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577 NE 96 St (4)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 Registered Architect and/or Engineer Employing Plumber's Name 69:11.€4 G_, Nox.Y,..41,Lar,V2_4,14 Location and Legal Description Lot. Bloat Street and Number where work is to be performed—No .11 IV ..E...._9 6 IL Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Size Septic Tank_—________—_—_.Type of Tank__ Feet of Drain Tile 2. kit - —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: —___Size of Soakage Pit Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations as an employer of labor under the Florida WorIcrnen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and liar 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 k to be performed under this perinit, as are licensed by Miami Shores Village. My Commission Expires NOTE: A re-inspection fee of 01.00 will materials and/or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) No. 7 7 AL—i-L. Street _ 9. 4 . Repairs No. of Stories Capacity Gals Notary Puiblio, State of Florida • ..... umbing Inspector. 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. made 'ban =al rinspeation is made necessary by improper notice for inspection, or faulty CLOSETS BATH Two SHOWIER° LAVA. TORSE0 6I N" SLOP Oimoto LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL •FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWER Comm. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM POOL Co. 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 Registered Architect and/or Engineer Employing Plumber's Name 69:11.€4 G_, Nox.Y,..41,Lar,V2_4,14 Location and Legal Description Lot. Bloat Street and Number where work is to be performed—No .11 IV ..E...._9 6 IL Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Size Septic Tank_—________—_—_.Type of Tank__ Feet of Drain Tile 2. kit - —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: —___Size of Soakage Pit Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations as an employer of labor under the Florida WorIcrnen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and liar 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 k to be performed under this perinit, as are licensed by Miami Shores Village. My Commission Expires NOTE: A re-inspection fee of 01.00 will materials and/or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) No. 7 7 AL—i-L. Street _ 9. 4 . Repairs No. of Stories Capacity Gals Notary Puiblio, State of Florida • ..... umbing Inspector. 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. made 'ban =al rinspeation is made necessary by improper notice for inspection, or faulty Permit No Street and Number where work is to be performed —No MO, MI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or 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 ordlnanc+es 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 i7r Richard babel Registered Architect and /or Engineer Employing Plumber's Name ..... B :9.Q. a-1..ca Location and Legal Description Lot. fllot& 577 State work to be performed and purpose of building (By Flcora)__.___ N Building Remodeling____ _._ -__ Addition Size Septic Tank__ ._- _._r________.__._Type of Tank— 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 $ $ ° 00 NOTE: A re- inspection fee of 01.00 will be made ct c r-4a materials and /or works anahip. statel...oLIL , :. ,7.2.t.b.....S.tr e c t (Signed)- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5858, 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. (Signed) STATE OF FLORIDA, t Es. 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 dep oses and says that he is th ®_.__...- - ------- ••--- ... --- -- _.. of the above described construction, that he has carefully read tho foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission &vireo Notary Public, State of Florida .aa No.__. 577 Street.._ N , E o 96th Street sty N.E. 96th Street Repairs No. of Stories Capacity Gals Date..._..1__1.Q -74 -- .... -- - •- is tarade by improper notice fe3 iospection, or faulty CL.os To BATH Tun() SHOWQRO LAVA. TORIHB SIN" SIRIKO LAUNDRY Tuns URIPoALa CATCH BASIN FLOOR DRAIN DRINKING ROUNT'NS TOTAL `n(TUR[S CONTR. LIST CHOCK SeWQR Comm. DRAIN FIELD SOAKAGE PIT GR2A8E TRAP SOLAR MCATHR Darn) WELL SPRKLR. SY6Ti4 SWIM•O POOL SQPTIC TANK Gown:. X LIOT CNHCK Permit No Street and Number where work is to be performed —No MO, MI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or 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 ordlnanc+es 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 i7r Richard babel Registered Architect and /or Engineer Employing Plumber's Name ..... B :9.Q. a-1..ca Location and Legal Description Lot. fllot& 577 State work to be performed and purpose of building (By Flcora)__.