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546 NE 92 St (3)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui ing Inspection Request al Date IX IV— TypeInsp'n 1 Oct 1 1 Permit No. P 104 - 3) 3 Phone # Inspection Date Approved Correction Re- Insp'n Fee 0 Name 14 Address 5L1 V ' U v Company MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date j ' Type Insp'n J ' Permit No. p.' Name Address L A /7 Company Phone # Inspection Date Approved Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Phone # Inspection Date Approved Correction Re- Insp'n Fee • Type Insp' n XJ� Permit No. PL. T - o/ Name `L�VeA Address —617/(0 '' " • /.0 4 Company fit` ' V (61414-660 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical cIIPIuiubinj Mechanical Roofing Owner's Name (Fee Simple Titleholder) On {Q -f . Phone # C ';') .7 `a / i S Owner's Address'4 e - co S 4- cit 1.-1 1 rk., ,(\ J Q State i n Tenant/Lessee Name Job Address (where the work is being done) � 9 -C q L City Miami Shores Village is Building Historically Designated YES Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ❑Addition Describe Work: Code Enforcement $ -� Total Fee Now Due $ lay' (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1 ` State Certificate or Registration No. C )' ❑ Alteration County Miami -Dade NO ❑New Structural Plan Review. $ Permit No. t/ j ( t 1 c ) _ Master Permit No. ;��'( >�� LS Zip T ) Phone # Contractor's Company Name '\l r ' Y ''1 f`A k'ki...''�,�("�'"1/\ Phone # Contractor's Address ',3iCU IL■.1, 1 2.. -'4=V 126) City - " r \.i f: vVU State V n Qualifier (1�( �'l_'C'; C �r(< X t� �� a`1: Certificate of Competency No. Phone # Square Footage Of Work: (3f=i) c-11% 3 Zip ❑ Repair/Replace ❑ Demolition i . L,.1 1 ****************************Few***************************** CPC Submittal Fee $ 7(_: . CC Permit Fee $ CCF $ b J CO /CC Notary $ Training/Education Fee $ Technology Fee $ , ' • 7 S — Scanning $ Radon $ Zoning Bond $ —� Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which o c s seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved ;i d a reinspection fee will be charged. Signature ,)( er or Agent f The foregoing instrument was acknowledged before me thus day of Oc 4 , 20C��1 , by who is personally know o me or who has produced s i entification and who did take an oath. NOTA Sign: Print: Chc 05/13/03 . 1.74 MY COMMISSION #DD258846 EXPIRES: OCT 08, 2007 Y My Commission Expires: * * * * * * * * * * * * * * * * * * ** 1 \ 41 L11A DtlBON The foregoing instrument was acknowledged before nee this.) day of l' , 2601 , by who is personally know • me or who has produced tification and who did take an oath. NOTARY P Si Print: .. , IC: :Mik 0-1- My Commission Exp DA DUBON MYCOMMISSION #D0256848 EXPIRES: OCT 08, 2007 ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * © * *I, ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED ; •',/ ,'/ O ' 5 Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11 /19/2004 Applicant: MARIO Owner: FLOTA JOB ADDRESS: 546 NE 92 Contractor P & H ADDITIONS Local Phone: 305 - 264 -8092 Parcel # 1132060141170 Signed: (INSPECTOR) Signed: (Contractor or Builder) Plumbing Permit Permit Number: PL2004 -313 FLOTA MARIO ST Contractor's Address: 3100 N. W. 72 AVE. UNIT 129 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 1 Permit Status: APPROVED Permit Expiration: 4/30/2005 Construction Value: $800.00 Work: PLUMBING FOR POOL - BP2004 -1428 BY: Page 1 of 1 BLK 58 LOT SIZE 98.600 X 127 Fees: FEE2004 -11573 FEE2004 -11574 FEE2004 -11575 FEE2004 -11576 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $150.00 $0.60 $0.20 $3.75 $154.55 Total Fees: $154.55 Total Receipts: $0.00 iO SZ NOV 19 PAID 52 go-Li In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. PtKrl1 I APPL1LAI JUN rUH MUPI /LIVALl I ltS Ur UAUt l:' Date 71.3/4 3 Job Address G / � ` ax Folio /1 Sal Legal Description Lb -4 1 `✓ U't ' 14' S M as r Pe�it 4f l (L \ Ci )N6L D Contract-= Co S eo - Qualif a • Owner Owner's Address State #lq) Tenant Day -Time Phone 7 S J- '' 3 6 2 jos M i"-Afpc Ole MY9 / °�* ss# Phone fl Address Competency #20" ,7" 7 Ins. Co. Architect /Engineer Address Bonding Company Address Mortgagor Addre Permit Type: ROOFING WORK DESCRIPTION Square Ft. Estimated Cost c2_5Z WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR r'AILURE 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 curate and that all work will done in compliance with all applicable laws -ulat •g co•.tructi•n and zoning. Fur re authorize the above - ctor d•_ - e w Sig at .e of Property Owner • on •o Pres. .A cr bed before me this � �S day Aii i 1 / , 19 `1 3 - TS WVF ' Signature of M • d tibiA gRlido President : • My Comm Exp. 7 /30/96 t�►Wr p � , � w td 0 nice Ins •` SF 1WP bssioned Name) nig ied I.D. Q Sworn to & su of (Print, Personally TYPE OF I.D. PRODUCED FEE g D, d ee Qev Zoning BUILDING ELECTRICAL Mechanical Plumbin Signature of Notary, Contractor (Print, Type, or Stamp Commissioned Name) Personally Known Q OR Produced I.D. F TYPE OF I.D. PRODUCED Building 091 0),A9 MECHANICAL PAVING FENCE SIGN e of Contra Sworn to & subsc d before me this _ day of �.d, , 19 9 a ri l 1.\ • .i n . , Uy . V a 4 , _- S';,'Tlsi' ' H f GC:NnAi. ±NS. UAl. Electrical Engineering 17.5 Permit No / St q 1) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_.._!a_c_ .:_ —J a_ ------ - - - - -- — ----- - -._.. No. _s Al • 1 z __ Street 9,2 57- Registered Architect and /or Engineer___c &k s__..__._ L_ -.G° �_ 1 �_ k - -- - -- - - -- Employing Plumber's Name fJ._L _/ L "I 6 OC? = No." ? _ 3 ‘o Street...LV. d!c trOC.:fl Blod Subdivision 7 2! '� - -- Street and Number where work is to be performed —No 9' Street 7? ‘ 57- State work to be performed and purpose of building (By Floors) __./ U [ .__-/_-. �! 8/ )/ /u RTvit 13 /9T// New Building _ _ -- Remodeling------ _ -._ -- --- _-- ____ -- Addition - -._ Repairs No. of Stories . . . .... ........ . . Location and Legal Description Lot__ —_J MIAMI SHORES VILLAGE PWMBING INSPECTION DEPARTMENT E FL Cl ,YI N FOR PLUMBING PERMIT Size Septic Tank_ — — — — — Type of Tank Feet of Drain Tile._ __ —Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City—Well. _,...i... Amount of Permit $ — Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig + 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. 1 STATE OF FLORIDA, } COUNTY OF DADE. (Signed)_ (Signed). 8 /tii /4) c- 1 r y - / ?? 3o Date - - --- — - -- Capacity Gals. - - -- ----- - - - - -- ...... -...... 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 Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for insr n, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS I NALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST / / / R d CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST _ CHECK Permit No / St q 1) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_.._!a_c_ .:_ —J a_ ------ - - - - -- — ----- - -._.. No. _s Al • 1 z __ Street 9,2 57- Registered Architect and /or Engineer___c &k s__..__._ L_ -.G° �_ 1 �_ k - -- - -- - - -- Employing Plumber's Name fJ._L _/ L "I 6 OC? = No." ? _ 3 ‘o Street...LV. d!c trOC.:fl Blod Subdivision 7 2! '� - -- Street and Number where work is to be performed —No 9' Street 7? ‘ 57- State work to be performed and purpose of building (By Floors) __./ U [ .__-/_-. �! 8/ )/ /u RTvit 13 /9T// New Building _ _ -- Remodeling------ _ -._ -- --- _-- ____ -- Addition - -._ Repairs No. of Stories . . . .... ........ . . Location and Legal Description Lot__ —_J MIAMI SHORES VILLAGE PWMBING INSPECTION DEPARTMENT E FL Cl ,YI N FOR PLUMBING PERMIT Size Septic Tank_ — — — — — Type of Tank Feet of Drain Tile._ __ —Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City—Well. _,...i... Amount of Permit $ — Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig + 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. 1 STATE OF FLORIDA, } COUNTY OF DADE. (Signed)_ (Signed). 8 /tii /4) c- 1 r y - / ?? 3o Date - - --- — - -- Capacity Gals. - - -- ----- - - - - -- ...... -...... 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 Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for insr n, or faulty materials and /or workmanship. I Cl'JG^4(m D ATN TUBS SNOWERO LAVA• TORIES SINKS SLOP SINKS LAUNDRY Tung U RINALS CATCH BASIN FLOOR DRAIN DRINK NO F / ,Q TOTAL FIXTURES L ---- c , i7cr:f . SEPYIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CON'.'. LIST _ CH[CK r -.2!it ND._ Application is hereby inade 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 bri!d!ag during progress of work. Amount of Permit $ Owner's Nane and Address Registered Architect and /or Engineer___ Employing Plumber's Name Location and Legal Description Lot. _ ,,��jj Street and Number where work is to be performed— No._._.11'-..4__.______ ___ _ Street q Ste de work to he performed and purpose of building (By Floors) New Building__- Remodeling_ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. __P - ._ ' (Signed)_ - �� `3 Date. Ali 2.I ' Street.. g2 ' Street__j& Subdivision Notary Public, State of Florida Capacity Gals Addition________ Repairs No. of Stories. Size Septic Tank Type of Tank Feet of Drain Til e.__ ____•--- -- ------ --------- ___ - -- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well .____________ _._____ _____.Size of Soakage Pit P1 mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e foyer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has coin - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. 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 i$1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /as workmanship. Permit No ,A 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 copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address S.______ No. __T_S!j Registered Architect and /or Engineer ..... _______________________________ _________ Employing Plumber's Name a n , -) Street__ s � , X 4/ e7 Si, Location and Legal Description Lot-- __.__- ________________________— Block Subdivision_ Street and Number where work is to be performed- No.____-_ __ _ t. Street 4,-E f 2 ,i?' State work to be performed and purpose of building (By Floors ) ____ New Building________ _ Remodeling___- ____ Addition____ _ Repairs Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. j ( Signed) _ (Signed)..... Date Street F ?A No. of Stories. Size Septic Tank ... Type of Tank Feet of Drain Tile-- _______............... ___.... ___-___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well. Size of Soakage Pit Capacity Gals My Conmiission Expires Notary Public, State of Florida Master Plumber. • 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 under 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 SIN" SLOP SINKS LAUNDRY Tues ALS URINALS N/ CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS -.- TOTAL FIXTURES CL LIST I i 2- P ST " �isZ � 5'' ' a � 1) I - __ __ _ CHECK ---F SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL I.— CoNTR. LIST CHECK Permit No ,A 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 copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address S.______ No. __T_S!j Registered Architect and /or Engineer ..... _______________________________ _________ Employing Plumber's Name a n , -) Street__ s � , X 4/ e7 Si, Location and Legal Description Lot-- __.__- ________________________— Block Subdivision_ Street and Number where work is to be performed- No.____-_ __ _ t. Street 4,-E f 2 ,i?' State work to be performed and purpose of building (By Floors ) ____ New Building________ _ Remodeling___- ____ Addition____ _ Repairs Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. j ( Signed) _ (Signed)..... Date Street F ?A No. of Stories. Size Septic Tank ... Type of Tank Feet of Drain Tile-- _______............... ___.... ___-___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well. Size of Soakage Pit Capacity Gals My Conmiission Expires Notary Public, State of Florida Master Plumber. • 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 under 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. MIAMI SHORES VILLAGE, FLA. 17 INSPECTOR JO B 47C_" i, to ii.Cl-Fit D,s -� .'le. ADDRESS ,5 /4; C 4? SiC INSPECTION ��� /-y"s ( `yam //0 . TIME READY 4 r )-7 • REMARKS. / /8'I 3 B 1NG CTEICAL PL 1:ING Own r of Buil g Architect .contrc ctor or Buwlllder Work to be performed under this Permit t .s CTO OR PERMIT N? 10528 MIAMI SHORES VILLAGE, FLORIDA Legal Lot Bl. Description Addre of Buildin (r" Subdi- vision Value of Project $ DATE 195 1 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 iti 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 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 ' the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertainin 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 • agents, servants or employees. Signed: C.—. .`' � , fo INSPECTOR r BY � ) In nsideration 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 this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Permit No /a 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 copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.7_ 1��►'� -/L( No Street Registered Architect and /or Engineer {� Employing Plumber's Name . ✓.t 6 1- � »?�'' No Street Location and Legal Description Lot — Block Subdivision Street and Number where work is to be performed —No 5 51 l y Street 9r 2 ',OW State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs 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 $ _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor tinder the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinanent 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. STATE OF FLORIDA, 1 COUNTY OF DADE. ss. (Signed) ( Signed) -_ -..e. 1 Date At: Z 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 No. of Stories _ ___ __ 22 _.. Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N5 TOTAL FIXTURES CONTR. LIST /� �i / / / / ( - CHECK 7J 7,2 _ �},{ /,/ / " .7 -. -_ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL a. /J . -41.14- , S / ./" Y i t Aa l a ��f61 f : .(- n - CONTR. LIST CHICK HECK -- . -- // • / G`!1 i Permit No /a 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 copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.7_ 1��►'� -/L( No Street Registered Architect and /or Engineer {� Employing Plumber's Name . ✓.t 6 1- � »?�'' No Street Location and Legal Description Lot — Block Subdivision Street and Number where work is to be performed —No 5 51 l y Street 9r 2 ',OW State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs 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 $ _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor tinder the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinanent 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. STATE OF FLORIDA, 1 COUNTY OF DADE. ss. (Signed) ( Signed) -_ -..e. 1 Date At: Z 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 No. of Stories _ ___ __ 22 _.. Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.