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PLUMBINGPermit No ,7 1_Y 14- Owner's Name and Address , .LBc i u "" No. Registered Architect and /or Engineer Employing )lumber's Name (�-k _ ..., Na, Location and Legal Description Lot. /‘ Block Street and Number where work is to be performed -No Amount of Permit $- ' t MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors)._ New Building - -_ -- -- ...... - -• - -- Remodeling— ... __ Addition. ____ Size Septic Tank_... Type of Tank -- _._ Feet of Drain Tile Dist- Feet of Tank a Drain Field from Well. .._.__ Nature of Water Supply: City-Wells Size of Soakage Pit. (Signed ) - - .t ! . (Signed) Street. Date..._ ...... 3 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 b 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. st7eet, g 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 Permanent Supplement, and IISY com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort. 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, l µ 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 be is the ..- -•-- ---- _ -.... _ _...._._ _.. of the above described construction, that be has carefully read the flooregcing 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 wham a.* mbupeotios Y tssade•oecemary by Improper notice for laspectIon, or faulty materials and/or workmanship. CLOSETS BATH Tubs a NOW[Ra LAVA. TORIES al"" SLOP SINKS LAUNDRY Tugs U RINALe CATCH BASIN FLOOR DRAIN DRINKING FOUMT'N• TOTAL •IXTUR[a / / / CONTR. LAST CHIME SEPTIC TANK SEWER CONN. DRAIN FI[LD SOAKAGE PIT G TRAP SOLAR NEATER Ow. WELL SPRKLR. a SMIM' POOL COPTIC LIST CHECK Permit No ,7 1_Y 14- Owner's Name and Address , .LBc i u "" No. Registered Architect and /or Engineer Employing )lumber's Name (�-k _ ..., Na, Location and Legal Description Lot. /‘ Block Street and Number where work is to be performed -No Amount of Permit $- ' t MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors)._ New Building - -_ -- -- ...... - -• - -- Remodeling— ... __ Addition. ____ Size Septic Tank_... Type of Tank -- _._ Feet of Drain Tile Dist- Feet of Tank a Drain Field from Well. .._.__ Nature of Water Supply: City-Wells Size of Soakage Pit. (Signed ) - - .t ! . (Signed) Street. Date..._ ...... 3 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 b 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. st7eet, g 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 Permanent Supplement, and IISY com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort. 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, l µ 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 be is the ..- -•-- ---- _ -.... _ _...._._ _.. of the above described construction, that be has carefully read the flooregcing 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 wham a.* mbupeotios Y tssade•oecemary by Improper notice for laspectIon, or faulty materials and/or workmanship. Date_ °_ 790 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 y o � fapproved plans and specifications must be ke t at •buildi g Owner's Name and Address A �"L, *) No. I ke / Street 13 Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ing the progress of work. Registered Architect and/or Engineer Qv J i1 c ( - A14 pis' / Plumber's Name /! LoLocation and );� n Lot Street and Number where work is to be performed — No. Street (( / /� l State work to be performed and purpose of building (By Floors) t� e_A% -� 3VO lin Addition Re airs No. of Stories New Building Remodeling p Amount of Permit $ No. Block Street Subdivision ��J,+ /,' I/ Type of Tank Capacity Gals. 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 (Signed) Y 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 complied 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. LC AtitANtJ fur Niar (Signed) v ` 12 , c —CD ki tn./ nj er. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials arid/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA• TORIES SINKS SLOP SINKS . LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNTAINS TOTAL FIXTURES CONTR. LIST • CHECK • SEPTIC . TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G. POOL CONTR. LIST • CHECK Date_ °_ 790 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 y o � fapproved plans and specifications must be ke t at •buildi g Owner's Name and Address A �"L, *) No. I ke / Street 13 Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ing the progress of work. Registered Architect and/or Engineer Qv J i1 c ( - A14 pis' / Plumber's Name /! LoLocation and );� n Lot Street and Number where work is to be performed — No. Street (( / /� l State work to be performed and purpose of building (By Floors) t� e_A% -� 3VO lin Addition Re airs No. of Stories New Building Remodeling p Amount of Permit $ No. Block Street Subdivision ��J,+ /,' I/ Type of Tank Capacity Gals. 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 (Signed) Y 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 complied 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. LC AtitANtJ fur Niar (Signed) v ` 12 , c —CD ki tn./ nj er. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials arid/or workmanship. Property Street Address STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Date of Application (� ` 11 Name of Owner l \ ��� mar � J .ni �- �1 �.Q6�1(�3Telephone Number 5 7 �- Mailing Address of Owner 1 b(z, 'N\.E, 0t� • Owner's Agent - /T Builder Agent's Mailing Address Telephone No � Lot No. Block No. Subdivision Date Subdivided NOTE: IF NOT IN A SUBDIVISION ATTACH A METES AND BOUNDS DESCRIPTION This Application is for: New System Repair V Existing System Type of Establishment -)o� Type of No. Bedrooms Heated or Cooled Area No. Dwelling Sewage Flow Residential (each dwelling unit) (each dwelling unit) Units (Gallons per day) ft ft Exact Directions to Property AUDIT CONTROL NON °, 245 ( HRS-H Form 40f 5, Feb 85 Obsoletes previous editions which may not be used) (Stock Number. 5744 - 001 - 4015 -1) Authority: Chapter 381, FS Chapter 10D -6, FAC Permit Application Number PART I - APPLICATION- TOTAL FLOW = Applicant's Signature Sewage Flow Sewage Flow (Gallons per day) Based On i&ez-4/7)9i Page 1 of 3 STATEOF FLORIDA DEPARTM.EN1OF HEALTH AND''REHABILITATIVE SERVICES ONSITELEWAGE DISPOSAL SYSTENONUCTION AND INSTALLATION ,PERMI Permit Application Number PART II - SITE PLAN AA- Scale: Each block represents 5 feet and 1 inch = 50 feet. q s-Nr. P y HRS -H Form 4015, Feb 85 (Obsoletes previous editions which may not bi used) (Stock Number. 5744-002-4015-6) } Pla Approved By Site Plan submitted by' siGNATURE Not Approved f .tr_/ Notes TITLE Date County Public Unit ALL CHANGES MUST BE APPROVED BY THE COUNTY PUBLIC HEALTH UNIT Page 2 of 3 1 <; QUALITY PLUMBING COMPANY 2415 N. MIAMI AVE. MIAMI. FLORIDA ROY P. WERNTZ Application is hereby made for the approval of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in com- pliance and conformation with the Building Ordinance of the Miami Shores Villu�e, Florida, and all provisions of the Laws of the State of F1'8rida, all Ordinances of Miami Shores Village, and all rules and regulations of the building Department of Miami Shores Village, shall be complied with, whether specified or not. •; ....,,.. OWNER .i Chairman Member Member Secretary Building Inspector BUILDING . PERMI•T RECORD MIAMI SHORES VILLAGE FLORIDA APPLICATION Signed DATE ARCHITECT e /- t -/ CONTRACTOR LOT �� B �C..:� SUBDIVISION � ' `� STREET # /Ij/ NEW - REPAIRS NUMBER OF STORIES ROOF TOTAL COST (/. Building to be used for �''. and no other use. I hereby submit all the plans and specifications for said - building. _ q STATE OF FLORIDA) COUNTY OF DADE Before me, the undersigned authority a notary public, duly authorized to adminis,tp the an to knowledgmentp personally appeared 7 PC to me well known, and who, being by me irst duly sworn, upon oath deposes and says that he is the builder of the above described construction, that he has read the foregoing application, and that he did sign the same, and that facts stated by him are tr}ie. Read, Sworn and Subscribed before me, aLto Notary Public Si ned � � Y (Signed) ) - • t My Commission expires Cubic Feet :/t ®0 Cubic Feet required in this Block i PLIMING BOARD Permit No. Issued to let(1 4., . ",, °1 to Electrical Perm }t No. Plumbing Permit Pao. ii Painting Plastering Lathing Electrical Mason & Concrete Plumbing Roofing Glazing Tile Miscellaneous • LIST OF SUB - CONTRACTORS • MIAMI SHORES VILLAGE. FLA. .APPLICATION FOR DIVISION OF PLUiMBING INSPECTION Address of work: Size of Soakage Pit: Purpose of same: Additional information: 1/, e ve+ 61 r- L{ c it _ pros Date: / ` °� 3' I herewith submit the following application for a permit covering the installation of a Septic Tank Soakage Pit: • Relaying: New: Feet of drain tile: Installed by: Address: (NEW: ` Old: Story: ma Addition: Remodeled: For a (Store: Garage: Apt: Hotel: Office Bldg. (Res: ' Garage wash floor: Taste water from a: Building has: Stores; Offices; Apts; _Hotel Rms; Bedrums Owner or Agent: 't'`- ,P . OR =IL r Address: )4 44, '1 / . % , • e Lot No. C Block No. 2. 3 SUBDIVISION /,'., „d �4 No. of Plumbing Fixtures: /0 Laundry Tubs: / Floor Drains: Nature of water supply: City: Well: Feet Distant from all wells: Type of tank installed: Tank capacity in gallons: Ready for Inspection: Date: ,/ J� 4 �� 9 Time: APPROVED BY: ! CONDEMNED BY: 4%; Remarks: Tel-147 PERMIT NO. /,3/ • 7 1 New Building .. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • 'r r Permit No ._ I fe ' c) Date -- ix _ .._.1 - 70. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address____ _Z kX___ A__M _____--- _____ __.___. No. / .. 4/ ___._ Street-- - Registered Architect and /or ngineer Employing Plumber's Name Location and Legal Description Lot_ Street and Number where work is to be performed —No /( _114€_ Street___ 3S, State work to be performed and purpose of building (By Floors).._- . ---------- _------- _----- _ - -_ -- Bloc Remodeling _ir— ____ Addition.________ Repairs No. of Stories_ Size Septic Tank ----- •- - - - - -- ------------ - - - - -- -Type of Tank_ Feet of Drain Tile._ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ..... _________Size of Soakage Pit Amount of Permit $__ r1rr (Signed)- (Signed) -__ No 42 L c? r .dr Street_4 My Commission Expires Notary Public, State of Florida Capacity Gals. 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. 6 V/44-- Master 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 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 •n= •- scary by improper notice for insp or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TOR IES INKS SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT NG TOTAL FIXTURES CONTR. 1.16T / / CHICK ----- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. L111T CHECK New Building .. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • 'r r Permit No ._ I fe ' c) Date -- ix _ .._.1 - 70. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address____ _Z kX___ A__M _____--- _____ __.___. No. / .. 4/ ___._ Street-- - Registered Architect and /or ngineer Employing Plumber's Name Location and Legal Description Lot_ Street and Number where work is to be performed —No /( _114€_ Street___ 3S, State work to be performed and purpose of building (By Floors).._- . ---------- _------- _----- _ - -_ -- Bloc Remodeling _ir— ____ Addition.________ Repairs No. of Stories_ Size Septic Tank ----- •- - - - - -- ------------ - - - - -- -Type of Tank_ Feet of Drain Tile._ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ..... _________Size of Soakage Pit Amount of Permit $__ r1rr (Signed)- (Signed) -__ No 42 L c? r .dr Street_4 My Commission Expires Notary Public, State of Florida Capacity Gals. 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. 6 V/44-- Master 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 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 •n= •- scary by improper notice for insp or faulty materials and /or workmanship. Permit No 1 ZO� � Date Registered Architect and /or Engineer_ ____�_ Employing Plumbers Name ___h_I'! —L. p _ _ t�) e. Location and Legal Description Lot Street and Number where work is to be performed -No Jb State work to be performed and purpose of building (By Floors)_ _ New Building_ ..... _______ Remodeling —_ -_ Addition__ Size Septic Tank_ -____________— __ —____ __________ -Type of Tank -- -------- _- -- -- - - - - - - -- Feet of Drain Tile______ _______Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City-Well. __ _____________________ _____Size of Soakage Pit Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT B1o4ti (Signed) _ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submf(ted for{he 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.. J� , ,�g Owners Name and Address_I7_!