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PLUMBING
Date 6/6/95 Job Address 166 NE 92 STREET Tax Folio Legal Description Owner / Lessee / Tenant DUGONI Master Permit # 3 79a1 Owner's Address 166 NE 9 STREET, MIAMI SHORES 33138 Phone 759 -3084 Contracting Co. NORTH DA Qualifier DENNIS NEVILLE State if 025836 -8 Architect /Engineer Bonding Company Mortgagor Permit Type(circle one): B ILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION INSTALL DRAINFIELD Square Ft. WARNING TO OWNER: YOU SO MAY RESULT IN YOUR P TO OBTAIN FINANCING, C NOTICE OF COMMENCEMENT Application is hereby made on the attached addendum ( standards of all laws regu permits are required for E OWNER'S AFFIDAVIT: I certi be done in compliance ith authorize the abov med D Not ry a to Owr)er'' a My ommj Sion JExpir NOTA BLIC; S AY COMMISSION E ONDED 11RU H ** *- * FEES: PERMIT APPROVED: Zoning PERMIT LPPLICATION FOR MIAMI SHORES VILLAGE 300 Mechanical Municipal # E SEPTIC TANK MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND NSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR SS# ndo President do President YE OF FLORIDA AT &ARG2 FIRES JUNE 19, 1995 SORRY RIASSOCIA1*S Address 800 NW 111 STREET Phone 754 -3375 Competency 4r` 12842 Ins.Co. TRAVELERS /ESIF Address Address Address Estimated Cost(value) $1000.00 to obtain a permit to do work and installation as indicated above, and f applicable). I certify that all work will be performed to meet the ating construction in this jurisdiction. I understand that separate ECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. y that all the foregoing information is accurate and that all work will 11 applicable laws regulating const tTb.on and 9 Furthermore, I ontractor to do the work stated. Signa Date: ctor or Owner- Builder Aii` Not y as to trac..r or Owner-Builder y Commission IC; pO rF aR ▪ +DA Ai LARO2 • MY COMMISSION! EXPIRES d'JNE 19, 1495 BONDED THRU HUCi:LEN:2, Y ✓w ASSOCIATES- * * * * * * * * ** GD �� • C.C.F. I NOTARY TOTAL DUE 3r Fire Other Buildin Plumbin Electrical Engineering APPLICANT: DUGONI STATE OF DEPARTME ONSITE S APPLICAT Authorit APPLICATION FOR: [ N ] New System (NJ E 1Y ] Repair [,N ] AGENT: NORTH DADE SE MAILING ADDRESS: 800 NW TO BE COMPLETED BY APPLI SITE PLAN SHOWING PERTI 'PROPERTY INFORMATION [IF LOT: PROPERTY ID #: PROPERTY SIZE: BLOCK: PROPERTY STREET ADDRESS: 1 DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of No Establishment 1 2 3 4 SFR (N] Garbage Grinders /Di [NI Ultra -low Volume F1 APPLICANT'S SIGNATURE: HRS-H Form 4015, Mar 92 (Obsolete (Stock Number: 5744- 001-4015 -1) ORIDA OF HEALTH AND REHABILITATIVE SERVICES AGE DISPOSAL SYSTEM N FOR CONSTRUCTION PERMIT . Chapter 381, FS & Chapter 10D -6, FAC PERMIT # DATE PAID FEE PAID RECEIPT # isting System [ N] Holding Tank [N ] Temporary /Experimental andonment [ N] Other(Specify) TIC TANK 11 STREET, MIAMI 33168 OR APPLICANT'S AUTHORIZED AGENT. ATTACH BUILDING PLAN AND TO -SCAT FEATURES REQUIRED BY CHAPTER 10D -6, FLORIDA ADMINISTRATIVE CODE. OT IS NOT IN A RECORDED SUBDIVISION, ATTACH LEGAL DESCRIPTION OR DEEI SUBDIVISION: 166 NE 92 STREET, 33138 posals sh To ets 3 BEDROOMS previous editions which may not be used) TELEPHONE: 759 -3084 754 -3375 DATE OF BEFORE 1972 SUBDIVISION. [Section /Township /Range /Parcel No.] ZONING: AS.RES [Sqft /43560] PROPERTY WATER SUPPLY: [ ] PRIVATE [XX] PUBL (XX] RESIDENTIAL ( ] COMMERCIAL No. of Building # Persons Bedrooms Area Sqft Served [ N] Spas /Hot Tubs Business Activity For Commercial Only [N ] Floor /Equipmept Drai: ther (Specify) DATE: / Page 1 of Ferrr;it ado.- / 5-5 - 5 Application is hereby ::lade for the ap structure herein described. This applica and all provisions of the Laws of the S of Miami Shores Village shall be comp building during progress of work. Owner's Name and Address Registered Architect and /or Engineer___ Employing Plumber's Named./ L Location and Legal Description Lot.___ Street and Number where work is to State work to be performed and purpo New Building _ -___ Re to me well known, and who, being by of the above described construction, therein by him stated are true. Before me, the undersigned autho • My Commission NOTE: A re- inspection fee of $1. materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT val of the detailed statement of the plans and specifications herewith submitted for the building or, other on is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, e of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division ed with, whether herein specified or not. A copy of approved plans and specifications must be kept at 41 j`1AVSSAir No. !ovt ee, c , c w /!! No._ _________ .____— Block Subdivisions performed -No.__ 6 . 6 __. Street Al f 7 2 s (/ f building (By Floors)___._.___... J.Q_1__4111A ►E1-4Q 2 6 eling_ —_ —___ Addition_______ Repairs No. of Stories. a notary public, duly authorized to administdr oaths and take acknowledgments, personally appeared x'6 Street L 7.6 Street__ W _. S first duly sworn, upon oath deposes and says that he is the_ t he has carefully read the foregoing application, and that he did sign the same, and that all facts Notary Public, State of Florida will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty CLOSETS BATH TU88 SHOWERS ILAVA. ORIEB SINKS SLOP SINKS LAUNDRY TUes INAS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR -- H 1 DEEP WELL SPRKLR. SYSTEM SWIM•G POOL Comm. LIST — ^ _ CHECK Size Septic Tank - Feet of Drain Tile. _ Nature of Water Supply: City - Well._____._________________.__ Amount of Permit $ — ___ The undersigned applicant for this under the Florida Workmen's Compensation plied with the provisions thereof, and wall performed under this permit; and will post required by tlee Act. The undersigned licensed by Miami Shores Village. STATE OF FLORIDA, 1 ss. CTITIN ry nF nAnF. `__ Type of _____Dist. Feet Tank_ _ of Tank or Drain Field from Well — ____Size of Soakage Pit — ___ (Signed) __ _ -. _ y hereby certify that he understands and 5966, Compiled General Laws of compliance from all contractors or sub -contr posted' for inspection on the site of the only such sub - contracto , o wor (Si:.' = -� :_ -- Capacity Gals " ✓ -- accepts his obligations Florida Pennanent , / - 'lumbing Inspector. as : • employer of labor Supplement, and has com- by him in the work to be notice or notices as • are under this permit, as are Master Plumber. - - -- — Sodding permit does Act, being Section require similar or cause to be agrees to employ a - .rs el .loyed ' ork suc • public to be ormed l ! -- Ferrr;it ado.- / 5-5 - 5 Application is hereby ::lade for the ap structure herein described. This applica and all provisions of the Laws of the S of Miami Shores Village shall be comp building during progress of work. Owner's Name and Address Registered Architect and /or Engineer___ Employing Plumber's Named./ L Location and Legal Description Lot.___ Street and Number where work is to State work to be performed and purpo New Building _ -___ Re to me well known, and who, being by of the above described construction, therein by him stated are true. Before me, the undersigned autho • My Commission NOTE: A re- inspection fee of $1. materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT val of the detailed statement of the plans and specifications herewith submitted for the building or, other on is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, e of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division ed with, whether herein specified or not. A copy of approved plans and specifications must be kept at 41 j`1AVSSAir No. !ovt ee, c , c w /!! No._ _________ .____— Block Subdivisions performed -No.__ 6 . 6 __. Street Al f 7 2 s (/ f building (By Floors)___._.___... J.Q_1__4111A ►E1-4Q 2 6 eling_ —_ —___ Addition_______ Repairs No. of Stories. a notary public, duly authorized to administdr oaths and take acknowledgments, personally appeared x'6 Street L 7.6 Street__ W _. S first duly sworn, upon oath deposes and says that he is the_ t he has carefully read the foregoing application, and that he did sign the same, and that all facts Notary Public, State of Florida will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty Date /06 1 ' Job Address (Li -• 9 4 T ax Folio Legal Description Owner's Address Contracting Co Qualifier St e/ TJO Municipal # Architect/Engineer Bonding Company gyatur1 of owner and/ • Condo President ,o (/ 7/U FEES: PERMIT APPROVED: / Lessee / Tenant PERMIT APPLICATION FOR MIAMI SHORES VILLAGE RADON Address SSA -Phone Competency it / 3 r7 Address Address Mortgagor Address Permit Type(circle one): BUILDING, ELECTRICAL PLUMBIN MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost(value) '')Cif WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above- n ed contractor to do the work stated. Notary as to Owner and /or Condo nt My Commission Expires: Preside ® P � �p 0 6 , OFFICIAL NOTARY SEAL O Vi e. SCOTT W DAVIS * ) rS Ji * COMMISSION NUMBER o ** * * * * y, * 1� ' fp C MISSI 7 MY CDMMISSIdDNN EXP. OF F JAN. 26.1997 Zoning Buildin Mechanical Plumbin Signature of Contractor or Owner- Builder Date: Master Permit 4 P 3 g 5 4■ Phone 7J (- 2QU y 7/,6 Ins.Co. Notary as to Contractor or Owner- Builder My Commission * C.C.F. Fire Other • NOTARY TOTAL DUE Witk/ Electrical Engineering Date_ -- ____ -- _ S _ /Y7a 1 c 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 (t% Owner's Name and Address J. _Ss f z.h No.___l _ 6__6 ___ Street_..._ !-Y_ :.._.__ a T Registered Architect and /or Engineer------- _----------- - - -___ ---------------.-----.•----------___--- Employing Plumber's Name ____- '` No. Street___._ Location and Legal Description LoG_____________— ______ __ __.__.— Block_- Subdivision A p Street and Number where work is to be performed —No / 6? 6- — fl Street_ r State work to be performed and purpose of building (By Floors)_______ New Building ...... _ -- Remodeling— _-------- - - -___ Addition Size Septic Tank____________ ...... Feet of Drain Tile ___ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____— ....... _. ___________.... ___________Size of Soakage Pit Amount of Permit $_ STATE OF FLORIDA, } COUNTY OF DADE. ss. d" MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Type of Tank_ Repairs No. of Stories ... ........ . ..... .... Capacity Gals. (Signed) - -- - — - - Plumbing ns ctor. 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 coin - 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 Hemmed by Miami Shores Village. (Signed)-_ (/ -- U 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 workmanship. CLOSETS BATH TUBS SHOWERS 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 H EATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST CHECK ,,- ,/ _ Date_ -- ____ -- _ S _ /Y7a 1 c 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 (t% Owner's Name and Address J. _Ss f z.h No.___l _ 6__6 ___ Street_..._ !-Y_ :.._.__ a T Registered Architect and /or Engineer------- _----------- - - -___ ---------------.-----.•----------___--- Employing Plumber's Name ____- '` No. Street___._ Location and Legal Description LoG_____________— ______ __ __.__.— Block_- Subdivision A p Street and Number where work is to be performed —No / 6? 6- — fl Street_ r State work to be performed and purpose of building (By Floors)_______ New Building ...... _ -- Remodeling— _-------- - - -___ Addition Size Septic Tank____________ ...... Feet of Drain Tile ___ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____— ....... _. ___________.... ___________Size of Soakage Pit Amount of Permit $_ STATE OF FLORIDA, } COUNTY OF DADE. ss. d" MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Type of Tank_ Repairs No. of Stories ... ........ . ..... .... Capacity Gals. (Signed) - -- - — - - Plumbing ns ctor. 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 coin - 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 Hemmed by Miami Shores Village. (Signed)-_ (/ -- U 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 workmanship. Location and Legal Description Lot_ Street and Number where work l to be performed —No. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. 2/ thAfrJS o Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT / 4/c Type of Tank rust. Feet of Tank or Drain Field from Well Size of Soakage Pit- ( sue) -J , W.ItcRoe -IG (slim) 3 r �� Permit No Date. -- •---- _..._...... ._.__._ 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 ls made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. , Owners Name and Address 1...2,t..) ? C7 / j 0 S I/ No /6. C. Street.A Registered Architect and /or Engm r�/ �� ,1,/ Employing Plumber's Name Zg .. r ` .. NO I L4 .., .. I t.4 .--.1—,. ._ Block-- Subdivision Street.. _9:2 •-.SY State work to be performe i and purpose of building (By Floors) _ New Building - -__. �_ _ _ . Aemodeliag___ _ ..._. _—__ Addition.. ___ ...�_... Repairs. ........ No of Stories 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 Pennanent Supplement, and has com- plier 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 chi.ublic notice or notices u are required by the Act. The undersigned agrees to employ only such sub-eontractora, on to • . `/ under this permit, as are licensed by Miami Shores Village / Mater Plumber. - - - STATE OF FLORIDA. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly swan, 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. M Commission Expo Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made who wait re-irpection is eada's ma.I r by improper nodoe for itaspeciiion, er faulty materials and /or workmanship. CLOSETS BATH Tu.s SHOWERS feel, ki "2-- LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N• TOTAL FIXTURES CONTR. LIFT CN[CK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR MEATtR Dap WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. Ltrt CHECK Location and Legal Description Lot_ Street and Number where work l to be performed —No. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. 2/ thAfrJS o Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT / 4/c Type of Tank rust. Feet of Tank or Drain Field from Well Size of Soakage Pit- ( sue) -J , W.ItcRoe -IG (slim) 3 r �� Permit No Date. -- •---- _..._...... ._.__._ 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 ls made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. , Owners Name and Address 1...2,t..) ? C7 / j 0 S I/ No /6. C. Street.A Registered Architect and /or Engm r�/ �� ,1,/ Employing Plumber's Name Zg .. r ` .. NO I L4 .., .. I t.4 .--.1—,. ._ Block-- Subdivision Street.. _9:2 •-.SY State work to be performe i and purpose of building (By Floors) _ New Building - -__. �_ _ _ . Aemodeliag___ _ ..._. _—__ Addition.. ___ ...�_... Repairs. ........ No of Stories 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 Pennanent Supplement, and has com- plier 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 chi.ublic notice or notices u are required by the Act. The undersigned agrees to employ only such sub-eontractora, on to • . `/ under this permit, as are licensed by Miami Shores Village / Mater Plumber. - - - STATE OF FLORIDA. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly swan, 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. M Commission Expo Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made who wait re-irpection is eada's ma.I r by improper nodoe for itaspeciiion, er faulty materials and /or workmanship. 3 2 - --(.) LJ Perini,. No. .. ..... —_—. Size Septic Tank_..__ Feet of Drain Tile .._._ Amount of Permit $ ... - STATE OF FLORIDA, u. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Date _ ey_ Location and Legal Description Lot_ d ` Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) _.....-....._...__..._...... New Building Remodeling --__ • .... Addition Repairs Na of Stones Nature of Water Supply: City — Well..__ _. ._...- _.__.- of Soakage Pit (Signed) ,41 :,tum is hereby made for the approval of the detailed statement of the plans and specifications herewith subr.rr....1 for the building or other ;•tructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mk: ••! Shores Village, Florida, and a':1 provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic'. of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and spec fications must be kept at '>uilding during progress of work. Du6.oty/ ':hvnei s Name and Address... E Pi/ - _ - -�f_ 1.., .- _ —.._. No! _ —_ Street_... /!!..! .. E./ a .o .egist red Architect and /or Engineer employing Plumber's NameNllA• 8/2.0.1.4.7 Sy -crams No..__ e..:,..,: streetiv:I&2 . � •! ! �` Street ek , 9 2— Capacity ^ .ass._. _ ....... .... __— __Dist. Feet of Tank or Drain Field from Well ...- •---- .... - -• - -_ -..- (Signed)_ it. -lam?! . . _V..../._ Plurnbin„; Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n, loser of tabu) under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent ;:um Iement, anc; ha. •.�n �• 1 :hed with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in ' e rlr v b� performed under this permit; and will post or cause to be poste for inspection on the site of the work such pub': notice r no ict.r 43 a requ.red by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed this p :rl.ti� .0 . licensed by Miami 'Shores Village. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and tint all acts therein by him stated are true. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per ; l ppearrt, Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when asch re- inspection is mede•neoessary by Improper notice for inspection, touity materials and /or workmanship. CLO {R{ B TUB[ ues SHOWER• LAVA- TORIES SINK{ SLOP SINKS LAUNDRY Tuns URINAL{ CATCH N BASIN FLOOR DRAIN DRINKING FOU NT'N{ - *er ---- TOT,.L F IXTI R[• — • CONTR. LIT -- CHECK - - - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR H DEEP WELL ■ BPRKLR. SYSTEM SW IM•o POOL I Co. NTIt LIST __i__ I -- —_ — CNECK Perini,. No. .. ..... —_—. Size Septic Tank_..__ Feet of Drain Tile .._._ Amount of Permit $ ... - STATE OF FLORIDA, u. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Date _ ey_ Location and Legal Description Lot_ d ` Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) _.....-....._...__..._...... New Building Remodeling --__ • .... Addition Repairs Na of Stones Nature of Water Supply: City — Well..__ _. ._...- _.__.- of Soakage Pit (Signed) ,41 :,tum is hereby made for the approval of the detailed statement of the plans and specifications herewith subr.rr....1 for the building or other ;•tructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mk: ••! Shores Village, Florida, and a':1 provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic'. of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and spec fications must be kept at '>uilding during progress of work. Du6.oty/ ':hvnei s Name and Address... E Pi/ - _ - -�f_ 1.., .- _ —.._. No! _ —_ Street_... /!!..! .. E./ a .o .egist red Architect and /or Engineer employing Plumber's NameNllA• 8/2.0.1.4.7 Sy -crams No..__ e..:,..,: streetiv:I&2 . � •! ! �` Street ek , 9 2— Capacity ^ .ass._. _ ....... .... __— __Dist. Feet of Tank or Drain Field from Well ...- •---- .... - -• - -_ -..- (Signed)_ it. -lam?! . . _V..../._ Plurnbin„; Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n, loser of tabu) under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent ;:um Iement, anc; ha. •.�n �• 1 :hed with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in ' e rlr v b� performed under this permit; and will post or cause to be poste for inspection on the site of the work such pub': notice r no ict.r 43 a requ.red by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed this p :rl.ti� .0 . licensed by Miami 'Shores Village. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and tint all acts therein by him stated are true. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per ; l ppearrt, Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when asch re- inspection is mede•neoessary by Improper notice for inspection, touity materials and /or workmanship. BUILDING ❑ ELECTRICAL ❑ PERMIT N9 PLUMBING ® N . 916 2 ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building 111 1/ . 4, Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. Subdi- vision Sq. Ft Value of Project $ DATE Y•_' Contractor's License No Amt. of Permit $ BY AUTHORITY 195_4.__ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. . Signed • 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. AMNI.17 Permit No ( L 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. l / Owner's Name and Address ' 1� _ _ l TL.1 1311_S_ � No. 1.6. _ __.__.___.___ Street_ if/ Z. 57' Registered Architect and /or Engineer _____ ____. Employing Plumber's Name A y _ 11.14 .517) No. 71_7 Street_. A'13.9 C.LA____ . 41) - Location and Legal Description Lot_-_ Street and Number where work is to be performed— No._ Street_-- AC / State work to be performed and purpose of building (By Floors)- __-.._ New Building __ Remodeling_ -_-__ __- Addition.- ___ -__. Repairs I' No. of Stories. Size Septic Tank _ Type of Tank. Capacity Gals Feet of Drain Tile__ _____ __-------- --- --------- _-- ___ -.- _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._..____,_ _______ ________ of Soakage Pit Amount of Permit $______.._______.! My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING Block Subdivision_ __ (Signed)_ Date G k /3, /P. umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennan t'Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp oyed 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, • . ork to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Master Plumber. 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 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 Yj .. ,, tfol4flf TOTAL FIXTURES CONTR. LIST 1 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL comm. L IST — CHECK Permit No ( L 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. l / Owner's Name and Address ' 1� _ _ l TL.1 1311_S_ � No. 1.6. _ __.__.___.___ Street_ if/ Z. 57' Registered Architect and /or Engineer _____ ____. Employing Plumber's Name A y _ 11.14 .517) No. 71_7 Street_. A'13.9 C.LA____ . 41) - Location and Legal Description Lot_-_ Street and Number where work is to be performed— No._ Street_-- AC / State work to be performed and purpose of building (By Floors)- __-.._ New Building __ Remodeling_ -_-__ __- Addition.- ___ -__. Repairs I' No. of Stories. Size Septic Tank _ Type of Tank. Capacity Gals Feet of Drain Tile__ _____ __-------- --- --------- _-- ___ -.- _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._..____,_ _______ ________ of Soakage Pit Amount of Permit $______.._______.! My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING Block Subdivision_ __ (Signed)_ Date G k /3, /P. umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennan t'Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp oyed 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, • . ork to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Master Plumber. 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 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. Company Job Address REQUEST FOR INSPECTION V Inspection Time Ready Date Ready ioief‘ Permit No._ • Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su - lifted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Addre s _.. Registered Architect and /or ineer Employing Plumber's Name.____ __ __ ,_�, '� _ __ No.__ Location and Legal Description Lot Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs ' No. of Stories Size Septic Tank Feet of Drain Tile Amount of Permit $____ S2 6 STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block____ Subdivision Type of Tank Capacity Cats. • Dist. Feet of Tank or Drain Field from Well - N i sr Nature of Water Supply: City —Well Size of So Pit ss. lumbing Inspector. The undersigned applicant for this building permit does hereby certify that hiuiderstands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ____ No // 6 Date Street_ sci 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 aster Plum 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 CHECK SEPTIC TANK SEWER CONN. DRAIN F IELD 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 su - lifted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Addre s _.. Registered Architect and /or ineer Employing Plumber's Name.____ __ __ ,_�, '� _ __ No.__ Location and Legal Description Lot Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs ' No. of Stories Size Septic Tank Feet of Drain Tile Amount of Permit $____ S2 6 STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block____ Subdivision Type of Tank Capacity Cats. • Dist. Feet of Tank or Drain Field from Well - N i sr Nature of Water Supply: City —Well Size of So Pit ss. lumbing Inspector. The undersigned applicant for this building permit does hereby certify that hiuiderstands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ____ No // 6 Date Street_ sci 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 aster Plum 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 Work Contractor ---' or Builder Legal Lot Description Address of Building_ r This permit is granted to the c cation herefor in strict compliance wi plans, drawings, statements or specific at any time if the work is not done in permit is granted is the understanding regulations pertaining to the work cov sibility for work done by his agents, se In consideration of the issuance pertaining thereto and in strict confor In accepting this permit I assume resp CONTRACTOR OR BUILD MIAMI SHORES VILLAGE, FLORIDA DATE O / / 194° Contractor's License No. PERMIT N? 7860 to be performed under this Permi A Bl. v isi o n vision BY 6 'a , l , Value of Amt. of / © J Project Permit / tractor or builder named above to construct the building or to install the equipment or device described in the appli- all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ons that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked ompliance with such ordinances or if the plans are changed without authorization. A further condition upon Which this at the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and red hereby whether shown on the plans or drawings or in the tatements or specifications and that he assumes respon- ants or employees. Signed.— INSPECTOR 1 n n o me of this permit I agree to perform i i work covered hereunder in compliance with for. . , es and 4egglaFio. city with the plans, drawings, statements or specifications submitted to the proper agthorities o iaii Shores Villa. nsibility for a work done by either myself, my agent, servant or employee .- BJMLU'CNG TRICAr PER PLUMBING v ner of Building Architect and /or Engineer Contractor or Builder Proposed Location This permit is issued to the building above described, as per app that all facts stated in the application a and compliance with the building law regulations of the building department laws, ordinances or rules and regulatio AMOUNT LOT ITAN° NAME c q NAME NAME BLOCK • t 4, RECD. PAYMENT ACCT. DEPT. 367 ; SUB- DIVISION ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT LICENSE NO. ADDRESS ✓ /¢ I y J l_f-: - -_ 5..� LICENSE NO. sri ite NO. STREET To ication, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition e true and that the constructs n complies strictly with the plans and specifications submitted, and in accordance of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and f Miami Sho$s illage. This permit may be revoked at any time upon the violation of any provisions of said s, or upon arty c atge in the plans and specifications unauthorized by the' building inspector. SF.L_ 19 fit) INSPECTOR 4111 In consideration of the issuance me of this permit I hereby agree to the proposed construction in strict conformity with the application and ns and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of t e State of Florida, all the building ordinances and zoning laws .f Miami Shores Village and all rules and regulations of the bu3 NOTE: i' charge of $1.00 will A re- ihsption fee of $1.00 will _ _ _ _ _ , 1 9 03 ng depa, ment of a ami Shores Village. (SEAL) be made for making corrections or changes to this application after approval has been obtained frgin the Planning Board. made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. NAME Architect and /or Engineer ._ Contractor or Builder_ NAME 367 NAME Proposed Location __ 1_ ________:__�____ �__ LOT BLOCK SUB - DIVISION ADDRESS ADDRESS ADDRESS MIAMI SHORES VILLAGE .,-13.64E13G_ MAT PERMIT A N° PLUMBING t t 1 114 Owner of Building BUILDING INSPECTION DEPARTMENT . NO. STREET This permit is issued to t ; :a i<. To _ the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application a,e true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building law; of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Sho.tes Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulation s, or upon a- car>lge in the plans and specifications unauthorized by the building inspector. AMOUN - -117-7, RECD. PAYMENT ACCT. DEPT. LICENSE NO. LICENSE NO. f i r INSPECTOR In consideration of the issuance o me of this permit I hereby agree to the proposed construction in strict conformity with . the application and plans and specifications thereof heretof ire by me submitted, and in compliance with all provisions of all building laws of t State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the bu g depa +r,tment of ar i !I:7 Village. Dated_ --__- �.4_..L.1.,,_- --- 1_ __.____ ___� , 19___ ` -1 > f wAy - �_ ` (SEAL) NOTE; charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained fr4 the Planning;Board. A re -insp Lion fee of $1.00 will he made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or work nsfip, Permit .. Application is hereby made for the appr structure herein described. This applicatio and all provisions of the Laws of the Stat of Miami Shores Village shall be compl building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name t Location and Legal Description Lot /19 Street and Number where work is to be State work to be performed and purpose New Building____. Remodeling val of the detailed is made in compliance of Florida, all ordinances ed with, whether r 1 n 4 = "' ,' _y 1 �" i " -#.>. � / ! performed—No of building (By Date statement of the plans and specifications herewith and conformity with the Building Ordinance of Miami Shores Village and all rules and herein specified or not. A copy of approved plans ° ' t1' l. t- r Ng',. F, ti� ° ��� , No Block' 4„` Subdivision / Street - submitted for the of Miami Shores regulations of the and specifications Street Street 7// R 71' 4 e No. of � . _____ building or other Village, Florida, Building Division must be kept at ' 6 ' *� Stories 1 Floors) Addition Repairs CLOSETS BATH TUBS SHOWERS AVA- ORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD S, JAKAGE I PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. IST LIST CHECK 6 Y ; Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well - - - -- - Amount of Permit $_ / The undersigned applicant for this under the Florida Workmen's Compensa plied with the provisions thereof, and performed under this permit; and will required by the Act. The under signe. licensed by Miami Shores Village. STATE OF FLORIDA, ) j ss. COUNTY OF DADE. Before me, the undersigned auth.rity, appeared to me well known, and who, being by of the above described construction, t therein by him stated are true. My Commissior NOTE: A re- inspection fee of $ materials and /or workmanship. . _ k s _ L Capacity Gals. � ∎/ 1 Type of Tank ____ _[.ct_ Dist. Feet of Tank or Drain Field from Well .Size of Soakage Pit. - --------------- -- - - - - -- - - -- (Signed) .....-11,,. ."' =_ 4 ' Plumbing Inspector. building permit does hereby certify that he understands and accepts his obligations as an employer of labor ion Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- ill require similar compliance from all contractors or sub - contractors employed by him in the work to be post or cause to be posted for inspection on the site of the work such public notice or notices as are agrees to employ only such sub - contractors, on work to be performed under this permit, as are (Signed) ........ Master Plumber. a notary public, duly authorized to administer oaths and take acknowledgments, personally e first duly sworn, upon oath deposes and says that he is the at he has carefully read the foregoing application, and that he did sign the same, and that all facts Expires Notary Public, State of Florida .00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty 1/ - ( /.' 2 ea ,i - / fr. IAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APP (CATION FOR PLUMBING PERMIT Permit No. # , Work done b L ' Address of work /L0(9 14- 7 , Owner Septic Tank A 1.-wer e I - Drainfield • ‘1 / Gas Plumbing 17/ \ ;/ When re d Received by Time PLUMBING - INSPECTION Date e /4 J. 3 7 PM • Work done by Address of work Owner GEt.cs Plumbing, - Final ; -"Roug_h Drainfiel When rea_s_V Received by Date PLUM d BING - ThSPECTION Permit No. Sewer Time _ g — Am tZH V) 57 Top out PM _ ' J _3f�6� � Permit III �! Application is hereby made for the appr structure herein described. This applicatio and all provisions of the Laws of the State of Miami Shores Village shall be compli building during progress of work. �{ Owner's Name and Address Registered Architect and /or Engineer xx Employing Plumber's Name ___ L_k_ Location and Legal Description Lot Street and Number where work is to be p State work to be performed and purpose . New Building___._ e er Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ APP Rem My Commission E IAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (CATION FOR PLUMBING PERMIT al of the detailed statement of the plans and specifications herewith submitted for the building or other is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division d with, whether herein specified or not. 4 A copy of approved plans and specifications must be kept at 3 Ai....kt" • 11 L N (Signed) Type of Tank _UN, (Signed) cl o - Date Capacity Gals ires Notary Public, State of Florida 1 - O Street No Street ek- __Block Subdiviisii J formed —No. / & 6 Street f building (By Floors) cling Addition Repairs No. of Stories 1 ihro Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. Plumbing Inspector. The undersigned applicant for this b lding permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensatio Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and wil require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will po 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 under signed a rees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authorit a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me rst 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 $1.0 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 L kVA TORIES - SINKS SLOP SINKS LAUNDRY TUBS U RINALS 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'G POOL CONTR. LIST 1 CHECK ' J _3f�6� � Permit III �! Application is hereby made for the appr structure herein described. This applicatio and all provisions of the Laws of the State of Miami Shores Village shall be compli building during progress of work. �{ Owner's Name and Address Registered Architect and /or Engineer xx Employing Plumber's Name ___ L_k_ Location and Legal Description Lot Street and Number where work is to be p State work to be performed and purpose . New Building___._ e er Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ APP Rem My Commission E IAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (CATION FOR PLUMBING PERMIT al of the detailed statement of the plans and specifications herewith submitted for the building or other is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division d with, whether herein specified or not. 4 A copy of approved plans and specifications must be kept at 3 Ai....kt" • 11 L N (Signed) Type of Tank _UN, (Signed) cl o - Date Capacity Gals ires Notary Public, State of Florida 1 - O Street No Street ek- __Block Subdiviisii J formed —No. / & 6 Street f building (By Floors) cling Addition Repairs No. of Stories 1 ihro Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. Plumbing Inspector. The undersigned applicant for this b lding permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensatio Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and wil require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will po 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 under signed a rees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authorit a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me rst 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 $1.0 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit Application structure and all provisions of Miami building Owner's Registered Employing Location Street and State work New Building APPLI ,--er 7 No '� is hereby made for the approval herein described. This application of the Laws of the State Shores Village shall be complied during progress of work. Name and Address __/ Architect and /or Engineer Plumber's Name � and Legal Description Lot____ Number where work is to be to be performed and purpose Y Remode MIAMI '\ is of � _y _ '; �__ perfcrmed—No. of SHORES VILLAGE LUMBING INSPECTION DEPARTMENT ATION FOR PLUMBING of the detailed statement of the plans and made in compliance and conformity with Florida, all ordinances of Miami Shores Village ith, whether herein specified or not. A copy r __' d ? "' No. , 2 Js - "' 6 { " � ' ° No i . o "___J lit Block =- /6____ ,4 t i building (By Floors) ing Addition PERMIT il Date_ specifications herewi submitted the Building Ordinance of Miami and all rules and regulations of approved plans and specifications _,2£_� _' Street s r'�.d� Street .J., - (, ' 6 for the building or other Shores Village, Florida, of the Building Division must be kept at ,.. fA ,___ —___ s.h < f. ',,t* - ° , ° • �44 Repairs Subdivision Street — No. of /. Stories.____e CLOSETS BATH TUBS SHOWERS - LAV r TORIES 'I I SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES 0 !!! CONTR. LIST J f: '• CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAK P1 IGE GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST IST CHECK Size Septic Tank ` ` ' Feet of Drain Tile i Nature of Water Supply: City —Well Amount of Permit $ � ,� j L ' The undersigned appl cant for this bui under the Florida Workmen's Compensation plied with the provisions thereof, and will performed under this permit; and will post required by the Act. The under signed ag licensed by Miami Shores Village. STATE OF FLORIDA, ) j ss. COUNTY OF DADE. Before me, the undersigned authoritY, appeared • to me well known, and who, being by me of the above described construction, that therein by him stated are true. 1 My Commission Ex vn T ype o f Tank _ °' =. Capacity Gals Dist. Feet of Tank or Drain Field from Well .<__1_1___� s - / t Q _ , _ -= Size of Soakage Pit. k. p ° , (S igned) :. - 1 �- ' Plumbing Inspector. . ing permit does hereby certify that he understands and accepts his obligations as an employer of labor Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- require similar compliance from all contractors or sub - contractors employed by him in the work to be or cause to be posted for inspection on the site of the work such public notice or notices as are ees to employ only such sub - contractors, on work to be performed under this permit, as are (Signed) z . ., w- Master Plumber. a notary public, duly authorized to administer oaths and take acknowledgments, personally st duly sworn, upon oath deposes and ,'says that he is the e has carefully read the foregoing application, and that he did sign the same, and that all facts 1 ( /� i -/ ires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 materials and /or workmanship. will be made when such re- inspection is made necessary by improper notice for inspection, or faulty /r' Permit No Application is hereby made for the app structure herein described. This applicati and all provisions of the Laws of the St of Miami Shores Village shall be com building during progress of wort, Owner's Name and Address Registered Architect and /or Engineer _ Employing Plumber's Name Location and Legal Description Lot__ Street and Number where work is to be State work to be performed and purpo e of building (By Floors) New Building r R.. odeling Addition Repairs Size Septic Tank X: Feet of Drain Tile Amount of Permit $_ The undersigned applicant for th under the Florida Workmen's Compen plied with the provisions thereof, an performed under this permit; and wil required by the Act. The under sig licensed by Miami Shores Village. STATE OF FLORIDA, ss. COUNTY OF DADE. appeared to me well known, and who, being b of the above described construction, therein by him stated are true. NOTE: A re- inspection fee of materials and /or workmanship. APP My Commiss oval of the detailed statement of the plans and specifications herew submitted for the building or other n is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, e of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division lied with, whether herein specified or not. A copy of approved plans and specifications must be kept at performed —No /l11 Nature of Water Supply: City —Well n Expires IAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT ICATION FOR PLUMBING PERMIT Block �– (Signed) Type of Tank _ Dist. Feet of Tank or Drain Field from Well (Signed) _ • /6 G h Q-7` Date_ No. __�T7___�_ /igi Street Subdivision Subdivision telt –'r1-- -- f. , -- --- Notary Public, State of Florida No._ _2rnllSt_ S treet al-re t-44'c No. of Stories Master Plumber. Capacity Gals._______ 4_7? ___— _______ ____ Size of Soakage Pit Plumbing I nspecto r. s building permit does hereby certify that he understands and accepts his obligations as an employer of labor ation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- will require similar compliance from all contractors or sub - contractors employed by him in the work to be post or cause to be posted for inspection on the site of the work such public notice or notices as are d agrees to employ only such sub - contractors, on work to be performed under this permit, as are Before me, the undersigned au hority, a notary public, duly authorized to administer oaths and take acknowledgments, personally me first duly sworn, upon oath deposes and says that he is the . that he has carefully read the foregoing application, and that he did sign the same, and that all facts $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty CLOSETS BATH TUBS SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES C LIST ONTR. 41 / ! / I // CHECK SEPTIC TANK SEWER 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 app structure herein described. This applicati and all provisions of the Laws of the St of Miami Shores Village shall be com building during progress of wort, Owner's Name and Address Registered Architect and /or Engineer _ Employing Plumber's Name Location and Legal Description Lot__ Street and Number where work is to be State work to be performed and purpo e of building (By Floors) New Building r R.. odeling Addition Repairs Size Septic Tank X: Feet of Drain Tile Amount of Permit $_ The undersigned applicant for th under the Florida Workmen's Compen plied with the provisions thereof, an performed under this permit; and wil required by the Act. The under sig licensed by Miami Shores Village. STATE OF FLORIDA, ss. COUNTY OF DADE. appeared to me well known, and who, being b of the above described construction, therein by him stated are true. NOTE: A re- inspection fee of materials and /or workmanship. APP My Commiss oval of the detailed statement of the plans and specifications herew submitted for the building or other n is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, e of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division lied with, whether herein specified or not. A copy of approved plans and specifications must be kept at performed —No /l11 Nature of Water Supply: City —Well n Expires IAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT ICATION FOR PLUMBING PERMIT Block �– (Signed) Type of Tank _ Dist. Feet of Tank or Drain Field from Well (Signed) _ • /6 G h Q-7` Date_ No. __�T7___�_ /igi Street Subdivision Subdivision telt –'r1-- -- f. , -- --- Notary Public, State of Florida No._ _2rnllSt_ S treet al-re t-44'c No. of Stories Master Plumber. Capacity Gals._______ 4_7? ___— _______ ____ Size of Soakage Pit Plumbing I nspecto r. s building permit does hereby certify that he understands and accepts his obligations as an employer of labor ation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- will require similar compliance from all contractors or sub - contractors employed by him in the work to be post or cause to be posted for inspection on the site of the work such public notice or notices as are d agrees to employ only such sub - contractors, on work to be performed under this permit, as are Before me, the undersigned au hority, a notary public, duly authorized to administer oaths and take acknowledgments, personally me first duly sworn, upon oath deposes and says that he is the . that he has carefully read the foregoing application, and that he did sign the same, and that all facts $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty