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965 NE 92 St (2)Date 9— 7'x 9 Job Address /��/� 9? S� Tax Folio / /- ,326 6' C k 7 ' C2 w) Legal Description 6/(/-16, Owner/Lessee / Tenant ■ ( G y y/ 2, Owner's Address W,< 5 Contracting Co. , G,p S' f & Rrv) Qualifier J r1 i ° J v Ft ,/ SS# /cl /S /P(j-Jf /,'� / Municipal # Wc3 OC S'" Competency # State # PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION � f r c -r Square Ft. ‘'' C L7 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 construction and zoning. Furthermore, I authorize the above -named contractor to do the work stat Signature f owner and/or Condo Notary a to Owner and/ofCondo President My Commission Expires: 4..C‘YPO. Wm. MARK WOODARD a a, <t-, COMMISSION # CC 625712 �^` c EXPIRES MAR 2, 2001 ONDD THRU OF C‘..... ATLANTIC B BON CO., INC 9-7— Scf Date FEES: PERMIT RADON C.C.F. APPROVED: Zoning Building Mechanical Plumbing Historically Designated: Yes No 3 r S 'c /y - We � S'c,) 5 r c t- ./ `/ hone f g6 Address Address Address Address Master Permit # ( Al t 0 / Phone Ins. Co. OU Estimated Cost (value) / Xoo �s f Owner-Builder Date Signatur (;i/41 4.)ce&r 5-7-rf Notary as to Contractor or Owner- Builder Date My Commission Expires: �FY , Wm. MARK WOODARD r.� o COMMISSION # CC 625712 nd 5 ^` , EXPIRES MAR 2, 2001 BONDED THRU OF FS' ATLANTIC BONDING CO., INC. NOTARY Electrical ompliance with all applicable laws regulating BOND TOTAL DUE Structural Engineer tiAIL343 ADDRESS: LOT: ...1_. • INTILDZNG =Malan= . 3. 2 3 4 SIGNATURE: Dg 4015, 10/9 la3-3S 7 STATE OF FLORIDA - DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DIPOSAL APPLICATION FOR CONSTRUCTION PERMIT (4.] Existing System° (4d 1 Abandonment AGENT: ,424110 t S ,?Di PROPER= ID 1: / / . 3 i o h . C. O 4 oo Yo. ZONING: PZZOPERa'Y *am: 7c zo 3►cTzs —um= = sar L s [ l . .NAYS Unit Typo of IIo. of No Establishment: Bedroa 1 Sloor /Egaipeaea ' ,/. . ( 1 ,[4/6ESrozziaais Ucations 13E2 PERMIT NO. DATE PAID: SYSTEM um MD: • alb APPLCATION PORI [ 4A] ' Neu .pysteta V01 nepa APPLICANT: J• C c Ego] Rol ding Tank [a ] Innovative (? l Tt orarY . [ 1 • T gom1E: 5 5 u _ .. • TO BE COMPLETED BT APPLIC3NT OR APPISCART' 8 AUTUORILED ware. ammo oo UU T SE CouSimQCTF.D SY A PERSON LICENSED PURSUANT TO 489.105(3) 60 OR 489.552, KARIDA STATUTES. IT YS THE 2 DPLICANTo S TO PROVIDE DOCOUCUTATION Or THE DATE TSE DDT . 1AS . C8E D OR PLATTED (W4/DD /Z1) I .. VEQUESTINO COUSIDF.l1ATIOOt OB' STATUTORY OVAUDIATUER PROVIBIO • PROPERTY zuroszt TI • . n =CR: SUBDIVISIOmi: - �f�'f.., .� �T Pi< A.ti r Pte: /74 t/1(oR EQOIVALEUT: IS SERER 1LVAIL118TL as tat 3aitoos5, 8'B? t /Y DISTAUC3:•TO SEWERs,/AA ST PROPERTZ ADDRESS: 91067 91 ELts '/ # 3:1/3 2( DT.RECTIOltB TO PROVEaTZ: 5S f Scx1/i ' �'J �� �a� 7'O n l �' �:— S� r - de [ ] CONtCTBL Syst eta Design SAC . [ 3)Z000GPD p 1 or 4 • Permit No._ -_ ' c( —� 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 4'Z' s Name and Address a.M . .0 Registered Architect and /or En inee ._— Employing Plumber's Name. ® No....L r/ 3 Street Location and Legal Description Lot_______________ _ _, Block 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 Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: City— Welfl.____ ___ _________ of Soakage Pit Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. > r9 MI *MI SH ®'DES: VILLAGE PLUMBING INSPECTION; DEPARTMENT Q[DpLCAlleN1 FOE ` °' } LJMBING PERMIT _Type of Tank__ _Dist. Feet of Tank or Drain Field from Well (Signed)- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatigrfs as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane ' Supplement, and has cam - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplbyed 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 Shares Village. rt Date__ No. Street_W: Subdivision. 6- /? 7 % 6. -49 Street No. of Stories........._.... Capacity Gals lumbing Inspector. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_______ _________________________ __ . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $LOO will be made when such re- inspection is made necessary by improper notice for ins - materials and /or workmanship. -I, or faulty CLOSETS TUBE TUBS SNOWERB LAVA TORIES SI° SINKS SLOP SINK° LAUNDRY TUBS U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL C TR. LIST A l -_.- CHECK Permit No._ -_ ' c( —� 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 4'Z' s Name and Address a.M . .0 Registered Architect and /or En inee ._— Employing Plumber's Name. ® No....L r/ 3 Street Location and Legal Description Lot_______________ _ _, Block 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 Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: City— Welfl.____ ___ _________ of Soakage Pit Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. > r9 MI *MI SH ®'DES: VILLAGE PLUMBING INSPECTION; DEPARTMENT Q[DpLCAlleN1 FOE ` °' } LJMBING PERMIT _Type of Tank__ _Dist. Feet of Tank or Drain Field from Well (Signed)- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatigrfs as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane ' Supplement, and has cam - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplbyed 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 Shares Village. rt Date__ No. Street_W: Subdivision. 6- /? 7 % 6. -49 Street No. of Stories........._.... Capacity Gals lumbing Inspector. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_______ _________________________ __ . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $LOO will be made when such re- inspection is made necessary by improper notice for ins - materials and /or workmanship. -I, or faulty MIAMI SHORES VILLAGE BUILDING DEPARTMENT � G 't 305- 795 -2204 — Building Inspection Request Date Time, /j Type Insp'r> Permit No. Cj rte` /(/( Name Address / c-e' Company L Phone # For Inspector: Approve ' Correction Re- Insp'n Fee 1 y �o ate a1��� Date � 7 Contracting Co. Si Da Notary as to Owner and /or My Commission Expires: : FC Mo.ol * APPROVED: PERMIT APPLICATION FbR MIAMI SHORES VILLAGE Job Address 9 (05 N E c‘ 2 sT Legal Description / f/� (O -caner )/ Lessee / Tenant JOSS- Cl�h� Master Permit # (5►DI G Owner's Address to 5 k) E 92 Qualifier Jos h Lev /� SS4f Phone / - 0 ° #W10P7Ins . Co . 9 A dr 4 der Ohev,foiorMarNOWW0tBkii der ISABEL C DOS IIC14,=010: 7 - * COMNISSION i' UMEIF.R CC279114 ct MY COMMISSION i :X • F11L C .PH�. ** FEES: PERMIT /il" RADON C.C.F. Fire Other Zoning Buildin NOTARY TOTAL DUE Electrical Engineering 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 Bi Engineer__________ Rg ?D Registered Architect and /or En meer _ Employing Plumber's Name % 1 t2) Y - No.-_i _2- S . -._ Lz treet-._. S Location and Legal Description Lott- -._ _ - -- -- __-. -. _Block Subdivisiont) O - � I ? i ( )" Street and Number where work is tO be performed-No.________ 2±3i_i_ Street_ 2 ,S 7 State work to be performea and purpose of building (By Floors)_ New Building _______ ........ Remodeling__ -___-____ Addition Repairs No. of Stories. Size Septic Tank Feet of Drain Tile. - ___. Nature of Water Supply City= ell Amount of Permit $ Z STATE OF FLORIDA, COUNTY OF DADE. ,J121/11t. t, No.- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Type of Tank _Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit Plumbing Inspect The undersigned applicant for this building permit does hereby certify that he understands and accepts his o • . : + Lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pert - . ent 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 segtriree. by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are lip d by Miami Shores Village. ( Signed Date_ Street Capacity Gals My C Expires Notary Public, State of Florida 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. 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 SHOWER! LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS INALS URINALS CATCH BASIN FLOOR DRAIN DRINKING` FOUNT'NS / U J� C� I r �- -`A ��s. ��l, TOTAL FIXTURES CONSTTR. I / I CHECK P -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE P1T GREASE TRAP S 4C R DEEP WELL SPRKLR. SYSTEM SWIM'G POOL LIST CHECK V v�'d 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 Bi Engineer__________ Rg ?D Registered Architect and /or En meer _ Employing Plumber's Name % 1 t2) Y - No.-_i _2- S . -._ Lz treet-._. S Location and Legal Description Lott- -._ _ - -- -- __-. -. _Block Subdivisiont) O - � I ? i ( )" Street and Number where work is tO be performed-No.________ 2±3i_i_ Street_ 2 ,S 7 State work to be performea and purpose of building (By Floors)_ New Building _______ ........ Remodeling__ -___-____ Addition Repairs No. of Stories. Size Septic Tank Feet of Drain Tile. - ___. Nature of Water Supply City= ell Amount of Permit $ Z STATE OF FLORIDA, COUNTY OF DADE. ,J121/11t. t, No.- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Type of Tank _Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit Plumbing Inspect The undersigned applicant for this building permit does hereby certify that he understands and accepts his o • . : + Lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pert - . ent 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 segtriree. by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are lip d by Miami Shores Village. ( Signed Date_ Street Capacity Gals My C Expires Notary Public, State of Florida 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. 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. I: 7 Permit Amount of 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 cf 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 P / pp�� q Owner's Name and Address ----- ____ - _ _ -- _ _ -_ -- � No.___ � - ,�_� Street -Pi ° Registered Architect and /or E • ' eer___ __ —__ ��pp�� __ Employing Plumber's Name. !g1:.__ _ __ " No. _ — oY 4.— Street__XE __i l. Location and Legal Description Lot__ _______________________________ Block_ Streit and Number where work is to be performed —No 8126" 4( S ✓Co work to be performed and purpose of building (By Floors)_ New Building — Remodeling___ _________ Addition_________._ Repairs No. of Stories. Sze Septic Tank — Type of Tank_ Capacity Gals. Feet of Drain Tile Nature of Water Supply: City—Well. STATE OF FLORIDA, i COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN'' APPLICATION FOR PLUMBING ",L•I, IIT f -IpPv Date _._ OW 1 Subdivision Street 47C7_�:& ___Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit - - - - --- (steed)- - - ✓ /l� 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 Pennanent 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 req 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. 3: fore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared is 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 th erein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made 'necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH Tuns SHOWERS LAVA- TORIES S INKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES corm. I LIF3T LIST � .s / I �/��I f'✓/, '/7� A� 0 --- - "d� + I. , 1 ./Ir4 a., Y _ CXECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEr WELL SPRKLR. SYSTEM SW IM'G POOL COWTR. LIST _ CHECK I: 7 Permit Amount of 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 cf 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 P / pp�� q Owner's Name and Address ----- ____ - _ _ -- _ _ -_ -- � No.___ � - ,�_� Street -Pi ° Registered Architect and /or E • ' eer___ __ —__ ��pp�� __ Employing Plumber's Name. !g1:.__ _ __ " No. _ — oY 4.— Street__XE __i l. Location and Legal Description Lot__ _______________________________ Block_ Streit and Number where work is to be performed —No 8126" 4( S ✓Co work to be performed and purpose of building (By Floors)_ New Building — Remodeling___ _________ Addition_________._ Repairs No. of Stories. Sze Septic Tank — Type of Tank_ Capacity Gals. Feet of Drain Tile Nature of Water Supply: City—Well. STATE OF FLORIDA, i COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN'' APPLICATION FOR PLUMBING ",L•I, IIT f -IpPv Date _._ OW 1 Subdivision Street 47C7_�:& ___Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit - - - - --- (steed)- - - ✓ /l� 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 Pennanent 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 req 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. 3: fore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared is 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 th erein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made 'necessary by improper notice for inspection, or faulty materials and /or workmanship. Estimated Qtantity Actual Quantity Size -, ` — - - -- Description Retirement Disposition Pipe andicate Type) Cocks, Lube !ittings ‘c.m4? 4 4 A34 Sci Q I - Description: YLccation Lnicipal Permit: PGS — EC 7 51-AS c ' r 9 11-6 9�- JOB ORDER SHEET Itor Nb0 Of Risers 9rpe Of Service Residence lb. Of Apt. Units Commercial Thx District ✓'ll /J ' J INSPECTOR'S REPORT: Status Of Wilding: Estimated Irnstallation Date: Remarks: Date Reinspected Remarks: pV Date "E"` JJ,O! Nbo —M LOLL Fro. 6 / - ` - Date Issued ",G'o" 17.0. N•o 0 Inspector Approved By: Shpt, Date Job Completed N f\I + ST MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wcrk. ; Owner's Name and Address - - ^ Street.— _ Registered Architect and/or Engineer_ _ ..._ Employing Plumber's Name___f_.,.:_ le(- ‘ ___ No. Street_ 4 -; .,-, Location and Legal Description Lot_ Block Subdivision _ -, Street.... 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_ Size Septic Tank_ Type of Tank_ -------- Amount of Permit $ STATE OF FLORIDA, ss. COUNTY OF DADE. (Signed)_ (Signed )- , c ' Repairs No. of Stories. Capacity Gals ......... Feet of Drain Tile. / L. __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 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 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. My Commission Expires Notary Public, State of Florida 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. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made riecessary by improper notice for inspection, or faulty materials and/or worlananship. CLOSETS BATH Tuss SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUB& URINALS CATCH BASIN FLOOR DRAIN DRINKING FouNT•Ns TOTAL FIXTuRes CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM Swim•G POOL CONTR. LIST CHICK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wcrk. ; Owner's Name and Address - - ^ Street.— _ Registered Architect and/or Engineer_ _ ..._ Employing Plumber's Name___f_.,.:_ le(- ‘ ___ No. Street_ 4 -; .,-, Location and Legal Description Lot_ Block Subdivision _ -, Street.... 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_ Size Septic Tank_ Type of Tank_ -------- Amount of Permit $ STATE OF FLORIDA, ss. COUNTY OF DADE. (Signed)_ (Signed )- , c ' Repairs No. of Stories. Capacity Gals ......... Feet of Drain Tile. / L. __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 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 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. My Commission Expires Notary Public, State of Florida 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. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made riecessary by improper notice for inspection, or faulty materials and/or worlananship. BUILDING ELECTRICAL PLUMBING Owner of Building Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 3111 Work to be performed under this Permit Architect Contractor or Builder Bl. Subdi- vision Value of Project DATE 194 Contractor's .-' r "► License No. Amt. of ` ' Permit ,!.} This permit is granted to the contractor or builder named above to construct the building or to install the equipment pr 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: , • f .. �. , Signed _ B y 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. ' ''i { ' 1 t t ,t ' t AUTHORITY CONTRACTOR OR BUILDER BY F 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, 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 No " Street_:_i 1 Location and Legal Description Lot Block Subdivision_ Street and Number where work is to be performed —No j t Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No (Signed) (Signed) Date _ : __ Street Size Septic Tank Type of Tank . Capacity Gals Feet of Drain Tile__ {_ r •° � 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST 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, 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 No " Street_:_i 1 Location and Legal Description Lot Block Subdivision_ Street and Number where work is to be performed —No j t Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No (Signed) (Signed) Date _ : __ Street Size Septic Tank Type of Tank . Capacity Gals Feet of Drain Tile__ {_ r •° � 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida 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. 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. Amount of Permit $_ MIAMI SHORES VILLAGE 0 PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street_ Auchitect and /or Engineer Employing Plumber's Name _ No Street Location and Legal Description Lot Block Subdivision_ Street and Number where work is to be performed —No 1 '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__ �! 1 �_ !_1!_:_ _' —_ ____ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit My Commission Expires Notary Public. State of Florida plaster Plumber. (Signed) ,�f j = .: – - –" -- _____ 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. (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. 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 S.RKLR. SYSTEM SWIM 'G POOL CONTR. LIST CHECK Amount of Permit $_ MIAMI SHORES VILLAGE 0 PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street_ Auchitect and /or Engineer Employing Plumber's Name _ No Street Location and Legal Description Lot Block Subdivision_ Street and Number where work is to be performed —No 1 '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__ �! 1 �_ !_1!_:_ _' —_ ____ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit My Commission Expires Notary Public. State of Florida plaster Plumber. (Signed) ,�f j = .: – - –" -- _____ 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. (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. 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. JOB: BUILDING ELECTRICAL PLUMBINB Inspector is Re port : The following is ready for inspection:- , WILL BE READY .,/ / /