Loading...
PLUMBINGPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Dec 4 -9 -99 Job address 1045 N.E. 97th Street Legal Description Historically Designated: Yes No Owner/Lessee /Tenant Richard Winckler Master Permit# Owner's Address 1045 N.E. 97th Street, Miami Shores, F1 Phone 305 - 758 -9030 Work 305 - 751 -1020 Contracting Co. Coastal Plumbing Co. of Miami Address 285 N.E. 185th Street, Miami, F1 33179 Queer Robert E. Brincefield state # CFCO -19042 Municipal# 6264 Architect/Engineer Bonding Company WORK DESCRIPTION Replace existing electric water heater Square Ft. Estimated Cost (value) $200.00 aiA Signature of owner and/or Condo President / - otary as to Owner an d( k �t Sze •" % ondedty - ac FEES: PERMIT 4 J/ RADON Date / j(" �` P •••• °..•. F �,� t Date My Commission Expi sQ•• �� ® 28 49 7'°• _* o » 0 #CC 477159 Tax Folio ss# Phone 305 - 651 -4429 Competency # 6264 Ins. Co. Acord i a Ins. Co. Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. � � � Signature of Contractor or Owner - -alder �a \CI ST i ate 1.\(,, D 28, ° . �J Notary as to Contractor or a wner - Builder g 1/CC 47 1 9 or ate ..." ° • e nnded th e v : pQ C.C.F. r 6 0 NOTARY Electrical BOND TOTAL DUES Engineering BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT IV? 13599 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ BY AUTHORITY 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 be assumes responsibility for work done by his agents, servants or employees. 4 a.. Signed 4— •"''.. BY I273PECTOIt In consideration of the issuance to me of this permit I agree to tfeeferm the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Permit No.. - - -- . - - - -- -- - -� - -- Size Septic Tank__- -__ -`. Feet of Drain Tile Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_ ______ Si e Amount of Permit $_ -� - __ �_ — ( gn d )- (Signed)- - ----- Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building 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. —_ No._,.__--- __-- - -___- _ Street__ Location and Legal Description Lot_ - -__ Block _--- _----- _--- _ -__ -- Subdivision _-------- -___ -- Stcet and Number where work is to be performed —No _ ________.____ Street State work to be performed and purpose of building (By Floors)_ New Building Remodeling____ Addition_. Repairs No. of Stories Capacity Gals._ Dist. Feet of Tank or Drain Field from We1L '-1 •'-° Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. 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 Master Plumber. V 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 TUBS SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING DRINK FOU NT' NS TOTAL FIXTURE! CONTR. LIST —_ CHECK / '�L A c ,. . ( '''° , .�� —.. a . DRAI FIELD SOAKAGE PIT GREASE TRAP `SVGLA'-' HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL SEPTIC TANK SEWER CONN. CONTR. LIST 1 CHECK Permit No.. - - -- . - - - -- -- - -� - -- Size Septic Tank__- -__ -`. Feet of Drain Tile Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_ ______ Si e Amount of Permit $_ -� - __ �_ — ( gn d )- (Signed)- - ----- Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building 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. —_ No._,.__--- __-- - -___- _ Street__ Location and Legal Description Lot_ - -__ Block _--- _----- _--- _ -__ -- Subdivision _-------- -___ -- Stcet and Number where work is to be performed —No _ ________.____ Street State work to be performed and purpose of building (By Floors)_ New Building Remodeling____ Addition_. Repairs No. of Stories Capacity Gals._ Dist. Feet of Tank or Drain Field from We1L '-1 •'-° Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perinanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. 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 Master Plumber. V 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.