Loading...
262 NE 96 St (7)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 9-6- O+ Job Address 2-6 2 C �6 S . Tax Folio 1 I • a 0C ' 0(5- 3g 7'0 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant PQ. r r pc ��� �� c� oc/ Master Permit # ' 1 4e Owner's Address '@ - -L C- ? b c t Phone ' 5— -7 57- ( 9- 3 Address j q flq b N- 1V , c� 1 / 1 p , / ) q n i Contracting Co. o(A. ts3 - ' k (I g�v :IA (/ .I Qualifier 4L` L A . So k sat, ss# - Phone 3 5- '66Y-3702_ State# ,►lt7'� Architect/Engineer Bonding Company 3 /ai Signature 7wner and/or Cond. ' esident Date d/3 ��1 Notary as to (Itvner and/or Condo PresidCht Date My Commission E Huay S Maloney r MY COMMISSION # 00011279 EXPIRES July 15, 2005 BONDED /ROY RAIN INSURANCE, INC APPROVED: Zoning Mechanical Municipal # Competency # Address Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Dv-z L c7`` ,uS ek,t 3 0 H Square Ft. Estimated Cost (value) 41, ? L f 0 J• 0 b 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 work stated. ture of Co 1 w o Con C 2- 6 er- Build Date ol — S�j ~ o Owner-Builder P .� P U6 ANC-E12 '' E F OFF�� otary tractor or ctor My Commission Expir FEES: PERMIT 1 .b RADON C.C.F. J ,» 0 NOTARY _. O O BOND Ins. Co. 8) 6 Building Electrical Plumbing Structural Engineer ITEM BATH T1B UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DIShYIASHER RECEPTACLES A/C (WIND) DISF'OSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY ,,„ OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEM6LIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER 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 OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENN - RELAY TELEVISION OUTLETS DRAINFIELD, 4 - TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL,c1 t, d AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM 30 t-€_ GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (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 ELECTRICAL MECHANICAL Permit No g/Ti'tt 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 Miand 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 Owner's Name and Address E2 -. st Registered Architect and/or Engineer roxin / gl L umbr i Niune tion an eg Description Lodi j. 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 Size Septic Tank— Type of Tank___ Feet of Drain Tile 2J _Dist. Feet of Tank oc Drain Field from Well . Ibint- Repairs No. of Stories ..... .......... (Signed) ............... ..... ---CaPaoltY Cals.-- D Amount of Permit $ ( Signed )_ ‘ Nature of Water Supply: City—Well. Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and liav own- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worm 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 as ail- required by tlie Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under . this .1 K1 ILES licensed by Miami Shores Village. e,- - STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, • 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 careful* read the foregoing application, and that be did sign the PM% 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 mode whoa wsob relnepeotion is madeneoeseery by improper sake kw Imps:etas er faeky materials and/or workmanship. TOTAL PIETURES Ctoorrs BATH Tuns Smovians LAVA. Toma SINK* SLOP sip" LAUNOR Tuns URINALS CATCH BASIN Pr Loon DRAIN OINKING FOUNT•N• Comm. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN tillO.12 SOAKAGE PIT G TRAP SOLAR HEATER DaBP WELL 1 . $ Swiwo POOL CONTR. LIST --- CHICK Permit No g/Ti'tt 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 Miand 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 Owner's Name and Address E2 -. st Registered Architect and/or Engineer roxin / gl L umbr i Niune tion an eg Description Lodi j. 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 Size Septic Tank— Type of Tank___ Feet of Drain Tile 2J _Dist. Feet of Tank oc Drain Field from Well . Ibint- Repairs No. of Stories ..... .......... (Signed) ............... ..... ---CaPaoltY Cals.-- D Amount of Permit $ ( Signed )_ ‘ Nature of Water Supply: City—Well. Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and liav own- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the worm 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 as ail- required by tlie Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under . this .1 K1 ILES licensed by Miami Shores Village. e,- - STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, • 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 careful* read the foregoing application, and that be did sign the PM% 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 mode whoa wsob relnepeotion is madeneoeseery by improper sake kw Imps:etas er faeky materials and/or workmanship. Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date... lie?ca` 2sz 4/vis Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit:A for the building or other structure herein described. This application b made in compliance and conformity with the Building Ordinance of Mia 71 Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatica: 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. Owners Name and Address .7tegistexed Architect and/or Engineer Zmploying Plumber's Name .m - Location and Legal Description Lot_ 111914/1 5N0,--...1... 3 2. 6 Stietit.4 81o& Subdivision__ Street and Number where work is to be perfon„ed—No R6 2_ 41Z f6. d set Az4tc44, State work to be performed and purpose of building (By Floars )_.", 0. , ... New Building Remodeling Addition._ Repairs No. of Stones.. SiZe Septic Tank_ of Tank__ 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 $ I DO STATE OF FLORIDA, } is. COUNTY OF DADE. My Commission Expires Si No streetliz Capacity Gals. (signed) .7C4ii3A9I 3Y Notary Public, State of Florida Plumbing Inspect(); — The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e-nployer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Cupllement, and has con- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed I y him in : wcrk performed under this permit; and will post or cause to be posted for inspection on the f the work suc • bli otice or no ice!. s a. required by the Act. The undersigned agrees to employ only such tub-contractors, k to be per this pniaiL, ar licensed by Miami Shores Village. Plumber. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personat ppearec . 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 'acts therein by him stated are true. NOTE: A re-inspection fee of 0.00 will be made when such re-iuspecdon made by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBS SHOwER• LAVA. TORIES SINKS SLOP SINKS LAUNORT T„, URINALS CATCH BASIN FLOOR DRiNK ■ No DRAIN FOUNT•NS i f./01,7 — To Ti.t. FIXTt RES CONTR. LIOT / — CHECK I ....., SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SWIM•0 POOL ..... CoNTR. LIST -....._ CHICK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date... lie?ca` 2sz 4/vis Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit:A for the building or other structure herein described. This application b made in compliance and conformity with the Building Ordinance of Mia 71 Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatica: 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. Owners Name and Address .7tegistexed Architect and/or Engineer Zmploying Plumber's Name .m - Location and Legal Description Lot_ 111914/1 5N0,--...1... 3 2. 6 Stietit.4 81o& Subdivision__ Street and Number where work is to be perfon„ed—No R6 2_ 41Z f6. d set Az4tc44, State work to be performed and purpose of building (By Floars )_.", 0. , ... New Building Remodeling Addition._ Repairs No. of Stones.. SiZe Septic Tank_ of Tank__ 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 $ I DO STATE OF FLORIDA, } is. COUNTY OF DADE. My Commission Expires Si No streetliz Capacity Gals. (signed) .7C4ii3A9I 3Y Notary Public, State of Florida Plumbing Inspect(); — The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e-nployer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Cupllement, and has con- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed I y him in : wcrk performed under this permit; and will post or cause to be posted for inspection on the f the work suc • bli otice or no ice!. s a. required by the Act. The undersigned agrees to employ only such tub-contractors, k to be per this pniaiL, ar licensed by Miami Shores Village. Plumber. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personat ppearec . 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 'acts therein by him stated are true. NOTE: A re-inspection fee of 0.00 will be made when such re-iuspecdon made by improper notice for inspection, or faulty materials and/or workmanship. CLD•tT• 1 B ATH TUB SHOWER• LA VA• TORIES SINK• SLOP SINKS LAUNDRY Tu•• URINALS CATCH DRAIN FLOOR DRAIN DRINKING FOUNT'N• TOT..L PIXY( RES CONTR. LIT - CHECK -• - _ I SEPTIC TANK SEWER CONN. •DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL LIST _ --• — CHICK • Penh: No... ...- Size Septic Tank__. Feet of Drain Tile. Amount of Permit STATE OF FLORIDA. ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ (Signed)— Date ..._ .I;phr :liun, is hereby made for the approval of the detailed statement of the plans and specifications herewith subr 1:•. ,'I for the building or other -tructure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.: ! Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic— of the ,Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec Ucations Must be kept at '.)uilding during progress of work. '.Avnei s Name and Address — J_. No c2__co Street. .egict _red Architect and /or Engineer. 42/ ` xa n ?mploying Plumber's Name / , (a. PiJ €J Location and Legal Description Lot- Bloch_ Subdivision Street 9 6 "r7-- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) I'e 7/9-e< ar°e‘4 Per New Building Remodeling__ _ _....._._ Addition._._...__ Repairs No of Stones — ._... of Tank— Capacity ^ ,a1s._ ___.Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City — Well.___ ____._.._.._.__.___ ____._____ _._Size of Soakage Pit Plumbin:i Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n, loyei of laho under the Florida Workrnen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent rum lement, and ila. •�n•�• lied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1 y him in • e X41 rk b performed under this permit; and will post or cause to be posted' for inspection on the site of the work such pub': notice 3. no icrr is a.' required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed 'a this > 111 111, ;.r . licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, periorr: , ppearec. 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 tint all acts therein by him stated are true. My Conunission Expires Notary Public, State of Florida NOTE: A re- inspection fee of 11.00 will be made when such rs.lnspectfoe is mede-necessary by hnproper notice for tnspert'.on, tr fruit) materials and /or workmanship. Mast a Plumber. )caner of uiiding —rob/feet ]ontracto r Builder UILDING LECTRICAL , LUMBING v M AMU SHORES VILLAGE, FLORIDA DATE PERMIT N ? 4103 Work to he perfo (t ed under this Permit Subdi- vision BY Contractor's License No 4 egal Lot )esciption .,..' 1ddress of '- y. c '� + ' 7 2 : •'halve of Amt. of �" tiding i. ` -^ 1' f r A ; # e , Project ll Permit This permit is granted to the contract or bulb named above to construct the building or to install the equi or device dMar the apph ation herefor in strict compliance with all or ances rtaining thereto and with the understanding that the work wi be performed fa ooi■pilaooe with aany� =tans, drawings statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t any time i the work is not done in Compliance with such ordinances or if the plans are changed without authorization. A further condition ripen this permit is granted is the understanding that tie contractor or builder named above assumes the responsibility for a thorough kno wledge of the ttod l otions pertaining to the work covered hereby whether shown on the plans or drawings kr in the statements or specifications "Om' ibility for work done by his agents, ser4ants or employees. Signed. ( , I '` By INSPOCYOR In consideration of the issuance to me f this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations :ertaioing thereto and in strict conformity w th the pa drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this �orn�it some responsibility for vork done by either myself, my agent, servant or employee. f. AimioHITT d- ::.rest No. Z d 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 Enginee / r-__ Employing Plumber's Name C.��� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT — _— street.2i'__ < L ' cf Location and Legal Description Lot___---__ - -____ __. .__._ - -_ Block Street and Number where work is to be performed— No.___— _ M State work to be performed and purpose of budding (By Floors) _ -- /- - _- _ — .__ New Building ________ ..... ... . Remodeling_--___ _____ Addition--- _____.__........... Repairs No. of Stories. Feet of Drain Tile_ — __ Nature of Water Supply: City—Well Amount of Permit $ My Commission Expires (Signed)_ —.. Street. Date. 6 N0.4 z-7 ... !_ Street-- -f --c- •........ -,3 L /%Size Septic Tank _ Type of Tank _-Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o . ' . Lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Peri . ent 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. STATE OF FLORIDA, t es. 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. 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 _� ~ 1..............T BATH TUBS SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNORY Tufs U RINALS CATCH BASIN FLOOR DRAIN DRINK NO FOUNT' NS TOTAL FIXTURES COMM LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP 'WK.1 HEATER V DEEP WELL SPRKLR. SYSTEM SWIM'O POOL COMB. LIST ` CHECK d- ::.rest No. Z d 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 Enginee / r-__ Employing Plumber's Name C.��� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT — _— street.2i'__ < L ' cf Location and Legal Description Lot___---__ - -____ __. .__._ - -_ Block Street and Number where work is to be performed— No.___— _ M State work to be performed and purpose of budding (By Floors) _ -- /- - _- _ — .__ New Building ________ ..... ... . Remodeling_--___ _____ Addition--- _____.__........... Repairs No. of Stories. Feet of Drain Tile_ — __ Nature of Water Supply: City—Well Amount of Permit $ My Commission Expires (Signed)_ —.. Street. Date. 6 N0.4 z-7 ... !_ Street-- -f --c- •........ -,3 L /%Size Septic Tank _ Type of Tank _-Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o . ' . Lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Peri . ent 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. STATE OF FLORIDA, t es. 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. 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. ...s 13 TUBS CLQSIR6 TUB6 SHOWER/ LAVA. TORIES SINKS SLOP SINKS LAUNDRY TueB URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LOFT CHECY , B I_ _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL - - -- CONTR. LIST ) C - 6 !! c.,a J' CHECK Amount of Permit Permit No.__ -. _-- ___ —_— Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submittedJor 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. n r r - Ds Owner's Name and Address____- _. ±_!_^__�`'_ `^ !_`'"_� No. °� (-D-__ _.. Street__"' 9 A b Registered Architect and /or Engineer_________ Employing Plumber's Name L e-0 S P \ J"'"./3 t r� Location and Legal Description Lot. Street and Number where work is to be performed —No STATE OF FLORIDA, ( as. COUNTY OF DADE• J • My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. - -- ---_._ ..� _ -- Street_. Block s Subdivision street_ 1 " Size Septic Tank --------- - - - - -- Type of Tank Feet of Drain ................ Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well .____ _____._._______._Size of Soakage Pit (Signed) (Signed)._ Notary Public, State of Florida liGD- State -work to be performed and purpose of building (By Floors) New Building--- .- -_ - -•- -- - -•_ - -• .- - - - -.. Remodeling Addition..- _ -_._.. Repairs No. of Stories ...................... Capacity Gals .... 4 k Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accept • obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori .: ' •.nnanent Supplement, and has coin - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contrac ors 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 81.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or worlonanahip. 4 n �t I_1'3 0 �� Name and Address _A4 /� �.F_! __________ _1A L deg'stered Architect and /or Engine e �w Building Remodeling Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—Well Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ,5to ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT dlication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other .ucture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, \d 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 Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at ling during progress of work. No 246g E g Street / ?‘s `� 01/11 S No !_ Street_ BBlock___ —____ Subdivision Street A r �l O ploying Plumber's Name !1_ fiEftr aq ocation and Legal Description Lot Street and Number where work is to be performed —No ` , State work to be performed and purpose of building (By Floors) ehA I £ R1114/1"/t 4.L Addition Repairs 1„ No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) ( Signed) __ Date , PRA __- X , 95 ) Notary Public, State of Florida ' - 'w�v ' "r • Plumbing Inspector. / The undersigned applicant for this building permit does hereby certify that he understands an accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law of lorida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sit ntractors 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 w. k to e performed u this permit, as are licensed by Miami Shores Village. • er 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 dulylsworn, 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. 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 TIC INK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL - JTR. n �t I_1'3 0 �� Name and Address _A4 /� �.F_! __________ _1A L deg'stered Architect and /or Engine e �w Building Remodeling Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—Well Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ,5to ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT dlication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other .ucture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, \d 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 Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at ling during progress of work. No 246g E g Street / ?‘s `� 01/11 S No !_ Street_ BBlock___ —____ Subdivision Street A r �l O ploying Plumber's Name !1_ fiEftr aq ocation and Legal Description Lot Street and Number where work is to be performed —No ` , State work to be performed and purpose of building (By Floors) ehA I £ R1114/1"/t 4.L Addition Repairs 1„ No. of Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) ( Signed) __ Date , PRA __- X , 95 ) Notary Public, State of Florida ' - 'w�v ' "r • Plumbing Inspector. / The undersigned applicant for this building permit does hereby certify that he understands an accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law of lorida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sit ntractors 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 w. k to e performed u this permit, as are licensed by Miami Shores Village. • er 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 dulylsworn, 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. 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 ❑ PERMIT IT? 11301 PLUMBING ROOFING ❑ Work to be performed under this Permit Owner of Building Architect, Contractor or Builder Legal Description, Address of Building \\\) tilkhe 4e Lot .t � CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORID DATE 1951_ Subdi- vision Value of Project $ INSPECTOR Contractor's License No 4 t \-/ '%‘.'4W%) Lyss-Q Amt. of Permit BY -L $ %Ur strop 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 a herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at 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 per** granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and re pertaining to the work covered hereby whether shown on the plans or drawi , or in the rt en}nts or specificati•, s and that he assumes responsibility For done by his agents, servants or employees. I , In consideration of the issuance to me of this permit I agree perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the pl s, drawl s tements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility f work Ether, .elf, my agent, servant or employee.