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846 NE 97 St (9)Miami Shores Village BUILDING PERMIT APPLICATION FBC 2001 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 514, �Q- � r� Phone # Owner's Address 3 ti z&' • City / 1 /74 -int o, > State �G Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Submittal Fee $ Notary $ Scanning $ (Continued on opposite side) Type of Work: 17/ . ddition ❑Alteration Describe Work: �o ex(s /,1 Permit Fee $ Fi ai 2 7 County Miami -Dade NO ❑New Zip 3 S /Acr Permit No. Master Permit No.2&.,_ - / "7_7s' CCF$ Training/Education Fee $ Technology Fee $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 105 ,3 20 /t Zip S ? ) ff Phone # �mS 75 2D / Contractor's Company Name Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permff7' Square Footage Of Work: Repair/Replace ❑ Demolition CO /CC 4.4 1.0011E111111Et' .4 Aff * * * * * * * * * * * * * * * * * * * * * * * * * ** *F * * * * ** * * * * * * * * * * * * * * * * * * * * * ** 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 attachrnent. 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 Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _ , by , day of , 20 by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 12/15/03 Plans Examiner Engineer Zoning 0/' 03/21/2006 13:58 3054776264 • Date Installed: TES AGENCY INC PAGE 03/05 CITIZENS PROPERTY INSURANCE CORPORATION FLORIDA BUILDING CODE SHUTTER MITIGATION VERIFICATION AFFIDAVIT f() Property Address: Policy No: 8 r A c 71 , ;„w, 54ve I2 A. Specify the type of protection installed: Class A (Hurricane Protection) All exterior wall and roof openings in bungs (doors, windows, skylights and vents, other than roof ridge, gable, soffit and plumbing vents) must be fully protected with impact resistant coverings (e.g. shutters), impact resistant doors, and/or impact resistant glazing that meet the requirements of one of the following: check One; ❑ SSTD 12 ❑ E 1888 and ASTM E 1996 (Missile Level C — 9 lb) Miami -Dade PA 201, 202, and 203 ❑ Florida Building Code TAS 201, 202. and 203 [J Class B (Basic impact) . All exterior wall and roof openings in buildings (doors, windows, skylights and vents, other than roof ridge, gable, soffit and plumbing vents) must be fully protected with impact resistant coverings (e.g. shutters), impact resistant doors, and/or impact resistant glazing that meet the requirements of ASTM 1888 and ASTM E 1998 (Missile Level 8 — 4.5 ib). ❑ Class C (Ordinary Non - impact) All glazed openings (wows, skylights, sliding glass doors, doors with windows, etc.) must be protected with shutter devices or wood structural panels that have the following characteristics- a. Corrugated storm panels made of Steal, Aluminum, or Polycarbonate in which individual panels are no wider than 14' and have a nominal profile of 2" or greater. b. Roll -Up shutters with aluminum slats. c. Accordion shutters with aluminum slats. d. Colonial or Bahama shutters with all the following features: i. Heavy gauge metal frames, rr. Extruded aluminum scats that are anchored to both sides of the frame, or solid metal backing plate in place behind slats, Structural hinges, and iv. A mechanism to lode shutters dosed during a stomr. e. Wood Structural Panels — Plywood or O58 (oriented strand board) with a minimum thickness of 7/18 inch and maximum panel span of 8 feet Panels must be precut to cover the grazed openings with attachrnent hardware provided Panels must be fastened aocording to the Florida 8ulkfrry Code Table 1606.1.4 for locations where design wind speed is 130 mph or less. For locations with design wind speed greater than 130 mph, attachments shall be designed to resist component and cladding loads of the FBC. Up to two small windows (each 4 square feet or less) may be protected with polycarbonate flat panels used as a cover, CI T-26 (07/2004) i of 2 pages .1' • 03/21/2006 13:58 3054776264 TORRES AGENCY INC PAGE 04/05 CITIZENS PROPERTY INSURANCE t ORPORAT;EON FLORIDA BUILDING CODE SHUTTER NlIfi1GATION VERIFICATION AFFIDAVIT B. Certify the type of protection installed: I hereby certify that I am (CHECK • i : ❑ a State of Florida registered Architect, or ❑ an Engineer, proficient In structural design, or .= a Building Code Official (who is duly authorized by the State of Florida or its county's municipalities, to verify building code compliance); and that shutters, on the building or unit ai th ad dress indicated abov c omply with: Class A OR ❑ Class B OR ❑ Class C Hurricane Im • t = :: It a Online —Non- am d o Germany da l dri '!1! ! ! sere Nana Of Company sanaaue CERTIFICATION OF APPLICANT I hereby certify that I am a State of Florida registered Building Inspector and that shutters on the buliding or unit at the address indicated above comply with: ❑ Class C (Ordinary — Non - Impact,) Date Signature of Applicant(s): Date: 1.10010 No This Affidavit and the information set forth in it are provided solely for the purpose of verifying that certain structural or physical characteristics exist at the Location Address fisted above and for the purpose of perminkv the Named Insured to receive a property insurance premium discount on insurance provided by Citizens Property Insurance Corporation and for no other purpose. The undersigned does not make a health or safety certification or warranty, express or Implied, of any Idnd, and nothing In this Affidavit shall be construed to impose on the undersigned or on any entity to which the undersigned is affiliated any liability or obrrgation of any nature to the named insured or to any other person or entity. NOTICE TO APPLICANTS: if unable to obtain the appropriate signature(s) above, you must attach documentation indicating compliance with the Specified Type or Protection Indicated in Section A of this form. C. All Applicants: To receive the premium credit being applied for, please read and sign the certification below. I hereby certify and agree to the following: (1) The property listed above has been fitted with Windstorm Protective Devices which protect all openings in accordance with the requirements stated in Section A of this affidavit. (2) I agree to close and secure the devices in the event of a tropical storm or hurricane warning (3) in the event that t cannot install or secure such devices myself, l have or will arrange for someone else to assume that duty. tatizens reserves the right to confirm all Informaatioon contained in this form via a survey cf the risk. °Arty person who rwawinggr and wi h intent to ink defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or miming information Is guilty of a felony of the third degree." CIT -26 (0712004) 2 02 pages PERMIT # OWNER St4#m,z TM ADDRESS //G q7. s CJ V CONTRACTOR PERMIT TYPE DISPLAY THIS CARD ON FRONT OF JO IAMI SHORES VILLAGE • ILDING PERMIT 1 DA1 `R a4 2l • "WARNING TO OWNER: YOUR FAILURETO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTSTO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." CERTIFICATE OF OCCUPANCY MUST BE SECURED BEFORE THIS BUILDING CAN BE USED FOR ANY PURPOSE DO NOT REMOVE THIS CARD BEFORE COMPLETION OFFICE PHONE NUMBER: 305 - 795 -2204 (�D�� 1G4 - 2 O18. ((ca-S) ` 531 . MECHANICAL INSPECTION TYPE HA MM DATE Undgr NC Pipe "1 , Slab condensate i Tie Slab Jenn -Aire / ,, Rough Duct Rough Pipe Exhaust Fan Rough Hood Rough Pool Heat Pump ft/a \I Fire Dampers t Fireplace Ven: ; , ,A• Vacuum Pipe Rough \A4 Vacuum Pipe Final Equipment Anchor Suppression Test Tuct Detector Ventilation Pressure Test Ti n Cap FINAL ( / l r . 1 r STRUCTURAL INSPECTION TYPE INS' - '• DATE Footing "1 , Columns / Poured Cells i Tie Beam / ,, Rake Beam 2nd Floor Slab 2nd Floor Columns 2nd Floor Tie Beam Roof Sheeting ft/a \I Wall Sheathing t Floor Sheeting b - • Truss, Roof \A4 Truss, Floor Store Front Buck Lath Window Installation Door lnstallaio .. x , Ti n Cap Mop in Progress ( / l r , ' \ . Tile in Progress / !'k NO INSPECTION WILL BE MADE UNLESS PERMIT CARD IS DISPLAYED AND APPROVED PLANS ARE READILY AVAILABLE INSPECTION RECORD :WORK MUST BE COMPLETED PRIOR TO REQUESTING INSPECTIONS ` ` • 24 HOUR NOTICE FOR ALL INSPECTIONS 4'1 STRUCTURAL FINAL %Am !/ FINAL MIN AgliAMB one Prewire Alarm Final T.V. Final Intercom Final Phone Final 30 Day Temp Power of Grounding Pool Sla eLi/ INSPECTION TYPE Insulation Sidewalk Driveway Form / Rock Storm Shutter Anchors Storm Shutter Final Patio / Deck Final Fence Final Pool Steel Pool / Patio Deck Screen Encl Final Pool Final Roof Final INSPECTION TYPE Ground Roug Top 2nd Floor Rough 3rd Floor Rough Condensate Drainfield Suppression Test Septic Sewer Water Service L P Tank Gas Rough Gas Final Irrigation Interceptor Pressure Fire Sp I1 Pool Pool •'Di Int: Ext: • INSPECTION TYPE ;- Temporary Pole Service Rough T.V. Prewire Intercom Prewire n 1 f% / A l 1 /1 /1 /% r /% IN /1 A 03/17/04 11:17 FAX 3054614956 PR NEWSWIRE LATAM • 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. Signature ire me VA f'i. ; ay o NOT Sign: Print: LIC: Owner or Agent Th foregoing instrument was 20 4 b _ who is personally known tie or who has produced f L. owledged be 63 LS 6 � - � S35! - 7 _ As identification and who did take an oath. Angola M Becke Signature Contractor The forego' . g ins • . ent was a day of 20 tby . 86 7/ ®/ 8 r owledged before me thi r e / who is personally known to me or who has produced as ide . ' ratio t and whop s d take .t oath. NOT % :�� NOHNN ISETTE GARRIDO mi LI , L / Print: S 9D ° , " i�%,�' ! t s� • �����qq� My Commission Expires• �� 7 i Off, � My Commission DD16004 My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. 1 0 S ° ? L C C, Certificate of Competency No. Ej003 * ** ass***** s* 1► L*s*********s*********s****** ********* *******s***************** *** * *s * * * ** * * * * * ** *s **** * **s ** 1 APPLICATION APPROVED BY: Plans Examiner Engineer Chc7!NO3 Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2004 -74 Printed: 3/5/2004 Applicant: SILVIA MARIA STANFORTH Owner: STANFORTH SILVIA MARIA JOB ADDRESS: 846 NE 97 ST Contractor QUALIFIED PLUMBING CO, INC Contractor's Address: 1083 E 23RD STREET Local Phone: 305 - 620 -0200 Parcel # 1132060142730 Fees: Description Amount FEE2004 -2306 Building Fee $180.00 FEE2004 -2307 CCF $1.80 FEE2004 -2308 Training and Education Fee $0.60 FEE2004 -2309 Technology Fee $4.50 Total Fees: $186.90 Total Fees: 51lit90. Total Receipts: 1 4.0 Permit Status: APPROVED Permit Expiration: 8/30/2004 Construction Value: Work: BATHROOM ADDITION Signed: (INSPECTOR) Plumbing Permit Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 10 & W1/2 LOT 9 BLK 74 LOT SIZE 75.000 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: $ Value of Work For this Permit Miami Shores Village Building Department , '7&L# V 1 a o Permit No. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): ' Electrical Owner's Name (Fee Simple Titleholder) ./ / 7�s.L„ , {hone # .Se v5 ? S"2 f Owner's Address aP R1/6 /U F 9 7 5 44.. �e City /4/4Z ,' $Lvrro State ,fr? Zip 5 t/.t cr Phone # Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO n _ , h , Contractor's Company Name .t' r �J - ki - t U 0\ Phone # Contractor's Address es /7 S t.:? „ Q .... • ;3 , �; �+ 2 Zip State City Va X1' > -, Qualifier Master Permit No. Zoe echanical Roofing * * * * * * * * * * * * * * * * * * * * * * * * * ** *Fees * * * ** * * * / *** ************** R `7� Notary $ __ County Escrow Fee $ L = 8 b Permit Fee $ Radon $ � Education/Training '� g Fee $ •6 L — Tech $ -6 Scanning $ Code Enforcement $ Bond $ )) Total Fee Now Due $ 1 b . q, 0 Minus Plans Check Fee $ -- ) . 0 r 4-' S a. 0 0 AMv‘ chlfikAi A 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Architect/Engineer's Name (if applicable) Phone # Architect/Engineer's Address City State Zip Square Footage Of Work: • Number of: Bays Stories Families Bedrooms Baths ❑Demolition Type of Work: ['Addition ['Alteration ['New 0 Repair/Replace Describe Work: 4-77/ t Struct. $ ntinued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City 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, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: ce ' that do and zoningregoing information is accurate and that all work will be done in compliance with all applicable laws regulating certify . I I rtify at all the f "WARNING TO OWNER: YOUR FAfLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O COMMENCEMENT." OF 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 roe P P rty 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 inspection will not be approved and a reinspection fee will be charged. ,the Owner or Agent The foregoing instrument was acknowledged before me this lD day o s2� � 20 by.5 • who is personally known to me or who has produced_ As identification and who did take an oath. VOTAR 'iJBLIC: Ay Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** tate Certificate or Registration No. PPLICATION APPROVED B c717/03 State Stat ►; :*= MY COMMISSION # DD 169154 EXPIRES: December 3, 2006 * RiF iP * * 419.PAA' iO4 10eg* (Certificate of Competency Holder) Certificate of Competency No. i f ** i * * * *: * * * * * * * * * * * * * * * * ** ; -/ 1 , Signature Zip Contrac .r The foregoing instrument was acknowledged before me this 2 day of t:ac l} 20 Dc./ , by ersonally known NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * ** * * * * * * * * * * * * * * * * * * ** LL who i - e or who has produced as identification and who did take an oath. th. ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer _ Zoning Permit No f Date C - - Y l a 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 __. __. ���>r! No Q - -- Street Registered Architect and /or Engineer _ Employing Plumber's Nam _�!!! No Street 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 STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank „I 0.0 Type of Tank__ 4 Capacity Cals.____ Feet of Drain Tile. Ir Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit �` +.-�- $__ ( Signed) Plumbing Inspector. '' -Y i The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati crP'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. My Commission Expires Notary Public, State of Florida 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. 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 BEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Permit No f Date C - - Y l a 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 __. __. ���>r! No Q - -- Street Registered Architect and /or Engineer _ Employing Plumber's Nam _�!!! No Street 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 STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank „I 0.0 Type of Tank__ 4 Capacity Cals.____ Feet of Drain Tile. Ir Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit �` +.-�- $__ ( Signed) Plumbing Inspector. '' -Y i The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati crP'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. My Commission Expires Notary Public, State of Florida 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. 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. '"/j 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 Nature of Water Supply.: City'—Well STATE OF FLORIDA, 1 ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Street Registered Architect and /or Engineer Employing Plumber's Name_ 7 ._ __..___- ,______- No Street Location and Legal Description Lot / !r✓ ,-- _ ,__ Block_ 7 '/ Street and Number where work is to be performed— No ... _____ - s U' - ,0 State work to be performed and purpose of building (By Floors)___.. New Building. Remodeling Addition Repairs Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $ / t (Signed)`�i =�` - i �' ;� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that e Understands and accepts his o ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 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. -=. / /-2 - -/ , " (5igned) % e f a " e — blasteYP1 Street Subdivision My Commission Expires Notary Public, State of Florida No. of Stories 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 o ,. A / . 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. '"/j 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 Nature of Water Supply.: City'—Well STATE OF FLORIDA, 1 ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Street Registered Architect and /or Engineer Employing Plumber's Name_ 7 ._ __..___- ,______- No Street Location and Legal Description Lot / !r✓ ,-- _ ,__ Block_ 7 '/ Street and Number where work is to be performed— No ... _____ - s U' - ,0 State work to be performed and purpose of building (By Floors)___.. New Building. Remodeling Addition Repairs Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $ / t (Signed)`�i =�` - i �' ;� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that e Understands and accepts his o ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 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. -=. / /-2 - -/ , " (5igned) % e f a " e — blasteYP1 Street Subdivision My Commission Expires Notary Public, State of Florida No. of Stories 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. STATE OF FLORIDA, I as. COUNTY OF DADE. Size Septic Tank_-_--------------- - - - - -- Feet of Drain Tile____ -__ Nature of Water Supply: City — Well.__ CO Amount of Permit $_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Polzzatt No l��tL +t Date 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or the/ruilding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and ail 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 J 4 _s ' ( 214 d./ No.--- -- - - —! Street_ 7 5 Registered Architect and /or Engineer Ai _ _ _ _ - -- - - - _----------------- -_ / ___ _ - - -_ Employing Plumber's Name ___Pl!i_1Ahl.J. —_ �e tr_ --' L t C _R - - - - -- -_l 7 6 Street- A4 ---15-- 6 ! 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)._ Al DRtJ up1 r 19 o dr- New Building Remodeling Addition_______ Repairs • No. of Stories Type of Tank --Dist. Feet of Tank or Drain Field from Well .Size of Soakage Pit (Signed) Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ' Lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn ` 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 the work suc r . u lc notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on . ' to be form under this permit, as are licensed by Miami Shores Village. _ Before me, the undersigned authority, a notary public, duly authorized to administer o; s 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 lumber. 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. CLO5Irr BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURE6 _ CONTR. LIST CHECK 1.----_ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL Comm LIST CHECK STATE OF FLORIDA, I as. COUNTY OF DADE. Size Septic Tank_-_--------------- - - - - -- Feet of Drain Tile____ -__ Nature of Water Supply: City — Well.__ CO Amount of Permit $_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Polzzatt No l��tL +t Date 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or the/ruilding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and ail 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 J 4 _s ' ( 214 d./ No.--- -- - - —! Street_ 7 5 Registered Architect and /or Engineer Ai _ _ _ _ - -- - - - _----------------- -_ / ___ _ - - -_ Employing Plumber's Name ___Pl!i_1Ahl.J. —_ �e tr_ --' L t C _R - - - - -- -_l 7 6 Street- A4 ---15-- 6 ! 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)._ Al DRtJ up1 r 19 o dr- New Building Remodeling Addition_______ Repairs • No. of Stories Type of Tank --Dist. Feet of Tank or Drain Field from Well .Size of Soakage Pit (Signed) Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ' Lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn ` 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 the work suc r . u lc notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on . ' to be form under this permit, as are licensed by Miami Shores Village. _ Before me, the undersigned authority, a notary public, duly authorized to administer o; s 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 lumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 2-0 - — -- - -- — -- - ..... - - -6"' Amount of P e r m i t s - - - - -- - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Capacity Gals (Signed) _ (Signed)__ . :_ _. t Date' -- Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. _ p Street w 7 7 . . d�_..d _:! ----- - - ---- 6) - A L ' J Owner's Name and Address __ -____ No. ? 4- __ Registered Architect and /or Engineer - , (' ,r B Employing Plumber's Name_iHl-L�l_►-__B!?r]�'�t - :1_� -t�T� �' No. - __-- .— � /� ._ Street - - - -_g _ ts Location and Legal Description Lot__ - -_ Street and Number where work is to be performed— No.__________ State work to b e performed and purpose of building (By Floors)._ � l � 1 a = A - i� . l f //!�%= L I- New Building __— Remodeling__ __ ____.___ Addition________._ Repairs No. of Stories. Subdivision_____ -___ _.___ ________ Street dL/ L 2.7 Size Septic Tank__ ..... --- -- - — — Type of Tank. C) i - Feet of Drain Tile -_, M c -- .0 d-$Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.__._____ _____ Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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 wo . s ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contract • , . • work to . - rformed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 es. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath 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 $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty materials and /or workmanship. LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CLOSETD BATH Tues SHOWERS — -- CONTR. LIST CHECK - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL. __!_ CONTR. LIST CHECK 2-0 - — -- - -- — -- - ..... - - -6"' Amount of P e r m i t s - - - - -- - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Capacity Gals (Signed) _ (Signed)__ . :_ _. t Date' -- Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. _ p Street w 7 7 . . d�_..d _:! ----- - - ---- 6) - A L ' J Owner's Name and Address __ -____ No. ? 4- __ Registered Architect and /or Engineer - , (' ,r B Employing Plumber's Name_iHl-L�l_►-__B!?r]�'�t - :1_� -t�T� �' No. - __-- .— � /� ._ Street - - - -_g _ ts Location and Legal Description Lot__ - -_ Street and Number where work is to be performed— No.__________ State work to b e performed and purpose of building (By Floors)._ � l � 1 a = A - i� . l f //!�%= L I- New Building __— Remodeling__ __ ____.___ Addition________._ Repairs No. of Stories. Subdivision_____ -___ _.___ ________ Street dL/ L 2.7 Size Septic Tank__ ..... --- -- - — — Type of Tank. C) i - Feet of Drain Tile -_, M c -- .0 d-$Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.__._____ _____ Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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 wo . s ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contract • , . • work to . - rformed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 es. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath 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 by improper notice for inspection, or faulty materials and /or workmanship.