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PLUMBINGPermit No -- - - 3 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. Cmpsland Owner'o Name and Address Registered Architect and /or Engineer____________ --------- -_ - - -- . Employing Plumber's Name ROS® :3 is Tank 2552 ® Ave. "H3'r;leahl No.___ __ -- Street . _ Location and Legal Description Lot_ ,_ __________________ Block_ __._. Subdivision - Street and Number where work is to be performed —No 161 Str N.E. 92nd St. State work to be performed and purpose of building (By Floors)____ ____ ..... ____________ ... _ New Building _____ R3modeling_____ Addition_- -____- Repairs_ ...... __.. No. of Stories. Size Septic Tank • Feat of Drain Nature of Water Supply: City — Well... Amount of Permit $ 3.00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - No. 161 Street N.E. 92nd Sto _.__. .Type of Tank_— Capacity Gals. .._Dist. Feet of Tank or Drain Field from Well -Size of Soakage Pit 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 5988, 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. STATE OF FLORIDA, I 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 :lie 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. (Signed)- ( Signed)._ Date 2/26/62 Master Plumber. GLO(312TID BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK L. 66PTIC TANK SEWER CONK. DRA ('IEL SOAKAGE P11 GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CoNTR. LIST CHECR 51 Lay _ — �— ` Permit No -- - - 3 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. Cmpsland Owner'o Name and Address Registered Architect and /or Engineer____________ --------- -_ - - -- . Employing Plumber's Name ROS® :3 is Tank 2552 ® Ave. "H3'r;leahl No.___ __ -- Street . _ Location and Legal Description Lot_ ,_ __________________ Block_ __._. Subdivision - Street and Number where work is to be performed —No 161 Str N.E. 92nd St. State work to be performed and purpose of building (By Floors)____ ____ ..... ____________ ... _ New Building _____ R3modeling_____ Addition_- -____- Repairs_ ...... __.. No. of Stories. Size Septic Tank • Feat of Drain Nature of Water Supply: City — Well... Amount of Permit $ 3.00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - No. 161 Street N.E. 92nd Sto _.__. .Type of Tank_— Capacity Gals. .._Dist. Feet of Tank or Drain Field from Well -Size of Soakage Pit 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 5988, 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. STATE OF FLORIDA, I 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 :lie 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. (Signed)- ( Signed)._ Date 2/26/62 Master Plumber. BUILDING ELECTRICAL PLUMBING Architect Work to be performed under this Permit • Owner of • Building _ , �!! ^�r� Contractor or Builder .�d`� �- r Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5809 Bl. Subdi- vision DATE Address of , � Value of Amt. of 7h a Building This permit is granted to the �ccntractor or builder named above to construct the building or to install the equipment or device described in the�dppli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 know of the c mantes and er regulations pertaining to the work coved hereby whether shown on the plans wings or i the st .. ements or specification apd tha h ssumes respon- Signed. (7/17(j, sibility for work done by his agents, servants or employees. - G < °' ✓� (Pr?l/: + ( B r'1 <<, INSPE OR BY Contractor's License No. /(- & 24 , /376 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinane d regulations-- pertaining thereto and in strict confonnity with the plans, drawings, statements or specifications submitted to the proper authorities of Miaihores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY r. CLOSETS BATH TUBS SHOW ERE LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES - -- CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL G UST `� LIST — CHECK _— Amount of Permit $__ STATE OF FLORIDA, COUNTY OF DADE. 1'' Permit _ _ _ _ _ _ _ ______ Owner's Name and Address ss. Ilemodeing MIAMI SHORES VILLAGE PLUMBING INSPECTIO DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the ipproval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This appl cation 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. Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot Block____ Subdivision ' f Street Street and Number where work is to be performed— No.____ State work to be performed and pur?ose of building (By Floors) New Building_ — _� Addition No Street Type of Tank Capacity Gals Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Size of Soakage Pit ___ __Dist. Feet of Tank or Drain Field from Well (Signed) (Signed) Repairs • Date Plumbing Inspector. The undersigned applicant for t}is 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 Pennanent Supplement, and has com- plied wi:li the provisions thereof, anc 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 No. of Stories Master Plumber. 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. REPIPE WATER IN HOUSE P C— GA- LL.. Z£ 2 ._ Q.cD . (3r.DS') 2 1 13 - 4.{'. I Passed In =pyt• comments J (./ Failed Correction Needed ] Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -12844 Inspection Date: 03/23/2006 Inspector: Levrack, James Owner: RESEK, CATHERINE VERA Job Address: 161 92 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: THE CONTINENTAL GROUP LTD Building Department Comments Wednesday, March 22, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 t Block: Permit Number: PL2005 287J Permit Type: Imported Permit Inspection Type: Final Work Classification: Plumbing Phone Number Parcel Number 1132060133190 Lot: Phone: 305 -672 -1741 Page 2 of 2 Miami Shores Village Tenant/Lessee Name Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 T 1: 31 2 1-1- 03) 756.8972 BUILDING SSG i PERMIT APPLICATIO Master Permit No. FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) O;rl "1 Phone # Owner's Address /40/ i 6 / „ // T Cit SZO/€tL State �.C_. Job Address (where the work is being done) // /''s / (7.- City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO P L-- Zip Phone # Z Permit N . Zip Contractor's Company Name 72 d 'i Phone # 3a3' 67l Contractor's Address o7,50 "L/. 2 7 ,/ ./� City /k��1. C/0D r , State Z-- Zip 3c3O Qualifier �/6/ 6-�2,t/e0i-A, State Certificate or Registration No. t ? A ! 6570 ,26 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # 1 /�q $ Value of Work For this Permit `otr® Type of Work: ['Addition ❑Alteration [New ' P-- Repair/Replace ❑ Demolition Describe Work: 2L'�i�' QiN/g6 /� /7Yj * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * Submittal Fee $ Permit Fee $ / _ CCF $ 1 . 8C) CO /CC Notary $ �� ° Training/Education Fee $ n. COO Scanning $ 3 . co Code Enforcement $ Total Fee Now Due $ 1 8 4 , (Continued on opposite side) Square Footage Of Work: Radon $ Zoning Bond $ Structural Plan Review. $ Technology Fee $ 4. 4O Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will n -e a roved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this 1(p day ofp 2005 , by — E(Zj f1/4) IF Q.£ , who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: �I�I�II! /H .$ � i77,¢ Expires 7 000337010 _ 1 Print: ; 1. ? 6 '6° of Ft� Bonded en 1BOO){3!' .432- NISI: .. .. My Commission Expires: Florida Notary Assn Inc a My Commission Explka ............... u"' In Sign: Print: APPLICATION APPROVED BY: Chc 05/13/03 RHONDA P FREDERICK Signature Contractor The foregoing instrument was acknowledged before me this /� day of i /'7 , 20 by 71/ 57'87","4-r11, who isPei to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: `I A P FREDERICK Demme D00337010 Expires 7n1n00e * * * * * * * * * * * * * * * * * * * * * * * * * s *4 ** **, s* s * *s * * *ss * * * * * * * * * * * * * s *s * * * * * * ■ • • r Plans Examiner Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLICATION (AN A INED, THE OWNER S NOTARI ED I NATURE NED OT PRESENT ON U SEQUENT APPLICA OHS. ) OBTAINED, PLUMBING .17/I /,4 G 171&/L. ELECTRICAL MECHANICAL ITEM BATH TUB UNIT FEE ITEM UNIT SWITCH OUTLETS FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING RECEPTACLES A/C (WIND) DISHWASHER SERVICE TEMPORARY A/C (CENTRAL) DISPOSAL DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/IETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING RANGE TOP UNDERGROUND TANKS INTERCEPTOR LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 I-P ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: I AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS 1 LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMJING POOL OUTLETS COMMERCIAL WATER SERVICE r SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4 TILE/RES. VIOLATION PULP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN I ROOF INLET I SOLAR WATER HEATER I FIRE STANDPIPE I POOL PIPING LAWN SPRINKLER SYSTEW'. GAS RANGE I METEP, SET (GAS) l GAS PIPIk" ADDENDUM TO BUILDING PERMIT APPLICATION (AN A INED, THE OWNER S NOTARI ED I NATURE NED OT PRESENT ON U SEQUENT APPLICA OHS. ) OBTAINED, PLUMBING .17/I /,4 G 171&/L. ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2005 -287 Printed: 9/22/2005 Applicant: CATHERINE VERA RESEK Owner: RESEK CATHERINE VERA JOB ADDRESS: 161 NE 92 ST Contractor THE CONTINENTAL GROUP LTD Local Phone: 305 - 672 - 1741 Parcel # 1132060133190 Signed: (INSPECTOR) Signed: (Contractor or Builder) Plumbing Permit Contractor's Address: 2950 N 28 TERR Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 22 & 23 Permit Status: APPROVED Permit Expiration: 3/15/2006 Construction Value: $2,400.00 Work: REPIPE WATER IN HOUSE BY: BLK 23 OR 17671 -1067 Fees: FEE2005 -12593 FEE2005 -12594 FEE2005 -12595 FEE2005 -12596 FEE2005 -12597 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $175.00 $1.80 $0.60 $4.40 $3.00 $184.80 Total Fees: $184.80 Total Receipts: $0.00 SR 2 2 PAID 4'7 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date y / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Permit No.__._/ q Owner'a Name and Address � �^� _ ` 0 _ �� No._-- -LL_ - ___ Street__ Ai c 'fie2 — Registered Architect and /or Engineer..-___._ —___ -_ _ _ • Employing Plumber's Name___• _ __ _ _ _ No.__ 0c' 6 / ti ' Location and Legal Description Lot.___._________ --._._-_._ ________.___ _ Block Subdivision Street and Number where work is to be performed-No q _ J � 61 ' ��[ Street _ y - -- .• - - -- State work to be performed and purpose of building (By Floors)___ _ - New Building ___.____- _____......._____.__ Remodeling__ -_ _______ Addition __._.__ / Repairs No. of Stories Feet of Drain Tile____- Amount of Permit $ -- Size Septic Tank_________ .... Type of Tank__ Capacity Gals _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City- Well._-__________.___ ...... ______..... ________ Size of Soakage Pit (Signed)- lumbing 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 per rmed under this permit, as are licensed by Miami Shores Village. f ( Signed) __ STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and . says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission )Fires Notary Public, State of Florida - ler Plumber. NOTE: A re- inspection feefdf $1.00 will be made when ouch re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmansh�/ CLO8iR8 BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST i 6 e 1-4 �---' CN6eK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL �- CORM. LIST CHECK -�.- / MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date y / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Permit No.__._/ q Owner'a Name and Address � �^� _ ` 0 _ �� No._-- -LL_ - ___ Street__ Ai c 'fie2 — Registered Architect and /or Engineer..-___._ —___ -_ _ _ • Employing Plumber's Name___• _ __ _ _ _ No.__ 0c' 6 / ti ' Location and Legal Description Lot.___._________ --._._-_._ ________.___ _ Block Subdivision Street and Number where work is to be performed-No q _ J � 61 ' ��[ Street _ y - -- .• - - -- State work to be performed and purpose of building (By Floors)___ _ - New Building ___.____- _____......._____.__ Remodeling__ -_ _______ Addition __._.__ / Repairs No. of Stories Feet of Drain Tile____- Amount of Permit $ -- Size Septic Tank_________ .... Type of Tank__ Capacity Gals _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City- Well._-__________.___ ...... ______..... ________ Size of Soakage Pit (Signed)- lumbing 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 per rmed under this permit, as are licensed by Miami Shores Village. f ( Signed) __ STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and . says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission )Fires Notary Public, State of Florida - ler Plumber. NOTE: A re- inspection feefdf $1.00 will be made when ouch re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmansh�/ Permit No MIAMI SHRES VILLAGE PLUMBING IN:iw ECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT . J 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. • Date Owner's Name and Address_ ___ No Street Registered Architect and /or Engineer ' Location and Legal Description Lot . ' 4 7L_. Block - Subdivision_,_!C__^!_._ Street an d Number where work is to be performed —No. —__��__� �:_ ___�' f ' Street ``� a State work to be performed and purpose of building (By )toor j' 1 New :Building Remodeling Addition Repairs No. of Stories / Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $___ ss. 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. My Commission Expires (Signed) ( Signed) 7 Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to ire 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 fo regoing 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 CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS TOTAL FIXTURES CONTR. LIST .. � � \ Ly /� ( %-� CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PI'r GREASE TRAP SOL AR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST g - - CHECK Permit No MIAMI SHRES VILLAGE PLUMBING IN:iw ECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT . J 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. • Date Owner's Name and Address_ ___ No Street Registered Architect and /or Engineer ' Location and Legal Description Lot . ' 4 7L_. Block - Subdivision_,_!C__^!_._ Street an d Number where work is to be performed —No. —__��__� �:_ ___�' f ' Street ``� a State work to be performed and purpose of building (By )toor j' 1 New :Building Remodeling Addition Repairs No. of Stories / Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $___ ss. 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. My Commission Expires (Signed) ( Signed) 7 Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to ire 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 fo regoing 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. • ' ' • BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Buildex ( 1 Legal Description MIAMI SHORES VILLAGE, FLORIDA y N? 6261 Work to be performed under this Permit Lqt Address of ��- This permit is granted / K Bl. A /1 Subdi- vision DATE 194 Contractor's License No a �- i Value of Amt. of 1 ,� �J i a Project Permit * =� o,the con aeto or builder named a . a to construct the building or to install the equipment or device described in the appli- cation herefor in ',strict comp1 dice with all ordinance pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, st teme.at 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 /ot done in compliance with such ordinances or if the plans are changed without authorization. A further conditio upon which this permit is granted is the u derstanding that the contractor or builder named above assumes the responsibility for a thorough knowledge o e .ordinances and regulations pertaining to the work covered hereby whether shown on the plans or awin s,4r in a atements or specifications and t1} he ssalmes respon- sibility for work done by his agents, servants or employees. /7 c Signed. ;J , it ../ % B ,.1. !/ ust 11 In consideration of the issuance to me of this permit I agree to perform e work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statelfi is or specifications submitted to the proper authpxiges of Miami Shores Village. In accepting this permit I assume responsibility €or all work done by either'myself, my- agent; 3.0ivant or employee. / -, / � % - f ' � L O AC I OR' Rj U1 LDE .f � c% J /AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE 194_4_ PERMIT N2 5809 Work to be performed under this Permit Architect Contractor or Builder Legal Lot Bl. Subidi Description vision Address of Value of Amt. of Building / * Projec Permit This pen nit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor ir. 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 tl-e 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 grantel 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. CCNTRACTOR OR BUILDER BY AUTHORITY Contractor's License No. Signed 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. Date e lkl- - \\DS Approved Correction Re- Insp'n Fee 4159 Type Insp'n 1� 77(G Permit No. - a 2005 - z_37 Name Ci aviuii 'S' Address it 1 ALE - qz - r Company - at OA rrkQiLT 1 41/COP Phone # ' 0312._1(' . 12,_46 Inspection Date c at 05 ®0). MIAMI SHORES VILLAGE o 0'�® BUILDING DEPARTMENT ®$ 305- 795 -2204 SEP 3 0 2005 Building Inspection Request