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304 NE 99 St (2)MIAMI SHORES VILLAGE BUILDING`DEPAR 305- 795 -2204 Building Inspection Request Date 3 I ') D Type Insp'n .bh I (TQ ,Q 11 G Permit No. el 20b3 - 261 Name 3() NIL Gast &2j , r 1cjep ^ p � Address Company Phone # Inspection Date 3 Approved Correction Re-Insp'n Fee MIAMI SHORES VILLAGE g BUILDING DEPARTM 305- 795 -2204 Building Inspection Reque D Type Insp'n Permit No. Name Company Phone # Address 3 O r Inspection Date Approved Correction Re- Insp'n Fee \ C. 9.7 -4, Date Type Insp'n Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildin: Inspection Request 4 Permit No. Name g 119414 71-8 14-eJ Address 3o 4) e" j ,J,F Company Phone # (J•) 9 99 Inspection Date ! / / .°)* ❑ Miami Shores Village 1 RECE V OCT 0 6 2003 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) TA,. fa A (9t' S- Phone # 3 7 4 7 -1 7 50 Owner' Address 3 0'4 Ale ' R 5 T City i 7/ A Sii—t l /:i Ft Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) 3 0 'f City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name l___ rr / ' Contractor's Address 2- /6 5' S m 5 i City 9.4-44 /4 ed.-4 State Qualifier /-f G n / 4 / // 4ga e $ Value of Work For this Permidi Number of: Bays Stories Type of Work: ['Addition IgiAlteration Describe Work: Rot-41 + Sz c_ Z(2 ?) Building Department County NO Miami -Dade Zip • Minus Plans Check Fee $ " 6h Total Fee Now Due $ Permit No. cy`t Master Permit No. 61 lumbing Mechanical Roofing Phone # '.3 05 - - 7 1`( -7 •� Zip 3 30O'-{ Square Footage Of Work: 0 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee $ 1, 0 Permit Fee $ .60 0 v Notary $ 7 v 0 Education/Training Fee $ L i 0 Tech $ 3. g Scanning $ Code Enforcement $ Bond $ Struct. $ 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Families Bedrooms Baths e*i- e_ ['New ❑ Repair/Replace ❑ Demolition l T( to c_ / /At Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address City State Zip Radon $ , (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, • CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certif ed copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,20 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Signature IC ) ezi Contr ctor p The foregoing instrument was acknowledged before me this2._I day of Tt • , 20 , by t1" IC 1- -610es ' who is personall known to me or who has produced II as identification and who did take an oath. , Mabel Vargas comm on #D P 1984 J / I 1 / � • o , L' I. 13,21.7 NOTARY P Sign Print: My Commission Expires: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. •* * * * * * * * * * * * * * * * * * * * * * * * * * * *,* ** ** APPLICATION APPROVED B chc7nio3 Plans Examiner Engineer Zoning 'EM ; TH TU3 UNIT ./ FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE LIGHT OUTLETS • CENTRAL HEATING .DET 'SHWASHER RECEPTACLES A/C (WINO) SPOS{L SERVICE TEMPORARY A/C (CENTRAL) LINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK DRAIN SERVICE REPAIR/MIETER CHANGE REFRIGERATION _OOR TEASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING 4TERCEPTOR RANGE TOP UNDERGROUND TANKS WVATCRY ) OVEN ABOVE (MOUND TANKS AJNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS _OTHES WASHER MOTORS 0- 1 HP STEAM BOILERS ,'OWER MOTORS OVER 1- 3 HP HOT WATER BOILERS INK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS EMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS RINAL MOTORS OVER 25-100 HP COOLING TOWERS ATER CLOSET / MOTORS OVER 100 hP VIOLATION .DIRECT-WASTES A/C WINDOW REINSPECTION ATER SUPPLY TO: AIR CONDITIONERS - A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMfiERCIAL WATER SERVICE SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS TILITY- SEWER SIGN TIME CLOCK TILITY -WATER FIXTLRES EPTIC TANK ANTENNA ELAY TELEVISION OUTLETS RAINFIELD, 4' TILE/RES. VIOLATION 'UR & ABANDON SEPTIC TANK REINSPECTION WAGE PIT CU. FT. • :ATCH BASIN )ISCHARGE WELL ,OMESTIC WELL iREA DRAIN 100F INLET t OLAR WATER HEATER I . 'IRE STANDPIPE 'OOL PIPING • .AWN SPRINKLER SYSTEM 1AS RANGE ETER SET (GAS) 1AS PIPING APPLICATION FOR'BLTILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL BP #23700 .a=s Permit No c1R-3 7 6 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 Richard Grande N 304 N.E. 99 St. st Registered Architect and/or Engineer Emp n N Doug] asOrr P1 umbi n Inc. N Flag) er i 33166 Location and Legal Description Lot. Mork Subdivision Street and Number where work is to be performed—No 304 N.E. 99 Street Street. State work to be performed and purpose of building (By Fi 1 ation New Building. Rernodeling_X.. Addition. Repairs No. of Stades... ..... Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City—Well. STATE OF FLORIDA, u. COUNTY OF DADE. aQ- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank__ _Dist Feet of Tank or Drain Field from .... _ ..... Size of Soakage Pit '1 (si ktEAVCL Plumbing Inspec tor. (Signed) 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 hive 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 te of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, k to be p11med under this permit, KO are licensed by Miami Shores Village. Capacity Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Douglas Orr to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the plum bi ng contractor of the above Alooribed construction, that he has carefully read the foregoing applicstion. and that he did sign the same, and that all facts t b iekkilfeSTATE OF FLORIDA AT LARcg Y C OMMISSION EXPIRE MAR 7 1984 BOND ptj 444 EitikEVERWK I I tR$ My CoMmission Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will ba made when ancis miarpootiva le sonde nsoissary by improper nosier for lespection, or faulty materials and/or workmanship. CLOUTS BATH Tull,. SHOWERS LAVA- TORIES SIMKO SLOP SINKS LAUNDRY Tuns UniNALII CATCH BASIN FLOOR DRAIN DRINK i NO FOUNT' NO TOTAL FIXTURE, Cos. LIIIIT 2 1 2 .5". CHECK — -.. .... SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLO. PI HEATER Davi WELL 5 . SYSTEM SWIN'O POOL CONTR. EXiSt. LI WT C NICK BP #23700 .a=s Permit No c1R-3 7 6 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 Richard Grande N 304 N.E. 99 St. st Registered Architect and/or Engineer Emp n N Doug] asOrr P1 umbi n Inc. N Flag) er i 33166 Location and Legal Description Lot. Mork Subdivision Street and Number where work is to be performed—No 304 N.E. 99 Street Street. State work to be performed and purpose of building (By Fi 1 ation New Building. Rernodeling_X.. Addition. Repairs No. of Stades... ..... Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City—Well. STATE OF FLORIDA, u. COUNTY OF DADE. aQ- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank__ _Dist Feet of Tank or Drain Field from .... _ ..... Size of Soakage Pit '1 (si ktEAVCL Plumbing Inspec tor. (Signed) 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 hive 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 te of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, k to be p11med under this permit, KO are licensed by Miami Shores Village. Capacity Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Douglas Orr to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the plum bi ng contractor of the above Alooribed construction, that he has carefully read the foregoing applicstion. and that he did sign the same, and that all facts t b iekkilfeSTATE OF FLORIDA AT LARcg Y C OMMISSION EXPIRE MAR 7 1984 BOND ptj 444 EitikEVERWK I I tR$ My CoMmission Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will ba made when ancis miarpootiva le sonde nsoissary by improper nosier for lespection, or faulty materials and/or workmanship. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA e Da 19 4f ELECTRICAL ❑ PLUMBING ❑ PERMIT N9 9020 Contractor's teL. z ► RO ?ING ❑ License No. LJ . Work to be performed under this Permit Owner of Building a t ��. r Architect Contractor ! 1 C - or Builder s El. .t , -/ C �}� r� , i ,- Legal Lat i 1 Description 11 B1 I ( Address '7 r Building < /[� , : Cr-- / .- ,( Ir 4 j am . r . rr CON AC/OR or BUILDER BY L Subdi- vision Sq Ft Value of 11 Amount of Project $ 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion 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 name bove assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown pn the fans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants �r emplq'ees. C j Signed { a -?r �[ " +- tee- (I ECTOR) BY In consideration of the issuance to me of this permit I a r to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, dra 4n s, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work qne by either, myself, my agent, servant or employee. • AUTHORITY .. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT C ) f Permit No ___ . Z G� f JJ' Z - C.,' - -. -- Date 6 Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herein described. This application is made in comphance 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 th Building Div slon 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. --L ��_ _OUH _ No. : 3 o �- /1J -- __ - - q 9 Street /n /_!gym /. ' • o ' e _4" Registered Architect and /or Engineer _ . ________ __- -_______—�.______ Employing Plumber's Name. D v "y Spvi a _ _ No.l ll ° n ,- t - /1,1,9%. # - - Location and Legal Description Lot _ _ _ Block_ _ Subdivision. _ ` Street and Number where work is to be performed —No 3 oX '' ' 99 - Street /!q!°!_..S`i e:e_F,s State work to be performed and purpose of building (By Floors)._ _ - New Building ___ -- _ - • -- - -- - -- Remodeling____ ___ _. _ _ _ Addition._._ . _. ____ __ _ Repairs_ 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. Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. __ _ Si a of Soakage Pit - (Signed)- Capacity Gals. ._. No. of Stories . . Pl..mb ng In :pecto - The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig , • s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, owl 1.1.4 tom•• plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin in the woak 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 no ices as are required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. ( Signed ) Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personall 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 apphcation, and that he did sign the same, and that all •acts 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•neoessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBE SHOWERS LAVA- TORIES INK SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOU 'T'NS TOTAL F %TURES 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 , ! / .. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT C ) f Permit No ___ . Z G� f JJ' Z - C.,' - -. -- Date 6 Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herein described. This application is made in comphance 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 th Building Div slon 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. --L ��_ _OUH _ No. : 3 o �- /1J -- __ - - q 9 Street /n /_!gym /. ' • o ' e _4" Registered Architect and /or Engineer _ . ________ __- -_______—�.______ Employing Plumber's Name. D v "y Spvi a _ _ No.l ll ° n ,- t - /1,1,9%. # - - Location and Legal Description Lot _ _ _ Block_ _ Subdivision. _ ` Street and Number where work is to be performed —No 3 oX '' ' 99 - Street /!q!°!_..S`i e:e_F,s State work to be performed and purpose of building (By Floors)._ _ - New Building ___ -- _ - • -- - -- - -- Remodeling____ ___ _. _ _ _ Addition._._ . _. ____ __ _ Repairs_ 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. Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. __ _ Si a of Soakage Pit - (Signed)- Capacity Gals. ._. No. of Stories . . Pl..mb ng In :pecto - The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig , • s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, owl 1.1.4 tom•• plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin in the woak 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 no ices as are required by the Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. ( Signed ) Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personall 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 apphcation, and that he did sign the same, and that all •acts 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•neoessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building 14� MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3431 Work to be performed under this Permit WARNING: This Construction may be in violation of Wm Production Hoard 611e1 at limile(iurrs Order 41 Architect Contractor or Builder Subdi- vision Legal Lot Bl. Description Address of Value of Building / , ' Project DATE You are cautiond to consult your War Pioduc.vi Board uffice berore swung ure woiK autnoriztii In this permit. Amt. of Permit / 194 Contractor's License No This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown ork the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. By 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 permit I assume responsibility for all woyk done by either myself, my agent, servant or employee. v or i CONTRACTOR OR BUILDER BY M AUTHORITY Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications h ith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building j'•inance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all` • es and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of ap oved plans and specifications must be kept at building during progress of work. Owner's Name and Address A ,),:k1 __��'� 21/Q•lzf � =L - ,� . Street-2i , " g Registered Architect and /or Engine Employing Plumber's Name —.L _ . No._:..? z _ 6 street___K[` • _./L 4 • Location and Legal Description Lot_____— _______ _________________________Block Subdivision_________________ _ Street and Number where work is to be performed —No Street ___________�_�__________ State work to be performed and purpose of building (By Floors) New Building ______________ Remodeling Addition / Repairs No. of Stories____ Size Septic Tan ___.. .__ _ _, Lr!`'! '_ — Type of "Tanit____• Feet of Drain Tile_________________W___ ___ —__ Dist. Feet of Tank or Drain Field from Well__ Nature of Water Supply: City —Well. Amount of Permit S_ The undersigned applicant for this building permit does hereby certify that he untands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene 1 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. STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PE i My Commission Expires PLUMBING INSPECTION DEPARTMENT Size of Soakage Pit _(Signed) (Signed) _Capacity Gals.________________,_ Notary Public. State of Florida 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 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 DEEP HEATER WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK A Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications h ith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building j'•inance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all` • es and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of ap oved plans and specifications must be kept at building during progress of work. Owner's Name and Address A ,),:k1 __��'� 21/Q•lzf � =L - ,� . Street-2i , " g Registered Architect and /or Engine Employing Plumber's Name —.L _ . No._:..? z _ 6 street___K[` • _./L 4 • Location and Legal Description Lot_____— _______ _________________________Block Subdivision_________________ _ Street and Number where work is to be performed —No Street ___________�_�__________ State work to be performed and purpose of building (By Floors) New Building ______________ Remodeling Addition / Repairs No. of Stories____ Size Septic Tan ___.. .__ _ _, Lr!`'! '_ — Type of "Tanit____• Feet of Drain Tile_________________W___ ___ —__ Dist. Feet of Tank or Drain Field from Well__ Nature of Water Supply: City —Well. Amount of Permit S_ The undersigned applicant for this building permit does hereby certify that he untands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gene 1 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. STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PE i My Commission Expires PLUMBING INSPECTION DEPARTMENT Size of Soakage Pit _(Signed) (Signed) _Capacity Gals.________________,_ Notary Public. State of Florida 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 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 Application is hereby made for the approval of the detailed statement of the plans and specifications h structure herein described. This application is made in compliance and conformity with the Building and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all es of Miami Shores Village shall be complied with, whether herein specified or not. A copy of apjroved building during progress of work. 4 .4„, Owner's Name and Address 9___ 1 G No 0 9 Registered Architect and /or Engine Employing Plumber's Name .� 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 Feet of Drain Tile Amount of Permit $_ 1 APPLICATION FOR PLUMBING PEI4MII STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT / Size Septic TandwiC1e�____LR�'_� 'Type Capacity Gals. ______ Nature of Water Supply: City —Well. Size of Soakage Pit 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. My Commission Expires Dist. Feet of Tank or Drain Field from Well -- --- - r � (Signed) Plumbing Inspector. rtify that he uncre,rscands and accepts his obligations as an employer of labor Compiled Genetta Laws of Florida Permanent Supplement, and has coin- 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 under this permit, as are No._ Z 6 Street_rCl___ ! ' __Block sub - contractors, on work to be performed (Signed) ith submitted for the building or other finance of Miami Shores Village, Florida, and regulations of the Building Division plans and specifications must be kept at " Street__1J__: _iEarx� -- -- Subdivision ._ —_________----- ._- _'__w., Street Repairs No. of Stories____ Notary Public, State of Florida 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 wbo,- 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 Tues 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 Application is hereby made for the approval of the detailed statement of the plans and specifications h structure herein described. This application is made in compliance and conformity with the Building and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all es of Miami Shores Village shall be complied with, whether herein specified or not. A copy of apjroved building during progress of work. 4 .4„, Owner's Name and Address 9___ 1 G No 0 9 Registered Architect and /or Engine Employing Plumber's Name .� 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 Feet of Drain Tile Amount of Permit $_ 1 APPLICATION FOR PLUMBING PEI4MII STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT / Size Septic TandwiC1e�____LR�'_� 'Type Capacity Gals. ______ Nature of Water Supply: City —Well. Size of Soakage Pit 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. My Commission Expires Dist. Feet of Tank or Drain Field from Well -- --- - r � (Signed) Plumbing Inspector. rtify that he uncre,rscands and accepts his obligations as an employer of labor Compiled Genetta Laws of Florida Permanent Supplement, and has coin- 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 under this permit, as are No._ Z 6 Street_rCl___ ! ' __Block sub - contractors, on work to be performed (Signed) ith submitted for the building or other finance of Miami Shores Village, Florida, and regulations of the Building Division plans and specifications must be kept at " Street__1J__: _iEarx� -- -- Subdivision ._ —_________----- ._- _'__w., Street Repairs No. of Stories____ Notary Public, State of Florida 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 wbo,- 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.