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PLUMBINGBUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROQFING ❑ w er of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 4822 Architect Contractor � . t or Builder le:; - a - + � • • Legal Lot / Description lI Bl Address of Building ! - .? w �f i done by his agents, servants or employees. CONTRACTOR BUILDER Work to be performed under this Permit Subdi- vision Value of Project $ BY DATE / = Contractor's License No. u 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 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 responsibilit 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 state its or specifications and that he assumes responsibility for work Signed"' r l f l k ' ' �` 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- cepting this permit I assume responsibility for all work done by ei)her, myself, my agent, servant or employee. 7 t -6 195 5 ' AUTHORITY 90; Permit No. __ d 7__V Amount of Permit $ /i ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herew' i ubmittg for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordina 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 Registered Architect and /or Engineer __l_!__ / /� a � Employing Plumber's Name __L7 /2"' I �i� t s '. i _ No 188 3 }'_ Street__P__ ? / Location and Legal Description Lot —_ Block Subdivision_ and Number where work is to be performed —No. a .2 !1' c ; ' Street _ __ State work to be performed and purpose of building (By Floors) New Building '--- Remodeling Addition Repairs No. of Stories Size Septic Tank 2 '° , Type of Tank Capacity Gals. Feet of Drain Tile__ ,L_P Y7. " t Dist. Feet of Tank 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 h understands and accepts his oblig (i s 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. / C. } (Signed)_ Yez STATE OF FLORIDA, r 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 Master Plumber. 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 SWIM'G POOL CONTR. LIST CHECK Permit No. __ d 7__V Amount of Permit $ /i ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herew' i ubmittg for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordina 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 Registered Architect and /or Engineer __l_!__ / /� a � Employing Plumber's Name __L7 /2"' I �i� t s '. i _ No 188 3 }'_ Street__P__ ? / Location and Legal Description Lot —_ Block Subdivision_ and Number where work is to be performed —No. a .2 !1' c ; ' Street _ __ State work to be performed and purpose of building (By Floors) New Building '--- Remodeling Addition Repairs No. of Stories Size Septic Tank 2 '° , Type of Tank Capacity Gals. Feet of Drain Tile__ ,L_P Y7. " t Dist. Feet of Tank 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 h understands and accepts his oblig (i s 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. / C. } (Signed)_ Yez STATE OF FLORIDA, r 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 Master Plumber. 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. ___ a 7. 7 Application is Hereby made for the approval of the detailed statement of the plans and specifications herew)'submi(d for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordina e 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._ __ 6.2- 4StreeL 4 Registered Architect and /or Eng Employing Plumber's Name l',j No 't 1 l 1 L Street._ z_ `` Location and Legal Description Lot Block__ Street and Number where work is to be performed— No. ___ 6 .2 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs _ No. of Stories _Type of Tank Dist. Feet of Tank or Drain Field from Well Nature of Water Suppll: City7Well _ Size of Soakage Pit Size Septic Tank Feet of Drain Tile Amount of Permit $__ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT The undersigned applicant for this building permit does hereby certify that hinderstands and accepts his obli ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)_ f$--- "� Plumbing Inspector. Street Date Capacity Gals My Commission Expires Notary Public, State of Florida Subdivision Master Plumber. STATE OF FLORIDA, I 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 necessary by improper notice for inspection, or faulty materials and /or workmanship. • CLOSETS BATH TUBS SHOWERS LAVA- TORIES f�� SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS /,I♦ • • • TOTAL FIXTURES LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. ___ a 7. 7 Application is Hereby made for the approval of the detailed statement of the plans and specifications herew)'submi(d for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordina e 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._ __ 6.2- 4StreeL 4 Registered Architect and /or Eng Employing Plumber's Name l',j No 't 1 l 1 L Street._ z_ `` Location and Legal Description Lot Block__ Street and Number where work is to be performed— No. ___ 6 .2 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs _ No. of Stories _Type of Tank Dist. Feet of Tank or Drain Field from Well Nature of Water Suppll: City7Well _ Size of Soakage Pit Size Septic Tank Feet of Drain Tile Amount of Permit $__ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT The undersigned applicant for this building permit does hereby certify that hinderstands and accepts his obli ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)_ f$--- "� Plumbing Inspector. Street Date Capacity Gals My Commission Expires Notary Public, State of Florida Subdivision Master Plumber. STATE OF FLORIDA, I 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 necessary by improper notice for inspection, or faulty materials and /or workmanship. • BUILDING ELECTRICAL PLUMBING Owner of Building' Architect Contractor or Builder Legal Description • CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORID PERMIT N? 8074 Work to be performed under this Permit 4 -'/ �' Lot Subdi= vision Building of ,1 / 7 , ,, ,� r � I Value of g ..• t 4.'r Project 1 DATE ,,tt�� Cd( tractor License No. Amt. of Permit I1 / BY AUTHORITY 194 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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. �4• � signed. B -c� . INSPECTOR In consideration of the issuance to me of this permit I agree to perform tl{b ork covered hereunder in compliance with all ordi ti and regulation pertaining thereto and in strict conformity with the plans, drawings, statements r specifications submitted to the proper authoifititts of Miami ShotsZlOge, In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Xt41 6-44 et) BUILDING A ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 8077 License No. Work to be performed under this Permit r <. Owner of _ 0 Building — „of !e Bl. Subdi- vision DATE e f Cot tfactor's 1' AUTHORITY 194 , Address of ./"1 ( Value of Amt. of Building is , ' i y I, " < � n t Project Permit .- y � This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device dfscribed 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 m ay 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: t /' s x gn ; - . w �. .- . . By . INSPECTOR In consideration of the issuance to me of this permit I agree to perform 4116 ork covered hereunder in compliance with all ordifiance6 and regulations pertaining thereto and in strict conformity with the plans, drawings, statemenfs o fffff f specifications submitted to the proper autho jes of Miartii Shores Village, In accepting this permit I assume responsibility for a work done by eithgs myself, my agent, fervant or employee. N 9 .'] 5 . By' + 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 Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. j L, t9 ` 114 Registered Architect and /or Engineer Employing Plumber's Name .e th .. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank_ rr . - -_ i __ _._Type of Tank_ Feet of Drain Tile.___ - � c --Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well __— -------- _ - - - - -_ __ _...Size of Soakage Pit ( Signed ) Capacity Gals. - — (steed)- - 6;51 -_.. _•� _ 7z 3 C 7 -- Street-.. .,e 9 � " Street.. Al. W L1 Location and Legal Description Lot- Black Subdivision____ — . Street and Number where work is to be performed —No .:_.... State work to be performed and purpose of building (By Floors)_. _.._.__. •----- _--------- __._._ New Building —. Remodeling___ - - .--- ._.— _ - -_ -- Addition.. ._• -.-_. Repairs No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli :;irons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on . 1 to be performed under this permit, as are licensed by Miami Shores Village. rir Mast 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 be 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 $L00 will be made wheel such re- inspection is made nsoesary by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH Tuns SHOWERS LAVA- TORIES SINKS SLOP aim(' LAUNDRY TUNIS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONK. DRAIN F IELD SOAKAGE PIT GREASE TRAP SOLAR N DEEP WELL SPRKLR. SYSTEM SWIM'S POOL Co. NTR r- LILT CHICK + 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 Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. j L, t9 ` 114 Registered Architect and /or Engineer Employing Plumber's Name .e th .. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank_ rr . - -_ i __ _._Type of Tank_ Feet of Drain Tile.___ - � c --Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well __— -------- _ - - - - -_ __ _...Size of Soakage Pit ( Signed ) Capacity Gals. - — (steed)- - 6;51 -_.. _•� _ 7z 3 C 7 -- Street-.. .,e 9 � " Street.. Al. W L1 Location and Legal Description Lot- Black Subdivision____ — . Street and Number where work is to be performed —No .:_.... State work to be performed and purpose of building (By Floors)_. _.._.__. •----- _--------- __._._ New Building —. Remodeling___ - - .--- ._.— _ - -_ -- Addition.. ._• -.-_. Repairs No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli :;irons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on . 1 to be performed under this permit, as are licensed by Miami Shores Village. rir Mast 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 be 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 $L00 will be made wheel such re- inspection is made nsoesary by improper notice for inspection, or faulty materials and/or workmanship. Amount of Permit S Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ."''' rr,MIT 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. II // ��� Owner's Name and Address C_ _._ (N ; _ DA v -S 3 - •---- -•_ -.. No _‘ 2 fit' _ e- Street. FS I E' Registered Architect and /or Engineer_.___-_ ..—___..__ ___ - _______. _ -__ —. Employing Plumber's Name 8 I- O ° _ / r s Sfi L . % ✓ / r• / et- C O No. ..- D ". 4 Street.._ S fE4 ,.. Location and Legal Description Lot._. ______________________.______ Block_ Street and Number where work is to be performed —No — Air STATE OF FLORIDA, 1 COUNTY OF DADE. j (Signed) (Signed). State work to be performed and purpose of building (By Floors ) _. New Building ___ . ___ Remodeling_____ __._ Addition Repairs No. of Stories. Size Septic Tank _________ of Tank Feet of Drain Tile._ _- .__Dist. Feet of Tank or Drain Field from Well _.._ Nature of Wat Supply: City — Well.__ W � _Size of Soakage Pit 3 7s --• C ° S Z- - — Date ! — Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo e• under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of 51.00 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 I SINKS SLOP SINKS LAUNDRY TUpS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N5 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST [/ Q e 7 / '/ ` � CHECK Amount of Permit S Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ."''' rr,MIT 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. II // ��� Owner's Name and Address C_ _._ (N ; _ DA v -S 3 - •---- -•_ -.. No _‘ 2 fit' _ e- Street. FS I E' Registered Architect and /or Engineer_.___-_ ..—___..__ ___ - _______. _ -__ —. Employing Plumber's Name 8 I- O ° _ / r s Sfi L . % ✓ / r• / et- C O No. ..- D ". 4 Street.._ S fE4 ,.. Location and Legal Description Lot._. ______________________.______ Block_ Street and Number where work is to be performed —No — Air STATE OF FLORIDA, 1 COUNTY OF DADE. j (Signed) (Signed). State work to be performed and purpose of building (By Floors ) _. New Building ___ . ___ Remodeling_____ __._ Addition Repairs No. of Stories. Size Septic Tank _________ of Tank Feet of Drain Tile._ _- .__Dist. Feet of Tank or Drain Field from Well _.._ Nature of Wat Supply: City — Well.__ W � _Size of Soakage Pit 3 7s --• C ° S Z- - — Date ! — Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo e• under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of 51.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. Plumbing Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2004 -306 Printed: 11/3/2004 Applicant: MICHAEL BROWN Owner: BROWN MICHAEL JOB ADDRESS: 362 NE 95 ST Contractor AMERIGAS PROPANE AND SUBSIDIARIES Contractor's Address: 10052 NW 89 AVENUE Local Phone: 305 - 883 - 8600 Parcel # 1132060136070 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 4 & 5 BLK 45 LOT SIZE 100.000 Fees: Description Amount FEE2004 -10816 Building Fee $140.00 FEE2004 -10817 CCF $0.60 FEE2004 -10818 Technology Fee $3.50 FEE2004 -10819 Training and Education Fee $0.20 FEE2004 -10820 Scanning Fee $3.00 Total Fees: $147.30 Total Fees: $14.7 Total Receipts: $ r O Permit Status: APPLIED Permit Expiration: 4/24/2005 Construction Value: $500.00 Work: SET 200 TANK ALONE GRID AND Signed: (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 accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: r rRECEIIVED PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 OCT 2 6 2004 Date / Job Address Tax Folio ~•'- -- Legal Description n Historically Designated: Yes No Master Permit # Phone e6'5 a Owner /Lessee/Tenet if r1 -76 / l Vt q & Owner's Address Contracting Co. (21-41-W1 Address Qualifier /��� 1W7-. SS #� J4"4195 Q (v 6 8 L-- 9(0001`1 State # Municipal # loos Ai 1444 Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. MECHANICAL ROOFING Permtt Type (circle one): BUILDING ELECTRICAL PLUMBI WORK DESCRI'TION: Square Ft. Estimated Cost (value) e 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 ANY 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 all disciplines. 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. (o--1 4 Signature of owner and/or Condo President Date Notary as to Owner alid/or•to My Commission Expires, FEES: PERMIT h/O RADON APPROVED: Zoning Building Mechanical Plumbing C.C.F W•_ //- Signature f Contractor or Owner Builder Date Date Notarys to"Contra�cor a etrOwner Builder Date My Con m Sjon >j ,te !, c-t `, NOTAIIY4. BOND TOTAL DUE Electrical Structural Engineer MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date lII Type Insp'n n S I Permit No. l ` v -[ 36(0 Name 6ro Address S61 f t c15 s Company° r 900 / 1 w-r sir, iF � Phone # Inspection Date I Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date `, 5 Type Insp'n �d A� ( F�/� ppQx.Lii Permit No. 1 Name 6ip Address 3(02_ (A Cc q s f Campany ' / Phone # Inspection Date Approved Correction Re- Insp'n Fee Date Type Insp'n Permit No. Name Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request os ® 3o( Y,A)z2 Address Company c -0-Iu Ch'"? Phone # Inspection Date • MIAMI SHORES VILLAGE A BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n 1)AAP Cl'ets2) Permit No. C.. 0 3o( Name ) Address 2 69 &. Company 0 4 Phone # Inspection Date Approved Correction Re- Insp'n Fee DETERMINE NORTH . % 1 ��► •V -`d/ AmeriGas, LPG 00899 10052 NW 89 Ave., Medley, Fl 33178 Tel. 305 - 388 -8600 Fax 305 -884 -5891 JOB: LCt ev@ ( r e r) DATE: • REVISED: SCALE: DRAWN BY: APPROVED BY: AFFIDAVIT: This installation shal comply with NFPA 54, NFPA 58, as well as all state & local codes and regulations. GENERAL SITE PLAN I Page of • • Signature of Qualifier n PRINT NAME: �-- p(xlcT Ar itto,J Qualifier ft L PC co Scl q Sworn to and subscn'bed�tk e4�iis'lc - Nino day of DCA ,- ,,'P . `,, �� q B •, e t , ?, **. . ;li I A ' o C t . . . . . 4,, ;; • 1� ? V Personally known : %., `' ,° or Produced Identification: ' of identification Produced: - • qpI i todepi020-- 14- t em, to w, tb 642 Zo PI 1 0 �6Ad U n also e" % t) f 7 ■ QG�Ca eLG — 17443k_ !tit re.9(U 26.-U cD-Q Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/7/2004 Applicant: MICHAEL BROWN Owner: BROWN MICHAEL JOB ADDRESS: 362 NE 95 ST Parcel # 1132060136070 Signed: (INSPECTOR) Plumbing Permit Permit Number: PL2004 -194 Contractor KENDALL PLUMBING CO. INC. Contractor's Address: 6910 S. W. 75 TERRACE Local Phone: 305 - 662 -8863 Page 1 of 1 Permit Status: APPROVED Permit Expiration: 1/3/2005 Construction Value: $2,000.00 Work: REPLACE KITCHEN AND BATHROOM FIXTURES, 1 KITCHEN SINK, 1 DW, 3 LAVATORIES, 1 SHOWER PAN, 1 TUB, 2 WATER Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 4 & 5 BLK 45 LOT SIZE 1&000 N Fees: Description Amount FEE2004 -6797 Building Fee $200.00 FEE2004 -6798 CCF $1.20 FEE2004 -6799 Training and Education Fee $0.40 FEE2004 -6800 Technology Fee $5.00 Total Fees: $206.60 Total Fees: $ 0 40 Total Receipts: $0.00 IS 6, 4 K7 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 accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Ft BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Tenant/Lessee Name "1..) / /4 Contractor's Company Name Contractor's A ddress elf City G1 VY1 Qualifier Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village ..; ti �� Department ' 1 n v enu-, Miami Shores, Florida 33138 �t q � T l (31)17,95.2 04 Fax: (305) 756.8972 Owner's Name (Fee Simple Titleholder) % Phone # Owner's Address Nl l -- `lrbu. '3 / City ! f 2 .S State Job Address (where the work is being done) 36 2 l`.' City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Architect/Engineer's Name (if applicable) Phone # ire.) $ Value of Work For this Permit & - X Square Footage Of Work: Type of Work: ❑Addition ❑ Alteration ['New JL Repair/Replace ❑ Demolition Describe Work: i- IC I jj C t 'fiC %her -1 hcd (✓oCC`'Yl - k1 - tiv-e S t - K f S � j D c:�: 3 C J) A-1 t✓ S 15 t-k, � � C- P � TU 6 2 �.�:I- CCv 1 r I cE fAA ie. G1. 0vx) EC C)IJ Submittal Fee $ b'cu.# 1sic) Permit Fee $ CCF $ /1 oR. 0 CO /CC Notary $ Training/Education Fee $- [) Technology Fee $S • 0 0 Scanning $ Radon $ Zoning Bond $ /S 6_ Phone # State L_ Zip 3:3 ILA 3 Structural Plan Review. $ Permit No. A I- c?-a, — Master Permit No. Mechanical Zip 3 e Phone # U �� Zip ' - 626 Roofing z ` Si.3623 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 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. "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 The foregoing ins APPLICATION APPROVED Y: Chc 12/15/03 wner or Agent nt was acknowledged before me this day of , 20 _ , by Signatur ma who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLK 1. (` `t (2) G t e,� ` . c " --- - - 1 Sign: Sign: 7 Racnai 0 Chohonis j et 0 N . Rath* 0 Choke* nt: Commission 00320417 Print: 4 My aaa w Commission uusz17 1 Expires June , e, 2008 My Commission Expires: N « AO Expires June 18, 2008 My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. , Certificate of Competency No. Contractor The forego' g instrument was acknowledged before me this=' day of "\e-- ,20,by * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** * * * ** * * *; ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Y r Plans Examiner Engineer Zoning Date Time Type Insp'n / ,A_ Permit No. Name Address Company Phone # For Inspect Approved Correcti Re -Insp MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request MIAMI SHORES VILLAGE ( Age BUILDING DEPARTMENT 305- 795 -2204 B II ilding Inspection Request Date n 1-1 � Type Insp'n 1 0 I Permit No. P t 04- ' q q Name tOm Address Company Phone # 36?