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893 NE 96 st (8)BUILDING PERMIT APPLICATION FBC 2001 Contractor's Address 1 411 i "/ &A- City Qualifier m arn i fiAct $ Value of Work For this Permit Describe Work: ✓ Total Fee Now Due $ r 0 . hC' (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbin Owner's Name (Fee Simple Titleholder) E, cves \ k, — iAme (l Phone # Owner's Address s NE cito City tkitunk Itve _ State n- Tenant/Lessee Name Phone # Job Address (where the work is being done) 8 , e C /L City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name \UPi6Cin� Sta 4 +rte c� as iq 41s1 !ter 'ermit No. Zip Mechanical Roofing Zip Phone # 1, en 1- g3 el. Zip State Certificate or Registration No. LP6O01 I `7 C o , Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # 1 y'GO Square Footage Of Work: Type of Work: ❑ Addition ❑Alteration IdIFw ❑ Repair/Replace • El Demolition too G LP F FIa (.t ft C k ' 3 os(j Submittal Fee 5 rC • Permit Fee $ / CCF $ 1 • CO /CC -� Notary $ Training/Education Fee $ , LAO Technology Fee $ Scanning $ 3 . CC ' Radon $ i Zoning / Bond $ Code Enforcement $ - Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State 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 conunenced 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 My Commission Expires: Chc 05/13/03 (prod uced w • l��i Y icgtion° £vo did take an oath. 0 Sign: Print: My Commission Expires: Zip Contractor er or Agent The foregoing instrument was acknowledged before me this 17 The foregoin ' strument was acknowledged before rrT this 17 day of d. , _ , ! e:� t:p,"\ ��T�� , day of : �- e�_ode"C1,� ✓ personally knowrto me or w as iden i _ . did talce an oath. NOTARY PUBLI ti o °o y -,c ti �ti. alr7 r , �, s •' ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** \ / ******* * * * * * * * * * * * * * * * * * * * * * * ***** * * * *4* *** ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *� APPLICATION APPROVED BY i /i'6 �✓ s -/ Plans Examiner ' Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM BATH TUB BIDET UNIT __ —_ __ __ FEE ITEM SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIR/METER CHANGE APPLIANCE OUTLETS UNIT -_ FEE ITEM SPACE HEATERS UNIT FEE CENTRAL HEATING A/C (WIND) DISHWASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP A/C (CENTRAL) DUCT WORK REFRIGERATION PROCESS AND PRESS PIPING INTERCEPTOR LAVATORY LAUNDRY TRAY —_ —_ RANGE TOP OVEN WATER HEATER -_ UNDERGROUND TANKS ABOVE GROUN) TANKS U.F. PRESSURE VESSELS CLOTHES WASHER SHOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TBPORARY WATER CLOSET —_ -- __ MOTORS 0- 1 HP MOTORS OVER 1- 3 HP MOTORS OVER 3- 5 If MOTORS OVER 5- 8 HP MOTORS OVER 8- 10 HP MOTORS OVER 10- 25 HP -_ '_ -_ -_ -_ STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS FIRE SPRINLER SYSTEMS URINAL WATER CLOSET INDIRECT WASTES —_ —_ MOTORS OVER 25-100 HP MOTORS OVER 100 HP A/C WINDOW -_ COOLING TOWERS VIOLATION REINSPECTION WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER __ —_ AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS HEATER -NEW INST. HEATER - REPLACE —_ GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMAING POOL WATER SERVICE SEWER CONNECTIONS __ -_ OUTLETS COMAERCIAL SIGN TUBES SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER SEPTIC TANK RELAY __ __ FIXTLRES ANTENNA TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. PUM' & ABANDON SEPTIC TANK —_ VIOLATION REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN R00F INLET SOLAR WATER HEATER FIRE STANDPIPE Ala-NNW WSPreit LAWN r 2•1j � SPRINKLER SYSTEM GAS METER SET (GAS) . n _ - _ GAS PIPING n ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/15/2005 Applicant: Owner: JOB ADDRESS: 893 NE 96 Contractor SUBURBAN PROPANE DBA ACME GAS Contractor's Address: 1491 NE 130 STREET Local Phone: 305 - 891 -8393 Parcel # 1132060142690 Plumbing Permit Permit Number: PL2005 -191 ST Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 4 BLK 74 LOT SIZE SITE VALUE Fees: Description Amount FEE2005 -8242 Submittal Fee ($50.00) FEE2005 -8243 CCF $1.20 FEE2005 -8244 Training and Education Fee $0.40 FEE2005 -8245 Technology Fee $4.00 FEE2005 -8246 Building Fee $160.00 FEE2005 -8247 Scanning Fee $3.00 Total Fees: $118.60 Total Fees: $118.60 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 12/11/2005 Construction Value: $1,500.00 Work: SET (1) GALLON TANK & LP GAS LINE TO FIREPLACE, WATER HTR & STOVE Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: to 0 \ ,Suburban Propane 1491 N. E. 130th Street ' N. Miami, FL 33161 305 -891 -8393 Qualifier 1 Job Address g5's NE 96 t� YYI 14y 4 1 S'4'O1Z26 »C Longest Run Total BTU's 33F WO ,C3 OT 26 . ,., PL4JV OF SITJ?VEY SCALE av 1 =15 cam rn CO CL O J ' cn 4 C *-' co � �I -I cc 14.1 FND ..E.= .L.`'- `a�.7 V I I I i" I.P. = ,-, O ' - Q °1 co c N CO ,. �. c„, . „. d o a CA v Ti ;, j J F- c; \ ,, , , e4 . 1 'i r. 7' GRASS PKWY 6'X0.7' CBS WALL BRICK 6 s c „},, . ai TWO STORY,, d � RES. 893 %s k ) 3.,E , 37.90' r. IN C N BRICK 1: - ON i- "I' 19.10' 8.00' 18.70' PLANTER T.,_,_, ON R 13.35 d(M) FND � FFN. NAIL T1 ” I. ON e tri FND o I.P. a 37.85' 5' SWK 85.32 (R) (M) cP, 8 X2.8O'X2.20'Lf.; COLUMN (TYP) FND NAIL t*• BLOCK CORNER cr- .` urets 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 ELI— SICK_ No. Registered Architect and /or Engineer n Y MIAMI a'Yl�°� `C `� � Employing Plumber's al — `� �� ^ �`j9't P ... �...��]. 't..r._ Location and Legal Description Lot. Mork SubdlvWon MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No C1 State work to be performed and purpose of building (By Floors)-_ -_ -- �'�f�`� - -- OC SG New Building.. -_._ — _.._.........._.. Remodeling - -. - - -- Addition_. _.__�.._— Repairs. My Commission Expires Size Septic Tank_ C _ Type of Tanis —, Feet of Drain Tile ° SQ . .� Dist- Feet of Tank or Drain Field from Well .. ._-_ Size of Soakage Pit 3 Street-22-6' 96 sZ Str eet!!' 6 96 LS . Nature of Water Supply: City-Well. Amount of Permit 43 G ( Signed ) _ L.L -1' C.i. '!7 \ 'W 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 59138, Compiled General Laws of Florida Permanent Supplement, and l,a' 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 ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub -contr • —,., work be - orrr under this permit, as are lionised by Miami Shores Village. 02 J O tai IC No. of Stories Master Plumber. STATE OF FLORIDA, µ COUNTY OF DADE. Before me, the undersigned authority, • notary public, duly authorised 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 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 Publics, State of Florida NOTE: A re- inspection fee of 41.00 will be made whoa was misspeaks is made by Impropsr notice for (baspecti n, or faulty materials and /or workmanship. SE CLOTS BATH Tu.• SHOWERS LAVA. RIES TO SINKS SLOP SINKS LAUNDRY TUS• U RINALS CATCH •ASI FLOOR DRAIN DRINKING FOUNTN• TOTAL FIXTURES CONTR. LIST -- CN[CK + SEPTIC TANK SEWER Comm. DRAIN F IELD SOAKAGE. PIT G TRAP SOLAR HEATER Mir WELL SPRKLR. SYSTEM aW IN POOL CONTW. LIST COMICS r III urets 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 ELI— SICK_ No. Registered Architect and /or Engineer n Y MIAMI a'Yl�°� `C `� � Employing Plumber's al — `� �� ^ �`j9't P ... �...��]. 't..r._ Location and Legal Description Lot. Mork SubdlvWon MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No C1 State work to be performed and purpose of building (By Floors)-_ -_ -- �'�f�`� - -- OC SG New Building.. -_._ — _.._.........._.. Remodeling - -. - - -- Addition_. _.__�.._— Repairs. My Commission Expires Size Septic Tank_ C _ Type of Tanis —, Feet of Drain Tile ° SQ . .� Dist- Feet of Tank or Drain Field from Well .. ._-_ Size of Soakage Pit 3 Street-22-6' 96 sZ Str eet!!' 6 96 LS . Nature of Water Supply: City-Well. Amount of Permit 43 G ( Signed ) _ L.L -1' C.i. '!7 \ 'W 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 59138, Compiled General Laws of Florida Permanent Supplement, and l,a' 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 ch public notice or notices as are required by the Act. The undersigned agrees to employ only such sub -contr • —,., work be - orrr under this permit, as are lionised by Miami Shores Village. 02 J O tai IC No. of Stories Master Plumber. STATE OF FLORIDA, µ COUNTY OF DADE. Before me, the undersigned authority, • notary public, duly authorised 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 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 Publics, State of Florida NOTE: A re- inspection fee of 41.00 will be made whoa was misspeaks is made by Impropsr notice for (baspecti n, or faulty materials and /or workmanship. Date Legal Description Historically Designated: Yes No Owner/Lessee / Tenant y w Se V5er1 a_ JO k�'1 Master Permit # )14.441 Owner's Address ,/�.c J j . 1 em f 'F' 4_, —330? PhoneY( ) j � — 5-235 Contracting Co J G 1 r - f ( Associates , Ltd A d d r e s s ' / ( ' (,Q® c-4� �-o Qualifier �'e l ��- z1q g� C S# Phone "� C �'�9- 1 ocioa State # .