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841 NE 95 St (2)) • 1 Pi e.gSe- r rl C..5 r)r A " 42- euv-, Pir'e. C ir - OLte)L Q n rife— Ovey (1 e e / . C.) Pi tCZSe_ rUr\ \_,-cireq e_ /o..' ethrl py-,e, Liik I ovev- 4 Q v e .` . o i s . ,..., 1 1 . . PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) 098 N 6:7 q.- s 17/t-.1 P 4 ( S.LL 2 Ltd- / Less Pt Tenant�)C.;b��1d_ (A_� Date 6Xp>/ Legal Description Ome Lessee / Owner's Address Contracting Co ; £ / L �j Qualifier State # Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION2"S7' _ .917b 0 Square Ft. 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 PROPEF,TY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 16 ignat Date: otary as to My Commission * * PERMIT FEE: Address 67,22c-0.,(/,/25.ory Owner and/or Expires: * - * APPROVED: Mechanical Competency# S Ins . Co. Address Address Address r or Condo Pres. Condo ,g @ went State of Florida at large myimmasion [x*es lm, 3,199 Fire Zoning Building Phone 5 ; 1 9 3 Tax Folio /I . P - o 0 /0 s Pe i itpi 3� Phone 373- 7300 7S'- 0 Address J Y:C,CiAZ:`j 2 e ! — PLUMBING MECHANICAL PAVING FENCE SIGN Estimated Cost Signature of Con rac to or Owner- Builder Date- Notary as to Contractor or Owner- Luilder My Commissio pires: AWAANDO G*CUBAS * * MY COMMISSION EXPIRES April 7, 1995 m,;� Electrical Engineering JILDING ECTRICAL UMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 8657 Work to be performed under this Permit Amer of iilding chitect DATE 194_ Contractor's License No )retractor Builder :gal Lot Bl. Subdi- scription vision 'dress of Value of Amt. of riding Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- ion herefor in strict compliance with all ordinances pertaining thereto and w'th the understanding that the work will be performed in compliance with any ns, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 -mit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and .ulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ility 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 taining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for a work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY lUILDING LECTRICAL 'LUMBING )wner of 3uilding architect CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 194 PERMIT N? 8642 Work to be performed under this Permit Contractor's License No : ontractor )r Builder .cgal Lot II B1_. Subdi- )escription vision address of Value of Amt. of luilding Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli= ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ,lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Pen may be revoked t 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 , ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and cgulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ibility 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 ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY - GLOOMY° BATH TUDO 6. LAVA- 7000m BIN" SLOP ISMS' LAUNOtY Tuns URINALS VAal:: FLOOR DRAIN Daikm P40 Fr 01.9471411 TOTAL 17 IIITOR110 CONTR. LIOT SEPTIC TANS SZWIL/1 CONN. DRAIN OF Irmo SOANAOS PIT GR AS S TRAP SOLAR HEATIIR MOW WELL SPRKLR. SYSTIM SW IOC a POOL CONTR. LIST CNIECS Pennit No (9,f elDg Application is hereby made for the opprovol of the detailed statement of the piano and specifications herewith submitted for the building 07 other structure herein described. This application is made In complianoe and conformity with the Building Ordinance) of Miami Stares Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Mia1011 Shares Village and all rules and regulations of the Building Division of. Miami Shores Village shall be complied with, whether herein specified ce net A copy of approved plans and specificati ns nu Se be kept as building during progress of work. Figura 898 N E 95th St Owner's Name and Adcbes No Street ._. Registered Architect and/or Engineeilica..T. . 111 EmPloYing Minks* ItTnrno 4Le and LegaI Description WI L. id, 7 woe, Amount of Permit 9 NOTE: A re-inspection feet materials and/or WC0111.4ShiP. 775,0U ■•■4 ••••••,• Subdivision& / th :gal' Street and Number other() work III to In perfoallal—Ho. 9 5 Street in, State work to be performed and purpose of building (By Fleces)__ New Building.--- Remodeling__ Addition_ 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 My Commission Ezygrea 0 SNORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUM:4NO PERMIT (Signed) 0 Repair a No. of St 'ries .... PIu nbing In vector. ..... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ail employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Supplement, and Isar com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wort. to be performed under this permit; and will post or amuse 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 be under Is permit, as are licensed by Miami Shores Village. Notary Public, State of Flosids I star. Plum ber. STATE OF FLORIDA, I as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, dilly anthceized to administer oaths and take acknowledgments, pi %%mien,' appeared to me weU known, end who, being by me first duly amen, upon oath deposes acid says that be ta the ____ of the above described construction, that hens carefully read the foregoing application, and that be did sign the sawn, and thee all facts therein by him stated are true. 01.00 wiul be meats whew omit les4sepezeice fL odo by Daiwprepor wake few inspection, 0:7 hulay Permit No._____ ___d Date___ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for t he building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Sho .es 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 tl e Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specificatic ns must be kept at building during progress of work. Owner's Name and Address No Registered Architect and /or Engineer 4 Employing Plumber's Name �e�__l.� 4 Ot1i2� - No Q �� _ Street___ Location and Legal Descriptiorf ot Block____— Subdivision Street and Number where work is to be performed —No. Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Ss. Nature of Water Supply: City —Well._ Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT r / / J/ v ,, Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he iai/erstands and accepts his oblig bns as ar employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplem ;nt, 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 th s permit, as are licensed by Miami Shores Village. Alb W1 'Street • Notary Public, State of Floride v 4 STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST . CHECK .i I I. . SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL. SPRKLR. SYSTEM SWIM'G POOL 1 / CONTR. LIST CHECK Permit No._____ ___d Date___ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for t he building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Sho .es 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 tl e Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specificatic ns must be kept at building during progress of work. Owner's Name and Address No Registered Architect and /or Engineer 4 Employing Plumber's Name �e�__l.� 4 Ot1i2� - No Q �� _ Street___ Location and Legal Descriptiorf ot Block____— Subdivision Street and Number where work is to be performed —No. Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Ss. Nature of Water Supply: City —Well._ Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT r / / J/ v ,, Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he iai/erstands and accepts his oblig bns as ar employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplem ;nt, 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 th s permit, as are licensed by Miami Shores Village. Alb W1 'Street • Notary Public, State of Floride v 4 STATE OF FLORIDA, 1 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 Employing Plumber's Name building during progress of work. i Owner's Name and Address Registered Architect and /or Engineer �. Nature of Water Supply: Cityx -Well Amount of Permit $__j ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1 (Signed) (Signed) • _ 'Jaw Date / 0 - -� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for t he building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Sho.'es 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 ti e Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specificatic ns must be kept at No Street No Street Location and Legal Description Lot Subdivision Street and Number where work is to be performed— No.__U __9._____ e State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs No. of Stc ries Street Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit � PIui nbing Inspector. The undersigned applicant for this building permit does hereby certify that h °"u i nderstands and accepts hi o ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, 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 perfonned 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. C -mot. Ma ster Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pc rsonally 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, ind that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS L ( I' •'' , , TOTAL FIXTURES CONTR. LIST �� hl / _,4 / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK _ Permit No Employing Plumber's Name building during progress of work. i Owner's Name and Address Registered Architect and /or Engineer �. Nature of Water Supply: Cityx -Well Amount of Permit $__j ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1 (Signed) (Signed) • _ 'Jaw Date / 0 - -� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for t he building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Sho.'es 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 ti e Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specificatic ns must be kept at No Street No Street Location and Legal Description Lot Subdivision Street and Number where work is to be performed— No.__U __9._____ e State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs No. of Stc ries Street Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit � PIui nbing Inspector. The undersigned applicant for this building permit does hereby certify that h °"u i nderstands and accepts hi o ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, 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 perfonned 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. C -mot. Ma ster Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pc rsonally 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, ind 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. /' Size Septic Tank . Feet of Drain Tile Nature of Water Supply: City —Well ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (Signed) APPLICATION FOR PLUMBING PERMIT Permit No Date 2 / C . 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 Shires 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 t he Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specificati ons must be kept at building during progress of work. V i Owner's Name and Address No % ` ' , - Street___: ^ • I r'' ° " Registered Architect and /or Engineer_____ _ Employing Plumber's Name r No Street Location and Legal Description Lot Block Subdivision__ c,. : 7 Street and Number where work is to be performed —No Street__fc: ..' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of St ides Capacity Gals My Commission Expires Notary Public, State of Florida JI Type of Tank___,) Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $ • L (Signed) Plulnbing Inspector. bli The undersigned applicant for this building permit does hereby certify that he un erstands and accepts his o g ations as ar employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplemont, 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 the s permit, as are licensed by Miami Shores Village. Ma ster Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pe rsonally 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. 