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PLUMBING PERMITMIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE 1 • Z 4- 195 . PLUMBING E PERMIT N9 9670 Contractor s License No w > ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building kt r1 ...s. Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILD t { 3 '_ t• It Bl. I)( Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ 3 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 authorit 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 f they Condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough k e.of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statyrents or specificatio and t assumes responsibility for work done by his agents, servants or employees. : / ri ,.' / �it- % ' / Signed: 1 . . •1. --0 <^ 1 �. • BY -' INSPECTOR .Y • In consideration of the issuance to me of this permit I agree to perform the work covered here der 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, serv3rit or employee. BY AUTHORITY MIAMI SHORES VILLAGE. FLORIDA / BUILDING ❑ ELECTRICAL ❑ DATT 2 - ' 1951 PLUMBING ® PERMIT N° 8 313 Contractors License No. 2 " t i ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building i ► Architect Contractor tt or Builder i .' y i Legal Lot Description Address of Building 11 ? i if t CONTRACTOR OR BUILDER 5 Bl. r 5/ ..,... e 1 .. Subdi- vision BY 9/7 O/ Sq. Ft Value of Project $ f-- a/ C C • 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. i �, fi � Signed • r +.. /; ' - ..•e . ,, r.�,, w,,,. INSPECTOR / In consideration of the issuance to me of this permit I agree to perform the work covered he ri der in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications su fitted 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. AUTHORITY 17 Permit No v Date...../ S°r__ :. y, 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.4E1 -71_ 4_,s-_' ..k 11L:__4 -ii- Ikkl. Registered Architect and /or Engineer ..... __ Employing Plumber's Name Is t ._ ec Location and Legal Description Lot_ _ 6 2. Street and Number where work is to be performed —No /) !s'.'✓T State work to be performed and purpose of building (By Floors)_. New Building X Remodeling___ __ ____ Addition. 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 ell.- - - -__- ______Size of Soakage Pit ./ Amount of Permit $ --------- _ - - - -- — — (Sled)_ MIAMI SHORES VILlAG PLUMBING INSPECTION DEPARTMEI -' APPLICATION FOR PLUMBING iVNIT No. ._� Street__J1' 4� '�.-_ . R .. _ No. Repairs No. of Stories. (Signed)__._ZA/k _ Street l� —aL2- l_1.1tRm11 -.4V Subdivision.. �t_ICtLL Street f------- - - - - -- Plu ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup • ement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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 pub 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. 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. My Conunission 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- Tome • SINKS SLOP SINKS LAUNDRY Tues • URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT' NS V/ !l . i• A, J TOTAL - F IX ES CL R. ST LIST 3 t. 1 3 1 I R. CHECK ■ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL 4 . 'A CONTR. LIST ` CHECK ■ Permit No v Date...../ S°r__ :. y, 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.4E1 -71_ 4_,s-_' ..k 11L:__4 -ii- Ikkl. Registered Architect and /or Engineer ..... __ Employing Plumber's Name Is t ._ ec Location and Legal Description Lot_ _ 6 2. Street and Number where work is to be performed —No /) !s'.'✓T State work to be performed and purpose of building (By Floors)_. New Building X Remodeling___ __ ____ Addition. 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 ell.- - - -__- ______Size of Soakage Pit ./ Amount of Permit $ --------- _ - - - -- — — (Sled)_ MIAMI SHORES VILlAG PLUMBING INSPECTION DEPARTMEI -' APPLICATION FOR PLUMBING iVNIT No. ._� Street__J1' 4� '�.-_ . R .. _ No. Repairs No. of Stories. (Signed)__._ZA/k _ Street l� —aL2- l_1.1tRm11 -.4V Subdivision.. �t_ICtLL Street f------- - - - - -- Plu ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup • ement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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 pub 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. 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. My Conunission 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. • t i Pi ( ...„ - - ,‘ BUILDING ❑ ELECTRICAL ❑ PERMIT o PLUMBING N. 9550 ROOFING Owner of . Building Architect Contractor or Builder Legal Description Address of Building Lot 7i/ 9 Al El MIAMI SHORES VILLAGE. FLORIDA Bl. Subdi- vision 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 performe,in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. T s 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 c dition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the stapments or spe ications and that h ssumes responsibility for work done by his agents, servants or employees. 1 ✓ ',fi Signed INS13L'CTOR f ' In consideration of the issuance to me of this permit I agree to perform the work covered reunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specification ubmitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my a y ,sgivant or employee. CONTRACTOR OR BUILDEII! BY DATE fr 1 Sq. Ft Value of Project $ Contractor's License No. w 1 j Work to be performed under this Permit .r' 4.:.r'' Amt. of Permit $ 195 A ORITY 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_ Registered Architect and /or En in __ ._ _ ___ _ ,>��., Employing Plumber's Name-__ , = --f- -i_1„�: -cam t - - - - -- '1 �E "`i"� �� Street _.._.__._ Location and Legal Description Lot____-_-_____ _ _ Block - _.__.____. Subdivision C3 Street and Number where work is to be performed —No 1/ s. Street State work to be performed and purpose of building (By Floors) New Building _ ..__._.. Remodeling Addition-.._.._._ Repairs No. of Stories. _ Amount of Permit $ Size Septic Tank Feet of Drain Tile____2 Nature of Water Supply: City —Well. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING :-`,MIT �- No._ - — - — - _ Street (Signed)- Type of Tank____ Capacity Gals._ _Dist. Feet of Tank or Drain Field from Well _ _Size of Soakage Pit lumbing Inspector. - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli_ ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin. • nt 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 - - - Date._.. ---- a2- �15.1_ -------- - - - - - Notary Public, State of Florida Master limber. 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 hin, stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made • necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DELP WELL SPRKLR. SYSTEM SWIM'G POOL I_- CONTR. LIST CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work Owner's Name and Address_ Registered Architect and /or En in __ ._ _ ___ _ ,>��., Employing Plumber's Name-__ , = --f- -i_1„�: -cam t - - - - -- '1 �E "`i"� �� Street _.._.__._ Location and Legal Description Lot____-_-_____ _ _ Block - _.__.____. Subdivision C3 Street and Number where work is to be performed —No 1/ s. Street State work to be performed and purpose of building (By Floors) New Building _ ..__._.. Remodeling Addition-.._.._._ Repairs No. of Stories. _ Amount of Permit $ Size Septic Tank Feet of Drain Tile____2 Nature of Water Supply: City —Well. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING :-`,MIT �- No._ - — - — - _ Street (Signed)- Type of Tank____ Capacity Gals._ _Dist. Feet of Tank or Drain Field from Well _ _Size of Soakage Pit lumbing Inspector. - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli_ ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin. • nt 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 - - - Date._.. ---- a2- �15.1_ -------- - - - - - Notary Public, State of Florida Master limber. 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 hin, 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. New Building Remodeling To be constructed of (s Kind of foundatic Estimated Total cost of improvements $ 8 �J - QA Zone cubage required Distance to next nearest building Disapproved Date. (Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing 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 the work. Date..._. U �._ .._._ 19.77 an Owner's Name and Address .....DR • E $ . ( MA . C� ' '1.. E_ No.. ..............._ . Street_r ` F C1-- t Registered Architect and /or Engineer C �� .2 . L. ,, , , ,, ,,,, , ,,,, „.. „ - . - ,, w .. Name and address of licensed contractor • _ o D R 1 , S O k) 1Z � OO . l� . 7 Location and legal description of lot to be built on: P t3 4 / Lot 2 Block 2 Subdivisio _ (•N L L U iz F_ ..._ _..___....._._. PCB. 63 Street and Number where work is to be done 1125 N C q 2 sT_ — State work to be done and purpose of building (by floors) F O O L A- ,p G. A • A /lI . A ill ,t,O , .- .oti and f r no other se. Addition ' Repairs No. of Stories ..4 �' bS-17 '1 � Roof Covering :27 Amount of Permit $. . ........... Cubage 3 5 FT Size of Building Lot Notary Public, State of Florida My Commission Expires Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference t the building and its construction may be sent to t -... • A L b E is s o N 12_00 N. W M I A tu . ..... 13 13.i, 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 complied 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 f 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 4i bco ntractors, qj * to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. J ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. Permit No __ Date Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Chairinan Member Member Member Member ...... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection at faulty materials and /or workmanship. Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date ?