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PLUMBINGPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Pg4=7-/S Job Address /575 7&f Tax Folio /1 g a 4/ /.9 Sib 9 Legal Descriptionle l 7gi / Owner / Lessee / Tenant Master Permit „35 Owner's Address I ��. � -�"►'� -�- Signature of own Date: 4pkier 41 as ti 1 n' and /or Condo President My Commi.ssipp Expires: �a %. GLORIA E SWILLAGO * My Commission CC308759 ** * ' I i � Y t Expires Aug. 16. 199 * * Bonded gy HAI - 422 -1555 APPROVED: FEES: PERMIT r and /or Condo President Zoning Buildin Mechanical Plumbin nature of Cont Date: 12/L Phone Contracting G). the, Ni ) Mir yrn P1 Address 4 NV\J Ip Oa" K"--/ SS# � Phone Qualifier L nnis mele,191 State # T=L- Municipal # Competency #(PC ) O Y ins.Co. N( 4relf 1 rG. Architect/Engineer Address J Bonding Compar.y Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN — a WORK DESCRIPTION Qw�o Qr� C'e- \0.C2 ( t.D(Le' )°,`"‘, Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULP 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 the work st or or er- Builder otary o (�•, tr= •r 1 Owner- Builder �t � . . • IA E SUV1LLAGC My Commissfr • �► •1 r Commission CC308759 * '1 A J * Expires Aug. 16, 1997 Bonded by HAI * 44., 0 4 800 -V2 -1555 * RADON C.C.F. ,f U NOTARY TOTAL DUE Fire Other ** Electrical Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH 'OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS - r CENTRAL HEATING DISHWASHER RECEPTAUIS 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 EWER MOTORS JVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS iOVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION HATER 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 ;EWER CONNECTIONS SIGN TRANSFORMERS JTILITY -SEWER SIGN TIME CLOCK JTILITY -WATER FIXTURES ;EPTIC TANK ANTENNA' IELAY TELEVISION OUTLETS RAINFIELD, 4' TILE,RES. VIOLATION 'OAP & ABANDON SEPTIC TANK REINSPECTION UAKAGE PIT CU. FT, :ATCH BASIN )ISCHARGE WELL >OMESTIC WELL REA DRAIN OOF INLET OLAR WATER HEATER IRE STANDPIPE OOL PIPING ANN SPRINKLER SYSTEII AS RANGE ETER SET (GAS) AS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL I (AN APPLICAT] FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) MECHANICAL BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building 7, Architect Contractor or Builder_ Legal Lot Description Address of MIAMI SHORES VILLAGE, FLORIDA E n PERMIT N? 11160 El Work to be performed under this Permit Subdi- vision DATE v . osaNcaa 1954_ Contractor's License No Value of Amt. of Building -- 1 1 ' , ,,44 7 e % ✓i Project $ Permit $ - A . 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 Jone 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. r -4dh INSPEDTOR r d1 In consideration of the issuance to me of this permit I agree ° tg "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 acceptia$ this permit; I assume responsibility for all work done by either, myself, my agent, servant or employee. ��w it--(41^. - t",'i � �, +het t rjP- t _ �.( � ' f � �1 o ' +i�t. '" �-' '`<`'',7,e. ,;4-P - L v � .4CTOR (3tt "BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE + ° r 19 PERMIT N° 6421 v : e nrei) Architect Contractor or Builder r '1„ Legal Lot Description II Bl CO■TRACTOROR BUILDER r BY Contractor's License No. i Work to be performed under this Permit Subdi- vision ! Address of !� Value of Amount of Building 1�J /f• �� �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 de:,cribed 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 ths.t he assumes respon- sibility for work done by his agents, servants or employees. rr GRZ o/ n ry; INSPECTOR Signed. r- < « �' In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compli e with all ordimmces and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper 4 thorities of Miami Shores Village. In ae cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 1 AUTHOR 411110T Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL El DATE J �^ 195 PLUMBING ❑ PERMIT N? 9249 2 4 9 Contractor's License No -i ROOFING ❑ ❑ Work to be performed under this Permit Bl. Subdi- vision Sq. Ft Value of Project $ 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 .-evoked 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 INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work coveted hereunder in compliance with all ordinances and regulations 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 ;UILDING ❑ LECTRICAL ❑ PERMIT 'LUMBING ❑ N e o 9306 GOOFING ❑ )caner of wilding : ontractor 4' Builder •egal )escription address of wilding Lot lrchitect CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Bl. DATE 195 Contractor's License No Work to be performed under this Permit Subdi- vision Sq. Ft Value of Project $ f.'. 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 lerefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, ;rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon w.iich this permit is ;ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations 'ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work ie lone by his agents, servants or employees. + Signed • � BY INSPECTOR In consideration of, the issuance to me of this permit I agree to perform the work covered her in compliance with all ordinances and regulations ,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit' I assume re sponsibj,),ity--for -an work done by either, myself, my agent, servant or employee. BY AUTHORITY TILD)NG ❑ .ECTRICAL JMBING ?FJNG 'caner of Buildin Architect or Builder Ilse Legal Description Address of Building ❑ PERMIT N? 11127 done by his agents, servants or employees. Signed• CONIBACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA a DATE t - ` 7 i gr A rl Contractor's License No performed I TARE this Permit Subdi- vision Value of Project $ Amt. of Permit r "jaCltO# BY AUTHORITY 1 5 This permit is g.,•anted to the contractor or builder med above to co ruct the building or to install the equipment or device desc ed in t e application herefor in strict compliance with all ordinances pertainin thereto and with he understanding the work will be performed in compliance wi ny plans, drawings, statements or specifications that may have bee submitted to andk approved by the, municipal authorities. This Permit may be revok any time if the work is not done in compliance with such ordinances or if the plans are changed ith.. authorization. A further condition upon which this pe is granted is the understanding that the contractor or builder named above at sumes the resp ty for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dr wings or in th .cements or specifications and that he assumes responsibility for work \ i' Eetesre In consideration of the issuance to me of this nerinit I agree to perform the work covered hereunder in compliance with all* ordinances an . regulations pertaining thereto and in strict conformity with the plans, drawings, staliements or specifications submitted to the roper authori of Miami S res Village. In accepting this permit I assume tespansibility for all work done b myself, my agent, servant or employee. l'e.nni. No. is hereby made for the approval of the detailed statement of the plans and specifications herewith subr for the building or other structure herein cic This application is made in compliance and conformity with the Building Ordinan f hores Village, Florida, 4. all pros isi0115 of the Laws of the State of Florida, all ordinances of Miami Shores Villa ndTru1es and regulatir- of the Bin • vision ot Miami Sores Village shall be complied with, whether herein specified or not. A p.ey of approved Owls and spec fIcations most be kep 'minding during progress of work. 2Av E I < 'wner's Name and Address iegict Ired Arc.hit:,ctiagd/or Eng Mo Avv1 i YICritleect , --4 :mploying Plumler's Name i2.LG AIL.—se---.7 lc Ad 'No.. t )1/4/ E Street and Nuinbu- where work is to be performed—No 1 5 r - Street State work to be performed and purpose of building (By Floors) ek--/N i WO g New Building ..... _______.. . Remodeling Addition Repairs 1----- Location and Legal Description Lot CLOSETS CoNTR. Li T CHECK cownR LIST SEPTIC TANK ---------- - Amount of Permit $ . j BATH Toes SINNER DRAIN CONN. PALO STATE OF FLORIDA, sa. COUNTY OF DADE. SHOWERS o LAVA• TORIES SOAKAGE PIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT SINKS GREASE TPA/. SLOP SINKS SOLAR HEATER LAUNOR Tus• Daum WILL URINALS CHICK Size Septic Tank_..._..__ ...... __..__._______—__...Type of Tank_ Feet of Drain Tile__ __-.._Dist. Feet of Tank or Drain Field from Well Nature of Water 5.upply: City—Well Size of Soakage Pit (Signed) SPRKLR. SYSTEM CATCH BA•IN Sw 1 m' POOL FLOOR DRAIN (Signed). %OA Date DRINKING POuNT•Ne Nc. of Stones My Commission Expires Notary Public, State of Florida Capacity ........... . ... • . • • • ToT,.L FixTt RES lumbin3 Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as en e ndloyet o !alkyl oniii•r the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent rum lement, and li with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 1 y him in ' o rk v ii- I ,Tionned under ti- Is perrnit; and will post or cause to be posted' for inspection on the site of the work such pnbl: notice no icer is required by the Act. The undersigned agrees to employ only such sub-contractors, on work to . rformed this „.> TI Ik licensed by Miami Shores Village. Mut a Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perior-e, ppearet. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the al descr:bed construction, that be has carefully read the foregoing application, and that he did sign the same, and tnat all acts therein by him statei are true. NOTE: A re fee of ;1.00 will be made when such re-inspection ia made by improper notice for ingpsy-t.ton, fruit) materials and/or wa.kmanship Registered Architect and/or Engineer ElnPloYing Plumber's Mum E Amount of Permit $ MCAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PLICATION FOR PLUMBING PERMIT Je' 3 - 2-- Permit No Date..._3T ?... 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 ;tad Address -Tala C No ) 5-6— fl e .1.4SIStreet 1,7 Location nd Legal Description Lot. 2-1"- '24 Subdivision Street and Numixr where work is to be performed—No 153 /7e c32-,1 L . State work to be performed and purpose of building (By . _S New Building Remodeling Addition Repairs No. of Stories Size Septic Tank. Type of Tank Feet of Drain Till _Dist. Feet of Tank or Drain Field from Nature of Water Supply: City—Well. Size of Soakage Pit. (Signed) .11.1 .... • • The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob tions as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Peri v. ent Supplement, and hal 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. STATE OF FLORIDA, I as. COUNTY OF DA:3E. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, sad who, being by me first duly sworn, upon oath deposes and says that he is the of the above doses bed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him natal are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when molt redsopoction te arde.ntecosary by improper notice for boopation, at faulty materials and/or waionansinp• CLoserra OATH TU BS ..,„....... ." "'""'''' . LAVA- TORIES alP41 SLOP SINKS LAUNDRY Tugs URINALS CATCH BASIN FLOOR DRAIN CRIMPLING FOUNT•NO TOTAL FIXTURES Corm. Liar Cmactt SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT CREASE TRAP SOLAR H CLATIM DEEP WILL ISPRKLR. SYSTEM SW IM'CI POOL CONTR. LIST CHECK Registered Architect and/or Engineer ElnPloYing Plumber's Mum E Amount of Permit $ MCAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PLICATION FOR PLUMBING PERMIT Je' 3 - 2-- Permit No Date..._3T ?... 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 ;tad Address -Tala C No ) 5-6— fl e .1.4SIStreet 1,7 Location nd Legal Description Lot. 2-1"- '24 Subdivision Street and Numixr where work is to be performed—No 153 /7e c32-,1 L . State work to be performed and purpose of building (By . _S New Building Remodeling Addition Repairs No. of Stories Size Septic Tank. Type of Tank Feet of Drain Till _Dist. Feet of Tank or Drain Field from Nature of Water Supply: City—Well. Size of Soakage Pit. (Signed) .11.1 .... • • The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob tions as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Peri v. ent Supplement, and hal 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. STATE OF FLORIDA, I as. COUNTY OF DA:3E. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, sad who, being by me first duly sworn, upon oath deposes and says that he is the of the above doses bed construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him natal are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when molt redsopoction te arde.ntecosary by improper notice for boopation, at faulty materials and/or waionansinp• Permit No. __--__-- (D _ z _ -- Application is 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submi yf d 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 provisior!s 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 Shore:; 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 f- ' 'J `_ _o W Registered Archi:ect and /or Engineer _________ — ___ Employing Plum''Der's Name . � n f — 1� f¢�f - 2 G' - - - - -- - -�� . ` - ,J✓ _____ .___ No.__ __.. _ _— Street_ _ - Location and Legal Description Lot_-_ -_-----___ ___ __--_------ _--_ - -_ _ �_ Block - -_^ — — •__ - Subdivision Street and Number where work is to be State work to be performed and purpose of building (By Floors)' _______ _ � -t /v New Building Remodeling Addition Amount of Permit $__ STATE OF FLORIDA, 1 J as. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) __ No.. Street_ _ -_ 2:12 _.._ — Street Repairs Date_ Capacity Gals Size Septic Tank J Type of Tank Feet of Drain Tile. -3 , �A ' Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City VV Y. _____________Size of Soakage Pit No. of Stories . Plumbing Inspector. The undersignel applicant for this building permit does hereby certify that he understands and accepts,/Jiis obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and Ilas 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 ;ire 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 work ianship. CLOSETS BATH TUBS SHOWERS LAVA • TORIES SINK6 SLOP SINKS LAUNDRY TUBS UR URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST --- CHECK — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIsT � , __ -- -_ CHECK Permit No. __--__-- (D _ z _ -- Application is 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submi yf d 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 provisior!s 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 Shore:; 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 f- ' 'J `_ _o W Registered Archi:ect and /or Engineer _________ — ___ Employing Plum''Der's Name . � n f — 1� f¢�f - 2 G' - - - - -- - -�� . ` - ,J✓ _____ .___ No.__ __.. _ _— Street_ _ - Location and Legal Description Lot_-_ -_-----___ ___ __--_------ _--_ - -_ _ �_ Block - -_^ — — •__ - Subdivision Street and Number where work is to be State work to be performed and purpose of building (By Floors)' _______ _ � -t /v New Building Remodeling Addition Amount of Permit $__ STATE OF FLORIDA, 1 J as. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) __ No.. Street_ _ -_ 2:12 _.._ — Street Repairs Date_ Capacity Gals Size Septic Tank J Type of Tank Feet of Drain Tile. -3 , �A ' Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City VV Y. _____________Size of Soakage Pit No. of Stories . Plumbing Inspector. The undersignel applicant for this building permit does hereby certify that he understands and accepts,/Jiis obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and Ilas 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 ;ire 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 work ianship. �-c 3 0C==' Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN\'' APPLICATION FOR PLUMBING 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 provisims 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 No Registered Arc:iitect and /or gineer_'_____..— Employing Plumber's Name' ' `_ "—a Location and L egal Description Lot._ Street and Nuniber where work is to be performed— No.____ / L _ __ State work to be performed and purpose of building (By Floors) New Building___. Remodeling Addition Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLOF IDA, 1 j ,s. COUNTY OF DADE. ____ __ Block__ — No._. - --- - - - - - -- (S��) - -- Aru Street 1.0414 )-- Street Date_ Subdivision . 7. Repairs plied with the provisions thereof, and will require similar compliance from all contractors or sub -con performed under this permit; and will post or cause to be posted' for inspection on the site of the required by the Act. The undersigned agrees to employ only such sub - contractors, � 6�t work licensed by Miami Shores Village. (Signed) Street_ My Commission Expires Notary Public, State of Florida 7- Y No. of Stories. Size Septic Tank. Type of Tank Capacity Gals Feet of Drain Tire Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbin: nspector. The undersig>ed applicant for this building permit does hereby certify that he understands and accepts his obligations as an a ployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppleme t, and has c'om- •tors employed by him Wthe work to be ork such public notice or notices as be performed under this permit, as Master Plumber. are are Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acicnowledgments, personally appeared to me well known, tnd 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 TUBE TUBS W SHOER LAVA- TORIES SINKS SLOP SINKS LAUNDRY -rue, URINALS CATCH FLOOR DRAIN DRINKING DRINK FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER itSW WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST - / `/ CHECK �-c 3 0C==' Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN\'' APPLICATION FOR PLUMBING 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 provisims 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 No Registered Arc:iitect and /or gineer_'_____..— Employing Plumber's Name' ' `_ "—a Location and L egal Description Lot._ Street and Nuniber where work is to be performed— No.____ / L _ __ State work to be performed and purpose of building (By Floors) New Building___. Remodeling Addition Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLOF IDA, 1 j ,s. COUNTY OF DADE. ____ __ Block__ — No._. - --- - - - - - -- (S��) - -- Aru Street 1.0414 )-- Street Date_ Subdivision . 7. Repairs plied with the provisions thereof, and will require similar compliance from all contractors or sub -con performed under this permit; and will post or cause to be posted' for inspection on the site of the required by the Act. The undersigned agrees to employ only such sub - contractors, � 6�t work licensed by Miami Shores Village. (Signed) Street_ My Commission Expires Notary Public, State of Florida 7- Y No. of Stories. Size Septic Tank. Type of Tank Capacity Gals Feet of Drain Tire Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbin: nspector. The undersig>ed applicant for this building permit does hereby certify that he understands and accepts his obligations as an a ployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppleme t, and has c'om- •tors employed by him Wthe work to be ork such public notice or notices as be performed under this permit, as Master Plumber. are are Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acicnowledgments, personally appeared to me well known, tnd 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. Permit Owner's Name and Address Size Septic Tank Feet of Drain Tile Nature of 'Water Supp � IQ/rount of Permit $ STATE OF FLORIDA, 1 • COUNTY OF DADE. Applic..tion 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 ■iarni 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. - Register;d Architect and /or Engineer__ :- _ _4 Employing Plumber's Name 4L___ G__ Location and Legal Description Lot__ ---------- _,..____ A ______ Block Street acd Number where work is to be performed —No State wo.rk•to be perfo ed and purpose of building ii]__ Floors \ / �1 New Building Remodeling Addition Repairs No. of Stories ss MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No L �, Street -- 'i I No Date , ..� a Street_( Subdivision Street �� Type of Tank Capacity Gals. ist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) (Signed) My Commission Expires Notary Public, State of Florida / P1umliing Inspect The undersigned applic t for this building permit does hereby cerkify that he derstands and accepts his obligations as an employer f labor der the Florida Workmel's Compensation Act, being Section 5966, C kpile. general Laws of Florida Permanent Supplement, a as com- ed with the provisions t ereof, and will require similar compliance from -a contractors or sub- contractors employed by him in the work to be onned 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 ed by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are ensed*lSy 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. - LIST p CHECK `� 6 " * �j 1 , �� `��) f� 1 "" l_i c- , �u� • SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER D EEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST _ V / • C HECK - if Ul Permit Owner's Name and Address Size Septic Tank Feet of Drain Tile Nature of 'Water Supp � IQ/rount of Permit $ STATE OF FLORIDA, 1 • COUNTY OF DADE. Applic..tion 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 ■iarni 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. - Register;d Architect and /or Engineer__ :- _ _4 Employing Plumber's Name 4L___ G__ Location and Legal Description Lot__ ---------- _,..____ A ______ Block Street acd Number where work is to be performed —No State wo.rk•to be perfo ed and purpose of building ii]__ Floors \ / �1 New Building Remodeling Addition Repairs No. of Stories ss MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No L �, Street -- 'i I No Date , ..� a Street_( Subdivision Street �� Type of Tank Capacity Gals. ist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) (Signed) My Commission Expires Notary Public, State of Florida / P1umliing Inspect The undersigned applic t for this building permit does hereby cerkify that he derstands and accepts his obligations as an employer f labor der the Florida Workmel's Compensation Act, being Section 5966, C kpile. general Laws of Florida Permanent Supplement, a as com- ed with the provisions t ereof, and will require similar compliance from -a contractors or sub- contractors employed by him in the work to be onned 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 ed by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are ensed*lSy 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. 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 ( /% Owner's Nam and Address _______ � _� % ^: Size Septic Tani f�' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application i; hereby made for the approval of the detailed statement of the plans and specifications herewith sub fitted for the buil r'ig or other stricture herein described. This application is made in compliance and conformity with the Building Ordinance o , Tiami 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 worke- i Registered Arl:hitect and /or gineer Employing Plumber's Name No Street Location and :Legal Description Lot 2 B v ( Block__ 2 Subdivision_ .7 Street and Number where work is to be performed —No.._ AYS — Street No � %• Date Street State work to ')e performed and purpose of building (By Floors) New Building � Remodeling Addition Repairs No. of Stories .� Type of Tank Capacity Gals 6_0_0 Feet of Drain Tile , �Ql- -L Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. 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 .:his permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the .Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / (Signed) �1���' f i ^� L' ' / t Master Plumber. ss. Well. Size of Soakage Pit (Signed) Before me, tho 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 workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES NKS SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST — CHECK ' SEPTIC: TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST _ , CHECK a L/ Permit ( /% Owner's Nam and Address _______ � _� % ^: Size Septic Tani f�' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application i; hereby made for the approval of the detailed statement of the plans and specifications herewith sub fitted for the buil r'ig or other stricture herein described. This application is made in compliance and conformity with the Building Ordinance o , Tiami 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 worke- i Registered Arl:hitect and /or gineer Employing Plumber's Name No Street Location and :Legal Description Lot 2 B v ( Block__ 2 Subdivision_ .7 Street and Number where work is to be performed —No.._ AYS — Street No � %• Date Street State work to ')e performed and purpose of building (By Floors) New Building � Remodeling Addition Repairs No. of Stories .� Type of Tank Capacity Gals 6_0_0 Feet of Drain Tile , �Ql- -L Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. 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 .:his permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the .Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / (Signed) �1���' f i ^� L' ' / t Master Plumber. ss. Well. Size of Soakage Pit (Signed) Before me, tho 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 workmanship.