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390 NE 93 St (8)PERMIT APPLICATION ION FOR MIAMI SHORES VILLAGE Date I/ q4JobAress 390 L ( q 3 J' Tax Folio // 3 ? V (e3 0 /3 50 3 /0 d ) 4 L 7 Legal 'pfi� � r / t a , � �/ � �( Historically Designated: Yes No _ a- Owner/Lessee / Tenan t /9 U i 6 //l , /XI t1J Master Permit # .d• - `PC Owner's Address se? O /JC 9 3 57, Phone Contracting Co. 73 45 Sr 7 -F .i' n/ 1JL Address /0 c7-0 /fie 130 ✓ Y 4 " At; Qualifier s �j t,/'LpL (/ f Rrl., �/JQ , 3 V State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIP'T'ION CO 411 - P J `' ,2 774 J I".s.7 d`/ii; Square Ft. Signa Not to Owner and/or My Commission Expires: 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 AF t I cert that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regula ' g . s do and g. Furthermore, I authorize the above -named contractor to do the work stated. ndo 1 NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1 u� resident 33 ” - o D dd�1� FEES: PERMIT 3S' RADON C.C.F. • 2-° NOTARY BOND 3 0 APPROVED: Zoning Mechanical Plumbing Awe, Signature of Contractor or Owner- Builder Building /, Electrical Estimated Cost (value) /52 Notary as to Contractor or Owner - Builder Date My Commission Expires: TOTAL DUE Date Engineering • . • Scale: Each block represents 5 feet and 1 inch = 50 feet. Notes: By STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number Site Plan submitted by: Plan Approved DH 4015, 10/96 (Replaces HRS-H Forrn 4015 which may be used) (Stock Nunter: 5744 -002- 4015.6) �I> 54J eS ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT PART II - SITE PLAN 7 44/X- .40z.; , Tide Si cure Not Approved Date,T—o a 7 County Health Department Page 2 of 3 0 T H E R APPROVED BY: DATE ISSUED: STATE OF FLORIDA PERMIT # 77/<- 166S TEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES DATE PAID - 2.-` ONSITE SEWAGE DISPOSAL SYSTEM FEE PAID $ 7 f —"/Z) CONSTRUCTION PERMIT RECEIPT # Authority: Chapter 381, FS & Chapter 10D -6, FAC • , 1s ,e1 STRUCTION PERMIT /OR: CONSTRUCTION New System [ ] Existing System , Holding Tank Y Temporary /Experimental ] Repair [ Abandonment [d'] � 1 Other(Specify) APPLICANT~_ AGENT: r , / PROPERTY STREET ADDRESS: -n ��a"? t_ LOT: / BLOCK: SUBDIVISION: PROPERTY ID #::3 [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] 20 U ` of 0 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS ` z:- k;XPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY y'ERFORMAtCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. SYSTEM DESIGN AND SPECIFICATIONS .:= T OJt [GALLONS / EPTI_C /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] A [ ] [G / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K [ J GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] D [2 ] QUARE FEET PRIMARY DRAINFIELD SY$ R [ ] SQUARE FEET A TYPE SYSTEM: I CONFIGURATION: N _ F LOCATION OF BENCHMARK: /0 Al G e -h I ELEVATION OF PROPOSED SYSTEM SITE [1 C, ] [INCHE FT`] [AB E BOTTOM OF DRAINFIELD TO BE [ 142_ w q!!!!!! !/FT] [ABO L D FILL REQUIRED: [ ] INCHES ':54' L V : f - 2— SYSTEM V � [ ] STANDARD [ ] FILLED [ ] TRENCH [4 Fes' EXCAVATION REQU pir: (3C.10] INCHES SPECIFICATIONS BY: TITLE: T 'TLE HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744 - 001 - 4016 -0) C UP- DEC O DD EPCQEMJECT4 [ ] MOUND [ ] [ Q4.1; 3-32/, /BEL 1 _BEN CH OP - FERE- 12'E"`V11/ 1 BELL] BENCHM POINT "7 _ / p CPHU EXPIRATION DATE: �/ /®— is z Page 1 of 2 ENSTRUC r IONS: PERMIT NUMBER: Permit tracking number assigned by CPHU. APPLICATION ION FOR: Check type of permit, if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: Property owner's legally authorized representative. MAILIN. ADDRESS: P.O. box or street mailing address for applicant or agent. SYSTEM DESIGN AND SPECIFICATIONS: e LOT, BLOCK, SUBDIVISION or PROPERTY ID//: 27 character id number for property. (CPHU may require property appraiser ID tl or section /township /range /parcel number) TANK: Minimum specifications from Chapter 1OD -6, FAC. DRAINFIELD: Minimum specifications from Chapter 10D -6, FAC. OTHER: Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be scaled. APPROVED BY: County Public Health Unit (CPHU) personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by CPHU. EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued. t PERMIT APPLICATION s t ON FOR MIAMI SHORES VILLAGE Date I t - qg Job Address � �� NE e ��3 Tax Folio 6 l 3)-0& - 0(3 - 3/ o Legal Description t36b 11OVA { A v q 3 s Owner/Lessee / Tenant Owner's Address Contracting Co. v 00 Qualifier Mi t fi' ttsi'4 11 to l/11 State # Municipal # Architect/Engineer Bonding Company and/or C President • OWNER'S laws regul Signature of o Notary as to Owner and/or Condo President Date My Commission Expires: '^ Michael Mott ,•, _ MY COMMISSION if 0563199 EXPIRES a May 7 2000 TNR ,th BONDED U MI FAIN INMJRANCE, pIC FEES: PERMIT RADON APPROVED: Zoning Building Mechanical Plumbing Historically Designated: Yes No Master Permit # Phone Phone 3 a-S ' (cq 9— g9-00 Competency # 97 POO 0 9g. Co. //Cm /` G/ Address Address Mortgagor Address Permit Type (circle one): WORK DESCRIPTION BUILDING ELECTRICAL LUMBING ECHANICAL ROOFING PAVING FENCE SIGN Jr044 4I 1 tee- a A v$o,a=Ee Square Ft. ( ) (-100 -5?-6 Estimated Cost value Address . it O t O /V 7 P i f c g c a 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. VIT: I ce that all the foregoing information is accurate and that all work will be done in compliance with all applicable onstruction . • .•ning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of Co i ' actor or Owner - Builder Electrical Date Notary as to Contractor .r Owner -B My Commisai ;o>3;vit'ss,w.:,,::r:;>>;)m»' i j� ; ;a °'•'° . • Naomi M. Vasquez >4 ' •' Notary Public, State of Florida ? ; Commission No. CC 655580 i ''••°"•'•°•' My Commission Exp.06 /15/2001; : Bondal Through Fla. !Mary Service & Bonding Co. r, ''.cttcCKCC� ; cCCCaC ;;c�.Ca:<cC <cc;;Cttac«c<cc <l C.C.F. t cC NOTARY BOND / C7 TOTAL DUE, ( ol7c 10 Engineering Ph: (305) 690 -9200 SILL 110 Aoonsss: CITY PHONE NEE. IOS NAME AND LOCATION DESCRIPTION OF WORK iuANTITY MONKS 1 MECHANIC No INVENTORY NUMBER 111111111 111111111 I1 1 1111111111 1 1 1 1 I I 1 1 1 11111 11111 11111 11111 111 1111111 OATS: FROM REPAIRMAN'S (PONT N cArzziLican Atigation eo., �.u. P.O. Box 69 -4345 Miami, FI. 33269 -1345 ACKNOWLSDOS THE SATIS FACTORY COMPLETION OF THE ASOV( DESCRIStD WORK. SIGNATURE DESCRIPTION OF MATERIAL USED AMOUNT PNON( OFFICE DATE PROMISED ❑ A.M. ❑ P.M JOB WORK ORDER N9 MATERIAL LASON SALES TAN ESTIMATED PRICE PRICE PREVIOUS MATERIAL PREVIOUS LASON , TOTAL MATERIAL TOTAL LABOR SUB TOTAL TOTAL AMOUNT WI 11 4 48—ricAci 3Cv O (v-binlony 90g jip ;5 _OM locta at-l • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date/t2 - 93 Job Address , ?9 V /I/' �, Legal Description �� a� `7 7 . ?, (Uu4 3 70 "►'L= 73 s� Co. /O ,41 (' ,4 ' /L. / Address Master Permit Phone 7.-r /SO et 2./eta_ioa i) )4( , Phone .07 3e �a 3e-367) 3 State ifrele-4Z 3 Municipal # Competency # Ins.Co. 0 .-� Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION Owner // / Tenant Owner's Address Contracting Qualifie .2/421, ,4 //s Square Ft. Estimated Cost(value) 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 authoriz e-name. • ontractor to do the work s ../Z1 A ondo President Signa r /��• e and Date: F S/ i / ' 41" 49. 4?.. JOSEPHINE OM, N . 'ary :s to Owner r ' / M' Commission Expir ** * FEES: PERMIT 0 op V RADON APPROVED: Tax Folio // •304 /3 dj // Notary as to Contracto r 35 S v 3, C(-• C. 4/Lib 4 312, Sre7,.}ege f Contractor or Owner-Builder Q.GCenR -- or Owner- Builder • My Commission Expires: OFFICIAL NOTARY SEAL FELICIA SACCONE * * * * * * * * * OTARY1UBLIC SIATE OF fLORIDA t ** COMMISSION O. CC1115448 I! MY C • MISSION EXP. MAR. 9,1996 Q� C . C . P P . f eV NOTAR r / . TOTAL DUE Fire Other Zoning Building / 2 - 4 " 9 3(, Mechanical Plumbing �l Engineering Electrical ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET _ OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN MPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY cg-- PP OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS ' CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS i SHOWER AZ_. fiNdni MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION ' SINK, RESIDENCE MOTORS OVER 5- 8 HP • TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET 1 0 G MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: 1J/ AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKL GENERATORS TRANSFORMERS HEATER -NEW NST. 1100 GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL 1 DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Date S2. Job Address "n3 P £ c't3 Si- Tax Folio/ 10206 le A? lot Legal Owner's Address i� 6 •r-r� - < 4 1 0 PE; 93 Phone Contracting Co. -D o o dnJQ c c_ V Address ( (o 1` N Zc7 Qualifier " � Jr�! Phone 1 °- iZ3 ,S - mac State #'28- Municipal # Competency # 1 Ins .Co .14 _, Architect /Engineer /-" t Address Bonding Company N 4,. Address Mortgagor A dress Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIG1 WORK DESCRIPTION 73)/7, `€ &4-I( Square Ft. Estimated Cost(value) D° WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENT TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUE NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an on the attached addendum (if applicable). I certify that all work will be performed!to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat. permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFI be done in c authorize h ignature of owner and /or, Condo President Date' rte' • ry T o c My Cow s 1?:1, ** * APPROVED: Description / cf" c 4 1 0,7 7 112, j / p7/ p Lessee / Tenant k i vH t" Master Permit # FEES: PERMIT 3 ' " PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) VIT: I certify that all the foregoing information is accurate and that all work wil. pliance w' h all applicable laws regulating c. uction And zoning. Furthe rmore, above •s: ed contractor to do the work stat` AWRikgfitib President i k.LLY C. COWINS nl y C mmisslon Expires Jan. 21, 1996 psi •• Comm. No. CC 171522 * * Fire Building Mechanical Plumbin Zoning ' - 1S 7 2s� otar :, . ' c pntrBEEP6i ner- Builder My Covni`j -_g ` k 7 ±; + , ... Jan. 21, 1996 * * * * '\ %Ft•. *omm. N CC 17 *522 RADON C.C.F. . 5 29 NOTARY TOTAL DUE (1 0,5' pir * •*. * Other Electrical 1 q/ STA OF i FLORIDA► DEPARTMENT OF HEALTH AND REHABILITATIVE `SERVj • • APPLICATION ;FORsiONSITE SE GE DISPOSAL SYBTEM- CONSTRIICTI O N ::Repair :r J Experimentn`1 System a nk ;Abandonment^. rY (Specify) � [ :Othe PERMITS EXPIRE` ONE s _ �. YEAR FROM DATE : OF. ISSUANCE : 'AND ARE NOT f ;• Nb'tIOLUING ,TANK PERMLTS E XPTREA9p 4 N OT IO D INTEE A SAT25FA I TS E p DAYS .FROM , DA F` ISSUANCE R ENEWABLE _""' `° � • TO REPAIR PERMI BE COMPLETED BY` APLICA CErOR S APPROVAL N FF A1'PEC TE IF O I C 'PERIOD OF TIME OFrA- SYSTE Ow ner J�vF�: P .• .` _) i1 . .,• :F r .. ...:.i '4' • _ _ 'k' !E ! rw elephone ne "r's :1 • e.nt's,- Meiling Address operty" tree t Add • Exa ct�Directions to Property: - ------------ ------ - ------- Lot. Block N Subdivision Section: Township ▪ Propert y Size. esignat :Water Su pply Private Is Sanitary Sewer Available: Is Public Water Available: -- - -- --- - -- - Unit Date, —• ___ - -- - .. 7. Subdivided - Range D Parcel •N :. Zoning ' - . 9 ion. Square Feet /Acres Hours = of Operation • Pproximatethe- distance to the "sewe`r line closest';to;.your..propert approximate :the distance to the , water "line closegt to•: property _ BUILDING INFORMATION k 4 Y ;Garbage 'Grinders /Disposals .r Ultra low Vvlem Spas /Hot Tu ;F l oo r /E i e Flush Toilets Oth P Drams BUILDING PLANS MUST BE. PE er - , ATTACHED ' SHOWING OFFICES, OMS DEDROR FEN M S : :BE,A T ? r ;;SURVEY; DRAWN TO SCALE 'MU Y CH F A C.' ITTAL BUILDING ED 'SITE P ANy F A RO - IN T YDbI ENS A • DETAILED p oC AND/OR: I SAND PERTINENT FEATURES ;REQUIRED :TO BE.'SUBMITTED CHAPTER MENSION _ ' B :A.C.. G L OCATIO N S / PER CH A P TER .0 l OD G 6 F.: A. C.: gn.7Lure. 1x MIAMI SHORES .VILLAGE, FLA. • APPLICATION FOR SEPTIC TANK PERMIT DIVISION OF PI.UMBIAIINSPECTION Date: 7 J6 / �� I herewith submit the following application fora permit covering the installation of a Septic Tank • Soakage Pit: Feet of drain tile: Installed by: Address: 1 f 2; , 7 (NEW: f � Old: 2 =Story: Addition: Remodeled: 1/ For a (Store: Garage: Apt: Hotel: Office Bldg. (Res: Garage wash floor: Waste water from a: Building has: Stores; Offices; Bedrums�- Owner or Agent: Lot No. Address of' work: No. of Plumbing Fixtures: gallons: (2(9 Size of Soakage Pit: Additional information: PERMIT NO. • Ready for Inspection: Date: APPROVED BY: 7- Le Remarks: ho r1 ¢A/-4-y (/. . Address: , / , 2 Block No. 4/ SUBDIVISION / I 1 Relaying: Nature of water supply: City: wells: Type of tank installed: Laundry Tubs: Floor Drains: Well :, Feet Distant from all Tank capacity in Purpose of same: CONDEMNED BY: Apts; Hotel Rms; Time: le";444/ New: OWNER LOT BLOCK SUBDIVISION For a story Fixtures Fixtures Sewer •tic Tank Total aiami cShores F L O R ID A P ,.NUMBING PERMIT; N9 _1232 building at 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. / � / yf`' ( Y ste � $ $ Village Plumbing Inspector Received Payment by BUILDING ELECTRICAL PLUMBING Owner of Building ` Architect Contractor or Builder - - Legal Lot Bl. Description Address of Building ' f MIAMI SHORES VILLAGE, FLORIDA DATE + 194.. PERMIT N9 2521 Work to be performed under this Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be 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. .." � j Signed 1% `'Z./ t t By 40 '. 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 regula- tions 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. CONTRACTOR OR BUILDER Subdi- vision Value of Project Contractor's License No Amt. of Permit BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building r/ j'- CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA (' DATE = ) "` f - 194L PERMIT N9 2509 Work to be performed under this Permit Architect Contractor or Builder Legal Lot Bl. Description Address of -7 [ / L" f Building , � " This permit is granted to the contract ot or builder an ed 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 car 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 regula- tions 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. Subdi- vision Value of Project Contractor's License No Amt. of 3 Permit BY AUTHORITY )ING TRICAL ,BI NG MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N?': 4178 Work to be performed under this Permit ,iI of Aiding Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building ti ~00•• Project Permit / _� This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device ed scribed 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 statements or specifications and that he assumes respon- sibility 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. Contractor's License No. CONTRACTOR OR BUILDER BY AUTHORITY 194_4 TOTAL OUTLETS 1 CEILING BRACKET RECEPTACLE / SWITCH STOVE RECEPTACLE WATER HEATER OUTLET SIGN OUTLET SERVICE a g AMP. .1 f FORM 69 (REV.) I hereby make application for an electrical permit to install or change electrical wiring in or on the premises described below, and I agree to comply with all the rules and regulations governing electrical installations in the City of Miami. LEGAL DESCRIPTION: Lot Block Subdivision Address Building Occupied as: New Construction Old Structure ROUGH WIRING SERVICE MAIN SWITCH SIZE SERVICE WIRES SIZE SERVICE CONDUIT NO. CIRCUITS EQUIPMENT For SPACEHEATER SPECIAL POW A R HEAT WIRING FOR: FIXTURES TOTAL LIGHTS Master Electrician a 3 St Owner WATER HEATER CONNECTION CEILING L. ROUGH WIRING DEPARTMENT OF PUBLIC SERVICE ORMOICIMMI. FLORIDA ELECTRICAL INSPECTION DIVISION /M /A're SHo es • Occupant REMARKS SIGN TRANSFORMERS BRACKET Additional Work AMPERAGE STREAMER EQUIPMENT NO. A DATE SAS/S4 MOTORS (LIST AND GIVE H. P. OF EACH MOTOR) VOLTAGE PHASE DISPLAY CASE Phone PR'+ ° 0‘O Address 0 35b rt.t &r' Inspection Date hh, INSPECTION REPORT Application Received Fee Paid FIXTURES Final OK No OK for Inspector Phone 64251 • acp LEO ROSSELLE PLUMBING, /We 2155 N.W. 54th Street MIAMI 42, FLORIDA 7 ir 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. \� Owner's Name and Address - .s r' � Registered Architect and /or Engineer_______ — �___ �►_ Employing Plumber's Name A No. Location and Legal Description Lot_ Bloc Street and Number where work is to be performed—No State work to be performe8 and purpose of building (By Floors ) _ New Building_ Size Septic Tank Feet of Drain Tile__ Nature of Water Supply: City —Well -------- - - - - -- - - -- av Amount of Permit $__ ___� STATE OF FLORIDA, COUNTY OF DADE. J Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Type of Tank__ _ Capacity Gals __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Date No._r-_ -- - --- -____— Street ( Signed) __ Street �_.- -_ Subdivision Street_ Addition__ Repairs No. of Stories. ( Signed )- '� ->r=! = =='�' t1 �1�.*s�� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he ciir►derstands and accepts hls 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. 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 SI SINKS SLOP SINKS LAUNDRY TUeB U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL COMM. LIST CHECK ( ‘5 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. \� Owner's Name and Address - .s r' � Registered Architect and /or Engineer_______ — �___ �►_ Employing Plumber's Name A No. Location and Legal Description Lot_ Bloc Street and Number where work is to be performed—No State work to be performe8 and purpose of building (By Floors ) _ New Building_ Size Septic Tank Feet of Drain Tile__ Nature of Water Supply: City —Well -------- - - - - -- - - -- av Amount of Permit $__ ___� STATE OF FLORIDA, COUNTY OF DADE. J Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Type of Tank__ _ Capacity Gals __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Date No._r-_ -- - --- -____— Street ( Signed) __ Street �_.- -_ Subdivision Street_ Addition__ Repairs No. of Stories. ( Signed )- '� ->r=! = =='�' t1 �1�.*s�� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he ciir►derstands and accepts hls 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. 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. Permit-, o . Size Septic Tank Type of Tank prccEst • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ (Signed) w Date A UDIS 20 : __ 1941 My Commission Expires Notary Public, State of Florida 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 __ !hai _: lQr $n No Street Registered Architect and /or Engineer Employing Plumber's Name i krlr >�--- :.:��--- T.a::`=,.�c__�u�_ No >�7U__aL: street27t..h Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 390 N • 1 ' • street __95rd __ 't • • State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Capacity Gals. No. of Stories-_____________ 500 Feet of Drain Tile 75 tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. City Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) �� _„t '1�4�- 1�...► Master Plumber. STATE OF FLORIDA, ss. 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 H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK XX !►X Permit-, o . Size Septic Tank Type of Tank prccEst • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ (Signed) w Date A UDIS 20 : __ 1941 My Commission Expires Notary Public, State of Florida 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 __ !hai _: lQr $n No Street Registered Architect and /or Engineer Employing Plumber's Name i krlr >�--- :.:��--- T.a::`=,.�c__�u�_ No >�7U__aL: street27t..h Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 390 N • 1 ' • street __95rd __ 't • • State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Capacity Gals. No. of Stories-_____________ 500 Feet of Drain Tile 75 tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. City Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) �� _„t '1�4�- 1�...► Master Plumber. STATE OF FLORIDA, ss. 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. Permit No. Size Septic Tank —. Feet of Drain Tile__ Amount of Permit MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT 4 Date Nature of Water Supply: City — Well... My Commission Expires PLUMBING INSPECTION DEPARTMENT __ (Signed) _ (Signed) #...,1 b'r' — G • tot.:„ Notary Public. State of Florida 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 04.0 J4 Registered Architect and /or Engineer ` Employing Plumber's Name lie .0 :.er... •f .. No../ '',1t -% Street / _yf `! _ Location and Legal Description Street and Number where work is to be performed —No ✓ __ Streeti4 � � __.ilea4■ __ State work to be performed and purpose of building (By Floors) New Buildin g __ • _ Remodeling Addition l/' Repairs __________ Subdivision___ _______ _________ No. of Stories_ Type of Tank Capacity Gals.___________ —__ —__ Dist. Feet of Tank or Drain Field from Well_ Size of Soakage Pit. ----- - - --- -- - - - - - - -- - -- -- – – – – — - - - -_ -- �»•v s Plumbin spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an ployer 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 under signed agrees 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, 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 SWIM'G POOL CONTR. LIST CHECK Permit No. Size Septic Tank —. Feet of Drain Tile__ Amount of Permit MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT 4 Date Nature of Water Supply: City — Well... My Commission Expires PLUMBING INSPECTION DEPARTMENT __ (Signed) _ (Signed) #...,1 b'r' — G • tot.:„ Notary Public. State of Florida 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 04.0 J4 Registered Architect and /or Engineer ` Employing Plumber's Name lie .0 :.er... •f .. No../ '',1t -% Street / _yf `! _ Location and Legal Description Street and Number where work is to be performed —No ✓ __ Streeti4 � � __.ilea4■ __ State work to be performed and purpose of building (By Floors) New Buildin g __ • _ Remodeling Addition l/' Repairs __________ Subdivision___ _______ _________ No. of Stories_ Type of Tank Capacity Gals.___________ —__ —__ Dist. Feet of Tank or Drain Field from Well_ Size of Soakage Pit. ----- - - --- -- - - - - - - -- - -- -- – – – – — - - - -_ -- �»•v s Plumbin spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an ployer 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 under signed agrees 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, 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. JOB: ,d44,„,)frc BUILDING ELECTRICAL ; PLUT.4BING Inspector's Report: / / •• • WORK • DONE BY: REQUESTE.. • " �� <)? - 2 —, _ • • • • • The following is ready for Inspection: • : WILL BE READY : • • • • • • • %�. %� l� �r. • • -�Ji JOB: BUILDING ELECTRICAL • PLUMBING • • Inspector's Report: 2 • WORK : DONE BY: • • ' The following is ready for Inspection: AD: REQUESTED • L'' 7 • .,/ ' . ' : • • • • • • • • • • . . • • • ap • • WO ) • : WILL BE READYe '•■■ . r • 2 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. y� Owner's Name and Address ' Let ANo Q Street_ Registered Architect and /or Engineer Employing Plumber's Name Feet of Drain Tile_ Nature of Water Supply: City — Well._ STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, ei MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT I6 Location and Legal Description Block Street and Number where work is to be performed —No 4___ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Size Septic Tank____—_ ___--_ ________ __________ Type of Tank The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966. plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. the undersigned authority, a notary public, duly My Commission Expires No./.9/e) (Signed) Repairs Date Subdivision_° _Capacity Gals.