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549 NE 95 St (4)Date / Legal Description Owner/Lessee Owner's Address Contracting Co.. o. Qualifier I ►2 State # L WORK DESCRIPTION OWNER'S AFFIDAVIT: laws egulating constructi PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address , ^� l it/e cps Si ' Tax Folio Historically Designated: Yes No ,Q1/ r �/�/ Tenant M10 I0 fr � iit/ 'i4 RO(h if Mastea # LI(J g0/ ,s t-t e ' c' n - y 0 a Municipal # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA riG.i�� J 'Vir- RA-47G1 Square Ft. Estirnated 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 YO UR 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 r egulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. -e,7 ;Li of owner and/or Condo President Date otary as to Owner and/or o President My Commission Expires: C° r 2 1, 2 OFFICIAL NOTARY SEAL JOHN S BEGASSE NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC591035 MY COMMISSION EXP. OCT. 21,2000 I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable zoning. Furthermore, I authorize the above: -named contractor to do the work stated. ignature of Contracto or Owner -: tiilde f _ Date FEES: PERMIT 3 3 . RADON C.C.F. 0 NOTARY APPROVED: Zoning Building Mechanical Plumbing Date G 6 6' 3 7/ �J /: SS# Competency # Address Address N LUMBING ' ECHANICAL ROOFING PAVING FENCE SIGN c.Z ( A/P PICOA1 Electrical Ins. Co. (p /T 00 ° Date BOND TOTAL DUE 3S- 619 Engineering Q3'9737 Rev it/ 71 SECTION SCALE DWG. BY (1) ( L • f_riN ,)Acc -• -- 1 L g 1 (•?) A PeoplesGas L i ci '\r /Alm\ S4iLe.,(11Pc (cimcv)tavG <1)4 cc) p 6e a‘c fig 1 4-3s‘,(10? tti -No0P"\' / iddycQ r4 Pn•&: 4i R 1 6 5 14 totv ( .2(.iiv 1). Lo w o (3 cry/ ) (v-ssk- rt-e 11'‘ • c I o (re DATE i / t /q) SHEET i I of 1 4 4 , 237 'IOW IlI7 . 9 SECTION S CALE J WG. BY I ...■■•■•=11 ■.....■=11 ■■11. f t CC g ' o 0-1144 r -4(\16C (f vi.)6 , cfiti 1 kuidr\bjc(2e ( (4 1"74 / 114/ 5 741 ()AS.S. ) W LL - k64 1701)14 L Peoples Gas r 1- • . Akfaw Zid-cflte) (c--(mtv),,v6<:.)4c-e) /--01v03= 1-0 krio 6:1 o (61 ) (kr-3st- rt-e w PcreS12-e DATE i / t SHEET I of J .O. A.F.E. JOB: BUILDING PLUP•;MBING ELECTRICAL ' Inspector's Report:. - T :r ady AD: • • WORK �� • • DONE BY i�4�( • • : • • • • • P.:i.]QUESTED The following is ready for Inspection: 0 • • • • • • 0 0 • • • F. WILL BE READY JOB: BUILDING ELECTRICAL PLUMBING The following is ready for Inspec Inspector's Report: - • • • • W JRK DJNE BY AD: l/h REQUESTED h WILL/ -BE READY. O Permit No MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No. Street__.__.___ Registered Architect and /or Engineer Y _ �___ ___ PLUMBING INSPECTION DEPARTMENT Employing Plumber's Name __ _ No Street.___ Location and Legal Description Lot__,__;_ _ ___.__. -,-- Block Street and Number where work is to be performed —No Street r Date_ 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 Feet of Drain Tile_____— _ __________ _______ _______ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit __________________ __ _____ __________________________ Amount of Permit $_ (Sig:led) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - ccntractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. 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 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 TOES SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK • Permit No MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No. Street__.__.___ Registered Architect and /or Engineer Y _ �___ ___ PLUMBING INSPECTION DEPARTMENT Employing Plumber's Name __ _ No Street.___ Location and Legal Description Lot__,__;_ _ ___.__. -,-- Block Street and Number where work is to be performed —No Street r Date_ 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 Feet of Drain Tile_____— _ __________ _______ _______ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit __________________ __ _____ __________________________ Amount of Permit $_ (Sig:led) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - ccntractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. 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 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. 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 Mia.ni 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 APPLICATION FOR PLUMBING PERMIT 7 7) Cox Job Registered Architect and /or Engineer G • Weber -bu i 1 d l; r Employing Plumber's Name _ Acme Se_pt i c Tank Co. Location and Legal Description Lot_ Street and Number where work is to be performed —No 549 Street_ _ Ns___ .