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935 NE 95 St (6)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date to Ito Time Type Insp'n P 1 Name Address Phone # 4230 Permit No. P 1 aOO 3 - 14 9'33 •C as s-1 Company '`-C Po\ ■s . For Inspector: 10 I 1 C A Approved Correction ❑ Re- Insp'n Fee ❑ Date Type lnsp'n Permit No. Name MIAMI'SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Req Address q5J I S QS S]- Company poIQJ. Phone # OS-SSE 0 Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE 4Li {L BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ! 0 54 63 Time F vSI v� �� /(Jj Type Insp'n 1' L(XZ( t)3� 231 Permit lq I Name Address Qj 3S �+ LE 96 J t Company i Phone # For Inspector: 19 L lb'3 - J Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE B BUILDING DEPARTMENT ` 305- 795 -2204 Building Inspection Request Date 10 - 0 3-03 Type Insp'n AOV g(11 Permit No. PG Zoo 3 - ! 4 - 7 Time Name Cad (/3 Address q35 g 6 PS Company Phone # For Inspector: (k1 /010 Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date I0 - 1`f Time U Type Insp' n l 6 0c 5-1- Permit No. Pl v 3 — 1 \.V7 Name Ca-00 Address - g S 1 Company Phone # OS 5 For Inspector: Approved Correction Re- Insp'n Fee BUILDING ❑ ELECTRICAL ❑ PERMIT N. o PLUMBING �1 9929 ROOFING ❑ Owner of Building_ Architect Contracto or Builde Legal Descripti Address Building MIAMI SHORES VILLAGE. FLORIDA 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 n the statements or spgdl'fcation and that he assumes responsibility for work done by his agents, servants or employees. . ✓'Y" , ) 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 responsil for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER Signed• DATE 1951 Contractor's License No Work to be performed under this Permit . a ' 4C e BY AUTHORITY r {. ... . -d. . / n Lot Bl Subdi- vision f ,4, e ,.. "f / e ' �v - / .1 • Sq. Ft Amt. of Permit , $ ,,,; Value of Project $ BUILDING ❑ ELECTRICAL ❑ PERMIT N. o PLUMBING �1 9929 ROOFING ❑ Owner of Building_ Architect Contracto or Builde Legal Descripti Address Building MIAMI SHORES VILLAGE. FLORIDA 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 n the statements or spgdl'fcation and that he assumes responsibility for work done by his agents, servants or employees. . ✓'Y" , ) 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 responsil for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER Signed• DATE 1951 Contractor's License No Work to be performed under this Permit . a ' 4C e BY AUTHORITY STATE OF FLORIDA, COUNTY OF DADE. Amount of Permit $ 7 ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application fs 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 .' __ t ✓ 1 ' *�'� Registered Architect and /or Engineer Employing Plumber's Name ?" ' 't _ � " Ir` _ac!'! No. ___I%_ 2 Location and Legal Description Lot J. 0 + _Block Street and Number where work is to be performed —No. q 1 ^s .77 ' Street_ - a �) e No Street State work to be performe d purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile -- Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl} ell . Size of Soakage Pit (Signed) The undersigned applicant for this building permit does hereby certify that he t derstands and accepts his gations 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. • My Commission Expires Notary Public, State of Florida r __ ` Street_ -� • - - ' - i E Sub ivision >" �L ' . ' Plumbing Inspector. Mas ter Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' TOTAL FIXTURES CONTR. LIST / ��/ / / / __ -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK 4r STATE OF FLORIDA, COUNTY OF DADE. Amount of Permit $ 7 ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application fs 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 .' __ t ✓ 1 ' *�'� Registered Architect and /or Engineer Employing Plumber's Name ?" ' 't _ � " Ir` _ac!'! No. ___I%_ 2 Location and Legal Description Lot J. 0 + _Block Street and Number where work is to be performed —No. q 1 ^s .77 ' Street_ - a �) e No Street State work to be performe d purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile -- Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl} ell . Size of Soakage Pit (Signed) The undersigned applicant for this building permit does hereby certify that he t derstands and accepts his gations 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. • My Commission Expires Notary Public, State of Florida r __ ` Street_ -� • - - ' - i E Sub ivision >" �L ' . ' Plumbing Inspector. Mas ter 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. BUILDING ELECTRICAL PLUMBING • MIAMI SHORES VILLAGE, FLORID/1e DATF!' , ';, 194 C4 tractor's License No Owner of Building % 7i/ Architect a Contractor / or Builder . Legal Description Address of ;- Building ' This .ermit is granted to the contract • 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 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 respon- sibility for work done by his agents, servants or employees. - Lot PERMIT N? 7824 Work to be performed under this Permi In consideration of the issuan o me of this permit I agree to perform / work covered hereunder in compliance with all or . ces and xegglagoon, pertaining thereto and in strict conform wi the plans, drawings, stateme or specifications submitted to the proper authofns o ami Sh s. Vil;dge. - In accepting this permit I assume respons .ility or all work done by either myself, my agent, servant or employee. *..; % Subdi- vision Value of Project e Amt. Permi Signed~ t" . 1 +�- *�.�4 i�. By INSPECTOR J BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description . 1l CONTRX - CTOB - BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N? 7873 Work to be performed under this Permit Bl. Subdi- vision 194/. ContractOr's License No. Amt. of Permit Address of _ _ I Value of Building r i Project 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 ing regulations pertaining to the work covered hereby whether shown on the plans or draws or in the statements or specifications an d that he assumes respon- sibility for work done by his agents, servants or employees. Signed. . v -, '• z ` By INSPECTOR In consideration of the issuance to me of this permit I agree to perform thgrwork covered hereunder in compliance with all ordina es and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper ai cities of Miami ,ShoQes VV O Vill�e. In accepting this permit I rsume responsibility for all t work done by either myself, my agent, servant or employee. r r . ; AUTHORITY Permit No 3 ` Date...__/.. ....%/2,/. .__ - -.— Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subinitted 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. J Owner's Name and Address L � � _ No. , Registered Architect and /or Enn Employing Plumboie Name, ` . .. Aga.. exam.. No,IA� ..sa..,..ant.,.r,,. sane w; i S ......(n (47' Location and Legal Description Lot. 240 Block '74'' SubdivisionOz La ?dX'd 5 / Street and Number where work is to be performed —No ?;3 Street. W6 .2 c 52 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 Size of Soakage Pit Amount of Permit $- —f STATE OF FLORIDA, COUNTY OF DADE. M Commissio Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_ - - - - - -_ ._--- _ -_... __Dist. Feet of Tank or Drain Field from Well . (Signed)_. . Repairs No. of Stories. Capacity 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 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 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. (Signed) 7 _' 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re inspection is mnde•neoessary by improper notice for inspection, or faulty materials and /or workmnnship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tugs U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES LIST j if CHECK 1 SEPTIC TANK SEWER CONN. DRAIN SOAKAGE FIELD PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POOL CONTR. LIST CHECK / 7"4 � l ST/ v, to �✓ / ,�s -�c- Permit No 3 ` Date...__/.. ....%/2,/. .__ - -.— Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subinitted 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. J Owner's Name and Address L � � _ No. , Registered Architect and /or Enn Employing Plumboie Name, ` . .. Aga.. exam.. No,IA� ..sa..,..ant.,.r,,. sane w; i S ......(n (47' Location and Legal Description Lot. 240 Block '74'' SubdivisionOz La ?dX'd 5 / Street and Number where work is to be performed —No ?;3 Street. W6 .2 c 52 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 Size of Soakage Pit Amount of Permit $- —f STATE OF FLORIDA, COUNTY OF DADE. M Commissio Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_ - - - - - -_ ._--- _ -_... __Dist. Feet of Tank or Drain Field from Well . (Signed)_. . Repairs No. of Stories. Capacity 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 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 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. (Signed) 7 _' 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re inspection is mnde•neoessary by improper notice for inspection, or faulty materials and /or workmnnship. Y 77? Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING 7 Date LL � - 0 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. /� , v A � p Owner's Name and Address. .8.3 —.____ No. 3__.__ __ Street !I_�` Registered Architect and /or Engineer _ --- _-- ---- __ - _-- - ------ ---- --- Employing Plumber's Name_ O_ ' �'� /4 74Z/ Street--1 • 4 - Location and Legal Description Lot____._ — _______— _________ —___ Block Street and Number where work is to be performed —No 57. ? �� 2 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. Type of Tank Capacity Gals. _Dist. Feet of Tank or Drain Field from Well -_Size of Soakage Pit - ------------ - - - - -- - - -- -- -- Amount of Permit ..... � �_ �__---- __ -_ -- _ — _ ( 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, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. es. My Commission Expires Repairs Subdivision No. of Stories 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. 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 worlananship. CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NEI TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM $WIM'G POOL � � 1 T" °OTT / 0l, , _ . — CONTR. LIST CHECK Y 77? Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING 7 Date LL � - 0 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. /� , v A � p Owner's Name and Address. .8.3 —.____ No. 3__.__ __ Street !I_�` Registered Architect and /or Engineer _ --- _-- ---- __ - _-- - ------ ---- --- Employing Plumber's Name_ O_ ' �'� /4 74Z/ Street--1 • 4 - Location and Legal Description Lot____._ — _______— _________ —___ Block Street and Number where work is to be performed —No 57. ? �� 2 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. Type of Tank Capacity Gals. _Dist. Feet of Tank or Drain Field from Well -_Size of Soakage Pit - ------------ - - - - -- - - -- -- -- Amount of Permit ..... � �_ �__---- __ -_ -- _ — _ ( 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, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. es. My Commission Expires Repairs Subdivision No. of Stories 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. 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 worlananship. Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of 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. Owners Name and Address Size Septic Tanti Feet of Drain Tile Nature of Water Supply: City—Well. ;\ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 04...1. ! Aid Registered Architect and /or Engineer Employing Plumber's Name 9 • Location and Legal Description Lot._ Block Subdivision._______ ki p -(;;;/' Street and Number where work is to be performed —No r Street. w _ -� r. State work to be performed and purpose of building (By F oors)____A - A.L_.__ s — ib l ,,c( :. ...-- _• - - -- New Building___. _ _ _.. Remodeling_____ _.. ___ Addition.. ___ —. __.._.. Repairs. Ili' No. of Stories. Type of Tank mist. Feet of Tank or Drain Field from Well Size of Soakage Pit.. No Ci Street. - . (Signed)_ —.. l LPL .� - -• -- - Plum ir►g Inspector. 1 i .... . (Shined) 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 or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work .. be performed this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oa and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath dep oses and says that be is the — .._._._. __._._.._ - -• - -. -- —. of the above described construction, that he has careful* read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. M Commiaaion Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whoa war wiaspeodoa is made necessary by improper notice far lespection, a faulty materials sad /ce workmanship. CLOSETS BATH Tugs " LAVA. TORIES SINK[ SLOP SINKS LAUNDRY TOSS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE[ CONTR. LIST CHECK SEPTIC TANK SEWER Comm. DRAIN FIELD SOAKAO[ PIT GREASE TRAP SOLAR HEATER DEEP WILL SPRKLR. SYSTEM SWING POOL Cowrie. LIST CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of 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. Owners Name and Address Size Septic Tanti Feet of Drain Tile Nature of Water Supply: City—Well. ;\ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 04...1. ! Aid Registered Architect and /or Engineer Employing Plumber's Name 9 • Location and Legal Description Lot._ Block Subdivision._______ ki p -(;;;/' Street and Number where work is to be performed —No r Street. w _ -� r. State work to be performed and purpose of building (By F oors)____A - A.L_.__ s — ib l ,,c( :. ...-- _• - - -- New Building___. _ _ _.. Remodeling_____ _.. ___ Addition.. ___ —. __.._.. Repairs. Ili' No. of Stories. Type of Tank mist. Feet of Tank or Drain Field from Well Size of Soakage Pit.. No Ci Street. - . (Signed)_ —.. l LPL .� - -• -- - Plum ir►g Inspector. 1 i .... . (Shined) 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 or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work .. be performed this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oa and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath dep oses and says that be is the — .._._._. __._._.._ - -• - -. -- —. of the above described construction, that he has careful* read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. M Commiaaion Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whoa war wiaspeodoa is made necessary by improper notice far lespection, a faulty materials sad /ce workmanship. Work: REPLACE & ABANDON SEPTIC TANK O If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. JIM WAHL & ASSOCIATES INC. 849 NE 92ND ST. MIAMI, FL 33138 Pay to the Order of 1 141 5 gc>2-es c Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2002 -274 Printed: 10 /18/2002 Applicant: RUTH POLLEY Owner: POLLEY RUTH JOB ADDRESS: 935 NE 95 ST Contractor LLOYD NORTH DADE SEPTIC TANK SERVIDEdNt actor's Address: 750 NW 107 ST Local Phone: 305 - 754 -3375 Parcel # 1132060143110 Fees: Description Amount FEE2002 -5887 Building Fee $80.00 FEE2002 -5888 Notary Fee $5.00 Total Fees: $85.00 Total Fees: $85.00 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 4/16/2003 COLONIAL BANK. Miami, Florida 24 Hr Colonial Connection 1 -877 -502 -2265 For p AbRw t l e &) ?pie, W.r 1:06700 L5 LBI: 80 3 24 38 7 341 E. Cte ANOVA _s Wt7P(FtYf.gtftl Date /6 -11 -0 Z- Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 20 & 21 BLK 76 LOT SIZE 100.000 X Plumbing Permit I $ <oa F, ./d 6 Construction Value: $500.00 1398 Dollars 8 63- 151/670 22 m Ova, i:.ifimet'itiLaant :Y'^^••^^az loft 'tP ubmtetr. -t- icdcate a. .i-:,, chleticri0i±4010.,:isr: m[iihtminftelad.71, I the equipment or device described in the application herefor in strict compliance with all e with any plans, drawings, statements or specifications that may have been submitted to is not done in compliance with such ordinances or if the plans are changed without actor or builder named above assumes the responsibility for a thorough knowledge of the vings or in the statements or specifications and that he assumes responsibility for work done BY: BY: Page 1 of 1 • in compliance with all ordinances and regulations pertaining thereto and in strict conformity ,res Village. In accepting this permit I assume responisibility for all work done by either SECTION BY DATE Zoning Electrical fl Mechanical r } Plumbing �� ! yl °- 4,-- J , Fire o )• ,, ✓ Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERM FEES O Metropolitan Dade County (C.C.F.) $ ( sq.ft. = x/1000 x 0.60) $ (0.005 /sq.ft.) $ (0.01 /sq.ft.) $ �. 0 o PERMIT APPLICATION 0 CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) O CONTRACTOR REGISTRATION (On File) TOTAL $ 2e a 6 ISSUING OFFICIAL REVIEWED AND PREPARED BY: 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 ELECTRICAL '''Y►)'.' Minimum Fee Q . Dryer Q .►.a.►,►.- Outlet, Appliance Q'T'Y 'rvi'I' Service Repair O'T'y. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE. Minimum Fee QTY. TYPE. QTY. Condensate Drain TYPE Generator QTY. '►'\'I'E QrY. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. 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 Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING T1'PP. A/C Condensate QTY. TYPE. Drains, Roof QTY. TYPE Miscellaneous Fixture QTl'. TYPE Soakage Pit Q'IY. 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 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 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: CONTRACTOR New Construction \Name Li yrj ,v -f JADE.- SL P77C Enclosure License No. .5A1 o gov `iir Home Telephone Address 731) /lJ. al /077 dr "441/ , F.L. 30/67 Business Telephone Telephone 30 j __ .7,c/.. .7,c/.. 9l Fax " 7�-/ - hy 7 0 Qualifier Name L L C .� , / � 8 T Demolish PROPERTY OWNER New Construction Name k 077 l l Enclosure Address 93 NL 0377-1 CTz /1/)i/ c : , FL. 33/S4 Home Telephone Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'1 Detachment Other 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 the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted 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 VNJobAddress: (3S A). -• q3 c 7 &i T mi' ni /.' > -/D, .� FL 33/3 r > Addres ' I Apt. City D State • Zip ip Folio Number // ° �[� - �l �-1 r� // ® Q( Description of Work /T S 09 } , AJ (549 Lot iQ d .2 ! Block f_ 7 —AAi/< Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Ci Value of Work 4��. an Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. PERMIT APPLICATION Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited 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 PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 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. STA OF FLORIDA, COUNTY OF MIAMI -DADE Si ature f wner Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Type of Identification Produced: STATE • F ORID , • O j► Y QF MIAMI -DADE Y\ Signature of Contrac r / Qualifier aR0 k Err Print Name Sworn to and subscribed before me this gnature o otary Publ . - tate SEAL: ce; Po PERMIT APPLICATION Personally known OR, Produced Identification Personally known �' c c- OR, Produced Identification Type of Identification Produced: MI I SHORES VILLAGE, FLA. ■ JOB ADDRESS TIME READY 1 INSPECTION REMARKS N9 6605 INSPECTOR DATE