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PLUMBINGBUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Archi tect Contractor or Builder Legal Description i Lot Address of /„ } Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA DATE 4- - l 195 7 PERMIT N° 5 315 Contractor's License No. Bl. 6 Work to be performed under this Permit f T L • Subdi- vision Value of ,,r" 1 1 Amount of / �'-- Project $ /4 . i 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 IA- —J�4 INSPECTOR f ' with consideration of the issuance to me of this permit I agree to perform the work covered her nder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitt to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 1Y AUTHORITY 6 BUILDING ELECTRICAL PLUMBING Buildin ✓' ✓ + 1 ,� g l CONTRA MIAMI SHORES VILLAGE, FLORIDA P RM [T N? 6022 Wort; to be performed under this Permi DATE Architect �� Contractor j •�. / : i or Builder i i , • ,.,,e L .r] - i t.� Legal Lot Bl. Subdi- Description 1 vision Address of " . i f r / j Value of Building ^''" Project This pe . is granted to the contractor of 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 assumes the responsibility for a thorough knowledge of a ordinances and regulations pertaining to the work covered hereby whether shown on the plans o{ dr. wings or in the sta.•ar .pecif" ations and 1tt 1 assumes respon- sibility for work done by his agents, servants or employees. .. Signed By I PE •R In consideration of the issuance to me of this permit I agree to perform the work covered hereund: 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 assu i� a responsibility for all work done by either myself, my agent, servant or employee. BY `�% 19.4. Contractor's License No. Arnt. of Permit AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder / Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA RMIT N? 6052 Work to be performed under this Permit ., .' Subdi- vision DATE Contractor's License No i 94 Address of / Building This pe it is granted to the contractor or .uilder named above to construct the building or to install the equipment or d-vice described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed incompliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities: This Permit "hay 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 eond1tion upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a .thorough dtnnwledge , _ s dinances and mes respon- Value of Project Anit. of regulations pertaining to the work covered hereby whether shown on the plans or - dpwi s or in sta merits : or ecif 5 and sibility for work done by his agents, servants or employees. <'' Signed. l / " ? $y 06 IN EGTOR Y In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume ponsibility for all work done by either myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING BCulldinof l j') g Architect Contractor or Builder Legal Description Address of Building This pe .) Lot P RMIT N° 6022 Contractor's License No Work to be performed under this Permit t sibility for work done by his agents, servants or employees. MIAMI SHORES VILLAGE, FLORIDA DATE )6 t J 194_1 .7 1.; Bl. Subdi- vision Value of ' `yw Project Amt. of Permit is granted to the contractor . builder named above to construct the building or to install the equipment or device described it the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibil' for a *rough knowledge of a ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dr wings or in tl :Sta pecifi ations and t assumes respon- g L >. By Signed. � � � c � . INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunde/in compliance with al] rlinances and r gul$tiops pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities hr�ef Miami Shor Vrr'HHage. In accepting this permit I ass responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER 7' I' ( + BY AUTHORITY 4 1 ; r BUILDING DATE ( 1 f ,' 1946'_ ELECTRICAL P RM IT N2 6052 C ontractor's PLUMBING License No. ' 1 6 .:.i1 G� Work to be performed under this Permit 1-- 1 ' ° a .F e Owner of Building Architect • Contractor j 1 or Builder = „' i Legal Lot Description CONTRACTOR OE BUILDER MIAMI SHORES VILLAGE, FLORIDA / .- Lri ' fi 4. - Bl. Subdi- vision BY Y 4 33 AUTHORITY a Address of �' � - � - . Value of Amt. of 4 Building `' P Permit �� i � -�•• • This p rmit is granted to the contractor or builder namect above to construct the building or to install the equipment or d described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work wil 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 ofeordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in tie statements orspGcifitions and-At he flumes respon- sibility for work done by his agents, servants or employees. ; •''' { ,,,: Signed .r / /. a ` By . , r t INSPECTOR .t . , p fit' '' • In consideration of the issuance to me of this permit I agree to perform the work covered hereundetin Compliance with all ootddinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities Miami Shores Village. In accepting this permit I assume sponsibility for all work done by either myself, my agent, servant or employee. Permit No._-- _, _ ._- �:___ — __ - -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date __ -1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 1, ?., Owner's Name and Address___ ./42....?___ .�. 1 �� : --- �-- �)-- -`t - -� 1 - - Street '- -- Registered Architect and /or Engineer Employing Plumber's Name G'_.ft"a_ C _ ' 1 ( No._._ 3. / 1 't` Street w 1i - // y- - - < % -1 �)t' .t... Location and Legal Description Lot 7 ��_ _� -� � _Y Block ock _____ Subdivision_ ' ,�_ Street and Number where work is to be performed— No.___—_____ Street State work to be performed and purpose of building (By Floors ) _ _ L _..- New Building__.______. t Remodeling Addition Repairs Size Septic Tanks Feet of Drain Tile Amount of Permit $ ____ ss. No. of Stories Type of Tank Capacity Gals _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well ______ Size of Soakage Pit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumber. STATE OF FLORIDA, 1 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 $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, „ , i, • ,■ /',, TOTAL FIXTURES CONTR. LIST / 1 ._ / / ^� i , l / 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._-- _, _ ._- �:___ — __ - -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date __ -1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 1, ?., Owner's Name and Address___ ./42....?___ .�. 1 �� : --- �-- �)-- -`t - -� 1 - - Street '- -- Registered Architect and /or Engineer Employing Plumber's Name G'_.ft"a_ C _ ' 1 ( No._._ 3. / 1 't` Street w 1i - // y- - - < % -1 �)t' .t... Location and Legal Description Lot 7 ��_ _� -� � _Y Block ock _____ Subdivision_ ' ,�_ Street and Number where work is to be performed— No.___—_____ Street State work to be performed and purpose of building (By Floors ) _ _ L _..- New Building__.______. t Remodeling Addition Repairs Size Septic Tanks Feet of Drain Tile Amount of Permit $ ____ ss. No. of Stories Type of Tank Capacity Gals _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well ______ Size of Soakage Pit (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumber. STATE OF FLORIDA, 1 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. APPLICATION FOR PLUMBING PERMIT Permit No "' l.f Date Application is hereby made for the approval of the detailed statement of the plans and specifications her ith 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 Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot 7__1!_J 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 Size Septic Tank Feet of Drain Tile f r `S Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT ete P- Block Subdivision./.4 Type of Tank____ - (-- No /3 _l 1 Street "S Size of Soakage Pit ( Signed) Plumbing Inspector. The undersigned applicant for tl>'is building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) My Commission Expires Notary Public, State of Florida Master Plumber. Street Capacity Gals. STATE OF FLORIDA, 1 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 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 APPLICATION FOR PLUMBING PERMIT Permit No "' l.f Date Application is hereby made for the approval of the detailed statement of the plans and specifications her ith 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 Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot 7__1!_J 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 Size Septic Tank Feet of Drain Tile f r `S Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT ete P- Block Subdivision./.4 Type of Tank____ - (-- No /3 _l 1 Street "S Size of Soakage Pit ( Signed) Plumbing Inspector. The undersigned applicant for tl>'is building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) My Commission Expires Notary Public, State of Florida Master Plumber. Street Capacity Gals. STATE OF FLORIDA, 1 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. APPLICATION FOR PLUMBING PERMIT Permit No 4� " v V Date. Application is hereby made for the approval of the detailed statement of the plans and specifications her th 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__ j_t' i &... Registered Architect and /or Engineer Employing Plumber's Name '' f Location and Legal Description Lot 7___ 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 Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No 131 l _.1 L4 Street 'S r V 2 at P ' P _ Block 3 Subdivision /1Ia .Oe<"" L /t ` -4 Type of Tank__ __y% � < (Signed) (Signed) No . _,y Street ! I Dist. Feet of Tank or Drain Field from Well My Commission Expires Notary Public, State of Florida Street Repairs No. of Stories Capacity Gals P 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fault materials and /or workmanship. 1 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 APPLICATION FOR PLUMBING PERMIT Permit No 4� " v V Date. Application is hereby made for the approval of the detailed statement of the plans and specifications her th 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__ j_t' i &... Registered Architect and /or Engineer Employing Plumber's Name '' f Location and Legal Description Lot 7___ 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 Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No 131 l _.1 L4 Street 'S r V 2 at P ' P _ Block 3 Subdivision /1Ia .Oe<"" L /t ` -4 Type of Tank__ __y% � < (Signed) (Signed) No . _,y Street ! I Dist. Feet of Tank or Drain Field from Well My Commission Expires Notary Public, State of Florida Street Repairs No. of Stories Capacity Gals P 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fault materials and /or workmanship. 1 1 4 ot • t4 A r A 3 ;7 Permit No. 5 3 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othi'i structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address ._. Jack Blair No._ 42 Street N. E. 96th Street Registered Architect and /or' Engineer - - -._- --- •-- ._--- __.------ ._._____ _ __ _ Employing Plumber's Name . __ Stern __ &__daffsr___C.onstruction o.. - -- No..__. 2.54Q JTorth @ Miami Avenue Location and Legal Description Lot - __- ...... _.- ........ - ..... - -- _- Street and and Number where work is to be performed -No __42 N• __.____...__._ _... State work to be performed and purpose of building (By Floors) Installation of Date ---April.. 4--- ........ - - - - -.... -_ -_. Subdivision _-_ .... ......... Street. 96th Street well to supply water for lawn New Building ___. Remodeling Addition__. Repairs. No. of Stories Type of Tank_ _ _Dist. Feet of Tank or Drain Field from We1L. Nature of Water Supply: City -Well 2" wall - _wattar._lawnSize of Soakage Pit._ Size Septic Tank Feet of Drain Tile Amount of Permit $- 1 . 5 _ - - -- __ (Signed) - _-- _ -l.!" Capacity Gals ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations at, employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has c-L plied with the provisions thereof, and will require similar compliance from all contractors or sub co tractors employed by him in the work ro be performed under this permit; and will post or cause to be posted for inspection on the site of th / • ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work t' be performed under this permit, as an licensed by Miami Shores Village. STERN & ' ' W ONJOMPANY ( Signed). . J// Master Plumber. STATE OF FLORIDA, I as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the___._._. ......... .._. ....... ...... _ _.._ . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tat• 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 Lail materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT TOTAL FIETUREI CONTR. LIST C ■� SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM G POOL CONTR. LIST CHECK Permit No. 5 3 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othi'i structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address ._. Jack Blair No._ 42 Street N. E. 96th Street Registered Architect and /or' Engineer - - -._- --- •-- ._--- __.------ ._._____ _ __ _ Employing Plumber's Name . __ Stern __ &__daffsr___C.onstruction o.. - -- No..__. 2.54Q JTorth @ Miami Avenue Location and Legal Description Lot - __- ...... _.- ........ - ..... - -- _- Street and and Number where work is to be performed -No __42 N• __.____...__._ _... State work to be performed and purpose of building (By Floors) Installation of Date ---April.. 4--- ........ - - - - -.... -_ -_. Subdivision _-_ .... ......... Street. 96th Street well to supply water for lawn New Building ___. Remodeling Addition__. Repairs. No. of Stories Type of Tank_ _ _Dist. Feet of Tank or Drain Field from We1L. Nature of Water Supply: City -Well 2" wall - _wattar._lawnSize of Soakage Pit._ Size Septic Tank Feet of Drain Tile Amount of Permit $- 1 . 5 _ - - -- __ (Signed) - _-- _ -l.!" Capacity Gals ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations at, employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has c-L plied with the provisions thereof, and will require similar compliance from all contractors or sub co tractors employed by him in the work ro be performed under this permit; and will post or cause to be posted for inspection on the site of th / • ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work t' be performed under this permit, as an licensed by Miami Shores Village. STERN & ' ' W ONJOMPANY ( Signed). . J// Master Plumber. STATE OF FLORIDA, I as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the___._._. ......... .._. ....... ...... _ _.._ . of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all tat• 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 Lail materials and /or workmanship. f✓/ 7 ® Permit No STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank_._ _ __ __ __ - -- - -- -- Type of Tank ______ _ -- _ -- -- _ Feet of Drain Tile___. _ -- - -- -- - -• - - -- _ - ___Dist. Feet of T or Drain Field from Well._ Nature of Water Supply: City -Well. S 1 _ .. _ __ Ti‘ of Soakage Pit Date 2 - 3 C, Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th 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 worr-kk-.�� �rj/ r ,, �^ Owner's Name and Address. uA-S..-k— ea (1F -L- s No._ .- - - - - -- - - -__— Street / C- C eC S � 2 Registered Architect and /or Eng; r d -iN = C i �4 C _ Employing Plumber's Name No.. - _7' — — — _ _ Street . Location and Legal Description Lot Block_ /^ Subdivision_ Street and Number where work is to be performed -No T - c Street_ State work to be performed and purpose of building (By Floors ) _ - _ New Building _- ____ __ ___ __ ___ ____ Remodeling___ ° _ < -- -- -- -- Addition___- - _ _._ ____ __ _ Repairs_ ___ No. of Stories _ _. f _. . Capacity Gals. --,0-: - Amount of Permit $ _ _ - (Sed) _ - -�._ . -.- ,� . PLmb•ng In:pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob at1ons as an a nployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, rn1 1 as am plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin in the work to be performed under this permit; and will post or cause to be posted for inspection on the s . the work such public notice or no ices as are required by die Act. The undersigned agrees to employ only such sub- contractors, ork to be perfo. ed under this per nit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personall appeared to me well known, and who, being by me first duly sworn upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all •acts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS R INALS CATCH BASIN FLOOR DRAIN DRINKI NI FOU 'T'NB TOTAL F %TUREB corm'. LIST e 41t7 ( G o p CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK f✓/ 7 ® Permit No STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank_._ _ __ __ __ - -- - -- -- Type of Tank ______ _ -- _ -- -- _ Feet of Drain Tile___. _ -- - -- -- - -• - - -- _ - ___Dist. Feet of T or Drain Field from Well._ Nature of Water Supply: City -Well. S 1 _ .. _ __ Ti‘ of Soakage Pit Date 2 - 3 C, Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th 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 worr-kk-.�� �rj/ r ,, �^ Owner's Name and Address. uA-S..-k— ea (1F -L- s No._ .- - - - - -- - - -__— Street / C- C eC S � 2 Registered Architect and /or Eng; r d -iN = C i �4 C _ Employing Plumber's Name No.. - _7' — — — _ _ Street . Location and Legal Description Lot Block_ /^ Subdivision_ Street and Number where work is to be performed -No T - c Street_ State work to be performed and purpose of building (By Floors ) _ - _ New Building _- ____ __ ___ __ ___ ____ Remodeling___ ° _ < -- -- -- -- Addition___- - _ _._ ____ __ _ Repairs_ ___ No. of Stories _ _. f _. . Capacity Gals. --,0-: - Amount of Permit $ _ _ - (Sed) _ - -�._ . -.- ,� . PLmb•ng In:pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob at1ons as an a nployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, rn1 1 as am plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin in the work to be performed under this permit; and will post or cause to be posted for inspection on the s . the work such public notice or no ices as are required by die Act. The undersigned agrees to employ only such sub- contractors, ork to be perfo. ed under this per nit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personall appeared to me well known, and who, being by me first duly sworn upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all •acts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. 1 4 BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING ® PERMIT NQ 9702 Contractor's a�•.,tJ `,� ROOFING ❑ License No. - Owner of Building A 4 w+ Architect Contractor or Builder J-'' 'r L. ► • Legal Lot Description II Bl Address of d Q �' Building • �► , `� l i 1 Date � ' 3 19 G$ Ad.) • 7'0,4 4 5 f• T . Work to be performed under this Permit Subdi- vision Sq Ft Value of 11 Amount of Project $ Permit $ �O 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 plgns or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or emplo ees. _ Signed �"''� (I1Q11?ECTOR) BY In consideration of the issuance to me of this permit I ag ) to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawi 's, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permi IAssume responsibility for all work d. e by either, myself, my agent, servant or employee. e. CONTRACTOR or BUILDER BY AUTHORITY Permit No Ce 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 AddreuR Grimes N 42 NE 16 5 -- Nd. Shores._ .. Registered Architect and/or Engineer Q n n Employing Plumber's Name 0 ► .L � cy ri S e p t i n T 4 n U S n No .Q (1...�d10I_.111....s.. itrNR. iamb ... .3.�.b •• ,,,-„• • •- Location and Legal Description Lot Bloom Subdivision Street and Number where work is to NE 96 co be performed —No Street_ Miami Shores State work to be performed and purpose of building (By Floors ) __ New Building..__.._ --- •- ---- ....... -__ Remodeling___ _. —__ Addition_ Size Septic Tank___ Type of Tank—__ Feet of Drain Tile __322 s Q._ f t nt,.r_ Feet of Tank or Drain Field from Well Nature of Water Supply: City —Wells Size of Soakage Pit Amount of Permit $___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Dace. - °Gan _ _ 4 , 1983 Repairs Capacity Gals..._..._...__ (Signed) 3),-e):. P A ' 3L My Commission Expires Notary Public, State of Florida y �' • .� ��� No. of Stories . . . . .. . .. 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 liar com- piiesi 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 arr required by the Act. The undersigned agrees to employ only such sub - contractor, on work be performed under this \ermit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclowwledgments, perwnally 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 be 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 snob Mowed= is mech by improper notice for inspection. or faulty materials and /or workmanship. CLOUTS BATH Tull SHOWERS LAVA.. TORIES SINK[ SLOP SINKS LAUNDRY Tuns URINA CATCH BASIN FLOOR DRAIN ORINKINO FOUNT'N• TOTAL FIXTURES GONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FI&LD SOAKAOt PIT G TRAP SOLAR HEATER Mir WILL SPRKLR. SYSTEM t*IM'O POOL CONTR. LIST CHECK Permit No Ce 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 AddreuR Grimes N 42 NE 16 5 -- Nd. Shores._ .. Registered Architect and/or Engineer Q n n Employing Plumber's Name 0 ► .L � cy ri S e p t i n T 4 n U S n No .Q (1...�d10I_.111....s.. itrNR. iamb ... .3.�.b •• ,,,-„• • •- Location and Legal Description Lot Bloom Subdivision Street and Number where work is to NE 96 co be performed —No Street_ Miami Shores State work to be performed and purpose of building (By Floors ) __ New Building..__.._ --- •- ---- ....... -__ Remodeling___ _. —__ Addition_ Size Septic Tank___ Type of Tank—__ Feet of Drain Tile __322 s Q._ f t nt,.r_ Feet of Tank or Drain Field from Well Nature of Water Supply: City —Wells Size of Soakage Pit Amount of Permit $___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Dace. - °Gan _ _ 4 , 1983 Repairs Capacity Gals..._..._...__ (Signed) 3),-e):. P A ' 3L My Commission Expires Notary Public, State of Florida y �' • .� ��� No. of Stories . . . . .. . .. 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 liar com- piiesi 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 arr required by the Act. The undersigned agrees to employ only such sub - contractor, on work be performed under this \ermit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclowwledgments, perwnally 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 be 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 snob Mowed= is mech by improper notice for inspection. or faulty materials and /or workmanship. Miami Shores Village p Building Department M I EC E Q \�' p'g E D1 050 N.E.2nd Avenue, Miami Shores, Florida 33138 MAR. 1 2004 BUILD _I , -c PERMIT APPLICATION FBC 2001 Tenant/Lessee Name & -/i• Contractor's Company Name LL2YZ Contractor's Address . / D 3 «r City 1/4 I / 1 J State FL vk /D7? Qualifier LL7 L� L= G, e7CA $ Value of Work For this Permit /L/1• civ Tel: (305) 795.2204 Fax: (305) 756.8972 Type of Work: DAddition ❑Alteration ❑New Describe Work: / ' PLI4CC * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit N )m V (/— /0 l) Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 7Q ESL C' f14 Owner's Address A--k 96 ‹R-R- �,/ City M/rnni gi-OZE5 State FLD'2 /? Zip 33 /o-d' Phone # Phone # ,S - :7j 7,24 Job Address (where the work is being done) 701 A1- L- ' 94 7/-7 ,-,/ City Miami Shores Village County Miami -Dade Zip .2/3 -Y Is Building Historically Designated YES NO Phone # Zip .3/L Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: R epair/Replace ❑ Demolition Submittal Fee $ Permit Fee $ 11 S - CCF $ / ‘ D CO /CC Notary $5 z 'Q O Training/Education Fee $ 4.1 0 Technology Fee $ < +2/ Scanning $ Radon $ Zoning Bond $ d a Code Enforcement $ Structural Plan Review. $ 3ao l Total Fee Now Due $ td -ti � � o O (Continued on opposite side) Miami Shores Village .�. _Building Department RECEIVE _ g 050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit N 40 ' 0 6 Master Permit No. MAC 2004 BUILDS Q1 PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical ( Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) ROGAR Cam/ /14 E� Phone # 30-r L7S P 2'2( Owner's Address `. /ir 94.7-p/ City / l t 1 / / fl4/ . / I O & State FL /D ? Zip 33/3`V Tenant/Lessee Name &-4 Phone # Job Address (where the work is being done) ' / A1- L- ' 4 C T/-/ L� City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name LLOYZ / 7 7 - 0 02 Contractor's Address 7-SO /U- M). / O :Irk/ T City 1 ' / State / Ok /Lin Zip .3 311' P' Qualifier LL 72 7 L= G/ t;CI Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit / Type of Work: ❑Addition EAlteration ❑New Describe Work: R[PLI4CL Submittal Fee $ Permit Fee $ 11 S - CCF $ 1 () CO /CC Notary $ c 'Q 6 Training/Education Fee $ Lt 0 Technology Fee $ A , N 21 Scanning $ Radon $ Zoning Bond $ ' d a Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ d , f , O O Ids. l $ 1 . (Continued on opposite side) Phone # Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** R epair/Replace ❑ Demolition Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2004 -106 Printed: 4/2/2004 Applicant: DIANE Owner: GRIMES JOB ADDRESS: 42 Contractor Local Phone: 305 - 754 -3375 Parcel # 1132060130640 NE 96 Plumbing Permit GRIMES DIANE ST LLOYD NORTH DADE SEPTIC TANK SERVIONdNttactor's Address: 750 NW 107 ST Fees: Description Amount FEE2004 -3459 Building Fee $175.00 FEE2004 -3460 CCF $1.20 FEE2004 -3461 Notary Fee $5.00 FEE2004 -3462 Training and Education Fee $0.40 FEE2004 -3463 Technology Fee $4.37 FEE2004 -3464 Builders Bond $300.00 Total Fees: $485.97 Total Fees: $485.97 Total Receipts: $485.97 Permit Status: APPROVED Permit Expiration: 9/27/2004 Construction Value: $1,400.00 Work: REPLACE DRAINFIELD Signed: (INSPECTOR) Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 & W1/2 LOT 6 BLK 5 LOT SIZE 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor (*Builder) BY: Miami Shores Village Department II Di Q050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 MAR ; 2nait BUILDUstG Permit N m (a) ( 1` 0 6 PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type (circle): Building Electrical Mechanical Roofing Owner's Name (Fee Simple Titleholder) /RO &R &R / 11'1 Phone # ,� - A1` 2 4. Owner's Address �� /l. 9(, 77---/ <RREE City imam' .5f-IO,z.& -� State /CL D%2/ Tenant/Lessee Name it)-A- Zip 33 /3-r Phone # Job Address (where the work is being done) `/G AJ- L-- 76 7f-/ SIR t9 / City Miami Shores Village County Miami -Dade Zip a3/3 Is Building Historically Designated YES NO Contractor's Company Name L_Lorto k'o ;77-/ Dl Contractor's Address S0 iu w• / 177 �2! C� City 1 , /x'/19 / State /-L Uk / Qualifier LC- L7 &' C, Ck2 77 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit /`/`) Total Fee Now Due $ Li& 4 3 DO., o o - le-S. /1 4 aqq, (Continued on opposite side) Phone # Zip 3 3/L Square Footage Of Work: Type of Work: ❑Addition ['Alteration ❑New l s1 Repair/Replace ❑ Demolition Describe Work: REPL4CE "Dkie)/A1/ =/6-7-.) * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ 11 5 - CCF $ CO /CC Notary SS _'0 r Training/Education Fee $ L i o Technology Fee $ /, 3 1 Scanning $ Radon $ Zoning Bond $ ' () a 1 Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Q. Owner or Agent The foregoing instrument was acknowledged before me this 3/'4 - )i— day of IlAtiAri , 20O by 2C)66� (l,2.01E5 who is personally known r who has produced As identification and who did take an oath. NOT Sign: Print: My Commission Expires: � r P ,Anoatc "4 ry Bonded Thru Budget NotaServices t� , , A ��„ rj • LI My Commission+ Ex 0 (Certificate of Competency Holder) Certificate of Competency No. * * * * * * * * * * * * * * * * * * * * * * * * * * * *- * * ** * * ** - * * *. ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** State Certificate or Registration No. APPLICATION APPROVED . Y: Chc 12/15/03 NOTARY S Signature Contractor The foregoing instrument was acknowledged before me th i s / 1) day of Cyva , 20 Oci, by : L=3 E is personally Wju - r who has produced rant: entification and who did take an oath. 1 Plans Examiner Engineer Zoning MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 • i Building Inspection Request Date Type Insp'n Permit No. Company Phone # Inspection Date Approved Correction Re- Insp'n Fee Name OQ Jt Address / o� ` MIAMI SHORES VILLAGE BUILDING DEPARTME T 305- 795 -2204 Building Inspection Reques Date Type Insp'n Permit No. Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee