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938 NE 96 St (2)7, ) Permit No /V7/- 9/ 71 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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_- Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. (Signed)_ Date - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No.— ____ - _- � __ --_ -_ Street..___ r ` Registered Architect and /or -- - - -- - -- _ -- -- Employing Plumbers Name ! �'� s ���_ - STS 2'� -- No.__-_ >_ _ �/ f y l > �- P Y�g ' - - - -- -- -- -- --� - rc- Street .-- l- - - -=-=-- -- -•-- • - - - - -- .. Location and Legal Description Lot ___ _ ---- __ —_ -- Block Subdivision -- _- --- .............. ___ -_ Street Repairs No. of Stories _ _ ___ __ ____ _ Size Septic Tank__ _______________________________ Type of Tank —__ Capacity Gals Feet of Drain Tile____ __ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ..... _______________Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this per nit, as are licensed by Miami Shores Village. Pk ......... - Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH Tu es SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tugs URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 ' 4. J4 /_ Hl, TOTAL FI %TURE6 CONTR. LIST 0o ,101 // C _ CHECK ^- .J , ' - ) ,P , _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST - -- CHECK 7, ) Permit No /V7/- 9/ 71 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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_- Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. (Signed)_ Date - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No.— ____ - _- � __ --_ -_ Street..___ r ` Registered Architect and /or -- - - -- - -- _ -- -- Employing Plumbers Name ! �'� s ���_ - STS 2'� -- No.__-_ >_ _ �/ f y l > �- P Y�g ' - - - -- -- -- -- --� - rc- Street .-- l- - - -=-=-- -- -•-- • - - - - -- .. Location and Legal Description Lot ___ _ ---- __ —_ -- Block Subdivision -- _- --- .............. ___ -_ Street Repairs No. of Stories _ _ ___ __ ____ _ Size Septic Tank__ _______________________________ Type of Tank —__ Capacity Gals Feet of Drain Tile____ __ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ..... _______________Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this per nit, as are licensed by Miami Shores Village. Pk ......... - Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ❑ ELECTRICAL PERMIT N? PLUMBING ❑ N. 995 9 ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA ❑ Work to be performed under this Permit 1 - 1 , C._. le • CONTRACTOR OR BUILDER Bl. i 5 +. Subdi- vision Sq. Ft Value of Project $ �µ L L DATE Contractor's License No / 2 Amt. of 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and +that he assumes responsibility for work done by his agents, servants or employees. Signed • r p _ , r " h.._� &. `) ,1 - 8 4 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 responsibility for all work done by either, myself, my agent, servant 'or employee. BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 1 1 Herb to bo p. formal under this Permit all ordinances pertiming thereto and with the understanding that the that may have been a omitted to and ap by done in �ppll , ence with such ordinances or if the plans i the contractor or builder named above the covered whether shown on the plans tat drawwi gi,or fp th or em t Signed: the - ilsuance to me of this permit I agree conformity with the plans, drawin for all work done DA'i'F��a,,, -' 195. Controotoes Lbw No. the contractor or builder named above to construct the building or to install the t+�u• pmcnt or device desiribed in the appftcetion be performed in compliance with any plena, the proper m • authorities, This Penult may be revoked at an without don. A further condition pan which this p a thorough knowledge of the ordmanoes and ree or specifications that he assumes responethility vspecroa the work covered hereunder in compliance with all ordinances and or fications submitted to the proper authorities of Miami Short* myself, agent, servant or employee. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Thomas J. Lackner No 938 Street NE 96 St. Registered Architect and /or Engineer Employing Electrician's Name J Gresham Inc. N 3 523 Street NW 7 Avenue Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 93$ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition B 1-- Street Repairs Service Overhead Size Feeders Conduit Main Sw. Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding STATE OF FLORIDA, COUNTY OP DADE. I ss. ti Amount of Permit $ (Signed) Electrical 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 no ' or notices as are required by the Act. The undersigned agrees to employ only such sub-cont ' rs, on work to be perform d der this ermit, as are licensed by Miami Shotes Village. (Signed).... NE 96 Street No. of Stories Master Electrician. Before me, the undersigned authority, a notary public, duly authori ed o 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS at LIGHT OUTLETS PLUG RECE'P'T•8 FIXTURES NO. LAMPS REFR I G. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST v� - 'CHECK _ ENT. SW. DIST. C. SERVICE TEMP. SERVICE PERM. MOTORS OTORS 0.1 HP 111•5 HP \f NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Thomas J. Lackner No 938 Street NE 96 St. Registered Architect and /or Engineer Employing Electrician's Name J Gresham Inc. N 3 523 Street NW 7 Avenue Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 93$ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition B 1-- Street Repairs Service Overhead Size Feeders Conduit Main Sw. Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding STATE OF FLORIDA, COUNTY OP DADE. I ss. ti Amount of Permit $ (Signed) Electrical 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 no ' or notices as are required by the Act. The undersigned agrees to employ only such sub-cont ' rs, on work to be perform d der this ermit, as are licensed by Miami Shotes Village. (Signed).... NE 96 Street No. of Stories Master Electrician. Before me, the undersigned authority, a notary public, duly authori ed o 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No.__ -__ Q /2 4.- MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement o f the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engin et Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No Date ! 6 -) 3 - No Street �Q Block Subdivision �_ 1 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs_. No. of Stories Service Overhead Size Feeders Con Main S w Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L _ Metal Moulding Amount of Permit $___________ STATE OF FLORIDA, l COUNTY OF DADE. I ss. — __ ( Signed) ( Signed) _ trical Inspector. The undersigned applicant for this building permit does hereby certify that a nderstands and accepts his obli • .* s Pas an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co p' ed General Laws of Florida P. nent Supplement, and has complied with the provisions thereof, and will require similar compliance im 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 pn work to be performed under this permit, as are licensed by Miami Shores Village. ;. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by nee first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H EATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0 -1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST f CHECK Permit No.__ -__ Q /2 4.- MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement o f the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engin et Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No Date ! 6 -) 3 - No Street �Q Block Subdivision �_ 1 Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs_. No. of Stories Service Overhead Size Feeders Con Main S w Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L _ Metal Moulding Amount of Permit $___________ STATE OF FLORIDA, l COUNTY OF DADE. I ss. — __ ( Signed) ( Signed) _ trical Inspector. The undersigned applicant for this building permit does hereby certify that a nderstands and accepts his obli • .* s Pas an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co p' ed General Laws of Florida P. nent Supplement, and has complied with the provisions thereof, and will require similar compliance im 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 pn work to be performed under this permit, as are licensed by Miami Shores Village. ;. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by nee first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. bo under this Ponnit Signed: the issuance to me of this permit 1 agree to p im strict conformity with the phi, drawings, 1 asinine resptmsfi ifity for *II work done the building or to install the eeqq or device understanding that the w oek .riii` bs in red by the proper m unidpal av tt changed without authorization. he qty for n k in the litatialletttl or APPLICATION FOR ELECTRICAL PERMIT Permit No ` Date Owner's Name and Address 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 'Vick BELL Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) (Signed)..,.,' to 1 / .• � No ri 3... Street Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer Employing Electrician's Name /'c./ 2t`Ek �r � l.ti 1. LJ ^ /C. No / `/ Streetf t t . 11 "- Location and Legal Description Lot Block Subdivision r Street I/ ' L 2• e r' R.1. 3 iDE4/ /1 New Building Remodeling ,X Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation—Conduit Tubing B.X.L Metal Moulding .�:�''}.l7y ./ .LA/S . Pre .. /...1 6 . Amount of Permit $ (Signed) Electrical 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 complied with the provisions thereof, and will require similar compliance from all contractors or st9b•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 sit the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work A be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. _ 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 7 SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER STRIP HEATER / e J I �. / Tt_ TOTAL CONTR. LIST r e. - Q c CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR ELECTRICAL PERMIT Permit No ` Date Owner's Name and Address 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 'Vick BELL Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) (Signed)..,.,' to 1 / .• � No ri 3... Street Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer Employing Electrician's Name /'c./ 2t`Ek �r � l.ti 1. LJ ^ /C. No / `/ Streetf t t . 11 "- Location and Legal Description Lot Block Subdivision r Street I/ ' L 2• e r' R.1. 3 iDE4/ /1 New Building Remodeling ,X Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation—Conduit Tubing B.X.L Metal Moulding .�:�''}.l7y ./ .LA/S . Pre .. /...1 6 . Amount of Permit $ (Signed) Electrical 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 complied with the provisions thereof, and will require similar compliance from all contractors or st9b•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 sit the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work A be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. _ 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 7 . Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 'Jo No STATE OF FLORIDA, COUNTY OF DADE. T SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT A}._. Street </ // ' ' Registered Architect and /or Engineer., r Employing Electrician's Name No ' Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead n ' Size Feeders Conduit Main Sw i 1 Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing t B.X.L .Metal Moulding Amount of Permit $ — i (Signed) .:: Electrical 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, Compilejd General Laws of Florida Permanent Supplement, and has complied 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Mast Electrician. 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST l' Y ' r / /" ^ • t 1 / CHECK 7 - a I ) 1 !„ ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.3 HP NEON TRANS. RADIO - TOTAL CONTR. LIST R• ',"" .4 r. v I. CHECK Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 'Jo No STATE OF FLORIDA, COUNTY OF DADE. T SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT A}._. Street </ // ' ' Registered Architect and /or Engineer., r Employing Electrician's Name No ' Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead n ' Size Feeders Conduit Main Sw i 1 Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing t B.X.L .Metal Moulding Amount of Permit $ — i (Signed) .:: Electrical 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, Compilejd General Laws of Florida Permanent Supplement, and has complied 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Mast Electrician. 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CONTRACTOR New Construction yam, ,, f� Name (���i� ►' v A- Name St License No. Alteration Exterior Address I n w r t \ / / t t /\ �� CJ / { I L! )14A611,14,i_, _71:-_- L Telephone Vi . / . • _ _ /� Fax �([�( Home Telephone /) Qualifier Name J 7 G� c) PROPERTY OWNER New Construction Name St Alteration Exterior Address 3 6 Al C . r -( e...0 3 ) 3 Home Telephone /) • J 7 G� c) Business Telephone Relocation of Structure Fax Foundation Only 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 Step 1. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 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 submitted 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. A PPLICATION Job Address: ` g NI-, ` CO t, n1 i P i Address // Apt. ' City K Folio Number /13a 060 / 9 3- o Description of Work Lot Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property x Value of Work tU ' D Bldg Value Tenant Information Block Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. PERMIT APPLICATION Subsidiary Permit No. :EL ' State 33 /38' Zip Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES 1. 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: Personally known m ature SEAL: OR, Produced Identification Personally known Type of Identification Produced: A PtRMIT APPLICATION ST OF FLORIDA, COUNTY OF MIAMI -DARE Signature of Contractor / Qualifier Print Name to nd subscribed before me this lr day of I „gr PL O1`FICIAL Nd1- 1 W! r 0 � ANGELA M BBekftR w !C C 71 . 4 : , C 00 t rt' `F" by 0 . , � ,.. 'ONE �N1 Pub - State of Iorida entification Type of Identification Produced: 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 ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ $ (sq.ft. = x/1000 x 0.60) (¢.005 / sq.ft.) $ (¢.01 /sq.ft.) S © D REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE / yY ci n7 PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ o�-1 ; 6 () 0 ISSUING OFFICIAL 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 TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPw. Outlet, Appliance QTY. TYPE. Service Repair QTY. A/C Central 1 -3 Ton 3 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 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 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 - � - 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 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: /P1 .7.491// glorAsszw The Sunshine State LICENSE NUMBER 0462- 924-40 -091 -0 WILLIAM DANIEL CLARK 1041 SW 95TERR PEMBROKE PINES, FL 33025.3669 BIRTH DATE SEX HGT. REST. ENDORSE. 03 -11-40 M 5 510 A ISSUED EXPIRES DUPLICATE 01 -19.00 0311.04 00-0000 =wool 'mew Operation of a motor vehicle constitutes consent to any sobriety test required by law. Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 1 /22/2002 Applicant: STEWART Owner: Contractor BRANDON AC Local Phone: Parcel # 1132060142990 Job Address: 938 NE 96 ST Fees: FEE2002 -379 FEE2002 -380 Permit Status: Approved Permit Expiration: If there is no permit package acces fee is $50.00, which must be paid in a This Permit is granted to the contractor or build ordinances pertaining thereto and with the unders and approved by the proper municipal authorities. . authorization. A further condition upon which this ordinances and regulations pertaining to the work by his agents, servants or employees. Signed: In consideration of the issuance to me of this p with the plans, drawings, statements or specifica myself, my agent, servants or employes. Signed: Address: Cellular: WALD Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 5 & 6 BLK 76 LOT SIZE 100.000 X Description Amount Building Permit Application Fe$60.00 Notary Fee $5.00 Total Fees: $65.00 Work: CHANGE OUT OF NC UNIT ELECTRICAL WORK Second) !names Wads =Wed en. Electrical Permit Permit Number: EL2002 -27 7/21/2002 Construction Value: BRANDON AIR CONDITIONING SERVICE CORP. 6175 N.W. 167 STREET, G -25 MIAMI, FL 33015 (305) 819 -2669 SunTrust Bank /Miami, N.A. MIAMI WEST OFFICE 702 MIAMI, FLORIDA 33155 $50.00 Page 1 of 1 tl'0 L089 51I• 1 :0660006041: 0 70 20008 9 5 50 310 Total Fees: $65.00 Total Receipts: $0.00 DATE INVOICE AMOUNT od 1 »rx.11 1 L� 10895 63 -60 660 dA Permit No 0 6 7 r0 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - tie h. e• Location and ga`Descrlption Lot... /e20 Bkx� Street and Number where work is to be performed —No bb State work to be performed and purpose of building (By Floors), p New Building.__.._ _ --- ._.- ..... - - -_ -- Remodeling Size Septic Tank_ -Type of Tank Feet of Drain Tile Dist Feet of Tank or Drain Field from Well .. ._.__. Nature of Water Supply: City—WeIL Size of Soakage Pit. STATE OF FLORIDA. } u. COUNTY OF DADE. g 36 17 wac S s 4 tw . Addition.. _- __...__ Repairs No. of Stories Amount of Permit $— `SQVZ ( Signed )___. _----- • - _ - - -- (Slimed) My Commission Expires Notary Public, State of Florida Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of, Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Addresslg V No Street_.. ' c Sri Registered Architect and /or Engineer 4401 Re SubdivistonMSAte—a.L 9 3 g stmt. .._= . :.._...g.- -•. 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 5989, Compiled Ceneral Laws of Florida Permanent Supplement, and liar com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as err required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed unj this permit, as are licensed by Miami Shores Village. 4 41 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 swan, 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 slips the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when each reaupeodos is aade by Improper notice for Impectioe, or faulty materials and /or workmanship. CLO•ETa BATH Tuns aMOW[R• LAVA- TORIES SINKS SLOP SINKS LAUNDR Y Tuve URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE[ CONTR. LIST CHECK •— SEPTIC TANK SEWER CONN. DRAIN P ILLD SOA KAO[ PIT G TRAP SOLAR NEATER DEEP W[LL SPRKLR. SYST[N SW104'0 Pool CoNTR. LIST CHECK Permit No 0 6 7 r0 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT - tie h. e• Location and ga`Descrlption Lot... /e20 Bkx� Street and Number where work is to be performed —No bb State work to be performed and purpose of building (By Floors), p New Building.__.._ _ --- ._.- ..... - - -_ -- Remodeling Size Septic Tank_ -Type of Tank Feet of Drain Tile Dist Feet of Tank or Drain Field from Well .. ._.__. Nature of Water Supply: City—WeIL Size of Soakage Pit. STATE OF FLORIDA. } u. COUNTY OF DADE. g 36 17 wac S s 4 tw . Addition.. _- __...__ Repairs No. of Stories Amount of Permit $— `SQVZ ( Signed )___. _----- • - _ - - -- (Slimed) My Commission Expires Notary Public, State of Florida Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of, Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Addresslg V No Street_.. ' c Sri Registered Architect and /or Engineer 4401 Re SubdivistonMSAte—a.L 9 3 g stmt. .._= . :.._...g.- -•. 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 5989, Compiled Ceneral Laws of Florida Permanent Supplement, and liar com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as err required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed unj this permit, as are licensed by Miami Shores Village. 4 41 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 swan, 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 slips the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when each reaupeodos is aade by Improper notice for Impectioe, or faulty materials and /or workmanship. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ( Date - - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. f L /� ' l Q/ Owner's Name and Address t____ ! 9 'U cA/V ` , 1 e ---- _ - -___ No. 1 ._ ...... Street - - -4 _._ _ -- / �O S Registered Architect and /or Engineer____ _Q8 -Qth ____- CO 062 - --- Employing Plumber's Name -_.... i:e _ ''G"l'" -- J/ AZ QC) -- - - -_--- No. - - -1__ --_ Street -_ �' /-�.�a ,� Location and Legal Description Lot - / to Street and Number where work is to be performed -No Street A/ 94. sr: State work to be performed and purpose of building (By Floors)__-____Sie.2 nYni A.. 4. "Toot. L . New Building________ _ -- Remodeling__ _- .._.._____ __- Addition.____. , Repairs No. of Stories. _ .._.. Size Septic Tank________ ......... - - - -- -Type of Tank Feet of Drain Tile_ __-_ - Nature of Water Supply: City -Well. Amount of Permit $_ STATE OF FLORIDA, t COUNTY OF DADE. _Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit Block zzk 74 Subdivision (Signed)- --t The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat . : as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws Florida Permane pplement, and has com- plier with the provisions thereof, and will require similar compliance from all contractors or ub contractors emplo -d by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the sit of e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on w k to be performed under this permit, as are licensed by Miami Shores Village. Capacity Gals My Commission Expires Notary Public, State of Florida Plumbing Inspector. Before me, the undersigned authority, a notary public, duly authorized t/ 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 TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuas 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 -- _ CHICK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ( Date - - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. f L /� ' l Q/ Owner's Name and Address t____ ! 9 'U cA/V ` , 1 e ---- _ - -___ No. 1 ._ ...... Street - - -4 _._ _ -- / �O S Registered Architect and /or Engineer____ _Q8 -Qth ____- CO 062 - --- Employing Plumber's Name -_.... i:e _ ''G"l'" -- J/ AZ QC) -- - - -_--- No. - - -1__ --_ Street -_ �' /-�.�a ,� Location and Legal Description Lot - / to Street and Number where work is to be performed -No Street A/ 94. sr: State work to be performed and purpose of building (By Floors)__-____Sie.2 nYni A.. 4. "Toot. L . New Building________ _ -- Remodeling__ _- .._.._____ __- Addition.____. , Repairs No. of Stories. _ .._.. Size Septic Tank________ ......... - - - -- -Type of Tank Feet of Drain Tile_ __-_ - Nature of Water Supply: City -Well. Amount of Permit $_ STATE OF FLORIDA, t COUNTY OF DADE. _Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit Block zzk 74 Subdivision (Signed)- --t The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat . : as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws Florida Permane pplement, and has com- plier with the provisions thereof, and will require similar compliance from all contractors or ub contractors emplo -d by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the sit of e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on w k to be performed under this permit, as are licensed by Miami Shores Village. Capacity Gals My Commission Expires Notary Public, State of Florida Plumbing Inspector. Before me, the undersigned authority, a notary public, duly authorized t/ administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No—IL /Le_ _ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date__ l " L - - - herewith s miffed for the building Application is hereby made for the approval of the detailed statement of the plans and specifications g or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. A� Q ®® Owner's Name and Address - - -- k?� S. —� �Lx 11_.- ____ -- No._ _- __—.d r_ -__ -__ Street.. /_ , �� L-- - . g - /. Registered Architect and /or p , � —_. _ _ --. -- _-- .—_____. - --- _ / - •---- - -_ - -- Employing Plumber's Name t . 1 2 i r " . r e a l - ( 4 1 11c 7211Y1� -___ No.L �_J�V _ — Street-_ Location and Legal Description Lot Block_- Subdivision _____.___.____.___._._______ Street and Number where work is to be performed —No m-- / 4 .' Street State work to be performed and purpose of building (By Floors)______ _________ ________._ New Building ___. Remodeling —__ —_____ Addition____ Repairs Size Septic Tank__ d !_4 - - - - -- _Type of Tank__ f IE C4 , T Capacity Gals._ - Feet of Drain Tile_0 ___! ..... Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._____ _________ ... ______— ___________— ____Size of Soakage Pit Amount of Permit $_ L G Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed udder this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. (Signed)- ( Signed )— My Commission Expires Notary Public, State of Florida No. of Stories ...... .. . ...... .. . Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL. CONTR. LIST CHECK _ Permit No—IL /Le_ _ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date__ l " L - - - herewith s miffed for the building Application is hereby made for the approval of the detailed statement of the plans and specifications g or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. A� Q ®® Owner's Name and Address - - -- k?� S. —� �Lx 11_.- ____ -- No._ _- __—.d r_ -__ -__ Street.. /_ , �� L-- - . g - /. Registered Architect and /or p , � —_. _ _ --. -- _-- .—_____. - --- _ / - •---- - -_ - -- Employing Plumber's Name t . 1 2 i r " . r e a l - ( 4 1 11c 7211Y1� -___ No.L �_J�V _ — Street-_ Location and Legal Description Lot Block_- Subdivision _____.___.____.___._._______ Street and Number where work is to be performed —No m-- / 4 .' Street State work to be performed and purpose of building (By Floors)______ _________ ________._ New Building ___. Remodeling —__ —_____ Addition____ Repairs Size Septic Tank__ d !_4 - - - - -- _Type of Tank__ f IE C4 , T Capacity Gals._ - Feet of Drain Tile_0 ___! ..... Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._____ _________ ... ______— ___________— ____Size of Soakage Pit Amount of Permit $_ L G Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed udder this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. (Signed)- ( Signed )— My Commission Expires Notary Public, State of Florida No. of Stories ...... .. . ...... .. . Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No 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 whether herein specihed or not. A copy of approved plans and specifications must be kept at building during progress of work. •4 - - - �- No. 11 Stree Owner's Name and Address Registered Architect and /or Engi ee ;. Employing Plumber's Name ( 2• 't 417_ ( No. Street Location and Legal Description Lot !' Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank , f=t c_ Ct._ Feet of Drain Tile 1__1- - - 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) - The undersigned applicant for this building permit does hereby certify that he . der ands and accepts his obhgation an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled -ner. Laws of Florida Permanent Yt IV, lement, and has com- plied with the provisions thereof, and will require similar compliance from all contr ors or sub - contractors employe • by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed)._ Date !/! / — )(/ Capacity Gals_ My Commission Expires Notary Public, State of Florida robin — 'T n " u g Spector. e Ma ter Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA - TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL. CO LIST NTR. . 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 whether herein specihed or not. A copy of approved plans and specifications must be kept at building during progress of work. •4 - - - �- No. 11 Stree Owner's Name and Address Registered Architect and /or Engi ee ;. Employing Plumber's Name ( 2• 't 417_ ( No. Street Location and Legal Description Lot !' Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank , f=t c_ Ct._ Feet of Drain Tile 1__1- - - 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) - The undersigned applicant for this building permit does hereby certify that he . der ands and accepts his obhgation an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled -ner. Laws of Florida Permanent Yt IV, lement, and has com- plied with the provisions thereof, and will require similar compliance from all contr ors or sub - contractors employe • by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed)._ Date !/! / — )(/ Capacity Gals_ My Commission Expires Notary Public, State of Florida robin — 'T n " u g Spector. e Ma ter Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. __! 0 v Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address _h__-et- • �K a �� Registered Architect and /or Engineer e. U No. - - - 2 f SM�t s ul / L i a-t G d Block o 7 Subdivision _4.. - .3- Street and Number where work is to be performed—No ____ _ /___ � :£ ' Street f 4 State work to be performed and purpose of building (By Floors) New Building L Remodeling Addition Repairs Employing Plumber's Name Size Septic Tank Feet of Drain Tile Nature of Water Suppl -5 Location and Legal Description Lot J� J � V Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. -�L MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well n : CityL)Well. Size of Soakage Pit ( Signed) ( Signed) No Street Date __/ / A No. of Stories The undersigned applicant for this building permit does hereby certify that he 4 ' 4 L rstands and accepts his obligation employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent • . ement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed •y him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 bing Inspector. 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--- URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS µ . M TOTAL FIXTURES CONTR. LIST ,L T IZ CHECK - -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL "Co C� L 1 CONTR. LIST 1 1 / CHECK Permit No. __! 0 v Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address _h__-et- • �K a �� Registered Architect and /or Engineer e. U No. - - - 2 f SM�t s ul / L i a-t G d Block o 7 Subdivision _4.. - .3- Street and Number where work is to be performed—No ____ _ /___ � :£ ' Street f 4 State work to be performed and purpose of building (By Floors) New Building L Remodeling Addition Repairs Employing Plumber's Name Size Septic Tank Feet of Drain Tile Nature of Water Suppl -5 Location and Legal Description Lot J� J � V Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. -�L MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well n : CityL)Well. Size of Soakage Pit ( Signed) ( Signed) No Street Date __/ / A No. of Stories The undersigned applicant for this building permit does hereby certify that he 4 ' 4 L rstands and accepts his obligation employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent • . ement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed •y him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 bing Inspector. 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.