-NE gS SI Inspection Date / 1 Approved Correction ❑ Re -Insp' n Fee ❑ MIAMI SHORES VILLAGE BUILDINI DEPARTMENT 305- 795 -2204 Building Inspection Requ Date Type Insp'n , I Permit No. L., 0 ll ) 9 `J Name ti/NN Address 3-4 c C , cts,41- Compan Phone# 3 OS Z Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPAR M 305- 795 -2204 Building Inspection Reques Date ( 11 l l C T .Type Insp'n ROu41 OdVIA P, etM5 Permit No. ` �- 4 9004 — (9 tc Name Address 3 (a Q5 sr Company Phone # 505 640d -4 8 Inspection Date 91 a Ib1/41 Approved Correction Re- Insp'n Fee PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 Date 3 Job Address 4 r 1 -- , 12 0 Legal Description /� ���,, Owner /Lessee/Tenet t' /�%�� Owner's Address 3 2_/gypq- 5/r 4L Contractin Co. Qualifier State # e?a -''o 7 Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. ELECTRICAL PLUMBING Permit Type (circle one): WORK DESCRIPTION: Square Ft. } aaa Historically Designated: 66(2 club 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 ANY 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 all disciplines. 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. Signature 11.4.e wner and/or ondo President S ea , vole ' :te III/110u; / ot� to Ow My Commissio ate xpiles . • FEES: PERMIT �� r IMP C.C.F Tax Folio Master Permit # �i oZ CJiR R / ° 1 f Address J z�J54)w / 6•1 ss# / " Phone" ‘1P— Competency # Ins. Co. MECHANICAL L; Estimated Cost (value / O 7 fietEN 2:G -cL7 t903 Yes No ROOFING - i lA i of Contractor ti ''r - (//1//0 Z.- ' 1 a i Date �y as to ContrStor dt s B Date My Commission Ex e6, e NOTARY 0 BOND 0 0. U APPROVED: TOTAL DUE3 a / 1 0 Zoning Building / Electrical Mechanical Plumbing Structural Engineer Date N F I E L D STATE OF FLORIDA. DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ [ X ]Repair [ ]Abandonment APPLICANT: Goldstaub, Helen 400 PROPERTY STREET ADDRESS: 362 NE 95 St Miami FL 33138 LOT: 4 BLOCK: 45 SUBDIVISION: Miami Shores [Section /Township /Range /Parcel No.] PROPERTY ID #: 11- 3206 - 013 -6070 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ]Gallons SEPTIC TANK A [ 0 ]Gallons N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS @ D [ 200 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A TYPE SYSTEM: [ N ]STANDARD [ N ]FILLED I CONFIGURATION: [ N ]TRENCH [ N ]BED LOCATION TO BENCHMARK: Finished Floor of Existing Res. ELEVATION OF PROPOSED SYSTEM SITE [ 1.1 ] [ FEET BOTTOM OF DRAINFIELD TO BE [ 4.1 ] [ FEET FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: OTHER REMARKS: Existing 900 Galllons Septic Tank TO REMAIN. Install 100 Square feet Drainfield . Invert Elevation of the Drainfield to be NLT 7.7' NGVD. Bottom Elevation of the Drainfield to be NLT 7.2' NGVD. This Permit is not for addition. SPECIFICATIONS BY: Andre, Paul APPROVED BY: Andre, Paul DATE ISSUED: 3/20/02 AGENT: WALLACE P, Ponder Wallace 7 °1F SE)'' is TAW SHALL NENE TITLE: fiEFL CT ®N DEVICE INSTALLED DH 4016, 03/97 (Obsoletes previous editions which may not be used) Elev. 10.2' Ngvd [ 36.0 ] INCHES CENTRAX #: 13 -SG -12235 DATE PAID: FEE PAID : $ RECEIPT . OSTDSNBR : 02 -0842- -R ]Holding Tank [ ] Innovative Other ]Temporary [ NA ] MULTI - CHAMBERED /IN SERIES: [Y ) MULTI - CHAMBERED /IN SERIES: [Y ] [0 ]DOSES PER 24 HRS # PUMPS[ 0 ] [ N ]MOUND [ N ] [ N ] ] [ BELOW BENCHMARK /REFERENCE POINT ] [ below BENCHMARK /REFERENCE POINT J � '1 -vO4tIO TITLE: Professional Engin Dade CHD D m , . 1 ,e '') -- STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGEEDISPOSAL SYSTEM CONSTRUCTION PERMIT _ ._. P P erm it • Appl Number ;.9, . PART II - SITEPLAN Scale: Each block represents 10 feet and 1 inch = 40 feet. MOW s Site Plan submitted Plan Approved By empases enema DH 4015, 10/96 (Replaces HRS-H Form 4015 ich may be used) (Stock Number. 5744-002 - 4015 -6) Not Approved 4 �e ALL CHANGES s JUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT Dat� 52O ° 0 County Health Department Page 2 of 4