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PLUMBINGPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address /095 /1/eL' . 95 sr Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 1 O Pat/ UC Z— 2- G! ZA Master Permit # 1/5 ,96 Phone Date /x/7/99 Owner's Address /0 95 9 a gr. Contracting Co. 1 4.- OW ' ft.C.Cela /A) 6- /,.j Address F e 6'7 S . W . /a 9 Ter r Qualifier I) 8/7/7J S D. 01 cel o c /(' 3 - o?5 - 9 -5 373 State # ere 0 05/813 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA PLUMBING 'MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1Ze,,e_ 3 6, fl wt. / s e'-' / f C?ci /cL Square Ft. Estimated Cost (value) gnature of owner and/or Condo President Date 1,411,1 (kA,Lfw— 47/95' N9 as to Own d/or Condo Presi Date wily Commission E fires: SUSAN J. NESENMAN MY COMMISSION # CC 860763 iigg F XYIRES: Aug 4, 2003 • 70t-i �r.�',1 ?AftY Fin Notary Service & gordnp Co' D n,� �• ADO C.C.F. / L NOTARY FEES: PE APPROVED: Zoning Mechanical My Commission E Electrical 19S ?IO 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 constructio - . d zoning. Furthermore, I authorize the above -named contractor to do the work s n � /21 Signature of, ontractor or Owner - Builder Date Ns ry as to Contrac j ; : :. .,- Date � �' 860763 Y MMISSION CC 860763 to, OF EXPIRES: Aug 4, 2003 I4004NOTARY Fla. Notary Service &Bonding Co. Structural Engineer -BUILDING ELECTRICAL } PERMIT A N? 847 PLUMBING Owner of Building NAME Architect and /or Engineer_, NAME Proposed Location = LOT NAME .r' Contractor .a1-114tdfr_' r BLOC$ BUS DIVISION ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT NO . LICENSE NO. STREET 4 , This permit is issued to _ r _ �__ — —_'_ —_ To the building above described, as per applicatig�, Puns and Specifications heretoforr'filed in this gllice. This permit is granted upon the express con ion that all facts stated in the application are tree ask) that the construction complis§ strictly with / a plans and specifications submitted, and in accordance and compliance with the building laws oif` the $tate of Florida and with the building,brdiMances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami' Shores Village. This permit may be. revoked at any time upglt the violation of any'provisiort of said laws, ordinances (Pr rules and regulations, or upgit any change in the plans and specifications unauthorized by the building inspector. . `' r / $ – -- — __ .....__ j 1_ � y — AMOUNT RECD. PAYM OMIT ACCT y /DEPT. f 744...- +F SPEC y INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity ti4th the application and plans and specifications thereof heretofore by me submitted, and in ydmpliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. 1 9 - - - NOTE: A charge of $ 1.00 will be made for making corrections or changes to this application after am/rot/al ISae ten obtained rom the Plalgntng Board, r, 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 worts tanship. or r Lot BI. Subdi- vision Dn ,f — Value of Amt. of — -__ - Project Permit BUILDING ELECTRICAL PLUMBING Owner o Building Architect Contract or Builde Legal Descripti Address Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 1060 DATE Work to be performed under this Permit 194— Contractor's License No. 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 drawingp 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 n Village. In accep g this permit I assume responsibility for all work done by either myself, r agent, servant or employee. 4 � _ COACTOIVOR BUILDER BY - 4^^- AUTHORITY 41 BUILDING ELECTRICAL PLUMBING Owner o Building Architect Contract or Builde Legal Descripti Address Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 1060 DATE Work to be performed under this Permit 194— Contractor's License No. 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 drawingp 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 n Village. In accep g this permit I assume responsibility for all work done by either myself, r agent, servant or employee. 4 � _ COACTOIVOR BUILDER BY - 4^^- AUTHORITY 41 Permit No. 7 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No . Street Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Block V -__, 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 Repairs No. of Stories 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. r .Size of Soakage Pit No Date z Street Amount of Permit $_ (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. • STATE OF FLORIDA, COUNTY OF DADE. Before me, ss. (Signed) My Commission Expires Notary Public, State of Florida Master Plumber. 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 H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST .7 CHECK Permit No. 7 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No . Street Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Block V -__, 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 Repairs No. of Stories 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. r .Size of Soakage Pit No Date z Street Amount of Permit $_ (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. • STATE OF FLORIDA, COUNTY OF DADE. Before me, ss. (Signed) My Commission Expires Notary Public, State of Florida Master Plumber. 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. 4 Permit No. -- -- — — ______ ' MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Date___ ei) —__ 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. . y � Owner's Name and Address PLUMBING INSPECTION DEPARTMENT No Registered Architect and /or Engi r / Employing Plumber's Name _ y _t 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 No. of Stories Amount of Permit $_ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly appeared ss. My Commission Expires (Signed) authorized to administer Subdivision Type of Tank Capacity Gals Size Septic Tank Feet of Drain Tile________ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, op syork to be performed under this permit, as are (Signed) Master Plumber. ; ' r' ' . oaths and take ackdiowledgments, personally 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 therein by him stated are true. Notary Public, State of Florida all facts 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 4 Permit No. -- -- — — ______ ' MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Date___ ei) —__ 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. . y � Owner's Name and Address PLUMBING INSPECTION DEPARTMENT No Registered Architect and /or Engi r / Employing Plumber's Name _ y _t 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 No. of Stories Amount of Permit $_ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly appeared ss. My Commission Expires (Signed) authorized to administer Subdivision Type of Tank Capacity Gals Size Septic Tank Feet of Drain Tile________ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, op syork to be performed under this permit, as are (Signed) Master Plumber. ; ' r' ' . oaths and take ackdiowledgments, personally 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 therein by him stated are true. Notary Public, State of Florida all facts 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. . ' 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 work. Owner's Name and Address __. No / Street /7 Registered Architect and /or Engineer Employing Plumber's Name No Location and Legal Description Lot.. Block Subdivision 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 / Amount of Permit $___ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. SS. My Commission Expires (Signed) (Signed) STATE OF FLORIDA, k COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized Street__ Street Type of Tank Capacity Gals Size Septic Tank Feet of Drain Tile — Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City Well. Size of Soakage Pit. Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are 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 therein by him stated are true. Notary Public, State of Florida Master Plumber. that all facts 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 . ' 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 work. Owner's Name and Address __. No / Street /7 Registered Architect and /or Engineer Employing Plumber's Name No Location and Legal Description Lot.. Block Subdivision 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 / Amount of Permit $___ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. SS. My Commission Expires (Signed) (Signed) STATE OF FLORIDA, k COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized Street__ Street Type of Tank Capacity Gals Size Septic Tank Feet of Drain Tile — Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City Well. Size of Soakage Pit. Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are 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 therein by him stated are true. Notary Public, State of Florida Master Plumber. that all facts 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. Registered Architect and /or Engine Employing Plumber's Name Street and Number where work is to be performed— No.___ -��; MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT "511/ t 6 Date Application is hereby ntb 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. +ti r Owner's Name and Address _ ,� �} '{� �__� r ! k; "�It No. it � hg Street 'J No i` �I 7 Street __/ t17 O Block ! Subdivision ?'" ' Location and Legal Description Lot __� r Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs No. of Stories. / 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... Size Septic Tank t__.(" Amount of Permit $_ 7 (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. / . , (Signed) Master Plumber. STATE OF FLORIDA, j ss. 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. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS _._ LAVA- T O$I ES SINKS / SLOP SINKS LAUNDRY Tt aS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIX/ T CONTR. LIST ' p J .....* uy! r�il� 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. Registered Architect and /or Engine Employing Plumber's Name Street and Number where work is to be performed— No.___ -��; MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT "511/ t 6 Date Application is hereby ntb 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. +ti r Owner's Name and Address _ ,� �} '{� �__� r ! k; "�It No. it � hg Street 'J No i` �I 7 Street __/ t17 O Block ! Subdivision ?'" ' Location and Legal Description Lot __� r Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs No. of Stories. / 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... Size Septic Tank t__.(" Amount of Permit $_ 7 (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. / . , (Signed) Master Plumber. STATE OF FLORIDA, j ss. 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. 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT A PPLICATION FOR PLUMBING PERMIT Permit No..__ Date___ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte or the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mia i 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 woe.- Owner's Name and Address Registered Architect and /or Engi r . Employing Plumber's Name Location and Legal Description Lot State work to be performed and purpose of building (By Floors) - -- - - - - - -- - Amount of Permit $ • - -- STATE OF FLORIDA. j ss. COUNTY OF DADE. My Commission Expires eV2. 6'� No. // / v Street (Signed) No.../_ (Signed) Bloc ____ Street and Number where work is to be performed— No._ _.1.+1. -� !! t Street X / G �'�+ T - ��'� _j_ . » z /R iv IN 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 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 o ttons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per neat 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 ork to be this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac . owledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida aster 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 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 Ir CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT A PPLICATION FOR PLUMBING PERMIT Permit No..__ Date___ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte or the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mia i 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 woe.- Owner's Name and Address Registered Architect and /or Engi r . Employing Plumber's Name Location and Legal Description Lot State work to be performed and purpose of building (By Floors) - -- - - - - - -- - Amount of Permit $ • - -- STATE OF FLORIDA. j ss. COUNTY OF DADE. My Commission Expires eV2. 6'� No. // / v Street (Signed) No.../_ (Signed) Bloc ____ Street and Number where work is to be performed— No._ _.1.+1. -� !! t Street X / G �'�+ T - ��'� _j_ . » z /R iv IN 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 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 o ttons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per neat 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 ork to be this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac . owledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida aster 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. 1 Permit No._ I) - -4d Street and Number where work is to be performed —No. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT • w • APPLICATION FOR PLUMBING PERMIT Owner's Name and Address ___ — _4- - • . • ..,,e,, ,,... No 7 ' Street Registered Architect and /or Engineer Employing Plumber's Name _.t " ., ' r__ No f A:1 ' Street l r -_, Location and Legal Description Lot_____'_______ i Block Subdivision 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. x-- Street State work to be performed and purpose of building (By Floors) ,SP f /1 _L1 MI `-_ S 1 GP' New Building Y 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 Well r Nature of Water Supply: City —Well. L.— -t...., Size of Soakage Pit Amount of Permit $ '�` ! =!/ -k (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 wor( to be performed ulide. this rmit, as are licensed by Miami Shores Village. f ati (Signed STATE OF FLORIDA, ss. 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. Notary Public, State of Florida lumber. 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 SINK SLOP SINKS LAUNDRY TUBS URINAL 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 V CHECK 1 Permit No._ I) - -4d Street and Number where work is to be performed —No. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT • w • APPLICATION FOR PLUMBING PERMIT Owner's Name and Address ___ — _4- - • . • ..,,e,, ,,... No 7 ' Street Registered Architect and /or Engineer Employing Plumber's Name _.t " ., ' r__ No f A:1 ' Street l r -_, Location and Legal Description Lot_____'_______ i Block Subdivision 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. x-- Street State work to be performed and purpose of building (By Floors) ,SP f /1 _L1 MI `-_ S 1 GP' New Building Y 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 Well r Nature of Water Supply: City —Well. L.— -t...., Size of Soakage Pit Amount of Permit $ '�` ! =!/ -k (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 wor( to be performed ulide. this rmit, as are licensed by Miami Shores Village. f ati (Signed STATE OF FLORIDA, ss. 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. Notary Public, State of Florida lumber. 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 f 7 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 b 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. _,___ Registered Architect and /or En Employing Plumber's Name C o�� _ - No._ 0_ Street `i Location and Legal Description Lot o` 0 - Y Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) ._ New Building Nature of Water Supply: City—Well. Amount of Permit $ °? STATE OF FLORIDA, I &I. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Task ---- ----- -------- --- -- - - - - -- --Type of Tank C 0- (Si ( Signed)_ Date __� °. `? Street Remodeling____________ __ Addition_,___.._ Repairs No. of Stories. Capacity Gals Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well tz 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. 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. 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. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS NKS SLOP SINKS LAUNDRY TUBS URINALS RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. L18T CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. L18T CHECK Permit No f 7 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 b 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. _,___ Registered Architect and /or En Employing Plumber's Name C o�� _ - No._ 0_ Street `i Location and Legal Description Lot o` 0 - Y Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) ._ New Building Nature of Water Supply: City—Well. Amount of Permit $ °? STATE OF FLORIDA, I &I. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Task ---- ----- -------- --- -- - - - - -- --Type of Tank C 0- (Si ( Signed)_ Date __� °. `? Street Remodeling____________ __ Addition_,___.._ Repairs No. of Stories. Capacity Gals Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well tz 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. 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. 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. 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 work. Owner's Name and Address Registered Architect and /or Engin Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed -No Size Septic Tank_ __ Feet of Drain Tile_ __ - -- Nature of Water Supply: City-Well. Amount of State work to be performed and purpose of building (By Floors)-____ ________ New Building------ _--- _- _____--- ._ - -__ -- Remodeling____ .... _____._ Addition_______-____________ -_ Repairs No. of Stories t. Feet of Tank or Drain Field from Well Permit $ - - -- - - - - - -- - -- ( Signed)_ - 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. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly anthorized 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 oftthe `above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by , • . : ted are true. My Commission Expires NOT • A I e- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper materials and / workmanship. (Signed). Street__ No. _ —/ 0. 9-5- -- /14 Subdivision Street Capacity Gals __ _Size of Soakage7 r r Notary Public, State of Florida umbing Inspector. Master Plumber. notice for inspection, or faulty CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS RINALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL. FIXTURES CoNTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL. COHTR. LIST CHECK 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 work. Owner's Name and Address Registered Architect and /or Engin Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed -No Size Septic Tank_ __ Feet of Drain Tile_ __ - -- Nature of Water Supply: City-Well. Amount of State work to be performed and purpose of building (By Floors)-____ ________ New Building------ _--- _- _____--- ._ - -__ -- Remodeling____ .... _____._ Addition_______-____________ -_ Repairs No. of Stories t. Feet of Tank or Drain Field from Well Permit $ - - -- - - - - - -- - -- ( Signed)_ - 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. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly anthorized 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 oftthe `above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by , • . : ted are true. My Commission Expires NOT • A I e- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper materials and / workmanship. (Signed). Street__ No. _ —/ 0. 9-5- -- /14 Subdivision Street Capacity Gals __ _Size of Soakage7 r r Notary Public, State of Florida umbing Inspector. Master Plumber. notice for inspection, or faulty Date ,r4„ey PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY Address 1/ X75:204 Owner / Lessee / Tenant ' /— Q A/i ( P Legal DescriptionA94 Owner's Address Contracting Co iii 0 ft v @ IA) d` Ter ,.97rGZ Address Qualifier ( t State # Architect /Engineer Bonding Company Mortgagor /6 c Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGZ: WORK DESCRIPTION Square Ft. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT /ND 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. Further e. I authorize the above -named contractor to do he wo " stated. Sign Date: lotary a: to Owner and /or Cando Pre T ' 'i Com s Expires: O 7 c v * * . * . * * er 'ERMIT FEE: APPROVED: (OWNER TO RETAIN COPY) /74/5 c Tax Folio, .3..W /i 3430y Competency � �F 1 ins. Co. '✓ / e do President * Fire 1 Zoning Building Mechanical Plurobinv Address Address Address Estimated Cos Signature Date: Master Permit it L f /acLrb Phone SS¢ Ph QJ -23 ,) ‘ Electrical 1 ` rnciree.l O 0 Notary Or to Contractor or Owner- Builder My Com * ssion pixes* / 7 7' 9y * Other * .w • JOB: BUILDING : : WORK ELECTRICAL : : DONE BY: PLUMBING : . : REQUESTED The following is ready for Inspection: - Inspector's Report: - AD: //or 2) 6r 27 c. w READY BUILDING ELECTRICAL PLUMBING ROOFING Owner of 1 Building Address of Building r' CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ° DATE - 19 ° PERMIT N? 4987 Contractor's License No. ❑ Work to be performed under this Permit__ Architect Contractor or Builder Legal Lot Description II BI Signed. Subdi- vision Value of 1 Amount of Project $ II 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. •. ' • '� INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT al. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ' Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT BI N9 4989 Work to be performed under this Permit DATE_ __ 19 Contractor's License No. Subdi- vision Value of II Amount of :. Project $ II 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. - INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ABBOT