PLUMBINGDate 0
Legal Description
Owner/Lessee / Tenant
01
Job Address
Owner's Address I2'0 tNIE of
Contractin Co. ubu n f ei)Pa ne
«der Ek ck Mot-re
State # IfC9
No . to Owner and/or Condo Presid
My Co
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
FEES: PERMIT ■ v RADON
v $ NE °Kj}
to 4h D. ecd-
xprres. ILMA F AVI ►.A
commission; x "CS 13613
EXPIRE;,..vu tt 01. 2003
bONDED 1MPOUGH
ADVANTAGE NOTARY
0
APPROVED:
Zoning Building
Mechanical Plumbing
Date
Date
C.C.F. i NOTARY
Tax Folio 3a75- Do9 oaOO
Historically Designated: Yes No
Master Permit # / g 3 o q
Phone
Address 14'` l NE GO
ss# u
Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRIC PLUMBING vIECHANICAL RROOOFING PAVING FENCE FENCE SIGN
WORK DESCRIPTION �pN k� tUNI t��. e -12.A/10h n � 1
Square Ft. Estimated Cost (value) ' 51:C)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of Contractor or
e
Notary as to Contractor or Owner- Builder
My Commis
CUR
PURL i.
srAre Of'
A 1A
v
1Lfvl/ E. AVILA •
•
OMNOSiON # CCBi36i3
'_a; PI RE,5 MAR 01, 2003 )
3O•DED TllytOLJ 3$ •
ADVAMAOE NO1M.RY
A A AAAAAAAA AA4AA4A4A�A
i ;YV •
•
•
•
•
•
•
•
•
Electrical
BOND
(f
TOTAL DUE2O '�
O fr 5
Date
Date
Structural Engineer
•
{ -*H I
ACME GAS i '
"-• J ` - ;491;.N :E. 130th Street I
;�Alorth' Miamf; ;Fl ,33161 •
'� pale 305891 8393 Srow t54- 923►32
j ` 1- Q88-GAS :4576
%' ttt :com , •
n -r -" 4 4u n rn• N ir. /•• •rTrl,
e5
C.)
/2,5 Cke.ot ot.te:
0 '70 0;44. r,c.
\9;
to '
lon..../••••• •••••••■ Mom+ AI
N s
r.4 ,5,w4A?4,
o
i)i /1/ • < 1 if / , ..:sef Al ,ce.' 4:5 ,
c5, 5COCd 2„
•"l'" .,\
4.17 (.. "
. . z ,e, . 4; d Z.,
Permit No /!/ 5 O 1k
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 Irwin Franklin 1208 NE 99 St
- - - - -- - __ No. -- - - - - - . Street
Registered Architect and /or
Employing Plumber's Name Acme Gas Corp N o , - 1491 _ _ street_NE 130 St
Location and Legal Description Lot Blodr
Street and Number where work is to be performed -No S ame
State work to be performed and purpose of building (By Floors)_._- .I.lataaLl__gas_-t,.c3nk....aur e5LaYI.d .._GOSATIec .__I WH
New Building-- ___ -_ -- _ -- Remodeling __--- - - - - -- ____ -- Addition- _.___ -._ Repairs No. of Stories_ . .... ......... . .• --
Size Septic Tank_._
Feet of Drain Tile_ -
Nature of Water Supply: City-Well.
Amount of Permit $
6 ,.25
'E OF FLORIDA, I
NTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Type of Tank
__Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
Capacity Gals
( s teed ) -ya -- -- -- o-i.'
( Signed) —�.
Date._ 9 - 3 0 - 81 _- - - -- ----- -
Subdivision - _._______....
-- .--- -_ --_._
Street
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
-need by Miami Shores Village.
Irwin nklin Master Plumber.
Before me, th 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 lid did sign the same, and that all facts
herein by him stated are true.
Notary Public, State of Florida at Large y M =
M Y gi Aug. 11n ' X _ Notary Public, State Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW I M 'G
POOL
CONTR.
LIST
—
CHECK
Permit No /!/ 5 O 1k
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 Irwin Franklin 1208 NE 99 St
- - - - -- - __ No. -- - - - - - . Street
Registered Architect and /or
Employing Plumber's Name Acme Gas Corp N o , - 1491 _ _ street_NE 130 St
Location and Legal Description Lot Blodr
Street and Number where work is to be performed -No S ame
State work to be performed and purpose of building (By Floors)_._- .I.lataaLl__gas_-t,.c3nk....aur e5LaYI.d .._GOSATIec .__I WH
New Building-- ___ -_ -- _ -- Remodeling __--- - - - - -- ____ -- Addition- _.___ -._ Repairs No. of Stories_ . .... ......... . .• --
Size Septic Tank_._
Feet of Drain Tile_ -
Nature of Water Supply: City-Well.
Amount of Permit $
6 ,.25
'E OF FLORIDA, I
NTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Type of Tank
__Dist. Feet of Tank or Drain Field from Well
__Size of Soakage Pit
Capacity Gals
( s teed ) -ya -- -- -- o-i.'
( Signed) —�.
Date._ 9 - 3 0 - 81 _- - - -- ----- -
Subdivision - _._______....
-- .--- -_ --_._
Street
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
-need by Miami Shores Village.
Irwin nklin Master Plumber.
Before me, th 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 lid did sign the same, and that all facts
herein by him stated are true.
Notary Public, State of Florida at Large y M =
M Y gi Aug. 11n ' X _ Notary Public, State 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••
""
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS u
CATCH
BASIN
FLOOR
DRAIN
DRINK!NG
FOUNT 'NS
TOTAL
FIXTURES
CONTR.
LI ST
CHUCK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
Cruse
TRAP
des
H EATER
Dear
WELL
SPRKLR.
SYSTEM
SWIM•G
root.
CONTR.
1
LIST
CHECK
Permit No - OS Dat e..._.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address -
Registered Architect and /or Engineer
Employing Plumber's Name S
Size Septic Tenlr
Feet of Drain Tile
Nature of Water Supply: City —Well.
Amount of Permit
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No. `2'o8
stre KE Q 5
Location and Legal Description Lot._ Blot&
Street and Number where work is to be performed —No ( 20 $ street.. d t .. S 5 St
•
State work to be performed and purpose of building ( y
New Building._ -._- - _ Remodeling Addition Repairs.
Subdivision
_ _ Type of Tanir
Md. Feet of Tank or Drain Field from
Size of Soakage Pit.. ......._
(Sits)
No. of Stories. . .. .
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he . i . erstands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled -.. • Laws of Florida Pennanent 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 . ch • ublic notice or notices as are
required by the Act The undersigned agrees to employ only such pub- contractcss, on to • • �l . - this permit, as are
licensed by Miami Shores Village.
Muter Plumber.
STATE OF FLORIDA, 1 u.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and ,a and that he did sips .. -
of the above described construction, that he has carefully read the foregoing 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 wham web roleapaollau is mode meosessry by improper soda for inpection, or faulty
materials and /ter workmanship..
«a
°«� w
»»
\�
r
Size Sep
Feet k
Ai« ?emit $
i
[