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PLUMBINGRegistered Architect and /or Engineer peared MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. . y Da te....,194 Ownei s Namc and Address ... Nold/_ street_. _ Name and address 01 licensed contractor.... ... Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done . . /l1.�_:._... State work to be done and purpose of building (by floors) _ _ BUILDING INSPECTION DEPARTMENT. Building Inspector .19Ard.d.A4 __...�._._ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $. 7` Ov Zone cubage required plan Cubage • Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 suchpcontract t on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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, tend that all facts therein by him stated grepe. Permit No.._..___._...______ Date Read, Sworn to and Subscribed before me. Disapproved ..... _ �__� , f , Date_- Notary Public, State of Florida (Signed) My Com ion Expires _. PLANNING BOARD DATE Chairman Member Member Member Member ...... _....__._._._. --- ._....._ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. -r i Permit No. G MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r'” Employing Plumber's Name 2240 10t1i __Cfi �_. fit-At-EAR No.. State work to be performed and purpose of building (By Floors)__.___ New Building _._ Remodeling___ -_ —__ -_. Addition_ Date y /V- ° 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 01 .",, "" 4 No._ _— ________________.__________.. Street Registered Architect and /or Engineer A t,rT1C _ _ Street--_ Location and Legal Description Lot____.. ______— ________ —._ — Block_ Subdivision __....._____ Street and Number where work is to be performed —No !� Street Repairs No. of Stories. Size Septic Tank Feet of Drain Tile__ Nature of Water Supply: City —Well. Amount of Permit $ 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 corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. — -- -- — — -- My Commission Expires Type of Tank Capacity Gals t. Feet of Tank or Drain Field from Well _ Size of Soakage Pit (Shed)_ (Signed) Master Plumber. STATE OF FLORIDA, t ss. C.OIJNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.__ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBE W SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST _. CHECK Permit No. G MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r'” Employing Plumber's Name 2240 10t1i __Cfi �_. fit-At-EAR No.. State work to be performed and purpose of building (By Floors)__.___ New Building _._ Remodeling___ -_ —__ -_. Addition_ Date y /V- ° 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 01 .",, "" 4 No._ _— ________________.__________.. Street Registered Architect and /or Engineer A t,rT1C _ _ Street--_ Location and Legal Description Lot____.. ______— ________ —._ — Block_ Subdivision __....._____ Street and Number where work is to be performed —No !� Street Repairs No. of Stories. Size Septic Tank Feet of Drain Tile__ Nature of Water Supply: City —Well. Amount of Permit $ 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 corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. — -- -- — — -- My Commission Expires Type of Tank Capacity Gals t. Feet of Tank or Drain Field from Well _ Size of Soakage Pit (Shed)_ (Signed) Master Plumber. STATE OF FLORIDA, t ss. C.OIJNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.__ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder - Legal Description CO 1 TRABTOR QR BUILDER .. MIAMI SHORES VILLAGE, FLORIDA 9 e/, .'ri 194 PERMIT N2 4266 Work to be performed under this Permi Lot I Bl. Address Of ! ✓ " ,/' ../ Value of 1 Amt. of Building ^'r ,_ & I , Project Permit This per is grante rti to the contra or or builder named above to construct the building or to install the equipment or devic described in the cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performedin compliance'. ' eny plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be . yoked 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 up, n ch this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the or i ces and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the tem or specifications and that "a i s respon- sibility for work done by his agents, servants or employees. DATE Contractor's License No Signed: + f� I CTOR lr— In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with a ofdinances and regulations pertaining thereto and in ict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In -aeee ting pe t ssurrre responsibility for all work done by either myself, my agent, servant or employee. 1 1 ? ... r we�!'.1 BY AUTHORITY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 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 No Street Registered Architect and /or Engineer Employing Plumber's Name 4 , ' No Street Location and Legal Description Lot Block Subdivision ja , t 1 Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building L.. Remodeling Addition Repairs No. of Stories Size Septic Tank / Type of Tank_'_____: Capacity Gals. Feet of Drain Tile / ( Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. 9 - ' (Signed) 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. ( Signed) 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. • � cr 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 HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 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 No Street Registered Architect and /or Engineer Employing Plumber's Name 4 , ' No Street Location and Legal Description Lot Block Subdivision ja , t 1 Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building L.. Remodeling Addition Repairs No. of Stories Size Septic Tank / Type of Tank_'_____: Capacity Gals. Feet of Drain Tile / ( Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. 9 - ' (Signed) 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. ( Signed) 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. • � cr BUILDING ELECTRICAL PLUMBING Owner of Building Architect - CONTRA it OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE : � 18 PERMIT N. 4269 Work to be performed under this Permit `! Contractor's License No • Contractor or Builder ,, - $ Legal Lot Bl. Subdi De§cription' vision Address of r ' . Value of +w7 1 Building • , ►3 v •...a Project 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil be performed in compliance with an plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revo 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 permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the- ordinanc- and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that � assumes r pon- sibility for work done by his agents, servants or employees. Signed. By INSPEC 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 respontbility for all work done by either myself, my agent, servant or employee. Axnt. of Permit BY AUTHORITY 4 le vtuaisioew Permit No Feet of Drain Tile 9 Owner's Name and Address 6e j . r , i -�� ^ i" ' State work to be perforned and purpose of b uilding (By Floors)._ New Building___k Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. Registered Architect and /or Engineer / Employing Plumber's Name {.`_._ ` __.- !� 4.t_ __ _ , Location and Legal Description Lot_ _�_ __f 1 __�__ ,�' �` / Street and Number where work is to be performed -No f Street__ Block _ Subdivision_11 ? Street , t_ j: . �~ r , . _- -�. ; ._- „�.- ..�. -_- _ 1 Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well. Size of Soakage Pit C ; ;''' Plun ' ibing 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 corn- 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. v Amount of Permit $ � - (Signed) J _e ss. No . =I -‘7.! (Signed) ' 7 - 3 My Commission Expires Notary Public, State of Florida vr 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 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 HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Permit No Feet of Drain Tile 9 Owner's Name and Address 6e j . r , i -�� ^ i" ' State work to be perforned and purpose of b uilding (By Floors)._ New Building___k Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. Registered Architect and /or Engineer / Employing Plumber's Name {.`_._ ` __.- !� 4.t_ __ _ , Location and Legal Description Lot_ _�_ __f 1 __�__ ,�' �` / Street and Number where work is to be performed -No f Street__ Block _ Subdivision_11 ? Street , t_ j: . �~ r , . _- -�. ; ._- „�.- ..�. -_- _ 1 Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well. Size of Soakage Pit C ; ;''' Plun ' ibing 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 corn- 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. v Amount of Permit $ � - (Signed) J _e ss. No . =I -‘7.! (Signed) ' 7 - 3 My Commission Expires Notary Public, State of Florida vr 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 necessary by improper notice for inspection, or faulty materials and /or workmanship.