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PLUMBING PERMITis hereby mode for the approval of the detailed statement of the plans and specifications herewith subr i:• .'i for the building or other ;tructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mt- ! Shores Village. Florida, 4,1i all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic • of the Building Division of Miami Shores Village shall be co plied with, whether herein specified or not. A copy of approved plans and spec flcatlons mud be kept at iuilding during progress of work. ')weer'[ Name and Address Size Septic Tank__._ —.__ Amount of Permit $.. .. STATE OF FLORIDA, i ss. COUNTY OF DADE. .egistsred Architect and /or Engineer employing Plumber's Name Ail w ss4 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) My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ..__.._. No.__ SCE__ _ _ Street .. C1) B 4 Date No..__._ ,..:,,.., Street...: 4, Street_. New Building Remodeling___ ... Addition._._..._ Repairs No of Stones -. — ___ .__..Type of Tank— Capacity t Qals. Feet of Drain Tile._l�_ �`- -- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. .__ _......._.. -. _. -__ ---- .- __ -__- ...Size of Soakage Pit P trlbin'; Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n,,loyei of !allot und.cr the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent f upi lement, and hay .-or . ti lied with the provisions thereof, and will require similar compliance from all contractors or sub - contract employed 1 y him in • e 'A' rk e b- performed under this permit; and will post or cause to be posted' for inspection on the .ite of the w s ch publ: notice T. no iccr +s a required by the Act. The undersigned agrees to employ only such sub- contractor C•� work t hdk d,. . a this . > �n u, dr . licensed by Miami Shores Village. Mast a Plumber. (Signed)_ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per;orrt ; c ppr'aret. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the • of the above described construction, that he has carefully read the foregoing application, and that be did sign the saris, and that all acts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when suss re-inspection is mede•neoessary by improper notice for inspection, or touil) materials and /or workmanship. CLO$rT/ BATH TUB[ SHOWER/ LAVA• TORIES SINKS • SLOP RINK[ LAUNDRY TUB/ URINALS CATCH BASIN FLOOR IDRINKINO DRAIN FOUNT'NS TOT.. , FIxTI RES CONTR. LI•T CHECK ' SEPTIC TANK SEWER CONK. DRAIN PI[LD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. IT — CHICK is hereby mode for the approval of the detailed statement of the plans and specifications herewith subr i:• .'i for the building or other ;tructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mt- ! Shores Village. Florida, 4,1i all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic • of the Building Division of Miami Shores Village shall be co plied with, whether herein specified or not. A copy of approved plans and spec flcatlons mud be kept at iuilding during progress of work. ')weer'[ Name and Address Size Septic Tank__._ —.__ Amount of Permit $.. .. STATE OF FLORIDA, i ss. COUNTY OF DADE. .egistsred Architect and /or Engineer employing Plumber's Name Ail w ss4 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) My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ..__.._. No.__ SCE__ _ _ Street .. C1) B 4 Date No..__._ ,..:,,.., Street...: 4, Street_. New Building Remodeling___ ... Addition._._..._ Repairs No of Stones -. — ___ .__..Type of Tank— Capacity t Qals. Feet of Drain Tile._l�_ �`- -- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. .__ _......._.. -. _. -__ ---- .- __ -__- ...Size of Soakage Pit P trlbin'; Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n,,loyei of !allot und.cr the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent f upi lement, and hay .-or . ti lied with the provisions thereof, and will require similar compliance from all contractors or sub - contract employed 1 y him in • e 'A' rk e b- performed under this permit; and will post or cause to be posted' for inspection on the .ite of the w s ch publ: notice T. no iccr +s a required by the Act. The undersigned agrees to employ only such sub- contractor C•� work t hdk d,. . a this . > �n u, dr . licensed by Miami Shores Village. Mast a Plumber. (Signed)_ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per;orrt ; c ppr'aret. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the • of the above described construction, that he has carefully read the foregoing application, and that be did sign the saris, and that all acts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when suss re-inspection is mede•neoessary by improper notice for inspection, or touil) materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of , Building nwo• done by b agents, servants or employees. MIAMI SHORES VILLAGE, FLORIDA DATP 194 Centractoes License) No. PERMIT 'N? 11220 E.2 El Work to be performed under this Permit , r ) , '4, V r Architect TcA 4 , -..... - ... ....... ', CNN. , k.,'(.. ,...