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PLUMBINGNotary / / // �, PERMIT APPLICATION APPLICATION FOR MUNICIPALITIES OF DAIDE COUNTY (OWNER TO RETAIN COPY) k 3e iqZ ' ` i 177 Legal Description // Owner / Lessee / Tenant Owner's Address Qualifier Architect /Engineer Bonding Company Mortgagor Signature Date: - Z ;1 as to tit) .00 t•Db -- Owner Job Address My Commission Expires: * * * PERMIT FEE: APPROVED: and /or p3 - 2� 1, G��1'1/✓ ��� �t2 � 1 "rta� . er Permit Tax Folio // # 7;;;,::///*‘7 / L7C /°/C, 9r)- /2i J/ hone Contracting Co. ,rs �-rL A6 L !4 / , j . Address. /V 716'0 P41 //) .0 4-1 1/-/ Z /L Phone P23 State# C C,2 � � Competency# / J k/ Ins. Co. Address Address Address Permit Type (circle one): BUILDING ELECT IC PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION - 1 dif I 0 - paddlivy od . Square Ft. Estimated Cost 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 , LECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVI • 'I ce fy that all the foregoing information is accurate and that all work will be do.e mpli= •e with all applicable laws regulating construction and zoning. Furthermore, I a t • •'rize - above -named cont . ss•�fl[ac•�• o t>lta� = sta P6 Signature ?moo; My Comm. Exp. 5/30/93 Date : BONDED THRU REGENCY INSURANCE Condo President * * Fire Notary as to Contractor My Commission Expires: * * * * * Zoning Building Electrical of ontractor Other OF1 1BWAJ1dbITRRAS o r of Florida Puba d My Comm. Exp. 5/30/93 BONDEDTHRU REGENCY INSURANCE or Owner - Builder Mechanical Plumbing J\- t gineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) 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 A/I /WV ,✓� 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 f MOTORS OVER 100 FP 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 SWIMAING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP & 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 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.) PLUMBING ELECTRICAL MECHANICAL PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date � ' 1 Address 9 3 C N C ec) �C R Tax Folio ( (3 - f 4. ° C o o 5 0 Legal Description L0A- i , e,„ / Lessee / Tenant 6 (12Ar V `ft dZ Master Permit # 3,9152E<5 Owner's Address oi 30 E 2 S� Phone 1 5 1- M cf' Contracting C e®, / , g' 3 Address 55S t J /� I1J 'i Qualifier 4,/� �C �e� ® SS # " ��a State# 0®0620 5 Competency# Ins: Co. Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING "'&1.ECTRICAL 'L-' :ING CHANICAL PAVING Address Address Address FENCE SIGN WORK DESCRIPTION (/ 5 � 40 5f f( 0 f ....e aIL, g2 c 5 1 $ f6L, �� , ! �e4ey ,fir./ 6h rm ec- 4'r, ,�3 ricP 'Van, e , Square Ft. Estimated Cost ,//2e'. 6 'r1ARNING 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 '.ECORDING YOUR NOTICE OF COMMENCEMENT). \pplication is hereby made to obtain a')ermit to do work and installation as indicated above, and )n 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 )ermits 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 /ill be done in compliance with all applicable laws regulating construction and zoning. 'urthermore, I authorize the above -named contractor to.do the work stated. ;ilgn )ate: rotary as to Owner and /or Condo President Notary as to Contractor or Owner - Builder ly Commission Expires: My Commission Expires: * • *. ERMIT FEE: APPROVED: Zoning Mechanical r(� A YS WILLIELW:C •M u. p< ' ature of .Contractor or Owner - Builder C0_, M . � -, AO. CC1712 i g 1V1) COIy1MISSION EXP. .3 Fire Building Other Electrical ngineering ' CTION :ALE N 5 IG �� El • f jr S 1 70 i 0 0 0 ut I E •�4 •�> J o uwo /p" 23 ►3t`' 8{J r ,E7 €2 • X — _v F -- 3 " 36' oC (.1 (barer ] 51(tuc Lot It G 0 , d e d tt--rE Pf Il - 3Z0 -64 - 005 F ee pi€ G AS S YSTEM . Ino Cr o r, o s e a I p 1-- .' o r 43 o J z- L SHEET laic J.O. A.F.E. DATE u _'2 -�� CTION :ALE N 5 VG. �e�p1E?� GAS SY STEM , Inc. Pcogoosea �' n, ►- - for . 43 0 N sd DATE SHEET l or( 'I 1 , + 1 r ./y�1. 5 1 70 E -9, '--- 1 1 v I 9{.) iNAkiNt-..; 1 f IecJE I I 1 I 36 I - - - - - - - -• - c —, - - --- -- • (DRrerJ • J.O. A.F.E. 51<<,,E G 0 1 of e d L, A- td la, 11 - 3ZoL - d 6 -O&3 __.- -- CLOSETS BATH TUBS SHOWERS TORIES TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS � z. r . � TOTAL FI %TURE7 LIST CHECK /• re% SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. __ -.. 0 Gf Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otlwi 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 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 building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name .__.\ 1 �-- ' = - ---- _ No Street Location and Legal Description Lot Street and Number where work is to be performed —No 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 _Dist. Feet of Tank or Drain Field from WeIL Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ �F MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Street _.._ Block_. q 4_2 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 an licensed by Miami Shores Village. __ (Signed) (Signed) Date Subdivision My Commission Expires Notary Public, State of Florida / C_ •. <�_` Street 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 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, and that all fay 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 faul materials and /or workmanship. /1 BUILDING ELECTRICAL PLUMBING Owner of Building Work to MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 6094 be performed under this Permit J Architect BY DATE 1944e Contractor's / y/� Q License No. f Contractor or Builder Legal Lot `n Bl. Subdi- Description vision Address of Building This p - it 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 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 itthorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes - flee re sibili . for thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drs Sx ag • ifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed • INSECT • R In consideration of the issuance to me of this permit I agree to perform the work covered)iereunder in compliance with all ordinances and regulations pertaining thereto and in strict conf• . ity with the plans, drawings, statements or specificatiosl's submitted to the proper authorities of Miami Shores Village. In accepting th• permit I assu . • o• ,-. sibility •r all work done by either myself, my agent, servant or employee. NTRA ''+ O' ' DER By AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE„ PERMIT N2 6825 !1 Contractor nse N6. p ( "� 4. , Work to be erformed under this Permit >! r l 4, (r , L L, , 3 / �* Architect Contractor or Builder Legal Description Address of Building This permit i granted to t e contractor or builder : med above to c.. struct the cation herefor in strict compliance with all ordinances pertaining thereto a with the u .plans, drawings, statements or specifications that may have been submitte to and appr at any time if the work is not done in compliance with such ordinances or if the plans permit is granted is the understanding that the contractor or builder named above as regulations pertaining to the work covered hereby whether shown on the plans or sibility for work done by his agents, servants or employees. Su vi ..n Value of Project BY Goo e k op *.I.4 Amt. of Permit b ing or to install the . • uippment or device described a appli- erstanding that the work v'ill be performed in compliance with any ed by the . municipal authorities. This Permit may be revoked re changed ith. authorization. A further condition upon which this es the re ..nsi.. for a thorough knowledge of the ordinances and ecifications and the e sumes respon- INSPECT In consideration of the issuance to me of this permit I agree to perform or covered hereunder in compliancey h all o pertaining thereto and in strict conformity with the plans, drawings, statements or cifications submitted to the prop authorities In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR O BUILDER 00 antes and regulations Miami Shores Village. AUTHORITY BUILDING ELECTRIC/ PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of 191 f42 04•01 Building 4 In consideration of pertaining thereto and in accepting permit I • Lot PERMIT N? Value of • Amt. of / a j Project 1 Permit This ermit 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 dDork is not done in compliance with such ordinances or if the plans are • anged 'thout thor gation. A further condition upon which this permit i; granted is the understanding that the contractor or builder named above assu • the r •4nsibi fo `a, thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or *� �• s :�� .. spe cifications and that he assumes respon- sibility for work done by his agents, servants or employees. Contractor's License No. Work to be performed under this Permit IN the issuance to me of this permit I agree to perform the work covere "hereunder in compliance with all ordinances and regulations strict con • ity with the plans, drawings, statements or specificati6ns submitted to the proper authorities of Miami Shores Vi115tge. ass •' +lnsibility_for all work done by either myself, my agent, servant or employee. MIAMI SHORES VILLAGE, FLORIDA BI. 6094 Signed. DATE Subdi- vision ` i BY By AUTHORITY 194t 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 here ith 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 he 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 New Building Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $__ ss. • Registered Architect and /or Engi_ Employing Plumber's Name Location and Legal Description L Block /e Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) ( Signed) No._____ e No. Stree . 114 Remodeling Addition__________________ _.__. Repairs Type of Tank ___ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed r Date /75 e. 4.49' Street Street ubdivision No. of Stories Capacity Gals. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a mployer of or under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has om- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wo 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 no es as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this p rmit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida 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 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 FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP SPRKLR. W SYSTEM SW IM'G POOL CONTR. LIST 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 here ith 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 he 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 New Building Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $__ ss. • Registered Architect and /or Engi_ Employing Plumber's Name Location and Legal Description L Block /e Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) ( Signed) No._____ e No. Stree . 114 Remodeling Addition__________________ _.__. Repairs Type of Tank ___ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed r Date /75 e. 4.49' Street Street ubdivision No. of Stories Capacity Gals. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a mployer of or under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has om- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wo 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 no es as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this p rmit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida 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 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. Permit No. Date Application is here made for the approval of the detailed statement of the plans and specifications herewitlabmitted 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 her in 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 _L' rL_ __ No f __ Street __42 t Registered Architect and /or Engi Employing Plumber's Name "� " 1 ' _ � r No 7 i' i . Street ____ 411-40 Location and Legal Description Lot 4r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 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 $ ___ 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. 9' _ ( Signed) 60 ster Plumber. My Commission Expires (Signed )lam ,tt) Repairs Notary Public, State of Florida r /4 No. o.E Stories Plumbing Inspector. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. 1 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 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 ACM CHECK Permit No. Date Application is here made for the approval of the detailed statement of the plans and specifications herewitlabmitted 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 her in 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 _L' rL_ __ No f __ Street __42 t Registered Architect and /or Engi Employing Plumber's Name "� " 1 ' _ � r No 7 i' i . Street ____ 411-40 Location and Legal Description Lot 4r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 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 $ ___ 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. 9' _ ( Signed) 60 ster Plumber. My Commission Expires (Signed )lam ,tt) Repairs Notary Public, State of Florida r /4 No. o.E Stories Plumbing Inspector. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. 1 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. Permit No 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, whethef herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 1'! �r __ -- [_ _ �l Street_ Owner's Name and Address ___ // / . _ � t � � � �f _ r cam,: � -- - -- L _.� No • ' 1 Registered Architect and /or Engin er _ Employing Plumber's Name ___. ___L�" �.1 __ L �� _� No..y ` Street // _E Location and Legal Description Lot —__ ;% __________Block Subdivision__— ____..______ _____________ Street- -2 " —_1 /j-- f -- ---- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) )1...AAA' New Building____________ ___ Remodeling X Addition Repairs No. of Stories Size Septic Tank_ ___ —__—__—_ ________ _________________ Type of Tank Feet of Drain Tile______— _— _______ —_ —__ Dist. Feet of Tank or Drain Field from Nature of Water Supply: City —Well. — Size of Soakage Pit Amount of Permit $ — – f�=+ — — - -- (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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. APPLICATION FOR PLUMBING PERMIT My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (Signed) Date t ,�,... j ib. _Capacity Gals.__— ____________. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally Master lumber. 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 TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST -I---- I 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 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, whethef herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 1'! �r __ -- [_ _ �l Street_ Owner's Name and Address ___ // / . _ � t � � � �f _ r cam,: � -- - -- L _.� No • ' 1 Registered Architect and /or Engin er _ Employing Plumber's Name ___. ___L�" �.1 __ L �� _� No..y ` Street // _E Location and Legal Description Lot —__ ;% __________Block Subdivision__— ____..______ _____________ Street- -2 " —_1 /j-- f -- ---- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) )1...AAA' New Building____________ ___ Remodeling X Addition Repairs No. of Stories Size Septic Tank_ ___ —__—__—_ ________ _________________ Type of Tank Feet of Drain Tile______— _— _______ —_ —__ Dist. Feet of Tank or Drain Field from Nature of Water Supply: City —Well. — Size of Soakage Pit Amount of Permit $ — – f�=+ — — - -- (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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. APPLICATION FOR PLUMBING PERMIT My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (Signed) Date t ,�,... j ib. _Capacity Gals.__— ____________. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally Master lumber. 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. Ca BUILDING ELECTRICAL PLUMBIlTa 'A „.• / Inspectorts Report:- ADD: WORK DO:E BY: REQUESTED The following is ready for inspection:- WILL BE READY BUILDING ELECTRICAL PLUMBING Lot MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT Work to be performed Owner of Building Architect Contractor or Builder Legal 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in ccknpliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed• 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 regula- tions 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 responsibility for all work done by either myself, my agent, servant or employee. 1 Bl. N° 3454 Contractor's License No. under this Permit Subdi- vision Value of Project fh.s Construction may be in v c1aiiar of � �oz Bnard Gerteril limitations C.ri -, � auuonfd to Consult your War P■od,:c,;uu office before starling the work authorized in this permit. Amt. of Permit f CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Work to be performed under this Permit t Owner of Building Architect Contractor or Builder Legal Lot Bi. 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 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 -apon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of he ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or speci8ca jons and hat he assumes responsibility for work done by his agents, servants or employees. Signed. I 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 regula- tions 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 p it I assume responsibility for all work done by either myself, my agent, servant or employee. MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's License No. PERMIT N9 3366 Subdi- vision Value of Project BY Amt. of Permit 194 V AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N9 3454 Work to be performed under this Permit Contractor's License No. 194 Architect Contractor or Builder t- - Legal Lot Bi. 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed- 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 regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autOuties of Miami s Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Amt. of Permit BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Lot Bl. Af to- e / Ewa t I 1 Su vis n • Value of Project b itho onsi e Amt. of Permit ituf PERMIT N2 6825 Work to be performed under this Permit Architect Contractor or Builder Legal Description Address of Building This permit i granted to the contractor or builder a above to .: struct the cation herefor in strict compliance with all ordinances pertaining thereto with the plans, drawings, statements or specifications that may have been submitte to and appr at any time if the work is not done in compliance with such ordinances or if the plans permit is granted is the understanding that the contractor or builder named above ass regulations pertaining to the work covered hereby whether shown on the plans or dr sibility for work done by his agents, servants or employees. *wiz In consideration of the issuance to me of this permit I agree to perform . or . covered hereunder in compliance all or.. antes and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or ifications submitted to the prop authorities f Miami Shor s In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. g CON'PRACTOIt Or BUILDER MIAMI SHORES VILLAGE, FLORIDA BY INSPECTO DATE Contractor' nse N 194_ ing or to install the • uipment or device describe 1 e appli- erbtanding that the work be performed in compliance with any ed by the municipal authorities. This Permit may be revoked re changed authorization. A further condition upon which this mes the re•. . for a thorough knowledge of the ordinances and wings or in i . ecifications and th sumes respon- e AUTHORITY • DA'17� ISSUED TO to install the following described plumbing, in accordance with the laws, statutes and regulations of Miami Shores Village, Florida ar}d the State of Florida, governing plumbing and drain- age work done in Miami Shores Village, Florida. FOR A STORY BUILDING AT FIXTURES' FIXTURES SEWER 0 SEPTIC TANK TOTAL 6 VILLAGE PLUMBING INSPECTOR BY MIAMI SHORES VILLAGE PLUMBING PERMIT NO 0_;z. E • DATE ISSUED TO to install the following described plumbing, in accordance with the laws, statutes and regulations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drain- age work done in Miami Shores Village, Florida. FOR A STORY BUILDING AT FIXTURES' FIXTURES h SEWER SEPTIC TANK TOTAL VILLAGE PLUMBING INSPECTOR MIAMI SHORES VILLAGE PLUMBING PERMIT BY NO.