� � a33 Municipal # /3t-(` - cor,,�Ci ',ompetency # 3 ns. Co - 0L (29 jl() Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 1� f»M ✓ DESCRIPTION (� U 7 WORK DESCR Square Ft. Estimated Cost (value)) ��• WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separr to 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 d zonin F ore, I authorize the above -named contractor to do the work s : ted. Notary as My C APPROVED: Zoning Mechanical FEES: PERMIT Owner an ssion Expire PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address \( 813 NC O 6 Si Tax Folio / / -,3a pG G/ '.? G 9c) C�CCC Mat z) z co Condo Pres' Date r Con.. . s ,.,.. I VILLA !ti{til'?'f.R'i i'CI?i i `;T.17"C`F F` UZ.CI k\ :(7J1166 2.1)2 /0 RADON Building Plumbing . or lder ssion Contra Expiresr Owner - Bui : Owner- tic71'A ^ Z�' � L I,...,. t IJ a.LP. NOTARY tC ,:hT FLORIDA C O`LNii�_;!O :Ni 1•.,,7. CO64532 My c;11■P� ?4 hX1'.5r.t'1 26 Q-- C.C.F. ' NOTARY BOND Electrical U TOTAL DUE #4.- sG Structural Engineer_ 61 4 o M . nt • H Aa9 t._% fG guv-E W4 " VA d 0 ) ■ot ' \t V :1s Z - T4 KwroaD a('- c viAL - • n,, ) f Penn, N/A :Ippll..,tu011 is hereby prude for the approval of the detailed statement of the plans and specifications herewith subrr;. .-1 for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.:- ! Shores Village, Florida, d.rd all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic- of the Building Division of Tilami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and wet fications must be kept at ',uilding during progress of work. 'honer s Name and Address.. 0 `- i No 0., Street Pb . J .egist. red Architect and /or Engineer .mploying Plumber's Name .a S p(O.?V .N..Z -s ,.i.:ie.2...- Street—a? ,!.. Location and Legal Description Lot. Block 7 Street and Number where work is to be performed —No /V.B 1' Street State work to be performed and purpose of building (By Floors) __....__. ... _______ ..... _ New Building Remodeling_ _._ ... _._ Addition..._ ..... Repairs .... .... Nt; of Stones Size Septic Tank_...— ..---- •- ...--- - - - - -- -- - - - -.- ..•Type of Tank__ Feet of Drain Tile.______ _._.___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well..______._-___ ..-.__-..___..___. -__._...-Size of Soakage Pit 1 7 .1 :._. ./. 3 acif.. e'9 re Amount of Permit S__•° — STATE OF FLORIDA. } u. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ Capacity JA,Nt My Commission Expires Notary Public, State of Florida ?lumbin3 Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n;rloye i of ip1Kn under the Florida Workrnen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Cum lement, Ind ha', Iran• t lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in ' .e tf ric o b. perfenned under this permit; and will post or cause to be posted' for inspection on the site of the work ouch publ' notice r no icon 45 O. required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed r,a this licensed by Miami Shores Village. A Plumber Before me, the undersigned authority, .a notary public, duly authorized to administer oaths and take acknowledgments, person..; : ppearet. to are 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 Seto, therein by hip, stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re-inspection Is mede•neoessary by improper notice for inspection. tsutt) materials and /or workmanship. CLOSET• BATH TUB• 6HOWIR• LAVA• TORIES 61 SLOP SINKS LAUNDRY Tuts URINALS CATCH EASIN FLOOR DRINKING DRAIN FOUNT'N• TOT,.L FIATI RE• CONTR. ' LI T — CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST -- -.- 1 Ir— CHICK Penn, N/A :Ippll..,tu011 is hereby prude for the approval of the detailed statement of the plans and specifications herewith subrr;. .-1 for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.:- ! Shores Village, Florida, d.rd all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic- of the Building Division of Tilami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and wet fications must be kept at ',uilding during progress of work. 'honer s Name and Address.. 0 `- i No 0., Street Pb . J .egist. red Architect and /or Engineer .mploying Plumber's Name .a S p(O.?V .N..Z -s ,.i.:ie.2...- Street—a? ,!.. Location and Legal Description Lot. Block 7 Street and Number where work is to be performed —No /V.B 1' Street State work to be performed and purpose of building (By Floors) __....__. ... _______ ..... _ New Building Remodeling_ _._ ... _._ Addition..._ ..... Repairs .... .... Nt; of Stones Size Septic Tank_...— ..---- •- ...--- - - - - -- -- - - - -.- ..•Type of Tank__ Feet of Drain Tile.______ _._.___Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well..______._-___ ..-.__-..___..___. -__._...-Size of Soakage Pit 1 7 .1 :._. ./. 3 acif.. e'9 re Amount of Permit S__•° — STATE OF FLORIDA. } u. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ Capacity JA,Nt My Commission Expires Notary Public, State of Florida ?lumbin3 Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n;rloye i of ip1Kn under the Florida Workrnen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Cum lement, Ind ha', Iran• t lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in ' .e tf ric o b. perfenned under this permit; and will post or cause to be posted' for inspection on the site of the work ouch publ' notice r no icon 45 O. required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed r,a this licensed by Miami Shores Village. A Plumber Before me, the undersigned authority, .a notary public, duly authorized to administer oaths and take acknowledgments, person..; : ppearet. to are 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 Seto, therein by hip, stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re-inspection Is mede•neoessary by improper notice for inspection. tsutt) materials and /or workmanship. PLUMBING � ner of Building t_ Its NAME Architect and /or Engineer ERMIT A N9 406 - - - - -- -- - AMO NT RECD. YME ACCT. DEPT. ADDRESS ADDRESS Contractor or Builder / 1 2f* Proposed Location- - - - LOT BLOCK SUB- DIVISION NO. NAME ADDRESS MIAMI S14 BUILDING IN This permit is issued to the building above described, as per application, Plans and Specifications heretofore filed in this office. This per that all facts stated in the application are true and that the construction complies strictly with the plans and and compliance with the building laws •f the State of Florida and with the building ordinances and zoning regulations of the building department . Mia •• i Shores Village. This permit may be revoked at any time laws, ordinances or rules and regulatio or ppn ar change • th .lans and specifications unauthorized by In consideration of the issuance to me of this permit I hereby agree to the proposed construction ans and specifications thereof heretofore by me submitted, and in compliance with all provisions building g and zoning laws of Miami Shores Village and all rules and regulations of t Dated __-- 19 �Ia NOTE: charge of $1.00 will be made for making corrections or changes to this application after a A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice f Owner of Building— . "4 Pairk. s ° Architect and /or Engineer ,19_ if dorre of $100 s►Ul'be lose for melting comion or daagw to this cation s p a its of $1.00 Watilir Sloth when sods,re-ioqiiidon is toads • ; !Oki for :'1 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. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Cr21 Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name. __/.n_t 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 No. Block -( 3 street AZ q :S Repairs E® No. of Stories Date 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 (Sinned )- Capacity Gals. performed under this permit; and will post or cause to be posted' for inspection on the site of the work required by the Act. The undersigned agrees to employ only such sub- contracto o�work to licensed by Miami Shores Village. 3 street_._! VE Plpfnbing In The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent S element, and lids com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by y him in the work to be c)i public notice or notices as are perform , under this permit, as are Master Plumber. STATE OF FLORIDA, I µ 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 d e p o s e s 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 fads 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-lnepeetion is mede.neoessary by impr'oper notice for inspection, or faulty materials and/or workmanship. CLOUTS BATH TUBS SNOW[R[ LAVA• TORIES SIN" SLOP SINK[ LAUNDRY Twos URINALS CATCH BASIN FLOOR DRAIN OR'NKI NG FOUNT 'NS TOTAL FIXTURE[ CONTR. LIST — CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Cr21 Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name. __/.n_t 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 No. Block -( 3 street AZ q :S Repairs E® No. of Stories Date 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 (Sinned )- Capacity Gals. performed under this permit; and will post or cause to be posted' for inspection on the site of the work required by the Act. The undersigned agrees to employ only such sub- contracto o�work to licensed by Miami Shores Village. 3 street_._! VE Plpfnbing In The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent S element, and lids com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by y him in the work to be c)i public notice or notices as are perform , under this permit, as are Master Plumber. STATE OF FLORIDA, I µ 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 d e p o s e s 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 fads 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-lnepeetion is mede.neoessary by impr'oper notice for inspection, or faulty materials and/or workmanship. tv aa� Permit No 1'1- I l 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 Dopy of approved plats! and specifications mud be kept at building during progress of work. c Owners Name and Address L c t� is i Registered Architect and /or EnAineer Employing Number's uber's Name 7t A Ph(1141 - - ..... Na .. L •. l �.__..,.,... Mlle aG 4'11' a rf , Location and Legal Description Lot. Blorit Street and Number where work is to be performed-No. .l.�_ 1sLJE o Street. State work to be performed and purpose of building (By F1oors)__. /...L0M New Building..__.__ _.._.........._.. Remodeling____ ._._____ Addition. Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City -Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Type of Tank-- nut. Feet of Tank or Drain Field from Well Size of Soakage Pit. (Signed) - d l !x... 1Lt L Fes--. '61 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 the Act. The undersigned agrees to employ only such sub- contractors„ work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) streetllIL t Subdivision Repairs. No. of Stories ............ Capacity Cals. 1 Master Plumber. STATE OF FLORIDA, } u. COUNTY OF DADE. Before me, the undersigned authority, • 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 oses and says that he is the ._.__.._ .. _. __..-- -__ - -. - -. -• �- of the above described construction, that he has carefully read the foregoing application, and that he dkl sign the same, and that aU facts therein by him stated are true. M Commission Expires Notary Pubho, State of Florida NOTE: A re- inspection fee of $1.00 will be made when arch Irispaotiast f. mede•n.oewry by immix" notice for lespectio , or faulty materials and/at war manahLp. CLOSETS BATH Tuns SHOWERn LAVA. TORIES SINK. SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N• TOTAL FI CONTR. LIST _ CHECK SEPTIC TANK SEWER Comm. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'a P001. CONTR.y' �•�. % I►OJ Ali LIST CHECK tv aa� Permit No 1'1- I l 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 Dopy of approved plats! and specifications mud be kept at building during progress of work. c Owners Name and Address L c t� is i Registered Architect and /or EnAineer Employing Number's uber's Name 7t A Ph(1141 - - ..... Na .. L •. l �.__..,.,... Mlle aG 4'11' a rf , Location and Legal Description Lot. Blorit Street and Number where work is to be performed-No. .l.�_ 1sLJE o Street. State work to be performed and purpose of building (By F1oors)__. /...L0M New Building..__.__ _.._.........._.. Remodeling____ ._._____ Addition. Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City -Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Type of Tank-- nut. Feet of Tank or Drain Field from Well Size of Soakage Pit. (Signed) - d l !x... 1Lt L Fes--. '61 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 the Act. The undersigned agrees to employ only such sub- contractors„ work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) streetllIL t Subdivision Repairs. No. of Stories ............ Capacity Cals. 1 Master Plumber. STATE OF FLORIDA, } u. COUNTY OF DADE. Before me, the undersigned authority, • 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 oses and says that he is the ._.__.._ .. _. __..-- -__ - -. - -. -• �- of the above described construction, that he has carefully read the foregoing application, and that he dkl sign the same, and that aU facts therein by him stated are true. M Commission Expires Notary Pubho, State of Florida NOTE: A re- inspection fee of $1.00 will be made when arch Irispaotiast f. mede•n.oewry by immix" notice for lespectio , or faulty materials and/at war manahLp.