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1250 NE 94 St (9)Miami Shores Village ,, 'Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Z O BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) / 142 � /( iC. P 4'/ Phone # Owner's Address /Z. /.) C g ( c'ST City / lgrni AO/Z-65 State �• Zip 33 Tenant/Lessee Name Phone # Job Address (where the work is being done) / 260 .06 74 6 4-. City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name IL) '' 011t Z a 1 OF 640 e # 65(:),0) JP 43 - !p uP q c Contractor's Address t� It • 14 i ; 4V6 . City //at✓lI ,l State T t Zip 3&/2?- Qualifier /� /r1/L(/ ; 4 8 State Certificate or Registration No. a i a,1 T o/ Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit ! j 30C) Type of Work: ❑Addition y� ❑Alteration Describe Work: 1 T i pi n& Total Fee Now Due S (DS- (Continued on opposite side) Code Enforcement $ Structural Plan Review. $ Master Permit N Z 20 1438' Mechanical Roofing Square Footage Of Work: El Repair/Replace ❑ Demolition — � 'y1 Q * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ -$ o _ ° Permit Fee $ / 5 � CCF $ /, R 0 CO /CC Notary $ Training/Education Fee $ _ l 0 Technology Fee $3, L Scanning $ 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 � Owner or Agent The f• - g s: instnunentw a� ledged b day o. L 2 Y 1,� ,L� ** *** * * * * * * * * *** *** ** *** * ** APPLICATION APPROVED Chc 05/13/03 who s perso . lv known_t or who has produced As identification and who did take an oath. ►xr r�+` m inam A r'c0erdnL 3 My Commission D0129662 Expires Ju NOTARY ;`. Sign: Print: My Commission Expire My Commission Expires: a 1 4 'c)—O 0 t_ ***************** * * * ********** ****** b' k*% k********* ** *** ** ******* Signature Contractor The foregoing instrument was acknowledged before me this day of .�.�.��,, 20Ct f , by 7Q-1/I1.2. to M/44 pt. who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLI Sign: Print: •t,,,... ,•,,.,,, r > Dolores Imberr' =* *_ M r0b/iMNN# 00099888 EXP;KES J 4, 2006 ,,,,,, N TAgTA'NINSURANCE :NI d5" Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/16/2004 Applicant: MARCELO Owner: LEAL JOB ADDRESS: 1250 NE 94 Contractor Local Phone: 954 -473 -1741 Parcel # 1132050100200 Plumbing Permit Permit Number: PL2004 -195 LEAL MARCELO ST BLUE WATER POOLS OF SOUTH FLORIDA Contractor's Address: 13771 N. GARDEN COVE CIRCLE Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 W35FT OF LOT 21 & E65FT OF LOT 22 LOT Fees: FEE2004 -7043 FEE2004 -7044 FEE2004 -7045 FEE2004 -7046 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $150.00 $1.20 $0.40 $3.75 $155.35 Total Fees: $155.35 Total Receipts( IBIS - Permit Status: APPROVED Permit Expiration: 1/4/2005 Construction Value: $1,300.00 Work: POOL PIPING -' Signed: (INSPECTOR) Page 1 of 1 JUL 21up consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict nformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Permit No __� Amount of Permit $ STATE OF FLORIDA, 1 �, COUNTY OF DADE. 0 MI SHORES VIfl.' AG PLUMBING INSPECTION DEPARTME ON FOR PLUM86NG ` "w>,AA1T ( Signed No. l rJ Street Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 54e 2 S /e /' Registered Architect and /or Engineer -- _ - - - --- - .----- -- .- ---- -. - -�_ _------ ___ - -- -- -__ - - Employing Plumber's Name re: Sc__i Location and Legal Description Lot_. _Block Street and Number where work is to be performed-No. ______ �_ - -- __�_ 3"-G/ State work to be performed and purpose of building (By Floors) New Building ......... Remodeling -_ -- - ._._.__ Addition____ _____ Street /V F-.31 5;. Street-- ' e9-7 S. Subdivision S id 5 Repairs No. of Stories. Size Septic Tank Type of Tank__ Capacity Gals Feet of Drain Tile ___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well._._____ - __ ____Size of Soakage Pit (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 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS .... S HWERS TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL Comm Li OT CHQCK ` / .C1 • e 421 1/i•e- //' Permit No __� Amount of Permit $ STATE OF FLORIDA, 1 �, COUNTY OF DADE. 0 MI SHORES VIfl.' AG PLUMBING INSPECTION DEPARTME ON FOR PLUM86NG ` "w>,AA1T ( Signed No. l rJ Street Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 54e 2 S /e /' Registered Architect and /or Engineer -- _ - - - --- - .