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373 NE 92 St (4)MIAMI SHORES VILLAGE BUILDING DEPARTMENT ,- 305- 795 -2204 Building Inspection Requelt Date Type Insp'n Permit No. P 0 - 541 Name, Address 373 /r 9 S00— Company ©/t"-6S- Phone # 30–S E A 8 — 363 7 Approved .. Correction Re -Insp' n Fee Inspection Date Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / ,� \o ci Permit No. /0/ �/`'� -. 3 / Name Address 3? 3 4 ? ? Jr Company Ch Phone # Inspection Date Approved Correction Re- Insp'n Fee „ SOS S2S-Sole, 9 1 u c &I icTo Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12/8/2004 Applicant: DEBRA Owner: CAMPBELL JOB ADDRESS: 373 Contractor Local Phone: Parcel # 1132060136400 Signed: NE 92 (INSPECTOR) Plumbing Permit Permit Number: PL2004 -341 CAMPBELL DEBRA ST Contractor's Address: Permit Status: APPROVED Permit Expiration: 5/31/2005 Construction Value: $200.00 Work: 60 FEET OF WATER LINE TO WATER HEATER AND SECTION A SINK WASTE LINE Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 21 & 22 BLK 47 LOT SIZE Fees: FEE2004 -12309 FEE2004 -12310 FEE2004 -12311 FEE2004 -12312 FEE2004 -12313 FEE2004 -12314 Description Building Fee CCF Notary Fee Technology Fee Training and Education Fee Submittal Fee Total Fees: Amount $160.00 $0.60 $5.00 $4.00 $0.20 ($50.00) $119.80 Total Fees: $119.80 Total Receipts: $0.00 DEC 1 0 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATIOIN OE FBC 2001 Ovi per's Address City Contractor's Address State Certificate or Registration No. Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 0 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 4 i'v1 i i — Phone # e Master Permit No. State Zip Tenant/Lessee Name Phone # 7 - Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip is Building Historically Designated YES NO Contractor's Company Name t�r�t- { : % =� Phone # City State Zip Qualifier X,,_; .' Certificate of Competency No. Phone # $ Value of Work For this Permit „.....- O 0 Square Footage Of Work: Permit No. Pi aq -3L1 1 Type of Work: ❑Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition • Describe Work: PrYi- 1, A i- Tb IA., 1 -"ct -r L 1e1 (,_ r C .4i ,( 5/ 9111 ` tA // �i�= C-�A �kI ! LIl4 (iii/ 1 l 1�'`�0- 134 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * ** * * * * * * * * * * * * * * * * * * * * * * ** c� Submittal Fee $ C .G0 Permit Fee $ I � C �~ CCF $ 0 ' CO /CC Notary $ 5 — Training /Education Fee $ t)- Technology Fee $ �"--- Scanning $ r `` Radon $ Zoning Bond S Code Enforcement $ Structural Plan Review. $ Bonding Company's Naine (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 CO MMENCEMENT." 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 fkrfinsp? Lion hick cc seven (7) days after the building permit is issued. In the absence of such posted notice, the Owner o insl, Lion will not . .ppro % . a rei :: e� .� ee will be charged. ature The foregoing instrument was acknowledged before me this oot The foregoing instrument was acknowledged before me this day of DPCe 20 &I, by M1 \& _ ('l \?be(1 , day of , 20 _, by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: 4, / 14a �/a� Print: �cT �- 10 F Chc 05/13/03 My Commission Expires: l(JIrJ Commission DD178470 My Commission Expires: o► � Expires March 29, 2008 **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Agent Rarbara A Fstap Signature Contractor NOTARY PUBLIC: Sign: Print: ******************** *> * * * * * * * * * * * * * * * * * * * * * * * * * * * ** / 2 ,. 1 -0 P" Plans Examiner Engineer Zoning Located at: . 4 d 1- '1 a • Legally described as Lot< '2-1 1 Z N c �u ( 4 - 7 Q t / t , . Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),s'}nd I have read and understand the following disclosure Statement, which entitles me td lrork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. I GACiL fg OWNER BUILDER DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence or a farm out - building. You may also build or improve a commercial building at a cost of 525,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not Icensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument Was acknowledged before me this cP day ofY, 2061 who is personally known to me or who has as identification and who did take an oath. By Produced t, Owner Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT being the legal property owner, for the property DISCLOSURE STATEMENT Notary � 40,..4% Barbara A Ester • � My Commission DO' %Q'' / t . 0, 0 .d r Expires Marco ,.4 ITEM BATH 1LB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET' LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN .1 SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES ' A/C WINDOW REINSPECTION WATER SUPPLY TO: VJ 2 e 'C 1 ( ? 0 AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMfING 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 & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL 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 B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 5" lQ.g 3 Job Address - ,;7 3 N • 6 92 W- Tax Folio h/ ,�,/6t / 3 6 Legal Description_ q A I / 7 . ?(T/ (// Owner / Lessee / Tenant ICI k4L Dr G P6 r L t- Master Permit # eZ. Owner's Address "7 N • E . q Z- ST Phone "7 S )- 3 76 " Contracting Co. nfd4W Address Qualifier SS# - State # Municipal # Competency # Ins.Co. Architect /Engineer M PratAL A c 1 P'- (..L._ Address &S VV rc I Zb'l t� ST Bonding Company Address Mortgagor Address Permit Type(circle one): BU ®" � ELECTRICAL PLC N MECHANICAL ROOFING PAVING FENCE SIGN LW RK DESCRIPTION R f=Pc-4 0 , (v,114 w,MO c � — 0 i cLT v Agovil4 A-mo t F-Pc,o X (57)N4 IZoP I tow AT ?20 O R.. • ** * * * FEES: PERMIT J APPROVED: Zoning Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: RADON Square Ft. Estimated Cost value) 7S oz 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 co. tructio and z•ning. Furthermore, I i authorize the above -named contractor to do the work s Fire (Buildin � � Mechanical Plumbin Phone tat 4/4" 1 fiit✓1s&I an tu_r of a_cter--or Owner- Builder Date:3 tc N•Cary 's to My Commission C.C.F. NOTARY ; Q TOTAL DUE ` U c * ** Other Electrical Engineering C • ,urrc,.n ea r..n:1444. A. Pennit No.._ ..... _.. �� �1 7 `2 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 h s ied or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name _ .5_tg, -:._ �- Location and Legal Description Lot. Bloom Subdivision Street and Number where work is to be performed —No A 7 3 Street__ State work to be performed and purpose of building (By Floors)_-._... _ _ �'t-6t � L 7C /� yy�� New Building_____ _ -------- .-- •- - - - -.. Remodeling___ .._._ Addition - -. - -- _�-- ___ - -•- Repairs 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 $ ( Signed .......... Plumbing Inspec 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 .plement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors empl. •ed b 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 suc public otice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on wor to be omied d j . Init, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT a 0 C V2 No. 7 3 18, C (Signed) S iossesee Maxaseso,tm? z. 8treeL street . f . ° 0 Notary Public, State of Florida No. of Stories ....... Capacity Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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•neoessary by improper notice for inspection, or faulty materials and /ar wcrlarianchip. 4 • CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tu.s UR INAL[ 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'O POOL CONTR. LILT CHECK Pennit No.._ ..... _.. �� �1 7 `2 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 h s ied or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name _ .5_tg, -:._ �- Location and Legal Description Lot. Bloom Subdivision Street and Number where work is to be performed —No A 7 3 Street__ State work to be performed and purpose of building (By Floors)_-._... _ _ �'t-6t � L 7C /� yy�� New Building_____ _ -------- .-- •- - - - -.. Remodeling___ .._._ Addition - -. - -- _�-- ___ - -•- Repairs 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 $ ( Signed .......... Plumbing Inspec 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 .plement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors empl. •ed b 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 suc public otice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on wor to be omied d j . Init, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT a 0 C V2 No. 7 3 18, C (Signed) S iossesee Maxaseso,tm? z. 8treeL street . f . ° 0 Notary Public, State of Florida No. of Stories ....... Capacity Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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•neoessary by improper notice for inspection, or faulty materials and /ar wcrlarianchip. 4 • BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building r Lot dONTRACTCR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 5649 ,f' 1 B1 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 cr in the statements or specifjcottions and that he assumes responsibility for wcrk done by his agents, servants or employees. • „y r! r 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Signed. Work to be performed under this Permit / ., 1 DATR — Contractor's License No. 195_,x'( Subdi- vision Value of r Amount of Project $ ! Permit $ BY BY AUTHORITY — CLOSETS BATH TUBE SHOWERS LAVA- TORIES SIN K6 SLOP SINKS LAUNDRY Turn URINALS CATCH BASIN FLOOR DRAIN DRINKI NG FOUNT'NS TOTAL FIXTURES CONTR. LIST / / — —_— CHECK J SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST CHECK 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. 2i. ����y®J (_:-°‘ S °° y [ O;° � �' Owneg s Name and Address` "�'� � �di✓� No.___� __ ___ Street Registered Architect and /or Enger___ —__ —__ Employing Plumber's Name... _- ..f'_. ;^^ -'_. `44_ " "_''` Location and Legal Description Lot!k ___ Subdivision... _ �u s {. // , Street and Number where work is to be performed —No L ;___ Street___ _ ;_____ __c State work to be performed and purpose of building (By Floors)__ New Building _-_ Remodeling . Addition-_ --- d 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 $ 1_ STATE OF FLORIDA, l COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING R"'wMIT Date . - -- 671 P T . Set Repairs No. of Stories .. ...................... (Signed) _ e.4'-�`.Zt'__V 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) Mas O PlumbecA' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to T_ne 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 tlio2-4a by hixra stated are true. My Ccmmission 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building f i Architect Contractor or Builder ✓�' p. ' Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 15560 L am . ❑ Work to be performed under this Permit Subdi- vision Value of Project $ DATE I - + 195 Contractor's License No Amt. of 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 plane, 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 .( t 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 assurresponsibility for all work done by either, myself, my agent, servant or employee. y F CONtitACTOR OR BUILDER , ' BY AUTHORITY (,` Permit No. Date Registered Architect and /or Engineer __.. Employing Plumber's Name 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 $. j MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No..__._ ..___ Street — - - - — - - -- (Signed) Capacity Gals. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ot 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 Divisior 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 Location and Legal Description Lot ......., Block ___ _ ._._._. Subdivision State work and to be performed to be performed-No -...._.. ?._.s...-_ .:. \ / _ = ,-u _. .Street.- _.. _ , 1 Purpose of building (By Floors) __ ° a New Building - Remodeling Addition_____-. ...... - -- -.. Repairs. _.. - - -- _. __. No. of Stories ._ _ ....... .- . Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as al, employer of labor under the Florida Workmen "s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and hie. 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. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare 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 tac 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 f„ul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES S INKS SLOP SINKS LAUNDRY TU08 URINALS CATCH BASIN FLOOR DRAIN DRINKI NO FOUNT' NS TOTAL FIXTURE, CONTR. LIST -_ CHICK _ - - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM 'O POOL CONTR. L16T CHECK Permit No. Date Registered Architect and /or Engineer __.. Employing Plumber's Name 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 $. j MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No..__._ ..___ Street — - - - — - - -- (Signed) Capacity Gals. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ot 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 Divisior 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 Location and Legal Description Lot ......., Block ___ _ ._._._. Subdivision State work and to be performed to be performed-No -...._.. ?._.s...-_ .:. \ / _ = ,-u _. .Street.- _.. _ , 1 Purpose of building (By Floors) __ ° a New Building - Remodeling Addition_____-. ...... - -- -.. Repairs. _.. - - -- _. __. No. of Stories ._ _ ....... .- . Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as al, employer of labor under the Florida Workmen "s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and hie. 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. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare 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 tac 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 f„ul materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot OR MIAMI SHORES VILLAGE, FLORIDA P1 DATE-- I1 PERMIT N? 10061 CONTR A 0 ' R BUILDER Work to be performed under this Permit f' /" • BL "Subdi- vision r Value of Project $ O 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 drawit s or in the statement specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: frit j e INCTOR 195__4 Contractor's License No Amt. of Permit $ fi BY ., ._. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with 4 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 all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA Contractor's License No. ed under this Permit PERMIT N° 10071 Work to be perfo Bl. Subdi- vision Value of Project $ e Amt. of Permit $ , / t �D ; 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 r specifications and that he sumes responsibility for work done by his agents, servants or employees. .x r Signed • � •» gy � � INSPECTOR jj In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complia;-ice 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 OR BUILDER BY AUTHORITY Size Septic Tank _ F e e t of Drain Tile ____ _ ._ Amount of Permit $ -- SS. 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 - A' __ r No. - Street Registered Architect and /or Engineer . Employing Plumber's Name__ No. Location and Legal Description Lot �- t___ c______________Block — __ Block________` =_____ / ±__ Subdivision f ' '- Street and Number where work is to be performed —No ?_- / Street , State work to be performed and purpose of building (By Floors) New Building _ . ___. _ _ .