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PLUMBING PERMITw 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 work. Owners Name and Address John Jones 1060 N.E. 92nd street - -- -- - - -- No. - - - - - treet_ - - Registered Architect and /or Engineer . ------- ----- ----- - -_ - -_ _ -- ---_---------------__-- � 3 - Rose Septic Tank Co P.O.ffox 344 H .aleah Employing Plumber's Name - -- - - — No.- - - - - _ treet-- Location and Legal Description Lot_--_---- _--_ ____ __---- ______ __-- __- -_ -_ _ Block - --_— __-_--- _____ -- ..... Subdivision Street and Number where work is to be performed- No.__- __ —_1fl 0__ L.Faa_3211d.at.reelltreet State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 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 $ 4.00 STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMO SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION F • PLUMBING PERMIT (Signed) (Signed)._ Repairs Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, 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. - Date •-------- - -- -70 - •- -•---- - - - - -- - - -- - -- --- -- - - -- -• No. of Stories- . Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for insj . 'n, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES S SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIST CHECK — SEPTIC TANK SEWER CONN. DRAIN FIELD 1 322 SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL ` —.– _ CoNTR. LIST CHECK w 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 work. Owners Name and Address John Jones 1060 N.E. 92nd street - -- -- - - -- No. - - - - - treet_ - - Registered Architect and /or Engineer . ------- ----- ----- - -_ - -_ _ -- ---_---------------__-- � 3 - Rose Septic Tank Co P.O.ffox 344 H .aleah Employing Plumber's Name - -- - - — No.- - - - - _ treet-- Location and Legal Description Lot_--_---- _--_ ____ __---- ______ __-- __- -_ -_ _ Block - --_— __-_--- _____ -- ..... Subdivision Street and Number where work is to be performed- No.__- __ —_1fl 0__ L.Faa_3211d.at.reelltreet State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 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 $ 4.00 STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMO SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION F • PLUMBING PERMIT (Signed) (Signed)._ Repairs Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, 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. - Date •-------- - -- -70 - •- -•---- - - - - -- - - -- - -- --- -- - - -- -• No. of Stories- . Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for insj . 'n, or faulty materials and /or workmanship. Date C (X - q a- Job Address /l) () //, 9.T 5 T Tax Folio // 3,20s" / 3 0 0.30 g Legal Description LO 4 PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Lessee / Tenant �� �/ o /lJ € .$ Master Permit #5..177Z Owner's Address *- A Y e .20b Polo ee< ; Phone 7Sk` S7 ( 0 Contracting Co. PL,u r'\ R 1 \ J6 ) Address / l jO SuJ 1I Qualifier h' f.(C Lel +P Phone 30 ` - 3q6- i' State # ( CcSy16L{ Municipal #00-0 79 / 2 - n Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL 'PLUMBIN MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /'ie(.L. L&)fT ?e, 5(-2 t/1CP & A-re Square Pt. Estimated Cost(value) 6 0c) 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, anc' 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 Contract o Owner- uilder Date: Da _ t � ^".�' / >, i 9s�. APPROVED: Z on i ng Notary as to Owner and /or Condo Pr-- _1,:jr" My Commission Expires: ('r ty pe or stamp name of Notary Nsi ary as to Contractor or Owner-Builder i'ersonally known ❑OR Produced I3Con®issj Expires: Ue,eO r« A - 64 r"' Ty x and number of I.D. produced; NOTARY PUBLIC STATE OF FLORIDA * * * * * ** MY COMMISS EXPIRES 5/09/94 N D1D ta]� an oath* or * * Bcrl�ed thru 9t emblerAt�ams 5 8, /0 6! St et * ** 0--DID NOT take an oath. n FEES: PERMIT (Q Q RADON C.C.F. %" NOTARY r� TOTAL DUE . 15 4 Fire Other Building Electrical Mechanical Plumbing Engineering BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9884 Work to be performed under this Permit Owner of Building 0 Bl. L✓ Subdi- vision Value of Project $ DATE 195 Contractor's License No. Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed- 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 ' B CLOSETS T BATH • L SHOWERS T LAVA- S SINKS S SLOP L LAUNDRY C URINALS B CATCH F FLOOR D DRINKING T TOTAL CONTR. r r^� / / / , , / / • i 3 _ _ -- T , , W Date F __ / 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. Permit No Owner's Name and Addresls� Registered Architect and /or Engineer__• No. 'C /P•C Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / O e d /Y Street ,a_ State work to be performed and purpose of building (By Floors) New Building ✓ Remodeling Addition Repairs No. of Stories / Employing Plumber's Nam Size Septic Tank Feet of Drain Tile Nature of Water Suppl Amount of Permit $ O O MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank M_ ( Signed) 1(444j No. / 75 -6 treet Street /a Capacity Gals. ° Dist. Feet of Tank or Drain Field from Well Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he 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 hint 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, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ss. ( Signed) ____ __ Master Plumber. to me well known, and who, being by the 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. -v, �d fa