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PLUMBING
MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Re Dat$ O 03 Time Type Insp'n Permit No. Name Address Company Phone # For Inspector:- Approved Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Build'ng Inspection Request Date Type Insp'n rU l PI Permit No. P I 2003 - 46 Name I--err aCZ -- Address L'a N - 1 4 S - For Inspector: F 1 7 /(3 Approved Correction ❑ Re- Insp'n Fee ❑ Time Company axCJ n sv lJ� U►��'1 Phone # 5 L-- J2L — CO L1 Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2003 -46 Printed: 2/12/2003 Applicant: MARIA Owner: JORGE JOB ADDRESS: 42 Contractor SOUTHSIDE PLUMBING Local Phone: Parcel # 1132060130330 o \D 41 Total Fees: Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 8/11/2003 Construction Value: $300.00 Work: KITCHEN RENOVATIONS If there is no permit pa fee is $50.00, which must This Permit is granted to the cc ordinances pertaining thereto and and approved by the proper munii authorization. A further condition ordinances and regulations,pertaii by his agents, servants or mploy Sig ed: �,�►��� In considerate n o the issuance with the plans, drawings, statemei Myself, my agent, servants or ems Signed: V NE 94 LEADING BUILDERS CORP OPERATING ACCOUNT 1437 NW 9th ST DANIA, FL 33004 Plumbing Permit JORGE MARIA ST Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 & E1/2 OF LOT 8 BLK 3 LOT SIZE PAY TO THE ` I ORDER OF '' II I_ t N 6 1)+1 1 l -4 4 FOR \10- vt,oAt V (IA (1vti 4 rc.�,$) Page 1 of 1 FIRST UNION NATIONAL BANK OF FLORIDA R/T 067006432 63- 643/670 Hoop Li, ?qv 1006 7006 4 3 21: 2000007 38 LO50 1479 ly &13 82 DOLLARS ELECTRICAL T1'1'F. Minimum Fee QTY. TYPE Dryer Q"fV. 'I'v1':. Optlft,4tLWliiinge • • • QTY. 'rvI'E Service Repair QTv. A/C Central 1 -3 Ton Cooling Tower Fan Heating Strips, each • Out1Pt,1Val1 • • • • • • • Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Air Handler, Tons Signs Ductwork, Cost of A/C Central 8 -15 Ton Piping, Flammable Liquid Fixture - Fluorescent Periodic Inspections Oven Barbecue Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Fireplaces, Number of Spas/Hot Tubs Pressure Vessel A/C Central 20+ Ton Temporary Toilet Flood Lights Catch Basin Plugmold/Strip Gas - Propane Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Pump, Replace - Pool Swim Pool, Commercial Urinal Air Conditioners Dental Chair Garbage Disposal Grease Trap Range/Range Top Pump, Sprinkler Swim Pool, Residential Chiller Generators, etc. Receptacles Utility - Water Switchboards Dishwasher Clear Violations Indirect Wastes Heat Recovery Relay Repair Refrigerator, Comm. (p/PH) Vacuum Pump Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Domestic Well Temp for Test - 30 days Laundry Tray Deep Freezer Septic Connection Low -volt, Fire Water Heater Renew - Temp Service Drainfield, 4" Tile/Res. Lavatory Demolition Low -volt, Intercom/Teleph. Repair Circuits Meter Set (Gas) Sewer Connection Dishwasher Water Re -pipe Low -volt, Television Drains, Floor Service, Number of Amps Minimum Fee Shower MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. Tv'I'E Generator QTY. TYPE. Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C WalINVin. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher 1 Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink % Well, Supply Page 2 IMPORTANT NOTICES • • • • • 1. DO NOT BEGIN ANY WORK WI3'HQU7' 1 AVINrr RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF•CONSTRUCTION are IAttitbd to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PRC (T 'SFLCI;L 13E K TrAt FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED F t5M B Lll1G• D•.1 EQUIPMENT OR VEHICLES, AND MAY NOT 13E USED FOR STORAGE. A bond is required for work in or near the street/sltiewalLC • • • • • • • • • 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner Print Name Sworn to and subscribed before me this Signature of N . 2 day of JQbludlo'y- tF- Stateot NA MY COMMISSION 0 CC 974858 EXPIRES: October 12, 2004 Boned Thru Not PUbbc Underrrdter, l • •• •• • • • •• •• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • ••• • • • • • • • • • ••• • • • Personally known ✓ OR, Produced Identification Type of Identification Produced: ST eh a O tyiD4 COU •F + IAMI -D /» / 0 7 / 6 Signature Contractor / Qualifier Print Name Sworn ..ft,' subscribed before me this 3/ day o rgnature SEAL: Ju JLy 4, lJ PERMIT APPLICATION orida ," MY COMMISSION #DD177970 EXPIRES: JAN 15, 2007 Bonded rough Advantage Notary Personally known OR, Produced Identification Type of Identification Produced: Page 3 •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • ••• • • • • • • ••• • • INSTRUCTIONS: Please indicate the type of work being pet and:quantiti(iees) Iv