-"‘-r 4 Contractor . c, , - , — or Builder Legal Lot , ,, ... ti * f 11 Bl. v Subdi- Description " C• .1 A ( 1 vision --- Address of 1 , - / r , Value of Amt. of Building / --) ' '''' 1 . Project $ Permit $ i Seal . This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device deocribed 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 'nuinicipal 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 abo assumes the responsibility fo a thorough knowledge of the or and or woik pertainin to the work covered hereby whether shown on the plans or raw or in the 1 440_1 ents specifications that he In consideration of the issuance to me of this permit I S4 ev i: form the work covered hereunder in compliance with all ordinances and regulations t %..b. 'y' pertaining thereto and in strict conformity with the p drawin 4. eats or specifications submitted to the proper authorities of Miami Shores Village. In acceptin is permit I assuguriesponsibility for k done by r, myself, my agent, servant or employee. ,-- BY AUTHORITY BUILDING ELECTRICAL PLUMING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT 2§T? 11181 DATE -r Contractor's License No Work to be performed candor this Pere it Architect Contractor , or Builder Legal Lot II BL Description / Address of Value of Building ..4 .,,z 6 , /.., / / � ,I Project $ I This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device desadbed 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 ea plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition u which doh 1 . granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the or and pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility work done by his agents, servants or employees. In consideration of the issuance to me of this permit I ag pertaining thereto and in strict conformity with the lans, drawl In accepting, this permit I assu3ts.,responsibility fop'' work do atiraliEW Subdi- vision BY BY ., tL- .4... -"°' -i,1 Amt. of Permit $ `""sena. perform the work covered hereunder in compliance wit r' 'ordinance. and temilajlona temente or specifications submitted to the proper authorities of Miami Shore either, myself, my agent, servant or employee. AUTHORITY Permit No. //// (r j 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 subm4tted 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,,. . : ' / r , . - - : ! No Registered Architect and /or Engineer_____ __: c _ <_ Employing Plumber's Name Street No Location and Legal Description Lot Block___—_ Subdivision Street and Number where work is to be performed —No _ Street'= j_■ _,1., _l,"_' — 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 Capacity Gals — Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply )-Well. ' Amount of Permit $ _. STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires / -. Size of Soakage Pit ( Signed) Date Notary Public, State of Florida Master Plumber. 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 pos r 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 as to employ only such sub - contractors, on work to be performed under this permit, ' are licensed by Miami Shores Village. (i Before me, the undersigned authority, 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS / TOTAL FIXTURES CONTR. LIST 2. �� J r / �� w 1 1 / / G CHECK ' , j , _ 7 .5 / 3 O 0 J SEPTIC TANK SEWER CONN. /... ''''''' DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL w� 3.A ,lL,� i IA-- ,,— ONTR. CONTR. CHECK , i Permit No. //// (r j 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 subm4tted 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,,. . : ' / r , . - - : ! No Registered Architect and /or Engineer_____ __: c _ <_ Employing Plumber's Name Street No Location and Legal Description Lot Block___—_ Subdivision Street and Number where work is to be performed —No _ Street'= j_■ _,1., _l,"_' — 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 Capacity Gals — Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply )-Well. ' Amount of Permit $ _. STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires / -. Size of Soakage Pit ( Signed) Date Notary Public, State of Florida Master Plumber. 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 pos r 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 as to employ only such sub - contractors, on work to be performed under this permit, ' are licensed by Miami Shores Village. (i Before me, the undersigned authority, 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. 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 w k. Owner'a Name and Address Registered Architect and /or Employing Plumber's Nam Size Septic Tank ---- -- -___ -- - Feet of Drain Nature of Water Supply: Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. 0 ° (Signed)..-- .a Date__ ----------------- ____ -- - -_ Block_ — _ Q S�ubdi oz. c /°1-3 Street- 9 No.------------ ___ -__ Street_s� Location and Legal Description Lo Street and Number where work is to be performed —No —__ 2'ta 4/ • Street State work to be performed and purpose of building (By Floors)_____ New Building Remodeling------ ------- _----- ____ -- Addition Repairs _____Type of Tank____ Capacity Gals._-__._ st. Feet of Tank or Drain Field from Well Sty— Well._____-- -_--_ - ....... __________ ______________Size of Soakage Pit (Signed)__� ✓c__�� 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 perfor►g under this permit, as are licensed by Miami Shores Village. 63 46 - 411/ 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. Notary Public, State of Florida No. of Stories. Stories ....................... 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 NK SINKS SLOP SINKS LAUNDRY TUBS I NAS 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 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 w k. Owner'a Name and Address Registered Architect and /or Employing Plumber's Nam Size Septic Tank ---- -- -___ -- - Feet of Drain Nature of Water Supply: Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. 0 ° (Signed)..-- .a Date__ ----------------- ____ -- - -_ Block_ — _ Q S�ubdi oz. c /°1-3 Street- 9 No.------------ ___ -__ Street_s� Location and Legal Description Lo Street and Number where work is to be performed —No —__ 2'ta 4/ • Street State work to be performed and purpose of building (By Floors)_____ New Building Remodeling------ ------- _----- ____ -- Addition Repairs _____Type of Tank____ Capacity Gals._-__._ st. Feet of Tank or Drain Field from Well Sty— Well._____-- -_--_ - ....... __________ ______________Size of Soakage Pit (Signed)__� ✓c__�� 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 perfor►g under this permit, as are licensed by Miami Shores Village. 63 46 - 411/ 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. Notary Public, State of Florida No. of Stories. Stories ....................... 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. Application is here made for the approval of the detailed statement of the plans and specifications herewith submi d for the bung 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 comp ' • 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__ Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No Str L State work to be performed and purpose of building (By Floors)_ -__._I .47 2L„ New Building --- .-- --- ------ Remodeling -- _ _ ._ .__ Addition._-_ Repairs Size Septic Tank ... Type of Tank Feet of Drain Tile ___Dist. Feet of Tank or Drain Field from Well- 1 Nature of Water Supply: City— Well.___ Size of Soakage Pit ORR f 4. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT I No. No._ Block_._ (Signe_~. Pluming Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labo under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent 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. (Signed). Street. Capacity Gals. Subdivistm t :- to !�-u1 No. of S My Commission Expires Notary Public, State of Florida 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES Corm. IST LIST CHECK 75: SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SEPTIC TANK SEWER CONN. DRAIN FIELD SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST I - -- CHECK g l - Application is here made for the approval of the detailed statement of the plans and specifications herewith submi d for the bung 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 comp ' • 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__ Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No Str L State work to be performed and purpose of building (By Floors)_ -__._I .47 2L„ New Building --- .-- --- ------ Remodeling -- _ _ ._ .__ Addition._-_ Repairs Size Septic Tank ... Type of Tank Feet of Drain Tile ___Dist. Feet of Tank or Drain Field from Well- 1 Nature of Water Supply: City— Well.___ Size of Soakage Pit ORR f 4. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT I No. No._ Block_._ (Signe_~. Pluming Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labo under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent 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. (Signed). Street. Capacity Gals. Subdivistm t :- to !�-u1 No. of S My Commission Expires Notary Public, State of Florida 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. '7q - ftlI • jj 1 Permit No._- _ - 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. Owner's Name and Address Registered Architect and /or lvngir;eerg_ -- s — _ - _ Employing Plumber's Name__-- L Location and Legal Description Lot New Building_ Amount of Permit $ - STATE OF FLORIDA, 4 COUNTY OF DADE. Remodeling_ - ,r No.. Street -4, - = -� - ---- - - -- -- v� Block_ Street and Number where work is to be performed —No = State work to be performed and purpose of building (By Floors) _______ Subdivision Addition._______._ Repairs No. of Stories. Type of Tank Capacity Gals._ Size Septic Tank Feet of Drain Tile. __ _Dist. Feet of Tank or. Drain Field from Well .. j P Nature of Water Supply: City—Well. __ ___— �r • /___ _.__ _: S of Soak 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 Ilan 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. ( Signed) _ Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Date Street 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 TUes 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 i CHECK Permit No._- _ - 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. Owner's Name and Address Registered Architect and /or lvngir;eerg_ -- s — _ - _ Employing Plumber's Name__-- L Location and Legal Description Lot New Building_ Amount of Permit $ - STATE OF FLORIDA, 4 COUNTY OF DADE. Remodeling_ - ,r No.. Street -4, - = -� - ---- - - -- -- v� Block_ Street and Number where work is to be performed —No = State work to be performed and purpose of building (By Floors) _______ Subdivision Addition._______._ Repairs No. of Stories. Type of Tank Capacity Gals._ Size Septic Tank Feet of Drain Tile. __ _Dist. Feet of Tank or. Drain Field from Well .. j P Nature of Water Supply: City—Well. __ ___— �r • /___ _.__ _: S of Soak 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 Ilan 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. ( Signed) _ Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Date Street 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. LIST as CHECK EJ ! ` Permit No... Application is hereby nlde for the approval of the detailed statement of the plans and specifications herewith submitted/1'or the building or other structure herein descrii . This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of t e 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 Employing Plumber's Name Location and Legal Description Lot____._—___— _— .__.___ —_ _._ Block Su b ' vision._ Street and Number where work is to be performed —No 0 Street State work to be performed and purpose of building (By Floo /- rs) _/ _ ',IC*2R New Building __._ Remodeling_____________ _____ Addition.__ Repairs Nagy( Stories. Size Septic Tank Feet of Drain Tile__ Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, I ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Type of Tank No.______-- ____ -- Street___ Capacity Gals _Dist. Feet of Tank or Drain Field from Well. _ Size of Soakage Pit 1 (Sign Date i No. Street � ' r The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of lobo 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 r work to be performed under this permit, as are licensed by Miami Shores Village. 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. Notary Public, State of Florida Plumbi napector. Master umber. 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 T BATH L SHOWERS T LAVA- S SINKS S SLOP L LAUNDRY C URINALS B CATCH F FLOOR D DRINKING T TOTAL CoNTR. LIST CHICK — SEPTIC S SEWER D DRAIN S SOAKAGE G GREASE S SOLAR D DEEP S SPRKLR. S SWIM•G CONTR. _ _7j / / Permit No... Application is hereby nlde for the approval of the detailed statement of the plans and specifications herewith submitted/1'or the building or other structure herein descrii . This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of t e 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 Employing Plumber's Name Location and Legal Description Lot____._—___— _— .__.___ —_ _._ Block Su b ' vision._ Street and Number where work is to be performed —No 0 Street State work to be performed and purpose of building (By Floo /- rs) _/ _ ',IC*2R New Building __._ Remodeling_____________ _____ Addition.__ Repairs Nagy( Stories. Size Septic Tank Feet of Drain Tile__ Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, I ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Type of Tank No.______-- ____ -- Street___ Capacity Gals _Dist. Feet of Tank or Drain Field from Well. _ Size of Soakage Pit 1 (Sign Date i No. Street � ' r The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of lobo 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 r work to be performed under this permit, as are licensed by Miami Shores Village. 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. Notary Public, State of Florida Plumbi napector. Master umber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. - -/ / 42 °Z O 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 Shoves 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 -t Registered Architect and /or Engineer M Employing Plumber's Name 'L1 c cQ - -- -- 1 - iE - .r No Street Block q \ s - - -- - - -- -- -- Location and Legal Description Lot 1 E Street and Number where work is to be performed —No. ss. Amount of Permit $ ------ -- ------------- --- -- - - --- ( Sign Date_ e is 41 # --1 , No. Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank C Q Type of Tank '.- '. ` C._4itSi Capacity Gals Co020 Feet of Drain Tile WO 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 un. erstands 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. ` i ). - STATE OF FLORIDA, t 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. IST LIST CHECK Permit No. - -/ / 42 °Z O 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 Shoves 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 -t Registered Architect and /or Engineer M Employing Plumber's Name 'L1 c cQ - -- -- 1 - iE - .r No Street Block q \ s - - -- - - -- -- -- Location and Legal Description Lot 1 E Street and Number where work is to be performed —No. ss. Amount of Permit $ ------ -- ------------- --- -- - - --- ( Sign Date_ e is 41 # --1 , No. Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank C Q Type of Tank '.- '. ` C._4itSi Capacity Gals Co020 Feet of Drain Tile WO 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 un. erstands 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. ` i ). - STATE OF FLORIDA, t 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. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address / �^ �,r P // Tax Folio /1 1 z 6 / g ‘ ,. Legal Description k /1 .11 ie 1 Owner / Lessee / Tenant A�/. 7 �'�1A.�LY} Master Permit 4t‘fi l a 4 if lifv6 c.? APPROVED: Zoning Building Mechanical E Plumbin Owner's Address f J q .5� Phone 7°-11--- VW / -/@ ' " - / :9G % r Contracting Co. ��,�'� Address ,( Y �`� Qua 1ifier f4 4 ` / )114 Phone A V ; J y State # ° I 1� Municipal # Competency # ,�i Ne Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /- '07 049 4 .•3 4 'i / . 4; A C 2 - - / 5 4 5 . . . 5 - A d"' / " 0 '5.7 4t s. -�" 44 /46ws4/Iw_' Square Ft. Estimated Cost(value) 5 '(7 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and /or Condo President Signature of Contractor or Owner- Builder Date: Date: Notary as to Owner and /or Condo President Notary as to Contractor or Owner- Builder My Commission Expires: My Commission Expires: ** * * * * * * * * * * * * * * * ** FEES: PERMIT ° RADON C.C.F. „4L) NOTARY TOTAL DUE ,ge 4.5 � Fire Other lectrical ng�ineering 4 PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY .z 1 -7 -93 420 N.E. 91 ST. M 11 " - 3206- 019 - 007 -99 • Date Job Address Tax Folio Legal Description EL PORTELP . B . 9 -101 E 1/2 LOT 11 & W 7 ast 5 e TPerJd9tTlIPOBLK 1 Owner ROBERT ,LEWIN Tenant Owner's Address ACME GAS CORP. 1491 N.E. 130 ST.,NO.MIAMI FLA. Contracting Co. Address Qualifier IRWIN FRANKLIN Square Ft. FEE 420 N.g. 91 ST., TYPE OF I.D. PRODUCED D t✓ d"4 s << Zoning Mechanical Sign fgtNofF AN K1 Nor of A -'J- Day -Time Phone 754 - 5441 TYPE OF I . D . PRODUCED Building Electrical 891 - 8393 Phone Ins. Co. Estimated Cost $350.00 RANGER Permit Type: ROOFING BUILDING ELECTRICAL PLUMBING MECHANICAL. PAVING FENCE SIGN WORK DESCRIPTION 200 LB PROPANE CYL 8 1/2•" GALV. GAS LINE INSTALLED WARNING TO OWNER: YOU I1JST RECORD A NOTICE OF COMMENCEMENT AND YOUR FA I LLRE TO 00 SO MAY RESULT I N MLR PAYING TWICE FOR I I,PROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING SUCH NOTICE. Application is hereby made for a permit to do work & installation as indicated. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, & MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. A BACKFLOW PREVENTION DEVICE may be required on this property. Call the Public Works Dept. ASAP at 787 -1001 or visit their office at 1815 northeast 150 Street. Sworn to & subscribed before me this '7 day , 19 ;%2 . Signature of Notary to Owner /Condo 2 s � p Signature of Notary to Cont C r fsA 52 Cif- T"G , , r3o` �.�. i �s �': L� �l .y ,� \_.! mm� .,' iss? (Print, Type, or Stark) Commissioned Name) (Print, e or Sta oioned Name) Personally Known ( ( OR Produced I.D. w , . Personaily. Known OR Produced I.D. Plumbing Engineering L, rR GAS _ DP 45 1?4 'i' 1/2 GAL ✓ G S L 1 M N• I: s K F1 ao / si ' EI t 13 r5 :0.4 260 ! ,l? e`/( - Dow E 3Y AcrnE spas Coe$ 4q 1 ►V E• t 30 G - Tr2EET 1J021 Aml FLA 3'3 b I 891 - -(42a R. L VVIN r / S T. IVIIA J\/1 1 51-1 D i?- 331