----- -- .- ---- -. - -�_ _------ ___ - -- -- -__ - - Employing Plumber's Name re: Sc__i Location and Legal Description Lot_. _Block Street and Number where work is to be performed-No. ______ �_ - -- __�_ 3"-G/ State work to be performed and purpose of building (By Floors) New Building ......... Remodeling -_ -- - ._._.__ Addition____ _____ Street /V F-.31 5;. Street-- ' e9-7 S. Subdivision S id 5 Repairs No. of Stories. Size Septic Tank Type of Tank__ Capacity Gals Feet of Drain Tile ___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well._._____ - __ ____Size of Soakage Pit (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 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No....-__P ®' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether 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 P �' I P� Z 6 .. No.- _------- - - - - -- Street. - Location and Legal Description Lot-- -- .-.-- _,- - - - --- _ _ Block Subdivision _ Street and Number where work is to be performed -No d 7- S---° ' ' YStreet State work to be peajormea and purpose of building (By Floors) _------ _ -__ -- New Building Size Septic Tank_.___—___ `�`_ Feet of Drain Tile._ Nature of Water Supply.(City- ell.__.__ ____ _____ ___________ ____ -_ Size of Soakage Pit d ------------------- - - -- -- Amount of Permit $ _ I__ >_ Remodeling b'e d lL S ® II )9 Street My Commission Expires MIAMI SHORES . VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition_______ Repairs No. of Stories / Type of Tank Capacity .Ga • _Dist. Feet of Tank or Drain Field from Well (Signed) _ Date _ a 7 - -- s•-, Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has coin - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 0 ( Signed) - ---\ = ..151% 6 C Master Plumber. STATE OF FLORIDA, K� COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persoonally appeared to me well /mown, 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 NO f re- inspection fee of $1.iO will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials /or workmanship. CLOGETB BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB 1. TOTAL FIXTURES CONTR. LIST t ! / Ga / D �i� _� CHECK l�' SEPT IC TANK i , SEWER CONN. -.. �O DRAIN FIELD / "" SOAKAGE PIT _. _ \� GREASE TRAP .GOERS HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL Si 1.- t • '7I JN Ceram. LIST / / PI° 0/J 5[ l /� /� 0 S N `v— CHECK A 0 C) Permit No....-__P ®' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether 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 P �' I P� Z 6 .. No.- _------- - - - - -- Street. - Location and Legal Description Lot-- -- .-.-- _,- - - - --- _ _ Block Subdivision _ Street and Number where work is to be performed -No d 7- S---° ' ' YStreet State work to be peajormea and purpose of building (By Floors) _------ _ -__ -- New Building Size Septic Tank_.___—___ `�`_ Feet of Drain Tile._ Nature of Water Supply.(City- ell.__.__ ____ _____ ___________ ____ -_ Size of Soakage Pit d ------------------- - - -- -- Amount of Permit $ _ I__ >_ Remodeling b'e d lL S ® II )9 Street My Commission Expires MIAMI SHORES . VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition_______ Repairs No. of Stories / Type of Tank Capacity .Ga • _Dist. Feet of Tank or Drain Field from Well (Signed) _ Date _ a 7 - -- s•-, Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has coin - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 0 ( Signed) - ---\ = ..151% 6 C Master Plumber. STATE OF FLORIDA, K� COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persoonally appeared to me well /mown, 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 NO f re- inspection fee of $1.iO will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials /or workmanship. i cy e ` r Ca-c° APPLICATION FOR PLUMBING I"�k�MIT Permit No. 7 _ �____ Date , /C_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Owner's Name and Address_ �- Registered Architect and /or Engineer.. Employing Plumber's Name_. r_ /-- Location and Legal Description Lot_--_--._ ..... _________. __ __ _ _ _ Blo _ Subdivision Street and Number where work is to be performed—No-14" � Street State work to be performed and purpose of building (By Floors)_-------- ___._ __.______________ -_._ New Building _ -_- _ -- Remodeling _----- _------------ -___ -- Addition.. -__ -_. Repairs No. of Stories . . . ... ....... ... ...... No.__________ Street_ Capacity Gals Size Septic Tank Feet of Drain Tile._ _______________ _ Feet o ank or Drain Field from 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 Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on v�py k to be performed under this permit, as are licensed by Miami Shores Village. (Signed)._ Street STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWHRII LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIKTURES CONTR. LIST CHECK SWIM'O POOL SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM CONTR. LIDT CHECK Ca-c° APPLICATION FOR PLUMBING I"�k�MIT Permit No. 7 _ �____ Date , /C_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Owner's Name and Address_ �- Registered Architect and /or Engineer.. Employing Plumber's Name_. r_ /-- Location and Legal Description Lot_--_--._ ..... _________. __ __ _ _ _ Blo _ Subdivision Street and Number where work is to be performed—No-14" � Street State work to be performed and purpose of building (By Floors)_-------- ___._ __.______________ -_._ New Building _ -_- _ -- Remodeling _----- _------------ -___ -- Addition.. -__ -_. Repairs No. of Stories . . . ... ....... ... ...... No.__________ Street_ Capacity Gals Size Septic Tank Feet of Drain Tile._ _______________ _ Feet o ank or Drain Field from 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 Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on v�py k to be performed under this permit, as are licensed by Miami Shores Village. (Signed)._ Street STATE OF FLORIDA, 1 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. Permit Nn • t b Amount of Permit $ Siam Septic Tank_____._.._ Feet of Drain Tile______-._: Nature of Water Supply: City— Well 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 ell 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.__ -_O __- .-- -..___ No._._.____.____.:_.._____,. Streak Registered Architect and /or Engineer______ _____ - -____ ,_____ f N '.� ��g stn Employing Plumber's hame . .: . ..... ....� ____._ .__._ Location and' Legal Description Lot________.__-_,_ Bloch Street and Plumber where work is to be perforated —No ' '' 1 c Street V State work to he performed and purpose. of building (BY Floors) _____.__._______- __ -_ -_ New Building.__..__..___.___,_ -- - _ -_ -_. Remodeling _._._.__ Addition_ _ -- _Type of Tank- --- - - - -- ... _ Feet of Tank or Drain Field from Well __- _._Size of Soakage Pit (Si 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 ' .are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo - i nder this permit ' s are lioanmd by Miami Shores Village. Repairs Date____ No._ 9 vki ._ Street Subdivision No. of Stories. Capacity Cals.__- • • My Commission Expires • Notary Public, State of Florida STATE OF FLORIDA, COUNTY OF DADE. # -. Before ate, 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 materiels and /or workmanship. CLOWNS BATH- TUBS SHOWERS LAVA. "Rule SINKS SLOP SIPoKB LAUNDRY Tutu; ' URINALS CATCH. BASIN FLOOR DRAIN DRINKING FOUNT'NS W U TOTAL. FIXTURES CONTR. LIST • . 