�i' ,___9 .5th___St_a 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 precast Feet of Drain Tile 75 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit STATE OF FLORIDA, j ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. Street Block_ N 5705 Date January Subdivision___ v� Capacity Gals. (Si gned) G _ • Street N. W. 27th Ave. Notary Public. State of Florida 500 Amount of Permit $ 1 (Signed) �_E,����f/ Plumbing Inspe or. The undersigned applicant for this building permit does hereby certify that e nderstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Comoile eneral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance front all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY 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 HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK X X Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Mia.ni 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 APPLICATION FOR PLUMBING PERMIT 7 7) Cox Job Registered Architect and /or Engineer G • Weber -bu i 1 d l; r Employing Plumber's Name _ Acme Se_pt i c Tank Co. Location and Legal Description Lot_ Street and Number where work is to be performed —No 549 Street_ _ Ns___ .�i' ,___9 .5th___St_a 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 precast Feet of Drain Tile 75 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit STATE OF FLORIDA, j ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. Street Block_ N 5705 Date January Subdivision___ v� Capacity Gals. (Si gned) G _ • Street N. W. 27th Ave. Notary Public. State of Florida 500 Amount of Permit $ 1 (Signed) �_E,����f/ Plumbing Inspe or. The undersigned applicant for this building permit does hereby certify that e nderstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Comoile eneral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance front all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR F'LUMBING PERMIT Permit No. ._/ l! ) L/ � Date___ �_:.L_ ' 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 Miaini Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be mplied with, whether herein specified or not. A copy of approved plans and specifications must be kept building during progress of work/ Owner's Name , Amount of Permit $_ STATE OF FLORIDA, k COUNTY OF DADE. __ 1 �� and Address _ �L_ ✓�__L —!_ Registered Architect and /or Engineer The undersigned applicant for this building under the Florida Workmen's Compensation Act, plied with the provisions thereof, and will requi performed under this permit; and will post or required by the Act. The under signed agrees licensed by Miami Shores Village. My Commission Expires cause to employ only such No ,c.„, Street__ P� Employing Plumber's Name Q J (_____, r4 4 - ' '''D No iL Street_ " o Location and Legal Description Lot___ � _� rib& ' /_7,' Subdivisto_____�,_�___________ Street and Number where work is to be performed —No tC ,__ ________ S�reet__ ,n � � � t n n _ - _______ ,4 0 (° i – 51 State work to be performed and purpose of building (By Floors) ____�/1.___� __= � -'-') -i , /. . _�___"_' _: _- " ____ ___ ( _,„_('/..c C, o (,, ' / /'. s New Building — — _ Remodeling Addition Repairs_._________________ No. of Stories______ Size Septic Tank_ _ - -__— — _______ Type of Tank . Capacity Gals.________________ Feet of Drain Tile_____ — ______ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Y „ --r- (Signed) permit does hereby certify that/he understands being Section 5966, Compiled General Laws re similar compliance from all contractors or sub -c to be posted for inspection on the site of t sub- contrattors, on work q n` (Si ;ned) and of . -- - - ,T Plumbing Inspector. accepts his obligations as an employer of labor Florida Permanent Supplement, and has com- ontractors employed by him in the work to be he work such public notice or to be perforri'e4 un5er P Notary Public. State of Florida notices/ as at are this per as are 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 depoms and says that he is the . of the above described construction, that he has carefully read the forgoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY 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 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR F'LUMBING PERMIT Permit No. ._/ l! ) L/ � Date___ �_:.L_ ' 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 Miaini Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be mplied with, whether herein specified or not. A copy of approved plans and specifications must be kept building during progress of work/ Owner's Name , Amount of Permit $_ STATE OF FLORIDA, k COUNTY OF DADE. __ 1 �� and Address _ �L_ ✓�__L —!_ Registered Architect and /or Engineer The undersigned applicant for this building under the Florida Workmen's Compensation Act, plied with the provisions thereof, and will requi performed under this permit; and will post or required by the Act. The under signed agrees licensed by Miami Shores Village. My Commission Expires cause to employ only such No ,c.„, Street__ P� Employing Plumber's Name Q J (_____, r4 4 - ' '''D No iL Street_ " o Location and Legal Description Lot___ � _� rib& ' /_7,' Subdivisto_____�,_�___________ Street and Number where work is to be performed —No tC ,__ ________ S�reet__ ,n � � � t n n _ - _______ ,4 0 (° i – 51 State work to be performed and purpose of building (By Floors) ____�/1.___� __= � -'-') -i , /. . _�___"_' _: _- " ____ ___ ( _,„_('/..c C, o (,, ' / /'. s New Building — — _ Remodeling Addition Repairs_._________________ No. of Stories______ Size Septic Tank_ _ - -__— — _______ Type of Tank . Capacity Gals.________________ Feet of Drain Tile_____ — ______ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Y „ --r- (Signed) permit does hereby certify that/he understands being Section 5966, Compiled General Laws re similar compliance from all contractors or sub -c to be posted for inspection on the site of t sub- contrattors, on work q n` (Si ;ned) and of . -- - - ,T Plumbing Inspector. accepts his obligations as an employer of labor Florida Permanent Supplement, and has com- ontractors employed by him in the work to be he work such public notice or to be perforri'e4 un5er P Notary Public. State of Florida notices/ as at are this per as are 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 depoms and says that he is the . of the above described construction, that he has carefully read the forgoing 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. :_____- ____�� Owner's Name and Address Amount of Permit $_— ____ %___ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami S:]ores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer T — q r ___ —7.__ Employing Plumber's Name ___.,.' _ �_._u ."�i No �` Street__ _� _L npti ,;,/// o . K � Location and Legal Desc ! d>� Lot_ y __1 _______ / — __Block._____ Subdivision_ /��L� __ �___________ Street and Number where work is to be performed— No.___� /' i State work to be performed and purpose of building (By Floors) • The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. My Commission Expires No Street- -- -------- - - - --- – -- – —_ New Building —____ Remodeling Addition____. Repairs No. of Stories Size Septic Tank_ Type of Tank . . Capacity Gals.__ -__ Feet of Drain _________________ Dist. Feet of Tank or Drain Fi:ld from Well Nature of Water Supply: City —': efI Size of Soakage Pit. (Sig.led) �' ' rtify that a understands and accepts his obligations as an employer of labor Comp .le General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspe:tion on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) J i L Street ' Date __ Mast ? 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 depot es and says that he is the . of the above described construction, that he has carefully read the foreF;oing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida Plumbing Inspector. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. M O 1 i CHECK . SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP SPRKLR. WELL SYSTEM SWIM'G POOL CONTR. LIST 1 CHECK Permit No. :_____- ____�� Owner's Name and Address Amount of Permit $_— ____ %___ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami S:]ores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer T — q r ___ —7.__ Employing Plumber's Name ___.,.' _ �_._u ."�i No �` Street__ _� _L npti ,;,/// o . K � Location and Legal Desc ! d>� Lot_ y __1 _______ / — __Block._____ Subdivision_ /��L� __ �___________ Street and Number where work is to be performed— No.___� /' i State work to be performed and purpose of building (By Floors) • The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. My Commission Expires No Street- -- -------- - - - --- – -- – —_ New Building —____ Remodeling Addition____. Repairs No. of Stories Size Septic Tank_ Type of Tank . . Capacity Gals.__ -__ Feet of Drain _________________ Dist. Feet of Tank or Drain Fi:ld from Well Nature of Water Supply: City —': efI Size of Soakage Pit. (Sig.led) �' ' rtify that a understands and accepts his obligations as an employer of labor Comp .le General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspe:tion on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) J i L Street ' Date __ Mast ? 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 depot es and says that he is the . of the above described construction, that he has carefully read the foreF;oing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida Plumbing Inspector. 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. Date.... ___ - �. Application is hereby made for the approval of the detailed statement of th 9 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 Addr _______- ____ -_ - __ .... No. Registered Architect and /or Engineer__— ._ __-- __---- Employing Plumber's Name_&ILI e eq - &vat No. _________ 7C ' Street__ Location and Legal Description Street and Number where work is to be performed —No Lars it N ^ ......... ....... --- State work to be performed and purpose of building (By Floors)_- _-______.��t°kk!- �- /'___ New Building _.. Remodeling_-__ ____._ Addition_._____. Repairs No. of Stories. Size Septic Tank_ ... Feet of Drain Tile. Nature of Water Supply: City — Well.._ ______ ....... _ ....... _______ - -- Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Per/nanen plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp performed under this permit; and will post or cause to be posted for inspection on the site of the work su�h rewired by the Act. The undersigned agrees to employ only such sub - contractors, o wo to be perform Homed by Miami Shores Village. MIAMI SHORES VILLAGE PLUMBING INSPECTIC N DEPARTMENT APPLICATION FOR PL UMBING PERMIT Blo ^lc Subdivision Type of Tank_ Capacity Gals. Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) (Signed)_ 9 Street My Commission Expires Notary Public, State of Florida S 4 / Street_ n mbing Inspector. as an employer of labor upplement, and has corn- him in the work to be ublicrnotice or notices as are under this permit, as are ter Plumber. STATE OF FLORIDA, I ea. COUNTY OF DA/DE. Before me, the undersigned authority, a notary public, duly authorized to administer •aths 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 foregcing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKB LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKI NO FOUNT' NS TOTAL FI %TURES CONTR. LIOT CNQCK — — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'GI POOL Covrra. LIST CHECK - Date.... ___ - �. Application is hereby made for the approval of the detailed statement of th 9 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 Addr _______- ____ -_ - __ .... No. Registered Architect and /or Engineer__— ._ __-- __---- Employing Plumber's Name_&ILI e eq - &vat No. _________ 7C ' Street__ Location and Legal Description Street and Number where work is to be performed —No Lars it N ^ ......... ....... --- State work to be performed and purpose of building (By Floors)_- _-______.��t°kk!- �- /'___ New Building _.. Remodeling_-__ ____._ Addition_._____. Repairs No. of Stories. Size Septic Tank_ ... Feet of Drain Tile. Nature of Water Supply: City — Well.._ ______ ....... _ ....... _______ - -- Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Per/nanen plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp performed under this permit; and will post or cause to be posted for inspection on the site of the work su�h rewired by the Act. The undersigned agrees to employ only such sub - contractors, o wo to be perform Homed by Miami Shores Village. MIAMI SHORES VILLAGE PLUMBING INSPECTIC N DEPARTMENT APPLICATION FOR PL UMBING PERMIT Blo ^lc Subdivision Type of Tank_ Capacity Gals. Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) (Signed)_ 9 Street My Commission Expires Notary Public, State of Florida S 4 / Street_ n mbing Inspector. as an employer of labor upplement, and has corn- him in the work to be ublicrnotice or notices as are under this permit, as are ter Plumber. STATE OF FLORIDA, I ea. COUNTY OF DA/DE. Before me, the undersigned authority, a notary public, duly authorized to administer •aths 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 foregcing 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. / / K� 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 confcrmity 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 mist be kept at building during progress of work. Owner's Name and Address_ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ - .(Signed) (Signed) __ Date O� t / 4 No. Street / 11 ;' Registered Architect and /or Engineer No 7 A Street 1/ ` Employing P iibefi Name Location and Legal Description Lot Bieck Subdivision L '�tA Street and Number where work is to be performed—No .___2 __Z n1 Street State work to be performed and purpose of building (By Floors) -p Z. I / G , New Building Remodeling Addition. Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals 5> Feet of Drain Tile ist. Feet of Tank or Drain : ?ield from Well / v Nature of Water Supply: City —Well L LL Siz. of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify chat he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Comp :led General Laws of Florida Permanent Supplement, and has corn - 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. , , , My Commission Expires Notary Public, State of Florida 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 depose; and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDR ( TUBS URINAL S CATCH BASIN FLOOR DRAIN DRINKING FOUNT TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST D i CHECK Permit No. / / K� 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 confcrmity 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 mist be kept at building during progress of work. Owner's Name and Address_ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ - .(Signed) (Signed) __ Date O� t / 4 No. Street / 11 ;' Registered Architect and /or Engineer No 7 A Street 1/ ` Employing P iibefi Name Location and Legal Description Lot Bieck Subdivision L '�tA Street and Number where work is to be performed—No .___2 __Z n1 Street State work to be performed and purpose of building (By Floors) -p Z. I / G , New Building Remodeling Addition. Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals 5> Feet of Drain Tile ist. Feet of Tank or Drain : ?ield from Well / v Nature of Water Supply: City —Well L LL Siz. of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify chat he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Comp :led General Laws of Florida Permanent Supplement, and has corn - 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. , , , My Commission Expires Notary Public, State of Florida 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 depose; 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. - 4 Permit No Amount of Permit $_______. STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI S ROBES VILLAGE PLUMBING INSPECTION DEPARTME■ii 1 `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 con`ormity 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 qq Registered Architect and /or Eftgineer Employing Plumber's Name No .. ' 1 Street____.._r __ _ ____ Location and Legal Description Lot_ g p ` ________B; ock____ ___w✓ x Subdivision__ ` `` �_ ° Street and Number where work is to be performed— No.___, a " Street State work to be performed and purpose of building (By Floors) New Building_ Remodeling Addition Repairs 4 No Street Date__ No. of Stories Size Septic Tank___— _______ ______________—_— _______ Type of Tank . Capacity Gals.____________ —__ -- Feet of Drain Tile______ ___.______ —_ —__ Dist. Feet of Tank or Drain Field from Well_ Nature of Water Supply: City —We!1 Si:.e of Soakage Pit (S ,gned) �;.- .e• __�____. y .r____.C:__Y_�:_ Plumbing nspector. The undersigned applicant for this building permit does hereby certify that a understands and accepts his dbligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compile General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ` Mas 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 depo :es and says that he is the . of the above described construction, that he has carefully read the forel;oing 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 LAUNEIRY TUB:3 URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELI. SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK - 4 Permit No Amount of Permit $_______. STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI S ROBES VILLAGE PLUMBING INSPECTION DEPARTME■ii 1 `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 con`ormity 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 qq Registered Architect and /or Eftgineer Employing Plumber's Name No .. ' 1 Street____.._r __ _ ____ Location and Legal Description Lot_ g p ` ________B; ock____ ___w✓ x Subdivision__ ` `` �_ ° Street and Number where work is to be performed— No.___, a " Street State work to be performed and purpose of building (By Floors) New Building_ Remodeling Addition Repairs 4 No Street Date__ No. of Stories Size Septic Tank___— _______ ______________—_— _______ Type of Tank . Capacity Gals.____________ —__ -- Feet of Drain Tile______ ___.______ —_ —__ Dist. Feet of Tank or Drain Field from Well_ Nature of Water Supply: City —We!1 Si:.e of Soakage Pit (S ,gned) �;.- .e• __�____. y .r____.C:__Y_�:_ Plumbing nspector. The undersigned applicant for this building permit does hereby certify that a understands and accepts his dbligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compile General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ` Mas 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 depo :es and says that he is the . of the above described construction, that he has carefully read the forel;oing 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. JOHN F. GAFFNY NI% 1 GAFFNY PLUMBING CO., INC. / 7 el) '1 ° r , 6,(1- 4 7501 N. E. SECON 0 AVENUE MIAMI, FLOF1IDA WC, 1- Wca PHONE 7-5284 r" •.s A PPLICATION FOR PLUMBING PERMIT Permit No. .. Date x e /1 � _/ Application is hereby made for the approval of the detailed statement of :he 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 Miaini Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be omplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building' during progress of world j i Owner's Name and Address ./' �L!��� 6 Registered Architect and /or Engineer // ' / _ ____ _ ti c_ ,, Employing Plumber's Name _ B e s ; ® � eA E. No � � �, Street Location and Legal Description Lot_ ___ — ___ „� _Block Subdivisiq_,_ _______ �'i II? /14r e'''' 9 ( j1 Street and Number where work is to be performed— No.