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PLUMBING PERMITSPER1IIT APPLICATION FOR MIAMI SHORES VILLAGE Date 13' 1 Job Address / 2 . (9 / C if' 5 Tax Folio Legal Description - Owner / Lessee / Tenant /1 J f A1Q /-6 / J / 1) ) Master Permit # , Ip1/;04; � Owner's Address / AJ 7 7 7 4 / Contractin Co. `/ 1// l U& GUL.( 7 e- Address it d I Fi Qualifier// .e1) f � 0 C4 � ��4�„ '� - - / Phone 9 93 — 1 ?4 State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICA 4CEIPt. CHANICAL ROOFING PAVING FENCE SIGN U/ 4/ Ale-,1 C WORK DESCRIPTION ( 1 10 ikak Square Ft. APPROVED: Estimated Cost(value) 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 con=- -•n in this jurisdiction. I understand that separate permits are required for ELECTRICAL, 'LUMBIN SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize th bove -namgd contractor to do the work stated Signature pwllf and /or Condo President Date: /W Nota y as to er and /or- -Condo President My Co s i a;r:PEX#MTW ' '' My Commission C C29684g, rapt ruv P: aRV MARTIN r 7 Expi'es Jun. 23. 1997 �� d �i� lO NI/ Ccr-timiss''n CC29&Z.1 • ,N GPIi. 1 ? • Bonslod 5/ AND 1 Exoirs^ Jun. 2'. 1's07 ** dC4' » c.* �* -5(78 * * * * * * * ; ;* * *�, * * ** irof tot: 800 -8 .�.,c..y L�un" ^'�•'.9� 11 f a' Rot $ ._. =�? .- :r.i FEES: PERMIT 5© L RADON C.C.F. is NOTARY TOTAL DUE Fire Other Signature of Contractor or Owner- Builder Date: r _, � l Notry7as to Contractor or Owner- Builder My Commission Phone Expires: Zoning Buildin_ Electrical Mechanical Plumbin: % 1. ■ ■ Engineering 7 Date ?z2-7Y Job Address 12_61 & L% 1' ' L/2 Tax Folio Legal Description Owner / Lessee / Tenant AGIM 4tex i,eLUf/ Master Permit # Owner's Address Phone Contracting Co. 'f/ /G jest/ /'GUA' /vG Address / . AI / 3 rfT Qualifier L ' /ma ) SS# - Phone 3 �r 157 2 79 State # CPC 3 79/,D Municipal #___1,0022D Competency # / 7.TYz_. Ins.Co. [ 7 /7l Ac/? - e Architect /Engineer Address Bonding Company • Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBINt MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION J/ eJM' r • ✓ fe 12' 1 Square Ft. Estimated Cost(value) 5-02, WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with al applicable laws regulating construction and zoning. Furthermore, I authorize the ,above-n:,, e� cofactor to do the work stated. Signature of/ owner an Date: ,tic//(a am M Notary as to Owner and /o My Commission Expires: ** * * * FEES: PERMIT vo APPROVED: Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ondo President 2/a,s/9« \ P(/ OFFICIAL N OTARY SEAL O < BARBARA ANN FUGAZZI \ * COMMISSION NUMBER CC ' 9 r MY CO 3 SS ON EXP. * F OP F� * MAR 29,19 RADON C .C.F. ' Buildin M Plumbin Signat 1$ 0,17 OT Contractor or Owner- Builder Date: • A e /41,4 , . as to C ,, �.�uli NOTARY er' R (1 OFFICIAL NOTARY SEM. 7�1�reS B BARBARA ANN FUOAZ:i * i * COMMISSION NUMBER I Q CC360191 F jO MY Q MMISSIQN EXP. 11* OF MAR. 29,194'.x; NOTARY _5 TOTAL DUE 26 Notary My Commission Fire 2 aa/4 Other Electrical Engineering D Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. / AA� Owner's Name and Address.. __ / ' A e ex. No. __!_ f _ 6 _ _ b Street_!Y_ E _. 9 ' • ' ' Registered Architect and /or En _�neer__--- ___ -____ Employing Plumber's Nam , _ ti-r Location and Legal Description Lot__.___._ _ Block_ Street and Number where work is to be performed— No.____ / ?..Q AL State work to be performed and purpose of building (By Floors) . New Building Remodeling ____ Addition- _____.__ Repairs No. of Stories. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING p' irl.N1IT Stre Size Septic Tank Type of Tank__ Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well . — _____Size of Soakage Pit -- - - - -_� ( Signed ) - - -• Capacity Gals.__- The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe plied with the provisions thereof, and will require similar compliance from all contractors or sub -con • actor performed under this permit; and will post or cause to be posted' for inspection on the site of the required by the Act. The undersigned agrees to employ only such sub- contractors, o licensed by Miami Shores Village. wor Date _/6 - Subdivision My Commission Expires Notary Public, State of Florida 2 01 Street- f 1 _ / Plumbing Inspector. gations as an employer of labor anent Supplement, and has corn - employed by him in the work o be lie notice or notices are under this , . ern ' . as are s r lumber. 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 B ATH TUBE SHOWERS O LAVA- TORIES SI NKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NEI TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWING POOL CONTR. LIST / CHECK D Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. / AA� Owner's Name and Address.. __ / ' A e ex. No. __!_ f _ 6 _ _ b Street_!Y_ E _. 9 ' • ' ' Registered Architect and /or En _�neer__--- ___ -____ Employing Plumber's Nam , _ ti-r Location and Legal Description Lot__.___._ _ Block_ Street and Number where work is to be performed— No.____ / ?..Q AL State work to be performed and purpose of building (By Floors) . New Building Remodeling ____ Addition- _____.__ Repairs No. of Stories. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING p' irl.N1IT Stre Size Septic Tank Type of Tank__ Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well . — _____Size of Soakage Pit -- - - - -_� ( Signed ) - - -• Capacity Gals.__- The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe plied with the provisions thereof, and will require similar compliance from all contractors or sub -con • actor performed under this permit; and will post or cause to be posted' for inspection on the site of the required by the Act. The undersigned agrees to employ only such sub- contractors, o licensed by Miami Shores Village. wor Date _/6 - Subdivision My Commission Expires Notary Public, State of Florida 2 01 Street- f 1 _ / Plumbing Inspector. gations as an employer of labor anent Supplement, and has corn - employed by him in the work o be lie notice or notices are under this , . ern ' . as are s r lumber. 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. gage of Miami Shores JOB f�l ADDRESS CZ C. c N . E. ! ¢' 4 INSPECTION FI 4/r4 Pi y rvi R i n✓ C TIME READY P . REMARKS N? 4070 INSPECTOR DATE ' -- 16- 4 6, n w MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. Owner's Name and Address._.. Nelson .._Contract No Street Registered Architect and /or Engineer Monarch Pum & Eqpt. Co. Name and address of licensed contractor 1532 N.W. b 2nd St. Miami, Florida April 3, 56 Date , 19 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 126Q___N...E... Fla.* State work to be done and purpose of building (by floors) 2___. inch .._open___well 4Q ..._ feet deep_... and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for saidibuilding4;All notices With reference to the building and its construction may be sent to 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 complied with the provisions thereof, and will require similar compliance from all contractors or sub- . • ctors 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 rk such public notice or notices as are required by the Act. The undersigned agrees to employ only such su• tractors, on wo performed under this permit, as are licensed by 'Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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 Owners Name and Address N.el_slan.___ _� -- ----- .__�._�_._ No._ _- _----- __ -.__ ___ Street. Registered Architect and /or Engineer______________. Employing Plumber's Name Dacie Zapt i� Tank Comapil,Y No..___ Street- -_ ... _ Location and Legal Description Lot Block Street and Number where work is to be performed —No 1260 State work to be performe8 and purpose of building (By Floors)__ New Building ___ ._ Remodeling__ __ .__.__._ Addition (Signed) _.__._ D Feb. 14 Repairs No. of Stories. Size Septic Type of Tank-__ PT Q -_ -a 8 t Feet of Drain Tile.____ 100 __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. __ _ __ __ __..Size of Soakage Pit Amount of Permit $ - - -- -- __ ____ — -- ______ ( Signed)_ Capacity Gals /PlumbingInspector. 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-contract • : on wor to be perform yeYi}ndJ this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida er r l ���I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tues 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 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 Owners Name and Address N.el_slan.___ _� -- ----- .__�._�_._ No._ _- _----- __ -.__ ___ Street. Registered Architect and /or Engineer______________. Employing Plumber's Name Dacie Zapt i� Tank Comapil,Y No..___ Street- -_ ... _ Location and Legal Description Lot Block Street and Number where work is to be performed —No 1260 State work to be performe8 and purpose of building (By Floors)__ New Building ___ ._ Remodeling__ __ .__.__._ Addition (Signed) _.__._ D Feb. 14 Repairs No. of Stories. Size Septic Type of Tank-__ PT Q -_ -a 8 t Feet of Drain Tile.____ 100 __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. __ _ __ __ __..Size of Soakage Pit Amount of Permit $ - - -- -- __ ____ — -- ______ ( Signed)_ Capacity Gals /PlumbingInspector. 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-contract • : on wor to be perform yeYi}ndJ this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida er r l ���I 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. �1 _ ;, -" - -_— Date / ) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer _____ Employing Plumber's Name v O ~ e PL “ /.//1/6 S Location and Legal Description Lot ____. _ 7- L __— _ _ _ Block_ Subdivision Street and Number where work is to be performed- No.____1 1- 6= c. 4 1 _ Street State work to be performed and purpose of building (By Floors)______ _ _________ New Building Remodeling Addition________- ______________ Repairs No. of Stories I Size Septic Tank 0 Feet of Drain Tile______- 0 __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply City/ -Well Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._-______ _ Street Type of Tank______ Capacity Gals (Signed) My Commission Expires Notary Public, State of Florida 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 0 8 , o C) ( S i g n e d . . . . ,,,_,. 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 SINKS SLOP SINKS LAUNDRY TUBS URINALS URL CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS C �. TOTAL FIXTURES CL LIST IST / l OR . / / L . CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP Set*R HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL D'-' ��- 044, Qy (,, /1 /sr !'9 � CONTR. LIST r / , , / --- CHECK Permit No. �1 _ ;, -" - -_— Date / ) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer _____ Employing Plumber's Name v O ~ e PL “ /.//1/6 S Location and Legal Description Lot ____. _ 7- L __— _ _ _ Block_ Subdivision Street and Number where work is to be performed- No.____1 1- 6= c. 4 1 _ Street State work to be performed and purpose of building (By Floors)______ _ _________ New Building Remodeling Addition________- ______________ Repairs No. of Stories I Size Septic Tank 0 Feet of Drain Tile______- 0 __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply City/ -Well Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._-______ _ Street Type of Tank______ Capacity Gals (Signed) My Commission Expires Notary Public, State of Florida 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 0 8 , o C) ( S i g n e d . . . . ,,,_,. 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. BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE_ PERMIT N? _ 30 67 Contractor's License No. Owner of Building Work to be performed under this Permit Bl. Subdi- vision Value of Project $ �r Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 regulation pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In a cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 195 � 7 a -L_ Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. / Owner's Name and Address__ // /� - e 4 No.__ _ Street_ _ . 7 9 9>' Registered Architect and /or Engineer Employing Plumber's Name._���___e� __�/� No._ Location and Legal Description Lot___ _____ ________ �_____________��__ Block Nature of Water Supply: City —Well. STATE OF FLORIDA, } ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN'' APPLICATION FOR PLUMBING r`;b1 iiIT Street and Number where work is to be performed— No. / " __.___._ Street 4467 , 57 State work to be performed and purpose of building (By Floors) __ ...... --------- -___ -- New Building Remodeling Addition____ Repairs No. of Stories.... ... ............ Size Septic Tank ` / Type of Tank Capacity Gals. fl 4 _Dist. Feet of Tank or Drain Field from Well Feet of Drain Tile Size of Soakage Pit Amount of Permit $ (Signed)_ ' The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob gat of ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri ent 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 wor to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) _ Date /r [o — 6 Street___ _________ Subdivision My Commission Expires Notary Public, State of Florida Plumbing 'I sn Inspector. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to ire well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS UR CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NB TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWING POOL CONTR. LIST ` --- CHECK � 7 a -L_ Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. / Owner's Name and Address__ // /� - e 4 No.__ _ Street_ _ . 7 9 9>' Registered Architect and /or Engineer Employing Plumber's Name._���___e� __�/� No._ Location and Legal Description Lot___ _____ ________ �_____________��__ Block Nature of Water Supply: City —Well. STATE OF FLORIDA, } ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN'' APPLICATION FOR PLUMBING r`;b1 iiIT Street and Number where work is to be performed— No. / " __.___._ Street 4467 , 57 State work to be performed and purpose of building (By Floors) __ ...... --------- -___ -- New Building Remodeling Addition____ Repairs No. of Stories.... ... ............ Size Septic Tank ` / Type of Tank Capacity Gals. fl 4 _Dist. Feet of Tank or Drain Field from Well Feet of Drain Tile Size of Soakage Pit Amount of Permit $ (Signed)_ ' The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob gat of ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri ent 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 wor to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) _ Date /r [o — 6 Street___ _________ Subdivision My Commission Expires Notary Public, State of Florida Plumbing 'I sn Inspector. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to ire 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. Owner's Name and Address Registered Architect and/or Engineer Employing Plumber's Name — Location and Legal Description Lot_ ti2z21 Street and Number where work is to be performed—No Amount of Permit $ STATE OF FLORIDA, } es. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Q- 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. (Signed) No Street B1 street Subdivision —.(Y(3 State work to be performed and purpose of building (By Floors)._ . New Building Remodeling Addition Repairs No. of Stories ......... Size Septic Tan_____________________Type of Tank__ Feet of Drain Tile Dist Feet of Tank or Drain Field from Well___ ... ....... . Nature of Water Supply: _ ________—__Size of Soakage Pit Capacity Gals (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 undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take 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 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 SHOWER. LAVA- TO RIES SINKS SLOP SINKS LAUNDRY TUes URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LAST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIPCG POOL CONTR. LIST ('°' -? '/ CHECK Owner's Name and Address Registered Architect and/or Engineer Employing Plumber's Name — Location and Legal Description Lot_ ti2z21 Street and Number where work is to be performed—No Amount of Permit $ STATE OF FLORIDA, } es. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Q- 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. (Signed) No Street B1 street Subdivision —.(Y(3 State work to be performed and purpose of building (By Floors)._ . New Building Remodeling Addition Repairs No. of Stories ......... Size Septic Tan_____________________Type of Tank__ Feet of Drain Tile Dist Feet of Tank or Drain Field from Well___ ... ....... . Nature of Water Supply: _ ________—__Size of Soakage Pit Capacity Gals (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 undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take 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 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.