23 CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK /' Size Septic Tank . Feet of Drain Tile Nature of Water Supply: City —Well ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (Signed) APPLICATION FOR PLUMBING PERMIT Permit No Date 2 / C . 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 Shires 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 t he Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specificati ons must be kept at building during progress of work. V i Owner's Name and Address No % ` ' , - Street___: ^ • I r'' ° " Registered Architect and /or Engineer_____ _ Employing Plumber's Name r No Street Location and Legal Description Lot Block Subdivision__ c,. : 7 Street and Number where work is to be performed —No Street__fc: ..' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of St ides Capacity Gals My Commission Expires Notary Public, State of Florida JI Type of Tank___,) Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $ • L (Signed) Plulnbing Inspector. bli The undersigned applicant for this building permit does hereby certify that he un erstands and accepts his o g ations as ar employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplemont, 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 the s permit, as are licensed by Miami Shores Village. Ma ster Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pe rsonally 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. 23 Permit No Location and Legal Description Lot_ Amount of Permit $ My Commission Expires OA : B SHORES MOLdiGC PLUMBING INSPECTION DEPARTMENT QPPLICATIO r< FOR PLUMBING P E R M I T (Signed) (Signed) Date c, 5/66 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for tl e building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shorts 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 ifs! 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. q '1. • ST Owner's Name and Address M C No _ � N' C Street S Registered Architect and /or Engineer __ ________ — ___ NI 11 577 Employing Plumber's Name ly LS/ oo r4E - - Sr T1G > ck- - _ C__ �?_.____ - -- No g•97/ ' IA> • Street Block_________ Subdivision Street and Number where work is to be performed— No.____ _.____ 9 �g � ��y_ �- Street s Si State work to be performed and purpose of building (By Floors) N B Remodeling Addition.. Repairs No. of Stories. _ ___._._._... --- Size Septic Tank Type of Tank Capacity Gals.__._._ Feet of Drain Tile 38 X41 c% I Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatiol an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent •pleme it, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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 (T notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under thi: permit, as are licensed by Miami Shores Village. Ivlg: ter - ]'!amber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pei sonally 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, a nd that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of i$1.00 will be made when such re- inspection is made • necessary by improper notice for inspection, or faulty materials and/oz workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS TOTAL FIXTURES CONTR. LIST -_- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LICIT CHECK Permit No Location and Legal Description Lot_ Amount of Permit $ My Commission Expires OA : B SHORES MOLdiGC PLUMBING INSPECTION DEPARTMENT QPPLICATIO r< FOR PLUMBING P E R M I T (Signed) (Signed) Date c, 5/66 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for tl e building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shorts 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 ifs! 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. q '1. • ST Owner's Name and Address M C No _ � N' C Street S Registered Architect and /or Engineer __ ________ — ___ NI 11 577 Employing Plumber's Name ly LS/ oo r4E - - Sr T1G > ck- - _ C__ �?_.____ - -- No g•97/ ' IA> • Street Block_________ Subdivision Street and Number where work is to be performed— No.____ _.____ 9 �g � ��y_ �- Street s Si State work to be performed and purpose of building (By Floors) N B Remodeling Addition.. Repairs No. of Stories. _ ___._._._... --- Size Septic Tank Type of Tank Capacity Gals.__._._ Feet of Drain Tile 38 X41 c% I Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatiol an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent •pleme it, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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 (T notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under thi: permit, as are licensed by Miami Shores Village. Ivlg: ter - ]'!amber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pei sonally 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, a nd that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of i$1.00 will be made when such re- inspection is made • necessary by improper notice for inspection, or faulty materials and/oz workmanship. BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N2 8891 Work to be performed under this Permit Owner of Building Architect Contractor or Builder CONTRACTOR OR BUILDER BY AUTHORITY 194_ Contractor's License No. Legal Lot I Bi. Subdi- Description vision Address of Value of Amt. of Building Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed- By INSPECTOR In consideration of the issuance to me of this pe -^ I agrce 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. Dat Type Insp'n Permit No. Name Address Ca pany Phone # MIAMI SHORES VILLAGE is U ILL)IIN U lltYAK 1 MEN' 1' 305- 795 -2204 Building Inspection Request For Inspector: 1 (30 dame & Date Approve Correction Re- Insp'n Fee