__— _______ -- Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit _____ –_____ -- ___________ – – – – - - - -- — – - -- – -- Amount of Permit (Signed) _...' Plumbin: spector. rtify that he understands and accepts his obligations as an ployer of labor Compiled General Laws of Florida Permanent Suppl ent, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Notary Public. State of Florida No. of Stories . tom "` 6 ltd , a. t Master Plumber. 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 / 1 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 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. y� Owner's Name and Address ' Let ANo Q Street_ Registered Architect and /or Engineer Employing Plumber's Name Feet of Drain Tile_ Nature of Water Supply: City — Well._ STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, ei MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT I6 Location and Legal Description Block Street and Number where work is to be performed —No 4___ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Size Septic Tank____—_ ___--_ ________ __________ Type of Tank The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966. plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. the undersigned authority, a notary public, duly My Commission Expires No./.9/e) (Signed) Repairs Date Subdivision_° _Capacity Gals.__— _______ -- Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit _____ –_____ -- ___________ – – – – - - - -- — – - -- – -- Amount of Permit (Signed) _...' Plumbin: spector. rtify that he understands and accepts his obligations as an ployer of labor Compiled General Laws of Florida Permanent Suppl ent, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Notary Public. State of Florida No. of Stories . tom "` 6 ltd , a. t Master Plumber. authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. .___ / ( v APPLICATION FOR PLUMBING PERMIT Amount of Permit $ 1. ->LQ0 (Signed) ss. MIAMI SHt1RE,S VILLAGE PLUMBING INSPECTION DEPARTMENT (Signed) • ( irate August 20, 1941 Application is hereby made for the approval of the detailed statement of the 'p–ens 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 mplied 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 __Chaz_.____Li r_gaf No Street Registered Architect and /or Engineer Employing Plumber's Name A .cme.__ P n .6 1 a _Tank___c_a. No 570_5___a. ___ _. Street 27th ASL_e_.. IP ' Locar;on and Legal Description Lot Block Subdivision______ Street and Number where work is to be performed —No 390 N. • Street 93rd St • or . 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 .Precast Feet of Drain Tile 75 t_il Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well City Size of Soakage Pit 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 under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �y l�Cc�� Gz I (/ ✓ v - Ykl r'L 'd A- At 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. My Commission Expires Notary Public, State of Florida 500 Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 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 XX XX Permit No. .___ / ( v APPLICATION FOR PLUMBING PERMIT Amount of Permit $ 1. ->LQ0 (Signed) ss. MIAMI SHt1RE,S VILLAGE PLUMBING INSPECTION DEPARTMENT (Signed) • ( irate August 20, 1941 Application is hereby made for the approval of the detailed statement of the 'p–ens 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 mplied 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 __Chaz_.____Li r_gaf No Street Registered Architect and /or Engineer Employing Plumber's Name A .cme.__ P n .6 1 a _Tank___c_a. No 570_5___a. ___ _. Street 27th ASL_e_.. IP ' Locar;on and Legal Description Lot Block Subdivision______ Street and Number where work is to be performed —No 390 N. • Street 93rd St • or . 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 .Precast Feet of Drain Tile 75 t_il Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well City Size of Soakage Pit 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 under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �y l�Cc�� Gz I (/ ✓ v - Ykl r'L 'd A- At 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. My Commission Expires Notary Public, State of Florida 500 Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby i ads 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 CAO, _ MOR6°9 4 No 9 ° ''`E 9 3 Street Registered Architect and /or Engineer _____ --- -------------------------------------- •- _--- ____ -- Employing Plumber's N ame _. , f 7 4 d . 5 . P / P / f i ) L 6 e t � o - No, 57d, 4 /. `!/ St eet V6 Location and Legal Description Lot_.____________ _.______ Block_ Subdivision. Street and Number where work is to be performed —No.__ _ 9 D N G 73 • _____. Street 4 vvof •SPR > rt0� LE fr? 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 Tile_____ _______.__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well 2- _ 1L� Size of Soakage Pit • (Signed) _ ( Signed). �- -� , Date Plumbing .'. pector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an el oyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplem, ' and leas com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by h' ' 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. "7a 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. 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 /as workmanship. ' CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS ALS 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. UST LIST / /_ / J CHECK Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby i ads 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 CAO, _ MOR6°9 4 No 9 ° ''`E 9 3 Street Registered Architect and /or Engineer _____ --- -------------------------------------- •- _--- ____ -- Employing Plumber's N ame _. , f 7 4 d . 5 . P / P / f i ) L 6 e t � o - No, 57d, 4 /. `!/ St eet V6 Location and Legal Description Lot_.____________ _.______ Block_ Subdivision. Street and Number where work is to be performed —No.__ _ 9 D N G 73 • _____. Street 4 vvof •SPR > rt0� LE fr? 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 Tile_____ _______.__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well 2- _ 1L� Size of Soakage Pit • (Signed) _ ( Signed). �- -� , Date Plumbing .'. pector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an el oyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplem, ' and leas com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by h' ' 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. "7a 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. 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 /as workmanship. ' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1 7 -QcJob Address 39.J 4 6 46 Tax Folio Legal Description o Historically Designated: Yes No Owner/Lessee / Tenant St.4// Master Permit # r� Owner's Address ,n0 A/ 93 5/ ` Phone Contracting CoO � -` U/ /3/�� ....../A/6„ Address .1 CU /1 0�2�/� ./ �e / Q27/7 State # (ico z 2 Municipal # Competency # Ins. Co. Address Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA WORK DESCRIPTION 1.)(6 Y / — �/ S /N / U /i/Z Zt4;51,t 104 19 6 00 Square Ft Estimated Cost (value) 6 - a 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 -named contractor to do the work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT APPROVED: Zoning Buildin Mechanical Plumbing Phone & 2 - 7, Lg 77S vvVv v �l .dd My = 4 71 My C • ss ion i ll V1LLAR NOTARY PUBLIC' STATE OF FLORIDA COMMISSION NO CC71n1 C.C.F. - NOTARY ECHANICAL ROOFING PAVING FENCE SIGN 4.44- 'u i a 7� - 41 -3 3 - 0 Date Engineering