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1040 NE 93 St (2)Permit No._ __ __ __ Size Septic Tank Type of Tank Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. 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 he complied with, whether herein specified or not. A copy of approved plans and specifications must he kept at building during progress of work. Owner's Name and Address- __..._.___ Registered Architect and /or Engineer Employing Plumber's Name -- -- No. Street__._ _. _ Location and Legal Description Lot Block Subdivision.. Street and Number where work is to be performed —No Street _ State work to be performed and purpose of building (By Floors)____________. New Building - _ .. Remodeling_. Addition Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit No. Street. (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 of the work suet public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as arc licensed by Miami Shores Village. (Signed) Repairs Date Capacity Gals. No. of Stories My Commission Expires Notary Public, State of Florida Master Plumber. Plumbing Inspector. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknlwledgments, 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 worlmmnship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U RI CATCH BASIN FLOOR DRAIN DRINKING FOUNT NS i ,, TOTAL FIX ?ORES 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 Permit No._ __ __ __ Size Septic Tank Type of Tank Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. 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 he complied with, whether herein specified or not. A copy of approved plans and specifications must he kept at building during progress of work. Owner's Name and Address- __..._.___ Registered Architect and /or Engineer Employing Plumber's Name -- -- No. Street__._ _. _ Location and Legal Description Lot Block Subdivision.. Street and Number where work is to be performed —No Street _ State work to be performed and purpose of building (By Floors)____________. New Building - _ .. Remodeling_. Addition Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit No. Street. (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 of the work suet public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as arc licensed by Miami Shores Village. (Signed) Repairs Date Capacity Gals. No. of Stories My Commission Expires Notary Public, State of Florida Master Plumber. Plumbing Inspector. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknlwledgments, 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 worlmmnship. Permit No. _._. Date Application is Lereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otha 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 No. Street _- Registered Architect and /or Engineer Employing Plumber's Name _ - "'''''' X 7 6-2 a " No.- ' ` "/474 _ Street �' ‘e/—C Location and Legal Description Lot ,� t Block Street and Number where work is to be performed— No._�`���_°' 4/ 7 `- 5 Street State work to he performed and purpose of building (By Floors) New Building J - -_. -- - Remodeling Addition __ Repairs CONTR. LIST CHECK CONTR. LIST CHECK CLOSETS BATH TUBS I SEPTIC SEWER TANK STATE OF FLORIDA, COUNTY OF DADE. SHOWERS DRAIN FIELD ss. LAVA- TORIES MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT SINKS SOAKAGE GREASE PIT TRAP SLOP SINKS SOLAR HEATER LAUNDRY TOSS DEEP WELL URINALS SPRKLR. SYSTEM CATCH BASIN 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: City —Well —_— Size of Soakage Pit Amount of Permit $. i (Signed) Subdivision _ SWIM•G POOL vi/ /L 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 he 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 arc required by the Act. The undersigned agrees to employ only such sub- contractors, ory'work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) FLOOR I DRINKING DRAIN FOUNT'NS No. of Stories \• k# Master Plumber. My Commission Expires Notary Public, State of Florida C 7 y / /�,1 / ___1 1 TOTAL FIXTURES 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 die. 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. MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE `"- ELECTRICAL PERMIT 'NA 11213 Contractor's PLUMBING License No ROOFING Work to be performed under this Permit Owner of Building f Architect'' Contractor or Builder Legal Lot Bl. Description Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER Subdi- vision Value of Project $ BY BY Amt. of Permit $ i w 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. jr ■ it -1-- / " 1• ` .' t'! !• ! f , . , .i .'!.' -` 4:.rM AUTHORITY Df tor er ° ° Lot B Bl. v Subdi - BUILDING ELECTRICAL PLUMBING Owner Buildin Archite Contrac or Build Legal Descrip Addres Buildin !PERMIT N? 10710 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit DATE 195 / Contractor's License No f This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. r Signed • „r' :�" 4 g 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 .. E' aim, 1 f , ,,' i if , w / . . tor , , ,, _ _ , ' L Lot B Bl. v t -• S Subdi- BUILDING ELECTRICAL PLUMBING Owner Buildin Archite Contrac or Build Legal Descrip Addres Buildin This permit is granted to Ale contractor or builder CONTRACTOR OR BUILbER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 10623 DATE Work to e performed under this Permit Contractor's License No med above to cons uct the building or to install the equipment or device describ d in t lication 'refor in strict compliance with all ordinances pertainin thereto and with t understanding that the work will be performed in comp nce with a laps, wings, statements or specifications that may have been submitted to and ap roved by the proper municipal