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PLUMBING PERMITPermit No. New Building ()g" 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 cop of approved plans and specifications must be kept at building during the progress of work. V/ ' Owner's Name and Address V, /� Z e e �/?C- No. l 2 0-5 Street / 01- 6 - 9 5 7 Y "\70 4 e Z /2c_ // E . Registered Architect and/or Engineer Empl l0 00yinn Plluber' N e / Na Street Q • �idh and Le gal Description l',ot i.� ° f Blocks Subdivision �f Street and Number where work is to be performed — No. /a-2S S // 95 Street State work to be performed and purpose of building (By Floors) Remodeling Addition V (Signed) STATE OF FLO COUNTY OF Date Repairs No. of Stories N 7Sy- X3 /3 34* Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well Size of Soakage Pit � / Amount of Permit $ (Signed) lem �+/ 1 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 Sup lenient, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him i • the wdrk 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 q ired 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 ' y ;s Village. It DA, ADE. 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 $25.00 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 FOUNTAINS TOTAL FIXTURES CONTR. TR. LIST f 1 /� I !' CHECK --Li a'J/ ))° • SEPTIC TANK SEWER CONN. DRAIN FIELD SOAK AGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G. POOL CONTR. LIST CHECK Permit No. New Building ()g" 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 cop of approved plans and specifications must be kept at building during the progress of work. V/ ' Owner's Name and Address V, /� Z e e �/?C- No. l 2 0-5 Street / 01- 6 - 9 5 7 Y "\70 4 e Z /2c_ // E . Registered Architect and/or Engineer Empl l0 00yinn Plluber' N e / Na Street Q • �idh and Le gal Description l',ot i.� ° f Blocks Subdivision �f Street and Number where work is to be performed — No. /a-2S S // 95 Street State work to be performed and purpose of building (By Floors) Remodeling Addition V (Signed) STATE OF FLO COUNTY OF Date Repairs No. of Stories N 7Sy- X3 /3 34* Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well Size of Soakage Pit � / Amount of Permit $ (Signed) lem �+/ 1 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 Sup lenient, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him i • the wdrk 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 q ired 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 ' y ;s Village. It DA, ADE. 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 $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. / PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ,7 a Job Address /• Z, ( Cwt ? Tax Folio Legal Description Owner/Lessee / Tenant /�� / Owner's Address Contracting Co. Qualifie Historically Designated: Yes No Master Permit # �� f Phone Address /Z /) ■fi,) ( // � // SS# Phone. -ff % , State # � S� Municipal # Competency # Ins. Co. i i! Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRIC PLUMBIN ECHANICAL ROOFING PAVING FENCE SIGN &e if Square Ft. Estimated Cost (value) e) 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 construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT 13 RADON C.C.F. APPROVED: Zoning Building Mechanical Plumbing Date N otary as to Corltfactor or Owner - Builder My Commission Expires: NOTARY ) BOND Electrical TOTAL DUE ture of Contractor • Owner - Builder / Date all appl' r b1 =1. regulating Date 0 2x 7 -O Structural Engineer CONTRACTOR New Construction ry Name C'l IN�� rCO.D Last( ;1 VleiA 1Vel• License No. 2 . p � L 1 Address 6131 sw yt . pA t yt(I4 v% v t 2 ( 33 133 Telephone e r _ �� O! Ib r f,�x Alteration Interior Qualifier Name At los , wA ` PROPERTY OWNER New Construction Name A A/11 17 N n o — 1 - 4 i V v d /gyp Address 1 Home Telephone Repair Business Telephone Alteration Interior Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which trust be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 12_ 2 r ML 1 S State r t Folio Number 11 3 2,� �s — 0i9 — M q 0 Description of Work (/l� u 1 Lot 2 S- Z. 6 Block 8 ci Subdivision PB PG Zoning Linear Feet Current Use of Property R er C. • Square Feet ry , /' Units Floors Proposed Use of Property Q F� _ Value of Work c�.J (1 e ©° Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax til. 5 !►ct'3 F l City Master Permit No. PERMIT APPLICATION Subsidiary Permit No. 7 i`0. OO a - ENGINEER Name License No. Address Telephone Fax Zip Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1°` Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contrac r. STATE OF RI , COU �E Signa ur f Owner AN— ill:WI / 2 iPoOV Print Name Sworn to and subscribed before me this ' ``. J ANUAti Signature of Notary Public - State of .rida SEAL: WENDYLEE LOPEZ MY COMMISSION 067308950 009950 EXPIRES: March 18,2005 n. 0 ' Bonded Thru Budget Notary Services Personally kno Type of Identification Produced: F, O . L, . • STATE OF FLORI PZ. COUNTY OF MIAMI -DADE Signature of Contractor Qualifier GtArC. L cP�Z Print Name SSworn to and subscribed before me this T f day of AN V 4141 Signature of Notary Public - State of Florida SEAL: Personally known e• : Type of Identification Produced: . PERMIT APPLICATION WENDYLEE LOPE . MY COMMISSION # DD 009950 EXPIRES: March 18, 2005 Bonded Thru Budget Notary Services ELECTRICAL TYPI.. Minimum Fee QTY. TYPE, Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent - Pressure Vessel Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights 1 A4 ZejiteplyilrWell Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor . Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of - Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System - Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic 1 [ 1 A4 ZejiteplyilrWell Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical Mechanical .■■ Plumbin: iliaT ✓ O Fire g•ff F Public Works Structural Building Official • Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ OTHER (Specify & Attach) PERMIT FEES $ 'o - $ $ ~ ( 0 (sq.ft. = x/1000 x ¢.60) $ (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ‘10 PERMIT APPLICATION ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com l i l7 k �k Zz Z3 Z a � t L so 44 , 2d' -.c.' w /oo• �l ` LOCATION SKETCH SCALE: 1' ° 2c7 S�vo2 L /41.2 , Ls/ , /5 27 /4 Ze ,L Zq 13o /VE , =DS - r? - / 32 LEGAL DESCRIPTION FOR V.J. KNEZEVICH Certified to: V. J. Knezevich • 33 '.1O ,5 73.2' r 3 2 oo' / 3¢ 5 J z» 5 a / ' - - • - -- Lots 25 and 26, Block 84, MIAMI SHORES SECTION NO., 3, according to the plat thereof as recorded in Plat Book 10, at Page 37, of the Public Records of Dade County, Florida. N zoillNG, ZONED STREET LINES, SE BACKS, UNDERGROUND E,=EMENTS AND RIGHT OF WAYS, ETC. FROM ABST'ACT TO BE VLRIFIED AND /OR OBTAINED BY OWNER, ARCHITECT OR BUILDER BEFORE DESIGN OR CONSTRUCTION. State of Florida F.B. 6 -8 1 -18 E. R. BROWNELL& ASSOC.. INC. September 14, 1989 3152 Coral Way Ph 446 Miami. Florida Scales as-Shown THIS IS TO CERTIFY to the above named firm and, or persons that the "SKETCH OF .SURVEY—of the herein described property is true and correct to the befit of our knowledge and belief as recently surveyed and platted under our direction. also that there' are no visible encroachments other than thane sliown and that it meets the minimum technical standards set forth by I: R -BROW NELL & ASSOC. INC. the FBLS pursuant to chapter 472.027 Florida Statutes.-_ d/ Sketch No. 28756 JOB NO. 43625 Reproductions of this drawing are not valid unless embossed with the surveyor', ,cal. J Ry Thdmas ;rownell Profe,swna Land Surxevor it 2891 N • u1 a•� Ll -�t7 • SKETCH :OF •• BgeAtaYilnY, ri 0 • • •••• • Z9' / • • . • • • • a K s'11 5 5/p,`1V'e t' .. - J ' A 5 • r-. • • • • • • • • • . • • elf /. 4 i •• • • • • • ••�,a••• • •••• • ••• • • • • • • • • • •• • • • • • ••• 32,45' / S'7"o - ' 3. O J , \ T 2 7 ' =4 41—T • .t +1-V H -A/ r r , _ - .5 /7o •• • • • •• c 0 ' t r 2 46. G F.B. 6 -18 September 14, 1989 LOCATION SKETCH 5az 5 Zz Z3 So 246, ( /7 Za Z5 /lo O • Sketch No. 28756 JOB NO. 43625 Reproductions of this drawing are not valid unless emhossed with the surveyor's seal. 24. /5 Z7 /4 SCALE: 1' = 2r7 Z6 FOR 1 Z9 _ V.J. KNEZEVICH Certified to: V. J. Knezevich 31 LEGAL DESCRIPTION 33 .,8 34 '1 73.Z' R 3si 5 /5 • 1 z oo' / f, Vi 3 Lots 25 and 26, Block 84, MIAMI SHORES SECTION NO., 3, according to the plat thereof as recorded in Plat Book 10, at Page 37, of the Public Records of Dade County, Florida. Z0rav2. ZONED STRLET LINES, SE BACKS, UNDERGROUND EASE,MEIITS AND RIGHT OF V, ;'!F, FTC. FROM ABSThACT TO BE dEr 1FILO AND /OR OBTAINED BY OWNER, ARCHITECT OR BUILDER BEFORE DESIGN OR CONSTRUCTION. State of Florida ® 11 0 E. R. BRO\ \'NELL & ASSOC.. INC. 3132 Coral Way Phone 446 Miami. Florida Scales as Shown THIS IS TO CERTIFY to the above named firm arid, or persons that the "SKETCH OF SURVEY the herein described property is true and correct to the best of our knowledge and belief as recently surveyed and platted under our direction. also that there' are no visible encroachments other than thue shown and that it meets the minimum technical standards set forth by E: R .BRO\VNELL & ASSOC.. INC. the FBLS pursuant to chanter 472.027 Florida Statutes:- ei► By Thomas ¶;rowne 11 Professional Land Sur evor i# 2891 / 0 43' a ••c 5 /pd.ivcLr . SKETCH:..QF .:$(#R VEY 1 I 4 .• • • • • . . _y .. C. • • ' • •K • • ■ • • •. • • • - . - • • ••• Vk.o. • ••• i. t�• ••• / 2'. :e N. •• • • • •• •• • p. • • • • • • • • • •• • • • • • ••• •• 'o 1 m ' 3. 54 * '--� . 11- ;, ! ;� • l�� • '•• • • 32,4e; t.1 N t\ 1 27 4te / � 7.14'_t. ;5.15 e /2;70 771.4 E t Permit No.! " building during progress of work. M! w ,/ Owner's Name and Address Street and Number where work is to be performed —No._ State work to be performed and purpose of building (By Floors) Amount of Permit $ PLUMBING INSPECTION DEPARTMENT _(Signed) Dist. Feet of Tank or Drain Field from Well MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Date f Application is hereby made for the approval y pproval 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 No. Street Registered Architect and /or Engineer Employing Plumber's Name r- r No._AK • Location and Legal Description Lot -7-4 - ' ,e< _____ Block Street[ ■ • Ad i , l,et `/ S • Street_.!44.,_ New Building Remodeling Addition Repairs No. of Stories Type of Tank . Capacity Gal _.9 __ A50 Size Septic Tank__ Feet of Drain Tile_ Nature of Water Supply: City —Well. .Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to bf performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumb er. STATE OF FLORIDA, COUNTY OF DADE. j 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 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.! " building during progress of work. M! w ,/ Owner's Name and Address Street and Number where work is to be performed —No._ State work to be performed and purpose of building (By Floors) Amount of Permit $ PLUMBING INSPECTION DEPARTMENT _(Signed) Dist. Feet of Tank or Drain Field from Well MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Date f Application is hereby made for the approval y pproval 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 No. Street Registered Architect and /or Engineer Employing Plumber's Name r- r No._AK • Location and Legal Description Lot -7-4 - ' ,e< _____ Block Street[ ■ • Ad i , l,et `/ S • Street_.!44.,_ New Building Remodeling Addition Repairs No. of Stories Type of Tank . Capacity Gal _.9 __ A50 Size Septic Tank__ Feet of Drain Tile_ Nature of Water Supply: City —Well. .Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to bf performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumb er. STATE OF FLORIDA, COUNTY OF DADE. j 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 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. .__'_. y/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Amount of Permit $__ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street i No. Location and Legal Description Lot_ _Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building — ________— ______ Remodeling Addition Repairs Size Septic Tank 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 --(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) Date Street_____. Subdivision______________ Street 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 No. of Stories 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 Permit No. .__'_. y/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Amount of Permit $__ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street i No. Location and Legal Description Lot_ _Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building — ________— ______ Remodeling Addition Repairs Size Septic Tank 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 --(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) Date Street_____. Subdivision______________ Street 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 No. of Stories 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. . . JOB: BUILDING ELECTRICAL PLUMBING Inspector' s Roport : • • • • • WORK it • • DONE BY:( Y 4 i , , , . . • • :REQUESTED : WILL BE READY • • • ' / • • : The following is ready for Ihspection: - ) f • • • 40/i, % • • • JOB: BUILDING ELECTRICAL ° WORK / : DONE BY: PLUYIBING : REQUESTED : WILL BE READY ADD: The Following is ready for inspection :- Inspector's Report: JOB: BUILDING PLUMBING 1 ELECTRICAL Inspector's Report: • :: WORK • • DONE BY: : REQUESTED • • • • • • • AD: The following is ready for Inspection: • • • • : WILL BE READY JOB: BUILDING ELECTRICAL PLUMBING Inspector's Report: / • • AD: ) • , • ▪ WORK DONE BY: The following is ready for Inspection: : REQUESTED : WILL BE READY • • • • • • • • • • • • • JOB: AD: BUILDING : ELECTRICAL PLUMBING •• WORK DONE BY REQUESTED • • • • • • • • • The following is ready for Inspection: Inspector's Report: : WILL BE READY 2 Permit No Owner's Name and Address 7 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 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 No.___________ Street Employing Plumber's Name No Location and Legal Description Lot . _ , ` _ _ _ y Block Street and Number where work is to be performed —No. Street State work to be performed and purpose of building (By Floois _(Signed) (Signed) My Commission Expires Notary Public. State of Florida D a t e _ _ _ _ Subdivision F � 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 New Building s_ _ Remodeling .Addition Repairs No. of Stories Plumbing Inspecto The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer o7"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. 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 SINKri 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 Owner's Name and Address 7 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 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 No.___________ Street Employing Plumber's Name No Location and Legal Description Lot . _ , ` _ _ _ y Block Street and Number where work is to be performed —No. Street State work to be performed and purpose of building (By Floois _(Signed) (Signed) My Commission Expires Notary Public. State of Florida D a t e _ _ _ _ Subdivision F � 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 New Building s_ _ Remodeling .Addition Repairs No. of Stories Plumbing Inspecto The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer o7"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. 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 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 t Registered Architect and /or Engineer Employing Plumber's Name +r�Ci,1 = :i ' l �'G Lill 6 'O • No 57°3 A• • • Still ' '117 y • Location and Legal Description Lot _ ? Block 6G Subdivision '.- f' -'• '•'`, OZ. "" Street and Number where work is to be performed —No 1225 °- • °'' • Street 95t,1 ,i,').17, • State work to be performed and purpose of building (By Floors) New Building Remodeling____. Addition Repairs No. of Stories .______________ Size Septic Tank_ CC; Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ss. My Commission Expires '.10S Date No. Street Type of Tank L ty (Signed) // Capacity Gals.. Feet of Drain Tile__ 7_5 Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $__ i -.CQ- (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, 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 2()„,__ 1 41 7cc 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 <C - Permit No 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 t Registered Architect and /or Engineer Employing Plumber's Name +r�Ci,1 = :i ' l �'G Lill 6 'O • No 57°3 A• • • Still ' '117 y • Location and Legal Description Lot _ ? Block 6G Subdivision '.- f' -'• '•'`, OZ. "" Street and Number where work is to be performed —No 1225 °- • °'' • Street 95t,1 ,i,').17, • State work to be performed and purpose of building (By Floors) New Building Remodeling____. Addition Repairs No. of Stories .______________ Size Septic Tank_ CC; Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ss. My Commission Expires '.10S Date No. Street Type of Tank L ty (Signed) // Capacity Gals.. Feet of Drain Tile__ 7_5 Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $__ i -.CQ- (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, 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 2()„,__ 1 41 7cc Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. • Permit No. Owner's Name and Address ___ b1Q tt 11011e$ Size Septic Tank 500 Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date August 20,_ 1941 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. No Street Registered Architect and /or Engineer Employing Plumber's Iiame Acme S e , rt i C .a n. i 1✓ L' • No 57C 1`1 • + • Stree 27th Ave • Location and Legal Description Lot — ___ei13.`'_Kc3 Block 84 Subdivision Miami Shores Gt. Street and Number where work is to be performed —No. 122 = ' ' • E. Street 95th St • State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Type of Tank ) recast Capacity Gals • Feet of Drain Tile r 1 5 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well C . t'sk Size of Soakage Pit. (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, 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 500 CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK A • Permit No. Owner's Name and Address ___ b1Q tt 11011e$ Size Septic Tank 500 Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date August 20,_ 1941 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. No Street Registered Architect and /or Engineer Employing Plumber's Iiame Acme S e , rt i C .a n. i 1✓ L' • No 57C 1`1 • + • Stree 27th Ave • Location and Legal Description Lot — ___ei13.`'_Kc3 Block 84 Subdivision Miami Shores Gt. Street and Number where work is to be performed —No. 122 = ' ' • E. Street 95th St • State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Type of Tank ) recast Capacity Gals • Feet of Drain Tile r 1 5 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well C . t'sk Size of Soakage Pit. (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, 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. 500 Permit No. d-. G 2 7 ss. New Building Remodeling State work to be performed and purpose of building (By Floors) My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT .. , t"") 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 `.L 4 1 t _ _�_ -- — -- - - No Street--------- --- - - - - -- - - -- - — Registered Architect and /or Engineer Employing Plumber's Name/ ��!� _�__ %_9�_ �r No. /1 n _7 Street/ Y !__2± " Location and Legal Description Lot_ =__ -t Block _ Subdivision__ A• g - =�C� ------ C -?- - - - - - -- !k'L ].� T Street and Number where work is to be performed— No. _�_�_ Date__ Addition Repairs No. of Stories Type of Tank . Capacity Gal - *1'"? ____ -/S Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City —Well Size of Soakage Pit .____________ ______________________________ — Dist. Feet of Tank or Drain Field from Well__ 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 b` performed under this permit, licensed by Miami Shores Village. ,/ (Signed) 1 ' ' -�� - e Notary Public. State of Florida Master Plumber. as are STATE OF FLORIDA, 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 be 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 t.AVA TORIES SINKS SLOP SINKS LA::NDRY 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. d-. G 2 7 ss. New Building Remodeling State work to be performed and purpose of building (By Floors) My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT .. , t"") 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 `.L 4 1 t _ _�_ -- — -- - - No Street--------- --- - - - - -- - - -- - — Registered Architect and /or Engineer Employing Plumber's Name/ ��!� _�__ %_9�_ �r No. /1 n _7 Street/ Y !__2± " Location and Legal Description Lot_ =__ -t Block _ Subdivision__ A• g - =�C� ------ C -?- - - - - - -- !k'L ].� T Street and Number where work is to be performed— No. _�_�_ Date__ Addition Repairs No. of Stories Type of Tank . Capacity Gal - *1'"? ____ -/S Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City —Well Size of Soakage Pit .____________ ______________________________ — Dist. Feet of Tank or Drain Field from Well__ 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 b` performed under this permit, licensed by Miami Shores Village. ,/ (Signed) 1 ' ' -�� - e Notary Public. State of Florida Master Plumber. as are STATE OF FLORIDA, 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 be 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. �` r Permit No `- 1 Date______ A r Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub ted 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 .,,.f _r- .G_-- -� . t.5_ 'd- _ No. __ - .." Street__V: Registered .Architect and /or Engineer � r+ Employing Plumber's Name r/ i_ __ °"` ":i {. -. 3 �r .___.�` w '4' Street_f� r __ _ t ..Y S ubdivisio • rp " r Street and Number where work is to be performed —No sf _ �/ � Street State work to be performed and purpose of building (By Floors) e4 'rs.. New Building___— ______ Remodeling Addition Repa rs No. of Stories Location and Legal Description Lot__— !Lc_.:,,r:__ Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT My Commission Expires __(Signed Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: City —Well Size of Soakage Pit Type of Tank Capacity Gals. Dist. Feet of Tank or Drain Field from Well Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer o'f 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) ____ i Notary Public. State of Florida Master tuber 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. C L BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST y `( /� �( }� / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. IST LIST CHECK �` r Permit No `- 1 Date______ A r Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub ted 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 .,,.f _r- .G_-- -� . t.5_ 'd- _ No. __ - .." Street__V: Registered .Architect and /or Engineer � r+ Employing Plumber's Name r/ i_ __ °"` ":i {. -. 3 �r .___.�` w '4' Street_f� r __ _ t ..Y S ubdivisio • rp " r Street and Number where work is to be performed —No sf _ �/ � Street State work to be performed and purpose of building (By Floors) e4 'rs.. New Building___— ______ Remodeling Addition Repa rs No. of Stories Location and Legal Description Lot__— !Lc_.:,,r:__ Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT My Commission Expires __(Signed Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: City —Well Size of Soakage Pit Type of Tank Capacity Gals. Dist. Feet of Tank or Drain Field from Well Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer o'f 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) ____ i Notary Public. State of Florida Master tuber 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. • BUILDING ELECTRICAL PLUMBING Owner o Building Architect Contract or Build Legal Descripti Address Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition .on which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of dinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and 0 5,ate assumes responsibility for work done by his agents, servants or employees. a � 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 anl} in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Vill4ge. In accepting this/permit I assume re onsibility for all work done by either myself, my a rvant or employee. ,- CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE '- 194 / PERMIT N9 2627 Work to be performed under this Permit Contractor's License No. BY AUTHORITY r 3 „xa, J E Dn Lot '. - -�' Bl. .,. Subdi- vision f ,.. M. -- r Value of Project Amt. of Permit ,�•.. s "'� ..� i BUILDING ELECTRICAL PLUMBING Owner o Building Architect Contract or Build Legal Descripti Address Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition .on which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of dinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and 0 5,ate assumes responsibility for work done by his agents, servants or employees. a � 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 anl} in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Vill4ge. In accepting this/permit I assume re onsibility for all work done by either myself, my a rvant or employee. ,- CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE '- 194 / PERMIT N9 2627 Work to be performed under this Permit Contractor's License No. BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner o Building Architect Contract or Builde Legal Descripti Address Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 2520 Work to be performed under this Permit DATE ' 194_1_ 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 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 regu' tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami SF Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORIT' Lot `', on Bi. ' Subdi- vision r' <" of - Value of Project Amt. of Permit i BUILDING ELECTRICAL PLUMBING Owner o Building Architect Contract or Builde Legal Descripti Address Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 2520 Work to be performed under this Permit DATE ' 194_1_ 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 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 regu' tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami SF Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORIT' BUILDING ELECTRICAL PLUMBING Owner o Building Architect Contract or Builde Legal Descripti Address Building MIAMI SHORES VILLAGE, FLORIDA -PERMIT N9 2487 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 arid that he assumes responsibility for work done by his agents, servants or employees. 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 Signed: BY AUTHORITY ,.. Ir r pn Lot Bl. f Subdi- vision )f Value of Project Amt. of Permit ? BUILDING ELECTRICAL PLUMBING Owner o Building Architect Contract or Builde Legal Descripti Address Building MIAMI SHORES VILLAGE, FLORIDA -PERMIT N9 2487 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 arid that he assumes responsibility for work done by his agents, servants or employees. 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 Signed: BY AUTHORITY Permit No 2. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submltted 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 is building during progress of work. Owners Name and Address Registered Architect ands Engineer ,4_ ti v y in gi Plumbete Location fific/Lelal Street and Number where work is to be performed —No Amount of Permit $ My Commission Expire. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building ( B y Lot. Floors) — New Building..__ _ _ _..- • - -..- .... - -_ Remodeling___. __ - -- Addition... - -- _ ..__._... Repairs V No. of Stories Size Septic Tank _Type of Tanlr Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well..._. — Nature of Water Supply: City —Well — Size of Soakage Pit 0 (Signed No Date..._.._ -ZS / 2 street. - • Q5 Subctivisic S7 12-7.--C I —.----- .--- ..... _....__.._.Capadty Cats (S►gned 0 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 5988, Compiled General Laws of Florida Permanent Supplement, and Ilas com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worn to be performed under this permit; and will post or cause to be posted for inspection on the site of the wor h public notice or notices as are required by the Act. The undersigned agrees to employ only such cab- contractors, on work to ormed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, O 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 Master Plumber. NOTE: A re- inspection fee of $1.00 will be suede wham snob zeispeceion is eseds by improper notice for Inspection, es faulty materials and/or wodnaanship. cusses* BATH ruse SHOWER/ LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINAL/ CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL 'Issues. CONTR. LIST CHECK -� SEPTIC TANK sawing CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SRRKLR. SY STEM SW IM'O POOL CONTR. LIST .�- CHECK Permit No 2. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submltted 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 is building during progress of work. Owners Name and Address Registered Architect ands Engineer ,4_ ti v y in gi Plumbete Location fific/Lelal Street and Number where work is to be performed —No Amount of Permit $ My Commission Expire. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building ( B y Lot. Floors) — New Building..__ _ _ _..- • - -..- .... - -_ Remodeling___. __ - -- Addition... - -- _ ..__._... Repairs V No. of Stories Size Septic Tank _Type of Tanlr Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well..._. — Nature of Water Supply: City —Well — Size of Soakage Pit 0 (Signed No Date..._.._ -ZS / 2 street. - • Q5 Subctivisic —.----- .--- ..... _....__.._.Capadty Cats (S►gned 0 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 5988, Compiled General Laws of Florida Permanent Supplement, and Ilas com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worn to be performed under this permit; and will post or cause to be posted for inspection on the site of the wor h public notice or notices as are required by the Act. The undersigned agrees to employ only such cab- contractors, on work to ormed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, O 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 Master Plumber. NOTE: A re- inspection fee of $1.00 will be suede wham snob zeispeceion is eseds by improper notice for Inspection, es faulty materials and/or wodnaanship. Inspection Number: INSP -13355 Inspection Date: 03/29/2006 Inspector: Levrack, James Owner: TRIPODO, ANTHONY Job Address: 1225 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: TECO PEOPLES GAS SYSTEM Building Department Comments Tuesday, March 28, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phope: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: PL2005 -327 Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number (305)756 -6529 Parcel Number 1132060143990 Lot: Phone: (305)957 -3857 Page 2 of 2 n A ecto omments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Number: INSP -13355 Inspection Date: 03/29/2006 Inspector: Levrack, James Owner: TRIPODO, ANTHONY Job Address: 1225 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: TECO PEOPLES GAS SYSTEM Building Department Comments Tuesday, March 28, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phope: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: PL2005 -327 Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number (305)756 -6529 Parcel Number 1132060143990 Lot: Phone: (305)957 -3857 Page 2 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/10/2005 Applicant: ANTHONY Owner: TRIPODO JOB ADDRESS: 1225 Contractor TECO PEOPLES GAS SYSTEM Local Phone: 305/970 - 1783 Parcel # 1132060143990 Signed: NE 95 (INSPECTOR) Signed: (Contractor or Builder) Pkmbng Perm' Permit Number: PL2O TRIPODO ANTHONY ST Contractor's Address: 1218 NE 101 ST BY: 5 =327 Page 1 of 1 Permit Status: APPROVED Permit Expiration: 5/7/2006 Construction Value: $1,000.00 Work: NEW NATURAL GAS SERVICE 3/4" PLASTIC FROM GAS MAIN LOCATED IN ALLEY AT REAR OF PROPERTY Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 25 & 26 BLK 84 LOT SIZE 100 X 131 OR Fees: FEE2005 -14326 FEE2005 -14327 FEE2005 -14328 FEE2005 -14329 FEE2005 -14330 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $160.00 $0.60 $0.20 $4.00 $3.00 $167.80 Total Fees: $167.80 Total Receipts: $0.00 ITV 10 PAID -42.33 In consideration of the issuance to me of this permit, 1 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 responisibility for all work done by either myself, my agent, servants or employes. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address City /IMAM �- - 'State Zip .� '� p Tenant/Lessee Name Phone # Job Address (where the work is being done) [ Z 2 5 /v e c .S City Miami Shores Village Is Building Historically Designated YES �N_ 2 Contractor's Company Name ( e (C) Contractor's Address Ci p City / , /i4 V'u.'�"1 t ( Qualifier 1r 4 Tel: (305) 795.2204 Fax: (305) 756.8972 Architect/Engineer's Name (if applicable) $ Value of Work For this Permit P) 12 2 S Adkr ^ 2 c S St 2be Fdtt�� t , Submittal Fee $ Notary $ Scanning $ 3 .00 Total Fee Now Due $ l 6'1 . (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 L - Permit Fee $ ! r Training/Education Fee $ County Miami -Dade Zip / (o ``^^ o Permit No. pLQ5 —`S71 aster Permit No. Code Enforcement $ Structural Plan Review. $ Mechanical Roofing Phone # o - 6 T 1\4A- - 4--14 - 92_8. , 64S - << • 7 v /78 3 Phone # 3 Ci, Zip' "Q State Certificate or Registration No. Certificate of Competency Phone # Square Footage Of Work: l[ : - -. o NOV n 5 Type of Work: lA Addition ['Alteration ❑New ❑ Repair/Re.la�e ID Demolition Describe Work: , , ' / 1 �� �' l C " ' ' * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * ** CO f- � CCF $ v • (00 CO/CC Technology Fee $ 4.W Radon $ Zoning Bond $ 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 Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature A ner or Agent V The foregoing instrument was acknowledged before me this 3 day of /(1OV , 2005,by A4.4 )., r 0 (who is personally known to me r who has produced NOTARY PU Sign: Print: ahc 05/13/03 Dal As identification and who did take an oath. My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVE BY: as * * * * * * * * * ' — ) LUIS biONTERO ** , ry Public - State of Florida Commission Flies Jan 27, 2008 - i•n S DD084905 Bonded By National Signature ARY PUB I Sign: Print: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** l*. ntractor The foregoing in acknowledged before me this 3 \ day of 6 kfi.e , 2 04 r by qQ who is personally known to m_Dar who has produced as identification and who did take an oath. My Commission LUIS MONTERO Notary Public - State of Florida r Commission 00084905 ;grA e Bonded By National Notary Assn. * *(** * * * * * ** Plans Examiner Engineer Zoning N f • 1. ATLAS: M 2 SCALE: NTS 0 ' DRAWN BY: LM CONSRUCTION NOTES: N, R/W SWALE CRASS E. 9. P SWALE GRASS S.R/W 1. ALL CAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES CAS STANDARDS. 2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE APPRORIATE GOVERNMENTAL AGENCY. 3. ALL D!STRUBED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR CONDITION. UNLESS OTHERWISE SPECIFIED. NE 95TH STREET TECO (1225) PROPOSED RISER PE OPLE / AS NEW 3/4" PLASTIC GAS SERVICE 1225 NE 95 STREET. MIAMI SHORES, FL - 32 KBV 1 r@fig UJ 48 HOURS BEFORE DIGGING CALL SUNSHINE 1- 800 - 432 -4770 DATE: SHEET: 1/1 JO: 11/5/06 11659 N. ATLAS: M 2 SCALE: NTS DRAWN BY: LM CONSRUCTION NOTES: N, R/W SWALE CRASS , n ATtmg'ikirim!1'l` m /ars SWALE GRASS S.R/W ALLEY 1. ALL CAS PIPELINE CONSTRUCTION TO FOLLOIV TECO PEOPLES CAS STANDARDS. 2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED W!TH THE APPROR /ATE GOVERNMENTAL AGENCY. 3. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR CONDITION, UNLESS OTHERWISE SPECIFIED. TIE IN TO GAS MAIN. NE 95TH STREET TECO NEW 3/4" PLASTIC GAS SERVICE (1225) PROPOSED RISER PEOPL ! AS 1225 NE 95 STREET. MIAMI SHORES, FL 48 HOURS BEFORE DIGGING CALL SUNSHINE 1- 800 - 432 -4770 DATE: SHEET: 1/1 JO: 11/5/06 11659 Date Type Insp'n Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time Name Address /�o bk 5 Company Phone # For Inspector: / Approved 6 Correction Re- Insp'n Fee ❑ Street Permit No. 'is New Building Remodeling Addition Amount of Permit $ 26 Type of Tank 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 he�~ein 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 co y of approved 1 plans and specific ti No. must be kept 51t-building during the progress of work. Owner's Name and Address , -1e" b� IL�V� No. / .2Z 4-5 Street l� q y Registered Architect and/or Engineer Employing Plmber', 1�J pie 4- DC) 4 h'�K/\ �. Location and Legal Description De scrription Lot t,4%* Street and Number where work is to be performed — 1 2- 7' /fd L, Date No. 1,P-> I f WO Street 2 ' Block e 7 Subdivision °12 &-t," l% State work to be performed and purpose of building (By Floors) Repairs No. of Stories 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 (Signed) Plumbing spector 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 complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe • im 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 no : ces as : required by the Act. The undersigne to employ only such sub - contractors, on work to be performed under this permit, as are licensed .y Mia Shores Village. STATE OF LORIDA, 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 $25.00 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 FOUNTAINS 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 1�-� L 1 �� CHECK Street Permit No. 'is New Building Remodeling Addition Amount of Permit $ 26 Type of Tank 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 he�~ein 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 co y of approved 1 plans and specific ti No. must be kept 51t-building during the progress of work. Owner's Name and Address , -1e" b� IL�V� No. / .2Z 4-5 Street l� q y Registered Architect and/or Engineer Employing Plmber', 1�J pie 4- DC) 4 h'�K/\ �. Location and Legal Description De scrription Lot t,4%* Street and Number where work is to be performed — 1 2- 7' /fd L, Date No. 1,P-> I f WO Street 2 ' Block e 7 Subdivision °12 &-t," l% State work to be performed and purpose of building (By Floors) Repairs No. of Stories 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 (Signed) Plumbing spector 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 complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe • im 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 no : ces as : required by the Act. The undersigne to employ only such sub - contractors, on work to be performed under this permit, as are licensed .y Mia Shores Village. STATE OF LORIDA, 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 $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. STATE OF FLORIDA ^TMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Authority: Chapter 381, FS Chapter 10D -6, FAC Applicant Permit Number PART I - SYSTEM CONSTRUCTION SPECIFICATIONS AND CONSTRUCTION APPROVAL Septic tank or Grease aerobic unit gallons interceptor gallons Square Feet Square Feet Septic tank or aerobic unit gallons Dosing tank gallons Square Feet Square Feet Graywater tank gallons Square Feet Square Feet Laundry waste tank gallons Square Feet Square Feet Other Requirements: Treatment Tank (a) Installation must be in accord with requirements of chapter 10D -6, FAC. (b) A system construction permit is valid for a period of one calendar year from date of issue. (c) Final installation inspection and approval is required before the system is covered. (d) Invert of stub -out for to be benchmark. Invert of stub -out for to be benchmark. Invert of stub -out for to be benchmark. Invert of stub -out for to be benchmark. (e) Fill quality and quantity. (f) Other System design and specifications by: Title Construction authorized by: Date County Public Health Unit Note: Completed copies of this form will be provided to the applicant, installer and the building department. AUDIT CONTROL NO. HRS -H Form 4018, Feb 85 (Obsoletes previous editions which may not be used) (Stock Numberr5744-001- 4016 -0) Minimum Draintrench OR Minimum Absorption Size Bed Size Page 1 of 2