-' Remodeling ___________- Addition ._______ Repairs Type of Tank Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit__ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acceptshis obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 'ermine it Supplement, and has corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor employed by hint 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 uch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be irformed under this permit, as are licensed by Miami Shores Village. (Signed) Street_. - Oap No. of Stories My Commission Expires Notary PubliCtate of Florida d Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac.owledgments, 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 dic;ign 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 f made necessary by impro 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 _..r____' SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP _ DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL CONTR. LIST CHECK Size Septic Tank _ F e e t of Drain Tile ____ _ ._ Amount of Permit $ -- SS. 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 - A' __ r No. - Street Registered Architect and /or Engineer . Employing Plumber's Name__ No. Location and Legal Description Lot �- t___ c______________Block — __ Block________` =_____ / ±__ Subdivision f ' '- Street and Number where work is to be performed —No ?_- / Street , State work to be performed and purpose of building (By Floors) New Building _ . ___. _ _ .-' Remodeling ___________- Addition ._______ Repairs Type of Tank Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit__ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acceptshis obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 'ermine it Supplement, and has corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor employed by hint 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 uch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be irformed under this permit, as are licensed by Miami Shores Village. (Signed) Street_. - Oap No. of Stories My Commission Expires Notary PubliCtate of Florida d Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac.owledgments, 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 dic;ign 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 f made necessary by impro for inspection, or faulty materials and /or workmanship. Permit No. / C 6/ Size Septic Tank Feet of Drain Tile STATE OF FLORIDA, 1 COUNTY OF DADE. I Nature of Water Supply: City —Well. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date k /5-a Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sul,yf"iitted 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 . _ 4-/`__t �_'- _. -- r ___1_I__11.1►_ No. __ -_- Street -- f !Y�- - �.- - -, - - Registered Architect and /or Engineer Employing Plumber's Name . • 2 ' ~' " No 7 si Street /CO 2, (4-444 Location and Legal Description Lot .. —___2- I . } __�r ___ Block______ '_ Subdivision _E __ . J_E__L__ ,{� I � r Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors)_________ New Building - - -- Remodeling Addition Type of Tank_-_ -__ ist. Feet of Tank or Drain Field from Well fy Size of Soakage Pit ------- - - - - -- -- - - - ---- - - - - - - - - Amount of Permit $ _ . f , 4 ' (Si ed " ' -- rr mbing Inspector. The undersigned applicant for this building permit does hereby certify that he uptliirstands and accepts his obligations 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 hint in the work to be performed under this pennit; 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 und this permit, as are licensed by Miami Shores Village. (Signed) • Repairs No. of Stories - _ - - Capacity Gals.__ My Commission Expires Notary Public, State of Florida / $a er 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 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 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. / C 6/ Size Septic Tank Feet of Drain Tile STATE OF FLORIDA, 1 COUNTY OF DADE. I Nature of Water Supply: City —Well. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date k /5-a Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sul,yf"iitted 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 . _ 4-/`__t �_'- _. -- r ___1_I__11.1►_ No. __ -_- Street -- f !Y�- - �.- - -, - - Registered Architect and /or Engineer Employing Plumber's Name . • 2 ' ~' " No 7 si Street /CO 2, (4-444 Location and Legal Description Lot .. —___2- I . } __�r ___ Block______ '_ Subdivision _E __ . J_E__L__ ,{� I � r Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors)_________ New Building - - -- Remodeling Addition Type of Tank_-_ -__ ist. Feet of Tank or Drain Field from Well fy Size of Soakage Pit ------- - - - - -- -- - - - ---- - - - - - - - - Amount of Permit $ _ . f , 4 ' (Si ed " ' -- rr mbing Inspector. The undersigned applicant for this building permit does hereby certify that he uptliirstands and accepts his obligations 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 hint in the work to be performed under this pennit; 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 und this permit, as are licensed by Miami Shores Village. (Signed) • Repairs No. of Stories - _ - - Capacity Gals.__ My Commission Expires Notary Public, State of Florida / $a er 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 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.