Loading...
395 NE 92 St (6)Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE � Job Address 3 t YS NE q Z Gf . Tax Folio 1 / / f �o / p • VO GEU / ° ' Legal Description LAf' Z3E 24 13/cCk 41 '; /0 °70 Owner/Lessee / Tenant UIrtC1 Nazar►i'L't Owner's Address 3 ?e5 ef - Contracting Co. j �'�y, �Q`a,r?')1 SVtp�� Plurnbin g Address C M 1V(/U � Gtreef Qualifier g rfiG MGLauginIth SS# Phone ' .757 - 0444I0 State # ( C 1. am* Municipal # C o m p e t e n c y # Ins. Co. ! / r/ C i Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost (value) 6 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, ROOF 1 .G and MECHANICAL WORK. OWNER'S AFFIDA \ : ify that all construction and zo a. ennore . Signature of owner Notary My Co APPROVED: Zoning Mechanical oregoing information is accurate and that all work will be done in compliance with all applicable laws regulating e the above -named contractor to do the work stated. 8�io Date Historically Designated: Yes No Master Permit # Phone 305 751- - 37T J c Gam — Signature f- Contractor or Owner- Builder Notary as to Contrac My Commission E Electrical E LA VEGA Comm Exp. 3/29/04 No. CC 923399 ,f►enond Known l 10tha I.D. FEES: PERMII1 V 0 RADON C.C.F. (v NOTARY © " BOND TOTAL DUE SOel Date Structural Engineer STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Per Nwnbe� 6 — g? 3 Q J G /� PART II - SYSTEM INSTALLATION INSPECTION AND FIN L INSTALLATI APPROVAL Installer d, & /2/r/ 5y27 C 701.0 Tank Manufacturer i / .i Proper tank legend: Ye . No Tank material (.7avic i2k Tank le el: Yes4 Tanks watertight: Yes ,! / No Tank size 1 gallons gallons Applicant \ Q e _ .2.3.2 the Proper tank outlet device: Other findings Length Width Length Width Length •0 feet x / ) feet =� e' ft feet feet feet feet Length feet x feet = � C ft feet feet feet feet Proper No. drainlines: Yes No feet feet feet feet Proper pipe separation: Yes No Total = ft Total = ft Distribution box level: Yes No Systems located as permitted: Yes 1, No Systems including plumbing stub -outs installed at proper elevation: Yes ,e No Average depth to drainpipe invert from finished grade: y inches Maximum depth ° Average depth of drainfield gravel:/g inches Minimum depth of gravel .,R inches Proper gravel size: Yes ✓ No Gravel is suitable quality: Yes -' No Backfill or fill material s required: (Quality) Yes -" No (Quantity) Yes ' No Inspected by: Date Date Approved by: Yes No Manhole or marker to grade: Yes k No Drainfield Trench HRS —H Form 4018, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 5744 - 002 - 4016 -0) PART I11 - FINAL INS ON APPROVAL 5_5 ) Absorption Bed AN APPROVED INSTALLATION DOES NOT GUARANTEE PERFORMANCE gallons Note: Completed copies of this form will be provided to the applicant, installer and the building department. Page 2 of 2 BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot 1 MIAMI SHORES VILLAGE, FLORIDA DATE , < 195 1 PERMIT N° 9910 CONTRACTOR OR BUILDER Work to be performed under this Permit BI. Subdi- vision Value of Project $ Contractor's License No Amt. of Permit $ / L 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 state nts or specifications and that he assumes responsibility for work done by his agents, servants or employees. f r 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. BY AUTHORITY BUILDING • ELECTRICAL PLUMBING Legal Lot Bl. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N? 1053 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Subdi- vision Value of Project 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 plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and 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 ei her myself, my agent, servant or employee. j CONTRACTOR OR BUILDER f BY AUTHORITY �i ]Permit No / $' Sias Septic Tank — Type of Tank Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. �1/{ Owner's Name and Address " . CA No. � 39s 9 s .- - - - -- Street_ ° Yl_.£� ` Registered Architect and /or Engineer __ l _ Employing Plumber's Name{ak.1A_ .S Location and Legal Description Lot_ Block Subdivision ....... -- _-- ..... _.___. - - - - -- Street and Number where work is to be performed —No 3.9 � Street __ - gj L J f ; c State work to be performed and purpose of building (By Floors)_____ -'_4t1 __. ®/ My Commission Expires Notary Public, State of Florida ... New ........ Remodeling— ___.______— .____ -- Addition_- -___ -_ Repairs No. of Stories . . ............... . .... Capacity Gals Feat of Drain Tile _____Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.______ ______________ ____________.____._Size of Soakage Pit (Signed)- 5�-t/- !S_•� ?/_ — '. 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 - contract, gnployed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the of the w., su'h public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractor work to e p - formed under this permit, as are licensed by Miami Shores Village. aster 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. 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 U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES Comm LIOT CHQCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIaT CHEcR ]Permit No / $' Sias Septic Tank — Type of Tank Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. �1/{ Owner's Name and Address " . CA No. � 39s 9 s .