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55 NE 97 St (4)
Permit No.0.2 , 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 Shares Village, Florida, and all provisions of the Laws of the State of Florida, all ordinoncas of Miami Shares Village and all rules and regulations of the Building Division of. Miami Shores Village shall be complied with, why hen specified or not A copy of approved plans and specifications matt be of building during progress of work. �- Owner's Name and Address No. Stree2..�/nq 7,5,7 it gal Description ? Street and Number where work is to be performed —No New Building.._..._ —_- -.. Remodeling___._ ^ -__ Addition. Size Septic Tank_ Feet of Drain Tile. Nature of Water Supply: City—Well. &somas SMOQES dudda©E PLUMING INSPECTION DEPARTMENT .APPLocairo m I-OM PLUMB ONO PERMIT 4 or Engineer _ -- r ef, g f 3 gig My Coaaaneisaian (Si Repairs Type of Tonh ._— _.%21st. Feat of Tank or Drain Field from Well -..-----. - Size of Soahage Pit Date. Registered Architect and / EtnploYing rry fel A Al—s t=i ".71.„aAte,„. . - -- Subdivision State work to be performed and purpose of building (By Ferro)__._. C1,�- d -._ --- Fr No. of Stories.. ( Si g nOd) .t / Plumbing lisp ctor. ed applicant or this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under •e 'lorida Worlanen's Compensation Act, being Section 8886, Compiled General Laws of Florida Permanent Supplement, and IIdT com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the ware• to he performed under this permit; and will post or cause to be posted' far inspection on the site of the - oak P ch public notice or notices as are required by the Act The undersigned agrees to emplvy only ouch sub- ountractore, on work • . be t.-. armed under this permit, as arc lied by Miami Shama Village. STATE OF FLORIDA, i COUNTY OF DADE. Before me, the undersigned authority, a notary public, daily anthosized to administer oaths and take oclntowledgmento, perarrully appeared to me well known, and who, being by me first duly ownzn, upon cads at3p0:,.oj and soya that he is the - -_ - .._ .........._.. - - - -. _ _ ... — ._ _ - of the above described construction, that he has careMly rend tleo re�a agiiolicatiors, and that he did the tea, and that all foes therein by him stated are true. Rio rq li Sato 10 NOTE: A re-inspection fee of 01.00 will l= imiatb wat=1 t=5 G04:3113 4;7 caqpitgtcx c laeatcrialn o d /az warkssianahip. Master Plum fonCm CLoocTO a3ATH TUDO aHOWQRO LAVA- TORIQO 0,„3„0 g , Oi o LAUHOR Y TUDO URINALO CA TC DAOIPo H PLOOR DRAIN DRINKING FOUNT •NO TOTAL PInTORQO COPITO. LIOT _ - - CHQCa -- SCEPTIC TANK SQWQR Comm. DRAIN PIQLO BOAIAOQ PIT GRQAOQ TRAP SOLAR HQATQR DaaP WULL OPR MLR. OTOTQr Ota MVO POOL cavern. LIDT -- - -- - -- -- - - -- - — -- -- -- CNQCM Permit No.0.2 , 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 Shares Village, Florida, and all provisions of the Laws of the State of Florida, all ordinoncas of Miami Shares Village and all rules and regulations of the Building Division of. Miami Shores Village shall be complied with, why hen specified or not A copy of approved plans and specifications matt be of building during progress of work. �- Owner's Name and Address No. Stree2..�/nq 7,5,7 it gal Description ? Street and Number where work is to be performed —No New Building.._..._ —_- -.. Remodeling___._ ^ -__ Addition. Size Septic Tank_ Feet of Drain Tile. Nature of Water Supply: City—Well. &somas SMOQES dudda©E PLUMING INSPECTION DEPARTMENT .APPLocairo m I-OM PLUMB ONO PERMIT 4 or Engineer _ -- r ef, g f 3 gig My Coaaaneisaian (Si Repairs Type of Tonh ._— _.%21st. Feat of Tank or Drain Field from Well -..-----. - Size of Soahage Pit Date. Registered Architect and / EtnploYing rry fel A Al—s t=i ".71.„aAte,„. . - -- Subdivision State work to be performed and purpose of building (By Ferro)__._. C1,�- d -._ --- Fr No. of Stories.. ( Si g nOd) .t / Plumbing lisp ctor. ed applicant or this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under •e 'lorida Worlanen's Compensation Act, being Section 8886, Compiled General Laws of Florida Permanent Supplement, and IIdT com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the ware• to he performed under this permit; and will post or cause to be posted' far inspection on the site of the - oak P ch public notice or notices as are required by the Act The undersigned agrees to emplvy only ouch sub- ountractore, on work • . be t.-. armed under this permit, as arc lied by Miami Shama Village. STATE OF FLORIDA, i COUNTY OF DADE. Before me, the undersigned authority, a notary public, daily anthosized to administer oaths and take oclntowledgmento, perarrully appeared to me well known, and who, being by me first duly ownzn, upon cads at3p0:,.oj and soya that he is the - -_ - .._ .........._.. - - - -. _ _ ... — ._ _ - of the above described construction, that he has careMly rend tleo re�a agiiolicatiors, and that he did the tea, and that all foes therein by him stated are true. Rio rq li Sato 10 NOTE: A re-inspection fee of 01.00 will l= imiatb wat=1 t=5 G04:3113 4;7 caqpitgtcx c laeatcrialn o d /az warkssianahip. Master Plum fonCm Permit No. / S Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or alum 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. Size Septic Tank Feet of Drain Tile Nature of Water Supply; Cbty —Well. Amount of Permit $. MB�M0 SHORES VOL LA E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -- (Signed) (Signed) No d d Owner's Name and Address ___ _ Registered Architect and /or Engineer __ -' - ..-- _----- - - - - -- _ - _ - -- --- .----- ____ -• Employing Plumber's Name P 6 S P �— - Repairs. Date 0 -- �. Street Street Capacity Gals. Location and Legal Description Lot . Block_ _._... ._._.. Subdivision r Street and Number where work is to be performed —No ` _ __ _. -_._ ._ Street. .D State work to be performed and purpose of building (By Floors New Building _..--- •--- •----- • -• - -- Remodeling Addition_ .Type of Tank_ _ Dist. Feet of Tank or Drain Field from Well Size of Soakage Fie No. of Stories Plumbing Insrector. The undersigned applicant for this building permit does hereby cer,ify that he understands and accepts his obliga +Ions as at. employer of labor under the Florida Workmen's Compensation Act, being Section 8988, Compiled General Laws of Florida Permanent Supplement, and hal. :cxn- 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 r•rmit, as ars licence by Miami Shores Village. Master Plumber. STATE OF FLORIDA, so. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ..ppeare 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 tae• therein by him stated are true. My Commission Eapires Notary Public, State of Florida NOTE: A re- inspection fee of $1.04) will be made when such re- inspection is made necessary by improper notice for inspection, or f,.ul materials and /or workmanship. CLOSETS BATH TUBS gHOWERa LAVA• TORIES SINKS SLOP SINKS LAUNDRY 'rues RI CATCH BASIN VLOOR GRAIN DRINKING POUN- N4 TOTAL PIIITUREI CONTR. LIST - -- CHECK l IE SEPTIC 1 TANK SEWER CONN. DRAIN PLD -7— SOAKAGE PIT GREASE TRAP SOLAR HEATER MEP WELL SPRKLR. SYSTEM SWIM O POOL - -_— Coma. LIST' CHECK Permit No. / S Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or alum 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. Size Septic Tank Feet of Drain Tile Nature of Water Supply; Cbty —Well. Amount of Permit $. MB�M0 SHORES VOL LA E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -- (Signed) (Signed) No d d Owner's Name and Address ___ _ Registered Architect and /or Engineer __ -' - ..-- _----- - - - - -- _ - _ - -- --- .----- ____ -• Employing Plumber's Name P 6 S P �— - Repairs. Date 0 -- �. Street Street Capacity Gals. Location and Legal Description Lot . Block_ _._... ._._.. Subdivision r Street and Number where work is to be performed —No ` _ __ _. -_._ ._ Street. .D State work to be performed and purpose of building (By Floors New Building _..--- •--- •----- • -• - -- Remodeling Addition_ .Type of Tank_ _ Dist. Feet of Tank or Drain Field from Well Size of Soakage Fie No. of Stories Plumbing Insrector. The undersigned applicant for this building permit does hereby cer,ify that he understands and accepts his obliga +Ions as at. employer of labor under the Florida Workmen's Compensation Act, being Section 8988, Compiled General Laws of Florida Permanent Supplement, and hal. :cxn- 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 r•rmit, as ars licence by Miami Shores Village. Master Plumber. STATE OF FLORIDA, so. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ..ppeare 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 tae• therein by him stated are true. My Commission Eapires Notary Public, State of Florida NOTE: A re- inspection fee of $1.04) will be made when such re- inspection is made necessary by improper notice for inspection, or f,.ul materials and /or workmanship. Owner's Name and Address Registered Architect and /or Engin My Commission 1Sup h 8zGao SMOQES doaaQOE PLUMING INSPECTION DEPARTMENT QPPd06GJ1700h9 FOE PLWA[ ON© PEQMOT Permit No. Application is hereby made for the approval of the detailed statement of the piano and opecificationo herewith submitted for the building or other structure herein described. This application Jo made in compliant* and conformity with the Building Ordinance of Miami Show Village, lr 1,a31dn, and all provisions of the Laws of the State of Florida, all crdlnonaao of Miami Shores Village dnd all rules and regulation° of the Building DIvisilm of. Miami Shores Village shall be complied with, whether Ix n op fled a r nag. A copy of opprov piano and specificattu;n° muc2 62 kept as building during progress of wor �1�- L. G1®.. s Iorh // 1 �• • / an gal 6R� p oni.o2 ! ! tfyi Subd i ririoa.21: . /1/ Street and Number where work is to be performed —Rio Street_ A 8-7- Y -7 • 12. .. ....-... _ _ 0 O So c. work to be performed and purpose of building (By Fps)_ —. C - - .�� L� Cd1 / � :� .......... . ....__. c. New Building.._..._ — ---- ............. Remodeling-_-- - ..... - -- -- Addition----- - - - -._ Repairs No. of Storied to me well known, and who, being by me first duly owszn, upon troth &pa= and can that he to the of the above described construction, that Ito h o covefenlby I ffereestro appl mtCa % and that he therein by him stated arra true. Siam Septic Tank Type of 'Tonic— — - - - - Capacity Oils• - -- Feat of Drain Tile- -- -Dire. Feat of Tank as Drain Field from Well - ° --_ - _--- -- -.•-- - -- -•.- -. Nature of Water Supply: City —WoIL Size of age Pit_ Amount of Permit 0-71 (Sign d) W stre,..AZE . :._l7 Plumbing Inspector. The undersigned applicant for thin building permit does hereby certify that he understands and accepts his obligations as on employer of labor under the Florida Workmen's Compensation Act, being Section 381343, Compiled General Laws of Florida Permanent Supplement, and liaN cam- plied with the provisions thereof, and will require similar compliance from all oontractC O or sub - contractors employed by him in the woe,. o ha performed under this permit; and will post or cause to ba posed far inspection an the site of the work ouch public notice or notices ao are liontand by Miami Shores Village. • required by the Act. The undersigned agrees to employ only saw sub -coo on k p f • •' - under this permit, as are (Sim ) STATE OF FLORIDA, } es. COUNTY OF DADE. Before me, the undersigned authority, a notary public, daily authorized to administer oaths and take acknowledgment°, pestanally appeared otgsr the tea, anal thnt dfll foils EVa '% atOto e I Master Plumber. NOTE: A re-inspection fen (11.0 tn) a c c sh aDtpucatlEs b •r n y fmgrce t st` rt itreiv and/or wastortanship. CLOOQTO BATH TUDO 6MOWQRO LAVA• vomao 61NK0 GLOP Du o LAUNDRY Tuoo URINAL() CATCH DAWN PLOOR DRAIN DRINKING POUNT'NO TOTAL. P InTUq CO CONTR. LIOT — - - CHOCK •— f5QPTIC TANK eal7QR CONN. DRAIN PIQLO OOAKAGQ PIT GRQAOQ TRAP SOLAR HQATQR Dam. WALL OPRNLR. OTOTall OYs Ii' POOL I - COPTTR. LIOT r CNaCK Owner's Name and Address Registered Architect and /or Engin My Commission 1Sup h 8zGao SMOQES doaaQOE PLUMING INSPECTION DEPARTMENT QPPd06GJ1700h9 FOE PLWA[ ON© PEQMOT Permit No. Application is hereby made for the approval of the detailed statement of the piano and opecificationo herewith submitted for the building or other structure herein described. This application Jo made in compliant* and conformity with the Building Ordinance of Miami Show Village, lr 1,a31dn, and all provisions of the Laws of the State of Florida, all crdlnonaao of Miami Shores Village dnd all rules and regulation° of the Building DIvisilm of. Miami Shores Village shall be complied with, whether Ix n op fled a r nag. A copy of opprov piano and specificattu;n° muc2 62 kept as building during progress of wor �1�- L. G1®.. s Iorh // 1 �• • / an gal 6R� p oni.o2 ! ! tfyi Subd i ririoa.21: . /1/ Street and Number where work is to be performed —Rio Street_ A 8-7- Y -7 • 12. .. ....-... _ _ 0 O So c. work to be performed and purpose of building (By Fps)_ —. C - - .�� L� Cd1 / � :� .......... . ....__. c. New Building.._..._ — ---- ............. Remodeling-_-- - ..... - -- -- Addition----- - - - -._ Repairs No. of Storied to me well known, and who, being by me first duly owszn, upon troth &pa= and can that he to the of the above described construction, that Ito h o covefenlby I ffereestro appl mtCa % and that he therein by him stated arra true. Siam Septic Tank Type of 'Tonic— — - - - - Capacity Oils• - -- Feat of Drain Tile- -- -Dire. Feat of Tank as Drain Field from Well - ° --_ - _--- -- -.•-- - -- -•.- -. Nature of Water Supply: City —WoIL Size of age Pit_ Amount of Permit 0-71 (Sign d) W stre,..AZE . :._l7 Plumbing Inspector. The undersigned applicant for thin building permit does hereby certify that he understands and accepts his obligations as on employer of labor under the Florida Workmen's Compensation Act, being Section 381343, Compiled General Laws of Florida Permanent Supplement, and liaN cam- plied with the provisions thereof, and will require similar compliance from all oontractC O or sub - contractors employed by him in the woe,. o ha performed under this permit; and will post or cause to ba posed far inspection an the site of the work ouch public notice or notices ao are liontand by Miami Shores Village. • required by the Act. The undersigned agrees to employ only saw sub -coo on k p f • •' - under this permit, as are (Sim ) STATE OF FLORIDA, } es. COUNTY OF DADE. Before me, the undersigned authority, a notary public, daily authorized to administer oaths and take acknowledgment°, pestanally appeared otgsr the tea, anal thnt dfll foils EVa '% atOto e I Master Plumber. NOTE: A re-inspection fen (11.0 tn) a c c sh aDtpucatlEs b •r n y fmgrce t st` rt itreiv and/or wastortanship. t.. MIAMI SHORES VILLAGE, FLA. JOB_R �t -� , , k, r e__— ADDRESS " > 1. INSPECTION 2 3/ 1 e ' CIL � ° 4 $ TIME READY IGz i` "; <� ` ! ,0 < REMARKS: N9 5777 INSPECTOR DATE Permit No e4 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 V / 4.2 .1_ _ _ No. Street, 97 Registered Architect and/or Engineer ----- ,e2,e7z ZzAi6 _ 4/f 1 Employing Plumber's Name No._ 470 Street Location and Legal Description Lot__ ________ Block_ Subdivision Street and Number where work is to be performed—No._ ___ Street 9 7 State work to be performed and purpose of building (By Floors) New Building Remodeling _ Addition_ Repairs No. of Stories Siva Septic Tank_ Type of Tank Capacity Gals._ Feat of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - _ Size of Soakage Pit Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perii34ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors e ployed 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 Shoren Village. NOn.GM SNORES VOLLGIE PLUMING INSPECTION DEPARTMENT .APPLOCATOONI FOR MAKING PERMOT (Signed) k ( Plumbing Inspector. (Signed). Master Plumber. - • Date 2 STATE OF FLORIDA, I os. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well Imown, 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 $1.90 will be made when ouch re-inspection le mode necessary by improper notice for inspection, or faulty materials and/or workmanship. cLoaErra BATH TUBS SHOWER° LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINK I NG FOUNT' NS TOTAL FIXTURES corm. LIST CHECK — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTE SWIM 'G POOL CONTR. L I OT _— CHOCK Permit No e4 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 V / 4.2 .1_ _ _ No. Street, 97 Registered Architect and/or Engineer ----- ,e2,e7z ZzAi6 _ 4/f 1 Employing Plumber's Name No._ 470 Street Location and Legal Description Lot__ ________ Block_ Subdivision Street and Number where work is to be performed—No._ ___ Street 9 7 State work to be performed and purpose of building (By Floors) New Building Remodeling _ Addition_ Repairs No. of Stories Siva Septic Tank_ Type of Tank Capacity Gals._ Feat of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - _ Size of Soakage Pit Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perii34ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors e ployed 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 Shoren Village. NOn.GM SNORES VOLLGIE PLUMING INSPECTION DEPARTMENT .APPLOCATOONI FOR MAKING PERMOT (Signed) k ( Plumbing Inspector. (Signed). Master Plumber. - • Date 2 STATE OF FLORIDA, I os. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well Imown, 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 $1.90 will be made when ouch re-inspection le mode necessary by improper notice for inspection, or faulty materials and/or workmanship. BUILDING ❑ ELECTRICAL © FERMI PLUMBING ROOFING ❑ Address of Building Lot Owner of Building Architect Contractor or Builder Legal Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE° FLORIDA Bl. N? 9135 DATE 195 Contractor's License No Work to be performed under this Permit Subdi- vision Sq. Ft Value of Project $ j ; Amt. of Permit $ BY 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot II Bl. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 15758 ❑ Work to be per:ormed under this Permit Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ BY 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all 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. • BUILDING ELECTRICAL PLUMBING ROOFING 0 0 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building Architect Contractor or Builder - Legal Lot 11 Description Bl N9 5030 DATE 19 Contractor's License No. Work to be performed under this Permit_ Subdi- vision Address of Value of 1 Amount of Building Project $ 1 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed- $Y AUTHORITY 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 ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. A DOT • DATE ISSUED TO to install the following described pix:.mbing, the laws, statutes and regulations of Miami Florida and the State of Florida, govern' ng age work done in Miami Shores Village. Flora. FOR A f STORY AT FIXTURES SEWER SEPTIC TANK TOTAL 4 •4 M :C,MI SHORES VILLAGE FLA. • PLUMBING PERMIT FIXT URr S By 4 NO. 577 in accordance' with Shores Village, plumbing and drain - da„ BUILDING " Payment Received '','L1 ; • Village Plumbing Inspector This permit issued subject to approval of County Plumbing Inspector • MIAMI SHORES VILLAGE to install the following described plumbing, in accordance with the laws, statutes and regulations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drain- age work done in Miami Shores Village, Florida. FOR A STORY BUILDING AT FIXTURES SEWER SEPTIC, TANK / $ TOTAL VILLAGE PLUiMBING INSPECTOR 27 i ? 0 BY '1 CONTn. LIOT CHaCK CLOOOTO BATH TTwat) I gHOVIaRO LAVA- TORma SIPoKO SLOP 61NKO LAUNDRY Tuoo URINALO CATCH DAAIN P LOOP DRAIN DRINKING) POUNT•NO TOTAL P IJZTURaO ' 8 ' _ _ SEPTIC TANK SawaR CONK. DRAIN PIELO SOAKAOa PIT GRQAOa TRAP SOLAR HEATER MCP WRLL BPRRLR. SYDTa1 OwIM'O POOL Coon LIOT CHQCR I 9 Permit No Date. Jam I / 4 7 3 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 of building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name 191"/ Location and Legal Description Lot. Mori Street and Number where work is to be performed —No •5 5 At %% - q Street_ State work to be performed and purpose of building (By Floors)_._.---- -- - ---_----- / ---__._--- New Building Remodeling_ _ --- - -._._ Addition Repairs No. of Stories Size Septic T .____.__.�__— _____ —__— ____.ype of Tank__ Feat of Drain Tile_ - - -_ - - -- -Dist. Feat of Tank or Drain Field from Well Nature of Water Supply: City — Well.--- --------- -- -- - -- - - - - - -- ...Size of Soakage Pit Amount of Permit $ 1 16 � MLARAO SNORES VDd,QOC PLUMBING INSPECTION DEPARTMENT QPPLICMOONI FOR PWMM[MIG PERMIT A/Otes2f?/*/ p /LM' Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig1'ono as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and lies 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 ouch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to ba performed under this perinit, as are licensed by Miami Shores Village. STATE OF FLORIDA, f 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 of the above described construction, that he bas carefully mid the therein by him stated are true. 1 , No. (Sigma) Street. s J'-A/,E c 17 S Capacity Galo Subdlvtaton.----------- -• — _ -- Moateg Plumber. was and soya that he io the --- __ -- -. _.....- •- -- -..... miming applications, and that he did sign the same, and that all facts My Commission Ettpires Notary Public, State of Maids NOTE: A re- inspection fee of 61.00 will be Wanda whsm atal s trzi1 fo '»y by lkwp =Um? for az faulty materials and /ca workmanship. LA' MO&MO SNORES MOddzc'C PLUMBING INSPECTION DEPARTMENT MPLOCAUDOM FOR PO,M BONG PERM / SS.- Y Date - �— 3 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 regulation 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 he kept at building during progress of work. Owner's Name and Address. $ .. ) Registered Architect and /or Engineer --- — -. ... Employing Plumber's Name in i ' t t.&LA/ P�l +a� /31 A ''`X10..._ ., ,m., ®.. Eitnat.; 2 �i'o ow? N v q 5 J am. S ' f A street m 6 U 1� '� `' =a C— "\ .. . i,A.' . -(� State work to be performed and purpose of building (By Floors) _ -� � - - �. cd. �d` T0� �.... � .� l y New Building Remodeling_ _ --- Addition.- - -...- Repairs No. of Stories Location and Legal Description Lot. Stmt and Number where work is to be performed —No Siva Septic Tank - - -• -- - - — -- — - - -- - y� of Tank________ ........... _________ ....... ........ Capacity Gmis. Feat of Drain Tile - -- - - - -- -Dist. Feet of Tank or Drain Field from Well ..._.------- -_- _ -- Nature of Water Supply: City — Well.----------- •- - -• - -• - -- -Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent upplement, and lids 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 math of the above described construction, that be has carefully read the therein by hire stated are true. No. (Signed)_ street 5 -5 Air 9 7. —f- umbing Inspector. Sited) L-f`j a i C�Ci�'�a-C1JL 6.4 Master Plumber. emu and says that he is the...--- - -...- - -• . ... .. .. . ...... .. ...— --- revising application, and that he did sign the same, and that all facts My Conuniasion Expira3 Notary Public, State off lr le td NOTE: A re- inspection fee of 01.09 rafll ba made whao au r, a is tea' rwszTory by improper =SSW far kaispedithem. as faulty materials and/ca workmsnahip. LAVA- Temao SIPoKO SLOP 81WR0 LAUNDRY TUDO URI NALO CATCH O AOIN P LOOR DRAIN DRINKING POUNT'NO TOTAL PIXTURaO CLOOQTO BATH TUBO SHOW aRD CONTR. LIOT Cmacn SEPTIC TANK SawaR CONN. DRAIN PIaLD SOAKAOa PIT GREAOa TRAP SOLAR HEATER Dau WULL 9PRKLR. SYDTaIl OwI4•0 POOL � Coa•rR. i LIOT CHOCK MO&MO SNORES MOddzc'C PLUMBING INSPECTION DEPARTMENT MPLOCAUDOM FOR PO,M BONG PERM / SS.- Y Date - �— 3 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 regulation 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 he kept at building during progress of work. Owner's Name and Address. $ .. ) Registered Architect and /or Engineer --- — -. ... Employing Plumber's Name in i ' t t.&LA/ P�l +a� /31 A ''`X10..._ ., ,m., ®.. Eitnat.; 2 �i'o ow? N v q 5 J am. S ' f A street m 6 U 1� '� `' =a C— "\ .. . i,A.' . -(� State work to be performed and purpose of building (By Floors) _ -� � - - �. cd. �d` T0� �.... � .� l y New Building Remodeling_ _ --- Addition.- - -...- Repairs No. of Stories Location and Legal Description Lot. Stmt and Number where work is to be performed —No Siva Septic Tank - - -• -- - - — -- — - - -- - y� of Tank________ ........... _________ ....... ........ Capacity Gmis. Feat of Drain Tile - -- - - - -- -Dist. Feet of Tank or Drain Field from Well ..._.------- -_- _ -- Nature of Water Supply: City — Well.----------- •- - -• - -• - -- -Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent upplement, and lids 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 math of the above described construction, that be has carefully read the therein by hire stated are true. No. (Signed)_ street 5 -5 Air 9 7. —f- umbing Inspector. Sited) L-f`j a i C�Ci�'�a-C1JL 6.4 Master Plumber. emu and says that he is the...--- - -...- - -• . ... .. .. . ...... .. ...— --- revising application, and that he did sign the same, and that all facts My Conuniasion Expira3 Notary Public, State off lr le td NOTE: A re- inspection fee of 01.09 rafll ba made whao au r, a is tea' rwszTory by improper =SSW far kaispedithem. as faulty materials and/ca workmsnahip. Permit No -- _ - Street and Number where work is to he performed —No State work to be performed and purpose of building (By Floaas) MilAWO SCORES `r' OflL GE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building _— ..._.-- -_- ...... ..___ -.. Remodeling_— -- -_— Addition_ STATE OF FLORIDA, COUNTY OF DADE. Amount of Permit $ 8.00 (Signed) NOTE: A re- inspection fee of 01.00 will he made pi..:,.. such re-lnopection lo materials and /or workmanship. 7 1 E 3 . 9 7 _.... 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 hiiami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address Bp-b- S-t o b c No 55 LL,.,Ea....9.2 Gre g Registered Architect and /or Engineer Employing Pinta bn4 Nom Rose Sept c T a n k C th . P > 0 o Bo gtz 344 Location and Legal Description Lot Bloek 55 N 4 E o 97t.h str eat street_ Repairs Size Septic Tank_ Type of Tank —_ Feet of Drain Tile_— _ ____Dist. Feet of Tank or Drain Field from Well. _ - Nature of Water Supply: City—Well Size of Soakage Pit 1 =PO tx ilk No. of Stories Plumbing In. tor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin :lent Supplement, and has con_ plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e� ployed 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 .'ogee and says that he is the .----- .--- ...... •---- _ - - - of the above described construction, that he has carefully read the .regoing 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 Flcaide • Master Plumber. by Improper =Hap foaa inspection, oz faulty CLOSETS BATH TUBE SHOWERS LAVA• TORIES $IPoKS SLOP SINKS LAUNDRY TUB° URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS i TOTAL FIXTURES T CONTR. LIST CHECK —' SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR N EATER DEEP WELL SPRKLR. SYSTEM BWIM'G POOL C LIOT Llor 1050 ,E i nn , r � CHECK Permit No -- _ - Street and Number where work is to he performed —No State work to be performed and purpose of building (By Floaas) MilAWO SCORES `r' OflL GE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT New Building _— ..._.-- -_- ...... ..___ -.. Remodeling_— -- -_— Addition_ STATE OF FLORIDA, COUNTY OF DADE. Amount of Permit $ 8.00 (Signed) NOTE: A re- inspection fee of 01.00 will he made pi..:,.. such re-lnopection lo materials and /or workmanship. 7 1 E 3 . 9 7 _.... 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 hiiami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address Bp-b- S-t o b c No 55 LL,.,Ea....9.2 Gre g Registered Architect and /or Engineer Employing Pinta bn4 Nom Rose Sept c T a n k C th . P > 0 o Bo gtz 344 Location and Legal Description Lot Bloek 55 N 4 E o 97t.h str eat street_ Repairs Size Septic Tank_ Type of Tank —_ Feet of Drain Tile_— _ ____Dist. Feet of Tank or Drain Field from Well. _ - Nature of Water Supply: City—Well Size of Soakage Pit 1 =PO tx ilk No. of Stories Plumbing In. tor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin :lent Supplement, and has con_ plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e� ployed 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 .'ogee and says that he is the .----- .--- ...... •---- _ - - - of the above described construction, that he has carefully read the .regoing 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 Flcaide • Master Plumber. by Improper =Hap foaa inspection, oz faulty .Q Owner's Name and Address dtv Amount of Permit s_ — W z? lO SNORES ES VDLI,'.:AGE PLUMBING INSPECTION DEPARTMV -;' APPLOCATB ©f l Ron PRA ;,yl ONG " Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or. not. A copy of approved plans and specifications must be kept at building during progress of work. P _ Employing Plumber's Name 224& - -W 10th-ff., H♦A-E d4 - - -- No. Street. Registered Architect and /or Engine rA SEPTic micll<ta Block__ Subdivision Street and Number where work is to be performed— No.___` i _ 7 Street Location and Legal Description Lot_ - ________________ Street_ / ,ace ' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition._ Size Septic Tank Type of Tank Capacity Gals.__._. - Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit (Signed)_ Repairs The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Su plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed performed under this permit; and will post or cause to be posted for inspection on the site of the work such public required by the Act. The undersigned agrees to employ only such sub- contractors, ork to be per foied u licensed by Miami Shores Village. (Signed No. of Stories. Plu .ing Inspec or: STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida eUbelk. /962- a ployer of labor , and has com- in the work to be or notices as are s permit, as are Master Plumber. NOTE: A re- inspection fee of 01.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /ea workmanship. CLOSETS BATH Tu88 SNOWQRO LAVA- TORIES S INKS SLOP SINKS LAUNDRY TUBS URINALS 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 SWIM'G POOL - __ - -- CONTR. LIDT / 9 / CHECK .Q Owner's Name and Address dtv Amount of Permit s_ — W z? lO SNORES ES VDLI,'.:AGE PLUMBING INSPECTION DEPARTMV -;' APPLOCATB ©f l Ron PRA ;,yl ONG " Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or. not. A copy of approved plans and specifications must be kept at building during progress of work. P _ Employing Plumber's Name 224& - -W 10th-ff., H♦A-E d4 - - -- No. Street. Registered Architect and /or Engine rA SEPTic micll<ta Block__ Subdivision Street and Number where work is to be performed— No.___` i _ 7 Street Location and Legal Description Lot_ - ________________ Street_ / ,ace ' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition._ Size Septic Tank Type of Tank Capacity Gals.__._. - Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit (Signed)_ Repairs The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Su plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed performed under this permit; and will post or cause to be posted for inspection on the site of the work such public required by the Act. The undersigned agrees to employ only such sub- contractors, ork to be per foied u licensed by Miami Shores Village. (Signed No. of Stories. Plu .ing Inspec or: STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida eUbelk. /962- a ployer of labor , and has com- in the work to be or notices as are s permit, as are Master Plumber. NOTE: A re- inspection fee of 01.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /ea workmanship. 7 Permit No Employing Plumber's Name Size Septic Tank Feet of Drain Tile MIAMI SHI=RES 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 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 Stree ��� ,C7 1/ Registered Architect and/or Engineer / C l N o._ j ; Street /� =- 1 - f r Block 7 Subdivision_ __ „ dam . . , Location and Legal Descriptidn Street and Number where work is to be performed —No Street._ Date C`T ype of Tank Capacity Gals State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs No. of Stories ' (1 I n r r _ �If Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City Well Size of Soakage Pit. Amount of Permit $ -- o — — - (Signed) Lt. i .o'.. , ,,. y 1/7 Plum bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit() as licensed by Miami Shores Village. STATE OF FLORIDA, ss. 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. (Signed are 2 aster Plumber. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK yy "1 0 �" 4 p Z / t �' �: I 7 Permit No Employing Plumber's Name Size Septic Tank Feet of Drain Tile MIAMI SHI=RES 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 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 Stree ��� ,C7 1/ Registered Architect and/or Engineer / C l N o._ j ; Street /� =- 1 - f r Block 7 Subdivision_ __ „ dam . . , Location and Legal Descriptidn Street and Number where work is to be performed —No Street._ Date C`T ype of Tank Capacity Gals State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs No. of Stories ' (1 I n r r _ �If Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City Well Size of Soakage Pit. Amount of Permit $ -- o — — - (Signed) Lt. i .o'.. , ,,. y 1/7 Plum bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit() as licensed by Miami Shores Village. STATE OF FLORIDA, ss. 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. (Signed are 2 aster Plumber. Size Septic Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date = �� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No.___, Registered Architect and /or Engineer, - ;, /2 Employing Plumber's Name -,_ _ _ � ,_ No, { - -_ �� '� Street '-Ur___ _'_ ____. Location and Legal Description Lot__j_` . /1r te _, ___� %_ j Block Subdivision_ _ _ Street and Number where work is to be performed— No.__4___c State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories w n__•Type of Tank Capacity Gals. Feet of Drain Tile �- . // li —___ Dist. F et of Tank or Drain Field from Well 1 Nature of Water Supply: City- ;7Well . Size of Soakage Pit Amount of Permit $ / STATE OF FLORIDA, ss. COUNTY OF DADE. (Signed)- _. (Signed) _� u' z / /Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation'ss as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit,- as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL. CONTR. LIST / CHECK Size Septic Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date = �� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No.___, Registered Architect and /or Engineer, - ;, /2 Employing Plumber's Name -,_ _ _ � ,_ No, { - -_ �� '� Street '-Ur___ _'_ ____. Location and Legal Description Lot__j_` . /1r te _, ___� %_ j Block Subdivision_ _ _ Street and Number where work is to be performed— No.__4___c State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories w n__•Type of Tank Capacity Gals. Feet of Drain Tile �- . // li —___ Dist. F et of Tank or Drain Field from Well 1 Nature of Water Supply: City- ;7Well . Size of Soakage Pit Amount of Permit $ / STATE OF FLORIDA, ss. COUNTY OF DADE. (Signed)- _. (Signed) _� u' z / /Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation'ss as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit,- as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT / G A Permit No / _ Application 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, :lorida, 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 X):'vicion 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 B. 1✓ ms S _ S / !' _ No. Registered Architect and /or Engineer Employing Plumber's Name Cit y__E1.Umbiz g Company No Location and Legal Description Lotk_/_7. E .4_- 1 I Street and Number where work is to be performed —No 57 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Size Septic Tank Type of Tank. Capacity Gals ._ _________ ___________ ______. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $_ appeared s s. My Commission Expires _ (Signed) (Signed) 4333 Block / Subdivision__ Repairs 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 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to, be performed under this permit as are licensed by Miami Shores Village. Street Street 7 Notary Public. State of Florida Master PlumlSer. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 1 1 1 1 4 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 / G A Permit No / _ Application 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, :lorida, 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 X):'vicion 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 B. 1✓ ms S _ S / !' _ No. Registered Architect and /or Engineer Employing Plumber's Name Cit y__E1.Umbiz g Company No Location and Legal Description Lotk_/_7. E .4_- 1 I Street and Number where work is to be performed —No 57 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Size Septic Tank Type of Tank. Capacity Gals ._ _________ ___________ ______. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $_ appeared s s. My Commission Expires _ (Signed) (Signed) 4333 Block / Subdivision__ Repairs 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 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to, be performed under this permit as are licensed by Miami Shores Village. Street Street 7 Notary Public. State of Florida Master PlumlSer. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. -2 - L CrL 0 Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date$ — Application is hereby made for the approval of the detailed statement . of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village.. Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be key at building during progress of work. Owner's Name and Address 3' 5 1 No 57 Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot 1--1.1-i- I= _ L.1__g Block Street and Number where work is to be performed —No Fir Street i ' a121a__ _a7_ : State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs —___ No. of Stories_____ s s. My Commission Expires 4 Amount of Permit $_— (Signed) Street__!__ _ Subdivision __S__ Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile____ ______ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit 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 plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work performed under this permit; and will post or cause to be posted for inspection on the site of the required by the Act. The under signed agrees to employ only such sub - contractors, on work to be perfor under this per t, as are licensed by Miami Shores Village. (Signed) com- to be work such public notice or notices as are Notary Public. State of Florida Master P.l'Gmber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA - TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST qq " u w L. 4 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date$ — 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 key at building during progress of work. Owner's Name and Address 3' 5 1 No 57 Registered Architect and /or Engineer Employing Plumber's Name No Street Location and Legal Description Lot 1--1.1-i- I= _ L.1__g Block Street and Number where work is to be performed —No Fir Street i ' a121a__ _a7_ : State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs —___ No. of Stories_____ s s. My Commission Expires 4 Amount of Permit $_— (Signed) Street__!__ _ Subdivision __S__ Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile____ ______ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit 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 plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work performed under this permit; and will post or cause to be posted for inspection on the site of the required by the Act. The under signed agrees to employ only such sub - contractors, on work to be perfor under this per t, as are licensed by Miami Shores Village. (Signed) com- to be work such public notice or notices as are Notary Public. State of Florida Master P.l'Gmber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 Owner's Name and Address Employing Plumber's Name Location and Legal Description Lott_ Street and Number where work is to be performed —No Amount of Permit $- STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ES. 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. My Commission Expires No. f> Registered Architect and /or Engineef ' Street Block Subdivision N 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_____ Dist. Feet of Tank or Drain Field from Well .y Nature of Water Supply: City` -Well .Size of Soakage Pit N S r i (Signed) F � .. �,_ Street Date • -1 zip Street Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid ' Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. r ' y 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. 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 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 C `' CHECK Permit No Owner's Name and Address Employing Plumber's Name Location and Legal Description Lott_ Street and Number where work is to be performed —No Amount of Permit $- STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ES. 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. My Commission Expires No. f> Registered Architect and /or Engineef ' Street Block Subdivision N 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_____ Dist. Feet of Tank or Drain Field from Well .y Nature of Water Supply: City` -Well .Size of Soakage Pit N S r i (Signed) F � .. �,_ Street Date • -1 zip Street Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid ' Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. r ' y 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. 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. u • 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 ke'p,4 at building during progress of work. APPLICATION FOR PLUMBING PERMIT Owner's Name and Address • p 2z2 ,e No 6 !L " A , c Street Registered Architect and /or Engine, Employing Plumber's Name 4.,-/V2 ^ � � /, 'L No 41� h ii; . j _ _ a ' d Street Location and Legal Descripti / Lot_ U w e (' Block p Subdivision A -14- Street and Number where work is to be performed —No 1 - 2 4 � Street State work to be performed and purpose of building (By Floors) %'Y =� -11_°" _ 00 Size Septic Tank.__ _ . Feet of Drain Tile o 4 Amount of Permit $__ MIAMI S H O ICES VILLAGE PLUMBING INSPECTION DEPARTMENT New Building Remodeling Addition Date i J (Signed) ___( Repairs Type of Tank Capacity Gals. My Commission Expires Notary Public. State of Florida No. of Stories Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City- .Size of Soakage Pit. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h' obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ermanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to licensed by Miami Shores Village. be performed under this permit, as are STATE OF FLORIDA, ss. 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 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 ke'p,4 at building during progress of work. APPLICATION FOR PLUMBING PERMIT Owner's Name and Address • p 2z2 ,e No 6 !L " A , c Street Registered Architect and /or Engine, Employing Plumber's Name 4.,-/V2 ^ � � /, 'L No 41� h ii; . j _ _ a ' d Street Location and Legal Descripti / Lot_ U w e (' Block p Subdivision A -14- Street and Number where work is to be performed —No 1 - 2 4 � Street State work to be performed and purpose of building (By Floors) %'Y =� -11_°" _ 00 Size Septic Tank.__ _ . Feet of Drain Tile o 4 Amount of Permit $__ MIAMI S H O ICES VILLAGE PLUMBING INSPECTION DEPARTMENT New Building Remodeling Addition Date i J (Signed) ___( Repairs Type of Tank Capacity Gals. My Commission Expires Notary Public. State of Florida No. of Stories Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City- .Size of Soakage Pit. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h' obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ermanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to licensed by Miami Shores Village. be performed under this permit, as are STATE OF FLORIDA, ss. 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. MIAMI SHORES VII LAGS' BUILDING DEPARTM 305- 795 -2204 Building Inspection Reques 6/54y Date Type Insp'n fii v J S P?'i ✓� ( - -' Permit No. ?L 04- 110 Name Address 5S 3 J- Company Phone # 3 - SY� Inspection Date 9 // / y Approved Correction Re- Insp'n Fee BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Owner's Address 55 N City \trA\ SV\NeS State Tenant/Lessee Name Job Address (where the work is being done) 55 NE' °I Ut City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address City State Qualifier Architect/Engineer's Name (if applicable) $ Value of Work For this Permit .-CO cio Type of Work: Describe Work: Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 I� LP3 ccrd Sklef.,l Ric Phone # Permit No. L Master Permit No. ddition ['Alteration ['New ❑ Repair/Replace ['Demolition ° 110. Phone # r � �� - • Es Lt- • Zip Phone # Zip Phone # Square Footage Of Work: **************************** p s * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Y .." - " --- Submittal Fee $ ) . 00 Permit Fee $ /30 ` CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ 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 ins ations as indicated. I certify that on instaltatitm-ltfrs all work 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 be approved and a rein4Q ection fee will be charged. Signature Owner or Agent NOTARY PUBLIC: gn: Signature Contractor The fore oing instrument was acknowledged before me this a���' The foregoing instrument was acknowledged before me this day of 1` r , 20 akk , by r� - �„ , day of , 20 by who is personally known to me er ha3predueed who is personally known to me or who has produced As identification and wl .: ' take an oatl�..� as identification and who did take an oath NOTARY PUBLIC:, P My mission Expires: State Certificate or Registration lho —� * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED Chc 12/15/03 Sign: (Certificate of Competency Holder) 1 Certificate of Competency No. L NOTARY SEAL l� w �� 1 it • • � : � • _ *RID Print: ( aki r`i' n I ' COMMISSION NO. DD102510 MY COMMISSTON :X1'. MAK. 144 ^ 2 My Commission Expires: LESLIE -ANN DIAZ * * * * * * * ** ****************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** v c.1,3 Plans Examiner Engineer Zoning Produced WNER Owner VILLAGE OF MIAMI SHORES • J g1IE�DMN G- DEPARTMENT UILDE • DISCLOSURE STATEMENT I I a 4 &k being the legal property owner, for the property Located at: 6 � 7 � t 96012&s, ,1 S Legally described as , Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),And I have read and understand the following disclosure Statement, which entitles me td Irork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the consti uction yourself. You may build or improve a one - family or two- family residence or a farm out - building. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument Was acknowledged before me this day of Ap✓l —P 20 DOI By boil( d who is personally_kno_wn to me or who has DISCLOSURE STATEMENT as identification and who did take an oath. OFFICIAL NQTAhYS`Z AC LESLIE -ANN DIAZ NOTARY PUBLIC sTstu OF FLORIDA COMMISSION NC). Dl ?102510 I MY COMMISSION XI' MAR 24 2006 ' Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Printed: 4/7/2004 pplicant: DAVID Owner: BOWARD Jo ADD Contractor Local Phone: Parcel # 1132060130990 Fees: FEE2004 -3612 FEE2004 -3627 FEE2004 -3642 FEE2004 -3643 FEE2004 -3644 FEE2004 -3645 ESS: 55 MCA 97 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 17 W1/2 LOT 18 BLK 7 LOT SIZE Description Building Fee CCF Technology Fee Training and Education Fee Scanning Fee Building Fee Total Fees: Permit Status: APPROVED Permit Expiration: 10/2/2004 Construction Value: $1,200.00 Work: SPRINKLERS Signed: (INSPECTOR) Plumbing Permit Permit Number: PL2O04 -110 BOWARD DAVID ST Signed: (Contractor or Builder) Contractor's Address: Amount $130.00 $0.60 $3.50 $0.40 $3.00 $130.00 $267.50 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. BY: Page 1 of 1 Total Fees: $267.50 Total Receipts: 60 \1 -SCE (aeia �n� • • DATE ISSUED TO FOR A__ `_STORY FIXTURES FIXTURES SEWER SEPTIC TANK VILLAGE PLUMBING INSPECTOR TOTAL MIAMI SHORES VILLAGE PLUMBING PERMIT BUILDING AT BY N0, 5E36 to install the following described plumbing, in accordance with the laws, statutes and regulations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drain- age work done in Miami Shores Village, Florida° DATE, ISSUED TO to install the following described plumbing, in accordance the laws, statutes and regulations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drain- age work done in Miami Shores Village, Florida FOR A STORY AT FIXTURES SEWER SEPTIC TANK TOTAL 5$ MIAMI . SHORES VILLAGE FLA. t e. $ 1.a PLUIJIBING PERMIT By ‘.1 Payment Received NO. BUILDING Village Plumbing Inspector This permit issued subject to approval of County Plumbing Inspector PXoIo i•DR DZL S .1 Cr -- (-1-L. 13 100Cr.:VZ Work er Addition .1 Romold.eS. I MM N... • • .4,...,6... 0.0••.. • • • FOR A-7- lkPartalent Hat 011. e Bkg ••••• • • .0. • .....••■••••0 • • Mailgx°.. • ....7i f, ._/:) ....4.T....g ...a.,.._/ (._B..4.....9...elt7....P..9 . .....J.I.A0„ .... ....4 . ... ... 1/.....4 . .. -Ik'... 't .... .... . .. .. . . ,. - .• ... .... '- . _At 0(0:1' (.7. St° 1..-....-= A.t, Curbi......... I ExistiLT Sewer i. i! To Sep 16 f.fa . Sryiz C.--oneoti,In i o ' .. V..P..c.),.. :I ..P.4..t..7.1..x E.._.........._...... .. Zink . of Fixtures /T. <!.:- - / ../ . . ./ eec I / ('' , D & 2:..faT.J on TI/J. Shet. Blow, L'Enrk. Old F.b.ine-' ft.ri. : P.'; matT.T., 137.'Avk :ON,. rii0c 6 , 1 .ffr- I(! CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNTAINS TOTAL FIXTURES / / / • / A -244 5-35 511! I herewith submit the following plan of plumbing for approval: Work executed by Employing Plumber / `o y / . , / /c- i e N T 2 New 1 For a Dwelling Owner or Agent Builder or Contractor is DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA 6 - 1937 Store Old ❑ Story ❑ ❑ Garage ❑ Apartment 12 ge Lot No. /,- .1' / I Block No. 1 Subdivision /%,, /of tr y o re �• �_ Address Sewer Connections At center of St. ❑ DatP 6 - 30 - 37 ROUGH -IN INSPECTION Ground 122u h Rain Leader a 0 A M P M Approved by `"L Condemned by REMARKS At curb ❑ Address Address Date — SEWER INSPECTION A M Plan No 077 "t Sewer Permit No P M Approved by Condemned by REMARKS 6 z_p Addition ❑ Remodeled ❑ Hotel ❑ Office Bldg. ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank g Existing bldg. drain ❑ To dry well ❑ A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Dat FINAL INSPECTION AM PM. Approved by Condemned by REMARKS THIS SPACE FOR ELEVATION SKETCH In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to correspond with the opening shown in floor plan or ground plan on opposite page. •A PERSPECTIVE SKETCH PROVIDED THE WORK CI F cn Sketch position of building and lot lines in square (which represents an entire city block), showing on which street the building and lot faces; also show exact location of "Y" in street and position of lateral or septic tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all underground pipes for future references. WEST NORTH A EAST Remarks : NORTH SOUTH WILL BE SUFFICIENT N BE CLEARLY SHOWN THIS SPACE FOR PLAN SKETCH Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in reference to same.