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PLUMBINGDate 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 Ipliance 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. ) � 1 1 J ` � No.— q Street_.. 0 `� 6 7 Owner's Name and Address " '� - ' Registered Architect and /or Engineer / . 6; Street. Employing Plumber's t._ �_: G %� - � ^, ^.° /V P‘ � s Name. ." ) = •:. Block Street 1 , �._... - - ! __..._. State work to be performed and purpose of building (By Floors )___..._1 -= .. l ___.�._ _ .. _..l _......_.._. . Location and Legal Description Lot. Street and Number where work is to be performed —No New Building _ Remodeling _—_ ...-- Addition.. Size Septic Tank_ ------ -.. -.— -- — - --- - T ype 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 1 Amount of Permit $ 1 STATE OF FLORIDA, u. COUNTY OF DADE. j MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)- Repairs Ll No of Stories Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati. . as an employer of labor u nder the Florida Workmen's Compensation Act, being Section 5988, 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 emp yed 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 su public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, ". work to be Veil under this permit, as are licensed by Miami Shores Village. / ' (Si it zy -- — ` , i M aster 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 be did sign the same, and that all fads therein by him stated are true. My Commission Expo Notary Publlo, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such se4nrpectbo is made .necessary by improper notice for inspection. or faulty materials and /or workmanship. 61NK/ SLOP SINK/ LAUNDRY Tuna URINAL/ CATCH BA /IN FLOOR DRAIN DRINKING FOUNT'N/ TOTAL FIXTURES CLOSETS BATH TUB/ SHOWER/ LAVA• TORIES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT 6 TRAP SOLAR HEATER DEEP WELL SPRKLR. SY STEM SWIM•G POOL CONTIt. LIST CHICK Date 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 Ipliance 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. ) � 1 1 J ` � No.— q Street_.. 0 `� 6 7 Owner's Name and Address " '� - ' Registered Architect and /or Engineer / . 6; Street. Employing Plumber's t._ �_: G %� - � ^, ^.° /V P‘ � s Name. ." ) = •:. Block Street 1 , �._... - - ! __..._. State work to be performed and purpose of building (By Floors )___..._1 -= .. l ___.�._ _ .. _..l _......_.._. . Location and Legal Description Lot. Street and Number where work is to be performed —No New Building _ Remodeling _—_ ...-- Addition.. Size Septic Tank_ ------ -.. -.— -- — - --- - T ype 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 1 Amount of Permit $ 1 STATE OF FLORIDA, u. COUNTY OF DADE. j MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)- Repairs Ll No of Stories Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati. . as an employer of labor u nder the Florida Workmen's Compensation Act, being Section 5988, 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 emp yed 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 su public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, ". work to be Veil under this permit, as are licensed by Miami Shores Village. / ' (Si it zy -- — ` , i M aster 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 be did sign the same, and that all fads therein by him stated are true. My Commission Expo Notary Publlo, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such se4nrpectbo is made .necessary by improper notice for inspection. or faulty materials and /or workmanship. Permit No. _____/ - (-34"/ 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 f� -' ' • No. Street - Registered Architect and /or Engineer Employing Plumber's Name �/ F- ' J Location and Legal Description Lot .4g- a + a' _ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building v Remodeling Addition _ Size Septic Tank_______ /_ ____ Type of Tank----- ______ .._ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. 1 The undersigned ..plicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Wor en'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. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Q � L' " ' --No Street Subdivision Block 3 -7_..._. C cl i ---- , - - - -- Z--. - Street 7 - (Signed) Repairs ( Signed) 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 inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials a or workmanship. Date Capacity Gals. / -4 No. of Stories __.__ C , Plumbing Insspector.. Master Plumber. 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. _____/ - (-34"/ 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 f� -' ' • No. Street - Registered Architect and /or Engineer Employing Plumber's Name �/ F- ' J Location and Legal Description Lot .4g- a + a' _ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building v Remodeling Addition _ Size Septic Tank_______ /_ ____ Type of Tank----- ______ .._ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. 1 The undersigned ..plicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Wor en'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. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Q � L' " ' --No Street Subdivision Block 3 -7_..._. C cl i ---- , - - - -- Z--. - Street 7 - (Signed) Repairs ( Signed) 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 inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials a or workmanship. Date Capacity Gals. / -4 No. of Stories __.__ C , Plumbing Insspector.. Master Plumber. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect contractor or Builder Legal Description Address of Building Lot n n ,PERMIT iN? 12041 L CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit BL Subdi- vision Value of Project $ DATF Contractor's License No Amt. of Permit $ 195 This permit is ranted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed- L .. r ...ta BY INSPECT& In consideration of the issuance to me of this permit I agree to perfotm the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY APPLICATION FOR PLUMBING PERMIT Permit No ___. Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of work. New Building Remodeling STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a appeared ss. • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT with, whether herein specified or not. A copy My Commission Expires (Signed) notary public, duly authorized to administer Date -. Street Street__ State work to be performed and purpose of building (By Floors) Amount of Permit $ (Signed) oaths and take i of the detailed statement of the plans and specifications herewith subnnitted for the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of approved plans and specifications must be kept at A- P 7 / / No. µ, +,___. Street__ Owner's Name and Address ___ Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot t Block Sub ivi ion / � / _ Street and Number where work is to be performed— No.___ 1_� 7 1� j _. Addition Repairs No. of Stories I Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply ty —Well. _.Size of Soakage Pit.____ — Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be p formed under s permit, as are licensed by Miami Shores Village. i --------------- -- Master Plumber. Notary Public. State of Florida acknowledgments, personally 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 H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK APPLICATION FOR PLUMBING PERMIT Permit No ___. Application is hereby made for the approval structure herein described. This application is and all provisions of the Laws of the State of of Miami Shores Village shall be complied building during progress of work. New Building Remodeling STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a appeared ss. • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT with, whether herein specified or not. A copy My Commission Expires (Signed) notary public, duly authorized to administer Date -. Street Street__ State work to be performed and purpose of building (By Floors) Amount of Permit $ (Signed) oaths and take i of the detailed statement of the plans and specifications herewith subnnitted for the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of approved plans and specifications must be kept at A- P 7 / / No. µ, +,___. Street__ Owner's Name and Address ___ Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot t Block Sub ivi ion / � / _ Street and Number where work is to be performed— No.___ 1_� 7 1� j _. Addition Repairs No. of Stories I Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply ty —Well. _.Size of Soakage Pit.____ — Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be p formed under s permit, as are licensed by Miami Shores Village. i --------------- -- Master Plumber. Notary Public. State of Florida acknowledgments, personally 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. APPLICATION FOR PLUMBING PERMIT Permit No.l___, 4.] Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub i tted 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 n Ust be kept at building during progress of work. Owner's Name and Address ___. Registered Architect and /or Engineer Employing Plumber's Name Nature of Water Supply: fgity—Well Amount of Permit $_ sS. MIAMI SHORES VILLAGE My Commission Expires PLUMBING INSPECTION DEPARTMENT (Signed) No. Date NE___. _ff" g ins 12 o t' "�/ Street Location and Legal Description Lot Block Sub tv' igp Street and Number where work is to be performed— No. _�_� ,I ,' iz State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories .1 Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ��ize of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, onn � - ork � I to be p rformed under permit, as are licensed by Miami Shores Village. /� e (Signed) Master Plumber. Notary Public, State of Florida 4 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 I SLOP $INKS 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 APPLICATION FOR PLUMBING PERMIT Permit No.l___, 4.] Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub i tted 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 n Ust be kept at building during progress of work. Owner's Name and Address ___. Registered Architect and /or Engineer Employing Plumber's Name Nature of Water Supply: fgity—Well Amount of Permit $_ sS. MIAMI SHORES VILLAGE My Commission Expires PLUMBING INSPECTION DEPARTMENT (Signed) No. Date NE___. _ff" g ins 12 o t' "�/ Street Location and Legal Description Lot Block Sub tv' igp Street and Number where work is to be performed— No. _�_� ,I ,' iz State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories .1 Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ��ize of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, onn � - ork � I to be p rformed under permit, as are licensed by Miami Shores Village. /� e (Signed) Master Plumber. Notary Public, State of Florida 4 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 APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address) q 4 NC C S r (M (Gt Oi i ! Tax Folio Legal Description Owner/Lessee / Tenant J Q, n n ke, .w7 li J owner's Address 2 q g N t C � q 1 I s r fin l Ct util, u S ko r, Contracting Co. P ;ob WORK DESCRIPTION OPCPU Municipal # P IAAvnbitr , e3 Qu � � alifier � 8 State # zyCl L 0 7 - 6"�f Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA PLUMBING 11 ECHANICAL ROOFING PAVING FENCE SIGN K7 g/2/1 Liz,(4,<;)6 Historically Designated: Yes No Square Ft. Estimated Cost (value) 50 0 c N �,��u' k(Q- 1lI 6 — " fi g S nmatur - of owner and/or Condo President Date ii A X74001 • .?,4 .. as to • e 7: or •� A`{ NBIAAI. y Commission ' p es: GIADYS) VILLAR NOTARY PUBLIC SR'ATE 67 PARMA COMMISSION NO. CC714133 I MY COMMISSION EXP. MAR. 1,20C2 FEES: PERMIT APPROVED: Zoning Building Mechanical Master Permit # t Phone (✓d Address s o l (4 1( -k \.\I ea yr i 0:e I ✓iu,, guin SS # Phon Competency # Ins. Co. Address Address WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the wo��ated. P1 IMP, a e of ontrac r , .a @t ` NFL as to C C. • )o' iz . -r- Builde ATE .i FLORIDA •• S CC714103 COMMISSION EXP. MARL 1 Si Not My C.C.F. r 0 NOTARY cS or or Ownz 7 0 BOND TOTAL DUE Date Permit No. 1_ __C' f -- ,.....4__ Permit $ ST E OF FLORIDA, CO NTY OF DADE. ss. My Commission Expires 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 approved plans and specifications must be kept at building during progress of work. Owner's Name and Address su 4c ' l ` f C / 4� N o Registered Architect and /or Engineer____ e A1 Employing Plumber's Name 1�_ t L �l - - -- •><U � -' ' `� e No Block sue - Size Septic Tank Type of Tank Feet of Drain Tile - .- 60Dist. Feet of Tank or Drain Field •m 'ell. Nature of Water Sup, y: City Well. Size o Soak :e' Pi (Signed) 7 Date__ Location and Legal Description Lot Street and Number where work is to be performed—No ^'.____ ____ l -. A • State work to be performed and purpose of building (By Floors) _ ___ � 4 I New Building Remodeling Addition Repairs________ Street . .. -- .� /1 I1\ / I r 7 1 4 Street _ I 14 Subdivision Street Y7 P7 No. of Stories___ Capacity Gals P1 • mg Inspecto ersigned applicant for t s building pe oes hereby certi .. _ . • stands and accepts his obligations as an employer of bor ida rkmen's Com nsation Act, being tion 5966, Compiled General Laws of Florida Permanent Supplement, and has om- visions thereof, d will require similar compliance from all contractors or sub - contractors employed by him in the work to be pee• •� is permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are require • • ct. The undersigned agrees to employ only such sub - contractors, on work to he perfori ed under thjs permit, as arcs^ lice 1 • • • a i i Shores Village. r F' I A.-, ` • • r/ s r 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. Notary Public, State of Florida Master Plumber. 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 3 / 1 S f N '"/ 2 50 -7 S 56--A-- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP Set+R H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST I ~ � Sa ' 15 CHECK Permit No. 1_ __C' f -- ,.....4__ Permit $ ST E OF FLORIDA, CO NTY OF DADE. ss. My Commission Expires 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 approved plans and specifications must be kept at building during progress of work. Owner's Name and Address su 4c ' l ` f C / 4� N o Registered Architect and /or Engineer____ e A1 Employing Plumber's Name 1�_ t L �l - - -- •><U � -' ' `� e No Block sue - Size Septic Tank Type of Tank Feet of Drain Tile - .- 60Dist. Feet of Tank or Drain Field •m 'ell. Nature of Water Sup, y: City Well. Size o Soak :e' Pi (Signed) 7 Date__ Location and Legal Description Lot Street and Number where work is to be performed—No ^'.____ ____ l -. A • State work to be performed and purpose of building (By Floors) _ ___ � 4 I New Building Remodeling Addition Repairs________ Street . .. -- .� /1 I1\ / I r 7 1 4 Street _ I 14 Subdivision Street Y7 P7 No. of Stories___ Capacity Gals P1 • mg Inspecto ersigned applicant for t s building pe oes hereby certi .. _ . • stands and accepts his obligations as an employer of bor ida rkmen's Com nsation Act, being tion 5966, Compiled General Laws of Florida Permanent Supplement, and has om- visions thereof, d will require similar compliance from all contractors or sub - contractors employed by him in the work to be pee• •� is permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are require • • ct. The undersigned agrees to employ only such sub - contractors, on work to he perfori ed under thjs permit, as arcs^ lice 1 • • • a i i Shores Village. r F' I A.-, ` • • r/ s r 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. Notary Public, State of Florida Master Plumber. 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 ROOFING Owner of Building Architect ❑ Work to be performed under this Permit Q Vc, r ce Contractor or Builder �•✓ �� Legal Lot +3 Description e� Address of Building ❑ PERMIT N? 12034 I�'I This permit is ra ed to the contractor I b der named above herefor in strict comp fa a with all ordinances pe wining thereto an with drawings, statements or specifications that may have been submitted and a time if the work is not done in compliance with such ordinances or if the plans granted is the understanding that the conti gior or builder named .above as pertaining to the work covered hereby whether shown on the plans or drawin done by his agents, servants or employees. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Signed- In consideration of the issuance to me of this permit I agree pertaining thereto and in edict conformity with the plans, drawings, In accepting this permit I assume responsibility for all work do Subdi- vision Value of Project .` construct th /f wilding or o install the equipment or device des ed in the api{' .ation e andgi•standing th t the work will be performed in co lfance with any p roved by the pro r municipal authorities. This Perim may be revoked at any re ch nged with t authorization. A further condition upon which this permit is respons' ty • thorou • k • • wledge of the ordinances and re ulations the emen .ors • • r work to per rm the work covered hereunder in compliance with sta ents or specifications submitted to the proper either, myself, my agent, servant or employee. BY DATE 1 •'^ Amt. of Permit $ AUTHORITY a 195 Contractor's License No regulations res Village. BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder ' • CONTRIIC'POR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 1252 Work to be performed under this Permit/ Owner of +, t Building Legal Lot Bl. Description Address of Building This permit is grant id to the contractor or builder named above to' construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the tesponsibiliry for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the.plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • f 1 By f 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 regula- tions 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•potnit I assume responsibility for all work done by either myself, my agent, servant or employee. r 1 • Subdi- vision Value of Project DATE Amt. of Permit , .e . BY AUTHORITY 194 Contractor's License No