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PLUMBINGBUILDING ELECTRICAL PLUMBING ROOFING Owner of Building - Architect Contractor or Builder Legal Description. Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA El PERMIT 1:2 yrd' ❑ Woork to be perforine tl �� 'Zi CONTRACTOR OR BUILDER !N? 12657 under this Permit Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in eempVnuce with any plans, drawings, statements or specifications that may have been submitted to and approved by tbk proper municipal authorities. This Perrbit SSW be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed'Kdithout authorization. A further condition u on which this permit is granted is the understanding that the contractor or builder name above assumes the responsibility for a thorough knowledge of the ; 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 INSPE :•R In consideration of the issuance to me of this permit I agree to p the work covered hereunder in compliance with all pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities In accepting this _permit I assume responsibility for all work done by either, myself, my agent, se or employee. 4 BY „44.-. DATE 1"" 1 SL 195 Contractor's License No Amt. of Permit r1 ordinances and regulations of Miami Shores Village. BUILDING ❑ ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SH' RES VILLAGE, FLORIDA ❑ PERMIT * { t In consideration of the issuance to me of this permit I agree to pertaining thereto and in strict conformity with the plans, drawings, sta In accepting this permit I assume responsibility for all work done by 12868 ❑ Work to be performed) under this Permit Subdi- vision Value of Project $ Signed. ,�r'f ► u4sPtetoR DATE =* "..* 95 Contractor's License No u BY Amt. of Permit This permit is granted to the contractor or builder narrled above to construct the building or to install the equipment or device in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Pernik nusy 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 ion which this permit is granted is the understanding that the contractor or builder n ed above assumes the responsibility for a thorough knowledge of the orsemances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he. ssu for work done by his agents, servants or employees. [t AUVRORWT orm the work covered hereunder in compliance with all ordinancee and regulations ents or specifications submitted to the proper authorities of Miami Shores Village. self, .iiy gent, servant or employee. aY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date ..._.: 30 /9s/ 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. / 006 7/ 9' 4.17 Owners Name and Address U). ee 97 414F No Street_..— _.._. .. Registered Architect and /or Engineer Employing Plumber's Name Y / ' 4 ._, . -_ T Location and Legal Description Lot. Sltx4 � Subdivision.— __ —_.. Street and Number where work is to be performed —No /0Z/6 N. F E. 9 7 ' S /Stteet. _..___._...__.. _._ State work to be performed and purpose of building (By FloosE)2 ..g. — h 4D6-- wee- TV QE -e/7. 2 ?W 1 - 1 /( New Building. _ _ _.._ _._ Remodeling—_ Addition.. __- -...__ Repairs No. of Stories Size Septic Tank__ Type of Tank__ Feet of Drain Tile Dist- Feet of Tank ar Drain Field from Well.. —__ Nature of Water Supply: City—WeIL Size of Soakage Pit. Amount of Permit LI DO ( Signed) \_L. Use'' .0 C K .3> (Signed) STATE OF FLORIDA, I u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and filar com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort to be performed under this permit; and will post or cause to be posted' for inspection on the site • the work such public notice or notices as arr required by the Act. The undersigned agrees to employ only such sub- contractors. • . to be pert. • • under this permit, as are licensed by Miami Shores Village. 41911 a. . lodgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the.- -___ -- . -- - _ - - - -- - - . — of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when mob rrispsotfon is insde.nomesery by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH Tun[ SHOWERS LAVA- TORIES SIN SLOP SINK[ LAUNDRY Tua� URINAL/ CATCH BASIN FLOOR DRAIN DRINK! NO FOUNT•Ns TOTAL FIIITURES CONTR. LIST — CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAO[ PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST CHICK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date ..._.: 30 /9s/ 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. / 006 7/ 9' 4.17 Owners Name and Address U). ee 97 414F No Street_..— _.._. .. Registered Architect and /or Engineer Employing Plumber's Name Y / ' 4 ._, . -_ T Location and Legal Description Lot. Sltx4 � Subdivision.— __ —_.. Street and Number where work is to be performed —No /0Z/6 N. F E. 9 7 ' S /Stteet. _..___._...__.. _._ State work to be performed and purpose of building (By FloosE)2 ..g. — h 4D6-- wee- TV QE -e/7. 2 ?W 1 - 1 /( New Building. _ _ _.._ _._ Remodeling—_ Addition.. __- -...__ Repairs No. of Stories Size Septic Tank__ Type of Tank__ Feet of Drain Tile Dist- Feet of Tank ar Drain Field from Well.. —__ Nature of Water Supply: City—WeIL Size of Soakage Pit. Amount of Permit LI DO ( Signed) \_L. Use'' .0 C K .3> (Signed) STATE OF FLORIDA, I u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and filar com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort to be performed under this permit; and will post or cause to be posted' for inspection on the site • the work such public notice or notices as arr required by the Act. The undersigned agrees to employ only such sub- contractors. • . to be pert. • • under this permit, as are licensed by Miami Shores Village. 41911 a. . lodgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the.- -___ -- . -- - _ - - - -- - - . — of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when mob rrispsotfon is insde.nomesery by improper notice for inspection, or faulty materials and /or workmanship. Nature of Water Supply: City —Well ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. __. _ 4 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othei structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. (-) Owner's Name and Address °` '''{� No. Street Registered Architect and /or Engineer Employing Plumber's Name Street Location and Legal Description Lot_ — Block __ ______________________ Subdivision Street and Number where work is to be performed— No.___LU_()_.______ .s_________ Street • State work to be performed and purpose of building (By Floors ) New Building Remodeling Addition _ Repairs No. of Stories No Size Septic Tank - - - Type of Tank_ Capacity Gals. Feet of Drain Tile 10 0 Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit \ t Amount of Permit $ ----------- �_____ -__- ��- (Signed) ____ -- p' —� 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 arc licensed by Miami Shores Village. ( Signed). Master Plumber. STATE OF FLORIDA, f COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fac 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 faul materials and /or workmanship. CLOSETS BATH T UBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Toes URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURE! -- CONTR. LIST SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL _ CONTR. LIST CHECK Nature of Water Supply: City —Well ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. __. _ 4 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othei structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. (-) Owner's Name and Address °` '''{� No. Street Registered Architect and /or Engineer Employing Plumber's Name Street Location and Legal Description Lot_ — Block __ ______________________ Subdivision Street and Number where work is to be performed— No.___LU_()_.______ .s_________ Street • State work to be performed and purpose of building (By Floors ) New Building Remodeling Addition _ Repairs No. of Stories No Size Septic Tank - - - Type of Tank_ Capacity Gals. Feet of Drain Tile 10 0 Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit \ t Amount of Permit $ ----------- �_____ -__- ��- (Signed) ____ -- p' —� 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 arc licensed by Miami Shores Village. ( Signed). Master Plumber. STATE OF FLORIDA, f COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fac 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 faul materials and /or workmanship. Permit No. I MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 4 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ()the; structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - No Street Employing Plumber's Name 72, - - ‘.. ... ..: , . No Street Location and Legal Description Lot _ _ Block Subdivision •- Street and Number where work is to be performed-No L.P 0 42 _,.. • 'f,:;,_-__ Street_ : :f -,. Registered Architect and/or Engineer State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank fc.)--f--- Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from We1L Nature of Water Sup ly:, Citr-Well . Size of Soalcage Pit (Signed)_ Amount of Permit $ / (Signed)_ _____ -- .... _.;:_,>,_4_ c '' --4- e"-- s . .,_, ,...„._,,, 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. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fac therein by him stated are true. My Commission Expires Notary Public, State of Florida / ate NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or foul rials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS 1 ,... ..(/ ' k t.. . e (..... TOTAL FIXTURE, CONTR. 0-1, ', / CHEcK 4 ; , ,, \ (Si SPRKLR. SYSTEM SWIM'G POOL * :61L14 -4 1 7-.".'"" ■.... SEPTIC TANK SEWER CONN. DRAIN !YIELD SOAKAGE PIT GREASE TRAP 91:7t HEATER DEEP WELL CONTR. LIST / i /07) / / .6. t / . ( CHECK Permit No. I MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 4 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ()the; structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - No Street Employing Plumber's Name 72, - - ‘.. ... ..: , . No Street Location and Legal Description Lot _ _ Block Subdivision •- Street and Number where work is to be performed-No L.P 0 42 _,.. • 'f,:;,_-__ Street_ : :f -,. Registered Architect and/or Engineer State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank fc.)--f--- Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from We1L Nature of Water Sup ly:, Citr-Well . Size of Soalcage Pit (Signed)_ Amount of Permit $ / (Signed)_ _____ -- .... _.;:_,>,_4_ c '' --4- e"-- s . .,_, ,...„._,,, 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. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fac therein by him stated are true. My Commission Expires Notary Public, State of Florida / ate NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or foul rials and/or workmanship. ,� , • ,.f INSPECTION ROUGH I FINAL New Building Size Septic Tank t1e itS;fa 1c e g V i d C A C e DIVISION OF PLUMBING INSPECTION APPLICATjION FOR PLUMBING PERM 4 • Type of I Tank / /Z t C044/ r L. FLORIDA Date Capacity Gals Y • I hereby make application for a plumbing permit to install, remove or change the plumbing in or on the scribed below, and I agree to comply with all the ordinances, rules and regulations governing plumbing i changes or removals in the Village of El Portal. Owner's Name and Addres Registered Architect and /or Engineer �/ Employing Plumber's Name and Addres tM/ O S / n 44 eAri✓� �''S. Address and Legal Description of Proposed Work /0 N State work to be performed and purpose of building (By Floors) Remodeling i Addition Repairs No. of Storis.4 a Feet of Drain Tile &eh Dist Feet of / Tank or Drain Field from Well Nature of Water Supply: City Well Size of Soakage Pit Amount of Permit $ Penalty $ I Application Received by The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli &ati of labor under the Florida Workmen's Compensation ct, being Section 5966, Compiled General Laws of Florida and bas complied with the provisions thereof, and will rquire similar compliance from all contractors or sub - contractors the work to be performed under this permit; and will post or cause to be posted for inspection on the 'te of the work notices as are required by the Act. The undersigned agr es to employ only such su ra s on • be perfor are licensed by the Village of El Portal. (Sign STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary pubic, duly authorized to administer oaths and take acknowledgment Datr .y.._.±?�S_ appeared .$w atit Ma 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, an by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re -ins ection fee of $1.00 will be mad when such re- inspection is made necessary by improper notice fo materials and /or workmanship. Make Plumbing layot on reverse side. Show old work in red. • Owner or Mater ]r. l oos daerein or faulty CLOSETS PATH TUBS SHOWERS LAVA - TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS la Air � i4 s TOTAL :; mum CONTR. LIST _/ / � - I --I-- CHECK 1 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL *SA • 0 &wet CONTR. LIST I CHECK ,� , • ,.f INSPECTION ROUGH I FINAL New Building Size Septic Tank t1e itS;fa 1c e g V i d C A C e DIVISION OF PLUMBING INSPECTION APPLICATjION FOR PLUMBING PERM 4 • Type of I Tank / /Z t C044/ r L. FLORIDA Date Capacity Gals Y • I hereby make application for a plumbing permit to install, remove or change the plumbing in or on the scribed below, and I agree to comply with all the ordinances, rules and regulations governing plumbing i changes or removals in the Village of El Portal. Owner's Name and Addres Registered Architect and /or Engineer �/ Employing Plumber's Name and Addres tM/ O S / n 44 eAri✓� �''S. Address and Legal Description of Proposed Work /0 N State work to be performed and purpose of building (By Floors) Remodeling i Addition Repairs No. of Storis.4 a Feet of Drain Tile &eh Dist Feet of / Tank or Drain Field from Well Nature of Water Supply: City Well Size of Soakage Pit Amount of Permit $ Penalty $ I Application Received by The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli &ati of labor under the Florida Workmen's Compensation ct, being Section 5966, Compiled General Laws of Florida and bas complied with the provisions thereof, and will rquire similar compliance from all contractors or sub - contractors the work to be performed under this permit; and will post or cause to be posted for inspection on the 'te of the work notices as are required by the Act. The undersigned agr es to employ only such su ra s on • be perfor are licensed by the Village of El Portal. (Sign STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary pubic, duly authorized to administer oaths and take acknowledgment Datr .y.._.±?�S_ appeared .$w atit Ma 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, an by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re -ins ection fee of $1.00 will be mad when such re- inspection is made necessary by improper notice fo materials and /or workmanship. Make Plumbing layot on reverse side. Show old work in red. • Owner or Mater ]r. l oos daerein or faulty • Permit No X; 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. 7/ ear) wet. L_ No 1001'7 Street._.22E Owner's Name and Address Registered Architect and /ppi� Engin Employing Pltimbors ame dYiet'it Location and Legal Description Lot Blot& Subdivision. Street and Number where work is to be performed —No /WO Street4 9 — :' S State work to be performed and purpose of building (By Floors) New Building . _.. Remodeling--- _.._.____ Addition. Size Septic Tank__ — Feet of Drain Tile Nature of Water Supply), Ci3y— W Amount of Permit $ _Type of Tank __ __Dist Feet of Tank or Drain Field from Well ..._.__ -.__ Size of Soakage Pit eller (Signed)\ plied with the provisions thereof, and will require similar compliance from all contractors or sub - contracto performed under this permit; and will post or cause to be posted' for inspection on the site of the w required by the Act. The undersigned agrees to employ only such sub -contr , 4 1 4 work to licensed by Miami Shores Village. Repairs No. of Stories. .. .... 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 lay com- mployed by him in the worlr to be public notice or notices as under this permit, as Master Plumber. err are STATE OF FLORIDA, 1 µ COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the. -__ - -- .. _ ._..._ _ _...._. _.. of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Publio, State of Florida NOTE: A re- inspection fee of $1.00 will be made whoa such re. nspeotlaa Is soade.neoessary by improper notice for hiepecdon, or faulty materials and/or workmanship. CLOSET. BATH Tu.• SHOWER/ SHOWER/ LAVA• Temp SINK• SLOP SIN K• LAUNDRY Tu•• URINAL/ CATCH BASIN FLOOR DRAIN DRINK NO FOUNT' NS TOTAL FIXTURES —•.. CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAO[ PIT G TRAP SO LAR HEATER Due WELL 5 SY STEM SW I M'O POOL I - COMM . LIST CHECK r� Permit No X; 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. 7/ ear) wet. L_ No 1001'7 Street._.22E Owner's Name and Address Registered Architect and /ppi� Engin Employing Pltimbors ame dYiet'it Location and Legal Description Lot Blot& Subdivision. Street and Number where work is to be performed —No /WO Street4 9 — :' S State work to be performed and purpose of building (By Floors) New Building . _.. Remodeling--- _.._.____ Addition. Size Septic Tank__ — Feet of Drain Tile Nature of Water Supply), Ci3y— W Amount of Permit $ _Type of Tank __ __Dist Feet of Tank or Drain Field from Well ..._.__ -.__ Size of Soakage Pit eller (Signed)\ plied with the provisions thereof, and will require similar compliance from all contractors or sub - contracto performed under this permit; and will post or cause to be posted' for inspection on the site of the w required by the Act. The undersigned agrees to employ only such sub -contr , 4 1 4 work to licensed by Miami Shores Village. Repairs No. of Stories. .. .... 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 lay com- mployed by him in the worlr to be public notice or notices as under this permit, as Master Plumber. err are STATE OF FLORIDA, 1 µ COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the. -__ - -- .. _ ._..._ _ _...._. _.. of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Publio, State of Florida NOTE: A re- inspection fee of $1.00 will be made whoa such re. nspeotlaa Is soade.neoessary by improper notice for hiepecdon, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Oo1a Time Type Insp'n Fi no Permit No. P �. .900:3 • a3/ Name Fran, rra Address 10Oln N.2. - l' a - Company KOMI Shores Plu Phone # 19/0 5 5 3 . 9 G 4 For Inspector: g I ato Approved Correction Re- Insp'n Fee Name & Date Miami Shores Village ` C ' °VE Bu ilding Department AU 2 7 2003 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical mbin Mechanical Roofing Owner's Name (Fee Simple Titleholder) 1 ZCJ tt L ' V �- lR' Phone # Owner's Address / 066 Are g'7 d /144-0( City Al. C hir_ `I e - State Zip 3 �� Tenant/Lessee Name Phone # _h 7 -n) L1 Job Address (where the work is being done) /67()( City Miami Shores Village County Miami -Dade Is Building Historically Designated YES c L P-Q(. Contractor's (� Address 1577? 0 [ ` City £' 4,1 v V s ('Gal et State PC._ Zip Contractor's Company Name Qualifier S , e r Master Permit No. Phone # Zip Architect/Engineer's Name (if applicable) . Phone # Architect/Engineer's Address City State Zip $ Value of Work For this Permit L" ' Square Footage Of Work: Number of: Bays Stories Families Bedrooms Baths Type of Work: ['Addition Describe Work: Education/Training Fee $ Tech $ Code Enforcement $ Bond $ ['Alteration ❑New ❑ Repair/Replace ❑ Demolition GC. / 4 c L - U) C e * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fee * * * * * * * * *** * * * * * * * * * * * * * * * * * ** County Escrow Fee $ • fp d Permit Fee $ J20 Minus Plans Check Fee $ Total Fee Now Due $ ! Z 0. 6 v c2 � 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. PLD-00-42- / 3G S 9 /78_3 Notary $ Scanning $ Radon $ Struct. $ (Continued on opposite side) 30`00 C 28 J A Bonding Company's Name (if applicable) Bon City Mot Mot Apt con con WE c City Ca 17-4 E W O Q ci) � Q ova app WW PA CC C( No promise in gooa jarrn rear a copy u one nu &t.,. L:I whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acing d befo i`fie this 1 day of , 20 S , by U NOTARY Sign: Print: chc7/7/03 LIC: Jui Abmi 1 e who is personally known to me or who has produced As identification and who did take an oath. Signature3 1 Contractor The foregoing instrument was acknowledged before me this day of - ,20_,by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBL Sign: Print: ,(2 tiA My Commission E aa ,p ' jres• My Commission Expires: t ow Angela M. Nunez It �E Angeta ires Septr.. M. (Certi fi cate o f Comp etency it C " �Y Orriml�lic. a w Expires September 23 State Certificate or Registration No. / Certificate of Competency No. *******************************#* Nk* �kY*** I'*****#***###*#**#*########**#*##*## # # # # # * * * # # # # # * * * # * * * * * * # * * * * * ** APPLICATION APPROVED BY: ✓� Plans Examiner ' Engineer Zoning HDDRESS1006 N.E.,97th St. LEGAL lbt 11 bl. 181 Sec.8 RECORD GARBAGE TAX PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER Genevieve Layton 1 -7 -52 • / N. f A TL .9 S: 3 12 • SCALE: NTS DRAWN BY: _M PROPOSED RISER PLANTS CONSRUCTI0\' NOTES: f CONDITION. UNLESS OTHERWISE SPECIFIED. 17' PI . I A: TER AREA C0;\ CRETE 33' CONCRETE _V. R/W DIRT 3' /3 (A SPHALT) EASEMENT ALLEY 10' - DIRT 4' , R/W 1. ALL CAC PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES CAS .STANDARDS. 2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED n7Tll THE APPRORIATE GOVERNMENTAL AGENCY. 3. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR S, R /W NE 97TH STREET -- TIE IN TO CAS MAIN (1 006) PEOPLE GAS PROPOSED 1/2" PLASTIC GAS SERVICE TO: 1006 NE 9 7 S' TREE 7'. :�:1 •T. SHORES, FLA E.O.M. 17' 48 HOURS BEFORE DIGGING CALL SUNSHINE 1- 800 -432 -4770 DA TE: 3/15 / S'HEET.` -` - 1/1 JO: 1597 worn— 1 • `% A TL .•f S: if 1 2 SCALE: NTS DRA IVA' BY: LM PROPOSED RISER PLANTS CONSR (i CTIO N NOTES: • 17' X CO;\TRETE ,33' S, R/W PLATER AREA i CONCRETE N. R/W DIRT 3' i'3' (ASPHALT) EASEMENT ALLEY 10' DIRT 4' ,R/W I. ALL CAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES GAS +STANDARDS. 2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE APPRORIATE GOVERNMENTAL AGENCY. 3. ALL DISTR('BED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR CONDITION. UNLESS OTHERWISE SPECIFIED. NE 97TH STREET -- TIE IN TO CAS MAIN (1006) rry u U PEOPLE GAS PROPOSED 1/2" PLASTIC.' S'TIC.' GAS SERVICE TO: 1006 NE 9 7 STREE 7'. MIA MI SHORES, FLA E.O.M. 17' 48 HOURS BEFORE DIGGING CALL SUNSHINE 1- 800 -432 -4770 DATE: 8/15/* SHEETT ' 1/1 JO: 1597 • BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department RECEIVED M2 I ifs Job Address (where the work is being done) 100 ( N L s 4 1 s * ermit No. PLa0o3 . a3 Master Permit No. Permit Type (circle): Building Electrical Plum)ing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 1?) o b 12.h Phone # Owner's Address 100 (p Me:- q i (P141 �� \ r City 7 State l' C— Zip Tenant/Lessee Name Phone # Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address City State Zip 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO V Contractor's Company Name ` MA( jkb P1_5 ,° I U M o Phone # 326- 7 & 1' Z `[4j Contractor's Address q oo l \ti 144 City 1 1 \ (fin I ,� , State L Zip j3 ( (o k Qualifier ( N' S I r l 4� 1r L) $ Value of Work For this Permit 62101 Square Footage Of Work: Number of: Bays Stories Families Bedrooms Bath Type of Work: ['Addition ❑Alteration ew ❑ Repair/Replace ❑ Demolition Describe Work: l ►i) ( k k J J * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fee * * * * **,f;# * * * * * * * * * * * * * * * * * * * County Escrow Fee $ l , e . U Permit Fee $ ) `0 Notary $ Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ / ) 1 , 0 (Continued on opposite side) Bonding Company's Name (if applicable) Bonding r.. City _ Mortga Mortga Z City _ W A a Applicat ▪ p A commen c/) N .r, construct L 'i 8 WELLS, Q ZC o 4 OWNEI v) 4 cn 6 applicabl .— b S "WARN oA PAYING r:Q CONSUL COMMI Notice to Signature chc7r1 /03 APPLICATION APPROVED z btA i4 8 • I r .,. V Q b CA i a c o Q a • c ▪ a S Signature - - - o p su.u.4. mWz promise in a __ _ __ .,,� ,aVSfIG of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspe on which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will n e a afd a rein Lion fee will be charged. Owner or Agent Contractor The foregoing ins . s ent was Hi w� as acknowledged before me this ____ The foregoing- ins ent was acknowledged before me this / Q day o �' . �!] 20C by , day of/4L (, 7r , 2 b 74104549 to me or who has produced D • L . Rtt 1 !1! . ep�tif ;: r w t • did take an oath. . . as id NOTAR , P ' A ` • ; �� NOTARY P • ' ' • J • �.� • �/� Sign: `1 ,,• '_ .i i. � .. . NJI �� I Si lidEr ' �± f .�� >�� i� -..�� Print: 0714. • . j Print: �1P r � A �.'' :. My Commission E' � tr % = , �' . ' °. , h „° 0,. My Commission ) d I1j111110 (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. t • ************ ** s * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * *** ******** ************ s** ** * **** * **• **** * * ** * * ** * ** * * * ** r- Plans Examiner Engineer Zoning • TEM ATH 11.8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE IDET LIGHT OUTLETS CENTRAL HEATING ISHWASHER RECEPTACLES A/C (WIND) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) RINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOOR GRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION :REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR RANGE TOP UNDERGROUND TANKS AVATCRY OVEN ABOVE GROUND TANKS TRAY WATER HEATER U.F. PRESSURE VESSELS .AUNORY ,LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS HOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS ;INK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION ;INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES ;INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS JRINAL MOTORS OVER 25-100 If COOLING TOWERS iATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT•WASTES A/C WINDOW REINSPECTION PATER SUPPLY T0: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFCRMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE • SWIMMING POOL OUTLETS COMfiERCIAL WATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS JTILITY -SEWER SIGN TIME CLOCK JTILITY -WATER FIXTLRES ;EPTIC TANK ANTENNA 1ELAY TELEVISION OUTLETS )RAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION 3OAKAGE PIT CU. FT. :ATCH BASIN l I S HARGE WELL JOMESTIC WELL AREA DRAIN 100F INLET 1 SOLAR WATER HEATER :IRE STANDPIPE- POOL PIPING _AWN SPRINKLER SYSTEM TAS RANGE . €TER SET (GAS) / SAS PIPING F(7( 'tLy) 410 S_ PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL