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LP gas and Septic1 STATE OF .FLORIDA, COUNTY' OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Si Amount of Permit $ 07-5././1 J LEVEROCK 3597 46 Permit Permit No.. .v.1.6 7 8 — -- _ -- -- 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 to 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 Michael Weston N o . Street 284 N. e . 96 ST _ • Registered Architect and /or Engineer sw 27 ave Home GA Corp. s • • Employing Plumbarr N ..a Philip Gout �Jg 1. // - LocaB an Leg piton Lot.1�� '�'C • BIor�ot ! SubdivWotl �P Street and Number where work is to be performed —No 284 N.E. 96 ST Street .._..._.._..._..._._ State work to be performed and purpose of building (By Floors) —IR GAS Installation (SPA HEM New Building. -_ -- - ._........_.. Remodeling —_.. - - -- Addition.. _..— _...__ Repairs No. of Stories Stu Septic Tank__ _Type of Tangy T X ..42D ..... _....___Capacity .. —_.._ Feet of Drain Tile —Dist. Feet of Tank or Drain Meld from Well.. - — •-- - -. --• _ Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Ins or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor'r to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such . ublic notice or notices as /VP required by the Act. The undersigned agrees to employ only such sub-contractors gn—* rk be pelf r under this permit, as are licensed by Miami Shares Village. 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 be is the __.._ .._ ._..-- -.__.. _ _... — _.._.......... of the above described construction, that be has carefully read the foregoing applicat ion, and that be did sirs the came, and that all facts therein by him stated are true. My Commission Expires Notasy Publb. State of Florida NOTE: A re-inspection fee of 11.00 will be made whoa stsab sataispeo k. fa mada by improper satire for btapection, or faulty materials and /or workmanship. CLOSETS BATH TUS. SHOWER[ LAVA. TOES RI SINKS SLOP SINK[ LAUNOKY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT SPA / 1 TOTAL P111URa1 CONTR. LIST -- CHECK SEPTIC TANK a[WEK CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR NEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHICK 1 STATE OF .FLORIDA, COUNTY' OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Si Amount of Permit $ 07-5././1 J LEVEROCK 3597 46 Permit Permit No.. .v.1.6 7 8 — -- _ -- -- 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 to 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 Michael Weston N o . Street 284 N. e . 96 ST _ • Registered Architect and /or Engineer sw 27 ave Home GA Corp. s • • Employing Plumbarr N ..a Philip Gout �Jg 1. // - LocaB an Leg piton Lot.1�� '�'C • BIor�ot ! SubdivWotl �P Street and Number where work is to be performed —No 284 N.E. 96 ST Street .._..._.._..._..._._ State work to be performed and purpose of building (By Floors) —IR GAS Installation (SPA HEM New Building. -_ -- - ._........_.. Remodeling —_.. - - -- Addition.. _..— _...__ Repairs No. of Stories Stu Septic Tank__ _Type of Tangy T X ..42D ..... _....___Capacity .. —_.._ Feet of Drain Tile —Dist. Feet of Tank or Drain Meld from Well.. - — •-- - -. --• _ Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Ins or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor'r to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such . ublic notice or notices as /VP required by the Act. The undersigned agrees to employ only such sub-contractors gn—* rk be pelf r under this permit, as are licensed by Miami Shares Village. 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 be is the __.._ .._ ._..-- -.__.. _ _... — _.._.......... of the above described construction, that be has carefully read the foregoing applicat ion, and that be did sirs the came, and that all facts therein by him stated are true. My Commission Expires Notasy Publb. State of Florida NOTE: A re-inspection fee of 11.00 will be made whoa stsab sataispeo k. fa mada by improper satire for btapection, or faulty materials and /or workmanship. Master Permit Number Job Address /Suite No.284 NE 96 ST Tax Folio No. 11/32e? 0 /3 3E60 Contractor's No 1616 Contractor's Name Home Gas Corp.... Qualifier S.S. No 265 -44 -4654 Qualifiers Name PHILIP GOUZ Permit Type LPGX Current Use Of Property. RES Proposed Use .SPA Contact Name. Micheal Weston ADDRESS 284 ne 96 st Phone. City Miami Owner Name. Michael Weston LEGAL: DADE COUNTY BUILDING AND ZOING DEPARTMENT 111 N.W. 1 Street, Suite 1010 33 APPLICATION FOR SUBSIDIARY Pt`R1•MIT (ALL Spaces Must Be Filled -In By Applicant) (Please Complete Fee Sheet) (ELEC, PLUM, MECH, LPGX) State Florida Zip 33161 Application is hereby made to obtain a permit to do the work and installations as heron indicated all work will be performed to net the ap plans and laws regulation construction in Dade Cou``pt. �0 _ f //�� Jr � -(! ,4/� - j ` S i nature. Of Qualifier or 0wner- Bui;der 3597 PHILIP GOUZ W /0# Print Name FAILURE TO COMPLY WITH THE MECHANICS LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. Plumbing and Gas Fee Sheet Category 01 P001 Outlets & Fixtures # of outlets /Fixtures P003 Sewer Connection # of sewers P004 Sewer Capping # of sewer caps P005 Rainwater Roof Inlet # of inlets P006 Catch Basin # of Basin P007 Surface Inlet # of inlets P008 Soakage Pit Cubic Feet P009 Condenstate Drain # of outlet P010 Water Service Connection # Meters P011 Water Connection or outlet for applience # of Connection P015 Sun Pump # of Pumps P016 Repairs to water piping Installed valve 02 Gas Fitting (Natural Gas) P018 Natural Gas LP outlets P019 Appliances P020 Meters P021 Major repairs to gas pipes P023 Change of company 03 Lawn Sprinkler P012 Irrigation system/ underground sprinkler Category 05 Chemical Toilets P005 Portable chemical toilets P031 Temporary toilets Category 06 Septic Tank P002 Septic tanks /inceptor Grease trap Category 07 Solar Water Heater P013 Solar Water Heater Installation # of outlets # of appliances # of meters # of piping # of changes Per zone Per toilets Per toilets # of items # heaters Category 10 Pool Piping P014 Pool piping fee Category 11 Well Drilling P017 Wells Category 14 Fire Water P010 Water Service Connection Category 15 Site Utilities P006 Catch Basin P007 Surface Inlet P008 Soakage Pit /French Drain P010 Water Connection P003 Sewer Connection P024 Water Treatment Plant P025 Sewer Treatment Plant P026 Lift Station P027 Sewege Ejection P028 Water and Gas Mains P029 Storm and Sand Collector Lines P030 Man Hole P004 Sewer Capping LPGX P018 Natural Gas and LP Outlets P022 Under Ground LP Tanks P023 Change of Company P019 Appliances P020 Meters P021 Major Repairs to Gas Pipes # of Pools # of wells # of Meters # of basin # of inlets Cu. Ft. # of meters # of connection # of piping # of piping # of piping # of ejector # of feet # of feet # of holes # of caps # of outlets # of tanks # of changes # of appliances # of meters # of piping 4,0 49\'9 1 e ( /f v o PliVe Wes n Permit No 10 -- 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 Engineer Employing Plumber's Name r..4. Location and Legal Description Lot. at �i / / glo_ Street and Number where work is to be performed —No rd T L / tE • 9' St ° Street State work to be performed and purpose of building (By Floors) ..:! New Building —.._. . Remodeling Addition Size Septic Tank -------- - - - - -- - - -- _...Type of Tank__ No. -‘21/i.— 1Yi Street.__. . - Zs -.7>. e. " _....... a No,, /..—. ! 8tzeet.. ° Amount of Permit $ g.TO MIAMI SHORES VILLAGE PLUMBING INSPECTION DE ph. RT ENT � DOv`�0 /V E APPLICATION FOR PluMBING PERMIT Feet of Drain Tile._ - -- - -- _Dist. Feet of Tank or Drain Field from Well . .._.- . -• - - -_ _. --- ........_._ Nature of Water Supply: City — 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. (Signed) STATE OF FLORIDA, 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 he 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 fads therein by him stated are true. My Commission Expires Notary Public, State of Fkxida NOTE: A re inspection fee of $1.00 will be made when such re- Inspection is m.de.neoessary by hnproper notice for inspection, or faulty materials and /or workmanship. Capacity Gals. Date. - ..� Muter Plumber. CLOSET$ BATH TUBE SNOW [R$ LAVA• TORIES 6114 SLOP SINKS LAUNDRY Tu$$ URINALS CATCH eA$IN FLOOR DRAIN DRINKING FOUNT•N• TOTAL FIITURES CONTR. LIST CHICK 1 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WILL BPRKLR. SYSTEM SW IM •G POOL CONTR. 3Y X / LIST CHICK Permit No 10 -- 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 Engineer Employing Plumber's Name r..4. Location and Legal Description Lot. at �i / / glo_ Street and Number where work is to be performed —No rd T L / tE • 9' St ° Street State work to be performed and purpose of building (By Floors) ..:! New Building —.._. . Remodeling Addition Size Septic Tank -------- - - - - -- - - -- _...Type of Tank__ No. -‘21/i.— 1Yi Street.__. . - Zs -.7>. e. " _....... a No,, /..—. ! 8tzeet.. ° Amount of Permit $ g.TO MIAMI SHORES VILLAGE PLUMBING INSPECTION DE ph. RT ENT � DOv`�0 /V E APPLICATION FOR PluMBING PERMIT Feet of Drain Tile._ - -- - -- _Dist. Feet of Tank or Drain Field from Well . .._.- . -• - - -_ _. --- ........_._ Nature of Water Supply: City — 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. (Signed) STATE OF FLORIDA, 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 he 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 fads therein by him stated are true. My Commission Expires Notary Public, State of Fkxida NOTE: A re inspection fee of $1.00 will be made when such re- Inspection is m.de.neoessary by hnproper notice for inspection, or faulty materials and /or workmanship. Capacity Gals. Date. - ..� Muter Plumber. CLU2IF.TU BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURES CONTR. LIST_ CHICK _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWING P001. CoNTR. LIST CHECK i'ancit Date.---- ..... -- ....... - - ----- •••---------- - - -• - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owx,er a Name and Address ......... No.___ 2 72 Street Registered Architect and /or Employing Plumber's Name — No._ Location and Legal Descri Lot Block Street and Number where work is to be performed —No -� State work to be performed and purpose of building (By Floors) New Building ....... -- . -. ...... Remodeling___-- __- _ ..... —__ -__ Addition_ -__ -- ' i Repairs No. of Stories Size Septic Tank Feet of Drain Tile STATE OF FLORIDA, COUNTY OF DADE. 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank_ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -W __ - - .--------- - - - - -- -- -Si of emit $ - - - -+ �___—--- _-- _ —_� —_ �( Signed )_ Street_ Subdivision_ Street C � ' -- 6 Capacity Gals ( Signed ge My Commission Expires Notary Public, State of Florida 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 Miat4ii Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ _. _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or worlananship. Permit No. / (73& Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner's Name and Address Registered Architect and /or t neer y- r4i Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ..___ Pr No Date No Street Street PL Location and Legal Description Lot Block_____ ___________ __ _ Subdivision Street and Number where work is to be performed —No c — _ Street 1 \_ - - State work to be performed and purpose of building (By Floors)____ __a k -- 1 ' ( ' \ ) ..___.__. New Building Remodeling Addition I Repairs -.-_ No. of Stories Size Septic Tank Type of Tank_ Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL __Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ r Capacity Gals (Signed)- - -• -- ---- — umbing Injpector. 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 5986, 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 a€. the work such public notice or notices as are performed under this permit; and will post or cause to be posted for inspection on the site required by the Act. The undersigned agrees to employ only such sub - contractors, ork be perormed under this permit, as art licensed by Miami Shores Village. My Commission Expires (Signed). STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fac therein by him stated are true. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tung URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE! CONTR. LIST - -- CHECK SEPTIC TANK SEWER CONN. DRAIN PIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTIe. LIST CHECK Permit No. / (73& Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner's Name and Address Registered Architect and /or t neer y- r4i Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ..___ Pr No Date No Street Street PL Location and Legal Description Lot Block_____ ___________ __ _ Subdivision Street and Number where work is to be performed —No c — _ Street 1 \_ - - State work to be performed and purpose of building (By Floors)____ __a k -- 1 ' ( ' \ ) ..___.__. New Building Remodeling Addition I Repairs -.-_ No. of Stories Size Septic Tank Type of Tank_ Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL __Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ r Capacity Gals (Signed)- - -• -- ---- — umbing Injpector. 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 5986, 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 a€. the work such public notice or notices as are performed under this permit; and will post or cause to be posted for inspection on the site required by the Act. The undersigned agrees to employ only such sub - contractors, ork be perormed under this permit, as art licensed by Miami Shores Village. My Commission Expires (Signed). STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fac therein by him stated are true. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. Permit No 1 9' SP" Application is hereby a 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 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT —_ -- - -• - - -- No Registered Architect and /or ti Employing Plumber's Name_ - -• _ - 4 - rd No.___----- _ —__ -- Street_ Location and Legal Description Lot Block Subdivisi 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 Amount of Permit ....... _ -- - - -- (Signed)_ Repairs Date ___ Street_ — - - Size Septic Tank ..... ---...... -------------------- - - - - -- -Type 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 Capacity Gals. 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 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 tlie 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, } 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 No. of Stories. Plumbing Inspector. 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 Tue6 SHOWERS LAVA- TORIES INK SINKS SLOP SINKS LAUNDRY Tues U URINALS CATCH BASIN FLOOR DRAIN DRINK! NO FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK p , y L SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL Comm. LIST CHECK - -- Permit No 1 9' SP" Application is hereby a 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 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT —_ -- - -• - - -- No Registered Architect and /or ti Employing Plumber's Name_ - -• _ - 4 - rd No.___----- _ —__ -- Street_ Location and Legal Description Lot Block Subdivisi 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 Amount of Permit ....... _ -- - - -- (Signed)_ Repairs Date ___ Street_ — - - Size Septic Tank ..... ---...... -------------------- - - - - -- -Type 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 Capacity Gals. 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 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 tlie 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, } 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 No. of Stories. Plumbing Inspector. 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. I 1 MIAINI SHORES VILLAGE, FLORIDA BUILDING ❑ i i PERMIT IT? 13516 ELECTRICAL fl PLUMBING ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Descriptio Address of Building Lot This permit is granted to the contractor orl uilder named abo to construct the herefor in strict compliance with all ordinances pertaining thereto and with the and drawings, statements or specifications that may have been submitted to an . approved time if the work is not done in compliance with stch ordinances or if the • ans are ch granted is understanding that the contractor or builder named • • ume the pertaining to the work covered hereby whether shown on th done by his agents, servants or employees. In consideration of the issuance to me of' this p eya� ning thereto and in strict fortuity with the plan cepting this permit I assu#y responsibility for a I CONTRACTOR O DER 1 to o Subdi- ` Bl.!' vision DATE Contractor's License No Work to be performed under this Permit Value of Project BY 195 I) Amt. of Permit oper municipal authorities. This Perini out alit, ' "zation. A further con • "tion ility for orough knowledge o the nts • "fications and that 1v s/ Signed: mit I agree to perf F rm the work covered hereunder i compliance with all drawings, stateme is • pecific. "ons submitted to the proper authoriti k e by eithe , my gen nt or employee. g or to install the equipment or device described in the app 7 i!ation that the work will be performed in co •lianee with any plans, ay by revoked at any which this permit is finances and regulations responsibility for work rdinances and regulations f Miami Shores Village. AUTHORITY Permit No ___ _- '_ Appl'cation i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng o>/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 th Building Di "sion of M?anii Shores Village shall be comphed 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. -__ ./LL_ . _ Registered Architect and /or Engineers _ - —__ -- — _- _ —____ — - -- _ _ __- Employing Plumber's Name ._. L, 4_v1 _ ) L No...,,j _ -. a Street_. Location and Legal Description Lot-_ —___ Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building —._ -- - -- - -- - -- ---- Remodeling_ - -__ - - - Amount of Permit $ - STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT f i - . -._ - -- No. , 7 / / 1 r : Street Block_ 4 LC l Addition._-_ _ _ ___ ____ __ _ Repairs. Size Septic Tank_._ _ Feet of Drain Tile.- - -_ -- - _ - - -- --- - - - - -- - • - - - -- _Dist. Feet of Tank or Drain Field from Well_ _ Nature of Water Supply. City—Well. _ -_- __ __- _ - ------ Si 'a of Soakage Pit _70V Street _ _ Capacity Gals. The undersigned applicant for this building permit does hereby certify that he understands and accepts h' ob ' : ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida ent Supplement, 'rid I dy -om -- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin- 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 no ices as are required by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. Subdi on___ No. of Stories . Plcm mg In.pecto. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgn ents, personall 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 .acts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship CLOSETS BATH Toes SHOWERS LAVA- ToR1E8 SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL F %TURES CONTR. LILT / i / /// 1 • 3 CHICK 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 ___ _- '_ Appl'cation i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng o>/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 th Building Di "sion of M?anii Shores Village shall be comphed 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. -__ ./LL_ . _ Registered Architect and /or Engineers _ - —__ -- — _- _ —____ — - -- _ _ __- Employing Plumber's Name ._. L, 4_v1 _ ) L No...,,j _ -. a Street_. Location and Legal Description Lot-_ —___ Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building —._ -- - -- - -- - -- ---- Remodeling_ - -__ - - - Amount of Permit $ - STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT f i - . -._ - -- No. , 7 / / 1 r : Street Block_ 4 LC l Addition._-_ _ _ ___ ____ __ _ Repairs. Size Septic Tank_._ _ Feet of Drain Tile.- - -_ -- - _ - - -- --- - - - - -- - • - - - -- _Dist. Feet of Tank or Drain Field from Well_ _ Nature of Water Supply. City—Well. _ -_- __ __- _ - ------ Si 'a of Soakage Pit _70V Street _ _ Capacity Gals. The undersigned applicant for this building permit does hereby certify that he understands and accepts h' ob ' : ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida ent Supplement, 'rid I dy -om -- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin- 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 no ices as are required by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. Subdi on___ No. of Stories . Plcm mg In.pecto. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgn ents, personall 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 .acts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship Permit No 7 Application is hereby made for the approval of the detailed statement of tbe 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 progrearof work. 4/2 4-4 gv Owner's Name aitAddre,ss 7 ri'7/he F. TO,k)E,2_ No Street. 9 '6 5 r: Registered Architect and/or Engineer ffER-Eie e.' 0 ' - r-• A-)6.-49741 t- )6 . 6504 9-Ja ST. Employing Plumbor's Name 47 7 - 4 W - / Z - - - PC6 itrosidae dif ...•• - A 07 - .5 r Fr6451 z 4 / Location and Legal Description Lot Subdivision /AZ 5WES S g . Street and Number where work is to be performed—No ° Street/YE F.6 57 o /f/A - ,67 -- State work to be performed and purpose of building (By Floors) '- 5 - )-1 - t1 / 41142 ; 06 _ New Building. Remodeling_-_-____—_— Addition. _. ...... Repairs No. of Stories ... Size Septic Tank— _Type 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. STATE OF FLORIDA, ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) CPC' 0,39??Z. Date .D. Plumbing Inspec tor. 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 5986, Compiled General Laws of Florida Permanent Supplement, and hav com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to b' 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. --Mester-Pumber. c-04/7 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 Ina first duly sworn, upon oath deposes and says that be is the of the above described construction, that he bas carefully read the foregoing application, and that he did sign the same, and that all fiats therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-bapection fee of $1.00 will be made when nee swienpeotion Is seede by Improper notice for hrpsction, at leaky materials and/or worlananship. CLOSETS BATH TUMID .,..,,. --- ^T^ . LAVA• Toms. SIPIK• SLOP SINKS LAUNOR Tuve .. NINAL. . CATCH •ASIN PLoon DRAIN DRINKING FOUNT'NS TOTAL •Irrustas Cows. LIST Cotes _ ....... SEPTIC TANK SEWIR CONN. DRAIN FICLO ssoAsAes PIT G TRAP SOLAR HILATIR DIM WILL $ 6 • a lro;. l o m° CONTR. war CHICK g-.5 Permit No 7 Application is hereby made for the approval of the detailed statement of tbe 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 progrearof work. 4/2 4-4 gv Owner's Name aitAddre,ss 7 ri'7/he F. TO,k)E,2_ No Street. 9 '6 5 r: Registered Architect and/or Engineer ffER-Eie e.' 0 ' - r-• A-)6.-49741 t- )6 . 6504 9-Ja ST. Employing Plumbor's Name 47 7 - 4 W - / Z - - - PC6 itrosidae dif ...•• - A 07 - .5 r Fr6451 z 4 / Location and Legal Description Lot Subdivision /AZ 5WES S g . Street and Number where work is to be performed—No ° Street/YE F.6 57 o /f/A - ,67 -- State work to be performed and purpose of building (By Floors) '- 5 - )-1 - t1 / 41142 ; 06 _ New Building. Remodeling_-_-____—_— Addition. _. ...... Repairs No. of Stories ... Size Septic Tank— _Type 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. STATE OF FLORIDA, ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) CPC' 0,39??Z. Date .D. Plumbing Inspec tor. 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 5986, Compiled General Laws of Florida Permanent Supplement, and hav com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to b' 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. --Mester-Pumber. c-04/7 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 Ina first duly sworn, upon oath deposes and says that be is the of the above described construction, that he bas carefully read the foregoing application, and that he did sign the same, and that all fiats therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-bapection fee of $1.00 will be made when nee swienpeotion Is seede by Improper notice for hrpsction, at leaky materials and/or worlananship. e8 /0 P6 Miami Shores Village ..Building and Zoning Department Attention: Building Official 4gou j/4-10 SWIMMING POOL OWNER'S 'CERTIFICATION I certify that I am the legal owner of the property described as or �T p/ 3 ,!-K . ? , located at /o s.1 In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Note: This certification is to be submitted with a swimming pool permit application in duplicate. Permit No v Location 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 New Building . ..... ..... ...... Remodeling_ Size Septic Tanlc_------------------ - - - - -- ..Type 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 STATE OF FLORIDA, COUNTY OF DADE. j My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition (Signed) Date.. i len Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subrait:cd for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mierni Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulaticar. of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and apec'_ficatlons must be kept at building during progress of work. Owner's Name and Address..l.- -- � Z c No :registered Architect and/ her -F ineer Employing Plumber's Name.. GL._.. , _ _ Bloc& SubdivWon.-_-.._w _.__ 't 96 Street 1 1 �!.. - - •---- - - -• . . .. ..... ...._._. o v r . _ , w c -- i -- -1-u6 ,¢x . 0 9/1 - )g Street_.. Et 9d No,.__ ., k�.l .�......o.. ,...,. Street.. Capacity Gals c ( Signed) ! 9 [3 C W 1 . Repairs No. of Stories Plumbing nspector 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 5988, Compiled General Laws of Florida Permanent : upi.lement, and liar con - plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1y him in t'.e wcrk o bt performed under this permit; and will post or cause to be posted for inspection on the site of the work such publf : notice ,z no ices as ar required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed this _iii, :y/ ar , licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal;- cppeared 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 be did sign the same, and that all , "acts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when saes ralnspeetion is made•neoessary by improper notice for inspection, or faulty' materials and /or workmanship. CLO[Ra BATH Tub[ SHOW[Ra LAVA. TORIIS SINK• SLOP SINKS LAUNDRY TUBS URINAL[ CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N• TOTAL FI%TI, nu CONTR. Lin' ' / / 0 i CHICK _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGI PIT G TRAP SOLAR M DRIP WILL SPRKLR. SYSTIM SWIM O POOL Cowrie. LIST - CHICK Permit No v Location 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 New Building . ..... ..... ...... Remodeling_ Size Septic Tanlc_------------------ - - - - -- ..Type 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 STATE OF FLORIDA, COUNTY OF DADE. j My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition (Signed) Date.. i len Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subrait:cd for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mierni Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulaticar. of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and apec'_ficatlons must be kept at building during progress of work. Owner's Name and Address..l.- -- � Z c No :registered Architect and/ her -F ineer Employing Plumber's Name.. GL._.. , _ _ Bloc& SubdivWon.-_-.._w _.__ 't 96 Street 1 1 �!.. - - •---- - - -• . . .. ..... ...._._. o v r . _ , w c -- i -- -1-u6 ,¢x . 0 9/1 - )g Street_.. Et 9d No,.__ ., k�.l .�......o.. ,...,. Street.. Capacity Gals c ( Signed) ! 9 [3 C W 1 . Repairs No. of Stories Plumbing nspector 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 5988, Compiled General Laws of Florida Permanent : upi.lement, and liar con - plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1y him in t'.e wcrk o bt performed under this permit; and will post or cause to be posted for inspection on the site of the work such publf : notice ,z no ices as ar required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed this _iii, :y/ ar , licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal;- cppeared 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 be did sign the same, and that all , "acts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when saes ralnspeetion is made•neoessary by improper notice for inspection, or faulty' materials and /or workmanship. Permit No STATE OF FLORIDA, I as. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 $ t._° (sig NIA kV? 5 Capacity ■f_.,als.. My Commission Expires Notary Public, State of Florida Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit:cd for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miecl 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. Owner's Name and Address F/ No.- Streettee 96d Jegistered Architect and/or Engineer Employing Plumber's Name iiittli_rffraa_ No,iQ — - Location and Legal Description Lot Block fig d Street and Number where work is to be performed—No State work to be perforrned and purpose of building (By Floors 02,4e:e61/43.7..zere:AtiZe/Str edde,a New Building Remodeling Addition Repairs X No. of Stories.. .. 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 rum lement, and 65 con- plied with the provisions thereof, and will require similar compliance from all contractors o sub-contractors employed I y him in e wcrk performed under this permit; and will post or cause to be posted' for inspection on the s f the work such p notice 11 no icer as ar required by the Act. The undersigned agrees to employ only such sub-contractors, • k to be perfo 4 cis Fa, licensed by Miami Shores Village. Mat Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowiedgnients, personalr k 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 $1.00 will be made when such re-inspection is made by improper notice for inspection, or fault) materials and/or workmanship. CLOSETS BATH Tue. SHOWER• LAVA- TORIES S SLOP Stmt. LAUNDRY Tule URINALS CATCH IsA•IN FLOOR DRINKING DRAIN FOUNT'NS D 1411 . I t4 -(---- TOTAL FIXTI. RES ''... CONY Pt. LIT / -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HCATILPt DEEP WELL EiPP PLR. SYSTEM SW I AI •G POOL 1 COP/TR. LIST CHECK 1 • Permit No STATE OF FLORIDA, I as. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 $ t._° (sig NIA kV? 5 Capacity ■f_.,als.. My Commission Expires Notary Public, State of Florida Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit:cd for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miecl 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. Owner's Name and Address F/ No.- Streettee 96d Jegistered Architect and/or Engineer Employing Plumber's Name iiittli_rffraa_ No,iQ — - Location and Legal Description Lot Block fig d Street and Number where work is to be performed—No State work to be perforrned and purpose of building (By Floors 02,4e:e61/43.7..zere:AtiZe/Str edde,a New Building Remodeling Addition Repairs X No. of Stories.. .. 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 rum lement, and 65 con- plied with the provisions thereof, and will require similar compliance from all contractors o sub-contractors employed I y him in e wcrk performed under this permit; and will post or cause to be posted' for inspection on the s f the work such p notice 11 no icer as ar required by the Act. The undersigned agrees to employ only such sub-contractors, • k to be perfo 4 cis Fa, licensed by Miami Shores Village. Mat Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowiedgnients, personalr k 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 $1.00 will be made when such re-inspection is made by improper notice for inspection, or fault) materials and/or workmanship. GQ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Addre /# L ` tJ .24 Historically .:., a .: es ea Signature of owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON APPROVED: Zoning Building Mechanical Plumbing C.C.F Tax Folio Ins. Co. No er Permit # b tf Phone 9 f 9/ Address / 2-35 SS# ® Phone Contracting Co. / dor Qualifier � J // State #e TGU �C7 � S Munici # Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL.LUMBING ECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost (value) / WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a pennit 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 � pliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the wore ted. ,%/ 7V1C W m Notary as to Owner and/or Condo President Date Notary as t ontractor or Owner - Builder NOTARY Contractor or My Commission Expires: OFFICIAL NOTARY SEAL GLADYS) VILLAR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1,2002 I BOND Electrical TOTAL DUE Date fr Date Structural Engineer