I' Application is hereby mule foT 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. !� b t? lL L N Owner's Name and Address---- ---- --- - -� � _ - -_ ._ ------- I- to tz - __ - No._— __ -- _ - -_ E Street Registered Architect and /or Engineer- . -_ - - -- _---- ___ -�- Employing Plumber's Name en G ' !2C_1_i le' 4 L __ No._ - 2`i t fie' Stseet_r Location and Legal Description Lot �aeet and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling._..__ ___ Addition_______ Repairs No. of Stories. Amount of Permit $_ Nature of Water Supply: City —Well My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Size Septic Tank_ __.- _____ - -.— Type of Tank Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) _ Subdivision Street Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept 's obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus 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 pert ' , as are licensed by Miami Shores Village. (Sign : = -� -- ■_ Master Plumber. STATE OF FLORIDA, l 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. C:.03ETTt7 BA H TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES Comm. Liar - - ^Harr " EPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST +- CHECK Date I' Application is hereby mule foT 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. !� b t? lL L N Owner's Name and Address---- ---- --- - -� � _ - -_ ._ ------- I- to tz - __ - No._— __ -- _ - -_ E Street Registered Architect and /or Engineer- . -_ - - -- _---- ___ -�- Employing Plumber's Name en G ' !2C_1_i le' 4 L __ No._ - 2`i t fie' Stseet_r Location and Legal Description Lot �aeet and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling._..__ ___ Addition_______ Repairs No. of Stories. Amount of Permit $_ Nature of Water Supply: City —Well My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Size Septic Tank_ __.- _____ - -.— Type of Tank Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) _ Subdivision Street Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept 's obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus 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 pert ' , as are licensed by Miami Shores Village. (Sign : = -� -- ■_ Master Plumber. STATE OF FLORIDA, l 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ Date -1�° _. 19 _C� PLUMBING J� PERMIT Np 9404 Contractor's License No. - / /lf ROOFING ❑ Owner of Building ' • / � A; Architect Contractor or Builder /f/ t .r . ./r". t-. Legal Lat I i _.' Description 11 Bl Address of Building �IX.? .r Work to be performed under this Permit Subdi- vision Sq. Ft. �, y Value of 11 Amount of Project $ 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with an 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 or in the statements or specifications and that he assumes respon sibility for work done by his agents, servants or employees. Signed 1 �I,7�c C 7 ' V ` ll (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation, pertaining thereto and in strict conformity with the plans, dr statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work one by either, myself, my agent, servant or employee. I ../ / % ' " / /.t,! Lt ,c-C CONTRACTOR or BUILDER BY AUTHORITY e. / MIAMI SHORES VILLAGE, FLA. JOB ADDRESS INSPECTION 2 TIME READY f REMARKS: NY 7917 INSPECTOR DATE BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description _ Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 7495 Lot CONTRACTOR OR BUILDER Bl. Subdi- vision BY r DATE Work to be performed under this Permit AUTHORITY 195 Contractor's License No. Value of !I Amount of ''• Project $ '1 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 applicaticn 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 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 thgestatements 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 regulatior 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, servarlt "or employee. 8`y ! RIDING 1.ECTRICAL LUMBING wner of uilding chitect ontractor Builder =gai escription Lot MIAMI SHORES VILLAGE, FLORIDA DATE i 194__,_ Contractor's License No. 4 PERMIT Work to be performed CONTRACTOR OR BUILDER Bl. N? 8458 under this Permit Subdi- vision ddress of I 7 ' / 1/' j Value of Amt. of Aiding_ / Pr oject Permit / 1 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- tiort herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ans, 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 _rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and guletions pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- .ility for work done by his agents, servants or employees. j . Signed. q ` ' " ^ . 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 =raining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY UILDING LECTRICAL LUMBING 'wrier of uilding :ontractor r Builder Work to be frerformed under this Permit 1 / rchitect CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N? 8514 Contractor's License No. 4 .egal Lot Bl. Subdi- . iescription vision ddress of - , C - c // ' - ' // L i / , Project Value of Amt. of -')' uilding , .. • Permit Signed. By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work hereunder in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. . accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. This permit is granted to the contractor or builder named abov to construct the building or to install the equipment or device described in the appli- / dion herefor in strict compliance with all ordinances pertaining ther o and with the understanding that the work will be performed in compliance with any lens, 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 Ohanged without authorization. A further condition upon which this ermit is granted is the understanding that the contractor or builder named above assume the responsibility for a thorough knowledge of the ordinances and lulations pertaining to the work covered hereby whether shown on the plans or drawi s or in the $tatements or specifications and that he assumes respon- bility for work done by his agents, servants or employees. ^ 1 ( BY AUTHORITY Permit No , Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted-for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. P Owner's Name and Address 4., N • ___� Registered Architect and /or En$ineer ... ______ Employing Plumber's Name .e Location and Legal Description Lot. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)__ New Building _ Remodeling____ ___ Addition Repairs No. of Stories. Size Septic Tank Feet of Drain Tile Nature, of Water Supply: City —Well. Amount of Permit $____ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his 4` igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per anent 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. ._ No.---------- - - - - -- Street__ Block Subdivision Type of Tank__ Capacity Gals _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)_ ( Signed)._ Street__ - Street____, Master Plumber. STATE OF FLORIDA, I Bs. 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 NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No , Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted-for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. P Owner's Name and Address 4., N • ___� Registered Architect and /or En$ineer ... ______ Employing Plumber's Name .e Location and Legal Description Lot. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)__ New Building _ Remodeling____ ___ Addition Repairs No. of Stories. Size Septic Tank Feet of Drain Tile Nature, of Water Supply: City —Well. Amount of Permit $____ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his 4` igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per anent 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. ._ No.---------- - - - - -- Street__ Block Subdivision Type of Tank__ Capacity Gals _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)_ ( Signed)._ Street__ - Street____, Master Plumber. STATE OF FLORIDA, I Bs. 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 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. f Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address LZ j -- No._ 1 _ Street _ ----- -___ -- _ -- _ _ _ .2 �'� � � Registered Architect and /or gineer___ ___ Employing Plumber's Name c -6° r rt No._________ ____ - -_ _ Street_ ---_-- _—...... ------........... __ - . -- Location and Legal Description ..... Subdivision - ----- .--------- ...------- _ - - -� Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) _-____ New Building _ ___ Remodeling___ ___ __ Addition._____._ Repairs No. of Stories. Size Septic Tank-._______._ Feet of Drain Tile-_ Nature of Water Supply: City —Well._ _f . Amount of Permit $ STATE OF FLORIDA, 0 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank— Capacity Gals. Dist. Feet of Tank or Drain Field from Well of SoakagPit ( c ) n (Signed)- (Signed)._ Date 7 '& - 3 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are 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. 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 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 TUBS SHOWERS LAVA- TORIES S SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES Comm. LIST CHICK — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST - CHECK - f Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address LZ j -- No._ 1 _ Street _ ----- -___ -- _ -- _ _ _ .2 �'� � � Registered Architect and /or gineer___ ___ Employing Plumber's Name c -6° r rt No._________ ____ - -_ _ Street_ ---_-- _—...... ------........... __ - . -- Location and Legal Description ..... Subdivision - ----- .--------- ...------- _ - - -� Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) _-____ New Building _ ___ Remodeling___ ___ __ Addition._____._ Repairs No. of Stories. Size Septic Tank-._______._ Feet of Drain Tile-_ Nature of Water Supply: City —Well._ _f . Amount of Permit $ STATE OF FLORIDA, 0 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank— Capacity Gals. Dist. Feet of Tank or Drain Field from Well of SoakagPit ( c ) n (Signed)- (Signed)._ Date 7 '& - 3 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are 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. 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 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. r rr' ' Permit No. — i Date_ - /- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and 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 Size Septic Tank________ Feet of Drain Tile Nature of Water Supply: City —Well. i MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer , g Name ' _� .:. ; No - '=Street Location and Legal Description Lot Plumber's Name- __..__. __�_ a ( i Block ____ -- ____ter Subdivision __1_Ja _t_.c_ &'�_._____ Street and Number where work is to be performed —No t _. :__ " ` Street_ __________ State work to be performed and purpose of building (By Floors) Type of Tank____ No. Street I.— .1 New Building - L Remodeling Addition Repairs. Dist. Feet of Tank or Drain Field from Well Capacity Gals. Size of Soakage Pit of Permit $ -- / ; . (Signed) - - --tJ -t g. =- t . , 1 r Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblations 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 l work to be performed under this permit, as are licensed by Miami Shores Village. / C (Signed)._ STATE OF FLORIDA, 1 j ss. 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 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. No. of Stories Master Plumber. CLOSETS BATH TUBS SHOWERS LAVA - TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. ST LI CHECK j ,_ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP Spk*R DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST Z ? i' _ _ f HEATER { 4; (.., i CHECK Permit No. — i Date_ - /- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and 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 Size Septic Tank________ Feet of Drain Tile Nature of Water Supply: City —Well. i MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer , g Name ' _� .:. ; No - '=Street Location and Legal Description Lot Plumber's Name- __..__. __�_ a ( i Block ____ -- ____ter Subdivision __1_Ja _t_.c_ &'�_._____ Street and Number where work is to be performed —No t _. :__ " ` Street_ __________ State work to be performed and purpose of building (By Floors) Type of Tank____ No. Street I.— .1 New Building - L Remodeling Addition Repairs. Dist. Feet of Tank or Drain Field from Well Capacity Gals. Size of Soakage Pit of Permit $ -- / ; . (Signed) - - --tJ -t g. =- t . , 1 r Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblations 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 l work to be performed under this permit, as are licensed by Miami Shores Village. / C (Signed)._ STATE OF FLORIDA, 1 j ss. 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 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. No. of Stories Master Plumber.