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PLUMBINGLIUIDING ❑ LECTRICAL ❑ LUMBING E] OOFING ❑ wner of gilding r.�, chitect ?ntractor Builder .1 gal Lot =scription ddress of Aiding CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 8495 Bl. Subdi- vision DATE Sq. Ft Value of Project $ Contractor's License No. Work to be performed under this Permit Amt. 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 «e 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 .me by his agents, servants or employees. / 2' 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. accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 195.*— ;UILDING :LECTRICAL 'LUMBING GOOFING • El ❑ DATE 195 PERMIT N9 3155 Contractor's License No. )caner of ; uilding rchitect :ontractor r Builder egal Lot Description ddress of wilding CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit i Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc 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, swings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any fie 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. 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 this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY s � BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot 0 MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 3178 CONTRACTOR OR BUILDER B1 / DATE 195 Contractor's License No. Work to be performed under this Permit Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construc 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 Amount of Permit $ 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 pertcining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ° BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building - MIAMI SHORES VILLAGE, FLORIDA 1Q DATE \'; 0 r PERMIT 0 Work to be performed under this Permit Architect Contractor or Builder r="- Legal Lot Description CONTRACTOR OR BUILDER N9 7266 B1 Contractor's c7,-^ • License No. r < Subdi- vision Address of r ,- ,- - , ,, .- , , Value of Project $ II Amount of c' (' , , < \`,. Building 4. ...,,--- i , - II 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 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 statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. r• Signed. ,, - ' - '''--- 6 \-- s---. /-' - / 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 pertaining thereto and in strict conformity with the plcms, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac. cepting this permit I assume responsibility for edl work done by either, myself, my agent, servant or employee. / - / BY AUTHORITY ABBOT MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date - / 3 Time Type lnsp'n jO y Permit No. P .20.0a" i' 3 Name C ° C1 /3 5 /Vt R f 4Tas Address Company Phone # For Inspector: 9-/6 - ®z Name & Date Approved ❑ Con: ection° Re- Insp'n Fee 2ooa, t 1 i Passed I n pector \_} C. ent 2 f Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Number: INSP -3943 Inspection Date: 12/22/2005 Inspector: Levrack, James Project: <NONE> Owner: BLACK - GORDON, FLORENCE Job Address: 135 94 Street NE Miami Shores Village, FL 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 Pholie: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: PL2005 -297 Permit Type: Imported Permit Inspection Type: Final Work Classification: Plumbing Phone Number Parcel Number 1132060132881 Lot: Page 2 of 2 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) i; 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. Signature APPLICATION APPROVED BY: Chc 05/13/03 Owner or Agent The foregoing instrument was acknowledged before me this day ofQOk , 20 lt) , by o in Expires: * * * * * * * * ** Signature Contractor The foregoing instrument was acknowledged before me this day of ,20_,by who is personally known to me or who has produced who is perso:ru, known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTA R NOTARY PUBLIC: Sign: Print: PU:LI Sign: .1 _ �; a�.. Print: ,W 7 ti' My Co t miss Dlr. ir , � My Commission Expires: ************ :'' i nn 0/I3 3/984 • /nn Zoning * * ** * * * * * * * * ** /Plans Examiner Engineer t BUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name City /-i%veN,16. Qualifier $ Value of Work For this Permit 1 000 Total Fee Now Due $ (Continued on opposite side) Miami Shores Village h/A Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 .4 � Permit Type (circle): Building Electric 1 Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) J ( f9Pe 9 /? /O Phone # l 3 O5) Z/ - / 5 3 Owner's 7 's s Address 5 /v • C 9 5 l City -S)10/1.../ 5 State ' Zip 3 3 3 ' Job Address (where the work is being done) / 3 c ,V. C, - / `►" s City Miami Shores Villa e County Miami -Dade Zip 3 3 /; 8 Is Building Historically Designated YES NO > , Contractor's Company Name Aid gimhd,,,,4 Lai- - /j / f ,�.'`. ,:, Phone # Contractor's Address 2970 it/ (gam/ .59 /9 /V3 State Type of Work: ['Addition EAlteration Describe Work: 1 T. r .' / ///%/04'4 .y/i: /�' Code Enforcement $ Structural Plan Review. $ Master Permit No. Phone # X/// Zip Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * *) * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Permit No. LQ5 — c1 1 2g6-t19‘1- //,' /3 State Certificate or Registration No. (% w/Do/at/ Certificate of Competency No. ['New Repair/Replace ❑ Demolition 06- Vet 7,f .4#91.44.<", tsple1/_ Submittal Fee $ Permit Fee $ > CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HA OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIC ELECTRICAL MECHANICAL FEE ITEM SPACE HEATERS UNIT ITEM BATH U6 UNIT FEE ITEM UNIT SWITCH OUTLETS LIGHT OUTLETS CENTRAL HEAT) BIDET RECEPTACLES A/C (WIND) i I DISHWASHER SERVICE TEMPORARY SERVICE SIZE IK AMPS SERVICE REPAIR/METER CHANGE APPLIANCE OUTLETS RANGE TOP OVEN A/C (CENTRAL) DUCT WORK REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROURD TANKS DISPOSAL DR INK it FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER WATER HEATER MOTORS 0- 1 HP MOTORS OVER 1- 3 hP U.F. PRESSURE VESSELS STEAM BOILERS _ HOT WATER BOILERS SHOWER MOTORS OVER 3- 5 I-F IICHAN I CAL VENTILATION S INK, POT /3 COMP . SINK, RESIDENCE I MOTORS OVER 5- 8 IP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS 1 TEMIORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLI TOWERS WATER CLOSET -_ MOTORS OVER 1C0 If -_ VIOLATION INDIRECT WASTES I A/C WINDOW REI.NS°,ECTION WATER SUPPLY TO: I AIR CONDITIONERS I I A/C UNIT I STRIP HEATER F IRE SPRINKLER ( I GENERATORS TRANSFORMERS I • HEATER -NEW INST. 1 I GENERATORS . TRANSFORMERS I I HEATER - REPLACE I GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL I SPECIAL PIRPOSE I SWIMMING POOL OUTLETS CO1I€RCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS •SIGN TRANSFORMERS UTILITY -SEWER SIGN T I Iii CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECT ION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DR AIN ROOF INLET I SOLAR WATER HEATER FIRE STAMP IPE POOL PIPING LAWN SPRINKLER SYSTEW I GAS RANGE ■ METER SET (GAS) I I GAS PIPIM• F � PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HA OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIC ELECTRICAL MECHANICAL Page 2 " MPORTANT 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 Com, ement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brocjj'll. e Hall on Construction Lien Law and Choosing a Contractor. .rida ILIANATORR€@ C0M . +SIGN NUMBER ,, , ..1 IV O q. COA40d52 e 7.4 " Q .. MY COMMISSION EXPIRES OF F . MAY 26,2003 or / Qualifier .D, / EL STATE OF FLORIDA, COUNTY OF MIAMI -DADE lS�`rORIDA, COUNTY OF MIAMI -DADE e®r<IftvVk &or° Signature of Owner -_Csar_o! c9‘.4.I C4-0,- a n Print Name Sworn to and subscribed before me Signature of Notary Publi SEAL: Personally known day o OR, Produced Identification Type of Identification Produced: SEAL: r PERMIT APPLICATION / _l s Sig at - . � v �ryc�St o f Florida KENN SHERMAN Notary Public, State of Florida „ omm. exp. May 24, 2003 Comm. No. CC819725 Personally known OR. Produced Identification I Type of Identification Prcxluced: CONTRACTOR New Construction Name (� /'5S.r 1 Pep 1 Name CO r in Olkl License No. ✓ Address \ 2 r/ 0- A L \ ° w ■ 3 kt e3 , Address 1 c c (s . /5 1 6 .1- ` . tu.. (SCC.\ j C-1, 33k62 Telephone / Fax Alteration Interior Qualifier Name �\1- c o 0-0 Address PROPERTY OWNER New Construction Name CO r in Olkl \\ CP0A0A Address \ 2 r/ 0- A L \ ° w ■ 3 kt e3 , S\- A 1 c.. 3 3139 home Telephone Alteration Interior Address Business Telephone Relocation of Structure Telephone Fax 4.7, Fax Fax ENGINEER / s New Construction Name Alteration Exterior License No. Alteration Interior Address q 3 7 S � SC Relocation of Structure Telephone 301- 2i ( 0 4.7, Fax 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'I Detachment Other INSTRUCTIONS - The following steps must be to Step 1. 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: 13S NC 9 ' Address Folio Number Description of Work Lot I - \ Block Subdivision A u .N 5 L I'cS PB PG Zoning Linear Feet Current Use of Property ( Square Feet Units Floors Proposed Use of Property Value of Work 1) 0 0 0 Bldg Value Tenant Information PERMIT TYPE ( ✓ Building Electrical Roofing Fence Other PERMIT CHANGE Chg. Contractor Renewal Revision Extension Supplement Reinspection A RCIIITECT Name License No. Address Telephone Fax 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. (✓) Tax Assessed/Appraised Value PERMIT APPLICATION Master Permit No. t, Subsidiary Permit No;151 00c)- ' )/3 en to obtain a permit from the Miami Shores Village: t..1o1/4 Apt. City State Zip e( \ �g-�c4 ?( 7 Flood Zone Base Floor Elev. SECTION BY DATE Zoning Electrical Mechanical / Plumbin: ME'I i v Fire °J Public Works Structural Building Official Page 4 OFFICE USE ONLY EHECKfJST. ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) $ d Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine $ Zoning Review $ REVIEWED AND PREPARED BY: (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PEItM,IT$ FEES TOTAL $ ISSUING OFFICIAL DATE: ;CONDITION {OFAPPROVAL 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 I t TY. Dryer TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton A/C Central, Tons Fan Cooling Tower Outlet, Wall Heating Strips, each Service, Temporary Vent Hood, Cost A/C Central 4 -7 Ton A/C Wall/Win. Tons Fire Pump Dryer Vents, Number of Outlet, Switch Paint Booth Signs Ventilation, Cost A/C Central 8 -15 Ton Air Handler, Tons Fixture - Fluorescent Ductwork, Cost of Oven Piping, Flammable Liquid Space Heater (kw) Periodic Inspections A/C Central 16 -20 Ton Barbecue Fixture Light Fire Sprinkler System Parking Lot Lights Process/Pressure Piping Spas/Hot Tubs Supply, AC Well A/C Central 20+ Ton Bath Fan - Vented, # Flood Lights Fireplaces, Number of Plugmold/Strip Pressure Vessel Subfeeds, No. of Amps Temporary Toilet A/C Window Catch Basin FPL - Load Central Gas - Propane Posts Pump, Re- circulate Swim Pool, Commercial Temporary Water Closet Air Conditioners Clothes Washer Garbage Disposal Gas Piping Range/Range Top Pump, Replace - Pool Swim Pool, Residential Urinal Chiller Dental Chair Generators, etc. Grease Trap Receptacles Pump, Sprinkler Switchboards Utility - Sewer Clear Violations Discharge Well Heat Recovery Ice Maker Refrigerator, Comm. (p/PH) Pump, Sump Temp Serv., Construction Utility - Water Compactor Dishwasher Low -volt, Burglar Indirect Wastes Refrigerator, Domestic Relay Repair Temp for Test - 30 days Vacuum Pump Deep Freezer Disposal Low -volt, Fire Interceptor Renew - Temp Service Roof Inlet Water Closet Demolition Domestic Well 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 Q'fY. TYPE Refrigeration, Tons QT Y. 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 Drainlield, 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, Drench ,-, Miscellaneous Equipment Sink Well, Supply •1 Pagc,3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: 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 6 2 ,1 4 - q°0 C9 (Da.) ESSIG POOLS, INC. 1800 NE 151ST STREET NORTH MIAMI, FL 33162 0 / O 0 Mellon United National Bank Miami, Flofido Permit Status: Approved Permit Expiration: 10/29/02 Work: PLUMBING FOR NEW POOL & SPA umb° Permit Number: PL2002 -113 BLACK - GORDON FLORENCE ST 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 Construction Value: $1,000.00 jf there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection • • - ..+..anise before calling for another inspection. 11'08669011' I' - -- .06 700961.61: 00 2 i 1 3 30 20n' I Page 1 of 1 Ition herefor in strict compliance with all rations that may have been submitted to or if the plans are changed without msibility for a thorough knowledge of the lat he assumes responsibility for work done ns pertaining thereto and in strict conformity •esponisibility for all work done by either la e of Miami Shores 9' f 4 JOB d, 0 ADDRESS / � ti- / INSPECTION ��?Z.) 4sY/ �s 7,1 TIME READY \i REMARKS C� ��.� ►^? �\ p N? 4192 INSPECTOR DATE Village of Miami Shores N° 3658 JOB ADDRESS INSPECTION TIME READY 4% REMARKS ro INSPECTOR DATE irk O)L-e Pri!7‘ Permit _____ _ Size Septic Tanlc___ Amount of Permit ere' STATE OF FLORIDA, sa. COUNTY OF DADE. My Commission Expires IAMI SI-1 RES 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 tther 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. Roy Loe N Oivner's Name and Address ony No 135 E 94th Street Registered Architect and/or Engineer _ . G Employing Plumber's N ame H LQY PT1GTMULERIL ------- No.6O1 NW 22 AV eo t Location and Legal Description Lot_. Subdivision__ Street and Number where work is to be performed—No..._135 N E street __ 94th Street Shores State work to be performed and purpose of building (By Floors )_ New Building Remodeling Addition Type of Tank Capacity Gals. Feet of Drain Tile o __Dist. Feet of Tonic or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit ( Signed)- . _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and 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 pernit. as are licensed by Miami Shores Village. 'Rate. 2/.?8J66 Repairs.° No. of Stories.... ..... . 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 facts therein by him stated are true. Notary Public, State of Florida • - Master Plumber NOTE: A re-inspection fee of $1.00 will be made when Duch re-inspection is made necessary by improper notice for inspection, or faulty materials and/oz workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK • SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I M '0 POOL I CONTR. UST ____. _ .._ CHECK O)L-e Pri!7‘ Permit _____ _ Size Septic Tanlc___ Amount of Permit ere' STATE OF FLORIDA, sa. COUNTY OF DADE. My Commission Expires IAMI SI-1 RES 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 tther 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. Roy Loe N Oivner's Name and Address ony No 135 E 94th Street Registered Architect and/or Engineer _ . G Employing Plumber's N ame H LQY PT1GTMULERIL ------- No.6O1 NW 22 AV eo t Location and Legal Description Lot_. Subdivision__ Street and Number where work is to be performed—No..._135 N E street __ 94th Street Shores State work to be performed and purpose of building (By Floors )_ New Building Remodeling Addition Type of Tank Capacity Gals. Feet of Drain Tile o __Dist. Feet of Tonic or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit ( Signed)- . _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and 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 pernit. as are licensed by Miami Shores Village. 'Rate. 2/.?8J66 Repairs.° No. of Stories.... ..... . 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 facts therein by him stated are true. Notary Public, State of Florida • - Master Plumber NOTE: A re-inspection fee of $1.00 will be made when Duch re-inspection is made necessary by improper notice for inspection, or faulty materials and/oz workmanship. 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 � _ �l __ Pe-P No. Registered Architect and /or Engineer :- 11 ----------------- _---- yg�� ----- .-- y - - - - -• ,�// Employing Plumber's Name _ `� z a_u« ®_" /JB / �' a I No�!� Location and Legal Description Lot._________— ______.�_ Block_ Street and Number where work is to be performed —No e S 4 State work to be performed and purpose of building (By Floors)-- New Building Remodeling ____________________._._._ Addition._.___._._ Repairs No. of Stories Size Septic Tank_-____- ___ ____ Feet of Drain Tile__ Nature of Water Supply: City —Well._ Amount of Permit $__ y l.2, - STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ -- .fe (S i Street_ Street Date 44 _ �� subdivision Capacity Gals Notary Public, State of Florida Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and 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 a are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed nder this perinit, are licensed by Miami Shores Village. 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 $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSET° TATS TUBS SHOWERS LAVES TORIES SINK° SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS fi. n A Q p ,O TAI. &T UBES CONTR. LIOT t� v Q Q CHECK / r7 6 e.1 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL Corm. LIST _______ - CHECK XDp 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 � _ �l __ Pe-P No. Registered Architect and /or Engineer :- 11 ----------------- _---- yg�� ----- .-- y - - - - -• ,�// Employing Plumber's Name _ `� z a_u« ®_" /JB / �' a I No�!� Location and Legal Description Lot._________— ______.�_ Block_ Street and Number where work is to be performed —No e S 4 State work to be performed and purpose of building (By Floors)-- New Building Remodeling ____________________._._._ Addition._.___._._ Repairs No. of Stories Size Septic Tank_-____- ___ ____ Feet of Drain Tile__ Nature of Water Supply: City —Well._ Amount of Permit $__ y l.2, - STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ -- .fe (S i Street_ Street Date 44 _ �� subdivision Capacity Gals Notary Public, State of Florida Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and 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 a are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed nder this perinit, are licensed by Miami Shores Village. 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 $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. Amount of Permit $ STATE OF FLORIDA, } as. COUNTY OF DADE. Owner's Name and Address..13UnA._ Registered Architect and/or Engineer__ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPLICATION 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. Ar- e r- - - gt- 9. Employing Plumber's Name0.de.Z11--SEpt-i C No.--149-50_ Street_1.53.14 Location and Legal Description Lot_ 19 E I ( Block Subdivision /4/5 Street and Number where work is to be performed—No 135 w E 9 4.. ti Street State work to be performed and purpose of building (By Floors)_ New Building Remodeling Addition__ Repairs No. of Stories. Size Septic Tank 600 _Type of TaPzeca_s_t_ Feet of Drain Tile____,3p2V-2S___ Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit Capacity Gals ( Signed) L (Sign Date 2 600 My Commission Expires Notary Public, State of Florida Master Plumber. 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 5986, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all (=bract or sub-contractors - ..loyed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on -e it e of the work ch public notice or notices as are required by the Act The undersigned agrees to employ only such sub-contra nrs, 4fij wore be erf ed under this permit, as are homed 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 lmown, 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 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 SW I M •G POOL CONTR. UST _-- CHECK Permit No. Amount of Permit $ STATE OF FLORIDA, } as. COUNTY OF DADE. Owner's Name and Address..13UnA._ Registered Architect and/or Engineer__ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPLICATION 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. Ar- e r- - - gt- 9. Employing Plumber's Name0.de.Z11--SEpt-i C No.--149-50_ Street_1.53.14 Location and Legal Description Lot_ 19 E I ( Block Subdivision /4/5 Street and Number where work is to be performed—No 135 w E 9 4.. ti Street State work to be performed and purpose of building (By Floors)_ New Building Remodeling Addition__ Repairs No. of Stories. Size Septic Tank 600 _Type of TaPzeca_s_t_ Feet of Drain Tile____,3p2V-2S___ Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit Capacity Gals ( Signed) L (Sign Date 2 600 My Commission Expires Notary Public, State of Florida Master Plumber. 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 5986, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all (=bract or sub-contractors - ..loyed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on -e it e of the work ch public notice or notices as are required by the Act The undersigned agrees to employ only such sub-contra nrs, 4fij wore be erf ed under this permit, as are homed 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 lmown, 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 / Date.. MIAMI SMOKES 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 Nelson F o C r ai e gu ------- • -- - --- -- - - - ---------------- -• - - -- No. 1 ---- --- 1 - 5 N E --- •-- - - - - ° — Street Registered Architect and /or Engineer---- ------- -_ - - -_ _ - — — Dri er s Employing ms's Name Hurst D r i llin uip o C o o N o - 1Li. _ N_ Q liU Street_._ A Ve o v Location and Legal Description Lot_- _--_-- ..... .__.________._—.___.— Block_ Subdivision - - Street and Number where work is to be performed —No 13 5 n NEE o St 9LI t h S t o 9 State w o r k to be performed and purpose of building (By Floors). all___ e 11 & s_p r i nkl e ry system New Building Remodeling w__ _ .____ Addition Repairs Size Septic Tank Type of Tank Feet of Drain Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.___ — __________________ _____ Size of Soakage Pit -------..... ------------..... ----- Amount of Permit 0._-- ...... ------ ____ -- STATE OF FLORIDA, as. COUNTY OF DADE. My Commission Expires (Signed).. Capacity Gals 6129 /_50 6 94th st. No. of Stories (Signed) - -- 44 r (�. lambing 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. 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 TUBE 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 SW IM'G POOL CONTR. LIST CHECK ` Permit No / Date.. MIAMI SMOKES 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 Nelson F o C r ai e gu ------- • -- - --- -- - - - ---------------- -• - - -- No. 1 ---- --- 1 - 5 N E --- •-- - - - - ° — Street Registered Architect and /or Engineer---- ------- -_ - - -_ _ - — — Dri er s Employing ms's Name Hurst D r i llin uip o C o o N o - 1Li. _ N_ Q liU Street_._ A Ve o v Location and Legal Description Lot_- _--_-- ..... .__.________._—.___.— Block_ Subdivision - - Street and Number where work is to be performed —No 13 5 n NEE o St 9LI t h S t o 9 State w o r k to be performed and purpose of building (By Floors). all___ e 11 & s_p r i nkl e ry system New Building Remodeling w__ _ .____ Addition Repairs Size Septic Tank Type of Tank Feet of Drain Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.___ — __________________ _____ Size of Soakage Pit -------..... ------------..... ----- Amount of Permit 0._-- ...... ------ ____ -- STATE OF FLORIDA, as. COUNTY OF DADE. My Commission Expires (Signed).. Capacity Gals 6129 /_50 6 94th st. No. of Stories (Signed) - -- 44 r (�. lambing 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. 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. RAM! SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT r•• APPLICATION FOR PLUMBING ,(9 Permit No S 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 'Jr not. A copy of approved plans and specifications must be kept at building during progress of work. o j/f Owner's Name and Address '/*` ' NO Y-• Street Registered Architect and /or Engineer Employing Plumber's Name No /, Location and Legal Description Lot-_-__— Block_ Street and Number where work is to be performed—No. _ —___ Street State work to be performed and purpose of building (By Floors)___ —_,. New Building Remodeling____ _.._ Addition________._............ Repairs No. of Stories Siva Septic Tank Feet of Drain Tile______-- Dist. Feet of Tank or Drain Field from Well . Nature of Water Supply: City—Well Type of Tank Capacity Gals __Size of Soakage Pit (Signed)_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli;; as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, 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, An work to be performed under this permit, as are licensed by Miami Shores Village. W Street.. 7 ' Subdivision STATE OF FLORIDA, l COUNTY OF DADE. J 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 Inspector 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. ToRic8 SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST CHOCK SEPTIC TANK SEWER CONN. DRAIN FIELD/ SOAKAGE PIT GREASE TRAP SOLAR HE %TER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL co. LIOT LIOY CHOCK I . 4„../L RAM! SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT r•• APPLICATION FOR PLUMBING ,(9 Permit No S 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 'Jr not. A copy of approved plans and specifications must be kept at building during progress of work. o j/f Owner's Name and Address '/*` ' NO Y-• Street Registered Architect and /or Engineer Employing Plumber's Name No /, Location and Legal Description Lot-_-__— Block_ Street and Number where work is to be performed—No. _ —___ Street State work to be performed and purpose of building (By Floors)___ —_,. New Building Remodeling____ _.._ Addition________._............ Repairs No. of Stories Siva Septic Tank Feet of Drain Tile______-- Dist. Feet of Tank or Drain Field from Well . Nature of Water Supply: City—Well Type of Tank Capacity Gals __Size of Soakage Pit (Signed)_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli;; as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, 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, An work to be performed under this permit, as are licensed by Miami Shores Village. W Street.. 7 ' Subdivision STATE OF FLORIDA, l COUNTY OF DADE. J 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 Inspector 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. 8fb. 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. n Owner's Name and Address 'S �__ _. L_Q_.4�g / — _______.... _ No. / -3 -3 - �__ _./Ye f' Street -- Registered Architect and /or 11 E '' ngineer_____ __._—_- -- ________—____ ' ___ ___._ - - - — Employing Plumber's Name_V-I-.n_c _ -__ n�__.Q. _ (' - ., �! I ` islo (1- 11 !_.__ -__- Street - --- - -- -- - - - - -- - Location and Legal Description Lot.____-__ _ Block__.__ ______— Subdivision Street and Number where work is to be performed— No..____ _ _ _____________ Street State work to be performed and purpose of building (By Floors)____-.4f &d_______ h New Building __ ___ Remodeling —___ _ Addition Repairs No. of Stories . . ............ .. ....... Sire 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 Amount of Permit $ 4-4-s - ___- °�-- _- ---- --- -_ -_ -� (Si _CAM_ Plu bing 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 5968, Compiled General Laws of Flori a 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 e_performed under this permit, as are Reamed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires MgAMB SHORES VD[LLAGE PLUMBING INSPECTION DEPARTMENT PPUICA' OON FOR PLUMBING PERMIT (Signed) jf -f- -L &/ Date la r 2 2 — Capacity Gals 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. GLOIIETS BATH TU BS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS I NAlB CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIDT CHOCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST )4' CMQCK 8fb. 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. n Owner's Name and Address 'S �__ _. L_Q_.4�g / — _______.... _ No. / -3 -3 - �__ _./Ye f' Street -- Registered Architect and /or 11 E '' ngineer_____ __._—_- -- ________—____ ' ___ ___._ - - - — Employing Plumber's Name_V-I-.n_c _ -__ n�__.Q. _ (' - ., �! I ` islo (1- 11 !_.__ -__- Street - --- - -- -- - - - - -- - Location and Legal Description Lot.____-__ _ Block__.__ ______— Subdivision Street and Number where work is to be performed— No..____ _ _ _____________ Street State work to be performed and purpose of building (By Floors)____-.4f &d_______ h New Building __ ___ Remodeling —___ _ Addition Repairs No. of Stories . . ............ .. ....... Sire 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 Amount of Permit $ 4-4-s - ___- °�-- _- ---- --- -_ -_ -� (Si _CAM_ Plu bing 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 5968, Compiled General Laws of Flori a 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 e_performed under this permit, as are Reamed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires MgAMB SHORES VD[LLAGE PLUMBING INSPECTION DEPARTMENT PPUICA' OON FOR PLUMBING PERMIT (Signed) jf -f- -L &/ Date la r 2 2 — Capacity Gals 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 Owner of Building Architect Contractor or Builder Legal Description Address of wilding Lot MIAMI SHORES VILLAGE. FLORIDA ❑ DATP ❑ PERMIT N® 3918 0 0 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ 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 i_me 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 ;ranted 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 lone 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 pertaining 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 6 D