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135 NE 94 St (17)MIMING ❑ ny DATE '' 195 LECTRICA uMSINGL PERMIT N. 8495 ' . _ O Contractors w License No. OOFING ❑ wrier of gilding; chitect )ntractor Builder 'gal ,scription ddress of gilding J Lot ❑ Work to be performed under this Permit /j J ,f t CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BL Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ BY AUTHORITY 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 refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any tie 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 anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations rtaining 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 •ne by his agents, servants or employees. g >., Signed• „4' '. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I a¢ sum e responsibility for all work done by either, myself, my agent, servant or employee. 17 ;UILDING 1ECTRICAL PLUMBING GOOFING )weer of uilding rchitect :ontractor r Builder egal .ascription ddress of uilding Lot ❑ DATE 195 PERMIT N° 3155 Contractor's License No. ❑ Work to be performed under this Permit .L CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA B1 Subdi- vision Value of Project $ 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 ;refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any se 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 anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations =rtaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work •ne by his agents, servants or employees. Signed. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations =rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- pting ids permit I assum responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ate. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building - r Architect Contractor or Builder � Legal Lot Description ' , t / Bl. Address of Building ❑ ra- • MIAMI SHORES VILLAGE, FLORIDA PERMIT 11T° 3178 Work to be performed under this Permit Subdi- vision Value of Project $ DATE 195 Contractor's License No. 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY `, INSPECTOR In ;consider on th issucmce to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaininot then d stmt conlormity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- 1 p I c4sum re •siibil: t ONTRACFOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building k(- ❑ CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 3 - 19 LC- PERMIT Architect Contractor or Builder ED C.- Legal Lot Description N9 7266 Work to be performed under this Permit_ B1 / 3.1 C:. �c Contractor's If License No. sibili ty by g for work done b his agents, servants or employees. Signed Cf�—»' ` ( ' --.41 per . , �. .. - 2 L Subdi- vision Address of s r / 4 . Value of 11 Amount of -- Building x / Project $ 11 Perrnit $ 2 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 applica- tion 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 stateme • or specifications and that he assumes respon- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances aad regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT 4 I. 4 Inspection Number: INSP -3943 Inspection Date: 12/22/2005 Inspector: Levrack, James Owner: BLACK - GORDON, FLORENCE Job Address: 135 94 Street NE Miami Shores Village, FL Project: <NONE> Contractor: RJJ PLUMBING CONTRACTOR CORP Building Department Comments Tuesday, December 27, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Ph7e: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number Lot: Permit Number: PL2005 -297 Permit Type: Imported Permit Inspection Type: Final Work Classification: Plumbing Parcel Number 1132060132881 Page 2 of 2 Passed I n pector C • ' ent ■ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until I. 4 Inspection Number: INSP -3943 Inspection Date: 12/22/2005 Inspector: Levrack, James Owner: BLACK - GORDON, FLORENCE Job Address: 135 94 Street NE Miami Shores Village, FL Project: <NONE> Contractor: RJJ PLUMBING CONTRACTOR CORP Building Department Comments Tuesday, December 27, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Ph7e: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number Lot: Permit Number: PL2005 -297 Permit Type: Imported Permit Inspection Type: Final Work Classification: Plumbing Parcel Number 1132060132881 Page 2 of 2 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: 1 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. t+ /"/ Signature Owner or Agent The foregoing instrument was acknowledged before me this day ofQ(!k , 20 W , by who is perso n. known to me or who has produced NOTAR Sign: Print: My Co * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 As identification and who did take an oath. Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: .. /,3 [/ J//9, iV rye' °R / Plans Examiner Engineer Zoning 4. Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name Contractor's Company Name Al�PL1/J4A Contractor's Address 47 29 '7O ,, ( g4' , Total Fee Now Due $ (Continued on opposite side) Miami Shores Village WO Plumbing OCT Permit Type (circle): Building Electric .1 Owner's Name (Fee Simple Titleholder) f` / (I1'ee yr! /O Owner's Address S /Y ' C • 9 Lit 5 City - ,0)7001.. € 5 State (- N7A Zip Permit No. - — 2 -9 ^] aster Permit No. Mechanical Roofing Phone # (3 (3 5) Z/ 5' / 5_3 333 Phone #,A Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip J 9 /3 O Is Building Historically Designated YES NO X. ea/k/Z4Z. Phone # 7g6 7 9q - % - ' ' q/3 f4' City r /44/44 State ,e Zip Qualifier � j �5 '/ 2£:/Z' Code Enforcement $ Structural Plan Review. $ 130/1 State Certificate or Registration No. o,1/40000,7-- Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: ❑Addition ❑Alteration [New L Repair/ Replace ❑ Demolition Describe Work: _..1,0/ _..1,0/ //� /�/ /M84.1.c /�/% /isQ(./C..P_ , 494)7 sl/z..7 et? f ,' ,L/4 /ie * * * * * * * * * * * * * * * * * * * *�l+� * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ i' // / / CCF $ CO /CC Notary $ Training/Education F e $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM BATH TUB UNIT FEE ITE14 SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS _ UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING ® I RECEPTACLES SERVICE TEM'ORARY A/C (WIND) A/C (CENTRAL) DISHWASHER DISPOSAL DRINKING FOUNTAIN SERVICE SIZE I A f'S DUCT WORK FLOOR DRAIN SERVICE REPAIMETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAJNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS C- 1 If STEAM BOILERS �. SHOWER MOTORS OVER 1- 3 I-P HOT WATER BOILERS MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK„ POT /3 CO . SINK, RESIDENCE / MOTORS OVER 5- 8 If TRANSPORTING ASSEM3LIES T SINK, SLOP MOTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEWORARY WATER CLOSET MOTORS OVER 10- 25 I-P F IRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 I-P COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINJDOW I RE INSPECT ION WATER SUPPLY T0: AIR CONDITIONERS 1 1 A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. I GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SW 144 NG POOL OUTLETS C011,{ERC I AL WATER SERVICE SIGN TUBES SEWER CONNECTIONS •SIGN TRANSFORMERS UTILITY -SEWER SIGN TII1 CLOCK UTILITY -WATER F I XTIIRES SEPT IC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4 TILE/RES. VIOLATION PU6P 8 ABANDON SEPTIC TANK REINSSPECTION SOAKAGE PIT J. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE I i POOL PIPING 1 I LAWN SPRINKLER SYSTE6'. GAS RANGE METER SET (GAS) 1 1 I �_ GEC 0 ID 1p I 1 1 ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Page 2 IMPORTANT NOTICES I. 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 Come . ement must be POSTED AT THE JOB SITE in Choosing accordance with Section 713 -35 of Florida Statutes. Review the br oc� • r • 11. _e Hall on Construction Lien Law and a Contractor. V STATE OF FLORIDA, COUNTY OF MIAMI -DADS A It !� RIDA, COUNTY OF MIAMI DADS r re of oi•• .r� Print Name Sworn to and subscribed befor at or / Qualifier 2A0/€4_, 6 / me this / / day of J Signature of Owner aO rLA in4A GrOr-4 0 h Print Name Sworn to and subscribed before me r' 2 day o Signature of Notary Publi SEAL: Personally known rida II- 1ANATQIIflF 'ZION NUM AEr1 9�tc FP MY CC* .MIsSILIN EXPIRES OF fLO MAY 26,2003 OR, Produced Identification Type of Identification Produced: 4., PERMIT APPLICATION u111( .010 Sig :,r yarc -St eeofFlorida KENNETH SHERMAN SEAL: Notary Public, State of Florida ,2 ,11,y-cromm. exp. May 24, 2003 Comm. No. CC819725 Personally known OR, Produced Identification Type of Identification Produced: CONTRACTOR / 4 Pe0 Na me ;5 S. ‘ Enclosure License No. \\ `` Name CA/`Ol.n V DAON Address ' trO� \ f_ / 5 ) &r ■ t°., CS(X^ f \ . 33t6 Telephone ' / Fax Address ‘35 N A \ °.r: , Qualifier Name gar 0000 3 PROPERTY OWNER / 4 Enclosure Name \\ `` Name CA/`Ol.n V DAON Repair Address ‘35 N A \ °.r: , t! 6 1 Li S V , 3\,...-e,3 J El w. 3 31 3 9 [tome Telephone -- ( - 1 --- ? iii-vC Telephone 3 © Business Telephone ! 0 e6...9 Fax Other Fax ENGINEER / 4 Enclosure Name / Repair License No. Demolish Relocation of Structure Address q 1 -- -- ( - 1 --- ? iii-vC Telephone 3 © 2`) ! 