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PLUMBINGBUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal /, Lot Descriptitn. Address of Building PERMIT N? 10548 Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE -� 19 Bl. S , 3 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 • %, s ' 4.4. BY ' 'r YNSP TOR In consideration of the issuance to me of this permit I agree toe form the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, stafements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done b either, myself, my agent, servant or employee. BY AUTHORITY PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /4'x-9$ Job Address <5 /(/c 93 S r Legal Description Owner / Lessee Owner's Address ary as to Owner y Commission Expires ** * * * APPROVED: Zoning S o�� .�S S tiA / Tenant Contracting Co. R/ A/G47tij/94/N Qualifier f iQV4 Ri/V �w7?7/Q/v`o State # Municipal # WORK DESCRIPTION CAA.r�s A= o c/ p �o y�tii��z 9 3 5 cr. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBI MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost(value) ef7 D 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. i: nature of owner ,an er C a P e8id , Dat-• ?..e4 TER Notary Public, State of Florida My Comm. expires July 28, 1999 No. CC 468973 * Bonded Thni )(dug Saida * Mechanical Plumbin SS# Phone 347 6 3‘ -1 7 / 5 7 - 6 Competency # Ins.Co.,G6,r72V / E D zi • S oINA wA' n/k Buildin FEES: PERMIT CD RADON C.C.F. 16C-7 Fire Tax Folio Master Permit # NOTARY Phone 3(.2s 7 9 62 4 / co Address 02/90 A/ Gt./ ? 4 -¢ Signature of Contra or or Owner- Builder Date' Notar My Co ission :21BATRAz NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC706595 * MY C.OMMISSIQN EXP. j,�N. 27,2000 er- Builder * ** 48 TOTAL DUE � Other Electrical Engineering Permit No._ Q___,l Dat 0 (� ' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s mitt d 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_c y` t C- C t i t - r .: ' , t ( 1., No Street t '' ` C__1' C Registered Architect and /or Engineer Employing Plumber's Name )L _:1___ 3 A. a`^ • No Street I Location and Legal Description Lot_ -_� C' �' // 1 ___1 'I I Block ■- 4' Subdivision %`/1 - " � E (! e -ti �-- Street and Number where work is to be performed —No .' 5 .. ‘ Street L �t 7 e- 1 State work to be performed and purpose of building (By Floors) (- - New Building ,,, Remodeling Addition Repairs No. of Stories__ __1 Size Septic Tank Feet of Drain Tile Amount of Permit $ G STATE OF FLORIDA, 1 COUNTY OF DADE. ss. ,v Nature of Water Supply City, Well / ' My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size of Soakage Pit (Signed) s 7 7 Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Plumbing Inspector. The undersign 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) y-' ! ( G l' 2 k C �-- 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. 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 T UBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT • 4.,..... _At 4r f • f � p.t ` 7 TOTAL FIXTURES / CHECK 7_ �, /..7'b /•. J' 7-7 . .- ,f v /, + SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. / V LIST CHECK Permit No._ Q___,l Dat 0 (� ' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s mitt d 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_c y` t C- C t i t - r .: ' , t ( 1., No Street t '' ` C__1' C Registered Architect and /or Engineer Employing Plumber's Name )L _:1___ 3 A. a`^ • No Street I Location and Legal Description Lot_ -_� C' �' // 1 ___1 'I I Block ■- 4' Subdivision %`/1 - " � E (! e -ti �-- Street and Number where work is to be performed —No .' 5 .. ‘ Street L �t 7 e- 1 State work to be performed and purpose of building (By Floors) (- - New Building ,,, Remodeling Addition Repairs No. of Stories__ __1 Size Septic Tank Feet of Drain Tile Amount of Permit $ G STATE OF FLORIDA, 1 COUNTY OF DADE. ss. ,v Nature of Water Supply City, Well / ' My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size of Soakage Pit (Signed) s 7 7 Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Plumbing Inspector. The undersign 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) y-' ! ( G l' 2 k C �-- 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. 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.