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1209 NE 98 St (5)Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE J o b A d d r e s s 7 / q i S / , / o R e s / 7 G 3 i'/ •7P Tax Folio // - 3 Le 7O i 5Wo,z es i3LK ,Z - L o7 Legal Description // ( w / 4 o? /2 E zo Fr mar',Historically Designated: Yes No Owner / Tenant G e...,z /fie / /e/ E ,9 G /C / q /1 4 e y Master Permit # Owner's Address /-2-o f N E .9 f !1 / ea , SG44 , 3 3 / 5i Phone 30 .S- 7 5 - cF/ o 2 / Contracting Co. / e4 1.-p e/L e2- li rC P 2- Address 7D c2 S /1/ e/z. //vA/ p - Qualifier , A 1ti C I'S e0 (_. d UU5 1,j 74-4 Ni SS# Phone `7 5 % - yv-oq. State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN N • ib G4S WORK DESCRIPTION 2>i e cT f. /N o (Pe: 10 ise s cc)5) Fo2 sr 2A7 meirR Square Ft. Estimated Cost (value) A 3.5 - 0 , CTO 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 zonin urthermore, I authorize the above -named contractor to do the work stated. Notary as to 0 or Condo Preside nt Date My CQrtimisiiiikE i esra'ARY suAL li 1 GLAD:; j V:LLAR q Nli A':Y PUBLIC STATE OF FLORIDA !I L COMMISSION NO. CC714103 i AY COMMISSION EXP. MAR. 1,20P FEES: PERMIT X j 0 RADON APPROVED: Zoning Building Mechanical Plumbing A/2 e49N 7 A 5 Re Q Signal of Contractor or Owner - Builder I to C5 2 z� 2 5�0"S ^ y" � � y C _® /I<lotary as to C 'ttr. • or Owner=Builder My Co .� . a .t• OTARYSEAL GdADYS J VILLAR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1,20112 C.C.F. g 6 NOTARY c c BOND Electrical Engineering TOTAL DUE Date ITEM BATH TUB UNIT FEE ITEM SNITCH OUTLETS UNIT FEE ITEM SPACE BEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UM ERGROM TANKS LAVATORY OVEN ABOVE GUM TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTC S OVER 1- 3 HP HOT WATER 80ILERS SINK. POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTCRS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATCRS/ESCALATORS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: _ AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER n 3 TORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SFECIAL PURPOSE SWIMMING POOL - ' OUTLETS COMMERCIAL _ WATER SERVICE • SIGN TUBES _ SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK RE INSPECTION - 1 SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL _ DOMESTIC WELL AREA GRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION 4507f (AN APPLICATION FOR BUILDING PERMIT MTJST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING /2'e' I As Zfly f ELECTRICAL MECHANICAL Size Septic Tank____ Feet of Drain Tile —__ :Leaaoa b Permit No 10c Amount of Permit $ ° v STATE OF FLORIDA, COUNTY OF DADE. 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 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. CC�� AA ,, �,'� Owner's Name and Address �: L d __�-- -_ - - -- _ - .--- _ -._.. No. /A_ _ — _ __� Street.. 7Q.'-.g ! .._ _ _ ...... Registered Architect and /or Engineer Employing Plumber's Name__..el!_3_ Location and Legal Description Lot. Block a., 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.. _.. -- -..... . Type of Tank _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: of Soakage Pit (Signed ) Plum • ing 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- plier 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 die 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) Nol tc Date_ Q0/"t_' -V Street...A/hi OG Capacity Gals... My Commission Expires Notary Public, State of Florida street/ .a91 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 $1.00 will be made when such re- inspection is made necessary by improper notice for insp.'' ,n, or faulty materials and /or workmanship. CLOSETS BATH TUBS SNOWER6 LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB 1 1./ [J� d 111 TOTAL FIXTTURE$ lap CONTR. LIST CHICK _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK - Size Septic Tank____ Feet of Drain Tile —__ :Leaaoa b Permit No 10c Amount of Permit $ ° v STATE OF FLORIDA, COUNTY OF DADE. 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 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. CC�� AA ,, �,'� Owner's Name and Address �: L d __�-- -_ - - -- _ - .--- _ -._.. No. /A_ _ — _ __� Street.. 7Q.'-.g ! .._ _ _ ...... Registered Architect and /or Engineer Employing Plumber's Name__..el!_3_ Location and Legal Description Lot. Block a., 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.. _.. -- -..... . Type of Tank _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: of Soakage Pit (Signed ) Plum • ing 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- plier 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 die 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) Nol tc Date_ Q0/"t_' -V Street...A/hi OG Capacity Gals... My Commission Expires Notary Public, State of Florida street/ .a91 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 insp.'' ,n, or faulty materials and /or workmanship. N70 -1469 787 -4 $4,00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No C 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address R.__ - readmaa Registered Architect and /or Engineer____— ___— __ _________ - -_ -_ -- New Building _ Remodeling -- —_ -_ -- Addition Street Employing Plumber's Name PeopleS._.G.as_Sys _ . — — ___ No. _____5 4 Street_-_- 10 Location and Legal Description Lot B1ork Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Street Repairs No. of Stories............... Size Septic Tank STATE OF FLORIDA, 1 COUNTY OF DADE. _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 1 Gas Oulet Amount of Permit $ $4..11D Min (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 leas com- plier 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 rmed under this permit, as are licensed by Miami Shores Village. ( Signed). My Commission Expires Notary Public, State of Florida NE 98 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 insp m, or faulty materials and /or workmanship. CLOSETS BATH TUBS TUBS SHOWERS LAVA- TORIES SINKS S 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 N70 -1469 787 -4 $4,00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No C 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address R.__ - readmaa Registered Architect and /or Engineer____— ___— __ _________ - -_ -_ -- New Building _ Remodeling -- —_ -_ -- Addition Street Employing Plumber's Name PeopleS._.G.as_Sys _ . — — ___ No. _____5 4 Street_-_- 10 Location and Legal Description Lot B1ork Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Street Repairs No. of Stories............... Size Septic Tank STATE OF FLORIDA, 1 COUNTY OF DADE. _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 1 Gas Oulet Amount of Permit $ $4..11D Min (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 leas com- plier 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 rmed under this permit, as are licensed by Miami Shores Village. ( Signed). My Commission Expires Notary Public, State of Florida NE 98 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 insp m, or faulty materials and /or workmanship. Lo 2 Permit No (i MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N 69 -1215 787 -4 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 Dr. R. Freedman 1209 NE 98 Street No. - - - -_ _ -- -- - - -- - — - — - - - - Street Registered Architect and /or Engineer ________-_--_____-- —._ - _------------------- _•.------- ____ -_ Employing Plumber's Name Peoples Gas System �_____•______ No._ ____ 5 6 4 Street___. NE 125th Street Location and Legal Description Lot_________.__._.__________ _—_._— Block_ Subdivision 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 . . ....... Size Septic Tank______ Feet of Drain Tile._ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. _-------------------- _ -__ -_ Amount of Permit $- _ ___ t f _£J0 My Commission Expires Type of Tank__ Capacity Gals Size of Soakage Pit (Signed)_ % %��/ Street Date Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ixflons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and bus 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 jinder this permit, as are licensed by Miami Shores Village. (Signed)___ STATE OF FLORIDA, 1 COUNTY OF DADE. j 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 Master Plumber. 7 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 Twits SH LAVA- TORIES SINKS SLOP SINKS LAUNDRY TOES I NAS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS Arc 1 Dryer 1 TOTAL FIXTURES 2 CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE FIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIFT CHECK Lo 2 Permit No (i MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT N 69 -1215 787 -4 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 Dr. R. Freedman 1209 NE 98 Street No. - - - -_ _ -- -- - - -- - — - — - - - - Street Registered Architect and /or Engineer ________-_--_____-- —._ - _------------------- _•.------- ____ -_ Employing Plumber's Name Peoples Gas System �_____•______ No._ ____ 5 6 4 Street___. NE 125th Street Location and Legal Description Lot_________.__._.__________ _—_._— Block_ Subdivision 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 . . ....... Size Septic Tank______ Feet of Drain Tile._ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. _-------------------- _ -__ -_ Amount of Permit $- _ ___ t f _£J0 My Commission Expires Type of Tank__ Capacity Gals Size of Soakage Pit (Signed)_ % %��/ Street Date Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ixflons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and bus 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 jinder this permit, as are licensed by Miami Shores Village. (Signed)___ STATE OF FLORIDA, 1 COUNTY OF DADE. j 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 Master Plumber. 7 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. APPLICATION FOR PLUMBING PERMIT Permit No. Application is hereby n de for the approval of the detailed statement of the plans and specifications herewith submit d 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 Registered Architect and /or Engin Employing Plumber's Name. No Street Location and Legal Description Lot ___1 >~ Block Subdivision_ Street and Number where work is to be performed —No �_ Street v State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Date Amount of Permit $_ Type of Tank____ • Capacity Gals.__.__ Size Septic Tank ii Feet of Drain Tile 4 "12 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well — Size of Soakage Pit — _ ( Signed) ( Ling !� Ling 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 licensed by Miami Shores Village. (Signed) Master Plumber. STATE OF FLORIDA, f COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oath and take acknowledgments, personally appeared ss. 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 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 CONTR. LIST CHECK APPLICATION FOR PLUMBING PERMIT Permit No. Application is hereby n de for the approval of the detailed statement of the plans and specifications herewith submit d 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 Registered Architect and /or Engin Employing Plumber's Name. No Street Location and Legal Description Lot ___1 >~ Block Subdivision_ Street and Number where work is to be performed —No �_ Street v State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Date Amount of Permit $_ Type of Tank____ • Capacity Gals.__.__ Size Septic Tank ii Feet of Drain Tile 4 "12 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well — Size of Soakage Pit — _ ( Signed) ( Ling !� Ling 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 licensed by Miami Shores Village. (Signed) Master Plumber. STATE OF FLORIDA, f COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oath and take acknowledgments, personally appeared ss. 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. • Permit No.____'_! 7 ce' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 Registered Architect and /or Engineer Employing Plumber's Name) ___C t" __ �___ -' No Street ' � . ' , Location and Legal Description Lot r) 4 y 1 ' Block 2 Subdivision__ . - __�.'____ /„_ _LL: ` Street and Number where work is to be performed —No 4- t- 1 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 Capacity Gals Feet of Dram Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well — Size of Soakage Pit Amount of Permit $_ -_ 6 . J 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 emplAyed 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. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ss. (Signed) / • (Signed) 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 sane, 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. Master Plumber. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS J 11) .. L / ` TOTAL FIXTURES - -- CONTR. LIST 3 r �,.+'" w- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. ISr LIST CHECK • Permit No.____'_! 7 ce' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 Registered Architect and /or Engineer Employing Plumber's Name) ___C t" __ �___ -' No Street ' � . ' , Location and Legal Description Lot r) 4 y 1 ' Block 2 Subdivision__ . - __�.'____ /„_ _LL: ` Street and Number where work is to be performed —No 4- t- 1 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 Capacity Gals Feet of Dram Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well — Size of Soakage Pit Amount of Permit $_ -_ 6 . J 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 emplAyed 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. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ss. (Signed) / • (Signed) 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 sane, 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. Master Plumber. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder e' ' 7 MIAMI SHORES VILLAGE, PERMIT N? 8179 Work to be performed under this Permit Legal Lot f Description Bl. Address of _ _ ;#4.77,t Value of Amt. of - / , . Building .' t Project Permit This permit is grated to the contractor o uilder named above to construct the building or to install the equipment or device described in the appli- cation 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: f.t . F ., '.. .�0. zd B , INSPECTOR In consideration of the issuance to me of this permit I agree to perform a ,}work covered hereunder in compliance with all ord pertaining thereto and in strict conformity with the plans, drawings, stateme is of specifications submitted to the proper authdr es d'l IYIfa mi Shtt e. . In accepting this permit I assume responsibility for a work done by either myself, my agent, slant or employee. 1 CONTRACTOR OR BUILDER FLORIDA DATE 4, Contractojs License No. y. AUTHORITY 1944_ s and re atiogn BUILDING. ELECTRICAL PLUMBING Owner of /"~ Building Architect Contractor or Builder Legal Ldt Description Address of x Value of Amt. of Building ` 1� Project I Permit /e This permit is gra ed to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation 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. CONTRACTOR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 8176 Contractor's License No (1/ Work to be performed under this Permit el 7 4,0„, Bl. (7_,4( Subdi- vision DATE " w r..+ Signed. � �• °� By INSPECTOR BY In consideration of the is to me of this permit I agree to perform /the work covered hereunder in compliance with aaL, rdin ces aryl rfieujejqns1=0 pertaining thereto and in strict confo 'ty with the plans, drawings, statements or specifications submitted to the proper authorfff of Miami Sikore5 a e. In accepting t 's permit I� assume respo sibilityb I. all work done by either myself, my agent, servant or employee. AUTHORITY