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PLUMBING_ ;Q i it tos _ 4 S N �I ____.. ..r.... ...t..t , ..,.._.r_. . 1 1' ly d < ° " • 9 A Ti 3 7_9 _ ®Gy czcs - "2:161 Iv_ Permit No 4, �--'‘./ Owner's Name and Address_ 4' Size Sept�"c Tank Feet of Drain e 7 S t' Nature of Water Supply: City —Well Amount of Permit $__ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date_ ›- >i? 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 Mliami 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. Registered Architect and /or Engineer Employing Plumber's Naive ' =tea '19 ' _ - - 1- No. / ` Pd' e4/ Street A No Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 1 /6 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs_______ __.. Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) `- ` vi` � i 4 -Ce /Q � Plumbing Inspector. i � 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 perfonuitd 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 p rformed under this permit, as are licensed by Miami Shores Village. ( Signed) / y Street _. .____ My Commission Expires Notary Public, State of Florida No. of Stories Master Plumber. STATE OF FLORIDA, 1 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. 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 DRINKIN:; FOU NT' 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 4, �--'‘./ Owner's Name and Address_ 4' Size Sept�"c Tank Feet of Drain e 7 S t' Nature of Water Supply: City —Well Amount of Permit $__ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date_ ›- >i? 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 Mliami 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. Registered Architect and /or Engineer Employing Plumber's Naive ' =tea '19 ' _ - - 1- No. / ` Pd' e4/ Street A No Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 1 /6 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs_______ __.. Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) `- ` vi` � i 4 -Ce /Q � Plumbing Inspector. i � 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 perfonuitd 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 p rformed under this permit, as are licensed by Miami Shores Village. ( Signed) / y Street _. .____ My Commission Expires Notary Public, State of Florida No. of Stories Master Plumber. STATE OF FLORIDA, 1 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. 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. REQUEST FOR INSPECTIO Company . 7") Job - , Address Inspection Time Ready Date Ready A.M. PHONE P.M. STATE OF FLORIDA, COUNTY OF DADE. j ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date 4 Owner's Name and Address '4treet_ Registered Architect and /or Engineer A Name and address of licensed contractor ___ _' _ %� ' "��1 f Location and legal description of lot to be built on: Lot Block Subdivision �v Street and Number where work is to be done / V C 1/' G':- ______ Ci) State work to be done and purpose of build' g (by floors)_,___ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof ring Estimated Total cost of improvements ____ Amount of Permit $ Zone cubage required — ____Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontracto ;s, on work to be under this r c! permit, as are licensed by Miami Shores Village. ; , 1, F . Remarks (Signed) Date Chairman Member Notary Public, State of Florida Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. / y' Permit No. ! � Date___ '` (/ Read, Sworn to and Subscribed before me. Disapproved _ (Signed) '', � Building Inspector ! My Commission Expires PLANN BOARD DATE Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. • • DATE z ' ISSUED ' 0 FIXTURES MIAMI SHORES VILLAGE to install the following described plumbing, in accordance with the laws, statutes and regulations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drain- age work done in Miami Shores Village, Florida. FOR A STORY .BUILDING AT ` F . FIXTURES SEWER SEPTIC TANK TOTAL 'VILLAGE PLUMBING INSPECTOR PLUMBING PERMIT F BY NO 621 BUILDING ELECTRICAL PLUMBING Owner of Building Architect / Contractor )� or Builder Legal Lot Description Address of Building Work to be performed under this Permi Bl. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA r � DAT; _ J r. • 194' . Contractor's License No. PERMIT ■2 8221 /41 Subdi- vision Value of Project • This pe it is grantee to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation 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. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform tie work covered hereunder in compliance with (di nces and . .nsp pertaining thereto and in strict conformity with the .plans, drawings, statements .r specifications submitted to the proper author , or Miami Sho I i _ e:1S In accepting this permit I assume responsibility for all work done by either myse , my agent, servant or employee. e Amt. of Permit 0 AUTI3 -0 J LOSr V JTu8s LINT 1 SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NIEI TOTAL FIXTURES CHECK — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POOL CONTR. LIST -- CHECK Permit No 7 ( 7 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building Re'. odeling___ _ Addition_ Amount of Permit $ (Signed) Date &1 / d ° CV . 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 /A / 44.1. ® 7- /� d �' Registered Architect and /or Engineer_ —__ _ ____ - -___ v Employing Plumber's Name ®A/ s_ - - -- - - -- s. ‘ . __ No.------- ____.__ 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) No. Street (Signed). Repairs No. of Stories Size Septic Tank Type of Tank_ Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well ______Size of Soakage Pit Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o gallons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe anent 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 tlie 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. My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No (0.191 Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $___ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) — - - - - - -- - (Signed) Date. My Commission Expires Notary Public, State of Florida 3 ° ,2 7 ° S° 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 Ivliami 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 L ! _ X . 4 L ' _ J eAnee No.__ - -__i L� - - -- - --- __ -_ -- Street. 15 a Registered Architect and /or Engineer Employing Plumber's Name rf A t3_, �,� a pi h: Ai j � 5'-� 6 d� �, 7 fi� _ _ _ No. - - -- -- - — Street__ —= — - - - Location and Legal Description Lot--______ Block___ _ _ _ ___,._._..__._______. Subdivision Street and Number where work is to be performed —No / VS ' Street- d� r p e 7 State work to be performed and purpose of building (By Floors)_- ______ _.___- __ --__ 2 /2-4. le New Building___ _ _ Remodeling— __ -- Addition__- ___ - -_ Repairs sr. No. of Stories. Type of Tank Capacity Gals _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 has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 worlmianship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES GONTR. LIST / / / 3 CHECK P ® 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 (0.191 Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $___ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) — - - - - - -- - (Signed) Date. My Commission Expires Notary Public, State of Florida 3 ° ,2 7 ° S° 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 Ivliami 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 L ! _ X . 4 L ' _ J eAnee No.__ - -__i L� - - -- - --- __ -_ -- Street. 15 a Registered Architect and /or Engineer Employing Plumber's Name rf A t3_, �,� a pi h: Ai j � 5'-� 6 d� �, 7 fi� _ _ _ No. - - -- -- - — Street__ —= — - - - Location and Legal Description Lot--______ Block___ _ _ _ ___,._._..__._______. Subdivision Street and Number where work is to be performed —No / VS ' Street- d� r p e 7 State work to be performed and purpose of building (By Floors)_- ______ _.___- __ --__ 2 /2-4. le New Building___ _ _ Remodeling— __ -- Addition__- ___ - -_ Repairs sr. No. of Stories. Type of Tank Capacity Gals _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 has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 worlmianship. BUILDING ELECTRICAL PLUMBING Owner of Building tea ,ntractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA DATE 194- PERMIT N° 2207 Work to be performed under this Permit Bl. Subdi- vision Value of Project Signed. Contractor's License No. Address of Building 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 tile 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 assumeg tbajesponsibility 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. Amt. of Permit 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 regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTlIeACTOR OR BUILDER BY AUTHORITY 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 -- - — - No. - - -� _ Street ^ -(�J Registered Architect and /or Engine r m Plumber's Name__! _� • /�� - / . • , _ • , . ___ - E plo ying New Building — _ -_ Remodeling _ __ —_____ Addition Repairs Size Septic Tank.. — __ Feet of Drain Tile______b _I Amount of Permit $_ STATE OF FLORIDA, I COUNTY OF DADE. Nature of Water Supply: City —Well. V ____________ _________—___________ -_____Size of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLIC POTION FOR PLUMBING PERMIT -- Block_ (Signed)- G Date -- - o j� If f-7 a No.. Z..1 Subdivision. Location and Legal Description Lot_________._____r___—______ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_ _..... ___ ... --------- ..... — Street No. of Stories. _ _._. _._ ..... .._. Type of Tank.__ Capacity Gals —_ —Dist. Feet of Tank or Drain Field from Well _ Plumbing Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli::t •ns as an employer of la under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennaa 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 aclmowledgments, 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 inspr, `: on, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FI ELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK _ 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 -- - — - No. - - -� _ Street ^ -(�J Registered Architect and /or Engine r m Plumber's Name__! _� • /�� - / . • , _ • , . ___ - E plo ying New Building — _ -_ Remodeling _ __ —_____ Addition Repairs Size Septic Tank.. — __ Feet of Drain Tile______b _I Amount of Permit $_ STATE OF FLORIDA, I COUNTY OF DADE. Nature of Water Supply: City —Well. V ____________ _________—___________ -_____Size of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLIC POTION FOR PLUMBING PERMIT -- Block_ (Signed)- G Date -- - o j� If f-7 a No.. Z..1 Subdivision. Location and Legal Description Lot_________._____r___—______ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_ _..... ___ ... --------- ..... — Street No. of Stories. _ _._. _._ ..... .._. Type of Tank.__ Capacity Gals —_ —Dist. Feet of Tank or Drain Field from Well _ Plumbing Inspec The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli::t •ns as an employer of la under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennaa 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 aclmowledgments, 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 inspr, `: on, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Q p , Permit No `/ ` Date... v _•......__..._•_ 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 Dopy of approved plans and specifications must be kept at building during progress of work Ownei 6 s Name and Address r !L^!+ +f2 ^ No / 22 Street f q Registered Architect and /or En Emp �� 3 % l i n o s sa tio p ,� B Subdivision. /� .... n T cca and Legal besa n Lota![�L � -� ! /! A 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 ............ Size Septic Tank._ Feet of Drain Tile Nature of Water Supply: City-Well. Amount of Permit $ _Type of Tank-- - _Dist. Feet of Tank or Drain Field from Well . - -_ -. Size of Soakage Pit. (S igned ) - - -!1_ _S..__ - -- s (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 ha.t com- plied with the provisions thereof, and will require similar compllance from all contractors or sub - contractors employed by him in the worir to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as arr required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .- •__. -_ - - -•. - - -• - -- _ _. - -. -.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida er Plumber. .. - NOTE: A re- inspection fee of 31.00 will be made when seek seiarpeotian is saadelseaeaaary by knproper notice for inspection, at faulty materials and /er workmanship. CLOSETS BATH TUB• SHOWERS LAVA• TORI[a ." SLOP SINKS LAUNDRY Tua• UR INALa CATCH BASIN FLOOR DRAIN DRINK NO FOU NT'N• TOTAL ',NINNIES Gown. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE P17 0 TRAP SOLAR HEATER I tI / Oter WELL S . S M SWIM•O POOL CoNTn. LILT —. CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Q p , Permit No `/ ` Date... v _•......__..._•_ 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 Dopy of approved plans and specifications must be kept at building during progress of work Ownei 6 s Name and Address r !L^!+ +f2 ^ No / 22 Street f q Registered Architect and /or En Emp �� 3 % l i n o s sa tio p ,� B Subdivision. /� .... n T cca and Legal besa n Lota![�L � -� ! /! A 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 ............ Size Septic Tank._ Feet of Drain Tile Nature of Water Supply: City-Well. Amount of Permit $ _Type of Tank-- - _Dist. Feet of Tank or Drain Field from Well . - -_ -. Size of Soakage Pit. (S igned ) - - -!1_ _S..__ - -- s (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 ha.t com- plied with the provisions thereof, and will require similar compllance from all contractors or sub - contractors employed by him in the worir to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as arr required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the .- •__. -_ - - -•. - - -• - -- _ _. - -. -.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida er Plumber. .. - NOTE: A re- inspection fee of 31.00 will be made when seek seiarpeotian is saadelseaeaaary by knproper notice for inspection, at faulty materials and /er workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE '/ street T ax Folio �1 3 O(3 , ? , c2 2. Date 7 g /q 1� Job Address HS /✓� � "G � � ° 4 0 7 , - / , 2 1 3/00 / P/ Bc��o Ptlj Xo Legal Description Historically Designated: Yes Yes No /� ,,// A' s� Owner/ tt F a o�C a rec[! Z, rV g W /r'1 n Master Permit # Phone C3 05 7 5 — (69 F3 Owner's Address Contracting Qualifier c � State #.6' / vs- A/E qv s ,ze-' Architect/Engineer Bonding Company Mortgagor Address (3 g Signature of owner and/or Condo President Municipal # Competency # Address Address Date Notary to Owner anti/9r..,.Condo President My Conunission Expii s`. OFFICIA NO TAR AR MARY LOU GLO A NOTARY I"UB:LIC STATE OF FLORIDA COMMISSION NO. CC472323 MY COMMISSION EXP. "UNE14, 999 FEES: PERMIT t 1 RADON / U 2 C_ - Address 30/ C€ �,e25 _,Q 9 " Phone 3 — 7ld 3 775 Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PMBIN MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Prnid ecQ._ it;7-cAi LU A/ t5 47 Square Ft Estimated Cost (value) 13 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR. LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. S gnature o Contrac or or Owner - Js ilde:r Date Da e Notary as to Contractor or Owner - Builder Date My Commission Expires: C.C.F. NOTARY BOND TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing // G'� !te � Engineering Date Legal Description Los 0 a // ``4/en e n egae See ,7L Historically Designated: Yes t/'/ 3 Ch�C tO p l2 27(� Owner/Lessee / Tenant FY e cX eY G Ge L . /Veed me..,n Owner's Address / '/5 A/ F Phone(3 OS) 7c--7-707 3 Contractin Co. w Y O c.4) VY, Qualifier Chi %2 l e s w yo co m State # e p 6 5 40 9 3/ Municipal # Competency # Architect/Engineer y Z K-f A - kA \l 4 5 0 ( - I P , r Bonding Company ii4 Mortgagor /VA— Permit Type (circle one): UILD IN / G / ELECTRICAL LUMBINGMECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION -H s - al ( Poo / 4 P vl 2 I) e- e--k" Square Ft. P i, 553 / . 17 3.0 n Estimated Cost (value) tf r 5 C5 000. " v WARNING TO OW R: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate pennits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named con ' tor to do the work stated. Z /7 Signature of owner and/or Condo President a t Not as t Owner and/or Condo President My Commission Expires: P SD FEES: PERMIT 1% 0 PERMIT APPLICATION -FOR „ MIAMI SHORES VILLAGE Job Address Ns-- � � S/7 , Tax Folio // 3a OC — c / 3a7 RADON %1/I Notary a'Contrac or or Owner - Builder CIAL Ali NOTARY My Commission Expires: o < PUBLIC STATE OE . COMMI:SION NO. CC4723O� MY COMMISSION EXP. UNE 141999 Date Address 7 / O /V 7 o SS# Phone 76"-- / 4 i 4 Z SL C.C.F. 1 oZ ; 11 CAA Address (p 5 o o C,v Address i Address /V4- S APPROVED: Zoning Building Electrical Mechanical Plumbing Engineerin x Master Permit # 44 4 7 Ins. Co. f2_o3 e No ontractor or Owner- Builder ANGELA MASSIMO TANI My Comm Exp. 5/26/2001 No. CC 767554 ,sonally Known 11 Other I.D. 1 02 ‘%If Date Date NOTARY — BOND 300 TOTAL DUE 449,2 ° c) Permit # Tax Folio # /l S ; /-3„;/9a0 NOTICE OF COMMENCEMENT State of Florida, County of Broward VAC& WTT11• Aaovl{ •OX RIOTYI0 Dos ascosoes The undersigned hereby ply is notice that Improvement will be reads to certain reel property, and In accordance with Section 713.13 of rr Florida Statutes, the foliowing Information is provided In thin Notice of Commencement. 1. Description of Property: Legal Description: Lot .,(J V / Block Other Street Address: /Vs 2. General Description of Improvement: 3. Owner Information: Full Name: r� � °(e.2. ` i� G tirL ; r),-2 4 A! 6. Surety Nemo and Address: B. sander Nam. grid Address: 8. In .ddhlon to himself, Owner d..lgnates 01 ' • • 0/7 7/6 /) 7o i ,2 lc) oZ 6 -Y Subdivision ,ae,/ I/6,1 C') 7 C? MdingAddress: / LE , � c ! c/'` S , Int.re.l In Property: (L.{ $s simple ( ) Nam. and Address of fee simple titleholder (If other than owner): 0k.4veI2s co • yocovy. 4. Contractor Name and Address: ' 7 / p N -7 o — r - e - / tA, D 9 3 3 0 . ;TATE OF FLORIDA, COUNTY OF DADE 1 HEREBY CERTIFY that this is a i cop Tho o ijna f in this o e 00 day of , A. O. 1!7 W TN: S my h nd end Official Seal. ay cVc IN CLE of Circuit and County Courts ®.C. 4 /A;; 1 c to receive a copy of the Li.nor•. Notice as provided In Secdon 713.13(1)(b), Florida Statutes. 99R 161 077 1999 MAR 30 11:06 Phone 10c 1 757 — /c 7.3 Amount of Bond 1 7. Persons within the State of Florida (Names and Addresses) designated by Owrler upon whom nodcss or of s documents may be served as provided by Section 713.13(1)(a) 7., Florida Statutes: Signature of Notary Pu Printed N.m.: My Commission Expk.s: •r•, • ANGELA om prAinr ions, 9 1 . Expkatlon date of Notice of Commencem yaw (th. expiration data Is on. y. from data of scor Inge data is specln.d Signature of Owns: Printed Nam.: ,F 6 D e /C 7777 Signature of Ower n• d Printed Name: S rc -, k• rYG�SS k SWORN TO AND SUBSCRIBED besot. ms dpi. ,,��. day o f ,+'�)Of C ',� , 192E. SIMO TANI 2001 7 "54 n : Oche+ I BUILDING PERMIT /CONTRACTORS REGISTRATION CHECKLIST �y o f STATE OF FLORIDA CERTIFICATION DPBR) :r STATE REGISTRATION �,;: AND DADE COUNTY COMPETENCY LICENSE. M_I?MI SHORES VILLAGE EUILDING AND ZONING JEPAR:". "`:: 10050 N. E. 2.^d AVENUE Ph. (305) 795 -2204 FAX: (305) . _ _ -:S72 Copy of current OCCUPATIONAL LICENSE from county or municipality where business is located. Certificate of Insurance for LIABILITY (addressed to Miami Shores V:_lage) Certificate of Insurance for WORKER'S COMP (addressed to Miami. ShoresVillage) or if exempt. State of Florida LES Form BCM-204, Construction Industry Notice of Election to be Exempt. PLEASE SUBMIT EVERYTHING CHECKED KED OFF Permit Application (signed by person performing the work, licensed contractor and the property owner, both signatures notarized). Two sets of plans /drawings signed and sealed by registered architect or engineer. Occupancies by Group Classification must be en plans and permit application. All plans must include folio number and property address. Amended plans, in addition to the above, must also include the permit number. Structural Calculations signed and sealed by architect or engineer when applicable. 'Current survey of the property. Certificate of Elevation signed and sealed by Surveyor. Substantial Improvements Checklist (contractor or owner). Two sets of energy calculations. Two sets of signed & sealed Truss Plans (Engineer). DADE County or State of Florida Products Approvals for roof materials, sheds, windows, exterior /garage doors, aluminum carports, screen enclosures, shutters awnings, skylights, french doors and etc. Approvals from HRS, DADE County Impact Fee Section, Fire Department & Health Department (when applicable). DERM Warranty Deed or Other Proof of Ownership if necessary. Structural Review fee Flood Elevation Signature of own WORK DESCRIPTION Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date (J / ` ! Job Address / 1 7) /V E 9y 57L Tax Folio v, — 33 0 6 — 4/3-29 .2 0 Legal Description L D f S 2 0 ; P/ , ok 7Z Historically Designated: Yes No / Tenant /,t r071 il !'t1 S,SA Gerd — Master Permit # Owner's Address Plc N C y Contracting Co V1 P 1a b ,01 'welt) Qualifier' ( bJ 0 Al IiiWY 1a stateV 6k,kr 1 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Dr''7 Square Ft. Estimated Cost (value) 100 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be perfonned to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and oning. Furthermore, I authorize the above -named contractor to do the work stated. X 11_. ' ?it < .1 otary Eff " EL s OF FLORIDA COMMISSION NO. 02497132 MY COMMISSION EXP. OCT. 20,1999 Municipal # Competency # or Condo President ' ' Date FEES: PERMIT 4 1 RADON APPROVED: qqq Presi - i t Date Plumbing / Phone QI en Dio lbw/ w/ Address V SS# Phone J0 6 l 8 Ins. Co. 144/ Date Date // c minis', L � t ALE S IL FLORID Y PUBLIC STATE 4 N� COMMISSION NO. MY COMMISSION EXP. OCT. 20 1 TOTAL DUE PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 1/ - m /3 29 2c) Date 071( Job Address %' / v l ` Tax Folio Los z 0 -3 / 2/, l/ C3 �-a Pl i Legal Description R/ . 2f� , o 70 Historically Designated: Yes V No Owner/Le / Tenant Owner's Address / S/ Ss' Al Contracting Co. erge)T State #CC1 iD u WORK DESCRIPTION Q. No M ,tit■ • - g/o7 01> Date Signature of owner and/or Condo President t tKttttitttttttKKiStK:;;RKtt ttttttttittiSSW 03 uvuod w a*u2s L1 7ON'14 - A i 1 :Q.11 / /i..ff dx uotss r � .l �n�o . ' :'? '1 .Tgnd dIeio !.: .. �, . . SS10n I1 ° lr' *r isi Ireruelmelev evalzreateatmeemiteee, , ,eeeze .1 FEES: PERMI Municipal # APPROVED: Zoning Building Mechanical Address �a e�/C SS# Phone 846 2/o 7 Q Competency # Address Address Ins. Co. Master Permit 3,2,06) 4 3 v6a 3 vs -- Phone 7c7 - (-07 Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRIC PLUMBING Si C.C.F. —0 ME CAL ROOFING PAVING FENCE SIGN i Orr / -A7 - / 45V - / h/GaL S quare Ft. Estimated Cost (valu( ed3 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -nam ontractor to do th work stated. 11 a.eof '- r ► w Ovy�le= $L�ilcleir`''ffi��a4 a to o My Coniini . 1✓Xpu 0 -B 'lde • ftLAR r.- 2 , ' i Date �- 02 He Date NOTARYg 13OND TOTAL DUE ELECTRICAL ;D PLUMBING 114 ROOFING; ► 0 P C Neoloo4A.., f Owner of Building Architect Contractor or Builder Legal Description ption Address of Building I ' , cr) o `7'/i) £ I /"°o' / ' Nil ) 7 1- I I BI.2I s N C .c.- pe plans for all RACTOR re u to pertaining t thew k er 'y whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- (INSPECTOR) BY it I agree to perform the work covered hereunder in compliance with all ordinances and regulations rawings, statements or specifications submitted to the proper authorities of Miami Shores Village. rk . one by either, myself, my agent, servant or employee. CO r BUILDIit''' Ir BY AUTHORITY ....1... .. ..y...v.... �.. 1.:.. • . ::w1 ..,...- v +.. w.1... "Lwz..4w..1iiJ;1.l ....;',;; r. .�aur . •i-...sl ii.:var+.+ 1M — -:Li ..,:..UU....aiU.—,.'.:...i.A . wf.✓. . .+.c4..r. —....,.C+.L.n.a.......t. . PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date j /AV %) Job Address / " 9 ` / sv�e -¢ Tax Folio /1 3 2 d 6 - 0 r;> 2 c' Q Cos 30))2 / 80-4. 2/ °f Bonk 0 Legal Description 4 "r 2 n Historically Designated: Yes No 4 Owner/Lessee / Tenant Fe ce -e r re„,- 1. Aiteet) rn 0' /-t Master Permit # Owner's Address / ` / 5 N E 9 y S �/ ��. Phone(3OSJ 7$ 7 - (07 SS# ��'' Jig Z∎ 1 1 / - / /lv ' i��i� O � �i,�� %U State #0 Cv SS 67 Municipal # Competency # Ins. Co. / Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA P LUMBING ECHANICAL ROOFING PAVING FENCE SIGN DESCRIPTION 40' .e/ 11., , WORK DESC Square Ft. Estimated Cost (value) /6 6.. ) .° WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I Fl certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will b done in compliance wi laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the rk stated. Signature of owner and/or Condo President L) Not as t6 Owner and/or Condo President My Commission Expires: Y IILO COA4It,: .XON NO. CC47 144. COM. T c.' i1.1. 19 1 6 74,0 Date m' Date of Contrac or 0 r- Builder e()a Signa Address ary as to My Commi APPROVED: Zoning Building t\ Mechanical Plumbing 4 TORIDA N NO. CC714103 ISSION EX� 1 � OOz C.C.F. 0 NOTARY BOND Electrical 437 87 dit / / /6 i/ Date � Date 11 applicable Engineering