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930 NE 96 St (4)1 CLOtrrs BATH Tue. SNOWIER[ LAVA- TORIIt SINKS SLOP SINKS LAUNDRY Tune URINALS CATCH SAWN FLOOR DRINKING DRAIN FOUNT'N• TOT..L FIIT ∎RES _ CONTR. L I T - CHICK I I -- Lam �. SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASI TRAP SOLAR HEATER DEEP WILL _ SPRKLR. SYSTEM SWIM'O POOL 1 CoNTR. LIST - - -- CHICK .� �._, — � Penns: No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 A mount of Per STATE OF FLORIDA, } as. COUNTY OF DADE. (Signed)WT AAP 1 Dace ..._ 8-21-80 :,t pllc:,tu'n is hereby trade for the approval of the detailed statement of the plans and specifications herewith subr.w...A 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, sad 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 Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec fications must be kept at iuilding during progress of work. )svuers Name and Address George & Julie Evans _ No George Street E.. 96 Street .egist Bred A * Engtnee. r John Kne suv ieh :mploytng Plumber's Name Sally Dysart, Inc. N Q ..__ 16160 e BiSCayne B.lvd,. 1 Location and Legal Description Lot- • E1 of 9 Bloat 76 SubdlvWon.___.._. - - ._.- ____ -- _ -• Street and Number where work is to be performed -No 930 Street N.E. 96th Street__ Swimming Pool State work to be performed and purpose of building (By Floor) New Building ._... -- .--- _- •- • .. ............... Remodeling -- --- - -.___ Addition Capacity ..ala. X Repairs No of Stones .... Notary Public, State of Florida • Plumbin3 Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n ;Boyer of Who) under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida ' nnanent . upi lement, and llas , '0l - licensed by Miami Shores Village. required by the Act. The undersigned agrees to employ only such sub-con work to \ -• . 1.1i, -d with the provisions thereof, and will require similar compliance from all con. - . s or sub -con ; : ours -mployed 1 y him in ' a , rk t b� performed under this permit; and will post or cause to be posted for inspection oi:Ste of the au uhl; 1. no leer +s ell r tn. I I Mast.0 Plum Before me, the undersigned a , ority, a _•tary pu.lic, duly authorized to administer oaths and take aclerowledaments, per;in ; ∎ npeareta to me well known, and who, being by me first , oily sworn, upon oath deposes and says that he is the .................... ...... of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all acts therein by hin. stated are true. w! FLUIDA VI LAM!: ' f; JANUARY 12. 1:o1 : My +Ulan asi& $trosfi NOTE: A re- inspection fee of .1.00 will be made when such re - inspection is made necessary by Improper notice for inspes't on,, tr ioultry materials and /or workmanship. New Building Permit No 1CVI 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. 7 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)____ Remodeling Size Septic Tank _---------- _---- - -Type of Tank Capacity Gals. Feet of Drain Tile —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._.__ ....... ________ ..... -- - -__ -_ _ -. -Size of Soakage Pit orricK,SOrY1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Amount of Permit $_-- ........ ____-- _------ - - - - -- -- - -- _ ( Signed)._ (Sign Date Street_ My Commission Expires Notary Public, State of Florida Rem) r -Q i as pre 7414 w ed 36 /7C , aster Plumber. 1 7 , c No._ Street_ Block � Subdivision p ,(_ moo rr Stre LPL ? - — - J 1 _ t i Y - U1 / A./ t e i.,to - 31 ESc-o ur , Addition__ _____ Repairs No. of Stories Plumbing nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his,Tigations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per / anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors - - ' oyed y him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site a work . ch publ' • notice or notices as are required by die Act. The undersigned agrees to employ only such sub - contractors, on to b perfor 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 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 I NAS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N6 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK New Building Permit No 1CVI 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. 7 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)____ Remodeling Size Septic Tank _---------- _---- - -Type of Tank Capacity Gals. Feet of Drain Tile —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._.__ ....... ________ ..... -- - -__ -_ _ -. -Size of Soakage Pit orricK,SOrY1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Amount of Permit $_-- ........ ____-- _------ - - - - -- -- - -- _ ( Signed)._ (Sign Date Street_ My Commission Expires Notary Public, State of Florida Rem) r -Q i as pre 7414 w ed 36 /7C , aster Plumber. 1 7 , c No._ Street_ Block � Subdivision p ,(_ moo rr Stre LPL ? - — - J 1 _ t i Y - U1 / A./ t e i.,to - 31 ESc-o ur , Addition__ _____ Repairs No. of Stories Plumbing nspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his,Tigations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per / anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors - - ' oyed y him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site a work . ch publ' • notice or notices as are required by die Act. The undersigned agrees to employ only such sub - contractors, on to b perfor 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 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 PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - 3? Permit No. -_ f o I .>t v — Date !.� _J o•- - - -.. - -- --- _. - - -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herein described. This application is made in 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 th 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/Ala �' Registered Architect and /or Engineer -!- -__ -142. s �'-ca..2_____42•at D_ Employing Plumber's Name Location and Legal Description Lot_-- ..... ____________ __._._ -- Block__- ® N _- — ....... - - -- — -- _ Street _ '1_ c . ? Q° J No. Subdivision. Street and Number where work is to be performed —No ?g-e2. Street AI,e d 4- `f State work to be performed and purpose of building (By Floors)_ /.44Y•94-4, flee!' °1 4.: c s� 7_ ;.a,. 11 X0L- /4„ E: eT c tS StA,/ 6 S104 --1. A '7s�� New Building _.___ Remodeling -___ -. __ -- - . - Addition_--_ ..... ____ -_._ Repairs_ __. _. _ - . ___ No. of Stories _ _..... . 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 $ -_- - - -- __ -- STATE OF FLORIDA, } COUNTY OF DADE. My Commission Expires (Signed)_.g-__ t.. Capacity Gals. - P umbtng In:pecto. The undersigned applicant for this building permit does hereby certify that he understands and accept ,/. is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, y nd 1 as com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or no'ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo.nwed under this per nit, 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, personall appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all •acts therein by him stated are true. 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 /ex worlananship. CLOSRS BATH TUBS SHOWERS S LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL F XTURES CONTR. LIST C HECK —^ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM •G POOL COMM. LIST CHECK` MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - 3? Permit No. -_ f o I .>t v — Date !.� _J o•- - - -.. - -- --- _. - - -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herein described. This application is made in 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 th 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/Ala �' Registered Architect and /or Engineer -!- -__ -142. s �'-ca..2_____42•at D_ Employing Plumber's Name Location and Legal Description Lot_-- ..... ____________ __._._ -- Block__- ® N _- — ....... - - -- — -- _ Street _ '1_ c . ? Q° J No. Subdivision. Street and Number where work is to be performed —No ?g-e2. Street AI,e d 4- `f State work to be performed and purpose of building (By Floors)_ /.44Y•94-4, flee!' °1 4.: c s� 7_ ;.a,. 11 X0L- /4„ E: eT c tS StA,/ 6 S104 --1. A '7s�� New Building _.___ Remodeling -___ -. __ -- - . - Addition_--_ ..... ____ -_._ Repairs_ __. _. _ - . ___ No. of Stories _ _..... . 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 $ -_- - - -- __ -- STATE OF FLORIDA, } COUNTY OF DADE. My Commission Expires (Signed)_.g-__ t.. Capacity Gals. - P umbtng In:pecto. The undersigned applicant for this building permit does hereby certify that he understands and accept ,/. is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, y nd 1 as com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or no'ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo.nwed under this per nit, 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, personall appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all •acts therein by him stated are true. 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 /ex worlananship. • BUILDING ELECTRICAL PLUMBING ROOFING Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA _ ❑ DATE 16-- l 19 ❑ PERMIT Owner of Building ► -- t . — z .