(2-677c) 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 pecified or not. A copy of approved plans and specifications must be kept at building during the progress of wgrk.. Owner's Name and Address y( 1/) iU i7C7 No. // i2.C /0,t v C J Street / 72 y� Q� Registered Architect and /or Engineer � Em loying P m�e ' Name ¢I 4/ /OA No. 4( C Stree44Jo60 a s v- Location and Legal Description Lot Block D Subdivision /� Lvl,e I a� Street and Number where work is to be performed — No. 1 1 p _ S N.6. ?2nd g7 Street State work to be performed and purpose of building (By Floors) New Building Remodeling tr Addition Repairs No. of Stories Size Septic Tank Amount of Permit $ 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 (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 complied 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,$l�ores Villa (Signed) STATE OF FLORIDA, ss COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments,. personally appeared y . to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $25.00 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 FOUNTAINS TOTAL FIXTURES CONTR. TR. LIST C CHECK j 4- ICJ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G. POOL CONTR. LIST CHECK Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date ?(2-677c) 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 pecified or not. A copy of approved plans and specifications must be kept at building during the progress of wgrk.. Owner's Name and Address y( 1/) iU i7C7 No. // i2.C /0,t v C J Street / 72 y� Q� Registered Architect and /or Engineer � Em loying P m�e ' Name ¢I 4/ /OA No. 4( C Stree44Jo60 a s v- Location and Legal Description Lot Block D Subdivision /� Lvl,e I a� Street and Number where work is to be performed — No. 1 1 p _ S N.6. ?2nd g7 Street State work to be performed and purpose of building (By Floors) New Building Remodeling tr Addition Repairs No. of Stories Size Septic Tank Amount of Permit $ 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 (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 complied 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,$l�ores Villa (Signed) STATE OF FLORIDA, ss COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments,. personally appeared y . to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. 11 r Permit No. - .. —(•_ - 6.& . e 7 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 Buildin inance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address C. S /9,7 7)2' Registered Architect and /or Engineer Employing Plumber's Name E' C / .. � Q .... - -., ... Nam - / 7.s/ ,.,... Itrsst.�" l'?l,_:31.,3 .4?-4 - Location and Legal Description Lot. _ Bloc SubdivIslonl !9j /_.A._/ A. 6 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 -- — Repairs. No. of Stories ................... Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank _Dist. Feet of Tank or Drain Field from Well Size of Soakage No. // s Street_! c Y .2 4 .Capacity Gala._ ( Signed )._,Alemsz Plumb The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an . ployer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Suppl t, 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) �sLr r - z2- Master Plumber. STATE OF FLORIDA, } a~ 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 be is the ---- ..._.._.- .- - -_ -•. - -• -- —. —._. _.. of the above described construction, that he has carefully read the foregoing epphiation, 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 what ace rrlaspeotion is msds•neesssary by impsuper notice for inspection, or faulty materials and/as workmanship. CLOSETS BATH t TUNIS LAVA. TORIES SINKS SLOP SINKS LAUNDRY rues URINALS CATCH GAIN FLOOR DRAIN DRINKING FOUNT'N[ TOTAL FI CONTR. LIST CHICK SEPTIC TANK SEER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HIATtR DEW WELL SPRKLR. SYSTEM SWIM'O POOL / 4/ 7 - / 2 P. r 5j Corm. LIST cx.::l . CHICK 11 r Permit No. - .. —(•_ - 6.& . e 7 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 Buildin inance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address C. S /9,7 7)2' Registered Architect and /or Engineer Employing Plumber's Name E' C / .. � Q .... - -., ... Nam - / 7.s/ ,.,... Itrsst.�" l'?l,_:31.,3 .4?-4 - Location and Legal Description Lot. _ Bloc SubdivIslonl !9j /_.A._/ A. 6 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 -- — Repairs. No. of Stories ................... Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank _Dist. Feet of Tank or Drain Field from Well Size of Soakage No. // s Street_! c Y .2 4 .Capacity Gala._ ( Signed )._,Alemsz Plumb The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an . ployer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Suppl t, 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) �sLr r - z2- Master Plumber. STATE OF FLORIDA, } a~ 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 be is the ---- ..._.._.- .- - -_ -•. - -• -- —. —._. _.. of the above described construction, that he has carefully read the foregoing epphiation, 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 what ace rrlaspeotion is msds•neesssary by impsuper notice for inspection, or faulty materials and/as workmanship. • 0 3/ F1treA O C ESRR SR4 i Rt //If N4.72 ST AAA, 49.aS , 26 eior. K -z AA y IJA r �in/TRAG1aN iQ w fl AVIA S'e.✓ c e. A mhos 6o / Nori E1EcrRlc Q y nTN el,S 19s LonNaR 1 1_ _ Permit No (9s7.7 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 _S Registered Architect and /or Engineer — Employing Plumber's Name 4 60'5 P/6q S�J�' . NO„ � 3 62 „, ...m .,,,..,, 8tireet....Gt / 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)_ New Building Remodeling___ — ..__....__ Addition...__. Repairs No. of Stories Size Septic Tank. ------- .--------- - - - - -- Type of Tank_ ._ - Feet of Drain Tile._ — -- __Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: of Soakage Pit Amount of Permit $ STATE OF FLORIDA, as. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT BIO Subdivision____ _ � Street (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 5968, 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) 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 of the above described construction, that he has carefully read the foregoing therein by hirr. Aliffilirtfilltit STATE OF FLORIDA AT LAMP MY COMMISSION EXPIRES SEP. 18. 1978 I']NnFf1 THRII _GENERA! IALCIIPAAIrF 1 lnlflFRWRITFR My Commission Expires �Q. .tom �c - 4..�� — •--- �' ................_ Muter Plumber. Date..._..21 I J _ 7 • - -..._ _ that he is the tion, and that a idsign the came, and that all facts ,(/ham'► - �_ otiry )('u bllo, State of reside NOTE: A re- inspection fee of $1.00 will be made when such re-Inspection is made by hnpreper nceoce for inspection, or faulty materials and/ca. workmanship. CLOSETS OATH Tun[ SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tun■ URINALa CATCH is FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE[ CONTR. LIST / / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER Dm WELL SPRKLR. 5 SWIWO POOL C oNTR. LIST CHICK Permit No (9s7.7 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 _S Registered Architect and /or Engineer — Employing Plumber's Name 4 60'5 P/6q S�J�' . NO„ � 3 62 „, ...m .,,,..,, 8tireet....Gt / 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)_ New Building Remodeling___ — ..__....__ Addition...__. Repairs No. of Stories Size Septic Tank. ------- .--------- - - - - -- Type of Tank_ ._ - Feet of Drain Tile._ — -- __Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: of Soakage Pit Amount of Permit $ STATE OF FLORIDA, as. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT BIO Subdivision____ _ � Street (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 5968, 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) 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 of the above described construction, that he has carefully read the foregoing therein by hirr. Aliffilirtfilltit STATE OF FLORIDA AT LAMP MY COMMISSION EXPIRES SEP. 18. 1978 I']NnFf1 THRII _GENERA! IALCIIPAAIrF 1 lnlflFRWRITFR My Commission Expires �Q. .tom �c - 4..�� — •--- �' ................_ Muter Plumber. Date..._..21 I J _ 7 • - -..._ _ that he is the tion, and that a idsign the came, and that all facts ,(/ham'► - �_ otiry )('u bllo, State of reside NOTE: A re- inspection fee of $1.00 will be made when such re-Inspection is made by hnpreper nceoce for inspection, or faulty materials and/ca. workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date. -• -- - - -__.. � 77__ __ -- 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 withwhether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address Registered Architect and /or Engineer Employing Plumber's Nam Location and Legal Description No..ZL street /if& fee Straot-.26/— • f Subdivbdon 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.. Repairs No. of Stories. ..... Size Septic Tank -_ Feet of Drain Tile Nature of Water Supply: City-Well. Amount of Permit $ STATE OF FLORIDA, 1 µ COUNTY OF DADE. 1 Type of Tank —_ nat. Feet of Tank or Drain Field from Well Size of Soakage Pit _____ . (Signed) ( - .ze _Capacity Gals._._.___.__. 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 5968, Compiled General Laws of Florida Permanent Supplement, and has corn - 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. Plumbing Inspector. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the of the above described construction, that he has carefully read the foregoing application, and that be 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 bon made when mob swiaspaodon Y snada by improper notion for baspactio , or faulty materials and /or wodoaansblp. CLOatTa BATH TUS• "owl" TORIES LINK• SLOP SINK• LAUNDRY Tuns U CATCH BASIN FLOOR DRAIN DRINKI NO FOUNTWS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER Dace WELL Ben KUL SYSTEM SWIM'O POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date. -• -- - - -__.. � 77__ __ -- 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 withwhether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address Registered Architect and /or Engineer Employing Plumber's Nam Location and Legal Description No..ZL street /if& fee Straot-.26/— • f Subdivbdon 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.. Repairs No. of Stories. ..... Size Septic Tank -_ Feet of Drain Tile Nature of Water Supply: City-Well. Amount of Permit $ STATE OF FLORIDA, 1 µ COUNTY OF DADE. 1 Type of Tank —_ nat. Feet of Tank or Drain Field from Well Size of Soakage Pit _____ . (Signed) ( - .ze _Capacity Gals._._.___.__. 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 5968, Compiled General Laws of Florida Permanent Supplement, and has corn - 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. Plumbing Inspector. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the of the above described construction, that he has carefully read the foregoing application, and that be 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 bon made when mob swiaspaodon Y snada by improper notion for baspactio , or faulty materials and /or wodoaansblp. Permit No / 9.(64.- Date.. Application is hereby made for the approval of the detailed statement of the plans and specifications her P' submitt - . (. 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 Employing Plumber's Name 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._ Feet of Drain Tile Amount of Permit = MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No .r.. Ns'.._..,..... ..._....m. h _._,Q..e.. : :....__....n - .117 -.. Block /1 1 J Street__ New Building 1111__._----- .......- - -. -__ Remodeling____ — - - -__ — Addition- -.____ Repairs_. -. Type of Tank—.—_ - -- r)iat. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit.. 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 - contractor 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 Elie Act. The undersigned agrees to employ only such sub - contractors, o work to be performed under this permit. as are licensed by Miami Shores Village. (Signed) _ Capacity Gals.. ( % � q r _ street . g _. 9 72 _ fit Plumbing Inspector. C 2O / J 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 oses and says that he is the �.._..._.._...- - -_ - -• - -'.- _ -_ -._ of the above described construction, that be 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 Plcdda NOTE: A re inspection fee of 81.00 will be made when meth Pula pe dos► r meda•aeosmary by bumper nodes far laspection. a fadb materials Sad /or wak snship. CLOSETS BATH TUBS SHOW(/4S LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuts' URINAL/ CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL PI Corms. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGI PIT GREASE TRAP SOLAR HEATER DRIP WELL 5 SYSTEM SW IN'O POOL t�o•7r1 C 'flCj+� Cowes. LIST 1 (p.0 Z. O. CHICK Permit No / 9.(64.- Date.. Application is hereby made for the approval of the detailed statement of the plans and specifications her P' submitt - . (. 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 Employing Plumber's Name 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._ Feet of Drain Tile Amount of Permit = MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No .r.. Ns'.._..,..... ..._....m. h _._,Q..e.. : :....__....n - .117 -.. Block /1 1 J Street__ New Building 1111__._----- .......- - -. -__ Remodeling____ — - - -__ — Addition- -.____ Repairs_. -. Type of Tank—.—_ - -- r)iat. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit.. 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 - contractor 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 Elie Act. The undersigned agrees to employ only such sub - contractors, o work to be performed under this permit. as are licensed by Miami Shores Village. (Signed) _ Capacity Gals.. ( % � q r _ street . g _. 9 72 _ fit Plumbing Inspector. C 2O / J 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 oses and says that he is the �.._..._.._...- - -_ - -• - -'.- _ -_ -._ of the above described construction, that be 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 Plcdda NOTE: A re inspection fee of 81.00 will be made when meth Pula pe dos► r meda•aeosmary by bumper nodes far laspection. a fadb materials Sad /or wak snship. Square Ft. Signature of owner and/or Condo Presi PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date G=6—Pk Job Address / /c.2 S A) ? 2 J07 Tax Folio Legal Description 'zed) cl?.4 Historically Designated: Yes No EAtCARAIA Owner/Lessee / Tenant IT 4. i pct ,mod --e- 3 Cr Master Permit # ,;2g Owner's Address .P' 13 ►++- . Contractin Co. rC' cs+e 'Pod( Qualifier X Qi(. r 2 • (I-60 SS# .. Phone O / 8 State # GEC Q3& 8 6 9 Municipal # Competency # Ins. Co. 8itq - a 97. y Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION —N't e5 d'P.c1) is dL ,)9-2 otary as to„,Qwner and/or Condo President Date My Co sS S bEI ICIAL NO. 17 inqn FEES: PERMIT � 53 RADON C.C.F. APPROVED: Zoning Building � 5 1( Mechanical Plumbing Phone '7 6" ' 6 2 O Address ,-,10,1n -,10,' se 9 Estimated Cost (value) Cd / 0 a • 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 law regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. ctor or Owner- Builder -,P N otary as to Contractor or Owner - Builder My Co Electrical Date BOND Date � f CC401261 ` L cO . P.MISSIOPd 17.1 C' s 0 NOTARY tj D 0 TOTAL DUE Engineering