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PLUMBINGI have some rope pozmit applications please Thank \Lo; MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 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 Pa ul,_I2ax a No..J 213 N ..I ..-- 3-iP° t-re e-t Registered Architect and /or Engineer Employing Plumber's Name Ros Septic Talk Cu . 3r# It' a twat Street---- Street. . —..._. Location and Legal Description Lot. Street and Number where work ire to be gerfcereed —No Stat© work to be performed and purpose of building (By Fllocrs)__--- ._... -. New Building --- •-- • -- -... --•- - -- Remodeling ___ - -_ -- Addition Size Septic Tank_ ,------- - - - - -- — - - -- Type of Trunk APPLICATION FOR PLUMBING PERMIT Feet of Drain Tile._. —._ — -- -Dist. Feat of Tank oT Drain Field from Well..- - Nature of Water' Supply: City —Well. Size of Soakage Pit Amount of Permit $ 4 .00 (SStgned) _ (Signed) Repairs No. of Stories Capacity Gals.. My Commission Exolma Notary Parbl1o, State of Ficeid➢a Plumbing Ins - Pee s The undersigned applicant for this building permit does herby certify that he understands and accepts his obligati as as an employer of labor under the Florida Workmen's Compensation Act, being Section Sim, Compiled General Laws of Florida Pennanent .rpplement, 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, es are licensed by Miami Shares Village. Muter Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly cutb rteed to administer caths and take acknowledgments, personally- appeared to me well known, and who, being by me first duly sworn, u czar deposes and says that he is the __-- -.... •-------- - -- --- -- -- - .._ _ -- of the above described construction, that he has carefully lard the foregoim application, and that he did sign the same, and that all facts therein by hire stated are true. NOTE: A re- inspection fee of $ /.dim MR be meeie wbae a :el tilatspectize is roadelreoessary iby improper notice for Inspection, or faulty materials and /ce workmanship. CLOSETS BATH T SHOWERS LAVA• Town) SINKS SLOP SINKS LAUNDRY TUBA URINALS CATCH eA /IN FLOOR DRAIN DRINKING FOUNT'NS TOTAL e FIXTURES CONTR. LIST CHECK SEPTIC TANK S3OYQR CONN. DRAIN F IELO SOAKAGE P IT DREAGE TRAP SOLAR H aATER DHO. WEILL SPRKLR. SYSTEM SWIM'G POOL Comm. 1 LIST CHICK 32 T JaL _ — I have some rope pozmit applications please Thank \Lo; MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 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 Pa ul,_I2ax a No..J 213 N ..I ..-- 3-iP° t-re e-t Registered Architect and /or Engineer Employing Plumber's Name Ros Septic Talk Cu . 3r# It' a twat Street---- Street. . —..._. Location and Legal Description Lot. Street and Number where work ire to be gerfcereed —No Stat© work to be performed and purpose of building (By Fllocrs)__--- ._... -. New Building --- •-- • -- -... --•- - -- Remodeling ___ - -_ -- Addition Size Septic Tank_ ,------- - - - - -- — - - -- Type of Trunk APPLICATION FOR PLUMBING PERMIT Feet of Drain Tile._. —._ — -- -Dist. Feat of Tank oT Drain Field from Well..- - Nature of Water' Supply: City —Well. Size of Soakage Pit Amount of Permit $ 4 .00 (SStgned) _ (Signed) Repairs No. of Stories Capacity Gals.. My Commission Exolma Notary Parbl1o, State of Ficeid➢a Plumbing Ins - Pee s The undersigned applicant for this building permit does herby certify that he understands and accepts his obligati as as an employer of labor under the Florida Workmen's Compensation Act, being Section Sim, Compiled General Laws of Florida Pennanent .rpplement, 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, es are licensed by Miami Shares Village. Muter Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly cutb rteed to administer caths and take acknowledgments, personally- appeared to me well known, and who, being by me first duly sworn, u czar deposes and says that he is the __-- -.... •-------- - -- --- -- -- - .._ _ -- of the above described construction, that he has carefully lard the foregoim application, and that he did sign the same, and that all facts therein by hire stated are true. NOTE: A re- inspection fee of $ /.dim MR be meeie wbae a :el tilatspectize is roadelreoessary iby improper notice for Inspection, or faulty materials and /ce workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 4 -19 -02 Job Addy 1213 N.E. 93rd Street Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Pau 1 Daum Owner's Address 1213 N.E. 93rd Street, Miami Shores, Fl 33138 Phone Qualifier Robert E. Brincefield Master Permit G ' a a 7 •1 <<Q 305 - 895 -8767 ContractingCo. Coastal Plumbing Co. of Miami Address 285 N.E. 185th Street, Miami, F1 33179 SS# Phone 305- 651 -4429 State # CFCO -19042 Municipal # 6264 Competency # 6264 Ins. Co. Collinsworth, et al Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL (PLUMBING)MECIIANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Replace existing electric water heater Square Ft. Estimated Cost (value) \ O 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 perfonned 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 will be done in compliance with all applicable laws regulating constrgetpon and zoning. Furth ern re, I authorize the above -named contractor to do the work stated. Signature(of owner nd/or Condo President Notary as to Owner and/or Co i o President Date My Commission ExpiFC (F� ':Pl Patricia Stover : ♦"__ MY COMMISSION # CC839914 EXPIRES :E June 28, 2003 BONDED THRU TROY FAIN INSURANCE, INC , C5fr , FEES: PERMIT u RADON 4 -19 -02 APPROVED: Zoning Building Mechanical Plumbing Date Signature of Contractor or Owner-Bu' er Notary as to Contractor or My Commission Expires: Electrical uilder 4 -19 -02 Date Date ��� fk Patricia Stover • 4 , ,.g MY COMMISSION # CC839914 EXPIRES • , June 28, 2003 CONDED THRJ TROY FAIN INSURANCE, INC - C.C.F. D NOTARY BOND TOTAL DUE 10-5L O Structural Engineer Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/3/2002 Applicant: A.1 ANDERSON Owner: JOB ADDRESS: 1217 NE 100 ST Contractor ARCO CONTRUCTION Local Phone: 305 -892 -6507 Parcel # 1132050090631 Building Permit Permit Number: BP2002 -867 Signed: (Contractor or Builder) BY: Contractor's Address: 1665 NE 137 TERR Permit Status: Permit Expiration: 10/30/2002 Construction Value: $5,900.00 Work: BATH ROOM REMODELING (NEW TILES NEW PLUMBING FIXTURES) Page 1 of 1 Legal Description: 5 53 42 EARLETON SHORES PB 43 -80 LOT 2 BLK 5 LOT SIZE Fees: Description Amount FEE2002 -2517 Building Fee $150.00 FEE2002 -2518 CCF $3.60 FEE2002 -2519 Notary Fee $5.00 Total Fees: $158.60 Total Fees: $158.60 Total Receipts: $0.00 If there is no permit package accessible on the job - site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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 hrntier 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 pions or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. OR) 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 assume responsibility for all work done by either n iyseif, my agent, servants or employes. PAY TO 'THE MIAMI SHORES VILLAGE ORDER OF I $ 65.60 FOR Plumbing Permit 11'00 7 68411° 1: 0 70 L3 S6 to: COASTAL PLUMBING COMPANY 3-82 OF MIAMI CC NO. 6264 285 NE 185TH STREET MIAMI, FL 33179 WACHOVIA BANK, N.A. if- - 20. .11C .0 .11 1, 14,51311.1.M. D t5t Ao'r DOLLARS DATE Mav 8, 2002 7684 63-1356/870 4055 NP BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot n PERMIT N? 12762 11 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit BI. Subdi- vision Value of Project $ DATE - 195 Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: W { BY . INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING, ELEerICAL PLUMBING ROO1NG Owner of fG Building 41.�'5/A f S Architect Contractor or Builder Legal Description Address of Building In co ;deratio pertaining the eto In acce MIAMI SHORES VILLAGE. FLORIDA PERMIT IN? 11864 Work to be performed under. this Permit r the issu ce to m of thi. permit I. agree to perf strict co rmity w the • . ns, dra I assumr spo for a work done by ILDER Subdi- vision /3 il This pesin't •is- ggranted to the contractor or builder named a to construct the build herefor in strict- Compliance with all ordinances pertaining thereto d with the understandi drawings, statements or specifications that may have been submitted to and approved by the time if the work is not done in ante with such ordinances or if the plans are changed w' granted is the Understanding that contractor or builder named above assumes the respon pertaining to the,-work covered )by whether an the plans or drawings or in the s done by his a"ents, servants or employees. - Value of Project • Amt. of (Permit $ ing or to install the equipment or device descri in the appIienfon ng that the work will be performed in compl nce with any plans, proper municipal authorities. This Permit may be revoked at any t authorization. A further condition upon which this permit is for a thorough knowledge of the ordinances and regulations ents or specifications nd that he assumes responsibility for work OPIIIIPWO INSPECTOR the work covered hereunder in compliance with is or specifications submitted to the proper autho • er, myself, my agent, ant or employee. 195! DATF 0 , 01 Contractor's License No _ ordinances d regulations s of Miami shores Village. AUTHORITY Permit No. , Application is hereby made for the approval of the detailed statement of the plans and specifications ere 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 /_ -� a No Street Registered Architect and /or Engineer Employing Plumber's Name �.' No . Street__, 1 l' Location and Legal Description Lot — r ___ Block Subdivision .a Street and Number where work is to be performed— No —/ -3 ' t ii State w�lcto be performed and purpose of building (By Floors) Ne}Auilding Remodeling Addition Repairs Size Septic Tank Type of Tank____ Capacity Gals. Feet of Drain Tile . - Dist. Feet of Tank or Drain Field from Well . Nature of Water Suppl f: City —Well Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size of Soak axe Pit (Signed) -x 5 0 7 S w ith submitted for the My Commission Expires Notary Public, State of Florida ' Street No. of Stories (. Plumb g 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. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the __ .. _____ __ _ ___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of 81.00 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 .I'.,` ( ,L'Iei TOTAL FIXTURES CONTR. LIST i I I �. 1 CHECK /, II 5.... i 7 1 7 ..z. z� O . S 75- � / SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL A Ail I I f CONTR. LIST CHECK Permit No. , Application is hereby made for the approval of the detailed statement of the plans and specifications ere 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 /_ -� a No Street Registered Architect and /or Engineer Employing Plumber's Name �.' No . Street__, 1 l' Location and Legal Description Lot — r ___ Block Subdivision .a Street and Number where work is to be performed— No —/ -3 ' t ii State w�lcto be performed and purpose of building (By Floors) Ne}Auilding Remodeling Addition Repairs Size Septic Tank Type of Tank____ Capacity Gals. Feet of Drain Tile . - Dist. Feet of Tank or Drain Field from Well . Nature of Water Suppl f: City —Well Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size of Soak axe Pit (Signed) -x 5 0 7 S w ith submitted for the My Commission Expires Notary Public, State of Florida ' Street No. of Stories (. Plumb g 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. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the __ .. _____ __ _ ___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of 81.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request I' Date Type Insp'n \-i\-1( Permit No. L 0 Name � J \C Vl ©n' Inspection Date Approved Correction Re-Insp'n Fee Address Company Phone # BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Buildipapepa.rtment 10050 N.E.2nd Florida 33138 Tel: (305)t 95.2^" Fax: (305) 756.8972 r Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Phone # Owner's Address /j /f A/F 98 Alb 5 rR(_6r City / z 'r. Sub Re's' State ,CL • Tenant/Lessee Name Phone # Job Address (where the work is being done) /.vs /l/E 93 e STREET City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO )(' Contractor's Company Name A,B t k Pt VVfriQrnl __me Contractor's Address 4/70 Lc) J 9 R PL /a eg— City H1A Lr ' 141.1 State F 1- Qualifier /1 oR 2T / ERn/A/y /)E7 State Certificate or Registration No. 6 Gad 9 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit +.#•O Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: .1 . RGCo GA77 4t7ATrR. c-zr)E FOR REF'RZDc QQTOA T/) 74E KrrC/I 7 AnD a?. ?.c.e 4 7,f- EXrrR A C EZ8 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * •* * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ 1 /6 ‘,*-->./ CCF $ i Co C) CO /CC Notary $ Training/Education Fee $ 2_0 Technology Fee $ .,2.67 Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Radon $ Structural Plan Review. $ Zip .33 D 42 Permit No. Master Permit No. f (\ 1 4 — I Zip Phone # {3 553 -2 509 Zoning Bond $ Bonding Company's Name (if applicable) • Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. W YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this a 7 day of 20 by day of 0 o SIby who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: NOTARY PUB Sign: Sign: Print: • Print: i My Commission Expires: *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * *14* * **** * * ***** * *** *** **** ** *** ** APPLICATION APPROVED BY Chc 05/13/03 ey LCE M.L. B • •�„ •► #DD144A rs XPtRES: December 22, 2' I . eII tleSNotary Public Underwriters b My C * ** me or tifica'en. who is personally known as id ho has produced d ho did take an oath. * *** * * * * ** * * **** * * * *** * * * ** * * * * **** * ** * ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 RP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 If VIOLATION INDIRECT WASTES .. A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUkP E ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA CAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2004 -308 Printed: 11/5/2004 Applicant: SANTIAGO BERNAL Owner: BERNAL SANTIAGO JOB ADDRESS: 1213 NE 93 ST Contractor AB & K PLUMBING INC Local Phone: 305 - 553 -3508 Parcel # 1132050270020 Signed: (INSPECTOR) Plumbing Permit Contractor's Address: 141 SW 113 AVE Permit Status: APPROVED Permit Expiration: 4/25/2005 Construction Value: $400.00 Work: RELOCATE WATER LINE FOR REFRIDGERATOR IN THE KIT AND 2 RELOCATE EXTERIOR HOSE BIB Page 1 of 1 Legal Description: BAY LURE PB 44-63 E5OFT LOT 2 & W25FT LOT 3 Fees: Description Amount FEE2004 -10924 Building Fee $115.00 FEE2004 -10925 CCF $0.60 FEE2004 -10926 Training and Education Fee $0.20 FEE2004 -10927 Technology Fee $2.87 Total Fees: $118.67 Total Fees: $118.67 Total Receipts: $0.00 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BLK 1 LOT 2R 1 4 Cpl®