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PLUMBING PERMIT
MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r: ;swMIT 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. Location and Legal Description Lot. New Building . - ____ -- Remodeling Amount of Permit $ _ - - -- Owner's Name and Address t No._ -- _ -._ -__ Street Registered Architect and /or Engineer...__..__._..... Employing Plumber's Name,L v�. _ / ' — _ .: No._ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors )_ Block-_ Addition_____ Repairs No. of Stories . . ....................... Type of Tank___ E L__ ' 't'` Capacity Gals Size Septic Tank Feet of Drain Tile.______ Dist. Feet of Tank or Drain Field from Well Nature ox Water Supply: City —Well Size of Soakage Pit (Signed Street.___ Subdivision._.__.._____ Street (Signed)_ �C - Z.—� The undersigned applicant for this building permit does hereby certify that he understands and accepts his/ legations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P . Inanent Supplement, and has coin- 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. umb or. ti Moat`er Plumber. STATE .SF FLORIDA, U. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that 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 INK SLOP SINKS LAUNDRY TUB E URINALS 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 SWING POOL CONTR. LIST _. CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r: ;swMIT 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. Location and Legal Description Lot. New Building . - ____ -- Remodeling Amount of Permit $ _ - - -- Owner's Name and Address t No._ -- _ -._ -__ Street Registered Architect and /or Engineer...__..__._..... Employing Plumber's Name,L v�. _ / ' — _ .: No._ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors )_ Block-_ Addition_____ Repairs No. of Stories . . ....................... Type of Tank___ E L__ ' 't'` Capacity Gals Size Septic Tank Feet of Drain Tile.______ Dist. Feet of Tank or Drain Field from Well Nature ox Water Supply: City —Well Size of Soakage Pit (Signed Street.___ Subdivision._.__.._____ Street (Signed)_ �C - Z.—� The undersigned applicant for this building permit does hereby certify that he understands and accepts his/ legations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P . Inanent Supplement, and has coin- 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. umb or. ti Moat`er Plumber. STATE .SF FLORIDA, U. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that 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. BUILDING ELECTRICAL PLUMBING ROOFING ❑ r ❑ DATE 195 PERMIT N? 5937 Contractor s License No. i CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Owner of Building Architect Contractor or Builder Legal Lot Description Bl Work to be performed under this Permit Address of Value of 11 Amount of . _ Building 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 application 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 the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. ,! Signed Subdi- vision INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covere hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications mitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Amount of Permit $._ - _fir' 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. STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 4 Q ' Owner's Name and Address Registered Architect and /or Engineer _ Employing Plumber's Name Location and Legal Description Lot - . No._ 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 Signed)_ (Signed). Street. Street__ Block___________. Subdivision Street Repairs No. of Stories . . ................ Size Septic Tank Type of Tank_ Feet of Drain Tile._ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well —___ Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWING POOL CONTR. LIST CHECK Amount of Permit $._ - _fir' 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. STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 4 Q ' Owner's Name and Address Registered Architect and /or Engineer _ Employing Plumber's Name Location and Legal Description Lot - . No._ 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 Signed)_ (Signed). Street. Street__ Block___________. Subdivision Street Repairs No. of Stories . . ................ Size Septic Tank Type of Tank_ Feet of Drain Tile._ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well —___ Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot I Description I .! 131 Address of Building ` `` ' • + ( ct 4 <. MIAMI SHORES VILLAGE, FLORIDA Date 2 -Te 19 PERMIT N? 8561 Work to be performed under this Permit • t-- — Subdi- vision Sq Ft Value of Project $ Contractor's 7 s,.. License No. c - tit wl S Amount of 2 Permit $ c> kar 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 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 wheth r shown on the plans o drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants pt employ s. r / 1 Signed • i '!) t C"; __ - frI SPECTOR) BY In consideration of the issuance to me of this permit I agre perform the work covered hereunder in compliance with all ordinances and regulation- pertaining thereto and in strict conformity with the plans, drawin , atements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work don y either, myself, m agent, servant or employee. CONTRACTOR or BUILDER 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. Owner's Name and Address Registered Architect and/or Engineer__________ .1 7 State work to be performed and purpose of building (By Floors)_ _ New Building Remodeling_ Addition Size Septic Tank Nature of Water Supply: City—Well. Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Street ( Signed)_ ( Signed )_ Street Employing Plumber's Name Location and Legal Descriptio ot._ Block___ Subdivision Street and Number where work is to be performed—No.. f' Street No. of Stories. Type of Tank_ Capacity Cals. Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit c---- mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I 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 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. CLOSET° BATH TUBS SHOWERS LAVA- TORIES S SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT* NS 4fill S """- .,,,,, . —..-- •,--• TOTAL FIXTURES CONTR . LIST i . AP 4 CHECK , i f 'a SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL PRKLR. SYSTEM SWING 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. Owner's Name and Address Registered Architect and/or Engineer__________ .1 7 State work to be performed and purpose of building (By Floors)_ _ New Building Remodeling_ Addition Size Septic Tank Nature of Water Supply: City—Well. Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Street ( Signed)_ ( Signed )_ Street Employing Plumber's Name Location and Legal Descriptio ot._ Block___ Subdivision Street and Number where work is to be performed—No.. f' Street No. of Stories. Type of Tank_ Capacity Cals. Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit c---- mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I 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 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 n ,,P R M IT IT? 13548 PLUMBING ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit f II BL Subdi- vision Value of Project $ DATE Contractor's License No Amt. of 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 application 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 the statements or specifications and that he assumes responsibility of r work done by his agents, servants or employees. Signed - • ' r j� ... .`• BY / f �_ ICfOR 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, statem nt - 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. t � AUTIIOR[R CONTRACTOR OR BUILDER BY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder I .egal Description Address of wilding Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5714 CONTRACTOR OR BUILDER DATE 195 Contractor's Licease No. Work to be performed under this Permit B1 Subdi- vision Value of Project $ i, Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application zerefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 ?ertaining 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 lone by his agents, servants or employees. Signed — 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 , ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work, Owner's Name and Addrtss No Street Registered Architect and /or Engineer Employing Plumber's Name__ _ _ _ _ �__ No.__ _______ Street Location and Legal Description Lot_ Street and Number where work is to be performed —No Size Septic T Feet of D ain Tile. - - - - - � 1 Nature 4f Water Supply: Amount of Permit $ 1 My Commission Expires Block____ __.____ - __________ Subdivision -✓ _� _ �` Street State work to be performed and purpose of building (By Floors)_ New Building Remodeling Addition._. Repairs No. of Stories Type of Tank. _ Capacity Gals. ..... __Dist. Feet of Tank or Drain Field from WelL Size of Soakage Pit (Signed) Plumbing Inspector.-- - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as arc licensed by Miami Shores Village. (Signed). Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fat' 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 necessary by improper notice for inspection, or faul materials and /or workmanship. CLOSETS BATH TUBS S LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuea URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTUREI CONTR. LIST -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST CHECK �.. 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work, Owner's Name and Addrtss No Street Registered Architect and /or Engineer Employing Plumber's Name__ _ _ _ _ �__ No.__ _______ Street Location and Legal Description Lot_ Street and Number where work is to be performed —No Size Septic T Feet of D ain Tile. - - - - - � 1 Nature 4f Water Supply: Amount of Permit $ 1 My Commission Expires Block____ __.____ - __________ Subdivision -✓ _� _ �` Street State work to be performed and purpose of building (By Floors)_ New Building Remodeling Addition._. Repairs No. of Stories Type of Tank. _ Capacity Gals. ..... __Dist. Feet of Tank or Drain Field from WelL Size of Soakage Pit (Signed) Plumbing Inspector.-- - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as arc licensed by Miami Shores Village. (Signed). Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fat' 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 necessary by improper notice for inspection, or faul materials and /or workmanship. Permit No. Registered Architect and /or Engineer Employing Plumber's Name.__ ft Location and Legal Description Lot-_ Street and Number where work is to be performed —No Amount of Permit $ MIAMI SHORn5 VV... A C PLUMBING INSPECTION DEPARTMI:; APPLICATION FOR PLUMBING Application is hereby made for the approval of the detailed statement of tir; ;,mans and speci; . oatt uns herewith submitted for the building or other structure herein described. This application is made in compliance and con IL;: v with the Eoulciing Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miexr :...i.,:es Viiiaat;e eau all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein s p e r l k . ; ,f :.:;,proved plans and specifications must be kept at building during progress of work j r) ,, , / (----• , / 7 Owner Name Brad Address --- .----- .__.__ -_ -- -. - -- _ =\- /__ -- - -_ - -. - - -. -. ?" ._- _ - Street _. State work to be performed and purpose of building (By Floors )- -_---___...- -._-- _ - -_ New Building .__._..____-- ....... Remodeling_ __ _ _ __ Addition.. ...... 'Street. 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)- 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 a required by die Act. The undersigned agrees to employ only such sub - contractors, on w to be perfo - . u er this permit, as licensed by Miami Shores Village. (Si Date ' 6C1 No.__ - . -.._.. Street__ .._. Repairs No. of Stories. Capacity Gals.. /Liz STATE OF FLORIDA, t ae. COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared E. J. McCormick to me well known, r,nd who, being by me first duly sworn, upon oath deposes and says that he is the__.Jdaeter umber_ _.. of the above described construction, that he has carefully read the foregoing application, and did/s' the same, and that all facts therein by him stated are true. Neely Public, State of Floriva at l ame % � ,4y commission expires Mar. 3, 1561 ( -�—' � . I _ 2 ' I•- ijv- el- SuurtwCD of N Y. My C rnt } � ommission Expires N . Pub yState o)rtda NOTE: A re-inspectim fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty matmints add /ICE workmanship. Master Plumber. CLOSETS BATH TUBS SF:OWER .. ' TORIES SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS P A h. ' i t t `'( `1(.4 TOTAL , FIXTURES CONTR. IST LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT 0 TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIMUG POOL CONTR. LIST CHECK Permit No. Registered Architect and /or Engineer Employing Plumber's Name.__ ft Location and Legal Description Lot-_ Street and Number where work is to be performed —No Amount of Permit $ MIAMI SHORn5 VV... A C PLUMBING INSPECTION DEPARTMI:; APPLICATION FOR PLUMBING Application is hereby made for the approval of the detailed statement of tir; ;,mans and speci; . oatt uns herewith submitted for the building or other structure herein described. This application is made in compliance and con IL;: v with the Eoulciing Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miexr :...i.,:es Viiiaat;e eau all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein s p e r l k . ; ,f :.:;,proved plans and specifications must be kept at building during progress of work j r) ,, , / (----• , / 7 Owner Name Brad Address --- .----- .__.__ -_ -- -. - -- _ =\- /__ -- - -_ - -. - - -. -. ?" ._- _ - Street _. State work to be performed and purpose of building (By Floors )- -_---___...- -._-- _ - -_ New Building .__._..____-- ....... Remodeling_ __ _ _ __ Addition.. ...... 'Street. 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)- 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 a required by die Act. The undersigned agrees to employ only such sub - contractors, on w to be perfo - . u er this permit, as licensed by Miami Shores Village. (Si Date ' 6C1 No.__ - . -.._.. Street__ .._. Repairs No. of Stories. Capacity Gals.. /Liz STATE OF FLORIDA, t ae. COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared E. J. McCormick to me well known, r,nd who, being by me first duly sworn, upon oath deposes and says that he is the__.Jdaeter umber_ _.. of the above described construction, that he has carefully read the foregoing application, and did/s' the same, and that all facts therein by him stated are true. Neely Public, State of Floriva at l ame % � ,4y commission expires Mar. 3, 1561 ( -�—' � . I _ 2 ' I•- ijv- el- SuurtwCD of N Y. My C rnt } � ommission Expires N . Pub yState o)rtda NOTE: A re-inspectim fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty matmints add /ICE workmanship. Master Plumber. Building Department 10050 N.E.2nd Avenue, Miami Florida 33138 Tel: i) 56.8972 BUILDING k .O,t < r i t n l 1 _ 3 PERMIT APPLICATION FBC 2001 Miami Shores Village Job Address (where the work is being done) p.2 9 ,tJ ? / ✓'f /f' e _..M aster Permit No. Permit Type (circle): Building / Electrical Plumbing) Mechanical Roofing Owner's Name (Fee Simple Titleholder) e,/e, r i' lei e; r Phone # G /l " 3 2 : lU / 9 Owner's Address /S Ai" j /free City Alec,' /Or k State //I Zip /0t, / Tenant/Lessee Name / / % Z G• o" c' Phone # - V56 // ? 9 City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO i/ Contractor's Company Name /V7 r /rn 7%. '(mi, ;,, % . J iT t- Phone # Sl>; - 6 t / Contractor's Address d C / /q; / e r City /(4yf1' /V7/ tt m tell a State NC. Zip 5 ?' / ? 9 Qualifier t / 6'�<< < /, G G'c /` c Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: ❑Addition Describe Work: /1 f: /, ye; l,' j Ge - /� .- [Alteration ['New / , * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * *« Submittal Fee $ 5 • CI v Permit Fee $ � � CCF $ J � '9 CO /CC --'� Square Footage Of Work: /CZ ❑ Repair/Replace ) e // C 3 Notary $ - Training/Education Fee $ is Technology Fee $ l 7" . 6 3 Scanning $ -�-� Radon $ '' Zoning Bond $ Code Enforcement $ ✓ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) _5 0 SO fib # #v ) 7 > 5 -717 5 ❑ Demolition c . 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 bp- Vove and a r spection fee will be charged. Signature Con . ctor The foregoing instrument �_ / was acknowledged before me this /6 The foregoing instrument was acknowledged before me this l day of 4 4VeMay, 20 ©V, by (.�r� /ler Ze r , day of SU9l'Em Ze 20 ®r' , by Plea6d, t % 4p/' who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY P Sign: P• y Commission Expires: NOTARY PUBLIC: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Cie 12/15/03 ( Certificat of Competency Holder) Sign: , Y�yv� /J -ie 7xntres September 22, 2005 fi% f o My Commission Expires/VI: t °/1 L°/r° State Certificate or Registration No. Certificate of Competency No. C C kies Monism . My Commission *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Plans Examiner Engineer Zoning 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 SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/IkTER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TCP 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. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS 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 HATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW RE INSPECTION HATER SUPPLY TO: AIR CONDITIONERS ' A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS . 'HEATER -NEW INST. GENERATORS TRANSFORMERS 1 HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS ITILITY -SEWER SIGN TIME CLOCK . TILITY -WATER FIXTURES EPTIC TANK / ANTENNA ' ELAY TELEVISION OUTLETS RAINFIELD, 4' TILE/RES. qQ' / VIOLATION UMP & ABANDON SEPTIC TANK / REINS?ECTION JAKAGE PIT CU. FT. ETCH BASIN . ISCHARGE WELL JMESTIC WELL lEA DRAIN )OF INLET JLAR WATER HEATER IRE STANDPIPE IOL PIPING • 1WN SPRINKLER SYSTEM \S RANGE :TER SET (GAS) S PIPING (AN APPLICATIbN FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date // - U Type Insp'n /5 /1 ,4 Permit No. /2- 2O 2 I f ' Name C/ Ar /e, Ze r Address v2 Ni 9/ v%ree71 Company Ad r- //A ". ;:y- Phone # "f � ' a7/ Inspection Date Approved Correction Re- Insp'n Fee ❑ 4/ — 4/,;��(gee ke_ 6,4 ✓aA/ rr� re�a /Y 6 0 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2004 -330 Printed: 11/22/2004 Applicant: CHARLES Owner: ZEGAR JOB ADDRESS: 29 Parcel # 1132060130090 NE 91 Contractor MARLIN PLUMBING OF MIAMI INC Contractor's Address: 20145 NE 16 PL Local Phone: 305 - 652 -6108 Signed: (INSPECTOR) Plumbing Permit ZEGAR CHARLES ST Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 15 BLK 1 LOT SIZE 50.000 X Fees: Description Amount FEE2004 -11662 Building Fee $585.00 FEE2004 -11663 CCF $5.40 FEE2004 -11664 Training and Education Fee $1.80 FEE2004 -11665 Technology Fee $14.63 Total Fees: $606.83 Total Fees: $606.83 6.83 Total Receipts: .53 Permit Status: APPROVED Permit Expiration: 5/15/2005 Construction Value: $8,875.00 Work: RE -RUN 60 OF SEWER LINE ONE 1050 SEPTIC TANK 400 SQ FT DRAINFIELD PUMP 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: ioPi NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA COUNTY OF DADE THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: ` g � 1. Legal description of property and street address: 2 9 A./ / / t / J�',ee 2. Description of improvement /,h& d( e / / nail veer Z . fan 420/95 Alt /6 /% Ce Name and address: Amount of bond: $ 6. Lender's name and address: Signature of Owner Print Owner's Name Sworn to and subscri Notary Public d ot I'(e Zegar ✓J Print Notary' ' ame jct J . My Co sion Expires: ore me 23 day of Nom, 20 0044/ 3. Owner (s) name and address 6 2ej! r /50 ect, /lee✓ Y r /VP met /9 Interest in property: Name and address of fee simple titleholder. 4. Contractor's name and address: OA A4(014;!, / l e . 4/0/ /(/li tir+i led r / `C 33/99 5. Surety: (Payment bond required by owner from contractor, if any) ^- • 1 ..T'CF D'1DF fl fh.9 s t - Prepared by: go,t 7 e /'b CFN 2004R1014-5365 OR 8k 22847 Fs 4770i (1as) RECORDED 11/23/2004 14:03 :38 HARVEY RUVIN. CLERK OF COURT MIAMI -DADE COUNTY. FLORIDA LAST PAGE 1115153 Mil SI 11*1*3 e::n VMS SIM 1/1131111 ' 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) 7., Florida Statutes: Name and address: Bin addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b) 7., Florida Statutes: Name and address: 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Address: 20 / 5/.3" NE /6 "tee 4Jor/ 0•401,. ,'e , , .'.;?/99 Form 104