1298 NE 97 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address 12, NE. an SA ee� Tax Folio
Legal Description
Signature of own
FEES: PERMIT
Owner/Lessee / Tenant -'ON i Du3n S
Owner's Address rag Qn
Contracting Co. N- rc' l2-1 0 Q--k p i \ y,C
Qualifier Y P1(-Co cj�(1S SS#
State # Municipal # Competency # q(ppOcO \ ct Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL fLUMBIN MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION O fl fZ \t keR C Qy1S }C7,��11015
Square Ft. Estimated Cost (value) ' 2 Q 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 w ;,'. ted.
d- 0- A., ti A 0:0,/„ZA111..ii
and/or Condo President
RADON
APPROVED:
Zoning Building
Mechanical
Date
.2 Zeoz
'7( to Owner : •0r Condo President rate
r n nuiriS Rosas
* *My Commission CC861818
% Expires August 9, 2003
G or
C.C.F.
Historically Designated: Yes No
Master Permit # ' ' 3C 7
Phone ("J5 1,53 - $ 33
Address PS S M U ) ' 1' + 33 Ng
Phone CA (o? -LD 32Z-
ature of Contract
er- Builder
No : as ti •rte, • , . - : 11
yCommitioi es: KAREN N. COOLS
Notary Public - Matt at Florid'
My CnnnYrlon Expires dun 20, 7008
Commlislon 0 00127708
Banded By National Notify Assn.
NOTARY BOND
Electrical
TOTAL DUE
/ i/i2/0 2 -
/ /
Date
Structural Engineer
!TEM
,, ATM TLB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
•
FEE
',IDET
LIGHT OUTLETS
CENTRAL HEATING
ISHWASHER
RECEPTACLES
A/C (WIND)
`ISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
RINKIhG FOUNTAIN
SERVICE SIZE IN MPS
OUCT WORK
LOOK DRAIN
SERVICE REPAIR/) TER CHANGE
REFRIGERATION
REASE TRAP ,
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
NTERCEPTCR
RANGE TCP
UNDERGROUND TANKS
AVATCRY
OVEN
ABOVE GROUND TANKS
AUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
LOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
HOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
INK, POT /3 COMP.
MOTCRS OVER 3- 5 IP
MECHANICAL VENTILATION
INK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
INK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
_6PORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
3INAL
MOTORS OVER 25-100 FP
COOLING TOWERS
;TER CLOSET
MOTORS OVER 100 If
VIOLATION
'DIRECT WASTES
A/C WINDOW
REINSPECTION
:TER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
CUTLETS COM!
WATER SERVICE
SIGN TUBES
WER CONNECTIONS
SIGN TRANSFORMERS
ILITY -SEWER •
SIGN TIME CLOCK
ILITY -WATER
'TIC
FIXTLRES
TANK
ANTENNA
.AY
TELEVISION OUTLETS
UINFIELO, 4' TILE/RES.
VIOLATION
P & ABANDON SEPTIC TANK
REINSPECTION
RAGE PIT CU. FT.
CH BASIN
CHARGE WELL
ESTIC WELL
A DRAIN
F INLET
AR WATER HEATER
E STANDPIPE
L PIPING
•
H SPRINKLER SYSTEM
RANGE .
:R SET (GAS)
PIPING
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
•
•o
ZeS, dery Cc_
str A s
"1/%_k gs z���
. Sao d_eJ
Age s chi 6/e-
ii 0 )4 Jhe,
( 0 rj 47-63V
fix S7;
w A;r P /r.v
i
Iviiami snores viIIage
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11 /14/2002
Applicant: ANTONIE
Owner: DOWNS
JOB ADDRESS: 1298
Contractor AFFORDABLE IRRIGATION INC
Local Phone: 305 - 681 -6322
Parcel # 1132050090550
his Permit is granted to the contrac
ordinances pertaining thereto and with
and approved by the proper municipal
authorization. A further conditio upon
ordinances and regulations pe . fining t.
by his agents, s nt.r em loyees.
In conside . ion o the issuance to m
with the plans, drawings, statements or
myself, my agent, servants or employe:
Signe
Signed / :
For
NE 97
ay to the
Order of
First Union National Bank
N ' firstunlon.com
Org. 003 R/T 067006432
7eC�rxi `-- - 1>-)Lon
Plumbing Permit
Permit Number: PL2002 -307
DOWNS
ANTONIE
ST
AFFORDABLE IRRIGATION, INC.
Do It Right The First Time!
F.O. Box 601743
N Miami Beach, FL 33160
Tel#305-681-6322 Fax#1305- 681 -6321
Contractor's Address: 198 NW 139 ST
Legal Description: EARLETON SHORES PB 43 -80 LOT 12
D
), ), 0
Total Fees: $07043-
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 5/12/2003 Construction Value: $2,000.00
Work: LAWN SPRINKLER INSTALLATION
o permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
which must be ro.dan- 2.-ivan•n_hnfnrn nellinn fnr nnn +hor incnon +inn
U I\ocy rm t Th,hofes
r(i ret j one and
000773Se ':06 70064 3 21:200000fi'4474740
.aL1/7 4-eetz----
Page 1 of 1
BLK 4 LOT SIZE 75.000 X 109
Date I I -1 2 2_
1 $ ql . 20
7735
63- 643/670
BRANCH 03044
.....�„
Dooms ••.��.•.
Date
Type Insp
Permit No.
Name
Address
Company
Phone #
Approved
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
For Inspector:( 2 / 0 I1O
Date
Type Insp'
Permit No.
Name
Address
Company
For Inspector:( 2 /o y1 V 2R1a
Phone #
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
)76
imam' bnores %/wage
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11/14/2002
Applicant: ANTONIE
Owner: DOWNS
JOB ADDRESS: 1298 NE 97
Contractor AFFORDABLE IRRIGATION INC
Local Phone: 305 - 681 - 6322
Parcel # 1132050090550
P __Q-up 4 t41 ct o, Do
Total Fees: $OQ6-
Total Receipts: $0.00
Permit Status:
Approved
Work: LAWN SPRINKLER INSTALLATION
o permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
which must be rairlan_arluanna_hafnro ..atlinn for ann ffior ;nano..+inn
his Permit is granted to the contrac
ordinances pertaining thereto and with
and approved by the proper muni ipal
authorization. A further conditio- upon
ordinances and regulations pe . fining t.
by his agents, s. nt r err.loyees.
In conside . on o the issuance to m
with the plans, drawings, statements or Y
myself, my agent, servants or employe:
Signe
Permit Expiration:
ll�
For
Legal Description: EARLETON SHORES PB 43 -80 LOT 12
Plumbing Permit
Permit Number: PL2002 -307
5/12/2003
DOWNS
ANTONIE
ST
AFFORDABLE IRRIGATION, INC.
Do It Right The First Time
F. Box 601743
N Miami Beach, FL 33160
TeI#305- 681 -6322 Fax#305 -681 -6321
Contractor's Address: 198 NW 139 ST
Construction Value:
$2,000.00
„tot e V ► I1acIP c? rrl' ►rim sh - es
Order of
Ni re one and
FlM Union National Bank
° firstunlon.com
Org. 003 R/T 067006432
►H- L
Page 1 of 1
Date
000 77350° 1:06 70064 3 21:200000(44747411'
BLK 4 LOT SIZE 75.000 X 109
11-jq -2i2
BRANCH
1 $ 91.2.0
Dollars 8
7735
63- 643/870
NP
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building ± .. C '7
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
D
PERMIT N? 3861
❑
❑ Work to be performed under this Permit " ti
Legal Lot
Description
CONTRACTOR OR BUILDER
Bl
DATE.
Contractors r �? {•
License No. "
19_
Subdi-
vision
Address of { - `..Y Value of Amount of % "�l
Building Project $ II 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 applica-
tion 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 th he assumes respon-
sibility for work done by his agents, servants or employees. FF
Signed r d r i" INSPECTOR
BY
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinCnces 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 ac-
cepting this permit I assume , responsib ty for all work done by either, myself, my agent, servant or employee.
AUTHORITY
ABBOT PRINT
.DING
=LVC RICAL
PLUMBING
EOOFING
Owner of
Building VI
Architect
Contractor ;1
or Builder ) t Q ISM l 6 11Q6 CO.
Legal Lot
Description
Address of '�
Building ( 00€ Iii . . ,,
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device deacribgtl in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliaffce with any pland,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at an
time if the work is not clone in compliance with such Ordinances or if the plans are changed without authorization, A further condition upon which this permit
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 raw s or . atements or specif'catiorts and that he assumes reeposeibility f or work
done by his agents, servants or employees.
I
In consideration of the issuance to
pertaining thereto and in strict conformity
In accepting this permit I assume responsi
❑
n
CONTRACTOR OR'
MIAMI SHORES VILLAGE, MORID
J
PERMIT ,l111 11005
Work to L performed under this Permit
CA •
4
Subdi-
vision
Value of
Project
Permit $
DATA.
u cg
195
Contractor's
License No
tit; permit I a g
e plans, drawings, stn
o t .done by ei
work coverer hereunder ui compliance with all ordinances and readmit:tins,
eats or specifications submitted to the, propel? ;authorities of 2vlai Shores Village.
er, myself, nay agent, servant or employee.
UILIMNG
LECTRICAL
PLUMBING
'OOF1NG
ivner of .�
lding
chitect
ntractor
Builder
,gal
ascription
ddress of
•ilding
MIAMI SHORES VILLAGE, FLORIDA
El
❑ PERMIT IT? 11034
❑ Work to be performed under this Permit
•
Lot
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device de 'bed in the application
efor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
ited is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
aining 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
,e by his agents, servants or employees.
•
•
Signed
In consideration of the issuance to me of this permit I agre
aining thereto and in strict conformity with the plans, drawin
Accepting this permit I assume responsibility for all work do
Subdi-
vision
Value of
Project $
DATE 3 -
Contractor's
License No
I f t ,r 411•
11
BY
Amt. of
Permit
$
O sr
INSPECTO
orm the work covered hereunder in compliance with all ordinances and re
ements or specifications submitted to the proper authorities of Miami Shores
either, myself, my agent, servant or employee.
195
Permit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building 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
Owner's Name and Address
Registered Architect and /or Engineer__- _ ...... ____._.__ _- ..______.—
Employing Plumber's Name
and Legal Description Lot. Block.. _______ Subdivision
Street and Number where work is to be performed —No ___/_?_:_-? Street_.
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
Nature of Water Supply: City —Well . Size of Soakage Pit
Amount of Permit $_
No._
r 4 (j
`�- - - - - -- - - - - -- (Signed)._
(Signed)).
Street
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 Pennanent Supplement, and has cc n-
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 art
licensed by Miami Shores Village.
z
Master Plumber.
STATE OF FLORIDA, ss.
COUNTY OF DADE.
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 tac
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 f,.ul
materials and /or workmanship.
ES
)r
re
re
ed
its
lty
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TU 5a
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT •NS
TOTAL
FIXTUREI
CONTR.
LIST
--
CHECK
_ _
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 'O
POOL
GONTR.
LIST
—
CHECK
Permit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building 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
Owner's Name and Address
Registered Architect and /or Engineer__- _ ...... ____._.__ _- ..______.—
Employing Plumber's Name
and Legal Description Lot. Block.. _______ Subdivision
Street and Number where work is to be performed —No ___/_?_:_-? Street_.
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
Nature of Water Supply: City —Well . Size of Soakage Pit
Amount of Permit $_
No._
r 4 (j
`�- - - - - -- - - - - -- (Signed)._
(Signed)).
Street
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 Pennanent Supplement, and has cc n-
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 art
licensed by Miami Shores Village.
z
Master Plumber.
STATE OF FLORIDA, ss.
COUNTY OF DADE.
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 tac
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 f,.ul
materials and /or workmanship.
ES
)r
re
re
ed
its
lty
Permit No 1__ /
Employing Plumber's Name '
Location and Legal Description Lot 1
Size Septic Tank kP&
Feet of Drain Tile
Nature of Water Supply: City —Well
STATE OF FLORIDA, t
COUNTY OF DADE.
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.
/
Owner's Name and Address_ ______.Y "-
ev.-Q..-l` Cs.
Type of Tank i%7 a f
Dist. Feet of Tank or Drain Field from Well
Amount of Permit $ (Signed)
(Signed)
Date
No Street
Registered Architect and /or Engineer
No Street n
Block 11 Subdivision__C&Z
My Commission Expires Notary Public, State of Florida
Street and' Number where work is to be performed —No / 1 " * 4 / ' s= f Ur Street
State work to be performed and purpose of building (By Floors)
New Building__ Remodeling Addition_ Repairs No. of Stories
Capacity Gals.__ CC
A A SEPT!C T;:r•'1 f'C. INC.
Size of Soakage Pit
P. U. 6o;: 1012 r�,�;e�h Ha.
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.
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
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No 1__ /
Employing Plumber's Name '
Location and Legal Description Lot 1
Size Septic Tank kP&
Feet of Drain Tile
Nature of Water Supply: City —Well
STATE OF FLORIDA, t
COUNTY OF DADE.
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.
/
Owner's Name and Address_ ______.Y "-
ev.-Q..-l` Cs.
Type of Tank i%7 a f
Dist. Feet of Tank or Drain Field from Well
Amount of Permit $ (Signed)
(Signed)
Date
No Street
Registered Architect and /or Engineer
No Street n
Block 11 Subdivision__C&Z
My Commission Expires Notary Public, State of Florida
Street and' Number where work is to be performed —No / 1 " * 4 / ' s= f Ur Street
State work to be performed and purpose of building (By Floors)
New Building__ Remodeling Addition_ Repairs No. of Stories
Capacity Gals.__ CC
A A SEPT!C T;:r•'1 f'C. INC.
Size of Soakage Pit
P. U. 6o;: 1012 r�,�;e�h Ha.
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.
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
Registered Architect and/or Engineer
Employing Plumber's NarneAjL.
Location and Legal Description Lot_
Size Septic Tank CI 0 0
Feet of Drain Tile 110.
