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PLUMBINGPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date i t -11— Job Address It S . Si t 37. Tax Folio 1 9 ° 320'S ° t " ° 0 e: O Legal Description Z\ • =(-• ' Owner/Lessee /Tenant :=6,, A. Cc. `�a Owner's Address l (� i Contracting Co. pC C A k t..1SG . O Qualifier '3 (r P4i V Z c l - e SS# State # Municipal # Competency # Ins. Co. n r s ` � u . Architect/Engineer Bonding Company Mortgagor WORK DESCRIPTION Square Ft. „kir,i'AA) 67./0 cdaAreez_, ture of owner and/or Condo President Date \ki . Not ary as to O wner and/or My Commission Expires: ctS P 49 SCOTT W MOKHER 4: - COMMISSION # CC 646585 Ekr!RE:• , ,?AY 2, 2001 BONDED THRU ATLANTIC BONDING CO., INC. FEES: PERMIT RADON o President Date \\\ Historically Designated: Yes Address Address Address APPROVED: Zoning Building Mechanical Plumbing Master Permit # kVA L13'2'70 No Phone P )e Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Estimated Cost (value) 1 �� mow- �-. —� 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. Notary . to on My Commission E • fires: C.C.F. ( 0 NOTARY ntractor or Owner- Builder ` Date a or or Owner - Builder Electrical Engineering Date ,1..‘NY N SCOTT W. MOKHER 0 ,r1 <- COMMiSsION # CC 646585 ”" . EXPIRES MAY 12,2001 ���w B "` OF FV ATLANTIC BONDING CO., INC. BOND L) TOTAL DUE ' ITEM BATH TIE UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) OISPOSAL SERVICE TEMPORARY A/C (CENTRAL) ORINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIRA€TER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER A. MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE _ MOTCRS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25.100 HP COOLING TOWERS WATER CLOSET _ MOTCRS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SIPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS . LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING P001 OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY-SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TAN( ANTENNA • RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN D I StHARCE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING 144F 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.) PLUMBING ELECTRICAL MECHANICAL PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date N Job Address kC) ( 3c kj. (_ i 7 S4 Tax Folio Legal Description Historically Designated: Yes 2 No O / Tenant �C'C1 L 17 4--\\ Master Permit # / J ‘ 3 Z � 0 ® , � C Q S �� � Owner's Address O c iJv . -\ Phone Contracting Co. hil idrrn i a - -t Plho j l n G . Address q /NI W 1 4 1 1— ) eef Qualifier De-r M Q L 1n 1 ► el ss# Phone 3C5 1- a44 State # Q l" e©IC )S Municipal # G a;bS Competency # Q FCC I ns. Co. Z-r, I -}170 Gd les?hei Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRIC ( PLUMBING . ►. CHANICAL ROOFING PAVING FENCE 't° SIGN WORK DESCRIPTION C ` VAS t c�`a e .vim /�— La .q a 0.vCS Square Ft. Estimated Cost (value) S 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 alt 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 a e and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize th = above name• tractor to do the w r tated. Si A itr, otary as t y Comm / / of owner and/or Condo President Date on Expires: /' i C IS d/or Condo President Date " A '� Gloria E SuvJtege * ; %, 1 *MY Commission CC681145 'o, Expires August 16.2001 i fr FEES: PERMIT° C RADON APPROVED: Zoning Building Mechanical Plumbing C.C.F. otary as toll ontr for • O y Commi w on Expires: Contractor or Owner- Builder Date uilder v Giotto E SuviIaao * 1 *My Commission CC661140 'in/ ExpmesAugust 16, 2001 ►y•9 Date NOTARY BOND TOTAL DUE ITEM BATH TUB UNIT • FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL. SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN .. SIZE IN APS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY co-m Ci_r- 1 OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 if STEAM BOILERS SHOWER f MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT/3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLCP I'MTORS OVER 8- 10 if ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET A MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS . URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET f MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SLPPLY T0: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER-REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES _ SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY-SEWER SIGN TIME (LOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA ' RELAY TELEVISION CUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP 5 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ., .v ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 1 Owner's Name and Address . No __ ___________ Street _ Registered Architect and /or Engine r Employing Plumber's Name -_ Location and Legal Description Lot ____________ Block 1 ? 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 - Size Septic Tank ____ No. ___ _ Street Repairs . Type of Tank Street Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, I COUNTY OF D.ADE. ss. (Signed) ( Signed) Capacity Gals. 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 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 perforned 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 he performed under this permit, as are licensed by Miami Shores Village. 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 F_OOR DRAIN DRINKING FOU NT' NS ' 1 r TOTAL FIXTURES CONTR. ., ( CHECK SEPTIC TANK - SEWER CONN. _j____ DRAIN FIELD SOAKAGE PIT GREASE TRAP 9eIRA HEATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL CONTR. LIST LIST :, ■ CHECK I Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 1 Owner's Name and Address . No __ ___________ Street _ Registered Architect and /or Engine r Employing Plumber's Name -_ Location and Legal Description Lot ____________ Block 1 ? 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 - Size Septic Tank ____ No. ___ _ Street Repairs . Type of Tank Street Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, I COUNTY OF D.ADE. ss. (Signed) ( Signed) Capacity Gals. 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 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 perforned 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 he performed under this permit, as are licensed by Miami Shores Village. 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. • 7 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Pewit No._ -- !- — Date___M4 . 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 0 P il F FcJ N o . Street 9 _ - - •- Registered Architect and /or Engineer ________ ____-- -_—___________ ___________-__ •• - -_ - Employing Plumber's Name N° NE S /PVC 16-ivk • No._ 7` � id' ' S tr eet - � �' a 9 — _. ' -0 ----- _ ___ - _— — _ !6 Location and Legal Description Lot Block Subdivision_____________ ____ . Street and Number where work is to be performed —No 1 �0 � S �' Street 9 _`7 �' ' ° S 1 State work to be performed and purpose of building (By Floors)____ New Building_-___-__ _______ __ ____ -_- Remodeling_____ _ Addition Repairs No. of Stories Size Septic Tank_ ^ _ _- _-- _--- -_ - - Type of Tank___ Capacity Gals Feet of Drain Tile__ FM Ac. Ihs t. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.______ _________________________._Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. (Signed)_ 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 die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed )__-___________ :_ U 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 T ing Inspector. Mastember. NOTE: A re- inspection fee of $1.00 will be made when such re-inspection la made • necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Pewit No._ -- !- — Date___M4 . 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 0 P il F FcJ N o . Street 9 _ - - •- Registered Architect and /or Engineer ________ ____-- -_—___________ ___________-__ •• - -_ - Employing Plumber's Name N° NE S /PVC 16-ivk • No._ 7` � id' ' S tr eet - � �' a 9 — _. ' -0 ----- _ ___ - _— — _ !6 Location and Legal Description Lot Block Subdivision_____________ ____ . Street and Number where work is to be performed —No 1 �0 � S �' Street 9 _`7 �' ' ° S 1 State work to be performed and purpose of building (By Floors)____ New Building_-___-__ _______ __ ____ -_- Remodeling_____ _ Addition Repairs No. of Stories Size Septic Tank_ ^ _ _- _-- _--- -_ - - Type of Tank___ Capacity Gals Feet of Drain Tile__ FM Ac. Ihs t. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.______ _________________________._Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. (Signed)_ 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 die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed )__-___________ :_ U 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 T ing Inspector. Mastember. NOTE: A re- inspection fee of $1.00 will be made when such re-inspection la made • necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of ` Building Lot Work to be performed under this Permit PERMIT N° 9574 1 MIAMI SHORES VILLAGE, FLORIDA Bl. Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a orough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or ecifications and that he assumes responsibility for work done by his agents, servants or employees. ■ / r Signed: f (.. BY INSPECTOR In consideration of the issuance to me of this permit I agree to per form the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statembnts or specifications submitted to the proper authoriti of Miami Shores Village. In agegpting this I assume resp for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR B de DATE 195 c Contractor's License No. Amt. of Permit $ BY AUTHORITY Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other stricture herein described. This application is made in compliance and conforslity 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. F es I Ov:+uZ s Name and Address ,' / *Q_..__S ' e V' No. R__ Street lf� - Registered Architect and /or Engineer __ _— ___ ______________----- _ —_ —__. _- ------ _ - - -. Employing Plumber's Name ''-' -t= I S _ AJ 1 `i VI P r C No._L Location and Legal Description Lot_____— ..... __________._ —_ __ — Block Permit No _ Subdivision Street and Number where work is to be performed —No 1 C` cd‘ Street._ _ t State work to be performed and purpose of building ( y Fly) - -= 6 E7----- P'=----- -- -t5 -rtg.? t f.h New building __ Remodeling___ - ____. Repairs Addition__._ Re ars No. of Stories. _ Size Septic Tank .. Type of Tank Feet of Drain Tile. Nature of Water Supply: City —Well. Amount of Permit $_ STAT OF FLORIDA, t as. C3UN' t OF DADE. MIAMI SHORES VILAGe PLUMBING INSPECTION DEPARTMEN'T APPLICATION FOR PLUMBING ," Date Capacity Gals _--Dist. Feet of Tank or Drain Field from Well My Commission Expires (Signed)- (Signed)._ Street_ A; __- J A v • c J, __Size of Soakage Pit um r y bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acceptthis 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 iicaased 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 hires stated are true. Notary Public, State of Florida ROSE: 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 worlananship. CLOSETS BATH TUBS SHOWERS W LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS UR CATCH BASIN FLOOR DRAIN DRINK NG FOUNT' NS �a ' 6k & vl TOTAL FIXTURES CONTR. LICIT P I p 1 1 ' / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST -.- CHECK Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other stricture herein described. This application is made in compliance and conforslity 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. F es I Ov:+uZ s Name and Address ,' / *Q_..__S ' e V' No. R__ Street lf� - Registered Architect and /or Engineer __ _— ___ ______________----- _ —_ —__. _- ------ _ - - -. Employing Plumber's Name ''-' -t= I S _ AJ 1 `i VI P r C No._L Location and Legal Description Lot_____— ..... __________._ —_ __ — Block Permit No _ Subdivision Street and Number where work is to be performed —No 1 C` cd‘ Street._ _ t State work to be performed and purpose of building ( y Fly) - -= 6 E7----- P'=----- -- -t5 -rtg.? t f.h New building __ Remodeling___ - ____. Repairs Addition__._ Re ars No. of Stories. _ Size Septic Tank .. Type of Tank Feet of Drain Tile. Nature of Water Supply: City —Well. Amount of Permit $_ STAT OF FLORIDA, t as. C3UN' t OF DADE. MIAMI SHORES VILAGe PLUMBING INSPECTION DEPARTMEN'T APPLICATION FOR PLUMBING ," Date Capacity Gals _--Dist. Feet of Tank or Drain Field from Well My Commission Expires (Signed)- (Signed)._ Street_ A; __- J A v • c J, __Size of Soakage Pit um r y bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acceptthis 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 iicaased 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 hires stated are true. Notary Public, State of Florida ROSE: 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 worlananship. Date Legal Description 4 T t '-- Igo Historically Designated: Yes Owner/Lessee / Tenant C A �t> w € L. Master Permit # Phone 3o S - Owner's Address WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address ®Se-: 1.4e s7 ST Tax Folio O8S t� E o\? s"r Contracting Co. IM O 14 e.;ti v Qualifier 7e 5 r, 14 4 m 6k 14-ER T SS# , ,‘ Phone 3 c 5 L64.6 -- s Z �G State # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICA Municipal # 51��1z Pi4S v 2 L. guitekrot ST Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR 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 4 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. FEES: PERMI RADON D Notary as to •. er and/or I ond• President Date My Commission Expires: APPROVED: Zoning Building Mechanical Plumbing P14, SCOTT W. MOKHER COMMISSION # CC 646585 A EXPIRES ONDE 1 12, 2001 OF Pg ATLANTIC BONDING CO., INC. C.C.F. 2 Tees SEi, 1 Notary as t: Con T a or I My Commission Expire NOTARY BOND No 3O t. 5 ( 38n0 5t+ s r k Aq tiAt Rol t Competency #G' - Q z'j if 0Ins. Co. illt.g7G A 02 C45 Address Address Address MECHANICAL ROOFING PAVING FENCE SIGN lo o0 o v,AY PI/ SCOTT W. MOKHER l+� To, COMMISSION # CC 646585 . EXPIRES MAY 12, 2001 ATLANTIC BONDING CO., INC. • BONDED THRU ®E TOTAL DUE 1 -L i Q Date IT BATH 118 UNIT . Q FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BICET LIGrIT OUTLETS CENTRAL HEATING O1S {WASr€R RECEPTACLES A/C (WIND) OIS?OSAL SERVICE TEMNRARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR CRAIN 1 SERVICE REPAIR4ETER MANGE REFRIGERATION GREASE i► APPLIANCE OUTLETS PROCESS AND PRESS PIPING 1HTR EPIC RANGE TCP UNDERGROUND TANKS LAVATORY 2 OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES NASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER 1 ( MOTORS OVER 1- 3 If HOT WATER BOILERS SINK, POT/3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK. SLCP 1 MOTORS OVER 8- 10 HP ELEVATORS/ESCALATCRS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 If FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SIPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRAM . 'HEATER-NEW INST. GENERATORS TRA? FORM#RS HEATER - REPLACE GENERATORS TRAWORMIERS . LAWN Sr"RlNKLER -WELL SPECIAL PI CSE OUTLETS COJ€RCIAL SWIMMING P00L WATER SERVICE • SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY-SEWER SIGN TIME CLOCK UTILITY-WATER F IXTLRES SEPTIC TANK ANTENNA • RELAY TELEVISION OUTLETS GRAINFIELD. 4° TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATQ -1 BASIN 0ISCMARGE WELL DOMESTIC WELL AREA CRAIN ROOF INLET SOLAR HATER HEATER . FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING 1 ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION TOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. ?3T I DIED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL