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PLUMBINGPUILDING ELECTRICAL PLUMBING Owner of 1 Building / Architect Contractor or Builder Legal Lot Bl. Description Address of Building Work to be performed under this Permit MIAMI SHORES VILLAGE, FLORIDA DATE -- ' 19 PERMIT N? 2007 Subdi- vision Value of Project .G-/d Contractor's --, License No. •"" / Amt. of J Permit ar / • 1 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be I revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. i Signed. By,,, - ' , 1 i %.:: ": �a;...( 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- tio tainigg thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Vi age. In permit I 'assume responsibility for all work done by either myself, my agent, servant or employee. ,.. ~ 1' ' C f s ' tf ( 3 ,i , i. � I + N 1 t'RACTOR ORJBUILDER ` BY AUTHORITY Permit No. IQ __��� 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. r` Owner's Name and Address _ ---_ . _ 4 ° A __ StreetNk 95: Registered Architect and /or Engineer____ —_ __ __�� -9 �+ p Employing Plumber's Name iL; l'!YI -! � "a". j No.- — __ —J _ L_6 Street- -Lll t . 66 0 Location and Legal Description _____ Block Street and Number where work is to be performed —No. State w o r k to be performed and purpose of building (By Floors) ________ _ __ 1 CA New Building_ . 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 Remodeling STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Subdivision _.____ -- - -- 40 2 — Street_ ra ALE 4� Addition._.____ Repairs No. of Stories_ (Sled)- Plumbing 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 suc • pu lic notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, o w. to be . fo7dd under this permit, as are licensed by Miami Shores Village. (Sig€1). Date De C- g Capacity Gals. a aster Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/ox workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N5 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL Corm. LIST _ CHECK Permit No. IQ __��� 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. r` Owner's Name and Address _ ---_ . _ 4 ° A __ StreetNk 95: Registered Architect and /or Engineer____ —_ __ __�� -9 �+ p Employing Plumber's Name iL; l'!YI -! � "a". j No.- — __ —J _ L_6 Street- -Lll t . 66 0 Location and Legal Description _____ Block Street and Number where work is to be performed —No. State w o r k to be performed and purpose of building (By Floors) ________ _ __ 1 CA New Building_ . 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 Remodeling STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Subdivision _.____ -- - -- 40 2 — Street_ ra ALE 4� Addition._.____ Repairs No. of Stories_ (Sled)- Plumbing 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 suc • pu lic notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, o w. to be . fo7dd under this permit, as are licensed by Miami Shores Village. (Sig€1). Date De C- g Capacity Gals. a aster Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/ox workmanship. BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Lot, Description Le Owner of Building CONTRACTOR O( BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE i "_ 194 Contractor's License No. Work to be performed under this Permit PERMIT N° 1969 Bl. 4 Subdi- vision Address of - ii - Value of Amt. of t , Building i ' t g , P roject Permit e 2, fi . / .r j This permit is granted to the contractor or builder named above to construct the building or to install the equipment or evice described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on th , khans or 'awings or in the statements or specifications and that he issumes responsibility for work done by his agents, servants or employees. Signed- i i,/ t i r:---1 By. / C f , . . 1/4.... INSPECtOR Inlconsideration 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 agenjservant or employee. / 4 ✓` s. ` = . ,' -e t .) , t -'3 BY: AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building .t MIAMI SHORES VILLAGE, FLORIDA PERMIT 6 012 Contractor's License No. Architect Contractor or Builder Legal Lot 11 Description Bl Address of Building CONTRACTOR OR BUILDER Work to be performed under this Permit DATE_i '19 Subdi- vision Value of 11 Amount of Project $ 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordthstikces 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY eor PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3122` CO Job Address 402— N.5. n 6fireek Tax Folio Legal Description Owner/Lessee / Tenant Wv Owner's Address 40°— (\M • e t9 M ary . S G Contracting Co. t, (eS bt 3 Qualifier flt5 1v1L�{it to t1 (l J State # CSC Ol J Municipal # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING P CHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION �t 'dent Date Not. o • � � <t el • � t .l ent Date My Cor i iip N EXP. AUG. 31,2002] APPROVED: Zoning Building Mechanical Plumbing RADON C.C.F. Historically Designated: Yes / No Master Permit # i/ �/ 9 Ss# Square Ft. Estimated Cost (value) 2 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- nared contractor to do the work stated. Signature o �! " , . �STA Notary .. My Cori x Phone k1 � (941 Address q w NW t44 _- - Phone er51-Wlp Competency # Ins. Co. 2511 1 A-'4 1 ir tractor or Owner- Builder Electrical TOTAL DUE Date Date NOTARY BOND Engineering, A JOB: BUILDING • • ELECTRICAL WORK PLUEBING f • DONE BY:, Inspector's Report: • • AD: REQUESTED The following is ready for Inspection: • : • • • • . • • • • • • • • WILL BE READY JOB:0 BUILDING • ELECTRICAL : PLUMBING • The following is ready for Inspection: Inspector's Report: - AD: 4z • • • • • • • • • • • • • WORK • • DONE BY: • • : . REQUESTED : : . : WILL BE READY • ELECTRICAL : PLUZBING Inspector's Report: BUILDING WORK : DONE BY: • • The following is ready for Inspoction: 1---/ 6 X 2' /_5 - : REQUESTED : WILL BE READY • 2 a • • • • • • • • • • • • • • • • • • • 7/-(--k7/ Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submiyled 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 Registered Architect and /or Engineer , MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPLICATION FOR PLUMBING PERMIT My Commission Expires No 1 7.-C! Street_ Location and Legal Description Lot__�� — -- – __ Y – __- _____ _ ___ - -__ Subdivision__��'-�- ' rµ Employing Plumber's Name _____________ ____ No Street_ ,,rs — — ________ _____ Block_ —_ � __ ___ �� 'L�` /Ph ___ Street and Number where work is to be performed— No.__�!__c.,, Street //� - State work to be performed and purpose of building (By Floors) 2., r /7r, ' i_ --------------- -- New Building___________ Remodeling Addition ' / Repairs No. of Stories Amount of Permit $_— ____.l –� __Q__ _ __— (Signed) Size Septic Tank_ ___42 Cf Feet of Drain Tile___ ,L L – ______ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit (Signed) Date_ Type of Tank . -- -A_Z. ! ... -- _________ _Capacity Notary Public. State of Florida - Plu ng 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 under signed 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, 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 SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWE DRAIN FIELD 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 submiyled 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 Registered Architect and /or Engineer , MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPLICATION FOR PLUMBING PERMIT My Commission Expires No 1 7.-C! Street_ Location and Legal Description Lot__�� — -- – __ Y – __- _____ _ ___ - -__ Subdivision__��'-�- ' rµ Employing Plumber's Name _____________ ____ No Street_ ,,rs — — ________ _____ Block_ —_ � __ ___ �� 'L�` /Ph ___ Street and Number where work is to be performed— No.__�!__c.,, Street //� - State work to be performed and purpose of building (By Floors) 2., r /7r, ' i_ --------------- -- New Building___________ Remodeling Addition ' / Repairs No. of Stories Amount of Permit $_— ____.l –� __Q__ _ __— (Signed) Size Septic Tank_ ___42 Cf Feet of Drain Tile___ ,L L – ______ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit (Signed) Date_ Type of Tank . -- -A_Z. ! ... -- _________ _Capacity Notary Public. State of Florida - Plu ng 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 under signed 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, 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. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit 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 ,2 7 _ Registered Architect and /or Engineer Employing Plumber's Name – � , � • L C . 4 ' h =" Permit No / Date__ Amount of Permit $_ • - MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT My Commission Expires State work to be performed and purpose of building (By Floors) New Building — l/ PLUMBING INSPECTION DEPARTMENT No. _97_ _ 4/E.- _ �.. Street____!Lc_' l No 1 A' I t , / Street____ _ Location and Legal Description' Lot__ �_ ' j ' _Block_ 5 2 —_____ Subdivisio Pe rformed —No � _0_ � Street and Number where work is to be -- _ - -�- --_ -d V 1 L // Street------------ ---- -- -- ----- ----------- - - - - -- Remodeling Addition Repairs No. of Stories 2- Size Septic ______ Type of Tank . . Capacity Gals Feet of Drain Tile________ _______.__ —__ __ Dist. Feet of Tank or Drain Field from Well _________________________ —___ Nature of Water Supply: City —Well Size of Soakage Pit (Signed) ---- _4----- •- - - - - -- ,., ✓ fy (Signed) a --- _ ' Notary Public. State of Florida _____ Lc -L g/ ahaej T Master Plumber. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify than a 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 under signed 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, 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 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 P IT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit 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 ,2 7 _ Registered Architect and /or Engineer Employing Plumber's Name – � , � • L C . 4 ' h =" Permit No / Date__ Amount of Permit $_ • - MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT My Commission Expires State work to be performed and purpose of building (By Floors) New Building — l/ PLUMBING INSPECTION DEPARTMENT No. _97_ _ 4/E.- _ �.. Street____!Lc_' l No 1 A' I t , / Street____ _ Location and Legal Description' Lot__ �_ ' j ' _Block_ 5 2 —_____ Subdivisio Pe rformed —No � _0_ � Street and Number where work is to be -- _ - -�- --_ -d V 1 L // Street------------ ---- -- -- ----- ----------- - - - - -- Remodeling Addition Repairs No. of Stories 2- Size Septic ______ Type of Tank . . Capacity Gals Feet of Drain Tile________ _______.__ —__ __ Dist. Feet of Tank or Drain Field from Well _________________________ —___ Nature of Water Supply: City —Well Size of Soakage Pit (Signed) ---- _4----- •- - - - - -- ,., ✓ fy (Signed) a --- _ ' Notary Public. State of Florida _____ Lc -L g/ ahaej T Master Plumber. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify than a 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 under signed 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, 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. / f 1- ' 1?• 3- /1, . , , I - 1 • Permit No. -_ /. -- MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No. __ Street– _ ' ____ _ - • ss. PLUMBING INSPECTION DEPARTMENT Registered Architect and /or Engineer T ___ _ ` Employing Plumber's Name .� :i,,.�L'_ _� �._!_1_ ___ Location and Legal Description ,t Block _______. ____ Subdivision__ Street and Number where work is to be performed —No /_l_, _ _�1 ' ,:_ _.: ., Street My Commission Expires r9 % State work to be performed and purpose of building (By Floors) New Building____________________________ Remodeling Addition Repairs No. of Stories Size Septic Tankw___M__ _ ..... Type of Tank _ Capacity Feet of Drain Tile______ ____ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit S_ _ (Signed) The undersigned applicant for this building permit does hereby certify that he understands an under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of plied with the provisions thereof, and will require similar compliance from all contractors or sub performed under this permit: and will post or cause to be posted for inspection on the site of required by the Act. The under signed agrees to employ only such sub - contractors, on work licensed by Miami Shores Village. (Signed) // STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer 1 Date_ 47' ! 141 Cie tl yl Plumbing Inspector. d accepts his obligations as an employer of labor Florida Permanent Supplement, and has com- - contractors employed by him in the work to be the work such public notice or notices as are to be performed under this permit, as are Master Plumber. oaths and take acknowledgments, personally appeared – -- — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WE SPRKLTI. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. -_ /. -- MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No. __ Street– _ ' ____ _ - • ss. PLUMBING INSPECTION DEPARTMENT Registered Architect and /or Engineer T ___ _ ` Employing Plumber's Name .� :i,,.�L'_ _� �._!_1_ ___ Location and Legal Description ,t Block _______. ____ Subdivision__ Street and Number where work is to be performed —No /_l_, _ _�1 ' ,:_ _.: ., Street My Commission Expires r9 % State work to be performed and purpose of building (By Floors) New Building____________________________ Remodeling Addition Repairs No. of Stories Size Septic Tankw___M__ _ ..... Type of Tank _ Capacity Feet of Drain Tile______ ____ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit S_ _ (Signed) The undersigned applicant for this building permit does hereby certify that he understands an under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of plied with the provisions thereof, and will require similar compliance from all contractors or sub performed under this permit: and will post or cause to be posted for inspection on the site of required by the Act. The under signed agrees to employ only such sub - contractors, on work licensed by Miami Shores Village. (Signed) // STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer 1 Date_ 47' ! 141 Cie tl yl Plumbing Inspector. d accepts his obligations as an employer of labor Florida Permanent Supplement, and has com- - contractors employed by him in the work to be the work such public notice or notices as are to be performed under this permit, as are Master Plumber. oaths and take acknowledgments, personally appeared – -- — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT � � (V D � - 2 Y Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __ __ __ L_i_�____ —__, +_ Registered Architect and /or Engineer Employing Plumber's Name _ Location and Legal Description Lot_____— �1==__� .' _ _________Block . ~ "`f !_1.1__ SubdivisioJ,_J Street and Number where work is to be performed —No //�J� - Gt " r Street__ .F tiee'? ! _ - -___! _ State work to be performed and purpose of building (By Floors) New Building_ Nature of Water Supply: STATE OF FLORIDA, COUNTY OF DADE. ss. Remodeling __ Addition Amount of Permit $ 4 .(Signed My Commission Expires L-- I7 I No.__ �� Size of Soa . • Pit Street___ – Repairs No. of Stories Size Septic Tank___ — ______— ___ —_ —__ Type of Tank . Capacity Gals.___— _______ —__ —__ Feet of Drain Tile_______ _ ________ ____ —_ _ __ Dist. Feet of Tank or Drain Field from Well Plumbing Inspect The undersigned applicant for this building permit does hereby certif tJaf he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, C. piled 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. - . 1 4" ) . 4 1 1 (Signed) A _ y 1 • • Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared __ - - - -- – - -- – -- -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY 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 V }( / CHECK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT � � (V D � - 2 Y Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __ __ __ L_i_�____ —__, +_ Registered Architect and /or Engineer Employing Plumber's Name _ Location and Legal Description Lot_____— �1==__� .' _ _________Block . ~ "`f !_1.1__ SubdivisioJ,_J Street and Number where work is to be performed —No //�J� - Gt " r Street__ .F tiee'? ! _ - -___! _ State work to be performed and purpose of building (By Floors) New Building_ Nature of Water Supply: STATE OF FLORIDA, COUNTY OF DADE. ss. Remodeling __ Addition Amount of Permit $ 4 .(Signed My Commission Expires L-- I7 I No.__ �� Size of Soa . • Pit Street___ – Repairs No. of Stories Size Septic Tank___ — ______— ___ —_ —__ Type of Tank . Capacity Gals.___— _______ —__ —__ Feet of Drain Tile_______ _ ________ ____ —_ _ __ Dist. Feet of Tank or Drain Field from Well Plumbing Inspect The undersigned applicant for this building permit does hereby certif tJaf he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, C. piled 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. - . 1 4" ) . 4 1 1 (Signed) A _ y 1 • • Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared __ - - - -- – - -- – -- -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No 9 2 a f_ Owner's Name and Address Size Septic of Tank. Feet of Drain —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: .... ..... _______ Size of Soakage Pit 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 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. 4 Street.- e Registered Architect and/or E 00, --..-- — — . C , / - ..; . (. Employing Plumber's Name No.. Street__ _ ■ Location and Legal Description Lot- Block Street and Number where work is to be performed—No 4 ,-) ;, 1 ' . - , Street. State work to be performell and purpose of building (By Mon)_ .. 1 , ' New Building. Remodeling ....frs. Addition Repairs. No. of Stories. Capacity Gals Amount of Permit $ 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 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 pernit, as are licensed by Mind Shores Village. . ( Signed). ` ..- . : Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. I 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 Conussission Expires Notary Public, State of Florida NOTE: A re fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty and/or workmanship. CLOUTS OATH TWOS 111 LAVA. TORUN 11 4 V NILO & L. 0 P SINK, L. A Y URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NE TOTAL. FIXTURES CONTR. LIST / CHICK ,..... .... SEPTIC TANK SEWER CONN. DRAIN IF I EL D SOAKA011 PIT G TRAP SOLAR II EATER DEW WILL SPRKLR. SYSTEM SW I M CI POOL CONTR. tier • C HECK Permit No 9 2 a f_ Owner's Name and Address Size Septic of Tank. Feet of Drain —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: .... ..... _______ Size of Soakage Pit 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 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. 4 Street.- e Registered Architect and/or E 00, --..-- — — . C , / - ..; . (. Employing Plumber's Name No.. Street__ _ ■ Location and Legal Description Lot- Block Street and Number where work is to be performed—No 4 ,-) ;, 1 ' . - , Street. State work to be performell and purpose of building (By Mon)_ .. 1 , ' New Building. Remodeling ....frs. Addition Repairs. No. of Stories. Capacity Gals Amount of Permit $ 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 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 pernit, as are licensed by Mind Shores Village. . ( Signed). ` ..- . : Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. I 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 Conussission Expires Notary Public, State of Florida NOTE: A re fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty and/or workmanship. Permit No.___ - ...... !` Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address — Feet of Drain Tile_ Name of Water Supply: City —Well. Amount of Permit $__ STATE OF FLORIDA, } 85. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT z Registered Architect and /or Engineer --- - -__ -- ' - - -__ _ _ ------ _- __ —__. Employing Plumber's Name _._ No._ No._ —_- -- --- -__ —__ Street_-__. ... — Location and Legal Description Lot________ ___ ________ _ Block Subdivision_ _______._ Street and Number where work is to be performed —No _' Q #� Street State work to be performed and purpose of building (By Floors) - -- --- _---- ____ -- — New Building --------- __ -• -- - - -____ Remodeling---- -. - -____ _ ___ Addition__- _ ---_._ Repairs No. of Stories._ .. Size Septic Tank_ ------- _---------------------- - - - - -- Type of Tank Capacity Gals _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit < i — — ( Signed)._ Date Street. f 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 Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices 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). Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUB6 S LAVA- TORICS SINKS SLOP SINKS LAUNDRY TUSB UR 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.___ - ...... !` Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address — Feet of Drain Tile_ Name of Water Supply: City —Well. Amount of Permit $__ STATE OF FLORIDA, } 85. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT z Registered Architect and /or Engineer --- - -__ -- ' - - -__ _ _ ------ _- __ —__. Employing Plumber's Name _._ No._ No._ —_- -- --- -__ —__ Street_-__. ... — Location and Legal Description Lot________ ___ ________ _ Block Subdivision_ _______._ Street and Number where work is to be performed —No _' Q #� Street State work to be performed and purpose of building (By Floors) - -- --- _---- ____ -- — New Building --------- __ -• -- - - -____ Remodeling---- -. - -____ _ ___ Addition__- _ ---_._ Repairs No. of Stories._ .. Size Septic Tank_ ------- _---------------------- - - - - -- Type of Tank Capacity Gals _Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit < i — — ( Signed)._ Date Street. f 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 Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices 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). Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. Owner's Name and Address Amount of Permit $_ 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 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. Registered Architect and /or Engineer k Employing Plumber's Name –4:__ r r Location and Legal Description I _ _— _________f __— ___�'_`___ —__— _______Block Street and Number where work is to be performed —No • : c i f State work to be performed and purpose of building (By Floors) _ ; No. ' ";9 r , C Street) li # _(Signed) (Signed) . Street New Building_ _ Remodeling Addition Repairs No. of Stories My Commission Expires Notary Public. State of Florida Size Septic Tank Type of Tank . Capacity Gals.__________________ Feet of Drain Tile___ — __ —_ —___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 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 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. IST LIST CHECK Permit No. Owner's Name and Address Amount of Permit $_ 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 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. Registered Architect and /or Engineer k Employing Plumber's Name –4:__ r r Location and Legal Description I _ _— _________f __— ___�'_`___ —__— _______Block Street and Number where work is to be performed —No • : c i f State work to be performed and purpose of building (By Floors) _ ; No. ' ";9 r , C Street) li # _(Signed) (Signed) . Street New Building_ _ Remodeling Addition Repairs No. of Stories My Commission Expires Notary Public. State of Florida Size Septic Tank Type of Tank . Capacity Gals.__________________ Feet of Drain Tile___ — __ —_ —___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 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. _APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submits 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 '1r#�`�"►'Y'6i No... j (i f ti" Registered Architect and /or Engineer d - �' ,.. ; ;l { .f.�tlii.__e t- Employing Plumber's Name _____,s'l.,r_'r. -�.-.ic . �f 1__. _____! _ _� -" ` s`r No t" `� t 1 .) Street__ / .c.! _�'�f " Location and Legal Description Lot___J, -___— f _Block •a .. —__ Subdivision -s'_a Street and Number where work is to be performed —No h(ift_ ` -* 4' E Street /' T J ' State work to be performed and purpose•of building (By Floors) New Building MIAMI SHORES VILLAGE Size Septic Tank______.__— Type of Tank . Capacity Gals._-_-- ___ ______ ________ — _______ Feet of Drain Tile_______— — ______ Dist. Feet of Tank or Drain Field from Well ______________— __________ Nature of Water Supply: City —Well .Size of Soakage Pit Amount of Permit $_______�'__� Plumb] 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 under signed 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, COUNTY OF DADE. Before me, ss. My Commission Expires PLUMBING INSPECTION DEPARTMENT Remodeling Addition Repairs No. of Stories..__.Z____- (Signed) (Signed) ) --4f t1/' Si Street____ Notary Public. State of Florida Master Plumber. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, an who, being by me first duly sworn, upon oath deposes and says that he is the of the above describe construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXT CONTR. LIST CHECK t SEPTIC TANK — SEWER DRAIN CONN. / FIELD " y' (✓ SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK _APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submits 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 '1r#�`�"►'Y'6i No... j (i f ti" Registered Architect and /or Engineer d - �' ,.. ; ;l { .f.�tlii.__e t- Employing Plumber's Name _____,s'l.,r_'r. -�.-.ic . �f 1__. _____! _ _� -" ` s`r No t" `� t 1 .) Street__ / .c.! _�'�f " Location and Legal Description Lot___J, -___— f _Block •a .. —__ Subdivision -s'_a Street and Number where work is to be performed —No h(ift_ ` -* 4' E Street /' T J ' State work to be performed and purpose•of building (By Floors) New Building MIAMI SHORES VILLAGE Size Septic Tank______.__— Type of Tank . Capacity Gals._-_-- ___ ______ ________ — _______ Feet of Drain Tile_______— — ______ Dist. Feet of Tank or Drain Field from Well ______________— __________ Nature of Water Supply: City —Well .Size of Soakage Pit Amount of Permit $_______�'__� Plumb] 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 under signed 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, COUNTY OF DADE. Before me, ss. My Commission Expires PLUMBING INSPECTION DEPARTMENT Remodeling Addition Repairs No. of Stories..__.Z____- (Signed) (Signed) ) --4f t1/' Si Street____ Notary Public. State of Florida Master Plumber. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, an who, being by me first duly sworn, upon oath deposes and says that he is the of the above describe 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. M „ APPLICATION FOR PLUMBING PERMIT Pern.tt No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit fed 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 Registered Architect and /or Engineer Employing Plumber's Name No. Street Block —____ Subdivision__ Street and Number where work is to be performed— No._._ G___ ____ _ _________ Street__ , Location and Legal Description Lot__J1i__ _1_ State work to be performed and purpose of building (By Floors) New Building — ____— ____________ Remodeling __ Addition ; Repairs —___ No. of Stories_ __( Type r Capacity Gals. __1L Size Septic Tank____ __ a_____________ T e of Tank .____ ._ . _ ��______ r Feet of Drain Tile____ ___+ _— ___ —_ —__ Dist. Feet of Tank or Drain Field from Well_____________— ___— ________ __— ___ ____ ____ _ Nature of Water Supply: City —Well Size of Soakage Pit. Amount of Permit S_ • MIAMI SHORES VILLAGE My Commission Expires PLUMBING INSPECTION DEPARTMENT The undersigned applicant for this building permit does hereby certify thaf 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) No. `12l./ Street_ Ic" 4" Date _ Notary Public. State of Florida Plumbing Inspector. 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 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 SEW N. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK M „ APPLICATION FOR PLUMBING PERMIT Pern.tt No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit fed 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 Registered Architect and /or Engineer Employing Plumber's Name No. Street Block —____ Subdivision__ Street and Number where work is to be performed— No._._ G___ ____ _ _________ Street__ , Location and Legal Description Lot__J1i__ _1_ State work to be performed and purpose of building (By Floors) New Building — ____— ____________ Remodeling __ Addition ; Repairs —___ No. of Stories_ __( Type r Capacity Gals. __1L Size Septic Tank____ __ a_____________ T e of Tank .____ ._ . _ ��______ r Feet of Drain Tile____ ___+ _— ___ —_ —__ Dist. Feet of Tank or Drain Field from Well_____________— ___— ________ __— ___ ____ ____ _ Nature of Water Supply: City —Well Size of Soakage Pit. Amount of Permit S_ • MIAMI SHORES VILLAGE My Commission Expires PLUMBING INSPECTION DEPARTMENT The undersigned applicant for this building permit does hereby certify thaf 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) No. `12l./ Street_ Ic" 4" Date _ Notary Public. State of Florida Plumbing Inspector. 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 necessary by improper notice for inspection, or faulty materials and /or workmanship. / ION Wir PLUMBING INSPECTION DEPARTMENT MIAMI SHORES VILLAGE �iJ) APPLICATION FOR PLUMBING PERMIT 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 perein specified or not. A copy of approyd plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Enginee Street and Number where work is to be performed —No Amount of Permit $___ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires _(Signed) (Signed) M Date_ Employing Plumber's Name ___ `' _______ _ IoStreet_ Location and Legal Description Lot______ w�.� ___ t ° Block Subdtvtsion ,+ _ —-' Street a' �-- --f— State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank _ Type of Tank . Capacity Feet of Drain Tile_ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well .Size of Soakage Pit. / — St Notary Public. State of Florida Plum ' 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 under signed 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 fckltowledgments, 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 DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELD SPRKLR. SYgr) ,r te , /' SWIM'G POOL CONTR. LIST CHECK Wir PLUMBING INSPECTION DEPARTMENT MIAMI SHORES VILLAGE �iJ) APPLICATION FOR PLUMBING PERMIT 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 perein specified or not. A copy of approyd plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Enginee Street and Number where work is to be performed —No Amount of Permit $___ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires _(Signed) (Signed) M Date_ Employing Plumber's Name ___ `' _______ _ IoStreet_ Location and Legal Description Lot______ w�.� ___ t ° Block Subdtvtsion ,+ _ —-' Street a' �-- --f— State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank _ Type of Tank . Capacity Feet of Drain Tile_ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well .Size of Soakage Pit. / — St Notary Public. State of Florida Plum ' 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 under signed 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 fckltowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit 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___ Registered Archi ect and /or Engineer_,_. r r Employing 's Name // / Lr p • . e r ! r Location and Legal Description Lot______ Block. V.(2' / ( State work to be performed and purpose of building (By.J ors) New Building Remodeling Addition Street and Number where work is to be performed —No CONTR. LIST CHECK CONTR. LIST CHECK CLOSETS SEPTIC TANK BATH TUBS SEWER CONN. STATE OF FLORIDA, t COUNTY OF DADE. ss. SHOWERS DRAIN FIELD Size Septic Tank Feet of Drain Tile Sl___) y /I lJ QX Amount of Permit $ ___ (Signed) My Commission Expires LAVA- TORIES SOAKAGE PIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT SINKS GREASE TRAP No ) L Street -11L Type of Tank SLOP LAUNDRY SINKS TUBS URINALS (Signed)___ No. cry S� e0 - U SOLAR DEEP SPRKLR. SWIM 'G HEATER WELL I SYSTEM POOL Street Repairs CATCH BASIN Date S1 Subdivision 1 ` f + FLOOR DRINKING DRAIN FOUNT'NS No. of Stories Capacity Gals. _ - -6 C` G c_ 1 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. Plumbing Inspector. The undersigned applicant for this building under the Florida Workmen's Compensation Act, being Section 5966, Compiled d 1 Gener lrLaws and f Florida t Persian Permanent Supplement, ent �pnd has cobor 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 work1 to be performed under this permit, as are licensed by Miami Shores Village. 1 / , �, � Master Plumber. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - - - - Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared TOTAL FIXTURES Permit No Nature of Water Supply: City —Well. r--`r Amount of Permit STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) n Date _______. My Commission Expires Notary Public, State of Florida 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. ' s �1,1 l' ■ ! - ; % `' P Street) f l Owner's Name and Address __�' No ' Registered Architect and /or Engineer tt Employing Plumber's Name 6_ L - ° "4 t ti t l ` No. �' q Street ")J /7/ Location and Legal Description Lot, ' / Block C'.s.A '+ Subdivision Street and Number where work is to be performed —No ` Street h--'-' w_____` State work to be performed and purpose of building (By Floors) ,,/ New Building Remodeling Addition Repairs Y - TH No. of tories Size Septic Tank Type of Tank Capaci {y Gals. Feet of Drain Tile 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 KING F NT' 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 Nature of Water Supply: City —Well. r--`r Amount of Permit STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) n Date _______. My Commission Expires Notary Public, State of Florida 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. ' s �1,1 l' ■ ! - ; % `' P Street) f l Owner's Name and Address __�' No ' Registered Architect and /or Engineer tt Employing Plumber's Name 6_ L - ° "4 t ti t l ` No. �' q Street ")J /7/ Location and Legal Description Lot, ' / Block C'.s.A '+ Subdivision Street and Number where work is to be performed —No ` Street h--'-' w_____` State work to be performed and purpose of building (By Floors) ,,/ New Building Remodeling Addition Repairs Y - TH No. of tories Size Septic Tank Type of Tank Capaci {y Gals. Feet of Drain Tile 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. MIMING ¶LE CTRICAL ¶ LUMBING er of ¶ il ding r chitect ., ntractor a Builder iS gal Lot scription D B d g In dress of r r � //,, tt .. ; ding M U In consideration of the issu g thereto and in strict con accepting .this permit I assum fop CONTRACTOR ORIBUILDER MIAMI SHORES VILLAGE, FLORID DATE PERMIT N° 10273 Work to be performed under this Permit 4 Subdi- vision Value of Project $ This permit is granted to refor in strict compliance with wings, statements or spedficati e if the work is not done in co nted is the understanding that t� , g to the work covered hereby whether shown on the plans or dr ings or in th i tatemenfs or specificatio ne by his agents, servants or employees. Signed • Contractor's License No. Ant of Permit Art tiJ Lf $ raG. 195 fl e contractor or builder named above to construct the building or to install the equipment or device described in the application ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any planet, that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any fiance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit S e contractor or builder named above assumes the res sibility for a thorough knowledge of the ordinances and regulation" and that be assumes responsibility for work INSPECTOR nce to me of this permit I agree to pc the work covered hereunder in compliance with all ordinances and regulations ormity with the plans, drawings, eta is or specifications submitted to the proper authorities of Miami Shores Village} e sponsibility for all work done by eith , myself, my agent, servant or employee. BY e oRrrY BUILDING ELECTRICAL PLUMBING ROOFING ❑ Work to be Owner of Building^r'...� -- .,�► — .4,,. Architect r Contractor i /" or Builder . .,..r.,�, - Leggy Lot Bl. Description 11 Address of li e77. •-• � �' Building .. _ MIAMI SHORES VILLAGE, FLORIDA El DATF -� 7 195 ❑ PERMIT N? 11449 Contractor's License No ' performed under this Permit This "permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawin or the statements or specifications and that he assumes responsibility or work done by his agents, servants or employees. 4 CON CTOR OR BUILDER Signed • Subdi- vision Value of Project $ 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 ill strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit dg�sume responsibility for all work done by either, yself, my agent, servant or employee. BY Amt. of Permit AUTHORITY _DING _ECTRICAL PLUMBING Contractor or Builder Legal Lot Bl. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 2066 DATE Work to be performed under this Permit Owner of Building Architect Subdi- vision Value of Project Contractor's License No. Amt. of Permit 194 L This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance _ with any plane, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may ".e 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 -up 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 - hat he assumes responsibility 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 the work covered hereunder in compliance with all ordinances and regula- iertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores e. In accepting this permit I assume,sponsibility for all work done by either myself, my agent, servant or employee. - • 'tea,. _ I A ,.. ! . ; f f5- ` „ ' I .h.P �►� CONTRACTOR OR BUILDER BY AUTHORITY UILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA DATE 194,1 Contractor's License No PERMIT ■_© 2035 Work to be performed under this Permit Legal Lot Bl. Description 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 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 u n which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. By INSPECTOR 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- ia �ns pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores 7 1. lage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Subdi- vision Value of Project Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contra or or Builder Legal Lot Description Address of • , . .Z Building Subdi- vision Value of Project MIAMI SHORES VILLAGE, FLORIDA DATF Contractor's License No Wor e performed under this Permit ERM1T 'N° 11469 Bl. II mt. of (J Permit $ 195 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. INV Signed' f i Bn �"=" ="",... TOR . ; . � BY ✓`„. 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 responsibility for all work done by either, myself, my agent, servant or employee. A PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date � ' � - Da Job Address y..04 .z) s ? Tax Folio 1/ - '3a , 3a 06 -d/ 3 'O Legal Descriptior 1 / O !J -� Historically Designated: Yes No Owner/Lessee / Tenant -4 /e UGc: L >ie42 �* f4G ©,rJ � Owner's Address Contracting Co. Qualifier State #WQO" 7113 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): 1/J t jG y' flu( BUILDING ELECTRIC MECHANICAL ROOFING PAVING FENCE SIGN fe,,e WORK DESCRIPTION ' �G ' / / 04/4 t.i f ../iL if1// 1- Estimated Cost (value Square Ft. 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 -named contractor to do the work stated. Pox 2 0_, a, i k:A Notary as to Owner and/or Cond&President trel Commission Exp' FEES: PE "" PATRICIA A. TAYLOR MY COMMISSION Si CC 895521 EXPIRES: Apn114, 2004 Bonded 'Mu Notary Pubic Underwriters RADON '1/3/D0 Date 1 4 Master Permit # Phone Address / 7' � � 74/) / l/ SS# ;/' Phd i(010•4 1 Signatur• • Contracto or Owner- Builder Date 41 as to Con My Commission • actor or �` ` n,• + {', E . - - - ' AR YPUBUCSf�TEOF.FTC R :3A ?F COMMISSION :'t O. CC711 i' 3 MY COMMISSION EX?. MAr. 1.2332 C.C.F. 1'1 NOTARY BOND - 3Q0 o TOTAL DUE 35 1 7 / ——)010 Date CONSTRUCTION PERMIT FOR: ( ] New System [ ] Existing System [ ] Repair [ ] Abandonment APPLICANT: PROPERTY STREET ADDRESS: LOT: PROPERTY ID #: SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC. REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. DEPARTMENT OF HEALTH APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. 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. SYSTEM DESIGN AND SPECIFICATIONS T [ A [ N [ K [ D [ ) SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD I CONFIGURATION: [ ) TRENCH N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ E BOTTOM OF DRAINFIELD TO BE [ L D FILL REQUIRED: ( ] INCHES 0 T E R SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: DH 4016. 10/96 (Replaces HRS -H Form 4016 [page 11 which may be used) (Stock Number: 5744- 001 - 4016 -0) STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & BLOCK: SUBDIVISION: AGENT: TITLE: Installer /Contractor Chapter 10D -6, FAC PERMIT # DATE PAID FEE PAID $ RECEIPT # [ ] Holding Tank [ ] Temporary /Experimental [ ] Other(Specify) [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] ] [GALLONS / GPD] SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:( ] ) [GALLONS / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS) ) GALLONS PER DOSE DOSING TANK CAPACITY DOSE •RATE [ ] PER 24 HRS NO. OF PUMPS: [ ) [ ] FILLED [ ] MOUND [ ] [ ] BED [ ] ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT EXCAVATION REQUIRED: [ ] INCHES TITLE: CHD EXPIRATION DATE: Page 1 of 2 INSTRUCTIONS: PERMIT NUMBER: Permit tracking number by County Health Department. APPLICATION FOR: Check type of permit; if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY ID #: 27 character ID number for property. (Health Department may require property appraiser ID# or section /township /range /parcel number.) SYSTEM DESIGN AND SPECIFICATIONS: TANK: Minimum specifications from Chapter 10D -6, FAC. DRAINFIELD: Minimum specifications from Chapter 10D -6, FAC. OTHER: Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed. APPROVED BY: County Health Department personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by County Health Department. J EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued. 4 7) Notes: STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number ch block re resents 10 feet and 1 inch = 40 feet. 4 PART II SITEPLAN 4 e Site Plan submitted by: _ • Plan Approved Not Approved Date By I / , ,— ..-- ,„•, i 1 Cou9lytidalth Department , ,.. . ' i ' f . ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015, 10/96 (Replaces HRS-H Form 4015 which may be used) (Stock Number: 5744-002-4015-6) Page 2 of 4 ..... ', t ••• Vr....1 i 1 1 i . .....______,.. , I .......-...-....................... 4.....-.--,....-...-. ...... 1 ..... _ . . ... i_ r :.•4' ,..- 1 i..............4 • .....:' T ' .4111T. .. . - - ...................................-.,..-........,....• 1, 1 ......"-..,.. .--...,..,.. I . / Cr .A •,, l 1 i E . e 4 7) Notes: STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number ch block re resents 10 feet and 1 inch = 40 feet. 4 PART II SITEPLAN 4 e Site Plan submitted by: _ • Plan Approved Not Approved Date By I / , ,— ..-- ,„•, i 1 Cou9lytidalth Department , ,.. . ' i ' f . ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015, 10/96 (Replaces HRS-H Form 4015 which may be used) (Stock Number: 5744-002-4015-6) Page 2 of 4