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576 NE 97 St (9)Permit No. _ -- u - - - -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build•ng or other structure herein described. This application is made in comphance 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 thQ Building Div+sion of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ ' ° S% Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_____.__ ___________ Block___ _ Subdivision_._ Street and Number where work is to be performed —No S 6 ' C • Street_ . -97.4 State work to be performed and purpose of building (By Floors) _ _ _ . _ New Building — _-___- _- Remodeling —___.. _. -- . _ -_ Addition_ Size Septic Tank -_ - Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPL OCATION FOR PLUMBING PERMIT No. °? 7 G _- /V6 —__ Street _ 9_.7. 6 7; / No._ _ . / _ _ . -- __ Street.._ Repairs. - Type of Tank - ._ _.__ _ __-__-Dist. Feet of Tank or Drain Field from Well. Size of Soakage Pit (Signed) - (Signed)-- -- Date _Capacity Gals.. ___ No. of Stories _ Plumbing In.pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts '{: obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 'ermanent Supplement, end I as 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 perfo.- ,.ed under this per nit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all • acts 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 F'XTUREB CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL C LIST /rn / CHECK Permit No. _ -- u - - - -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build•ng or other structure herein described. This application is made in comphance 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 thQ Building Div+sion of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ ' ° S% Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_____.__ ___________ Block___ _ Subdivision_._ Street and Number where work is to be performed —No S 6 ' C • Street_ . -97.4 State work to be performed and purpose of building (By Floors) _ _ _ . _ New Building — _-___- _- Remodeling —___.. _. -- . _ -_ Addition_ Size Septic Tank -_ - Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPL OCATION FOR PLUMBING PERMIT No. °? 7 G _- /V6 —__ Street _ 9_.7. 6 7; / No._ _ . / _ _ . -- __ Street.._ Repairs. - Type of Tank - ._ _.__ _ __-__-Dist. Feet of Tank or Drain Field from Well. Size of Soakage Pit (Signed) - (Signed)-- -- Date _Capacity Gals.. ___ No. of Stories _ Plumbing In.pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts '{: obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 'ermanent Supplement, end I as 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 perfo.- ,.ed under this per nit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all • acts 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 Application is hereby mad *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 niami 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. i Owber's Name and Address � , I _ _ ' _ No. l _, � Street _ Registered Architect and /or Engineer i - ` / 1 ,. Employing Plumber's Name__ l-' ' Street and Number where work is to be performed —No. Amount of Permit $ ,� STATE OF FLORIDA, 1 COUNTY OF DADE. 1 ss. MIAMI" HORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street_ 4 4. __ "/ Location and Legal Description Lot Block `fir/ ' 4 k Street__ (Signed) (Signed) Subdivision My Commission Expires Notary Public, State of Florida L Size Septic Tank Type of Tank Capacity Gals i Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ty.' ''_ ,_ ___w Nature of Water Supply: City —Well Size of Soakage Pit t Master Plumber. A LW- State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST ' CHECK rr Permit No Application is hereby mad *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 niami 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. i Owber's Name and Address � , I _ _ ' _ No. l _, � Street _ Registered Architect and /or Engineer i - ` / 1 ,. Employing Plumber's Name__ l-' ' Street and Number where work is to be performed —No. Amount of Permit $ ,� STATE OF FLORIDA, 1 COUNTY OF DADE. 1 ss. MIAMI" HORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street_ 4 4. __ "/ Location and Legal Description Lot Block `fir/ ' 4 k Street__ (Signed) (Signed) Subdivision My Commission Expires Notary Public, State of Florida L Size Septic Tank Type of Tank Capacity Gals i Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ty.' ''_ ,_ ___w Nature of Water Supply: City —Well Size of Soakage Pit t Master Plumber. A LW- State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Contractor or Builder Legal Description Address of Architect Lot J MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's i- License No. 'Work to be performed under this Permit `.rte '4 /- i PERMIT N9 6139 Building / t This _ • th cdntractor "or b�deanamec ateve to construct the building or to install the equipment or .evice described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledgeorthe ; ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and' that assumes respon- sibility for work done by his agents, servants or employees. , y ■ /% 4 ' Signed. , - ( f f ' / , B YE �� / 'INSPECT ` , fa 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 respons ility for all work done by either myself, my agent, servant or employee. CONTRA OR OR BUILDER Subdi- vision Value of Project G' II Amt. of Permit AUTHORITY L Permit No._r Application is h eby made for the approval of the detailed statement of the plans and specifications herewith submit ed for the building or otheiM structure herein escribed. 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._ � Registered Architect and /or Engineer Employing Plumber's Name_ � f, / ' �_',.._;g' ' L _r_ /21 ) Z ( - No. Street__ i ,:i = l�F Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No ___ ) _ Street , ` ' ' .l ' e _a 'ft 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 Nature of Water Supply: City —Well Size of Soakage Pit STATE OF FLORIDA, t COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No v) > Street ( Signed) Date i Plumbing Inspector. The undersigi d applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, o work to be performed under this permit, as are licensed by Miami Shores Village. � . • r (Signed) Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackng41edgments, 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 -7 ////'"' URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST 1 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST V CHECK Permit No._r Application is h eby made for the approval of the detailed statement of the plans and specifications herewith submit ed for the building or otheiM structure herein escribed. 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._ � Registered Architect and /or Engineer Employing Plumber's Name_ � f, / ' �_',.._;g' ' L _r_ /21 ) Z ( - No. Street__ i ,:i = l�F Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No ___ ) _ Street , ` ' ' .l ' e _a 'ft 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 Nature of Water Supply: City —Well Size of Soakage Pit STATE OF FLORIDA, t COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No v) > Street ( Signed) Date i Plumbing Inspector. The undersigi d applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, o work to be performed under this permit, as are licensed by Miami Shores Village. � . • r (Signed) Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackng41edgments, 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. BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT N2 6932 Work to be performed under this Permit Owner of Building DATE 194_ Contractor's License No Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough 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. 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. CONTRACTOR OR BUILDER 0 BY AUTHORITY CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNTAINS TOTAL FIXTURES A -244 5 -35 5M I herewith submit the following plan of plumbing for approval: Employing Plumber �j , , Work executed by New For a Owner or Agent Builder or Contractor is Lot No. Address Ground Dwelling ❑ Store ❑ DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA Date ROUGH -IN INSPECTION Rough -In Rain Leader Old ❑ AM PM. Approved by Condemned by REMARKS Garage ❑ f Subdivision Story 16 Apartment ❑ Address Date__ SEWER INSPECTION A M P M Approved by Condemned by ' REMARKS Plan No Sewer Permit No Addition ❑ r Hotel ❑ Remodeled ❑ Office Bldg. ❑ Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank 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. Date 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 CA WILL BE SUFFICIENT 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. 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 OWNER LOT BLOCK SUBDIVISION iami cShores9llage F L O A D A PLUMBING PERMIT N9 660 Date Issued to to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a_ building at Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by OWNER LOT BLOCK SUBDIIVI$°ION mo tXP g-3-24 �j !/�1� 5 , aiami choresXllage FL O A I D A UMBING PERMIT N9 660 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plu Bing and drainage work done in Miami Shores Village, Florida. �J -f--- ry � building �^ dY Fora sto buildin at �� (� � Fixtures Fixtures $ Sewer $ Septic Tank / $ r/ • Total $ Village Plumbing Inspector Received Payment by Permit No.- Size Septic Tank Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subfrlitted 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 �J �-t p Owner's Name and Address . ! C_2 r 9 7 --- Registered Architect and /or Engineer_ � _ Employing Plumber s"-Name ___ �_�_. Location and Legal Description Lot_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)._ New Building Remodeling___ -- Addition------ ._._..---- _•___ -. Repairs No. of Stories - --- ---- -------- - My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING P NMIT No.. I1 Street - (1 ° 7 Block ( Sign Date Subdivision -- - - - --- --- - --- -- - -..— _ Street 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 5968, Compiled General Laws of Florida Permanent Supplement, and Iias 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 'te of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractor . work to be p o ° ed under is permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ea. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him, stated are true. Notary Public, State of Florida 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 SHOWBRB LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUeS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•O POOL CONTR. LIST CHECK CHECK Permit No.- Size Septic Tank Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subfrlitted 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 �J �-t p Owner's Name and Address . ! C_2 r 9 7 --- Registered Architect and /or Engineer_ � _ Employing Plumber s"-Name ___ �_�_. Location and Legal Description Lot_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)._ New Building Remodeling___ -- Addition------ ._._..---- _•___ -. Repairs No. of Stories - --- ---- -------- - My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING P NMIT No.. I1 Street - (1 ° 7 Block ( Sign Date Subdivision -- - - - --- --- - --- -- - -..— _ Street 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 5968, Compiled General Laws of Florida Permanent Supplement, and Iias 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 'te of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractor . work to be p o ° ed under is permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ea. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him, stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING PERMIT N2 6139 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building . _ Project Pernnit _ �.. This permit is granted to the contractor or builder named 'above to construct the building or to install the equipment or device described in the 'appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perfonned 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 • By INSPECTO1( 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. MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's License No. T ' CONTRACTOR OR BUILDER BY AUTHORITY • 1 94 Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Clark Ash ----- _ -__ -. No.__ S Street NE 97th Street Registered Architect and /or Engineer ..... ____________ __________.____�—____ Employing Plumber's Name______ ...... Location and Legal Description Lot_ ____ Block Subdivision Street and Number where work is to be performed— No.___._ State work to be performed and purpose of building (By Floors) New Building Remodeling_ -_ Size Septic Tank_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N 67 -329 30 Addition._ _Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well . Amount of Permit $ My Commission Expires __Size of Soakage Pit ( Signed) Date 2 - L - Co i Street 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 cmn- 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. / t (Signed). 01.3 c t Master Plumber. 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. 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 /os workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS Water 41QAto 11 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POOL CONTR. LIST CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Clark Ash ----- _ -__ -. No.__ S Street NE 97th Street Registered Architect and /or Engineer ..... ____________ __________.____�—____ Employing Plumber's Name______ ...... Location and Legal Description Lot_ ____ Block Subdivision Street and Number where work is to be performed— No.___._ State work to be performed and purpose of building (By Floors) New Building Remodeling_ -_ Size Septic Tank_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N 67 -329 30 Addition._ _Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well . Amount of Permit $ My Commission Expires __Size of Soakage Pit ( Signed) Date 2 - L - Co i Street 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 cmn- 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. / t (Signed). 01.3 c t Master Plumber. 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. 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 /os workmanship. Date ` < - 6 Job Address 5 77 / Legal Description/) 9 `/ S l Owner / Lessee / Tenant L�J / Master Permit # %.:91 /a. Owner's Address Contractin Co. Qualifier State # ** * Signature of owner and /or Date: l / / /9a * FEES: PERMIT APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 7 Municipal # Competency # • _ •, _ • e wor :Nlot) Pub!' . � :, al a ': b't; ebg $� stun Exp. April 39,1998 �• o 7, °a No. CC197545 N•eary ,s to Owner and /oT i My Commission Expires: * Zoning Print type or sramp name of Notary Public n r t oc ucec .11.❑ produced: ❑ DID take an oath, - DID NOT take an * * ss# - / 3- / / 3667 Ins.Co. Phone e).57 Architect /Engineer Address Bonding Company - Address Mortgagor Address Permit Type(circle one): BU LDING ELECTRICAL LUMBING ME ICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION f7210 C 5- 2 (5 C 5- 2 (5 Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regul. .•nst authorize the above-named t tCon an� oning. Furthermore, I N;f ary . to Con tittrt6rkcirnQL464elliktildaro iSt'1? n inkier of .�. produced: My Commission Exp * ❑ DID take an oath, klOT take an oath. * ** RADON C.C.F. t -6 NOTARY .c700 TOTAL DUE t7 S 1 5O Fire Other Electrical ))M Engineering