Loading...
395 NE 97 St (8)Permit No ' ° C L= 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. 7# Owner's Name and Address 0 rte! !.- ALell Lti No 39._.c_ Registered Architect M l and/or A t%% t f' d 1�) Employing Plumber's Name 8� and Location end �.egal � �/ Street Street 67 umber w� L to be performed —No State work to be performed and purpose of building (By New Building.._..._ __.._.._......._.. Size Septic Tank__ Type of Tank__ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well... Nature of Water Supply: City —WeIL Size of Soakage Pit. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Itreet--.A/ .16 I $ Subdivision ' c ' /' °)tV 9s S nib_.. 7 37 Addition_..__ ___._ _ Repairs f -- No. of Stories.. (Signed)_ �± , - (Signed) Notary Public, State of Florida Plumbing Inspector. The undersigned applicant rag 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 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 he performed under this permit; and will post or cause to be posted' for inspection on the site of the work public notice or notices as are required by die Act. The undersigned agrees to employ only such sub-contractors, on •. to be y ; ,t . u , er the permit, as hue licensed by Miami Shores Village. 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 be 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 srrth trispeotian is asade•neemeary by improper notice far irpectto , at faulty material and /or workmanship. CLOSETS BATH TUBS aHOWERn LAVA- TORIES SINK• SLOP SINKS LAUNDRY Tuns U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS 7O•A.- PIiTUKtt CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL 8 SYSTEM SWIM-O POOL COMTR. LIST r-- --- CHECK Permit No ' ° C L= 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. 7# Owner's Name and Address 0 rte! !.- ALell Lti No 39._.c_ Registered Architect M l and/or A t%% t f' d 1�) Employing Plumber's Name 8� and Location end �.egal � �/ Street Street 67 umber w� L to be performed —No State work to be performed and purpose of building (By New Building.._..._ __.._.._......._.. Size Septic Tank__ Type of Tank__ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well... Nature of Water Supply: City —WeIL Size of Soakage Pit. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Itreet--.A/ .16 I $ Subdivision ' c ' /' °)tV 9s S nib_.. 7 37 Addition_..__ ___._ _ Repairs f -- No. of Stories.. (Signed)_ �± , - (Signed) Notary Public, State of Florida Plumbing Inspector. The undersigned applicant rag 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 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 he performed under this permit; and will post or cause to be posted' for inspection on the site of the work public notice or notices as are required by die Act. The undersigned agrees to employ only such sub-contractors, on •. to be y ; ,t . u , er the permit, as hue licensed by Miami Shores Village. 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 be 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 srrth trispeotian is asade•neemeary by improper notice far irpectto , at faulty material and /or workmanship. 1101 Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be oomplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date — c1 I ?? tenn// Q �. • _ __ ____ edLd% N o Street_ �1_? __ /C_!E _V Owner's Name and Address Registered Architect and /or Engineer — — Employing Plumber's Name No Street Location and Legal Description Lot Block Subdivision q Street and Number where work is to be performed —No. ,ems_[ ) r Q7 __ Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank _ _. Type of Tank Capacity Gals. Feet of Drain Tile V Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit 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 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. STATE OF FLORIDA, 1 COUNTY OF DADE. ss. ( Signed) ( Signed) Ja 1 1, Pl� My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or 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 II` SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK 1101 Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be oomplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date — c1 I ?? tenn// Q �. • _ __ ____ edLd% N o Street_ �1_? __ /C_!E _V Owner's Name and Address Registered Architect and /or Engineer — — Employing Plumber's Name No Street Location and Legal Description Lot Block Subdivision q Street and Number where work is to be performed —No. ,ems_[ ) r Q7 __ Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank _ _. Type of Tank Capacity Gals. Feet of Drain Tile V Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit 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 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. STATE OF FLORIDA, 1 COUNTY OF DADE. ss. ( Signed) ( Signed) Ja 1 1, Pl� My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date . _ ?P' 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 < ' ,f- — - ' . . . , No Street Registered Architect and/or Engineer Employing Plumber's Name State work to be performed and purpose of building (By Floors) N o New Building , Remodeling Addition Repairs STATE OF FLORIDA, t COUNTY OF DADE. SS. Type of Tank_ Size Septic Tank / Feet of DraM Tile Dist. Feet of Tank or Drain Field from Well (9- Amount of Permit $ /cd ( Signed) Street (Signed) Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No Street No. of Stories / Capacity Gals v" Nature of Water Supply: City—Well. Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida 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. 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 Master Plumber. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS • 41 TOTAL FIXTURES CONTR. LIST r'''' / / ...-...‘, , . . . / / • -- CHECK SEPTIC TANK SEWER CONN. DRAIN F I ELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SW I M • G POOL CONTR. LIST / / CHECK Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date . _ ?P' 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 < ' ,f- — - ' . . . , No Street Registered Architect and/or Engineer Employing Plumber's Name State work to be performed and purpose of building (By Floors) N o New Building , Remodeling Addition Repairs STATE OF FLORIDA, t COUNTY OF DADE. SS. Type of Tank_ Size Septic Tank / Feet of DraM Tile Dist. Feet of Tank or Drain Field from Well (9- Amount of Permit $ /cd ( Signed) Street (Signed) Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No Street No. of Stories / Capacity Gals v" Nature of Water Supply: City—Well. Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida 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. 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 Master Plumber. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. -'^ CLOSETS BATH TuSS SNOWIRe LAVA- TORIES SINKS SLOT SINKS LAUNDRY Tuns URL I CATCH BASIN FLOOR DRAIN Dr/INKING FOUNT NS -- TOTAL FI%TUREI � T— CONTR. LIST CHECK _ SEPTIC: TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HIATIR DEEP WILL SPRKLR. SYSTEM SWIM G POOL �_ CONTR. Liar CNICK Permit No / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitt d for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No - - Street-- Employing Plumber's Name "� ' No.____ _..... w .__ ___ Street-_ Location and Legal Description Lot ........... _._.__ _ .___ _Block___ ___ _. — _ _ _ _ Subdivision - .__. ___-.__ Street and Number where work is to be performed —No. __ . ( °. :__ Street- -_._.. _.._t State work to be performed and purpose of building (By Floors )— New Building __.._. Remodeling __._____- Addition_ ______ Size Septic Tank. _____ _Type of Tank_ — Feet of Drain Tle __.___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well — ____ Size of Soakage Pit.. Amount of Permit $. • — ---- (Signed) -- -- -- Repairs } 1 A Date Capacity Gals. • No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby cer.ify that he understands and accts his obliga +ions as ar, employer of labor under the Florida Workmen s Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and h ;s 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 mspection 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- contract rs, on work ;o be performed under, this I as an licensed by Miami Shores Village. r + . f' / < (Signed) ' alle 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. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare 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 f, ul materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 483 0 CONTRACTOR OR BUILDER B1 DATE 19 / Contractors , r , License No. ❑ Work to be performed under this Permit_ Subdi- vision Value of I Amount of 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 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. l 4 . Signed. BY • INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all 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 ac• cepting this permit I assum,`;ee * ponsitiility / #or gll done by either / myself, my agent, servant or employee. f .! ("/ ,r BY AUTHORITY AINOT PRINT PLUMBING ROOFING BUILDING ❑ ELECTRICAL ❑ PERMIT N° 15128 ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder .,, -.. ... �... Legal Lot 11 BI Description Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE___ . L 4 195 Contractor's License No 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 stroked 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 dds permit is ! granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulatioas': pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility f work done by his agents, servants or employees. Signed: ' ti,,, ;. .,, � BY r ✓ " INSPECTOR In consideration of the issuance to me of this permit I agree tosperform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, sta .ents or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permitt // assume for all work done by el a er, mm my agent, servant or employee. CONTRACTOR OR BUILDER Subdi- vision Value of Project $ Amt. of Permit $ BY AUTHORITY Date C /(,) 9 J Job Address / i) �/ C• 9 WORK DESCRIPTION ** * FEES: PERMIT APPROVED: Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Mechanical Legal Description iie, 9 7fr , 4 2 Owner / Lessee / Tenant /7W// • / z4_ Owner's Address ,15:5 1) a f �. Contracting Co. L Li. C' /4z P/Z , 05 Qualifier (�' ( � j' / /ems - 2/Phone �J Y / State t / - DJ14idnicipal # Competency # Ins.Co. stated. Tax Folio 1 . "1,2J ' / 5 C e rP 7 Master Permit # 1 17 /E 4 re / .c`Z©ty .49l / At.4-4 Oa ; /� ' / t o SA Square Ft. Estimated Cost(value) Phone Address 9,fr J C'% £.14i. //T Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN ` /%7 "-et / f� WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work V i A A /v {' h S ignature ot/ owner and /or Condo President Date: ( c�d9 } -3 Notary as to Owner and /or Condo President My Commission Expires: Signature o Date: ,. Ictor or Owner - Builder Not y as to Contractor or Owner- Builder My Commission ExpirQ ; ;t, SjAtE. I \ i?a',1OR EXP. NOV.13,199i r NER.4E. iNS. UNU, * * * * * * * * * * * * * * * ;3 RADON C.C.P. e - NOTARY TOTAL DUE ( :50 Fire Other Building Electrical Plumbing '' / Engineering ISSUE GATE (MM/DD/YY) :tA1.0116n. -4 - : — 6/10/93 PRODUCER • _ THIS CERTIFICATE1SISSUEDAS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOLPHIN INSURANCE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1775 S.W. 8 St MIAMI, FL . 33135 I COMPANIES AFFORDING COVERAGE • COMPANY A • NATIONAL INSURANCE CO. ' LETTER • COMPANY B THE TRAVELER'S INSURANCE CO. , LETTER INSURED COMPANY PLUMBING CORP. LETTER C — - CASTELLON 2830 S.W. 115th AVENUE MIAMI, FL 33165 COMPANY D I LETTER - .d.M � .. s . 1.^n < , COVERAGES _, :: r "" THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN COMPANY E 1 LETTER °".: r `' Li :,.: ,.: kw..... f _ ...«.. _. «,,..`3. ^�' sc � e ..+.E <.. a v: iuxFrYb. HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS CO TYPE OF INSURANCE POLICY NUMBER - '!POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR i DATE (MM /DO/YY) DATE (MM /DD/YY) ^ A I� GENERAL LIABILITY r f p GENERAL AGGREGATE $ 100 F 000 XXCOMMERCIAL GENERAL LIABILITY CLP 13585 6/23/43 6l 230 94 PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL & ADV. INJURY $ n OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 100 000 FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ LIMIT ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS WORKER'S COMPENSATION E ACH ACCIDENT $ V IX AND 087883090 -3 -90 11/6/92 11/6/93 1h O, ©0 DISEASE— POLICY LIMIT $ 500,000 EMPLOYERS' LIABILITY . 100000 DISEASE—EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF MIAMI SHORES ' EXPIFIBON DATE THEREOF, THE ISSUIN3 COMPANY WILL ENDEAVOR '"O MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 10050 NE 2 Avenue LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Miami Shores . LIABILITY • Y IND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ,Fla ■ i A HO��ENTATIVE ACORD 25 -S (7/90) t� � � - C ACORD CORPORATION 1990 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No G ) 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. f� j( (_ Ownei s Name and Address i 2� -�-- 521 12.- 11 - Street Registered Architect and /or Engineer Employing Plumber's Name . -- DLv No,. ,.......,,.,.., 8tlee ' .G Location and Legal Description Lot Block Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors) New Building .......... - -• - -.. Remodeling —_ _ _..__ Addition..- __ - - --. Repairs No. of Stories Amount of Permit $ STATE OF FLORIDA, u. COUNTY OF DADE. j (Signed) (Signed) Street.i/C 1 The undersigned applicant for this building permit does hereby certify that he understands under the Florida Worlanen's Compensation Act, being Section 5988, Compiled Ge • = al ws plied with the provisions thereof, and will require similar compliance from all •, . • actors • su performed under this permit; and will post or cause to be posted' for inspection o the site A f required by the Act. The undersigned agrees to employ only such sub - contra tors, • on licensed by Miami Shores Village. - Date el_ .�..._/ .-•• - -- "- - =•--_ ._ Subdivision. Capacity Gals Size Septic Tank_.-- - -_ -- --- of 'I'A Feet of Drain fib.`- '--- - -«" = - ' oI Xaaer or Drain Field from Well - Nature of Water Supply: City -Well. .---..Size of Soakage Pit and accepts his obligations as an employer of labor of Florida Pennane upplemenf-nnd hay- Aorn- b- contractors e him the work toy be the wo _notices as are k to per1'prmgd u . 1 , . permit, as are 9 /2 ( • Plumbing Inspector. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ....._ - ...... - •--- •--- • - - - -• -- ....._ _.. of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by hire stated are true. My Cozrunission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when iamb re- inspection is mede.neoessery by improper notice for inspectkm, or faulty materials and /or workmanahip. CLo.rrs BATH 'rues T SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUSE URINALS CATCH eAAIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTA. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE FIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•O POOL ago' CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No G ) 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. f� j( (_ Ownei s Name and Address i 2� -�-- 521 12.- 11 - Street Registered Architect and /or Engineer Employing Plumber's Name . -- DLv No,. ,.......,,.,.., 8tlee ' .G Location and Legal Description Lot Block Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors) New Building .......... - -• - -.. Remodeling —_ _ _..__ Addition..- __ - - --. Repairs No. of Stories Amount of Permit $ STATE OF FLORIDA, u. COUNTY OF DADE. j (Signed) (Signed) Street.i/C 1 The undersigned applicant for this building permit does hereby certify that he understands under the Florida Worlanen's Compensation Act, being Section 5988, Compiled Ge • = al ws plied with the provisions thereof, and will require similar compliance from all •, . • actors • su performed under this permit; and will post or cause to be posted' for inspection o the site A f required by the Act. The undersigned agrees to employ only such sub - contra tors, • on licensed by Miami Shores Village. - Date el_ .�..._/ .-•• - -- "- - =•--_ ._ Subdivision. Capacity Gals Size Septic Tank_.-- - -_ -- --- of 'I'A Feet of Drain fib.`- '--- - -«" = - ' oI Xaaer or Drain Field from Well - Nature of Water Supply: City -Well. .---..Size of Soakage Pit and accepts his obligations as an employer of labor of Florida Pennane upplemenf-nnd hay- Aorn- b- contractors e him the work toy be the wo _notices as are k to per1'prmgd u . 1 , . permit, as are 9 /2 ( • Plumbing Inspector. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ....._ - ...... - •--- •--- • - - - -• -- ....._ _.. of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by hire stated are true. My Cozrunission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when iamb re- inspection is mede.neoessery by improper notice for inspectkm, or faulty materials and /or workmanahip.