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464 NE 92 St (10)Disapproved (Signed) NOTE: A charge of $1.00 will be made for the Planning Board. A re.impection fce of 31.00 will be charged materials anci/or workmanship. MIAMI SHORES VILLAGE EIDING INSPECTION DEPARTMENT APPL cATION FOR BUILDING PERMIT • Application is hereby made for the approval of the detailed statument u me plans and specifications herewith submitted for the build • in 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 pregreu of the work. S Ovmer's Name and Address . edakkb — No.. Se-22 _ Registered Architect and/or Engineer er)F- PtieR: Name and address of licensed controctor...baLakay...I324* ding Inspector Date Chairman Member Member — Council Approved Date 11L4aA. ***** Location and legal de&criptionVot to be built on: r . t - Lot ki 4 c'z- Rica i Subdivision M f 6-1 ) 116 Reg ecTe 6) .1.. )3K o -31 Street and Number where work is to be done 1 et A' State work to be done and purpose of building (by floors) .0■0 and for no other purpose. New Bui!ding Remodeling Addition Repairs No. of Stories To be constructed of G i't6 Kind of foundation Roof covering _ Estimated Total cost of improvements $ Amount of Permit $.. Zone cubage required .Plan Cubage Distance .to next nearest building.. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to. The undersigned applicant for this building permit does hercby crrtify that he understands and accepts his obligations . s a n e mployer of labor under the Florida NVorkilien's Compensation Act. being Section 5966, Compiled General Laws of Florida. Permanent Siipplement, and has complied w ith 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 te of the work such public notice or noticcs as are required hy the Act. The undersigned agrees to employ only ntzactors, on )tkA� be performed under this pcnnit, as are licensed by Miami Shores Village. Reimuks (Signed STATE OF FLORIDA, COUNTY OF DADE. s Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 1, r 4 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, PLANNING BOARD DATE Member Member Member — Disapproved Date making corrections or changes to this application after approval has been obtained from when such re-inspection is made necessary by improper notice for inspection or faulty ,/ Registered Architect and /or Engineer S C Feet of Drain Tile Nature of Water Supply: City -Well. Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ' PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT per Q Location and Legal Description Lot 4 L__rt__L___ _)__X +r Block 4 1 Street and Number where work is to be performed -No. State work to be performed and purpose of building (By Floors) ___f New Building E' Remodeling Addition ( Signed) 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. / No. / f � - /Y2 s / - C /e/0 _ 4 T Owner's Name and Address __ Employing Plumber's Name .77 )__ _s di a 212.2.1.' __. ___ ?_ -el' Street N...) Subdivision / ^ L: r Street � f ,t 9 n /J> /147JC! � l 7Ci e Repairs No. of Stories___ / Size Septic Tank Type of Tank Capacity Gals Dist. 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 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. f r �,. ( Signed _L f . ) �. ) z_,ar - -mac .t__ L �ti1 -- street_ _N ) 92 2 n 9 Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS p C d /Jt Y S I, TOTAL FIJiTURES CONTR. LIST a — -� — -- --/---- --/---- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL - 'may ,,� (( yy // ',', ����������,,��„ f / /i/ C AD 41 7 CONTR. LIST / • CHECK ,/ Registered Architect and /or Engineer S C Feet of Drain Tile Nature of Water Supply: City -Well. Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ' PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT per Q Location and Legal Description Lot 4 L__rt__L___ _)__X +r Block 4 1 Street and Number where work is to be performed -No. State work to be performed and purpose of building (By Floors) ___f New Building E' Remodeling Addition ( Signed) 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. / No. / f � - /Y2 s / - C /e/0 _ 4 T Owner's Name and Address __ Employing Plumber's Name .77 )__ _s di a 212.2.1.' __. ___ ?_ -el' Street N...) Subdivision / ^ L: r Street � f ,t 9 n /J> /147JC! � l 7Ci e Repairs No. of Stories___ / Size Septic Tank Type of Tank Capacity Gals Dist. 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 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. f r �,. ( Signed _L f . ) �. ) z_,ar - -mac .t__ L �ti1 -- street_ _N ) 92 2 n 9 Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. • 1 t BUILDING ELECTRICAL PLUMBING Owner of Building 1 ERMIT N° 5536 Work to be performed under this Permit G` [ t Architect Contractor _ $ or Builder tf Legal Lot C °f 0 Bl. Description '� Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 pl ef'dr wings r n the s atements or specificatio Id at he es respon- sibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perform the work covered h•reunder 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 .. urne r ponsibility or . ork done by either myself, my agent, servant or employee. MIAMI SHORES VILLAGE, FLORIDA DATE 7- 1947_ 44444 2)17,z 4 �? Subdi- vision Value of Project Signe 44 By INS CT Contractor's G License No. Amt. of Q Permit / t. AUTHORITY J "! Permit No. • MIAMI SHORES VILLAGE . PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date 7- !! - 17 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 "•../ CJy4 -c No. 44 47► Registered Architect and /or Engineer Employing Plumber's Name -- Iti ___ _ t � '',- Aaj_kj_ __S'Q -' Street_ r1_ _� S. 1 Location and Leg al Description k. � tion Lot ' t ' � Bl k 7- Subdivision Street and Number where work is to be performed —No 4 4t reet State work to be performed and purpose of building (By Floors) _Q_'__S. ii2. Q' /l__ 1`_ i_Q)ea New Building k Remodeling Addition Repairs No. of Stories 7-ar Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ / (Signed) t! STATE OF FLORIDA, 1 COUNTY OF DADE. / SS. (Signed) - My Commission Expires Notary Public, State of Florida ter Plumber. Stree 9 6 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 un} r this permit, as are licensed by Miami Shores Village. 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 F IXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL. SPRKLR. SYSTEM SWIM'G POOL 4 ' 5 J CONTR. LIST CHECK J "! Permit No. • MIAMI SHORES VILLAGE . PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date 7- !! - 17 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 "•../ CJy4 -c No. 44 47► Registered Architect and /or Engineer Employing Plumber's Name -- Iti ___ _ t � '',- Aaj_kj_ __S'Q -' Street_ r1_ _� S. 1 Location and Leg al Description k. � tion Lot ' t ' � Bl k 7- Subdivision Street and Number where work is to be performed —No 4 4t reet State work to be performed and purpose of building (By Floors) _Q_'__S. ii2. Q' /l__ 1`_ i_Q)ea New Building k Remodeling Addition Repairs No. of Stories 7-ar Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ / (Signed) t! STATE OF FLORIDA, 1 COUNTY OF DADE. / SS. (Signed) - My Commission Expires Notary Public, State of Florida ter Plumber. Stree 9 6 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 un} r this permit, as are licensed by Miami Shores Village. 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. Lel k 4: BUILDING • ELECTRICAL PLUMBING Owner of 1 Building 1` a 4 f • Architect Contractor 1 or Builder Legal , Loti r Description r Address of 1 te Building �! ,'./ 6 9 Y • In consideration of the issuance pertaining thereto and in stri t confo In accepting this pe • 't I as•1me res OR B DER MIAMI SHORES VILLAGE, FLORIDA DATE / 194L PERMIT N° 5537 Work to be performed under this Permi Bt . t,/ �c. Subdi- vision Value of Project 4, / 3/ 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 4 . 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 o}rawings or in the statements or specifications t he umes respon- sibility for work done by his agents, servants or employees. plans Gr3 • // t- i�L'ar 4 B y Signed. ' tom✓ � • INSPE OR o me of this permit I agree to perform the work covered hereunder in compliance with�rdinances and.reyylytions ity with the plans, drawings, statements or specifications submitted to the proper auth of Miami She s k2Page. ibility for all work done by either myself, my agent, servant or employee. Contractor's License No. Amt. of Permit 7 ti AUTHORITY Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub itted for a buildin r other structure herein described. This application is made in compliance and conformity with the Building Ordinance o Miami S res Villa e, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and r ulations 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_ __ _ __ r1 __L_:.1 L. e {__ `c No Street Registered Architect andt'o t ineer Employing Plumber's Name No Street Location and Legal Description Lot Block _ Subdiv'' STATE OF FLORIDA, J ss. COUNTY OF DADE. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors ' New Building Size Septic TanIc (77 '� Type of Tank l�'' C' "" ^ Feet of Drain Tile 1 `� ` Dist. Feet of Ta r Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit iiegnsed by Miami Shores Village. Remodeling Amount of Permit $ 9/1" A + `MIAMI SHORES VILLAG PLUMBING INSPECTION DEPARTMENT / „0.■ ,or ir APPLICATION FOR PLUMBING PERMIT Addition Repairs No. of Stories ( Signed) ( Signed) Date Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on o �7q t performed y r this permit, as are Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CI4ECK Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub itted for a buildin r other structure herein described. This application is made in compliance and conformity with the Building Ordinance o Miami S res Villa e, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and r ulations 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_ __ _ __ r1 __L_:.1 L. e {__ `c No Street Registered Architect andt'o t ineer Employing Plumber's Name No Street Location and Legal Description Lot Block _ Subdiv'' STATE OF FLORIDA, J ss. COUNTY OF DADE. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors ' New Building Size Septic TanIc (77 '� Type of Tank l�'' C' "" ^ Feet of Drain Tile 1 `� ` Dist. Feet of Ta r Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit iiegnsed by Miami Shores Village. Remodeling Amount of Permit $ 9/1" A + `MIAMI SHORES VILLAG PLUMBING INSPECTION DEPARTMENT / „0.■ ,or ir APPLICATION FOR PLUMBING PERMIT Addition Repairs No. of Stories ( Signed) ( Signed) Date Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on o �7q t performed y r this permit, as are Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No Amount of Permit $_ building during progress of work. The undersigned ap ' 'cant for . ng permit does here under the Florida Wor en's Compensation w' Abt, being Section plied with the provisions thereof, and will require similar com My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby r> a for the approval of the detailed statement of the plans and specifications herewith submitted for the fSiiilding or othei structure herein describe . This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of th aws 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 performed under this permit; and will post or cause to be posted for inspection required by the Act. The undersigned agrees to employ oiily such sub-co licensed by Miami Shores Village. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to a No certify that 988, Compiled ance from all Signed _ Date .---� C 17, ..M a 3 Street Notary Public, State of Florida zr Owner's Name and Address. ___ ... __________ Registered Architect and /or Engineer -_• _•• -_ _ Employing Plumber's Named._ I' - --- _1_QNt �` " !t __. ° -. tf !v' lo.._ ..............1_ Street Location and Legal Description Lot -__ _____ Block___ ___.... _.._____._ _ _ Subdivision Street and Number where work is to be performed —No S._ ' '-a / State work to be performed and purpose of building (By Floors) L�-1 .._. .;, ._ V New Building Remodeling �_ Addition__._________. __ __ Repairs - .- __. No. of Stories Size Septic Tank_ � JType of Tank___ Capacity Gals C-'.Dist. . _ _.. Feet of Drain Tile, M - -� Feet of Tank or Drain Field from Well� Nature of Water Supply: City —Well - - __: ___ Size of Soakage Pit_; he derstands and accepts his obligations as a eral Laws of Florida Pennanent Supplem tractors or sub - contractors employed by ' n the site of the work sth publ' work to otice ormads under tl Plu ctor. employer of la t, and has in the work or notices is permit, er Plumber. n- be s are as are nister oaths and take acknowledgments, personally appeare 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, an d that all tat 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 f,.ul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TuaB URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE: CONTR. LIST _ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No Amount of Permit $_ building during progress of work. The undersigned ap ' 'cant for . ng permit does here under the Florida Wor en's Compensation w' Abt, being Section plied with the provisions thereof, and will require similar com My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby r> a for the approval of the detailed statement of the plans and specifications herewith submitted for the fSiiilding or othei structure herein describe . This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of th aws 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 performed under this permit; and will post or cause to be posted for inspection required by the Act. The undersigned agrees to employ oiily such sub-co licensed by Miami Shores Village. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to a No certify that 988, Compiled ance from all Signed _ Date .---� C 17, ..M a 3 Street Notary Public, State of Florida zr Owner's Name and Address. ___ ... __________ Registered Architect and /or Engineer -_• _•• -_ _ Employing Plumber's Named._ I' - --- _1_QNt �` " !t __. ° -. tf !v' lo.._ ..............1_ Street Location and Legal Description Lot -__ _____ Block___ ___.... _.._____._ _ _ Subdivision Street and Number where work is to be performed —No S._ ' '-a / State work to be performed and purpose of building (By Floors) L�-1 .._. .;, ._ V New Building Remodeling �_ Addition__._________. __ __ Repairs - .- __. No. of Stories Size Septic Tank_ � JType of Tank___ Capacity Gals C-'.Dist. . _ _.. Feet of Drain Tile, M - -� Feet of Tank or Drain Field from Well� Nature of Water Supply: City —Well - - __: ___ Size of Soakage Pit_; he derstands and accepts his obligations as a eral Laws of Florida Pennanent Supplem tractors or sub - contractors employed by ' n the site of the work sth publ' work to otice ormads under tl Plu ctor. employer of la t, and has in the work or notices is permit, er Plumber. n- be s are as are nister oaths and take acknowledgments, personally appeare 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, an d that all tat 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 f,.ul materials and /or workmanship. UILDING LECTRICAL =LUMBING 3wner of ONTRA PERMIT N? Work to be performed under this Permit t , achitect ;mil-actor 4. Builder ega1 ' Lot ) ?Bl. (/ )escription L -t) ddress of 41 el kfilding This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- qtion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with es is, drawings, statements or specifications that may have been submitted to and approved by the proper municipal aethorities. This Permit may be revsed i t any time if the work is not done in compliance with such ordinances or if the plans are changed wi authorization. A further condition upon which- ibis x • .ermit is granted is the understanding that the contractor or builder named above tunnies the responsibility for a thorough know e of the ordinances sa egulations pertaining to the work covered hereby whether shown on the p drrylngs or ' apstftements or specificati 1ba ...,- .bility for work done by his agents, servants or employees. st. . AI A' MIAMI SHORES VILLAGE, FLORIDA DATE 5536 Sign Subdi- vision Contractor's License No. ' ittte."4, Value of Amt. of I: Project Permit IN In consideration of the issuance to me of this permit I agree to perform the work covered h eunder in compliance with all ordinances and regulations ertaining thereto and in strict cod. 'ty with the ions, drawings, statements or specifications submitted to the proper authorities of Miami Shores Mg*. ii accepting this permit I aighme r ..sibility ork done by either myself, my agent, servant or employee. BY 7- -V4 1944_ // C AUTHORITY UILDING LECTRICAL •LUMBING )caner of uilding .rchitect ] ontractor r Builder ,egal )escription i vision Value of Amt. of °' 7 address of / / e, Project Permit 1 ...« ; uilding 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 appii- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with an -• Gans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be t 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 .ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorou know of the asd . zgulations pertaining to the work covered hereby, whether shown on the plans o showings or in the statements or specifications ibility for work done by his agents, servants or employees. CONTR CTOR OR BU - ' ER MIAMI SHORES VILLAGE, FLORIDA DATE /' t ij 1 PERMIT N? 5537 Work to he performed under this Permit Signed. , Contractor's f License No. By it In consideration of the issuance t• me of this permit I agree to perform the work covered her . der in compliance with all ordinances and ertaining thereto and in stric confo ;, with the plans, drawings, statements or specifications submitted to the proper authorities of Miami accepting this permii!tiI ass resp., • for all work done by either myself, my agent, servant or employee. BY AUTHORITY 4 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Lot Address of Building s r MIAMI SHORES VILLAGE, FLORIDA ❑ DATE U, PERMIT N? 6 610 Contractor's License No. / , Work to be performed under this Permi J AA • , rl,...t ,1 .0 Bl. / aft )144..2i Subdi- vision Value of Amount of C �� Project I 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. . X', Signed. t/'1~,- I( -4 ' w _ INSPECTOR • In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with a 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. • f A t 19___ 0 CONTRACTOR OR BUILDER BY AUTHORITY ♦.NOT Date Legal Description Historically Designated: Yes Qualifier Owner/Lessee / Tenant (PW4R.P 07/€0P1 11 / `t Master Permit # Owner's Address �(D WORK DESC Square Ft. Estimated Cost (value) R. D/ ature of owner a APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE <j� >✓ 9z5t "Tax Fo QE's Job Address /l/ Tax Folio .(3,44/Le 61--( esident FEES: PERMIT -36 ° RADON a t Signa .S C.C.F. <<.J NOTARY Phone My Commission Exp No "70 g7 /29 -0 / 6 7 Contracting Co. C/! O/V /� i/ Address 6 Sc / tta9-7 7 V 2/S SS# State # ("/IT 4-02.1 7 5YMunicipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL ' LUMBIN MECHANICAL R 1 OFING PAVINQ FENCE SIGN 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. OWNERS 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 ��t.1 r� D4 .-n6553 0 MY COMMISSIO EXP. UP..1 19°3, /7`CIJI/I,l.Qi / er CiFFICIAL C AIsY i BUD TWYFOI.D INCTARY PUBLIC STATE OP PLC .IBA` COMMISSION NO. Cw£:559 _ MY COMMISSION EXP. APR. 1,1993 TOTAL DUE ate 5-