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37 NE 97 St (2)CONTRACTOR Name PC K) CiA' ■ A Name/5n/'�R1 ti �` 1V� J C Home Telephone ( 7 License No. (),/+ O5 n 9 2 l U Business Telephone Address k)(1) �� �uO4O N .c R \CIrA∎ 33166 Fax Telephone (335) n� 1 Fax (306)69R- q (J c Qualifier Name R ` r . id 1'�4._!b 1 Demolish PROPERTY OWNER Name PC K) CiA' ■ A Address 31 Ne- c r1 s+ Home Telephone ( 7 ) 95 q 3 95 , .\O Business Telephone Fax TYPE OF MANAGEMENT (1 ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken' to Obtain !a permit from the Miami Shores Village: Step I. • Complete the attached permit application which must be signed by the proper y owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 3 7 NE.. "1 1 1 3A Address Folio Number' 3 NO - 0 — Oct 60 Description of Work r dd - inn 14a.J s-Jec1(Q7�1 ) den Lot �� � 10 Block 1 OnC.I ?'1 1 o v I Subdivision PB PG Zoning 1 Linear Feet Current Use of Property Square Feet Units Floors as Proposed Use of Property Value of Work 1 OO. Bldg Value Tena,gt Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev PERMIT TYPE ( a/ )� Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. PERMIT CHANGE (J ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No. �1Ci 1 shole3 f 33le8 City State Zip ENGINEER 0 pc_ Name License No. Address Telephone Fax SECTION BY DATE Zonin: /' -. _ ��i IW.� ,/' IIMAPIEVM -/ 7 /' 0 MOB TZ. ?3 . L. 0 Electrical Mechanical Plumbin: WA' N�ATOM MOM I II Fire Public Works .. Structural ISM 4' a VJ 7 Building Official Page 4 OFFICE USE ONLY CIIOCKLIST O OWNER - BUILDER FORM (Attach) © FIRE DEPARTMENT APPROVAL (Commercial / multi - family) O CONCURRENCY (New Construction) O OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bono? Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review Notary 6'YL '2 8 OQ O PROOF OF OWNERSHIP (Attach) O HRS / DERM APPROVAL (Septic / Sewer) O IMPACT FEE (New Construction) O OTHER (Specify & Attach) PERMIT FEES (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION O CONDO ASSOCIATION APPROVAL (Attach) O BPR APPROVAL (Restaurants) O CONTRACTOR REGISTRATION (On File) ISSUING OFFICIAL TOTAL $ REVIEWED AND PREPARED BY: DATE: CONDITION OFAPPRiO't ∎L Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL a (305) 795 -2207 o FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com Page 2 'ORTANT'NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTEL I ED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. 1, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. Swo to and subscribed before me this ■ day of S gnature of No SEAL: Personally known iislAttiolFloOtancy Iglesias -G - s Commission # DD117024 j Expires May 13, 2006 '�F OQ.` Bon Thru ani1C Bonding Co., Inc. OR, Produced Identification Type of Identification Produced: PERMIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier 'A-,4,t./ /) j Print Name Sworn to and subscribed before me this 5 day of • \ L) I Uj V Signature of No Pul(lic - State of Florida ry "''% - Nancy Iglesias C ommissi - on # DD117024 - - - -- - tai Bonded Thru Atlantic Bonding Co.. Inc. Personally known OR, Produced Identification SEAL: Type of Identification Produced: Permit No Y! - i Amount of Permit $ STATE OF FLORIDA, } ss. COUNTY OF DADE. NOz?.& O SNORES MOddQ© PLUMING INSPECTION DEPARTMENT APPLOCA,VOCM FOR PO,MMI OM© PL I;°3MOT Location and Legal Description Lot___ -.__ ---- ___--- ----------- __Block 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 _ - -- ----- - --- - -- - -- Repairs_- __ Date - // -‘ s � 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 S f � • C.�_ � J �1V No. - - -_ - _._. Street _!!!__ - - - -/ __ - Registered Architect and /or Engineer ___________ Employing Plumber's Name _ \.Y4,i- -(�_IiL4GG /,-)%l /1 Gi� (� No. - - - - Street - Size Septic Tank_ Type of Tank Feat of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Subdivision _ ___. No. of Stories. _ .... Capacity Gals.... . .... . _ _..... _ (Signed) Plum bing 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 hint in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit. as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........... _ ... of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when mach re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. CLODQTO BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIDT CHQCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM J� / SWIM'G / POOL -..- CONTR. L INT CPC= ' Permit No Y! - i Amount of Permit $ STATE OF FLORIDA, } ss. COUNTY OF DADE. NOz?.& O SNORES MOddQ© PLUMING INSPECTION DEPARTMENT APPLOCA,VOCM FOR PO,MMI OM© PL I;°3MOT Location and Legal Description Lot___ -.__ ---- ___--- ----------- __Block 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 _ - -- ----- - --- - -- - -- Repairs_- __ Date - // -‘ s � 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 S f � • C.�_ � J �1V No. - - -_ - _._. Street _!!!__ - - - -/ __ - Registered Architect and /or Engineer ___________ Employing Plumber's Name _ \.Y4,i- -(�_IiL4GG /,-)%l /1 Gi� (� No. - - - - Street - Size Septic Tank_ Type of Tank Feat of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Subdivision _ ___. No. of Stories. _ .... Capacity Gals.... . .... . _ _..... _ (Signed) Plum bing 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 hint in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit. as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........... _ ... of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when mach re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. Permit No. Sizia Septic Tank___ ________ __ _ __ _ Feet of Drain Tile_____ Nature of Water Supply: City —Well. STATE OF FLORIDA, COUNTY OF DADE. NO.ANO SaO2ES VOIUGE PLUMBING INSPECTION DEPARTMENT .APpolCz DOE.9 POO 2 PLUNKING PEQMOT Date. . Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ether 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 d t__Be, Wit!�s > - • ° _- - - - --. - - No - -� C\- Street - -� - - . A Registered Architect and /or Engineer --- _ -_-_b -- - ___--- - a No._ Street -- Employing Plumbers Name . k • Location and Legal Description Lot — Block__ 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 Type of Tank Dist Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) __ Repairs Su No of Stories Amount of Permit $ -t ! - t9'0 - -- ------------- -------- (Signed)- - - - - -- - - t - -c.? The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Tabor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and Ilas 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. Capacity Gals. .. My Conunission Expires Notary Public, State of Florida Master Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 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 facts therein by him stated are true. NOTE: A re- inspection fee of $1.O0 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /az workmanship. CLODOTS BATH TUBS SHOWER O LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES C LIOT LIOT G� G y CHOCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LINT _ ..- CHOCK Permit No. Sizia Septic Tank___ ________ __ _ __ _ Feet of Drain Tile_____ Nature of Water Supply: City —Well. STATE OF FLORIDA, COUNTY OF DADE. NO.ANO SaO2ES VOIUGE PLUMBING INSPECTION DEPARTMENT .APpolCz DOE.9 POO 2 PLUNKING PEQMOT Date. . Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ether 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 d t__Be, Wit!�s > - • ° _- - - - --. - - No - -� C\- Street - -� - - . A Registered Architect and /or Engineer --- _ -_-_b -- - ___--- - a No._ Street -- Employing Plumbers Name . k • Location and Legal Description Lot — Block__ 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 Type of Tank Dist Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) __ Repairs Su No of Stories Amount of Permit $ -t ! - t9'0 - -- ------------- -------- (Signed)- - - - - -- - - t - -c.? The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Tabor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and Ilas 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. Capacity Gals. .. My Conunission Expires Notary Public, State of Florida Master Plumber Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 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 facts therein by him stated are true. NOTE: A re- inspection fee of $1.O0 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /az workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor % / n & PERMIT N? 6219 MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's License No. rformed under this Permi ; rte Bl. Legal Lot Description Building /Y�� 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 appli- cation 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 Pennit 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 assu,nies the jesponsYbility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans ora -Aving, /in the stat ens or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. / C�� 7 — Signed. L —f_,,, - <- B N 1 /.,, - /INSPECT6R In consideration of the issuance to me of this permit I agree to perform the work co hereunder in compliance with all ordinances anregg,ulA�tions pertaining thereto and in strict conformity with the Tans, drawings, statements or specifications submitted to the proper authE hies of Miami S e.§Willage. In accepting_ this pe it I as e responsibility for af1 wor done by either myself, my agent, servant or employee. CONTRACTOR OR 17ILDER BY AUTHORITY Ar Subdi- vision Value of Project Amt. of Permit 4 c o ` G�J� building during progress of work. Owner's Name and Address 1 ✓ ^' ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. ( -1 .-// �� Date ; Application is hereby Made far the approval of the detailed statement of the plans and specifications herewith submitted' or the building or"otliti 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 4 No Registered Architect and /or Engineer n- Employing Plumber's Name �✓� �� �! •• -�� - = No Street Location and Legal Description Lot Block Subdivision __ Street and Number where work is to be performed —No Street ' j State work to be performed and purpose of building (By Floors) New Building !__j” Remodeling 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) (24 Street 1 Notary Public, State of Florida Amount of Permit $W_ (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 perfonmed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / Master Plumber. 4 STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 FOU NT' NS Vy r • „ _ TOTAL FIXTURES CONTR. LIST G� I i i ( c ) y f ry � 7 Q ' 7 ' CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL 5OG(,. eC:f CONTR. LIST -I — -+ '___ CHECK building during progress of work. Owner's Name and Address 1 ✓ ^' ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. ( -1 .-// �� Date ; Application is hereby Made far the approval of the detailed statement of the plans and specifications herewith submitted' or the building or"otliti 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 4 No Registered Architect and /or Engineer n- Employing Plumber's Name �✓� �� �! •• -�� - = No Street Location and Legal Description Lot Block Subdivision __ Street and Number where work is to be performed —No Street ' j State work to be performed and purpose of building (By Floors) New Building !__j” Remodeling 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) (24 Street 1 Notary Public, State of Florida Amount of Permit $W_ (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 perfonmed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / Master Plumber. 4 STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. • 7 3 CZ.0 _„� UILDING 1.FCTRICAL MBING •r MIAMI SHORES VILLAGE, FLORIDA • Work to be performed under Owner of ��� , II Building Architect Contractor or Builder Legal Description v Lot RACTOR ° OR BUILDER PERMIT N? 5603 Bl. 7 this Permit 14,4/ Subdi- vision Address of 0 - ( Value of Amt. of Building ) ��-, - 0. Project 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 appli- cation herefor in strict compliance with all ordinances 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 knowle a of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in state cents or specifications � he assume respon- sibility for work done by his agents, servants or employees.. � �' �� INSPETOR Signed C� c a l/ �tf r2llr ( B y / (/� In consideration of the issuance to me of this permit I agree to, perform the work covered hereunder in compliance with�� and d,,,regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper auTSUll#ies of Miami hd s -Village. In a pting this permit I assume responsibility for all work done by either mys; my agent, servant or employee. C ...., r: `1i . DATE andel Contractor's Q� License No. 1917 AUTHORITY Permit No Owner's Name and Address State work to be performed and purpose of building (By Floors) New Building Z" Nature of Water Supply: City —Well //r Amount of Permit $___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 4. ss. (Signed) • Date_______(! Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specif building during progress of work. No Street Street Block__ Subdivision G / Remodeling Addition Repairs • My Commission Expires Notary Public, State of Florida iy i for the building gfotlher Shores Village, of the Building Division ications must be kept at Registered Architect and /or Engineer Employing Plumber's N__ L Ymg umers ame _ ' Location and Legal Description Lot / . u' Street and Number where work is to be performed —No Street No. of Stories Type of Tank Capacity Gals V Size Septic Tank � '' YP P Y =-- -« 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (� l (Signed) ) . Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before nie, 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 workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK 9 Permit No Owner's Name and Address State work to be performed and purpose of building (By Floors) New Building Z" Nature of Water Supply: City —Well //r Amount of Permit $___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 4. ss. (Signed) • Date_______(! Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specif building during progress of work. No Street Street Block__ Subdivision G / Remodeling Addition Repairs • My Commission Expires Notary Public, State of Florida iy i for the building gfotlher Shores Village, of the Building Division ications must be kept at Registered Architect and /or Engineer Employing Plumber's N__ L Ymg umers ame _ ' Location and Legal Description Lot / . u' Street and Number where work is to be performed —No Street No. of Stories Type of Tank Capacity Gals V Size Septic Tank � '' YP P Y =-- -« 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (� l (Signed) ) . Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before nie, 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 workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description Address of , Building / PERMIT N? 6219 Work to be performed under this Permit MIAMI SHORES VILLAGE, FLORIDA Bl. 'Subdi- vision Value of Project BY DATE Amt. of 1 �' Permit r 194_ License t s No �11 - g i t 1� / '' This permits granfed to the on actor 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 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 assns the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dr n m the state nts or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. „,,,, - ' ' Signed. �' ' ,� ! ° - .r --,s By '' ,.�--' SPEC R In consideration of the issuance to me of this permit I agree to perform the work co ed hereunder in compliance with all ordinances and,regulattions pertaining thereto and in strict conformity with the plans, drawings, statements or specifi ations submitted to the proper authorities of Miami Shares Village. In accepting this perynit I assume responsibility for a work done by either myself, my agent, servant or employee. 4 iii AUTHORITY UILDING LECTRICAL LUMBING MIAMI SHORES VILLAGE, FLORIDA DATE 194.x._ Contr'actor's License No. PERMIT N2 5603 Work to be performed under this Permit wner of uilding rchitect ontractor • Builder egal Lot Bl. Subdi- escription vision ddress of Value of Aint. of gilding___ _ __ Project 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 appli- tion herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 •rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- rility for work done by his agents, servants or employees. 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 rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Signed: By INSPECTOR CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING ❑' CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building Architect Contractor or Builder Legal Lot Description II B1 Na 6541 Work to be performed under this Permi DATE. 19 Contractor's License No. Subdi- vision Address of Value of 1 Amount of Building Project $ 1 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed. 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 4000T iJ1 v-c) r3J Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl>/bmitted 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. Street-. - -_ ..... - Registered Arehirnn► Date Permit No Application is hereby made This application approval is of in compliance con ormit with the Building OrdinancesobMiami building or other Florida, and structure ur herein described. This a isions of the Laws of the ppli is an all provisions State of Florida, all ordinances of t1 copy Ve of approved fication uilding kept at of Miami Shores Village shall be complied with, whe y� herein specified or no building during progress of work. ■ No. Owner's Name and Address -- Registered Architect and /or Engine r Employing Plumber's Name 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 -__ - -- - LAVA- TORIES GMQNO SNORES MOdLG°1©E PLUMBING INSPECTION DEPARTMENT QppdOCMOOnl FOR PLUMEONG PC RMO4 RAOIQNO SNORES MOLUOIE PLUMBING INSPECTION DEPARTMENT QppLOC WOOOJ FOR PLUM BONG o OGJ© PERMO4 SINKS SLOP SINKS LAUNDRY TUDB DEEP WELL URINALS SPRKLR. SYSTEM ( Signed) i_v No._ _5 Block_ CATCH BASIN SWIM•G POOL _ Addition Repairs FLOOR DRAIN Date_-__ CONTIA. LIOT CHaCK CONTR. LIOT CHOCK Siam Septic Tank Type of Tank Capacity Gals Feet of Drain Tile -10- - - - - - -- _Dist. Feet of Tank or Drain Field from Well 1 City Well -__- Size of Soakage Pit Nature of Water Supply: Y- Street Subdivision r - Street_.11' l; No. of Stories. / y �� • 4 ." ,Z2e, DRINKING FOUNT'NS TOTAL FIXTURES Amount of Permit $ 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 5886, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will oQca> similar compliance steel inspection o n site of the work sub-contractors such employed notice or notices are performed under this permit; and Po w rk o be erforme. under is nennitl as are required by die Act. The undersigned agrees to employ only such sub - contractors, yam P licensed by Miami Shores Village. ( Signed)- Master Plumber. -- Notary Public, State of Florida Plumbing Inspector. STATE OF FLORIDA, t COUNTY OF DADE. Q 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 on fee of $11.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty NOTE: A re-inspection materials and /or 'workmanship. Owner'o Name and Address ' Registered Architect and /or Engine r Employing Plumber's Name / j 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 Permit No 6 v I Date / / 1 a .L1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub fitted fo4 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, whet)r herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Size Septic Tank Feat of Drain ......... Nature of Water Supply: City —Well. Amount of Permit 0 My Commission Expires G axao SNORES 'OLUSE PLUMBING INSPECTION DEPARTMENT QPPdOCAVO ©N FOR PO,MMBOf 1© P�03G�O4 No. Block Stre / No.__7 / V Streets,_ d - - -- &-g- Subdi v_tfto�n g Street New Building Remodeling_____ _ Addition Repairs No. of Stories. Type of Tank___ Capacity Gals. st. Feet of Tank or Drain Field from 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-contractorsp w rk o be erforme under is per: i as are Hemmed by Miami Shores Village. ( Signed)._ STATE OF FLORIDA, ea. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of 01.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /az workmanship. CLOSETS BATH TUBS SHOWERS O LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUDB URINALS INALfl 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 CHQCR - Owner'o Name and Address ' Registered Architect and /or Engine r Employing Plumber's Name / j 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 Permit No 6 v I Date / / 1 a .L1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub fitted fo4 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, whet)r herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Size Septic Tank Feat of Drain ......... Nature of Water Supply: City —Well. Amount of Permit 0 My Commission Expires G axao SNORES 'OLUSE PLUMBING INSPECTION DEPARTMENT QPPdOCAVO ©N FOR PO,MMBOf 1© P�03G�O4 No. Block Stre / No.__7 / V Streets,_ d - - -- &-g- Subdi v_tfto�n g Street New Building Remodeling_____ _ Addition Repairs No. of Stories. Type of Tank___ Capacity Gals. st. Feet of Tank or Drain Field from 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-contractorsp w rk o be erforme under is per: i as are Hemmed by Miami Shores Village. ( Signed)._ STATE OF FLORIDA, ea. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of 01.00 will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /az workmanship. ,(LP Permit No ' ( � Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl omitted 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____ -. ' -iLva-)AJ No Street - Registered Architect and /or Engineer - •- --- -..-- --.-- _ - _ _ -- — - -- Employing Plumber's Name - -- - - - - � - � -- - � - - - - L a - - No.----- ----- - l am / 6 U � - -- -------- -- - - - - -- Street - - - w 7 Location and Legal Description Lot______ Street and Number where work is to be performed- No. -.1 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs Siam Septic Tank--- ----- --- - - - - - -- -------------------- --------- -- - -Type of Tank___ -- Capacity Gals Feat of Drain Tile r Z - --- - ----- ----- ----- - ----- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well Amount of Permit $- - - -- -- - - - My Commission Expires 0 0,arao SNORES VOEILGE PLUMBING INSPECTION DEPARTMENT appLOCla4UOm FO! PLURA o O © PIEQMOT - Block___ Subdivision Size of Soakage Pit (Signed) l (Signed). Date. Street No. of Stories P1.. Ling Inspec14< The undersigned applicant for this buildinr Permit does hereby certify that he understands and accepts his obligations .: s a employer of labor under the Florida Workmen's Compensation Act, egg Section 5966, Compiled General Laws of Florida Permanent S .ple• ent, and has com- plied with the Provisions thereof, and will require s., ilar compliance from all contractors or sub - contractors employed y .hint in the work to be performed under this permit; and will post or cause to posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to emp only such sub- contractors, on work to be performed under this permit, as are licensei by Miami Shores Village. STATE OF FLORIDA, I as. COUNTY OF DA/DE. 'minister oaths and take acknowledgments, personally appeared Before me, the undersigned authority, a notary public, duly authorized .- to me well known, and who, being by me first duly sworn, upon oath deposes and say:.. he is the of the above described construction, that he has carefully - - -- -- -- -.- therein by him stated are true. and that he did sign the same, and that all facts read the foregoing applic4 Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when ouch re-inspection is made•necessary by materials and/or ',workmanship. Tier notice for inspection, or faulty / , / f CLOOQ TO B ATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTD. LIOT CHOCK SEPTIC TANK SEWER CONN. DRAIN L FIED SOAKAGE PIT GREASE TRAP SOLAR HE ATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL co. NTO LIOT 3 2 -_- _ CHOCK ,(LP Permit No ' ( � Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl omitted 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____ -. ' -iLva-)AJ No Street - Registered Architect and /or Engineer - •- --- -..-- --.-- _ - _ _ -- — - -- Employing Plumber's Name - -- - - - - � - � -- - � - - - - L a - - No.----- ----- - l am / 6 U � - -- -------- -- - - - - -- Street - - - w 7 Location and Legal Description Lot______ Street and Number where work is to be performed- No. -.1 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs Siam Septic Tank--- ----- --- - - - - - -- -------------------- --------- -- - -Type of Tank___ -- Capacity Gals Feat of Drain Tile r Z - --- - ----- ----- ----- - ----- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well Amount of Permit $- - - -- -- - - - My Commission Expires 0 0,arao SNORES VOEILGE PLUMBING INSPECTION DEPARTMENT appLOCla4UOm FO! PLURA o O © PIEQMOT - Block___ Subdivision Size of Soakage Pit (Signed) l (Signed). Date. Street No. of Stories P1.. Ling Inspec14< The undersigned applicant for this buildinr Permit does hereby certify that he understands and accepts his obligations .: s a employer of labor under the Florida Workmen's Compensation Act, egg Section 5966, Compiled General Laws of Florida Permanent S .ple• ent, and has com- plied with the Provisions thereof, and will require s., ilar compliance from all contractors or sub - contractors employed y .hint in the work to be performed under this permit; and will post or cause to posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to emp only such sub- contractors, on work to be performed under this permit, as are licensei by Miami Shores Village. STATE OF FLORIDA, I as. COUNTY OF DA/DE. 'minister oaths and take acknowledgments, personally appeared Before me, the undersigned authority, a notary public, duly authorized .- to me well known, and who, being by me first duly sworn, upon oath deposes and say:.. he is the of the above described construction, that he has carefully - - -- -- -- -.- therein by him stated are true. and that he did sign the same, and that all facts read the foregoing applic4 Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when ouch re-inspection is made•necessary by materials and/or ',workmanship. Tier notice for inspection, or faulty / , / f le. Permit No.. MOA O SNORES VODUA©E PLUMBING INSPECTION DEPARTMENT QpPLICMIOk9 FOR PLUMBING PERMIT Date. l -... C- Y -1.Y ..._ --_ Application is hereby made for the approval of the detailed atatement of the plans and specifications herewith submitted for the building or other structure herein described. This application lz 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 regulation° of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not A Dopy of approved plane and apecificotionw must be kept of building during progress of work. Ownei a Name and Address Registered Architect and /or En Employing Plumber's Name Lacation 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)_ -ie ifs �� ...... . New Building Remodeling.___-- - - - - -- Addition_-- _... -- Repairs No. of Stories Size Septic Tar►k__. -- .____.___�______..____ _._.ypO of Tank__ Feet of Drain Tile.__ — —.._ _.Dist. Feet of Tank or Drain Field from Well .. Nature of Water Supply: City — Well.__---------- ..— _.-- . - - - - -- ._Sine of Soakage Pit numbing nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation ass an employer of labor under the Florida Workmen's Compensation Act, being Section 5888, Compiled General Laws of Florida Permanent S;i plement, and Ilan 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 cub-contractora, on work to be performed under this permit, as are licensed by Miami Shorea Village. Amount of Permit $ dark Su�dlvlaion--------- - - - - -- - -- z�id T St cat 41 2' . 2 STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorised to administer oathe and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that be haw carefully read the therein by him stated are true. ,4f • L . (Signed) _ (Signed) No. 7 Street... -2 Capacity Gals. ..... ..__ »_..._. __... Master Plumber. wee and says that he is the ...___........... regaling application, and that be did Dian the same, and that all facts My Commission Expires Notary Public, State of Flcaida NOTE: A re- inspection fee of $1.00 will be mmka wheal s lee-aelvcistiam b I '=ry by bnissecieeir ua2loa for inepecttoa, or faulty mateeiala and /ca wo8l +hip. 511.4/1° SLOP SIMKO LAUNDRY Tuoo URINALO CATCH DAOIN FLOOR DRAIN DRINKING FOUNT'NO TOTAL FIRTURDO CLOODITO BATH TUBTwat) $HOWaRO LAVA- TORI0O CONTR. LIOT CHOCK SCEPTIC TANK SaWCER CONN. DRAIN FICELD SOAKAOa PIT GRIfAA0 TRAP SOLAR HEAVER • rr. wacc BPRKLa. SYOTaM - POOL Coors. LIOT CHOCK le. Permit No.. MOA O SNORES VODUA©E PLUMBING INSPECTION DEPARTMENT QpPLICMIOk9 FOR PLUMBING PERMIT Date. l -... C- Y -1.Y ..._ --_ Application is hereby made for the approval of the detailed atatement of the plans and specifications herewith submitted for the building or other structure herein described. This application lz 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 regulation° of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not A Dopy of approved plane and apecificotionw must be kept of building during progress of work. Ownei a Name and Address Registered Architect and /or En Employing Plumber's Name Lacation 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)_ -ie ifs �� ...... . New Building Remodeling.___-- - - - - -- Addition_-- _... -- Repairs No. of Stories Size Septic Tar►k__. -- .____.___�______..____ _._.ypO of Tank__ Feet of Drain Tile.__ — —.._ _.Dist. Feet of Tank or Drain Field from Well .. Nature of Water Supply: City — Well.__---------- ..— _.-- . - - - - -- ._Sine of Soakage Pit numbing nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation ass an employer of labor under the Florida Workmen's Compensation Act, being Section 5888, Compiled General Laws of Florida Permanent S;i plement, and Ilan 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 cub-contractora, on work to be performed under this permit, as are licensed by Miami Shorea Village. Amount of Permit $ dark Su�dlvlaion--------- - - - - -- - -- z�id T St cat 41 2' . 2 STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorised to administer oathe and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that be haw carefully read the therein by him stated are true. ,4f • L . (Signed) _ (Signed) No. 7 Street... -2 Capacity Gals. ..... ..__ »_..._. __... Master Plumber. wee and says that he is the ...___........... regaling application, and that be did Dian the same, and that all facts My Commission Expires Notary Public, State of Flcaida NOTE: A re- inspection fee of $1.00 will be mmka wheal s lee-aelvcistiam b I '=ry by bnissecieeir ua2loa for inepecttoa, or faulty mateeiala and /ca wo8l +hip. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building PERMIT Architect Contractor or Builder ° f Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl N9 5677 Work to be performed under this Permit DATE 19 Contractor's License No. Subdi- vision Address of Value of Amount of Building Project $ II 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed. 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 as ceptinq this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY moor