_ __ _ &ifiz A, IC_ No.L �1� L _ _ -- -.. Street.• 9i:�/-:.357 Street _%_ W • S . fr Subdivisio Street. W. Repairs No. of Stories . . . .... .. ...... . . Capacity Gals - Plu ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as mployer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Suppl: nt, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by h m 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) - -- — e 2.. C�l./r / Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared MR. ALBERTuA. ALTARAC Public, State of Florida to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the OWNER 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 him statecl are b, true , �, n.FCn1 " .':1 ". L PLO,. 97 AY 0160 t lY (CM1C.23Slt;'l EE3 1ndic0 MA73. 111, 1074 =union ires NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notic:' for ins " or faulty materials and /er workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS $LOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST I� IV' CHECK -- SEPTIC TANK SEWER COMM. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No 1 ZO� � Date Registered Architect and /or Engineer_ ____�_ Employing Plumbers Name ___h_I'! —L. p _ _ t�) e. Location and Legal Description Lot Street and Number where work is to be performed -No Jb State work to be performed and purpose of building (By Floors)_ _ New Building_ ..... _______ Remodeling —_ -_ Addition__ Size Septic Tank_ -____________— __ —____ __________ -Type of Tank -- -------- _- -- -- - - - - - - -- Feet of Drain Tile______ _______Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City-Well. __ _____________________ _____Size of Soakage Pit Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT B1o4ti (Signed) _ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submf(ted for{he 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.. J� , ,�g Owners Name and Address_I7_!_ __ _ &ifiz A, IC_ No.L �1� L _ _ -- -.. Street.• 9i:�/-:.357 Street _%_ W • S . fr Subdivisio Street. W. Repairs No. of Stories . . . .... .. ...... . . Capacity Gals - Plu ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as mployer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Suppl: nt, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by h m 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) - -- — e 2.. C�l./r / Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared MR. ALBERTuA. ALTARAC Public, State of Florida to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the OWNER 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 him statecl are b, true , �, n.FCn1 " .':1 ". L PLO,. 97 AY 0160 t lY (CM1C.23Slt;'l EE3 1ndic0 MA73. 111, 1074 =union ires NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notic:' for ins " or faulty materials and /er workmanship. Burma Awnircn PL 1 Lot.. ork'` er l reunder GificS Su ncv en Owner. of Building Architect 'contractor or Builder Legal Description. Address of Building • This permit is granted .to contr or builiter..Aatuat o to n• t p6truct the:bilildig br to instal the -bfor in strict complianFe with all ordinances ertaining thereto and the utrdewt ding that the work . drawings, statements or specifications that may b e hen, Submitted to an. pro d by I�he pigmy m .'cip : • time!�•the vtork is not done in compliance' with soh ordinances or if the plans ar c']iknged withou . at o , , granted is the understanding that the contractor p� builder-named ; at$ove ass i. tLe'tespopsib ' fdt a . r•. per'tanpng•to the work covered hereby wheth'r sh&v'n an the plane or draw& or insth• done by his agents, servants or employees. 1 C.,, Sig In consideration of the issuance to the of • . is a r gerform'4the y wrtailhlig thereto in in strict eonforthity With th plank r tats t. p or: In accepting this It 't 1 *ma responsibility fo all wok done tit either, { l ' x. OWNER LOT BLOCK SUBDIVISION / DatL , '. ` .! k .. c7liaml Aorenillage F L 0 A I D A PLUMBING PERMIT ^ WO... ■9 1276 Issued to to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story - building at t` Fixtures Fixtures $ Sewer $ Septic Tank $ / Total $ 1 Village Plumbing Inspector Received Payment by BUILDING ELECTRICAL PLUMBING Owner of Building t Architect Contractor or Builder Legal Lot Description Work to be performed under this Permit ti the issuan trict coufo .� eres CON 'A PERMIT N° 7856 BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. Subdi- vision Address of '"'` Building r � r ems+ This permit is granted to the contract • or builder named above to construct the building or to install the equipment or device described in the appli- cation 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 s)atements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. , Signed: "- , '' . - •.. 2: ,C -, B e'�+•=- ._..," _ INSPECTOR r In a. .f to me of this permit I agree to perform< a work covered hereunder in compliance with all ordinances and regulations pertain tiler and in' ity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shojes ,'iUage.n In ac. pting� , y it I onsibility for all work done by either myself, my agent, servant or employee. "t R tJ Value of Project DATE / ��� - Contractor's t' License No. Amt. of Permit J BY AUTHORITY 194. - OW LOT — 6 7 77 BLOCK SUBDIVISION ,y ,,, oc ‘ iti , r Issued to �lfix / l s .� / . aiami cJhores9lllage F L 0 fl 1 D A _PLUMBING PERMIT ■9 1276 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and . drainage work done in Miami/Shores Village, Florida. For a t'�t.` . , � ( 1 (J story Fixtures Fixtures $ Sewer $ •tic Tank f $ / + Total $ / L, Village Plumbing Inspector Received Payment by OWNER /! ty LOT BLOCK SUBDIVISION 1 _ Issued to .iami cfhores�illage F L O R D A PLUMBING PERMIT N9 1315 re- to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida,. governing plumbing and drainage work done in Miami Shores Village, Florida. For a story !' -'-` `�' • building at / 17 Fixtures t r_ ✓ ''L,2 Fixtures $ ''rt) Sewer $ !'.: •ic Tank $ Total $ Village Plumbing Inspector Received Payment by • e;ki` I herewith submit the following application for a permit covering; the installation of a Septic Tank Soakage Pit: I Relaying: Instal by: �% /// (NEW: Old: Story: Addition: Remodeled: For a (Store: Garage: Apt.: Hotel: Office Bldg: Re *_ Building has: Stores; Offices; Apts.; Hotel Rms;`Bedrms Owner or Agent: Address: LOT NO. G -7 Address of work: No. of Plumbing Fixtures: Nature of water supply: City: Nell: Type of tank installed: TEL ... capacity in illons : Size of Soakage Pit: Purpose of same: Additional information: Ready for Inspection: Date: APPROVED BY: Remarks: PERMIT NO. DADE COUNTY ZONING 41/ICE Form #7.1 DIVISION OF PLUMBING INSPECTION New: (Garage wash floor: Waste water from a: BLOCK NO. V3- SUBDIVISION Laundry,Tubs: Floor Drains: CONDEMNED BY: Date: ���. r_� _ �0ir Feet of drain tile: /, Address: Time: t 'V( Feet distant from all wells: • • CLOSET• BATH Ts SHOWER{ LAVA• TORIES SINK{ SLOP HINK• LAUNDRY Tuns UR INAL{ CATCH e A {IN FLOOR DRINKING DRAIN FOUNT' TOT..L FIITI R[S CONTR. LI•T CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•O POOL CONTR. L I S T . i h— CHICK Penni. Nu. is hereby made for the approval of the detailed statement of the plans and specifications herewith subr.r, . 1 for the building or other ;tructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mi. f Shores Village, Florida, A.,d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic-s of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec fications must be kept at .,wilding during progress of work `.hvnei s Name and Address .cgict. red Architect and /or Engineer :mploying Plumber's Name /AL/ i~t_l- Location and Legal Description Lot Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors) ---- -- ---_ 1,� 7t<( ..... New Building Remodeling Size Septic Tank— -------- •- ••- •------- •---- - - - - -- ...Type of Tank _ Capacity ^ .als..._...... 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, s{. COUNTY OF DADE. Wa_o oc MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT --- -_.._. No. _ — Street. ._A' F 9 3 •7 7,414 -67 c7 d ,i7 p Block /� _1— / : -12 Street Ai �� . - - - -- Addition..._..._ Repairs ..__t No of Stones (Signed)_ Date..._ ..J.:. G - ._a. (Signed Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as en a n;rloym of lobo under the Florida Workinen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent . uP1 lement, and has .rrl i• 1.licd with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him In ' rk c+ bs performed under this permit; and will post or cause to be posted' for inspection on the site of the work s pub'' notice T. no iccr s cu required by the Act. The undersigned agrees to employ only such sub - contractors, on �. k to be . r; ned 'a this , :re til, w . licensed by Miami Shores Village. My Conunission Expires Notary Public, State of Florida Mast a Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, periirrr: ; . ppear u 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 hut all acts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection 1a made by improper notice for inspertlon, tr Null) materials nod /or workmanship. Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all 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. k.^ Owner's Name and Address / 1 ' #_& No. /e 4' 5trt � Registered Architect and /or E eee,, Employing Plumber's Name / �t"t Location and Legal Description Lot. `` .—__— _ .-.._- __-_. Moe& ,. ° Subdivision / — Street and Number where work is to be performed —No / 6 ' Y 6 � Str ee ' ...---- ..-- .•..-- •- .-- . - - - -_. State work to be performed and purpose of building (By Floors) - _. ___..... New Building — .._.-_ Remodeling—__ —_..__ Addition Size Septic Tank_.------ --- ______ -- -- --.Type of Tank__ - - Feet of Drain Tile._- -_ __-- ___Dist. Feet of Tank or Drain Field from Well..._._-• ... — — ___-_-.-.____._.. ... ___________ ..... -.•-- Nature of Water Supply: City— Well .__ -____ ___ __• - -__ -- -•-Size of ge Pit I Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)- (Signed) J /V. /, •/ qI . Repairs No. of Stories Date..._ _.._ . - 2 9 /9'7 Capacity Gals Plumb g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an mployer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supple t, 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 required by the Act. The undersigned agrees to employ only such sub - contractors, work to be pert ed under this permit, as licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. are are STATE OF FLORIDA, I u. 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 be has carefully read the foregoing application, and that be 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 wino such re- inspection is made•neoessary by improper notice for inspection, oe faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SI NKS SLOP SINKS LAUNDRY T U BS URINALS CATCH DRAIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL F IRTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H DEEP WELL 8 . SYSTEM BWIM'G POOL CONTR. LIST CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all 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. k.^ Owner's Name and Address / 1 ' #_& No. /e 4' 5trt � Registered Architect and /or E eee,, Employing Plumber's Name / �t"t Location and Legal Description Lot. `` .—__— _ .-.._- __-_. Moe& ,. ° Subdivision / — Street and Number where work is to be performed —No / 6 ' Y 6 � Str ee ' ...---- ..-- .•..-- •- .-- . - - - -_. State work to be performed and purpose of building (By Floors) - _. ___..... New Building — .._.-_ Remodeling—__ —_..__ Addition Size Septic Tank_.------ --- ______ -- -- --.Type of Tank__ - - Feet of Drain Tile._- -_ __-- ___Dist. Feet of Tank or Drain Field from Well..._._-• ... — — ___-_-.-.____._.. ... ___________ ..... -.•-- Nature of Water Supply: City— Well .__ -____ ___ __• - -__ -- -•-Size of ge Pit I Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)- (Signed) J /V. /, •/ qI . Repairs No. of Stories Date..._ _.._ . - 2 9 /9'7 Capacity Gals Plumb g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an mployer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supple t, 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 required by the Act. The undersigned agrees to employ only such sub - contractors, work to be pert ed under this permit, as licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. are are STATE OF FLORIDA, I u. 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 be has carefully read the foregoing application, and that be 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 wino such re- inspection is made•neoessary by improper notice for inspection, oe faulty materials and /or workmanship. Permit No.. ... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all 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. / / e [ / �— Owner's Name and Address a ___9�Q1 — No._L_E2__ !� ' Street ._ 911_ _...A2 J Registered Architect and /or Employing Plumber's NamdP lz.� El�C ,L�_J1�_ � — . - - - - -- Street ........... Location and Legal Description Lot____ _ �___._.__.____ _ _ / __ / — Block_ Subdivision. Street and Number where work is to be performed —No / b 6 L s_.!'v,___ Street.. 934' ,( State work to be performed and purpose of building (By Floors)__- ___ ...... _.____________._. —____ New Building ____ Remodeling______ — ____.__ Addition________._ Repairs No. of Stories. - Size Septic Tank _ _____.. Type of Tank_ Capacity Gals.. Feet of Drain Till __. ° A1- L- TL-Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well .____. _ _.___._._._._____ __._Size of Soakage Pit Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)-- -.—..(! 1 The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig: ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinan : t S pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors elniy o 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 Date - - - -1 g 1 ---- •------ - - - - - Plumbing Inspector. R BILL r ` Plumber. �fJ(/ STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and/or worlmtanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. tier CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIFT -- CHECK Permit No.. ... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all 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. / / e [ / �— Owner's Name and Address a ___9�Q1 — No._L_E2__ !� ' Street ._ 911_ _...A2 J Registered Architect and /or Employing Plumber's NamdP lz.� El�C ,L�_J1�_ � — . - - - - -- Street ........... Location and Legal Description Lot____ _ �___._.__.____ _ _ / __ / — Block_ Subdivision. Street and Number where work is to be performed —No / b 6 L s_.!'v,___ Street.. 934' ,( State work to be performed and purpose of building (By Floors)__- ___ ...... _.____________._. —____ New Building ____ Remodeling______ — ____.__ Addition________._ Repairs No. of Stories. - Size Septic Tank _ _____.. Type of Tank_ Capacity Gals.. Feet of Drain Till __. ° A1- L- TL-Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well .____. _ _.___._._._._____ __._Size of Soakage Pit Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)-- -.—..(! 1 The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig: ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinan : t S pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors elniy o 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 Date - - - -1 g 1 ---- •------ - - - - - Plumbing Inspector. R BILL r ` Plumber. �fJ(/ STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and/or worlmtanship. ..ilf \ Passed s • - r ments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until %rte �Rrd • \ Kati Project: <NONE> .4 Inspection Date: 06/29/2006 Inspector: Levrack, James Wednesday, June 28, 2006 Owner: \ AUFHOLD, WILLIAM Job Address: 6 6 93 Street Miami Shores Village, FL Contractor: THE NEW MIAMI SHORES PLUMBING Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 JUL Block: Phone Number Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Parcel Number 1132060133090 Lot: Phone: 786 -553 -5424 Page 2 of 2 Date 06/15/2006 Permit Receipt Permit Number: PL -6 -06 -1524 Invoice Number: PL -6 -06 -25155 Applicant: WILLIAM KAUFHOLD Company Name: Payment Type CheckNum Check CCNS Amount $179.65 Total Payment: $179.65 Thursday, June 15, 2006 Page 1 of 1 BUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name Miami Shores Village Contractor's Company Name ! / 1 i f 1l Shoze, Contractor's Address _ 1 City alvv State Qualifier •(.h.J�S $ Value of Work For this Permit Type of Work: ❑Addition ❑Alteration N Total Fee Now Due $ (Continued on opposite side) Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No LS Owner's Name (Fee Simple Titleholder) Owne 's Address B Permit Type (circle): Building i Ellectri al Plumbin Mechanical Roofing Q Phone # City j4 t � /u � �4�' State Zip fJ Yi Job Address (where the work is being done) ( kl& 9a— 6t City Miami Shores Village County Miami -Dade Zip t, ..) Is Building Historically Designated YES NO hi\e,Low 9 Liu L State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: New ❑ Repair/Replace ❑ Demolition Describe Work: T Cs>!„d * * * * * * * * * * * * * * * * * * ** * * ** *Fee * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ 7 fO CCF $ !� 4 CO /CC Notary $ Training/Education Fe $ .4C) Technology Fee $ 4 2E Scanning $ • 00 ' Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ JUN. 5 PAID Phone # / Rhone # ster Permit No. Zip �'4 '/ L0- Z c(4 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: 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. "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 not be approved and a reinspection fee will be charged. 1, Signature '` '�� 1, Owner or Agent The foregoing instrument was acknowledged before me this / oft , 20 (6, by who is personally known to me or who has produced l• • NO Si Prim My Commissio * * * * * * * * * * ** Chc 05/13/03 A * ** n and who did take an oath. AR it ' &t . _,�, missonF�ire5Mar '* ‘ Commission # DD ,,,,,,,• Bonded By National Notary Assn. e ificati * Signature NOTARY Si Print: My C Contractor The foregoing instrument was acknowledged before me this / day of June , 20 0, by T°. IIS M���G(L]Illl{� who is personally known to me or who has produced .! • or •a • Commission Mar16,2008 ommiss on # DD268491 iiilsjki B3cpatesi:By Notary Assn. as identif . ho did take an oath. ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * ** ` * * * * * ** * * * * * * * * * * * * * * ** ******* * ** * * * * * * * * * * * * *** * * * * * * * * * * * ** APPLICATION APPROVED BY: � �_, �` �L/ v `° "Frus Examiner VIINIAa - Engineer Zoning * * * * * * ** AN ATPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. ) • ''• 'COL PIPINC) .AS RAGE ETER SET (GAS) .As PIPIN? PLUMBING LDOR GRAIN GREASE TRAP 1 UTERCEP LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 COW. SINK, RESIDENCE SINK: SLOP TEM'ORARY WATER CLOSET UR INAL RATER CLOSET INDIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST HEATER - REPLACE LAWN SPRINKLER -WELL SWIMdING POOL WATER .SERVICE SEWER CONNECTIONS UTILITY -SEWER UTILITY -WATER SEPTIC TANK RELAY DRAINFIELD, 4' TILE/RES. P111P b ABANDON SEPTIC TANK SOAKAGE PIT CU. FT. CATCH BASIN • D ISCHARGE ELL DOMESTIC WELL AREA GRAIN 100E IHLET ;OLAR WATER HEATER IRE STAMP IPE UNIT FEE ITEM( SWITCH OUTLETS L IC TT OUTLETS RECEPTACLES SERVICE TERNARY SERVICE SIZE IN AY'S SERVICE REPAIR/1TER CHANGE APPLIANCE CUTLETS RANGE TCP OVEN WATER HEATER MJTCRS 0- 1 FP IATCRS OVER 1- 3 FP M]TCRS OVER 3- 5 FP MOTORS OVER 5- 8 FP orCRS OVER 8- 10 FP M)TCRS OVER 10- 25 FP kOTCRS OVER 25-103 FP M)TCRS OVER 100 FP AIR CDC ITIONERS STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMMERCIAL SIGN TIRES •. SIGN TRANSFORMERS SIGN T CLOCK F I XTT,RES ANTEFUTA TELEVISION OUTLETS VIOLATION REIFSPECTION UNIT FEE ITN SPACE HEATERS A/C W I FDOW J UNIT CENTRAL HEAT INS A/C (WIND) A/C (CENTRAL) DUCT YORK REFRIGERATION PROCESS AND PRESS PIPIIC UFDERGROUND TANKS ABOVE GROUND TANKS U .F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS IECHANICAL VENTILATION TRANSPORTING ASSEIrBLIES ELEVATORS/ESCALATORS FIRE • SPRINKLER SYSTEI.15 . COOLING TOWERS VIOLATION RE I,NSPECTJON FEE ITEM 3AIH TLB 31DET 1ISNWASHER )ISPOSAL )R INKING FOUNTAIN .AWN SPRINKLER SYSTEk -1) sip rc ELECTRICAL MECHANICAL Issue Date: 6/9/2006 Owner's Name: WILLIAM KAUFHOLD Permit Type: Plumbing - Residential Work Classification: Addition /Alteration Job Address: 166 93 Street Comments: REPLACE SANITARY LINES CROWL SPACE INTO SEPTIC RTANK Additional Information Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 12/02/2006 Contractor(s) Phone THE NEW MIAMI SHORES PLUMBIt' 786 - 553 -5424 Primary Contractor Yes Type of Work: Additional Info: Classification: Residential Type of Piping: Bond Return : 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL -6 -06 -1524 Phone: 1132060133090 Lot: PB: Total Square Feet: 0 Total Valuation: $ 2,200.00 Required Inspections Underground Rough Water Main Top Out Main Drain Lavatory Water Service Re Pipe Heater Final Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $1.80 $0.60 $170.00 $3.00 $4.25 $179.65 Invoice Number Amt Due PL - 6 - 06 - 25155 $179.65 Total: CO dS JUN 1 5 PM Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.