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PLUMBINGPermit No. l I ' 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 s ecified or no J . A co of ap roved plans and specifications must be kept at building during the progress of work. /0 / q Na l/'Y Street `v • %4 Owner's Name and Address New Building Amount of Permit $ f/.41€. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer Employing P1 bar's m : 3'46 /d / Location and Legal Description Lot 9 9 Block 4 Street and Number where work is to be performed — No. Y7 ' / • % AS Street State work to be performed and purpose of building (By Floors) No. 4 Street Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well Size of Soakage Pit • (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 complied 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. gn (Si d��� star Plumber. / . pes , oho ss. Date (5 ��/ // Subdivision tY 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 NOTE: A re- inspection fee of $25.00 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 FOUNTAINS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G. POOL CONTR. LIST CHECK Permit No. l I ' 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 s ecified or no J . A co of ap roved plans and specifications must be kept at building during the progress of work. /0 / q Na l/'Y Street `v • %4 Owner's Name and Address New Building Amount of Permit $ f/.41€. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer Employing P1 bar's m : 3'46 /d / Location and Legal Description Lot 9 9 Block 4 Street and Number where work is to be performed — No. Y7 ' / • % AS Street State work to be performed and purpose of building (By Floors) No. 4 Street Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well Size of Soakage Pit • (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 complied 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. gn (Si d��� star Plumber. / . pes , oho ss. Date (5 ��/ // Subdivision tY 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 NOTE: A re- inspection fee of $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date ob Address 3 L/7 S / - Tax Folio // � l D ' Legal Description /94010 43 ` ,41J aster Permit # � l t) Owner's Address Y N 6 7G Ste" Owner / Lessee / Tenant Phone ,757 '3 cy Contracting Co. 144 I )/1.? f (O `74_,/ 1177 Address /30/ / IV ( c-5' • Qualifier CA 02 Off' 6 � �. e e SS#; & Phone 3 -2 6.56 State4 Competency¢ _j WW/ Ins. Co/-2 ( '-S .net' Architect /Engineer Address Bonding Company Address Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGt: WORK DESCRIPTION :f ? T " /C / A Square Ft. Estimated Cbst .� % C20 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO nO 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 KECORDING YOUR NOTICE OF COMMENCEMENT). .pplication is hereby made to obtain a permit to do work and installation as indicated above, and .n the attached addendum (if applicable). I certify that all work will be performed to meet the .tandares of all laws regulating construction in this jurisdiction. I understand that separate 'emits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. JWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate•and that all work 'ill be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. signature of Owner and {•r Condo President , ate: otary a to ewer and o Ig' i n ORIDA .�30T�• �,i99e� y Commi ion Expires: L1Y �OfC4 SSI Z,p�S UND. * SONDE*114RU CENE1Rt. * ERMIT FEE: APPROVED: Fire � Zoning Building 9 _ Mechanical Plumbin Address 6://,/t/- -s;447,‹ Signatu Contractor or Own - Builder Date: Notary ' - to Contractor' or Owner-Builder My Comm ss Exp i re s :NOTARY 1 STATE IRIDA * * . BONDED TJ J I'i�1S. Other Electrical ') ?S)gILEngineering Permit No a22 MIAMO SHORES VILLAGE UMBING INSPECTION r!'EPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be perform:. —No Stream.. State work to be performed and purpose of building (By Floors)_ —._._ New Building--- _.__- _..__._......._.. Remodeling —_ ____ Addition.- --- _,..__._... Repairs 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 Lows 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. Owners s Name and Address ,F 7 15 4 ? C.,- No. 3zi % street _.A( ..2(t S L Registered Architect and /or Engineer 1 � l = ana l LZ .. YlUeg co itneLaidr, 2g..1,77 Lot /' Bloete SubdivWoa. ,, r ..tc/ 4A • No. of Stories Size Septic Task__. _Type of Tank Feet of Drain Tile _ D+3*- Feet of Tank ce Drain Field frown Well ...- .- --- __._---- _-- _- - - - - -- _ - - -•— Nature of Water Supply: City —Well. Sins cf Soakage Pit Amount of Permit i ---• .1 v � �! Plumbing Inspector. (Sim) 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 5966, Compiled General Laws of Florida Permanent Supplement, and ha c com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wori• to he 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 aura required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as sae licensed by Miami Shores Village. 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 construct ion, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therela by him stated are true. M Commission Expires Notary Public, State o l Florida er Plumber..... NOTE: A re- inspection fee of *1.00 will be made when soon railaspeed°. is ®ade'naoawrf by improper notice for impaction, er fates materials and /or wer CLOSETS BATH TUBS SHOWERS LAVA- TONICS SINKS SLOP SINKS LAUNORY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N® 1 TO °A L FIXTURES CONT'. LIST CHICK SEPTIC TANK SEWLR CONN. DRAIN FIELD BOAKAOI PIT G TRAP SOLAR HEATER DEEP WILL SPRKLR. SYSTEM SWIM' POOL Gown. LIFT 0,4 CC CHICK Permit No a22 MIAMO SHORES VILLAGE UMBING INSPECTION r!'EPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be perform:. —No Stream.. State work to be performed and purpose of building (By Floors)_ —._._ New Building--- _.__- _..__._......._.. Remodeling —_ ____ Addition.- --- _,..__._... Repairs 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 Lows 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. Owners s Name and Address ,F 7 15 4 ? C.,- No. 3zi % street _.A( ..2(t S L Registered Architect and /or Engineer 1 � l = ana l LZ .. YlUeg co itneLaidr, 2g..1,77 Lot /' Bloete SubdivWoa. ,, r ..tc/ 4A • No. of Stories Size Septic Task__. _Type of Tank Feet of Drain Tile _ D+3*- Feet of Tank ce Drain Field frown Well ...- .- --- __._---- _-- _- - - - - -- _ - - -•— Nature of Water Supply: City —Well. Sins cf Soakage Pit Amount of Permit i ---• .1 v � �! Plumbing Inspector. (Sim) 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 5966, Compiled General Laws of Florida Permanent Supplement, and ha c com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wori• to he 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 aura required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as sae licensed by Miami Shores Village. 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 construct ion, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therela by him stated are true. M Commission Expires Notary Public, State o l Florida er Plumber..... NOTE: A re- inspection fee of *1.00 will be made when soon railaspeed°. is ®ade'naoawrf by improper notice for impaction, er fates materials and /or wer ItBING ELEffittelkt PERMIT A N9 87 PLUMBING Owner of Building Architect and/or Engineer .4. NAME Contractor or NAME Proposed Location • Dated • 1 NAMG, ADDRESS •ti 4 J 5 41— ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT , 1 9 , 1 LICENSE NO. ( LICENSE NO. LOT BLOCK VISION NO. STREET , / / , ,.` ,_, ok '' t To . ;. This This permit is issued to ! , i f i- 4 i • A n.,._ the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications Asnag,thcktized by the building inspector. 1 to .0 . ,. .. 0' ......._,_ . „ _ 4-__,_ i .,z. ..1. $ AMOUNT RECD. PAYMENT ACCT. DEPT. i INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3541 Work to be performed under this Permit Bl. Subdi- vision DATE Contractor's License No. BY AUTHORITY 194 Address of Value of Amt. of - _ � ' Project Permit Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed• By INSPECTOR In consideration of the issuance to me of this permit I agree .tio perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict :onformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done 15y ,,either myself, my agent, servant or employee. Date Issued to to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at Fixtures OWNER aiami fhores llage F L 0 R 1 D A PLUMBING PERMIT Village Plumbing Inspector Received Payment by - LOT Fixtures $ Sewer $ Sepiic.TT.ank $ Total $ 1 BLOCK N9 1273 SUBDIVISION atntlatictG ELECTRICAt PERMIT A N° 87 PLUMBING O vner of Building A M Architect and/or Engineer ) • k ' 1 NAME • ) ' / Contractor or Bulder_ j LL NAME LOT , 1 BLOCK NO STREE This permit is issued to i / 1 r :' 'Li I i f . i, To the building above described, as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any,me upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications rtianthorized by the building inspectir. ,i , t ' ,,' ,p- / , 4. - ..e / Proposed Location _of $ AMOUNT Dated twa • - 4eL. .. k4r2- ,te 4 e ADDRESS 19 RECD. PAYMENT ACCT. DEPT. ADDRESS ADDRESS ISION MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT ; , / LICENSE NO. 4- .L•2 # )14 , • .4 LICENSE NO. r INSPECTOR II ) In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and ans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. t a i AL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. Apylication is hereby mace for the approval of the detailed statement of the plans and specifications herewith submitted for the building or . other serzrztJm herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, a=d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at bunting dosing progress of work. r I+ 1? d .0 . 1 T illiams 3 O .rneZ o Nasat2 and Address ____.__. °___________ No.__ Regi .1te.:ed Architect and /or Engineer___ ______ —_______________________- R ® So Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and. Legal Description Lot__--. .... ___--- _.____ ___ — Block 12/1/60 Date N.E. 96th St. Street Septic Tank 2552 W. 3rd Av . pialeah,Fla. Subdivision. Stssr~t €v -d Numbxz where work is to be performed-No 3 14 9 Street N E. 96th St. S^c?� worlh to be performed and purpcse of building (By Floors) N Remodeling__.. -- -- __ -- -- Addition Repairs No. of Stories. Size Septic Tank_ - ----- Type of --- Tank - Feet of Drain Tile___ 25 t Rely - ,$ - - Dist. Feet of Tank or Drain Field from Well Name of Water Supply: City - Well.-----_-.___ - _ ...... _-- ___..... ----- __ - - -- -Size of Soakage Pit Amount a# Permit $ --- (Signed)- Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has corn - plie% with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be peaformad under thin permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are revised by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Mimi Shores Village. Master Plumber. STATE 4 F FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to ma wet, known, and who, being by me first duly sworn, upon oath deposes and says that he is the.-._ or the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts thervin by him stated are true. My Ccnnn fission Expires Notary Public, State of Florida NOTE: A re-inspacticm fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty ¢c2a0. 4a!a and /or wcrkmnnship. CLZIUTG A7N TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CG .V h. L.ct' Cuis.x ~ j; QPTIC 'TA= SQWQR CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL Can't. LIST - CHECK Apylication is hereby mace for the approval of the detailed statement of the plans and specifications herewith submitted for the building or . other serzrztJm herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, a=d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at bunting dosing progress of work. r I+ 1? d .0 . 1 T illiams 3 O .rneZ o Nasat2 and Address ____.__. °___________ No.__ Regi .1te.:ed Architect and /or Engineer___ ______ —_______________________- R ® So Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and. Legal Description Lot__--. .... ___--- _.____ ___ — Block 12/1/60 Date N.E. 96th St. Street Septic Tank 2552 W. 3rd Av . pialeah,Fla. Subdivision. Stssr~t €v -d Numbxz where work is to be performed-No 3 14 9 Street N E. 96th St. S^c?� worlh to be performed and purpcse of building (By Floors) N Remodeling__.. -- -- __ -- -- Addition Repairs No. of Stories. Size Septic Tank_ - ----- Type of --- Tank - Feet of Drain Tile___ 25 t Rely - ,$ - - Dist. Feet of Tank or Drain Field from Well Name of Water Supply: City - Well.-----_-.___ - _ ...... _-- ___..... ----- __ - - -- -Size of Soakage Pit Amount a# Permit $ --- (Signed)- Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has corn - plie% with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be peaformad under thin permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are revised by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Mimi Shores Village. Master Plumber. STATE 4 F FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to ma wet, known, and who, being by me first duly sworn, upon oath deposes and says that he is the.-._ or the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts thervin by him stated are true. My Ccnnn fission Expires Notary Public, State of Florida NOTE: A re-inspacticm fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty ¢c2a0. 4a!a and /or wcrkmnnship. BU?LDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description Address of Building Lot Owner of Building _, CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE ` 194_7 PERMIT N9 3541 Work to be performed under this Permit Bi. Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed- By INSPECTOR In consideration of the issuance to me of this permit I agree to- perform the work covered hereunder in compliance with all gg�zjlinances and regu,Ja- +�d tions pertaining thereto and in strict conformity with the plans, aiuings, stare s or specifications submitted to the proper autbbbOies of Miami sh Village. In accepting this permit I assume responsibility for all w g ,,work done: uh¢c myself, my agent, servant or employee. Subdi- vision Value of Project Contractor's License No. AUTHORITY BUILDING ELECTRICAL PLUMBING Work to be performed under this Permit Owner of Building Architect Contractor or Builder�� Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 7836 Bl. Subdi- vision Value of Project This permit is grar_ted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all crdinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed • INSPECTOR BY , In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my, agent, servant or employee. Div DATE 194_ Contractor's License No. } Amt. of Permit AUTHORITY BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of I Building MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N° 15648 ❑ Work to be performed under this Permit_ Architect Contractor or Builder ` ! Legal Lot II BL Description CONTRACTOR OR BUILDER Subdi- vision ,,1t 4t" DATE '4 Contractor's License No. Address of -, a y Value of Amt. of Building 4 ` ` L f n i f Project $ Pe rmit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. P e S Signed: . BY iet INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent,.servant or employee. BY s AUTHORITY 195 Issued to OWNER t ILI to install the ftllowing described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story + � ' ` ti ' ' Lt f building at Fixtures Fixtures Sewer iami cfhores'9illage F L O R D A PLUMBING PERMIT N9 1273 Total $ �` LOT Village Plumbing Inspector Received Payment by BLOCK SUBDIVISION Work done by ddress of work Owner Se-tic Tail: - Plumbinc - Final When roady Received_ by Da to IJAS.?:CTION • Permit "Zo. Time _________•____.__ y ror Ga Routh Top out Permit No. ____ , i Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name _ Location and Legal Description Lot Street and Number where work is to be performed—No. work to be performed and purpose of building (By Floors) New Building Size Septic Tank _ y _'__ Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit: and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly ss. / My Commission Expires Type of Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building 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. / No.____ Street No. Street ti Block Subdivision 1 ' Remodeling___ ______. ___ Addition -_ Repairs Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. Capacity Gals. _ (Signed) Plumbing Inspector. reify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) authorized to administer oaths and take acknowledgments, personally appeared to me well known, and whn, 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 therein by him stated are true. • No. of Stories Master Plaamber. the same, and that 'all facts Notary Public, State of Florida Alb • 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 I LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST , CHECK Permit No. ____ , i Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name _ Location and Legal Description Lot Street and Number where work is to be performed—No. work to be performed and purpose of building (By Floors) New Building Size Septic Tank _ y _'__ Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit: and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly ss. / My Commission Expires Type of Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building 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. / No.____ Street No. Street ti Block Subdivision 1 ' Remodeling___ ______. ___ Addition -_ Repairs Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. Capacity Gals. _ (Signed) Plumbing Inspector. reify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) authorized to administer oaths and take acknowledgments, personally appeared to me well known, and whn, 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 therein by him stated are true. • No. of Stories Master Plaamber. the same, and that 'all facts Notary Public, State of Florida Alb • 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. 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. Permit No Owner's Name and Address ___.._:_:.____ No._____ . Street . N < Registered Architect and /or Engineer Employing Plumber's Name _________ _______ _ No Street Location and Legal Description Lot z Block 1. Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling_ Nature of Water Supply: City —Well. STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR PLUMBING PERMIT s s. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (Signed) Street Amount of Permit $_ (Signed) Addition Repairs. No. of Stories V' Size Septic Tank ¢ Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from 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 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 under signed agrees to employ only such sub - contractors, on work to be, performed under this 'permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally Master Pinmbef. 1 appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING' FOUNT'NSi TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST P / CHECK 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. Permit No Owner's Name and Address ___.._:_:.____ No._____ . Street . N < Registered Architect and /or Engineer Employing Plumber's Name _________ _______ _ No Street Location and Legal Description Lot z Block 1. Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling_ Nature of Water Supply: City —Well. STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR PLUMBING PERMIT s s. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (Signed) Street Amount of Permit $_ (Signed) Addition Repairs. No. of Stories V' Size Septic Tank ¢ Type of Tank Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from 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 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 under signed agrees to employ only such sub - contractors, on work to be, performed under this 'permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally Master Pinmbef. 1 appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. ______� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ______ '_____ No v . Street Employing Plumber's Name No.___-¢___. Location and Legal Description Lot Block 4 - 40, Subdivision_ 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 Repairs No. of Stories Registered Architect and /or Engineer Amount of Permit $ Type of Tank Size Septic Tank_ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit APPLICATION FOR PLUMBING PERMIT ss. The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit:; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, i COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT //• (Signed) Date Street -- Capacity Gals PLjfmbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) 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 therein by him stated are true. Notary Public. State of Florida 'l r r Master Plumber. authorized to administer oaths and take acknowledgments, personally foregoing application, and that he did sign the same, and that all facts NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST e CHECK • 6/ gg / 'i 71' : /° Permit No. ______� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ______ '_____ No v . Street Employing Plumber's Name No.___-¢___. Location and Legal Description Lot Block 4 - 40, Subdivision_ 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 Repairs No. of Stories Registered Architect and /or Engineer Amount of Permit $ Type of Tank Size Septic Tank_ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit APPLICATION FOR PLUMBING PERMIT ss. The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit:; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, i COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT //• (Signed) Date Street -- Capacity Gals PLjfmbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) 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 therein by him stated are true. Notary Public. State of Florida 'l r r Master Plumber. authorized to administer oaths and take acknowledgments, personally foregoing application, and that he did sign the same, and that all facts 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. .___' - - -_ i Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of work. Owner's Name and Address _„ Registered Architect a rd /or- Employing Plumber's Name _____ Location and Legal Description Lot e / 1 Street and Number where work is to be perfo State work to be perfor;rned and purpose of building (By Floors) New Building Size Septic Tank Feet of Drain Tile Nature of Water Supply: City — Well.______ .Size of Soakage Pit. Amount of Permit $ _ / [__, e + � q ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT of the detailed statement of the plans and specifications herewith submitted for the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein specified or not. A copy of approved plans and specifications must be kept at rmed —No. Remodeling No. / . • Block__ (t Street:____.) Addition Type of Tank F "` fit'c' _ Dist. Feet of Tank or Drain Field from Well._ No. Street_��` (Signed) (Signed) Repairs Date Street.__2�� . Subdivision. ' ' Capacity Gals. My Commission Expires Notary Public, State of Florida No. of Stories __/ Plumbing Inspor.,.. 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, i t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 matetials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DR INKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. .___' - - -_ i Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of work. Owner's Name and Address _„ Registered Architect a rd /or- Employing Plumber's Name _____ Location and Legal Description Lot e / 1 Street and Number where work is to be perfo State work to be perfor;rned and purpose of building (By Floors) New Building Size Septic Tank Feet of Drain Tile Nature of Water Supply: City — Well.______ .Size of Soakage Pit. Amount of Permit $ _ / [__, e + � q ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT of the detailed statement of the plans and specifications herewith submitted for the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division with, whether herein specified or not. A copy of approved plans and specifications must be kept at rmed —No. Remodeling No. / . • Block__ (t Street:____.) Addition Type of Tank F "` fit'c' _ Dist. Feet of Tank or Drain Field from Well._ No. Street_��` (Signed) (Signed) Repairs Date Street.__2�� . Subdivision. ' ' Capacity Gals. My Commission Expires Notary Public, State of Florida No. of Stories __/ Plumbing Inspor.,.. 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, i t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 matetials and /or workmanship. Penult No Application is hereby made for the approval cif the detailed etateanent of the plats 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, arzd all provisions of the Laws of the State of Florida, all ordiarances of Miami Shoes Village and all rules and regulations of the Building Division of Miami Shores Village shall he complied with, whether hersin specified or not. A copy of approved plans and specifications must be kept at building during progress of work. e l Oar's Name and Address Registered Architect and /ca Engin Zcaploying Pettmbcr's Nsotee A Location and Legal Descriptico Lat. Movie Street and Number where wont is to be p erfaxrmtsd 4 & State work to be pen-forma and gurpar a of but t (t I Lga )__._._ New Building..__..- -- _ . Rem CG' t. L10T SEPTIC TANK omaca Size Septic Tank Feet of Drain Tile s[WBR CONN. SHOWCFIS DRAIN PHILO Type cf Tank Met. F=3 of Tsh az fain teld N. =:n Well The undersigned applicant for this building permit does by acetify that he understands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5 , Compiled Genet= l Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contracts 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 undersi .«..• agrees to employ oar ». a sub - contractors, on work to pert under nit, as are licensed by Miami Shores Village. / ' Master Plumber. II e►iwg— _.— ._._...__ Ac�dlieia�. LAVA. TORIES SOAKAGE PIT My Co EtnOGYJO 5G8g1;11Z M00 AGE f um mav Sf'11 CT Old DEPARTMENT MPdOCAT0ON FOR PLUM Y IN PERM @INKS onesse TRAP 41" IILOP SINGS 1 Time SOLAR O 7 KAYCW LAUNORV DEW WELL MISSALS SPRKLR. SYSTEM 9 vr9 Repairs_ CATCH BASIN SW 1 M'0 P001. FLOOR DRAIN Subdiv Won._. __..Y.._ No. of Stories. ....... DRINKING FOUNT'NS _Capacity Gall. Notesy Babliet, State of Florida TOTAL FIXTURES STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a no3apy public„ d r,l, atefigained agniniKez oaths and r . a acknowledgments, personally appeared the to o f the above known, described d c who, brunt 119, tL me 2 ..se duly swam, d Ali and that he did sign the same, and that all facts o the desibconstruction, , B� he � 4' nod '�?� therein by him stated are true. NOTE: A re- inspectionu fee s1 81.1) will 1 as& teas U* 4 made•sseceasaly r tamper mike far inspection, or husky materials and /or PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date � a �% /� � . � ; � .lob Address � / Loo g4-- 14.4 Owner/Lessee / Tenant F Owners Address ,34 AiE ,4 Contracting Co. '0 b � S ' I�� e. 'm r' Address 1*() PE a 6 - Qua;:i8er o ,5' E yeI State # Municipal # 6u1- Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address My Commissi n Permit Type (circle one): BUILDING ELECTRIC WORK DESCRIPTION WARNING TO OWNE .: YOU MUST :' CORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY SUIT 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. xl FEES: PERMIT, RADON Not . as to Owner and/or Condo President APPROVED: Zoning Building Mechanical Plumbing 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 o r stated. y "`'1LL� t7WL�V�L. Signature of owner and/or Condo Presit v Date ,01-4-) q0-1 C.C.F. � 2° Signa Tax Folio /1 ,. 0 L q /6 Historically Designated: Yes Estimated Cost (value) ter ermit # one L'5.6S'. 1/ ') Electrical 1 No 7 7 3(7 Ins. Co. `' G MECHANICAL ROOFING PAVING FENCE SIGN C - 3/E-611; F 0 NOTARY BOND 0 TOTAL DUE ) (� e of Contra Date Notary as to ontractor,or Owner i Id f F E;:. n`3 Date My Commission Expiret u: G�"zy t USK:7.0 STA ^ y `."'.0 E 3 A cC;aLl %O i NO. CC7vl.) M i 7 ` — ' 7 .�j ") MTON c.',„5771. Structural Engineer Notes: Plan Approved STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number Scale: Each block represents 5 feet and 1 inch = 50 feet. DH 4018,1®+98 (Replaces HRS•H Form 4015 which may be used) (Stock NuM : 8744.0 - 4018. PART II - SITE PLAN- Site Plan submitted by: Signature Not Approved By County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT :title ',DSte Page 2 of 3 Company l REQUEST FOR INSPECTION PHON E Job Address Inspection Time Ready A.M. P.M. Date Ready Perm App strut and of buil OK Re En Lc St S r Permit No. Application is I:c'reby made for the a pproval of the Date__. __ .___ - ____� e 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 Ordinr.nce of Miami Shores Village, Florida, Lnd all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building of Miami Shores Village shall be complied with, whether herein specified or not. A copy g � building during progress of work. py of approved plans and specifications must be kept at Owner's Name and Address Registered Architect and /or Engineer No. Street to ' Em ------ -- -- - - -- Employing Plumber's Name __ �-' ---- -- - - - -- - - -- - -------------- - - - --- No------------------- Lccation and Legal Description Lot Street_ ___________ Street and Number where work is to be performed —No Block Subdivision_________ _ --------------- - - - - -- State work to be performed and purpose of building (By Floors) Street New Building Remodeling Addition Repairs _ - No. of Stories _. CONTR. LIFT CHECK CONTR. LIST CHECK CLOSETS BATH Tues SEPTIC SEWER TANK CONN. SHOWERS Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amour.: of Permit $ _ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT LAVA- TORIES SINKS I SLOP SINKS LAUNDRY TUBS URINALS (Signed) ___ :________ CATCH BASIN DRAIN SOAKAGE GREASE SOLAR FIELD PIT DEEP SPRKLR. SWIM'G TRAP HEATER WELL SYSTEM POOL - -- Type of Tank _ Dist. Feet of Tank or Drain Field from Well _- _ - - -- _ Size of Soakage Pit _. FLOOR DRAIN DFRINKING FO U NT'N3/ Capacity Gals. (Signed) The undersigned applicant for this building Plumbing Inspector. un�:er the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida t Permanent nt 1 employer Supplement, and has labor plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work performed under this permit; and will post or cause to be posted for inspection on the site of the work such I t, and has are required by the Act. The undersi to be licensed by Miami Shores Village. fined agrees to employ only such sub- contractors, on work to be perform d hundo�ic {hlor notices as are s Permit, as are Master Number - Before me, the undersigned authority, a notary public, duly acknowledgments, authorized to administer oaths and take acknowled - -- ----- -- ----- ---- - - - --- personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ___ o ay h e the he b him s azted ar tone. rustruction, that he has carefully read the foregoing application, and that he did sign e t h n the same, and that alI facts My Commission Expires — — Notary Public, State of Florida re-inspection NOTE: A wolcma necessary fee of X1.00 will be made when such re- inspection is made materials NOTE: A workmanship, by improper notice for inspection, or faulty TOTAL FIXTURES LOT: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR [ ,°] New System [ '•] Existing System [. ] Repair [ ' Abandonment APPLICANT: Ce, PROPERTY ADDRESS: BLOCK: SUBDIVISION: r• "`' - [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: 9 � / [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SAFTISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLIChET FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF T^! PROPERTY. SYSTEM DESIGN AND SPECIFIC TIM'S GALLONS/ GPD SEP5'tC TANK /AEROBIC UNIT GALLONS / GPD GALLONS GREASE INTERCEPTOR CAPACITY GALLONS DOSING TANK CAPACITY [ [ Holding Tank [0° ] Innovative [ Temporary [ ] D [ ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ' ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [ BED [ ] N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: [ ] INCHES EXCAVATION REQUIRED: [ ] INCHES CAPACITY MULTI- CHAMBERED /IN- SERIES [ ] CAPACITY MULTI- CHAMBERED /IN- SERIES [ ] [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] GALLONS @ [ ] DOSES PER 24 HRS C PUMPS [ ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT [INCHES /FT] [ABOVE /BELOW]- BENCHMARK /REFERENCE POINT 0 T H E PERMIT NO. 4 ; DATE PAID: FEE PAID: RECEIPT #:. SPECIFICATIONS BY: " TITLE: APPROVED BY: TITLE: CHD DATE ISSUED: EXPIRATION DATE: DH 4016, 12/99 (Page 1) (Previous Editions May Be Used) Page 1 of 3 pt. L: Health Department pt. 2: Applicant pt. 3: Installcr /Contractor pt. 3uilding D.partment INSTRUCTIONS: PERMIT NUMBER: Permit tracking number assigned by CPHU. CONSTRUCTION PERMIT FOR: Check type of permit, if "Other" specify type in blank. APPLICANT: Property owner's full name. SYSTEM DESIGN AND SPECIFICATIONS: TELEPHONE: Telephone number for applicant or agent AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. Box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY ID #: 27 character id number for property. (CHD may require property appraiser ID # or section /township /range/parcel number) TANK: Minimum specifications from Chapter 64E-6, FAC. DRAINFIELD: Minimum specifications from Chapter 64E-6, FAC. OTHER: Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed. APPROVED BY: County Health Department (CUD) personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by CHD EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued.