245 NE 96 St (5)APPLICATION FOR PLUMBING PERMIT
Permit No MT 1 Date. - -- Z� - -- • - - -. -•— —
a
Amount of Permit $ �%
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
(Signed)
(S i
.4°.a.azide/
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitt 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. oe74`3
Owner's Name and Address �
�� " � l L � No 36/ z 4 45— street_Z! .76 5r
Registered Architect and /or Engineer _ _ _...._ _
Employing Plumber's Name f>ll�� —. i,t.0 i v _ , Na. 6 Z _....... Itrsgt..Z6 U' "� 1 " s _
Location and Legal Description Lot Bloch Su bdivido<t. —__ - -_ r J��S
Street and Number where work L Z A to be performed —No 94 Sr - Street .._..__.._ _ c ._. 5
State work to be performed purpose of building (By Floors ) ----•—
New Building.___-__-_____._.. .._.. Remodeling__ r .__ Addition
Repairs No. of Stories... f.......
Size Septic Tank_ Type of Tank_.—.
Feet of Drain Tile _Dist Feet of Tank or Drain Field from Well ..._._ -- _------- . - _ — ._ -
Nature of Water Supply: City —We1L Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and li CM-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort• 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.
STATE OF FLORIDA, l µ
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 be is the - -_ •-- • - •-- -._ - .. _ _ ... ._.._ .......... ..._..
of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made wham molt r.ispaotfoa Y roade by improper victim for hwpoction, or faulty
materials and /or wnrkosaruhip.
CLOSETS
BATK
jU • a. -
/
�OW[RS
LAVA•
TORI[S
SINKS
BLOT
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LAUNDRY
T ua•
URINAL[
CATCK
aA•IN
FLOOR
DRAIN
DRINKING
FOUNT'N•
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i
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TOTAL
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41
CH[CK
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SEPTIC
TANK
SEWER
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DRAIN
F I[LD
SOAKAO[
PIT
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DELP
WELL
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SYSTEM
SW IM'O
POOL
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Comm
LIST
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7 -5.-'
CHECK
•
APPLICATION FOR PLUMBING PERMIT
Permit No MT 1 Date. - -- Z� - -- • - - -. -•— —
a
Amount of Permit $ �%
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
(Signed)
(S i
.4°.a.azide/
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitt 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. oe74`3
Owner's Name and Address �
�� " � l L � No 36/ z 4 45— street_Z! .76 5r
Registered Architect and /or Engineer _ _ _...._ _
Employing Plumber's Name f>ll�� —. i,t.0 i v _ , Na. 6 Z _....... Itrsgt..Z6 U' "� 1 " s _
Location and Legal Description Lot Bloch Su bdivido<t. —__ - -_ r J��S
Street and Number where work L Z A to be performed —No 94 Sr - Street .._..__.._ _ c ._. 5
State work to be performed purpose of building (By Floors ) ----•—
New Building.___-__-_____._.. .._.. Remodeling__ r .__ Addition
Repairs No. of Stories... f.......
Size Septic Tank_ Type of Tank_.—.
Feet of Drain Tile _Dist Feet of Tank or Drain Field from Well ..._._ -- _------- . - _ — ._ -
Nature of Water Supply: City —We1L Size of Soakage Pit
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and li CM-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort• 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.
STATE OF FLORIDA, l µ
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 be is the - -_ •-- • - •-- -._ - .. _ _ ... ._.._ .......... ..._..
of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made wham molt r.ispaotfoa Y roade by improper victim for hwpoction, or faulty
materials and /or wnrkosaruhip.
Permit No 0 Y 1 O�'/` 1
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. a ,
Owners Name and Address 24 C No °2
Registered Architect and /or En ' eer
l;,ttt loy�S Plumber's Name
Location and Legal Description Lot . 1.4.1L / 7 l B D
Street and Number where work is to be performed —No 0 415 2 Street
State work to be performed and purpose of building (By Floors )__._ -- — •-------.__._- - -- --
New Building.._..._._.- .._. ..... ...._.. Remodeling —_. __ - -- Addition
Feet of Drain Tiler Dist. Feet of Tank or Drain Field from Well. ..-.__ -
Nature of Water Supply: City—Well. Size of Soakage Pit
Amount of Permit $ 71 (Signed
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed)
es. 0 87- / 0 SC
Street.. 9
SubdivaIor711.b
Repairs No. of Stories
•
D Type of T.�k — - — — - - -.- • Capacity Cols. -.
Size Septic Taa1L._� -•-----
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 5989, Compiled General Laws of Florida Per t Supplement, and low( com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub -contra employed by him in the wor'or to be
performed under this permit; and will post or cause to be posted for inspection on the site of the such .lic notice or, notices as an
-
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be ,`'..I.. under this permit, as are
licensed by Miami Shares Village.
1a/cPf Muter Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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.
Notary Public. State of Florida
NOTE: A re- inspection fee of $1.00 will be mods whoa web ro•Inspaotbs Y seade'aaoas sry by Improper notion for Lsopection, or faulty
materials and/or warkm mnship.
r —_
CLOSET[
BATH
Tuns
SHOWER[
LAVA•
Tonics
SINK[
SLOP
SINK[
LAUNDRY
TOSS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N•
TOTAL
FIXTURE[
CONTR.
LIST
CHECK
—
SEPTIC
TANK
S[WIR
CONN.
DRAIN
FIELD
BOAKAGS
PIT
G
TRAP
SOLAR
PICAT[R
DEEP
WELL
8
S M
SMIM•O
POOL
CONTR.
LIST
CHECK
Permit No 0 Y 1 O�'/` 1
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. a ,
Owners Name and Address 24 C No °2
Registered Architect and /or En ' eer
l;,ttt loy�S Plumber's Name
Location and Legal Description Lot . 1.4.1L / 7 l B D
Street and Number where work is to be performed —No 0 415 2 Street
State work to be performed and purpose of building (By Floors )__._ -- — •-------.__._- - -- --
New Building.._..._._.- .._. ..... ...._.. Remodeling —_. __ - -- Addition
Feet of Drain Tiler Dist. Feet of Tank or Drain Field from Well. ..-.__ -
Nature of Water Supply: City—Well. Size of Soakage Pit
Amount of Permit $ 71 (Signed
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
( Signed)
es. 0 87- / 0 SC
Street.. 9
SubdivaIor711.b
Repairs No. of Stories
•
D Type of T.�k — - — — - - -.- • Capacity Cols. -.
Size Septic Taa1L._� -•-----
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 5989, Compiled General Laws of Florida Per t Supplement, and low( com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub -contra employed by him in the wor'or to be
performed under this permit; and will post or cause to be posted for inspection on the site of the such .lic notice or, notices as an
-
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be ,`'..I.. under this permit, as are
licensed by Miami Shares Village.
1a/cPf Muter Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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.
Notary Public. State of Florida
NOTE: A re- inspection fee of $1.00 will be mods whoa web ro•Inspaotbs Y seade'aaoas sry by Improper notion for Lsopection, or faulty
materials and/or warkm mnship.
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY) 9`6s1
Date f�" —/> 9i Job Address `A`
° Tax Folio „- 8.2-0&-o/3- 22 �- fo
Legal Description, /6'/ 7 3 0 i S
Owner / Lessee / Tenant M r . Or R
a
Owner' s A ddress ( t�4 /� J g� k 4 V -
� i�� ��.�`- w S /��.:� U �l7//� S �a w�� � P hone 32 �,
/
Contracting Co. 6 r oc, is 4#V1ePLC eriCiA, , grift 1 4 Co- Address W3O M A ` 7 q & L A.," Ps • / 4
SS# Phone
Qualifier t,9dtw1 n E 1 / (4) M
State#
Architect /Engineer
Bonding Company
Mortgagor
7
Competency #
7.0441.4e ez.ex77.E.-
Signature of Owne d /or Condosident
Date: er
Notary as to Owner and4or Condo. Pr sident
My Commission Expires: Notary Pub ?K, Sf offlorira
* , * . * *My Commission ixpi.,.* °'h 22, MY
*Wed Mu Troy fain • Insurafice Inc.
PERMIT FEE: APPROVED: Fire
C) I c it/g-
Address
Address
Address
Master Permit #
Ins. Co
Other
Electrical
G�9 —//32
• ‘,P4
Permit Type (circle one): BUILDING ELECTRICAL MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION A c� ,P6,Vva �� � F - rIg ..
Square Ft.
�N Estimated Cost /SVC)
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, authorize the above -named contractor to do the work sta
Sigriature of Contractor or Owner- Builder
Date: ej- - ,0-r(
N otary / to Contractor
My Co i r i s s i on Expires : MY Commission (' "ry t 2, 9
* * * * eonde*j,u Troy Foin zo Inc,
Zoning Building
tt
Mechanical PlumbineNe�" � ` P)/' F}ng ineering