Nature of Water Supply: City—Wal
Amount of Permit $
to ow&
•
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_V_Ligli_Q-16 C0 -- 0 ' Street. ' 7_74
IL
1
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
4 Street
Block Subdivision__
Street_ 8,
Street and Number where work is to be performed—No.7 2..
State work to be performed nd purpoSe of building (By Floors)
New Building ReModeling Addition Repairs No. of Stories
Type of Tank Capacity Gals
Dist. Feet of Tank or DraM Field from Well
Size of Soakage Pit
(Signed)
Date_
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he derstands 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 perfornied under this permit, as are
licensed by Miami Shores Village.
Master Plwnber.
STATE OF FLORIDA,
ss.
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 fo regoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My CommissionlExpires 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
Tuns
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS -
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•NS
TOTAL
FIXTURES
-----
CONTR.
LIST
.
/
—4----
dilln.
/
, ,..„
il
. -
1()
1 5
.
CHECK
. 1 S.
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM' G
POOL
+6,44
ffnr-r:
CONTR.
LIST
—1-----...
/
1 5
/ •
, 0
CHECK
Permit No
Registered Architect and/or Engineer
Employing Plumber's NarneAjL.
Location and Legal Description Lot_
Size Septic Tank CI 0 0
Feet of Drain Tile 110.
Nature of Water Supply: City—Wal
Amount of Permit $
to ow&
•
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_V_Ligli_Q-16 C0 -- 0 ' Street. ' 7_74
IL
1
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
4 Street
Block Subdivision__
Street_ 8,
Street and Number where work is to be performed—No.7 2..
State work to be performed nd purpoSe of building (By Floors)
New Building ReModeling Addition Repairs No. of Stories
Type of Tank Capacity Gals
Dist. Feet of Tank or DraM Field from Well
Size of Soakage Pit
(Signed)
Date_
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he derstands 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 perfornied under this permit, as are
licensed by Miami Shores Village.
Master Plwnber.
STATE OF FLORIDA,
ss.
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 fo regoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My CommissionlExpires 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.
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
CONTRACTOR OR s"i''ti' 'Ell
MIA
,SAL . VERMIT N? 14513
,MBING
❑ Work to be performed under this Permit
f Owner of ley) 4)4.1w.
Building
1 SHORES VILLAGE, FLORI DA
Signed.
Subdi-
vision
BY
DATE Ve wr 16 • S3 1
Contractor's
License No
Value of 0 Amt. of o
�"" ! Project $ SO '.rrr �, Permit $ qf 4
This permit is grantedto the contractor or+ builder named above to construct the building or eo install the equipment or devict described in te application
herefor in strict compliance with all ordinances pertaining thereto and With the understanding that the work will be performed in compliance with any plane,
drawings, statements or specifications that may halve 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 which this permit is
granted is the understanding that the contactor or builder named above assumes the responsibility for a thorough knowledge of the omaancee and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that assumes responsibility for work
done by his agents, servants or employees.
SPECTO
In consideration of the issuance to me efhis permit I agree to p 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 Vii cage.
In accepting this, permit.1 assume r • sibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY
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. �!
Owner's Name and Address
Registered Architect and /or Engin er
--- - - -- - - - - -- •- -- --- - - - ---
- - -- - -- - --
Employing Plumber's Name _efldil�f!!T No. Stree
Amount of Permit $________ ` -- -- -
STATE OF FLORIDA,
COUNTY OF DADE.
No. _ !? fT Z Zreet--7
Location and Legal Descripti Lot______ .... _� Block Subdivisi
Street _._ ?
Street and Number where work is to be performed —No l a
r
State work to be performed and purpose of building (By Floors)._ -- _ -- '- •�i�`' -v�T
New Building Remodeling _ _.______ Addition
Type of Tank
Size Septic Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well.
__Size of Soakage Pit
(Signed) _
( Signed) ___
Date
Repairs No. of Stories- _
Capacity Gals
3 --
umbing 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 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 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.
""'t7",/
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.
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
S
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
U
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
CONTR.
LIST
CHICK
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. �!
Owner's Name and Address
Registered Architect and /or Engin er
--- - - -- - - - - -- •- -- --- - - - ---
- - -- - -- - --
Employing Plumber's Name _efldil�f!!T No. Stree
Amount of Permit $________ ` -- -- -
STATE OF FLORIDA,
COUNTY OF DADE.
No. _ !? fT Z Zreet--7
Location and Legal Descripti Lot______ .... _� Block Subdivisi
Street _._ ?
Street and Number where work is to be performed —No l a
r
State work to be performed and purpose of building (By Floors)._ -- _ -- '- •�i�`' -v�T
New Building Remodeling _ _.______ Addition
Type of Tank
Size Septic Tank
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well.
__Size of Soakage Pit
(Signed) _
( Signed) ___
Date
Repairs No. of Stories- _
Capacity Gals
3 --
umbing 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 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 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.
""'t7",/
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.
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.