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PLUMBING PERMITSMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date F'2 —®a2- Time Type Insp'n Permit No. Name 7, Address 4_3 44" 7/S7 Company %; 70&414 Phone # 3e5 9 For Inspector: 1-11: 7 Approved Correction Re- Insp'n Fee ELECTRICAL TYPI: Minimum Fee QTY. 'TYPE Dryer QTY. 'TYI'E Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. 'TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE. Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Si ature of Owner Print Name 22 Sworn to and subscribed before me this `J day of a-/ Signature o SEAL: ire - 11 44 : CC9I034 RES: ebruary 14, 2004 Bonded Thru Budget Notary Services Personally known C/ OR, Produced Identification STATE St ature of Co '� : a t ter l S.Gt ( AJ &7 Print Name Sworn and subscribed before m this day of C:2 if .014.1 PO* JLJANA BARRIOS MY COMMISSION # CC 910347 EXPIRES: February Bonded Thru Budget Notary Services Signature of SEAL: PERMIT APPLICATION OF MIAMI -DADE Personally known l OR, Produced Identification Type of Identification Produced: Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: TRACTOR �/r Name f,,l4 /7(5 Name T a L ../ , l%G,,, A /5 ( 4 6 License No. 1 q 2 2_3 Business Telephone Address Z.12 1 / 5 4 . v Telephone c,2 �r�- ./ ' 3� — Fax Qualifier Name 0 iti 1 ,A— QYy( n, PROPERTY OWNER �/r Name f,,l4 /7(5 Address �srS G a ms. 9` / f ∎"� 4015i0l / —a Home Telephone Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment • Other Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) ( sq.ft. = x/1000 x 0.60) (0.005 /sq.ft.) (0.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE 3 n DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPL!CATION Job Address: Folio Number 7/3 7060 /3 0 /Z.° Lot / (w Block Subdivision PB Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other iy PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. $ P7002. - 5c Subsidiary Permit No i 63 /rte Address Apt. City State Zip Description ption of Work /40/44......./ 14 d ff /1,09 T /tip ms- G- rgi. &ix' s# 4/ PG Zoning Linear Feet Square Feet Units Floors ,- Vzalue of Work Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/26/02 Applicant: CARLA Owner: PETERS Contractor TOLEDO PLUMBING CORPORATIOOtidress: Local Phone: 305 - 551 -4735 Parcel # 1132060130120 Job Address: 63 NE 91 ST Cellular: If there is no permit package accessible on the job -site for ins fee is $50.00, which must be paid in advance before calling for This Permit is granted to the contractor or builder named above to construct the ordinances pertaining thereto and with the understanding that the work will be perfo and approved by the proper municipal authorities. This Permit may be revoked at authorization. A furthe condition upon which this permit is granted is the understa ordinances and regulati, ns pertaining to the work covered hereby whether shown by his agents, s- • ants o employees. Signe (INSPECTOR) In considerati. .f t ce to me of this permit, I agree to perform the wo with the plans, draw q . s, - atements or specifications submitted to the proper aut myself, my agent, servants or employes. Signed: (Contractor o Plumb Permit Permit NI; ber: PL2002 -82 PETERS CARLA 10825 SW 84 AVENUE Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 19 & 20 BLK 1 LOT SIZE 100.000 OU Total Fees: $0.00 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 9/21/02 Construction Value: Work: BOTH LAUNDRY ROUGH AND SET WATER SHOWER LAVORATORY Page 1 of 1 4 • ltsealssfte FLORIDA PROFESSIONAL SERVICES; INC. 100 N.E. 89TH ST. EL PORTAL, FL 33138 4 1 � Pay to the Order of V COMMERCIAL ANK OF FLORIDA 1448 East Hallandale Hallandale a cchh Blvd., Hallandale, m 33009 For eV ?c 7 r ':0660 10 3 7 71: H'9 L 11001595u' \Date 9 38 ars 8 2938 63 1037/660 11 am Owl ectors to verify, there will be no inspections. Re- inspection Permit No %/Z 531512 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miesttl Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatiom of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec`.flcations must be kept at building during progress of work. Owner's Name and Address S . Brick — — — No 63 3 Street.. N.E. 91 st Street .iegist :red Architect and /or Engineer 3mployfng lb] k t73tName Weeks BottleaasCo No,. @ 2828 , o .. ..........,,... Street-- N. W. 17th Ave., Miami. Location and Legal Description Lot Block Street and Number where work is to be performed —No 63 State work to be performed and purpose of building (By Floors )_ __..___.. - .._. _.___..__. New Building __ -- Remodeling__ _ - -_ -- Addition.. Size Septic Tank_. _ 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 Reinstall gas equipment — Heating only Amount of Permit $ 6.00 STATE OF FLORIDA, ! as. COUNTY OF DADE. (Signed)_ 2- 10 -8). Date ..._.._ — ...._.... -- Lic No. Street N. E. 91st Street Repairs Capacity Gals No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a noloyer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent :upi.hement, and IIar cor,- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed ly him in ti-e wcrk performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publi: notice )s no'icer as are required by die Act. The undersigned agrees to employ only such sub - contractors, on work to be performed - ..acs this y:rizriti AS az licensed by Miami Shores Village. (S i ) Reinaldo Pew?. �; I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personalty eppearea 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 be has carefully read the foregoing application, and that he did sign the same, and tint all "acts 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•neoewry by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUB• SHOWERS LAVA- TORIES SINK{ SLOP SINKS LAUNDRY TOSS UR INAL{ CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LI CHECK - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WILL SPRKLR. SYSTEM SWIM•G POOL — CONTR. LIST CHECK Permit No %/Z 531512 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miesttl Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatiom of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec`.flcations must be kept at building during progress of work. Owner's Name and Address S . Brick — — — No 63 3 Street.. N.E. 91 st Street .iegist :red Architect and /or Engineer 3mployfng lb] k t73tName Weeks BottleaasCo No,. @ 2828 , o .. ..........,,... Street-- N. W. 17th Ave., Miami. Location and Legal Description Lot Block Street and Number where work is to be performed —No 63 State work to be performed and purpose of building (By Floors )_ __..___.. - .._. _.___..__. New Building __ -- Remodeling__ _ - -_ -- Addition.. Size Septic Tank_. _ 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 Reinstall gas equipment — Heating only Amount of Permit $ 6.00 STATE OF FLORIDA, ! as. COUNTY OF DADE. (Signed)_ 2- 10 -8). Date ..._.._ — ...._.... -- Lic No. Street N. E. 91st Street Repairs Capacity Gals No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a noloyer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent :upi.hement, and IIar cor,- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed ly him in ti-e wcrk performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publi: notice )s no'icer as are required by die Act. The undersigned agrees to employ only such sub - contractors, on work to be performed - ..acs this y:rizriti AS az licensed by Miami Shores Village. (S i ) Reinaldo Pew?. �; I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personalty eppearea 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 be has carefully read the foregoing application, and that he did sign the same, and tint all "acts 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•neoewry by improper notice for inspection, or faulty materials and /or workmanship. 0)1 Permit No Date.. / 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub fitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address u Registered Architect and /or Engineer Employing Plmieg14 M Lroci.L.,2 � Location and Legal Description Lot. Street and Number where work is to be performed —No P'1 `&_-IJLe c iC State work to be performed and purpose of building (By Floon)_ Size Septic Tank Type of Tank_ STATE OF FLORIDA, COUNTY OF DADE. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT V C I( Blor'1< Subdivision (Signed)_ (Sign No _ __. Street. .. E_.9/. / .... New Building-_--___ --_ _ _ Remodeling _ Addition..-___. -_---_ _ Repairs Ice No. of Stories .......... _..... Capacity Gals..---- .__.__.�__ - - -•. -- .__ - - -- Feet of Drain Tile ---- ___ - -A+- Feet of Tank or Drain Field from Well.._- __.._ ___--- ._ —__ -• �_� Nature of Water Supply: City—Well. Size of Soakage Pit_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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 � rformed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Flaida 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 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. materi NOTE: r j��pee of $1.00 will be made when much re- Inspection is made'neoessary by improper notice for inspection, or faulty CLOSETS BATH TUBS SHOWER• LAVA. TORIES S INKS SLOP SINKS LAUNDRY TOES URINALS CATCH BASIN FLOOR DRAIN DRINK NO FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHECK 0)1 Permit No Date.. / 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub fitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address u Registered Architect and /or Engineer Employing Plmieg14 M Lroci.L.,2 � Location and Legal Description Lot. Street and Number where work is to be performed —No P'1 `&_-IJLe c iC State work to be performed and purpose of building (By Floon)_ Size Septic Tank Type of Tank_ STATE OF FLORIDA, COUNTY OF DADE. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT V C I( Blor'1< Subdivision (Signed)_ (Sign No _ __. Street. .. E_.9/. / .... New Building-_--___ --_ _ _ Remodeling _ Addition..-___. -_---_ _ Repairs Ice No. of Stories .......... _..... Capacity Gals..---- .__.__.�__ - - -•. -- .__ - - -- Feet of Drain Tile ---- ___ - -A+- Feet of Tank or Drain Field from Well.._- __.._ ___--- ._ —__ -• �_� Nature of Water Supply: City—Well. Size of Soakage Pit_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations 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 � rformed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Flaida 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 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. materi NOTE: r j��pee of $1.00 will be made when much re- Inspection is made'neoessary by improper notice for inspection, or faulty Issued to / i6.'l- • / OWNER to install the following des ibed plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. �, For a�story %� /"7 /'`"`'�`� building at fO r s"-e.:-C-:44.7 _ ,1. / Fixtures Fixtures Sewer •tic Tank Total $ dd�iami cfhores�illage F L O E 1 A PLUMBING PERMIT N9 1213 LOT Village Plumbing Inspector ( 7 y r Received Payment by C *' BLOCK SUBDIVISION / Village of Miami Shores Department of Plumbing Inspection Miami Shores, Florida J. M. (BUCK) COUNCIL, PRES. 4150 N. W. SEVENTH AVENUE MIAMI 37, FLORIDA PHONE 7 -5718 July 13, 1953 APPLICATION FOR PLUMBING PERMIT For: Mr. Bowen 63 N. E. 91 St. , SET ON EXISTING ROUGHING: 1 - Water Heater BUCK PLUMBING INC. eckt4..e er • w L.. C 3 ! s f c'y Permit No. STATE OF FLORIDA, COUNTY OF DADE. Amount of Permit $ „l ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications here structure herein described. This application is made in compliance and conformity with the Building Ordin and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans building during progress of work. r - Owner's Name and Address - ! p 1 No Registered Architect and /or Engineer_ // // Employing Plumber's Name ;il 1'Ac: "C- : _ - !G,0'a:k No. _y .C_<7 Street > Z I Location and Legal Description L t ./9 `4 :4 __ Block 1 Subdivision_ 2 S — 5 — Street and Number where work is to be performed —No Street State work to be perfomied and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 1 ( Signed) __ Date (Signed) 9 7S 4 ' r My Commission Expires Notary Public, State of Florida z G i 9, submitted for the building or other of Miami Shores Village, Florida, regulations of the Building Division and specifications must be kept at Street__. 7/ ,r' > Size Septic Tank Gzz - -Q Type of Tank Capacity Gals Feet of Drain Tile__l_ Q__ 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 h derstands and accepts his obliga as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanen upplement, 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. 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 me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT •NS ' TOTAL FIXTURES CONTR. LIST ? J 12 CHECK ! / - -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST / �� CHECK Permit No. STATE OF FLORIDA, COUNTY OF DADE. Amount of Permit $ „l ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications here structure herein described. This application is made in compliance and conformity with the Building Ordin and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans building during progress of work. r - Owner's Name and Address - ! p 1 No Registered Architect and /or Engineer_ // // Employing Plumber's Name ;il 1'Ac: "C- : _ - !G,0'a:k No. _y .C_<7 Street > Z I Location and Legal Description L t ./9 `4 :4 __ Block 1 Subdivision_ 2 S — 5 — Street and Number where work is to be performed —No Street State work to be perfomied and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 1 ( Signed) __ Date (Signed) 9 7S 4 ' r My Commission Expires Notary Public, State of Florida z G i 9, submitted for the building or other of Miami Shores Village, Florida, regulations of the Building Division and specifications must be kept at Street__. 7/ ,r' > Size Septic Tank Gzz - -Q Type of Tank Capacity Gals Feet of Drain Tile__l_ Q__ 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 h derstands and accepts his obliga as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanen upplement, 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. 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 me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY A6 �/ / (OWNER TO RET AIN COPY) Date lv --`�- ?( / 3 Job Address (Q " cS'aer Owner / Lessee / Tenant j^. (6/7 Owner's Address � 3 /" 7/ C' Q� Phone >,r'Y- Legal Description Contracting Co. Qualifier State # Architect /Engineer Bonding Company Mortgagor WORK DESCRIPTION Square Ft. ;2i 1>0�11�!/ 0%f T%Address Permit Type (circle one): BUILDING ELECTRICAL WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do tfe work stated. Signature of Own and /or Condo President Date: APPROVED BY: Remarks: PERMIT NO. Competency # Notary as to Owner an r Condo P esi ntt My Commission Expires: Neal Pubk State o orida * . * * 4110 (osrnisson Expires *larch 22,1 $p2 elided lbw troy taco. Imams lai PERMIT FEE: APPROVED: Fire /9/7.3 .3 W'l ' Address Address Address Tax Folio // sga - ® /3 -6 /ao / eter Permit # ■ $61 J '3o , a}?7,(A;u / 33/00 SS# )?.. Phone 69/ Ins. Co. /44 PLUMBING MECHANICAL P VING FENCE SIGN n P G 14 J /l /l Ci� , Estimated Cost 7S- ® - Signature of Contractor or Owner- Builder Date • A-/8 / 1/.4/ ZaliALZ o ary as to Contractor My Commi -sion Expires: * * * * CONDEMIED BY: Other IC9�y 4' �� p� or 8 0 1em *k+uAl gk Irk. * * * Zoning Building Electrical Mechanical Plumbing lL )°'1efrengineering BUILDING ❑ ELECTRICAL PLUMBING 1a1' ROOFING Owner of Building MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N? 14947 ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II BL Description. Building C Address of 1 1 '1. s. CONTRACTOR OR BUILDER Subdi- vision Value of Project DATE / 195 Contractor's License No. Amt. of Permit BY AUTHORITY 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 -r " • . i 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. BUILDING ELECTRICAL PLUMBING Owner of Buildin Architect Contractor or Builder Legal Description Address of Building f MIAMI SHORES VILLAGE, FLORIDA PERMIT 11T° 9565 Work to be performed under this Permit— • rl ' <. CONTRACTOR OR BUILDER DA + . 410. Su vision or's No._ Value of 1 Amt. of t..+ t :3 i k Project $ Permit $ .,�r' 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 sat any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition up which this his granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and to the work covered hereby whether shown on the plans i . done by ' agents, servants or employees. SiKneJ In consideration of the issuance to me of this permit I agree to p pertaining thereto and in strict conformity with the plans, drawings, sta In acceptSp this permit I assume respoaubflfty for all work done by AUTHORITY and regulations Shores Verse. 195_42_