- - - - -- Street_ ° Yl_.£� ` Registered Architect and /or Engineer __ l _ Employing Plumber's Name{ak.1A_ .S Location and Legal Description Lot_ Block Subdivision ....... -- _-- ..... _.___. - - - - -- Street and Number where work is to be performed —No 3.9 � Street __ - gj L J f ; c State work to be performed and purpose of building (By Floors)_____ -'_4t1 __. ®/ My Commission Expires Notary Public, State of Florida ... New ........ Remodeling— ___.______— .____ -- Addition_- -___ -_ Repairs No. of Stories . . ............... . .... Capacity Gals Feat of Drain Tile _____Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.______ ______________ ____________.____._Size of Soakage Pit (Signed)- 5�-t/- !S_•� ?/_ — '. 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 - contract, gnployed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the of the w., su'h public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractor work to e p - formed under this permit, as are licensed by Miami Shores Village. aster 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. 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 7\A id9/0 Owners Name and Address K o e t s Location and Legal Description Loot. Street and Number when work is to be performed —No Sim Septic Tank_._ Feet of Drain Tile _21 _s q, ft. Nature of Water Supply: City —Well. Amount of Permit $ 741 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of. Miami Shores Village shall be complied with, whether herein specified or not. A Dopy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer Employing plumbor's N C Lloyd S e rt i s Tank S e r o N P 0 0 FW 111 its =•7 i am i? '� l TT sloes 195 1\E 92 State work to be performed and purpose of building (By Floors)__._._ New Building..__.._ ____._.........._.. Remodeling —_ —.__ Addition.. - - -_ _..- _ - -••- Repairs .. ... .......... .. . . .. No. of Stories _Type of Tank — t)ist. Feet of Tank or Drain Field from Well ... -• - -- -- __._....-- . - -..._ - - -_ •-- .....__. _ 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 Worlanen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and IIa' com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wore 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 . performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 3 Before me, the undersigned authority, o notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.. -__.._ .. _ ._...._..._ -.- - - .... —._ _.. of the above described construction, that be has carefully read tbo 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 $L00 will be node winos mit reaupsodos ie oado•nooearary by bumper notice far inspection, er faulty materials and/oz warioneosiAp. (Signed) No. '395 I "E 92 street.-: Z i an i Shores Mami Srorec�e, '�31'2P Street.._:..-- ._ -.._. _. __._ CLOE[TE BATH TUDS SHOWERS LAVA• YORI[S SINKO SLOP SINKS LAUNOW Tuns U RINALS CATCH BASIN FLOOR GRAIN DRINKING FGUNT•NE TOTAL. PIITURE/ CONTR. LIST CHECK + SEPTIC TANK SEWER Comm. DRAIN FIELD SOAKAGE PIT 0 TRAP SOLAR HATER DEEP WELL BPRKLR. 8 Sw IN' POOL CONTR. LIST CHECK Permit No 7\A id9/0 Owners Name and Address K o e t s Location and Legal Description Loot. Street and Number when work is to be performed —No Sim Septic Tank_._ Feet of Drain Tile _21 _s q, ft. Nature of Water Supply: City —Well. Amount of Permit $ 741 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of. Miami Shores Village shall be complied with, whether herein specified or not. A Dopy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer Employing plumbor's N C Lloyd S e rt i s Tank S e r o N P 0 0 FW 111 its =•7 i am i? '� l TT sloes 195 1\E 92 State work to be performed and purpose of building (By Floors)__._._ New Building..__.._ ____._.........._.. Remodeling —_ —.__ Addition.. - - -_ _..- _ - -••- Repairs .. ... .......... .. . . .. No. of Stories _Type of Tank — t)ist. Feet of Tank or Drain Field from Well ... -• - -- -- __._....-- . - -..._ - - -_ •-- .....__. _ 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 Worlanen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and IIa' com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wore 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 . performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 3 Before me, the undersigned authority, o notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.. -__.._ .. _ ._...._..._ -.- - - .... —._ _.. of the above described construction, that be has carefully read tbo 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 $L00 will be node winos mit reaupsodos ie oado•nooearary by bumper notice far inspection, er faulty materials and/oz warioneosiAp. (Signed) No. '395 I "E 92 street.-: Z i an i Shores Mami Srorec�e, '�31'2P Street.._:..-- ._ -.._. _. __._ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Owner's Name and Address Registered Architect and /or Engineer_ Name and address of licensed contractor eizL_ - srP a-< Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done F.5 : , State work to be done and purpose of building (by floors) ding Inspector Date No. ___ Street__ • GYM/ • - - — and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 1 S Amount of Permit $ Zone cubage required flan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor_ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. i ) Remarks (Signed) __ __�� _ - � - �1 /✓%l ("1 A Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. Permit No._ Date A � Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE ChairmV Member Member Member Member Member _ Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. PLUMBING PERMIT DATE FIXTURES SEWER ISSUED TO lam 4 to install' the =c .lowin.7, described plumb =Y�g, in accordance t1 Laws, st tlatc and rc a la t,irnis of Miami Shores Village, F or (:i.a and the State of F'_:,r:i d:a, governing p:1.umbing and drain- age work d.orie in ''.:.,_am.i ah.c F FOR A / STORY Cv � 1 �' C %a + c ) BUILDING 0 AT SEPTIC TANK TOTAL 5p MIAMI SHORES V IT,LA GE FLA. 9 NO. ; 552 Payment Received 5 By S /f, ,/ Village P:Lumbing Inspector This permit issued s to approval of County Plumbing Inspector DATE R= G . , • ISSUED TO FOR A AT FIXTURES SEWER SEPTIC TANK TOTAL 4 STORY A - C` - ' MIAMI SHORES VILLAGE FLA. PLUMBING PERMIT to install the following aescribed plumbing, in accordance the laws, statutes and rc of Miami Shores Village, Fior l c3.a and the State of Florida, governing plumbing and drain- age work done in Miami Shores Village, Florida. NO. • BUILDING Payment Received By 516 Village Plumbing Inspector This permit issued subject to approval of County Plumbing Inspector • DATE to install the following described pl in accordance the laws, statute and rcalations cf Miami Shores Village, Florida and the State of Fl govonzing plumbing and drain- age work clone in Miami chores Willage, Florida FOR A A STORY ISSUED TO AT FIXTURES SEWER VP SEPTIC TANK ° TOTAL SHOPES VILLAGE FLA. PLUMBING PERMIT • ;: Village P.Lumoing Inspector FIXTIJR773 Payment Received 5 NO. 552 ••••••••■•■••••■•■••••••■■■•• BUILDING - This permit issued subject to approval of County Plumbing Inspector ( • DATE ISSUED TO to install the following aescribed plumbing, in accordance the laws, statute and ocg+alatiorns of Miami Shores Village, Flora.d.a and the Stag^ of Florida, governing plumbing and drain- age work done in Miatr L Shores Villa , Florida. FOR A // STORY � iL »n BUILDING AT o(/v- z, C� ��v/� FIXTURES l SEWER SEPTIC TANK 6 , TOTAL tip Village Paumbing Inspector MIAMI SHORES VILLAGE FLA. PLUMBING PERMIT By NO. Payment Received This permit issued subject to approval of County Plumbing Inspector MIAMI SHORES VILLAGE FLA. PLUMBING PERMIT 13 DATE -4 • NO. ISSUED TO h to install the following described plumbing, in accordance the laws, statute and rogalations of Miami Shores Village, Floricla and the State of 17 governing plumbing and drain- _ age work done in ,Alami Shc.res Village, Florida, FOR A STORY 93`' " e BUILDING AT FIXTURES SEWER SEPTIC TANK TOTAL 4 FIXTURITZ 0••••••■• •••■•■•■ ••■•,017•• Payment Received By Village Plumbing Inspector This permit issued subject to approval of County Plumbing Inspector Permit No Owner's Name and Address Registered Architect and /or 'li Employing Plumber's Name L- ' L:=_ Location and Legal Description Lot 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT f 7 - _' ',) 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. No. u' 8 lock Street ./_ ± _ 1 ` 7 Subdivision_ Street and Number where work is to be performed —No ' / 1 Street 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_____ .1 ' 2 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ r ` (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accept 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, o work to be pyformed under this permit, as are licensed by Miami Shores Village. (Signed) SS. My Commission Expires Street_ Notary Public, State of Florida r r / - 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 F SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No Owner's Name and Address Registered Architect and /or 'li Employing Plumber's Name L- ' L:=_ Location and Legal Description Lot 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT f 7 - _' ',) 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. No. u' 8 lock Street ./_ ± _ 1 ` 7 Subdivision_ Street and Number where work is to be performed —No ' / 1 Street 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_____ .1 ' 2 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ r ` (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accept 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, o work to be pyformed under this permit, as are licensed by Miami Shores Village. (Signed) SS. My Commission Expires Street_ Notary Public, State of Florida r r / - 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. Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all rules and regulations of the Building Division of approved plans and specifications must be kept at and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village of Miami Shores Village shall be complied with, whether herein specified or not. A copy building during progress of work. Owner's Name and Address Registered Architect and /or En Employing Plumber's Name -' Location and Legal Description Lot_ Street and Number where work is to be performed —No ss. My Commission Expires _Block No State work to be performed and purpose of building (By Floors) (Signed) Date "' Street _d Street M t, 7�n Subdivision Street L. _!* New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile l Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit (Signed) 7 -s� ;� e Amount of Permit $ a Rlumbin 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, o. work to be peroormed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida 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 H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all rules and regulations of the Building Division of approved plans and specifications must be kept at and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village of Miami Shores Village shall be complied with, whether herein specified or not. A copy building during progress of work. Owner's Name and Address Registered Architect and /or En Employing Plumber's Name -' Location and Legal Description Lot_ Street and Number where work is to be performed —No ss. My Commission Expires _Block No State work to be performed and purpose of building (By Floors) (Signed) Date "' Street _d Street M t, 7�n Subdivision Street L. _!* New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile l Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit (Signed) 7 -s� ;� e Amount of Permit $ a Rlumbin 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, o. work to be peroormed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida 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. Permit No / IAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address (.1 Z-Ric-4-- k No 3._.2..22 r Street_ ' L S . _..— .. Registered � chi and /or E eer l r... S� Location andgal $Sescription Lot. A g. Mork ‘ snbdivfsion. �!11.�Z, Street and Number where work is to be performed -No . 9 4/ . Street_.. 1=2- _..._ State work to be performed and purpose of building (By Floors)__. -.- - •----- -.__._ (Sim) Date .... /� �w. -- -- Size Septic Tank__ -Type of Tank__ Feet of Drain Tile. _Dist Feet of Tank at Drain Field from Well ..._.-_ - Nature of Water Supply: City -Well. Size of a Pit 2 efri2P X • / .s /,e? .6 - - __ i/4/ece -, � -.. 5P � c c1 ..z-s ' G L ---- ' g' Amount of Permit 8 ` E V My Commission Expires Notary Public, State of Florida 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 an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and icon com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worn to he 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 arr 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. 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 depose. and says that be 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.OD will b* mad* when snob ruispsotfos Y made.aroaraary by bumper meow for thspectdom, os faulty materials and /or workmanship. CLOSETS BATH TuSS SHOWERS LAVA• TORIES *INK. SLOP SINKS LAUNDRY Tuns URINAL/ CATCH 6 ASIN FLOOR DRAIN DRINKING FOUNT' N• TOTAL FIXTURES CoNTR. LIST CHECK SEPTIC TANK SEWER COHN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER our WILL SPRKLR. SYSTEM SW 114•0 POOL CoNTW. LIST ,-- CHICK Permit No / IAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address (.1 Z-Ric-4-- k No 3._.2..22 r Street_ ' L S . _..— .. Registered � chi and /or E eer l r... S� Location andgal $Sescription Lot. A g. Mork ‘ snbdivfsion. �!11.�Z, Street and Number where work is to be performed -No . 9 4/ . Street_.. 1=2- _..._ State work to be performed and purpose of building (By Floors)__. -.- - •----- -.__._ (Sim) Date .... /� �w. -- -- Size Septic Tank__ -Type of Tank__ Feet of Drain Tile. _Dist Feet of Tank at Drain Field from Well ..._.-_ - Nature of Water Supply: City -Well. Size of a Pit 2 efri2P X • / .s /,e? .6 - - __ i/4/ece -, � -.. 5P � c c1 ..z-s ' G L ---- ' g' Amount of Permit 8 ` E V My Commission Expires Notary Public, State of Florida 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 an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and icon com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worn to he 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 arr 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. 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 depose. and says that be 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.OD will b* mad* when snob ruispsotfos Y made.aroaraary by bumper meow for thspectdom, os faulty materials and /or workmanship. REASON; IF DEFECTIVE IN WARRANTY, INDICATE MODEL #, SERIAL #, AND INSTALLATION DATE: RETURN VIA: SPECIAL INSTRUCTIONS: DATE COMPLETED: COMPLETED BY: PARTIAL BILL THRU: Form #170 Installation Revised 11/87 0 N fLe-A-r Of- SL 'f ret i k3r e-d L NL 1 t 3IACVL 5 -rci p44 oisL SPA HiQ I have accepted delivery and inspected the above equipment and /or appliance(s) and found them to be free of any visual defect. ACCEPTED BY: PLEASE DRAW SKETCH OF JOB (,ArPit Dr \Jt L) - y � Y 4' _ - i 1 3o 4 DIta • y ' '1 V P9S S2l7 Rev 11/79 A \�1 Lu 4 : 7:31 33 fl Sub: m; Shores r 3' Hoc:zomiAl 4— I' 3 5 NES2 SECTION SCALE F P..ople5 GAS S YSTEM , Inc. P 3 s N E if h A v DATE ytv - ciL SHEET 1 of J.O. A.F.E. • , _ e