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PLUMBING- -� CLOSET$ BATH T rjNOWa11a LAVA- TORIES SINKS SLOP •INKS LAUNDRY Tun• URINALS CATCH DAAIN FLOOR DRAIN DRINK NO FOUNT' NE TOTAL FISTURER CONTR. LIST CHICK _. - - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WILL SPRKLR. $ N SW IM M POOL CONTK. LIST CHICK ► Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or notdrsgo4C A copy of approved plans and specifications must be kept at 1104 PP building during progress of wor / q—z S— Street NE9 '(SZ Owner's Name and Address Registered Architect and /or Engineer n Em login Plu n Na ,._ . Loco od n � and 'I.bgr�ISescti °n 'I.oC - B b — Street and Number where work is to be performed —No Street. N t - ._ 9 S S _ State work to be performed and purpose of building (By Floors)__-_._ O_, .X _490.5_ Er. 0 1 f. art. W..M. ......04!J 1 out New Building.-_.--_.-- _._.. .... ...._.. Remodeling__ ____ Addition.. ___— ...... -_ Repairs V No. of Stories Amount of Permit $ �•S My Commission Expires Size Septic Tank__ _Type of Tank. —_ Feet of Drain Tile Dirt. Feet of Tank or Drain Field from Well. .._.__._ Nature of Water Supply: City—Well. Size of Soakage Pit. 1 ..... _....__...Capadty Gals..._..._._.__ _._..- (Signed _ J r I-WtlQ C. = - - -Q � _ subdhvldon,ffig� 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 5986, 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 woe*. to 1x performed under this permit; and will post or cause to be posted' for inspection on the site of the rr ch public notice or notices as a required by the Act. The undersigned agrees to employ ouly surd, sub- contractors, on work to - ormed er this permit, as are licensed by Miami Shores Village, � 14, (SI.. ►- �I T Master Plumber. STATE OF FLORIDA, 1 es. COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, penorielly 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 be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. Notary Public, State of Timid. Plumbing Inspector. NOTE: A re- inspection fee of $1.00 will be mods whoa nob swiupaottos io mods asoemomy by improper soda, fair laspercdon, or faulty materials Sad /or wmlananship. 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 cot. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Addres Registered Architect and /or Engineer Employing Plumber's Name t i' Amount of Permit $ /r J ' STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 4Ja r�iL✓ (Signed) No No. k y X V Type of Tank (Signed) i-3.3e z v . Date d" r J Street t.5 Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ) 1. 2 .3 e Street ,9s ' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 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 u rstands and accepts his obhi:g" s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 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 H EATER DEEP WELL SPRKLR. SYSTEM SW IM'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 cot. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Addres Registered Architect and /or Engineer Employing Plumber's Name t i' Amount of Permit $ /r J ' STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 4Ja r�iL✓ (Signed) No No. k y X V Type of Tank (Signed) i-3.3e z v . Date d" r J Street t.5 Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ) 1. 2 .3 e Street ,9s ' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 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 u rstands and accepts his obhi:g" s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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. OWNER LOT BLOCK SUBDIVISION r ' Date aiami chores9llage F L O R ID A PLUMBING PERMIT N9 728 Issued to to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a_./. —story . ' building at Fixtures Fixtures / $ , 7 Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by OWNER LOT BLOCK SUBDIVISION ; O,A.024/ , l ii •l9' lid j' 4)- _ Date Issued /0./0 —J4. ,!fit •st PLUMBING PERMIT N° 748 to install the following scribed plumbing, in acco ance with the laws, statutes and regu- lations of Miami Shor ` Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a _ / story 1 /‘, building at I/ 1 J' ,P i 2 Fixtures Fixtures $ C.\*,- -1 k`\ Sewer $ VY� ��, Septic Tank / $ Total $ / r • Village Plumbing Inspector Received Payment by aiami Jhorenillage F L O R ID A OWNER LOT BLOCK SUBDIVISION Issued to (`� aiami cShores9 llage F L 0 A 1 D A PLUMBING PERMIT to install the folfoiving described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. building at N9 728 For a_ /story Fixtures Fixtures Sewer / $ .ic Tank $ Total $ Village Plumbing Inspector Received Payment by Issued Jhores9' llage F L O & D A PLUMBING PERMIT N9 748 to install the following scribed plumbing, in acco dance with the laws, statutes and regu- lations of Miami Sho Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a _ / story l building at Fixtures Fixtures $ Sewer $ *tic Tank / $ /n n Total $ / 0 0 • Village Plumbing Inspector Received Payment by frZ�F 1 OWNER LOT BLOCK Xi SUBDIVISION 121 • . i 1 / UL/i1 ? ..• `7. 11 r107 Issued Jhores9' llage F L O & D A PLUMBING PERMIT N9 748 to install the following scribed plumbing, in acco dance with the laws, statutes and regu- lations of Miami Sho Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a _ / story l building at Fixtures Fixtures $ Sewer $ *tic Tank / $ /n n Total $ / 0 0 • Village Plumbing Inspector Received Payment by frZ�F 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 3-26-70 Permit No .1 �! 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 Miami Shores Baptist Church No 425 N.E. 95th t et Registered Architect and /or En eer.._ -Rose Septic Tank P. • x 3 b Hialeali Employing Plumber's Name ._..._._ No. .__. Location and Legal Description Lot Subdivision .____.___.._______ _......_ 425 N.E. s r�' Street and Number where work is to be performed —No. Street. ._..._.._... -_ -.- State work to be performed and purpose of building (By Floon)_ _ New Building Remodeling Addition Repair.._ No. of Stories. Size Septic Tank_ Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit_ Amount of Permit $ 4 - �--- — bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o bons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm ent 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 rise Act The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed .by Miami Shores Village. STATE OF FLORIDA, C COUNTY OF DADE. I ( Signed) My Commission Expires Notary Public, State of Florida ha - Mastr 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 snob rednapeetion L made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS OATH TUGS aHOWE11s LAVA. TORIES 1114 GLOP SINKS LAUNDRY Tuna URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GRIMM' TRAP SOLAR NEATER DECP WELL SPRKLR. SYSTEM IWIN•O POOL CONTR. LIST CHECK 32' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 3-26-70 Permit No .1 �! 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 Miami Shores Baptist Church No 425 N.E. 95th t et Registered Architect and /or En eer.._ -Rose Septic Tank P. • x 3 b Hialeali Employing Plumber's Name ._..._._ No. .__. Location and Legal Description Lot Subdivision .____.___.._______ _......_ 425 N.E. s r�' Street and Number where work is to be performed —No. Street. ._..._.._... -_ -.- State work to be performed and purpose of building (By Floon)_ _ New Building Remodeling Addition Repair.._ No. of Stories. Size Septic Tank_ Type of Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit_ Amount of Permit $ 4 - �--- — bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o bons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm ent 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 rise Act The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed .by Miami Shores Village. STATE OF FLORIDA, C COUNTY OF DADE. I ( Signed) My Commission Expires Notary Public, State of Florida ha - Mastr 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 snob rednapeetion L made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of d i 4 Building This pun* b application bazar in with any blit be rev nay pas ii upon which this p!init the ordinances and that he assumes responsiiel In consideration of bons pertaining tissew o Village. la 0 MIAMI SHORES VILLAGE, FLORIDA DATE ( (f / ° 164 Contractors License No. r o be performed under this Permit '�� PERMIT ITT° 3923 l.I BL if )1 Subdi- vision Value of Project contractor or builder named above to construct the building l r to install the equipment or device describ d in the ace with all ordinances pertaining thereto and with the underseaaiding that the work will be performed in cc sspiiance or specifications that may have been submitted to and appro ed by the proper municipal authorities. This Permit may is not done in compliance with such ordinances or if the plaqs are changed without authorization. A further condition d is the understanding that the contractor or builder named ab assumes the responsibility for a tho = b kno�'e1edge sk� main' to the work covered hereby whether shown on the plans o awings or in the statements or . acei an r w ork done by his agents, servants or employees. Signed. BY u Amt. of Permit By INS 1 to me of this permit 1 agree to perform the work covered hereunder in compliance with aH rmity w ith the plans, drawings, statements or specifications submitted to the proper authorities for all work done by either myself, my egent, servant or employee. T s'i0 • BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA ❑ DATE Y i 19 J PERMIT N9 5768 Contractor's License No Owner of Building ts ❑ Work to be performed under this Permit Architect Contractor or Builder E i 4:...... _ .t_j. i c ____-0.... Legal Lot Description II Bl ic t t J E/tr t k L ew { A 14 -1.44.P Subdi- vision Address of - Value of 11 Amount of Building 1 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. In consideration of ,the is pertaining thereto and stric cepting this pe Signed 1 - _ , _ A 4 ; ►. _ r INSPECTOR ante to me of this permit I agree to perform the work covered hereunder in compliance with all ordinanc and regulations onformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as ibility for all work done by either, myself, my agent, servant or employee. Permit No griG4 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____, If______ 7 67- _ - - Street- _ __ -� '6 L • Registered Architect and /or Engineer —__ Employing Plumber's Name___ni_A- v_Y_I�— i�1A'�l�_�c is 7 :4- * / f_ No._ Location and Legal Description Lot_ Street and Number where work is to be performed —No. New Building Remodeling_ Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ plied with the provisions thereof, and will require similar compliance from all contractors or sub - contracto performed under this permit; and will post or cause to be posted' for inspection on the of the wo required by the Act. The undersigned agrees to employ only such sub- contractors, . ork to licensed by Miami Shores Village. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 7f _L76 _ -- Street��! J LSZ Block _ Subdivision____ Street._ l!_k SS State work to be performed and purpose of building (By Floors)_ i ta rk -- ALAI _ Addition_________ Repairs No. of Stories_ — Type of Tank__— Capacity Gals. _ —Dist. Feet of Tank or Drain Field from Well ._Size of Soakage Pit (Signed)_ -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- oyed by him in the work to be public notice or notices as are ed under this permit, as are 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. 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 H EATER DEEP WELL. SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST CHECK Permit No griG4 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____, If______ 7 67- _ - - Street- _ __ -� '6 L • Registered Architect and /or Engineer —__ Employing Plumber's Name___ni_A- v_Y_I�— i�1A'�l�_�c is 7 :4- * / f_ No._ Location and Legal Description Lot_ Street and Number where work is to be performed —No. New Building Remodeling_ Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ plied with the provisions thereof, and will require similar compliance from all contractors or sub - contracto performed under this permit; and will post or cause to be posted' for inspection on the of the wo required by the Act. The undersigned agrees to employ only such sub- contractors, . ork to licensed by Miami Shores Village. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 7f _L76 _ -- Street��! J LSZ Block _ Subdivision____ Street._ l!_k SS State work to be performed and purpose of building (By Floors)_ i ta rk -- ALAI _ Addition_________ Repairs No. of Stories_ — Type of Tank__— Capacity Gals. _ —Dist. Feet of Tank or Drain Field from Well ._Size of Soakage Pit (Signed)_ -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- oyed by him in the work to be public notice or notices as are ed under this permit, as are 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. 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. lit . 4 „ 4,1 V - v. 4 4 •s f4 • T' ; ,Ts ''.. • r," " PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 12451 I CI Co Job Address X2.5 PEE 0 15 5 T Tax Folio 11- 32 O 6-0114-b6 Legal Description Historically Designated: Yes No vi Owner/Lessee / Tenant MCI P;t-ki ottorzeS ' 9T& crtu te GI-C Master Permit # Owner's Address 370 GRAND COMC ou2SE / MS1-402 33138 Phone 758 -OS C o n t r a c t i n g Co. i-LOy D - 1 • 1 02Tli DRDE S "rl C A d d r e s s eo N v J I I I S E T M1/' t Qualifier DE N Nt s N CJ t t,l_E SS# Phone 75i -16'76 State # 015836-8 Municipal # Competency # 1 284-2 Ins. Co. TizAis ?s/ 5. I F Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICALCPIUMBIZO MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION I W311'\ LL. D v3 F 1 E.-) Square Ft 300 Estimated Cost (value) *15C 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 laws regulating construction and zoning. Furthermore, I authorize the above -n Signature of owner and/or Condo Presid Not as to Owne ommission FEES: PERMIT 12 3i q or. ond• President Date � P i 4 ^ Teresa J. Felder Notary Public State of Fiari�'a ' , j Commis,;'un No. CC 4 Ot >7 RT MY Commission E :pins C'1/16; y ( >< f 1400.34zoTARY. Pia Notary agrvite ectta8 co. ateateeeteeeee eeeereeeeeeeeeetwireeeteetereeee o 33--, RADON C.C.F. APPROVED: Zoning Building Mechanical ate ®cure of C at all work will be done m compliance with all applicable to Contracto ommission actor to . • the work stated. ntractor or : er- Builder NOTARY Electrical 2/ 3/ /C C Date 31 96 uilder ate oct 9'7'4 Noan,� PubI', 0 ^,ortmi �`c :. P oF:La 13 iy('�iG'..I;3.3. 1- 30-3•ACTARY• FLiC:a'^y ._ 'at!fl weetete!!etteeefere eez areeeeetete fie!• % BOND 30D. as TOTAL DUE 33C e Plumbing ( iI/I Engineering CONS • T RUCTION PERMIT FO � [ �/] New System [/j/j�xisting System [ A /` lding Tank [ ,,Temporary /Experimental [J Repair [ Abandonment [her(Specify) �'(-' APPLICANT: - j — 4 r / "'AGENT 2-/C))/ T - x 1,�,[0^7774( I UL PROPERTY STREET ADDRESS: ' r t-+ y ). <7E- ., LOT: , A / BLOCK: I � SUBDtt V /v PROPERTY ID # : 0 0 U / 4 0 c, ,. lJ [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] 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. HRS 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 INt THIS PERMIT BEING MADE NULL AND VOID. SYSTEM DESIQN AND SPE rFICATIONS 0 T H E R T [ /] ALLONS ''i SEPTIC TANKE -• /1jrROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ j A [ ] [GALLONS / GPD] '' CAPACITY MULTI- CHAMBERED /IN SERIES:( ] N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K ( ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: ( ] D [ ..!E3 ' QUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQ E FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [[ F LOCATION OF BENCHMARK: l f E. '/ .1 Se g2,001 I ELEVATION OF PROPOSED SYSTEM SITE [ .5.7 [INCHE /FT`}- [ABOVE /BELOW4 gENeffMARK4REFERENC E BOTTOM OF DRAINFIELD TO BE [ L D FILL REQUIRED: [ ] INCHES EXCAVATION REQUIRED: ( INCHES SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: f 7 STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744 - 001 - 4016 -0) Y 7 -000 7.-- $ S /‘ s/) PERMIT # DATE PAID FEE PAID RECEIPT # (2 ( 4] rNCHES /Er] [ABOV <EELOW])ENCHMARK/ FERENCE POINT TITLE: TITLE: II IN77.01 e. n /CCMT -1ACTCr CPHU EXPIRATION DATE: a_ 2 ,-77 Page 1 of 2 Company Job REQUEST FOR INSPECTION 6 Address ' _t n 4 , e , .1.� y, PHONE t 41 1 Inspection Time Ready Date Ready CJ A.M. P.M. Li 41 le 4 04, REQUEST FOR INSPECTION Company n cirt Job Address 4 -i l s- 1 J'3 0 ) Inspection Time Ready Date Ready • ( t - PHONE t A.M. P.M. MIAMI SHpES VILLAGE, FLA. N? 6126 JOB RA t h �. CLAA--ek - Itit ADDRESS `- a E S TIME READY [ t 9 - . t • INSPECTOR DATE REMARKS • v • VI Permit No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Amount of Permit $ / - STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) ✓ Datono 5, 7 / ' S 0 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 / 5 77 v A/_,x No /7/ 1 5 - Street/ T Registered Architect and /or Engineer � /� Employing Plumber's Name .g• C ,. / c G / No 7 J Street / '- �__ Location and Legal Description Lot Block / Subdivision _ Street and Number where work is to be performed—No ,,.5 / ' Street____ S ' s 7 ' Go .1f.'/ T- 70 F/i/ ii tz No. of Stories 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 My Commission Expires Notary Public, State of Florida ( 1 . /t7v c/%9N ( Signed) Master Plumber. ./ , plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatipns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take 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 land /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDR TUBS URINALS CATCH BASIN F LOOR DRAIN DRINKING FOUNT' NS 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 " V 1.... `eWAI CONTR. LIST �- / / CHECK v • VI Permit No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Amount of Permit $ / - STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) ✓ Datono 5, 7 / ' S 0 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 / 5 77 v A/_,x No /7/ 1 5 - Street/ T Registered Architect and /or Engineer � /� Employing Plumber's Name .g• C ,. / c G / No 7 J Street / '- �__ Location and Legal Description Lot Block / Subdivision _ Street and Number where work is to be performed—No ,,.5 / ' Street____ S ' s 7 ' Go .1f.'/ T- 70 F/i/ ii tz No. of Stories 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 My Commission Expires Notary Public, State of Florida ( 1 . /t7v c/%9N ( Signed) Master Plumber. ./ , plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatipns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take 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 land /or workmanship.