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785 NE 94 St (7)CONTRACTOR Name j 55 e C= J License No. a f Z y Address ` 80o 1,, Li I 51 5}-, N).N1,15. i Pis, 3 3 Telephone Fax Qualifier Name G,,,‘ C, 1 PROPERTY OWNER New Construction Name Name ' '\ c\. S , ... Alteration Exterior Address Address M,Q, JL6re, ` 3313 ? Home Telephone E Relocation of Structure Business Telephone Foundation Only Fax Other ENGINEER New Construction Name ICRY }, (� I v License No. Alteration Exterior Address S OY rn 1of6.3 Telephone Alteration Interior Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be si led 1Zy tile plbpei gwletihnciQdalifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of yodt work i11 be done, a roofing application must be submit- ted along with this permit application. • • • • • • • • • •• • • • • • ••• •• Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 7 $ J' 2 I 5\" Address Folio Number Description of Work Zy 2.5' ZL Block (9 7 Lot Subdivision +�^^+, 5 Lort5 PB 16 PG 3 7 Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work 4 ° U Bldg Value Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name Address License No. ilk- Telephone Fax • •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • .. • • • • • ••• • MasterJetmit Nq, • • • Suteidiary Reimtt N6. • • • • • • • ••• ••• • • • S ty 3 City State Zip ?Op \ ? Tax Assessed/Appraised Value PERMIT APPLICATION Flood Zone Base Floor Elev. Page 2 SEAL: Personally known • • • • • • ••• • •• •• • • 1. DO NOT BEGIN /ANY WORK WITHOUF:H4VI V((RECP YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF @ONS'PRUCTION are•I?x ited tit *Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIeS BT I *PellitEL` Fkat DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BF DdltaAtit 41Y tall:M OT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk! •• •• • • • • • •• 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefull'. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. 1 am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencem accordance with Section 713 -35 of Florida Statutes. Review the brochure a Choosing a Contractor. STATE OF FLOW COUNTY 0,F MIAMI -DADE Signature of Owner /� "3 d WI 81604 rAfi�s V VVV Print Name / Sworn to and subscribed before me this 1() day of Signature of Notary PiLbJic - State of Florida_ SEAL 1PnY PUe<i NICOLE NOTARY RGER,' COMMISSION NUMBER D0033052 CL MY COMMISSION EMPIRES F FV� JULY 2,2005 OR, Produced Ident�ltcation • •• • • • • • • ••• • • • • • • • • • • • • • • • • • PERMIT APPLICATION Print i ame Sworn to a Signatur t be POSTED AT THE JOB SITE in 11 on Construction Lien Law and OUNTY OF MIAMI -DADE lifier subscribed bef•. e... ,////1J Signat . o tar y Public - State R H sHERmAN SEA Notary Public, State of Florida My comm. exp. May 24, 2003 . eimm. No. CC819725 day of Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY "FITE Dryer Q ' pI; ;OatIP tnte • . (fry. . LyI , I , ; Service Repair Q . Q . Y . A/C Central 1 -3 Ton Dryer Vents, Number of Fan •' • Odt1e W • • • • • • t iU Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE QTY. Minimum Fee TYPE QTY. Condensate Drain TV Generator QTY. . LyI , I; Q . I . Y . Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE, Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re-pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 .• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • ••••••• •••• • • • •• • • INSTRUCTIONS: Please indicate the type of work beingcerroried and qu3ntityags) in the space provided below. . •• ••• • • PERMIT APPLICATION RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) Cl OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ••• • •• •• • • • • • • • • • • • ••• • • • • • ••• • • • • • ••• • CHECKLIST • • • • • • • • • ❑ PROOF OP' OWNERSHIP (Attach) •• w•• •• • • • ••• • ❑ NIZS 4/ • .. ••CS4Ptfif • ❑ IMPACT FEE (New Construc4rn) ❑ OTHER (Specify & Attach) PERMIT FEES $ _To SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY ca,-( (sq.ft. = x/1000 x ¢.60) $ (¢.005 / sq.ft.) $ (¢.01 / sq.ft.) ISSUING OFFICIAL REVIEWED AND PREPARED BY: / DATE Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 o FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com • •• •• • • • • • • • • • • ••• • • • ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) PERMIT APPLICATION ❑ CONTRACTOR REGISTRATION (On File) TOTAL DATE: CONDITION OF APPROVAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/24/2003 Applicant: MARY Owner: BRIGGS JOB ADDRESS: 785 NE 94 Contractor ESSIG POOLS Local Phone: Parcel # 1132060142030 Fees: FEE2003 -1128 Permit Status: APPROVED Permit Expiration: 8/23/2003 Work: POOL PIPING N.) fee is $50.00, which must be This Permit is granted to the contrac � ordinances pertaining thereto and with • and approved by the proper m icipal ; authorization. A further con• ion upon ordinances and reg Lion pertaining t by his agent erv- is • employees. Sl - .t17' In consi- tio • t with the plans, dr myself, my agen Signed: Description Building Fee Total Fees: PAY TO THE ORDER OF EROF FOR Plumbing Permit Permit Number: PL2003 -54 BRIGGS MARY ST Contractor's Address: PETTY CASH ACCOUNT 1800 NE 151ST ST. NORTH MIAMI BEACH, FL 33162 fr/ i Amount $90.00 $90.00 Construction Value: If there is no permit package accessible girl the job -site for inspectors to verify, there will be no inspections. Re- inspection ESSIG POOLS, INC. Mellon United National Bank Miami. Florida $900.00 no00733 211' 1:nr,7nngI.LI.,! nn Page 1 of 1 Total Fees: $90.00 Total Receipts: $0.00 /ATE �Q Legal Description: MIAMI SHORES SEC 3 PB 10 -37 E1/2 OF LOT 24 & ALL LOTS 25 & 26 LESS E15FT i t e e issuance to m s, tate ents o a s or -' plo II t /mss e cx. $ r p /• / 7332 DOLLARS el OT VALID FOR MORE THAN $300.00 Oft. en Bed 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 he kept at building during progress of work. No i � Street /U. &. Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer Employing Plumber's Name__i_ti 3'__%sr! -ft , ', �'- 'C No Location and Legal Description Lot Block Subdivision __+ ,� ✓. �, :... r Street and Number where work is to be performed—No ________ / _ E� �' Street___ .6. `' ° t State work to be performed and purpose of building (By Floors) �.�"��`� c 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—Well r+ f Date ' ' � , t Street ' • KJ' Size of Soakage Pit Amount of Permit $1 o ------- - - - - -- ( 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. (Signed) My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N5 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 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 he kept at building during progress of work. No i � Street /U. &. Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer Employing Plumber's Name__i_ti 3'__%sr! -ft , ', �'- 'C No Location and Legal Description Lot Block Subdivision __+ ,� ✓. �, :... r Street and Number where work is to be performed—No ________ / _ E� �' Street___ .6. `' ° t State work to be performed and purpose of building (By Floors) �.�"��`� c 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—Well r+ f Date ' ' � , t Street ' • KJ' Size of Soakage Pit Amount of Permit $1 o ------- - - - - -- ( 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. (Signed) My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 1 ss. 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect 'Contractor or Builder Legal Description Address of Building I 415;: - A -4,1 h 1 • Lot CONTRACTOR OR DER MIAMI SHORES VILLAGE, FLORIDA n P RMIT N? 11515 Work to be performed under this Permit B1 DATE :Y ,4 19 Contractor's License No Subdi- vision Value of '// . 34 4 E.i" /r Project $ This perms 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. 11y $; ,. drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be re " •at 'airy time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which1 a eaaC:is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and''regti]aftns 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. O Signed 1rt"10 BY 0 yf a. {�� In consideration of the issuance to me of this permit -I agree to perform the was covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or spec' nations submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, y agent, servant or employee. ..rn111•• 4.14; i►� • 11 �' "�i�' BY Amt. of Permit $ AUTHORITY f,�iM�rMM BUILDING ELECTRICAL PLUMBING Owner of Building hitect Lot PERMIT N? 6265 Work to be performed under this Permit s f MIAMI SHORES VILLAGE, FLORIDA Contractor or Builde' Legal Description Address of Building This p iit is gr"ed to the contractor or bui der amed above to construct the building or to install the equipment or device 'described in the appli Bl. cation herefo in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with am/ 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 response ility fo a thorough knowledge of the ordinances and drawi gs or in the a em s o regulations pertaining to the work covered hereby whether shown on the plans o or specific ns and theft be sumes respon- sibility for work done by his agents, servants or employees.+ ,, il A c INSPECTO ` In consideration of the issuance to me of this permit I agree to perfopl the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, $ta efnents or specifications submitted to the proper autho'1'Ti es of MiamilSharestWelage. In accepting this permit I assume responsibility for all work done byeitlier my s , my agent, servant or employee. ye CsNTRAC'I'O' •R BUfLDER' Subdi- vision Value of Project DATE Contrac r's License No. Amt. of Permit co/( AUTHORITY 1 MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE '`� 194 ELECTRICAL ■ E R M IT N? '6212 Contractor's �'--"— Li No. PLUMBING ,,. y , - Work to be performed u der this Permi i ,, >' Owner of f },' uilding "k"...> 1 I , 11..7 Architect Contractor or Builder Legal Description Address of Building This per t is granted to e contractor or ' 1 der name wove t construct the building or to install the equipment or device escribed in the appli- cation herefor " strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorize A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility , or a tlioro gh knowledge of ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or ' the to • nts. orietifica ' . ns andt th mes respon- sibility for work done by his agents, servants or employees. ''°" Signed. r *-�� VA) Lot_ / Bl. CONTRACTOR OR BUILDER Subdi- vision Value of Project BY Amt. of Permit i/ • INSP C OR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitte• to the proper author-iti*s of Miami Sheres.Village. In accepting this permit I ass a responsibility for all work done by either myself, my agent, servant-or employee. !� O tt c. m 3 sn! G /NC,* • � f -�: c � # , t• 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 confonnity 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 _< �/ tau U I er - .�-� Location and Legal Description Lot Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI 'SHORES VILLAGE 'PLUMBING INSPECTION DEPARTMENT r APPLICATION FOR PLUMBING PERMIT ( Signed) ___ No Street and Number where work i o be performed —No .7 ir ot/ tt 7 Date sr Street___ IC_'__ _(___ 4/ n1iIA g 1 N Sr No 5 Street Nr 4 2 � Block 7 Subdivision___ Aerial so et Street C 4 'w4,5 State work to be perform 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 —Well Size of Soakage Pit ( Signed) Plumbing Inspector. The undersigned ajplicant 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. `I/( yr oiveC , # 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 CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS W I7 • .9,1A— eocl( TOTAL FIXTURES CONTR. LIST �] 2. . 2 / / _ 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. _ 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 confonnity 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 _< �/ tau U I er - .�-� Location and Legal Description Lot Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI 'SHORES VILLAGE 'PLUMBING INSPECTION DEPARTMENT r APPLICATION FOR PLUMBING PERMIT ( Signed) ___ No Street and Number where work i o be performed —No .7 ir ot/ tt 7 Date sr Street___ IC_'__ _(___ 4/ n1iIA g 1 N Sr No 5 Street Nr 4 2 � Block 7 Subdivision___ Aerial so et Street C 4 'w4,5 State work to be perform 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 —Well Size of Soakage Pit ( Signed) Plumbing Inspector. The undersigned ajplicant 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. `I/( yr oiveC , # 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 PLUMBI Owner of Building Architect Contractor or Builder Legal Description Address of Building This pe Lot SJ P RMIT N2 6015 Work to be performed under this Permi it is granted to the contractor or builddr name. ...v: . .nstruct the building or to install the equipment or device described in the appli- cation herefor fn strict compliance with all ordinances pertaining there o 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 a atements or specifications and tlya';assumes respon- sibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDE MIAMI SHORES VILLAGE, FLORIDA Signed. Subdi- vision INSPEC DATE Wit/Sid 1947_ Contractor's License No 4 ( r. By In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ; ordinances and•regulayyions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami ShofeeVillage. In accepting •e • ' Vassume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY Owner's Name and Address__ 1 r Registered Architect and /or Engineer Size Septic Tank Feet of Drain Tile `° Amount of Permit STATE OF FLORIDA, t COUNTY OF DADE. Type of Tank ss. V MIAMI 'SHORES VILLAGE g!' PLUMBING INSPE DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street f t Dist. Feet of Tank or Drain Field from Well ( Signed) ( Signed) No Street__ ____:_�`_� 4 "1/4, ... / / P ermit'No. -- - -- - - -- -- ___1---- __- Date L s " Ai9plication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildii or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, aryl 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 ofiMiami 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., Employing Plumber's Name (, 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) New Building Remodeling Addition Repairs No. of Stories Street /�✓' 1� Capacity Gals Nature of Water Supply: City —Well. 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 Compensaiion Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 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 ONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP SPRKLR. WELL SYSTEM SWIM'G POOL CONTR. LIST CHECK .. v / J l Owner's Name and Address__ 1 r Registered Architect and /or Engineer Size Septic Tank Feet of Drain Tile `° Amount of Permit STATE OF FLORIDA, t COUNTY OF DADE. Type of Tank ss. V MIAMI 'SHORES VILLAGE g!' PLUMBING INSPE DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street f t Dist. Feet of Tank or Drain Field from Well ( Signed) ( Signed) No Street__ ____:_�`_� 4 "1/4, ... / / P ermit'No. -- - -- - - -- -- ___1---- __- Date L s " Ai9plication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildii or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, aryl 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 ofiMiami 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., Employing Plumber's Name (, 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) New Building Remodeling Addition Repairs No. of Stories Street /�✓' 1� Capacity Gals Nature of Water Supply: City —Well. 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 Compensaiion Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Date Application is hereby made for the approval of t * he 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 A Owner's Name and Address__ -- r No ' Str Y Permit No / Registered Architect and /or EnginQer Employing Plumbers Name ) 11.0AI ?_ 211: Size Septic Tank Amount of Permit $__, STATE OF FLORIDA, t COUNTY OF DADE. SS. MIAM,i SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT " APPLICATION FOR PLUMBING PERMIT Type of Tank__ No (Signed) t My Commission Expires Notary Public, State of Florida Street Location and Legal escription Lot___._,= '_'° Block Street and Number State work to be perf med and purpose of building (By Floors) New Building Remodeling Addition f Repairs No. of Stories Subdivision_ L.1 t46. ere work is to be performed —No. Street Capacity Gals._ __,�__0 Feet of Drain Tile ,/d__L1 / Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: Well 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 9 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 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 S SLOP SINKS -LAUNDRY TUBS U R I N ALS ' CATCH BASIN FLOOR DRAIN DRINKING FOU NT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM' POOL CONTR. LIST • CHECK Date Application is hereby made for the approval of t * he 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 A Owner's Name and Address__ -- r No ' Str Y Permit No / Registered Architect and /or EnginQer Employing Plumbers Name ) 11.0AI ?_ 211: Size Septic Tank Amount of Permit $__, STATE OF FLORIDA, t COUNTY OF DADE. SS. MIAM,i SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT " APPLICATION FOR PLUMBING PERMIT Type of Tank__ No (Signed) t My Commission Expires Notary Public, State of Florida Street Location and Legal escription Lot___._,= '_'° Block Street and Number State work to be perf med and purpose of building (By Floors) New Building Remodeling Addition f Repairs No. of Stories Subdivision_ L.1 t46. ere work is to be performed —No. Street Capacity Gals._ __,�__0 Feet of Drain Tile ,/d__L1 / Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: Well 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 9 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 appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ❑ ELECTRICAL ❑ PLUMBING ROOFING ❑ Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 4 ` l 195 7 Contractor's /4 / 4. License No. PERMIT N? 5307 Architect Contractor t r or Builder Legal Lot Description El Address of Building �• ` Work to be performed under this Permit 1 #.4. r4 7114 1 a 1( wi_ Subdi- vision Value of Project $ Amount of Permit $ 4 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. r ) 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Permit No G:' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ___!` ___._ _- _�---- No. Registered Architect and /or Engineer----_-_----- _-- ... ____ .... ____ ________ ___ Employing Plumber's Name a "1_64_ R S C? No._ .5 6 Stre -- Location and Legal Description Lot____ ---_ ......... _______ .... ____ _ __Block Subdivision 7 Street and Number where work is to be performed —No / r / 14 t a ?* Street — State work to be performed and purpose of building (By Floors) _ New Building _ eE modeling —_ __.___._ Addition-- Amount of Permit $ 4. o 0 STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING rcMIT 4 , si Date A - 4'4 Type of Tank licensed by Miami Shores Village. -41 Size Septic Tank Feet of Drain Tile________ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Street_ Repairs No. of Stories- / Capacity Gals .... __Size of Soakage Pit (Signed) _ 6 ' ) . -- (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 _ Master Plumber. 1 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 Tugs URINALY CATCH BASIN FLOOR DRAIN DRINKING FOUNT Ns TOTAL FIXTURES CONTR. LIST A / , CHECK — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL � Ca7iJt9 CONTR. LIST 1 / - -- CHECK Permit No G:' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ___!` ___._ _- _�---- No. Registered Architect and /or Engineer----_-_----- _-- ... ____ .... ____ ________ ___ Employing Plumber's Name a "1_64_ R S C? No._ .5 6 Stre -- Location and Legal Description Lot____ ---_ ......... _______ .... ____ _ __Block Subdivision 7 Street and Number where work is to be performed —No / r / 14 t a ?* Street — State work to be performed and purpose of building (By Floors) _ New Building _ eE modeling —_ __.___._ Addition-- Amount of Permit $ 4. o 0 STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING rcMIT 4 , si Date A - 4'4 Type of Tank licensed by Miami Shores Village. -41 Size Septic Tank Feet of Drain Tile________ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Street_ Repairs No. of Stories- / Capacity Gals .... __Size of Soakage Pit (Signed) _ 6 ' ) . -- (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 _ Master Plumber. 1 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 PLUMGIBI„ i Owner of Building Architect Contractor or Builder Legal Description Address of Building This pe x f Lot CONTRACTOR OR BUILDE;i` MIAMI SHORES VILLAGE, FLORIDA DATE r,r'/' 194;L P R M 1 T N° 6 015 Ai Contractor's 41) License No Work to be performed under this Permit t e t 3 4 - 7 Bl. Subdi- vision i / e..... Amt. of Value of .� 7 l r/ j� Project Permit~" it is g ranted to the contractor or build name v: . •nstruct the building or to install the equipment or device described in the appli- cation herefor In strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawin s or in,the atements or specifications and tl he a respon- Signed• d/ sibility for work done by his agents, servants or employees. V 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 theret and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting t emit I. assume responsibilitt for all work done by either myself, my agent, servant or employee. BY By AUTHORITY Permit No (o) 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 Size Septic Tank Feet of Drain Tile 43 Nature of Water Supply: City—Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer __ __ Employing Plumber's Name_L2, � - Y __ _ y ,SNo._ f1__1 Street__72_,FL ? 2— ? - c'—°-, 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) New Building —_ ._______ Remodeling _ Addition____ Repairs No. of Stories._ Amount of Permit $ - - -- -- - - - - -- — - — — --- (Signed )_ No.-- - f ----tG s" (Signed)... Date Street_ 22,6% Street _______ ____ _._ ... _Type of Tank_— — Capacity Gals. _Dist. Feet of Tank or Drain Field from Well — -- - Size of Soakage Pit My Commission Expires Notary Public, State of Florida Master Plumber. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida nanent 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, ss. 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 TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHICK _�- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM' G POOL LIST CHECK Permit No (o) 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 Size Septic Tank Feet of Drain Tile 43 Nature of Water Supply: City—Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer __ __ Employing Plumber's Name_L2, � - Y __ _ y ,SNo._ f1__1 Street__72_,FL ? 2— ? - c'—°-, 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) New Building —_ ._______ Remodeling _ Addition____ Repairs No. of Stories._ Amount of Permit $ - - -- -- - - - - -- — - — — --- (Signed )_ No.-- - f ----tG s" (Signed)... Date Street_ 22,6% Street _______ ____ _._ ... _Type of Tank_— — Capacity Gals. _Dist. Feet of Tank or Drain Field from Well — -- - Size of Soakage Pit My Commission Expires Notary Public, State of Florida Master Plumber. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida nanent 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, ss. 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. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reques Dat- , Z' Time Type Insp'n Permit No. Name Address Company Phone # For Inspector Y l Approved 71 Correction ❑ Re- Insp'n Fee ❑ G k MIAMI SHORES VILLAGE UILDING DEPARTMENT � 305 - 795 -2204 O Bu 'ding Inspection Request Type Insp'n Permit No. For Inspector: Approve) Correction Re- Insp'n Fee Tim 4 / /°/f Name (� 10 /\t / l `'Address Compan 5 5 �r Phone # Dab 0 ❑ ate