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1210 NE 96 St (6)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request �/ u Date — 9'e2 oZ Time Type Insp'n �N y1.QP11J p h /2Vadd L4Jt i P Permit No. 4 ao� 0 2' ea Name Address Company Phone # For Inspector: Lf _ _e2 2, Approved ( d Correction ❑ Re- Insp'n Fee ❑ /a / o Ne 9# St 30r' 4 F4 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 72) Time Type Insp'n Permit No. ; b o 2 ' 0/14;114 f 0 Name ( & fi Address //? Company G; / Phone # 3AS �S 7 n/ f / el‘ For Inspector: / 4-0 Approved Correction ❑ Re- Insp'n Fee ❑ - sSzt a Type Insp'n Company, Approved MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Permit No. Time Name C Address / d Phone # ( �5) 9 3 ( /(5 For Inspector: a ® Name & � 02,_ Correction ❑ Re- Insp'n Fee ❑ X Date FEES: PERMIT ad PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 Job Address 12,A 0 �1 E, 9 / 11-tc-7 Tax Folio Legal Description I �,�,,,_ n , ' Historically Designated: QM-TA Owner /Lessee/Tenet yl �4 a 1.1-NA /CAt.los �%l.�Q- ls-4.3 Master Perm Owner's Address iz) O 9 /j1T\ 57, H3 Aft SH>) fL 33I 3,1 Phone Contracting Co. p /7u. 41 Qualifier 6 't 7 — Fe-t ,`t, G SS# State # P 00 132)1 Municipal # Competency # Permit Type (circle one): BUILDING ELECTRICAL PLUMB WORK DESCRIPTION: g eq.," p .�O t t 1 ( (..± a te , e:1 Square Ft. Estimated Cost (value) Signature of owner and/or Condo President � #"/'IgSD- ZW-44- &21-6 4 01 03 to 0 n. Condo President y Co' ssioqExpires MAYLIN Y. MADRID RADON My Comm Exp. 1/24104 No. 00 007575 11 Pawn" Mom (oanr 1.0. APPROVED: Zoning Building Mechanical Plumbing to `mot +V Date Si nature of Cont L - D. L. C.C.F NOTARY Address 71 IN No X t# c00 /) ? ontractor or 0 sion Expires Yes C4 .w P20 Phone 3 a-2- l ? ( I/ 4 66 Is. .,e1'€s L eCONTEAL IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB ITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 550.10 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER I ' CTION. M ECHANICAL ROOFING h St 1 ( S J-CJl3 Q j /d ✓Lf0r 42_ • 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 ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, an c 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 jurisdic ion. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT:. I certify that all the foregoing information is accurate and that all wok will be done in compliance with all applicable laws regulating const ction and zoning. Furthermore, I authorize the above named contractor to do work stated. l.� 3 - 9 -0� actor or Owner Builder • H 22-0 -000- (ou - 333. -0 Date ate MAYLIN Y. MADRID My Comm DP. u26 No. DD 007575 I I Personally Knolls Main& BOND TOTAL DUE Electrical tructural Engineer EM ill TRB - S{, o v.., es UNIT !, FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE CET L IGcfr CUTLETS .: CENTRAL FEAT I NG SNWASc4ER RECEPTACLES . A/C (WIND) SPOSAL SERVICE TEWCRARY A/C (CENTRAL) INKING FOUNTAIN SERVICE SIZE IN AbPS DUCT WORK OOR CRAIN SERVICE REPAIR/IrETER CHANGE REFRIGERATION EASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING TERCEPTCR RANGE TCP UNDERGROUND TANKS ,VATORY OVEN ABOVE GROUhO TANKS ,UNDRY TRAY WATER NEATER U.F. PRESSLRE VESSELS OTHES WASHER MICAS 0- 1 FP STEAM BOILERS - :DWER - MOTORS OVER 1- 3 NP HOT WATER BOILERS . MK. POT/3 COMP. MOTORS OVER 3- -5 FP MECHANICAL VENTILATION INK, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSE)BC INK. SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS :FPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEYS FINAL MOTORS OVER 25-100 FP COOLING TOWERS ;TER CLOSET J. ROTORS OVER 100 FP VIOLATION , DIRECT WASTES A/C WINDOW REINSPECTION ;TER SLPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFCR.VLRS HEATER -NEW INST. GENERATORS TRANSFCR»RS HEATER - REPLACE GENERATORS TRANSFCR),¢RS - LAWN SPRINKLER -WELL SPECIAL PLPPOSE SHIM1ING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES :'nER CONNECTIONS SIGN TURNT R.IERS .ILITY -SEWER SIGN TIME CLOCK "ILITY -WATER FIXTLRES :PTIC TANK ANTENNA :LAY TELEVISION CUTLETS UINFIELO. 4' TILE/RES. VIOLATION —•---- - ATP & ABAXON SEPTIC TANK REINSPECTION I )AKAGE PIT CU. FT. JOH BASIN ;SCHARGE WELL WESTIC WELL IA CRAIN )OF INLET )LAR WATER NEATER !RE STANDPIPE XL PIPING \WN SPRINKLER SYSTEM 5 RANGE • :TER SET (GAS) S PIPING 7 FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PER.`MIT HAS B. )3TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/25/2002 Applicant: GLORIA MOLINA/ Owner: Contractor DISCOVERY PLUMBING CORP Local Phone: (305)822 -1741 Parcel # 1132060143950 Job Address: 1210 NE 96 ST In considerati with the plans, d myself, my agent, se Signed: CARLOS CURLIN Address: 7847 NW 170 ST Cellular: Plumbing Permit Permit Number: PL2002 -80 Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 17 LESS E1/2 & ALL LOT 18 Permit Status: Approved Permit Expiration: 9/17/2002 Construction Value: $750.00 Work: REMOVE BATH TUB & INSTALL SHOWER REPLACE EXIXTING TOILET & TWO LABORATORIES Page 1 of 1 Total Fees. $0.00 Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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 prop 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 c. ndition 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 regulatio pertaining to th 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, serval - o employee (INSPECTOR) BY: nce 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 s, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either ants or employes. (Contractor or Builder) BY: MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.___ -1 Z3 7 v Date_11, 1}L 16 __ - - - - __ 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 Mr Dal Li thgow No. ____ Street. Registered Architect and /or Engineer_____—_____________ _ ____------------ .------ _____ -_ Employing Plumber's Name Brooks Sprinkler Co. No. 880 NW 54th. St Street— _ _________..____________._. Location and Legal Description Lot Block Subdiv pion- -.------- -•- -- .---- - - - - - -- Street and Number where work is to be performed —No 1210 N .E . 96 Street Street State work to be performed and purpose of building (By Floors )1)r ill well & ins to 11 sprinkling system New Building _ -_C _______-- --__ -- 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.___ We11Y ___________._.___. —__._Size of Soakage Pit Amount of Permit $ 1L.860 ss. (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 5968, Compiled General Laws of Florida Pennanent 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to e performed ceder this permit, as are licensed by Miami Shores Village. (Signed Capacity Gals My Commission Expires Notary Public, State of Florida Master Plumber. P lum b ing G tor' STATE OF FLORIDA, I 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 _------ .--- .•- -.---------- ____ -- -- _ -__ -- -.. 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 TUBS TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY Tues IA URNLS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB - TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL Spr cyst CONTR. L IST 1 CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.___ -1 Z3 7 v Date_11, 1}L 16 __ - - - - __ 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 Mr Dal Li thgow No. ____ Street. Registered Architect and /or Engineer_____—_____________ _ ____------------ .------ _____ -_ Employing Plumber's Name Brooks Sprinkler Co. No. 880 NW 54th. St Street— _ _________..____________._. Location and Legal Description Lot Block Subdiv pion- -.------- -•- -- .---- - - - - - -- Street and Number where work is to be performed —No 1210 N .E . 96 Street Street State work to be performed and purpose of building (By Floors )1)r ill well & ins to 11 sprinkling system New Building _ -_C _______-- --__ -- 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.___ We11Y ___________._.___. —__._Size of Soakage Pit Amount of Permit $ 1L.860 ss. (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 5968, Compiled General Laws of Florida Pennanent 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to e performed ceder this permit, as are licensed by Miami Shores Village. (Signed Capacity Gals My Commission Expires Notary Public, State of Florida Master Plumber. P lum b ing G tor' STATE OF FLORIDA, I 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 _------ .--- .•- -.---------- ____ -- -- _ -__ -- -.. 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No...1 Date. D.e.c.. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith rubmitted 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 specification, mutt be kept at building during progress of work. Location and Legal Description t.n+ My Commission Expires Amount of Permit 8-14 No (Signed) Size Septic Tank Type of Tank-- Feet of Drain Tile _Dist Feet of Tank oc Drain Field from Nature of Water Supply: City—Well. Size of Soakage Pit (Signed) kt rf Street-42g ,g‘ Owners Name and Address J Registered Architect and/or Engineer Employing Plumber's Name n)( FA' frin 4"") • ermssinmeemen melt. ,-('L ‘ISLANN5 Block Subdon__ Street and Number where work is to be performed—No c= / C Street. J 7-a . State work to be performed and purpose of building (By 24 'iv 6 f cf • New Building__ _ _ Addition__ Repairs • No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and butt 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 arr required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } u. 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. of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. Notary Public, Stets of Plaids Master Plumber. NOTE: A re-inspection fee of $1.00 will be made whoa wok roisspeodos la esule.nsoeseery by improper notice for lespection, or fondly materials and/or workmanship. cLoss-rs BATH TUBS S LAVA. TORIES SINKS SLOP SINKS LAUNDRY TLISS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT • NS TOTAL FUTURES CONTR. LIST CHICK .... SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR hi LATIM CHIEF wsu. SPRKLR. 5 M 5w ,MG POOL C OMR . LIST I CHICK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No...1 Date. D.e.c.. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith rubmitted 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 specification, mutt be kept at building during progress of work. Location and Legal Description t.n+ My Commission Expires Amount of Permit 8-14 No (Signed) Size Septic Tank Type of Tank-- Feet of Drain Tile _Dist Feet of Tank oc Drain Field from Nature of Water Supply: City—Well. Size of Soakage Pit (Signed) kt rf Street-42g ,g‘ Owners Name and Address J Registered Architect and/or Engineer Employing Plumber's Name n)( FA' frin 4"") • ermssinmeemen melt. ,-('L ‘ISLANN5 Block Subdon__ Street and Number where work is to be performed—No c= / C Street. J 7-a . State work to be performed and purpose of building (By 24 'iv 6 f cf • New Building__ _ _ Addition__ Repairs • No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and butt 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 arr required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } u. 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. of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. Notary Public, Stets of Plaids Master Plumber. NOTE: A re-inspection fee of $1.00 will be made whoa wok roisspeodos la esule.nsoeseery by improper notice for lespection, or fondly materials and/or workmanship. Permit No is hereby made for the approval of the detailed statement of the plans an structure herein described. This application is made in compliance and conformity with and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores V of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved building during progress of work. n 1 Owners Name and Address $0 Lll v No ' O Registered Architect and /or Engineer L ‘'` Employing on P ,s 1 y e N� A wtiy ��fJ C„r ..... Na.. l.,ocation ani�.e Lot /7 E" %, *i4)/ /1 Bi Subdivision. .V.4(fie1. Street and Number where work is to be performed —No 12-0 Street-._W.1.� State work to be performed and purpose of building (By Fkors)__.ADD___ 1. .UL'/ r L43 /C LAO - ............M. New Building -_ -_ --------- ........_.. Remodeling —.. _- _ __ Addition. Repairs No. of Stories........ MIAMI SHORES VI PLUMBING INSPECTION DEPAR APPLICATION FOR PLUMBIN Ii_014.1 255 Size Septic Tank.- Type of Tanti Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Nature of Water Supply: City —Well. Size of Soakage Pit. Amount 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 liar com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor • mployed by him in the wor' to be performed under this permit; and will post or cause to be posted for inspection on the site of the public notice or notices as are required by the Act. The undersigned agrees to employ only such tub -coatr • • on work to .. . • under this permit, as are licensed by Miami Shores Village. 1 , ( Signed) TOM GIGLER NOVA PLUMBING, INC. plans and specifications must be kept at Street_ N E I (0 _•— _. Capacity Gals. 277 E. Oakland Park Blvd. Ft. Lauderdale, Fla. 33308 Cfcsb tqo 33 565 -7200 Master Plumber. STATE OF FLORIDA, I 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 of the above described construction, that be bas carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public), State of Florida NOTE: A re inspection fee of ;1.00 will be made wham web trispaotlan Y soade•semseery by Improper notice far Impaction, or faulty materials and /or warlomaaabip. CLOSETS BATH Tu.S SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tua• URINALS CATCH BASIN FLOOR DRAIN DRINKI No FOUNT' NS TOTAL FUTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR NEATER DM WELL SPRKLR. SYSTEM SW 161'0 POOL CONTR. LIST CHECK I ! _ Permit No is hereby made for the approval of the detailed statement of the plans an structure herein described. This application is made in compliance and conformity with and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores V of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved building during progress of work. n 1 Owners Name and Address $0 Lll v No ' O Registered Architect and /or Engineer L ‘'` Employing on P ,s 1 y e N� A wtiy ��fJ C„r ..... Na.. l.,ocation ani�.e Lot /7 E" %, *i4)/ /1 Bi Subdivision. .V.4(fie1. Street and Number where work is to be performed —No 12-0 Street-._W.1.� State work to be performed and purpose of building (By Fkors)__.ADD___ 1. .UL'/ r L43 /C LAO - ............M. New Building -_ -_ --------- ........_.. Remodeling —.. _- _ __ Addition. Repairs No. of Stories........ MIAMI SHORES VI PLUMBING INSPECTION DEPAR APPLICATION FOR PLUMBIN Ii_014.1 255 Size Septic Tank.- Type of Tanti Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Nature of Water Supply: City —Well. Size of Soakage Pit. Amount 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 liar com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor • mployed by him in the wor' to be performed under this permit; and will post or cause to be posted for inspection on the site of the public notice or notices as are required by the Act. The undersigned agrees to employ only such tub -coatr • • on work to .. . • under this permit, as are licensed by Miami Shores Village. 1 , ( Signed) TOM GIGLER NOVA PLUMBING, INC. plans and specifications must be kept at Street_ N E I (0 _•— _. Capacity Gals. 277 E. Oakland Park Blvd. Ft. Lauderdale, Fla. 33308 Cfcsb tqo 33 565 -7200 Master Plumber. STATE OF FLORIDA, I 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 of the above described construction, that be bas carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public), State of Florida NOTE: A re inspection fee of ;1.00 will be made wham web trispaotlan Y soade•semseery by Improper notice far Impaction, or faulty materials and /or warlomaaabip. Permit No 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 AddressQ4 No._____________ Street Registered Architect and/or Engin _____ Employing Plumber's Name e94/6-5 p46 Location and Legal Description Lot Street and Number where work is to be performed—No / State work to be performed and purpose of building (By Floors)_______ ..... New Building L"'" Remodeling Addition._ Size Septic Tank Feet of Drain Tile Nature of Water Supp Amount of Permit $ STATE OF FLORIDA, } ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Bloplr A/6 96 ( signed ) 2 /_—_ (Signed) Street 70 Date 4 S Repairs_ No. of Stories. Type of Tank_ Capacity Gals _Mist. Feet of Tank or Drain Field from Well Well._____ ..... _ ... .... _______Size of Soakage Pit ..... _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 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. 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 insp 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 TOTAL FIXTURES Copan. LIST ,,. c..- ..•-• ....3 / --/--- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP IMBIONF HEATER DEP E WELL SPRKLR. SYSTEM SW I PAG ' POOL CONTR. UST / J i --Z --/ CHECK Permit No 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 AddressQ4 No._____________ Street Registered Architect and/or Engin _____ Employing Plumber's Name e94/6-5 p46 Location and Legal Description Lot Street and Number where work is to be performed—No / State work to be performed and purpose of building (By Floors)_______ ..... New Building L"'" Remodeling Addition._ Size Septic Tank Feet of Drain Tile Nature of Water Supp Amount of Permit $ STATE OF FLORIDA, } ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Bloplr A/6 96 ( signed ) 2 /_—_ (Signed) Street 70 Date 4 S Repairs_ No. of Stories. Type of Tank_ Capacity Gals _Mist. Feet of Tank or Drain Field from Well Well._____ ..... _ ... .... _______Size of Soakage Pit ..... _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 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. 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 insp or faulty materials and/or workmanship.