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PLUMBING• • • I1r1111. No. 11b •; i, 1% hereby made for the approval of the detailed statement of the plans and specifications herewith subr i;• f for the building or other structure herein described. This application is made In complicumo and conformity with the Building Ordinance of Mk I Shores Village, Florida, .,..ii all pros isions of the Laws of the State of Florida, all ordinances of Miami Shares Village and all rules and regulatir • of the Building Division ,It tarn Shores Village slug be complied with, whether hcrn:3na spezifted or not A oapy of approved plans and spec ficatipns must be kept at . mildmg during progress of work. ,. Iwner's Name and Address .....�__..��1 ! � C .._..._. No. _�.0.� L . S.a"Stree4_'.. Vf6 .egist..rell Architect and /or Engineer..__ 07 �� ._ ZZ.Q_.-_. -(,I o� _ 1 :mplo)tn Plum s Na /� ..., ...._ ='_Q! ? 140..la0.6 -2.. 04 . ®treet...LY /'� >'f/!'1R.C-P.(. 31 /�. ncatiun and Legal Description L,ot- .._.�� -�__. _;.• _ �l�loc9t_��....,._ .. Subdlvfa.+arr....� S ,,,S2,44_,2 Street and Number where work is to be performed —No /200 °E_ Street 9- Ste•. .... State work to be performed and purpose of building (By Floors) et912 ° j T ,G16.C, ''fw Building .- Remodeling___ Addition OATH CLO•IrT• Tu•E COnTA. I LI T CHECK ¢PTIC TANK CoaTA. LiOT 4 HOCK Sias Septic Tank____ . S¢wER DRAIN CONN. FIELD :,TATS OF FLORIDA, COUNTY OF DADE. SHOWER• LAVA- TORIES SOAKAGE PIT MO MI Sti RES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICM II 61roae GLOP Slane K9 FOR PLUM K1 MG PERMIT LAUNDR Tus• URINALO GAEAOE GOLAR DEE? BPRKLR. TRAP HEATER WELL 6 YSTEM Repairs Feet of Drain Tile. .° --- . ....... .......-- _ -• -•- -.__Dist. Feet of Tank or Drain Field from Well CATCH BASIN swim* P001. FLOOR DRAIN Date ... ... /- SJ- ( r -o DRINKING FOUNT'N• Nt. of Stories Jr Type of Tank. -- .Z ... —S Capacity gala... n?Gag,... Nature of Water Supply: City — Well. - - -. _. --- ..._.....-- -- •-- ----- -•-_ --- ....Sias of Soakage Pit My Commission Eupiro Notary Public, Stato of Florida • TOT..L FIRT1 REa A Plumbin•i Inspector The uudersii,ried applicant for this building permit does hereby certify that he understands and accepts his obligations as an e ndloycr of hahm .,n,!,•r the Florida !Votkmen's Compensation Act, being Section 54284, Compiled General Laws of Florida Permanent :'upl lenient, ins! Ilan •o • ;,..d w,t1, the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed 1 y him in • is •A, rk v r >•. .•rt,•Ilned under this hermit, and will post or cause to be poster for inspection on the. site of th . work such pn . • e ice r no ir t•r rs a• - a-,quire,' by the Act. The undersigned agrees to employ only such sub-contractors, on wiz be perfo ed ' this 71 u1, en . . 1 ;erased by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take a ckmowledgmenta, per.otr; • 0 ppear!ti t l nie well known, and who, being by me first duly sworn., upon oath . - .ones and says that he is ilia . ................. .. _ of the above described construction, that be has carefully read the '.'rozoing application, and that he did sign the same, and that all acts therein by hin, stated are true. NOTE: A re-inspection fee of $1.00 will 1» =do when re-bspoz i is a by improper reotivs for Infpeerlon, or trolly materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Y Legal Lot Bl. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA /} DATE / t 194 Contractor's License No. PERMIT N9 2421 Work to be performed under this Permit Owner of Building Architect Contractor or Builder r "J Subdi- vision Value of Project Amt. 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 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 gpeci / cations and that he assumes responsibility for work done by his agents, servants or employees. • Signed• - By � - INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE 194_ Contractor's License No. PERMIT N9 2202 Work to be performed under this Permit Owner of Building BL Subdi- vision Value of Project Amt. of Permit wp 1 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed- By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the-work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY or "' r Lot BL Subdi- Dn vision )f I .. ,.. V u e o �:a.... . - . . Amt. of Project Permit BUILDING ELECTRICAL PLUMBING Owner o Building Architect Contract or Builde Legal Descripti Address Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 2319 BY k i. DATE Contractor's License No. Work to be performed under this Permit 194' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed• By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY BUILDING ELECTRICAL PLUMBING Owner o Building Architect Contract or Builde Legal Descripti Address Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 2319 BY k i. DATE Contractor's License No. Work to be performed under this Permit 194' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed• By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect f Contractor / Orr' Legal Lot Description Address of &) Building v MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 2421 Work t be performed under this Permi m CONTRACTOR OR BUILDER 2 Subdi- vision Value of Project BY DATE Contractor's �r License No i Amt. of Permit 194_/ l 1, 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 rcived 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 e p ns are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder . M me above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether show on he ra3nsvor' drawings or in the statements or specifjtations and that he assumes responsibility for work done by his agents, servants or employees / / y i Signe• . u , - (/ / By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1 me,/, No / Location and Legal Description Lot_ Merit Subdivision Street and Number where work is to be performed —No ),' O c) N C Street. S - .. - -.. State work to be performed and purpose of building (By Floors) Building.. - -.._ -- •----- ......._.. Remodeling__ _ _ -.._ice __ Addition. Size Septic Tank -_ ...Type of Tank —___ Feet of Drain Tile __Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City —We1L Size of Soakage Pit Amount of Permit $ d ' 00 (Signed) (Slimed) 1/ `. 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. Street...Ltje Owners Name and Address .0 Registered Architect and /or Engineer r . 5 4U1uvw�° ° !D7 I S s lr t;tploy in g Plumber's Name - .._ ----- ,l _ .., Na.......o...�.._.....�....... i .....: c -r . •-• Repairs No. of Stories. .... 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 5986, Compiled General Laws of Florida Permanent Supplement, and IIaT com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worn to b 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. STATE OF FLORIDA, } es. 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 be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State et Fiaslda NOTE: A re- inspection fee of $1.00 will be made when asok redwood= Is aneds n&osssery by improper notice for Inspection, or faulty materials and/or worismanshaip. CLO$ET$ BATH Tue. S HOWER[ LAVA. TORIEa SINKa SLOP SINK[ LAUNDRY -rum, U RINAL[ CATCH F LOON DRAIN DRINKI NO FOUNT' NS TOTAL FIIITUREa CONTR. LIST V �J / / � . — CHECK _ SEPTIC TANK SEWER CONN. GRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DER MILL SPRKLR 6 SW IN •0 POOL Cows. LIST 1 CRICK r� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1 me,/, No / Location and Legal Description Lot_ Merit Subdivision Street and Number where work is to be performed —No ),' O c) N C Street. S - .. - -.. State work to be performed and purpose of building (By Floors) Building.. - -.._ -- •----- ......._.. Remodeling__ _ _ -.._ice __ Addition. Size Septic Tank -_ ...Type of Tank —___ Feet of Drain Tile __Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City —We1L Size of Soakage Pit Amount of Permit $ d ' 00 (Signed) (Slimed) 1/ `. 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. Street...Ltje Owners Name and Address .0 Registered Architect and /or Engineer r . 5 4U1uvw�° ° !D7 I S s lr t;tploy in g Plumber's Name - .._ ----- ,l _ .., Na.......o...�.._.....�....... i .....: c -r . •-• Repairs No. of Stories. .... 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 5986, Compiled General Laws of Florida Permanent Supplement, and IIaT com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worn to b 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. STATE OF FLORIDA, } es. 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 be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State et Fiaslda NOTE: A re- inspection fee of $1.00 will be made when asok redwood= Is aneds n&osssery by improper notice for Inspection, or faulty materials and/or worismanshaip. PLUMBING ❑ ROOFING ❑ Owner of Building Architect Contractor or Builder 1` Legal Lot II BI. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL ❑ PERMIT N° 14796 Contractor's License No. Work to be performed under this Permit Subdi- vision Value of Project $ Amt. 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acceptjag this permit I a ssyme resporksib'1ity for all work done by either, myself, my agent, servant or employee. ter CONTRACTOR OR B DER BY AUTHORITY Owner's Name and Address 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. Registered Architect and/or Engineer Employing. Plumber's Name Location and Legal Description Lot__ I L 1, Street and Number where work is to be performed—No. State work to be performed and purpose of building (By Floors) New Remodeling Addition Repairs No. of Stories Size Septic Tank_ Feet of Drain Tile_ Nature of Water Supply: City—Well. 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, ss. COUNTY OF DADE. My Commission Expires No Street Block (Signed) No Street_ Subdivision.. 4". Street Type of Tank. Capacity Gals._________ Dist. Feet of Tank or Drain Field from Well__ Size of Soakage Pit Notary Public. State of Florida Master Plumber. _ (Signed) - - 7 — 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 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 Tuss SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST • -, 1.- / . , CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Owner's Name and Address 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. Registered Architect and/or Engineer Employing. Plumber's Name Location and Legal Description Lot__ I L 1, Street and Number where work is to be performed—No. State work to be performed and purpose of building (By Floors) New Remodeling Addition Repairs No. of Stories Size Septic Tank_ Feet of Drain Tile_ Nature of Water Supply: City—Well. 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, ss. COUNTY OF DADE. My Commission Expires No Street Block (Signed) No Street_ Subdivision.. 4". Street Type of Tank. Capacity Gals._________ Dist. Feet of Tank or Drain Field from Well__ Size of Soakage Pit Notary Public. State of Florida Master Plumber. _ (Signed) - - 7 — 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 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. Permit No MIAMI SHORES VILLAGE a _ PLUMBING INSPECTION DEPARTMENT r Registered Architect and /or Engineer Location and Legal Description Lot__ Size `5wria Tank APPLICATION FOR PLUMBING PERMIT Application is hereby mad for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. his application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the aws 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 a-._ __ , r� .._ • r , Employing Plumber's Name ___ :_�_�__ —_�_ _ No Street:_ __r_'_ ,.___ ________Block_ —__ Subdivi ' Imo„_ Street and Number where work is to be performed—No ._________,Z_,,!_1_L__• ____ �''' f �_______ Street ___s-__ =__ State work to be performed and purpose of building (By Floors) New Building _______ — Remodeling Addition Repairs Type of Tank .___ ___ Nature of Water Supply: City —Well. _ Size of Soakage Pit (Signed) Date - - -- -L = No. of Stories ______ _______ _Capacity Gals.__!`__ Feet of Drain Tile____—________._— ___—______ Dist. Feet of Tank or Drain Field from Well_________—___ _____— _____________________�__. My Commission Expires Notary Public. State of Florida ( Amount of Permit 5_—_-- - -- — — - -- ------- - -_---- (Signed) - ---- - - - - -- - -- - - -- - - -- Plu bing Inspector. The undersigned applicant for this building permit does hereby certify that he 'inderstands 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 Villaste. Master Plumber. 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 SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No MIAMI SHORES VILLAGE a _ PLUMBING INSPECTION DEPARTMENT r Registered Architect and /or Engineer Location and Legal Description Lot__ Size `5wria Tank APPLICATION FOR PLUMBING PERMIT Application is hereby mad for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. his application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the aws 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 a-._ __ , r� .._ • r , Employing Plumber's Name ___ :_�_�__ —_�_ _ No Street:_ __r_'_ ,.___ ________Block_ —__ Subdivi ' Imo„_ Street and Number where work is to be performed—No ._________,Z_,,!_1_L__• ____ �''' f �_______ Street ___s-__ =__ State work to be performed and purpose of building (By Floors) New Building _______ — Remodeling Addition Repairs Type of Tank .___ ___ Nature of Water Supply: City —Well. _ Size of Soakage Pit (Signed) Date - - -- -L = No. of Stories ______ _______ _Capacity Gals.__!`__ Feet of Drain Tile____—________._— ___—______ Dist. Feet of Tank or Drain Field from Well_________—___ _____— _____________________�__. My Commission Expires Notary Public. State of Florida ( Amount of Permit 5_—_-- - -- — — - -- ------- - -_---- (Signed) - ---- - - - - -- - -- - - -- - - -- Plu bing Inspector. The undersigned applicant for this building permit does hereby certify that he 'inderstands 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 Villaste. Master Plumber. 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. Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date__ _ 5:7__L�!_ 0 a ` / Application is hereby mad for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. his application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the aws 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. a .r /fr�ea C' Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name ____'l . N o._ Strepa: ri Location and Legal Description Lot__________ Subdivi ' n Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) �`'� r) No.�� New Building_ ___ _— ____— ___—______ Remodeling Addition Repairs —___ No. of Stories Size T n__ — "_ Type of Tank Feet of Drain Tile_____— _________.__ ___ —_ —__ Dist. Feet of Tank or Drain Field from Well__ Nature of Water Supply: City —Well —____ Size of Soakage Pit STATE OF FLORIDA, COUNTY OF DADE. Street Capacity Stream __ `__ ( !♦F —_ -- Amount of Permit $___ -- .� ___� _ (Signed) ` ' ' • -- _ Pluibing Inspector. The undersigned applicant for this building permit does hereby certify that he Alnderstands 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) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared -- - -- — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that be has carefully read the foregoing application, and that 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 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 CHECK t Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date__ _ 5:7__L�!_ 0 a ` / Application is hereby mad for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. his application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the aws 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. a .r /fr�ea C' Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name ____'l . N o._ Strepa: ri Location and Legal Description Lot__________ Subdivi ' n Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) �`'� r) No.�� New Building_ ___ _— ____— ___—______ Remodeling Addition Repairs —___ No. of Stories Size T n__ — "_ Type of Tank Feet of Drain Tile_____— _________.__ ___ —_ —__ Dist. Feet of Tank or Drain Field from Well__ Nature of Water Supply: City —Well —____ Size of Soakage Pit STATE OF FLORIDA, COUNTY OF DADE. Street Capacity Stream __ `__ ( !♦F —_ -- Amount of Permit $___ -- .� ___� _ (Signed) ` ' ' • -- _ Pluibing Inspector. The undersigned applicant for this building permit does hereby certify that he Alnderstands 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) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared -- - -- — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that be has carefully read the foregoing application, and that 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. MIAMI SHOI ES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. _____ vi.f2__ ..„), l___ 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 ____ Mt T __ y ___T - , No.__12O0___N.__ Street 95th Registered Architect and /or Engineer Employing Plumber's Name A _se.rytic. Trim .00. No. ___ 5705 ___N. - IT • Street __ E,th__ Aram_ Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. 1 It. L. Street 95ttr State work to be performed and purpose of building (By Floors) New Building xf Remodeling Addition Repairs__. No. of Stories Size Septic Tank Type of Tank ___ p`tit Feet of Drain Tile 1.00 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit. Amount of Permit $ fleee (Signed) __ _Capacity Gals. (Signed) 600 My Commission Expires Notary Public. State of Florida The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an emplo 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. Master Plumber. tor. 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 SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK MIAMI SHOI ES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. _____ vi.f2__ ..„), l___ 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 ____ Mt T __ y ___T - , No.__12O0___N.__ Street 95th Registered Architect and /or Engineer Employing Plumber's Name A _se.rytic. Trim .00. No. ___ 5705 ___N. - IT • Street __ E,th__ Aram_ Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. 1 It. L. Street 95ttr State work to be performed and purpose of building (By Floors) New Building xf Remodeling Addition Repairs__. No. of Stories Size Septic Tank Type of Tank ___ p`tit Feet of Drain Tile 1.00 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit. Amount of Permit $ fleee (Signed) __ _Capacity Gals. (Signed) 600 My Commission Expires Notary Public. State of Florida The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an emplo 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. Master Plumber. tor. 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. jL BUILDING Inspector's Report: JOB: :�.: AD: • • • • ELECTRICAL : • PLUMBING �- • • WORK DONE •. • • The following is ready for Inspection: REQUESTED : WILL BE READY • r /r Permit No Owner's Name and Address -�� • tarr To t on 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. Registered Architect and /or Engineer Employing Plumber's Name V A_a No._ Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No . Street State work to be performed and purpose of building (By Floors) New Building' Remodeling Addition Repairs No. of Stories _. Size Septic Tank Type of Tank - _'recast Feet of Drain Tile 2.00 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pi .. Amount of Permit $_ n 1* 0 Q (Signed) CI. Date a:l:a .L��. No. 1200 :. ! . Street Capacity Gals 600 (Signed) Plumbing Ins¢e 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. 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. 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 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 r /r Permit No Owner's Name and Address -�� • tarr To t on 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. Registered Architect and /or Engineer Employing Plumber's Name V A_a No._ Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No . Street State work to be performed and purpose of building (By Floors) New Building' Remodeling Addition Repairs No. of Stories _. Size Septic Tank Type of Tank - _'recast Feet of Drain Tile 2.00 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pi .. Amount of Permit $_ n 1* 0 Q (Signed) CI. Date a:l:a .L��. No. 1200 :. ! . Street Capacity Gals 600 (Signed) Plumbing Ins¢e 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. 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. 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. 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 w Amount of Permit $__1-- APPLICATION FOR PLUMBING PERMIT Owner's Name and Address Registered Architect and /or Employing Plumber's NanlG'2 I� Location and Legal Description Lot_____ , gineer 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 es. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. _Block__ No Street . 1 Street and Number where work is to be performed—No. ____1 ._ ___. /u __ :________:_ __ Street State work to be performed and purpose of building (By Floors) New Building__________________ Remodeling Addition Repairs No. of Stories Size Septic Tank (.0 - Type of Tank (Signed) Date 'C yr .' ' t __Capacity Gals.____ Feet of Drain Tile__________________.____________ Dist. Feet of Tank or Drain Field from __________— ________W___ Nature of Water Supply: City —Well -- ,______________.Size of Soakage Pit 1 (Signed) authorized to administer oaths and take acknowledgments, personally Plumbing Inspector. rtify that be 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 Street____ _ Subdivision_ $1l=i .c,a,.l.0 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 therein by him stated are true. r 4 Notary Public, State of Florida 17e. l": L- , / Master Plumber. the same, and 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 / 1 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 w Amount of Permit $__1-- APPLICATION FOR PLUMBING PERMIT Owner's Name and Address Registered Architect and /or Employing Plumber's NanlG'2 I� Location and Legal Description Lot_____ , gineer 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 es. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. _Block__ No Street . 1 Street and Number where work is to be performed—No. ____1 ._ ___. /u __ :________:_ __ Street State work to be performed and purpose of building (By Floors) New Building__________________ Remodeling Addition Repairs No. of Stories Size Septic Tank (.0 - Type of Tank (Signed) Date 'C yr .' ' t __Capacity Gals.____ Feet of Drain Tile__________________.____________ Dist. Feet of Tank or Drain Field from __________— ________W___ Nature of Water Supply: City —Well -- ,______________.Size of Soakage Pit 1 (Signed) authorized to administer oaths and take acknowledgments, personally Plumbing Inspector. rtify that be 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 Street____ _ Subdivision_ $1l=i .c,a,.l.0 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 therein by him stated are true. r 4 Notary Public, State of Florida 17e. l": L- , / Master Plumber. the same, and 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. Q 764c— 'C a r � BUILDING PERMIT APPLICATION FBC 2001 City Job Address (where the work is being done) 0- Miami Shores Village Building Department `" : ,,,'' i ,rfi 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 i ! ....',1 F 6 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Phone # Owner's Address State Zip Tenant /Lessee Name Phone # City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name r Phone # Contractor's Address City � ' State ! Zip Qualifier / C . ?i4 State Certificate or Registration No. ! Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit -f i `; . • `- Square Footage Of Work: Type of WWirk: El Addition ['Alteration New g Repair/Replace ❑ Demolition Describe 4/ork:k E,t , t/ ., Wor coL2 �i�Fl -vo h, w, - r - p; p m r i 77 FY " L C®PP Pisa "' 6 . r 41-1/.4* ',Jew) - - _,' 1010- d4° a Pao o� tt�7 ro 4 - ® ✓_SE 44 ..we N i� C6 - &AL ofiti x i1 &Area , 'Js7 -, LL /iJ 6,e. en P..5 * * * * * * * * * * * * * * * * * * * * ** ****F Submittal Fee $ . - ° Permit Fee $ '� ' CCF $ ' CO /CC Notary $ Training/Education Fee $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Structural Plan Review. $ Permit No. Master Permit No. Zoning Bond $ 71 Technology Fee $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to App promise in whose pro for the f inspectio Signat an . od fai erty is su st inspecti will not be w r or Agent The foregoing instrum nt was acknowledged before me this 7 day of dc-r0/5 4/l. , 200' , by 1/.10/14-S who is personally known to me or who has producedR'ML �r3S ( — (63 NOTARY PUBLIC: Sign: Print: My Commission * * * * * * * * * * * * * ** APPLICATION APPROVED Chc 05/13/03 As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must that r copy of the notice of commencement and construction lien law brochure will be delivered to the person 'ect t.�'ttachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site whi occurs seve (7) days after the building permit is issued. In the absence of such posted notice, the d and a re spection fee will be charged. As identification and who did take an oath. * * * * * * * * * * * * * * * * * * * * * * * * ** J ,NtS • State of Fl01iO By ►aatt°rw! NO Signature vVt NOTARY PUBLIC: Sign: Print: My Com * * * * * * * * * * * * * * * ** - * * * * * * * * * * * * * * * * * * * * * * * * * * * ** V Contractor The foregoing instrument was acknowledged before me this 9 day of Oct - 7.9e5 sue , 20 by (.✓,c4 'NE- /1- r0/1/L who is personally known tom or who has produced -" as identification and who did take an oath. • Pu IA V. LLANES N es- Eesffeb26.2008 •= • # DD29 By Notional Notary Assn. * * * * * * * * * * * * ** * ** * * ** ************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** a-oL/ Plans Examiner Engineer Zoning ITEM BATH TUD UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER f39NS MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MDTCAS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. i GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL _ OUTLETS COMMERCIAL WATER SERVICE 1 SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ' AIDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10/18/2004 Applicant: THOMAS Owner: LONGMAN JOB ADDRESS: 1200 NE 95 Contractor DOUGLAS ORR PLUMBING INC Contractor's Address: 301 FLAGLER DRIVE Local Phone: 305/887 -1687 Parcel # 1132060144110 Permit Status: APPROVED Permit Expiration: 4/6/2005 Construction Value: $4,950.00 Signed: Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 17 (INSPECTOR) Plumbing Permit Permit Number: PL2004 -291 LONGMAN THOMAS ST Page 1 of 1 BLK 85 LOT SIZE IRREGULAR Fees: FEE2004 -10159 FEE2004 -10160 FEE2004 -10161 FEE2004 -10162 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $230.00 $3.00 $1.00 $5.75 $239.75 Total Fees: $239.75 Total Receipts: $239.75 Work: REPLACING ALL EXISTING HOT & COLD GALVANIZED WATER PIPING WITH TYPE "L" COPPER PIPING. INSTALLING NEW 1' !1� PAM 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 sub_ miffed to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 0 Type Insp'n S • �C1 n ? 1 Permit No. P1 04 1 Name LOM 1 nn o m Address 1 -OO N E ci S S-4 Company�Ci+ • Phone # Inspection Date Approved Correction Re- Insp'n Fee 10 2,5 MIAMI SHORES VILLAGE /,7 BUILDING DEPARTMENT a <, 305- 795 -2204 Building Inspection Request ' Date � C A � 1/ 7 � _- Th Type Insp'n j�C it Permit No. 1, � (72.7..--- 11 e _ Name „ c Address O ro Company�� Phone # Inspection Date l' C.), Approved Correction Re- Insp'n Fee Date Type Insp'n Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE 55 UILDING DEPARTMENT 305- 795 -2204 Building InspeCtion Request Permit No. ? L 0 4 9 Name 4 - -0/)a w2043 Address 1 L)O iU € q1g � e Company Phone # J Inspection Date ) 0 / / G y MIAMI SHORES VILLAGE / 'BUILDING DEPARTMENT 305- 795 -2204 Buildin Inspeption Request �. <V2 Date Type Insp'n \ 7 /! :4Z - �k 9 Permit No. — 1 4 1_, 0 e f '9/ Name Lo') Address di 36) 0 dU f qs- Company Phone # Inspection Date Approved Correction Re- Insp'n Fee ) 910-b/oy a �G� oT Type Insp'n Permit No. MIAMI SHORES VILLAGA BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 4t Date \a• Name \ ' (O.c p,. Address \ Company Phone # Inspection Date Approved Correction Re- Insp'n Fee // /� -6-9 Passed Inspe or «. Ell Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until r 1 Inspection Date: 05/16/2006 Inspector: Levrack, James Project: <NONE> Contractor: CENTERLINE PLUMBING Building Department Comments Tuesday, May 16, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP -92465 MAY 1 9 tNI U Permit Type: Plumbing - Residential Inspection Type: Final Owner: LONGMAN, THOMAS Work Classification: Gas Job Address: 1200 95 Street NE Miami Shores Village, FL Block: Permit Number: PL -3 -06 -693 Phone Number (305)892 -8598 Parcel Number 1132060144110 Lot: Phone: (305)401 -8170 Page 2 of 2 (( 12Q 1 ge50 � ` I ■ 1 Inspector Comments Passed - Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. 'Inspection Number: INSP -12463 Inspection Date: 03/23/2006 Inspector: Levrack, James Owner: LONGMAN, THOMAS Job Address: 1200 95 Street NE Project: <NONE> Miami Shores Village, FL Contractor: LINE PLUMBING Buildi epartment Comrinents Wednesday, March 22, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: PL -3 -06 -693 Permit Type: Plumbing - Residential Inspection Type: Press Test Work Classification: Gas Phone Number (305)892 -8598 Parcel Number 1132060144110 Lot: Phone: (305)401 -8170 Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2001 Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES NO Qualifier ( A. ' C I Pt State Certificate or Registration No. . r- OC t el qei $ Value of Work For this Permit Total Fee Now Due $ i a I - qt) , (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No 0 ' 6 . Master Permit No. Permit Type (circle): Building Electrijal Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) ''J . JLI(. Owner's Address f L.C1; Is City MI Yi1 I f-} /, ' State PC Tenant/Lessee Name 12_u0 `Ts Zip ;33 3 Phone # County Miami -Dade Zip 3 6% 3 b Contractor's Company Name 's C t i1/y ?e4... Phone # 07 — 1 9Z- Contractor's Address ' Z i J r/ 41/er City �'�) �y��tt t► State {" L- Architect/Engineer's Name (if applicable) Phone # Zip 7S ,'g I fC Certificate of Competency No. ��� j 0- -) e S Ci Square Footage Of Work: Type of Work: ['Addition DAlteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: / C_i P 1 ! C; f `�F tP i/ t 1 f Lam, C t t - 1 It la / i h`l r * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ CCF $ I .80 CO /CC Notary $ Training/Education Fee $ 0 LO Technology Fee $ g - SO S canning $ S. CO- Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address x City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith tha a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is o att.' chment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection w ich - occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection wi not be app ove -' and a reinspectjon fee will be charged. Signature The fore mg instrument was ac owledged before me this day 20Q(/ �1� 1 aela .; /'1'S�J:.�4 0 who .erson.. ly known to me or who has produced "WA .1 lifillMnah702101i7FIRIEr4w. v. s. a 2'.2008 E449 ';.,•• ; v f Commission # DD 354953 "'" Bonded By National o LIC: Print: My Commissio * * * * * * * * * * * * ** /Ow'her or ent ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 A ' fication and who did take an oath. * * * * * * * * * * * * * * * * * ** Contractor The fore in instrument was acknowledged before me this day , 20� by who is personally known to me or who has produced as identifi ..., sn and who did take an oath. Signature I n � rd iblic - State of Florida ' ;* * C$ *in'lss ?irn% 354953 Bonded By National Notary Assn. NOTAR Print My v Plans Examiner r Engineer Zoning * * * * * * * ** AN AtP },ICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MAST: PERMIT HAS E. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM'. GAS RANEE METER SET (GAS) GAS P!Plh_ ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL TEW ATH TUB UNIT 1 ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE LIGHT OUTLETS CENTRAL HEATING IDET RECEPTACLES A/C (WIND) ISHWASHER I ISPUSpL SERVICE TEMPORARY A/C (CENTRAL) RINKIIG FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOOK DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING PEASE I RANGE TOP UNDERGROUND TANKS NTERCEPTOR OVEN ABOVE GROUND TANKS .AVATCRY TRAY WATER HEATER U.F. PRESSURE VESSELS .AUNDRY :LOTHES WASHER MOTORS 0— 1 FP STEAM ;HOWER MOTORS OVER 1— 3 HP HOT WATER BOILERS I I )CTCRS OVER 3— 5 HP MECHANICAL VENTILATION ;INK, POT /3 COMP. ;INK, RESIDENCE I MOTORS OVER 5— 8 HP TRANSPORTING ASSEMBLIES ;INK, SLOP MOTORS OVER 8— 10 I-F ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10— 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET I MOTORS OVER 100 If VIOLATION INDIRECT WASTES 1 1 1 A/C WINDOW 1 I REINSP,ECTION WATER SUPPLY TO: I I I AIR CONDITIONERS I I I A/C UNIT I 1 I STRIP HEATER I _ 1 1 1 FIRE SPRINKLER ( I I GENERATORS TRANSFORMERS ( I I HEATER —HEW INST. 1 1 I. GENERATORS I I I 1 HEATER — REPLACE 1 1 I GENERATORS TRANSFORMERS I 1 I 1 LAWN SPRINKLER —WELL 1 1 1 SPECIAL PURPOSE 1 I I 1 SWIMfdING POOL OUTLETS COWERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY —SEWER 1 SIGN TIME CLOCK UTILITY—WATER FIXTURES SEPTIC TANK AMEN RELAY TELEVISION CUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL I DOMESTIC WELL I AREA DRAIN ROOF INLET . SOLAR WATER HEATER I AN AtP },ICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MAST: PERMIT HAS E. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM'. GAS RANEE METER SET (GAS) GAS P!Plh_ ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL 0 rl L e'ko t . l Zoo RE.. 95 51 vr 6v a - S r - 1 33 3o O I - ? 7O • m ���r,� b - G 30 ,D" co fOP 1 -1oi 1 L4h x/ 0 11 20 2D0'' i_ X 11 1, ` 1I 1 11 \ Z C��r+ fps p2Yu2 35 Goo td 1.I hr rt" ea 470b (hr S L\\ 4 N t t r. p/. rl 47L)(...) �u a ��uTurz� Fog ZS kw TP1? 1141 - Vii/ (. (;kL477 -4-- 1,00 t353 Do k41 u hr IW, - rnKci►�a�4 Ot cv4ir? i' , ocro hr 1T - fit.! _5,300 , Ili 2),11 C � S .. • • •. . • ••• • • • u • • • • • � •1, •• • .. • • • • • • • • • .. • • ••• • •••• • •••• • • •. • • • • • ▪ • • i t / 2r' -t LCD — (=,93 Pi Pi C9 v.k r Pt 42. Issue Date: 3/22/2006 Owner's Name: THOMAS LONGMAN Permit Type: Plumbing - Residential Work Classification: Gas Job Address: 1200 95 Street NE Additional Information Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 03/16/2007 Contractor(s) CENTERLINE PLUMBING Phone (305)401 -8170 Primary Contractor Yes Comments: INSTALLATION OF GAS PIPING TO SERVE 6 PIECES OF GAS EQUIPMENT Type of Work: GAS PIPING Additional Info: Classification: Residential Type of Piping: COPPER Bond Return : 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 accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL -3 -06 -693 Phone: (305)892 -8598 1132060144110 Lot: PB: Total Square Feet: 0 Total Valuation: $ 2,400.00 Required Inspections Press Test ROW Final Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $1.80 $0.60 $180.00 $3.00 $4.50 $189.90 Invoice Number PL - 3 - 06 - 24201 Total: 22 PAID Amt Due $189.90 Amt Paid Ig9 •Gb • NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.