authorities. This Permit may be revoked at any 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 td is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ing 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 v his agents, servants or employees. „t' Signed: f• '. / F RA consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliag with all ordinances and regulations ereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proOr authorities of Miami Shores Village. his permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY ` AUTf IORITY 195 Size Septic Tank Feet of Drain Tile Amount of Permit $ - - - c Permit No /f/ Co _ ) Application is hereby made for structure herein described. s app and all provisions of the of Miami Shores Village s building during progress of Owner's Name and Addres Registered Architect and /pr Engine Employing Plumber's Name Date ; L4_ . , Location and Legal Description Lot L ( /..2 Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building - -- Remodeling Nature of Water Supply( City —Well ss. R p ... Oval of the detailed statement of the plans and specifications herewith submitted for the building or other 'cation is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein specified or not. A copy of approved plans and specifications must be kept at MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Street No. / Block 1 '—' Street Addition Repairs Type of Tank Dist Feet of Tank or Drain Field from Well Size of Soakage Pit -_ --- _._ Capacity Gals. c (Sfgnedf a , ' � " 1"41: "" Street - t ' ' Subdivision — No. of Stories - tr- My Commission Expires Notary Public, State of Florida Plumb Inspector. _ ( The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of laic. under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gekeral 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 pu u• otice or notices as are required by the Act. The undersigned agrees to employ only such sub- contract5rs, w to` 5 pecfpnne t der this permit, as arc licensed by Miami Shores Village. - — 7 4 ,' Master Plumber. STATE OF FLORIDA, 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. 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 /. / , -LC '..- J /` 4. yl�! T,j/,��,^, I)r7'gq� J CONTR. LIST CHECK ,' r .r'1 r , 7` r ' � ' l / [ 5 / / 5 f - ✓ c. /►/ 7~ � J ^, 5 75"--- TANK SEWER CONN. DRAIN FIELD OAKAGE � PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST 1 CHECK l j Yt Size Septic Tank Feet of Drain Tile Amount of Permit $ - - - c Permit No /f/ Co _ ) Application is hereby made for structure herein described. s app and all provisions of the of Miami Shores Village s building during progress of Owner's Name and Addres Registered Architect and /pr Engine Employing Plumber's Name Date ; L4_ . , Location and Legal Description Lot L ( /..2 Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building - -- Remodeling Nature of Water Supply( City —Well ss. R p ... Oval of the detailed statement of the plans and specifications herewith submitted for the building or other 'cation is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein specified or not. A copy of approved plans and specifications must be kept at MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Street No. / Block 1 '—' Street Addition Repairs Type of Tank Dist Feet of Tank or Drain Field from Well Size of Soakage Pit -_ --- _._ Capacity Gals. c (Sfgnedf a , ' � " 1"41: "" Street - t ' ' Subdivision — No. of Stories - tr- My Commission Expires Notary Public, State of Florida Plumb Inspector. _ ( The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of laic. under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gekeral 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 pu u• otice or notices as are required by the Act. The undersigned agrees to employ only such sub- contract5rs, w to` 5 pecfpnne t der this permit, as arc licensed by Miami Shores Village. - — 7 4 ,' Master Plumber. STATE OF FLORIDA, 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. 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. t ERMIT APPLICATION FOR MIAMI SHORES VILLAGE ;IV �fa,�cs D a t e (�,; 3.-?. ' - y J o b Addt s K A c 73 57- 1/ Tax Folio Legal Description Historically Designated: Yes No A Master Permit # 1 12- 112-6r-0 Owner/Lessee /Tenant �/ PCi°� %�� y — Owners Address / 0 /0 NE- / 3 ' 7 /V/41/2 -4'�4'5 Phone Contracting Co. e /2�'/9• 1 ° Z •) c e a e p Address «O 2 s7' /4//)' /E.9* Qualifier ,,7 ei9,'a9s State # (,C' e 637 O 83 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTIOl 9 Nc ,S 677/ / ""e15 d y A c c// a A) o G Square Ft. Estimated Cost (value) 3/ d ' A X y 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 Date Notary as to Owner and/or Condo President Date My Commission Expires: � j °° FEES: PERMIT ✓ RADON APPROVED: Zoning Building Mechanical Plumbing C.C.F. SS# 7 Phone 8. Signaturof Contractor or Owner- Builder Date , j t 3- 2-7 Date Notary as to Contractor or Owner - Builder My Comnaission.Exr '-' PP frf (2 r 'CI n COMMISSION il� idEN e �. CC4@92G1 �A , ' pq V AV COaMISStOra 1X2. v Or NOTARY Electrical BOND TOTAL DUE C if ve Engineering ITEM BATH ILE 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 2 fl OVEN ABOVE MOUND 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 If MECHANICAL VENTILATION SINK, RESIDENCE • MOTORS OVER 5- 8 HP TRANSPCRTIHG ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET / 1; MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE . SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. _ VIOLATION . PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING 4 LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING - ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL