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PLUMBINGPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 1e *21 //e , Tax Folio Legal Description Owner/Lessee / Tenant Owner's Address /04 //E. Contracting ,. % '/ 4 el M 1 a1 Qualifier State # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING M CAL ROOFING PAVING FENCE SIGN WORK DESCRIP'T'ION � 64-- , lC <- t e / i Square Ft. filf . i-tdo �2d 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. 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. ature of owner and/or Condo President ///kr/ Date C C 's/At - P.a. ) Historically Designated: Yes j No APPROVED: Zoning Building Mechanical Plumbing Master Permit # 1 o 201) Phone r c I v 4 r G- !;‘) .Address / 97,2 ,J p? SS# -- 45 451- 73 3 Competency # Ins. Co. /44.1<-4 2g • Estimated Cost (value) I6 Signature of on ' actor or Owner - Builder Notary as to Owner and/or Condo President Dat �Y Notary as to Contractor or Owner - Builder Date My Commission Expires: . ,� ,,,,,,..:►wry My Commission Expires: STEPHEN E COCKING State of Florida My Comm. Exp: 08104/0 Commit: CC869180 r . a vV`ArWs- J FEES: PERMIT 3i• RADON C.C.F. r D NOTARY Electrical Date BOND 300 TOTAL DUE 335 67) Engineering APPLICATION FOR: [44.1] New System [ 1(] Repair APPLICANT: AGENT: nit Type of o Establishment 3 STATE FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL,SYSTEM APPLICATION POR PERMIT �4 Authority: plsr 8�1' & Chapter 10D -6, FAC [r/) Existing System [S ] Holding Tank [PI) Temporary /Experimental [P O€ b*(Specify) Abandonment 74,94. e # .34 (los Est- 7 8 s . 4AILING ADDRESS: ,e - 1( - 7777 __= =________ CO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. ATTACH BUILDING PLAN AND TO -SCALE SITE PLAN SHOWING PERTINENT FEATURES REQUIRED BY CHAPTER 10D -6, FLORIDA ADMINISTRATIVE CODE. r == = = =_ =____________ =_ - -_ _ - _== = = ==== = === ==== •- -- - --- 'ROPERTY INFORMATION [IF LOT IS NOT IN A RECORDEDSUBDIVISION, ATTACH LEGAL DESCRIPTION OR DEED] 'n= BLOCK: SUBDIVISION: 'ROPERTY ID #: 'ROPERTY SIZE: 'ROPERTY STREET ADDRESS: DIRECTIONS TO PROPERTY: 1;ncib 2 1 f) Garbage Grinders /Disposals Al] Ultra -low Volume Flush Toilets ,PLICANT'S SIGNATURE: ACRES [Sgft/43560] PROPERTY WATER SUPPLY: [ ] PRIVATE [r] PUBLIC /04 tv . UILDING INFORMATION [RESIDENTIAL No. of Bedrooms S -H Form 4015, Mar 92 (0bsoletes previous editions which may not be used) tock Number: 5744 -001- 4015 -1) [Section /Township /Range /Parcel No.] ZONING: [ Building # Persons Area 1aft Served ] COMMERCIAL PER)4V! :f# nAti Y►nID FEE PAID $ RECEIPT 1 + 0 `7 1°_ 0 TELEPHONE: 2 / /fp DATE OF SUBDIVISION: Business Activity For Commercial Only 67 n [r./ ] Sp s /Hot Tubs [ ] Floor /Equipment Drains [ ] Other (Specify) DATE: 1 /riir Page 1 of 3 APPLICATION FOR PLUMBING PERMIT 4 a Permit No Q( a 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 herehs specified or not. A copy of approved plans and specifications must be kept at building during progress of w - No. ?S Street../v 1 Owner's Name and Address Registered Architect Engineer EmploYing NW: // sa P .4d duL W CM W rk is to be performed-No 74‘ Locaiio d n an Leizal Lot. _ci-stt Mork Su C ? re 1.e 9S- st,..1,...,A/r, . -- State work to be performed and purpose of building (By Floon)__ Ai %-q.. t-1. WO 4 - 1 Q. L.L. t e . r Addition Repairs ia/" ......--- No. of Stories . ..... New Building Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 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 $ (Slipped) Plumbing Invector. 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 Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Supplement, and hg ( 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 pubes ce or notices as err required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be perf permit, as are licensed by Miami Shores Village. aster Plumber. STATE OF FLORIDA, I u. 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 depose. and says that he is the of the above described construction, that he has outtfulbr read the foregoing application, and that be did sign the tonne, and that all facts therein by him stated are true. My Commission Erpiree Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when mob re•hupeetion is made. neosesery by Improper notice for tion, or faulty materials and/or workmanship. CLoecrs BATH 'rum, ----- ^ LAVA- TORIES . " SLOP •.,.....,,.. SINKS LAUNDRY Tu. URI NALS CATCH FLOOR DRAIN DRINKING FOUNT'N• TOTAL FIKTIJR111 CONTR. LIST - CHECK ..... SEPTIC TANK SEWER Comm. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL 5 . SYSTEM swswe POOL Ccorrn. LIST CHECK APPLICATION FOR PLUMBING PERMIT 4 a Permit No Q( a 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 herehs specified or not. A copy of approved plans and specifications must be kept at building during progress of w - No. ?S Street../v 1 Owner's Name and Address Registered Architect Engineer EmploYing NW: // sa P .4d duL W CM W rk is to be performed-No 74‘ Locaiio d n an Leizal Lot. _ci-stt Mork Su C ? re 1.e 9S- st,..1,...,A/r, . -- State work to be performed and purpose of building (By Floon)__ Ai %-q.. t-1. WO 4 - 1 Q. L.L. t e . r Addition Repairs ia/" ......--- No. of Stories . ..... New Building Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 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 $ (Slipped) Plumbing Invector. 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 Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Supplement, and hg ( 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 pubes ce or notices as err required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be perf permit, as are licensed by Miami Shores Village. aster Plumber. STATE OF FLORIDA, I u. 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 depose. and says that he is the of the above described construction, that he has outtfulbr read the foregoing application, and that be did sign the tonne, and that all facts therein by him stated are true. My Commission Erpiree Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when mob re•hupeetion is made. neosesery by Improper notice for tion, or faulty materials and/or workmanship. STATE OF FLORIDA "- DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Applicant 6.e c /3 Z -e, Permit Number 8‘.-- /3.3 C 450 "LA . 9s r V 92-- c. C (fig PART II - SYSTEM INSTALLATION INSPECTION AND FINAL INSTALLATION APPROVAL Installer ls11.9 ' , o" Tank Manufacturer �/Ai Propertank legend: Yes_ L,& No Tank material C3- 4,e-&- A-- Tank level: Yes No No Tanks watertight: Yes__`,, , - No Tank size: gallons gallons G " gallons Proper tank outlet device: Yes ii/,r- No Manhole or marker to grade: Yes -L" No Drainfield Trench Absorption Bed Length Width Length Width Length 317feet x 02 eet = ft feet feet i feet feet Length " feet = ft feet feet feet feet Proper No. drainlines: Yes _Z No feet feet feet feet Proper pipe separation: Yes V No Total = ft Total = ft Distribution box level: Yes No / Systems located as permitted: Yes i2 No A Systems including plumbing stub -outs installed at proper elevation: Yes No / Average depth to drainpipe invert from finished grade: / et inches Maximum depth: 4 lit Inches Average depth of drainfield gravel: inches Minimum depth of gravel / v inches Proper gravel size: Yes / No Gravel is suitable quality: Yes No Backfill or fill material as required: (Quality) Yes i- No (Quantity) Yes %G No n Other findings / C,e_ - Inspected by v . 4 - 4 . , Date Approved by: PART III AN APPROVED INSTAL ON DOES NOT GUARANTEE PERFORMANCE Note: Completed copies of this form will be provided to the applicant, installer and the building department. HRS —H Form 4016, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 5744 -002- 4016 -0) (0 TALLATION APPROVAL Date /3ofrG 4,9 de, COUNTY PUBLIC HEALTH UNIT Page 2 of 2 Type Insp'n AOP ' ,t- � 1 .Permit No. �1 y,(9. / c 10 L A- / < / Name Address Company Phone Date For Inspectol Approve Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reques g,/ Time Type Insp'n Address MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui ding Inspection Date Time Permit No. ? l ( c Name \ O � t Q YQ . Compan I vl r r 1 U 1 I Phone# c J LIG ^p-ZD-S For Inspector: (1 7 1 — Y me : �`� ate Approved Correction ❑ Re- Insp'n Fee ❑ e ca11 \as2 see oi u-ffas2 `�O fYkQek ycu 14CS ° 6q1 - 1► MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. Owner's Name and Address Registered Architect and /or Engineer Brooks - American Employing Plumber's Name ------ • - - - -- Location and Legal Description Lot. Bloo& Street and Number where work is to be performed —No 1042 State work to be performed and purpose of building (By Floors ) .------- ...-------- ...___.. New Building Remodeling__ —_ _ ..__ Addition Sprinkler Cell,. 2430 etieet.. N• °I. 79 Street Size Septic Taalc_.— .-- - - - - -- — — - - - -- T ype 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 $ 8.00 (Signed) (Signed) Date April 6, 1976 1042 N E 9 ,nd Street No.-.—. Street.__._--- _ _ ..... . . . _... Street N E 9d Street Repairs No. of Stories Capacity Gals..._..._ ....... ___.__. -.... __... umbing Inspector> The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatiq s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent /Supplement, and Ilan 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 wofk to be performed de nnit, as are licensed by Miami Shores Village. d aster Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. J 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 fads therein by his, stated are true. Notary Public, State of Florida My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such re4nspeetioo is mede by improper notice for inspection, or faulty materials and /or workmanship. CLOSET S BATH Tun[ SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY Tugs UR INALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HATER DEEP WELL. SPRKLR. SYSTEM SWIM'O POOL CONTR. X � LIST CHECK 14CS ° 6q1 - 1► MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. Owner's Name and Address Registered Architect and /or Engineer Brooks - American Employing Plumber's Name ------ • - - - -- Location and Legal Description Lot. Bloo& Street and Number where work is to be performed —No 1042 State work to be performed and purpose of building (By Floors ) .------- ...-------- ...___.. New Building Remodeling__ —_ _ ..__ Addition Sprinkler Cell,. 2430 etieet.. N• °I. 79 Street Size Septic Taalc_.— .-- - - - - -- — — - - - -- T ype 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 $ 8.00 (Signed) (Signed) Date April 6, 1976 1042 N E 9 ,nd Street No.-.—. Street.__._--- _ _ ..... . . . _... Street N E 9d Street Repairs No. of Stories Capacity Gals..._..._ ....... ___.__. -.... __... umbing Inspector> The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatiq s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent /Supplement, and Ilan 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 wofk to be performed de nnit, as are licensed by Miami Shores Village. d aster Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. J 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 fads therein by his, stated are true. Notary Public, State of Florida My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such re4nspeetioo is mede by improper notice for inspection, or faulty materials and /or workmanship. Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws o$ 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 Nature of Water Supply: City —Well Amount of Permit $ ss. Registered Architect and /or Enginee Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling 'J ------- ____ -- Block re i t ( L r Addition Size Septic Tank Type of Tank Capacity\ Gals • Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well 1 _ . 1 Size of Soakage Pit (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, t 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fault materials and /or workmanship. No Street 3 0 . (Signed) 5 O C A/ Subdivision Street Repairs Date t0 — 4 k/ • ' ' ' Street3 7 No. of Stories Master Plumber. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws o$ 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 Nature of Water Supply: City —Well Amount of Permit $ ss. Registered Architect and /or Enginee Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling 'J ------- ____ -- Block re i t ( L r Addition Size Septic Tank Type of Tank Capacity\ Gals • Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well 1 _ . 1 Size of Soakage Pit (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, t 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 fault materials and /or workmanship. No Street 3 0 . (Signed) 5 O C A/ Subdivision Street Repairs Date t0 — 4 k/ • ' ' ' Street3 7 No. of Stories Master Plumber. UILDING L.ECTRICAL LUMBING PERMIT N° 5403 Work to be performed under this Permi wner of .Iilding rchitect ontractor Builder i+ho /6 gal Lot Bl. escription CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA • Subdi- vision Value of Project BY DATE Contractor's License No 6 " 194_ 137L ddress of 'Iikling AP / This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device desbribed in the appli- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any Ans, 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 rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of thedinances and Julations pertaining to the work covered hereby whether shown on the plans or "rigs or in. statements or specifications and that he ftssumes respon- rility for work done by his agents, servants or employees. . 1 ; Signed- ~ /�C/�� By V � INSPECT 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 I rtaining 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. Arnt. of Permit AUTHORITY 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. Owner's Name and Address Registered Architect and /or En ' e r Employing Plumber's Name C4b�_� Location and Legal Description Lot_____________________ __. Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)._ Size Septic Tank Feet of Drain Tile_______ Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING .°" ;a.MIT No _.___________________ Street (Signed) _ Date Street__ / D� 14 Street New Building __ Remodeling____ _ _ Addition.______._ Repairs No. of Stories . . ........ ......... ' f Tank__ Capacity Gals l • ' s t. eet , f Tank or Drain Field from Well .. _Size of Soakage Pit (Signed)_' — �J The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio : an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent .plement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ : 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 required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the__ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Plu . ing Inspector. are are Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBE HOW SHOWERS LAVA. TORIES S INK6 SLOP SINK• LAUNDRY TUBE URINALf 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 SW IM'GI POOL CONTR. 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. Owner's Name and Address Registered Architect and /or En ' e r Employing Plumber's Name C4b�_� Location and Legal Description Lot_____________________ __. Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)._ Size Septic Tank Feet of Drain Tile_______ Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING .°" ;a.MIT No _.___________________ Street (Signed) _ Date Street__ / D� 14 Street New Building __ Remodeling____ _ _ Addition.______._ Repairs No. of Stories . . ........ ......... ' f Tank__ Capacity Gals l • ' s t. eet , f Tank or Drain Field from Well .. _Size of Soakage Pit (Signed)_' — �J The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio : an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent .plement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ : 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 required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the__ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Plu . ing Inspector. are are Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. / / tO 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 Miaini 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 wo Owner's Name and Address ____ 47 `r tete No. Street MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer __ _ _ ACME 'EPTTC TAM< CO. Employing Plumber's Name BOX Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. ( Signed) (Signed) • Date No Street Location and Legal Description Lot tthALBA F. - FLORIDA Block ,�_ Subdivision Street and Number where work is to be performed— No.___.ja _1r___- E ! ...I Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank ____ Type of Tank Capacity Gals. Feet of Drain Tile / - -- Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —We Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this pennit, 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS 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 SW IM'G POOL CONTR. LIST CHECK Permit No. / / tO 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 Miaini 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 wo Owner's Name and Address ____ 47 `r tete No. Street MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer __ _ _ ACME 'EPTTC TAM< CO. Employing Plumber's Name BOX Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. ( Signed) (Signed) • Date No Street Location and Legal Description Lot tthALBA F. - FLORIDA Block ,�_ Subdivision Street and Number where work is to be performed— No.___.ja _1r___- E ! ...I Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank ____ Type of Tank Capacity Gals. Feet of Drain Tile / - -- Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —We Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this pennit, 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. BUILDING ELECTRICAL I LUMB1NG ROOFING ��r► Building Owner of 1r•� Architect contractor or Builder Legal Description Address of Building C Lot NThikCTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA a . PERMIT IN? 12233 ork to be performed under this Permit 4e84 BI. 1 This permit is granted o the contractor 3r jsuil!r na above to constru herefor in strict compliance with all ordinances pertaining t reto and with the drawings, statements or specifications that may have been s mitted and a time if the work is not done in compliance with such ordinances or if e pl granted is the understanding that the contractor or bu • i • e ed ab pertaining to the work covered hereby whether, done by his agents, servants or employees. ' p Signed: Subdi- ion Value of t In consideration of the issuance to m of this permit I agree to .erform the work covered hereunder in complia pertaining thereto and in strict conformity wi plans, drawings, - ments or specifications submitted to the prop In accepting this permit I assume responsibility for either, myself, my agent, servant or employee. DATE 195k Contractor's License No Amt. of Permit $ the building or to install the equipment or device describ in the derstanding that the work will be performed in compliance with a by the proper municipal authorities. This Permit may be revoked a ged without authorization. A further condition upon which this permit i sponsibility for a thorough knowledge of the ordinances and regulations the statements or specifications and that he assumes responsibility for work BY AUTHo all ordinance and regulations authorities of Mia Shores Village. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES 1 l ...2 I. A•244 5M 5 -38 Employing Plumber New )i For a Dwelling Owner or Agent Builder or Contractor is Lot No. Address Ground Plan No. DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA I herewith submit the {{ following plan of plumbing for approval: f N re ► ► 1 t Sewer Connections At center of St. ❑ Date ROUGH -IN INSPECTION Rough -In Rain Leader AM P M Approved by Condemned by REMARKS / t 4 Block No. Work executed by Old ❑ Story 0 4 Addition ❑ Store ❑ Garage ❑ Apartment ❑ Hotel ❑ Address Address r At curb ❑ At property line ❑ Sewer Permit No - -'"" 19 Existing in alley ❑ Existing bldg. sewer ❑ To septic tank' Existing bldg. drain ❑ To dry well ❑ A charge of 51.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date SEWER INSPECTION A M P M. Approved by Condemned by REMARKS Remodeled ❑ Office Bldg. ❑ Date FINAL INSPECTION AM P M Approved by Condemned by REMARKS F W W EST Sketch position of building and lot lines in square (which represents an entire city block) , showing on which street the building and lot faces; also show exact locations of "Y" in street and position of lateral or septic tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all underground pipes for future references. NORTH A EAST Remarks: NORTH SOUTH MIAMI SHORES VILLk.GE, FLA. PPLICATION FOR SEPTIC TANK PERMIT DIVISION OF PLUMBING INSPOFION Date: I herewith submit the following applicat�, for a permit covering the installation of a Septic Tank . • Soakage Pit: : Relaying: New: Feet of drain tile: Installed by: Address: (NEW: t- Old: Story: - Addition: Remodeled: For a (Store: Garage: Apt: !_ Hotel: Office Bldg. (Res: t Garage wash floor: taste water from a: wells: Type of tank installed: gallons: I/ r Size of Soakage Pit: Additional information: Remarks: PERMIT NO. 1/4 Laundry Tubs: Floor Drains: Purpose of same: Building has: Stores; Offices; Apts; Hotel Rms; Bedrums 9 ' /: ' Owner or Agent: a /', Address: � ) Lot No ---. Block No ------:\ SUBDIVISION ' �, Address of work: /117,- /11 % _ i No. of Plumbing Fixtures: Nature of water supply: City: ' Well: Feet Distant from all Tank capacity in Ready for Inspection: Dater — Time: APPROVED BY: K. '.' CONDEMNED BY: • - • 1.0 • BUILDING ELECTRICAL PLUMBING ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Lot II B1. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ERMIT N° 15160 Work to be performed under this Permit Subdi- vision Value of Project $ DATE Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • 4 , t, BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY OWNER LOT BLOCK SUBDIVISION r . aiami cShores F L 0 R I D A PLUMBING PERMIT N° 983 Date Issued to to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a . - story building at Fixtures Fixtures $ Sewer $ ` Septic Tank $ Total $ Village Plumbing Inspector Received Payment by to sued to Y L ami �hores�illage F L 0 a 1 D A PLUMBING PERMIT N9 983 to idstall the following descri d plumbing, in accordance with the laws, st and regu- lations of Miami Shores Vil age, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a -2" story / ,`, building at / f i- d // r Fi xtures ..:1 L �r' t -� ' / /: / /, . ..***24 ►t,:' ..r ‘• , I .....t.. Fixtures $ Sewer f $ , '-' t' tic Tank $ r Total Village Plumbing Inspector Received Payment by V. OWNER L LOT B BLOCK S SUBDIVISION / ' j j r, i i f . f '- - -:-/Z. . L- 1, - . to sued to Y L ami �hores�illage F L 0 a 1 D A PLUMBING PERMIT N9 983 to idstall the following descri d plumbing, in accordance with the laws, st and regu- lations of Miami Shores Vil age, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a -2" story / ,`, building at / f i- d // r Fi xtures ..:1 L �r' t -� ' / /: / /, . ..***24 ►t,:' ..r ‘• , I .....t.. Fixtures $ Sewer f $ , '-' t' tic Tank $ r Total Village Plumbing Inspector Received Payment by V. BUILDING ELECTRICAL PLUMBING Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, PERMIT N° 5403 Work to be performed under this Permi 4y / Signed. Subdi- vision Value of Project kreie-ti>5 FLORIDA DATE 6 License ct No s /374 Amt. of $/ 4a Permit By AUTHORITY 1942_ Architect Contractor &%»i&. S)( . t.[ ; b 6 or Builder r Legal Lot Bl. Description Building /0/2. Address of 7) gS . tti 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 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 th finances and regulations pertaining to the work covered hereby whether shown on the plans or ngs or e statements or specifications d that h sumes respon- sibility for work done by his agents, servants or employees. ?11- l�ox INSPECT In consideration of the issuance to me of this permit I agree to perform the work covered here er in compliance with all ordinances and regulations , pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoring of Miami Shdleg(yiage. • In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. OWNER LOT BLOCK SUBDIVISION l ^5. % C f H K. clIYt to ed to For a story Fixtures aiami cfhores9Uage F L OR ID A PLUMBING PERMIT to install the following described plumbing, in accordance with the laws, statutes and regu- latious of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miani, Shores Village, Florida. building at Fixtures $ Sewer $ iitic Tank ` �.. $ / 4 c:? Total $ 1 L y. ■9 921 ' � 1 Village Plumbing Inspector Received Payment by OWNER LOT BLOCK SUBDIVISION _ _ ,r PLUMBING PERMIT N9 1022 Otte 2 Issued to ltd * 0 to install the following described lumbing, in accordance with the laws, staites and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in iami Shores Village, Florida. flip tic Tank For astory Fixtures Fixtures Sewer ddliami cJhores9llage F L 0 11 1 D A building at Total $ Village Plumbing Inspector Received Payment by J Liarnt cShores9illage F L O R I D A PLUMBING PERMIT N9 921 Date Issued to OWNER LOT BLOCK SUBDIVISION to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at Fixtures Fixtures $ • Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by OWNER LOT BLOCK SUBDIVISION aiami Aores91llage F L O R ID A PLUMBING PERMIT N9 915 Date / " *: Issued to to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at Fixtures "' ✓.,. Fixtures $ Sewer $ �' Septic Tank $ Total $ Village Plumbing Inspector Received Payment by 1312.4“r7► 3 s— MIAMI SHORES VILLAGE ec5 r7 ( a—O PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date.._. ./ /23 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 spedllcatlons must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Now -I4 • .. N0..._ S ). 6.1,••••••••••• 1 /3 0 ...d a t L L d al Desez tin J B10 �l cb Subdivislon., e_8Y�).,,�, / OOS L I !� AT 2 d f w here work L to be performed — S eet .._.. - - -- - .-- -.._._ _.... - -• _ -- State work to be performed and purpose of building (By _ - -. - -- . Repairs . Lin _.__..... — __ Addition epalrs No. of Stories.... New Building.. - - - -_ --- ._.........._.. Remodeling Size Septic Tank— Type of Tank Feet of Drain Tile Dl Feet of Tank or Drain Field from Well. - -__. Nature of Water Supply: City —WeIL Size of Soakage Pit. Amount of Permit $ (Signed) -.� (Si 0 4 Z Street. 7 c1 J SAMA4 �y My Commis ion Expires Notary Public, State of Florida 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 5988, Compiled General Laws of Florida Permanent Supplement, and h com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to he 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 arr required by the Act. The undersigned agrees to employ only such sub - contr act- bn to performed nder this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, µ COUNTY OF DADE. j 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 be is the •_ -.•.. - -_ ---- .•-- -..... _ _.... —._ _.. of the above described construction, that be has carefully read the foregoing application, and that be 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 web r lsapeoden Y amade.neoaaary by improper notice for brindles, or faulty materials and/or worl®aaahip. CLOSETS BATH TUBS ""a". L.AVA TORIES SINKS SLOP SINKS LAUNORY Tugs URINAL[ CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIETURES CONTR. LIST CHECK r SEPTIC TANK SEWER CONK. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER Daim WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CNECK 1312.4“r7► 3 s— MIAMI SHORES VILLAGE ec5 r7 ( a—O PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date.._. ./ /23 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 spedllcatlons must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Now -I4 • .. N0..._ S ). 6.1,••••••••••• 1 /3 0 ...d a t L L d al Desez tin J B10 �l cb Subdivislon., e_8Y�).,,�, / OOS L I !� AT 2 d f w here work L to be performed — S eet .._.. - - -- - .-- -.._._ _.... - -• _ -- State work to be performed and purpose of building (By _ - -. - -- . Repairs . Lin _.__..... — __ Addition epalrs No. of Stories.... New Building.. - - - -_ --- ._.........._.. Remodeling Size Septic Tank— Type of Tank Feet of Drain Tile Dl Feet of Tank or Drain Field from Well. - -__. Nature of Water Supply: City —WeIL Size of Soakage Pit. Amount of Permit $ (Signed) -.� (Si 0 4 Z Street. 7 c1 J SAMA4 �y My Commis ion Expires Notary Public, State of Florida 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 5988, Compiled General Laws of Florida Permanent Supplement, and h com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to he 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 arr required by the Act. The undersigned agrees to employ only such sub - contr act- bn to performed nder this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, µ COUNTY OF DADE. j 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 be is the •_ -.•.. - -_ ---- .•-- -..... _ _.... —._ _.. of the above described construction, that be has carefully read the foregoing application, and that be 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 web r lsapeoden Y amade.neoaaary by improper notice for brindles, or faulty materials and/or worl®aaahip. MIAMI SHORES .VILLAGE BUILDING 'DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 2.S , Time Type Insp'n CJ 1 CAI 1 C ,1 1 Permit No. 'P I a — C2:2_ Name (� /` �Q Address ' v `t 14E. Company MCA ✓ Phone # For Inspect) 1 / Name & Date Approved Correction Re- Insp'n Fee ❑ .PERMIT APPLICATION FOR MIAMI SHORES VILLA • i005C'N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 3 Date u' 3o o Job Address Legal Description Historically Designated: Yes Owner /Lessee/Tenet I L o D o L Fo Cv4B n- / 4 Owner's Address SL' Contracting Co. pEL,1414-1Z PL 6f Qualifier 1 (/ r S kefo iar 9 ,, Z State # IC f (2 5 C6 ( Municipal # Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION: MOP T U S?) Lc I i h' / Ly T v 8 / Po 1 1 r 1 Lel/ / S /,Jk Square Ft. Estimated Cost (value) Signature of owner and/or Condo President Notary as to Owner and/or Condo President My Commission Expires FEES: PERMIT /4 / (• 00 RADON APPROVED: Zoning Building Mechanical Plumbing Date SS# Date Notary My Co C.C.F Master Permit # Phone Address E 5- 7 1„ 2003 L/ SY 3c ,5 7f or Tax Folio l I 3 zo r --'� = _ 2003 - 3117 fZ / Phone 3d 1" 24* /--3 9 L Competency # v Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Signa NOTARY I ) ?sposs9 / 1 cEf ((/ srcop Or MECHANICAL ROOFING cr 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and th all wo k will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contra • or to do e work stated. re of Contractor or Owner Bui ctor or OwnRENEifUM4 Public - State of Florida CCrm bsionE piesAp255,2007 Commission # 00194890 Bonded ft/National Nolary Assn. BOND 4 L(3 0 /0) Date if 30 o Date TOTAL DUE Electrical Structural Engineer EM T H 11B UNIT . i FEE ITEM SW I TC4 CUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE CET LIGHT CUTLETS CENTRAL HEATING WASHER RECEPTACLES A/C (WIND) SPOSAL ( SERVICE TE.WtRARY A/C (CENTRAL) INKING FOUNTAIN SERVICE SIZE IN AMPS IXET WORK OCR DRAIN SERVICE REPAIR4ETER CHANT REFRIGERATION EASE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING ;TERCEPTOR RANGE TOP UNDERGROUND TANKS NATCRY OVEN ABOVE GROUND TANKS •UNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS .OTHES WASHER MOTCRS 0- 1 FP STEAM BOILERS 0'ZR MOTORS OVER 1— 3 FP HOT WATER BOILERS NK, POT/3 COMP. MOTORS OVER 3- 5 PP MECHANICAL VENTILATION NK, RESIDENCE MOTCRS OVER 5— 8 EP TRANSPORTING ASSEMBLIES NK, SLOP MOTCRS OVER 8.- 10 FP MOTORS OVER 10- 25 FP MOTORS OVER 25-100 FP ~� ELEVATORS/ESCALATORS :L.PORARY WATER CLOSET FIRE SPRINKLER SYSTEMS COOLING TOWERS s INAL ;TER CLOSET MOTORS OVER 100 FP J VIOLATION DIRECT WASTES A/C WINDOW REINSPECTION ;TER SUPPLY TO: .7 4 -604=02 1 AIR CONDITIONERS STRIP HEATER • A/C UNIT FIRE SPRINKLER GENERATORS TRANSFCAMEAS • �— `EATER —NEW INST. GENERATORS TRANSFCANJFRS HEATER—REPLACE GENERATORS TRANSFORIERS LAWN SPRINKLER —NEIL SPECIAL PURPOSE SA IM IUM POOL • CUTLETS CC DiC IAL MATER SERVICE SIGN TUBES r ER CONNECTIONS SIGN TRANSFCAA€RS ILITY —SEWER SIGN TIME CLOCK I L I TY —WATER F I XTI.RES ?TIC TAN( ANTENNA LAY TELEVISION CURETS A ,INFIELD. 4' TILE/RES. VIOLATION MP & ABANDON SEPTIC TAN( REINSPECTION :PAGE PIT CU. FT. TCN BASIN SC}IARGE WELL ESTIC WELL EA CRAIN CF INLET !AR WATER HEATER . E STANCPIPE . aL PIPING nN SPRINKLER SYSTEM 3 RANGE TER SET (GAS) 3 PIPING °LICATION FOR BUILDING PER".IT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. TED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) • 'P LUME3 I t1G • ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2003 -122 Printed: 5/6/2003 Applicant: AMPARITA Owner: CABRERA JOB ADDRESS: 1042 NE 95 (.1 � Contractor NELMAR PLUMBING INC Local Phone: Parcel # 1132050120050 Legal Description: KIRBYS ADD TO MIAMI SHORES 1\ 0, 00 l l o 0 Total Fees: $Ab Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/2/2003 Construction Value: $1,400.00 Work: ADDITION TO SINGLE FAMILY 1 TUB, 1 TOILET, 1 LAV, 1 SINK, 1 DISP, 1 ICE MAKER, 1 ST CONNECT t Signed . i ,' . / Ai (INSPECTOR) In consider • ce to me of this permit, I agree to perform the work conformity with t e p ; s, • awings, statements or specifications submitted to the done by either el , my agent, servants or employes. Signed: l Plumbing Permit (Contractor CABRERA AMPARITA ST Contractor's Address: 4954 SW 75 AVE Page 1 of 1 PB 41-44 LOT 5 LOT SIZE 81.160 X s ANA I. VELAZQUEZ OR JOSE VELAZQUEZ PH. 305 -529 -9521 . 5200 S.W. 4TH STREET MIAMI, FL 33134 P to the Order r er of i l' i4 L 5 31: 0 2 L000064 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque Date tiliSt ° � Time Type Insp'n r r f li 14 " t J Permit No. o 5- 17,2 Name ( Address /D C Il6 9 Company %` Phone # 56 E^ 32 0 For Inspector: 1)1 �l6 Approved Correction Re- Insp'n Fee ❑ Name & Date 0 /� BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical $ Value of Work For this Permit Miami Shores Village Building D epartment O O lumbing Is Building Historically Designated YES NO Permit No. Master Permit No. Mechanical Roofing 0."))-3 l� Owner's Name (Fee Simple Titleholder) 2-L`nN AN Phone # Owner's Address 3 NGQZTiAE c54 \ STIZ_ 'AX- City \ k (AO S State F CS) Zl OA Zip 3B - 2.51 �- Tenant/Lessee Name Phone # Job Address (where the work is being done) cisS NLi? FAST 95 S`12 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 City Miami Shores Village County Miami -Dade Zip ? 3\ ?D 1 � — Contractor's Company Name G. t-1 • \\--\VT ti r13&\ Phone # 5 — C12 — � Contractor's Address 42J S� A 0U t City kC L 11L3 00 0 State e D6 Zip 3 D O Qualifier 7, K S . Lt P \CA Architect/Engineer's Name (if applicable) Phone # Architect/Engineer's Address City State Zip Square Footage Of Work: Number of: Bays Stories Families Bedrooms Baths Type of Work: DAddition DAlteration ❑New Repair/Replace ❑ Demolition Describe Work: E x.A C C' U CD- X (ST l k ) e \ CI AS \ ) t \ e• * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee $ , (0 O Permit Fee $ /c 0 Notary $ Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee 0(9 t 0 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 ill be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of • ence nt mu•'be , . �sted at th• "ob ite for the first inspection which occurs seven (7) days after the building permit is iss he :sent•• %of s h posted � ti' the inspection will not be approved and a reinspection fee will be charged. Co tr actor Signature chc7/7 /03 My Commission Expires: APPLICATION APPROVED BY: Signature owled before me thi L 1 ,r Owner or Agent The fo oing instrument was owledged before te th , 6l The f oing instrument was ac day o, 20 , by n \ e., • C c\ N. , day of 3 , 2 06 , by who is ersonally known tome r who has produced who is ersonally known to mer who has produced As identification and who did take an oath. NOTARY P Sid Print: My Commission Exp *** * * * * * * * * * * * * * * * * * * * * * ** * * * * * * ** *************** * * ** * * * * * * * * * *' * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. C ' $ Lt t i 1 Certificate of Competency No. c EC C) 4 l x-J A * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ' * * ** * ** ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** -I OA /1 .. Plans Examiner Engineer Zoning k as identification and who did take an oath. t CC 941401 2004 fi9i4ar,lYaea Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2003 -319 Printed: 12 /5/2003 Applicant: JOEN /RUTH FRIEDMAN Owner: FRIEDMAN JOEN /RUTH JOB ADDRESS: 955 NE 95 ST Plumbing Permit Page 1 of 1 Contractor E H WHITSON AIR CONDITIONING Contractor's Address: 421 SOUTH 21ST AVENUE Local Phone: Parcel # 1132060143120 Signed: (INSPECTOR) Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOTS 22 & 23 BLK 76 LOT SIZE Fees: Description Amount FEE2003 -7835 Building Fee $120.00 FEE2003 -7836 CCF $0.60 FEE2003 -7837 Technology Fee $3.00 FEE2003 -7838 Training and Education Fee $0.20 Total Fees: $123.80 Total Fees: $123.80 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 5/31/2004 Construction Value: $500.00 Work: EXACT CHANGE OUT OF EXISTING GAS WATER HEATER In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Legal Description 4orc a�'3 ,/,W/, Matec c Lessee / Tenant 4 �= / ec L LE 1%J SS# C P -10 Owner's Address Contracting Co. Square Ft. ** * Job Address APPLICATION FOR MIAMI SHORES VILLAGE ?ff/PE 954x State /9 ( '7 W Municipal /`r %"/ Competency # V/ fO .Co . / Architect/Engineer Company Permit Type(circle one): BUILD INNG / ELECTRIC WORK DESCRIPTION -.TAW 70 �O/��w 0,10) wal ( l 1 F r Address y Address Address Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: Tax Folio //- 52049 -6 /9 3 4PO / Master Permit #3f6 % 5— Phone / y24/4:7 in, ose Address OVO.Z,12TC Ar C'/4(W .H6 6 0 49 Phone r ^ 0 "p — (v ' C ∎0 4/ 91 CHANICAL ROOFING PAVING FENCE 4 0Ate - W60, -6 9 Estimated Cost(value) `' WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO 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. 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 regulat'•: onstruction and zoning. Furthermore, I authorize the above -named contractor to do the work - OAP/A r ", o Con r - a N.tary as to My Commigsi F1Y B * * * * * * * * * * * * * er- Builder or or Owner- Builder MATE OF FLCRIIIA SIO1 EXP. APR. 1,1954 THRU GENERAL INS. ED. SIGN ** FEES: PERMITS& t &F RADON C.C.F. v 0 NOTARY TOTAL DUEID' 5 APPROVED: Fire Other Zoning Building / Electrical Mechanical Plumbin j/ "'� J7 gineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) C t 55 s -- Date Z, /CSI eig Address Legal Description LO 2:21 23 '(1 A MA J � s SG r aster Permit # Owner / Lessee / Tenant Rert-e G`OL Owner's Address Phone Contracting Co. Address Qualifier SS# - - Phone State# Competency# Ins. Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION 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 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. 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 do the work sated. Signature Date: PERMIT FEE: APPROVED: Zoning Mechanical 7 , /i / .1 .1 ' AI' Notar•7- to O47neVO4e1(rondo President My Co i„ .:• i ti ENg4,�, , ;,,„ MAMA' * * * * * * Fire Building Plumbing Sig Dat Estimated Cost Tax Folio 11- 3 2 ° 4 > -01 -3 12� Con actor or Owner- Builder Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * * * * Other Electrical Engineering 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address. P 4 'U 4 (14/ Registered Architect and /or Engineer Employing Plumber's Name. /? 0 ✓ N. _f — aL ! /Y�No.._ °� S..4 it tr Location and Legal Description Lot- ___________ ___.______ __ _ Block_ Street and Number where work is to be performed —No Street__ Fr State work to be performed and purpose of building (By Floors ) _ _ New Building Remodeling Addition__.______._____. __.__. Repairs Size Septic Tank Feet of Drain Tile Nature of Water Sup ly,; City— Amount of Permit $_ {,0 00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_ Dist. Feet of Tank or Drain Field from Well 1 Size of Soakage Pit Capacity Gals. Subdivision Date - -- / D My Commission Expires Notary Public, State of Florida No ..... Street /S No. of Stories (Signed). Plumbing Inspector. The undersigned applicant fo 's building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's C pensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has ^•3 .n- plied with the provisions they of, 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 an licensed by Miami Shores Village. ® �^ (Signed)__..d.. - Master Plumber. STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 tat- therein by him stated are true. TE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or --' mat als and /or workmanship. CLOSETS BATH T SHOWERS LAVA- TORIES SIN SLOP $INK$ LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS / P. ', TOTAL FIXTUREI — CL 0 CHECK `/( 5 ) e Q 6 e .� 7 i `� GREASE TRAP SOLAR HEATER �� per D WELL _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT SPRKLR. SYSTEM $WIM'G POOL 4 ?�d V .�� / �T2AVKkN • CONTR. LIST CHICK / / / / i' `' —' ,, , ') - .� , L.i / 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address. P 4 'U 4 (14/ Registered Architect and /or Engineer Employing Plumber's Name. /? 0 ✓ N. _f — aL ! /Y�No.._ °� S..4 it tr Location and Legal Description Lot- ___________ ___.______ __ _ Block_ Street and Number where work is to be performed —No Street__ Fr State work to be performed and purpose of building (By Floors ) _ _ New Building Remodeling Addition__.______._____. __.__. Repairs Size Septic Tank Feet of Drain Tile Nature of Water Sup ly,; City— Amount of Permit $_ {,0 00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_ Dist. Feet of Tank or Drain Field from Well 1 Size of Soakage Pit Capacity Gals. Subdivision Date - -- / D My Commission Expires Notary Public, State of Florida No ..... Street /S No. of Stories (Signed). Plumbing Inspector. The undersigned applicant fo 's building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's C pensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has ^•3 .n- plied with the provisions they of, 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 an licensed by Miami Shores Village. ® �^ (Signed)__..d.. - Master Plumber. STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 tat- therein by him stated are true. TE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or --' mat als and /or workmanship. BUILDING ❑ ELECTRICAL PLUMBING Q` ROOFING Owner of Building Architect Contractor or Builder ,. Legal Lot II Bl. Description Address of Building J , CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N° 14634 ❑ Work to be performed under this Permit Subdi- vision Value of 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 1" a,. Signed• - �•- BY $ DATE Contractor's License No BY ' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Amt. of Permit $ -• .- 195 v AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ` Architect Contractor or Builder Legal Description Address of Building Lot n v ier 1 MIAMI SHORES VILLAGE. FLORIDA n .P ERMIT N? 13811 Work to be performed under this Permit 9 • Signed• Subdi- vision Value of 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and tjiwt.he assumes responsibility for work done by his agents, servants or employees. DATF / 4 ` i . 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, statement3.,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. F. CONTRACTOR OR BUILDER BY Contractor's License No \ BY Amt. of Permit $ % as AUTHORITY S �• 195