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240 NE 99 St (11)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil+ing nspection Request Date _ yam- � y(� Type Insp'n Z(�(d�L— { `�" Permit No. PL. • .ao04 . 15 Name PL au 6 Address cfQ PE 7? ' Company Phone # Inspection Date Approved Correction Re- Insp'n Fee ❑ You bk ,C,41( Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bujlding Inspection Reg pest Date Type Insp'n �j� v' Owe r Poi Permit No. PI ow -1 5 3 er Name Address aLIO Imo' E got U+- Company pipe. Phone # 01,34 -( 8e Date Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLA) E BUILDING DEPARTME 305- 795 -2204 Building Inspection Request Type Insp'n 3 1 4 Xfl l ?IYO Permit No. 1 l l J 153. 111 Name 1 en . Address 0240 1ve q't v Compan p ipe 11 r_ - Phone# "l.a"f 0 4 1s Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Printed: 5/25/2004 Applicant: RAGNAR Owner: DALEN JOB ADDRESS: 240 NE 99 Contractor PIPELINE PLUMBING INC Local Phone: 954 - 680 - 4415 Parcel # 1132060134330 Signed: (INSPECTOR) Signed: (Contractor or Builder) Plumbing Permit Permit Number: PL2004 -153 DALEN RAGNAR ST Contractor's Address: DOING BUS IN DADE CO Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 & W1/2 OF LOT 6 BLK 32 LOT SIZE Fees: FEE2004 -5200 FEE2004 -5201 FEE2004 -5202 FEE2004 -5203 FEE2004 -5204 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Total Fees: Amount $150.00 $1.80 $5.00 $0.60 $3.75 $161.15 Total Fees $161 15 Total Receiptsr $0.00 lll Permit Status: APPROVED Permit Expiration: 11/17/2004 Construction Value: $2,450.00 Work: REMOVAL OF EXIST SHOWER PAN AND INSTALLATION 2. PARTITIONS INSIDE CLOSETS ARE NON - BEARING. 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 responisibility for all work done by either myself, my agent, servants or employes. BY: Tenant/Lessee Name NVliami Shores Village `, ` :'ildin Department nn 4005 N.E.2nd Avenue, Miami Shores, Florida 33138 _Me/ I' el: (305) 795.2204 Fax: (305) 756.8972 Qualifier fI ,. Yes' vi• • Total Fee Now Due $ 1 1 1 , LS BUILDING Permit No. PERMIT APPLICATION FBC 2001 1 - 0 . c # 11 - 3)-04 • 013+ &5 0 Permit Type ( ircle): Building Electrical Mechanical Roofing Owner's Name (Fee Simple Titleholder) Rn`j ti V1 )4 (i>:: d J.cik .) Phone # 7 . .2•04e - Owner's Address 4 ''9 a ill j: • () 9 City 11) Arnu Shc,► -mss State %' ( d A • Job Address (where the work is being done) a - AT iC c� City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name X p r /, e 1 Contractor's Address C. /SO x J� ;I; 3 '7 c• City 'eV) State $ Value of Work For this Permit nC ' t S©, GO Master Permit No. A P 0 y- C- / e. Zip Phone # :172 =T Phone # Code Enforcement $ Structural Plan Review. $ PL 2 5 - Zip Zip 1 3/S2 4 /Cr - $ 4 :3 ? )C Architect/Engineer's Name (if applicable) ��� - � �� c'J Phone # Q5 / 0 '3 9 7 . Square Footage Of Work: -°,,ZQ 0 z . Type of Work: ❑Addition ❑ Alteration ❑New ... Repair/Replace Demolition Describe Work: L RerMoc ( o f Ev -re,T 'SShcc,:l.) , p (cie:)j,J a/ita TAN4ti (e-A.d (0)(1 �lh tl�► RQ \ \ �1 0 1 - c , e6 -17 ) `Z ppvt4i4-IJrS i/Ai?r(, Cc.)e.4s it,. L (.. -1 941 ) 4ec 1 144fTe, �' '; )3ry - G , 1 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $•S O �: I 1 P Fee $ /76 CCF $ 1 P CO /CC Notary $ ' 6 Training/Education Fee $ ( V Technology Fee $ 3 7 c. Scanning $ Radon $ Zoning Bond $ (Continued on opposite side) �QT .1.4‘ G. s ; 1 /0._ � kb -- 1 io (, . s c- C? c; re o 2 i d q . Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to . , t: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good ' ' that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is t to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inssecti ch occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will n t b. ap d and a reinspection fee will be charged. Signature Signature • er or Agent The foregoing instrument was acknowledged before me this day of , 20 / , by ?,��,t0e,2 'b,/��_. % 3 day of , 2015, by who is personally kn wn to me or who has pro 'fication and who did take an oath. who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: ery Y PUB cwI. NOTAMV SE , r x�ia► entauEN,� Sign: )f '4 Sign: ::1 S'. SIGN NUMBER Print: ccs�ao�o Pri c� o• £`��� �v WMM►SSION E�IRE8 K My Commission Expires: �`, gym• = - -�YUy> Nov.e2ooa My Commission Expires: (Certificate of Competency Holder) Certificate of Competency No. Chc 12/15/03 State Certificate or Registration No. APPLICATION APPROVED BY: State Zip . • The foregoing instrument was ac ntracto owled_ de before me this \1 *:******** * * * * * * * * * * * * * * * * * * * * *K * * * * **** * * * * * * * * * * * * * * * * * * * * * * * * *y* * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** n'd/6.) Plans Examiner Engineer Zoning • � y BUILDING ELECTRICAL 0 PLUMBING �l ROOFING 0 MECH Cl Chimer of ,..l (./14, A /42.ei.! ez Budding 7 ,r V Architect Contractor or Builder Legal Address of Budding CONT 1 °72. 4 /2. PERMIT ' gte MIAMI SHORES VILLAGE, FLORIDA Date / "[ II BI UILDi N° 4B7.2S TOP Work to be performed under this Permit ,0.CJ€ LL Permit: Ske / 13/)7b CC : 5ubdi- 1 �t Notary: 7 vision C:13,? tl I -L /3 - 9 . �d Bond: Sq. Ft.: Radom Value of Amount Project $ e/� Permit: ' Contractor's License No. BY AUTHORITY 20 _/ This permit is granted to the contractor or builder named above to construct the building or to instal{ the equipment or device described in the appli Lion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with : plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revo! et any time if the work is not done in compliance witb such ordinances or if the plans are changed without authorization. A further condition upon which i permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances regulations pertaining to the work covered hereby whether shosv plans or drawings•or in the statements or specifications and that be assumes resp sibility for work done by his agents, servants or e Signed. - (INSPECTOR) BY In consideratio • of • e issuance t• me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulat pertaining thereto a • n et c for ty with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Villag In accepting tbie pe i; um. possibility or all work done by either, myself, my agent, servant or employee. CONTRACTOR New Construction / /' / Name ��e/f 9 ,4 ' /z_ ct '� 0 /v41Z License No. � � 90'44 Address 5" /0/404 7 5 L(Q?j 4 Telephone 9.2 c�Q Fax ctO e Qualifier Nam/J 4 . - j4 fie 1 TYPE OF MANAGEMENT (✓ ) New Construction 1 Enclosure Alteration Exterior / Repair Alteration Interior !/ Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other Step 1. Job Address: Q �tJ Address pt . Folio Number Lot Subdivision PB PG Building Electrical Mechanical Plumbing f/ LPGX Roofing Fence Other PERMIT TYPE (✓ ) PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection 4 ARCHITECT Name License No. Address Telephone Fax PROPERTY OWNER Name / I Addres 71c 60,,/ 6®� /s Home Telephone Business Telephone Fax tP Subsidiary Permit No. q g 6g Master Permit No. PERMIT APPLICATION INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION f, 00_40,5 p/ City State cad/ Description of Work AO (JS/ —1 •1.,m t rig A- 2 ��,a Tax Assessed/Appraised Value Linear Feet 6crtr41 Zoning Current Use of Property Square Feet U Floors Proposed Use of Property Value of Work / 2, 3 S '" Value Tenant Information Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 1MPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT' - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, P' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA,..COUNTY OF MIAMI -DADE Sign ure of Owner Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION STATE OF FLORIDA, COUNTY II -DADE Signature of Contractor / Qualifier .J_ A Print Name / Sworn L 6/ to and subscribed before me this day of d2 ! , Signature f tary Public - State of onda SEAL: UFFI l d` TS" 1I. GLADYS j VILI O"'t AMY PUBLIC STATE OF FLORIDA COMMISSION NO. CC784103 AY COMM 5S1ON EXP. MAR 82032 — OR, Produced Identification Personally known OR, Produced Identification Personally known Type of Identification Produced: Type of identification Produced ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TY Service Repair QTY. A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall _ Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton Pressure Vessel Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners / Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet 1 Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television / Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons QTY. 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 Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of • Pressure Vessel Gas - Appliance PLUMBING TYPE A/C Condensate QTY '1'Y' 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 1 Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory / Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower / Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: 1- r �/ SECTION BY DATE Zoning Electrical Mechanical Plumbin: III /' .i Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) LI 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.) $ 0 Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) ^../ t - ' '�" ❑ OTHER D. q, ( ZS � ./2/yi • • �Y/ / . a l €�.J G� O��f'�"�'� ( Specify & Attach) PERMIT FEES $ S,D O (sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) • CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) (On File) REVIEWED AND PREPARED BY: PERMIT APPLICATION TOTAL $ > 0 (, ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Date 412-0/ Job Address 2 Q1l Legal Description A9/ & ��y4 Owner / Lessee / Tenant Owner's Address Contracting Co. Qualifier State # / Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): / BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Ie&' 7L.4 Gam' G161- rCre-- ,J - Square Ft. Estimated Cost(value) 3 s C) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I a•rize the above -named contractor to do he work stated ig ature of owner and /or Date: otary as to Owne ^`and/or Condo President Notary as to Contractor or Owner- Builder My Commission Expi es: AidACE!.IACOSTA My Commission Expires: Zu'iciiv ?Colic-Stab of Florida 1; My Commission E: :Iires FEB 20, 1997 COMM. ` CC 2 ** * * * * * * * * * * * * * * ** FEES: PERMIT RADON C.C.F. APPROVED: Fire Buildin Mechanical Plumbin Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 5;3 L4,2. / " Address 203 .S J6 ? C 7 . ✓1/4 -r7 / 6 S / -7.5i - # / / Phone ?,6 4 -7 S ? IJS /sr' Municipal # Competency # Ins.Co. / Tax Folio O/ T2e2A5 /3 2:5f? src'r. #4p Master Permit # Phone Signature of Contractor ar Owner- Builder ate: NOTARY TOTAL DUE Other Electrical Engineering • Owner of Building Architect Contrac or Buil Legal Description 7f).W CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BUILDING 'ELECTRICAL PERMIT N° 5053 Contractor's License No. PLUMBING Work to be performed under this Permit • 0 (.4,4 / t_ Bl. 4-4 Address of A ," Building 1 _. This permit is granted to the contractor or •uilder named above to construct the building or to install the equipment or d- ce escribed 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 wit •ut authcri tion. A further condition upon which this permit is granted is the understanding that the contractor or builder named above ass � s - spon bility or a orough knowledge of - o .i nces and regulations pertaining to the work covered hereby whether shown on the pl: .. ( cifications and that h: a zespon- sibility for work done by his agents, servants or employees. Signed. � /JI�L`l� � , By • � .. I .PECTO' In consideration of the issuance to me of this permit I agree to perform { the work overe- hereun• -r in compliance wi 1 ordinances a4 r g tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifica '.ns submitted to the proper auth on�ties of Miami 6lferes• Village. In accepting this permit I assume responsibility for all work done by ei myself, my agen , sery . For employee. DATE 3. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description AMI SHORES VILLAGE, FLORIDA DATE Contractor's License No this Permit )1 fc: Grli' '• t ,�� �%�� -' Work to be performed under • i Bl. 5056 6 . ; • Subdi- vision e B A a of ,Y V `"'7, � v Valu of Amt. t / e ` ,/ Project Per 1 This permit is granted to the contractor r ild named above to construct the building or to install the equipment or vice 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 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 assume e resp�oonsib" ity f• thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or • .� • -il?the s erne s ° or specifications and that he assumes respon- sibility' for work done by his agents, servants or employees. J ii Signed r % /Jli/1".i'�� �' B _'� • • In consideration of the issuance to me of this permit I agree to perform the work covere ereund in compliance with all ordinances and reg . 'ons pertaining thereto and in strict conformity with the plans drawings, statements or specificati• s submitted to the proper authorities of Miami Shores illage. In accepting t/4--.4,446.... is permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY • BUILDING ELICTRICAL PLUMBING • Owner of Building Architect Contractor or Builder IAMI SHORES VILLAGE, FLORIDA DATE PERMIT N? 5056 Work to be p rfor ed 4 / 1947. Contractor's / a �j 43 License No. j under this Permit. 1 -4 :.;,,,r+G,-t..��� Legal Lot ' Bl. Description Address of Value of Amt. / /.. Building '..r (/ 0 � r.• Pr oj e c t Permit This permit is granted to the contract o er named above to construct the building or to install the equipment 4-device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be per ormed 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 assu he r- pons' •ility . a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans o . . •1. • '!a the . aten -tits or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. Subdi- vision By • In consideration of the issuance to me of this permit I agree to perform the work cover:. hereun er in compliance with all ordinances and re ations pertaining thereto and in strict conformity with the plans, drawings, statements or specific •ns submitted to the proper autI i$s of Miamithg ygiage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER y BY AUTHORITY 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. Owner's Name and Address Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1_ar'th_ -- No Registered Architect and /or Engineer Employing Plumber's Name__hL!t >! Street t-J) t Location and Legal Description Lot Block Subdivis r 11 __ai - 1 . t'f_ 1 c + C Street and Number where work is to be performed —No. Street Date_ ____' r Size Septic Tank_ 2 if __L Type of Tani` S_Sc _�__ Capacity Gals G . C d Amount of Permit $ � '"� - - -- - -- (Signed ) My Commission Expires Notary Public, State of Florida • Street- State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs No. of Stories Feet of Drain Tile f )- ' Dist Feet of Ta or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by 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. l (Signed) I� Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK 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. Owner's Name and Address Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1_ar'th_ -- No Registered Architect and /or Engineer Employing Plumber's Name__hL!t >! Street t-J) t Location and Legal Description Lot Block Subdivis r 11 __ai - 1 . t'f_ 1 c + C Street and Number where work is to be performed —No. Street Date_ ____' r Size Septic Tank_ 2 if __L Type of Tani` S_Sc _�__ Capacity Gals G . C d Amount of Permit $ � '"� - - -- - -- (Signed ) My Commission Expires Notary Public, State of Florida • Street- State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs No. of Stories Feet of Drain Tile f )- ' Dist Feet of Ta or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by 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. l (Signed) I� Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No it ° 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 )) // / 1 j ,,/ No Street Registered Architect and /or Engineer C �� ? Employing Plumber's Name .rZdLee.".4 - -_ �Sc No Street Location and Legal Description Lot _ D__ 1___1___�C__1_ 7 �_�_ Bl_ock ,.2_ _ Street and Number where work is to 13e performed —No 1 State work to be performed and purpose of building (By Floors) New Building ll Remodeling Addition___ Repairs No. of Stories Nature of Water Supply: City —Well . Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street (Signed) Size Septic Tank Type of Tank_____ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by 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 )_2 /C Date f Subdivision_,4 _/ _2_ � - - -- t c r L-C/ 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 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 3 / i - -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL , .5E �6� I , I/9 ` Q,-171 (1.1 2 '- CONTR. LIST CHECK Permit No it ° 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 )) // / 1 j ,,/ No Street Registered Architect and /or Engineer C �� ? Employing Plumber's Name .rZdLee.".4 - -_ �Sc No Street Location and Legal Description Lot _ D__ 1___1___�C__1_ 7 �_�_ Bl_ock ,.2_ _ Street and Number where work is to 13e performed —No 1 State work to be performed and purpose of building (By Floors) New Building ll Remodeling Addition___ Repairs No. of Stories Nature of Water Supply: City —Well . Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street (Signed) Size Septic Tank Type of Tank_____ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by 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 )_2 /C Date f Subdivision_,4 _/ _2_ � - - -- t c r L-C/ 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 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. • PHONE 7 -2477 MCGUIRE PLUMBING, INCORPORATED 85 N. E 62ND STREET MIAMI 38. FLORIDA ,7 C O PHeiCY W QRX' 4.740 N . `, ST. L4 E57: tor 6 IT 7 4 a .2, AI MP)) S /aA.w $ RALPH MCGUIRE. PREB?b ENT' 4 • / - Tu / - 3 Hoccoz WC .2 -. L. 41/ � - L,T. • 4/ 9 ?tom H 037kit /- s / NK Ptin p E Oleos •