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PLUMBINGBUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 2077 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Subdi- vision DATE 194 Contractor's License No. Legal Lot Bl. Description Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed- By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions 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. Value of Project Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY JOB :, BUILDING ELECTRICAL PLUMBING • Inspector's Report.: OD • WORK • • DONE BY: • • • • • • • • • • REQUESTED The following is reody for Inspection: AD: 9 ( /3 / 2 2 WILL BE READY • • • • • • • • • • • • • • • • • • • • Permit No. 11 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 Employing Plumber's Name _ °_ r9?a� ___�i__sf3�.c No Location and Legal Description Lot__________ Block Street and Number where work is to be performed —No Size Septic Tank—__—_ ® _ _ ____ Type of Tank . My Commission Expires No Street__ 7 3 State work to be perform and purpose of building (By Floors) New Building Remodeling Addition Feet of Drain Tile_________ t ____— ______ Dist. Feet of Tank or Drain from Well Nature of Water Supply: ity -Well Size of Soakage Pit. � G' r.� r ,i — __. - -- -- Amount of Permit $_________�,:_°� (Signed) _.�:�� � � Sid � � ��"� r - ' ng Inspector. The undersigned applicant for this building permit does hereby certify thajhey Plum understands and accepts his obligations ai 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed 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 therein by him stated are true. •r, = Date 6 _ ___.— Streetil ♦_ '____. p1 Subdivision- – =– . Repairs No. of Stories Notary Public. State of Florida Capacity Gals.__________ _. er Plumber. �.s STATE OF FLORIDA, COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally the same, and that all facts NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST V / f ` / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. 11 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 Employing Plumber's Name _ °_ r9?a� ___�i__sf3�.c No Location and Legal Description Lot__________ Block Street and Number where work is to be performed —No Size Septic Tank—__—_ ® _ _ ____ Type of Tank . My Commission Expires No Street__ 7 3 State work to be perform and purpose of building (By Floors) New Building Remodeling Addition Feet of Drain Tile_________ t ____— ______ Dist. Feet of Tank or Drain from Well Nature of Water Supply: ity -Well Size of Soakage Pit. � G' r.� r ,i — __. - -- -- Amount of Permit $_________�,:_°� (Signed) _.�:�� � � Sid � � ��"� r - ' ng Inspector. The undersigned applicant for this building permit does hereby certify thajhey Plum understands and accepts his obligations ai 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed 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 therein by him stated are true. •r, = Date 6 _ ___.— Streetil ♦_ '____. p1 Subdivision- – =– . Repairs No. of Stories Notary Public. State of Florida Capacity Gals.__________ _. er Plumber. �.s STATE OF FLORIDA, COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally the same, and that all facts 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. A t° L* - a 911 77 / / JOB: BUILDING ELECTRICAL : PLUEB ING • • • • Inspector's Report: • -, • • • • • : WORK : DONE BY: • • • • : REQUESTED WILL BE READY AD: The following is ready for Inspection: JOB: BUILDING ELECTRICAL : PLUMBING t 4 Inspector's Report: ••• • WORK • • DONE BY: . . REQUESTED . \ BE READY . . . • k The following is ready for Inspection: z Permit No y MIAMI.SH.ORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot________ Street and Number where work is to be performed —No New Building—___-_ Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires State work to be perform and purpose of building (By Floors) No Street__ Size Septic Tank________ '__ _______ _____ Type of Tank . _____ ..... fi e , Feet of Drain Tile_________ _: ) Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ityWell. Size of Soakage Pit No.___--- _–.__� Street- �. c Block_ �� Subdivision_ h�?% �� __ _ �_.c , ' )'d w_.' " S treet--4 ,1 _ ------ ,;--=- '-- -= *- __------- --- - -- - --G=u-- Remodeling Addition Repairs No. of Stories _ ___________ Capacity Gals.______ .(Signed) (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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally Notary Public. State of Florida stet Plumber. appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST 0- i P ' / / j� / / �� CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No y MIAMI.SH.ORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot________ Street and Number where work is to be performed —No New Building—___-_ Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires State work to be perform and purpose of building (By Floors) No Street__ Size Septic Tank________ '__ _______ _____ Type of Tank . _____ ..... fi e , Feet of Drain Tile_________ _: ) Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ityWell. Size of Soakage Pit No.___--- _–.__� Street- �. c Block_ �� Subdivision_ h�?% �� __ _ �_.c , ' )'d w_.' " S treet--4 ,1 _ ------ ,;--=- '-- -= *- __------- --- - -- - --G=u-- Remodeling Addition Repairs No. of Stories _ ___________ Capacity Gals.______ .(Signed) (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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally Notary Public. State of Florida stet Plumber. 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 PLUI`.iBING ELECTRICAL : Inspector's Report: 4 • • • • • AD: WORK : DONE BY: The' following is ready for Inspection: REQUESTED : WILL BE READY 1 t 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 herein specified or not. A Dopy of approved plans and specifications must be kept at building during progress of work. Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City—Wen. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building. _ ..___------- ..... -. -_.. Remodeling — _ _ Addition Date. i l CK( - No_12 3 Street_ Owners Name and Address Registered Architect and /or Engineer Employing Plumber's Nam. - 4 I AWL) . .. �ln'� ° /C" &' i c , N®,..- ,.,.er...L.2..e ..,... YWst.1.szE, : S , Location and Legal Description Lot Block S bd ividon. Street and Number where work is to be performed —No. �- 97 Street- -._. ! `! .9 S State work to be performed and purpose of building (By Floors)_ I. *AL et/ /✓P 1.4- 0 136 Type of Ta�� _ --- - -� - -• t)ist. Feet of Tank or Drain Field from Well Size of Soakage Pit- Remain_ No. of Stories -qty Gals.- 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 has corn - 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 of the work such notice or notices as are licensed by Miami Shores Village. required by die Act. The undersigned agrees to employ only such sub -contr 44 to be • - :. this permit. as are j irr Master Plumber. STATE OF FLORIDA, ( ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 be has carefulb► read the foregoing application, and that be did sign the some, 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 swispeotlosi 1s made•neormaey by improper notice far Impaction. or faulty materials and /or workmanship. CLOUTS BATH Tun[ SMOW[RE LAVA. T SINKS SINKS SLOP LAUNORY Tiles URINAL/ URINALS CATCH FLOOR DRAIN DRINKING POUNT TOTAL FIKTUR[S CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN PIELO SOAKAGE PIT GREASE TRAP SOLAR NEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHECK r__— 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 herein specified or not. A Dopy of approved plans and specifications must be kept at building during progress of work. Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City—Wen. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building. _ ..___------- ..... -. -_.. Remodeling — _ _ Addition Date. i l CK( - No_12 3 Street_ Owners Name and Address Registered Architect and /or Engineer Employing Plumber's Nam. - 4 I AWL) . .. �ln'� ° /C" &' i c , N®,..- ,.,.er...L.2..e ..,... YWst.1.szE, : S , Location and Legal Description Lot Block S bd ividon. Street and Number where work is to be performed —No. �- 97 Street- -._. ! `! .9 S State work to be performed and purpose of building (By Floors)_ I. *AL et/ /✓P 1.4- 0 136 Type of Ta�� _ --- - -� - -• t)ist. Feet of Tank or Drain Field from Well Size of Soakage Pit- Remain_ No. of Stories -qty Gals.- 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 has corn - 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 of the work such notice or notices as are licensed by Miami Shores Village. required by die Act. The undersigned agrees to employ only such sub -contr 44 to be • - :. this permit. as are j irr Master Plumber. STATE OF FLORIDA, ( ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 be has carefulb► read the foregoing application, and that be did sign the some, 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 swispeotlosi 1s made•neormaey by improper notice far Impaction. or faulty materials and /or workmanship. Permit No 3 / Date 1 - '— ° 3 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. // _ �j _ Owner's Name and Address L� _� F ' S `r c lv No � Street_ 1 �^ C / Registered Architect and /or Engineer_- _- -- --�------- ------ -_ - - -_ p 7 � a 7� .. , / / Employing Plumber's Name I /._- 13, _ _i _ ! _►i. __L!L1_ No.___! J a _Y i 6 - '.? Street__ _ 1 i t L ' Location and Legal Description Lot. Street and Number where work is to be performed —No. -_ State work to be performed and purpose of building (By Floors) _ New Building - _ - -- -.. Remodeling __ -- Addition__ -- Repairs No. of Stories. - -.-.• . ...... . ...... Size Septic Tank__ ___-______ r _ _ _ Type of Tank._ Capacity Gals Feet of Drain Tile___ _ /°� 4 e-L Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.___— _Size of Soakage Pit Amount of Permit $___,_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin. • -nt 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 die 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 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block___ —__. Subdivision (Signed)_ Street (Signed)_ Master Plumber. Notary Public, State of Florida Plumbing Ins or. STATE OF FLORIDA, I ae. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made - necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES S INKS SLOP SINKS LAUNDRY TUBS INALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES Comm L IST -�_ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHOCK Permit No 3 / Date 1 - '— ° 3 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. // _ �j _ Owner's Name and Address L� _� F ' S `r c lv No � Street_ 1 �^ C / Registered Architect and /or Engineer_- _- -- --�------- ------ -_ - - -_ p 7 � a 7� .. , / / Employing Plumber's Name I /._- 13, _ _i _ ! _►i. __L!L1_ No.___! J a _Y i 6 - '.? Street__ _ 1 i t L ' Location and Legal Description Lot. Street and Number where work is to be performed —No. -_ State work to be performed and purpose of building (By Floors) _ New Building - _ - -- -.. Remodeling __ -- Addition__ -- Repairs No. of Stories. - -.-.• . ...... . ...... Size Septic Tank__ ___-______ r _ _ _ Type of Tank._ Capacity Gals Feet of Drain Tile___ _ /°� 4 e-L Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.___— _Size of Soakage Pit Amount of Permit $___,_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin. • -nt 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 die 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 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block___ —__. Subdivision (Signed)_ Street (Signed)_ Master Plumber. Notary Public, State of Florida Plumbing Ins or. STATE OF FLORIDA, I ae. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made - necessary by improper notice for inspection, or faulty materials and /or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • cis-4054- Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972 Date 5-11-03 Job Address C I 7 3/ Ale, -40 5 r Legal Description LO f Historically Designated: Owner /Lessee/Tenet I`1 en Solomon Owner's Address 9'73 Ale ( I's -41 464. 15)7,,e S FL Contracting Co. Mars 7 UD 1 6 ToC, Qualifier ill ;0.1 ►Re ( 54e4.) t State # ?r25a55 Municipal # 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. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING 7,p,s6 WORK DESCRIPTION: Square Ft. Estimated Cost (value) 500 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). 1 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 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. Notary as •. Owner d/or ondo President My Commission f xpi es 9eia M Becker Q My Commission DD150048 a, o: 01 Expires November 15, 2008 �1U 9obl m7»; arri Wva I R Signature of owner and/or Condo President D /L J(i y gs_ 17 -S FEES: PERMIT 0 ' RADON APPROVED: Zoning Building Mechanical Plumbing 5 -0 3 Date Date Phone ss# , Phone q5 Competency # ( - iOy9D•,?PC X Ins. Co. Lao 2q ZS(J✓R/Jee Tax Folio Yes No Master Permit #/ . - FP2 3 gs3)P). 200 3 - 19 917 - Yq9 -509/ Address 1010 6", Al 1c107 I5 /UI.) C7/ f7a /7 rL Signature of Contractor or wner Builder 15 - /f 3 Date s d ►► _, . 54 3 ary as to Contractor o Owner Builder Date My Cor rs ° 1 Becker a My Commission DC! SCn4r s. n Expires November 15, 2OUt' NOTARY5. 0 l ! BOND TOTAL DUE ° I S t7 J Electrical Structural Engineer Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/4/2003 Applicant: KENNETH Owner: SALOMON JOB ADDRESS: 973 NE 95 Contractor MARS POOL Local Phone: 954- 214 -2844 Parcel # 1132060143130 Fees: FEE2003 -3176 FEE2003 -3363 Permit Status: APPROVED Per Work: POOL PIPING Sig In consi• = ssu • nce to me i; conformity the plans, drawings, stat done by either myself, my agent, servants ul Description Notary Fee Building Fee Legal Description: PAY TO THE ORDER OF . 0541 0 - FOR Plumbing Permit Permit Number: PL2003 -142 SALOMON KENNETH ST Contractor's Address: 1908 SW 84 TERR BankofAmerica (Contractor or Builder) 5-6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOTS 24 & 25 BLK 76 LOT SIZE Amount $5.00 $90.00 $95.00 FLORIDA CRAKER CONSULTANT & PERMIT SERVICES, INC. 954 - 445 -3099 122 VIA MILAN TERRACE DAVIE, FL 33325 -6911 r 5 0-- es Vi. // Page 1 of 1 Total Fees: $95.00 Total Receipts: $0.00 DATE 1052 6/03 -3 p. owo� °U/ --0091 H.0010520. 1:06 3 100 2 7 71: 00 3 7 3 2 313 & u • BY: 6 3- 27/631 FL 817 if Cr g 7 DOLLARS 8 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Ave ue • Miami Shores, Florida ,'1138 305 - 795 -2204 • Fax: 305- 756 -8972 Date / Job Address N E _ Tax Folio Permit Legal Description Historically Designated: Yes No Owner /Lessee/Tenet Master Permit # Owner's Address Phone ,1� q Contracting Co. ! ' r 14 I r t P/ Address / 5&' Zr 1 ' Qualifier , l r/ / "s D ss# � ® 00o io 9 State # Municipal # Competency # f 98 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 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Type (circle one): BUI ING /— 641?/0 e s a} WORK DESCRIPTION: Square Ft. 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 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 that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor t`o the work stated. Signature of owner and/or Condo President Notary as to Owner and/or Condo President My Commission Expires FEES: PERMIT //� 0-e RADON LECTRICAL P ; ► ' MECHANICAL ROOFING r/ / , -AiAz .ems -- lea. MG\1 v im .; Date ignat re of Contractor o Date Notary as to Contractor or 0 My Commission Expires TOTAL DUEL 10- o APPROVED: Zoning Building Mechanical Plumbing / ►' N/ Structural Engineer Electrical :x0•10010 aNds.5 t�,p1nrrirr % .t, fi' • vit E.4 ii TUB UNIT FEE ITEM S'R I TOI OUTLETS UNIT FEE ITEM SPACE hEATERS UNIT FEE CET LIGHT CURETS CENTRAL FEAT I NG SRASNER RECEPTACLES A/C (WINO) SPCSAL SERVICE TEWtRAAY A/C (CENTRAL) INKING FOUNTAIN SERVICE SIZE IN ASPS OUCT WCAK CCR CRAIN SERVICE REPAIRNETER MAXI REFRIGERATION EASE TRAP APPLIANCE CUTLETS PROCESS ANO PRESS PIPING rTERCEPTCR RANGE TOP UhDERGROIO TANKS .VATORY OVEN ABOVE GRIM TANKS U 'RY TRAY WATER HEATER U.F. PRESSURE VESSELS .orrES WASHER MOTORS 0- 1 FP STEAM BOILERS - tNER MOTORS OVER 1- 3 FP HOT WATER BOILERS MX, POT/3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION A, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES NX SLOP MQTCRS OVER 8- 10 FP ELEVATORS/ESCALATORS ::+PCRARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS 'INAL MOTORS OVER 15-100 FP COOLING TOWERS ;TER CLOSET MOTORS OVER 100 FP VIOLATION DIRECT WASTES A/C WINDOW REINSPECTION :TER SLPPLY TO: AIR CDNOITICNERS A/C UNIT STRIP NEATER FIRE SPRINKLER GENERATORS TRA}SFCAMERS EATER -NEW INST. GENERATORS TRANSFCAS+FRS —'— HEATER- REPLACE GENERATORS TRANSFORMS !AWN SPRINKLER -WELL SPECIAL PURPOSE SHIMMING PCOI OUTLETS CCAERCIAL WATER SERVICE SIGN TUBES ■ r ER CONNECT IONS SIGN TRA?LSFCAA RS 'my-SEWER SIGN TIME CLOG( ILITY -WATER FIXTURES PTIC TANK ANTENNA !AY TELEVISION CURETS AIhFIEL0. 4' TILE/RES. '-P VIOLATION & ABANDON SEPTIC TANK REINSPECTION AXAGE PIT CU. FT. TCH BASIN SCHGE WELL ‹STIC WELL EA CRAIN CF INLET !AA HATER NEATER ,E STANDPIPE — " . ..L PIPING IN SPRINKLER SYSTEM S RANGE rEA SET (GAS) S PIPING _ .+ n✓ u i t H Oat.) i L:S r Z.1%11 r1A . .STAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date_'. Time Type Insp'n 4/64.1A/ P Permit No. jaL (93- /1-pa Name 900 , 1,1 Address 4 73 4 e / g Company Mehfes5 Phone # /e For Inspector: �j � A g ame : Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque' Data / Time Type Insp' Permit No. Name Address Phone # / For Inspector: / 3 / Approved Correction Re- Insp'n Fee 1"