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1181 NE 97 St (10)Permit No. / Street and Number where work is to be performed —No i s / ,) Amount of Permit $ - - - - - - - - -- STATE OF FLORIDA, COUNTY OF DADE. ss. 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. Owner's Name and Address __ __ No. Registered Architect and /or Engineer____ Employing Plumber's Name No. Street Street Location and Legal Description Lot f Block Subdivision State work to be performed and purpose of building (By Floors) New Building - Remodeling Addition _ Repairs Type of Tank Capacity Gals Size Septic Tank Feet of Drain Tile__ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well - Size of Soakage Pit ( Signed) /. __ { J /Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he .understands and accepts his obligation► s an employer of labor under the Florida Worlonen'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) No. of Stories My Commission Expires Notary Public, State of Florida -- '2•- - . Street 1 _' 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. 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 YI n ' TOTAL FIXTURES CONTR. / e r J I � CHECK y SEPTIC TANK SEWER I CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP 4111111.1 HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / ; -- - - CHECK Permit No. / Street and Number where work is to be performed —No i s / ,) Amount of Permit $ - - - - - - - - -- STATE OF FLORIDA, COUNTY OF DADE. ss. 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. Owner's Name and Address __ __ No. Registered Architect and /or Engineer____ Employing Plumber's Name No. Street Street Location and Legal Description Lot f Block Subdivision State work to be performed and purpose of building (By Floors) New Building - Remodeling Addition _ Repairs Type of Tank Capacity Gals Size Septic Tank Feet of Drain Tile__ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well - Size of Soakage Pit ( Signed) /. __ { J /Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he .understands and accepts his obligation► s an employer of labor under the Florida Worlonen'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) No. of Stories My Commission Expires Notary Public, State of Florida -- '2•- - . Street 1 _' 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. 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. 45. BUILDING ELECTRICAL PLUMBING Owner of Building Address of Building Architect Contractor or Builder / Legal Lot Bl. Description 4 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 10375 Work to be performed under this Permit Subdi- vision Value of Project $ DATE , Contractor's License No. Amt. of Permit $ 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 tefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any 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 is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ing 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 his agents, servants or employees. Signed: BY S ` INSPECTOR consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. -g this permit I assume responsibility for $11 work done by either, myself, my agent, servant or employee. BY AUTHORITY 195 .•1 Permit No 1`14(..1 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 submit�d for th ui ding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi mi 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 E Err. ploying Plumbers Name Location and Legal Description Lot_ n �j �ubdlvisioit Street and Number where work is to be performed —No. ` / r `/ L ' 9 7 Street - State work to be performed and purpose of building (By No. Street. New Building _ __--- .. .__._._ Remodeling Addition. -- ______.__ Repairs 1'1®/3 :- "A,, -:=::1 -21 :zt:L_c Size Septic Tank__ Feet of Drain Tile. Nature of Water Supply: City —Well c f_.C>r Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. Type of TRnlr Feet of Tank or Drain Field from Well__. ___.--- _ - - - -• . Size of Soakage Pit. Plumbing Trispector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig •ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman Supplement, and hue 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 ) . No. of Stories. .. Capacity Gals.------ _ - -_ -- 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 imposes 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 maten A r Z s pec tio ipee of $1.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty GLO.tT. BATH TU88 SHOWER. LAVA. yams SINK. SLOP SINK/ LAUNDRY TUBS URINAL. CATCH BABIN FLOOR DRAIN DRINK NO FOUNT' NB IXYUR FIXTURE. CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEt• WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No 1`14(..1 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 submit�d for th ui ding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi mi 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 E Err. ploying Plumbers Name Location and Legal Description Lot_ n �j �ubdlvisioit Street and Number where work is to be performed —No. ` / r `/ L ' 9 7 Street - State work to be performed and purpose of building (By No. Street. New Building _ __--- .. .__._._ Remodeling Addition. -- ______.__ Repairs 1'1®/3 :- "A,, -:=::1 -21 :zt:L_c Size Septic Tank__ Feet of Drain Tile. Nature of Water Supply: City —Well c f_.C>r Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. Type of TRnlr Feet of Tank or Drain Field from Well__. ___.--- _ - - - -• . Size of Soakage Pit. Plumbing Trispector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig •ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman Supplement, and hue 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 ) . No. of Stories. .. Capacity Gals.------ _ - -_ -- 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 imposes 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 maten A r Z s pec tio ipee of $1.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty 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 011 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. di ll ^ P ' . 2 04rae. a Name and Address _ _----------- - _ ___ -- -� �_ -_ -_ No. 1 ___._.__ Street - - - -- Registered Architect and /or Engineer______ __ Employing Plumber's Name_.yt!il_aula1itilleLOd___ 21 Y(. _ _ Location and Legal Description Lot ___________ —_________--____ -- Block Street and Number where work is to be performed—No. // __ -_ -- Str State work to be performed and purpose of building (By Floors)_____Efa_- New Building _— ............. _ _____ Remodeling______ ____ Addition____ _ 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 Anzovnt of Permit $ (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 cmn- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perform under this permit; and will post or cause to be posted' for inspection on the si e of the wor • ch public notice or notices as are rcgadred by the Act. The undersigned agrees to employ only such sub- contractors, on ork to • e • erformed under this permit, as are Be by Miami Shores Village. (Signed Date (Q./ Repairs No. of Stories. /2x C /9 ?- Street.. - Subdivision My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, p COUNTY OF DADE. p 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 B ATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DR: NKI NG FOUNT' NS TOTAL FIXTURES CONTR. LW CHES.i — -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'o POOL LIST - CREEK 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 011 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. di ll ^ P ' . 2 04rae. a Name and Address _ _----------- - _ ___ -- -� �_ -_ -_ No. 1 ___._.__ Street - - - -- Registered Architect and /or Engineer______ __ Employing Plumber's Name_.yt!il_aula1itilleLOd___ 21 Y(. _ _ Location and Legal Description Lot ___________ —_________--____ -- Block Street and Number where work is to be performed—No. // __ -_ -- Str State work to be performed and purpose of building (By Floors)_____Efa_- New Building _— ............. _ _____ Remodeling______ ____ Addition____ _ 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 Anzovnt of Permit $ (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 cmn- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perform under this permit; and will post or cause to be posted' for inspection on the si e of the wor • ch public notice or notices as are rcgadred by the Act. The undersigned agrees to employ only such sub- contractors, on ork to • e • erformed under this permit, as are Be by Miami Shores Village. (Signed Date (Q./ Repairs No. of Stories. /2x C /9 ?- Street.. - Subdivision My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, p COUNTY OF DADE. p 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. e� e0 Date / 2 61 7 Job Address ile l f/C ° q / ?S72a-° Tax Folio Legal P - ption Historically Designated: Yes No Owner/Lessee / Tenant Owner's Address WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 74_ i %/ 5heisb,J ` /e1 ,lama 92 Signa e of owner and/or Condo President Date 2 " 1- 4/ 1 8 . Iv7 Notary as to Owner and/or Condo President Date My Commission Expires: Master Permit # �(>2�? • tio` i `" Phone • Contracting Co. ° et A 0e24 Address M952- /4 ,. 2. / ' a Qualifier s Qe�/c/� 62:\ lcs� SS# `?/ - �`� - `/? Phone( ) �/— l 1, State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL LUMBING ECHANICAL ROOFING PAVING FENCE SIGN Square Ft. � Estimated Cost (value) /6 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- Builder Date Notary as to Contractor or Owner - Builder My Commission Expires: Date FEES: PERMIT ; v RADON C.C.F. / ° NOTARY ,r BOND (. ' TOTAL DUE ,; APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering