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431 NE 94 St (10)Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12/15/2003 Applicant: JERRY Owner: CORNELL JOB ADDRESS: 431 NE 94 Contractor SUBURBAN PROPANE DBAACME GAS Contractors Address: 1491 NE 130 STREET Local Phone: 305 - 891 -9353 Parcel # 1132060140500 Signed: (INSPECTOR) Signed: (Contractor or Builder) Plumbing Permit Permit Number: PL2003 -344 CORNELL JERRY ST Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 16 & 17 Fees: FEE2003 -8240 FEE2003 -8241 FEE2003 -8242 FEE2003 -8243 FEE2003 -8244 Description Building Fee CCF Scanning Fee Technology Fee Training and Education Fee Total Fees: Amount $150.00 $0.60 $3.00 $4.00 $0.20 $157.80 Total Fees: $ 8 U Total Receipts: $0.0 t 6 5 Permit Status: APPROVED Permit Expiration: 6/9/2004 Construction Value: $1,000.00 Work: RUN LINE AND SET L.P TANK In consideration of the issuance to me of this permit, 1 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. BY: Page 1 of 1 BLK 52 LOT SIZE 100.000 X PERMIT APPLICATION FOR MIAMI SHORES NyEOVED DEC 9 2 21303 Date i g / Sl D J Job Address LJ 31 N a. q ( 5 1 Tax Folio Legal Description Owner/Lessee / Tenant Owner's Address Corne.U. • 43/ IU e q 4 s r i - 1 l arrn O re s I le / Phone 3() '76 ' — � / Contracting Co. Sc.)bur ban pro g 7Q D n e, Address l c q1 /I) g /3 O 3Y /V e 1'-111 Qualifier SO t-kc■ I eld,S State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION S eT T r' < Run L I n Square Ft. Estimated Cost (value) , 0.60 - O C) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. VIT: I certi t all the foregoing information is accurate and that all work will be done in compliance with all applicable ction . • t• Furthermore, I authorize the above -named contractor to do the work stated. 1 / , Cis loZ e'3 �. �il�'� icy/ 4 e - o1N'7jif or o ° • Date T �f ture ctor `, er Builder Date Notary as to Owner and/or ot1t / St My Commission Expires■ coMMis • • 0 FEES: PERMIT APPROVED: Zoning Mechanical Building 3C>OC) C S'7S. Historically Designated: Yes No Master Permit # P I gOO 3 34 4 SS# 0 - 417 - 5(10 Phone 305 g 9/- 539 3 Notary as to Conti iptnrr, , My Commissg 1` x F4 /,, I - / • • ��i� ,,N 1 o y . • • C.C.F. NOTAR'%„ tnit ■ intok0` TOTAL DUE Electrical Date Plumbing Engineering s f " o p ;1 e f � 3:;":.51 - ) NE SU i2j,'4 ; ; g n ) Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) Je4w L' CO Mel I Owner's Address 4 I KE c ) 4- F City 1 inr11 2 ate VA- Zip Permit No. Master Permit No. Phone # Mechanical Roofing Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Villag Is Building Historically Designated YES Contractor's Company Name Contractor's Address 1 ) City ) INI)P %, ll State Qualifier Value of Work For this Permit »Do 4 i NE 94 County Miami -Dade NO aban 'qu'ea Zip Phone # ?fv5 81 Zip Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: ❑Addition ['Alteration ew El Repair/Replace ❑ Demolition Describe Work: L' 17 s6 LIKE- **** ************************F ees ****************************** Submittal Fee $ Permit Fee $ CCF $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of tc. , 21v, by 3 (, e { c w4,3 w4,3 is personally known to me q? w as •• , ` �J 7f. fla 'As id + • Otigji and cpo �► o ` * o o �- :� NOTARY P Sl Print: Chc 10/14/03 My Conunission Expires: .0 MN •. •- State Certificate or Registration No. 1. 6UC)it `)U) I w Signature 4-0-(g) Contractor The foregoing instrument was acknowledged before me this )(e.) day of pti.L. 0 info O who i�,/e' Y a rsonall kno '. e m , e produced �F� , d v e. oath. idahtifi .:'ii::ti'� s o did take an oath. NOTARY PUBLIC: =,► ::e-ei X11/ d5 Siu A ' • Print: ,,�b 4;100 'f 1(1 /// / unr41������` My Commission Expires. r, ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Plans Examiner Engineer Zoning Permit No New Building MIAMI, SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied 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-------- - - - -�- ___ -- _ Employing Plumber's Name Location and Legal Description Lot- Street and Number where work is to be performed —No „? L.2 E State work to be performed and purpose of building (By Floors ) _ _____ Size Septic Tank ..... ---------...... -------- ---- -- - -- - -- -Type of Tank 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 $ STATE OF FLORIDA, COUNTY OF DADE. j Remodeling_____ __ _____ Addition._.___._.__.___ ______ Repairs No. of Stories No._ Street__ Block Capacity Gals (Signed)- ( Signed). Street Subdivision._ f Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOaETG BATH TUBS SHOWERS LAVA- TORIES K6 SINKS SLOP SINKS LAUNDRY TUBS U 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 ' COCJTR. LIST - -- CHECK Permit No New Building MIAMI, SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied 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-------- - - - -�- ___ -- _ Employing Plumber's Name Location and Legal Description Lot- Street and Number where work is to be performed —No „? L.2 E State work to be performed and purpose of building (By Floors ) _ _____ Size Septic Tank ..... ---------...... -------- ---- -- - -- - -- -Type of Tank 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 $ STATE OF FLORIDA, COUNTY OF DADE. j Remodeling_____ __ _____ Addition._.___._.__.___ ______ Repairs No. of Stories No._ Street__ Block Capacity Gals (Signed)- ( Signed). Street Subdivision._ f Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. Pczmar t?`U Siam Septic Tank Feet of Drain Tile-__ - Nature of Water Supply: City -Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT AppliLation is hereby shade 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 _-._- L_-d_.... ______ ..... _ No.___ _ Street - Registered Architect and /or Engine Employing Plumber's Name ��'� ` "1L -__ Location and Legal Description ''• t _.�__— __.___ _ _ _ Blo'lc ] � Subdivision ..t Street and Number where work is to be performed- No.___Y 3 ..t 51 b° $treat State work to be performed and purpose of building (By Floors) _------ _---------------- - -__ -_ New Building --- --- - -- _____ Remodeling____ _.-__ Addition__-_- Repairs No. of Stories. 1a- ---_._ o..__-- ___ -_ _ Street__ Date / ® Type of Tank___ Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit v Amount of Permit $_ - -- (Sign )--- -`-_ -- Plum ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob j tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penna.: t 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 regrtired by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are lioenced by Miami Shores Village. (Signed)._ ,1 1 b i Z fir 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. 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'necetssry by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBE SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBB URINALS CATCH BAS FLOOR DRAIN DRINKING FOUNT' NS TOTAL FI %TUREB CONTR. LIOT / --- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL COS7YR. LIST CHUCK / - - -- Pczmar t?`U Siam Septic Tank Feet of Drain Tile-__ - Nature of Water Supply: City -Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT AppliLation is hereby shade 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 _-._- L_-d_.... ______ ..... _ No.___ _ Street - Registered Architect and /or Engine Employing Plumber's Name ��'� ` "1L -__ Location and Legal Description ''• t _.�__— __.___ _ _ _ Blo'lc ] � Subdivision ..t Street and Number where work is to be performed- No.___Y 3 ..t 51 b° $treat State work to be performed and purpose of building (By Floors) _------ _---------------- - -__ -_ New Building --- --- - -- _____ Remodeling____ _.-__ Addition__-_- Repairs No. of Stories. 1a- ---_._ o..__-- ___ -_ _ Street__ Date / ® Type of Tank___ Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit v Amount of Permit $_ - -- (Sign )--- -`-_ -- Plum ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob j tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penna.: t 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 regrtired by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are lioenced by Miami Shores Village. (Signed)._ ,1 1 b i Z fir 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. 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'necetssry by improper notice for inspection, or faulty materials and /or workmanship. (f ' 4 I 4 App!icatiou 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 Registered Architect and /or Engi Employing Plumber's Name Location and Legal Description Lot_.._ _ ____B1 Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) _ New Building Siam Septic Tank .......... Feet of Drain Tile__) Nature of Water Supply: City—Well. Amount of Permit $_�_�- - ��____---- _- - - - - -_ - - - ( Signed) _ - - Plumb i. g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are requu'ed by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are lied by Miami Shores Village. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ Addition____ Repairs Street Tank — Capacity Gals —Dist. Fe of Tank or Drain Field from Well Size of Soakage Pit (Signed)____ ' 1! _,_ Date /A Z Street-. Subdivision Street 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. My Commission Expires Notary Public, State of Florida No. of Stories . . ...... ........... ...... 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 /oz workmanship. Master Plumber. CLOSIrTO BATH TUBS SHOWERS LAVA TORIES SINK 61 SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES COHTR. LIOT CHac SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL C9HTr. LIOT CHRCK App!icatiou 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 Registered Architect and /or Engi Employing Plumber's Name Location and Legal Description Lot_.._ _ ____B1 Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) _ New Building Siam Septic Tank .......... Feet of Drain Tile__) Nature of Water Supply: City—Well. Amount of Permit $_�_�- - ��____---- _- - - - - -_ - - - ( Signed) _ - - Plumb i. g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are requu'ed by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are lied by Miami Shores Village. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ Addition____ Repairs Street Tank — Capacity Gals —Dist. Fe of Tank or Drain Field from Well Size of Soakage Pit (Signed)____ ' 1! _,_ Date /A Z Street-. Subdivision Street 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. My Commission Expires Notary Public, State of Florida No. of Stories . . ...... ........... ...... 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 /oz workmanship. Master Plumber. Date Ti9 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. Permit No. ____ '1 Owner's Name and Address Registered Architect and /or Engineer___. Employing Plumber's Nam Location and Legal Description Street and Number where work is to be performed—No._ State work to be performed and purpose of building (By Floors) ____ Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No ._— -� /1_ _1610._ -__ Street -- Block_- Subdi Street- ES S (S7 �` ! Street L 1 ` q y -. New Building - - - --_ _ .---- _--- _•'-_ -.___ Remodeling-----._- __________ Addition- ___-- _ -.___ Repairs No. of Stories . . .. . .. ... .. . . ... Size Septic Tank___- ____ -- ---- - - - - -- -Type of Tank___ Capacity Gals Feet of Drain Tile_____ --------------- Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._______ _ _ __ __ _ _ Size of Soakage Pit ( Signed) _ The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe plied with the provisions thereof, and will require similar compliance from all contractors performed under this permit; and will post or cause to be posted for inspection on the si required by the Act. The undersigned agrees to employ only such sub - contractors, on licensed by Miami Shores Village. Plumbing Inspector. s an employer of labor anent Sup a lement, and has corn- employedJ him in the work to be such pu n otice or notices as are nder ,- :ermit, as are contract° e wor to b STATE OF FLORIDA, €m. 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. 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. 1 CLOSETS BATH SHOWERS LAVA- TORIES SINKS B SLOP SINKS LAUNDRY Tullis TU8 U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES Comm LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SWIM 'G POOL. Corm. LIOT _ . CHHCK Date Ti9 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. Permit No. ____ '1 Owner's Name and Address Registered Architect and /or Engineer___. Employing Plumber's Nam Location and Legal Description Street and Number where work is to be performed—No._ State work to be performed and purpose of building (By Floors) ____ Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No ._— -� /1_ _1610._ -__ Street -- Block_- Subdi Street- ES S (S7 �` ! Street L 1 ` q y -. New Building - - - --_ _ .---- _--- _•'-_ -.___ Remodeling-----._- __________ Addition- ___-- _ -.___ Repairs No. of Stories . . .. . .. ... .. . . ... Size Septic Tank___- ____ -- ---- - - - - -- -Type of Tank___ Capacity Gals Feet of Drain Tile_____ --------------- Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._______ _ _ __ __ _ _ Size of Soakage Pit ( Signed) _ The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe plied with the provisions thereof, and will require similar compliance from all contractors performed under this permit; and will post or cause to be posted for inspection on the si required by the Act. The undersigned agrees to employ only such sub - contractors, on licensed by Miami Shores Village. Plumbing Inspector. s an employer of labor anent Sup a lement, and has corn- employedJ him in the work to be such pu n otice or notices as are nder ,- :ermit, as are contract° e wor to b STATE OF FLORIDA, €m. 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. 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. 1 Permit No Employing Plumber's Name 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 � Registered Architect and /or Engin Location and Legal Description • t____�_________________ A Block_ Subdivision A / Street and Number where work is to be performed —No 93 / 2 1 )-- 1 )-- Street State work to be performe8 and purpose of building (By Floors) New Building Addition Repairs No. of Stories... c ...... . GAOQNO SNORES MOILUG PLUMBING INSPECTION DEPARTMENT APPLiCA 'D©1 Fat PLLAfnun163Oi MUM — ..... -- .—...... - - -- Street - -- -- Date_.._ 3_' 3 — l Size Septic Tank-.----------- ------- - - - - - -- --_ -- -Type of Tank Feat 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 $_ STATE OF FLORIDA, } COUNTY OF DADE. (Signed ) Capacity Gals (Sig►ad )- - P ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup o , ent, and has com- plier with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when ouch re- inspection is made necessary by improper notice for insr materials and /ar workmanship. n, or faulty GLOOM'S TUBE TUBS SH OWER6 LAVA- TORIES NK SINKS SLOP SINKS LAUNDRY TUBS U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES C LIOT CITY / / / / Q CHQCK i / v / i.}/M - ,.. 4 -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE P 1T GRE•SE TRAP $0L7FR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIe4 ® / 1 , /. .. ,ir ,. CHacK Permit No Employing Plumber's Name 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 � Registered Architect and /or Engin Location and Legal Description • t____�_________________ A Block_ Subdivision A / Street and Number where work is to be performed —No 93 / 2 1 )-- 1 )-- Street State work to be performe8 and purpose of building (By Floors) New Building Addition Repairs No. of Stories... c ...... . GAOQNO SNORES MOILUG PLUMBING INSPECTION DEPARTMENT APPLiCA 'D©1 Fat PLLAfnun163Oi MUM — ..... -- .—...... - - -- Street - -- -- Date_.._ 3_' 3 — l Size Septic Tank-.----------- ------- - - - - - -- --_ -- -Type of Tank Feat 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 $_ STATE OF FLORIDA, } COUNTY OF DADE. (Signed ) Capacity Gals (Sig►ad )- - P ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup o , ent, and has com- plier with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when ouch re- inspection is made necessary by improper notice for insr materials and /ar workmanship. n, or faulty I'enni; No. ..)..13 Amount of Permit $ 6.00 STATE OF FLORIDA. i as. COUNTY OF DADE. My Conunission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT :I; phr:�twn is hereby made for the approval of the detailed statement of the plans and specifications herewith subra:...-1 for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mk ! Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic , of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec ficatlons must be kept at '.3uilding during progress of work. Dwner's Name and Address . Rose Tyler No. 431 NE 94 _ . street . _..... .egistsred Architect and /or Engtneer :mploying Plumbers Name( 4 G o L1Yd Septij Tank Ser, N NW_111,.,,,, et t.. ,.Miami 33168 Location and Legal Description Lot. Block Street and Number where work is to be performed —No 431 NE 94 street Miami Shores State work to be performed and purpose of building (By Floors) _ ..... _.. ... _...___._...... _ New Building Remodeling____ ..... Addition Repairs .......... No of Stones Size Septic Tank__..—. ._- _ ........ -- •---- •----- -•_._. -.Type of Tank Feet of Drain Tile. 200 S q f t_. __Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City — Well..__ — _._.__ . _Size of Soakage Pit (Signed)_ (Signed)._ Capacity ........ Date F ebruary___18 , 1981 11)\ -1 y Plumbing inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e n;lloyel of tabor under the Florida Workrnen's Compensation Act, being Section 59813, Compiled General Laws of Florida Permanent rum lement, and Ilan •ori• ilied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed I y him in ' ,,.. rir c b- performed under this permit; and will post or cause to be posted for inspection on the site of the work such pnbl: notice Y. no leer +s a' required by the Act. The undersigned agrees to employ only such sub - contractors, on . k to be performed :, this :rr ti; ar . licensed by Miami Shores Village. `t1 Masts► Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per;or.a, ! . opearec. 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 acts therein by him stated are true. Notary Public, State of Fktride NOTE: A re- inspection fee of $1.00 will be made when such rsdaspecdoa is ®ade'neoessary by improper notice for inspecNon, (e toully materials and /or workmanship. CLOSrra BATH TUee SHOWER• LAVA- TORIES SINKS SLOP SINKS LAUNDRY TU•e URINALS CATCH BASIN FLOOR DRINKING' DRAIN FOUNT'Ne TOY..L FIETI RES Co NT$'. J LIT • CHECK _ SEPTIC I TANK SEWER CONN. DRAIN PILL!) SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O P001. ^�I Co. NTR LI.T CHECK � � — I'enni; No. ..)..13 Amount of Permit $ 6.00 STATE OF FLORIDA. i as. COUNTY OF DADE. My Conunission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT :I; phr:�twn is hereby made for the approval of the detailed statement of the plans and specifications herewith subra:...-1 for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mk ! Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic , of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec ficatlons must be kept at '.3uilding during progress of work. Dwner's Name and Address . Rose Tyler No. 431 NE 94 _ . street . _..... .egistsred Architect and /or Engtneer :mploying Plumbers Name( 4 G o L1Yd Septij Tank Ser, N NW_111,.,,,, et t.. ,.Miami 33168 Location and Legal Description Lot. Block Street and Number where work is to be performed —No 431 NE 94 street Miami Shores State work to be performed and purpose of building (By Floors) _ ..... _.. ... _...___._...... _ New Building Remodeling____ ..... Addition Repairs .......... No of Stones Size Septic Tank__..—. ._- _ ........ -- •---- •----- -•_._. -.Type of Tank Feet of Drain Tile. 200 S q f t_. __Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City — Well..__ — _._.__ . _Size of Soakage Pit (Signed)_ (Signed)._ Capacity ........ Date F ebruary___18 , 1981 11)\ -1 y Plumbing inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e n;lloyel of tabor under the Florida Workrnen's Compensation Act, being Section 59813, Compiled General Laws of Florida Permanent rum lement, and Ilan •ori• ilied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed I y him in ' ,,.. rir c b- performed under this permit; and will post or cause to be posted for inspection on the site of the work such pnbl: notice Y. no leer +s a' required by the Act. The undersigned agrees to employ only such sub - contractors, on . k to be performed :, this :rr ti; ar . licensed by Miami Shores Village. `t1 Masts► Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per;or.a, ! . opearec. 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 acts therein by him stated are true. Notary Public, State of Fktride NOTE: A re- inspection fee of $1.00 will be made when such rsdaspecdoa is ®ade'neoessary by improper notice for inspecNon, (e toully materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Req Date 1 U Type Insp'n r no •us Permit No. P1 3-(1- )qq. Name CJor\eA. Address 1 13 -1 4 54 Company 3 U X c e ' C P c T C Q Phone # Inspection Date I Approved Correction Re- Insp'n Fee •