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1250 NE 97 St (13)Permit No._ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte fdr 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. No Street Owner's Name and Address__ Registered Architect and/or Engineer Employing Plumber's Name No Street Location and Legal Description /L ot Block Subdivision Street and Number where work is to be performed —No 1 . �� ` /� /4 Street 7 4 State work to be performed and purpose of building (By Floors) New Building / Remodeling Addition Repairs No. of Stories Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date,.. J Size Septic Tank 4 Type of Tank Capacity Gals Feet of Drain Tile ./ 00 / - /- r Dist. Feet of Tank or Drain Field from Well Al 6 P( Nature of Water Supply: City -Well Size of Soakage Pit (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by 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. (Signet'f) > My Commission Expires Notary Public, State of Florida Plumbing Inspector. 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 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CO LIST NTR. ,, , . CHECK Permit No._ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte fdr 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. No Street Owner's Name and Address__ Registered Architect and/or Engineer Employing Plumber's Name No Street Location and Legal Description /L ot Block Subdivision Street and Number where work is to be performed —No 1 . �� ` /� /4 Street 7 4 State work to be performed and purpose of building (By Floors) New Building / Remodeling Addition Repairs No. of Stories Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date,.. J Size Septic Tank 4 Type of Tank Capacity Gals Feet of Drain Tile ./ 00 / - /- r Dist. Feet of Tank or Drain Field from Well Al 6 P( Nature of Water Supply: City -Well Size of Soakage Pit (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by 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. (Signet'f) > My Commission Expires Notary Public, State of Florida Plumbing Inspector. 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. Permit No.__ tr Owner's Name and Address__. Registered Architect and /or Engineer Employing Plumber's Name r Location and Legal Description Lot f STATE OF FLORIDA, I COUNTY OF DADE. Amount of Permit $_� Ss. 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. Li lock New Building Remodeling Addition Date .. /_ 7 No / Street No Street ( Signed) ._ Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) ' Repairs No. of Stories My Commission Expires Notary Public, State of Florida Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Nature of Water Supply. City —.Well Size of Soakage Pit Dist. Feet of Tank or Drain Field from Well ( Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts 1 is obligatioes 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 perYormed under this permit, as are licensed by Miami Shores Village. -plumbing Inspector. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackr owledgments, 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. k�. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS ALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST i p / CHECK !! . � Y ---- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST) q 6 CHECK Permit No.__ tr Owner's Name and Address__. Registered Architect and /or Engineer Employing Plumber's Name r Location and Legal Description Lot f STATE OF FLORIDA, I COUNTY OF DADE. Amount of Permit $_� Ss. 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. Li lock New Building Remodeling Addition Date .. /_ 7 No / Street No Street ( Signed) ._ Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) ' Repairs No. of Stories My Commission Expires Notary Public, State of Florida Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Nature of Water Supply. City —.Well Size of Soakage Pit Dist. Feet of Tank or Drain Field from Well ( Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts 1 is obligatioes 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 perYormed under this permit, as are licensed by Miami Shores Village. -plumbing Inspector. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackr owledgments, 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. k�. 2 k - -- -„, Z .....•- ----- I 1 ! : . s GNOz MO ONCDRIES VOd9,Q©L PLUMBING INSPECTION DEPARTMENT APPLEC nom FOE PIUI. PERMIT e 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 Di ion of Miami Shores Village shall be comp ' with, whether h specified or not. A copy of approved plans and sp L D ificati s wt.-at during progress of work. 11-C9 ` 61 t C d � ∎ t be cp Owner a Name and Address _ ' /' _ ' __ Street Registered Architect and /or Engineer ..... __ ---- _ - � — � - - -_ - _ - Permit No. Employing Plumber's Name.-m_ t1- 1�1,.- ��! L it - t1 I!1 _- - - - -_ Street________. .... Location and and Legal Description Lot Block ( 7) ( _ Subdivision Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors)_._ New Building _- ___ Remodeling_--- _---------- _ -__ -- Addition Size Septic Tank-._ Repairs. -- No. of Stories .............. Type of Tank.__.. Capacity Gals Feet of Drain Tile__ __ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City-Well. Amount of Permit $_ STATE OF FLORIDA, } COUNTY OF DADE. _Size of Soakage Pit (Signed)_ (Signed) — P; The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 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 Mimi 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 . materials and /or workmanship. ing In employer of labor ment, and has cmn- im In the work to be Master Plumber. a, or faulty CLOU¢TD BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS ) � ( ,ti- TOTAL FIXTURES CONTR. LIOT ( CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEIA SW IM•G POOL CONTR. LIST — CHECK s GNOz MO ONCDRIES VOd9,Q©L PLUMBING INSPECTION DEPARTMENT APPLEC nom FOE PIUI. PERMIT e 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 Di ion of Miami Shores Village shall be comp ' with, whether h specified or not. A copy of approved plans and sp L D ificati s wt.-at during progress of work. 11-C9 ` 61 t C d � ∎ t be cp Owner a Name and Address _ ' /' _ ' __ Street Registered Architect and /or Engineer ..... __ ---- _ - � — � - - -_ - _ - Permit No. Employing Plumber's Name.-m_ t1- 1�1,.- ��! L it - t1 I!1 _- - - - -_ Street________. .... Location and and Legal Description Lot Block ( 7) ( _ Subdivision Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors)_._ New Building _- ___ Remodeling_--- _---------- _ -__ -- Addition Size Septic Tank-._ Repairs. -- No. of Stories .............. Type of Tank.__.. Capacity Gals Feet of Drain Tile__ __ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City-Well. Amount of Permit $_ STATE OF FLORIDA, } COUNTY OF DADE. _Size of Soakage Pit (Signed)_ (Signed) — P; The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 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 Mimi 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 . materials and /or workmanship. ing In employer of labor ment, and has cmn- im In the work to be Master Plumber. a, or faulty TYPE RGH SET NUMBER FEE / 2 7ZI BATH TUB C actor Phone 137y/g d AeiJ "0d1 ,�0 " £-c.. BIDET / / DISHWASHER Contractor's Address 7 27',. cht, X DISPOSAL DRINKING FOUNTAIN Owner's Name Phone 44 Pif /C4 FLOOR DRAIN GREASE TRAP Job Address (2 Se) � ® 72 S 7 Subdivision INTERCEPTOR LAVATORY , / / Lot Block LAUNDRY TRAY CLOTHES WASHER Present or Proposed Use of Building SHOWER SINK, POT /3 -COMP. Old New No. of Bedrooms SINK, RESIDENCE SINK, SLOP Applica ion is hereby made to obtain a permit to do the work and installa- tions as hereon indicated. I certify that no work or installation has bean effected prior t e issuance of said pe t th II work will be per- formed t the standards 1 s ulati constr ion in Dade Co y l TEMPORARY WATER CLOSET URINAL WATER CLOSET / / INDIRECT WASTES Signature of Master Plumber or Owne Insurance Date Issued By: WATER SUPPLY TO: AIR CONDITIONING UNIT FIRE SPRINKLER HEATER =NEW INSTALLATION HEATER - REPLACE This permit does not become valid until signed by an authorized repre- sentative of the Director, Metropolitan Dade County Building and Zoning Department and all fees are paid and receipt acknowledged in the space provided. LAWN SPRINKLER WELL SWIMMING POOL - WELL WATER SERVICE PLUMBING INSPECTIONS SEWER CONNECTIONS GROUND UTILITY - SEWER ROUGH UTILITY - WATER SEPTIC TANK TUB & WATER PIPE RE LAY SEWER DRAINFIELD, 4" TILE /RESERVOIR PUMP & ABANDON SEPTIC TANK SEPTIC TANK SOAKAGE PIT - CU. FT. WELL CATCH BASIN POOL PIPING DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET FINAL PLUMBING SOLAR WATER HEATER FIRE STANDPIPE I furt • -. elf, qualified Signed THE OWiNEF,S AIFEIDAVIT: ertify that all work wil be done by me personally, for without any outside helo, other than a licensed & duly contractor as required by law. POOL PIPING LAWN SPRINKLER SYSTEM TOTAL FEE METROPOLITAN DADE COUNTY BUILDING AND ZONING 1351 N. W. 12 ST. BOX 52 -655 MIAMI, FLORIDA 33125 PLUMBING PERMIT APPLICATION OMSPECITO'S COO pT BUILDING PERMIT NO. FOR OFFICE USE ONLY PLUMBING PERMIT NO. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA -! PERMIT N9 10238 CONTRACTOR OR BUILDER Work to be performed under this Permit Bl. 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 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 a ithorities. 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 ar,.d 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. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in :: ompliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, staternents or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 1 BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9289 Work to be performed under this Permit Bl. Subdi. vision Value of Project $ DATE 195 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 u,i,l 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 asmes responsibility for work done by his agents, servants or employees. / / su Signed: "> BY 5 INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance vvith' ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee, CONTRACTOR OR BUILDER BY AUTHORITY yf' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.__. ` 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 w . Owaer'a Name and Address 1 No� 2 6 0_- Street. / VA 9 7� Registered Architect and /or Engineer--_-__ - „,_ _ _._._ . _ -- _ _________________________. Employing Plumber's Name_P.11.. /.4 ._1 S ' f° 3 C-. JCNo.__ 2 . Amount of Permit $ New Building _.____ ______ ______ Remodeling Addition Location and Legal Description Lot_-__..-_ _______________ Block Street and Number where work is to be performed —No i12 c0 Street State work to be performed and purpose of building (By Floors)_._._. A The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman plied with the provisions thereof, and will require similar compliance from all contractors or sub -con . nip perfonned perfonned under this permit; and will post or cause to be posted' for inspection o . • site of th works h required by the Act. The undersigned agrees to employ only such sub -contr licensed by Miami Shores Village. 1' � G a°fe1— I9‘ Str S — 5, __ Repairs � No. of Stories Size Septic Tank-.____ ........ _------- __________ ... __ ..... _Type of Tank Feet o f Drain Tile._ . -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well .___________.________________ __.____._Size of Soakage Pit Capacity Gals My Commission Expires Notary Public, State of Florida ,gLic ef'S - ------- - - - - -- Plumbing Inspector. an employer of labor ement, and has corn - him in the work to be notice or notices as are under this permit, as are STATE OF FLORIDA, as. COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to adnunister 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. CL00IITB BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS UR CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NB TOTAL FIXTURES Corm. LIST CHECK . SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POOL CONTR. LIST CHECK .. '• . MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.__. ` 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 w . Owaer'a Name and Address 1 No� 2 6 0_- Street. / VA 9 7� Registered Architect and /or Engineer--_-__ - „,_ _ _._._ . _ -- _ _________________________. Employing Plumber's Name_P.11.. /.4 ._1 S ' f° 3 C-. JCNo.__ 2 . Amount of Permit $ New Building _.____ ______ ______ Remodeling Addition Location and Legal Description Lot_-__..-_ _______________ Block Street and Number where work is to be performed —No i12 c0 Street State work to be performed and purpose of building (By Floors)_._._. A The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman plied with the provisions thereof, and will require similar compliance from all contractors or sub -con . nip perfonned perfonned under this permit; and will post or cause to be posted' for inspection o . • site of th works h required by the Act. The undersigned agrees to employ only such sub -contr licensed by Miami Shores Village. 1' � G a°fe1— I9‘ Str S — 5, __ Repairs � No. of Stories Size Septic Tank-.____ ........ _------- __________ ... __ ..... _Type of Tank Feet o f Drain Tile._ . -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well .___________.________________ __.____._Size of Soakage Pit Capacity Gals My Commission Expires Notary Public, State of Florida ,gLic ef'S - ------- - - - - -- Plumbing Inspector. an employer of labor ement, and has corn - him in the work to be notice or notices as are under this permit, as are STATE OF FLORIDA, as. COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to adnunister 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. r � J PERMIT APPLICATION F Date ) 2N J Job Address I N .E R °7 Si', Legal Description Owner/Lessee / Tenant 16 1/ j SLJ )(o +NCH/-} /C Master Permit # 3C/ Owner's Address / ' (: 5 7 S J . Contracting Co. 0.0f A L We S pluck t o (. Qualifier / clQ ao As, CD State # Architect/Engineer Bonding Company R MIAMI SHORES VILLAGE Tax Folio Historically Designated: Yes Phone '7,5c/ - 6 5 ./S Address 4 "Po uCi= be, Leo /P9 SS# d- V7 - 7 - 1236 Phone 44 4 6 "/ LI/ y Municipal # Competency # 0 Ins. Co. Address Address Mortgagor Address No Permit Type (circle one): , BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION R /yam 6 /.tom - � i , 'tij G)i 6 p 1 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). 1 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. ignature of owner and/or Condo President Date 1C.la- Notary as to Owner My Commission Expires: FEES: PERMIT APPROVED: Zoning Mechanical d/or Condo President Building Plumbin Date OFFICIAL NOTARY S EAL BONNIE JORDAN NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC460398 MY COMMISSION EXP. MAY 7,1999 RADON C.C.F. Signature o " ontractor or Owner- Builder Notary as to Contra or or Owner- Builder My Commission Expires: OFFICIAL NOTARY S L BONNIE JORDAN NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC460398 MY COMMISSION EXP. MAY 7,1999 Electrical TOTAL DUE Date t Date ea Engineering .., • (AN APPLICATION FOR BUILDING PERMIT RUST ACCOMPANY THIS ADDENDUM. IT A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ITER ( tT BATH 1.8 )0„,x- . 6 IOET 0 ISHWAS'S DISPOSAL OR INKING FOUNTAIN FLOCK ERA IN GREASE TRAP INTERCEPTOR LAVATORY /( L.WHDRY TRAY CLOTHES HASHER srIOWER 7 - SINK, POT/3 0014P. SI RESIOENCE SINK. SLOP TEWPCRARY WATER CLOSET UR I HAL WATER CLOSET /44.,,r INDIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. NEATER - REPLACE U1MN SPRINKLER -iYELL S7111411 NG PCDI WATER SERVICE SEINER CONNECTIONS UT I L ITY-SEWER UTILITY - WATER SEPTIC TANK RELAY ORAINPIELO, 4' TILE/RES. PUP & ABANDON SEPTIC TAW( SOAKAGE PIT CU. FT. CATCH BASIN D I SCiARGE NELL 00MESTIC WELL AREA DRAIN ROOF INLET MAR RATER HEATER IRE STANDPIPE FOOL P PLUMBING LAWN SPRINKLER SYSTEM ;AS RANI „CTER SET ( A*A PIPING ADDENDUM TO BUILDING PERMIT APPLICATION FEE 6 ITEM SWITCH OUTLETS LIGiT OUTLETS RECEPTACLES SERVICE TBPCRARY SERVICE SIZE IN AMPS SERVICE REPAIR/6ETER C9IANGE APPL IN CE CURETS RANGE TGP OVER WATER HEATER AITQ S 0- 1 HP IOTCRS OVER 1- 3 NIP llNOTCRS OVER 3- 5 If MOTORS OVER 5- 8 NP W3TCRS OVER 8- 10 HP INOTCRS OVER 10- 25 NP IAOTCRS OVER 25-100 NP IDTCRS OVER 100 NP A/C WINDOW AIR CONDITIONERS STRIP NEATER GENERATORS TRAtZ5FO1IERS GENERATG S TRANSFORMERS GENERATORS TRANSFCRIERS SPECIAL PtAPOSE OUTLETS COM4ERCIAL SIGN TUBES S 1 GH TRANSFORMERS SIGN TIME CLOCX FIXTURES ANTENNA TELEVISION WILETS VIOLATION RE INSPECTION ELECTRICAL MECHANICAL UNIT FEE ITEM SPACE MATERS CENTRAL HEAT A/C (WIND) A/C (CENTRAL) DUCT NCR REFRIGERATION PROCESS ANC PRESS PIPING (INCERG ROUNC TANGS ABOVE GR0LNG TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATCRS FIRE SPRINKLER KLER SYSTDG COOLING TOWERS VIOLATION RE INSPECT ION UNIT FE..