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PLUMBINGBUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): build' Electrical City Tenant/Lessee Name Miami Shores Village Building Department 92tCi- a:,OD . &.1 e edd1+ Permit Master Permit No. Mechanical Roofing 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305 ) 7 6.8972 p1- , Zob3- RECEVED JUN 2 5 2003 Owner's Name (Fee Simple Titleholder) MaAC. r CKT -4 S 3 t . 0 y Phone # Owner's Address 12, (k 'j N E c=i State Zip Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name 54 \A2- ' Pt 30.-V S Phone # �� ^0735 — 957e Contractor's Address 0 0■ S LA), l SCQ 'TC. r Ce City \. ; State l _ Zip A3 1S 7. Qualifier Se `VAgrj 10 Architect/Engineer's Name (if applicable) t01■1 C Phone # Architect/Engineer's Address Chy .5 :.: •State Zip '..s ':i :'A: 1 =1% '..'1 sN l a 7 ' A( $ Value of Work For this Permit / D / d 0 0 Square r iapitk Work: 4 .00 S 1 . .. Number of: Bays Stories Families Bedrooms Baths Type of Work: ['Addition iteration ['New [ epair/Repllac 0 Demolition Describe Work: t.f� C `' fi e ��5`M��t�q rtfA 'f-u ` t t ET /NM:2_1%1f �Or' y�OoL r Lb14. * * * * * * * * * * * * * * * * * * * * * * * * * ** *Fee Calculation -Misc Permits * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee $ Permit Fee $ JT L'9..! Notary $ Education/ Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Fee Totals $ (Continued on opposite side) Bonding Company's Name (if applicable) •„ Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Ault4 Owner or Agent The foregoing instrument was acknowledged before m this day of r J u n p , 20 0 .1 by r?ttr. S iirodck who is personally known to me or who has produced A."i9 As identification and who did take an oath. NOTARY PUBLIC. Sign: P My Commission Expires: State Certificate or Registration No. APPLICATION APPROVED BY: chc6/1 8/03 R IpYAU6 JO . EX• 4 _ • . 1.� IY 1', , OF P' ADV .� A., ,. Signature /44 Print: My Commission Expires: (Certificate of Competency Holder) Certificate of Competency, No. / Co ctor The foregoing instrument was acknowledged before me this day of �T�np , 20a/, by 7 „5_A �, 4v who is personally known to me or who has produced ///9 4 JO who did take an oath. *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** ** ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *4* Plans Examiner Zoning � , w DA L ' 4. �IcuA �rw7� 02. rAcavka_t■t.1 Vim•}- L. •ze - I Rex L . BUILDING PERMIT APPLICATI Owner's Address � � l�`f /// S i City A ; i o � `.'rl L %EGA State Contractor's Address `fC , � , , /'4/f/ Type of Work: ['Addition EIAlteration Describe Work: /Yeti Fr/ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIVED 2 6 2004 FBC 2001 Permit Type (circle): Building Electrical C Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 7.1 Phone # , S � ❑New Zip Job Address (where the work is being done) / ;i I /' 2 / , > City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Permit No. P) 03 -mg Master Permit No. �.� � , Tenant/Lessee Name Phone # Zip 1; / -' k Contractor's Company Name &I 1 ' /i GLfi 277 lC�� G /` ,� r,� Phone # t'S 7, /,;, `,/ City / /4/ State F1 . Zip .3. Qualifier E/l rf ill I- F f 1 -;44- c7 State Certificate or Registration No. Gf ( / / L'':1 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: 734killy . /14 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ❑ Repair/Replace ❑ Demolition Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will of be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged befo "e tlus. `f The foregoing instrument was acknowledged before me this, j day of , 20 O j, by L �lr -i-; 5 2r. c .5 C , day of ',,� a 20 by 4u e l e2 known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. Chc 05/13/03 NOTARY P Sign: Print: ?- rv► r Vcr ZQJC 2- My Commission Expires: Signature My Commission Expires: , � Comm1SS706 # DD267961 ' 4�" 'in I to 1400450-5161 Contractor as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: * * * * * * * * * * * * * * * * * * * * * * * * * * * *, lt' ** **** ** ***********************************************4 Wiej�� y � LdiIlDeIt . ° • •' -Commission # DD267961 •o • "Expires: Nov 17, 2007 //1 1.800350.5161 APPLICATION APPROVED BY: Plans Examiner Engineer Zoning BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE. FLORIDA ❑ DATE ? ad 7 - ., 195 ❑ PERMIT 'N® 11964 Contractor's License No ❑ Work to be performed under this Permit Architect Contractor or Builder 1 Legal Lot Bl. Subdi- Description 1 't i' ? vision ' F r ,• .. . .:..'C;;., , „ 3 Address of „ .+ Value of Amt. of w' Building / ~ } C l . � � , Project I Permit $ iir This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. CONTRACTOR OR BUJIOR Signed- "` -..�. SIVECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY BY i`1 Atr1HORTCY WiAMI SHORES VILLAGE, FLA. JOB 2 C ►� �,� ADDRESS l 2 Y 7 /ti . C f C INSPECTION [-`- `' - J 64. j Z / Q- TIME READY - 2 - 3 / 7 REMARKS. INSPECTOR N° 6304 DATE / ` 3 ' S'� Permit No 1 1 110 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors) tZ. PLQ uR.- 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 pf 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 1 E L 44 v / O r� / J No 1 Street ` S Registered Architect and /or Engineer , r (J Employing Plumber's Name N � ' • Is �' 1 I Z - No O N " Street `X 'fit u �- Location and Legal Description Lot - `f - 8 Block S 3 Subdivision S7 Street and Number where work is to be performed —No 1. Z � __ _ Ai 6 E __9 Stre,�t New Building ✓ Remodeling Addition Repairs ___ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires Notary Public, State of Florida 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: Well - / _ Size of Soakage Pit (Signed ) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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. l ( Signed) 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 an workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS (�J /L„ °, W TOTAL FIXTURES CONTR. LIST � 1 / / ' k C1 CHECK ' A Ire SEPTIC TANK SEWER CONN. DRAIN F IELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK 1' S'6 Permit No 1 1 110 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors) tZ. PLQ uR.- 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 pf 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 1 E L 44 v / O r� / J No 1 Street ` S Registered Architect and /or Engineer , r (J Employing Plumber's Name N � ' • Is �' 1 I Z - No O N " Street `X 'fit u �- Location and Legal Description Lot - `f - 8 Block S 3 Subdivision S7 Street and Number where work is to be performed —No 1. Z � __ _ Ai 6 E __9 Stre,�t New Building ✓ Remodeling Addition Repairs ___ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires Notary Public, State of Florida 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: Well - / _ Size of Soakage Pit (Signed ) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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. l ( Signed) 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 an workmanship. 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 Address k` • t�Gl1'- Registered Architect and /or Engineer Employing Plumber's Name__-_-- '_[!__�i�[� No. Street 3 d- Block f _ _l Subdivision -j ,f - % Street and Number where work is to be performed —No / F2 ti< 9 b T t. Street State work to be performed and purpose of building (By Floors) N B Remodeling Addition Repairs No. of Stories Location and Legal Description Lot Size Septic Tank of Drain Tile 1 - 7 J Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ SS. TTT /•Y MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank____y Dist. Feet of Tank or Drain Field from Well (Signed) 2k Date-- - - - - - 7 -1- - ` - - •r/ Street Capacity Gals er A A SE; T'r TANK. CO. INC. P. 0. 6c;; i '' F;,:.lea Fla. 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. (Signed) Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 ee tion, 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 HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST 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 Address k` • t�Gl1'- Registered Architect and /or Engineer Employing Plumber's Name__-_-- '_[!__�i�[� No. Street 3 d- Block f _ _l Subdivision -j ,f - % Street and Number where work is to be performed —No / F2 ti< 9 b T t. Street State work to be performed and purpose of building (By Floors) N B Remodeling Addition Repairs No. of Stories Location and Legal Description Lot Size Septic Tank of Drain Tile 1 - 7 J Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ SS. TTT /•Y MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank____y Dist. Feet of Tank or Drain Field from Well (Signed) 2k Date-- - - - - - 7 -1- - ` - - •r/ Street Capacity Gals er A A SE; T'r TANK. CO. INC. P. 0. 6c;; i '' F;,:.lea Fla. 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. (Signed) Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 ee tion, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building . ' Architect Contractor _ or Builder ` Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5722 / 1 . Signed CONTRACTCR OR BUILDER BY Work to be performed under this Permi Value of DATE • Contractor's / License No. Legal Lot I Subdi- Description 1 B1 vision II Amount of Project $ 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. _ BY• INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered herepnder in compliance with all ordinances and regulations ,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submittyfi to the proper authorities of Miami Shores Village. In ac• -epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY 195_; BUILDING ELECTRICAL PLUMBING ROOFING 1,-) z LL Owner of Building t ( ?AA 1 : t. {� . done by his agents, servants or employees. MIAMI SHORES VILLAGE. FLORIDA D PERMIT N9 5597 Architect Contractor or or Builder ' r° .� r N e 1)'(.1 " t Legal Lot Description 1 B1 Address of �1 c 94 , 7) Building � i 7 i ' Work to be performed under this Permit Value of Project $ DAT Contractor's License No. Subdi- vision Amount of Permit $ 1 7v1 C i 2 195 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statement r specifications sand jhat he ssumes responsibility for work i INSPECTOR / In consideration of the issuance to me of this permit I agree to perform the work covered hereunnd in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications s itted the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, se r nt or employ e. CONTRACTOR OR BUILDER BY AUTHORITY 6 Permit No r Date 5j29.j5? Application is hereby made for the approval of the detailed statement of dz., structure herein described. This application is made in compliance and coaf:.3 . and all provisions of the Laws of the State of Florida, all ordinances of Miam' of Miami Shores Village shall be complied with, whether herein specifier) o- building during progress of work. Owner's Name and Address_B1 %?i1 e.r_$__ Bela. i__ ; T11C_. Registered Arcl*rect and /or Engineer_____ Employing 21=1*.3Cs Name_SOUthe..x_Il_ Dri )ling & Equip. N __ 6300 N .W. Location and Legal Description Lot. +__. Block_ Street and Number where work is to be performed —No. 1287 State work to be performed and purpose of building (By Floors) h _S1_ txi well for s Vq i mm jna pool New Building ______ ___ Remodeling_.__ ______ Addition._._ Repairs No. of Stories .. ...................... Size Septic Tank. ______ Type of Tank Feet of Drain _________________ ___________Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well _ _________________ __._Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, } r ` JNTY OF DADE. MIAMI SHORES VI- _c,GE PLUMBING INSPECTION DEPARTMLi. : APPLICATION FOR PLUMBING f. ;Mans and specifications herewith submitted for the building or other with the °`Ililding Ordinance of Miami Shores Village, Florida, . iio es all rules and regulations of the Building Division rr ?. A copy of approved plans and specifications must be kept at (Signed) ltio. 12 .87 Neat Street 96th St e Street___ Ave .: Subdivision Street 96th Street Capacity Gals (signed)- 1/ " - _/ um . ing Inspector. The undersigned applicant for This building permit does hereby certify that he understands and accepts his oblige .ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane' ' Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp yed 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 V. • ell 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 thereie by hire stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY "rues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DELP WELL SPRKLR. SYSTEM SWIM•G POOL cowrie. LIST - _ CHECK Permit No r Date 5j29.j5? Application is hereby made for the approval of the detailed statement of dz., structure herein described. This application is made in compliance and coaf:.3 . and all provisions of the Laws of the State of Florida, all ordinances of Miam' of Miami Shores Village shall be complied with, whether herein specifier) o- building during progress of work. Owner's Name and Address_B1 %?i1 e.r_$__ Bela. i__ ; T11C_. Registered Arcl*rect and /or Engineer_____ Employing 21=1*.3Cs Name_SOUthe..x_Il_ Dri )ling & Equip. N __ 6300 N .W. Location and Legal Description Lot. +__. Block_ Street and Number where work is to be performed —No. 1287 State work to be performed and purpose of building (By Floors) h _S1_ txi well for s Vq i mm jna pool New Building ______ ___ Remodeling_.__ ______ Addition._._ Repairs No. of Stories .. ...................... Size Septic Tank. ______ Type of Tank Feet of Drain _________________ ___________Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well _ _________________ __._Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, } r ` JNTY OF DADE. MIAMI SHORES VI- _c,GE PLUMBING INSPECTION DEPARTMLi. : APPLICATION FOR PLUMBING f. ;Mans and specifications herewith submitted for the building or other with the °`Ililding Ordinance of Miami Shores Village, Florida, . iio es all rules and regulations of the Building Division rr ?. A copy of approved plans and specifications must be kept at (Signed) ltio. 12 .87 Neat Street 96th St e Street___ Ave .: Subdivision Street 96th Street Capacity Gals (signed)- 1/ " - _/ um . ing Inspector. The undersigned applicant for This building permit does hereby certify that he understands and accepts his oblige .ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane' ' Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp yed 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 V. • ell 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 thereie by hire 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. BUILDING ❑ ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot _ t, MIAMI SHORES VILLAGE, FLORIDA DATF / 7 j( 195 ❑ PERMIT N? 12012 ❑ Work to be performed under this Permit Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device deecdhed in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: t t :a. • Li BY ".."j' <...t !NMI R In consideration of the issuance to me of this permit I agree to per orm the work covered hereunder in compliance with all ordinna�nrtces 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 MULDER BY Contractor's License No I Amt. of Permit $ AUTHORITY t Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitt d 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. ela Owner's Name and Address No._ _ _ /- -_ -1 _ Street ��� f Registered Architect and /or Engineer_ — Employing Plumber's Name._Za.:7,1sz.. L No _ Street �— Block Location and Legal Description Lot Street and Number where work is to be performed —No 'n Street State work to be performed and purpose of building (By Floors)___6 New Building_ _____ —_ -__ Remodeling _ __ _ _ __.._ Addition__ ____.__. Repairs __ No. of Stories. Size Septic Tank _ Type of Tank Feet of Drain Tile Amount of Permit ____- _------ _ - - STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING "'' r' ►MIT Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.______ _ _._____.______ ___._Size of Soakage Pit - (signed)_ L.) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida / Permanent Supplement, and bus 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 Realised by Miami Shores Village. (Signed)._ a • My Commission Expires Notary Public, State of Florida Subdivision ________.___..------ __ -_._ M aster 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 wor1m anship. CLOSETS BATH TUBS SHOWERS LAVA. TORIC6 SINKS SLOP SINK. LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N5 TOTAL FI %TURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST - �- CHECK t Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitt d 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. ela Owner's Name and Address No._ _ _ /- -_ -1 _ Street ��� f Registered Architect and /or Engineer_ — Employing Plumber's Name._Za.:7,1sz.. L No _ Street �— Block Location and Legal Description Lot Street and Number where work is to be performed —No 'n Street State work to be performed and purpose of building (By Floors)___6 New Building_ _____ —_ -__ Remodeling _ __ _ _ __.._ Addition__ ____.__. Repairs __ No. of Stories. Size Septic Tank _ Type of Tank Feet of Drain Tile Amount of Permit ____- _------ _ - - STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING "'' r' ►MIT Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.______ _ _._____.______ ___._Size of Soakage Pit - (signed)_ L.) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida / Permanent Supplement, and bus 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 Realised by Miami Shores Village. (Signed)._ a • My Commission Expires Notary Public, State of Florida Subdivision ________.___..------ __ -_._ M aster 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 wor1m anship. MIAMI SNORES VILLAGE (9 BUILDING DEPARTMENT k- \ 305- 795 -2204 Building Inspection Request Date O 0 Time I Type Insp'n mavn6icic n , Pcd For Inspector: Approved Correction Re- Insp'n Fee Permit No. V I &7() 3 o /ln q Name Address an ,S1 Compan savage, 'PocA Phone # MIAMI SHORES VILLAGE BUILDING DEPART 305- 795 -2204 Building Inspection Requ Dateit)I Time Type Insp'n n . Cho( Permit No. ? 1 C3 — I (0 Name Oar ' � Address ( L� l L) C S Company3 I C . ?C0( r Phone # ' l�l�/-1 4 � ) For Inspector: 1 I Name & Date Approved ❑ Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Buil•ing In pection Req Date 0 0 ' me Type Insp' Permit No. Name Address Company Phone # 7 g {j _ For Inspector: ` r 1 ) l) t -1 ate Approved Correction Re- Insp'n Fee