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PLUMBING- - - CLOOQT O BATH TUQO gNOWQRO LAVA- TORIQO 6114 SLOP OINKO LAUNDRY Tuoo URINAL() CATCH BAOIN FLOOR DRAIN DRINKING FOUHT•NO TOTAL PIATURQO CONTR. LIOT CHQCP — SCEPTIC TANK SQWQR CONN. DRAIN PIQLO SOAKACQ PIT GRQAOQ TRAP SOLAR P4QATQR DQQP WALL SPRKLR. SYOTQW OW IMl POOL CoNTR. LIOT CHUCK b I AMI SNORES VOILLAGE PLUMBING INSPECTION DEPARTMENT fit APPLICATION FOE PLUMBING PERMIT Permit No 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewi structure herein described. This application is made in compliance and conformity with the Building Ordina and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules an of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans building during progress of work. Owner's Name and Address Registered Architect and /o ngineer Employing Plumber's Name .Otle "•.t-- Location and Legal Description Lot. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling—_.__ - ._- ... -.- Addition-- Size Septic Tank_ - _ —_ _._...Typo of Tank__ Feat of Drain Til0 _ -- - -- moist. Feat of Tank or Drain Field from Well..- - Nature of Water Supply: City— Well._- .— _- ._-...— _.-- _. - - - - -- -Size of Soakage Pit to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. My Commission Eupires illloali _ Subdivision.._-..- .....--. - - -�. 1 •. (Sinned)- (Signed) Street_ Repairs Capacity Gals. Date--. -.. - bmitte: for the ouilding or other of Miami Shores Village, Florida, regulations of the Building Division and specifications must be kept at No. of Stories The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an employer of labor undcr the Florida Worlanen's Compensation Act, being Section 5888, Compiled General Laws of Florida Permanent S +pplement, 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 subcontractors, on work to r . ed under this permit, as are licensed by Miami Shores Village. umbing Inspector. sea and says that he is the..- ___•- ... -.- -•------ • - - -• -. -- .. -.._ -.- regain application, and that he did sign the wane, and that all facts STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Notary Public, State Florida NOTE: A re- inspection fee of 01.00 will he made wilt em r asp sande by improper malice for tea, or faulty materials and /os workananahip. BUILDING ELECTRICAL PLUMBING Owner of Bt ! ng Address of Building 6 75 ` C^ d MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 5298 Work to be performed under this Permit Architect Contractor / A or Builder ^; >� , A �: sw r� L Legal Lot Bl. Description Subdi- vision Value of Project This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and 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 arehanged without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above ass es the res nsib}lfty for thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or ngs or-. "' the_sthateme its -or specifications and that he assumes respon- • sibility for work done by his agents, servants or employees. /J �_- 1< �� G Signed ' f ''� %,3� : G/l % By TO In consideration of the issuance to me of this permit I agree to perform the work cov d hereunder in compliance with a», prdinances and regulations 'ng thereto and in strict conformity with the plans, drawings, statements or specifics 'ons submitted to the proper authontits of Miami Shores Village. 'ng this permit I assume responsibility for a work done by either myself, my agent, servant or employee. 'TTRACTOR OR BUILDER BY DATE ( Contractor's License No Amt. of Permit t F �. AUTHORITY 1947 Architect Contractor or Builder Legal Description. Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT IN? 12752 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Fl Work to be performed under this Permit CONTRACTOR OR BUILDER Bl. Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of 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 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 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. BY AUTHOR= BUILDING D 1 ELECTRICAL El DATE 195 PLUMBING PERMIT N? 8 912 Contractor's License No ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bf. Description. Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA l; • Subdi- vision Sq. Ft Value of Project $ Amt. of 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 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 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. BY AUTHORITY BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE 194 Contractor's License No. - PERMIT N° 5298 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building Project 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. 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 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. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ d ELECTRICAL ❑ Date � 19C// PLUMBING ❑ PERMIT NiD 8812 Contractor's License No. ,' ' r! ROOFING ❑ Work to be performed under this permit Owner of . Building ` � ar _ 1 ': 44 e7 . ' ' ' Architect 4 a Contractor or Builder Legal fL�i! Description CONTRACTOR or BUILDER Address of / �; G jJ r> r Building B1 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• ' r y " �� �' (INSPECTOR) BY In consideration of the issuance to me of this permit I2gree 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. 3 i Subdi- vision Sq Ft Value of II Amount of Project $ II Permit $ .= BY AUTHORITY Permit No. Owner's Name and Address IAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ' M T 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. 1 n ° �J<4� -- /.__ /�! " No. __ 3$ ni Registered Architect and /or Engineer- ---- \ —_____ __---- _ ---- -�-- _ - - -_ -- -- --- -- --• -- oaryy G� Employing Plumber's Name__ �..1' -61 No.___ -- -41` �' Street_.—1 Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors New Building —_ __. Remodeling __ —_____ Addition._.___._.______________ Repairs No. of Stories- _ Block_ ' Date � P ° Street. Subdivision 1 Street Size Septic Tank // Type of Tank Capacity Gals. ____ - ( Feet of Drain Tile_ —___ -. (� __ r st�__ _.__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ty— Well.__ -- _____Size of Soakage Pit Amount of Permit $_----------------- _ - -_ -- o -`_ 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. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob 'tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri ent Supplement, and Ills 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 performed under this permit, as are licensed by Miami Shores Village. ps PAAfgaV (Signed)._ ------ - - - - - cLp Master Plumber. STATE OF FLORIDA, I se. " Q COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida Plumbing Inspector. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKI NO FOUNT•NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FI ELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIOT CHECK Permit No. Owner's Name and Address IAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ' M T Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 1 n ° �J<4� -- /.__ /�! " No. __ 3$ ni Registered Architect and /or Engineer- ---- \ —_____ __---- _ ---- -�-- _ - - -_ -- -- --- -- --• -- oaryy G� Employing Plumber's Name__ �..1' -61 No.___ -- -41` �' Street_.—1 Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors New Building —_ __. Remodeling __ —_____ Addition._.___._.______________ Repairs No. of Stories- _ Block_ ' Date � P ° Street. Subdivision 1 Street Size Septic Tank // Type of Tank Capacity Gals. ____ - ( Feet of Drain Tile_ —___ -. (� __ r st�__ _.__Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ty— Well.__ -- _____Size of Soakage Pit Amount of Permit $_----------------- _ - -_ -- o -`_ 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. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob 'tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Peri ent Supplement, and Ills 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 performed under this permit, as are licensed by Miami Shores Village. ps PAAfgaV (Signed)._ ------ - - - - - cLp Master Plumber. STATE OF FLORIDA, I se. " Q COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida Plumbing Inspector. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty materials and /or workmanship. Permit No. 1 MI MI SCORES V6UUZ OI 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 Divisior of Miami Shores Village shall be comrlied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot - Street and Number where work is to be performed —No No J,o7Az Street g No e Bl Street Date U Street___ 1) Subdivision A State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs No. of Stories Size Septic Tank Feet of Drain Tile Nature of Water Supply; City —Well . Amount of Permit $ Type of Tank_ 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- 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. STATE OF FLORIDA, 1 COUNTY OF DADE. •Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fat. therein by him stated are true. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul materials and /or workmanship. - ( Signed )--- �f- �Gl� L 1 !/{Y� i% ut l v ✓iC S Master Plumber. Notary Public, State of Florida CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE INALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT•NS TOTAL FIXTURE! -- CONTR. LIST i CHECK GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT CONTR. LIST CHECK Permit No. 1 MI MI SCORES V6UUZ OI 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 Divisior of Miami Shores Village shall be comrlied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot - Street and Number where work is to be performed —No No J,o7Az Street g No e Bl Street Date U Street___ 1) Subdivision A State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs No. of Stories Size Septic Tank Feet of Drain Tile Nature of Water Supply; City —Well . Amount of Permit $ Type of Tank_ 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- 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. STATE OF FLORIDA, 1 COUNTY OF DADE. •Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fat. therein by him stated are true. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul materials and /or workmanship. - ( Signed )--- �f- �Gl� L 1 !/{Y� i% ut l v ✓iC S Master Plumber. Notary Public, State of Florida Permit No. g / Siva Septic Tank. Feet of Drain Tile Amount of Permit $ My Commission Expires MIA SE=1 VBELLAGE PLUMBING INSPECTION DEPARTMENT PPLICATION FOR PLEA; nBING PERMIT ( Signed) __ /./9 (Signed). tv Date..-/ w / Notary Public, State of Florida 7'7 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 wor 7 Owner's Name and Address_ -- No. _-_ 8. Street_... Registered Architect and /or ngineer _ _ _________.____ ore 7 Employing Plumber's Name_ ._ ii ) ./.f E2J -C __ We LL_ II /Nq No.3 / 75 2a Street_ _ d __7 ► - 1'?"e Location and Legal Description Lot________ Block__ Subdivision Street and Number where work is to be performed— No.&2221 et____D: e_ Street -- M.f.G-04.04; @� — State work to be performed and purpose of building (By Floors)--- _- -_ -_ -- - - - f% e /7 FD / �/ LL S e 671S1 l /PAS /41 New Building Remodeling____ _ _ Addition.___ Repairs No. of Stories. Type of Tank Capacity Gals.__.. ..... Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._________._r�( ______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. STATE OF FLORIDA, I us, 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 /oar workmanship CLOORTS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST CHQCK _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LINT / --- CMSCK Permit No. g / Siva Septic Tank. Feet of Drain Tile Amount of Permit $ My Commission Expires MIA SE=1 VBELLAGE PLUMBING INSPECTION DEPARTMENT PPLICATION FOR PLEA; nBING PERMIT ( Signed) __ /./9 (Signed). tv Date..-/ w / Notary Public, State of Florida 7'7 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 wor 7 Owner's Name and Address_ -- No. _-_ 8. Street_... Registered Architect and /or ngineer _ _ _________.____ ore 7 Employing Plumber's Name_ ._ ii ) ./.f E2J -C __ We LL_ II /Nq No.3 / 75 2a Street_ _ d __7 ► - 1'?"e Location and Legal Description Lot________ Block__ Subdivision Street and Number where work is to be performed— No.&2221 et____D: e_ Street -- M.f.G-04.04; @� — State work to be performed and purpose of building (By Floors)--- _- -_ -_ -- - - - f% e /7 FD / �/ LL S e 671S1 l /PAS /41 New Building Remodeling____ _ _ Addition.___ Repairs No. of Stories. Type of Tank Capacity Gals.__.. ..... Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._________._r�( ______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. STATE OF FLORIDA, I us, 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 /oar workmanship ii: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 41 ^ c l9 Job Address 35 dv:- ?V _X' Tax Folio /�i�1 //` ston a11y Designated: Yes No Legal Description . �O y(., / Owner/I essee / Tenant ��"to/ ,L'�v/ //c / Pere( /� f y Master Permit # Owners Address 358 / '9 5-1. Phone Contracting Co. / /1%/e/174 - 404 Qualifier "/ / /e eN UE i+/74/ 4 7 it SS# Phone ! /- 70 - 9Q , State # C' /L0020 1 1 Municipal # Architect/Engineer A /e/114— Address 5756 /a )O,e / /i'4 /S Bonding Company N /I Address Mortgagor Address Permit Type (circle on : BUILDIN_ • E LECTRICAL gC/ LUMBIN a MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION C_ DN Gt S , c / 2 — ?nee '( i Square Ft. . Estimated Cost (value) /2/ 500 , C O 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: 3 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulang ppnstruc; and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signatyre downer and/or Condo President APPROVED: 14/,/ otry as to Owner and/or Condo President Date My Commission Exgiosru David B Walker \* My Commission CC601526 ttl" Q Expires November 14, 2000 qt FEES: PERMIT f RADON C.C.F. Address 299/ `VA /s Competency # Ins. Co. a e of C �.'tractar or O - Builder Date Sign as to Contractor or Owner - Builder Date My Commission Expires: David 8 Walker * My Commission CC601526 Expires November 14, 2000 ,gQ NOTARY —" BOND 300 TOTAL DUE Electrical Engineering\ ?h6c s'A•O' This instrument prepared by: Name Address 3� - /445 - „el . / V 33 Permit # / Folio # NOTICE OF COMMENCEMENT State of Florida County eidiammi - 1>ADLC . The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Property Le jai Description of ['Unit 5¢ 6 lock OBldg �6 SubdivisionlCondominium Pc,+r ': io f�f4 : 70 () Lengthy Legal, please see description attached hereto 2. General Description of Improvement: 3. Property Owner Name: Mailing Address: and interest in property: Namelmailing address of fee simple title holder if other than owner: 4. Contractor name: Address: Phone Number: 5. If Surety Bond, Name: and address of Surety: and amount of Bond: Phone Number: 6. Lender name: Address: Phone Number: 7 Persons within the State of Florida (names and addresses) other documents may be served as vided by Section 71 Al A. Name: Address: Phone Number: Fax #: (optional if service by fax is acceptable) 8 In addition to himself Owner desi the following person(s) to receive a copy of the Lienor's Notice as provided by Section 713.13(1)(B), Florida tatu s: Name: Address: Phone Number: 9. Expiration date of this N • Owner signature: Printed name: ,144a 7. M I ,, 77 M251 550 60 329 0 SWORN TO AND SUBSCRIBED before me this 026 Al.eA personally known to me or • ottuc Notary signature: Printed name: seal: Return recorded document to: 95 / e / C A Y/ k 17 ,/c/o, ,4,4 /7 358 N* ,v 1 b o t i 5 1 s (oo ° /D A M (RA6•E PooLS I i44n1S RI\ 4 )0 mktSg, FL 3335) Fax #: (optional- if service by fax Is acceptable) "'/A N/A \ Y P V6 .__ti 4. David B Walker - My Commission CC601526 �;'�. ' g Expires November 14, 2000 r•` �a Name Address day of w HA e space above reserved for use of recording office. (Copy of bond must be attached to this Notice at time of recording) Fax #: (optional- If service by fax Is acceptable) Fax #: (optional- If service by fax Is acceptable) designated by property owner upon whom Notices or 3.1 3 ( ) designated 7. r Florida Statutes: Fax #: (optional- if service by fax Is acpeptable) r ess a differ (Expires one year from date recorded Owner signature: _�i*iv� Printed name: , � *' �• My commission expires: )F FC.R:D , COUNTY OF DADE . C =QIIFY that this b o true c • of the NIA in Its oUlce on day of 4 n^d O IP! C _R A• D• 19 inI Soot. r t -f C1rculi 'nd County Courts 95 197 , by: space above this line reserved for use of the recording office t specified) as identification.