0 e6...9 Fax Other TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other Step I. • 1 INSTRUCTIONS - The following steps must be taken'o obtain a permit from the Miami Shores Village: Complete the attached permit application which must 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: 135 N er 9'I J 1` . Address Apt. Folio Number Description of Work Lot 1 - \ Block t Subdivision A zovtik 5 L a rC.5 PB PG Zoning Linear Feet Current Use of Property ,�� Square Feet Units Floors Proposed Use of Property Value of Work (/ 0 0 0 Bldg Value Tenant Information PERMIT TYPE (✓ ) Building Electrical a Plumbing Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision xtension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax 1 1•1 io, .5 City Master Permit No. Subsidiary Permit No pkc900c -' )/3 Tax Assessed/Appraised Value res State J■ CA ( PERMIT APPLICATION 33 t3 7? Zip cp (47 Flood Zone Base Floor Elev. SECTION BY DATE Zoning Electrical Mechanical Plumbin: A� VI V` Rfo -, Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) J 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) ❑ OTHER (Specify & Attach) sommismol PERMIT APPLICATION CHECKLIST ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES $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 $ $ (sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: TOTAL $ 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 ELECTRICAL TYPE Minimum Fee QTY. TYPE \ Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights 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 Ileater 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 Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet 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 Supply, AC Well 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 Ileater 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 a I _. \ • ((• Pagc,3 1 M sP PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/8/02 Applicant: FLORENCE Owner: BLACK - GORDON JOB ADDRESS: 135 NE 94 Contractor ESSIG POOLS INC Local Phone: 305 - 949 -0000 Parcel # 1132060132881 Permit Status: Approved Permit Expiration: 10/29/02 Work: PLUMBING FOR NEW POOL & SPA 1800 NE 151ST STREET NORTH MIAMI, FL 33162 ©/ Mellon United National Bank Mlam Florldo 6 a 008669011' 406 70096461: 002 1 1 3 30 2011' BLACK - GORDON FLORENCE ST Construction Value: $1,000.00 CO2-113 Contractor's Address: 1800 NE 151 ST Legal Description: 1 53 41 & 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 19 & E3OFT LOT 18 BLK Fees: FEE2002 -2478 Description Building Fee Total Fees: Amount $90.00 $90.00 . Total Fees: $90.00 Total Receipts: $0.00 J. there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection - - - :-+ �� n.ivanre before calling for another inspection. q' ESSIG POOLS, INC. Page 1 of 1 �ORI� ORO* ition herefor in strict compliance with all rations that may have been submitted to ar if the plans are changed without insibility for a thorough knowledge of the iat he assumes responsibility for work done ns pertaining thereto and in strict conformity 'esponisibility for all work done by either 'Village of Miami Shores N° 3658 JOB ADDRESS INSPECTION %� ✓` TIME READY INSPECTOR DATE 1 -/o / , c 6 Permit No ..... q // - -,/ Application is hereby/ structure herein cip. and all provisior of Miami Shy building dui, Owner's Name an Registered Architect a, Employ4 Plumber's Location and Legal Descriptio. Street and Number where work is State work to be performed and purpos New Building Remode. Size Septic Tank.. _ Type of Tank. Feet of Drain Tile _s 52 _AP----a.,._ __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit • / 0 -13 Amount of Permit $._ STATE OF FLORIDA, I se. COUNTY OF DADE. .... DRINKING FOUNTN. FOUNT' NJ Capacity Gals 4) .V . 66 'led for the building or cther Shores Village, Florida, f the Building Division *lns must be kept at ,- eet ------------ G Miarni Shores ._.? No of Stories.... .... . TOTAL FIXTUREE . ... .. ... Nature of Water Supply: City—Well. (Signed)._ Pkmbing Inspectm 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 no.ices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this per nit. 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, personal! • 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 'acts 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 by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES ' \ +6: 4 \ 4 (.. CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOL HEAT! CONTR. LIST CHECK L -/o / , c 6 Permit No ..... q // - -,/ Application is hereby/ structure herein cip. and all provisior of Miami Shy building dui, Owner's Name an Registered Architect a, Employ4 Plumber's Location and Legal Descriptio. Street and Number where work is State work to be performed and purpos New Building Remode. Size Septic Tank.. _ Type of Tank. Feet of Drain Tile _s 52 _AP----a.,._ __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit • / 0 -13 Amount of Permit $._ STATE OF FLORIDA, I se. COUNTY OF DADE. .... DRINKING FOUNTN. FOUNT' NJ Capacity Gals 4) .V . 66 'led for the building or cther Shores Village, Florida, f the Building Division *lns must be kept at ,- eet ------------ G Miarni Shores ._.? No of Stories.... .... . TOTAL FIXTUREE . ... .. ... Nature of Water Supply: City—Well. (Signed)._ Pkmbing Inspectm 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 no.ices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this per nit. 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, personal! • 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 'acts 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 by improper notice for inspection, or faulty materials and/or workmanship. �� Permit No _____ _ liDate..212/66 • Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ether 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 1 1 1 1?Y. .... Registered Architect and/or Engineer — .... Employing Phunber's isPa____LLOYD SEITIG TARE SERVICE N 8601 N W 22 Airgi Location and Legal Description Lot__ Block_ Subdivision. _ Street and Number where work is to be performed—No 135 N E State work to be performed and purpose of building (By Floors) New Building Remodeling Addition _ Size Septic Tank_ .... Type of Tank Feet of Drain Tile. sY _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well._ __________ .... ____Size of Soakage Pit_ ... cro Amount of Permit L thT STATE OF FLORIDA, } sa. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. 135 N E Street 94th Street (Signed) ( Signed)._ ........ street. 94th Street,Miami Shores Repairs - No. of Stories .... My Commission Expires Notary Public, State of Florida .... ---•• ........ • ........................ Phr.mbing Invecto: 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 1-as 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 perfonned under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or no.ices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this per nit. 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, personall 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 'acts therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is naade•necessary by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LA U NOR Y Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING. FOUNT' NJ TOTAL FIXTURES CONTR. LIST CHECK • SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I M • G POOL 4 CONTR. LIST - -- CHECK Permit No _____ _ liDate..212/66 • Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ether 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 1 1 1 1?Y. .... Registered Architect and/or Engineer — .... Employing Phunber's isPa____LLOYD SEITIG TARE SERVICE N 8601 N W 22 Airgi Location and Legal Description Lot__ Block_ Subdivision. _ Street and Number where work is to be performed—No 135 N E State work to be performed and purpose of building (By Floors) New Building Remodeling Addition _ Size Septic Tank_ .... Type of Tank Feet of Drain Tile. sY _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well._ __________ .... ____Size of Soakage Pit_ ... cro Amount of Permit L thT STATE OF FLORIDA, } sa. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. 135 N E Street 94th Street (Signed) ( Signed)._ ........ street. 94th Street,Miami Shores Repairs - No. of Stories .... My Commission Expires Notary Public, State of Florida .... ---•• ........ • ........................ Phr.mbing Invecto: 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 1-as 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 perfonned under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or no.ices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this per nit. 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, personall 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 'acts therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is naade•necessary by improper notice for inspection, or faulty materials and/or workmanship. - - _ - - Permit No 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. Owner's Name and Address_-_ - -` =_ I L ____: i ____ No. Street Registered Architect and /or Engineer ---------------_____ --------------------_--.--------____-- Employing Plumber's Name `, ;, ra 6 FS ^?, C _ _ `z 'do. y '+ II L ° N . '' ' 1 r ee _= — '' /647i• l P C/' , Location and Legal Description Lot__- ______.________________ Block_ Subdivision Street and Number where work is to be performed —No d e> A Street y� h State work to be performed and purpose of building (By Floors)._ New Building Remodeling_ _ -_ Addition_- Size Septic Tank _--- _ - - - -- ---- __--- ____ -- Type of Tank Feet of Drain Tile______ ___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Repairs No. of Stories. Capacity Gals Size of Soakage Pit - - - -- -- — -- — — (Signed) -- c?'t ( / ( 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 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 a are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed ynder this permit, s, are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Plumbing Inspector. Master umber. 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 81.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or worlananship. CLOSETS BATH TUBS SHOWER! LAVA- TOR16G SINKS SLOP SINKS LAUNDRY TU88 URINALS CATCH BASIN FLOOR DRAI D RINK IN G FOUNT'NS A & � � ! `° TAL I7(TURES cowrie. usT c Z, 1, 1_ —� -- CHECK _ r� e/ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. war - -- CHECK /C ,) Permit No 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. Owner's Name and Address_-_ - -` =_ I L ____: i ____ No. Street Registered Architect and /or Engineer ---------------_____ --------------------_--.--------____-- Employing Plumber's Name `, ;, ra 6 FS ^?, C _ _ `z 'do. y '+ II L ° N . '' ' 1 r ee _= — '' /647i• l P C/' , Location and Legal Description Lot__- ______.________________ Block_ Subdivision Street and Number where work is to be performed —No d e> A Street y� h State work to be performed and purpose of building (By Floors)._ New Building Remodeling_ _ -_ Addition_- Size Septic Tank _--- _ - - - -- ---- __--- ____ -- Type of Tank Feet of Drain Tile______ ___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Repairs No. of Stories. Capacity Gals Size of Soakage Pit - - - -- -- — -- — — (Signed) -- c?'t ( / ( 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 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 a are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed ynder this permit, s, are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Plumbing Inspector. Master umber. 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 81.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or worlananship. o• Date 2/x/5 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. Permit No Owner's Name and Address -aen_EUA$ __- • - - - -_ - _ -. - - -- Registered Architect and /or Employing Plumber's NameJ i QdP TD_- $ p ti C _Tan _art.Ca -___ No. _19.5' _. LL. StreeL-4 5_ . X 34. _ Location and Legal Description Lot ' _ __` ( Block_ Subdivision ` '. ' . . Street and Number where work is to be performed —No -13 5 N. E . *-tfi S ti . 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 PERMIT No._�..Q._�aX- -� eet- J t,tit€ gj:ver ��'.•t�, Street Capacity Gals 600 Size Septic Tank_ ...... of Tank___Prec 3,g'(;._ Feet of Drain Tile.____ . t -= ' -= =Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____ _ _____ Size of Soakage Pit (Signed). ✓ ._/ _ � Master Plumber. (Signed)_ ‘,/N'"■_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contract a or sub - contractors ployed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on a to of the work ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub -contra rs, worJ 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necesiry by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tugs URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL TOTAL CONTR. LIST CHECK v SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Date 2/x/5 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Permit No Owner's Name and Address -aen_EUA$ __- • - - - -_ - _ -. - - -- Registered Architect and /or Employing Plumber's NameJ i QdP TD_- $ p ti C _Tan _art.Ca -___ No. _19.5' _. LL. StreeL-4 5_ . X 34. _ Location and Legal Description Lot ' _ __` ( Block_ Subdivision ` '. ' . . Street and Number where work is to be performed —No -13 5 N. E . *-tfi S ti . 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 PERMIT No._�..Q._�aX- -� eet- J t,tit€ gj:ver ��'.•t�, Street Capacity Gals 600 Size Septic Tank_ ...... of Tank___Prec 3,g'(;._ Feet of Drain Tile.____ . t -= ' -= =Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____ _ _____ Size of Soakage Pit (Signed). ✓ ._/ _ � Master Plumber. (Signed)_ ‘,/N'"■_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contract a or sub - contractors ployed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on a to of the work ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub -contra rs, worJ 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. 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•necesiry by improper notice for inspection, or faulty materials and /or workmanship. • • to Permit No.__ °- Size Septic Tank 2' 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 Feet of Drain Tile________ Nature of Water Supply: City —Well. / 1 Amount of Permit $____- - --- ____ -- STATE OF FLORIDA, } COUNTY OF DADE. Nelson F•Cra1gltie Location and Legal Description Lot__ ________.__ Street and Number where work is to be performed —No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. -- — 1 35 T • Street 9 . t h )1;.),, Registered Architset and /or Engineer _______—_—____—_______ Dr 's Hurst Drilling_ F u3 Co• T Employing PI>i i&'s Name " • No._ �T a • Street_ It ? e • Block_ Subdivision ._ •----- _..------------ _ -_ - -� ItT �. � __ Street_. __9U h i t • $ State work to be performed and purpose of building (By Floors)_ 5U -• _ [7 E 13 _ &— s_p_ r ` , L l C Icr s t E3 , New Building Remodeling______ ____ Addition_ Repairs Type of Tank ____Dist. Feet of Tank or Drain Field from Well 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 bus 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. (Signed)_ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that 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 $1.00 will be made when such re inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. Date 6/29/56 No. of Stories. Master Plumber. CLO$ET8 BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Toss 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. LIR - - -- CHECK Permit No.__ °- Size Septic Tank 2' 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 Feet of Drain Tile________ Nature of Water Supply: City —Well. / 1 Amount of Permit $____- - --- ____ -- STATE OF FLORIDA, } COUNTY OF DADE. Nelson F•Cra1gltie Location and Legal Description Lot__ ________.__ Street and Number where work is to be performed —No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. -- — 1 35 T • Street 9 . t h )1;.),, Registered Architset and /or Engineer _______—_—____—_______ Dr 's Hurst Drilling_ F u3 Co• T Employing PI>i i&'s Name " • No._ �T a • Street_ It ? e • Block_ Subdivision ._ •----- _..------------ _ -_ - -� ItT �. � __ Street_. __9U h i t • $ State work to be performed and purpose of building (By Floors)_ 5U -• _ [7 E 13 _ &— s_p_ r ` , L l C Icr s t E3 , New Building Remodeling______ ____ Addition_ Repairs Type of Tank ____Dist. Feet of Tank or Drain Field from Well 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 bus 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. (Signed)_ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that 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. Date 6/29/56 No. of Stories. Master Plumber. 1. , Permit No State work to be performed and purpose of building (By Floors) - New Building _ -_---- -- - - -- - -- - --- Remodeling STATE OF FLORIDA, 1 COUNTY OF DADE. J MIAMI SHORES VILFLAG PLUMBING INSPECTION DEPARTMEis:':' APPLICATION FOR PLUMBING ` ' Addition C`G ( Signed) _ (sign Date Application is hereby made for the approval of the detailed statement of tad plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confor r.ty with the Puilding 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 nit. A copy of approved plans and specifications must be kept at building during progress of work. A '1, � Owner's Name and Address_ /� No. ` j � �''s'!er . `— � ,' _ 0 N: L Street ti Registered Architect and /or Engineer Employing Plumber's Name No.._.,l,4C-/` 1 Street./ Location and Legal Description Lot_ ________ . Block SubdivIsion._ Street and Number where work is to be performed—No. ______ Street Repairs No. of Stories V / Type of Tank 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 - r•' The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligEio as an ernployer 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 E equired by the Act. The undersigned agrees to employ only such sub - contractors, work to be performed under this permit, as are PJcensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida mg InspF.ctor 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 worlmmanship. CLOSETS BATH Toes SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H• 0T ER DEEP WELL SPRKLR. SYSTEM SWIM' GI POOL CONTR. LIFT j L ` _ CHECK Permit No State work to be performed and purpose of building (By Floors) - New Building _ -_---- -- - - -- - -- - --- Remodeling STATE OF FLORIDA, 1 COUNTY OF DADE. J MIAMI SHORES VILFLAG PLUMBING INSPECTION DEPARTMEis:':' APPLICATION FOR PLUMBING ` ' Addition C`G ( Signed) _ (sign Date Application is hereby made for the approval of the detailed statement of tad plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confor r.ty with the Puilding 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 nit. A copy of approved plans and specifications must be kept at building during progress of work. A '1, � Owner's Name and Address_ /� No. ` j � �''s'!er . `— � ,' _ 0 N: L Street ti Registered Architect and /or Engineer Employing Plumber's Name No.._.,l,4C-/` 1 Street./ Location and Legal Description Lot_ ________ . Block SubdivIsion._ Street and Number where work is to be performed—No. ______ Street Repairs No. of Stories V / Type of Tank 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 - r•' The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligEio as an ernployer 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 E equired by the Act. The undersigned agrees to employ only such sub - contractors, work to be performed under this permit, as are PJcensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida mg InspF.ctor 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 worlmmanship. afi Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date f a r a 2 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 Nam® and Address 1 5 :) .§ V di 0 D_.ltg �----- ____ -� No._ .._/ -3 -5 _ - -e p' Street__ -__ -_ _ -- .• Registered Architect and /or / �A' 1- Engineer ..... _______________________ + - :_ ._ Employing Plumber's Name . � _ i_in..e 2 .�T _ 5 -_ a� g��' is10. (4 " _'___ -__ j Street_.__ . . Location and Legal Description Lot_ _ _____ _ ______ _ Block Street and Number where work is to be performed —No Subdivision `, Street State work to be performed and purpose of building (By Floors) ___� �1_____. AA? 't New Building __ Remodeling A _____.______________ Addition Repairs Size Septic Tank Feet of Drain Tile Nature of Water Supply: City — Well._____ ____________ ___________________________Size of Soakage Pit Amount of Penult $ - - -- -- STATE OF FLORIDA, �. COUNTY OF DADE. j My Commission Expires (Signed) _ - - No. of Stories. Type of Tank___ Capacity Gals _Dist. Feet of Tank or Drain Field from Well 7 Plulabcng Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts • obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 'ermanent 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 he. performed under this permit, as are licensed by Miami Shores Village. (Signed)�/� Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that 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 SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS 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 SWIM•G POOL Comm. LIeT )C CHECK afi Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date f a r a 2 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 Nam® and Address 1 5 :) .§ V di 0 D_.ltg �----- ____ -� No._ .._/ -3 -5 _ - -e p' Street__ -__ -_ _ -- .• Registered Architect and /or / �A' 1- Engineer ..... _______________________ + - :_ ._ Employing Plumber's Name . � _ i_in..e 2 .�T _ 5 -_ a� g��' is10. (4 " _'___ -__ j Street_.__ . . Location and Legal Description Lot_ _ _____ _ ______ _ Block Street and Number where work is to be performed —No Subdivision `, Street State work to be performed and purpose of building (By Floors) ___� �1_____. AA? 't New Building __ Remodeling A _____.______________ Addition Repairs Size Septic Tank Feet of Drain Tile Nature of Water Supply: City — Well._____ ____________ ___________________________Size of Soakage Pit Amount of Penult $ - - -- -- STATE OF FLORIDA, �. COUNTY OF DADE. j My Commission Expires (Signed) _ - - No. of Stories. Type of Tank___ Capacity Gals _Dist. Feet of Tank or Drain Field from Well 7 Plulabcng Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts • obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 'ermanent 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 he. performed under this permit, as are licensed by Miami Shores Village. (Signed)�/� Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that 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. BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor DI. Builder Legal Lot Description — Address of ; uilding MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 3918 Owner of Building DATR Contractor's License No Work to be performed under this Permit Bl. Subdi- vision Value of Project $ 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, irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 ?ertaining 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 one by his agents, servants or employees. t Signed. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations iertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- =epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY _