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657 NE 92 St (8)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 12 -13 -96 Job Address 657 N.E. 92nd Street Tax Folio Legal Description Historically Designated: Yes No X Owner/Lessee / Tenant BETTY SULLIVAN owner's Address 657 N.E. 92nd Street, Apt. 1 -E Contracting Co. Coastal Plumbing Co. of Miami Queer Robert E. Brincefield swot CFCO -19042 Municipal # 6264 Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAJ PLUMBING Address WORK DESCRIPTION Replace existing electric water heater Master Permit # ®7-5 Phone 751 -5198 285 N.E. 185th Street, Miami, F1 33179 ss# Phone 305- 651 -4429 Square Ft. Estimated Cost (value) $200.00 Gateway Ins. Agency Competency # CFC0 - 19042 Ins. Co. Address Address Address MECHANICAL ROOFING PAVING 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. 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. Notary as to Owner and/ My Commission Expires: FEES: PERMIT 3,7_ 7 RADON APPROVED: Zoning Mechanical Condo Presii#`t t2s,'2 e #CC 477159 : �= 7!BtI ` iTA - C —, �• C.C.F. I'' NOTARY Signature of Contractor or Owner uilder Date Notary as to Contractor or My Commission Expires: Electrical ��s•J ¢tunE k '106 fp: s Date o :• #CC 477159 : o � i : l 2 ° nded � pC % . O TOTAL DUE Engineering Permit No. 22 Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT — _� (Signed)_ My Commission Expires Date - --- - -- - -- -- - - - . ci ` 5 6 r 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 //Q_,�Gi � 4 _ S______ �C�1!7 No. 67 3 Street 1!__ L 90 S Registered Architect and /or Engineer - ------- __ �_------ _ — __ -- __ -- _ Employing Plumber's Name / /Z fk 4 _- S 111_c No.__----------- _ - - - -- Street__ - - -_ - -- Location and Legal Description Lot________ —_ _ — __ _ , BBlock__� — Subdivision Street and Number where work is to be performed —No 1 7i A .._ _99T T, _ Street_ State work to be performed and purpose of building (By Floors)______ New Building Remodeling — _______ Addition____ Repairs No. of Stories Size Septic Tank_------ ______ --------------- - - -- -- --Type of Tank_ —___ Capacity Gals Feet of Drain Tile___.19_ p - -44_Y_-Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —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 to • . perf ed der this perm) , as are licensed by Miami Shores Village. a/Le 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 TU88 SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINK NG FOUNT' NS TOTAL FIXTURES Comm. LIST CHECK _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST —!— CHECK Permit No. 22 Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT — _� (Signed)_ My Commission Expires Date - --- - -- - -- -- - - - . ci ` 5 6 r 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 //Q_,�Gi � 4 _ S______ �C�1!7 No. 67 3 Street 1!__ L 90 S Registered Architect and /or Engineer - ------- __ �_------ _ — __ -- __ -- _ Employing Plumber's Name / /Z fk 4 _- S 111_c No.__----------- _ - - - -- Street__ - - -_ - -- Location and Legal Description Lot________ —_ _ — __ _ , BBlock__� — Subdivision Street and Number where work is to be performed —No 1 7i A .._ _99T T, _ Street_ State work to be performed and purpose of building (By Floors)______ New Building Remodeling — _______ Addition____ Repairs No. of Stories Size Septic Tank_------ ______ --------------- - - -- -- --Type of Tank_ —___ Capacity Gals Feet of Drain Tile___.19_ p - -44_Y_-Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —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 to • . perf ed der this perm) , as are licensed by Miami Shores Village. a/Le 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. 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. Permit No g017- Owner's Name and Address O Registered Architect and /or Engineer Employing Plumbtu's Nolo Location and Legal Description Lot Street and Number where work is to be performed—No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Ai i Street.._ Blocir Subdivision Street - S `_ 0 State work to be performed and purpose of 2 r^ - P� P� building (By Floa�ra) __ -_ -- � .? � �. �� ! Gam ; � o h l' U New Building_ .. _, _.._ _. Remodelin Addition. _ epairs - -_ No. of Stories... Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. f (Signed)_ Size Septic Tank— _Type of Tack__ Feet of Drain Tile ...... Feet _.___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit. Capacity Plumin Ii►spector. 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. 60/t9e 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 aster Plumber. materNiaOTE: re-inspection fee of 81.00 will be made when such re- inspection L made necessary by improper notice for inspection, or faulty CLOSETS BATH TUBE SHOWER[ LAVA. TORIES SINK{ SLOP SINK[ LAUNDRY Tu[[ URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N[ m /./ TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•O P001. CONTR. LIST CHECK 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. Permit No g017- Owner's Name and Address O Registered Architect and /or Engineer Employing Plumbtu's Nolo Location and Legal Description Lot Street and Number where work is to be performed—No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Ai i Street.._ Blocir Subdivision Street - S `_ 0 State work to be performed and purpose of 2 r^ - P� P� building (By Floa�ra) __ -_ -- � .? � �. �� ! Gam ; � o h l' U New Building_ .. _, _.._ _. Remodelin Addition. _ epairs - -_ No. of Stories... Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. f (Signed)_ Size Septic Tank— _Type of Tack__ Feet of Drain Tile ...... Feet _.___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit. Capacity Plumin Ii►spector. 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. 60/t9e 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 aster Plumber. materNiaOTE: re-inspection fee of 81.00 will be made when such re- inspection L made necessary by improper notice for inspection, or faulty Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A Dopy of approved plans and specifications must be kept at building during progress of work. c . O N N 751 Street C7 Al ' Owner's Name and Address A = s•G ' J. Registered Architect and /or Engineer 4 Employing Plumber's Nemo L' Jr l C IS P1 U p1) � 1�( 0,. ?,)- � ...... 1 4 ©7 (.( vt? 4 . L o c a t i o n and Legal Description Lot ( $]or& Subdiviaon._-_— Street and Number where work Is t o be performed —No C n S 7 /k 4 _ 5 7 L ° sew. State work to be performed and purpose of building (By Floors)_ —. -----------------------•---•---•--.— New Bui ]ding--_-.•— ___.._.. .... ....._.. Remodeling_ —_ j„' -- Addition..._._— _. -._._ Repairs No. of Stories. Size Septic Tank__ _Type of Tank_ r Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Wen Nature of Water Supply: City—Wells Size of Soakage Pit Amount of Permit $ .0 (Signed) _ " :NYR6 0 g'•-F Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perinanent Supplement, and huh 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 err 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. My Commission Expires (Signed) 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 be has carefully read the foregoing application, and that be 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 nob re-laspeolio. Y made nary by improper notion for i npectlo , or faulty materials and /sir worlananship. CLO•Ra BATH Tu.[ ""g" OW LAYA• TORIES SINKS SLOP SIN�KS LAUNDRY URINAIa CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N• W '• I U : — o e TOTAL FIXTURE[ CO NTR. LIST / Red C q j � Tun• G-J' c.,,L dv .e lA}�7t.. 3x CHECK SEPTIC TANK SEWER CONN. DRAIN F I[LD SOAKAGE PIT G TRAP SO LA HEATER DEEP WELL •PRKLR. SYSTEM SW IM'O POOL CONTR. LIST I CHECK - - -- -- ____ -_ ,-- Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A Dopy of approved plans and specifications must be kept at building during progress of work. c . O N N 751 Street C7 Al ' Owner's Name and Address A = s•G ' J. Registered Architect and /or Engineer 4 Employing Plumber's Nemo L' Jr l C IS P1 U p1) � 1�( 0,. ?,)- � ...... 1 4 ©7 (.( vt? 4 . L o c a t i o n and Legal Description Lot ( $]or& Subdiviaon._-_— Street and Number where work Is t o be performed —No C n S 7 /k 4 _ 5 7 L ° sew. State work to be performed and purpose of building (By Floors)_ —. -----------------------•---•---•--.— New Bui ]ding--_-.•— ___.._.. .... ....._.. Remodeling_ —_ j„' -- Addition..._._— _. -._._ Repairs No. of Stories. Size Septic Tank__ _Type of Tank_ r Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Wen Nature of Water Supply: City—Wells Size of Soakage Pit Amount of Permit $ .0 (Signed) _ " :NYR6 0 g'•-F Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perinanent Supplement, and huh 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 err 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. My Commission Expires (Signed) 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 be has carefully read the foregoing application, and that be 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 nob re-laspeolio. Y made nary by improper notion for i npectlo , or faulty materials and /sir worlananship. Permit No New Building Remodeling Size Septic Tank Feet of Drain Tile Amount of Permit $ — STATE OF FLORIDA, } ss. COUNTY OF DADE. My Commission Expires 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._ ' �1' �__J / $ —i //4 - 1� es:t ' No._ -___ �.. - - - -_ -- Street _7. Registered Architect and /or Engineer ____,__ _____�__� Employing Plumber's Name - - e ! /1_ GJ / ` / � � No. Location and Legal Description Lot --- ...- _- ___ - - -_.— Block -- Subdivision - - -- -__ - -- Street and Number where work is to be performed—No 11 • 56 / .24 / ' Street State work to be performed and purpose of building (By Floors) ________ — Addition .----- .- •-- _---- - - -•- Repairs - Type of Tank l/• � '_ /L i _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____— _..... _____— _____—..... ________ ____Size of Soakage Pit (Signed) _ 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 bus 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 . e work such public required by the Act. The undersigned agrees to employ only such sub- contractors, o. ork t4 be performed this permit :tflare licensed by Miami Shores Village. Capacity Gals Date Notary Public, State of Florida No. of Stories. . ........ . ... . ... Master Plumber. lice or notices as are Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persona !' 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 S HOWERS LAVA. TORIES SINKS SLOP SINKS LAUNORY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS FIXTURES CONTR. LIST CHECK __ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST - -"- CHECK Permit No New Building Remodeling Size Septic Tank Feet of Drain Tile Amount of Permit $ — STATE OF FLORIDA, } ss. COUNTY OF DADE. My Commission Expires 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._ ' �1' �__J / $ —i //4 - 1� es:t ' No._ -___ �.. - - - -_ -- Street _7. Registered Architect and /or Engineer ____,__ _____�__� Employing Plumber's Name - - e ! /1_ GJ / ` / � � No. Location and Legal Description Lot --- ...- _- ___ - - -_.— Block -- Subdivision - - -- -__ - -- Street and Number where work is to be performed—No 11 • 56 / .24 / ' Street State work to be performed and purpose of building (By Floors) ________ — Addition .----- .- •-- _---- - - -•- Repairs - Type of Tank l/• � '_ /L i _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____— _..... _____— _____—..... ________ ____Size of Soakage Pit (Signed) _ 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 bus 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 . e work such public required by the Act. The undersigned agrees to employ only such sub- contractors, o. ork t4 be performed this permit :tflare licensed by Miami Shores Village. Capacity Gals Date Notary Public, State of Florida No. of Stories. . ........ . ... . ... Master Plumber. lice or notices as are Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persona !' 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. =owner of wilding UILDING LECTRICAL 1 LUMBING .rchitect Jontractor Jr Builder _ egal ?escription address of uilding F t I Lot MIAMI SHORES VILLAGE, FLORIDA RMIT N? 6617 Contractor's License 9a . to be performs under this Permit ))4' E 1 °' 7.11004 ,, f+ This permit is granted • the con or or b ' • named above to construct ., - building or to install the equipment or '; dea dhed "hi the app- _ motion herefor in strict com r : • ce with all ordinances pertaining thereto and with the understanding that the work will be performed in caa>phsace with +fans, drawings, statements ' specifications that may have been submitted to and approved by the municipal authorities. This Pero ay be t any time if the work is not done in compliance with such ordinances or if the plans are changed � it i t authorization. A further c -ermit is granted is the understanding that the contractor or builder named above assumes the for a 9 „� r - eolations pertaining to the work covered hereby whether shown on the plans dra • eats or bility for work done by his agents, servants or employees. � In consideration of the issuance to me of this permit I agree to the covered hereunder in compliance with all pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of �n apce pting this permit I assume responsibility for all work done by either myself my agent, servant or employee. j CONTRACTOR OR BUII.D / BVJ AUTHORITY Bl. I ZJ Sign Subdi- vision DATE. f 1e +„' „- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date ArpiicaCoa is hereby for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other 3trac'u a herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, 3,1c1 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 os PJliami Shires 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. G Owner's Name and Address .S}f ILel.S _��.AZ . ' .. 1 No.__ _4__ .7 Street.. 9ez Registered Architect and /or Engineer Employing Plumber's Name /l /& .LZ46 7 jI No. _ZYLIA...___. Street. _.l ^^,, &' 1 2 / 2f Location and Legal Description Lot / Block cy Subdivision.- — Street and Number where work is to be performed —No _bL l Street State work to be performed and purpose of building (By Floor s)__- _._____— .___._- _- _._..._ -_ - - -_ New Building- _ - - - - -- - _.- _ -_ -.- - _ - -_ -- Remodeling--______ .______- Addition- - - -__- -- _- _ - -•.- Repairs No. of Stories Size Septic Tank__._ .._..___ Type of Tank Feet of Drain Tile. 6 ( t 4 4 Dis . Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._.._ — _ _ _ ._.Size of Soakage Pit 3 Amount of Permit $ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanen 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 uuitc 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 rel ;,ti a l by the Act. The undersigned agrees to employ only such sub - contractors, on w9rk to be performed under this permit, as are Domed by Miaml Shares Village. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ( Signed) _ (Signed Capacity Gals 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•neoessary by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS TUBE Ty SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tuss U RINALS CATCH BASIN FLOOR DRAIN DRINK NO FOUNT' NB TOTAL FIXTURES CONTK• LIST CHECK � SEPTIC TASYA SEWER CONK. DRAIN PIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•O POOL CG9NTR• LIST CHECK L• MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date ArpiicaCoa is hereby for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other 3trac'u a herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, 3,1c1 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 os PJliami Shires 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. G Owner's Name and Address .S}f ILel.S _��.AZ . ' .. 1 No.__ _4__ .7 Street.. 9ez Registered Architect and /or Engineer Employing Plumber's Name /l /& .LZ46 7 jI No. _ZYLIA...___. Street. _.l ^^,, &' 1 2 / 2f Location and Legal Description Lot / Block cy Subdivision.- — Street and Number where work is to be performed —No _bL l Street State work to be performed and purpose of building (By Floor s)__- _._____— .___._- _- _._..._ -_ - - -_ New Building- _ - - - - -- - _.- _ -_ -.- - _ - -_ -- Remodeling--______ .______- Addition- - - -__- -- _- _ - -•.- Repairs No. of Stories Size Septic Tank__._ .._..___ Type of Tank Feet of Drain Tile. 6 ( t 4 4 Dis . Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._.._ — _ _ _ ._.Size of Soakage Pit 3 Amount of Permit $ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanen 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 uuitc 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 rel ;,ti a l by the Act. The undersigned agrees to employ only such sub - contractors, on w9rk to be performed under this permit, as are Domed by Miaml Shares Village. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ( Signed) _ (Signed Capacity Gals 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 $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and/or workmanship. BUILDING ELECTRICAL PLUMBING t Owner of : j),4 Building ; d ' . Contractor or Builder r ` f MIAMI SHORES VILLAGE, FLORIDA DATE ERMIT N° 6617 to be perform e(i under this Permit ✓ � f �� Architect Contractor's License No. 1948 Legal Lot ,/ Bl. Description Address of Building This permit is granted • the con ac or or buil named above to construct the building or to install the equipment or • evice described in the appli- cation herefor in strict com . ance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements •r specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the • . si • . i t for a thorough knowledge of th • ' • ances and regulations pertaining to the work covered hereby whether shown on the plans pr drags • in tht' or specifications and t respon- sibility for work done by his agents, servants or employees. Subdi- vision .► ledn —4 i L: L1 CONTRACTOR OR BUILDE$ Signe Value of Project BY 1 Amt. of Permit r. AUTHORITY SPECTOR In consideration of the issuance to me of this permit I agree to peif6rm the work covered hereunder in compliance with aa.grdinances and viggleAns 4 pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorMA of Miami Shore§'nine. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING Owner of Bidding Architect . t '.� Contractor 1, or Builderf : '` C i' 1 t'(. f 1 ' Legal Lo Description Work to be performed under this Permit MIAMI SHORES VILLAGE, FLORIDA -- DATE ** 194 RMIT N? 6237 le Bh. Address of Building This pen is grante to the con ctor or b : er named above to construct the building or to install the equipment or device descr ed in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in c pliance 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 u on which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of - . ances and regulations pertaining to the work covered hereby whether shown on the plans or dr win gs or in fhestatetments or specifications and -t e`ass, •s respon- sibility for work done by his agents, servants or employees. / � s " . te In consideration of the issuance to me of this permit I agree to perform the work covered hereund4 in compliance with all ordinances a pd eg 1 ons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoi trs of Miami AhksatMtge. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. 11 6y /11AI7J1/ 4L.1 . / AiC. CONTRACTOR OR BUILDER Subdi- vision Signed. e Value of Amt. of �f Project Permit 1 Contrac4or's License No By C AUTHORITY ..•.....••