8 CNBCIt SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT. GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S; POOL COMM. LIST caeca Permit Nn • t b Amount of Permit $ Siam Septic Tank_____._.._ Feet of Drain Tile______-._: Nature of Water Supply: City— Well 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 ell 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.__ -_O __- .-- -..___ No._._.____.____.:_.._____,. Streak Registered Architect and /or Engineer______ _____ - -____ ,_____ f N '.� ��g stn Employing Plumber's hame . .: . ..... ....� ____._ .__._ Location and' Legal Description Lot________.__-_,_ Bloch Street and Plumber where work is to be perforated —No ' '' 1 c Street V State work to he performed and purpose. of building (BY Floors) _____.__._______- __ -_ -_ New Building.__..__..___.___,_ -- - _ -_ -_. Remodeling _._._.__ Addition_ _ -- _Type of Tank- --- - - - -- ... _ Feet of Tank or Drain Field from Well __- _._Size of Soakage Pit (Si 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 ' .are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo - i nder this permit ' s are lioanmd by Miami Shores Village. Repairs Date____ No._ 9 vki ._ Street Subdivision No. of Stories. Capacity Cals.__- • • My Commission Expires • Notary Public, State of Florida STATE OF FLORIDA, COUNTY OF DADE. # -. Before ate, 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 materiels and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building In consideration of the issuance to me pertaining thereto and in strict conformity with cepting this permit I assume responsipility.Jor G ; MIAMI SHORES VILLAGE, FLORIDA ❑ DATE ° 195 PERMIT N? 7066 Contractor's 9 s License No. ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER Architect Contractor or Builder Legal Lot Description 11 Bl w Address of it Building Signed 1, .` Subdi- vision Value of Project This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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. / BY INSPECTOR , 2 / Amount of / Permit $ in � Om of this permit I agree to perform the work covered hereunder pliance with all ordinances and regulations the plans, drawings, statements or specifications submitted to the/proper authorities of Miami Shores Village. In ac• all work done b either, myself, my agent, servant employie. 21� n BY AUTHORITY MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Requ st Date C 710Iluq nn P � S..e.pr -I Type Insp'n - �'�C`�x Permit No. P 1- z)(1 - l (g t Name l v Address tLG q 4 Sr f Company �'i0— 04 d Phone# S' (3 5Dc 9-- Inspection Date Approved Correction Re- Insp'n Fee JkAicL > 1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque Date -7//W0y Type Insp'n / t Permit No. P`'—' o 7 - !6,O 2 Name /`t,C. Address 56 AlL /0/ 67 Company L CJ 6L Phone # 305 SSA^ 7/55 Inspection Date Approved Correction Re-Insp'n Fee ❑ MIAMI SHORES VILLAGE V BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Re.uest Date 7[2 1 off Yv dVG',i ,, ,.s Type Insp'n Permit No. �M' ��,,' Name 1 � QJL_L) Address lag N Company 'B I U e- 1.(�@ Poots OF Soul Phone # '7 s Y^ ?'7 3 / 7 q7 f Inspection Date 7 3 / O / Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu Inspection Request Date 7 0� Type Insp'n rneirUIv/ Permit No. p' v `'9 j q s . Name )en Address (ZJ0 kJ q 4 .� Company 1 ikz buO 1-e r Phone # Inspection Date 7q Approved Correction ❑ Re- Insp'n Fee ❑ Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Regtst� Date p ,p Type Insp'n POD S /Pin Permit No. � cPev y — 195 Name Address /a ,((6 9Y 67 Company u) o "" ` ' Phone # 3C6 7 3 — 6 7 g� S Inspection Date 9' (l<O( Date 9/ 3461 V Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Req Type Insp'n f bo A ` / / °7 5 Permit No. �( �� ` 7' /9 S Name igat Z Address 2S�Q /l16 Company 6, 6)Ei t2ci1)/S Phone# gctj- 4 /7 /7 y Inspection Date 9 /1 /oy , 0 0 _Aki1,42,4t_cz MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Req Date 9 Name Y)?a« v Address 1 b & 9 Y '3� Company 1.D po Phone # 9 11-7 3 " 7 7 / Inspection Date Approved Correction Re- Insp'n Fee e " 1 /74 ) V ❑