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602 NE 96 St (13)Permit No / q76 v 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. Owners Name and Address Miami Shores Presbyterian Church N 95th St. S Park Place Registered Architect and /or Engineer Employing Plumber's Name. HAROLD G. JAFFER, INC. No ,. 2141 Location and4egal Description Lot. Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building _. Remodeling Size Septic Tank ----------- - - ---- - -_ _ _...ype of Tank __ _ -_ -_ -- -------- •--------- ----- -- - - -. Dist. Feet of Tank or Drain Field from Well. Feet of Drain Tile_ Nature of Water Supply: City — Well..-- ____..___.w. __.___—._..Size of Soakage Pit Amount of Permit $ 10 .00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida nnanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, . k to be performed under this permit, as are licensed by Miami Shores Village. (Signed) / STATE OF FLORIDA, t / COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to a ster oaths and take acknowledgments, personally appeared / to me well known, and who, being by me first duly sworn, upon oath deposes and sa of the above described construction, that he has carefully read the foregoing a -- therein by hire stated are true. Notary Public, State of Florida at Large My Commission.l:xpires_ wae30 Q79 My Commission Expires NOTE: A re- inspection fee of ;1.00 will be made whet such re-inspection materials and /or workmanship. Block Subdivision.------- _ • — __ — . N . E. 95 St. & Park Place st _ ..... .... _ _. - -_- Floors)_ :Welland irrigation system Addition.- __ -.._ _ Repairs No. of Stories Date Capacity Gals 10/31/77 Plumbing Inspector. Master Plumber. theis the .... tlon, and- that he did sign I e same, and that all facts `taade'neoessary by improper notice for inspection, or faulty CLOSETS BATH Tose SNOWLRL LAVA• TORIES SINKS SLOP SINK, LAUNDRY Tugs URINAL[ CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER UM WELL SPRKLR. SYSTEM SWING POOL — CONTR. 5. 5.0 LILT CHECK Permit No / q76 v 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. Owners Name and Address Miami Shores Presbyterian Church N 95th St. S Park Place Registered Architect and /or Engineer Employing Plumber's Name. HAROLD G. JAFFER, INC. No ,. 2141 Location and4egal Description Lot. Street and Number where work is to be performed —No State work to be performed and purpose of building (By New Building _. Remodeling Size Septic Tank ----------- - - ---- - -_ _ _...ype of Tank __ _ -_ -_ -- -------- •--------- ----- -- - - -. Dist. Feet of Tank or Drain Field from Well. Feet of Drain Tile_ Nature of Water Supply: City — Well..-- ____..___.w. __.___—._..Size of Soakage Pit Amount of Permit $ 10 .00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida nnanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, . k to be performed under this permit, as are licensed by Miami Shores Village. (Signed) / STATE OF FLORIDA, t / COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to a ster oaths and take acknowledgments, personally appeared / to me well known, and who, being by me first duly sworn, upon oath deposes and sa of the above described construction, that he has carefully read the foregoing a -- therein by hire stated are true. Notary Public, State of Florida at Large My Commission.l:xpires_ wae30 Q79 My Commission Expires NOTE: A re- inspection fee of ;1.00 will be made whet such re-inspection materials and /or workmanship. Block Subdivision.------- _ • — __ — . N . E. 95 St. & Park Place st _ ..... .... _ _. - -_- Floors)_ :Welland irrigation system Addition.- __ -.._ _ Repairs No. of Stories Date Capacity Gals 10/31/77 Plumbing Inspector. Master Plumber. theis the .... tlon, and- that he did sign I e same, and that all facts `taade'neoessary by improper notice for inspection, or faulty Permit No ° Date_Feb _ 14_ 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 Shores_ Presbyterian Ch No 602 Street N.E. 96 Street Registered Architect and /or --- _ Employing Plumber's _ No.__880 Street_ N_,W, 54th. St. Location and Legal Description Lot Blocti Street and Number where work is to be performed —No ,602 St RA,_ 91L5>reet State work to be performed and purpose of building (By Floors) ____ __ --_- _________-- ---- ___.__� New .Building.. Addition.__-- -_.__. Repairs . No. of Stories Size Septic ...... ________—_--Type of Tank___ Capacity Gals r Feet of Drain Tile_ ______ _______ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well. ________ Amount of Permit $ 8.00 STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _______Size of Soakage Pit (Signed)_ L-c Z.- (Signed) Subdivision ....... ___ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o .Nations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn : - ent 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 wor such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on wor . o �f erformed under s permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida er Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made-necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS I NAL8 CATCH BASIN FLOOR DRAIN DRINK NO 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 1 1 _ CHECK Permit No ° Date_Feb _ 14_ 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 Shores_ Presbyterian Ch No 602 Street N.E. 96 Street Registered Architect and /or --- _ Employing Plumber's _ No.__880 Street_ N_,W, 54th. St. Location and Legal Description Lot Blocti Street and Number where work is to be performed —No ,602 St RA,_ 91L5>reet State work to be performed and purpose of building (By Floors) ____ __ --_- _________-- ---- ___.__� New .Building.. Addition.__-- -_.__. Repairs . No. of Stories Size Septic ...... ________—_--Type of Tank___ Capacity Gals r Feet of Drain Tile_ ______ _______ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well. ________ Amount of Permit $ 8.00 STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _______Size of Soakage Pit (Signed)_ L-c Z.- (Signed) Subdivision ....... ___ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o .Nations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn : - ent 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 wor such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on wor . o �f erformed under s permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida er Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made-necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE Permit No 7L: 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 0 �. /Qdo.___ Street_ ___ 6 T Registered Architect and /or Engineer__ - P _ --- --- -- .-_-- -_ -- -- _-- _-- --__ -- Employing Plumber's Name__�1.1_ -i_! �- ka1 -_g __._____ No.___________._____.. _ Street Location and Legal Description Lot____._._.________._. Block 40 l Subdivision. Street and Number where work is to be performed —No Li, 2 W ..i Street State work to be performed and purpose of building (By Floors) _ New Building Remodeling- Addition_ Repairs No. of Stories _ Feet of Drain Tile_ Nature of Water Supply: City —Well. Amount of Permit $ -.�-s? My Commission Expires APPLICATION FOR PLUMBING C ;EMIT PLUMBING INSPECTION DEPARTMENT Size Septic Tank _ Type of Tank_ Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit - (Signed)- Date -4)? 2-64' Capacity Gals Plum . ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce • is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Flo ':: 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. (Signal)._ � ? 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 /or worinnanship. CLOSETS BATH TUBS SHOWERS LAVA TORIIB SLOP SLOP SINKS LAUNDRY Tints .URINALS CATCH B ASIN FLOOR DRAIN DRINKING FOUNT' NS /11d), tem Ti TOTAL FIXTURES 5 / CONTR. LIST I / IN ' S R Ai - -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP ~Mt HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL 0 1/, spy C0NTR. LIST . 4 � .-- — 1 y CHECK - MIAMI SHORES VILLAGE Permit No 7L: 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 0 �. /Qdo.___ Street_ ___ 6 T Registered Architect and /or Engineer__ - P _ --- --- -- .-_-- -_ -- -- _-- _-- --__ -- Employing Plumber's Name__�1.1_ -i_! �- ka1 -_g __._____ No.___________._____.. _ Street Location and Legal Description Lot____._._.________._. Block 40 l Subdivision. Street and Number where work is to be performed —No Li, 2 W ..i Street State work to be performed and purpose of building (By Floors) _ New Building Remodeling- Addition_ Repairs No. of Stories _ Feet of Drain Tile_ Nature of Water Supply: City —Well. Amount of Permit $ -.�-s? My Commission Expires APPLICATION FOR PLUMBING C ;EMIT PLUMBING INSPECTION DEPARTMENT Size Septic Tank _ Type of Tank_ Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit - (Signed)- Date -4)? 2-64' Capacity Gals Plum . ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce • is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Flo ':: 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. (Signal)._ � ? 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 /or worinnanship. C /assRoo" 14/In BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE. FLORIDA ,' ❑ DATE 41 '' •' 195 PERMIT N° 7135 Contractor's Q ® License No. ` ` 0 ❑Y Architect Contractor or Builder a` Legal Lot 1 Subdi- Description Bl vision Work to be performed under this Permit Address of Building Value of Project $ 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 . '". < 1 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinaTfcQs and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER INSPECTOR 11 % - Jz e . rY Amount of Permit $ �` < ` ' , " ��ir>"° AUTHORITY a<9 BUILDING ELECTRICAL PLUMBING ROOFING -te Owner of Building Architect Contractor or Builder - Legal Description MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 7088 Work to be performed under this Permit (/''''' r Address of �j Building 747 CONTRACTOR OR BUILDER Lot B1 Subdi- vision 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, plication 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 cr in the statement spetions and that he assumes responsibility for work done by his agents, servants or employees. Signed Value of Project $ BY ) 2 L DATF Contractor's ` /` License No. AUTHORITY 195 7 if" 4 i 42 ,6 4 Amount of Permit $ . "") BY • INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- ceptil4'g this permit I assume responsibility for 11 wo : don"..by either, myself, my agent, s rvant o employee. 6 MIAMI SHORES VILLAGE. FLORIDA BUILDING ELECTRICAL ❑ DATE -4 a 195 PLUMBING ❑ PERMIT N? 8300 3 0 0 License No 7 oi ROOFING ❑ Work to be performed under this Permit 4 • •b .4LA ra•,a• Architect Contractor or Builder Legal Description Address of Building Owner of Building Lot • r.: r ;•' CONTRACTOR .OR BUILDER Bl. 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: 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. Subdi- vision Sq. Ft Value of 3 t Project $ ,!�4," INSPECTOR BY BY Amt. of Permit $ AUTHORITY t7 BUILDING ❑ ELECTRICAL ❑ PERMIT N? 8068 PLUMBING ROOFING Owner of Building_ Architect Contracto or Builder Legal Descripti Address Building MIAMI SHORES VILLAGE. FLORIDA 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 ,dt ict con/brmity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit, Tl a su A resp sibility for all work done by either, myself, my agent, servant or employee. Y CONTRACTOR OR BUILDER BY AUTHORITY DATE Work to be performed under this Permit 195 Contractor's License No. Lot n Bi. Subdi- vision ,f - 4 Sq. Ft Amt. of Permit Value of Project $ BUILDING ❑ ELECTRICAL ❑ PERMIT N? 8068 PLUMBING ROOFING Owner of Building_ Architect Contracto or Builder Legal Descripti Address Building MIAMI SHORES VILLAGE. FLORIDA 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 ,dt ict con/brmity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit, Tl a su A resp sibility for all work done by either, myself, my agent, servant or employee. Y CONTRACTOR OR BUILDER BY AUTHORITY DATE Work to be performed under this Permit 195 Contractor's License No. BUILDING ❑ ELECTRICAL ❑ PLUMBING ROOFING• ❑ Owner of Building Architect Contractor or Builder Legal Description Lot Address of Building a' CONTRACTOR ORS BUILD MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 8933 Contractor's -: License No '" c Bi. Work to be performed under this Permit Subdi- vision DATE rI 1,2 Sq. Ft Value of Project $ v Amt. of Permit $ 195 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 a 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 riot confor ty with a plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit assume re nsib• • f r all work done by either, myself, my agent, servant or employee. BY AUTHORITY 7 BUILDING I=1 MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING PERMIT N? 9437 ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Lat Description Address of 4' ®. Building Co' '%'C CONTRACTOR or BUILDER Work to be performed under this Permit Date 1 19' Contractor's License No. Subdi- vision Sq. Ft. Value of II Amount of Project $ Permit $ le 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 i �' }`' (INSPECTOR) BY In consideration of the issuance to me of this permit / 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. BY AUTHORITY BUILDING 111 MIAMI SHORES VILLAGE FLORIDA ELECTRICAL Date / � t 9�' PLUMBING ❑ AC PERMIT N? 9380 Contractor's ! ROOFING El License No. f be performed under this Permit 9. Architect Contractor r or Builder •� "�; �" ° �, _ %a. ... Legal Lat Description 1 1 1 1 BI Address of ? .; Building / �* f4 1 Subdi- vision Sq Ft Value of I 1 Amount of Project $ 11 Permit $ y 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. / nay F.a (INSPECTOR) BY In consideration of the issuance to me of this perms agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, rawings, 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 BY AUTHORITY 3844 MIAMI SHORES VILLAGE 1 BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request (6:0 Dat9 I la IC6. Type Insp'n 2c cx 44 • l -p- '(..gsz—• l Permit No. P 1 4 4 N Name der Address Company Phone # a) 4,1c4- g58 Inspection Date I ia Approved Correction ❑ Re- Insp'n Fee ❑ Qualifier DOUGLAS ORR PERMIT APPLICATION FOR MIAMI SHORE, VILLAGE Date 04/12/1999 Job Address 602 N.E. 96th STREET Legal Description MIAMI §1 PRESBYTERIAN CHURCH Owner / Lessee / TenantMIAMI SHORES; PRESBYTERIAN CHURCH Owner's Address 602 N.E. 96th STREET Contracting Co. DOUGLAS ORR PLUMBING. INC. State # CFC 021452 Municipal # Competency # 0012463 Ins.Co. 08 - 02 - 98 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one):'BUILDING ELECTRICAL PLUMBINNG MECHANICAL ROOFING PAVING PENCE §IGN WORK DESCRIPTION REPAIRS TO THE EXISTING WATER PIPING SERVING HOSE BTBB TO TOWER Square Ft. Estimated Cost(value) $500.00 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 ELE ► ICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S A be done i authoriz jif ' t Date: My Commission Expires: ** FEES APPROVED: % AVIT: I certify at all the foregoing information is accurate and that all work will compliance with a applicable laws regulating construction and zoning. Furthermore, I abov med c• actor to do the work stated. ignature of owner and /or Co Notary as to Owner and /or C Zoning o President ndo President OFFICIAL ANDRAABUSfA NOTARV:PUBI.IC SOW OF Oi' ,u • COMMISSION NO. C ISSION EXP. SEPT 14 002 ° 1 RADQAt C.C.F. t �� * • * Mechanical Tax Folio{# 23 0832491655C Master Permit # Phone (SOS) 7cA- 4.541 Address •n1 PLAGUE? DPIVE SS# Phone ( ;09 887 -1687 or or Owner- Builder 101 otary as to Contra tor- My Commission Expi e /6zrot .d w°0AIN AH I3HS 'VI NNW vi 1.1.01d * * * * * * * * ** t1 NOTARY TOTAL DUE 7 Fire Other Electrical Engineering SUI a31N 7 J PaPUO Date �l � . Job Address Legal Description / Lessee / Tenant Owner's Address PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY Contracting Qualifier State# Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION# 4 , �O OIL,. Q _ ,74 i+Me4 0-,( Square Ft. Estimated Cos SD D c' WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. i Signature of Owner and /or Condo President gnatur of w ont ctor or Owner - Builder Date: Da- e: WI / Notary as to Owner and /or Condo President My Commission Expires: * . * . * * PERMIT FEE: APPROVED: Zoning Mechanical xt o0 a %lap G s�- � I O 44E TO RETAIN COPY) 46 cQ/Q O e/4 sty∎ M r Address 4.4 ;cif // 7, $# o GG 02 Competency# ( e / 7 3 7 0 Ins. Co. Address Address Address Tax Folio / / - 30Zoe/ -72. Master Permit # Phone r j /A. /71 4 77/60 Notary as to Contractor or Owner - Builder My Commission Expires: NOTARY PUBLIC STATE OF FLORIDA * * * * MY COityCi+IISSION EMPIRES 5/09494 Bonded thru Stembler - Adams & Sweet Other Fire Building q/ Plumbing` LpM f ( Engineering Electrical - -- CL0erre BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY 'rues 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 POOL CONTR. LIST - CHECK / /6 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 Permit No. - - - -�° Owner's Name and Address_ Registered Architect and /or Engineer_-_ Employing Plumber's Name ________ Location and Legal Description Lot Size Septic Tank_..__.. __ _ -Type of Tank. Feet of Drain Tile Nature Water Su Amount of Permit $ y: City —Well My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date (0 Street- - -- Block_ Subdivision - --- Street and Number where work is to be performed— No._ _ Street4,&, _ G y �l�a , • State work to be performed and purpose of building (By Floors)_-_-___ _____-_____- New Building ___- _ -- Remodeling_.__ __ - -__ Addition_.._.___.__..._._._._.. Repairs No. of Stories Capacity Gals __Dist. Feet of Tank or // Drain Field from Well ....1. iz e of Soakage Pit ( 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 5988, 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 die Act. The undersigned agrees to employ only such sub- contractors, o wo to be y,Frfprmed under this permit, as are licensed by Miami Shores Village. ( Signed) ____ 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•neeessary by improper notice for inspection, or faulty materials and /or worlananship. MA Permit Date.--- _11T0V_ETll�lfl�__ 7_r l 967 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,pl� an pp_iff2_tions must be kept at building during progress of work. . •o'° „ - ° a ` } toi Owner's Name and Address Fre -d,— G_ a,y_ra 1211-. No._�_vQ.�OX 1 Y r -- -- �S11reglaleah _ -- Registered Architect and /or Engineer------ -- - __�� - -• - — - -- - - Employing Plumber's Name- __SIIN___GDILD__,SEP_TLC_ TANK INC . N ? . 0 . Box _ 7267 — lam S at ion Miami 5 5 Location and Legal Description Lot --------- ----- -- _ Block_ ..... Subdivision Subdivision Street and N b ilhemitIke,ssto t otie # 99yet i e ki ci I n E ch aLAVe . &96th St Street _ State work to be performed and purpose of building (By F l o o r s ) _ _ _ _ 9 0 0 _g_a l l o n Septic tank w/360 sq. f t . dr a i of i e New Building _- --- Remodeling - ---- -_--- ---- ---- - ___ -- Addition Repairs Size Septic Tank - _ _ :_Type of Tank Feet of Drain Tile 360._ __ f: Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.______ .... of Soakage Pit Amount of Permit $_ The undersigned applicant for this building permit does hereby certify that he understands and accep s 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 em • i yed by him in the work to be work ii • p blic notice /or notices as are b rf4 rmed under this permit, as are Master Plumber. performed under this permit; and will post or cause to be posted' for inspection on the site of required by die Act. The undersigned agrees to employ only such sub - contractors, on work licensed by Miami Shores Village. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersi MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) __ te.2 ( Signed )/_ 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 si therein by him stated are true. Notary Public, State of Florida at &0135 ---y ;�.M Commissionliess's Bonded By A, lerlcea hro a Casualty u.m_ Notary Public, State of Florida 0 9' 9e- No. of Stories ... ..... ....... ....� Capacity Gals. Plumbing Inspector. ublic, duly atythorized to administer oaths and take acknowledgments, personally appeared and that all facts 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. CLO8R5 TUBS SHOWERS TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIST CHECK —T SEPTIC TANK SEWER CONN. DRAIN MELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK rsr,n MA Permit Date.--- _11T0V_ETll�lfl�__ 7_r l 967 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,pl� an pp_iff2_tions must be kept at building during progress of work. . •o'° „ - ° a ` } toi Owner's Name and Address Fre -d,— G_ a,y_ra 1211-. No._�_vQ.�OX 1 Y r -- -- �S11reglaleah _ -- Registered Architect and /or Engineer------ -- - __�� - -• - — - -- - - Employing Plumber's Name- __SIIN___GDILD__,SEP_TLC_ TANK INC . N ? . 0 . Box _ 7267 — lam S at ion Miami 5 5 Location and Legal Description Lot --------- ----- -- _ Block_ ..... Subdivision Subdivision Street and N b ilhemitIke,ssto t otie # 99yet i e ki ci I n E ch aLAVe . &96th St Street _ State work to be performed and purpose of building (By F l o o r s ) _ _ _ _ 9 0 0 _g_a l l o n Septic tank w/360 sq. f t . dr a i of i e New Building _- --- Remodeling - ---- -_--- ---- ---- - ___ -- Addition Repairs Size Septic Tank - _ _ :_Type of Tank Feet of Drain Tile 360._ __ f: Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.______ .... of Soakage Pit Amount of Permit $_ The undersigned applicant for this building permit does hereby certify that he understands and accep s 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 em • i yed by him in the work to be work ii • p blic notice /or notices as are b rf4 rmed under this permit, as are Master Plumber. performed under this permit; and will post or cause to be posted' for inspection on the site of required by die Act. The undersigned agrees to employ only such sub - contractors, on work licensed by Miami Shores Village. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersi MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) __ te.2 ( Signed )/_ 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 si therein by him stated are true. Notary Public, State of Florida at &0135 ---y ;�.M Commissionliess's Bonded By A, lerlcea hro a Casualty u.m_ Notary Public, State of Florida 0 9' 9e- No. of Stories ... ..... ....... ....� Capacity Gals. Plumbing Inspector. ublic, duly atythorized to administer oaths and take acknowledgments, personally appeared and that all facts 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. Dear Mr. Well Driller: Your. application for drainage well at the address shown on the attached form has been approved under the provisions stated on the form. Please notice that the form you are receiving is in two parts; the upper being the drilling permit and the lower one being a permit to operate drainage well. The provisions stated on the drilling permit are intended to guide you in drilling the well in accordance with the regulations of this office. The provisions stated on the operating permit inform the owner of the purpose for which the well is permitted, and of any special treatment which must be provided before waste can be discharged into the drainage well. After the well has been completed in accordance with the provisions of the drilling permit, you should fill in the blank spaces on the operating permit so that this form will show the actual diameter and depth of casing and the actual depth to which the well is drilled instead of the estimated diameter and depths as given on the upper half of the form. The completed operating permit form should then be detached and forwarded to the Dade County Depart- ment of Public Health so that it may be countersigned and mailed to the owner. The drilling permit is for your files. Information copies of both the drill- ing and operating permits have been furnished to the owner, to the State Board of Health and the State Geologist.' You are required to make a record of the log of the well, one copy of which must be furnished to the State Geologist and the other copy to the Dade County Department of Public Health. The State Geologist may also require that you save cuttings from the well for his use. You are requested to notify this office of any change from the provisions of this permit prior to placing them into effect. RLQ :iw Enc os es cc: Owner w /enc. cc: State Geologist w /enc. cc: SSH w /enc. DADE COUNTY DEPARTMENT OF PUBLIC HEALTH 1350 N. W. FOURTEENTH STREET MIAMI. FLORIDA 33125 my yours, „P.AW. Robert L. Quick, Director Engineering Division ttat,pirrat 111 (torat T. E. CATO. M. D.. M. P. H. DIRECTOR TELEPHONE 377 -0341 • FLORIDA STATE BOARD OF HEALTH BUREAU OF SANITARY ENGINEERING Jacksonville 1, Florida Permit No Issued to:_ By PERMIT TO DRILL DRAINAGE WELL (Driller) For (Address) In accordance with the provisions of Chapter 381 and Chapter 387, Florida Statutes, together with Chapter XXI, Florida State Sanitary Code, permit is granted for drilling a drainage well at. Proposed Diameter Proposed Well Depth Proposed Casing Depth Inspection has been made of the site of proposed drainage well by a duly authorized representative of the State Board of Health and permission is granted for drilling the well with the provision that Upon its completion this well shall in no case be placed in service until the attached permit to oper- ate has been completed, signed by a duly authorized representative of the State Board of Health, and delivered to the Owner. This permit is revokable at any time for failure to comply with the provisions as stated herein. ; , Granted this day of. , 19 Issued by: BUR y - r INEERING Approved: - S Q 4:0°) or, &emoting Section t eleftWal STATE BOARD OF HEALTH BUREAU OF SANITARY ENGINEERING Jacksonville 1, Florida Permit No PERMIT TO OPERATE DRAINAGE WELL In accordance with the provisions of Chapter 381 and 387, Florida Statutes, together with Chapter XXI, Fiorido State _Sanitary Code, permit is granted (Owner) ,<'7 to operate a drainage well located at Subject to the following provisos: State Health Officer (Address) (Owner) (Address) This drainage well is inches in diameter, feet deep, cased t� a depth of feet, drilled by (Name of Driller) (Address of Driller) This permit is revokable at any time for failure to comply with the provisions stated herein, or if this drainage well should at any time contaminate or otherwise affect other waters in the vicinity, or for other cause. Granted this day of _ _ , 19 (Not valid until countersigned by a duly authorized representative of the Florida State Board of Health.) DAVID B. LEE Approved: Director, Bureau of Sanitary Engineering WILSON T. SOWDER, M.D. T " - Mood Sitiee4Vittive Sldq D0axemeKt 10050 NE 2' Ave Miami Shores, Fl 33138 Phone 305 - 795 -2204; Fax 305-756-8972 www.miamishoresvillage.com FAX TRANSMITTAL COVER SHEET DATE: 6/16/06 TO: BRENDA FAX (305)665 -6286 FROM: MONICA LISSETH DIAZ FAX (305) 756 -8972 Number of pages including cover: 4 Importance: normal _; urgent x ; please reply review _; recycle MESSAGE: Brenda, I've spoke with Claudio the Bldq Director and he told me that what he wrote on the final bldg inspect that he did yesterday and decline, was that they need the final Electrical and Mechanical. I'm attaching the ticket he gave to them yesterday, and the copy of your final which passed inspect and finalized on 4/26/06. If you need further assistance please call me. Regards, Monica Lisseth Diaz Bldg Dept Permit Clerk (diazm @miamishoresvillage.com) Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 lit Inspection Date: 06/21/2006 Inspector: Grande, Claudio Owner: CHURCH, MIAMI SHORES PRESBYTERI, Job Address: 602 96 Street NE Miami Shores Village, FL Project: <NONE> Contractor: SA CONSULTANTS LLC Building Department Comments Tuesday, June 20, 2006 Permit Type: Imported Permit Inspection Type: Final Building Work Classification: Addition /Alteration Block: Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305- 857 -9220 Page 1 of 2 , IIns�pecor Comments c / ezt '' // �� � d � G� ?.� -� LQ a '' ¢¢ � G Passed - l -,.. s 7-' Ww e-i /Z - d-e - /' / _ .49e-e d c.,J,7 s A. / ,- N /- cfs.jto'i, its a /cos a4.1 Ate "Ad ,�d•2a AAA � � / /' --- '//1 Failed 0 taz eios l,, , � ✓ PA0 cr C O ' e .12y. 're Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 lit Inspection Date: 06/21/2006 Inspector: Grande, Claudio Owner: CHURCH, MIAMI SHORES PRESBYTERI, Job Address: 602 96 Street NE Miami Shores Village, FL Project: <NONE> Contractor: SA CONSULTANTS LLC Building Department Comments Tuesday, June 20, 2006 Permit Type: Imported Permit Inspection Type: Final Building Work Classification: Addition /Alteration Block: Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305- 857 -9220 Page 1 of 2 1,, co 6 I spe o m nts Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. • r I nspection Number Inspection Date: 04/26/2006 Inspector: Levrack, James Owner: CHURCH, MIAMI SHORES OOCCOVTCOIAM Job Address: 602 96 Street NE Project: <NONE> Contractor: HORNE PLUMBING CO Building Department Comments Tuesday, April 25, 2006 Y P t Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho e: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: PL2005 -144 Permit Type: Imported Permit Inspection Type: Final Work Classification: Plumbing Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 666 -8583 Page 2 of 2 Issue Date: 1/30/2006 Owner's Name: Permit Type: Imported Permit Work Classification: Plumbing MIAMI SHORES PRESBYTERIAN CHURCH Job Address: 602 96 Street NE Additional Information Miami Shores Village, FL Comments: REVISION ADD 6 TOILETS, 3 LAVS AND ONE DRINKING FOUNTAIN Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 12/31/2006 Contractor(s) HORNE PLUMBING CO Phone 305 - 666 -8583 Primary Contractor Yes Perm Type: Plumbing Alpha Four: Alpha Six: Pay Amount: 1837 Bond Return : Alpha Two: Alpha Five: CHURCH Pay Date: 10/17/2005 Pay Comments: PD BY CK # 15347 / 1837 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Parcel #: Block: Section: Permit Status: CLOSED Permit Number: PL2005 -144 Phone: (305)754 -9541 1132060141410 Lot: PB: Total Square Feet: 0 Total Valuation: $ 50,000.00 Required Inspections Final Plumbing Plumbing Septic Tank Plumbing Fees Due Revision Fee Scaning Fee Total: Amount $35.00 $3.00 $38.00 Invoice Number imp - 1 - 06 - 23654 Total: Amt Due $38.00 Amt Paid $38.00 $38.00 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES . DATE TIME S,R —TIME DISTANT STATION ID 06/22 10:58 01'33" Horne Plumino MESSAGE CONFIRMATION MODE TX 06/22/2006 11:00 ID =MIAMI SHORES VILLAGF PAGES RESULT 004 OK D.CODE S.C. 0000 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. R05- - 1 PERMIT APPLICATION FBC 2001 Tenant/Lessee Name NyiA Contractor's Address Cal (.01 Plumbin Zip � d2 ,f tr a, ST li T Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO K Master Permit No. isP 09- Iwo Mechanical Roofing Permit Type (circle): Building Electrical ` � Owner's Name (Fee . imp efi holder r n Q� i� CF14 {, Phone # '2(96 — Fj`}' — �5� Owner's Address 602- 0kte ciecc, Cit f SsehS5 State FL- 3S Ob Phone # 14 /A Zip 3312) Contractor's Company Name 1-A-o (fl Plumbin CD Phone # C3 oS)(.Q (o (p - b58 3 Stu.-) S + -tee Cit ('C\ k rn 1 State FL Zip 55143 Qualifier �. - 1 r mYY1■ Q Orr►S CDC State Certificate or Registration No. CC 00000 ] (032- ` Certificate of Competency No. C F C dS X 14 Architect /Engineer's Name (if applicable) M — hGt.P A—.- Phone # 31 7'` $ Value of Work For this Permit Type of Work: ❑Addition ❑Alteration ['New ❑ Repair /Replace ❑ Demolition • i Describe Work: Submittal Fee $ Notary $ coo Permit Fee $ /759 Training /Education Fee $ / O.° Square Footage Of Work�e? '•`!4s u ;? * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ 30 .-° CO /CC Technology Fee $ Lig t Scanning $ S 3 Radon $ Zoning ,— Bond $ ---- Code Enforcement $ / Structural Plan Review. $ , 1, 83 °6 Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City St Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be 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 not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this 5 The foregoing instrument was acknowledged before me this,0 day of ? _ 20 a>! by , day of who is rsonally k is • • - e or who has produced As identification and who did take an oath. NOTARY PU Sign: Print: ' fv/ZG(j//C C4A ry 4, 4 Enrique data My Commission Expires: * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 : 1i' 111 ally known to as i /4 • entt MICHAEL J. MAXWELL V m m# D00392541 who NOTAR Sign: Prin , by — To mrn rnolt , or who has produced cation and who did take an oath. $. A;n • �.� My atat DD083871 resttanw et2 006 ** * * * * * * * * * * * * * * * * * * * ** * * * ** * * My Commission Expires:�, Bondedthrut800yt32�2b4 ' m „ u ^^ Florida Notary Assn., hno ex CAmrt�s •••∎•• a xsw tmt t RIV *' ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** f2--+C' j Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/6/2005 Applicant: Owner: JOB ADDRESS: 602 NE 96 Contractor HORNE PLUMBING CO Local Phone: 305 - 666 -8583 Parcel # 1132060141410 Plumbing Permit Permit Number: PL2005 -144 ST Contractor's Address: 6767 SW 81 ST Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: Description Amount FEE2005 -7294 Building Fee $1,750.00 FEE2005 -7295 CCF $30.00 FEE2005 -7296 Training and Education Fee $10.00 FEE2005 -7297 Technology Fee $44.00 FEE2005 -7298 Scanning Fee $3.00 Total Fees: $1,837.00 Total Fee41,837.00 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/6/2005 Construction Value: $50,000.00 Work: Signed: (INSPECTOR) Page 1 of 1 L 1 /5a 9 A SS 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. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 _ ax. :.4 7.56.8972 Permit No. — 1 aster Permit No. �S� Permit Type (circle): Building Electric . Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) M lit-A‘ SKofl -CS faCS811C14.41J Phone # Owner's Address 6 0 `L N L q 6 I-• CN V 2C N City t- !QM1 State F L Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name 40( (1 U (k.,kQ Contractor's Address CC -1(01 SW 7) 1 S City Qualifier State Certificate or Registration No. tC_O O a (-_). (- Architect/Engineer's Name (if applicable) $ Value of Work For this Permit 2, crc (Continued on opposite side) * * * * * * * * * * * * * * * * * ** Submittal Fee $ Fee $ Total Fee Now Due $ 38 . Oo Zip Phone # Phone # I Q,Yl\ State t"'( Zip ' 3 \ L laryA C _ Morns 0 n Certificate of Competency No. Phone # Type of Work: ❑Addition ❑Alteration ONew � ' epair/Replace Describe Work: * * * * * * ** * * * * * * * * * * * * * * * * * * ** of Zip 3os- 60 co- B58 CCF $ CO /CC Demolition Notary $ Training/Education F e $ Technology Fee $ Scanning $ . . CDC Radon $ Zoning Bond $ Code Enforcement $ ti Structural Plan Review. $ Signature • Bonding Company's Name (if applicable) Bonding Company's Address City 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 installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be 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 inspe on which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will n. . e approved and 'inspection fee will be charged. NOTA Sign: Print: Owner or Agent The foregoing instrument was acknowledged before me this day of 11 ,200 I SALKI who personally known to me, or who has produced My Commission Expiresucc14 ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 State Zip As identification and who di p )7! Sign: CgaiUd • ta i The foregoing instrument was acknowledged before me this 10 ' day of who is ersonally know Contractor 20 0(0,by I c7 m (IS.O ) to me or who has produced NW as identification and who did take an oath. Print: r{ " r AY1 P YJ C �Q�1S f ,.• : 4 1 x` ( My Commission Expires: •JOJ C1 • ZOO * Commission # DD370683 � 4 Expires November 9, 2008 OF Bonder! Troy Fain- Insurance, Inc 8OO,185-701S'_'..- ********************* 4********* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** �Z /�� Plans Examiner Engineer Zoning A DDENDUM TO BUILDING PERMIT APPLIt;A11UN :AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANT THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE ITEM 3ATH TU3 3IDET LIGHT OUTLETS CENTRAL HEATING )ISHWASHER RECEPTACLES A/C (WIND) )ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 3RINKING FOUNTAIN SERVICE SIZE IR AMPS DIET WORK =LOOK DRAIN SERVICE REPAIRAETER 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 C- 1 HD STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COW. MOTORS OVER 3- 5 FP MECHAN I CAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 If COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REI,NSFECTJON WATER SUPPLY T0: AIR CONDITIONERS A/C UNIT 1 STRIP HEATER FIRE SPRINKLER i GENERATORS TRANSFORMERS 'HEATER -NEW INST. /f,. 1 GENERATORS 1 HEATER - REPLACE 1 GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE 1 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 PUITP & ABANDON SEPTIC TANK REItSPECTION _ _ SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN � 1 ROOF INL =T - - SOLAR WATER HEATER FIRE STANDPIPE I 1 POOL PIPING 1 LAWN SPRINKLER SYSTEW'. 1 GAS RANGE METER SET (GAS) . 1 1 rep DIDI1.:. I I 1 A DDENDUM TO BUILDING PERMIT APPLIt;A11UN :AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANT THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Issue Date: 1/30/2006 Expires: 12/31/2006 Owner's Name: MIAMI SHORES PRESBYTERIAN CHURCH Permit Type: Imported Permit Work Classification: Plumbing Job Address: 602 96 Street NE Miami Shores Village, FL Contractor(s) HORNE PLUMBING CO Phone 305 - 666 -8583 Primary Contractor Yes Comments: REVISION ADD 6 TOILETS, 3 LAVS AND ONE DRINKING FOUNTAIN Additional Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Perm Type: Plumbing Alpha Four: Alpha Six: Pay Amount: 1837 Bond Return : Alpha Two: Alpha Five: CHURCH Pay Date: 10/17/2005 Pay Comments: PD BY CK # 15347 / 1837 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL2005 -144 Phone: (305)754 -9541 1132060141410 Lot: PB: Total Square Feet: 0 Total Valuation: $ 50,000.00 Required Inspections Plumbing Plumbing Septic Tank Plumbing Fees Due Revision Fee Scaning Fee Total: Amount $35.00 $3.00 $38.00 Invoice Number imp -1 -06 -23654 Total: Amt Due $38.00 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. REG C01 013006 1413 MC001 033573 CHARGE 338.1 4G4$ Nov 1 6 2005 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date \\W\OS 1 Type Insp'n Tt �, `sr -1110 Permit No. Tl.t Name ( Vbe,SbyS1d,1\t0A. Y C Address 1)b7.- kW. "kA9Sc Company Niet10, Phone # -1°03 6G - S Inspection Date A Approved Correction ❑ Re- Insp'n Fee ❑ G MIAMIVIOS VILLAGE B.7ILDING DEPARTMENT ` 305- 795 -2204 SEP 3 0 2005 Building Inspection Request Date ` Z� Type Insp'> Permit NoP -- 7 S7 Name I Address � 1 . , c9 �'' S � Company -t tai Phone # C ` 5 7 7 3 Inspection Date Approved Correction Re- Insp'n Fee f Miami Shores Village 10050 NE 2nd Avenue Plumbing Permit Phone: 305 - 795 -2204 Permit Number: PL2005 -238 Printed: 7/29/2005 Applicant: Owner: JOB ADDRESS: 602 NE 96 ST Page 1 of 1 Contractor ALL AMERICAN FIRE INSPECTIONS, INC Contractor's Address: 15105 NW 77TH AVE, SUITE 300 Local Phone: 305/828 -3473 Parcel # 1132060141410 Signed: (INSPECTOR) Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: Description Amount FEE2005 -10356 Building Fee $510.00 FEE2005 -10357 CCF $10.20 FEE2005 -10358 Training and Education Fee $3.40 FEE2005 -10359 Technology Fee $12.75 FEE2005 -10360 Scanning Fee $3.00 FEE2005 -10361 Builders Bond $300.00 Total Fees: $839.35 Total Fees: $839.35 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 1/23/2006 Construction Value: $17,000.00 Work: REPLACING FDC AND UNDERGROUND ADDING BACK FLOW AUG 0 4 PAID 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. Signed: (Contractor or Builder) BY: Owner's Name and Address Permit No.__ Q ? "Z--- • I Amount of Permit State work to be performed and purpose of building (By Floors r 2. ti ss. MIAMI 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 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. Registered Architect and /or Engineer r • g� , "; " , . .� No Employing- Plnlsber's Name �a A 1 e ^ , Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. Street / ✓ / 1. • w � Date No t /`7 S Street New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Feet of Drain Tile Nature of Water Supply: City —Well W - 1 I Size of Soakage Pit /.; 'f;/ (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 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. ( Signed) #111. k 1 ! e Al 71 " ° ,a Master Plumber. r'r STATE OF FLORIDA, t 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. 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 Owner's Name and Address Permit No.__ Q ? "Z--- • I Amount of Permit State work to be performed and purpose of building (By Floors r 2. ti ss. MIAMI 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 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. Registered Architect and /or Engineer r • g� , "; " , . .� No Employing- Plnlsber's Name �a A 1 e ^ , Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. Street / ✓ / 1. • w � Date No t /`7 S Street New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Feet of Drain Tile Nature of Water Supply: City —Well W - 1 I Size of Soakage Pit /.; 'f;/ (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 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. ( Signed) #111. k 1 ! e Al 71 " ° ,a Master Plumber. r'r STATE OF FLORIDA, t 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. 4 7 � Permit No LZ 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 �A� _ Registered Architect and /or Enginegr Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street No Snarl Location and Legal Description Lot , Block Subdivision S . Street and Number where work is to be performed —No 1 c5 State work to be performed and purpose of building (By Floors) New Building Remodeling t 4, E. 2 . 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 Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $__ °2 j ( 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 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 ygrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 02 sZ 2 : ;) My Commission Expires 5 STATE OF FLORIDA, t ss• COUNTY OF DADE. 0 l 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 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 4.; $, TOTAL FIXTURES CONTR. LIST 3 3 �-- -' 7,..5 CHECK 02/ t743 .. , -2. S SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL. SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK o 4 7 � Permit No LZ 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 �A� _ Registered Architect and /or Enginegr Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street No Snarl Location and Legal Description Lot , Block Subdivision S . Street and Number where work is to be performed —No 1 c5 State work to be performed and purpose of building (By Floors) New Building Remodeling t 4, E. 2 . 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 Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $__ °2 j ( 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 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 ygrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 02 sZ 2 : ;) My Commission Expires 5 STATE OF FLORIDA, t ss• COUNTY OF DADE. 0 l 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 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. M b ke-IA 3. A -726 el-6 —7 Permit No /„..e Employing Plumber's Name D f- Amount of 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_ v v '''� No. Street Registered Architect and /or Engineer Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal DescriptiS 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 No Street Block Subdivision f ce. 7 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 Size of Soakage Pit _ (Signed)____ _ __ 44/s'e--t.,/eK_ Plumbing Inspect6 The undersigned applicant for this building permit does hereby certify that nderstands 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 tl 's permit, as are licensed by Miami Shores Village. 1. ( Signed) __.�,�e Street aster 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. 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 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 i -�- CHECK - Permit No /„..e Employing Plumber's Name D f- Amount of 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_ v v '''� No. Street Registered Architect and /or Engineer Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal DescriptiS 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 No Street Block Subdivision f ce. 7 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 Size of Soakage Pit _ (Signed)____ _ __ 44/s'e--t.,/eK_ Plumbing Inspect6 The undersigned applicant for this building permit does hereby certify that nderstands 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 tl 's permit, as are licensed by Miami Shores Village. 1. ( Signed) __.�,�e Street aster 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. 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. Permit No. /6___ 7 ss. Nature of Water Supply: City —Well MIAMI 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 o 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. W W No # ___ 7 Street_ Owner's Name and Address Registered Architect and /or Engineer �+ Employing Plumber's Name C - .1.4 i. - 1 No ) StreE! ere t-. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No ___ Al Street__ V /� State work to be performed and purpose of building (By Floors) _ � � 51) Q"�"� 7 ___ �� �y ? �l L Amount of Permit $__' (Signed) Date 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 Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) e • + ` L- !'1■4Z Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary' public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the / of the above described construction, that 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 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. /6___ 7 ss. Nature of Water Supply: City —Well MIAMI 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 o 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. W W No # ___ 7 Street_ Owner's Name and Address Registered Architect and /or Engineer �+ Employing Plumber's Name C - .1.4 i. - 1 No ) StreE! ere t-. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No ___ Al Street__ V /� State work to be performed and purpose of building (By Floors) _ � � 51) Q"�"� 7 ___ �� �y ? �l L Amount of Permit $__' (Signed) Date 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 Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) e • + ` L- !'1■4Z Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary' public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the / of the above described construction, that 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. 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 u' r i sm Registered Architect and /or Engin er Employing Plumber's Name ' Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Location and Legal Description Lot Block__ Street and Number where work is to be performed— No __c?_� State work to be performed and purpose of building (By Floors) . ^ (Signed) Date Street i/•-' • Street__ • My Commission Expires Notary Public, State of Florida s s ■a! t i Subdivision I Street i't " C t t • 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 - 4. , Nature of Water Supply: City —Well Size of Soakage Pit 6 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. 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. 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. LI ST• 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 u' r i sm Registered Architect and /or Engin er Employing Plumber's Name ' Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Location and Legal Description Lot Block__ Street and Number where work is to be performed— No __c?_� State work to be performed and purpose of building (By Floors) . ^ (Signed) Date Street i/•-' • Street__ • My Commission Expires Notary Public, State of Florida s s ■a! t i Subdivision I Street i't " C t t • 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 - 4. , Nature of Water Supply: City —Well Size of Soakage Pit 6 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. 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. 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. / c7 Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name_ 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. 1 4 (e��Fc 4"-€1- No. _,l 5 S N4 (p Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No A_____ Street State work to be performed and purpose of building (By Floors) New Building — Remodeling Addition Repairs No. of Stories Size Septic Tank /07,-D I Type of Tank _ __ ____ Capacity Gals / G Feet of Drain Tile y- O ss. Dist. Feet of Tank or Drain Field from Well No._ 2-4/ 41 " 7 Street Nature of Water Supply: City —Well Size of Soakage Pit 6 O t Amount of Permit $ - - - -L- - ----- - - - - -- (Signed) - _ _ ((( Plumbing Inspector. The undersigned applicant for this building pe it does hereby certify that he lerstands and accepts his obli ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge ra Laws of Florida Perman nt 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 sucli public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) IY•'/ Master Plumber. STATE OF FLORIDA, t 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. 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 L �R hi CONTR. LIST ' S. CHECK -/ C) O 1 Permit No. / c7 Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name_ 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. 1 4 (e��Fc 4"-€1- No. _,l 5 S N4 (p Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No A_____ Street State work to be performed and purpose of building (By Floors) New Building — Remodeling Addition Repairs No. of Stories Size Septic Tank /07,-D I Type of Tank _ __ ____ Capacity Gals / G Feet of Drain Tile y- O ss. Dist. Feet of Tank or Drain Field from Well No._ 2-4/ 41 " 7 Street Nature of Water Supply: City —Well Size of Soakage Pit 6 O t Amount of Permit $ - - - -L- - ----- - - - - -- (Signed) - _ _ ((( Plumbing Inspector. The undersigned applicant for this building pe it does hereby certify that he lerstands and accepts his obli ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge ra Laws of Florida Perman nt 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 sucli public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) IY•'/ Master Plumber. STATE OF FLORIDA, t 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. 1 No ploying Plumber's Name l 0 I1.‘ oc'�nd Legal Description Lot 40 '1! � trei;t an umber where work is to be performed— No Size Septic Tank 2 ' Feet of Drain Tile /� 5--e2/ Nature of Water Supplf CityyWell. Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block___ —___'1 Type of Tank _ C r Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)____ E C'. ---� / D ate ed rofi 4 ' .Z / /F tion is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or Ether i }' re herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, dill provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division / la ni Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at • mg during progress of w 3 - 0 � e� ` n ddress � -! ` �1-N 1 _ C 11 U tO- ek Architect and /or Engineer VU WI- _ - • 40 v s ej_ — (9 No.- - - n1 c' No Street_!V • . 1 e `. Street_ ee 1 Subdivision S ___ _!=9? VLSI_ Y9 Street--- N . t • wog) to be performed and purpose of building (By Floors) Remodeling Addition Repairs No. of Stories � — Capacity Gals C ' My Commission Expires Notary Public, State of Florida L .s. (Signed)._ `, _ ' � _ ..` , --- -- Plumbing Ins� pector. The undersigned applicant for this building permit does hereby ertify that he understands and accepts his obligations as an employer of lab under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corii- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em p .y • by him in the work to be performed under this permit; and will post or cause to be posted for inspection on t e of the work such° pub c notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contr etors, o ork to be perrme under this permit, as are licensed by Miami Shores Village. 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 nee 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 1 A SUAM ` TOTAL FIXTURES CONTR. LIST / XI% v � � . ..� a /�+�` ✓ i A / CHECK j : FDA ,4 4-4t, \ ✓, ' ...... -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SWI NI' G POOL Q2 /,/ L 1! CONTR. LIST, / / CHECK m / � ' s : ,A 1 No ploying Plumber's Name l 0 I1.‘ oc'�nd Legal Description Lot 40 '1! � trei;t an umber where work is to be performed— No Size Septic Tank 2 ' Feet of Drain Tile /� 5--e2/ Nature of Water Supplf CityyWell. Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block___ —___'1 Type of Tank _ C r Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed)____ E C'. ---� / D ate ed rofi 4 ' .Z / /F tion is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or Ether i }' re herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, dill provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division / la ni Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at • mg during progress of w 3 - 0 � e� ` n ddress � -! ` �1-N 1 _ C 11 U tO- ek Architect and /or Engineer VU WI- _ - • 40 v s ej_ — (9 No.- - - n1 c' No Street_!V • . 1 e `. Street_ ee 1 Subdivision S ___ _!=9? VLSI_ Y9 Street--- N . t • wog) to be performed and purpose of building (By Floors) Remodeling Addition Repairs No. of Stories � — Capacity Gals C ' My Commission Expires Notary Public, State of Florida L .s. (Signed)._ `, _ ' � _ ..` , --- -- Plumbing Ins� pector. The undersigned applicant for this building permit does hereby ertify that he understands and accepts his obligations as an employer of lab under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corii- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em p .y • by him in the work to be performed under this permit; and will post or cause to be posted for inspection on t e of the work such° pub c notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contr etors, o ork to be perrme under this permit, as are licensed by Miami Shores Village. 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 nee 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. JOB: Q.60 ADD : BUILDING • • • • • • ELECTRICAL : PLUMBING • • Inspector's Report: - 6 / : WORK I� DONE BY: • • • • • • • • • • Q S INSPECTION WAS MADE The following is ready for Inspection: - • • 7 • • : WILL BE READY • • • • NOTE: REQUESTS FOR INSPECTIONS MUST BE MADE BY THE CONTRACTOR PERFORMING THE WORK. , / J OB: ` � � ►r BUILDING ELECTRICAL PLUMBING • • • Inspector's Report: - o 4' WORK DONE BY • REQUESTED • The following is ready for Inspection: AD: • • WILL BE READY BUILDING ELECTRICAL PLUMBING • • • JOB: AD.: =� REUESTED WILL BE READY WORK DONE BY . The following is ready for Inspection: Inspect:or's Report: - Permit No CONTR. LIST CHECK CONTR. LIST CHECK appeared CLOSETS 3 SEPTIC TANK APPLICATION FOR PLUMBING PERMIT '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 Miami Shores Village shall be complied with, whether herein specified or pot A copy of approved pins .2nd fica ns must be kept at building during progress of work. �IG J ( / Owner's Name and Address 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 • Amount of Permit $- BATH TUBS SEWER CONN. SHOWERS DRAIN FIELD Nature of Water Supply: City_eelr ss. MIAMI SHORES VILLAGE LAVA- TORIES SOAKAGE PIT Size Septic Tank Feet of Drain Tile__ My Commission Expires PLUMBING INSPECTION DEPARTMENT SINKS GREASE TRAP The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly 2'4 /' No Street SLOP SINKS SOLAR HEATER Block ice= X LAUNDRY TUBS DEEP WELL URINALS SPRKLR. SYSTEM (Signed)„■ CATCH BASIN SWIM'G POOL FLOOR DRAIN 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 therein by him stated are true. Date No. E a!2 c. �a..r Meet Subdivision__ sit ": Stre DRINKING FOUNT' NS Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well___.. Size of Soakage Pit. (Signed) �e!!lO Notary Public. State of Florida • Master Plumber. F I X��+iL. T,UI Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labo Compiled General Laws of Florida Permanent Supplement, and has co from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as re oj sub - contractors, on work to be ;perfed under this permit, as re authorized to administer oaths and take acknowledgments, personally foregoing application, and that he did sign the same, and that all facts NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. __. MIAMI SHORES VI LLAG E 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 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 Street ___ ______________________________� State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank_. Feet of Drain Tile Nature of Water Supply: City —Well Size of Soakage Pit .. Amount of Permit $_ Type of Tank . Capacity Gals The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. No. Street _ (Signed) Dist. Feet of Tank or Drain Field from Well No Street Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) 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. My Commission Expires Notary Public. State of Florida P" 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 SLOB SI NKS 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. __. MIAMI SHORES VI LLAG E 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 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 Street ___ ______________________________� State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank_. Feet of Drain Tile Nature of Water Supply: City —Well Size of Soakage Pit .. Amount of Permit $_ Type of Tank . Capacity Gals The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. No. Street _ (Signed) Dist. Feet of Tank or Drain Field from Well No Street Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) 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. My Commission Expires Notary Public. State of Florida P" 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 PPLICATION FOR PLUMBING PERMIT Permit No... 1___s'`_1 Date Location and Legal Description Lot Nature of Water Supply: City —Weis- Amount of Permit $- • v l/ No Employing Plumber's Name — Ado 0/QBlock Registered Architect and /or Engineer d I' 2 My Commission Expires (Signed) Size Septic Tank Type of Tank. Capacity Gals.___ —_: Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) Notary Public, State of Florida 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 spe ified or not. A copy of approved pl ns nd s fic ns ust be kept at Y building during progress of work. C � 2 —L 5 cj � � / /� '• Owner's Name and Address ___ � /6,1 ' "' - - �� t��' No !/ Street triet Subdivision_ ___7 7_, 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 / Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labo 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 e 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 required by the Act. The under signed agrees to employ only such sub - contractors, on work to be perfo ed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 FIXTURE CONTR. LIST 3 / CHECK ' - SEPTIC TANK SEWER CONN. D AIN IELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PPLICATION FOR PLUMBING PERMIT Permit No... 1___s'`_1 Date Location and Legal Description Lot Nature of Water Supply: City —Weis- Amount of Permit $- • v l/ No Employing Plumber's Name — Ado 0/QBlock Registered Architect and /or Engineer d I' 2 My Commission Expires (Signed) Size Septic Tank Type of Tank. Capacity Gals.___ —_: Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) Notary Public, State of Florida 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 spe ified or not. A copy of approved pl ns nd s fic ns ust be kept at Y building during progress of work. C � 2 —L 5 cj � � / /� '• Owner's Name and Address ___ � /6,1 ' "' - - �� t��' No !/ Street triet Subdivision_ ___7 7_, 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 / Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labo 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 e 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 required by the Act. The under signed agrees to employ only such sub - contractors, on work to be perfo ed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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. UILDING L. LECTRICAL PLUMBING Owner of Building 4 Architect Contractor or Builder Legal Lot ` r BI. Description Address of Building 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 di '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 regula- tions 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 PERMIT ■9 1660 Work to be performed under this Permit -- Subdi- vision Value of Project DATE Contractor's License No. Amt. of i Permit I3Y AUTHORITY 194 BUILDING ELECTRICAL PLUMING Architect Contractor or Builder Legal Description. Address of Building PERMIT N° 9078 Work to be performed under this Permit 0 6t- Lot .., ek...,........... Subdi- vision MIAMI SHORES VILLAGE, FLORIDA DATE /f Contractor's License No BL Value of Project $ �C G • fz / Amt. of Permit 7G 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 appl e ion herefor in strict compliance with all ordinances pertaining 'thereto and with the understanding that the work will be performed in compliance with any Tans, 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 stateme s or specifications and that he assumes responsibility for work done by his agents, servants or employees. 195.__ Signed: BY IN PEC OR In consideration of the issuance to me of this permit I agree to ,p'finances the work covered hereunder in compliance with all ll' and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities' o? Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself,y agent, servant or employee. tfli " y M.f_ CONTRACTOR OR BUILDER r 4tYyy *"4, ' _ AUTHORITY -saw i ._ra ,. a .m. its , .... . 1 BUILDING ELECTRICAL PLUMBING Owner of Building / Architect Contractor or Bolder -• Legal Description Lot /. , CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE /PERMIT N° 1449 Work to be performed under this Permi f' Bl. Subdi- vision Value of Project Amt. of Permit BY AUTHORITY 194 Contractor's a' License No. Address of Building 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 regula- tions 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-,.., 0 BUILDING ELECTRICAL n PERMIT N? 11227 PLUMBING [,:.?' ROOFING ❑ Work to be performed under this Permit Owner of Building not% ‘..18J Architect Contractor or Builder V I S 6:2 ; Legal Lot Description. Address of Building c °Q t 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 or a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or jdrawin:s .r in the st . ente or specifications and t he assumes responsibility for work f i c done by his agents, servants or employees. _ Signed'r` INBP CTOR In consideration of the issuance to me of this permit I agree to p rform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings s,,tate +ents or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by 4 either, myself, my agent, servant or employee. CONTRACTOR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE j L 1954_ Contractor's License No Or a-111 ti:%::,... IA. Bl. Subdi- vision Value of Project $ BY i Amt. of Permit A � AUTHORITY tip ti BUILDING ELECTRICAL PLUMBING Owner of Building t • Architect Contractor or Builder Legal • Description Address of Building • a 2rf1r, °� ,(/' .Y'' .149/ f ;,'2i , 4 taco Lot CONT11' y'`.R OR BUILAtII' MIAMI SHORES VILLAGE, FLORIDA DATE C Contractor' License No. PERMIT N° 5308 Work to be performed under Bl. this Permit Subdi- vision J )\-) 'JGU/1>J Value of Project 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 performed in compliance with any plans, drawings, statprnents or specifications that may have been submitted to and approved by the prope +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 re chand without auth ri ation. A further condition upon which this permit is granted is the understanding that the contractor or builder named above umes esponsibility fc•!thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the • • • • the state;'eiifications a ±Pat he assumes respon- sibility for work done �y his agents, servants or employees. *" Signe• • rs y i . . �/� , By e -. PECTO In consideratiorf of the issuance to me of this permit I agree to perform t he wor cover:: hereun•er 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 perm t I assume responsibility for all work done by either myself, my agent, servant or employee. I .."1 z7 Amt. of Permit f N` AUTHORITY " 1941_ Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit =_N` (Signed)- Date..._.. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for t1.e 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 berm specified or not. A copy of approved plans and fica tat building during progress of work. / n 5 0 fo (% v� , Owner's Name and Address / / e S etc ' 4 "" o` f Stt / ree /- .frr-t' Registered Architect and /or En . eer A �,7 G e�f�a t c � 4/ 4 Del Block _ / / e r _ . N ..„. 6 0 0 iaia � .3 ? cs 1 J a � L,egal esrf iption Lot. _. - . "- / + rrk/ (� Subdi _LAL,� Street and Number where work is to be per , -No F `�/ ��` �� v e .. —(1Q 7? J 1 at-)_ - State work to be performed and purpose of building (By Floors,. ...Gt._u_�_0- :/.!�'L.... q. a _e —.S • + r New Building - -_ -. _ — _.._..........._.. Remodeling_________ _ Addition...____...__ Repairs No. of Stories... Size Septic Tank_ Type of Tanlr 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 5988, Compiled General Laws of Florida Permanent Supplement, and hg' com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worir to he performed under this permit; and will post or cause to be posted for inspection on the site of • e work such public notice or notices as err required by the Act. The undersigned agrees to employ only such sub-contractors, on to er this militia, as are licensed by Miami Shores Village. C (Si /7 3 �0 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whoa snob slelespeodas Y sssade•neoaasary by 6nproper notice for hsapectlosn, or fealty materials and /or worlmsanahip. CLOSETS BATH TUG/ SHOW[Re LAVA. RIE TORIES SINKS SLOP SINKS LAUNDRY TO S S URNALa I CATCH CAa1N FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK + SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER OW WELL 8 SYSTEM SWIM•O POOL CoKTR. LIST �- CN[CK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit =_N` (Signed)- Date..._.. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for t1.e 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 berm specified or not. A copy of approved plans and fica tat building during progress of work. / n 5 0 fo (% v� , Owner's Name and Address / / e S etc ' 4 "" o` f Stt / ree /- .frr-t' Registered Architect and /or En . eer A �,7 G e�f�a t c � 4/ 4 Del Block _ / / e r _ . N ..„. 6 0 0 iaia � .3 ? cs 1 J a � L,egal esrf iption Lot. _. - . "- / + rrk/ (� Subdi _LAL,� Street and Number where work is to be per , -No F `�/ ��` �� v e .. —(1Q 7? J 1 at-)_ - State work to be performed and purpose of building (By Floors,. ...Gt._u_�_0- :/.!�'L.... q. a _e —.S • + r New Building - -_ -. _ — _.._..........._.. Remodeling_________ _ Addition...____...__ Repairs No. of Stories... Size Septic Tank_ Type of Tanlr 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 5988, Compiled General Laws of Florida Permanent Supplement, and hg' com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worir to he performed under this permit; and will post or cause to be posted for inspection on the site of • e work such public notice or notices as err required by the Act. The undersigned agrees to employ only such sub-contractors, on to er this militia, as are licensed by Miami Shores Village. C (Si /7 3 �0 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whoa snob slelespeodas Y sssade•neoaasary by 6nproper notice for hsapectlosn, or fealty materials and /or worlmsanahip. `(SECCEOVED DEC n 2 2003 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Address 60. Nr qb City 01/, State N� Qualifier (legiC y 6). /i 1/4' $ Value of Work For this Permit Total Fee Now Due $ (Continued on opposite side) Miami Shores Village e//- 303006-e'S,-- /wo Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. pL zeo 3 - 318 Master Permit No. Mechanical Roofing Owner's Name (Fee Simple Titleholder) /VA SEMI P b ozVtiV C&- Phone # 3°S 7C - 4/ City M I 3 li eas State *(- Zip b31 Tenant/Lessee Name Phone # ( -3'O5 9- .-4°Z1"?-. Job Address (where the work is being done) / City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO ✓ Se2ulc ' 5 Contractor's Company Name 80/4) - A-1 i..S4 ' rS a ..6 /), Phone # 630 5) 9— 310Co/ Contractor's Address e SlA /6 0.7 Architect/Engineer's Name (if applicable) Phone # Type of Work: ❑Addddition ❑Alteration ❑flew Describe Work: A` A,- y ?�.t�7fi'�2 j /e - ,- t- Zip Square Footage Of Work: 7 RePair/Re1i1ace .�.o. .anasiil ❑ Demolition o Submittal Fee $ E • Ck 22`( Permit Fee $ 146 CCF $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ 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 installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be 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 not be approved and a reinspection fee will be charged. Owner or Agent The forer instrument was acknowledged before me this day of C-- , 20 by-i o 8 CET co. 14 o Cr L , who is personally known to me or who has produced UBLIC: NOTARY Sign: Print: Chc 10/14/03 1C -' As identification and who did take an oath. �1q "ussV BPl I • •�►u Paw�e obA. D away * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** * ** APPLICATION APPROVED BY: dA�� Signature Contractor The for mg instrument was acknowledged before me thisC'id day of - , 200 , by / . C' ,6it4�C who is personally known to me or who has produced AYJerY7c/6, /C olt/Y) as iden cation and who did take an oath. DORYS M. OROZCO ommission $ DD0149442 (Pszt- RY PUBLIC• ro ` z = Sign: . DZ. , ' • L� Print: /' t • i t ' . Expires 9/11/2006 L My Commission Expires: My Commission :Exprr ilk., Bonded h thro g i . (Certificate of Competency Holder) State Certificate or Registration No. erd - 05 /c9-/ Certificate of Competency No. ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning Plans Examiner Engineer M H TUB UNIT FEE ITEM . UNIT SWITCH OUTLETS FEE ITEM SPACE HEATERS UNIT FEE • ET LIGHT OUTLETS CENTRAL HEATING HWASHER RECEPTACLES A/C (WIND) POSAL SERVICE TEWCRARY A/C (CENTRAL) NK I NG FOUNTAIN SERVICE SIZE IN A PS DUCT WORK OR DRAIN SERVICE REPAIR/IETER CHANGE REFRIGERATION TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING .ASE •ERCEPTCR RANGE TOP UNDERGROUND TANKS 'ATORY OVEN ABOVE GROUND TANKS $DRY TRAY WATER HEATER U.F. PRESSURE VESSELS ITHES WASHER MOTORS 0- 1 HP STEAM BOILERS MER MOTORS OVER 1- 3 If HOT WATER BOILERS 1K, POT/3 COMP. MOTORS OVER 3- 5 HP • MECHANICAL VENTILATION IK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEMBLIES K, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS PORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS INAL MOTORS OVER 25-100 HP COOLING TOWERS TER CLOSET - MOTORS OVER 100 HP VIOLATION DIRECT-WAS-TES A/C WINDOW REINSPECTION TER SIPPLY TO: AIR c0ND I T I ONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSF( ERS HEATER- REPLACE / GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE • SWIMMING POOL OUTLETS COMMERCIAL HATER SERVICE SIGN TUBES ER CONNECTIONS SIGN TRANSFORMERS ILITY -SEWER SIGN TIME CLOCK IL ITY -WATER F IXTIRES _ 'TIC TANK ANTENNA _1Y TELEVISION OUTLETS %INFIELD, 4' TILE/RES. VIOLATION ,P & ABANDON SEPTIC TANK REINSPECTION WAGE PIT CU. FT. TCH BASIN CHARGE WELL NESTIC WELL EA DRAIN OF INLET _AR WATER HEATER `, lE STANDPIPE ... ---, 1 PIPING • NN SPRINKLER SYSTEM 3 RANGE �-- TER SET (GAS) 3 PIPING ADD4NDUM TO BUILDING PERMIT APPLICATION .LICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A RASTER PERMIT HAS B. BTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 2. Description of improvement: - C /2I ace boa-kr F/ec > 4. Contractor's name and address: r /OC,U - /--rs Plumb) Sworn to and subscribed before me this Notary Public Print Notary's 123.01 -52 PAGE 4 8/02 ame My commission expires: 4. ••••••••• 11111 STATE OF FLORIDA, COUNT OF DADE 1 HEREBY CERTIFY that this is a tr»e copy of the origami filed :n this ofiice n (( U� �� 20 day o/ —'-- A D 203 WITNESS my hand and Official Seal. HARVEY PlIVMN, ERK, p / Circuit and County Coots D.C. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. 1) (- - 3 /a TAX FOLIO NO. /1 ' •-?a 0C° -0 / RP ° STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 1. Legal description of property and street/address: /Y /. JI ,'hoe 5 S'C a ? Po (0 — . t - ( - O / 0 j )( 314 ( / Lo Site 3. Owner(s) Owner(s) name and address: i V / £ ? S i P r e S y / 6 _n C? hUrCh U 690; - i (,, 57 iii 9,-Y7i (Z. F 3 / g Interest in property: 9 Lc) Al S Name and address of fee simple titleholder: -SAC'_ C42/5 3 SI�J � 5�% e9rn /� . 53 / cJ 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) / 6. Signature of Owner / Print Owner's Name bi/{ a. 4/G Yric 2 Prepared by day of ..be a ,7 -? be 1, 20v_'�. DORYS M. bR 8 11/2000 ".4, i++� Banded through 2-425+) Ftoridaidotary Mc. 111111 1 1111111111111111111111111111111111111 CFN 2003R09282 DR BI< 215'05 Pe 1041; (1P9) RECORDED 12/16/2003 12:47:50 HARVEY RUVIH► CLERK. OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE ldo� A- 4 04 Address: C/!S3 ad a rlfr9r� r 4 - 3145 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12/5/2003 Applicant: Owner: JOB ADDRESS: 602 NE 96 Contractor Local Phone: Parcel # 1132060141410 Plumbing Permit Permit Number: PL2003 -318 ST FLOW MASTERS PLUMBING SERVICES INCContractor's Address: 14231 SW 74TH STREET Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: Description Amount FEE2003 -7845 Building Fee $120.00 FEE2003 -7846 CCF $2.40 FEE2003 -7847 Technology Fee $3.00 FEE2003 -7848 Training and Education Fee $0.80 Total Fees: $126.20 Total Fees: $126.20 _ Total Receipts: $E Permit Status: APPROVED Permit Expiration: 5/30/2004 Construction Value: $3,800.00 Work: replace water heater Signed: (INSPECTOR) Page 1 of 1 DEC 16 PAID 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. Signed: (Contractor or Builder) BY: Company Phone # For Inspector: Approved Correction Re- Insp'n Fee Date Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time Type Insp'n 0 '1/L /i 'c-.2_0 Namei �-- Address (oDcD., `I E fjc)( a Vt; a Name & D.te MIAMI SHORES VILLAGE BUILDING DEPARTMEN��/ 305- 795 -2204 Building Inspection Reques Date —7- Type_ Insp' n 1— C V\a,J � torn k ►'L v Permit No. �. 3 - 3 Name ►r2 S Address (0 D 9(.0 5t • Company 1 maT —t-& . Phone# 0'5 3515- Inspection Date / ^ 8 y Approved Correction Re- Insp'n Fee ,-(44-=tic9A5,QcAtattA Permit No D (tve 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, /1H. 1_. ,S _ 1l_ IV �1/ 11 , _ Street Registered Architect and /or Engineer - - __ ____________r� Employing Plumber's Name __M !!�1J , �__V!/ = �r' - •u/ - tom, 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) 26 New Building _.. Remodeling_ __ Addition. Size Septic Tank Feet of Drain Tile -UL Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING :'kMIT a Amount of Permit $ ( Signed) _ No.____. -.9_f Block ( Signed Date /1 2 0 Subdivision- - - - - -- Street Repairs No. of Stories. _ Type of Tank__ Capacity Gals _ -Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit oa Alt 57 eIt S.' umbing I' • actor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli:: ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General L s of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contract or ub- contract mployed b ►, in the work to be performed under this permit; and will post or cause to be posted' for inspection on = site • the wor c • ublic required by the Act. The undersigned agrees to employ only such sub- contracto s, on w rk to b . e 'orm nder this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida or notices as are Master ' lumber. 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 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 I:kTER DEEP WELL SPRKLR. SYSTEM $W IM•G POOL CONTR. LIST - CHECK Permit No D (tve 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, /1H. 1_. ,S _ 1l_ IV �1/ 11 , _ Street Registered Architect and /or Engineer - - __ ____________r� Employing Plumber's Name __M !!�1J , �__V!/ = �r' - •u/ - tom, 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) 26 New Building _.. Remodeling_ __ Addition. Size Septic Tank Feet of Drain Tile -UL Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING :'kMIT a Amount of Permit $ ( Signed) _ No.____. -.9_f Block ( Signed Date /1 2 0 Subdivision- - - - - -- Street Repairs No. of Stories. _ Type of Tank__ Capacity Gals _ -Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit oa Alt 57 eIt S.' umbing I' • actor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli:: ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General L s of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contract or ub- contract mployed b ►, in the work to be performed under this permit; and will post or cause to be posted' for inspection on = site • the wor c • ublic required by the Act. The undersigned agrees to employ only such sub- contracto s, on w rk to b . e 'orm nder this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida or notices as are Master ' lumber. 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 by improper notice for inspection, or faulty materials and /or workmanship. Permit No 1(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 at building during progress of work. ��,// c Owner's Name and Address _-- -.-�-'-_'' _FC_ Sf I�. .d'/+. CI A / C " No.__� d Z /V� f Street Registered Architect and /or Engineer Employing Plumber's Name /-1 . 5-1° /WKIE/c' a. 3741/ /1 4 1/4 1 N/ Location and Legal Description Lot _____ — ______ Size Septic Tank Feet of Drain Tile._ Nature of Water Supply: Gity— Well .- F11 /Srl /L_._GYe - LL .-Size of Soakage Pit Amount of Permit $ i MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °'` k•k,MIT Type of Tank 8/C Block Subdivision. Street and Number where work is to be performed —No 6„ 2 Ate fG Sr Street State work to be performed and purpose of building (By Floors) _._____ L M 4/ i✓ 5 ,41 7?// 1 /l'L t' R New Building Remodeling_ Addition..____._._ Repairs No. of Stories. _ _Dist. Feet of Tank or Drain Field from Well ( Signed) _ Capacity Gals Plumbing I . rector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oy'' ations 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. Z (Signed aLGL%r Date 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. 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 worlmmanship. CLOSETS BATH TUBS SHOWERS LAVA• TOR IES INKB SINKS SLOP SINKB LAUNDRY TS Twos URINALS CATCH BABIN 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 CHECK / © L (` 42 *t Ok'. Permit No 1(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 at building during progress of work. ��,// c Owner's Name and Address _-- -.-�-'-_'' _FC_ Sf I�. .d'/+. CI A / C " No.__� d Z /V� f Street Registered Architect and /or Engineer Employing Plumber's Name /-1 . 5-1° /WKIE/c' a. 3741/ /1 4 1/4 1 N/ Location and Legal Description Lot _____ — ______ Size Septic Tank Feet of Drain Tile._ Nature of Water Supply: Gity— Well .- F11 /Srl /L_._GYe - LL .-Size of Soakage Pit Amount of Permit $ i MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °'` k•k,MIT Type of Tank 8/C Block Subdivision. Street and Number where work is to be performed —No 6„ 2 Ate fG Sr Street State work to be performed and purpose of building (By Floors) _._____ L M 4/ i✓ 5 ,41 7?// 1 /l'L t' R New Building Remodeling_ Addition..____._._ Repairs No. of Stories. _ _Dist. Feet of Tank or Drain Field from Well ( Signed) _ Capacity Gals Plumbing I . rector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oy'' ations 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. Z (Signed aLGL%r Date 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. 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 worlmmanship. Permit No z _ 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 Owner's Name and Addre Registered Architect and /or Engineer... _../ // M_..0-t_ Employing Plumber's Name _ n __ _IZeeffa" , - _ T_ Location and Legal Description Lot________ __._._ _ Block Subdivision Street and Number where work is to be performed —No _{AO Street 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__ I "�'_ __ _Dist. Feet of Tank or Drain Field from Well / g � Nature of Water Supply: City—Well. _ -__ _____Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING C` i,:MIT No. (Signed)_ Street1/ ' cLY`'.' aa-/" Repairs No. of Stories Street__ 1 ,y y — 7> e- L — - -- — - -= (Signed) — — 1- - 36 e ms,. Date 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 die 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. 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 Tuas S LAVA. TORIES SS INK SLOP SINKS LAUNDRY TUNIS B URINALS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK — SEPTIC TANK SEWER CONN. DRAIN FI ELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST _ - — CHECK - Permit No z _ 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 Owner's Name and Addre Registered Architect and /or Engineer... _../ // M_..0-t_ Employing Plumber's Name _ n __ _IZeeffa" , - _ T_ Location and Legal Description Lot________ __._._ _ Block Subdivision Street and Number where work is to be performed —No _{AO Street 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__ I "�'_ __ _Dist. Feet of Tank or Drain Field from Well / g � Nature of Water Supply: City—Well. _ -__ _____Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING C` i,:MIT No. (Signed)_ Street1/ ' cLY`'.' aa-/" Repairs No. of Stories Street__ 1 ,y y — 7> e- L — - -- — - -= (Signed) — — 1- - 36 e ms,. Date 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 die 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. 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. Permit No 3 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING :"`;kmrr 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. A �/ Q Y �- _ ‘If Owner's Name and Address l_5TZORF5._� s/,1� ' '�1Vo 4 � 1 �� '3tre�t 5 7 0 Re Architect and /or Engineer / p!� Employing Plumber's Name , f 1 G,4IL I e df/ � ._.__ No. f_4 ._ NE Street_ /3 Location and Legal Description Lot_ .______._..__._ _ .___ _____ Block Subdivision Street and Number where work is to be performed —No io 2. ? E 94 5 2 / street State work to be performed and purpose of building (By Floors ) _________.._._..._________ New Building __. Remodeling._ _ __.. Addition______._ Repairs No. of Stories Amount of Permit $____ ...... = - -- - - - - -- - — - — — -- (Signed)- (Signed). The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen plied with the provisions thereof, and will require similar compliance from all contracto performed under this permit; and will post or cause to be posted for inspection on th required by the Act. The undersigned agrees to employ only such sub - contractors licensed by Miami Shores Village. Date_,. A/ Size Septic Tank___---- -... - - - - - -- ry - -- - --- ------ Type of Tank .Feet of Drain Tile___________ Feet of Tank or Drain Field from Well . Nature of Water Supply: City — Well._______ ______Size of Soakage Pit Capacity Gals. My Commission Expires Notary Public, State of Florida Plumbing nspector. ons as an employer of labor nt Supplement, and has cmn- ub- contractors 'ployed by him in the work to be the w such public mice or notices as ork to performe n' r this permit, as are are STATE OF FLORIDA, I 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 TUeS I NALY URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. L18T CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHECK Permit No 3 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING :"`;kmrr 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. A �/ Q Y �- _ ‘If Owner's Name and Address l_5TZORF5._� s/,1� ' '�1Vo 4 � 1 �� '3tre�t 5 7 0 Re Architect and /or Engineer / p!� Employing Plumber's Name , f 1 G,4IL I e df/ � ._.__ No. f_4 ._ NE Street_ /3 Location and Legal Description Lot_ .______._..__._ _ .___ _____ Block Subdivision Street and Number where work is to be performed —No io 2. ? E 94 5 2 / street State work to be performed and purpose of building (By Floors ) _________.._._..._________ New Building __. Remodeling._ _ __.. Addition______._ Repairs No. of Stories Amount of Permit $____ ...... = - -- - - - - -- - — - — — -- (Signed)- (Signed). The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen plied with the provisions thereof, and will require similar compliance from all contracto performed under this permit; and will post or cause to be posted for inspection on th required by the Act. The undersigned agrees to employ only such sub - contractors licensed by Miami Shores Village. Date_,. A/ Size Septic Tank___---- -... - - - - - -- ry - -- - --- ------ Type of Tank .Feet of Drain Tile___________ Feet of Tank or Drain Field from Well . Nature of Water Supply: City — Well._______ ______Size of Soakage Pit Capacity Gals. My Commission Expires Notary Public, State of Florida Plumbing nspector. ons as an employer of labor nt Supplement, and has cmn- ub- contractors 'ployed by him in the work to be the w such public mice or notices as ork to performe n' r this permit, as are are STATE OF FLORIDA, I 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. 4r / ' ' / � eemit No— _ __ _ Date Application is hereby mac 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 app ov plans and sp be kept at building during progress of work. 6 V `- �1 /, (c O 4 ` Owner's Name and Address_. '`_._.C�� .. 1 F9� Street _. Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Descriptio .Lot____�______�____��_ Block Street and Number where work is to be performed= q' v State work to be performed and purpose of building (By Floors)___.___ New Building Remodeling_ ___.____ Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile. Nature of Water Supply: City Amount of Permit $ STATE OF FLORIDA, ss. COUNTY OF DADE. g-1 O MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ (Signed) (Signed). Street_ Subdivision_ Street Type of Tank __Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit Capacity Gals 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 Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to 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 Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and . says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLO9aTB BATH TU BS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST s' / _ _ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G P001. CONTR. LIST A - -- CHECK 4r / ' ' / � eemit No— _ __ _ Date Application is hereby mac 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 app ov plans and sp be kept at building during progress of work. 6 V `- �1 /, (c O 4 ` Owner's Name and Address_. '`_._.C�� .. 1 F9� Street _. Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Descriptio .Lot____�______�____��_ Block Street and Number where work is to be performed= q' v State work to be performed and purpose of building (By Floors)___.___ New Building Remodeling_ ___.____ Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile. Nature of Water Supply: City Amount of Permit $ STATE OF FLORIDA, ss. COUNTY OF DADE. g-1 O MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ (Signed) (Signed). Street_ Subdivision_ Street Type of Tank __Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit Capacity Gals 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 Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to 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 Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and . says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. 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 witty 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 Stob Bros.-Miami Shores Pu,sbyterian Chugs ..__. _ Registered Architect and /or Engineer Employing Rose Septic Tank Co. P.O.Box 34� lEt- -Qyl� P -!'m,1 s rta'p --- — —_..� Nat� i a 1 e a h Nett '2= SriSSOSKSittL: itsnrralseis2 'SSS1S. iDtSSS arm ^ : "• — }•••« Location and Legal Description Lot. Block Subdivision______ Street and Number where work is to be performed —No. 602 N . E ? 96t h s t x 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 __Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City—Well. Size of Soakage Pit. Amount of Permit $ 5.00 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 Pennanent Supplement, and Inez com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. J 5 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) Repairs 7 -29 -73 No. of Stories. Jh Muter Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to Inc 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 carefull therein by him stated are true. y read the io regrdng application, and that he did sign the same, and that all facts My Commission Expires Notary Public, State of Florida materials A e< r � s m e c t on fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty CLO{R{ BATH T1.1138 SHOWERS S LAVA. SINKS SLOP SINK• LAUNDRY TUB{ URINAL{ CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL TOTAL 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 1 CHECK 64 c u ft . � 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 witty 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 Stob Bros.-Miami Shores Pu,sbyterian Chugs ..__. _ Registered Architect and /or Engineer Employing Rose Septic Tank Co. P.O.Box 34� lEt- -Qyl� P -!'m,1 s rta'p --- — —_..� Nat� i a 1 e a h Nett '2= SriSSOSKSittL: itsnrralseis2 'SSS1S. iDtSSS arm ^ : "• — }•••« Location and Legal Description Lot. Block Subdivision______ Street and Number where work is to be performed —No. 602 N . E ? 96t h s t x 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 __Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City—Well. Size of Soakage Pit. Amount of Permit $ 5.00 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 Pennanent Supplement, and Inez com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. J 5 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) (Signed) Repairs 7 -29 -73 No. of Stories. Jh Muter Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to Inc 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 carefull therein by him stated are true. y read the io regrdng application, and that he did sign the same, and that all facts My Commission Expires Notary Public, State of Florida materials A e< r � s m e c t on fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 0/MO. APPLICATION FOR PLUMBING PERMIT 1 Permit Nc Date ' ,?S e�1 1 q ` cl Application 1 '"ereby made for the approval of the detailed statement of the plans and specifications herewith submtted for the building or other structure hen 'sscritied. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisk f the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami - Shore, e shall be complied with, whether herein specified or not. A copy of approved plans and apedftcauons must be kept et building during progress of work. V � ` n N.i,� ° cb�'`S� - Owner's Name and Address �l \�sa`� - 41/ ��� Registered Architect and /or Engineer o Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ° 3p $ Subdivision. tr��lrl .• .. 33 � �o 14_5* 4_ 1/ L of � sf and Legal Description Lot ` Street and Number where work is to be performed —No eet_ q ` ._•_ - - -- - `i' 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 Dist. Feet of Tank or Drain Field from Well .. .___...__ Nature of Water Supply: City —Well. Size of Soakage Pit - Repairs No of Stories... ......... (Signed a60 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 IIac 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 err 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. aster Plumber. Before m e„ ;s un ned *uthority„ a notarxpublicduly„anthorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me .first. foregoing sworn, upon oath deposes and says that he is the._` � _. _:... - of the above described construction, that be carefully read the fogoing application, and that -sigo -.the same, and that all facts thsceinifjOIARYstROBAINSIARE QF FLORIDA . l RV COAAISSI01 CIF JULY 11,1102 y Notary row; w; dtate of Florida NOTE: A m- inspection fee of 01.00 will be mad. wham goat rrispaottan Y oade ary by Roper so for inspection, or fanky materials and/or warl tranship . . ' . TOTAL FIXTURES CLrTS O$ BATH Tuts SHOWERS LAVA. Tomas S SINK* SLOP SS INK LAUNDR TUs• URINALS CA TC H oASIN FLOOR DRAIN DRINK] NO FOUNT'N, CONTII. LIST CNaCK SEPTIC TANK SEWER Comm. DRAIN FIELD SOAKAOK PIT G TRAP SO LAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL Comm CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 0/MO. APPLICATION FOR PLUMBING PERMIT 1 Permit Nc Date ' ,?S e�1 1 q ` cl Application 1 '"ereby made for the approval of the detailed statement of the plans and specifications herewith submtted for the building or other structure hen 'sscritied. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisk f the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami - Shore, e shall be complied with, whether herein specified or not. A copy of approved plans and apedftcauons must be kept et building during progress of work. V � ` n N.i,� ° cb�'`S� - Owner's Name and Address �l \�sa`� - 41/ ��� Registered Architect and /or Engineer o Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ° 3p $ Subdivision. tr��lrl .• .. 33 � �o 14_5* 4_ 1/ L of � sf and Legal Description Lot ` Street and Number where work is to be performed —No eet_ q ` ._•_ - - -- - `i' 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 Dist. Feet of Tank or Drain Field from Well .. .___...__ Nature of Water Supply: City —Well. Size of Soakage Pit - Repairs No of Stories... ......... (Signed a60 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 IIac 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 err 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. aster Plumber. Before m e„ ;s un ned *uthority„ a notarxpublicduly„anthorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me .first. foregoing sworn, upon oath deposes and says that he is the._` � _. _:... - of the above described construction, that be carefully read the fogoing application, and that -sigo -.the same, and that all facts thsceinifjOIARYstROBAINSIARE QF FLORIDA . l RV COAAISSI01 CIF JULY 11,1102 y Notary row; w; dtate of Florida NOTE: A m- inspection fee of 01.00 will be mad. wham goat rrispaottan Y oade ary by Roper so for inspection, or fanky materials and/or warl tranship . . ' . 101 x ..1..9 2 - Permit No. -� :33 � 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. Owners Name and Address 144 Registered Architect and /or En»neer Employing Plumber's Name r Location and Legal Description Lot._--.-_. Street and Number where work is to be performed —No. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT . APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Flocs)__.. -_ New Building- - - - -._ _ _..--- ...- ....._ -- Remodeling ___.Y —__ Addition. Size Septic Tank.._ _Type of Tank— Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well. Nature of Water Supply: City—WeIL Size of Soakage Pit. (Signed) � o) . ,NE76etY1 Street.._- — ... 1.52....)-P.........._....... sti•..��,.2..,.,L.�s�% ... 44-2 . S bdidslnn street. /Va. ._.1... Repairs No. of Stories. . ..... (signed) - Capacity Cal#... _..._...__ 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 Law\ of Florida Permanent Supplement; nnd.Jyc com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors em by him in the wo . to be performed under this permit; and will post or cause to be posted' for inspection on the e of the work su bIlc notice or ' ces s err required by the Act. The undersigned Agrees to employ only sues sub - contractors. on • k to .lid • -1'.•1 • under this licensed by Miami Shores Village. aster Plumber. STATE OF FLORIDA, l 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 be is the ..•_ -. -- .-- ... - -. -- - - . -• - -. of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 win be wads whoa /stab /Ieispeotias to mode by lmw'Bper notice for inspection, at faulty materials and /err worloaaaabip. CLOSRS BATH TU•S bNOW[R• LAVA. Tonic. SINKS SLOP SINKS LAUNDRY Tuna URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N• TOTAL FIXTURES CONTR. LIST _ / Ia... 4 CHECK -- + SEPTIC TANK SEWER CONN. DRAIN FIELD 6OAKAG[ PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•O POOL CONTR. LIST CHICK x ..1..9 2 - Permit No. -� :33 � 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. Owners Name and Address 144 Registered Architect and /or En»neer Employing Plumber's Name r Location and Legal Description Lot._--.-_. Street and Number where work is to be performed —No. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT . APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Flocs)__.. -_ New Building- - - - -._ _ _..--- ...- ....._ -- Remodeling ___.Y —__ Addition. Size Septic Tank.._ _Type of Tank— Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well. Nature of Water Supply: City—WeIL Size of Soakage Pit. (Signed) � o) . ,NE76etY1 Street.._- — ... 1.52....)-P.........._....... sti•..��,.2..,.,L.�s�% ... 44-2 . S bdidslnn street. /Va. ._.1... Repairs No. of Stories. . ..... (signed) - Capacity Cal#... _..._...__ 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 Law\ of Florida Permanent Supplement; nnd.Jyc com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors em by him in the wo . to be performed under this permit; and will post or cause to be posted' for inspection on the e of the work su bIlc notice or ' ces s err required by the Act. The undersigned Agrees to employ only sues sub - contractors. on • k to .lid • -1'.•1 • under this licensed by Miami Shores Village. aster Plumber. STATE OF FLORIDA, l 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 be is the ..•_ -. -- .-- ... - -. -- - - . -• - -. of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 win be wads whoa /stab /Ieispeotias to mode by lmw'Bper notice for inspection, at faulty materials and /err worloaaaabip. I.r _- APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. 29 Owner's Name and Address ✓ r5.41.0. / /No / .__. Street Registered Architect and /or Engineer �'l�J g.M..�t.. ti !I lV y ti ' ...... . .. ..e ra... .!.,....,, ..!,!!!!!. ?re .! ..!rnr.!e!. ...... Name and address of licensed contractor.) 7 . 0 !,( .g!4,k.,f • .1.0./1 P • D..4 ./40 « 1‘ '4" Location and legal description of lot to be built on: Lot Block Subdivision Street and Number ber where work is to be done 7 . 47: 9- State work to be done and purpose c,building (by floors) AD A/h4- S Y.�1✓b..... ._A.. "--)c /4G New Building Addition To be constructed of Remodeling Kind H �of foundation Estimated Total cost of improvements $....l..l Zone cubage required Permit No... Disapproved ���� /� (Signed) Buil Date zSd� MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date. Ins e o ! iP• 4 tat - frE • and for no other purpose. i Repairs No. of Stories Roof Covering �.. Q . amount of Permit $.. plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby su mit all the plans d specifications for said building. All - All notices with reference to the building and its construction may be sent to. ..!� - -0°� ei (lf ' 0✓�.l T . L: The undersigned applicant for this building perrnit 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 complied with the provisions thereof, and will require similar compliance from all contract • or sub - contra ors empl ed by him in the work to be performed under this permit; and will post or cause to be posted for ' . . i. • e site of th fork sue is notice or notices as arc required by the Act. The undersigned agrees to employ only such • t • ors, • n work under this pennit, as are licensed by Miami Shores Village. Remarks (Signed STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. /992 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, PLA NC BOARD DATE Chairman Member Member Member Member Member �_.__... Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning )Board. A re inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Legal Description •b Address C , & 9 7�Ce -'7Tax Folio //-3,R04 - iV / /0f i APPLICATION FOR MIAMI SHORES VILLAGE Lessee / TenantJ.42.4i 7 4 ,eS ��tAv7C��q� ( plaster Permit # 3 Owner's Address Contracting Qualifie State # o a y�9G 5 -71— 1... c Co. L 7 4 R p „„, ,e.P C cJ 0,7 W Address 4 7 O — G 7 7 #hone Municipal # 7 - Competency #/ 7 3 9 o Ins . Co . �' e CO iv Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRIC. MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTIO C Square Ft. Estimated WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and /or Condo President 33e f �o �n rector or Owner- Builder Date: Date: (v�� ? 9 gnatu Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * * * * Notary as to Contractor or Owner- Builder My Commission Expires: FEES: PERMIT '56 RADON C.C.F. l r 66 NOTARY TOTAL DUE l / C 45, APPROVED: Fire Other Zoning Building Electrical yy , 1 Mechanical Plumbing v� A' L1 1 p Engineering Phone -- 1 7 Sc/ ( cP Cost( e 4 o e 5 * * * * * * ** - -^ CLOSETS BATH Tuns SNOW[R• LAVA- TORIES i1NK[ SLOP SINKS LAUNDRY - Tugs URINAL/ CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N• TOTAL /IITURES CONTR. LIST CHICK • •— SEPTIC TANK SEWER CONN. DRAIN FILLD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM S•IM'O POOL COMM. LIST CHECK Employing Plumber's Location and Legal Description Lot Street and Number where work is to be performed -No (002 State work to be performed and purpose of building (By Floort MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 MAP ( S Nt P (= s g'1t (/ .W C eC to S treet @6 E % S T : — .. Registered Architect and/o ngin N ea V l�` r . - lirnJ 7 71 New Building. _ Remodeling Addition. Repairs No. of Stories. . ......... Size Septic Tank_ Feet of Drain Tile. Nature of Water Supply: Ci Amount of Permit $__ca-.U,42,45, (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 5998, Compiled General Laws of Florida Permanent Supplement, and IIa.c com- plied with the provisions thereof, and will require sinoilar compliance from all contractors or sub - contractors employed by him in the work to he performed under this permit; and will post or ause to be posted' for inspection on the site of the work such public notice or notices as ar• required by die Act. The `'dersigne�- agrees to employ only such alb-contractors, on work to be performed and - this permit, as are licensed by Miami S1 pr4t'illag _Type of Tank Feet of Tank or Drain Field from Well .. .-.-_-- - Size of Soakage Pit therein by him stated are true. NOTARY Pl(BLIC STATE OF FLORIDA Biopic Subdiv; 6 3/6a NEq( S t (Signed) I4Y Cc.. 5j.ION EXP. DEC,21).1994 kAa My Commission Street.: Co'. /23 70 STATE OF FLORIDA, i ss. COUNTY OF DADE. e me, the i nd/e��,' ed authority, a notary public, duly authorized to administer oaths and take ac personally appeared !'r /LI Muter Plumber. to me well known, and who, being by me first duly sworn, upon oath deposes and says that the' of the above described construction, that be has carefully read the foregoing application, and that -he did sign the same, and that all facts 1_ . Nctt ry;Pubilo, State of Florida cLULck_A., NOTE: A re- inspection fee of 11.00 will b. Asada wham wash wstupaodam Y soads+;aicretoq.:br improper Dodos for Inspection, or faulty materials sad /or workmanship. BUSINESS NAME/LOCAT1ON Gii.aiND543RK 5101 COLLINS AVE 33140 MIAMI 6EAC1 OWNER P3TT'l DAVI P IARIGATE INC Sec. Type of Business l'9;S SPLCIALTY rHis IS AN C.CG ONAL TAX ONLf COES tIOT PEP.AIT LICANSE T. VIOLATE' .NV EXISTING PAUL - CRY OA 7.r..itNi. OP THE C.CON CP NC. , OES mt.= ,1GENSEE 7fl2 OTNE. C CA PERMIT r.E• PAYMENT RECEIVED DADE COUNTY TAX COLLECTOR: 0,130/) SEE OTHER SIDE DO NOT FORWARD ,.;rtjUNL:SeitA L)AVID POTTER PR:1L ?1 IA N MIA rJEAci FIRST CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 &ENEWAL LICENSE NO. 15 C 4 tYk)U017370 EMPLOYEES DADEE COUNTY =•TAX COU.EC70R:— a c.S 140 W. FLAGLER s y 14th FLOOR •MIAMI, FL 33130 r•. c •re1Y ' $ ""'" MUNIc ALCONTRACTOR'S ; .v ;-�OCCUPIC[tONAL"UCENSE' ` "'' AD E COUNTY ,"STATE E;OF FLORIDA ` a RSUAIJTuTO DADE:COUNTY=ORDINANcE ..- EXPIRES-SEPT . 30.1993 ' UCENSE NO. 00- 1563726 CC NO: BUSINESS NAME /LOCATION GROUNDSWORK 5101 COLLINS AVE OWNER :POTTER DAVID P IRRIGATION INC NOT VALID IN: HIALEAH VILLAGE OF KEY BISCAYNE Licensee must • register in the city where work is to be done. PAYMENT REC'D. DADE CNTY TAX COLLECTOR: 09/30/92 050293002 000200.00 DO NOT FORWARD GROUNDSWORK PO BOX 600425 N MIA BEACH FL 33160 FIRST CLASS U.S POSTAGE RAID MIAMI, FL PERMIT NO.231 00001 HEHEBY UCENSED TO DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. SPECIALTY PLUMBING Qththdsw IRRIGATION SYSTEMS Department of Labor and Employment Security Bureau of Workers Compensation Compliance 2728 Centerview Drive Suite 100, Forrest Building Tallahassee, Florida 32399 -0661 Subject: Insured: � : al / � D� ' ' Address: 6 .70 / Co (/....i. - 1 - 0 109 vc. �/' ' - � / 4 a e��, 33 FEIN and Social Security Number: 1 1 4 / 1 7' 7 O 4 9 Y Policy Number: You are hereby notified that I, the undersigned sole proprietor, or partner, or officer of (name of business) do hereby elect to be exempt from coverage under the Florida Workers Compensation Act. Sincerely, ignature 3/sf/9/ notary -• tic _. date NOTARY PU151.1 . STATE OF FLORIDL MY COMMISSION EXPIRES: DEC. 3. 19911 BONDS° THRU NOTARY PUBLIC UNOBRWRITGR111 ACCEPTED C c. . 6 c C C• c 6 6 C c C C C l C (' (- O 4 6 C l 6 1 C 6 C a c c 6 C c c C ( 1. C G 6 C C 6 6 C 6 l l C l ( C. 16 0 0 C C ( C l C C 6 6 ( ( C ca•. e' o C 4 C C. 1: (. 6 C. C C e C 1. C 4 i C t 6 C C C ( l 4 DAVID R POTTER, INC. /P.O. BOX 600 -425 / NORTH MIAMI BEACH. FL 33160 / 305- 866 -2480 COMMERCIAL AND RESIDENTIAL LAI4N SPRINKLER SYSTEMS / PUMPS / WELLS / INSTALLATION, MAINTENANCE & REPAIR FLORMA STATE LICENSE #RX0054830 / DADE CC /A 7.70 C . . l C ( l r - yr MAIL TO: CONSTRUCTION INDUSTRY NOTICE OF ELECTION TO BE EXEMPT FROM THE PROVISIONS OF THE FLORIDA WORKERS' COMPENSATION LAW Agency Address Department of Labor & Employment r (.l Security, 00 tJ / R Bureau of W.C. Compliance L: 2728 Centerview Drive, 100 Forrest'B dg. Tallahassee, Florida 32399 -0661 RE: lY.egal Bysiness Name Corporation) (D!B /A If of Sole Proprietorship. Partnership. or Applicable) t/ o a-1" / .7 at", mil/ - ice r �' (Street Address. if different) ;r1 i .6) oX (M Address) .. Se 4 /,' X 2 (City) (State) awti Nature of Business or Trade: As of 12:01 a.m. 30 days following the date of the mailing of this form, you are hereby notified that tIle'oliaawing Sole Proprietor' " ' Partner or Corporate Officer of the above named business does elect to be-ezempt from the provisions Cf the Florid Wv .kers' • Compensation Law. I understand that by this action I am not entitled to benefits under chapter 440, Fldrtda•Statutes.6y this • farm I have not exceeded the exemption limit. of three Partners or three Corporate Officers. 1 further certT13' hat and ecriNcyees of the business named above are covered by workers' compensation insurance. • • • • • • • • • • • • The following are the certified or registered licenses held by me pursuant to chapter 489 Florida Statules:(1l lone, scs state): • • • • • • . • f 0 (1) Type: Number: (2) Type: Number INSURANCE CARRIER INFORMATION (If Applicable): A construction industry employer with one (1) or more employees must maintain Workers' Compensation coverage. Failure to comply will result in a five - hundred dollar ($500) fine and a one - hundred dollar ($100) fine for each day of noncompliance (see section 440.43, F.S.). Name of Carrier 4 /' 4 Carrier Address T Policy Number EFFECTIVE DATE pi 1.4, e / ' 9/ Inssrance Age`n (Apttcy) Q� ^�u� i✓ A J- / fig/ 1 ?/6 e IMPORTANT: Individual exemption filing fee, pursuant to Section 440 payable only by money order or cashier's check, to W.C. Administrative request and, to a .'pcification. cl 't. CD^fp!Tance SWORN TO AND SUBSCRIBED BEFORE ME THIS ,2? PLEASE TYPE OR PRINT: - • - , — -- 9 (Zip) (Fe ral Employer Identification Number) :' • ° e •• �• Signature Type/Print Name Position: Proprietor /Partner /or /Officer (Title) Ce ,r 3e 5 STATE USE ONLY POSTMARK DATE (71 /_/ 9 ? This notice shall be in effect for two (2) years from t e effective date of3 31 "mil until or until revoked. whichever comes first. • • 0 • —• Social Security Number 6 /i' • • •a .05, F.S., is seven dollars and fifty cents 1 ,$7.50) and is Trust Fund. 'Failure to enclose fee will result in mturca of COMMIS; NOTARY 1 anl. 99a KNOGE INS LJNO. DAY OF 1a CO LTR TYPE OP INSURANCE POLICY NUMBER POLICY EFFECT& DATE (MM/DONV) POLICY EXPIRATION DATE (MM/OO/YY) UPS . GENERAL UNNUTY FORM PREMISEWOPERATIONS UNDERGROUND EXPLOSION & COLLAPSE HAZARD PROOUCrSICOMPLETED oPER. CONTRACTUAL INDEPENDENT CONTRACTORS BROAD FORM F DAMAGE PERSONAL 7 NtSO 5001286 ` tektfita 7/13/93 BODILY INJURY OCC. $ ^ + OOMPREHENBIVE BODILY INJURY AGO. $ Z PROPERTY DAMAGE OCC. f • —, PROPERTY DAMAGE ADO. $ X BI l PD COMBINED ox. OW WV BI s Po COMBINED AGO. $. Uthi _ PERSONAL $uuRY AGG. U $ +ILJ1J ► "U ' b 1 ' ; a . „`� , AUTOMOBILE IJApJTY ANY AUTO Au OWNED AUTOS (F n.. ►w.) AU. O 'NNED AUTOS ( Other Than Prh. P ea ) HIRED AUTOS 110WOMNEO AUTOS GARAGE LIA$NUTY BODILY RNJURY t (Pa person) 1 = _ BOOILY I JURY (PM I) . i E PROPERTY DAMAGE • BODILY INJURY & PROPERTY DAMAGE COMBINED ,$ EXCESS UAMUTY UMBRELLA FORM OTHER THAN UMBRELLA FORM • EACH OCCURRENCE • AGGREGATE $ $ .r 11101110.11 COMPENSATION AND EMPLOYERS* LIABILITY .. I STATUTORY LIMITS . EACH ACCIDENT $ DISEASE — POLICY LIMIT $ DISEASE —EACH EMPLOYEE $ OTHER - AZO CERTIFICATE OF INSURANCE ISSUE OATE /18/ PRODUCER PO Ike& 600425 OMB PI 33160 ,AA INS. ASSOC. & CONS. CORP 16317 WEST DIXIE HIGHWAY N. MIAMI BEACH, FL 33160 . PH. (305) 944 -2886 FAX (305) 949 -5222 INSURED Devid P patter Irrigation, Ina. 1320 Mt 119 St. magi r1. 33150 DESCRIPTION OF OP ERATIONM.00ATIONSNEHICLESIsPECIAL ITEMS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANY A LETTER COMPANY 9 LETTER COMPANY C LETTER COMPANY D LETTER COMPANY E LETTER EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. COMPANIES AFFORDING COVERAGE BENTATIVE • Arise Insnrahaa Ors. COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE HOLDER ACORD 25 (7,40) . CANCELLATION Metro Dade Bldg /Zoning 111 NW 1 St. Spite 1010 Miami Fl. 33128 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL _-—. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. APPLICATION FOR PLUMBING PERMIT Permit No ............ /..r9 Z ( Date..._ 74/2 ___ . t 122 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 at building during progress of work. Owner's Name and Addressi/AL. �' !I. �� ¢ z� 1'—� r C g .La h. Streei.. .lg.......... . Registered Architect and /or Engineer ! - , -.e-jt° Employing Plumber's Name ' -Q'4r- -'i..4-.l o / ` - NO,,...Q �....1! ..,..... Street.. . ..: /.L. .. `�, 7' Location and Legal Description Lot. B1oc]t Subdivision._.-._ --- • - -• Street and Number where work is to be performed —No / Street..&., A ,...47 _..e�� <. .......— _._._. t. State work to be performed and purpose of building (By Floors) New Building —. Remodeling__ _ __..___ Addition. Size Septic Tank .,--------------- - - - - -- - Type of Tank__ • Feet of Drain Tile — _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. .__ ___....Size of Soakage Pit Amount of Permit $ 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 has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, b se. 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 be did sign the same, and that all facts therein by hire stated are true. i re- inspection fee of $1.00 will be made what mat re-inspection is made•neoessary by improper notice for inspection. or faulty wor kmanship. My Commission Expires Notary Public, State of Florida MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (Signed)_ (Signed Repairs No. of Stories .... Capacity Gals. CL O$ITS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINK[ LAUNDRY TU66 URINALS CATCH SAWN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTA.. LIST CHICK SEPTIC TANK S[W[R comm. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM — P001. CONTR. LIST CHICK APPLICATION FOR PLUMBING PERMIT Permit No ............ /..r9 Z ( Date..._ 74/2 ___ . t 122 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 at building during progress of work. Owner's Name and Addressi/AL. �' !I. �� ¢ z� 1'—� r C g .La h. Streei.. .lg.......... . Registered Architect and /or Engineer ! - , -.e-jt° Employing Plumber's Name ' -Q'4r- -'i..4-.l o / ` - NO,,...Q �....1! ..,..... Street.. . ..: /.L. .. `�, 7' Location and Legal Description Lot. B1oc]t Subdivision._.-._ --- • - -• Street and Number where work is to be performed —No / Street..&., A ,...47 _..e�� <. .......— _._._. t. State work to be performed and purpose of building (By Floors) New Building —. Remodeling__ _ __..___ Addition. Size Septic Tank .,--------------- - - - - -- - Type of Tank__ • Feet of Drain Tile — _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. .__ ___....Size of Soakage Pit Amount of Permit $ 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 has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, b se. 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 be did sign the same, and that all facts therein by hire stated are true. i re- inspection fee of $1.00 will be made what mat re-inspection is made•neoessary by improper notice for inspection. or faulty wor kmanship. My Commission Expires Notary Public, State of Florida MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (Signed)_ (Signed Repairs No. of Stories .... Capacity Gals. Permit No. 441 STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI 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 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 Ml'gm t S�f GrcS e-s"-t"f�` -9 _h cb . L h No. � ? O 2 et- Stre C. l . (v S�.�e? .__. aegistered Architect and /or Engineer t. i u�u� S 4 1t)ki aZS_ Co. a^_c 1 Employing Plumber's Name ..-16.o..a. ..XP V OsLN._ ._ .. No, 18 20.a.,..�..,....o.. : „ „.: St * 1�w Location and Legal Description Lot_ Mort Subdivision .-- .- •--------- •�- - -�.__ Street and Number where work is to be performed —No 6 O 2 Street- lY• t= • 'if R of .. State work to be performed and purpose of building (By Floors) _._.__._ -. -. -. New Building Remodeling__ _ _ ...__ Addition. Size Septic of Tank- - Feet of Drain Tile. — ____ ___ _Dist. Feet of Tank or Drain Field from Wen — Nature of Water Supply: City — Well.__— _._._._.___.__._____ _ _..Size of Soakage Pit — Amount of Permit $ 6 t °O (Signed) (Signed) Date.. Repairs No. of Stories Capacity Gala Notary Public, State of Florida 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 : upi, lement, and lids con- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in t`e wcrk 'r bs performed under this permit; and will post or cause to be posted for inspection on the site of the work such publt notice .r nd•icer as ar required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed :.,. ca this p'rnsii, a< az , licensed by Miami Shores Village. Mutes Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal:p• epprared, 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 Eacts 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 foully materials and /or workmanship. CLOSRa BATH TUBS SHOW [R• LAVA. TORIES SIN" SINKS LAUNDRY TU•■ URN CATCH SAWN FLOOR DRAIN DRINKING FOUNT'Ne TOTAL FIKTL•RE. CONTR. LIDT CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H DEEP WELL SPRKLR. 6 SWIM •13 POOL CONTR. LIST - CHECK Permit No. 441 STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI 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 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 Ml'gm t S�f GrcS e-s"-t"f�` -9 _h cb . L h No. � ? O 2 et- Stre C. l . (v S�.�e? .__. aegistered Architect and /or Engineer t. i u�u� S 4 1t)ki aZS_ Co. a^_c 1 Employing Plumber's Name ..-16.o..a. ..XP V OsLN._ ._ .. No, 18 20.a.,..�..,....o.. : „ „.: St * 1�w Location and Legal Description Lot_ Mort Subdivision .-- .- •--------- •�- - -�.__ Street and Number where work is to be performed —No 6 O 2 Street- lY• t= • 'if R of .. State work to be performed and purpose of building (By Floors) _._.__._ -. -. -. New Building Remodeling__ _ _ ...__ Addition. Size Septic of Tank- - Feet of Drain Tile. — ____ ___ _Dist. Feet of Tank or Drain Field from Wen — Nature of Water Supply: City — Well.__— _._._._.___.__._____ _ _..Size of Soakage Pit — Amount of Permit $ 6 t °O (Signed) (Signed) Date.. Repairs No. of Stories Capacity Gala Notary Public, State of Florida 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 : upi, lement, and lids con- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in t`e wcrk 'r bs performed under this permit; and will post or cause to be posted for inspection on the site of the work such publt notice .r nd•icer as ar required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed :.,. ca this p'rnsii, a< az , licensed by Miami Shores Village. Mutes Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal:p• epprared, 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 Eacts 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 foully materials and /or workmanship.