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PLUMBING PERMITName For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Da? Type Insp'n Permit No. /1 1 Address ' O , (4, 1l A Compan /L� . ,, Q Phone# � �U -" o Time • ) Date Type Insp' Permit No. Names � // For Inspe Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Company Phone # 3 Date Type Insp'n Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Name A Address Company ►_.�. ' Phone # . 7 For Inspector ; P Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat �i � -Time Type Insp' Permit No. Name i Address Company Phone # For Inspector.. Approved Correction L Re- Insp'n Fee ❑ ��� a s3 F, 9 7 Imam a �6 MIAMI SHORES VILLAGE BUILDING DEPARTMENT C2 Building g Inspection Request Date Time Type Insp'n Permit No. Name Address o pve 9/ s -L . Company / ,, Phone # 3 ®5 J (.0 For Inspect Approved ID D� v ❑ Correction Re- Insp'n Fee ❑ 1-s cs PERMIT APPLICATION FOR MIAMI SHORES VILLAGE a 10050 N.E. 2nd Avenue • Miami iami Shores, Florida 33138.305- 795 -2204 ' U P 2610 2 — Date �')�`�1 0 L Job Address L H 0 Y" E 9 I /Y' Legal Description Historically Designated: Yes No Owner /Lessee/Tenet �I w Y Master Permit # 2_001-1 (REF • aoc .103 Tax Folio Owner's Address Phone /I Contracting Co. / n L�� 0 PL-vvv, A ir�1 Address "7' 2 0 / S w / 0 Qualifier 0_S c,M i f) 0 t- - ) SS# Phone 5 /—C(') 3f State # P -r(7O 73 0t0 3 Municipal # / 5 2 - x- 3 Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING 1 ELECTRICAL PL /MBIN MECHANICAL ,/ ROOFING WORK DESCRIPTION: —Jv L 64 i7 1 W1 I I L Er ) / L1 T v 1 J /1 � OWE'2 Square Ft. Estimated Cost (value) 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 ANY 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 all disciplines. OWNERS 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 name c�,eontractor to do the work stated. Signature of owner and/or Condo President Notary as to Owner and/or Condo President My Commission Expires FEES: PERMIT /a RADON y Commission,: r_iromA tractor or Ow, r t uilder otary as to ntractor or Owner Builder Notary Public - State of Florida Commission Expires Apr 25, 2003 Commission # CC829911 Date Date Signature of OZ Date Date NOTARY BOND D 0- APPROVED: TOTAL DUE Zoning Building Electrical Mechanical Plumbing Structural Engineer y4j- Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2002 -253 Printed: 9/26/2002 Applicant: JOHN WYATT Owner: WYATT JOHN JOB ADDRESS: 440 NE 91 ST Contractor TOLEDO PLUMBING COMPANY Local Phone: Parcel # 1132060190050 Permit Status: Approved Permit Expiration: 3/25/2003 Work: new bathroom & toilet 1 lav 1 shower Signed: Signed: Plumbing Permit Contractor's Address: 4211 SW 107 CT Construction Value: $1,600.00 Page 1 of 1 A If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection r ( fee is $50.00, which must be paid in advance before calling for another inspection. (INSPECTOR) BY: Legal Description: EL PORTAL PB 9 -101 LOT 7 & E1/2 OF LOT 8 BLK 1 LOT SIZE 75.000 X Zo - Total Fees: Total Receipts: $0.00 �..—, 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 conditit 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 pe -fining 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 em. .yees. 1 11 _ 1 In consideratio 7/f We is fa ce 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. RCO CO1 100402 1354 "(CU01 001727 ChSH (Contractor or Builder) BY: $120.Uv ITEM BATH 118 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 METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY / 1 OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER / / MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSBELIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MJTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET if / MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION .WATER.SLPPLY TO: ••- AIR CONDITIONERS A/C UNIT STRIP HEATER • FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. 1 GENERATORS TRANSFORMERS HEATER.REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER • . .= SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY • TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP S. ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL . AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE 'OOL PIPING _AWN SPRINKLER SYSTEM 3AS RANGE AETER SET (GAS) 3AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL J$1-- 7 4e=g r 3 6/fits'," 6 Pe.nni, No. . - -• Amount of Permit $ STATE OF FLORIDA, } as. COUNTY OF DADE. d O — — - — — -- My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1.pp11r.;tl; n iN ■crcby made for the approval of the detailed statement of the plans and specifications herewith subs r,' .1 for the building or other rtructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.; ! Shores Village, Florida, a.;d 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 Stores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec ftcatlons must be kept at ')uilding during progress of work. Size Septic Tank_... — ---------------------- •--- -• - - -- -.Type of Tank Feet of Drain Tile.._.__- _ Feet of Tank or Drain Field from Well .. Nature of Water Supply: City— Well..__— ....... - .- ... - -- - - -- ---- --- -- -- -- -Size of Soakage Pit (Signed Date. Subdivision.. Street r - No zivo . 2 5t'eet_ '.homer's Naine and Address 4-1 ._ .egist..red Architect and /or En tnem_r :mploying Plumber's Name _ - iii • • No. •— ._.._,,,. Location and Legal Descripti n Lot. Bloch Street and Number where work is to be performed —No 6/ State work to be performed and purpose of building (By Floors Aq,� New Building Remodeling___— Addition Repair f&c of Stones Capacity sale... _ . ZS = '4.. ( a, '/Y Plumbing; Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e ndloycr of !ah under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perinanent fupi lement, and liI'd with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in • e rk c 1)- 1,erforined under this permit; and will post or cause to be posted' for inspection on the site of the work such pt!hU' notice o. no icrr 4 a: r.equ.Ired by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed '.s this a:rl.ri■, :t . Licensed by Miami Shores Village. Notary Public, State of Florida Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowled3ments, per,or.e: ; , pp. arec. to me wen 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 toot all acts therein by his, stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is mads•neoewry by improper notice for fnapert!on, cw mull) materials and /or workmanship. CLO•rre T BATH L SHOWER• T LAVA• S SINKS S SLOP L LAUNDRY C URINALS B CATCH F FLOOR DRINKING T P TOT..L CONTR. - -- CHECK SEPTIC S SEWER D DRAIN S SOAKAGE G GREASE S SOLAR D DEEP S SPRKLR. S SWIM'O ____ . LIST CHECK p J. A A _ . pp 7 4e=g r 3 6/fits'," 6 Pe.nni, No. . - -• Amount of Permit $ STATE OF FLORIDA, } as. COUNTY OF DADE. d O — — - — — -- My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1.pp11r.;tl; n iN ■crcby made for the approval of the detailed statement of the plans and specifications herewith subs r,' .1 for the building or other rtructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.; ! Shores Village, Florida, a.;d 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 Stores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec ftcatlons must be kept at ')uilding during progress of work. Size Septic Tank_... — ---------------------- •--- -• - - -- -.Type of Tank Feet of Drain Tile.._.__- _ Feet of Tank or Drain Field from Well .. Nature of Water Supply: City— Well..__— ....... - .- ... - -- - - -- ---- --- -- -- -- -Size of Soakage Pit (Signed Date. Subdivision.. Street r - No zivo . 2 5t'eet_ '.homer's Naine and Address 4-1 ._ .egist..red Architect and /or En tnem_r :mploying Plumber's Name _ - iii • • No. •— ._.._,,,. Location and Legal Descripti n Lot. Bloch Street and Number where work is to be performed —No 6/ State work to be performed and purpose of building (By Floors Aq,� New Building Remodeling___— Addition Repair f&c of Stones Capacity sale... _ . ZS = '4.. ( a, '/Y Plumbing; Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e ndloycr of !ah under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perinanent fupi lement, and liI'd with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in • e rk c 1)- 1,erforined under this permit; and will post or cause to be posted' for inspection on the site of the work such pt!hU' notice o. no icrr 4 a: r.equ.Ired by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed '.s this a:rl.ri■, :t . Licensed by Miami Shores Village. Notary Public, State of Florida Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowled3ments, per,or.e: ; , pp. arec. to me wen 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 toot all acts therein by his, stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is mads•neoewry by improper notice for fnapert!on, cw mull) materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building r Architect Contractor or Builder Legal Lot Description Address of Building This perm t is nted o the contr ctor or build r name above to construct the building or to install the equipment or evice described in the appli- cation 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 responsiblity for a thorough knowledge >of..the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or . wings .r m th:�s tements or s and that he ssumes respon- sibility for work done by his agents, "... servants or employees. / Signed j` -£ U... _ /� B y 1 4 • , S' CTOR A In consideration of the issuance to me of this permit I agree to perfo the work covered hereunder in compliance with ordinances. andtreg 1aiions- pertaining thereto and in strict conformity with the plans, drawings, s : to ents or specifications submitted to the proper authori ies of Miami Shdtes In acceptin: this permit I assume responsibility for a work done by -i1 -r myself„my- agent, servant or employee. CONTRACTOR 0 BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 6293 Work t be pe armed under this Permi Subdi- vision Value of Project DATE Contractor's License N Amt. of Permit AUTHORITY b� p Size Septic Tank Feet of Drain Tile Permit No. � Application is hereby /Made for the approval of the detailed statement of the plans and specifications herewith submi ed 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 ' J Registered Architect and /or Engineer Employing Plumber's Name__<!_/ (gv0 1 _ ' k Location and Legal Description Lot A r �__ Nature of Water Supply: City —Well Amount of Permit $__ MIAMI "SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block f .r ° PA Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories CI_fL.= ,rt ,±x2'4_____Type of Tank 1_e___' Dist. Feet of Tank or Drain Field from Well ( Signed) �. / Oi No Street__ �- r Y7 _ -- � F' No Street 4 � ' -7 Capacity Gals Size of Soakage Pit 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. , Street ( Signed ( 'i STATE OF FLORIDA �- } ss. J , �� ' -� /\ COUNTY OF DADE. . Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Date c , M Plumber. 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 oarefully read the fo regoing 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 SW IM' G POOL CONTR. LIST CHECK Size Septic Tank Feet of Drain Tile Permit No. � Application is hereby /Made for the approval of the detailed statement of the plans and specifications herewith submi ed 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 ' J Registered Architect and /or Engineer Employing Plumber's Name__<!_/ (gv0 1 _ ' k Location and Legal Description Lot A r �__ Nature of Water Supply: City —Well Amount of Permit $__ MIAMI "SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block f .r ° PA Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories CI_fL.= ,rt ,±x2'4_____Type of Tank 1_e___' Dist. Feet of Tank or Drain Field from Well ( Signed) �. / Oi No Street__ �- r Y7 _ -- � F' No Street 4 � ' -7 Capacity Gals Size of Soakage Pit 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. , Street ( Signed ( 'i STATE OF FLORIDA �- } ss. J , �� ' -� /\ COUNTY OF DADE. . Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Date c , M Plumber. 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 oarefully read the fo regoing 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 j - ? Owner of Building Lot CONTRACTOR OR •BUILDER , f s MIAMI SHORES VILLAGE, FLORIDA v DATE 0 194_ 6 RMIT - N° 6184 Work to be performed under this Permit Architect Contractor , or Builder ' Legal Description Address of Building This permit is granted to the contract& or bu' er named above to construct the building • or to install the equipment or device described in the appli- cation 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 uthorization. A.further condition upon which this permit is granted is the. understanding that the contractor or builder named above assumes the responsibi for a)liorou:h knowledge of the ances and regulations pertaining to the work covered hereby whether shown on the plans or wins of in ti`s atements,or speci cations nd;th .: ��es respon- sibility for work done by his agents, servants or employees. Signed. Subdi- vision ' Value of Project Contractor's License No. i �� • v /7707 1 In cpAsideration of the issuance to me of this permit I agree to perform the ork covered hereun r in compliance with , nances and fa_at Ijii ns pertainin thereto and in strict conformity with the plans, drawings, statemeDt ,� r specifications submitted to the proper authorities Miami Shores Village. In accepg this permit I assume responsibilit}? for all work done by ei er niy ynx a nt, servant or employee. Application is hereby mf for the approval of the detailed statement of the plans and specifications herewith subnifltted 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 AddresJ "► No Street t— Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot Block Subdivision Street__ Pi Street and Number where work is to be performed —No State work to be performe nd purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $__ 1 ss. MIAMI SHORES VILLAGE' PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. 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. (Signed • Date A Capacity Gals • (Signed) - Master Plumber. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST ti �. ) /1 1 A 1 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP c:I(g HEATER DEEP WELL SPRKLR. SYSTEM SW I PA' G POOL )7 j LIST CHECK Application is hereby mf for the approval of the detailed statement of the plans and specifications herewith subnifltted 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 AddresJ "► No Street t— Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot Block Subdivision Street__ Pi Street and Number where work is to be performed —No State work to be performe nd purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $__ 1 ss. MIAMI SHORES VILLAGE' PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. 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. (Signed • Date A Capacity Gals • (Signed) - Master Plumber. l ,7 c Permit No. Amount of Permit $ ___, STATE OF FLORIDA, 1 COUNTY OF DADE. ss. 0( 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. Y e / Owner's Name and Address__ � �) ® VP t No Street Registered Architect and /or Engineer Employing er's Name ° -tf Location and Legal Description Lot 2 Street and Number where work is to be performed —No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT �D .f No. ��� � °� ' co' Street lock ........... c � ' ,t)" Street 4 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 `V' Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit ( Signed) 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 ofj the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, o rk to be performed under this permit,. as are licensed by Miami Shores Village. (Signed Date_ My Commission Expires Notary Public, State of Florida Plumbing Inspector. Before me, the undersigned authority, a notary public, duly authorized to administertoa s and take fkcknowledgments, pe rso all 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 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM •G POOL CONTR. LIST / / / / Q ��� ` g (/ j. ^ CHECK Permit No. Amount of Permit $ ___, STATE OF FLORIDA, 1 COUNTY OF DADE. ss. 0( 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. Y e / Owner's Name and Address__ � �) ® VP t No Street Registered Architect and /or Engineer Employing er's Name ° -tf Location and Legal Description Lot 2 Street and Number where work is to be performed —No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT �D .f No. ��� � °� ' co' Street lock ........... c � ' ,t)" Street 4 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 `V' Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit ( Signed) 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 ofj the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, o rk to be performed under this permit,. as are licensed by Miami Shores Village. (Signed Date_ My Commission Expires Notary Public, State of Florida Plumbing Inspector. Before me, the undersigned authority, a notary public, duly authorized to administertoa s and take fkcknowledgments, pe rso all 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building • CONT A TOR' BU MIAMI SHORES VILLAGE, FLORIDA , DATE PERMIT N° 6069 Work to be performed under this Permit ���"�:� 11'4' Subdi- vision Coractor's License No. Value of Amt. of Project Permit 194 • This pe lit 1granted to the 6ontractor or builder named above to construct the building or to install the equipment or device described in the appli- cation 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 responsibilit for a thorough knowled of`fh ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawin s or in th ' : 'ents o pecific tions an that assumes respon- sibility for work done by his agents, servants or employees. • I PECTO Signed By 4. V '. In consideration of the issuance to me of this permit I agree to perform the..wol coveered hereunder in compliance with all.srdinances and egrt ai �'ons 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 resp y sibility for all wtrk done by either self, m agent, servant or employee. irY/ i ' '.- l i 2111 "1" 4 ( 7 '''''.., ''.1 • f , 2 9 d Y AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 6069 Work to be performed under this Permit Bl. . Subdi- vision Value of Project DATE 194_ Contractor's License No. Arnt. of Permit • This permit is granted to the cbntractor or builder named above to construct the building or to install the equipment or device described in the appli- cation 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 nity have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. - By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY