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PLUMBING4 No r • 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 alLpravisions 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. n Owner's Name and Address ttil P.� 4 • No. 410 Ai' t' • Street.._?. ._. C �7..._.. Registered Architect and /or Engineer J 57 D A!E Employing Plumhoas Afattte L�i7C l Abi� �qj No Street--./(2.K�. S . Location and Legal Description Lot Street and Number where work is to be performed —No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors) New Building_ _ ..__ .- ------ -•- -.- - -._._ Remodeling___ . _ __ Addition -_ Block 4 /io N.E E. Subdivision Street. 9.51 -57- • • Repairs No. of Stories ....... Size Septic Tank_ .Type of Tank.__ Feet of Drain Tile. 3 a. Pr:. 6eock &p,� . ist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage PIt STATE OF FLORIDA, COUNTY OF DADE. (Signed) Capacity Cals. (Signed)_ —� t-- �� Plumafg Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida P . manent 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 d e p o s e s 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' improper materials and /or wa�rl�anship. necessary b proper notice for inspection. or faulty CLOSRS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tugs U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL. FIXTURES Comm. LIST CHECK • SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR NEATER DEEP WELL SPRKLR. SYSTEM BWIM'O POOL CONTR. LIST 3 2 Pr. CHECK oto cky '� , Ia - ^ 1 4 No r • 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 alLpravisions 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. n Owner's Name and Address ttil P.� 4 • No. 410 Ai' t' • Street.._?. ._. C �7..._.. Registered Architect and /or Engineer J 57 D A!E Employing Plumhoas Afattte L�i7C l Abi� �qj No Street--./(2.K�. S . Location and Legal Description Lot Street and Number where work is to be performed —No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors) New Building_ _ ..__ .- ------ -•- -.- - -._._ Remodeling___ . _ __ Addition -_ Block 4 /io N.E E. Subdivision Street. 9.51 -57- • • Repairs No. of Stories ....... Size Septic Tank_ .Type of Tank.__ Feet of Drain Tile. 3 a. Pr:. 6eock &p,� . ist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage PIt STATE OF FLORIDA, COUNTY OF DADE. (Signed) Capacity Cals. (Signed)_ —� t-- �� Plumafg Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida P . manent 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 d e p o s e s 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' improper materials and /or wa�rl�anship. necessary b proper notice for inspection. or faulty 'r Permit No. ___ 0 Date "2 " r 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 work. Owner's Name and Address Feet of Drain Tile Amount of Permit $__ , � .Q GLv4 My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ais att141/i„A. 1 No Street Registered Architect and /or Engineer 7 Employing Plumber's Name "4,, „ No � Street Location and Legal Description Lot_____ -r 9.5" _�- :/ Block 5‘) Subdivision__,__S___ — 42 Street and Number where work is to be performed— No.___ .... __ •�C_,4___________ " Street 9 S J State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply City *Well Size of Soakage Pit Plumbing Inspector. s . The undersigned applicant for this building permit does hereby certify that nderstands and accepts his obligat s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanen 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, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly au orized to administer oaths nd 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 Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS 14/0 I.� TOTAL FIXTURES GUST LIST 3 J _._L___ / _,Z. -_ _ -- CHECK SEPTIC TANK SE:WER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST �J L _ CHECK 'r Permit No. ___ 0 Date "2 " r 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 work. Owner's Name and Address Feet of Drain Tile Amount of Permit $__ , � .Q GLv4 My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ais att141/i„A. 1 No Street Registered Architect and /or Engineer 7 Employing Plumber's Name "4,, „ No � Street Location and Legal Description Lot_____ -r 9.5" _�- :/ Block 5‘) Subdivision__,__S___ — 42 Street and Number where work is to be performed— No.___ .... __ •�C_,4___________ " Street 9 S J State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply City *Well Size of Soakage Pit Plumbing Inspector. s . The undersigned applicant for this building permit does hereby certify that nderstands and accepts his obligat s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanen 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, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly au orized to administer oaths nd 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 Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No e 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 s!/6i Registered Architect and /or Engineer ___ �_____ _ / Employing Plumber's Name___ No.. Location and Legal Description Lot___._ _ ___________ _._ _ Block Streit and Number where work is to be performed —No 4 / ® N 9 y Street State work to be performed and purpose of building (By Floors)__ New Building __ ___ Remodeling____ Size Septic Tank D Feet of Drain Tile__ 3 /° Nature of Water Supply: City —Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °r"kI. IiIT Type of Tank. Addition j. No._ ¢ -_____ Street Repairs - Date 1 7 4 4 2 - ' • 5(. -- - - - - -- Subdivision _- -- -- -_ - __ _ -- No. of Stories.. Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) _ Amount of Permit $ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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 requirr,3 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. aster Plumber. STATE OF FLORIDA, 1 IL 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 swom, 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 TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTa. LIST CHECK _- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POOL CONTR. LIST CHECK Permit No e 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 s!/6i Registered Architect and /or Engineer ___ �_____ _ / Employing Plumber's Name___ No.. Location and Legal Description Lot___._ _ ___________ _._ _ Block Streit and Number where work is to be performed —No 4 / ® N 9 y Street State work to be performed and purpose of building (By Floors)__ New Building __ ___ Remodeling____ Size Septic Tank D Feet of Drain Tile__ 3 /° Nature of Water Supply: City —Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °r"kI. IiIT Type of Tank. Addition j. No._ ¢ -_____ Street Repairs - Date 1 7 4 4 2 - ' • 5(. -- - - - - -- Subdivision _- -- -- -_ - __ _ -- No. of Stories.. Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) _ Amount of Permit $ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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 requirr,3 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. aster Plumber. STATE OF FLORIDA, 1 IL 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 swom, 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. Pe Date App tion is lie eby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure erem described. This application is made in compliance and confor..ity 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 Size Septic Tank Feet of Drain Tile__ Registered Architect and /or Engineer,___________ Employing Plumber's Name Location and Legal Description Block 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__.--_. Nature of Water Supply: City —Well. Amount of Permit $ (Signed) _ ZA A, MIAMI SHORES VIL'.AGE PLUMBING INSPECTION DEPARTMEii:': APPLICATION FOR PLUMBING No. __________-- _-- ____ -_ Street_ Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennane Supplement, and has cs re- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl yed 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 perfo e4 under this permit, as are licensed by Miami Shores Village. (Signed)_ Repairs No. of Stories.. • My Commission Expires Notary Public, State of Florida Street.- Subdivision Street-. _. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS , BATH ' TUBS SHOWERS LAVA TORIES S INKS SLOP SINKS LAUNDRY TUBE 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 SWIM'G POOL —_ CONTR. LIST ( CHECK Pe Date App tion is lie eby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure erem described. This application is made in compliance and confor..ity 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 Size Septic Tank Feet of Drain Tile__ Registered Architect and /or Engineer,___________ Employing Plumber's Name Location and Legal Description Block 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__.--_. Nature of Water Supply: City —Well. Amount of Permit $ (Signed) _ ZA A, MIAMI SHORES VIL'.AGE PLUMBING INSPECTION DEPARTMEii:': APPLICATION FOR PLUMBING No. __________-- _-- ____ -_ Street_ Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennane Supplement, and has cs re- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl yed 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 perfo e4 under this permit, as are licensed by Miami Shores Village. (Signed)_ Repairs No. of Stories.. • My Commission Expires Notary Public, State of Florida Street.- Subdivision Street-. _. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE PLUMBING ® PERMIT N° 8634 Contractor s License No ROOFING ❑ ❑ Work to be performed under this Permit Bl. 7 • Subdi- vision dJ p BY 6 l7 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 knowledg of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or f i the statements or specifications and that a assumes responsibility for work done by his agents, servants or employees. f 1 / / ! __ ,� Signed: i , :::. _ , .. = .�'` - � .�� _ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered he under in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications su fitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, ro ant or employee. !f CONTRACTOR OR BUILDER AUTHORITY ISWI7 MIAMI SHORES VILLAGE. FLORIDA BUILDING " ❑ ELECTRICAL ❑ DATE PLUMBING o PERMIT N° 8 616 ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot 4 / utr.0., ..,d P . f _. ,, NTRACTOR Olt BUILDER Bl. / Signed: / Subdi- vision Contractor's License No. 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 an at he assumes responsibility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereundey'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 r snibility for all work done by either, myself, my agent, servant of employee. BY AUTHORITY 195 17 BUILDING ❑ ELECTRICAL C] PLUMBING ROOFING [] Work t Owner of Building MIAMI SHORES VILLAGE, FLORID PERMIT N? 15528 Architect Contractor or Builder Legal Lot Description. Address of Building This permit is granted to the contractor or buil der ed above to herefor in strict compliance with all ordinances p raining thereto and drawings, statements or specifications that may hate been submitted to time if the work is not done in compliance with such ordinances or if t granted is the understanding that the contractor or builder named ab pertaining to the work covered hereby whether shown on the plans done by his agents, servants or employees. In consideration of the issuance to me of phis per pertaining thereto and in strict conformity with the plane, d In accepting this permit I responsibility for all work done by ei CONTRACTOR OR BUILDER DATE' Contractor's d under this Permit License No t the building or to install the equipment or device described in the applies g that the work wi be performed in compliance with any plans, roper municipal au rides. This Permit may be at an about authorization A further condition u w permit is sibility f., •f the .; ancee regulations atemen r stecifications a • a ,t l ty f or work iNSP th work covered hereunder in compliance all ordinances or specifications submitted to the proper authorities of Miami er, myself, my agent, servant or employee. BY AUTHORITY 195 dm' Village. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Work to be pe formed under this Perini (,, MIA I SHORES .VILLAGE, FLORIDAy DATE PERMIT N - 8944 Legal Lot ! ' BL ;'/ Subdi- Description vision Address of value of �' Permit Amt. of Building // / t ., '- 1 ' `' Project 1 yf" .� t This permit is granted to the contractor or uilder 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, drawin s, statements or specifications that rhay have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if work is not done in compliance ith such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the c tractor or builder named above assumes the responsibility or a thorough knowledge of the ordinances and regulations pertaining to the work covered hereb whether shown on the plans or drawing or in the state nts or specifications an that he assumes respon- sibility for work done by his agents, servants or loyees. . %h."! TRACTOR OR BUILDER • t� Signed. Z.` • Contractor's cense No. 4... By INSPECTOR In consideration of the issuance to me of t j is permit I agree to perform thl; , ork covered hereunder in compliance.with all erdins pertaining thereto and in strict conformity with he plans drawings, statements or specifications submitted to the proper authorities of In accepting this permit I assume responsibility for all work done bypiiier myself, agent, servant or eloyee. 194_..vo AUTHORITY and i Shores Village. Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ot 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 complied 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 /1 ' No e lij — Street f __ ? Registered Architect and /or E Employing Plumber's Name Amount of Permit $_ Size Septic Tank_ Type of Tank_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Sign (Signed) Cee State work to be performed and purpose of building (By Floors) ? A :�:_ ' _ New Building _ ._. Remodeling Addition__ ___.__..____..__ A Capacity Gals. Feet of Drain Tile Dist. Feet of or Drain Field from Well Nature of Water Supply: City —Well._ > Size of Soakage ------- - - - - -- My Commission Expires Notary Public, State of Florida `,� s Street 22; �'J / Z ...... Subdivision Location and Legal Description Lot_._ _.._ ..... _._...... _..... Street and Number where work is to be performed —No WO ___ Ve Stree 1s OF No. of Stories ...... .. _ umbing I i:ector. The undersigned applicant for this building permit does hereby certify that he un erstands and accepts his obligations as an emplo er of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has ccm- 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 an licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .,ppeare 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 lac 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 foul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING POUNT•NS TOTAL FIXTURE CONTR. LIST _____ -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK v q �c - 1--- Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ot 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 complied 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 /1 ' No e lij — Street f __ ? Registered Architect and /or E Employing Plumber's Name Amount of Permit $_ Size Septic Tank_ Type of Tank_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Sign (Signed) Cee State work to be performed and purpose of building (By Floors) ? A :�:_ ' _ New Building _ ._. Remodeling Addition__ ___.__..____..__ A Capacity Gals. Feet of Drain Tile Dist. Feet of or Drain Field from Well Nature of Water Supply: City —Well._ > Size of Soakage ------- - - - - -- My Commission Expires Notary Public, State of Florida `,� s Street 22; �'J / Z ...... Subdivision Location and Legal Description Lot_._ _.._ ..... _._...... _..... Street and Number where work is to be performed —No WO ___ Ve Stree 1s OF No. of Stories ...... .. _ umbing I i:ector. The undersigned applicant for this building permit does hereby certify that he un erstands and accepts his obligations as an emplo er of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has ccm- 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 an licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .,ppeare 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 lac 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 foul materials and /or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ZO k Job Address 9 1 0 N L J $ f Tax Folio Legal Description Historically Designated: Yes / No Owner/Lessee / Tenant A , L , Pv G ' 1 Master Permit # L / 4 3 6S 3 3 Owner's Address ¥/ C /v / ' 7 y r Phone 3 0 s - y 9-2 1 tc- y k 3 Contracting Co. Sir P � 2 7 G Tu ti r 74 c Address ' 7 7a 1 ,✓ / k //I, 3 e 3 D f 1 Qualifier /j,1 d r- e ‘t-' 1< / SS# Phone 3 or 7 Z L g State # 091'0 0 5 2 9 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION fit °I i — t , / Square Ft. 7 0 d Estimated Cost (value) /Z. 0 0 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. OL D Signature of owner and/or Condo President LORRAINE J. ZERO Notary Public, State of Florida i Yy Comm_ " pyres Oct 24 1099 Notary as tolQhv zo it Condo President My Commissi j Expires: Cr FEES: PERMIT RADON /0 -- fk Date /-2t Date APPROVED: Zoning Building Mechanical Plumbing Signs e of Cons . o •r Owner - Builder LORRAINE J. ZERO Notary Public, State f Florida My Comm. expires nct?4,1999 Notary as to Contfifbt0669204ier- Builder My Commission F spires: C.C.F. I ? 0 NOTARY Electrical BOND 3 C a /0-Za - S� Date - Date 2 n TOTAL DUE 3 3 Engineering APPLICANT: LOT: :t : d PROPERTY ID #: 0 T H E R SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: STAKE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & CONSTRUCTION PERMIT FOR: [ , J New System [ . f] Existing System [ ] Repair [ A Abandonment BLOCK: N PROPERTY STREET ADDRESS: Pa D ( , r ) SQUARE FEET R [ `')] SQUARE FEET A TYPE SYSTEM: I CONFIGURATION: N F LOCATION OF BENCHMARK: f j id , `_ f % 9, t , ,f t I ELEVATION OF PROPOSED SYSTEM SITE [ � J [,INCHES)FT E BOTTOM OF DRAINFIELD TO BE [ 2 7 t j ) [ ?NCNE L D FILL REQUIRED: ( !j €,' ) INCHES , SUBDIVISION: DH 4016, 10/96 (Replaces HRS -H Form 4016 [page 11 which may be used) (Stock Number: 5744 -001- 4016 -0) Chapter 10D -6, FAC [ ;fi g] Holding Tank [ Temporary /Experimental ( J] Other(Specify) Appeicant AGENT: TITLE: TITLE: [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER) "' Ci' - :3 (', 0 [ OR TAX ID NUMBER] EXCAVATION REQUIRED: ( ) INCHES PERMIT # DATE PAID FEE PAID $ RECEIPT # y, sc' + (•' SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 1OD -6, FAC. REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. DEPARTMENT OF HEALTH APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. SYSTEM DESIGN AND SPECIFICATIONS o r bs . ; T [` J kGGALLONS-/ GPD] SEPTYC TANK /EROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] A [ /'*) ) [ P1141M "/ 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 [ J PER 24 HRS NO. OF PUMPS: [ ] PRIMARY DRAINFIELD SYSTEM SYSTEM [ J. STANDARD [ ] FILLED [ ) MOUND [ ) TRENCH [ „J/BED [ 3 ] ] [ ABOI/E /,BELOW j; BENCHMARK / 6 REFERENCE -POINT ] [ABOVE/ $ELO BENCHMARK /REPS ELNCE OTN'r EXPIRATION DATE: CHD Page 1 of 2 INSTRUCTIONS: PERMIT NUMBER: Permit tracking number by County Health Department. APPLICATION FOR: Check type of permit; if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY ID #: 27 character ID number for property. (Health Department may require property appraiser ID# or section /township /range /parcel number.) SYSTEM DESIGN AND SPECIFICATIONS: TANK: Minimum specifications from Chapter 10D -6, FAC. DRAINFIELD: Minimum specifications from Chapter 1OD -6, FAC. OTHER: Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed. APPROVED BY: County Health Department personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by County Health Department. EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued.