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PLUMBING PERMITBUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA 40, DATE Q-t 19 PERMIT N? 7844 :,. Architect Contractor or Builder . ` - • �-' i . t • . Legal Lot Description B1 Address of r -2 Building j CONTRACTOR OR BUILDER Work to be performed under this Permit sibility for work done by his agents, servants or employees. Subdi- vision I t / Value of Project $ Contractor's ; C� j ) - License No. �r 3$ , ° L j 7 /,1 .....✓ Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device desc ed in the applica- tion 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 respon- Signed i r� _. .t ✓._,_� — r. ( - 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 as cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT U Permit No 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)____ Size Septic Tank________ --------- of Tank_ A Feet of Drain Tile___ Nature of Water Supply: City—Well.____ _ _ __ — _____________— ____Size of Soakage Pit Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT __Dist. Feet of Tank or Drain Field from Well (Signed)- (Signed)_ Date 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 BU21 C EO.______________ No. 6 ------ Street 11_.E,.__92nd Registered Architect and /or Engineer Employing Plumber's Name ABC SLETTC TAELSEB.ILICE No3]2 Str set — Al . I S - ---- - ---- Block______ Subdivision - ------------------------- ____ -- Street New Building __ —._ Remodeling_ Addition____ Repairs No. of Stories. Capacity Gals. P1 , ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Sur . ' ent, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b 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 required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, licensed by Miami Shores Village. 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. as are as are 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 INK SLOP SINKS LAUNDRY TUBS URINALS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CoNTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN PI MD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CoNTR. LIST - CHECK • U Permit No 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)____ Size Septic Tank________ --------- of Tank_ A Feet of Drain Tile___ Nature of Water Supply: City—Well.____ _ _ __ — _____________— ____Size of Soakage Pit Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT __Dist. Feet of Tank or Drain Field from Well (Signed)- (Signed)_ Date 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 BU21 C EO.______________ No. 6 ------ Street 11_.E,.__92nd Registered Architect and /or Engineer Employing Plumber's Name ABC SLETTC TAELSEB.ILICE No3]2 Str set — Al . I S - ---- - ---- Block______ Subdivision - ------------------------- ____ -- Street New Building __ —._ Remodeling_ Addition____ Repairs No. of Stories. Capacity Gals. P1 , ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Sur . ' ent, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b 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 required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, licensed by Miami Shores Village. 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. as are as are 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 Tops URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONK. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL C LIST pp 800 150 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 work Owner's Name and Address POe 4/ 01.9 No. ___lisle ._N L Street 9294. Registered Architect and /or Engineer Employing Plumber's Name e.4. Segtia No. Tent 0o. 1123 B'i. 23 8t• ___------ ..__ -- Street-- - Location and Legal Description Lot__ Blorti Subdivision Street and Number where work is to be performed— No.____ 1116 N•B. Street 92 St. State wark to be performed and purpose of building (By Floors) New Building it Remodeling Addition. Size Septic Tank Type of Tank__ Capacity Gals Feet of Fain Tile 150 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. ? p out & Ki1L_ ating__Tazk Amount of Permit $ $ 4OO MIAMI SHORES VIL".,AGZ PLUMBING INSPECTION DEPARTMEK.' APPLICATION FOR PLUMBING " , 1,•, MO T Repairs No. of Stories. __Size of Soakage Pit (Sled)_ (Signed). Date Me 19 69 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida :.rmanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract s 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 perform nder this permit, as are licensed by Miami Shores Village. 800 Master Plumber. STATE OF FLORIDA, I COUNT OF DADE. Befcae 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 hire, 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. ADDRESS Village of Miami Shores 74 N9 4217 JOB fr INSPECTION 3 L =/ o TIME READY REMARKS INSPECTOR DATE BUILDING ELECTRICAL PLUMBING HOOFING architect -ontractor - )r Builder •egal )escription 'address of wilding Lot MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N° 3383 Owner of wilding ,t- CONTRACTOR OR BUILDER Work to be performed under this Permit 1 %L B1 Subdi- vision Value of Project $ DATE -- s 195 Contractor's License No. f ; Amount of Permit $ L 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 ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, trawfngs, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 !ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations p ertaining 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 one by his agents, servants or employees. ,•../ Signed. -4$Y INSPECTOR r' 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 'ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- epting this permit I assume responsibility for all work done by either, myself, my agent, servant, or employee. BY AUTHORITY 6 Date Legal Description L Historically Designated: Yes No Owner/L essee / Tenant A Yin. 5 4 U Phone 3 V Owner's Address 45■4 e Contracting Co., L € -e W WORK DESCRIPTION A 1 IN s I� k '7b fie ca S Not as to Owner an My Conunission Expir APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE & Job Address! / / / t, - ' 4.- Tax Folio i;/ 76)a nt Date ( 0/ a or Condo Eieglifit3 U1 it Batt 'Of COMMISSION NO. CC714I0 )i _MY COMMISSION EXP. MA11. CD2 FEES: PERMIT RADON Master Permit # C_k t C.e Qualifie>Ji f) i C/ 14.-S L v CP w1 t SS# - Phone / 305 — 653 685o State tasilt, Cf (v s-17 Municipal # Competency # Address Address Address 4 -1C, E . (ae.ee (op E cE 1)11,0 e_ L 333 Ins. Co. Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE S GN / 72 l L ,z 4,e / fP- L dv Square Ft. i Estimated Cost (value) t Z-U 0 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. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work wi be doe in mplianc applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work s ed. 0 1PRr P0,9 OFFICIAL AN GELA M NOTARY SEAL ECKER N, ql ' - a CC786697 1 Tt, ' "' ct My Ca:Y:7".7 !^ o a Eli mnE91 IF OF F■. NOV. 15,2002 C.C.F. I •d- 0 NOTARY,. a b o BOND TOTAL DUE l a • ASSOCIATES, LTD. Well Drilling On Site Fire Systems Irrigation Recovery Welts Pumps Monitoring Was Water Treatment Municipal Well Services Roan Shaw VICE PRESIDENT / IRRIGATION Jaffer Associates, Ltd. 2801 N.W. 61h Avenue Miami, Florida 33127 -3937 Dade: 305/576 -7363 Broward: 954/523 -6669 Fax: 305/573 -8711 CC #1 1033 4 -7)/ Signa Date: Date° Job Address / / /'O Ng 901nd SZt€66 Tax Legal Description _LtsJ (1 '' ._ of /11 Owner / Lessee / Tenant /by tie?,Z z VEAG Owner's Address /1 /lo NE Contracting Co. jailie Ll Qualifier State # //0A3 Architect/Engineer Company Address Permit Type(circle one): BUILDING ELECTRICAL e of (" f :l && Zoning 1 , / PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Municipal # Competency # r Address y Address Folio //32-6-50'.2-74"/ 2-A I th Master Permit # Phone(00.j5B (4'5,3 Address � /N /!�I'0./ /. .4?y - ,?., Phone 6D� 5fG-f3A.3 Ins.Co. MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /%►ZdGGG/.t�2 x. e ,..dormak, eaxer Z.�'� Square Ft. Estimated Cost(value) 4- ) 000 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 constructio"_.nd zoning. Furthermore, I to do the work stated. authorize the -above -named contractor or Condo President Notary as to Owner ed /or Condo President My Commi ss ions-= Ea€pirer�;_ ** * * * * * FEES: °" AT RADON =may C.C.F. APPROVED: Fire Buildin Mechanical Plumbin Signature o Date: 3 J Not =ry =s to Co My Commission E * ractor or Owner- Builder OF,F7C p YAQUELIN DEL RIO NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC964532 *MYCOi ;;SKIN .ES'rP0) ** NOTARY TOTAL DUE Other Electrical Engineering 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.) UNIT I FEE ITEM SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN A1,PS SERVICE REPAIR/METER CHANGE APPLIANCE OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0— 1 HP MOTORS OVER 1— 3 HP MOTORS OVER 3— 5 If MOTORS OVER 5— 8 HP MOTORS OVER 8— 10 HP MOTORS OVER 10— 25 HP MOTORS OVER 25-100 HP MOTORS OVER 100 FP A/C WINDOW AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMMERCIAL SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK FIXTLRES ANTENNA REINSPECTION UNIT FEE ITEM SPACE HEATERS CENTRAL HEATING A/C (WIND) A/C (CENTRAL) DUCTWORK REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEb6LIES ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION REINSPECTION TELEVISION OUTLETS VIOLATION UNIT FEE ITEM PLUMBING BATH TUB BIDET s. DISHWASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEIfORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER —NEW INST. HEATER— REPLACE LAWN SPRINKLER —WELL SWIMMING P( WATER SERVICE SEWER CONNECTIONS UTILITY —SEWER JTILITY —WATER SEPTIC TANK ZELAY 1RAINFIELD, 4" TILE/RES. 'UMP & ABANDON SEPTIC TANK ;OAKAGE PIT CU. FT. :ATCH BASIN ISCHARGE WELL OMESTIC WELL REA DRAIN OOF INLET OLAR WATER HEATER IRE STANDPIPE )OL PIPING \WN SPRINKLER SYSTEM .S RANGE :TER SET (GAS) S PIPING ELECTRICAL MECHANICAL Legal Description APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address / t ' I � i, /3- 669- Tax Folio 1 1 3O5 - a I bL► a O P-oct L Lore P\G,..'r 6104 LI Owner / Lessee / Tenant V1 C -‘0CAQ\ Owner's Address 1 �� 1, 6 11 V v�i CAY� 5(PS FL .3 eFione 5 - v Contracting Co. 1- •' 1 'U 1 C-k ?LS 10 are Address t V5 4z KA() , tr� C��' � `` ` 1 PL. T 1v �T►QN FL - 3 /33Z?— Qualifier 1 J40 I1�S l—u Ccw�tTt SS# Phone (05 3 6 G 8 0 A F=C d %Ifa 5 State # Municipal 1# 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 wCM.11 1"'‘ lTel/lew Jtr�(rC U��t //�3V�P+'L - P A 2 1' 1 Pe L c c' l Square Ft. Estimated Cost(value) . (,3C) r 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. /'urthermore, I authorize the above -named contractor to do the work stated. / Se /zve? Sttgnt: aure "ore ewn r and /or ( / Condo President < Signat • re of Contra or or Owner- Builder A{ L VN�CA�'S� Date: Y ., Notary Public, State oP Moak .' � h ,' ; i4► Comm. expires P otary as to Owneiand/ • 1NTPresident My Commission Expires: ** * * 2.-.!f0* * * * * * * FEES: PERMIT 3 b RADON C.C.F. 1 7) NOTARY TOTAL DUE Zoning Building Mechanical Plumbing3 t -- Notar My Co I , e c5v7 V1765 c l e f t o4,sooc�Elwsoi "R�i�e - Builder %t■ / 1RON NUMBER , _ P Q CC401261 !k Q. NW COMMISSION .EXP. p �F�O ���� UG . a 17 , 1 � 99 * Master Permit it 2 / / Z * * Fire Other Electrical Q Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3 44/ Job Address ///6 s�- Legal Description L01] 6-11-0c i5 co y= (Owner / Lessee / Tenant I" 0 V e aA 4 Z- VE: QG Owner's Address // / (v P/' C ?v- S1F' Contracting Co. Ad- P /4 /D4 2 4-J-Nc. Address Qualifier - PAL ) ; O C llar/ SS# State # 0a�-4 w- c/ Municipal # ;•31S C� Competency # P.M Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL 6LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ivs Vad V& u- 5�)6✓1 ksev - ��v+e / �L�uvLA Ln, ) 1'1 Dq �� K e. ri aa-) 6- Iv;5 i tiv \av Lie-co # Square Ft. Estimated Cost(value /6") 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 be done in compliance with all applicable laws regulating constructs authorize the above -named contractor to do the work stated. Owner d n Expires' Signature of owner and /or Co do President Date: Notary as to My Commissi Condo President FEES: PERMIT \ RADON C.C.F. APPROVED: Fire Zoning Buildin Mechanical Plumbing_ Tax Folio '� o 2 '1 0420 0 L. a Pe -+4-(o3 3 Master Permit # Phone 1/79O / /Scag yNg Phone R93 «OLF? Ins.Co. 6 0 LC -.1,./S that all work will Furthermore, I (I!1 % iw 7. "11. Signature Date, er- Builder Notary as t• Contra' •r or Owner- Builder My Commissi Expirs: NOTARY ** TOTAL DUE 1 ) r Other Electrical Engineering_ • • 2. Description of improvement: 3. Owner(s) name and address: N f k. S4Lzv a2G 1//G e- . s9c, • 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: s specified) �9r sutwe of Owner L 7 J Print Owners Name /"1 I /'�- S Sworn to and subscribed before me this . •ay of Notary Public Print Notary's Name My Commission Expires: ri.CTOP., COUNTY OF OA6 q' "�I`��� �� °� L NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. 1/ � 0 � � � a 6.46A0 0 STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property. and in accordance with Chapter 713, Florida Statutes. the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: Lo T `- ) Loc l4._ 3 BAY 44 -3 3 111(p NI, lZ T Srz ws) v., 6 ° C N7q)%. Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: ALL f /o/1 I DA // 70.0 tgfs c41ML Q /vd 1 i t't i P/4 33/i/ 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself.,Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Comjner (the expiration date is 1 year from the date of recording unless a different date is / 94R 146967 1994 MAR 23 12:27 Prepared by: Au F/A. D, aq. Toe. Address: /049 0 Ig�S�' - /4Jd 7N ipwrl 1"714, 9-3/e/ BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING JV' PERMIT N? 10026 ROOFING ❑ Owner of ■ Building Architect Contractor or Builder _, D Work to be performed under this Permit Legal Lot � Description 1 Bl Address of Building Date 19_ Contractor's License No. Subdi- vision Sq Ft . Value of 11 Amount of Project $ 11 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed • ' i (INSPECTOR) BY 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 assurttX resp6nsibility for all wok done by either, myself, my agent, servant or employee. CONTRAC�UILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architecr Contractor or Builder Legal Description MIAMI SHORES VILLAGE, FLORIDA i DATE , _ / 19 '= 0 ° PERMIT Lot II Bl CONTRACTOR OR BUILDER N° 6500 Work to be performed under this Permit Signed. (`t. w �..... Contractor's License No. Subdi- vision Address of , - Value of 1 Amount of Building /.. ik- , & /(% F Project $ 1 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in co _ ance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the pr authorities of Miami Shores Village. In ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY a•UOT 11� Permit No Lam Amount of Permit $_ STATE OF FLORIDA, 1 COUNTY OF DADE. es. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) )2( ( Signed Date 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 Engineer ______ • -- .,--- ____ -- No. -- - Block Street and Number where work is to be performed—No._//AK State work to be performed and purpose of building (By _L New Building .._ Remodeling Addition Street Streeta Subdivision_ Capacity Gals.. 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 umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl: ed 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. 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 Plumber. 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 TUBE 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 Lam Amount of Permit $_ STATE OF FLORIDA, 1 COUNTY OF DADE. es. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) )2( ( Signed Date 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 Engineer ______ • -- .,--- ____ -- No. -- - Block Street and Number where work is to be performed—No._//AK State work to be performed and purpose of building (By _L New Building .._ Remodeling Addition Street Streeta Subdivision_ Capacity Gals.. 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 umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl: ed 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. 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 Plumber. 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. I g. BUILDING ❑ ELECTRICAL ❑ MIAMI SHORES VILLAGE. FLORIDA PLUMBING PERMIT N9 8745 ROOFING ❑ Owner of Building Architect Contracto or Builder Legal Descriptic Address Building DATE Contractor's License No n 195 Work to be performed under this 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. CONTRACTOR OR BUILDER BY AUTHORITY 17 r Lot n Bl. Subdi- vision If Sq. Ft Amt. of Permit $ Value of Project $ BUILDING ❑ ELECTRICAL ❑ MIAMI SHORES VILLAGE. FLORIDA PLUMBING PERMIT N9 8745 ROOFING ❑ Owner of Building Architect Contracto or Builder Legal Descriptic Address Building DATE Contractor's License No n 195 Work to be performed under this 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. CONTRACTOR OR BUILDER BY AUTHORITY 17 MIAMI SHORES VILLAGE. FLORIDA ELECTRICAL ❑ DATE 195 PLUMBING o PERMIT N? 8742 Contractor s License No ROOFING ❑ BUILDING ❑ Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building Bl. Subdi- vision Sq. Ft Value of Project $ ❑ Work to be performed under this Permit 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./ 4 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. CONTRACTOR OR BUILDER BY AUTHORITY 17 APPLICATION FOR PLUMBING ° ";6AMIT pct Permit ( ._lam �_ %� ,.( Date 3 7�_�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 durin progress of work. Owner'a Name and Address 6� c Registered Architect and /or Engineer Employing Plumber's Name i Location and Legal Description Lot_ __. - ----------- ___ -�_ Block. ___ 3 Subdivision Street an. Number where work is to be performed —No Street_ ?.2 State woth to be performed and purpose of building (By Floors )_ New Building Remodeling____ ____._ Addition_ Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: City —Well Amount cf Permit $ 1� MIAMI SHORES VIL�AOE PLUMBING INSPECTION DEPARTMENT No.___- / /26_it/ , Street_ _Type of Tank___ Capacity Gals __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)_ . No. Street _ — My Commission Expires Notary Public, State of Florida Repairs No. of Stories. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o • li ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri . ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ployed 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 Deemed 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 to me woe known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the cbove 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 0.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or worl®anship. CLOSETS TUBS TUBS SHOWER• LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS UR CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FI %TURES CONTR. LIE / / — CHBCR SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW 114'0 POOL CONTR. LIST - C-ECK APPLICATION FOR PLUMBING ° ";6AMIT pct Permit ( ._lam �_ %� ,.( Date 3 7�_�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 durin progress of work. Owner'a Name and Address 6� c Registered Architect and /or Engineer Employing Plumber's Name i Location and Legal Description Lot_ __. - ----------- ___ -�_ Block. ___ 3 Subdivision Street an. Number where work is to be performed —No Street_ ?.2 State woth to be performed and purpose of building (By Floors )_ New Building Remodeling____ ____._ Addition_ Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: City —Well Amount cf Permit $ 1� MIAMI SHORES VIL�AOE PLUMBING INSPECTION DEPARTMENT No.___- / /26_it/ , Street_ _Type of Tank___ Capacity Gals __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)_ . No. Street _ — My Commission Expires Notary Public, State of Florida Repairs No. of Stories. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o • li ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri . ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ployed 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 Deemed 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 to me woe known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the cbove 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 0.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or worl®anship. ` BUILDING ELECTRICAL PLUMBING ROOFING Owner of / if Building Architect Contractor or Builder Legal Description Address of wilding Lot MIAMI SHORES VILLAGE. FLORIDA This permit is granted to the contractor or builder named above to construc 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, trawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 None by his agents, servants or employees. CONTRACTOR OR BUILDER PERMIT N? 3389 Bl. Work to be performed under this Permit Signed. Subdi- vision Value of Project $ DATFF - 195 i-► Contractor's License No. Amount of Permit $ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work coveted hereunder in compliance with all ordinances and regulations 'ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- ,epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6 y BUILDING E=LECTRICAL PLUMBING HOOFING Owner of wilding ".rchitect =ontractor 4 Builder .egal )escription A..ddress of wilding PERMIT 11T° 3381 Lot ' MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit Subdi- vision Value of Project $ 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 ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, lawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 ertaining to the work covered hereby whether shown on the plans or drawings or in the state nts or specificatipnsiiand that he assumes responsibility for work lone by his agents, servants or employees. ' Signed . , ...r ... INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered h under in compliance with all ordinances and regulations , ertaining thereto and in strict conformity with the plans, drawings, statements or specifications sub ed to the proper authorities of Miami Shores Village. In ac- : epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. , DATE 195- - Contractor's License No. Amount of Permit $ CONTRACTOR OR BUILDER BY AUTHORITY 8 �ti .o Village of Miami Shores JOB 0 • ADDRESS INSPECTION TIME READY REMARKS INSPECTOR N° 3968 DATE WA 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. Owner's Name and Address (u(t. c k L.e No. , e5 d beet__. -._- t� 'R �� Registered Architect and /or Engineer - Employing Plumber's Name �G� tjfes�!- Location and Legal Description Lot tJ Block Street Street and Number where work is to be performed —No ,L_� _l.C___Ii ' State work to be performed and purpose of building (By Floors) ss. • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT x.C._ No. _7.14C d t;' 1 Street Subdivision Street ___)'f New Building V Remodeling Addition (Signed) Repairs 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 Date c.5 14 _ A 4 Capacity Gals._ ."ort. ' No. of Stories Amount of Permit $ [ ' ------------ - - - - -- (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 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 perforrned 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. , `.. )) / 'fir 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 nee 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 J�� Al N�/ /I• —T TOT AL FIXT URES CONTR. LIST 1 M P I} _ L / CHECK I SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST IST CHECK WA 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. Owner's Name and Address (u(t. c k L.e No. , e5 d beet__. -._- t� 'R �� Registered Architect and /or Engineer - Employing Plumber's Name �G� tjfes�!- Location and Legal Description Lot tJ Block Street Street and Number where work is to be performed —No ,L_� _l.C___Ii ' State work to be performed and purpose of building (By Floors) ss. • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT x.C._ No. _7.14C d t;' 1 Street Subdivision Street ___)'f New Building V Remodeling Addition (Signed) Repairs 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 Date c.5 14 _ A 4 Capacity Gals._ ."ort. ' No. of Stories Amount of Permit $ [ ' ------------ - - - - -- (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 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 perforrned 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. , `.. )) / 'fir 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 nee 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. 4 5° LJ 1, Permit No. _ Size Septic Tank Feet of Drain Tile Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank Nature of Water Supply: City —Well. Size of Soakage Pit Capacity Gals Date d 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 _. _ / __ �, el No. _ Street Registered Architect and /or Engineer Employing Plumber's Name - - - / 1 / No. Street Location and Legal Description Lot / Block Subdivision Street and Number where work is to be performed —No /.11-- I 27 e Street 9p/ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Dist. Feet of Tank or Drain Field from Well ------------ -- - ------ ------- ----------------- - - (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 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. (Signed) Master Plumber. STATE OF FLORIDA, 1 ss. 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 N OTE: 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 CHECK 1, Permit No. _ Size Septic Tank Feet of Drain Tile Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank Nature of Water Supply: City —Well. Size of Soakage Pit Capacity Gals Date d 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 _. _ / __ �, el No. _ Street Registered Architect and /or Engineer Employing Plumber's Name - - - / 1 / No. Street Location and Legal Description Lot / Block Subdivision Street and Number where work is to be performed —No /.11-- I 27 e Street 9p/ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Dist. Feet of Tank or Drain Field from Well ------------ -- - ------ ------- ----------------- - - (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 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. (Signed) Master Plumber. STATE OF FLORIDA, 1 ss. 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 N OTE: 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.