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PLUMBING PERMITDate 6/ WORK DESCRIPTION 11,p P0 MARCO ROSAS My Commission 0486009 Notary ", r ..: a e a ; P� 5 ent My Coif trli� F iNt. .iXp -1555 FEES: PERMIT ./ l! RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 3.2 %l• C j /$7 Tax Folio // 3/ 0O D s Legal Description Historically Designated: Yes No Owner/Lessee / Tenant ‘A�,41e2 - /9je. ,Pj)Q ails© t Owner's Address 3.2 f - � o Signature of owner and/or o do President C.C.F. A: NOTARY APPROVED: Zoning Building Mechanical Plumbing Z k'' N LIB Master Permit # Phone Contracting Co. _40 r D.9�� Z ', f o -9 „Zoe C Address y.1 S - O /,4 -1 oC•f a A /G. Qualifier 4l/i/ZG0 �O.S# SS# Phone ‘Se/ 63 Z 2 State # Municipal # 3 777ff'• Z Competency # f �a o02 /? Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 6 ,•9 te, • c:gleoete___, Square Ft. Estimated Cost (value) if eZmD(e' WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contr ctor to do the work stated. . ,tWiekifeig Notary ; eY ntraelpRE9 My Commission Expires: ; / f7 Electrical Engineering TOTAL DUE / a7-40) Iv; 7 7° 5 c,t • / - � 1 ' e C4 7,r eie/ #e k 70 w /Sc4J 3 s Z , . E / ,F / i»: r/• P 8 eA Le &end/ L,J /20 /7GJJ -r -: S ,D ,y �ei 2 027e !/A /lrc . ox ex- Au 'oo. 3 4 BUILDING ELECTRICAL PLUMB RIG ROOING Architect Contractor or Builder Legal Description Address of Building Lot ,. na Idan! er 1ra�'4i1 &' A AcY 41408 Clo 0 0 0 Owner of Building E. T. + `:" 4 .S „ r . S S. This permit is granted to the c tion herefor in etriet compliance with a plans, .drawings„ statements or specifications' at any time if the work is sot done in t permit is granted i, 14te undeista regulations pertaining to the week tibility for work done by his then In consideration - f gie issuance to`; pertaining thereto and In strict confonu cepting this permit I assume respons CONTRAcFOR O . ILDER Signed: . to perform t a work Weed ' ilereettder k MCstemente or speoiflcations admitted to the proper by either, myself, my agent, nt or employee. BY Permit No Registered Architect and /or Engi ee Employing Plumber's Name Size Septic Tank_ Feet of Drain Tile Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. Nature of Water Supply: City —Well. 1 544 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application 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. Owners Name and Address___ I J e___ __ _ ____ ___ —_ a_ _ _ 1 A 4 4 0 Location and Legal Description Lok______— ______— ______ —_ _ Block_ . . ^ _ Street and Number where work is to be performed —No '3 i' 7 b * Street_ State work to be performed and purpose of building (By Floors) _____._ _______------ _---- ____ - New Building ______ Remodeling____ _______ Addition____ _ Repairs No. of Stories. _ t 0 's t. e No. Street f Tank____ Capacity Gals. of Tank or Drain Field from Well ---- _-- _---- __ -_ -- -______Size of Soakage Pit (Signed) _ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin. .• t 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 per ed under this permit, as are licensed by Miami Shores Village. (Signed ) Master Plumber. Date Lcq f / Street__ Subdivision My Commission Expires Notary Public, State of Florida i Plumbing Inspector. 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 worlmtanship. CLOSETS BATH TUBS E SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST - - -- - CHECK Permit No Registered Architect and /or Engi ee Employing Plumber's Name Size Septic Tank_ Feet of Drain Tile Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. Nature of Water Supply: City —Well. 1 544 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application 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. Owners Name and Address___ I J e___ __ _ ____ ___ —_ a_ _ _ 1 A 4 4 0 Location and Legal Description Lok______— ______— ______ —_ _ Block_ . . ^ _ Street and Number where work is to be performed —No '3 i' 7 b * Street_ State work to be performed and purpose of building (By Floors) _____._ _______------ _---- ____ - New Building ______ Remodeling____ _______ Addition____ _ Repairs No. of Stories. _ t 0 's t. e No. Street f Tank____ Capacity Gals. of Tank or Drain Field from Well ---- _-- _---- __ -_ -- -______Size of Soakage Pit (Signed) _ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin. .• t 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 per ed under this permit, as are licensed by Miami Shores Village. (Signed ) Master Plumber. Date Lcq f / Street__ Subdivision My Commission Expires Notary Public, State of Florida i Plumbing Inspector. 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 worlmtanship.