the space provided below. ••• • ••• • • PERMIT APPLICATION RECEIVED AND REVIEWED BY: DATE: CONTRACTOR New Construction Name MIA (2 ( (I C - S t 4Z G E= Name i9 M p im t t 6 , / t% Alteration Exterior License No. ^ // e, n / .03n ()tee, o't® o` 3 Fax Address / / .3,A. erTr i s 6f-ale e ��3 / .' Telephone Fot1 - 600 s 5 - b Fax Fax Relocation of Structure Qualifier Name r� ^ % ei i<A 7 PROPERTY OWNER New Construction Name MIA (2 ( (I C - S t 4Z G E= Address 4,2 NE q4 ss-r M1 v) 1 5 i - L- 33i3 Home Telephone j d \ 757 & / 5/ Alteration Exterior Business Telephone (3 ; ...1 / 5 ) ,' 3 „ 702G2 f 3 Fax Alteration Interior TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other Page 4 OFFICE USE ONLY (Attach) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) • .• •• • •• •. • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • ••.• • ••••••• • • • CHECKLIST ❑ OWNER - BUILDER FORM • • • • • ❑' PROOF OF•OWNERSHIP (Attach) •• ••• •• • • • •• ❑ FIRE DEPARTMENT • • •:❑: I4:14 / :ARIA i4 AJROVAL APPROVAL (Commercial / • • • • • 4 S e gt t c f S multi - family) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine $ Zoning Review Notary SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE ( z . 1000 (¢.005 / sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by •tlee property owner and.qualifier Both signatures must be notarized. Please print or type to allow for a more accurate processing of your appticatiprt,'.1f Mrl: W ill Qe done, a roofing application must be submit- • • • • • .. • red along with this permit application. • • •• • • • • • ••• •• Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION J ob Address: 4Z. t- qct S `T" UtitWAI SfTO rPr PC 33 1-3B Address Ap Folio Number Lot Block Subdivision PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other X PB PG PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax •• •• • • • •• •• • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • ••••••• •••• Master Permit No. 9u�t�si�liary I1ermito. • ••• • • • • • • • • • PERMIT APPLICATION City State Zip k7Z4h `�/�O4/#i70 J S (Plillvt6iNi6) escription of Work Zoning Linear Feet Current Use of Property Square Feet Units Floors Q ; ; � 7 /�OD (u N ptr . i�1tiK 7�B dg Value 1'4°►'�IVU9� Peon J i 15) Proposed Use of Property )4tlue of Work g Tenant Information )t c ue Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Permit No.__. 1--•-.l_________ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby wade 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 co 1, died with, whether herein specified or not. A copy of approved plans and specifications must be kept a building during progress of work. Owner's Name and Address Registered Architect an Employing Plumber's r Engineer________ Location and Legal Description Lot_________________________ Street and Number where work is to be performed— No.____-__ State work to be performed and purpose of building (By Floors)_________________ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ( Signed) street_ __Mdl ' 7/ Date 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____ / ! ____ of Soakage Pit 1 . /I/7i My Commission Expires Notary Public, State of Florida Subdivision Street New Building-- __-- •---- -___._ _ -- Remodeling___ -- _- - -__ -_ Addition Repairs No. of Stories . . ..... ... . ... .•__.. ( Signed) _ _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as . are required by the Act. The undersigned agrees to employ only such sub- contractors, o to be performed under this permit, as are Hoemsed 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. CL ?LET6 BATH TUBS SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES . — - - CONTR. - �� 1ST �,. CHECK I- - •••- -• e SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM' G POOL CONTR. LIB4 - CHHCK Permit No.__. 1--•-.l_________ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby wade 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 co 1, died with, whether herein specified or not. A copy of approved plans and specifications must be kept a building during progress of work. Owner's Name and Address Registered Architect an Employing Plumber's r Engineer________ Location and Legal Description Lot_________________________ Street and Number where work is to be performed— No.____-__ State work to be performed and purpose of building (By Floors)_________________ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ( Signed) street_ __Mdl ' 7/ Date 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____ / ! ____ of Soakage Pit 1 . /I/7i My Commission Expires Notary Public, State of Florida Subdivision Street New Building-- __-- •---- -___._ _ -- Remodeling___ -- _- - -__ -_ Addition Repairs No. of Stories . . ..... ... . ... .•__.. ( Signed) _ _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as . are required by the Act. The undersigned agrees to employ only such sub- contractors, o to be performed under this permit, as are Hoemsed 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. dj Permit No.__f Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submi4ted for the building or 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 kcpjat building during progress of work. Owner's Name and Address Registered Architect and /. ngineer__________ .0 1Ir Lc' i - / 4,t ' f Employing Plumber's Location and Legal Description Lot._ — Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_ New Building Remodeling ___ Addition Repairs No. of Stories. . ..................... Size Septic Tank Feet of Drain Tile_____ Nature of Water Supply: City —Well Amount of Permit $ 6 V 0 45 My Commission Expires MIAMI SHORES VId9,,AG PLUMBING INSPECTION DEPARTME 't' APPLICATION FOR PLUMBING ;1,MIT Type of Tank__ Capacity Gals Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit (Signed) _ lumbing 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 ork such public notice or notices as are required by die Act. The undersigned agrees to employ only such sub - contractors, ; -Arm, k be performed under this permit, as are licensed by Miami Shores Village. ���� (Signed)_ No.__- 1 Street___A Date Street/V--': Subdivision ' A/ 1 ' Notary Public, State of Florida aster 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 E SHOWERS LAVA TORIES S INKS SLOP SINKS LAUNDRY TUBS URINALS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8 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 _. CHUCK dj Permit No.__f Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submi4ted for the building or 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 kcpjat building during progress of work. Owner's Name and Address Registered Architect and /. ngineer__________ .0 1Ir Lc' i - / 4,t ' f Employing Plumber's Location and Legal Description Lot._ — Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_ New Building Remodeling ___ Addition Repairs No. of Stories. . ..................... Size Septic Tank Feet of Drain Tile_____ Nature of Water Supply: City —Well Amount of Permit $ 6 V 0 45 My Commission Expires MIAMI SHORES VId9,,AG PLUMBING INSPECTION DEPARTME 't' APPLICATION FOR PLUMBING ;1,MIT Type of Tank__ Capacity Gals Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit (Signed) _ lumbing 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 ork such public notice or notices as are required by die Act. The undersigned agrees to employ only such sub - contractors, ; -Arm, k be performed under this permit, as are licensed by Miami Shores Village. ���� (Signed)_ No.__- 1 Street___A Date Street/V--': Subdivision ' A/ 1 ' Notary Public, State of Florida aster 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. Permit No ........ /C-6 /7 Application is hereby nude 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. 71�/ ` c Jp Al 5Q L No. 1 Stre24.! w .... "� ..�. Owner's Name and Address Registered Architect and /or En eer Employing Plumber's Name. tl t (� i � fai, - — s Location and Legal Description Lot. Block 2 " Street and Number where work is to be performed —No New Building Remodeling — __ — -.__— Addition Size Septic Tank_ _ --- - - - - -- — -- — - --- - Type of Tank —_ 9 Feet of Drain _. Feet of Tasik or Drain Field from Well Tile.------- � 5---- -- Nature of Water Supply: City — Well.. _--- ----------- - -__-- _.__..Size of Soakage Pit Amount of Permit $ � `— — ------- - - - - -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 67n14S No,. (Signed) (Signed) 2 D a t e % _ 0 V - . - 1 19 , 2 Subdivision._ Street- State work to be performed and purpose of building (By Floors) _._ -_- Ft PR AIA( / u.) Repairs ✓ No. of Stories Capacity Gals. The undersigned applicant for this building permit does herby certify that he understands and accepts his obligatio undcr the Florida Workmen's Compensation Act, being Section 5886, Compiled General Laws of Fionde Permanent plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed performed under this permit; and will post or cause to be posted for inspection on the .- of the work such public required by the Act. The undersigned agrees to employ only such sub - contractor ,. , to form licensed by Miami Shores Village. � t 1 1 f. umbing In • an employer of labor plement, and has corn- by him in the work to be notice or er this STATE OF FLORIDA, ( 05. 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 hire stated are true. My Commission Expires Notary Public, State of Molds NOTE: A re- inspection fee of 01.00 will be made ab a =eh ao-Onqseetinet 1s mede•neosamry by improper notice foe inspection, ea faulty materials and /w workmanship. LAVA• TORIES TORIES SLOP SINKS LAUNDRY TUDO URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NO TOTAL RIATURES CLOGITS BATH T USO SHOWERS CONTD. LIST CHECK SEPTIC TANK SEWER CONN. RAIN PI6L SOAKAGE PIT GREASE TRAP SOLAR MEATIER DIIP WILL BPNKLN. SYSTEM SWIM•G POOL Co. LIST CHECK Permit No ........ /C-6 /7 Application is hereby nude 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. 71�/ ` c Jp Al 5Q L No. 1 Stre24.! w .... "� ..�. Owner's Name and Address Registered Architect and /or En eer Employing Plumber's Name. tl t (� i � fai, - — s Location and Legal Description Lot. Block 2 " Street and Number where work is to be performed —No New Building Remodeling — __ — -.__— Addition Size Septic Tank_ _ --- - - - - -- — -- — - --- - Type of Tank —_ 9 Feet of Drain _. Feet of Tasik or Drain Field from Well Tile.------- � 5---- -- Nature of Water Supply: City — Well.. _--- ----------- - -__-- _.__..Size of Soakage Pit Amount of Permit $ � `— — ------- - - - - -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 67n14S No,. (Signed) (Signed) 2 D a t e % _ 0 V - . - 1 19 , 2 Subdivision._ Street- State work to be performed and purpose of building (By Floors) _._ -_- Ft PR AIA( / u.) Repairs ✓ No. of Stories Capacity Gals. The undersigned applicant for this building permit does herby certify that he understands and accepts his obligatio undcr the Florida Workmen's Compensation Act, being Section 5886, Compiled General Laws of Fionde Permanent plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed performed under this permit; and will post or cause to be posted for inspection on the .- of the work such public required by the Act. The undersigned agrees to employ only such sub - contractor ,. , to form licensed by Miami Shores Village. � t 1 1 f. umbing In • an employer of labor plement, and has corn- by him in the work to be notice or er this STATE OF FLORIDA, ( 05. 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 hire stated are true. My Commission Expires Notary Public, State of Molds NOTE: A re- inspection fee of 01.00 will be made ab a =eh ao-Onqseetinet 1s mede•neosamry by improper notice foe inspection, ea faulty materials and /w workmanship. MIAMI SHORES @PILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.__ `.,f Date / 6 — 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 o _ - -__ -_ __ Street Registered Architect and /or Engineer---- - - - - -- - - - - - -- _ - --------_---_---------------------_--___--- Employing Plumber's Names i • .4. 4i ._ __ -_ —_.__ Street_ — -- -- Location and Legal Description Lot___..._ ..... ___.._____. " Block Street and Number where work is to be performed— No.____! 7 1Ed- - -. Street State work to be performed and purpose of building (By Floors)_____ --- ____ -_ New Building_--- __ —___ Remodeling__ —_ —_ -- -_ Addition__•- __ -•__ Size Septic Tank---- .--------------- - - - - -_ Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. (Signed) (Signed)._ Subdivision Repairs No. of Stories. Type of Tank____-_ Capacity Gals —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 he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 hin; 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 TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK l SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE GREASE PIT TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST - - -- CHECK L_. MIAMI SHORES @PILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.__ `.,f Date / 6 — 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 o _ - -__ -_ __ Street Registered Architect and /or Engineer---- - - - - -- - - - - - -- _ - --------_---_---------------------_--___--- Employing Plumber's Names i • .4. 4i ._ __ -_ —_.__ Street_ — -- -- Location and Legal Description Lot___..._ ..... ___.._____. " Block Street and Number where work is to be performed— No.____! 7 1Ed- - -. Street State work to be performed and purpose of building (By Floors)_____ --- ____ -_ New Building_--- __ —___ Remodeling__ —_ —_ -- -_ Addition__•- __ -•__ Size Septic Tank---- .--------------- - - - - -_ Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. (Signed) (Signed)._ Subdivision Repairs No. of Stories. Type of Tank____-_ Capacity Gals —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 he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 hin; 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. CITY OF MIAMI, FLORIDA EMPLOYING PLUMBER STORY NEW OLD ADDITION REMODEL OWNER OR AGENT LOT BATH TUB BIDET DENTAL CUSPIDOR DISHWASHER DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INDIRECT WASTE LAVATORY LAUNDRY TRAY BLDG. PERMIT NO. LAUNDRY WASHER SHOWER SINK, BAR SINK GLASS SINK, POT SINK, RESIDENCE SINK, SLOP SINK, 3 — COMPARTMENT TEMPORARY WATER CLOSET URINAL FIXTURES SET ON OLD ROUGH INTERCEPTORS WATER CLOSET DIVISION OF PLUMBING INSPECTION P 0 BO' 1: "i"if+ •.' ATION a as ix —- —�- Rr387K DWELLING DUPLEX ROOMING HOUSE APARTMENT ac1- ®LS BLOCK SUBDIVISION I SUBMIT HEREWITH, APPLICATION AND MECHANICAL PLAN FOR SEWER CONNECTIONS: AT CENTER OF STREET AT CURB EXISTING BUILDING SEWER TO SEPTIC TANK RAIN WATER TO STREET GUTTER PERVIOUS AREA WATER PIPING TO: AIR — CONDITIONING UNIT BOILER BOOSTER FOR SOLAR BOTTLED GAS WATER HEATER REPAIRS: EXTENDING, REMODELING, ELECTRIC WATER HEATER ADDING TO OR REPAIRING THE FOLLOWING: FIRE — SPRINKLER SYSTEM FIRE— STANDPIPES HOT & COLD FOR WASHING MACHINE IRRIGATION SYSTEMS SIAMESE CONNECTION SOLAR WATER HEATER STANDPIPES STORAGE TANK SWIMMING POOL WATER SERVICE WATER SOFTENER l erg HOTEL OFFICE BUILDING GARAGE STORE DRAW MECHANICAL PLAN ON 'BACK A PLUMBING PERMIT. DATE BUILDING DEPARTMENT 7 LUNCH AND JUICE STORE RESTAURANT BEER AND LIQUOR BAR ADDRESS OF JOB 4i J\J.L . q4 AT PROPERTY LINE IN ALLEY EXISTING BUILDING DRAIN TO SOAKAGE PIT STORM SEWER SOAKAGE PIT DRAINAGE WELL WATER DRAINAGE: AREA DRAIN ROOF INLET BUILDING DRAIN SEWER PIPE SOIL PIPE SIPHON — BREAKER VENT PIPE WASTE PIPE WATER PIPE MISCELLANEOUS APPLICATION FOR PLUMBING PERMIT Permit No. 1 6S Date ()We- f O Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othci 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 at building during progress of work. Owner's Name and Address R No Street Registered Architect and /or Engineer Employing Plumber's Name .%fr� �2 -f� / = a e F= `� No. UO _ • Street-- - - -.�Z Location and Legal Description Lot ._- ____-_---- _- _ _______ - - - - - -- r Block -__ __.-- _------------ _ - -.._ Subdivision - - - __.._ - - -- Street and Number where work is to be performed -No - 2.4A _._._ Street. 9` State work to be performed and purpose of building (By Floors New Building Remodeling __- Addition__- Repairs No. of Stories Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT . — . - -_ —_ (Signed) 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._ JP "/" —. Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has 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- contra ors, on work to be performer this mit, as licensed by Miami Shores Village. (Signed)___ ...../ / �.... aster 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 appears 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. - --------------- - - - - -- 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 fail materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES 61NK8 SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTUREI -- CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR NEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK APPLICATION FOR PLUMBING PERMIT Permit No. 1 6S Date ()We- f O Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othci 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 at building during progress of work. Owner's Name and Address R No Street Registered Architect and /or Engineer Employing Plumber's Name .%fr� �2 -f� / = a e F= `� No. UO _ • Street-- - - -.�Z Location and Legal Description Lot ._- ____-_---- _- _ _______ - - - - - -- r Block -__ __.-- _------------ _ - -.._ Subdivision - - - __.._ - - -- Street and Number where work is to be performed -No - 2.4A _._._ Street. 9` State work to be performed and purpose of building (By Floors New Building Remodeling __- Addition__- Repairs No. of Stories Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT . — . - -_ —_ (Signed) 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._ JP "/" —. Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has 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- contra ors, on work to be performer this mit, as licensed by Miami Shores Village. (Signed)___ ...../ / �.... aster 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 appears 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. - --------------- - - - - -- 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 fail materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL ❑ PERMIT N? 14808 Contractor's PLUMBING ❑ License No. ROOFING ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot II BI. Description Address of Building CONTRACTOR OR BUILDER Subdi- vision Value of Project $ Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE 194_ PERMIT N' ° 4139 Work to be perfortned under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge'of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Subdi- vision Value of Project Contractor's License No. Amt. of Permit Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE BUILDING DEPART 305- 795 -2204 Building Inspection Reque rr Date Time r `t Type Insp'n 1 V\ ,- , 1 Permit No. I .P 0 Name 10 1 S 1 Address `f t O� 1 ` / A s Company c0()30 '30 1 cict TCJ Phone # ,/� For Inspector: I✓p I s . Name & Dat Re- Insp'n Fee 0412 BA,30 yi.• p f19:405 36/ 7 4.0.Pfrc BUILDING u TERM IT APP LICATI 1 113C 200 E Permit Type (circle): 13uilding Owner's Name (Fee Siniple Titleholder) Owner's Address L 4 02 1■...) E Cilv V. GM; \-)oires State Tenant /l.essee Name Architect /Engineer's Name (if applicable) $ Value of Work For this Permit: Code Enforcement $ Total Ice Now Due $ (Continued on opposite side) . AS 111 4.1 tiJ i1V.L O./AJ V 11116415a Building Department 10050 N.E.2nd Avenue, MOM Florida 33138 05) 756.8972 Liz NE c Stnictural Plan Review. $ V24 ax: Master Permit No. Zip Type of Wm ['Addition J1lterat.ion ['New Describe Work: 1 ys a / a ion /0 kJN Spr►n1 < Iel. Electrical lumbiug Mechanical Roofing mo.1`\o C. Yo'- e. Phone# 3s' — I - 15 " ED"IS 94 s ee-i 331 Phone # q S+Yee� Permit No. 9 05 I .Ioh Address (where the work is being done) pp City ______ Miami Shores Village County Miami- ale Zip 33130 Is Building historically Designated YES NO Contractor's Company Name ,-v(cT o joJe 1 RJ-7,I Phone # 3.5 — 0 — 322 (bnlraclor's Address "I N 1'3 q �-k ('ilv IR M I Slate E L Zip T33) (Oa ilier IV RC P\DS Slate Certificate or Registration No. Certificate of Competency No. Phone # Square Footage Of Work: ❑ Repair /Replace Q(ol'cxa 19 El Demolition ***************************Fees e************************** Submittal Fee $ �' 1 Permit Fee $ /€O CC. $ ll Notary $ W Training /Education Fee $ ' ( Technology Fee $ Scanning $ Radon $ Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City Stale Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address _ City _ State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. i understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AiR CONDITIONERS, ETC OWNER'S AFFIDAVIT: i certify (hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constriction and zoning. "WARNING T() OWNER: YOIJR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN Y011tt: PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IT YOU INTEND TO OBTAIN FINANCING, CONSULT WITII YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of coniniencement and construction lien lay brochure will be delivered to the person whose property is subject lo attachment. Also, a certi /ied copy of the recorded notice of commencement must be posted al the job su for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspections will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before day of e , 20 b 3 ;by -- - -- who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBL Sign: Print: L ✓'#4'it- S = L.pir s 8131 :007 My C:oruinission Expires: _= wit: (BC :;)432-4254 st1' Florida Notary Assn.. Inc rite iStIti ltrffit!t!!Y, AVVR'4lSt le,* * * * * * * * * 9 * ** * * * * * * * * * * * * * * * * * * * * * * * * * ** *44*** **************44**** APPLIC'ATiON APPROVED B Chc 05/13/03 me this foregoing instrument this , strument was acknowledged before we d a y � �-u ,20OS,by M14Ru, , bSrt-S ersonally know lone or who has produced_ setreehossoosueset semi MANGO KUSAS Cnmm# D00278491 NOTARY PUBLIC: Sign: Print: • My l" mission Ex1 i s: o p 7,e4-' Jorge Toledo Commission # DD348926 .Expires: AUG. 22, 2008 * *left! dir 9' * * * *** , Atlantic Bonding Co, Inc. *. .. ** * * ** * *444 * * * * * * * * * ** 444**** * * * * * * * * * * * *�I.•h•h ** *** ***.k ** 4.44. ••h•I•hhd i, i ^/�.` ^C✓ 5 Plans Examiner ��. Engineer Zoning Sp; A/1/6ti 1E4(.0 , k,. • ,c o s1 , fr itro Jo_ ..: 0 7,4; , ✓''3,rte' S" vo Cps 7, f 1) avt�l 4 -14, A, 7 ® / S e4Sofv gpis - ) 1 /Yv,n Art,. f Zes• (/e4 It I �Y 1 lye - pIRAi 4 o f 211 /Am ,S //o,G s . CC# SP2035 Affordable Irrigation, Inc. 198 NW 139 Street Miami, FL 33168 (305) 681 -6322 1 S 7 /lee7. L Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2005 -71 Printed: 3/7/2005 Applicant: MARIA Owner: JORGE JOB ADDRESS: 42 Parcel # 1132060130330 NE 94 Contractor AFFORDABLE IRRIGATION INC Contractor's Address: 198 NW 139 ST Local Phone: 305 - 681 - 6322 Signed: (INSPECTOR) Plumbing Permit JORGE MARIA ST Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 & E1/2 OF LOT 8 BLK 3 LOT SIZE Fees: Description Amount FEE2005 -2917 Building Fee $160.00 FEE2005 -2920 CCF $1.20 FEE2005 -2921 Training and Education Fee $0.40 FEE2005 -2922 Technology Fee $4.00 FEE2005 -2924 Scanning Fee $3.00 FEE2005 -2925 Submittal Fee ($50.00) Total Fees: $118.60 Total Fees: $118.60 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 8/28/2005 Construction Value: $2,000.00 Work: INSTALLATION OF LAWN SPRINKLERS Aim 1 1 1005 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: 6- 21 -98; 6;53PM; 888 Kingman Road Homestead, Florida 33035 Phone: 305-230-0090 Fax: 305 -230 -5518 Fax To: Affordable Irrigation — Marco, Rosemary Prom: Tim Fax: 305-681 -6321 Date: February 18, 2005 Phone: 305 -681 -6322 Pages: 1 Re: CC: Lisa South Kendall Construction ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle .Comments: Please re -schedule the following rough irrigation and set pump at Augusta Greens Lot 21 2804 Augusta Drive Lot 40 2609 Augusta Drive on February 25,2005. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical lumbi1 Owner's Name (Fee Simple Titleholder) ? ?T ( C( N22 5 Cited /HAS Ac cr? 3 Tenant /Lessee Name Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Owner's Address q f State ,, Job Address (where the work is being done) q9 q q /0 ?- , /SA.; L ., Zip 330 City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name. g . IT-56k) GLUM 0_7 Phone # �"�/-1 - gag : 9 Contractor's Address r \ Soot G City FLT U,r oo - State T L zip, 0 QualifierC2* S • LA 9 Z. State Certificate or Registration No. l , 4 ( H 6- L Submittal Fee $5 ' Permit Fee 5 Notary $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Certificate of Competency No(3ZQ ' 4 Architect/Engineer's Name (if applicable) / Phone # ®(,) $ Value of Work For this Permit , CC . Square Footage Of Work: Type of Work: ['Addition iteration ❑New ❑ Repair/R ❑, Demolition Describe Work: �� � S �t� C3� 9Pfl�11 N ' CcOI O P 1 and O W , OA ._ V . ;-)U Zip 3 Phone # tt Master Permit No. * * * * * * * * * * * * * * * * * * * * * * * * * ** *F * * * * * * * * * * * * * * * * ** CCF 5 CO /CC Permit No. P Q O 4 I Mechanical Roofing Phone # 5 Training/Education Fee $ Technology Fee $ Zoning Bond $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding 82500, the applicant must he notice of commencement and construction lien law brochure ill be, deliver d to the • ' on Also, . "edified copy of the recorded notice of c. men e ; t m ' be p: ted at th seven (7 days .fter the building permit is issue;. In th: � ,f�sen /`of s / p of the reinsp•• on e will be charged. / /. L f , , promise in good faith that a co .y of whose property is ubjec for the first in ection N inspection wil not be ap to QV h d lath oc nd n Signature Contractor The foregoing instrument was acknowledged before me this /. The foregoing in • ment was acknowledged before me this3 day ofZie,C01140 C4 by ,JGl fti L-I Pt day o1 ' , 20 by A S Li nt A who is personally known to me or who has produced who is personallyknown to me or who has produced As identification and who did take an oath. as identification and who did take an oath. Print: NOTARY PUBLIC: Sign A -tom: My Commission Expires: wner or RYAN R. RYDER MY COMMISSION N 00320806 `1,; /� EXPIRES: May 18, 2008 1 1a Y . Notaty Dlsoount Assoc. Co. �1 S * * * * * * * * * * * * * * * * * * * * * * * * * ** ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *, ** * ** ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 * * * * * * * * * * * * * * * * * ** * * * * * * * * * ** Signature NOTARY PUBLIC: Sign.�+����..� � Print: My Commission Expir * * * * * * * * * * * * * * * * * * ** e • , s:a RYAN R. ' YDER ► MY COMMISSION /$ 00320806 'L QA'd EXPIRES: May 18, 2008 .faro .4 FI. Notary Disaahnt Moe. Co. /2 / 777 Plans Examiner Engineer Zoning ITEM BATH T1.8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UIGERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0— 1 HP STEAM BOILERS SHOWER MOTORS OVER 1— 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3— 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5— 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8— 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10— 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER —NEW INST. GENERATORS TRANSFORMERS HEATER — REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER —WELL SPECIAL PURPOSE SWIMAING POOL OUTLETS COMdERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY — SEWER SIGN TIME CLOCK UTILITY —WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PULP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE U METER SET (GAS) 0 ?J GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL Survey Sheets / Plans 62 // /,5o,/ 20 cir Customer Name: E.H. Whitson Plumbing 421 South 21st Avenue Hollywood, FL 33020 Address: ,95 />'' - 7 3,9 ' Cit State, Zip: g/ ?-)313 Phone #: �OJ _ ' b All Work to Comply With N.F.P.A. Code #: Estimated Job Cost: Description of Work: Piping ISO 7 2, 9 / 4v 4 1//vt 76f7'21 17 frk 4 41-ed2 (2) �0� E.H. Whitson Plumbing 421 South 21st Avenue Hollywood, FL 33020 Survey Sheets / Plans /�; 4/ Jed)/ (,& Customer Name: c� q ,,/ Address: ��t /� ' l (3 0 City, State, Zip: , "6i / $M '— 33i2R Phone #: -- 59 9 Lo All Work to Comply With N.F.P.A. Code #: /C Estimated Job Cost: 7 ipo®° ze Description of Work: / , p4 / ��7r/ /' -�rr�b 06 fite,kg Piping ISO rf✓ 3 w Survey Sheets / Plans Customer Name: ,4/'2 I4/ 201 <A Address: City, State, Zip: gi/9/11i FL .6313(a Phone #: r j i c Kfj All Work to Comply With N.F.P.A. Code #: Estimated Job Cost: Description of Work: Piping ISO E.H. Whitson Plumbing 421 South 21st Avenue Hollywood, FL 33020 307 -2e2 c -;) 1./ex �- thrz_ Ci % r? - 'I zr'c E.H. Whitson Plumbing 421 South 21st Avenue Hollywood, FL 33020 Survey Sheets / Plans Customer Name: /W/43 . I4/ /a;(/&__ Address: P ! 4V° / /91/ City, State, Zip: ,7.172, I/ 61jer 1" 1_, 331 Phone #: IDS �-�t1'14 ') All Work to Comply With N.F.P.A. Code #: Estimated Job Cost: > 'P ` 4e0 )- _ J �� s 4' ' rc'oil <s i , rte/ �, . 56 Description of Work: , 7 per fie / (W/P, / '9/e - .5lk %b /' A7 v,Pe , 061 4 - [ Piping ISO ACORQ. CERTIFICATE OF LIABILITY INSURANCE CSR PR EHWHI -1 PRODUCER P.J.K. INSURANCE, INC. 2500 NORTH POWERLINE ROAD POMPANO BEACH FL 33069 Phone:954- 979 -5855 Fax:954- 979 -6788 INSURED E H Whitson Plumbing Al and John Enterprise. DBA 423 S. 21 Avenue Hollywood FL 33020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOR ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTE ALTER THE COVERAGE AFFORDED BY THE POLICIES INSURERS AFFORDING COVERAGE INSURER A: ASSURANCE CO OF AMERICA INSURER B: COMMERCE AND INDUSTRY INS CO. INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INURANCE ANY REOUIREMENT,TERM OR CONDITION ON OF ANY CONTRACT OR OTHER DOCUMENT W TD RESPECT THE TO WHICH PERIOD ( THIS CERTIFICATE MAY BE ISSUED OR DIN MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. N�K AUU'L LTR INSRL OTHER ACORD 25 (2001/08) TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR X $250 PD DED GEN'L AGGREGATE LIMIT APPLIES PER: 3 - C.1 RO- LOC POLICY JECT AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS X COMP -DED -$ X COLL -DED -$5 GARAGE LIABILITY ANY AUTO EXCESS /UMBRELLA LIABILITY OCCUR I I CLAIMS MADE CERTIFICATE HOLDER DEDUCTIBLE RETENTION $ If yes. describe under SPECIAL PROVISIONS below WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNE OFFICER/MEMBER EXCLUDED EXECUTIVE CITY OF MIAMI SHORES Attn: Margarita 10050 NE 2nd Avenue Miami Shores FL 33138 POLICY NUMBER SCP3673522 SCP3673522 WC776287 MIAMISH DATE (MM/DD/YY) 08/21/04 08/21/04 10/12/04 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS plumbing - Residential CANCELLATION POLICY EXPIRATION DATE (MM /DD/YY) 08/21/05 08/21/05 10/12/05 $1,000,000 $300,000 MED EXP (Any one person) $10,000 PERSONAL 8 ADV INJURY $ 1, 0 0 0, 0 0 0 GENERAL AGGREGATE ($ 2, 0 0 0, 0 0 0 PRODUCTS - COMP /OP AGG $ 2, 0 0 0, 0 0 0 EACH OCCURRENCE DAMAGE IO HENILU PREMISES (Ea occurence) COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY EACH OCCURRENCE AGGREGATE X WCSIAIU- TORY LIMITS E.L. EACH ACCIDENT LIMITS EA ACC AGG UIH ER DATE (MM /DD /YYYY) 10/22/04 MATION ATE ND OR BELOW. NAIC # 19305 $1,000,000 $100,000 E.L. DISEASE - EA EMPLOYEE $ 10 0 , 0 0 0 E.L. DISEASE - POLICY LIMIT $ 5 0 0, 0 0 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Pattie J. Kane, CEO, © ACORD CORPORATION 198 Miami Shores Village 10050 NE 2nd Avenue Plumbing Permit Phone: 305 - 795 -2204 Permit Number: PL2004 -351 Printed: 12/27/2004 Applicant: JONATHAN WALD Owner: WALD JONATHAN JOB ADDRESS: 9999 NE 13 AVE Contractor E H WHITSON PLUMBING Local Phone: 954- 929 -3599 Parcel # 1132050090460 Signed: (INSPECTOR) Page 1 of 1 Contractor's Address: 421 SOUTH 21ST AVENUE Legal Description: EARLETON SHORES PB 43 -80 LOT 1 BLK 4 LOT SIZE 93.020 X 150 Fees: Description Amount FEE2004 -13004 Building Fee $180.00 FEE2004 -13005 CCF $1.20 FEE2004 -13007 Technology Fee $4.50 FEE2004 -13008 Training and Education Fee $0.40 FEE2004 -13009 Scanning Fee $3.00 Total Fees: $189.10 Total Fees: $189.10 Total Receipts: $189.10 co cA - Permit Status: APPROVED Permit Expiration: 6/12/2005 Construction Value: $2,000.00 Work: RUN GAS TO SUPPLY 1 FUTURE GENERATOR ONE DRYER ONE COOKTOP AND ONE WATER HEATER In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: MIAMI SHORES VILLAGE "BUILDING DEPARTMENT 305- 795 -2204 B ilding Inspection Request Date 2 O Type Insp'n - F` no \ L..I 1( 5 i n Permit No. I t 6 45S) Name Address Company Phone # Inspection Date Approved Correction Re -Insp' n Fee 2- NE, c lzic bRi Date Type Insp'n Permit No. Name Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu ding Inspection Request Pi 05-7/ s F Address Company Phone # Inspection Date 1- ■e g437 1