____ Street___ ' _ _______n_____ fi -I• State work to be performed and purpose of building (By Floors) I,: _ New Building Remodeling Addition Size Septic _____________________ Type of Tank . Capacity Gals _____ _________�__�� Feet of Drain Tile____ _______________________________ Dist. Feet of Tank or Drain :Field from Well Nature of Water Supply: City —Well. Siz: of Soakage Pit f - -- Amount of Permit $— --__ (Signed Plumbing Inspector. The undersigned applicant for this building permit does hereby certify t 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 insp:ction on the site of the work such public notice or not' es as are required by the Act. The under signed agrees to employ only such sub - :o act rs, on wo ,ck to be perf frt ed ynder this it, #: _ licensed by Miami Shores Village. • STATE OF FLORIDA, } COUNTY OF DADE. as. MIAMI SHO IES VILLAGE PLUMBING INSPECTION DEPARTMEIV, Repairs ff Street___ , (Signed) _: My Commission Expires Notary Public. State of Florida 1 f ,1 No. of Stories Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS •LAUND 2Y TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST � \ CHECK r" •.s A PPLICATION FOR PLUMBING PERMIT Permit No. .. Date x e /1 � _/ Application is hereby made for the approval of the detailed statement of :he 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 Miaini Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be omplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building' during progress of world j i Owner's Name and Address ./' �L!��� 6 Registered Architect and /or Engineer // ' / _ ____ _ ti c_ ,, Employing Plumber's Name _ B e s ; ® � eA E. No � � �, Street Location and Legal Description Lot_ ___ — ___ „� _Block Subdivisiq_,_ _______ �'i II? /14r e'''' 9 ( j1 Street and Number where work is to be performed— No.____ Street___ ' _ _______n_____ fi -I• State work to be performed and purpose of building (By Floors) I,: _ New Building Remodeling Addition Size Septic _____________________ Type of Tank . Capacity Gals _____ _________�__�� Feet of Drain Tile____ _______________________________ Dist. Feet of Tank or Drain :Field from Well Nature of Water Supply: City —Well. Siz: of Soakage Pit f - -- Amount of Permit $— --__ (Signed Plumbing Inspector. The undersigned applicant for this building permit does hereby certify t 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 insp:ction on the site of the work such public notice or not' es as are required by the Act. The under signed agrees to employ only such sub - :o act rs, on wo ,ck to be perf frt ed ynder this it, #: _ licensed by Miami Shores Village. • STATE OF FLORIDA, } COUNTY OF DADE. as. MIAMI SHO IES VILLAGE PLUMBING INSPECTION DEPARTMEIV, Repairs ff Street___ , (Signed) _: My Commission Expires Notary Public. State of Florida 1 f ,1 No. of Stories 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. 1 APPLICATION FOR PL.UMBING PERMIT Permit No Date .' Application is hereby made for the approval of the detailed statement of thc plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer _____________ Employing Plumber's Name _ Location and Legal Description Lot_ Bloc s 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 Size Septic Tank___ Feet of Drain Tile_____ — Nature of Water Supply: City —Well. Amount of Permit $_ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VI LLAPP7 PLUMBING INSPECTION DEPARTME I No No Street_______ Street (Sig:led) Street. Type of Tank . Capacity Gals Dist. Feet of Tank or Drain F:eld from Well Size of Soakage Pit.____ ( Sig aed) — — - -- — — — — -- Plumbing Inspector. rtify t ant he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are 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 deposts and says that he is the . of the above described construction, that be 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 aster 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 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK 1 APPLICATION FOR PL.UMBING PERMIT Permit No Date .' Application is hereby made for the approval of the detailed statement of thc plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer _____________ Employing Plumber's Name _ Location and Legal Description Lot_ Bloc s 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 Size Septic Tank___ Feet of Drain Tile_____ — Nature of Water Supply: City —Well. Amount of Permit $_ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VI LLAPP7 PLUMBING INSPECTION DEPARTME I No No Street_______ Street (Sig:led) Street. Type of Tank . Capacity Gals Dist. Feet of Tank or Drain F:eld from Well Size of Soakage Pit.____ ( Sig aed) — — - -- — — — — -- Plumbing Inspector. rtify t ant he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are 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 deposts and says that he is the . of the above described construction, that be 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 aster 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. JOHN F. GAFFNY 01 GAFFNY PLUMBING CO., iNG. r e 7501 N. E. SECOND AVENUE MIAMI, FLORIDA mea • PHONE 7•52E14 J 2 t Permit No Owner's Name and Address Nature of Water Supply: City —Well. ss. • My Commission Expires MIAMI SHORES VI LLAG E !APPLICATION FOR PLUMBING PERMIT PLUMBING INSPECTION DEPARTMENT Registered Architect and /or Engineer • Employing Plumber's Name _________._t__, • No Location and Legal Description Lot____ Street and Number where work is to be performed —No Block_ (Sigl Led Amount of Permit $__ ' • ' (Sigred) Size Septic Tank Type of Tank _i. Capacity Gals._______ - _____ j; Date Notary Public. State of Florida • Application is hereby made for the approval of the dijed<.ctaterrre : rt of -the plan$ d specifications herewith submitted for the building or other structure herein described. This application is made iti compliance and conformity wi the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida,. all ordinances of Miami Sores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied With', ,. w'ether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No Street b d ivision ______ Su Street ... __• _ -_—_: ,_: State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____. Repairs No. of Stories Feet of Drain Tile__________ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that be understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compi:.ed General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from ,ill contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub -cc ntractors, on work to be performed under this permit, as are licensed by Miami Shores Village. " Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ._ . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT Glt T SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK t Permit No Owner's Name and Address Nature of Water Supply: City —Well. ss. • My Commission Expires MIAMI SHORES VI LLAG E !APPLICATION FOR PLUMBING PERMIT PLUMBING INSPECTION DEPARTMENT Registered Architect and /or Engineer • Employing Plumber's Name _________._t__, • No Location and Legal Description Lot____ Street and Number where work is to be performed —No Block_ (Sigl Led Amount of Permit $__ ' • ' (Sigred) Size Septic Tank Type of Tank _i. Capacity Gals._______ - _____ j; Date Notary Public. State of Florida • Application is hereby made for the approval of the dijed<.ctaterrre : rt of -the plan$ d specifications herewith submitted for the building or other structure herein described. This application is made iti compliance and conformity wi the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida,. all ordinances of Miami Sores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied With', ,. w'ether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No Street b d ivision ______ Su Street ... __• _ -_—_: ,_: State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____. Repairs No. of Stories Feet of Drain Tile__________ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that be understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compi:.ed General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from ,ill contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub -cc ntractors, on work to be performed under this permit, as are licensed by Miami Shores Village. " Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ._ . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 1681 Work to be performed under this Permit Subdi- vision Value of Project DATE 194 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 whetter 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. S Igned• By INSPECTOR In consideration of the issuance to me of this permit I agree to perfovm the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. ,I I CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building _ Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA DATE 194__ Contractor's License No. PERMIT N9 1849 Work to be performed under this Permit Subdi- vision Legal Lot BI. Description Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining ther,:to 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 regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Value of Project Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY r _., LDING ELECTRICAL PLUMBING Owner of Building Architect Contractor QTIotre or Builder MIAMI SHORES VILLAGE, FLORIDA ,PERMIT N° 4646 DATE Work to be performed under this Permit -- h--r-3' - g" - -'6 - t-4 1 1- a 194 Contractor's License No. 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 con: truct 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 < Lnd approved by the proper municipal authorities. This Permit may be revoked e 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 ipr in the statements or specifications and that he assumes respon- % sibility for work done by his agents, servants or employees. ,o ' f i Signed INSPECTOR y ' • In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all o rdinances and cr ns pertaining the.•eto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorit e§'of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. �� � ', ``ter , -.4 - ,i, ,...0 -, .4 M - 'G,%a FRACTOR OR BUILDER "d • BV ; i AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Bi. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 :1784 Work to be performed under this ;Permit Subdi- vision Value of Project DATE 194 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 theret) 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 he work covered hereunder in compliance with all ordinances and regula- ons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores 'line. In accepting this permit 1 assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 10050 N.E. 2nd Avenue • Miami Shores, Florida 331:18 � j Date v 16 3 Job Address 9 A/C q5Asfr Legal Description //�� `p Historically 1 . : Yes ) 2 Owner /Lessee/Tenet D4 V l t) // i Z/AJ PO 7Master Permit # `J Owner's Address Contractin Co. k4 ici / / I 4tricrPitintin3 Address AW ALL ) Qualifier I2 X?/ 2 J ' V S M h //i) SS# j 14 L Phone 0/ '�/ -`6 / R/ State it area 7)- Municipal # Competency # Ins. Col /066r e �6C ! / `K S IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANIDTHE:' ' ::z ION. Permit Type (circle one): I BUILDING ELECTRICAL WORK DESCRIPTION: J e 1 Square Ft. Estimated Cost (value) as to OwnerZn My Commission Exdaes o h o Z: ° O o FEES: PERMIT RADON PERMIT APPLICATION FOR MI • APPROVED: Zoning Building Mechanical Plumbing Date Date Si Phone AGE :305- 756 -8972 MECHANICAL ROOFING 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). 1 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, 1 authorize the above named contractor to do the work stated. as to Contra% My Commission Expges C.C.F f ♦ l3 0 NOTARY 7E OF +tttet o 4 Date Date TOTAL DUE Electrical Structural Engineer MIAMI SHORES VILLAGE BUILDING DEPARTM 305- 795 -2204 Building Inspection Reque Date Time Type Insp' Permit No. Name Address l q J SJ % "*Company 9 '-1 ,� // Phone # ? / ' a c For Inspector: Approved Correction Re- Insp'n Fee Date ,TEM ;ATM TUB UNIT FEE ITEM SMITCti OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE 110E7 LIGHT OUTLETS CENTRAL HEATING )IS- MASr{ER RECEPTACLES A/C (WIND) )ISPOSAL SERVICE TE>,Pt'RARY A/C (CENTRAL) :RINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK . LOCK GRAIN SERVICE REPAIR/1€TER CHANGE REFRIGERATION :REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTCR RANGE TOP UNDERGROUND TANKS .AVATORY OVEN ABOVE GROUND TANKS .AUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS :LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS HOWER MOTCRS OVER 1- 3 HP HOT WATER BOILERS ;INK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION ;INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING /.SEMBLIES ;INK, SLCP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS 'E PCRARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS 11 MOTORS OVER 25-100 HP COOLING TOWERS ;ATER CLOSET MOTORS OVER 100 HP VIOLATION NDIRECT WASTES A/C WINDOW REINSPECTION 'ATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMIERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFCRMIERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMfiERCIAL WATER SERVICE ) SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS iILITY -SEWER SIGN TIME CLOCK CILITY-WATER FIXTLAES :PTIC TANK ANTENNA :LAY TELEVISION CUTLETS 1AINFIELO, 4' TILE/RES. VIOLATION ,V & ABANDON SEPTIC TANK REINSPECTION )AKAGE PIT CU. FT. JOH BASIN SCHARGE WELL :MESTIC WELL :EA DRAIN C F INLET ,LAR WATER HEATER RE STANDPIPE OL PIPING WN SPRINKLER SYSTEM S RANGE TER SET (GAS) S PIPING PLUMBING AUUtNUUM IU bUILUINU NI_F{MIT APPLICATION (AN APPLICATION FOR BUI, DING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2003 -137 Printed: 5/20/2003 Applicant: DAVID HOLTQUIST tOc\ Owner: HOLTQUIST DAVID JOB ADDRESS: 549 NE 95 ST Contractor THE NEW MIAMI SHORES PLUMBING Contractor's Address: 900 NW 144 ST Local Phone: 786- 553 -5424 Parcel # 1132060140740 .PAY TO THE ORDER OF 4.14.4f l_.J L/Lr% . -urum- 11 Security enhanced document. THE NEW MIAMI SHORES PLUMBING, INC. BLUE ACCOUNT 900 N.W. 14471-1ST. MIAMI, FL 3168 Plumbing Permit Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 18 & 19 BLK 54 LOT SIZE 100.000 X Total Fees: $0.00 ?o Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 11/16/2003 Construction Value: $2,200.00 Work: WATER PIPE Miami Beach, Florida 24 Hr Co •nial Con ection 1-877- 502 -2265 G ci U f -S I� I■L 9 . 1000 L88411' t:06 700 L 8�� 80 2 78 6 30 2 911' tack /o_deta_it =F 1884 DATE 51C' -44 63- 151/670 111J�� 01 DOLLARS 8 taining thereto and in strict ime responisibility for all work