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PLUMBINGPermit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed—No 1293 NE 9 State work to be performed and purpose of building (By Floon) New Building _ Remodeling Addition Size Septic Tank_ _Type of Tank--_ Feet Drain Tile 40 0 SCf • Feet of Tank or Drain Field from Well _ of Nature of Water Supply: City—WelL SUS of Soakage Pit My Commission rapine 7,0- 717/ Date.---J44111-a-ry—X6- -21.9.a6- — 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 li 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 specificatiosu must be kept at building during progress of work. Owner's Name and Address labman N 1293 NE 9 st jiliami Thores . Registered Architect and/or Engineer N 800 ny....2.1L..,„ EmployinxPlushbor's North Dade Sextic,Tarlic . 1212 // Loden / LA:e t gaI Lotka. v4r 41 ' , / 25 s5 BkA (4. Subdivision st Miami Shores Repairs No. of Scorns ..... (si uic-vmu- '\K Amount of Permit $ ...... Z °a Plumb'ng Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an eriployer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and Itivc com- plied with the provisions thereof, and will require similar compllance from all contractors or sub-contractors employed by him it the woe 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 arr required by the Act. The undersigned agrees to employ only such sub-contractors, on k to be performed unde!Ahls permit, iui are licensed by Miami Shores Village. (Signed) Master Plumber. STATE OF FLORIDA, i as. 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 depress and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when anis rwaupeodoe mede by improper webor for brapedlen. or hilly materials and/or workmanship. cLos yrs BATH -ruse a """ LAVA- TORItS a I N " SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOO R DRAIN DRINKING FOUNT'NS TOTAL FIXTURES COMM LIST CHICK •■•-• SEPTIC TANK SEWER corm DRAIN FIELD SOAKAGE PIT G TRAP SOLAR MEATIER MEP WELL SPRKLR. SYSTEM SW IM •O POOL CONTR. LIST CHICK Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed—No 1293 NE 9 State work to be performed and purpose of building (By Floon) New Building _ Remodeling Addition Size Septic Tank_ _Type of Tank--_ Feet Drain Tile 40 0 SCf • Feet of Tank or Drain Field from Well _ of Nature of Water Supply: City—WelL SUS of Soakage Pit My Commission rapine 7,0- 717/ Date.---J44111-a-ry—X6- -21.9.a6- — 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 li 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 specificatiosu must be kept at building during progress of work. Owner's Name and Address labman N 1293 NE 9 st jiliami Thores . Registered Architect and/or Engineer N 800 ny....2.1L..,„ EmployinxPlushbor's North Dade Sextic,Tarlic . 1212 // Loden / LA:e t gaI Lotka. v4r 41 ' , / 25 s5 BkA (4. Subdivision st Miami Shores Repairs No. of Scorns ..... (si uic-vmu- '\K Amount of Permit $ ...... Z °a Plumb'ng Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an eriployer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and Itivc com- plied with the provisions thereof, and will require similar compllance from all contractors or sub-contractors employed by him it the woe 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 arr required by the Act. The undersigned agrees to employ only such sub-contractors, on k to be performed unde!Ahls permit, iui are licensed by Miami Shores Village. (Signed) Master Plumber. STATE OF FLORIDA, i as. 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 depress and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when anis rwaupeodoe mede by improper webor for brapedlen. or hilly materials and/or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - Permit No. i Date - --4' 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address'.tyrs,; ° J- //,,- Registered Architect and /or Engineer Employing Plumber's Name ;,..-7' ' �:A_-___ I ~ o- �;� " -, ; ; ' No.___:��. " _ .__: Street Location and Legal Description Lot_____ 2,/....`:: ___ :____�_�_____ Block:______ Subdivision Street and Number where work is to be performed —No EI %)___ �? __________________ Street l9f 2 ^ 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.. Dist. Feet of Tank or Drain Field from WeIL Nature of Water Supply:- City 'Well / T __Size of Soakage Pit Feet of Drain Tile Amount of Permit $ 1 1 -- ( Signed) _ Y No. ____ /___f 9 i Street (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. Master Plumber. STATE OF FLORIDA, I ss COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare • 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 fat. therein by him stated are true. -------------------------------- My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul eterials and /or workmanship. Notary Public, State of Florida CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS . "„ ,. /.. TOTAL FIXTUREI CONTR. LIST .- a D ' ' n __ CHECK ° , c ? �- � � _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK s . i // - J ,e) :9 / . O'J 0 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - Permit No. i Date - --4' 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address'.tyrs,; ° J- //,,- Registered Architect and /or Engineer Employing Plumber's Name ;,..-7' ' �:A_-___ I ~ o- �;� " -, ; ; ' No.___:��. " _ .__: Street Location and Legal Description Lot_____ 2,/....`:: ___ :____�_�_____ Block:______ Subdivision Street and Number where work is to be performed —No EI %)___ �? __________________ Street l9f 2 ^ 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.. Dist. Feet of Tank or Drain Field from WeIL Nature of Water Supply:- City 'Well / T __Size of Soakage Pit Feet of Drain Tile Amount of Permit $ 1 1 -- ( Signed) _ Y No. ____ /___f 9 i Street (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. Master Plumber. STATE OF FLORIDA, I ss COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare • 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 fat. therein by him stated are true. -------------------------------- My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul eterials and /or workmanship. Notary Public, State of Florida o I 7 V (") ; �—. Gown. LIST CLOSETS T 1 BATH TUBS 1 S HOWERS OVA. TORIES SINKS SLOP SINKS LAUNDRY Tuve URINALS CATCH BASIN FLOOR DRAIN DRINK NO FOUNT•NS TOTAL FIII TUR IS 1 3 - �/ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR NEATER DEEP WELL 8 S SW IM•0 POOL COMM. LIFT CHECK Permit No C My Commission Expires Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other stricture 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 LE. t4 M ll '' '' Registered Architect and/or Engineer __d41 -N C ,r,20‘ Et Toying Pltutaber's Name - l4 `J S C E R-.. • ^� y a . , Na ._ . itr .._..... // Location and g � Des cr ip K Lot :_r / �' G L' 7s 5 °� ock Subdivision. i? . Street and Number where work is to be performed —No QQ L Street. ...._ State work to be performed and purpose of building (By Floors) __. T _ ?t. M 0 D E New Building. _ Remodeling____._._ -- Addition. ..- .. —_..__ Repairs No. of Stories Amount of Permit $ .st ` MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank— Type of Tank —_- Feet of Drain Tile Dist Feet of Tank or Drain Field from Well ..._. - Nature of Water Supply: City —WeIL Size of Soakage Pit. ( Sigr ted )-- -- T c ------ •------------ • - - -••- 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 kw( com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worn to hp 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 arc required by the Act. The undersigned agrees to employ only such sub -contr- • k to • Ly .,.in - . rt .er this pmnit, as are licensed by Miami Shores Village. 40 (St No. 129' 3 street. E 1 . S / - 7 Date..._711 Notary Publics, State of Florida 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. NOTE: A re- inspection fee of $1.00 will be made wham 111106 r.haspeodas le made•IBeoanary by buproper notio0 for Inspection, or faulty materials and/or wodomaashup. / PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date,// � ` 7 Job Address / 2 3 /U'! a7. - - S ax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant jA Owner's Address Notary as to Owner and/or Condo President Date My Commission Expires: 1±ES: PERMIT3S.' &..0 RADON C.C.F. Master Permit # N", . -°� ,', 3 g /, 7 Phone Contracting Co. � G� �' �, �i C+ Address / /kx? / ,� ,d e Qualifier f A! S rTh g e ms. SS #‘7 q State •# f e// q Municipal - G P 7 Competency # j/i/S Ins. Co 1' ' &/ a C Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE V / `� � WORK DESCRIPTION / C) '7 $ SIGN Square FL Estimated Cost (value) 6 - C WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAI RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Signature of Contractnr or • wner; uilder Date /%1 //- / Q Notary 9 o Contraclor.oi owner- Builder Date My Commission Expires • c • NOTARY TOTAL DUE APPROVED: Zoning Building Electrical, " "� Mechanical Plumbing Engineering