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1201 NE 96 St (4)l PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Dated ik / OCR Job Address f (' / /1� e .74 S'--/- Tax Folio Legal Description P. 'rota/ Historically Designated: Yes No X Owner/Lessee / Tenant CC%t vt `ti . S G Master Permit # � 7 3 Owner's Address /a O / tiI , S4 rT Contracting Co. / , hiu Lu � Address /Ira 5 't,t. w ( Qualifier P4810 446AlAJ ss# State # jIA) J DOZ /3 J Municipal # Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION u)6/-t. 9 ze t Lt./if ./`� 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 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 struction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. / 27,70'd -• ..-;---- :lure 0.. and/or Condo President tp r n 2c /��- &3- Ul O ,I caner /, 2 - 00 0 Notary to Owner and/or Condo Presi : . My Commission Exp OFFI NOT ARYSFAL GLADYS j VILLAR NCrrARY PUBLIC ¶ ATh OP 1 COMMISSION NO. CC914:03 MY COMMISSION 'EXP. MAR.1 002 r FEES: PERMT�') /) RADON C.C.F. ignature of Contractor or • a:1ttR r Date Notary as to Contrac My Commission Expire APPROVED: Zoning Mechanical Plumbing 9 i Structural Engineer Building Electrical Phone 303 -'2,57-3 phoneyos 6 8 s 72 Ins. Co. yob 2. t S'-f- �- . • • F Guardia * =J *MY Commission ¶ C750345 %., Dfpkes June 11, 2002 NOTARY BOND 3 V D 6 TOTAL DUE, 3 24 -2000 04990 Date Date Permit No i t Owner's Name and Address 4 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. S Registered Architect and /or Engineer T `41 ✓5 5 ,45 ,1 Date set - -- zt, No ZD) Stree, g ` 1St . . / , Location an 1 Legal • � ption L otr2 w/ / / Blocjt v SubdivWon.1 c _ S /0/17 Street and Number where work is to be performed —No Street _ ., c -6 l -- State work to be performed and purpose of building (By Floors)_ _ 44 >�_�G- ��!sTl.-........_. _ .... Amount of Permit $ (SI New Building- -_..._ _ -- .-- ......... -.. Remodeling___._ _ _ .__ Addition... Repairs No. of Stories Size Septic Tank_ Type of 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 )- 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 hay mm- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worir 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 err required by the Act. The undersigned agrees to employ only such sub - contractors, , • / work to be perf.., under this permit, as are licensed by Miami Shores Village. , ./ STATE OF FLORIDA, � se. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.0 #kL f l!M! of the above described construction, that he has carefully read the foregoing lication, and that he did therein by him stated a PUBLIC STATE Or mom NV CORIIISSIOU EXP. AUG. 7,1990 My Commissio n� � p�aa t-fRS -roUu. r Notary RUbllo, aster Plum A v _I,n the same, and that all facts t NOTE: A re- inspection fee of $1.00 will be soada whoa 'soh fa aaada•aaaassary by bapaupartaeuloe for hispectfras, or fealty materials and/or wod®anahip. CLosr ra BATH Tug[ a HOW[RS LAVA- TORIES iINK• SLOP SINKS LAUNDRY TUB* URINAL[ CATCH BA[IN FLOOR DRAIN DRINKING FOUNT'NS TOTAL /IXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'0 POOL Covert. LIFT CHECK -- .-- Permit No i t Owner's Name and Address 4 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. S Registered Architect and /or Engineer T `41 ✓5 5 ,45 ,1 Date set - -- zt, No ZD) Stree, g ` 1St . . / , Location an 1 Legal • � ption L otr2 w/ / / Blocjt v SubdivWon.1 c _ S /0/17 Street and Number where work is to be performed —No Street _ ., c -6 l -- State work to be performed and purpose of building (By Floors)_ _ 44 >�_�G- ��!sTl.-........_. _ .... Amount of Permit $ (SI New Building- -_..._ _ -- .-- ......... -.. Remodeling___._ _ _ .__ Addition... Repairs No. of Stories Size Septic Tank_ Type of 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 )- 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 hay mm- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worir 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 err required by the Act. The undersigned agrees to employ only such sub - contractors, , • / work to be perf.., under this permit, as are licensed by Miami Shores Village. , ./ STATE OF FLORIDA, � se. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.0 #kL f l!M! of the above described construction, that he has carefully read the foregoing lication, and that he did therein by him stated a PUBLIC STATE Or mom NV CORIIISSIOU EXP. AUG. 7,1990 My Commissio n� � p�aa t-fRS -roUu. r Notary RUbllo, aster Plum A v _I,n the same, and that all facts t NOTE: A re- inspection fee of $1.00 will be soada whoa 'soh fa aaada•aaaassary by bapaupartaeuloe for hispectfras, or fealty materials and/or wod®anahip. Date /0/9,7r Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL _OWNER' S. CERTIFICATION I certify that I am the legal owner of the property described as II 0 / iF q e , located at 1 vy! ( fit p ier° Q 33/ In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. / Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. 1tt t v 1rlvi w.w £ t 1 v mat ai.NS �M i,. r• out ■t�s t 1*A menial 1l Les - B9011 196i• 92Lb .3/V4 I news (( +u+ 3 awp ^>�3 Nu m* $300011 $JNrr •r NMV1 0 "'vat Weld 'Syy1OM5 11N�'1YV ,.4 13"31:115 96 yN 1071 sr9)11N V1OIA 'SW a U1 ;3 r / - 1 , d .5.. O "" 1 c! 1lNrIa7 lia•d LE /01 g E 'ON 1.1o1173s S3 iO 45 11 01 logy '4'M # LI lo1 0 • � w N T EXISTING SCREEN ENCL. 8`( OTHERS DEC - o - pAe.iN RESIDENCE moo - Co" T POOL PIPING PLA N SCA.LE: 4 ," k,_a.. Y - C� 4 � MS. VIOLA N1C1tL.►!. 1201 NR 9G STRE-ET MIAMI SNORCS, FI.oRtOo. D R &wS • J R N ia� D• W Pl. MR JAM! RO0G•1111 Cons,ia.ng (igmser MTt 0 07.Zg .1981 s;mM,• M esaielut 1068 -$P7 :seati se. f0tr>� Lc4 3 wa:rim 81.+t me w �,as 2. Whet Oar (AlIl0SQ Ie clew*, $ lockup) G1.Eed cosmic tie NOTE: Nee trdala. Meese cent. -6; TON. M ***Tart "rate 4 Tell, eh" Oa VTOM MOP .arta.ptpa O .l pIN1f,I01 GENERA. NOTES: 1. Fee flea le,Ns.lets damensaone. Not elan. StllU$dete peel leceuaa. one swaag . debris see Sheet rte *11 lw...aag poets shit Mee an rota or a.rintarbed seed. A0 nr0 one flees shill be owed or mate cone. Covent. shed Neva co.wesswe swe.ph N 31,000 eel nista 211 eel,. 3. As reinfora.g stash 0.0 M intermediate .rode steel conferral" d.0 LS•t x A Steel soot* beet lapped one pieced an aaorda.ee watt *he ALL ela.deres add $pacahesbas• A - as peel pre:." sloe be PVC. Sched.40 aid bear the N. U. Of t>pororel. - S. llacs u.th shell he to On wrier peal swap of 100 s ►It m.. tree of walled doors rocs. Sfeeizt4S(3.eterwo,. ant.41 accedence was boa oteew.nei .. 6. Dasposol of peattoter state comfort. le Sec.5004 01 Vet saw_ Saluda "roofing shalt co.hme poodle, 01 0001 water 10 within tot saes one such pending Shea nei artist bw awn tsar a WAIN.. Onetime*. 7. Grate of Owe Oren shill hwe a free area foarr name tee was of the weber b.6 1. We wpei, end disposal shall Its installed an . we, 'ono thane n .a cross coo.sctaoo taw o domestic tote woody ..web 4 1 1 10 1 111 1 8 1 011811/ 2. Now one Ian sweater shalt hare remonsble scree. taw O free Ores 3 hens the ewe O1 the seetto. hat. 10. Connege Wet than home e 0.Ilnlaoa rote r1el * deeded 3 GPM- pew KN. of falter ores. No bocs%osh Missive" • 11. Ala merOate ambit, p.pan, system. rer.lorceng stOOt. w9 "M footaaae! on bane heront meta ports el 11011ers donne bawls one their suntans shed be bowie, totemer and grandee le • comma 9'OU0d. The bombs, cad..aor shots not be s.011er IhenieNcopper. 12. No 0pea rasa" over pool wear. r mesh net CHAIN LINK FENCE 9S' • Water level •3m 4'.L so w., ANTFVO*Tee TYPICAL POOL SECTION yam .1 ' dece.c.steb resat i fi.4 - 10/i0 mess She. 3' /w' NOTE' .real of dote-4W AIR WATe. 1MTR: uSt Shwa CONC 'T.ItC.P.sheStS the sow AS 111 Pool.." uS( SAM( *L -STttt- ARLIA AMA *PACINOS At 10 M•IM POOL 8 %8'conc h I/ 1 .5 coot • DECK FOOTING B SLAB DETAIL - 7•.co" .a Pia -ems .n tut -- - - a'- - s , 0*.. USE 6 ~ de? TOM The soil conditions at this site are adequate' to support the design loa:1 of 2509 PJE. Should other condition or ul :,te•rials be encountered, the engineer ;hall be notified before proceeding with the work. L T o- S PA P OOL DETAILS G. ELEV. O tt �3ee en. FL. CRIT. es -to = 2FT 1E STAN COMM, 4 dr7teelr Lair Mate .toll* plotter to ,t>LT POOL tail Tel. 'd Z50,o° ST ►"� slab 00 a1 KRIM AO UM?* tsMltroeoe JNCTO Ot ELECTRICAL St IIVL(ss Ames. light niche leeltea fan. as Kroft bar* TYPICAL WALL SECTION -I allow sects AVM. =RR KIPP slum swum rota we roc saes do PPS IN MX MCA. Or ia0 ALL Mrs. atlas, attlt0l, LTC. v/ vets GS.Cl Minn MIL= or TRAtrab0 rat MLC. see DIAGRAM to sots ( tv 4 ISOMETRIC A 44 \ o V U POOL O•T• •00*. CAPACITY C4µ FILTER a01• Ft crearIOM *Mg ' 4I14 S ACK *9•SM ware GFOt rummy nave dot. P ua4• size II•P root.- .u.REA tn. MS. YIO.LA /VICKI-A.0 1ZO1 NR. 9G STRE.ET MIAMI SHOR65, FCoR 14.45! #o C► 26.1 2 t z Yes 452 0RA,veN J R I JAMES R000ERti Nnswa* Consuantg (elms, 11 anelta SATs: err Z .08/ 1068 -SP7 >►• ••SEt' STEPS 9 HANDRAIL DE TAI I. v.. !Q A M .RECAST 1 Stainless steel Amami LADDER DE T Ai L IIM 77A M sot M.. C g414PS %moo le 3 pf 3 1 etartt►Ad A Hifi% 1 ,"61; A DIJLI,D1G I v71111 y, I !Slid) UP! )• FJ:! uio A;'.D . /.0N 13 . 1 NG '.711 Lid') ;.-, :.:', I !STEC 1-1ELOW. , A'.;. '„Ot1;,11? J.1 iciUST CO1'111 1 I A:0'0 1 Ttiff.s: Dote i .;,.PA,!-;;;;C ( „ ,..- -- )1 1 . ' , :t; 11 li ().:r ; , k „ lA1'-!LI --; 1-1----- - • d ...... ,._. (..1 P: -- - --- ------ --.„-- ---------i. VII..kACi1 ■:0!..11:',1;1. 1, • [ (a,, 1." TP.:-: SO:Ill; 1:1.01210A 31.11I.DING CODE AS ADOPTED 1 11`: 1'.. t.;111;11 krC.I.A IS REguifo.o. THF. MCII!(ECT, ;1iiI,LDER & sin.) ;:tuiAciulri ,',:;F c':' '1' (, 1• 'I'. , 'T K 01' Ail NUILD• 7 ,r , ": ''.;:!.;;1.111V;:r)iV.: Ir.,../..I''.F.,‘i 0 11!0': S :Nr,;Iciay;;:o ia'1„ 4 ,1 11 Permit No. �___ Date ' ' Application is hereby made To`r 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 Street Registered Architect and /or Engineer Employing Plumber's Name ; - No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs___ No. of Stories Size Septic Tank Type of Tank________ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well , Size of Soakage Pit Nature of Water Supply: City —Well. Amount of Permit $_ Plumbing Inspector. The undersigned app ant for this building permit does hereby certify that he understands and ccepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of lorida 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. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ (Signed) (Signed) Street :54,„ Public, State of Florida Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared G. C. 1,1eGaughan 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. Notary Public. Stat. of Florida at Largo, My commission expires Sept. 29, 1952. -- — 'ttsride�by x "mo c r ilsl io i ire5 - NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, r faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK / G� � Permit No. �___ Date ' ' Application is hereby made To`r 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 Street Registered Architect and /or Engineer Employing Plumber's Name ; - No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs___ No. of Stories Size Septic Tank Type of Tank________ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well , Size of Soakage Pit Nature of Water Supply: City —Well. Amount of Permit $_ Plumbing Inspector. The undersigned app ant for this building permit does hereby certify that he understands and ccepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of lorida 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. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ (Signed) (Signed) Street :54,„ Public, State of Florida Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared G. C. 1,1eGaughan 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. Notary Public. Stat. of Florida at Largo, My commission expires Sept. 29, 1952. -- — 'ttsride�by x "mo c r ilsl io i ire5 - NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, r faulty materials and /or workmanship. Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. - .- --..- ` /r 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. -- r {,r2 Owner's Name and Address '1 e L___,. Registered Architect and /or Engineer „ „ Employing Plumber's Name a)27---e-e-e Street___L iL V Subdivision Street and Number where work is to be performed—No 1,°;'). ()io ...'