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PLUMBINGMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat 7 ZZ Type Insp'n r II o l 3pl r L }X.0 ✓ Permit No 610q- '+ � I �� Name genCit Coq • � got C , Address 2(O I v C.- - of v CompanyT? f Phone # Inspection Date 2� Approved L'J Correction ❑ Re- Insp'n Fee ❑ Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -220 Bui ding Inspect' •n Reque Date Type Insp' n 1 'G L Permit No. P 1 ou Name G Address CO 0 l° Company l J • BUILDING PERMIT APPLICAT FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address Cc 99 Miami Shores Village Building Department 100 , "g.+ ' t• Irrn 1 . JUN 2 9 2g1,14 r ION- Electrical venuejMiami Shores, Florida 33138 : ,305) 756.8972 City1VJ,Air1, SYIc<)e S State L- Zip 3 3 (3 �3 Tenant/Lessee Name Phone # Job Address (where the work is being done) 0 2,40 1■ 9Q s r City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO z . Contractor's Company Name j'' /9i i ir t... 2 4 kur. °t i e -z I c4/04E one # ,C`_S* i� .� i / �� Contractor's Address C' ; (' 2, /1:14. ,' S''b? / 4, CitY72Z A/ 7/ /l,2 /r z S5te E -Xt Zip ClY Qualifier IL.-/We; / 27 t;'f'c l i t ie 45 Z_ State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: . ❑Addition ❑Alteration 'New Describe Work: / 2 '' !�„�' '. //' ct 4- ecyw ( Submittal Fee $ Total Fee Now Due $ 3c *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ / CCF $ CO /CC Training/Education Fee $ .' v Technology Fee $ Radon $ Notary $ Scanning $ Code Enforcement $ (Continued on opposite side) 136,, ( Mechanical Roofing 606 'S F11� � �7Je�1Ct rci Phone # 05' —7SY i Structural Plan Review. $ Permit No. n04:021-153 Master Permit No. Zip : 1 3 Square Footage Of Work: ❑ Repaipldce ❑ Demolition C' S S 6 1 Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip • • 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 Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy a the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which o urs seven (7) days after the building permit is issued. In the absence of such p notice, the inspection will not be approve and a riiispection fee will be charged. Signature Owner or Agent Signature. Contractor s The foregoing instrument was acknowledged before me this c s day of , 20 by who is personally known to me or who has produced as identification and who did take an oath. ' who is personally known to me or who has produced /- /4? tification . wjo did take an oath. Sign: Print: ) NOTARY N My Commission * * * * * * * * * * * * ** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Chc 05/13/03 APPLICATION APPROVED BY; NOTARY * * * * * * * * * ** Sign: Print: #2,V My Commit •E. s S * * * * * * * * * * * * * * * * * * * ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ;a; w MART C' '!!'�• T^ # 000108524 = c ?uaGes 5117/2006 z �. fires: Bonded through a Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/IIETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS 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 HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 IP VIOLATION INDIRECT WASTES -' A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS I 'HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL ` SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM a -" 0.$. GAS RANGE METER SET (GAS) GAS PIPING (AN APPLICATI4WI FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, , THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL //A 0- - rip 7 C) „ / of '5 # 4 1 /2 • 11 Psi a Ed WdPT:ZO POOE 61 'add SZ8Z99ZS02 : 'ON Xdd HOddNOO : W0�1d Plumbing Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Permit Number: PL2004 -183 Printed: 7/2/2004 Applicant: KEITH REINHARD/ EDUARDO MENDOZA Owner: EDUARDO MENDOZA KEITH REINHARD/ JOB ADDRESS: 260 NE 99 ST Contractor HERNANDEZ LAWN SPRINKLERS Contractor's Address: 8305 N. W. 158 TERR. Local Phone: 305 - 759 -3919 Parcel # 1132060134320 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 4 & 5 & E1/2 OF LOT 6 BLK 32 LOT SIZE Fees: Description Amount FEE2004 -6630 Building Fee $180.00 FEE2004 -6631 CCF $1.20 FEE2004 -6632 Training and Education Fee $0.40 FEE2004 -6633 Technology Fee $4.50 Total Fees: $186.10 Total Fees: M6 Total Receipts: $0.00 343 / o clki Permit Status: APPROVED Permit Expiration: 12/26/2004 Construction Value: $1,800.00 Work: 12" WELL & A COMPETE LAWN SPRINKLER SYSTEMS Signed: (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 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: WI Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time Permit No. Name Address . � 4 / CI� Company Phone # For Inspector: Approved Correction ❑ Re Insp' n ee ❑ Date Type Insp'n Permit No. Name Address e_aD / G Company Phone # For Inspector: ci Approved L Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request I cl.,t/ -/ Re- Insp'n Fee ❑ i c OOO, 1(20 a Time PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 Date `0 lob Address c (0 d Il C 11 5 T nlifomt SMDQES 5C.0 t Arne Pd. 10 43 Legal Description t C t f of L(sT (c 32. Historically Designated: Yes Owner /Lessee/Tenet KEITH glilE tilki.6 / EOv&0t /YIEx7 > Zll Master Permit # l� d a ! 0 C i 7cc (t Owner's Address t�( Q o OE 9 ST nil Adl1 ii stiazcs Phone L "1 59 ` �� I 3 ' �1' Contracting Co. k0 O Pt tJ (Y\ ( ' t \ Q i) Address 4(01 Sw ScC alk(2_ Phone' ,2D - 17( Qualifie S trr5SA S G • SSl , Co a ency # Ins. COJ—r r" . x Co T Ct `) r /ens at 77 C - / / (305),2 eG h ew IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 550.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSEE( ION. State t. V C-.' O 3 I Ca c 1 Municipal # Permit Type (circle one): UILDING WORK DESCRIPTION: Square Ft. 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. • OWNE ' : I►Ay regula ' onstructio � T: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws and fining. Furthermore, I authorize the above named contractor to do the work stated. ignature of owner an' 4, ond: 6presi OK M BECKER 14-' rr n OOMMISSION NUMBER * , .• . CC786697 r �� MY COMMISSION EXPIRES O F`O NOV. 15,2002 L Notary as to Owner and/or Condo President Date Notary as to My Commission Expires My Commissi // -' FEES: PERMIT //"(J 0 RADON APPROVED: Zoning Building Mechanical Plumbing Tax Folio f • 3; c L • (I 3/3O ELECTRICAL PLUMBING MECHANICAL ROOFING K Estimated Cost (value) /3 a0 Date Signature of Contractor or Owner Builder No -, U Oc Date Cr1 . D4 , Ca Date tra 09 v MAYRA RUIZ 7 �� @ MY COMMISSION # DD 069618 tOF S�O� EXPIRES: November 4, 2005 , 8 ..--- NOTARY FI. Notary Service & Bonding, Inc. C.C.F I. '2 U NOTARY ) BOND TOTAL DUE / c ' ; '( I . c2 6 Electrical Structural Engineer ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGRCOD TANKS . LAVATORY _ OVEN ABOVE GROUNO TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 IP MECHANICAL VENTILATION SINK, RESIDENCE MOTCRS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 If FIRE SPRINKLER SYSTEMS URINAL MOTCRS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT _ STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE i GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMItiERCIAL WATER SERVICE .• f SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS . GRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. _ CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA GRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING _AWN SPRINKLER SYSTEM 3AS RANGE AFTER SET (GAS) , 3AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPL'ICA'TION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) MECHANICAL e�P PLUMBING ELECTRICAL The Sunshine State — . UCEloSE NUTAHER M532 -201 - 64-212-0 EDUARDO A MENDOZA 1400 NE 169 STREET APT 202 NORTH MIAMI BEACH, FL 33162 FIRTH DATE SEX NW. REST. ENDORSE. 06 -12$4 M 646 ISSUED EXPIRES 02 -17-09 06.1246 DUPUCATE 104346 SAFE DRIVER S0000100700221 Operation d • motor vehicle constitutes consent to any sobriety test required by law. Parcel # 1132060134320 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 4 & 5 & E1/2 OF LOT 6 BLK 32 LOT SIZE 7 .e /,„ DU pt�l, 6 .0 Total Receipts: $0.00 Work: REPIPE I q If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection c- fee is $50.00, which must be paid in advance before calling for another inspection. .c V 1 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 pro. -r municipal authorities. This Permit may be revoked any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further • dition 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 regulati - 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 • -mployees. Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2002 -160 Printed: 6/24/2002 Applicant: KEITH RIN Owner: N JOB ADDRESS: 260 NE 99 Contractor MORGADO PLUMBING CORP Local Phone: 305 - 229 -1762 Sign Permit Status: Approved Permit Expirat 12/21/2002 Construction Value: Plumbing Permit Contractor's Address: 2820 SW 115 AVE $1,800.00 Total Fees: $0.00 _.,4. In consider e iss ance 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, • awings, 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. (INSPECTOR) BY: /c7Ieto • (Contractor or Builder) BY: BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N° 12514 ❑ Work to be performed under this Permit 0.;) BL Subdi- vision DATE. ` •- / / - 7 195 Contractor's License No _'... r" � Value of Amt, of ,...• C LI \ — 1 t i ` Project $ Permit $ C This permit is granted to the contractor or builder named a ove 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 'ngs or in the statements or specifications and that heroes responsibility fpr work done by his agents, servants or employees. Signe #',, �• INSPECTOR BY In consideration of the issuance to me of this permit *1`xgcsw.ta- 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, s rvant, or employee. ( • COkrRACTOR OR BUILDER BY AUTHORITY Date r Application is hereby inadJ for the approval of the detailed statement of the plans and specifications herewith submitted for tie 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 world Permit No. __ _ a New Building Amount of Permit $ Owner's Name and Address .__l_t ` 1 y ', `'' No ( �� `` Street__ Registered Architect and /or Engineer Location and Legal Description Lot Street and Number where work is to be performed —No Nature of Water Supply: City — Well._ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI • SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Employing Plumber's Name No Street__ Street State work to be performed and purpose of building (By Floors Remodeling Addition____ Repairs Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Block_ Subdivision (Signed) 1 My Commission Expires Notary Public, State of Florida No. of Stories __Size of Soakage Pit (Signed) — f — numbing 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materiels and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Date r Application is hereby inadJ for the approval of the detailed statement of the plans and specifications herewith submitted for tie 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 world Permit No. __ _ a New Building Amount of Permit $ Owner's Name and Address .__l_t ` 1 y ', `'' No ( �� `` Street__ Registered Architect and /or Engineer Location and Legal Description Lot Street and Number where work is to be performed —No Nature of Water Supply: City — Well._ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI • SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Employing Plumber's Name No Street__ Street State work to be performed and purpose of building (By Floors Remodeling Addition____ Repairs Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Block_ Subdivision (Signed) 1 My Commission Expires Notary Public, State of Florida No. of Stories __Size of Soakage Pit (Signed) — f — numbing 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materiels and /or workmanship. ** * PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Tax Foliog J J/ � i age r 17f-5 t tk 70.?' ` // 1 -14 -93 Job Address 260 NE 99 STREET Date Legal Description Owner / Lessee / Owner's Address 260 NE 99 STREET, MIAMI SHORES 33138 Phone 757 -1486 Contracting Co. NORTH DADE Q DENNIS NEVILLE State #0258368 Square Ft. 200 SQ FT Not as to My Commission E APPROVED: * Tenant HARR I GAN SEPTIC TANK ss# Phone Estimated Cost(value) Date' Master Permit # ✓ ✓O� 800 NW 111 STREET 754 -3375 Ins.Co. AFCO $1000.00 re of •ntrac or or Owner- Builder as t•Q.? tr -ctor or Owner - Builder My Commi s s : Expir• es MY L:. ..... =:F. * * * * * * * * * ** PEES: PERMIT low RADON C.C.F. 1 SW NOTARY TOTAL DUE , o Fire Zoning Building Mechanical Plumbin Other Electrical 33/1 ngineering Permit No Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby ade for the approval of the detailed statement of the plans and specifications herewitl submitted for the building or other structure herein descri ed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of th 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 w Owner's Name and Addre Registered Architect and/ Employing Plumber's Location and Legal De ption Lot-- .------------ - - - - -- _ Block Street and Number where work is to be performed—No.___— State work to be performed and purpose of building (By Floors) New Building Remodeling —._ Addition._.___._ Repairs_ No. of Stories.. Type of Tank Size Septic Tank Feet of Drain Tile ___- -Dist. Feet of Tank or Drain Field from Well Nature of Water Su : City — Well.__. ._ _ _ (Signed)_ (Sign Date Notary Public, State of Florida 4 .' NO:____ 24 Street__ Subdivision - - — ..... _____________ Street Capacity Gals Size .f 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 tie Act. The undersigned agrees to employ only such sub- contractor n work to :- .erforme nder 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. 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 TUBS BATH TUBE LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK r� ^_ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE T GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL. CONTR. LIST _ - -- CHECK Permit No Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby ade for the approval of the detailed statement of the plans and specifications herewitl submitted for the building or other structure herein descri ed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of th 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 w Owner's Name and Addre Registered Architect and/ Employing Plumber's Location and Legal De ption Lot-- .------------ - - - - -- _ Block Street and Number where work is to be performed—No.___— State work to be performed and purpose of building (By Floors) New Building Remodeling —._ Addition._.___._ Repairs_ No. of Stories.. Type of Tank Size Septic Tank Feet of Drain Tile ___- -Dist. Feet of Tank or Drain Field from Well Nature of Water Su : City — Well.__. ._ _ _ (Signed)_ (Sign Date Notary Public, State of Florida 4 .' NO:____ 24 Street__ Subdivision - - — ..... _____________ Street Capacity Gals Size .f 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 tie Act. The undersigned agrees to employ only such sub- contractor n work to :- .erforme nder 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. 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.