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557 NE 92 St (8)Date C!� PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) f. Job Address 5 7 ) s Tax Polio // Jaf J / Legal Description 46i / (� Di. /7 ,- 7 77/5 Owner / Lessee / Tenant V / 6.4"j12- E Master Permit #32 ‘3 Owner's Address � l' Phone d e/f Contracting Co. PA 01 it % PI- Address L C g w 77 'S r Qualifier C Esvg Or & /') Ex) Phone State # Municipal # Competency #/ " ' ns.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL (PLUMBING) MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION # L ��� Square Pt. Estimated Cost(value) r®e 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, acid zoning. Pgrmo authorize the above-named contractor to do the work stated. ubli State of ftonda Signature of owner and/or Condo President Date: Notary as to Owner and/or Condo President My Commission Expires: Zoning Building y�c� Mechanical Plumbi l�^ j :f�otdr t :holy Commission Exp. Apri130,1996 G '► o� o' No. CC197545 , Signatp Contractor or er- Date:00� o Cona �[ 3 %3 Print type or stamp name of Notary Public y known FOR Produced I.D L .• Inn o „ ta ' y as to Contractor or awn �g44 My Commission Exp jj �L� take an oath, or DID NOT rake an oath. ** * * *��"" * * * * * * * * FEES: PERMIT ~�c RADON C.C.P. NOTARY APPROVED: Fire Other * * * ,%] SD • S � TOTAL DUE Electrical engineering Permit No 7 eP. 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. ' • \ A Owner's Name and Address __ 1 No._ Street Registered Architect and /or Engineer - ------------------------- _---- -___ -- / No.- Location and Legal Description Lot._ ./- 0 T r 6 - = i ? —__-- Bloc -_ -- Subdivision Street and Number where work is to be performed —No.__ S �_ 2 ._I LE _ — Street. 9 s State work to be performed and purpose of building (By Floors)_-7./J-____ -19C-7-7 ed . 77 Q.&- New Building —_ ______ Remodeling__-_______ / - --_--- Addition Repairs Employing Plumber's Name Size Septic Tank Type of Tank-___ Capacity Gals Feet of Drain Tile. _Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit Nature of Water Supply: City—Well. Amount of Permit $ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o1ll�a as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn Supplement, and Ilan 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. S ob MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) - � � L (Signed) -- -- --- -- Date 4'l Street_-_ My Commission Expires Notary Public, State of Florida No. of Stories. Se STATE OF FLORIDA, COUNTY OF DADE. j 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 TUBB URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS ,/ S' vj :: D TOTAL FIXTURES CONTR. LIST --■ CHECK — ere. — /---- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST - CHECK Permit No 7 eP. 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. ' • \ A Owner's Name and Address __ 1 No._ Street Registered Architect and /or Engineer - ------------------------- _---- -___ -- / No.- Location and Legal Description Lot._ ./- 0 T r 6 - = i ? —__-- Bloc -_ -- Subdivision Street and Number where work is to be performed —No.__ S �_ 2 ._I LE _ — Street. 9 s State work to be performed and purpose of building (By Floors)_-7./J-____ -19C-7-7 ed . 77 Q.&- New Building —_ ______ Remodeling__-_______ / - --_--- Addition Repairs Employing Plumber's Name Size Septic Tank Type of Tank-___ Capacity Gals Feet of Drain Tile. _Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit Nature of Water Supply: City—Well. Amount of Permit $ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o1ll�a as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn Supplement, and Ilan 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. S ob MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) - � � L (Signed) -- -- --- -- Date 4'l Street_-_ My Commission Expires Notary Public, State of Florida No. of Stories. Se STATE OF FLORIDA, COUNTY OF DADE. j 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. ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY / / OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER / ( MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET -, / MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. / / GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE /D, �70 / SIGN TUBES SEWER CONNECTIONS d f SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) Ort e) . ELECTRICAL MECHANICAL BUILDING ❑ ELECTRICAL ❑ PLUMBING PERMIT fig. ROOFING ❑ 0 Owner of Building MIAMI SHORES VILLAGE, FLORIDA N9 7664 l % r y e f i DATE e 2 19 - Contractor's License No. Work to be performed under this Permit Architect Contractor or Builder - Legal Lot Subcii- Description II Bl vision Address of �- < ' � r f Value of II Amount of Building 4S �'' /' Proiect $ �� Permit $ �. This permit is l p 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. r p .. Signed t . t..-- .. , to t ��, t .... _ . ✓— INS�SC�OR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance witi} X11 ordinances sad regulatio pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritieis/"of Miami Shores Village. In ae ceptinq this permit I assume i sesonsibility for ell work done by either, myself, my agent, servant or employee. f ; CON4ACTO R "IRON BY AUTHORITY A ■sor BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE. FLORIDA 0 PERMIT 0 0 N9 2337 Work to be performed under this Permit Architect Contractor or Builder Legal Lot Description Bl Address of Building 195— DATP Contractor's License No Subdi- vision Value of Project $ Amount 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 cr 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 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. CONTRACTOR OR BUILDER BY AUTHORITY **IMP' OWNER LOT BLOCK SUBDIVISION i if Date Issued to r; to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at Fixtures 4l iami cSliores llage F L 0 R 1 D A PLUMBING PERMIT N9 101L Fixtures // $ Sewer f $ Septic Tank $ fY Total $ Village Plumbing Inspector Received Payment by t r OWNER LOT BLOCK SUBDIVISION r f v • Date Issued to iarni Jhores9llage F L O R D A PLUMBING PERMIT N9 1073 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. ,~ ' ' For a story building at -- f Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by are Issued to r , c. -( aiami cShores9' llage F L O R I D A PLUMBING PERMIT N9 1073 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. ( - , building at .5 d For al_____story Fixtures Fixtures Sewer $ •ticTank $ Total $ / G 0 Village Plumbing Inspector ; Received Payment by ''�t OW NER LOT BLOCK SUBDIVISION jj JJ � ,r // d-e in W /t 0 " J ] 59 1. -- are Issued to r , c. -( aiami cShores9' llage F L O R I D A PLUMBING PERMIT N9 1073 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. ( - , building at .5 d For al_____story Fixtures Fixtures Sewer $ •ticTank $ Total $ / G 0 Village Plumbing Inspector ; Received Payment by ''�t /t J� ,s 7 I( • I herewith submit the following application for a permit covering the installation of a Septic Tank Relaying: s New Feet of drain tile: Installed by: Address: MAW L Owner or Agent :) = ->1 , j • (NEW: Old: Story: Addition: Remodeled: For a (Store: LOT NO. / �. Address of work: No. of Plumbing Fixtures: Nature of water supply: City: Type of tank installed: ja Size of Soakage Pig: Additional information: PERMIT NO. DADE COUNTY ZONING OFFICE Form X11 DIVISION OF PLUMBING INSPECTION Soakage Pit: Date: Garage: Apt.: Hotel: Office Bldg: Res: (2112121 . 211E11 floor: Waste water from a: Building has: Stores; Offices; Apts.; Hotel Rms;, 'Bedrms el Address: BLOCK NO. w SUBDIVISION 2' ?, ,. Laundry Tubs:, Purpose of same: Ready for Inspection: Date: APPROVED BY: CONDEMNED BY: Remarks: Floor Drains: Well: Feet distant from all wells: t � Tank ca pacity Time: f CLOSETS BATH TUBS SHOWERS LAVA- I TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES / /1 v 1 u) W Sketch position of building and lot lines in squar the building and lot faces; also show exact locatio sewer and any change in direction same may make. underground pipes for future references. NORTH A WEST EAST SOUTH Remarks: ich represents an entire city block) , showing o hich street "Y" in street and position of lateral or sep c nk. Show purpose of this plan is to have an accura 1 yout of all NORTH SOUTH For { Owner or Agent Lot No. Dwelling A -244 EM 3-88 1 I herewith Nubmit the low' : g plan of plumbing for approval: Employing Plumber New Builder or Contractor is Address r i Sewer Connections C./ At center of St. ❑ At curb ❑ A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date ROUGH -IN INSPECTION Ground Rough -In Rain Leader AM P M Approved by Condemned by REMARKS Block No. DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA Old ❑ Store ❑ Garage ❑ Work executed by Story `b At property line ❑ To septic tank Date SEWER INSPECTION A M P M. Approved by Condemned by Plan No Sewer Permit No rig Addition ❑ 2Y , 19 Apartment ❑ Hotel ❑ Office Bldg. ❑ ■( i7aif/ Address J S " � _ 1 Address %`!// . ∎ e/J - P- - % - Subdivision a414 f AM P M Approved by Condemned by Remodeled ❑ ing in alley ❑ Existing bldg. sewer ❑ Existing bldg. drain ❑ To dry well ❑ Date FINAL INSPECTION REMARKS REMARKS 1 THIS SPACE FOR E! gVATION SKETCH In alterations to existing work show the old work in red ink ana. the n w in black ink. Letter each stack to correspond y with the opening shown in floor plan or ground plan on opposit' pa . At • PERSPECTIVE SKETCH WILL BE SUFFICIENT THIS SPACE FOR PLAN SKETCH PROVIDED THE WORK CAN BE CLEARLY SHOWN Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock con- nections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of build- ing showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in ref- erence to same.