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445 NE 96 St (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3 "L Job Address Cr Tax Folio // 2 '( /2 /Q 6� 1 / Legal �✓ � /, �'j �// �f al Descri tion / XJ L 054 9k W / / 4 /� lS 4 ��� 7' g Description i/!/ Owner / Lessee / Tenant _SL Owner's Address y�S' ti - & A. Phone Contracting Co. (/ ✓G of Address 3C/ sue„ ,S Qualifier % � 4 I< SS# Phone State # PL. Municipal it d Q ;V¢ Competency # 4',5 " Ins.Co. /44 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECT PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ` a ._ 3 Z Square Ft. Estimated Cost(value) /7?U m o 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 ygning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and /or Condo President Signature of Cont acto or Owner- Builder Date: Date: Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * * * * * * * * * * ** FEES: PERMIT RADON C.C.F. j'' NOTARY 5' TOTAL DUE Z, APPROVED: Zoning Mechanical Plumbin j44' ! /•�'% 11. / /� • _ y ✓L p / IMA Or .. otar as to C y Commission Master Permit #.53 ^FPH:•NE CHURCH i t r:f Co E °.• No. CC197545 Fire Other Buildin_ Electrical ngineering 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 s 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 Dopy of approved plans and specifications must be kept at building during progress of work. �/ { ® p Owner's Name and Address 7:12e0 • _ _ - /4/S � No.--- ,�,L —[ _ StreeL.LZ ' • s -- ... Registered Architect nd /or E eer 4-- Our.) � � v Employing Plumber's Name 5.. � 1 - ., . , Na.. F ._._.�........ Itrwl .. .... ' .. - fi• Location and Legal Description Lot. �f (f Bloc Subdivision S Street and Number where work is to be performed —No T 4 \\ Street...1V.. . c g — State work to be performed and purpose of building (By Floors) __.__ A Ck New Building. __._ Size Septic Tank._ Feet of Drain Tile Nature of Water Supply: City—Well. STATE OF FLORIDA, COUNTY OF DADE. 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank —Dist Feet of Tank or Drain Field from Well Size of Soakage Pit. Amount of Permits ` v i °61 ( Signed )--1 =. , 7. 14:06 ‘ 1V.0 . -- tay (Signed) Remodeling___ ._. _ __ Addition... Repelrs. 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 5986, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site th • sue , public notice or notices u are required by the Act. The undersigned agrees to employ only such sub- contractors, �� ' under this permit, its are licensed by Miami Shores Village. r Master Plumber. Before me, the undersignyt} as, a ngtary public no , duly authorized to administer oaths and take ackwledgments, personally appeared ESE e. to me well known, and who, being by me first duly sworn, upon oath deposes and says he is the.. of the above described construction, that be has carefully read 'the 'ffeereljc4ng app rhereinelltAllYiklAtufflifletf FLORIDA a tom MY COMMISSION EXPIRES SEPT , 20 1982 r- Y the same, and that all facts State of Florida NOTE: A re- inspection fee of *1A0 will be made wbms soda rod paotlas! i. aada•eaossmary by bumper notice far inspection, at faulty materials and /or worl®anship. GLO•tT• BATH Tuns S HOWERS LAVA. T sae SINK* SLOP SINKS LAUNDRY Tu•n U RINALS CATCH BASIN FLOOR DRAIN DRINK NO FOUNT'N• TOTAL FI %TYR CONTR. LIST f f Z CHICK ■ SEPTIC TANK SEWER CONN. DRAIN FItLD SOAKAGI PIT anemia TRAP SOLAR NEATER DRIP WILL SPRKLR. SYSTEM SWIM'O POOL Comm. I - t - a t ►$� 5 e, L CHICK .-- 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 s 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 Dopy of approved plans and specifications must be kept at building during progress of work. �/ { ® p Owner's Name and Address 7:12e0 • _ _ - /4/S � No.--- ,�,L —[ _ StreeL.LZ ' • s -- ... Registered Architect nd /or E eer 4-- Our.) � � v Employing Plumber's Name 5.. � 1 - ., . , Na.. F ._._.�........ Itrwl .. .... ' .. - fi• Location and Legal Description Lot. �f (f Bloc Subdivision S Street and Number where work is to be performed —No T 4 \\ Street...1V.. . c g — State work to be performed and purpose of building (By Floors) __.__ A Ck New Building. __._ Size Septic Tank._ Feet of Drain Tile Nature of Water Supply: City—Well. STATE OF FLORIDA, COUNTY OF DADE. 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank —Dist Feet of Tank or Drain Field from Well Size of Soakage Pit. Amount of Permits ` v i °61 ( Signed )--1 =. , 7. 14:06 ‘ 1V.0 . -- tay (Signed) Remodeling___ ._. _ __ Addition... Repelrs. 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 5986, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site th • sue , public notice or notices u are required by the Act. The undersigned agrees to employ only such sub- contractors, �� ' under this permit, its are licensed by Miami Shores Village. r Master Plumber. Before me, the undersignyt} as, a ngtary public no , duly authorized to administer oaths and take ackwledgments, personally appeared ESE e. to me well known, and who, being by me first duly sworn, upon oath deposes and says he is the.. of the above described construction, that be has carefully read 'the 'ffeereljc4ng app rhereinelltAllYiklAtufflifletf FLORIDA a tom MY COMMISSION EXPIRES SEPT , 20 1982 r- Y the same, and that all facts State of Florida NOTE: A re- inspection fee of *1A0 will be made wbms soda rod paotlas! i. aada•eaossmary by bumper notice far inspection, at faulty materials and /or worl®anship. Permit No../ al-2 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. Q Owners Name and Address 7i24 4 V DER AA .1-E N Street. Registered Architect and /or En Employing Plumber's Name -. Location and Legal Description Lot. ` t Street and Number where work is to be performed —No. 7 1 , 1 tr t 74reet State work to be performed and purpose of building (By Floors )_.__.._ . — New Building_ Remodeling ____ Addition..- _ Repairs Size Septic Tank Feet of Drain Tile Amount of Permit 3 STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT My Commission Expires _Type of Tank Nature of Water Suppl : City—Well. ize of • . *e Pit_ / �✓ Date...__. / .. 2_7 BlorI' _ Subdivision itiSCIPIL.,42:6243 C S Mar.!. No. of Stories...... f_r Capacity Gala.--- .._. - - - -• __.._.. _..__.. __Dist. Feet of Tank or Drain Field from Well lumbing 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 59138, 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, k to be performed under this per as are licensed by Miami Shores Village. f1 . 4 (Signed) Notary Public, State of Florida Muter 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 o a t h d e p o s e s and says that he is t h e . . 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. matenN'aOTE: re-inspection of $1.00 will be made when such re- Mapection is made'neoeasary by improper notice for inspection, or faulty CLOSETS BATH TUBS SHOWERS LAVA TORIES SINK• SLOP SINKS LAUNDRY TUB• URINALS CATCH BASIN FLOOR DRAIN DRINK NO FOUNT•NB . TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL. CONTR. LIST CHICK Permit No../ al-2 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. Q Owners Name and Address 7i24 4 V DER AA .1-E N Street. Registered Architect and /or En Employing Plumber's Name -. Location and Legal Description Lot. ` t Street and Number where work is to be performed —No. 7 1 , 1 tr t 74reet State work to be performed and purpose of building (By Floors )_.__.._ . — New Building_ Remodeling ____ Addition..- _ Repairs Size Septic Tank Feet of Drain Tile Amount of Permit 3 STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT My Commission Expires _Type of Tank Nature of Water Suppl : City—Well. ize of • . *e Pit_ / �✓ Date...__. / .. 2_7 BlorI' _ Subdivision itiSCIPIL.,42:6243 C S Mar.!. No. of Stories...... f_r Capacity Gala.--- .._. - - - -• __.._.. _..__.. __Dist. Feet of Tank or Drain Field from Well lumbing 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 59138, 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, k to be performed under this per as are licensed by Miami Shores Village. f1 . 4 (Signed) Notary Public, State of Florida Muter 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 o a t h d e p o s e s and says that he is t h e . . 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. matenN'aOTE: re-inspection of $1.00 will be made when such re- Mapection is made'neoeasary by improper notice for inspection, or faulty BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ Date '" 3 19 (7 PLUMBING ❑ PERMIT Np 8945 Contractor's 1 s z ROOFING ❑ License No. i ❑ Work to be performed under this Permit Building r; 1.1 Owner of — _ Architect Contractor or Builder Legal Description Address of Building s Lot I 131 4- ir Signed- CONTRACTOR or BUILDER BY e„,„ $ tab /c ,- Co p Subdi- vision Sq Ft Value of II Amount of Project $ II Permit $ t AUTHORITY 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 opa'tawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees/ / INSPECTOR) BY In consideration of the issuance to me of this permit I agree to ! rform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, s - ments or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done ., /eithe', myself, np'- agent, servant or employee. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ❑ DATE ❑ PERMIT N° 15815 ❑ Work to be performed under this Permit Architect Contractor Builder Legal Lot II Bl. Description Address of , Building ;1 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 dravtz or in the statements or specifications and tha he assumes respoJisj for work done by his agents, servants or employees. r -.. «,,� Signed: - BY � ! L , ... INSPECTOR In consideration of the issuance to me of this permit I agree to Virform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ BY Contractor's License No 195 Amt. of Permit $ . ....01111 AUTHORITY Owner of Building MIAMI SHORES VILLAGE, FLORIDA () BUILDING ❑ DATE > /( 195 Iti ELECTRICAL ❑ PERMIT N° 15752 Contractor's PLUMBING License No. ROOFING ❑ Work to be performed under this Permit aitol Re Ace Architect Q �' Contractor 1 or Builder /-1/0 y ��'"� �»» Legal Lot II M. Description Address of 4 ZS i ding t tic Signed: Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to coAstruct the buildin herefor in strict compliance with all ordinances pertaining thereto and with the understan drawings, statements or specifications that may have been submitted to and approved by time if the work is not done in compliance with such ordinances or if the plans are cha granted is the understanding that the contractor or builder named above a -•umes the pertaining to the work covered hereby whether shown on the plans or dra ing done by his agents, servants or employees. tio-9t3/41c,f- key 175:30713e install install the equi that the work will be pe e proper municipal authorities. d without authorization. A further esponsibility for a thorough knowled he statements or specifications a Amt. of Permit s m or device described in the applicallbn med in compliance with any plans, is Permit may be revoked at any ndition upon which this permit i of the ordinances and gulat' he assumes responsib• In consideration of the issuance to me of this permit I agree to per .rm the work covered hereunder in compliance all ordinances and r pertaining thereto and in strict conformity with the 'plans, drawings, state • is or specifications submitted to the proper authorities of Miami Shor In accepting this pfrmit I assume responsibility for all work ddt er,,yself, my agent, servant or employee. CONTRACTOR ?e . 4=4:) tt BY AUTHORITY ulations Village. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. ( Date February 17, 1954 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othe, 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. ,' 7 Owner's Name and Address. No._... Street Registered Architect and /or Engineer 1950 N. E. 153rd St. Employing Plumber's Name Modern._ _Septa- :-" Tank, _L :* No Street- - Subdivision- _--- __ -_ - - -- -- -_ -_ -- Street and Number where work is to be performed —No. 445 _ E. Street__ 96th Street Location and Legal Description Lot_._ Block~_ State work to be performed and purpose of building (By Floors)_ New Building X Remodeling Addition__. Repairs_ . -.._ No. of Stories Size Septic Tank Feet of Drain Tile .. 1 - 00 Nature of Water Supply: City —Well Amount of Permit $_ STATE OF FLORIDA, } ss. COUNTY OF DADE. 600 Gallon Type of Tank _ Precast Dist. Feet of Tank or Drain Field from WeIL Size of Soakage Pit ( Signed) (Signed) Capacity Gals. _ 600 ' 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 5988, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the 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 an licensed by Miami Shores Village. 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 lac therein by him stated are true. My Commission Expires Notary Public, State of Florida OTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul jars and /or workmanship. CLOSETS BATH TUBE SHOW[RO LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuee URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIKTUREI 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 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. ( Date February 17, 1954 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othe, 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. ,' 7 Owner's Name and Address. No._... Street Registered Architect and /or Engineer 1950 N. E. 153rd St. Employing Plumber's Name Modern._ _Septa- :-" Tank, _L :* No Street- - Subdivision- _--- __ -_ - - -- -- -_ -_ -- Street and Number where work is to be performed —No. 445 _ E. Street__ 96th Street Location and Legal Description Lot_._ Block~_ State work to be performed and purpose of building (By Floors)_ New Building X Remodeling Addition__. Repairs_ . -.._ No. of Stories Size Septic Tank Feet of Drain Tile .. 1 - 00 Nature of Water Supply: City —Well Amount of Permit $_ STATE OF FLORIDA, } ss. COUNTY OF DADE. 600 Gallon Type of Tank _ Precast Dist. Feet of Tank or Drain Field from WeIL Size of Soakage Pit ( Signed) (Signed) Capacity Gals. _ 600 ' 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 5988, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the 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 an licensed by Miami Shores Village. 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 lac therein by him stated are true. My Commission Expires Notary Public, State of Florida OTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul jars and /or workmanship. Size Septic Tank Feet of Drain Tile _____ Nature of Water Supply Amount of Permit $.- - - - - -- __ -- Application is hereb made for the approval of the detailed statement of the plans and specifications here v l submitted for the building or other . structure herein des bed. This application is made in compliance and conformity with the Budding Ordinance of Miami Shores Village, Florida and all provisions o 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. ..___. -- `' No.__.____ . _ Strq -_ 8 g p g rte, Registered Architect and /or Engi eer ........ N o Employing Plumber's Name..^:L _ L� Location and Legal Description Lot / ks,-. r Q f 4 Block if 6 _ Subdivision ! -. ._. :e _1 Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors)_ New Building. /.� Remodeling — Additioa_.._.___._....___._ Repairs. Dist. Feet of Tank or Drain Field from Well Well.: 1 _________ - - -- -- ---Size of Soakage Pi MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank._ Date __- ? 9 .....a (Signed) '_ -_ - _ Capacity Gals. No. of Stories ✓® P1 umbjI nspectc The undersigned applicant for this building permit does t ereby certify that he under r ds and accepts his obligations as r . employer of zbor under the Florida Workmen's Compensation Act, being Sectio. •' : a: • . _ r' - ner Laws of Florida Pennanent Supplement, and has%.-rm- plled 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 - contractor. •rk to be performed under this e..rnrit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .lppeare 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 iac therein by him stated are true. My Commission Expires Notary Public, State of Florida NOT 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 d /or workmanship. CLOSETS BATH T* UB SHOWERS LAVA• TORIES SINK* SLO► SINKS LAUNDRY T00S URINALS CATCH BASIN FLOOR DRAIN DRINK,NG FOUNT NS 2)55. 114-4 3 y� ' d. i : �_ '7 e TOTAL FIXTURE! -- LIST 1 ___1____ 7.4 CHECK //��, / •S 7rep / s® -1 5 __ SEPTIC TANK SEWER CONK. DRAIN FIELD SOAKAGE PIT GRIMM 'TRAP SOLAR NEATER SrRKLR. SYSTEM SWIM'S POOL }� 5/ I B S �9 : ` LIST CHECK _1---- / 4:1 — 0 i �j, f _ t uc✓ _ _�©' � a,_—= Size Septic Tank Feet of Drain Tile _____ Nature of Water Supply Amount of Permit $.- - - - - -- __ -- Application is hereb made for the approval of the detailed statement of the plans and specifications here v l submitted for the building or other . structure herein des bed. This application is made in compliance and conformity with the Budding Ordinance of Miami Shores Village, Florida and all provisions o 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. ..___. -- `' No.__.____ . _ Strq -_ 8 g p g rte, Registered Architect and /or Engi eer ........ N o Employing Plumber's Name..^:L _ L� Location and Legal Description Lot / ks,-. r Q f 4 Block if 6 _ Subdivision ! -. ._. :e _1 Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors)_ New Building. /.� Remodeling — Additioa_.._.___._....___._ Repairs. Dist. Feet of Tank or Drain Field from Well Well.: 1 _________ - - -- -- ---Size of Soakage Pi MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank._ Date __- ? 9 .....a (Signed) '_ -_ - _ Capacity Gals. No. of Stories ✓® P1 umbjI nspectc The undersigned applicant for this building permit does t ereby certify that he under r ds and accepts his obligations as r . employer of zbor under the Florida Workmen's Compensation Act, being Sectio. •' : a: • . _ r' - ner Laws of Florida Pennanent Supplement, and has%.-rm- plled 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 - contractor. •rk to be performed under this e..rnrit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .lppeare 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 iac therein by him stated are true. My Commission Expires Notary Public, State of Florida NOT 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 d /or workmanship. i 1 1 I I ! i 1 I 1 l i I T I I � � I _ : 4. I ' I I I ii / 7).1-1.2-c- iI . _ -1/ tt • • • Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. - Owner's Name and Address____ NELSON IL N.E. 96 st • No. _ Street Registered Architect and /or Engineer _____________ --- __- ----- -__ -_- - Employing Plumber's Name VICKERS WELL DRILLIN - - - - - — — - _ No. __ -- - -- Street_ Location and Legal Description Lot_______ ..... __ —_ - __ B Street and Number where work is to be perfo fed -No 141.1.5 N • E. 26 s t • State work to be performed and purpose of • • ' g (By Floors) _ New Building Remodeling Size Septic Tank Feet of Drain Tile Nature of Water Supply: City -Well 2u SUPPLY_SFR. Amount of Permit $ _ 3 • STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT A Type of Tank___ Capacity Gals ____Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)_ Date 2 - 3 C Subdivision Street Repairs No. of Stories. 10836 N.W. 7th ave. :j ir 4L 1 L tuni i pector. - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and Ilas coin - 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. 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 madq•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U 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 SW IM•G POOL CONTR. LIST - -- CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. - Owner's Name and Address____ NELSON IL N.E. 96 st • No. _ Street Registered Architect and /or Engineer _____________ --- __- ----- -__ -_- - Employing Plumber's Name VICKERS WELL DRILLIN - - - - - — — - _ No. __ -- - -- Street_ Location and Legal Description Lot_______ ..... __ —_ - __ B Street and Number where work is to be perfo fed -No 141.1.5 N • E. 26 s t • State work to be performed and purpose of • • ' g (By Floors) _ New Building Remodeling Size Septic Tank Feet of Drain Tile Nature of Water Supply: City -Well 2u SUPPLY_SFR. Amount of Permit $ _ 3 • STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT A Type of Tank___ Capacity Gals ____Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)_ Date 2 - 3 C Subdivision Street Repairs No. of Stories. 10836 N.W. 7th ave. :j ir 4L 1 L tuni i pector. - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and Ilas coin - 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. 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 madq•necessary by improper notice for inspection, or faulty materials and /or workmanship.