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340 NE 94 St (2)�• CL*SETIS GAIN TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS 14NDRY 1188 URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES LIST CH¢CK ' SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT i?ramit No - Y--- 5 /, Iry t"1 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 wi whether herein sp fied or not. A co of a proved plans and specifications must he kept at building during progress of work. Owner's Name and Address Registered Architect and /or En ineer Employing Plumber's Name 6� 0 �' it A _ rz_:..7 L /g/ t,''� � � � -, No./ Ni e ° 4Y ? 1 - S eet__ - -- Location and Legal Description Lot. ._ _____ _______._ _ Blorti Subdivision_ (ii Street and Number where work is to be performed— No._a_� —� __ ' i / A s. � _. Street State work to be performed and purpose of building (By Floors) _ t `�4 ca ___ - _RX fir, ∎ D ' Gy Job 4c,t.,.e -c9 $ a ( ct d 5��a c- Os 6.0 S , / New Building---- - - -___ Remodeling_ --- _- __ - - -_- _.__ d4Uon__ - ---- — -_ '• _ -_ R epairs_ __ 7 ____ ___ _____ o. f St es`. - 8., .t 4 to E //J ? S— 7) / , -I't , i -- - - Amount of Permit $ _--------- - - - - -- — — ( Signed) _ No. Street Capacity Gals. (Signed) �j� �' f My Commission Expires Notary Public, State of Florida / 1/4 Ply Master Plumber. Size Septic Tank _ „ _ - - - — Type of Tank_ __--- , - - - I: ` _L._(-1 Feet of Drain Tile________, ©: . __ ______- _________Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.__ -_- — _Size of Soakage Pit ing 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, ! te. COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the____ — of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him, stated are true. NOTE: A re- inspection :fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and/or workmanship. 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 conforrity 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 • 15- MIAMI SHORES VILA VILI,AGE PLUMBING INSPECTION DEPARTMEN'c' APPLICATION FOR PLUMBING . i` alb' Registered Architect and /or Engineer We ll Dr lie" 1°,..,„„ n Employing Plum .' Naine d __ � 0.^'i' B' 2 No .. New Building _______ Remodeling—__ ___ Addition_ Date 11 — No Street z — 6 a Street_ 7 S 0 11 - GU , h o,Z' Location and Legal Description Lot Block_____, s ____ Subdivision Street and Number where work is to be performed —No 31 7 (, 0 71 • E. • L z- 11'' • Street State work to be performed and purpose of building (By Floors)_ Repairs 'No. of Stories Size Septic Tank Feet of Drain Tile_ _____Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Amount of Permit $ ,,_ __------------------ _ —__ -- (Signed) _ P1umiEIn pector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Penn: ent Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e toyed 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 su ' 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) (...2—) I I Gc-t�J STATE OF FLORIDA, COUNTY OF DADE. it My Commission Expires Type of Tank__ Capacity Gals. __Size of Soakage Pit • W to me well known, and who, being by me first duly sworn, upon oath deposes and. says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Master Plumber. Bafore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 Tues URINALS A S 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 a N ' -- 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 conforrity 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 • 15- MIAMI SHORES VILA VILI,AGE PLUMBING INSPECTION DEPARTMEN'c' APPLICATION FOR PLUMBING . i` alb' Registered Architect and /or Engineer We ll Dr lie" 1°,..,„„ n Employing Plum .' Naine d __ � 0.^'i' B' 2 No .. New Building _______ Remodeling—__ ___ Addition_ Date 11 — No Street z — 6 a Street_ 7 S 0 11 - GU , h o,Z' Location and Legal Description Lot Block_____, s ____ Subdivision Street and Number where work is to be performed —No 31 7 (, 0 71 • E. • L z- 11'' • Street State work to be performed and purpose of building (By Floors)_ Repairs 'No. of Stories Size Septic Tank Feet of Drain Tile_ _____Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Amount of Permit $ ,,_ __------------------ _ —__ -- (Signed) _ P1umiEIn pector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Penn: ent Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e toyed 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 su ' 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) (...2—) I I Gc-t�J STATE OF FLORIDA, COUNTY OF DADE. it My Commission Expires Type of Tank__ Capacity Gals. __Size of Soakage Pit • W to me well known, and who, being by me first duly sworn, upon oath deposes and. says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Master Plumber. Bafore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 E k a;MIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.. 7 V L E .. S Do_A __lll_„ 5 . No._-___ 0 M -_& + Street__) 1-21 S[ Registered Architect and /or Engineer - ________.— No._._ .._.. 1✓ ,C '•3'd. Employing Plumber's Name N � .. � � � -r�� -h � ��- =-- �._..._ - - - -- . � :! �- B Street. Location and Legal Description Lot.-____. _ Block___ W Subdivision t Street and Number where work is to be performed— No.____ 3 y Street C • 9 ? 5 T. State work to be performed and purpose of building (By Floors)__ __ICS — f L 6 G New Building - V Remodeling Addition Date f a er k Repairs No. of Stories Size Septic Tank Type of Tank Feet of Drain Tile_ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. (Signed) Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and 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)--- _:__- __ I../I__ _ _..19 T 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 workmanshiip. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINK NG FOUNT' NS 4 w f/ 'I__� TOTAL FI %TORES CONTR. LIST / IP 3 Z S / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL W AYGYI l UICC CONTR. LIST 7 . ` -_- CHECK Permit No (� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING E k a;MIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.. 7 V L E .. S Do_A __lll_„ 5 . No._-___ 0 M -_& + Street__) 1-21 S[ Registered Architect and /or Engineer - ________.— No._._ .._.. 1✓ ,C '•3'd. Employing Plumber's Name N � .. � � � -r�� -h � ��- =-- �._..._ - - - -- . � :! �- B Street. Location and Legal Description Lot.-____. _ Block___ W Subdivision t Street and Number where work is to be performed— No.____ 3 y Street C • 9 ? 5 T. State work to be performed and purpose of building (By Floors)__ __ICS — f L 6 G New Building - V Remodeling Addition Date f a er k Repairs No. of Stories Size Septic Tank Type of Tank Feet of Drain Tile_ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. (Signed) Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and 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)--- _:__- __ I../I__ _ _..19 T 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 workmanshiip. Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ' ` iA IT Owner's Name and Address Date June_ __21.,___.1.96 D 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. James Donn, Jr. No 340 Street N.E. 94 Street Registered Architect and /or Engineer e 1 T c r i -City Soptic Tank Inc.No. 1600 20 Employing Plum t Name Stree NE __ . St, .__ Block_ Subdivision N,E St. Location and Legal Description Lot Street and Number where work is to be performed —No 340 State work to be performed and purpose of building (By Floors) residence New Building X Remodeling_______ _ Addition_______ .___.___ Repairs No. of Stories ..... Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. g __ (Signed)_ UM. M Commission Expires (Signed) Street g Ty of Tank r re cas gal. Size Septic Tank_ a C-O'nere --e Capacity Ga z - 70 - 7D ga l. Fee Enie Tile.__600...g'als-25 2 - - - -- -Dist. Feet of Tank or Drain Field from Well Nature of Water Sup : City —We 2 ... _--- _.- ____...___..__ Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce. 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, o ) 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 hire stated are true. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH UBS 5'NPWERB TORIES SINKS SINKS L Tue6 URINAL/ BASIN DRAIN FOUNT N6 FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST �— CHECK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ' ` iA IT Owner's Name and Address Date June_ __21.,___.1.96 D 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. James Donn, Jr. No 340 Street N.E. 94 Street Registered Architect and /or Engineer e 1 T c r i -City Soptic Tank Inc.No. 1600 20 Employing Plum t Name Stree NE __ . St, .__ Block_ Subdivision N,E St. Location and Legal Description Lot Street and Number where work is to be performed —No 340 State work to be performed and purpose of building (By Floors) residence New Building X Remodeling_______ _ Addition_______ .___.___ Repairs No. of Stories ..... Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. g __ (Signed)_ UM. M Commission Expires (Signed) Street g Ty of Tank r re cas gal. Size Septic Tank_ a C-O'nere --e Capacity Ga z - 70 - 7D ga l. Fee Enie Tile.__600...g'als-25 2 - - - -- -Dist. Feet of Tank or Drain Field from Well Nature of Water Sup : City —We 2 ... _--- _.- ____...___..__ Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce. 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, o ) 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 hire stated are true. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. h ,5 .Z2/ 49 20 2/ 22 I� N 24 25 w a 27 ,SL/ N h SO' // /0 SO' �9 .50" ti�� ,50 50' 7 ,505 I� N 35' Co •• 4 / •• 3 d e SL 2/ (?). Order #39159 F.B. #1334-34 94" 0 9.3" .f.5cile / =/OO ' SKETCH OF SURVEY The West 15 feet df Lot 6 and all of Lots 7 and 8, Block 46, • AN AMENDED PLAT OF MIAMI SHORES, SECTION NO. 1, according to the plat thereof recorded in Plat Book 10, at Page 70, of the Public Records of Dade County, Florida. For James Donn BISCAYNE ENGINEERING COMPANY Civil Engineers Miami,Florida T. . 70 BISCAYNE ENGINEERING COMPANY : enne Regie tared Engineer #1�5 Registered Surveyor #4 STATE OF FLORIDA vt 70 January 27, 1960 Scale: Shown WE HEREBY CERTIFY: That the attached "SKETCH OF SURVEY" of the above described property is true and correct to the best of our knowledge and belief as recently surveyed and platted under our direction; also that there are no encroachments unless shown thereon. JKM Nai i ir Wa/ ...5 �.id ' .iI • • • , - %/5 •••••••• ; :: : • Pipe Conic. co/urn 1 ITEM BATH TU3 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN APS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COWERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY / ' TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE i METER SET (GAS) GAS PIPING [ (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 - Printed: 8/26/2004 Applicant: DYNISE PERRY Owner: PERRY DYNISE JOB ADDRESS: 340 NE 94 ST Plumbing Permit Permit Number: PL2004 -245 Contractor A SUPER SEPTIC TANK, INC. Contractor's Address: 7701 W. 18 LANE Local Phone: 305 - 940 -2828 Parcel # 1132060136160 Signed: Page 1 of 1 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 W15FT OF LOT 6 & ALL LOTS Fees: Description Amount FEE2004 -8691 Building Fee $175.00 FEE2004 -8692 CCF $1.80 FEE2004 -8693 Notary Fee $5.00 FEE2004 -8694 Builders Bond $300.00 FEE2004 -8695 Training and Education Fee $0.60 FEE2004 -8696 Technology Fee $4.37 Total Fees: $486.77 Total Fees: $486.77 Total Receipts: $486.77 Permit Status: APPROVED Permit Expiration: 2/19/2005 Construction Value: $2,200.00 Work: DRAINFIELD REPAIR (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Date Square Ft. RE ©Ea? W7 ? 5 5 In O y -- Job Address Legal Description _ — 7 (/ �/ A ff l Historically Designated: Yes No "1,Z a' �/eg Owner /Lessee/Tenet (/' -.. r l . > / IA // ii) 2 $y)-7- G 1 Master Permit # P 2- 0 -- - \.1--c Owner's Address 7 9- Q /1. f 9‘- -( Phone Contracting Co. ' / .& S / -ii "rer i -y ..22-o- Address 2 7 / ( ✓P / / o /‘-2-- € - .0 Qualifier 92-1 ss# State # e' ! (% 7 L 2 _ Municipal # Competency # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL ( PLUMBING ) MECHANICAL ROOFING WORK DESCRIPTION: WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR. IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. TA. p naLureof.I3 1 , Wthej NJ . as to P , ner and/o Condo President ndo Commission Expires FEES: PERMIT APPROVED: 'y SG 5 �t IT APPLICATION FOR MIAMI SHORES VILLAGE enue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972 0 /1/ ££ '71‘7" Tax Folio // 3 rJJ 4 a/ 3 av / �0 RADON * 31 Zoning Building Date C.C.F 1 Estimated Cost (value) e a 2 4 a Mechanical Plumbing 4S_i�� Structural Engineer Phone 3 O ) f f/� 2� Z0C Ins. Co. Date Notary as to .ntr. tor or 0 per Builder Date My Co ssion Expires I d D NOTARY 5. v C.) BOND `? ° r4 iTAL DUEL/ ( ?»o- D 8 , Electrical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 0 — 2 3 - O�rob Address 3 9 0 JI/ f 9 9- it Tax Folio 1) 3 Z o C O/ 3 /6 6 Legal Description 0-i- - -7 /k 6 Historically Designated: Yes No /v Owner/Lessee / Tenant /' /' �/ 1/14 // I u s-7 ? ��/ �, 5 Master Permit # Owner's Address 1 9- 6 / `j/ h� 9 (t ! Phone 5, C 7V G 2 2rf Contracting Co. 4 r p.o 5 e 2 7' G 7;P `1i Address `7 7 O / w / / Gl sz e Qualifier Z. 41 SS# Phone 3 U j 7 , i 2-S k State # 7 — 0 7 y Z _ Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRIC P MBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. �d / 4L Signature of owner and/or Condo President Date FEES: PERMIT Pp" Ge r/ Estimated Cost (value) 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. Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date My Commission Expires: My Commission Expires: - - f RADON C.C.F. NOTARY BOND lure of Contracto er- Builder Date APPROVED: TOTAL DUE Zoning Building Electrical Mechanical Plumbing Structural Engineer