___ N Building Remodeling____ _._ -__ Addition Size Septic Tank__ ._- _._r________.__._Type of Tank— 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 $ $ ° 00 NOTE: A re- inspection fee of 01.00 will be made ct c r-4a materials and /or works anahip. statel...oLIL , :. ,7.2.t.b.....S.tr e c t (Signed)- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5858, 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. (Signed) STATE OF FLORIDA, t Es. 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 dep oses and says that he is th ®_.__...- - ------- ••--- ... --- -- _.. of the above described construction, that he has carefully read tho foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission &vireo Notary Public, State of Florida .aa No.__. 577 Street.._ N , E o 96th Street sty N.E. 96th Street Repairs No. of Stories Capacity Gals Date..._..1__1.Q -74 -- .... -- - •- is tarade by improper notice fe3 iospection, or faulty Permit No ` o 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 Vain -cep No.__ 5 ___ street �e_ EI • �_..i a__-- -. Registered Architect and /or Engineer Employing Plumber's Name ®astern Nat Gas CD Q lyo,______ Q Location and Legal Description Block Subdivision Street and Number where work is to be performed— No.___________._________ State work to be performed and purpose of building (By Floors) B Remodeling —____ Addition Size Septic Tank Feet of Drain Tile ' Nature of Water Supply: City —Well. Amount of Permit $ ------ - - - - -- STATE OF FLORIDA, COUNTY OF DADE. J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)- - - Date April 24 1963 Street Repairs No. of Stories Type of Tank__- Capacity Gals ___Dist. Feet of Tank or Drain Field from Well -------- __ -_ -- -- _ __Size of Soakage Pit Plumbing Inspector. • The undersigned applicant for this building permit does hereby certify that he understands and accep his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Floq a 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 die Act. The undersigned agrees to employ only such sub - contractors, on wok to be performe , under this permit, as are licensed by Miami Shores Village. (Signed IZZ/r'fiGC% ! ' — ®9d / Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him. stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS I NALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER Comm DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK - Permit No ` o 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 Vain -cep No.__ 5 ___ street �e_ EI • �_..i a__-- -. Registered Architect and /or Engineer Employing Plumber's Name ®astern Nat Gas CD Q lyo,______ Q Location and Legal Description Block Subdivision Street and Number where work is to be performed— No.___________._________ State work to be performed and purpose of building (By Floors) B Remodeling —____ Addition Size Septic Tank Feet of Drain Tile ' Nature of Water Supply: City —Well. Amount of Permit $ ------ - - - - -- STATE OF FLORIDA, COUNTY OF DADE. J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)- - - Date April 24 1963 Street Repairs No. of Stories Type of Tank__- Capacity Gals ___Dist. Feet of Tank or Drain Field from Well -------- __ -_ -- -- _ __Size of Soakage Pit Plumbing Inspector. • The undersigned applicant for this building permit does hereby certify that he understands and accep his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Floq a 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 die Act. The undersigned agrees to employ only such sub - contractors, on wok to be performe , under this permit, as are licensed by Miami Shores Village. (Signed IZZ/r'fiGC% ! ' — ®9d / 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. ^ ~ �. • • ~ or Permit No .,---- l . Date , ' • e 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 oidinances 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. Street_ �� ‘)_1- Registered Architect and /or Engineer Employing Plumber's Name__ _ " " � ---- - � - - - - - ---=---- ------- --- - -._'_ No Street . Location and Legal Description Lot _____________ Block Subdivision_:_____, Street and Number where work is to be performed— No._____________ __r.___.— Street „___, 0 State work to be performed and purpose of building (By Floors)___ / �_____________�_ New Building Remodeling Addition Repairs 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 $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) ____, My Commission Expires Notary Public, State of Florida 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 hint in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Pluinber. 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 Permit No .,---- l . Date , ' • e 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 oidinances 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. Street_ �� ‘)_1- Registered Architect and /or Engineer Employing Plumber's Name__ _ " " � ---- - � - - - - - ---=---- ------- --- - -._'_ No Street . Location and Legal Description Lot _____________ Block Subdivision_:_____, Street and Number where work is to be performed— No._____________ __r.___.— Street „___, 0 State work to be performed and purpose of building (By Floors)___ / �_____________�_ New Building Remodeling Addition Repairs 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 $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) ____, My Commission Expires Notary Public, State of Florida 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 hint in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Pluinber. 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 ` 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 Off' 7&hL.2.L y ` �' (� L Norr 2 2 e Street.9 Registered Architect and/or Employing Plumber's Name . .d zig .1� .0,23„a ,...�.......: ®188et.: ..� Location and Legal Description Lot- Street and Number where work is to be performed —No. — Street ........... _....-... _ .. ................. _•--- .• - . - _ — • - - -. State work to be performed and purpose of building (By Floors)_ New Building __ Remodeling Addition.. -- Amount of Permit $ R� 5-5- My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Bloch 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 Repairs No. of Stories _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5888, 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. Date.._ ( Signed Subdivision.._ Notary Public, State of Florida •Capacity Gals..._.... ....... - -.... 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 hire stated are true. NOTE: A re inspection fee of $1.00 will be made when as& re.inapoetioa is m ede.neoesaary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOW ERB LAVA. TORIES SINKS SLOP SINK• LAUNDRY Tine URINALS CATCH BASIN FLOOR DRAIN DRINKING Feu NT'NS v'•' -/ I 1 kV/ TOTAL [• F17(TUR CONTR. LIST 1 '0 B — G a- 47 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. S SWIM '0 PO OL �/p A sP ®, `�' t D/ , Wd • �I co... LIST e 1 9101 - CHECK 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. Owner's Name and Address Off' 7&hL.2.L y ` �' (� L Norr 2 2 e Street.9 Registered Architect and/or Employing Plumber's Name . .d zig .1� .0,23„a ,...�.......: ®188et.: ..� Location and Legal Description Lot- Street and Number where work is to be performed —No. — Street ........... _....-... _ .. ................. _•--- .• - . - _ — • - - -. State work to be performed and purpose of building (By Floors)_ New Building __ Remodeling Addition.. -- Amount of Permit $ R� 5-5- My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Bloch 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 Repairs No. of Stories _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5888, 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. Date.._ ( Signed Subdivision.._ Notary Public, State of Florida •Capacity Gals..._.... ....... - -.... 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 hire stated are true. NOTE: A re inspection fee of $1.00 will be made when as& re.inapoetioa is m ede.neoesaary by improper notice for inspection, or faulty materials and /or workmanship. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date K--.25- 7/ Job Address 57 7 /V 76 / Tax Folio � � l / /590,1 Legal Description/W,[2/ C /(/& % 9 g/SQr //f ,1// I) Master Permit # 3 /327 Owner / Lessee / Tenant 8;,4 Owner's Address Contracting Co /te/os Qualifier /1 /e/c35 State# 5 w D ,.9' VO Competency# Architect /Engineer Address Bonding Company Address Mortgagor Address WORK DESCRIPTION Signature of Owner and /or Condo President Signature Date: Date: Notary as to Owner and /or Condo President My Commission Expires: * . * * * PERMIT FEE: APPROVED: * * Fire Zoning Building Mechanical Plumbing Phone Address VS _3 ,vc- / SS# Phone Ins . Co . /�� //14 /l/ / Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN � S H E A D s P iQ I< I 2 5 h . Square Ft. Estimated Cost o _to tp cot' WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating onstruction and zoning. Furthermore, I authorize the above -named contractor to do the :.ork stated. f Contractor or Owner -- Builder Other Electrical 4A4V, //At tar as to Contractor pr , Dw er- Builner y Commission Expires: / /j * * * * * * * J ,/" Z�!$h gineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT/3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER-MK S / /FAlt SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL