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PLUMBING PERMITS 7 NE 91 STBUILDING ELECTRICAL PLUMBING ROOFING ' / Owner of Building Architect Contractor ' F} l.. ) or Builder d ' tai.. /. .t £ Legal Lot ‘• Description II Bl Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT x9 7099 9 1 1.. Signed. NTRACTOR OR BUILD J Work to be performed under this Permi DATE Contractor's 14 License No. Subdi- vision Value of N Amount of 2 C+''i' Project $ 11 Permit $ -•+ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance th all regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoriti s of Miami Shores ill ago In ao cepting this permit I assume respor ibility for 411 work done Ily either, myself, my age t or employee. 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. OWAZZ Name and Address - __ -- _ , � No.__— Street liegi tered Architect and /or Engineer Emp'oying Plumber's Name „ _ No._ STATE OF FLORIDA, t COUNTY OF DADE. 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors) -_-__--__ -_ -- Now Building _ -- Remodeling Addition ( Signed) _. Date Street__ Location and Legal Description Lot / i 1 '�j _ —___ Block_- Subdivision < _ til) Street L eet and Number where work is to be performed—No. _ ` _.___ __._.._.__. Street Capacity Gals 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': Cit Well._____ —____ — _____Size of Soakage Pit 1 Amount of Fermit $_ _----- �_��.__�_ (Signed)--- __ -. -- v f-- j Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perina nt Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ei� Toyed 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 su public notice or notices as are requires& 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 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 $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmarchip. ICL::3LYy OATH TUBS r3UOW4R6 LAVA- TORIES S INKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS �m'j ,p i TOTAL FI %TURES CONTE7. LMT _ _ 1 -__, 1 i p d q ® CHECK �� SEPTIC TAKE SEWER CONN. ` DRAIN FIELD SOAKAGE PIT GREASE TRAP eetaIR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL LIST CHECK U 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. OWAZZ Name and Address - __ -- _ , � No.__— Street liegi tered Architect and /or Engineer Emp'oying Plumber's Name „ _ No._ STATE OF FLORIDA, t COUNTY OF DADE. 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors) -_-__--__ -_ -- Now Building _ -- Remodeling Addition ( Signed) _. Date Street__ Location and Legal Description Lot / i 1 '�j _ —___ Block_- Subdivision < _ til) Street L eet and Number where work is to be performed—No. _ ` _.___ __._.._.__. Street Capacity Gals 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': Cit Well._____ —____ — _____Size of Soakage Pit 1 Amount of Fermit $_ _----- �_��.__�_ (Signed)--- __ -. -- v f-- j Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perina nt Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ei� Toyed 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 su public notice or notices as are requires& 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 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 $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmarchip. m � _ � ` CLOSETS BATH TUBS SHOWER/ LAVA- TORIES NKS SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM•O POOL CONTR. LIST ✓ --- CHECK Permit No .3 . Application is hereby made for the approval of the detailed statement of tin; plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conf :r„1ty with the ruilding 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 nrt. A copy of approved plans and specifications must be kept at building during progress of work. k� Z tat Owner's Name and Address Registered Ar htt and/or En Engineer__ _.____ egi .ered c ect g - --- - -- - — - - -- - Employing Plumber's Name fiQ t � �� a . 1- a - - -_- - - - Street.. - Location and Legal Description Lot._.__ . `' _ —•� _ � v 3 Block_ d 7 " ------- "" ; _ —__ -- ----- ._._.-- -___ -- Subdivision. - 7 . Street :—__f State wo >Pc to be performed and purpose of building (By Floors)_: New Building _______ _.___ Remodeling_--_ __ __ Addition. Street and Number where work is to be performed -No Size Septic Tank / Feet of Drain Tile._ _� Nature of Water Supply: City -Well Amount of Permit $ STATE OF FLORIDA, ( as. COUNTY a F DADE. M C' msnission Expires MIAMI SHORES VIL ":,AG e PLUMBING INSPECTION DEPARTMEi L APPLICATION FOR PLUMBING �•.iil� No. Type of Tank_ �!� ��� ✓fr _ Feet of Tank or Drain Field from Well . - -------- ---- _ - •--_ � - Size of Soakage Pit Repairs �_ _ - -- - - - - (Signed)_ Date .0 - 3 _ Street. Capacity Gals._ Notary Public, State of Florida • No. of Stories. ing 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 req4red by We. 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) .■ ��' %''1 =.� = Master Plumber. Rcfoax 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 heat; 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. Date 3/6/95 Job Address 7 NE 91 St Tax Folio Legal Description PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Owner / Lessee / Tenant Sy.2via Averbach Owner's Address 7 NE 91 St Phone (305) 759 - 8510 Contracting Co. Pubtic Gays Co. Address APR) NW 95 qt Qualifier J.6 G9iAtaloLt SS # #/ Phone X 7/ ._ /3 State # 0431 Municipal #®DC Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Set tank Aim pipe conned Range and £wtwte wse BBQ Square Ft. Estimated Cost(value) C ' O 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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 auth• ize the above -named contractor to do the work stated. LJ S Dat tary as My Commissi Cond,d President esident ** * * * * * * * * * Signa Date Notary as My Commission Expires: Master Permit # : 37 4 /7V - Builder Builder * ** FEES: PERMIT 10 4 RADON C.C.F. . SP NOTARY TOTAL DUE *9 APPROVED: Fire Other Zoning Buildin_ Electrical Mechanical Plumbin Fineering se • flczoP $RiaE 1 0+ Lo 1 2i) — %/ A- Rbo.c__,el c ST TAT 1. ?fru I ®do o ,� e5 S z.E ���� - - _ • r . "5 . S11.4162: (V? < Pf! 1 • C_> StLfl P MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date 7J. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subsffitted for th '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. ork. ^ Owners Name and Ad Registered Architect and /or Fneer_ Employing Plumber's Name Location and Legal Descn _ _____ Block Street and Number where work is to be performed —No Amount of Permit $ My Commission Expires • � Street State work to be performed and purpose of building °f*) - New Building ------- _ _ _ ___ -- Remodeling___ ____ Addition__.__4 _ ------- Repairs Size Septic Tank Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well. -v Nature of Water Supply:Well.- __--- _ -_ - -- 44- �.a._ Street___ Subdivision _- -____ -- T _ � d/7 No. of Stories . . ............. — Type of Tank_ Capacity Gals __Size of Soakage Pit (Signed) - /2 • 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 bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors rnployed 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, pn ork to be erformed under this permit, as are licensed by Miami Shores Village. (Signed) %ff I a/ _. ____�� //��rt % . Master Plumber. STATE OF FLORIDA, as. 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made • necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS I NALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date 7J. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subsffitted for th '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. ork. ^ Owners Name and Ad Registered Architect and /or Fneer_ Employing Plumber's Name Location and Legal Descn _ _____ Block Street and Number where work is to be performed —No Amount of Permit $ My Commission Expires • � Street State work to be performed and purpose of building °f*) - New Building ------- _ _ _ ___ -- Remodeling___ ____ Addition__.__4 _ ------- Repairs Size Septic Tank Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well. -v Nature of Water Supply:Well.- __--- _ -_ - -- 44- �.a._ Street___ Subdivision _- -____ -- T _ � d/7 No. of Stories . . ............. — Type of Tank_ Capacity Gals __Size of Soakage Pit (Signed) - /2 • 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 bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors rnployed 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, pn ork to be erformed under this permit, as are licensed by Miami Shores Village. (Signed) %ff I a/ _. ____�� //��rt % . Master Plumber. STATE OF FLORIDA, as. 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. 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. CONT. LI5T CLOSETC BATH T SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES / .---- — co-me .... — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWING POOL ----- cown.i. LIST // --.-... CHECK R3eam. No.... .... Size Septic Tank Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, } as. COUNTY OF DADE. 1 Application is hereby in,sie fo the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein describe?. 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_..4.L.`1.1_— No. Registered Architect and/or Engineer ___ Employing Plumber's Name • Location and Legal Description ot. Street and Number where work is to be performed—No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank. Block Nature of Water Supply: __ .... ______ize of Soakage Pit ( Signed)_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his o under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors e performed under this permit; and will post or cause to be posted' for inspection on the site of the work su required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be pe licensed by Miami Shores Village. (Signed)_ Date . Street / No./ / Street. Subdivision Street. • Stzte work to be performed and purpose of building (By Floors) —. • / 2- New Building Remodeling—__ __. Addition. Rep'aus' No. of Stories. _1 Capacity Gals _Dist. Feet of Tank or Drain Field from Well fr My Commission Expires Notary Public, State of Florida - Plumbing Inspector. gatinns as an employer of labor nent/Supplement, and has com- plo/ed by him in the work to be public notice or notices as are ed under this permit, as are 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. 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 mateeiais and/or wcairmaeship. ( - z Permit No. __ Feet of Drain Tile_ Owner's Name and Address Registered Architect and /or Engi Employing Plumbers Name _ / Size Septic Tank_...___ ... _._____ 49 Amount of Permit $ car STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed )---- -_a Date__._..... Street.. (S ed) -- — -!9 -` 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. Street Location and Legal Description Lot---- ------ _- ------ ----_. "�ock Subdivision A` Street and Number where work is to be performed —No S treet State work to be performed and purpose of building (By Floors)._ New Building _ -- _ -- Remodeling Addition__ -- Repairs No. of Stories.... ........ ... ...... Capacity Gals.__ of Tank or Drain Field from Well Nature of Water Supply: City — Well._______ .... _ _____________.... _________Size of Soakage Pit lumbing InspectO 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master 'lumber. NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made •necessary by improper notieo for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES INKS SINKS SLOP SINKS LAUNDRY TUBS INALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD \�/ � + I SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL -- CONTR. LIBT CHECK Permit No. __ Feet of Drain Tile_ Owner's Name and Address Registered Architect and /or Engi Employing Plumbers Name _ / Size Septic Tank_...___ ... _._____ 49 Amount of Permit $ car STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed )---- -_a Date__._..... Street.. (S ed) -- — -!9 -` 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. Street Location and Legal Description Lot---- ------ _- ------ ----_. "�ock Subdivision A` Street and Number where work is to be performed —No S treet State work to be performed and purpose of building (By Floors)._ New Building _ -- _ -- Remodeling Addition__ -- Repairs No. of Stories.... ........ ... ...... Capacity Gals.__ of Tank or Drain Field from Well Nature of Water Supply: City — Well._______ .... _ _____________.... _________Size of Soakage Pit lumbing InspectO 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master 'lumber. NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made •necessary by improper notieo for inspection, or faulty materials and/or workmanship. 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 her specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address /24. Registered Architect and /or Engineer.. Name and address of licensed contractor Location and legal description of lot to be built Lot Block Street and Number where work is to be done State work to be : nd, ur.. ; Building Ins. i c tor MIAMI BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT by floors) New Building Remodeling . Addition To be constructed of Kind of foundation d` � HORES VILLAGE Subdi ision__. Crrr Date No. Street.. C j - f Ua ! and for no other purpose. Repairs No. of Stories Roof Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building._.- Size of Building Lot Maximum live load to be borne by each floor I hereby su a pi< s and pecifications for said building. All G n ices with reference to the building and its construction may be sent to / / � 43 r LANNING BOARD DATE The undersigned apOlfcant 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 Supkkiement and has complied with the provisions thereof, and will require similar compliance f contractors or sub - contractors employe d by him in the work to be performed under this permit; and will post or cause to be posted or insp on on the site of the work suc blic notice or notices as are required by the Act. The undersigned agrees to employ only such bco ors, on work to .v .rmed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, j COUNTY OF DADE. 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 ed,e. ss Permit No Date l — Read, Sworn to and Subscribed before me. Disapproved (Signed) Notary Public, State of Florida My Commission Expires Chairman Member Member Member Member ._ .__ _. Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for maki 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 whe such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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 dinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be cgmplied wi�h,�vhethfr kerein specified or not. A copy of approved plans and specifications must be kept at o Ate-4 building during progress of work Ore'. Owner's Name and Address iet -.- -CLet.a_Zier_<____ No. 24 tiz._ Registered Architect and/or Ensineer 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 B Remodeling ___ Addition Repairs +o Size Septic Tank t - -0 Feet of Drain Tile_--_ Nature of Water Supply: (� Well.__ Amount of Permit $ r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tanks, Z,t L _�1 X3'4 (r� Capacity Gals. Street Date 7 Street 7/ Subdivision My Commission Expires Notary Public, State of Florida No. of Stories. _Dist. Feet of Tank or Drain Field from Well . Size of Soakage Pit i /4 -----i -.._ _ __ (Signed)_:...' . w :-4,. ___._________. _:.,._. a _ _...._....__. \\ - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his (obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. !' Jai-ea IVfaster Plumber STATE OF FLORIDA, ss, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administei. 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 $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 TU85 S LAVA TORIES SINKS INK SLOP SINKS LAUNDRY TUBB U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEW €R CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL 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 dinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be cgmplied wi�h,�vhethfr kerein specified or not. A copy of approved plans and specifications must be kept at o Ate-4 building during progress of work Ore'. Owner's Name and Address iet -.- -CLet.a_Zier_<____ No. 24 tiz._ Registered Architect and/or Ensineer 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 B Remodeling ___ Addition Repairs +o Size Septic Tank t - -0 Feet of Drain Tile_--_ Nature of Water Supply: (� Well.__ Amount of Permit $ r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tanks, Z,t L _�1 X3'4 (r� Capacity Gals. Street Date 7 Street 7/ Subdivision My Commission Expires Notary Public, State of Florida No. of Stories. _Dist. Feet of Tank or Drain Field from Well . Size of Soakage Pit i /4 -----i -.._ _ __ (Signed)_:...' . w :-4,. ___._________. _:.,._. a _ _...._....__. \\ - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his (obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. !' Jai-ea IVfaster Plumber STATE OF FLORIDA, ss, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administei. 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 $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. cARACE oo S E P T lc TO A VA -no Y / YY s 1 .4 LL E p ,¢7_ ,r/z ,9/ &- %, --/ E R. ST,' ?rr� /f/ o /YF