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248 NE 98 St (5)Permit No building during progress of work. as. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of anroved plans aq¢_slec' caziont. a kept at Owner's Name and Address 1i?-__5___ h_ e__5.,�,t4r _m_Lh.I&r_.5 - -- No 2 Registered Architect and /or Engineer __ ` _ __ �___ ---------------- Employing Plumber's Name No '_. Street_ t__ _ r. 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) - New Building ti Remodeling Addition Repairs No. of Stories______ -__. Type of Tank . Size Septic Tank Feet of Drain Tile---- _,_C"T_ Dist. Feet of Tank or Drain Field from Well_-___ ___w__________________M___ Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $ ---- 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 under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. \, (Signed) Date_--- y—f— Capacity Gals._ My Commission Expires Notary Public. State of Florida lumber. STATE OF FLORIDA, 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 No building during progress of work. as. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of anroved plans aq¢_slec' caziont. a kept at Owner's Name and Address 1i?-__5___ h_ e__5.,�,t4r _m_Lh.I&r_.5 - -- No 2 Registered Architect and /or Engineer __ ` _ __ �___ ---------------- Employing Plumber's Name No '_. Street_ t__ _ r. 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) - New Building ti Remodeling Addition Repairs No. of Stories______ -__. Type of Tank . Size Septic Tank Feet of Drain Tile---- _,_C"T_ Dist. Feet of Tank or Drain Field from Well_-___ ___w__________________M___ Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $ ---- 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 under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. \, (Signed) Date_--- y—f— Capacity Gals._ My Commission Expires Notary Public. State of Florida lumber. STATE OF FLORIDA, 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 Feet of Drain Amount of Permit S_ My Commission Expires MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. /� CC y Owner's Name and Address V .__ 2�4t_ li Jt_�___ No. _— �______. Street__ __.G��_ � _ •u 1 Registered Architect and /or En Employing Plumber's Name PLUMBING INSPECTION DEPARTMENT L r No y Stmt_ �.. L7 Location and Legal Description _____________________________ _ Subdivision____ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building _____________— ____— ______ Remodeling Addition Repairs Size Septic Tank_________ _ _ _ _ . _ __ _ Type of Tank The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. as. Before me, the undersigned authority, a notary public, duly (Signed) _ Date Street Capacity Gals Nature of Water Supply: City —Well Size of Soakage Pit Notary Public. State of Florida gy No. of Stories_________ Dist. Feet of Tank or Drain Field from (Signed) - -- — — - - -- – -- — - — -- - ----- Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub- contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub- contractors, on work to be performed under this permit, as are 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. r authorized to administer oaths and take acknowledgments. personally 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. lumber. 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 No Feet of Drain Amount of Permit S_ My Commission Expires MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. /� CC y Owner's Name and Address V .__ 2�4t_ li Jt_�___ No. _— �______. Street__ __.G��_ � _ •u 1 Registered Architect and /or En Employing Plumber's Name PLUMBING INSPECTION DEPARTMENT L r No y Stmt_ �.. L7 Location and Legal Description _____________________________ _ Subdivision____ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building _____________— ____— ______ Remodeling Addition Repairs Size Septic Tank_________ _ _ _ _ . _ __ _ Type of Tank The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. as. Before me, the undersigned authority, a notary public, duly (Signed) _ Date Street Capacity Gals Nature of Water Supply: City —Well Size of Soakage Pit Notary Public. State of Florida gy No. of Stories_________ Dist. Feet of Tank or Drain Field from (Signed) - -- — — - - -- – -- — - — -- - ----- Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub- contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub- contractors, on work to be performed under this permit, as are 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. r authorized to administer oaths and take acknowledgments. personally 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. lumber. Permit No I ( 3 Owner's Name and Address___ 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 here submit ed 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. Date__ Registered Architect and /or Engineer ____— Employing Plumber's Name -- W I �101JE EOS' S� AY/ C N Fe CAo. J 7>q� 7 =r —Epr r,gRR . 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) _ _ { E 1-A y i New Building- -__- r -- _-- Remodeling - -- _ __ —_ Addition_-- - - - -_- _ Repairs L' Street.. street. t._ _ a_ �-_ Street_A1_: - Sr r , Subdivision No. of Stories. ... . .... . .... Amount of Permit $_ materials and /or workmanship. STATE OF FLORIDA, t as. COUNTY OF DADE. 60 My Commission Expires _Type of Tank Capacity Gals.____._ __Dist. Feet of Tank or Drain Field from Well Size Septic Tank_ Feet of Drain Tile_ Nature of Water Supply: City— Well.___— —_ - --- _________._._Size of Soakage Pit (Signed)___ - �- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perin plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e performed under this permit; and will post or cause to be posted' for inspection on the site of the w required by the Act. The undersigned agrees to employ only such sub- contracto on work licensed by Miami Shores Village. Notary Public, State of Florida Plumbing Inspector. + ions as an employer of labor nt Supplement, and has com- loyed by him in the work to be Iuch public notice or notices as er this permit, as Master Plumber. are are 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.,.,ecessary by improper notice for inspection, or faulty CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE 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 Permit No I ( 3 Owner's Name and Address___ 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 here submit ed 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. Date__ Registered Architect and /or Engineer ____— Employing Plumber's Name -- W I �101JE EOS' S� AY/ C N Fe CAo. J 7>q� 7 =r —Epr r,gRR . 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) _ _ { E 1-A y i New Building- -__- r -- _-- Remodeling - -- _ __ —_ Addition_-- - - - -_- _ Repairs L' Street.. street. t._ _ a_ �-_ Street_A1_: - Sr r , Subdivision No. of Stories. ... . .... . .... Amount of Permit $_ materials and /or workmanship. STATE OF FLORIDA, t as. COUNTY OF DADE. 60 My Commission Expires _Type of Tank Capacity Gals.____._ __Dist. Feet of Tank or Drain Field from Well Size Septic Tank_ Feet of Drain Tile_ Nature of Water Supply: City— Well.___— —_ - --- _________._._Size of Soakage Pit (Signed)___ - �- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perin plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e performed under this permit; and will post or cause to be posted' for inspection on the site of the w required by the Act. The undersigned agrees to employ only such sub- contracto on work licensed by Miami Shores Village. Notary Public, State of Florida Plumbing Inspector. + ions as an employer of labor nt Supplement, and has com- loyed by him in the work to be Iuch public notice or notices as er this permit, as Master Plumber. are are 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.,.,ecessary by improper notice for inspection, or faulty r BUU.DING ❑ ELECTRICAL ❑ PERMIT 13816 PLUMBING [� ROOFING ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder II Bl. Legal Lot Description. l e') 4 1 1 ' \ q ri k. 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 w be performed in compliance with 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 pertaining to the work covered hereby whether shown on the plans or drawings or in statements or specifications and that he assumes responsibility work done by his agents, servants or employees. e Signed- 1 " 4 ' -A BY ki Viii► In consideration of the issuance to • f this ti permit - to perform work covered hereunder in compliance with all ordinances and nth pertaining thereto and in strict confor wi the plane, statements or specifications submitted to the proper authorities of Miami Shores Vilhge. In accepting this permit I assume naibil' for all .r♦ti' ''Sf' pelf, my agent, servant or employee. Address of Building MIAMI SHORES VILLAGE, FLORIDA Subdi- vision 7 DATE 1 { 41 " Contractor's License No Value of Amt. of Project $ Permit $ 'w BUILDING ELECTRICAL PLUMB ING Owner of Building . /J MIAMI SHORES VILLAGE, FLORIDA RMIT N2 6333 DATE Contractor' License No. Work to be performed under this Permit i'L rf �, //I / / Architect ; re-4, Contractor or Builder Legal Description Address of Building i sr This permit is _ anted to.-the contractor or named above to construct the building or to install the equipment or : evice described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowled o the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or . wings or in th- atements or specifications atlie assumes respon- sibility for work done by his agents, servants or employees. Lot Subdi- vision Si Value of Project P TOR Amt. of Pen B Y In consideration of the issuance to me of this permit I agree to the work covered hereunder in compliance with ordinances andieixliiiionse pertaining thereto and in strict con rmity w'th the plans, drdw gs, statements or specif submitt :. to the proper authoritTes of Miami Sha4 7 arage.z. In ac • •tin• • .; it I assume r)pons j y for all wor + ne, b ea„ , m _ent, servant or : ployee. �. ♦� API — CONT ACTOR OR •UIL•E AUTHORITY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub ed for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of iami 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 ani Address________ : ___.. f - No. Street Registered Architect and /or Eug'neer r � Employing Plumber's Name 7 cf 2 ./i/4. Location and Legal Description Lot Street and Number where work is to be performed— No. State work to be performed and purpose of building ( Bylniiii;1 New Building Remodeling Addition Repairs Size Septic Tank Feet of Drain Tile Amount of Permit Type of Tank Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit L. No. Street Block Subdivision Street No. of Stories Capacity Gals ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumber. STATE OF FLORIDA, J 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL /"j .)f -.' If- CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub ed for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of iami 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 ani Address________ : ___.. f - No. Street Registered Architect and /or Eug'neer r � Employing Plumber's Name 7 cf 2 ./i/4. Location and Legal Description Lot Street and Number where work is to be performed— No. State work to be performed and purpose of building ( Bylniiii;1 New Building Remodeling Addition Repairs Size Septic Tank Feet of Drain Tile Amount of Permit Type of Tank Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit L. No. Street Block Subdivision Street No. of Stories Capacity Gals ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumber. STATE OF FLORIDA, J 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 Amount of Permit $_ - - - - -- .. (Signed)_ My Commission Expires Type of Tank__ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othii 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. Owner's Name and Address..._ _ 1_ -a' -. -- OFK7/ /r No -4 1-8 Street N ' ' . L1` �`' C ' Re Architect and /or Engineer i� __f'fi t / 6 -- -- L Employing Plumbei s Name /IA A!_!!U . _� o w Ik'P ___ k' 1411! � � _ No Street ' 0'7_4; __..... _.._ Block _ Subdivision .4 4 i..... -. Street._ / L : ! ieEA A/ wit pc Repairs __- No. of Stories_ ..... __ ..__._ Capacity Gals. Size Septic Tank Feet of Drain T;le _____ - _ .._-./ ). - - - - -- - - ------ -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. — _._. Size of Soakage Pit-_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a employer of labcr under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Vlorisla Pennanent Supplement, and h..:; ;,.,n- plied with the provisions thereof, and will require similar compliance from all contractors or sub- eontydctors 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 'wor such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be erformed under this remit, as are licensed by Miami Shores Village. ( Signed .... Li r C / S A J .. Plu ing Ins E. to.. Master Plumber. STATE OF FLORIDA, f COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 tac therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by •mproper notice for inspection, or f. .ul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUNS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTUREI CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM 0 POOL CONTR. LIST CHECK Permit No. - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 Amount of Permit $_ - - - - -- .. (Signed)_ My Commission Expires Type of Tank__ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othii 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. Owner's Name and Address..._ _ 1_ -a' -. -- OFK7/ /r No -4 1-8 Street N ' ' . L1` �`' C ' Re Architect and /or Engineer i� __f'fi t / 6 -- -- L Employing Plumbei s Name /IA A!_!!U . _� o w Ik'P ___ k' 1411! � � _ No Street ' 0'7_4; __..... _.._ Block _ Subdivision .4 4 i..... -. Street._ / L : ! ieEA A/ wit pc Repairs __- No. of Stories_ ..... __ ..__._ Capacity Gals. Size Septic Tank Feet of Drain T;le _____ - _ .._-./ ). - - - - -- - - ------ -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. — _._. Size of Soakage Pit-_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a employer of labcr under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Vlorisla Pennanent Supplement, and h..:; ;,.,n- plied with the provisions thereof, and will require similar compliance from all contractors or sub- eontydctors 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 'wor such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be erformed under this remit, as are licensed by Miami Shores Village. ( Signed .... Li r C / S A J .. Plu ing Ins E. to.. Master Plumber. STATE OF FLORIDA, f COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 tac therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by •mproper notice for inspection, or f. .ul 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 1 I 0)....... / i 7-- DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA I herewith submit the following plan of plumbing for approval: ,•��J,I •�• Employing Plumber / " . Work executed by L a ( L A•244 5M 3.38 For a { New W / Dwelling Old ❑ Store ❑ Garage ❑ Owner or Agent 2,144. , !/1' c Builder or Cont ractor is Lot No./ 1414, 4Block No. 3 / Su , ' ivision Address 51 7 1 g .. g, Sewer Connections At center of St. ❑ At curb ❑ Ground A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. ROUGH -IN INSPECTION Date Rough -In AM P M Approved bye ' f ) (I c Condemned by REMARKS _r < Plan No Rain Leader AM P M Approved by yr- "- ���✓ Condemned by REMARKS ■ Sewer Permit No Story ❑ / Apartment ❑ Address Date //` / 1 ' SEWER INSPECTION Addition ❑ i Ci �rrffCG. Hotel ❑ , 19 3 7' Remodeled ❑ Office Bldg. ❑ { f Address / L,f 4f r 4 'j / Q , + At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank V Existing bldg. drain ❑ To dry well ❑ Date FINAL INSPECTION AM P M Approved by Condemned by REMARKS THIS SPACE FOR ELEVATION SKETCH A PERSPECTIVE SKETC In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to correspond with the opening shown in floor plan or ground plan on opposite page. PROVIDED THE WORK C : WILL BE SUFFICIENT THIS SPACE FOR PLAN SKETCH AN BE CLEARLY SHOWN Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock con- nections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of build- ing showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in ref- erence to same. 1 1 F N W Sketch position of building and lot lines in square (which represents an entire city block) , showing on which street the building and lot faces; . .also show exact locations of "Y" in street and position of lateral or septic tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all underground pipes for future references. WEST NORTH A EAST Remarks: NORTH SOUTH N m fA OWNER 4' LOT BLOCK SUODIVISION / it, -14/64 . ' - - ., - '-'. i'l,-' / Issued to -f, aiami Aores9111age F 1. o a 1 D A PLUMBING PERMIT to install the following described pluinbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governin lumbi and drainage work done in Mi mi Shores Village, Florida. r , For a story t-- 1 0' building at i4/ /V 1 I 1 Fixtures : ? era /,'" # / ''' / / 4 '''''' : " 41": e : . .., y Illtic Tank $ Village Plumbing Inspector Received Payment by --' • N9 1148 OWNER 1 LOT BLOCK SUBDIVISION C±C*AAA.k " 7- 14 t .461 4liami cJhores PLUMBING PERMIT N9 1180 •te (,r LI 7 • Y " Issued to ; c F L 0 A 1 D A to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. 2.0?" For a story t: building at Fixtures Fixtures $ Sewer $ Optic Tank J 0( 7 S r 0 $ � `� V Total $ / 1 ` �, , - ; f Village Plumbing Inspector --"L. i ' f /C. (..G -' 4 Received Payment by � //ti 7 C LOI.ICT€3 I _......, BATH TL3R SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONT. ?. List" CH gCX SCPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL Cowt*. LIST CH[CKi , ir e - -- . ..... _ Apn?ica: :on is hereby :w for the approval of the detailed statement of the plans and specifications herewith submitted for`the building or other structure herein describer':. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and ? 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. � Street___ ( , / Q �( ' -_ - - -_ �Q 1 �r._ No.__ V N r ! Sd T Obvx.:,r's Name and Address __ _ ._ Registered Architect and /or Engineer ftaitere Empl oying Plumber's Name.l litl! 1 6,��!°`Z'Z��.11 No._ Location and Legal Desciption B1ockc Street and Number where work is to be performed -No �_-� S Z � wee � e wcsk to be performed and purpose of building (By Floors)_ - ________ Permit Amount of Peit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Si Date E6 677, Z6 __ Street__ tree Subdivision New Building Remodeling____- ________ Addition________ Repairs..___ No. of Stories. _ - 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 Capacity Gals - { - - - / — (S�ed)._._Ai;- _ c__'_ ( = ...,' Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Penn ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e : •ye.,by him in the work to be performed under :IL permit; and will post or cause to be posted for inspection on th - of the work s pu . c notice or notices as are reautred by the Act. The undersigned agrees to employ only such sub- contracto s, on k to be de is permit, as are licensed by Mimi Shores Village. STATE OF FLORIDA, 1 �. COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. BUILDING ELECTRICAL PLUMBING ve PERMIT N° 3356 Work to be performed under this Perini Owner of Building Architect - Contractor or Builder Legal Lot Bl. Description MIAMI SHORES VILLAGE, FLORIDA 7 DATE Contractor's License No. / +" WARNING: This Construction may be in violation of War Production Board General Limitations Qrder 1 -41 arP rail +Innfli fn rnncuit your War Produr'io r Board office before starting the work authorz d in ' this permit. Subdi- vision • Value of Project BY Amt. of Permit Address of Building 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 rtainin thereto and with the understanding that the work will be in �oa with any plans, drawings, statements or specification that may have been submitted to and approved by the proper the authoek ies . This be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorlesdon. A fotdwt upon which this permit is granted is the understanding that the contractor or builder ►ed above assumes the responsibility for a thorou k the ordinances and regulations pertaining o the work covered hereby whether shown on the plans drawings or in the statements or that he assumes responsibility for work d .. done by his agents, servants or employees. ,,� ii Signed. By • INSPECTOR R In consideration of the issuance to me of this permit I agree to perform the work hereunder in compliance with all tions pertaining th and in strict conformity with the glens, drawings, statements or specifications submitted to the proper authorities Village. lei acceP g P emit I assume responsi for all wort T � j, i' r ther f, mT a/y,t, servant tnployee AW -AVM_ 1iami cShores9 llage F L O A ID A PLUMBING PERMIT N9 1148 Date Issued to LOT BLOCK OWNER to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at ., Fixtures a. Fixtures $ ,' Sewer $ Septic Tank $ Total $ , i Village Plumbing Inspector Received Payment by SUBDIVISION Nit ■ Amount of Permit S STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date... ��. r No. -.,cif J Street - -p (Signed)_ Capacity Gals. _1C 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 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 ' Registered Architect and /or Engineer -- — Employing Plumber's Name _ 6&.,"_? i. lk= v"_L. NO ,... Xfa. : .....�.,,..... 8fifeet<..� .. >... ....,....• Location and Legal Description Lot_ Block 6 � Street and Number where work is to be performed —No ,l .5 Street 'FL - .._ State work to be performed and purpose of building (By Floors)__.: " ______.,. G New Building — Remodeling— — ...._— Addition...__.._ Repairs No. of Stories Size Septic Tanl c_.---- -• - - -- — — - - -- - T ye of Tank__ Feet of Drain Tile— — -- .Dist. Feet of Tank or Drain Field from Well. .._._- - -• - Nature of Water Supply: City — Well ;$i .• Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor undcr the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and ha 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 subcontractors, on work to be performed under s it, as are licensed by Miami Shores Village.. �,��! ( Sign D - =:1 .' 3 Plumbing Inspector. 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 application, s that he is the . he did sign the same, and that all facts of the above described construction, that he has carefully read the foregoing gm therein by hire stated are true. My Commission Expo Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is mude.neoessary by improper notice for Inspection, or faulty materials and /or workmanship. DRINKING FOUNT'N• TOTAL FIXTURES CLO•[ T• BATH TUBS SHOWERS LAVA• TORI[• SINKS SLOP SINK• LAUNDRY Tugs URINALa CATCH BASIN FLOOR DRAIN — CONTII. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR M DEEP WELL SPRKLR. SYSTEM SWIM'O POOL Co►rtR. �— LIST _ CHECK Amount of Permit S STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date... ��. r No. -.,cif J Street - -p (Signed)_ Capacity Gals. _1C Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ' Registered Architect and /or Engineer -- — Employing Plumber's Name _ 6&.,"_? i. lk= v"_L. NO ,... Xfa. : .....�.,,..... 8fifeet<..� .. >... ....,....• Location and Legal Description Lot_ Block 6 � Street and Number where work is to be performed —No ,l .5 Street 'FL - .._ State work to be performed and purpose of building (By Floors)__.: " ______.,. G New Building — Remodeling— — ...._— Addition...__.._ Repairs No. of Stories Size Septic Tanl c_.---- -• - - -- — — - - -- - T ye of Tank__ Feet of Drain Tile— — -- .Dist. Feet of Tank or Drain Field from Well. .._._- - -• - Nature of Water Supply: City — Well ;$i .• Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor undcr the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and ha 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 subcontractors, on work to be performed under s it, as are licensed by Miami Shores Village.. �,��! ( Sign D - =:1 .' 3 Plumbing Inspector. 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 application, s that he is the . he did sign the same, and that all facts of the above described construction, that he has carefully read the foregoing gm therein by hire stated are true. My Commission Expo Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is mude.neoessary by improper notice for Inspection, or faulty materials and /or workmanship. ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. 'TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton 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 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. TYI'E Generator QTY. 'i'YI'I: Refrigeration, Tons cyr . 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 Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. 'I'YPP. Soakage Pit Q'I'1'. 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 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: 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 ❑ PROOF OF OWNERSHIP (Attach) ❑ FIRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ F c lid (s .60) x/1000 x (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) $5 Y SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE 1011TWaff 0, PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ CJ 44 .7 a � 0 ISSUING OFFICIAL REVIEWED AND PREPARED BY: 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 Page 2 IMPORTANT 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, 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. STATE OF FLORIDA, COUNTY OF MIAMI -DADE gnature of 0 Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known STATE OF FLO OR, Produced Identification Personally known A, COUNTY OF MIAMI -DADE Signature o Contractor / Qualifier Print Name Sworn to and subscribed before me this ignature/f Notary SEAL: blic - Sta a of Ft Angela M Bette D D 15pp4 on bet 15,1 oduced Identification PERMIT APPLICATION L Type of Identification Produced: Type of Identification Produced: CONTRALTO Name � � Cc S € �T,� j De ti License No. s-. E / p 04 S y 7 3 Address /99v Z /7/41/ Z&A -- Telephone _ 5„ :9 Fax � 6 . 4 /.i&� O / � Qualifier Nam 4 J ` / :4-/C.-) ' [a 4.- 2/ Address T e PROPERTY OWNER New Construction Name .., -6'' -l/ . Alteration Exterior Address T e /E 9 8 % Home Telephone 9„s- Demolish Relocation of Structure - , 7 //— 5 J 7 / . l Business Telephone Foundation Only Add'I Attachment Fax Other Add'I Detachment TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. 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 submit- ted 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. APPLICATION Job Address: Tenant Information 2 4 1 6 4/5 • Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other J Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. 4'" C7)(g Subsidiary Permit No. City Folio Number Description of Work Lot Block Subdivision PB PG PERMIT APPLICATION Linear Feet Zoning Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work 7 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax e T O ..ve of t F oa Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1 /29/2003 Applicant: ANTONIO Owner: CORNIER JOB ADDRESS: 248 NE 98 Contractor Local Phone: Parcel # 1132060134180 Fees: FEE2003 -548 FEE2003 -549 FEE2003 -550 Permit Status: Work: TC 1N, IOC. C ' S SEp ? " c A &D I-r MR • OP EFl P Sg32 39 6gA2 P.O. vON FL 332 Approver+ Description CCF Building Fee Notary Fee Total F aBhiA�b;�nF�e,utVa1�Wi000 gc�nno V : ��s,�„sv 1. 1m.0.33 0/4 l.vl a tt s 1• - 00063 2 flat (Contractor or Builder) Plumbing Permit Permit Number: PL2003 -28 CORNIER ANTONIO ST Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 & W1/2 OF LOT 6 BLK 31 LOT SIZE Amount 6 328 63 - g 4131 20 BY: Total Fees: $86.20 Dotal Receipts: $0.00 Page 1 of 1 ns. Re- inspection application herefor in strict compliance with all Iecifications that may have been submitted to ces or if the plans are changed without Isponsibility for a thorough knowledge of the 1 that he assumes responsibility for work done 0 3084 18 141 v' ..,. covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity ,,roper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either ` RPJI'A Ptetce= Ar,. S .k, p. PERMIT AP FOR MIAMI SHORES VILLAGE g . - / 7 - 71 Job Address 43. 17 v ! 9 S t Tax Folio a Date �t -the alb /0r fio /3 /oGK S / ' S frfjj/(-C�' SE G ? / Legal Description �O 7 '9 k l�le C�/P1T / Historicall Desi Yes No Owner/Lessee / Tenant J&I? / (X O '^' Master Permit # ( 7' Owner's Address j g /✓i: 9S -7 Phone Contracting Co. ES. (G Poo es ^�C y Address /80 0 IVE /V ST Qualifier liN /EL ESS 6 SS# ,P4,6 - SS -SaQ Phone ' 7 000 O S t a t e # CA. OT 2 s - O S Municipal # Competency #at 0 SZ SOS Ins. Co. t7 Ic )V beoa✓A) Architect/Engineer ✓/1 EA-- CO its v1174c, CA, Address S7 65" A W /1 N E /.4 Bonding Company Mortgagor Address Permit Type (circle one) ELECTRICA PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Pact. / t)-P6k. (4t� s N,)) ?abG P/ P(44 (PtvMf4) square Ft. Estimated Cost (value) 11 I D .000 ?'YARNING 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 at . 1 srk . ill be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the abov amed contr or o • e work stated. 14: SHERMAN NOTARY PUBLIC, STATE or FLORIDA C010.9 :;SS■01 13C %5 FEESPERMIT 1 t y ' Si Address uilder Date KENNETH SHERMAN NOTARY PUBLIC, STATE OF FLORIDA My Commission Expires May 24, 1999 Commission # CC 467719 NOTARY TOTAL DUE 1 f to Electrical • J C; 2/ NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. STATE OF FLORIOA: COUNTY OF OAOE: 95R335899 1995 AUG 21 10:32 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. ' 1. Legal description of property and street address: `/,g it/t_` 75 £''-e/ 2. Oesaiption of improvement: 4C f - '77r? 3tJ� a 3. Owner(s) name and address: Any G Y4/ /2v/ Z aV 6 /45 F?Pae " Interest in property: N �� Name and address of tee simple titleholder: , /v/ a. Contractor's name and address: Gsc/ t P 40 (ROO NE sr sr 1 ,kr / 33/2 5. Surety:(Payment bond required by owner tram contractor, if any) N/+3 6. Lender's name and address: N /) Name and address: Amount of bond S • PrAt-i4/ WvIe S Ni»IA, Srffn 7. Persons within the State of Fonda r designated by Owner upon whom notices or 'other documents may be served as provided by Seddon 713.13(1)(a)7.. Florida Statutes. I Name,and address: /� 114 P/ 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor s Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of :ris Nooca of Commencement: (the expiration di eis 1 year from the date of recording unless a different a n date is specified) e at Owns P Owners Name U� v S m 14(/ Sworn to and subscibed • fore me this J <day of /JV . , 19 9 3 Notary Public Print Notary's Na e My Commission Expires: 4 / =sue! :� eal NOTARY PUBLIC; STATE OF FLORIDA My Commission Expires May 01 Frepared by: _ p fie /r`t Address: