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1269 NE 99 St (5)ITEM BATH Tl8 UNIT • FEE .• •� ITEM •. SWITCH OUTLETS • • • • �•• * NIT • • * FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR GRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0— 1 HP STEAM BOILERS SHOWER MOTORS OVER 1— 3 HP )OTCRS OVER 3— 5 HP MOTORS OVER 5— 8 HP MIOTCRS OVER 8— 10 HP MJTCRS OVER 10— 25 HP HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET JRINAL MOTORS OVER 25-100 HP COOLING TOWERS MATER CLOSET. - • INDIRECT '• — ' MOTORS OVER • 100 HP VIOLATION WASTES iATER A/C WINDOW REINSPECTION SUPPLY TO: •AIR CONDITIONERS A/C UNIT _ .. • _. STRIP HEATER FIRE SPRINKLER HEATER GENERATORS TRANSFORMERS —NEW INST, HEATER '::— • GENERATORS TRANSFORMERS ~� — REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER —WELL- SPECIAL PURPOSE SWIMfi4ING POOL CUTLETS COWERCIAL WATER SERVICE • SIGN TUBES EWER CONNECTIONS TILITY SIGN TRANSFORMERS —" — SEWER. TILITY SIGN' TIME CLOCK —WATER IC FIXiLRES _PT TANK :LAY ZAINFIELO, ANTENNA TELEVISION CUTLETS 4' TILE/RES. VIOLATION ,TAP 3 ABANDON SEPTIC TANK .: )AKAGE ' • REINSPECTION PIT CU. FT. • kTCH BASIN SCaiARGE . WELL ,MESTIC WELL :EA DRAIN OF INLET LAR WATER HEATER RE r-- ---- -- STANDPIPE Ol PIPING NN SPRINKLER SYSTEM S RANGE TER SET (GAS) S PIPING ADDENDUM TO BUILDING.PE.RMIT APPLICATION • •••• • •••.•• • • • ••••• • • • • • ••• • • • • • (AN AP*P rCA . • • • • • • TI FOR BUILDING PERMIT MUST ACCOMPANY THI3•ADDENDUM. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON PLUMBING • • • • • • •. • • • • ECECTR I AI., ••• IF A MASTER PERMIT HAS B. SUBSEQUENT APPLICATIONS.) MECHANICAL 11 Date _ 1_ PERMIT APPLICATION IFORI IIAMIIHORES VILLAGE • • • • • • • • • • 10050 N.E. 2nd Avenue • Miami Sho+ Florida .L t3S• Pl2ne; 305- 795 -2204 • Fax: 305- 756 -8972 • • ••• • • • • ••• Job Address 17"-e AF ` t I \ S Tax Folio • • • ..• • • • • • • • • • Historjc t y'De:ig:late& Yes No • • • • • • Owner /Lessee/Tenet 5e-o A x..14 1`14 1_nl b ORr Master Permit # Legal Description •• • • • •• ••• • Owner's Address 17 —U C t �f_ 9¥1-1. ST •' • : •: : : : ; ehorf'1' Contracting Co. 0a.4 i /A Qualifier SS# Phone State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTI Permit Type (circle one): BUILDING A ti/119- EELECTRICL LUM MECHANICAL ROOFING / A6Zee- th4, WORK DESCRIPTION: Square Ft. Estimated Cost (value) O© ' 0Q 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 ANY 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). 1 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 all disciplines. OWNERS AFFIDAVIT: 1 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, 1 authorize the above named contractor to do the work stated. Signature of owner and/or Condo Present Notary as to Owner and/or Condo President My Commission Expires FEES: PERMIT ( RADON •• • • • • • • • •• Ad Date Date • • • • Signature of Contractor or Owner Builder Date Notary as to Contractor or Owner Builder Date My Commission Expires NOTARY c& 7bc. - 6/345 BOND APPROVED: TOTAL DUE Zoning Building Electrical Mechanical Plumbing ( 7-- Structural Engineer Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2003 -47 Printed: 2/12/2003 Applicant: ANN MARIE INDORF Owner: INDORF ! ANN MARIE JOB ADDRESS: 1269 NE 99 ST Contractor Local Phone: Parcel # 1132050090110 Signe Plumbing Permit Contractor's Address: Page 1 of 1 Legal Description: EARLETON SHORES PB 43 -80 E1/2 LOT 14 & LOT 15 LESS E25FT - 11L s, �� Od Total Fees: $6:90 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 8/11/2003 Construction Value: $200.00 Work: REPLACE THE KITCHEN SINK If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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 conditiop 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 pe fining 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, servan • r em ' oyees. TOR) BY: In conside : 'on .f a issuance to me of this permit, 1 agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: • •••• • •••• ••\•• • • • • I •••• • I • •••• •• • • • • • • • • •• • • • • • • • • • • • .. • .. • • • • • • • • • • •••• •••• • • •••• • • • •••• .. .. • • • • • • • .••• • • • • •••• • • • . • • • .. • • • 00 00 O 0 0 O o 0 0 0 00 000000 0 0 0 O 0 0000 0 0 O 0 000000 0000 0 0 O 0 0 0 O 0 000000 0 000000 0000 00 00 0 0 0 00000 0000 000000 O 0 00000 0000 0 0 O 0 0000 000000 O 0 0 000000 0 000000 00 0 000000 O 0 0 0 O 0 00 0 00 O 0 0 0 000000 0 0 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2003 -192 Printed: 2/5/2003 Applicant: ANN MARIE Owner: INDORF JOB ADDRESS: 1269 NE 99 Contractor Local Phone: Parcel # 1132050090110 Signed: Building Permit (Contractor or Built INDORF ' ANN MARIE ST Contractor's Address: Construction Value: $5,000.00 W IIH Qpp Washington Mutual yrasjngt0n Mutual Bank. FA Biscayne Financial nntteer 747 18301 BISeayne Aventura, F13 NOTES 1400.7884 24 1104I Cu410 Bea Page 1 of 1 Legal Description: EARLETON SHORES ' PB 43 -80 E1/2 LOT 14 & LOT 15 LESS E25FT Fees: Description Amount FEE2003 -751 Building Fee $85.00 FEE2003 -752 CCF $3.00 FEE2003 -753 Notary Fee $5.00 F F F 2 54 on ,4301a..011_ Total Fees: $393.00 Total Fees: $93.00 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 8/4/2003 Work: KITCHEN CABINETS If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install thA o.• --- -- ordinances pertaining thereto and with the understanding that the work will be perfon and approved by the proper municipal authorities. This Permit may be revoked at an authorization. A further condition upon which this permit is granted is the understand $COTE A. INDORF ordinances and regulations pertaining to the work covered hereby whether shown on ANN MARIE INDORF by his agents, servan o employees. 1269 NE 99TH ST. / / MIAMI SHORES, a 33138 L' (� Signed: i / NSPECTOR) 1 ✓ ` '� "" \I ` LL- ORDER OF In consideration of 'fi issuance to me of this permit, I agree to perform the work coy PAY TO THE M 1 with the plans, drawings, statements or specifications submitted to the proper authoriti myself, my agent, servants or employes. 1 L tI 83h1121.803 Less 711' 2 278 63- 8413/2670 2 2 7 8 3e32aM Z9 2.0P3 DATE � $?33 MoD, DOLLARS U sozub 0r.aa.4. PROPERTY OWNER New Construction Name S e ' C • Ai.lkj M , Z- Nilo Address i Z io q ,j r 9 cl-eH S . MIA Sl..ko12� ..S 1 r- 3313 Home Telephone r �/ / 2 V 7 (p 4 3 4 1 r ' Business Telephone Demolish Fax Relocation of Structure 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. Step 2. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other i2CoR 9c1 PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax •• •• • • • •• •• • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • ••• • • • • ••• Master Permit No. 23P- 08 If ' •: • SubSic:,a 1 ermit No. • • ••• • • • • • • • • • • •• PERMIT APPLICATION INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application whiclL idstpe :igned .p►opertyowner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processie g of your aa hor: •If roofing work will be done, a roofing application must be submit- • ted along with this permit application. • • • • • • • • • •• • • • • • ••• •• Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: Address Apt. City \ State Zip ]� Folio Number description of Work 1 \ 1 `1 `e Y\ eanIneiS Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property //Value of Work iS t IDO0 Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING V D Y • • • RFJCI� $ C� VALIDATED HERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTIONI are Iinfited to: Monda}?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 §ANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL ap'E FREE FROM BIN' AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAM$ GED' CY EQPdIAMffN'P OR NeEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. • . • o m e e : • • • • : o . e • • 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. STAT aa F__ FLORIDA, COUNTY OF MI I -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE of Z e tL Owner Signature of Contractor / Qualifier U Sao-T-T 1. Tt4pokr` ( Name Print Name worn to and subscribed before me this day of • .• • • • e o o • • • • e e e o o•• • • 0 e o 0 0 • • • o oem o 0 0 0 ••• • 0 Signature of Notary Public - State of Florida Signature of Notary Public - State of Florida SEAL: SEAL: Sworn to and subscribed before me this day of PERMIT APPLICATION Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary • • • • • • •• • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ❑ Pf OOP OF OWNERSHIP • (Attach) •• • •• • • • • • • • • • • • • • ❑ HP '/ DEYLM'ADPA(SVAL: • (S ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ $ 3 DJ $ 3 , U 7) ( sq.ft. = x/1000 x ¢.60) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) $ SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE • • • PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ �3 r ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OFAPPRO\'AL 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 • • • • Fan QT`_'. • T1'PI' Outlet, Apvliance Outlet, Wall QTY. TYPE Service Repair Service, Temporary QT1'. A/C Central 1 -3 Ton A/C Central 4 -7 Ton Paint Booth Fire Pump Air Handler, Tons Outlet, Switch Piping, Flammable Liquid Signs Barbecue A/C Central 8 -15 Ton Process/Pressure Piping Fixture - Fluorescent Bath Fan - Vented, # Oven Pressure Vessel Space Heater (kw) Cap - Fixture A/C Central 16 -20 Ton Fountain Fixture Light Pump and Abandon Parking Lot Lights Sprinkler System Spas/Hot Tubs Cap - Water A/C Central 20+ Ton Gas - Appliance Flood Lights Pump, Domestic Plugmold/Strip Supply, AC Well Subfeeds, No. of Amps Cap - Sewer A/C Window Gas - Natural FPL - Load Central Pump, Fire Stand Posts Temporary Toilet Swim Pool, Commercial Catch Basin Air Conditioners Gas - Propane Garbage Disposal Pump, Re- circulate Range/Range Top Temporary Water Closet Swim Pool, Residential Clothes Washer Chiller Gas Piping Generators, etc. Pump, Replace - Pool Receptacles Urinal Switchboards Dental Chair Clear Violations Grease Trap Heat Recovery Pump, Sprinkler Refrigerator, Comm. (p/PH) Utility - Sewer Temp Serv., Construction Discharge Well Compactor Ice Maker Low -volt, Burglar Pump, Sump Refrigerator, Domestic Utility - Water Temp for Test - 30 days Dishwasher Deep Freezer Indirect Wastes Low -volt, Fire Relay Repair Renew - Temp Service Vacuum Pump Disposal Demolition Interceptor Low -volt, Intercom/Teleph. Roof Inlet Repair Circuits Water Closet Domestic Well Dishwasher Laundry Tray Low -volt, Television Septic Connection Service, Number of Amps Water Heater Drainfield, 4" Tile/Res. MECHANICAL TY PE QTY. Minimum Fee 'I'1'PE: QTY. Condensate Drain TYPE Generator QTY. TYPE QTY. Refrigeration, Tons 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 Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping 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 • • • • o o • •• • O 0 0 • • • o 0 00 0 0 • • • • • 0 • 0 • •o• o • • •• • • • • PERMIT APPLICATION • INSTRUCTIONS: Please indicate the type of w8rk being ppKorm4d h nd . uantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: .— Date...1_.2. -1 Q.-- 75.--- ....... - -- - - - - -•— -- Permit No.. .L_.. _.���— Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application . is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of die 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 __, Richard M. Lund N 1269 Street . N . E . 99th Street Registered Architect and /or Engineer •.--- Employing Plumber's NameBrooks— Ameri .ca-- Sprinkle.r..CoNow --- ...243 .......: Street. —.N•W• 79th Stre. et Location and Legal Description Lot. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) _._..____._.._. New Building Remodeling— — _ - -__ -_ Addition.. Size Septic Tank_ ._- .__-___._ __.—..—_ - -_ --.Type of Tank.__ Feet of Drain Tile._.— __ _ __ __Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City — Well..------- - - - - -- ____- ---Size of Soakage Pit Amount of Permit $ $ • OO MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Subdi vision.. -• - -- __..___�.. _ 1269 street. N. E. 99th Street (Signed)_ Repairs No. of Stories Capacity Gale Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan 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 o e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on to be performed . uq• Is permit, as are licensed by Miami Shores Village. 4:////0- er Plumber. STATE OF FLORIDA, 1 µ 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 aye that he is the ..---- .......... ..... ........... ......_ _.. of the above described construction, that be 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 asib re-inspection is msds'neoesary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUB• SHOWERS LAVA• TORIES 6114 SLOP limas LAUNDRY Tulsa URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. 6 SYSTEM SWIM•O POOL CONTI 8 .00 _ UST CHECK .— Date...1_.2. -1 Q.-- 75.--- ....... - -- - - - - -•— -- Permit No.. .L_.. _.���— Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application . is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of die 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 __, Richard M. Lund N 1269 Street . N . E . 99th Street Registered Architect and /or Engineer •.--- Employing Plumber's NameBrooks— Ameri .ca-- Sprinkle.r..CoNow --- ...243 .......: Street. —.N•W• 79th Stre. et Location and Legal Description Lot. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) _._..____._.._. New Building Remodeling— — _ - -__ -_ Addition.. Size Septic Tank_ ._- .__-___._ __.—..—_ - -_ --.Type of Tank.__ Feet of Drain Tile._.— __ _ __ __Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City — Well..------- - - - - -- ____- ---Size of Soakage Pit Amount of Permit $ $ • OO MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Subdi vision.. -• - -- __..___�.. _ 1269 street. N. E. 99th Street (Signed)_ Repairs No. of Stories Capacity Gale Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and Ilan 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 o e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on to be performed . uq• Is permit, as are licensed by Miami Shores Village. 4:////0- er Plumber. STATE OF FLORIDA, 1 µ 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 aye that he is the ..---- .......... ..... ........... ......_ _.. of the above described construction, that be 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 asib re-inspection is msds'neoesary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ DATE 7 195 PLUMBING o PERMIT N° 9230 Contractor's , License No. ROOFING ❑ BUILDING ❑ Owner of Building Architect C3ontractor or Builder Legal Description Address of Building Lot • Work to be performed under this Permit CONTRACTOR OR BUILDER Bl. Subdi- vision 1 SQ. Ft Value of Project $ 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: t= . �. ,E6 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 7 !WILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot 11 /TTErz.,. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 12360 ❑ Work to be performed under this Permit_ • Subdi- vision Value of Project $ This permit is granted to e contractor or build r n ed above to c(nstruct the buildin herefor in strict compliance wi all ordinances pertaining t • ereto and with th understandin drawings, statements or specifications that may have been submitted to and app ed by the p time if the work is not done in compliance with such ordinances or if the plans are anged with granted is the understanding that the contractor or builder named above assumes t responsibili pertaining to the work covered hereby whether shown on the plans or drawin s or i the stateme done by his agents, servants or employees. BY DATE V • Contractor's License No A Amt. of Permit $ 11 the equipment or device describ in the app •n rk will be performed in compl ce with any plan al authorities. This Permit y be revoked at any ton. A further condition upon which this permit is orough knowledge of the ordinances and regulations cifications and that he assumes responsibility for work Signed IN In consideration of the issuance to me''of this permit I agree to perform the wor covered hereunder in compliance with all ordinan and regulatio pertaining thereto and in strict conformity with t ?p �s drawings, statements or spe " cations submitted to the proper authorities of ..mi Shores Villag w In accepting this permit I assume responsibility for all � ?k»dozlg by either, me yself •y agent, servant or employee. ► 4••r 195 AUTHORITY Permit No Application is here made for the approval of the detailed statement of the plans and specificat' structure herein described. This application is made in compliance and conformity with the Buildin and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all r of Miami Shores Vill9ge shall be complied with, whether herein specified or not. A'copy of appro building during progress of work, r Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name_ ,_ _!____________ Location and Legal Description Lot Block Street and Number where work is to be performed —No. ?'' / Street State work to be performed and purpose of building (By Floors) 1,2 L~ /? , New Building 12 6 Size Septic T 1 Feet of Drain Tile Nature of Water Suppl STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILL.AGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Remodeling Addition No ! .y�__� Street (Signed) Type of Tank____ Capacity Gals r • ith submitted for the building or other dinance of Miami Shores Village, Florida, es and regulations of the Building Division d plans and specifications must be kept at Street Repairs i eet of Tank or Drain Field from Well Size of Soakage Pit Subdivision J - 5 ` ; 4 No. of Stories C Amount of Permit $ (Signe Plumbing Igjpector. The undersigned appli nt for this buil i rmit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmei s Compensation Act, bei tion 5966, Cornpiled 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Pl{utiber. 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 C ONTR. LIST c J� ,.. -_�- CHECK - . t _ 46"1 50 SEPT TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL CONTR. LIST tie i �. • O CHECK Permit No Application is here made for the approval of the detailed statement of the plans and specificat' structure herein described. This application is made in compliance and conformity with the Buildin and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all r of Miami Shores Vill9ge shall be complied with, whether herein specified or not. A'copy of appro building during progress of work, r Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name_ ,_ _!____________ Location and Legal Description Lot Block Street and Number where work is to be performed —No. ?'' / Street State work to be performed and purpose of building (By Floors) 1,2 L~ /? , New Building 12 6 Size Septic T 1 Feet of Drain Tile Nature of Water Suppl STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILL.AGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Remodeling Addition No ! .y�__� Street (Signed) Type of Tank____ Capacity Gals r • ith submitted for the building or other dinance of Miami Shores Village, Florida, es and regulations of the Building Division d plans and specifications must be kept at Street Repairs i eet of Tank or Drain Field from Well Size of Soakage Pit Subdivision J - 5 ` ; 4 No. of Stories C Amount of Permit $ (Signe Plumbing Igjpector. The undersigned appli nt for this buil i rmit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmei s Compensation Act, bei tion 5966, Cornpiled 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Pl{utiber. 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. ,