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PLUMBINGPERMIT APPLICATION FOR MIAMI SHORES VILLAGE �7 Date I . 11 -00 Job Address /oZS Al E C ? 9 5k e+ Tax Folio Legal Description Historically Designated: Yes No ` ' Owner/Lessee / Tenant M C �fG40�c7 Master Permit # 7 0 1 s `''l 7 t Owner's Address o E Ala m Fe,-( M i Gm i S 11o(tS Phone Contracting Co. MOM,/ rn j ‘ a t/ / Address gs50 k.03.3.1 (;1,-,-,Q,4 ( M / G r)1 t 1L I SS# Phone 30$^J9) - 0427 State # f FC 0 3 a 5/ a Municipal # Competency # Ins. Co. G h' . C'o. Architect/Engineer Address Qualifier 'RQ4 d O i G 2 Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL C LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ( 1 (4 N\V. 1S cC f 1-k ?. &Yl J f Q• pt c Q- -Y, V41,1.. ,c • f h a 5 rYi i Square Ft. Estimated Cost (value) OpNn - O Z� 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. OWNERS 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 owner and/or Condo Presid ' Date Notary as to Owne d/or Condo President Date My Commiss APPROVED: Zoning Mechanical xpires: FEES: PERMIT . D RADON C.C.F. Signature of Co actor or Owne, Notary o Contractor or Owner- Builder Date My Commission es: AP Marlene Perdomo *,� J * My Commission CC592133 Expires Oct. 09, 2000 r F OF Ft. NOTARY ---19 " BOND Building Electrical / TOTAL DUE J kf 7 Date Plumbing Structural Engineer ITEM BATH TLB UNIT •1 FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE'HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) DIS?OSAI SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/MIETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY 1 OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0— 1 HP STEAM BOILERS SHOWER • 1 KITORS OVER 1— 3 If HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3— 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTCRS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS OVER 8— 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MJTCRS OVER 10— 25 HP FIRE SPRINKLER SYSTEMS URIN MOTORS OVER 25.100 HP COOLING TOWERS MATER CLOSET I MOTORS OVER 100 If VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION • TER SUPPLY TO: AIR CONDITIONERS - A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER —NEW INST. GENERATORS TRANSFORMERS HEATER — REPLACE GENERATORS TRANSFORMERS • LAWN SPRINKLER —WELL SPECIAL PURPOSE SWIMMING POOL CUTLETS COM€RCIAL WATER SERVICE SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS TILITY — SEWER SIGN TIME CLOCK TILITY —WATER FIXTURES EPTIC TANK ANTENNA :LAY TELEVISION OUTLETS AAINFIELO, 4' TILE/RES... . VIOLATION 'IMP & ABANDON SEPTIC TANK REINSPECTION JAKAGE PIT CU. FT. ATCH BASIN ISCHARGE WELL ;MESTIC WELL a EA GRAIN :OF INLET 3LAR WATER HEATER !RE STANDPIPE AL PIPING . ;WN SPRINKLER SYSTEM ,S RANGE :TER SET (GAS) S PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A RASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) (as iL) . pia . - PLUMBING ELECTRICAL MECHANICAL BUILDING ELECTRICAL PLUMBING ROOFING ❑ Owner of Building ❑ PERMIT N° 15722 Architect Contractor or Builder Legal Lot II Bl. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit Subdi- vision Value of Project $ DATE 195 Contractor's License No 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 • BY 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 ,ertafning thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owned s Name and Address.. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engine er.._ -. -- -_ -• -- — ._��.._. __ _ —___. - - -- _ -- Employing Plumber's Name. a 4 V5 ° mo d .___. No. _1 street__ - .Ji. • State work to be performed and purpose of building (By Floors)__ -_. New Building. -_. Remodeling _..- Addition. Size Septic Tank... Type of Tank_ No. E _ Street ' (Signed) Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL Nature of Water Supply: City—Well ......... -__- .---- ...... __:._..__..... .___._ _ -.Size of Soakage Pit Date Block- -_____.. t Subdivision Location and Legal Description Lot.. Street and Number where work is to be performed —No tY Repairs. - .. ✓..._- No. of Stories Capacity Cals Amount of Permit K -------- - - - --- ----- - - - - -- -- (Signed)-_-- _._. -.._ 1 .- - - -- Plumbing Inspector. The undersigned applicant for this building permit does hereby cerify that he understands and accepts his obligations as nn employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and h..s 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 sib - contractors, on work to be performed under this p €_rmit, as an licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida sylt- Master Plumber. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .ippeare 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 tat. 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 f,nul materials and /or workmanship. CLOSETS BATH TUBS SHOWER, LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBE URLS INA CATCH BABIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURtI CONTR. LIST CHECK �_ -_ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP OWNS HEATER DEEP WELL SPRKLR. SYSTEM SWIM 0 POOL -_- CONTR. LIST CHECK 7 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owned s Name and Address.. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engine er.._ -. -- -_ -• -- — ._��.._. __ _ —___. - - -- _ -- Employing Plumber's Name. a 4 V5 ° mo d .___. No. _1 street__ - .Ji. • State work to be performed and purpose of building (By Floors)__ -_. New Building. -_. Remodeling _..- Addition. Size Septic Tank... Type of Tank_ No. E _ Street ' (Signed) Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL Nature of Water Supply: City—Well ......... -__- .---- ...... __:._..__..... .___._ _ -.Size of Soakage Pit Date Block- -_____.. t Subdivision Location and Legal Description Lot.. Street and Number where work is to be performed —No tY Repairs. - .. ✓..._- No. of Stories Capacity Cals Amount of Permit K -------- - - - --- ----- - - - - -- -- (Signed)-_-- _._. -.._ 1 .- - - -- Plumbing Inspector. The undersigned applicant for this building permit does hereby cerify that he understands and accepts his obligations as nn employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and h..s 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 sib - contractors, on work to be performed under this p €_rmit, as an licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida sylt- Master Plumber. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .ippeare 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 tat. 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 f,nul materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE i / . L 3 1954 ELECTRICAL. il, , i PERMIT i■° 11061 PLUMB *G ROOFING ❑ Work to be performed under this Permit Owner of f , V. Building M Architect :ontractor � �., /' a''' •egcd Lot Subdi- )escription. vision Address of '� ' ' � '�° Value of Amt. of I y Building ' Project $ Permit $ It This permit is granted to the contractor or builder named above to1onstruct the building or to install the equipment or device described in the app DCl�ipn 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 anx_ _ time if the work is not done in compliance with such ordinances or if the plans are anged without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes a responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed' Contractor's License No INSPECTOR In consideration of the issuance to me of this permit I agree to ;perform the work covered hereunder in compliance th all ordinances and regulations pertaining thereto and in strict confo ity with the plans, drawings, statements or specifications submitted to the proper au • •rities of Miami Shores Village. In accepting thi permit I assurgc'ite¢bonsibility for all work done by either, myself, my agent, servant or employee. Permit No Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. 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 prbvisions 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 En, neer Employing Plumber's Name 4-- _6! -_ 0 N Location and Legal Description Lot Block Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) ti No / 1 C Street (Signed) (Signed) 1 Date__ Street__ Subdivisi New Building Remodeling Addition Repairs Rio. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile__ __/ OD r ,; ez, _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well 4- 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 corn- 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. 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 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 H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL. CONTR. LI ST CHECK . Permit No Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. 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 prbvisions 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 En, neer Employing Plumber's Name 4-- _6! -_ 0 N Location and Legal Description Lot Block Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) ti No / 1 C Street (Signed) (Signed) 1 Date__ Street__ Subdivisi New Building Remodeling Addition Repairs Rio. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile__ __/ OD r ,; ez, _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well 4- 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 corn- 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. 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.