-, ■•,i Architect Contractor tI or Builder - ► c �.. _ •L Work to be performed under this Permit u Address of r' j Building N° 7581 Value of Project $ Contractor's 01, ` License No. 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 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. t ! t.. "'. �- c " t _ - INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in comp1i ce with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au orities of Miami Shores Village. In ac• cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. • ay': CONTRACTOR OR BUILDER BY AUTHORITY •.30T .2 . y Amount of Permit $ <-' BUILDING ❑ ELECTRICAL ❑ PLUMBING 1 ROOFING Owner of Building / it 5 Address of Building Architect Contractor or Builder ' ." 1. «p * t , -� r +J 1 H Legal Lot 1 11 Description � B1 9_1`c, i 4 Cr IC* I i MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 10105 CONTRACTOR or BUILDER BY Date — f c* 19 4 Contractor's License No Work to be performed under this Permit i # � $ L arts i,r I -� # - elk , t� C it ). ! i 2 . 7 ,j7 Jo, pi ,.a 1 „ .( ' 11 1. i> Subdi- vision Sq. Ft. Value of I Amount of Project $ II Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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, servantspr employees. Cam! ' Signed ""' — INSPECTOR) BY In consideration of the issuance to me of this permit I agree perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawinp,9y,iiatements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work do by either, myself, my agent, servant or employee. AUTHORITY Permit No. Size Septic Tank Feet of Drain Tile 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 P Registered Architect and /or Engineer Employing Plumber's Name �___�___�_ No. Street Location and Legal Description Lot_! .w¢ _ Block_ 2' 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 Nature of Water Supply: City —Well --- ---- --------- ----- -- - - -- - -- - Amount of Permit $_ MIAMI SHORES VILLAGE f APPLICATION FOR PLUMBING PERMIT Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well 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, k COUNTY OF DADE. Before me, the undersigned authority, a notary NOTE: A re- inspection fee of $1.00 will be made when materials and /or workmanship. My Commission Expires ss. PLUMBING INSPECTION DEPARTMENT Date No Street (Signed) Size of Soakage Pit . 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) ___ Subdivision Street L 4 Tt \k No. of Stories______________ Notary Public. State of Florida ' al a Plumbing Inspector. Master Plumber. 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. such re- inspection is made necessary by improper notice for inspection, or faulty CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST 7 � 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. Size Septic Tank Feet of Drain Tile 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 P Registered Architect and /or Engineer Employing Plumber's Name �___�___�_ No. Street Location and Legal Description Lot_! .w¢ _ Block_ 2' 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 Nature of Water Supply: City —Well --- ---- --------- ----- -- - - -- - -- - Amount of Permit $_ MIAMI SHORES VILLAGE f APPLICATION FOR PLUMBING PERMIT Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well 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, k COUNTY OF DADE. Before me, the undersigned authority, a notary NOTE: A re- inspection fee of $1.00 will be made when materials and /or workmanship. My Commission Expires ss. PLUMBING INSPECTION DEPARTMENT Date No Street (Signed) Size of Soakage Pit . 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) ___ Subdivision Street L 4 Tt \k No. of Stories______________ Notary Public. State of Florida ' al a Plumbing Inspector. Master Plumber. 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. such re- inspection is made necessary by improper notice for inspection, or faulty y _.. { f y Permit Noe 71- Dal.° �(ey�. ?.Y___�� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 4ubmitted 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. o ✓ f/ Owner's Name and Address r; �! �' 3 �� '�- �_ _Lr"'4'"r___• Registered Architect and /or Engineer Employing Plumber's Name 1_ /J 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 l � r � v r Size Septic Tank_ _ $ • c� s .r rr�'1 • 1 Feet of Drain Tile / �IL__e Nature of Water Supply: City —VIA Size of Soakage Pit _____________________ __ ________ __ ____ _________ _________________________ Amount of Permit $_________� - -' STATE OF FLORIDA, i COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT My Commission Expires Block r � ' Type of Tank _letti __Capacit Gals. Dist. Feet of Tank or Drain Field from Well (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 under signed agrees to employ only such sub -cont ctors, o wo to be performed/ under this permit, as are licensed by Miami Shores Village. .1r 7 , c % / /� (Signed) No No 7 Street" -- 4 Street_ Subdivisi Notary Public. State of Florida Street 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. j , 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 SPRKL R. SYSTEM SWIM'G POOL CONTR. LIST / CHECK y _.. { f y Permit Noe 71- Dal.° �(ey�. ?.Y___�� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 4ubmitted 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. o ✓ f/ Owner's Name and Address r; �! �' 3 �� '�- �_ _Lr"'4'"r___• Registered Architect and /or Engineer Employing Plumber's Name 1_ /J 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 l � r � v r Size Septic Tank_ _ $ • c� s .r rr�'1 • 1 Feet of Drain Tile / �IL__e Nature of Water Supply: City —VIA Size of Soakage Pit _____________________ __ ________ __ ____ _________ _________________________ Amount of Permit $_________� - -' STATE OF FLORIDA, i COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT My Commission Expires Block r � ' Type of Tank _letti __Capacit Gals. Dist. Feet of Tank or Drain Field from Well (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 under signed agrees to employ only such sub -cont ctors, o wo to be performed/ under this permit, as are licensed by Miami Shores Village. .1r 7 , c % / /� (Signed) No No 7 Street" -- 4 Street_ Subdivisi Notary Public. State of Florida Street 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. j , Permit No. Application 6s 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 __l 121 6_ __ iVI E ' �"" t�: L._! No Street Registered .Architect and /or Engineer Employing / n Employing Plumber's Name _�..�L {—, 1 ! ___1t 1 • No Street__ 1 Location and Legal Description Lot M_ - ' r _____ Block 7___ Subdivision____l__ n__________________ Street and Number where work is to be performed—No 3o Street i____!t_c State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs _____ No. of Stories ---------- - - - - -- -- - Amount of Permit $_ ____`__ a __ .•- - 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. j as. t, 7S'� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date / 7 - -u O 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 Nature of Water Supply: City —Well. Size of Soakage Pit Plum ing 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) ""^ �. t (-111J 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. 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. ST LIST / I / / / 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. Application 6s 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 __l 121 6_ __ iVI E ' �"" t�: L._! No Street Registered .Architect and /or Engineer Employing / n Employing Plumber's Name _�..�L {—, 1 ! ___1t 1 • No Street__ 1 Location and Legal Description Lot M_ - ' r _____ Block 7___ Subdivision____l__ n__________________ Street and Number where work is to be performed—No 3o Street i____!t_c State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs _____ No. of Stories ---------- - - - - -- -- - Amount of Permit $_ ____`__ a __ .•- - 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. j as. t, 7S'� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date / 7 - -u O 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 Nature of Water Supply: City —Well. Size of Soakage Pit Plum ing 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) ""^ �. t (-111J 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. 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. 0-/P ft fi r Permit N 77-. Owner's Name and Address Registered Architect and /or Engineer r - - - 9 Employing Plumber's Name Location and Legal Description Lot__ Street and Number where work is to be performed —No. • 1 Size Septic Tank_ r ,___ __ '' tI7 Feet of Drain Nature of Water Supply: City—Valli Amount of Permit $_ ss. f , 1 42 Type of Tank _ 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 1l;ubmitted 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. Block 9 5t No _L__ Street_ (Signed) No 7 State work to be performed and purpose of building (By Floors) _ New Building v Remodeling_____ Addition Repairs No. of Stories Dist. Feet of Tank or Drain Field from Well �e_ i Gals__ �� ;;�.,,-,�''� /•�-+- - �� - -- Capacity - - - - - a Size 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 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 under signed agrees to employ only such sub -cam tractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Dat Street_ Subdivts' n_ im7 Street My Commission Expires Notary Public. State of Florida 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. LIST / CHECK ft fi r Permit N 77-. Owner's Name and Address Registered Architect and /or Engineer r - - - 9 Employing Plumber's Name Location and Legal Description Lot__ Street and Number where work is to be performed —No. • 1 Size Septic Tank_ r ,___ __ '' tI7 Feet of Drain Nature of Water Supply: City—Valli Amount of Permit $_ ss. f , 1 42 Type of Tank _ 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 1l;ubmitted 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. Block 9 5t No _L__ Street_ (Signed) No 7 State work to be performed and purpose of building (By Floors) _ New Building v Remodeling_____ Addition Repairs No. of Stories Dist. Feet of Tank or Drain Field from Well �e_ i Gals__ �� ;;�.,,-,�''� /•�-+- - �� - -- Capacity - - - - - a Size 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 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 under signed agrees to employ only such sub -cam tractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Dat Street_ Subdivts' n_ im7 Street My Commission Expires Notary Public. State of Florida 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. 7 q 0 /ttp euZit sh JOB: BUILDING 7 ■ • • • • ELECTRICAL : PLUMBING The following is ready for Inspection: - Inspector's Report: . 1._ : a • ', 7 • • -- . a • 181 : ` <,.._. ._.,-: / • , '---- • : ck, — — • • • AD: : WORK • DONE BY: : REQUESTED /1 / • ; I / ; READY 7 C C . 1 JOB: t � Inspector's Report: - BUILDING • : . : WORK ELECTRICAL . ((:- \/ DONE BY: PLUMBING : : : : REQUESTED READY • • • • • • • • • • The following is ready for Inspection: - Permit o building during progress of work Owner's Name and Address Registered Architect and / Employing Plumber's Na ngineer Location and Legal Description Lot__ STATE OF FLORIDA, } COUNTY OF DADE. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date_ __ 2 —_ -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte r 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 comp 'ed with, whethe , herein specified or not. A copy of approved plans and specifications must be kept at No Street _kte Ape 020 / .375 (Signed) Amount of Permit $_ (Signed) Street and Number where work is to be performed —No. // State work to be performed and purpose of building (By Floors) ! _�.. r 1 - 1, New Building Remodeling Addition Repairs Before me, the undersigned authority, a notary public, duly authorized 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 therein by him stated are true. Size Septic Tank Type of Tank Capacity Gals.________________ Feet of Drain Tile _____ ______________________ _______ Dist. Feet of Tank or Drain Field from Well __ Nature of Water Supply: City---Well — Size of Soakage Pit Plumbi Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane 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 under signed agrees to employ only such sub - contractors, on work to be . .led under this permit, as are licensed by Miami Shores Village. to administer oaths and take acknowledgments, personally Notary Public, State of Florida lumber. moo the same, and that all facts re- inspection is made necessary by improper notice for inspection, or faulty CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BA FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H ATER D ELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit o building during progress of work Owner's Name and Address Registered Architect and / Employing Plumber's Na ngineer Location and Legal Description Lot__ STATE OF FLORIDA, } COUNTY OF DADE. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date_ __ 2 —_ -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte r 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 comp 'ed with, whethe , herein specified or not. A copy of approved plans and specifications must be kept at No Street _kte Ape 020 / .375 (Signed) Amount of Permit $_ (Signed) Street and Number where work is to be performed —No. // State work to be performed and purpose of building (By Floors) ! _�.. r 1 - 1, New Building Remodeling Addition Repairs Before me, the undersigned authority, a notary public, duly authorized 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 therein by him stated are true. Size Septic Tank Type of Tank Capacity Gals.________________ Feet of Drain Tile _____ ______________________ _______ Dist. Feet of Tank or Drain Field from Well __ Nature of Water Supply: City---Well — Size of Soakage Pit Plumbi Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane 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 under signed agrees to employ only such sub - contractors, on work to be . .led under this permit, as are licensed by Miami Shores Village. to administer oaths and take acknowledgments, personally Notary Public, State of Florida lumber. moo the same, and that all facts re- inspection is made necessary by improper notice for inspection, or faulty -- €L - EeTRIC I A1- PERMIT A N9 758 PLUMBING Owner of Building V Id 01-4- .. 4 Architect and/or Engineer AMOUNT NAME NAME Contractor or Builder NAME Proposed Location - I RECD. PAYMENT ACCT. DEPT. Da , 19 ADDRESS ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 19 1-1 NO. LOT BLOCK SUB-DIVISION This permit is issued to __ // 6:: LICENSE NO. LICENSE NO. is STREET -4,---L ' • 4 " " t --e the building above described, as per application, Plans and !gpecifications heretofore filed in this office. This permit is granted upon: the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building la ws of the Sta e a F 4 rida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami SlItore •. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon a i n the plans and specifications unauthorized by the building inspector. i ; Iir , _ INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department f 1‘,4" mi Sbqses Village. NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval bas been4btained from the Planning Board. 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. 'LE-G-T 1_ PERMIT A N° 723 BUILDING INSPECTION DEPARTMENT PLUMBING c.< 19'L'' C ,� Owner of Building Architect and /or Engineer Proposed Location NAME NAME ADDRESS G ti'.. �'� r e d - t - i ' 4. Contractor or Butlder____�!� _____�________�_____:______� — __ 4_t LOT l BLOCK NAME ADDRESS MIAMI SHORES VILLAGE ADDRESS LICENSE NO. NO. 11 LICENSE N STREET SUR DNION /�+ t ti t. '. , 'i f + To ,' r 'r .a This permit is Issued to = r "-:,..4.... the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and _ regulations of the building department of Miami S ' V• ge. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon .ae in the plans and specifications unauthorized by the building inspector. 5 AMOUNT In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of y. building de j t . e o Mijti Shog Vil Dated RECD. PAYMENT ACCT. DEPT. INSPECTOR (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this applicatio. 't "p. • .a .e• ained from the Planning Board. 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. IRTIMMIG EbEefRieftt_ PLUMBING laws, ord!2? $ J AMOUNT PERMIT A N° 980 NAME NAME Owner of Building Architect and/or Engineer riAmpe Contractor or Builder... • RECD. PAYMENT ACCT. DEPT. ADDRESS ADDRESS • I 4'" MIAMI SHORES VILLAGE Bulyt5ir:JG INSPECTION DEPARTMENT A w , 19 / ADDRESS - „ • ----------- LICENSE NO. LICENSE NO. Proposed Location BLOCK . SUB/DIVISION NO. j STREET -r " . .11,1■01...... ., I 7 , 4," "I • .. -4 :4 . .. This permit is issued to the building above described, as per application, Plans and Specifications lieretofore filed in this office. This permiOs granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miapii Sjores Village. This permit may be revoked at any time upon the violation of any provisions of said s or rules and regulations, or A y change in the plans and specifications unguthorized by thtbuitliw inspector. , -' ,. „ t..... ,, f , 1....:_ 1. • 1 INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conjormity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building lays of the–State Of "Florida, all the building ordinances and zoning of Miami Shores Village and all rules and regulations of the building department of Ylianii ShoreyVillage. i _ dr . 1 1...,,, 19 k- ,, / 1-. Dated ___________/ "..- -...__•—___________________________—__.... ----- P A , / i•,... (SEAL) NOT A charie 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 fie of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. . }.' Ai[` MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date / �°?� 1 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 w LL Q / Owner's Name and Addressrl' �I-� �C l_ I�.� 1 ------ ___-- _ -..__ No._L_ Q A 4 . _ Steet- Registered Architect and /or Engineer --- ----- - - - -__ - -- ---_----__..___--- Employing Plumber's Nan eo7Z L ! _ / l i i 4 L _ _ _ - £ � ? i t ' t . 1 / W. � a _ _ _ - -- _ -. - -- Noa��.�2 -- W. . . _. 7 Street ------- - Location and Legal Description Lot Block Subdivision Street and Number where work is tO be performed —No 9 -i' N- E. ! ‘ Street. -- -_ - - -- State work to be performed e�o7 and purpose of building (By Floors)_ ._ .41 g .G__..__( Q. — / f.Loo New Building _ __.__.___._._.._._._._ Remodeling —____ _.____ Addition._______.._ Repairs No. of Stories Size Septic Tank Feet of Drain Tile____ Amount of Permit $___ 2 STATE OF FLORIDA, 1 COUNTY OF DADE. Type of Tank. __Dist. Feet of Tank or Drain Field from Well (Signed) _ Capacity Gals. Nature of Water Supply: City — Well. -_ -- _._ _..._ .......... _ _____Size of Soakage Pit robing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Suppl ent, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em by in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site o e wo ch pu Ic ndilce or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on o to• . per . d 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. My Commission Expires 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 TATS TUBS SHOWERS TORIES TORIES SINKS SLOP SINKS LAUNDRY TUeB U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS C4o 7 / i JN TOTAL FIXTURES C am--- LIST CHECK • SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE GREASE PIT TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL COMB. LIST CHECK ` L......■ . }.' Ai[` MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date / �°?� 1 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 w LL Q / Owner's Name and Addressrl' �I-� �C l_ I�.� 1 ------ ___-- _ -..__ No._L_ Q A 4 . _ Steet- Registered Architect and /or Engineer --- ----- - - - -__ - -- ---_----__..___--- Employing Plumber's Nan eo7Z L ! _ / l i i 4 L _ _ _ - £ � ? i t ' t . 1 / W. � a _ _ _ - -- _ -. - -- Noa��.�2 -- W. . . _. 7 Street ------- - Location and Legal Description Lot Block Subdivision Street and Number where work is tO be performed —No 9 -i' N- E. ! ‘ Street. -- -_ - - -- State work to be performed e�o7 and purpose of building (By Floors)_ ._ .41 g .G__..__( Q. — / f.Loo New Building _ __.__.___._._.._._._._ Remodeling —____ _.____ Addition._______.._ Repairs No. of Stories Size Septic Tank Feet of Drain Tile____ Amount of Permit $___ 2 STATE OF FLORIDA, 1 COUNTY OF DADE. Type of Tank. __Dist. Feet of Tank or Drain Field from Well (Signed) _ Capacity Gals. Nature of Water Supply: City — Well. -_ -- _._ _..._ .......... _ _____Size of Soakage Pit robing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Suppl ent, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em by in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site o e wo ch pu Ic ndilce or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on o to• . per . d 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. My Commission Expires 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. CONTRACTOR /� ((�� ^�- - Name P N. A d act S, I•\ c. License No. /, QC Ds-11;10Y Address --1 Li y g N CO 8th S-I-ree-1 � o(Y14avv -: , 'F I 3 1 2.G. l r TelephoneO65)2(09 g0A2- Fax ( 2l ( 4 6 Qualifier Name Ge L. \ f 1 I f PROPERTY OWNER Name ¥a9 S v1\., 0\ \A C\ Address ci 3© A) E (off 54,re 2-r- Woonn; S 1r,os(-ei ,F1.3 Home Telephone / t� 5 - n _ g 8 ) / Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other PERMIT APPLICATION Master Permit No. b1P- - 2oO2 -r 1 Subsidiary Permit No. INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION q30 N6 qc.9 Q_ - fn°a rYN S\ j F 3313 Address Apt. City �j State Zip Folio Number Description of Work \Ob 1 1 — \ eG Lot —e l Block 1(D Subdivisior cAvW SVtoveS PB \O PG J Zoning Linear Feet Sec* •-{ 3 Current Use of Property S I`— Square Feet Units Floors Proposed Use of PropertyRDO \ — eel Value of Work 700' Bldg Value Tenant Information Job Address: PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 PERMIT APPLICATION IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: STAT • • I • RID : , C C 0 0,2 MIAMI -DADE Signature of Con . ctor / Qualifier Print Name Sworn to b §crbd V0D ' SEAL: .re me this / day of ZO' C jaS ,: 1 0 kuo U l ada "d A f Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: ELECTRICAL TypE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch 1 Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central • Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth 1 Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping 1 Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CIIECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) (sq.ft. = x/1000 x ¢.60) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYI'E: Minimum Fee QTY. 'I'YI'E: Dryer QTY. TYPE Outlet, Appliance QTY. TYPE; Service Repair QT1'. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent - Pressure Vessel Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE: Generator Q'I'1'. TYPE. Refrigeration, Tons Q•I'Y. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of , Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel - .. ' Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QT1'. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Misc -' us Repairs Solar Water Heater Bidet Filter Replace ' ool Pipin / Sprinkler Repair Cap - Fixture Fountain - .. ' Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES ( x .60) x/1000 $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OF'F'ICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1°' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in f accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE c Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification Type of Identification Produced: RIDA, STAT 'gnat e . • wner Signature of Contr. tor / Qualifier eo 'rq -e. V!n. �\ n• e� Print Name I Sworn to and subscribed before me this' day of 9GZl _ "` Q - '- ?vo2 . Signature of Notary Pu SEAL: 4 4 4 4 4 4 4 NOTARY PUBLIC STATE OF FLORIDA Personally known PERMIT APPLICATION I -DADE ELENA MEDINA COMMISSION DD024189 EXPIRES MAY 09 2005 BONDED THROUGH ADVANTAGE NOTARY OR, Produced Identification Type of Identification Produced: CONTRACTOR New Construction '/ Enclosure Name ,� Repair Alteration Interior License No. r . , ,. n .c; , Address l - f (-, Address A: ( �ll 4J .V cam - ✓ 1 � `' - ,, .." ;'_e_ A • ; r_ . Home Telephone ! Telephone /� 4 1 (-• %. 1 y ` ' � ' 1 ! . , F ax ( - .,T .. \ , , \, 'f' , ir Qualifier Name r; ^ , 1 a r, _ ' 1 PROPERTY OWNER New Construction '/ Enclosure Nam t� Repair Alteration Interior Demolish Address l - f (-, a, e ' :' _ e C Home Telephone ! , _ -, c . •).-;\• Other Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction '/ Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add't Detachment Other Step 1. Job Address: Address Folio Number Lot `{ ' - Subdivision t'r Sly,. + � �s Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Block PB PG .T Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Description of Work PERMIT APPLICATION Master Permit No. v() — A Subsidiary Permit No. 1 c3(00.- 4 � City State INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION 2 Zip Zoning Linear Feet Square Feet Units Floors AValue of Work p2 0 0 0 ^ &C Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax 0 A Sway., 4.1.01 oclull. P &H ADDITIONS INC. Miami Shores Village 10050 NE 2nd Avenue g Phone: 305 - 795 -2204 Printed: 12/5/2002 Applicant: SARAH & KARI Owner: TRITON JOB ADDRESS: 930 NE 96 Contractor P & H ADDITIONS Local Phone: 305 - 264 -8092 Parcel # 1132060143010 Plumbing Permit Permit Number: PL2002 -328 TRITON SARAH & KARI ST Contractor's Address: 7448 NW 8 CT Page 1 of 1 r Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 8 & E1/2 OF LOT (Pte,v, 0.0, ay Total Fees: Total Recei • ts: $0.00 k 0 4=i Permit Status: Approved Permit Expiration: 6/2/2003 Construction Value: $2 00 O Work: POOL DECK PLUMBING 0.00 7448 N.W. 8th Street Miami, Florida 33126 Phone (305) 264 -8092 PAY TO THE ORDER OF CITY OF MIAMI SHORES 4r. First Bank ofMiami Westchester Branch Miami, S.W. 8th St. gar Miami, FL 33144 02 11' 599 2 1 1 ' 1 : 0 6 6 0 S 3 1 : 0 23000 2 5 3 611' DATE 12 -11 -02 $ 45992 63- 1415/660 02 )2o. 00 o 4 UDQEP TwEu�T� sOLLARS e inspection 3tion herefor in strict compliance with all rations that may have been submitted to )r if the plans are changed without nsibility for a thorough knowledge of the at he assumes responsibility for work done pertaining thereto and in strict conformity )onisibility for all work done by either MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp' Permit No. Name i Address Company Phone # 307 For Inspector:1 / 2 / 0 Time Approved Correction Re- Insp'n Fee 3 ( ))1X \ f‘O C tr) U j - &D; Ca Date Type Insp'n Permit No. Name MIAMI SHORES VILLAG BUILDING DEPARTME 305- 795 -2204 Building Inspection Request Address Company - 7 2 Phone # For Inspector: Approve Correction Re- Insp'n Fee i�E.I�.tL . 6