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PLUMBING PERMIT• Date Legal - ption Historically Designated: x0.1c.Q hee ?754 L- X2 ar 1.9-s bkrr (Lit, GrRls Qualifier m AO_ - State 1( , �.G/ 7 S7 Municipal # Owner/Lessee / Tenant Owner's Address Contracting Co. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Addressq 7 , // 9 2 Tax Folio Architect/Engineer Address Bonding Company Address Mortgagor —Address Permit Type (circle one): BUILDING ELECTRIC ' PLUM ING M ' HA CAL ,ROOFING /--. WORK DESCRIPTI /i ' 0 6 Square Ft. Estimated Cost (value) Competency # 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. d ef Signature ofbwner and/or Condo President Date Notary as to Owner and/or Condo President Date My Co t�iissrq ptres: :" = ti.A►., Y „,i.v ' g P'`s�[ialIDA FEES: PERMIT RADON APPROVED: Zoning Mechanical Plumbing C.C.F. 757 11 L5 r- Ins. Co. No PAVIN G FENCE SIGN /07 Signature of Contractor or Owner- Builder Date Notary as to Contracto AR My Commission Expir s: DAVE LANHAM NOTARY PUBLIC STATE OF FLORIDA COMMISSION N. CC3 3 ii, p:70N EXP NOTARY TOTAL DUE . D Building (� Electrical Engineering BUILDING ❑ ELECTRICAL ❑ PLUMBING ROOFING ❑ Owner of "-' : f Building [. Architect Contractor or Builder i 7H Legal Lot Description Address of Building CONTRACTOR OR;BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE - 1 f' /9 PERMIT N9 5073 Work to be performed under this Permit. Bl. BY Subdi- vision Value of Project $ 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed �` •�i -- IySPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances theeregulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 4 J ", Contractor's ) r , License No. t / �` 4'1 , Amount Permit $ of «- AUTHORITY fy _ AB »x'R .....o C!_OlSHT3 DATN TUBS SHOWERS LAVA• TO SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINK NO FOU NT' NS W M TOTAL FIXTURES oNTl G 1.137 J I CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL 11 .6 6 LIST + - CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit. Na._. `� . Date. _. r i__ -. /— /?61- Application is hereby mane 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, acid LB 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. Cw is s Name and Address No._..- Registered Architect and /or Engineer . -- -- - ___ -.— Employing Plumber's Name Q. J4 P Y�g ' G � "" - ' ` No.--- �., �_ �..�� -- .- - - -.__ Street. .l!.`�rq,l_ — b _�___ : .�` Location and Legal Description Lot.__ -- - - __- _- ____- _— ____._ Block.. Subdi Street and Number where work is to be performed —No C 7-7.5 Street 7a. State work to be � per rf forrmed and purpose of building (By Floors) , ---- -- __- --_ New Building -.__ Remodeling----- .•-- _-- ----- -. - - -- Addition Amount of Permit . _ , Repairs No. of Stories. Size Septic Tank ..... _------ - -____ _ -_ Type of Tank Feet of Drain Tile_--_-_------------- ..... Feet of Tank or Drain Field from Well Nature of Water Supply:. CityyWell._______ _ ____Size of Soakage Pit Capacity Gals 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 5968, 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. ( Signed Street.-_ ..... — Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires 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. \c, 3 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building 0 MIAMI SHORES VILLAGE, FLORIDA PERMIT Bl N9 5080 Work to be performed under this Permit Value of Project $ DATE__ _ - .',19 Contractor's License No. - WINO Subdi- vision Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. , k- alSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao cepting this permit I assume fat all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER ✓ BY AUTHORITY All SOT ..1€7,".f.. Permit No Feet of Drain Tile. Owners Name and Address Registered Architect and /or En Employing Plumber's Name Location and Legal Description Lot Bl Street and Number where work is to be performed —No 5 State work to be performed and purpose of building (By Floors) _ Size Septic Tank_ -_ _ — Ansount of Permit $ Nature of Water Supply: City—Well. STATE OF FLORIDA, COUNTY OF DADE. J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Type of Tank Street_ 41Q�Ti it S e P 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 b specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Street New Building__________ ...... Remodeling—______- ___._.___ Addition________ -_-_ Repairs.__ No. of Stories Capacity Gals t. Feet of Tank or Drain Field from Well _ _Size of Soakage Pit (Signed)_ =��r (Signed)* P1 bing 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 5968, 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 tlie 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acimowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re inspection is made 'necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TueS S LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE U CATCH BASIN FLOOR DRAIN ORINKI NG FOUNT' NS TOTAL FIXTURES CoNTR. LIST - CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I PA' G POOL CONTR. LIST _ CHECK Permit No Feet of Drain Tile. Owners Name and Address Registered Architect and /or En Employing Plumber's Name Location and Legal Description Lot Bl Street and Number where work is to be performed —No 5 State work to be performed and purpose of building (By Floors) _ Size Septic Tank_ -_ _ — Ansount of Permit $ Nature of Water Supply: City—Well. STATE OF FLORIDA, COUNTY OF DADE. J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Type of Tank Street_ 41Q�Ti it S e P 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 b specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Street New Building__________ ...... Remodeling—______- ___._.___ Addition________ -_-_ Repairs.__ No. of Stories Capacity Gals t. Feet of Tank or Drain Field from Well _ _Size of Soakage Pit (Signed)_ =��r (Signed)* P1 bing 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 5968, 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 tlie 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acimowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re inspection is made 'necessary by improper notice for inspection, or faulty materials and /or workmanship.