.)- , Street ' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairsk Type of Tank_ Dist. Feet of Tank or Drain Field from WeIL Size of Soakage Pit No. _ 0 ' 2/ . (Signed) Date 4- r � `�. Street �/ Vii*^. s No. of Stories I Capacity Gals 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. r (Signed). ¢ t _ t Master Plumber. 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 fat. therein by him stated are true. 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 TUBS S LAVA- TORIES SINKS SLOP SINKS • LAUNDRY Toes I NAS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTUREI CONTR. LISP -- - CHECK 1 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. - .- --..- ` /r 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. -- r {,r2 Owner's Name and Address '1 e L___,. Registered Architect and /or Engineer „ „ Employing Plumber's Name a)27---e-e-e Street___L iL V Subdivision Street and Number where work is to be performed—No 1,°;'). ()io ...'.)- , Street ' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairsk Type of Tank_ Dist. Feet of Tank or Drain Field from WeIL Size of Soakage Pit No. _ 0 ' 2/ . (Signed) Date 4- r � `�. Street �/ Vii*^. s No. of Stories I Capacity Gals 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. r (Signed). ¢ t _ t Master Plumber. 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 fat. therein by him stated are true. 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. ( f \ Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewit}/ibmitted for the building or other structure herein described. This application is made in compliance and confonnity with the Building Ordinance of Miami Sho; s 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 wo Owner's Name and Address C e4 No. / Registered Architect and /o /a Employing Plumber's Name t` �} f�i 4 .. / Street__ Location and Legal Description Lot � 2 " L __1 „Block Subdivision_, � C, ✓ ��' Street and Number where work is to be performed —No.- _/ _ _ t� ( / f �� _} �.� Street__ Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) No Street State work to be performed and purpose of building (By Floors) New Building i/ Remodeling Addition Repairs Size Septic Tank ' Type of Tank _C Cle1,.t Capacity Gals, / Q Feet of Drain Tile i 2 s r � " � Dist Feet of Tank or Drain Field from Well O O Size of Soakage Pit l 7.\\. C (*/ / Date ( / Yr No. of Stories e& ec7 ( 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 cor,.- 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, work to be performed under this permit, as are licensed by Miami Shores Village. /1 A My Commission Expires Notary Public, State of Florida Master Plum Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, r ersonally 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 T BATH L SHOWERS T LAVA- S SINKS S SLOP L LAUNDRY C URINALS B CATCH F FLOOR D DRINKING � �" � C L L T TOTAL CONTR. CV O� \ / / / CHECK ` ` _ � • S SEPTIC S SEWER D DRAIN S SOAKAGE G GREASE S SOLAR D DEEP S SPRKLR. S SWIM'G CONTR. / / ' ' CHECK / �/) eC Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewit}/ibmitted for the building or other structure herein described. This application is made in compliance and confonnity with the Building Ordinance of Miami Sho; s 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 wo Owner's Name and Address C e4 No. / Registered Architect and /o /a Employing Plumber's Name t` �} f�i 4 .. / Street__ Location and Legal Description Lot � 2 " L __1 „Block Subdivision_, � C, ✓ ��' Street and Number where work is to be performed —No.- _/ _ _ t� ( / f �� _} �.� Street__ Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) No Street State work to be performed and purpose of building (By Floors) New Building i/ Remodeling Addition Repairs Size Septic Tank ' Type of Tank _C Cle1,.t Capacity Gals, / Q Feet of Drain Tile i 2 s r � " � Dist Feet of Tank or Drain Field from Well O O Size of Soakage Pit l 7.\\. C (*/ / Date ( / Yr No. of Stories e& ec7 ( 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 cor,.- 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, work to be performed under this permit, as are licensed by Miami Shores Village. /1 A My Commission Expires Notary Public, State of Florida Master Plum Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, r ersonally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by /improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Archit Contractor or Builde Legal Lot Description Address of , 9 Building f7 1 g This permit is gr MIAMI SHORES VILLAGE, FLORIDA DATE / if Contractor's License No. PERMIT N° 7160 Work to erformed u$ler this Permit Amt. of /LC ed to the contractor or buflder named above to construct the building or to install the equipment o device described in the appli- cation 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 a ssumes t • : res. • . .ility for a thorough knowledge o th ..' ances and regulations pertaining to the work covered hereby whether shown on the plans or win • . or ' statements or .. • • ications and a mes respon- sibility for work done by his agents, servants or employees. In wig eration of the issuance ip.me of this permit I agree to perf pertain' . • th to and in strict o. • •. ity with the plans, drawings, sta In ac •ptin is permit I ass •.nsibility for all work done by e Signed. Subdi- vision Value of Project BY CTOR 194t e work covered hereunder in compliance with all ordinances and regulations ecifications ubmitted to the proper authorities of Miami Shores Village. my agent, - ant or employee. ' AUTHORITY G)/c _ i.lyyy Permit No Applicatio structure 1 /C G is hereby made for the approval of the detailed statement of the plans and specifications herewith �mnitted for the •uilding or other erein 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 Shore's 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 wo Owner's Name and Address Registered Architect and /o Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No. Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Cd,-4 (Signed) No. Street /t Date No l4 Block G� dub ivision Street__._ __ State work to be performed and purpose of building (By Floors) New Building___ Remodeling Addition Repairs No. of Stories El C 7. Size Se is Tank - -- Type of Tank trwt Capacity Gals Feet of Drain Tile__J - _431 Dist. eet of Tank or Drain Field from Well Nature of Water Supply: City —Well _ I Size of Soakage Pit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has c plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to 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, o work to be performed under this permit, as are licensed by Miami Shores Village. Master P1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS w ' S / 4` c .cn y J c3 TOTAL FIXTURES CONTR. LIST ! ` 7 S SEWER CONN. / Q DRAIN F IELD _ t - / . �/ a // So SOAKAGE PIT / 75 GREASE TRAP SOLAR H EATER • A CHECK I ����rrrr / 7� SEPTIC TANK DEEP WELL SPRKLR, SYSTEM SWIM'G POOL CONTR. LIST I ( ' 1 CHECK / /eV (O._ G)/c _ i.lyyy Permit No Applicatio structure 1 /C G is hereby made for the approval of the detailed statement of the plans and specifications herewith �mnitted for the •uilding or other erein 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 Shore's 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 wo Owner's Name and Address Registered Architect and /o Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No. Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Cd,-4 (Signed) No. Street /t Date No l4 Block G� dub ivision Street__._ __ State work to be performed and purpose of building (By Floors) New Building___ Remodeling Addition Repairs No. of Stories El C 7. Size Se is Tank - -- Type of Tank trwt Capacity Gals Feet of Drain Tile__J - _431 Dist. eet of Tank or Drain Field from Well Nature of Water Supply: City —Well _ I Size of Soakage Pit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has c plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to 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, o work to be performed under this permit, as are licensed by Miami Shores Village. Master P1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. .7, • 1 4' --- \\ ft V L z/ 4v I hi BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ❑ DATE ❑ PERMIT lN? 12811 Contractor's 1,1 License No ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot BI. Description Address of ^. Building I MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Amt. of i ' ` Project $ Permit $ / . i ' 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 drawij or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. tk �rn ' \I a Signed :_.,,....r 1 ' ' �. {_ ... BY " e .JNSPECrOR'i In consideration of the issuance to me of this permit I agree to *dorm the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statemEmS"'Tit 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, sery nt or employee. ,,4 / .,�. CONTRACTOR OR BUILDER BY AUTHOR[rT BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description. Address of Building El PERMIT 'N° 12873 II ❑ Work to be performed under this Permit 1 f MIAMI SHORES VILLAGE, FLORIDA A Bl. Subdi- vision Value of Project $ DATE -i S 2 1 95 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 herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. r •. .1011- . r Signed--.4:-. = % } w , BY ti ,} wi ", , � ... •44,=, V INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent or employee: C OR BUILDUP. BY AUTHORITY UILDING - ECTRICAL UMBING wner of Aiding chit MWMIAMI SHORES VILLAGE, FLORIDA DATE rntractor Builder -tiLL gal Lot 1 $1. escription ldress of lilding te ° T CO1■TTIrACTC C t4 PERMIT N? 7160 Contractor's License Nip 1 / } j Work to b performed u r this Permit , Signed. Subdi- vision Value of Project This permit is gran to the c. t tractor or buil. er named above to construct the building or to install the equitm en or evice described. in the appli- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be erformed in compliance with any ins, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 whie, this xmit is granted is the understanding that the contractor or builder named above assumes th espo .." . lity for a thorough' knowledge of a � ances and 'ulations pertaining to the work covered hereby whether shown on plans or drawing ` r in atements or 'cations and tl i i . nes respon- ;ility for work done by his agents, servants or employees. i i3y I ECTOR In consideration of the issuance to me of this permit I agree to perfo work covered hereunder in compliance with all ordinances and regulations ' thereto and in strict c nfo i y with the plans, drawings, stat s or cifications bmitted to the proper at thorities of Miami Shores Village. acc g _this permit I assu r- } ability for all work done by ei y agent, s: :nt or employee. B AUTHORITY Permit No I i ' " MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT rig3 1 -6 -88 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 VIOLA NICKLAS No. 1201 N.E. 96 ST $Meet .; , M AMI SHORE FL k.•. _.. .. Registered Architect and /or Engineer ACME GAS CORP. 1491 N .E. 130 ST. NO. MIAMI FLA . Employing Plumber's Name_ . Itrsgt. ._......_:.. Location and Legal Desctiption Lot- J3. L1/2 16 B6,4 83 C � Subdividon .. 11 _3206 -14 382 -0 -2 Street and Number where work is to be performed —No Street_ State work to be performed and purpose of building (By Floors)-INSTALL 120 HORZ L.P. GAS TANK FOR SWIMING POOL New Building. . _. Remodeling__ ___ Addition... -. —..__ Repair 1No. of Stories ... Size Septic Teak__ Type of Tank 120 GAL --- ... ___..- _...Capacity f:.is. • - • - •__ - -- _.,.._ 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 $ 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 hay com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor�r to he 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 err required by the Act. The undersigned agrees to employ only such sub -oontr �, on work to be performed under th4 permit. as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. (Signed) - _fit_. VP e (SI to me well known, and who, being by me first duly sworn, upon Dads deposes and of the above described construction, that he has carefully read the foregoing therein by W stated are true. t :OT !' 7 PUE 1C. STACIE OF FLORIDA PIT W �SSR5∎1 ff . iF .S . I ^ — C:zi�. , dJADED THROIJWCOMILIPOPPORPCI.riVI IRWIN FRANKLIN he is the.- ._ -.._ . -_ .... and that he sign Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared same, and that all facts Notary Public, State of Florida NOTE: A rednspection fee of $1.00 will be made when leech swhsspeotlon is mada•naoneary by improper lustier for inspection, a faulty materials and /or workmanship. CLOSETS BATH TUSK aHOWLRe LAVA. TORIES SINK/ SLOP SINKS LAUNDRY Twos URINAL/ CATCH BASIN FLOOR DRAIN DRINK' NO FOUNT'NE TOTAL PIE TLIRLS CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER mar WELL SPRKLR. MM SW IN•G POOL . CONTR. LIST CHECK _� I I Permit No I i ' " MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT rig3 1 -6 -88 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 VIOLA NICKLAS No. 1201 N.E. 96 ST $Meet .; , M AMI SHORE FL k.•. _.. .. Registered Architect and /or Engineer ACME GAS CORP. 1491 N .E. 130 ST. NO. MIAMI FLA . Employing Plumber's Name_ . Itrsgt. ._......_:.. Location and Legal Desctiption Lot- J3. L1/2 16 B6,4 83 C � Subdividon .. 11 _3206 -14 382 -0 -2 Street and Number where work is to be performed —No Street_ State work to be performed and purpose of building (By Floors)-INSTALL 120 HORZ L.P. GAS TANK FOR SWIMING POOL New Building. . _. Remodeling__ ___ Addition... -. —..__ Repair 1No. of Stories ... Size Septic Teak__ Type of Tank 120 GAL --- ... ___..- _...Capacity f:.is. • - • - •__ - -- _.,.._ 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 $ 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 hay com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor�r to he 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 err required by the Act. The undersigned agrees to employ only such sub -oontr �, on work to be performed under th4 permit. as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. (Signed) - _fit_. VP e (SI to me well known, and who, being by me first duly sworn, upon Dads deposes and of the above described construction, that he has carefully read the foregoing therein by W stated are true. t :OT !' 7 PUE 1C. STACIE OF FLORIDA PIT W �SSR5∎1 ff . iF .S . I ^ — C:zi�. , dJADED THROIJWCOMILIPOPPORPCI.riVI IRWIN FRANKLIN he is the.- ._ -.._ . -_ .... and that he sign Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared same, and that all facts Notary Public, State of Florida NOTE: A rednspection fee of $1.00 will be made when leech swhsspeotlon is mada•naoneary by improper lustier for inspection, a faulty materials and /or workmanship. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date 5 - /S q, Job Address /20/ Alii, 9c -, Legal Description Permit Type (circle one): WORK DESCRIPTION Owner Lessee / Tenant / ///(.47c Owner's Address /.20/ /V Contracting Co. RGO,CW — s 1 &(4$ i JNL Address Qualifier 1 / A State ° Architect /Engineer Bonding Company Mortgagor Tax Folio // J J f' „ow Z. Master Permit # Phone a 9yy� q3/ Ai&) a 7 3 sue; SS¢ Phone 453- ,2,19 Competency# L C - a7/ M6 "Ins. Co. J7"i��� 7 y, BUILDING ELECTRICAL Address Address Address PLUMBING MECHANICAL PAVING FENCE SIGN 2 Square Ft. Estimated Cost 6C c' 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. /i 16 () v�Y Signature of Owner and /or Condo President Signatur of Contractor orner- Builder Date: Date: Notary as to Owner and /or Condo President. N a as to Co W/. ntractor o� o er Builder 4) Commission Expires: My Commission Expires: 'f //d . * . * ERMIT FEE: APPROVED: Zoning Building Electrical J) �� ` 1614 ) a hanical Plumbing Engineering Fire Other 1. rt c C ME 91N.L13071ST N MI AToT 14r1, 01.0qt 1 6 .45 rr cE. ' f 5 A BUILDING '2%.11111: I . j tiA,ZIAN'Ikr,) '.STED IN "REMARKS" NO 01 ' DING AND /ONING Y LISTED BELOW. ALL OP' S; i?UST BE COMPLIED T All P Dr]te tl ■•■•.1^1, - - :'1AN't'iNG . ' I.AW: C DUNIA k APPROVA". i v%/i111 stn .,; : uniDA 1fI3 CEE AS ADOPTED 1 II" SliOIES VI 1 .rf.': IS Ot!'.1IED. ARCIIITECI', BUILDER Si; CON cos ' 7 Or AI I Hullo. :;',..ttin:V.:311.S