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315 NE 98 St (2)BUILDLNG PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) }' 4 i t -+- c5o Owner's Address; 3 1 S V E ciy3 T City r t A Sktr e$ State F 1. Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name Contractor's Address dZ / $' City 044 /&Gh• Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit /,Z 6+O Type of Work: // ❑ Addition Describe Work\ 11/1/4 7 . , K Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 se. t' ['Alteration County NO State F/. * * * * * * * * * * * * * * * * * * * * * * * * * * ** Scanning $ Radon $ Miami -Dade Zip ❑New Submittal Fee $ 5® • 00 Permit Fee $ J 16 ----- Notary $ - 0 Training/Education Fee $ Li 0 Master Permit No. Mechanical Phone # OS- 7S4 74 / Ph # 3 0 S'- ' t rig- 2 ? 543. Zip 33 PO Y Square Footage Of Work: X Repair/Replace * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ . A:0 CO /CC Technology Fee $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Permit No. pizeil Roofing Zip Phone # ❑ Demolition 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 certified 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 (a U- Owner or Agent The foregoing instrument was acknowledged before this f m t-1 day of 20 m ar o of who is e rsonall known to me or wllo llas roduced D � �,�Y �� is Y P P d who /cldtaiiar. 1 Commission #DD231984 NOTARY PUBLI xpires: Jul 13, 2007 Sign: Print: Apr i w. • ' , 1 A As identificata i' NOTARY P 1 . 1 , A : 1 1 - - - My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * ** ru Sign: 0., Print: 111 ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * ** * ** APPLICATION APPROVED : / /`. 1 Chc 12/15/03 Signature' The foregoing instru My Commission Expires: lG Contractor ent was acknowledged before ittc this IS by fPc Cy r 1 `" rsonally known to me or who has produced .—Q—\ s identification and who did take an oath. 0., Inc. *** * * * * * * * * * * * * * * * * * * * * * * * * *. * * * ** * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/ ETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (MOUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS QVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEM3LIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP i FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES- A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONOITIONERS ' 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 COMMERCIAL WATER SERVICE / SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELO, 4' TILE/RES. VIOLATION PUMP S ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN • DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING . ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION.lbR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE 'OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL • Contractor COPPER CONCEPTS INC. Local Phone: 305 - 794 -2752 Parcel # 1132060135620 Plumbing Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2004 -116 Printed: 4/16/2004 Applicant: JOHN MILLER Owner: MILLER JOHN JOB ADDRESS: 315 NE 98 ST Contractor's Address: 215 SE 5TH STREET Page 1 of 1 Legal Description: 1 53 41 -6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 14 & ALL LOT 15 Fees: Description Amount FEE2004 -3992 Building Fee $130.00 FEE2004 -3993 CCF $1.20 FEE2004 -3994 Notary Fee $5.00 FEE2004 -3995 Training and Education Fee $0.40 FEE2004 -3996 Technology Fee $3.25 Total Fees: $139.85 Total Fees: A8g Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 10/11/2004 Construction Value: $1,200.00 Work: NEW WATER SERVICE & MISC REPAIRS TO PIPING 6 PAS Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: CONTRACTOR Name :21) 1/ r Lev �✓b C, License No.C' G 9 4 • 7 Address / / /5s�tV 57: Telephone do? 27 � ^' 6Q4/Aji,e Qualifier Name —zok ii PROPERTY OWNER New Construction Name 41 / z _ A Alteration Exterior Address 3/s" A ,�, 9 g"-I-,J 57" Home Telephone Demolish Business Telephone Relocation of Structure Fax Foundation Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other ti II 1' I El. _I .I I I I_dtlgi Step 1. 3)i Dl. 1pp 1 vIN °S�TR F _ j,.n,. UCT;IONS following sups' mist he taken to obtain a fperm'it from the Miami Shores Village: • Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION 3/.1—,4/6 ' Job Address: $� Address Apt. Folio Number l 1 3 c 0 (Q' 0 I Le c ) Description of Work ' #7 <J 6€ Lott ��o 1 5.l 5 Block 91 n Subdivisiork5 ') � B / PG / 0 Zoning Linear Feet Current Use of Property ,ed c5 ` Square Feet Units Floors Proposed Use of Property ,Value of Work j 2 00 00 t Bldg Value Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit N City State. PERMIT APP . ICATION /4/00J 51Vo &mss 1 f L 33/3 3 Zip Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES 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. 1. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, 'DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, P' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI.DADE Signature of Owner Print Name Print Name / // A / Sworn to and subscribed before me this day of to and subscribed before me this / day of / ` I/ dP Li ./, :' Signature of / Pu i -• State sf Elo da _.•_ — R\ P o: ;�caa:to,.. O� B l�� AN GELA M BED; _k N k V * oo - . o c ,w c:ac a Q CC78SG97 ' OF t _O NC" .•m .� Personally known OR, Produced Identification Signature of Notary Public - State of Florida SEAL: SEAL: PERMIT APPLICATION Signatiof Contractor / Qualifier f = / /�r/r'ft' J .Ol!1 �✓— • 4 cS Personally known OR, Produced Identification r, O /1 �J,, 'tJ/ 9 /� / `' Type of Identification Produced: Type of Identification Produced t , .5 -' 5 ✓(2 /E`LECTRI'CAL TYPE I Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central :1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel 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 Dishwasher Heat Recovery Indirect Wastes Refrigerator, Comm. (p/PH) Relay Repair Temp Serv., Construction Vacuum Pum s Compactor Disposal Low -volt, Burglar Interceptor Refrigerator, Domestic Roof Inlet Temp for Test - 30 days Water Closet Deep Freezer Domestic Well Low -volt, Fire Laundry Tray Renew - Temp Service Septic Connection Water Heater Demolition Drainfield, 4" Tile/Res. Low -volt, Intercom/Teleph. Lavatory Repair Circuits Septic Tank Water Heater New Dishwasher Drains, Area Low -volt, Television Meter Set (Gas) Service, Number of Amps Sewer Connection Shower / Water Re -pipe Water Service MECHANIiCAL TYPE I Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. 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 Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBIN6 TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit TY. 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 Ice Maker Pump, Sprinkler Pump, Sump Utility - Sewer Utility - Water Discharge Well Dishwasher Indirect Wastes Relay Repair Vacuum Pum s 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 Shower / Water Re -pipe Water Service Drains, Floor Minimum Fee Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 71„ i1.11 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 CIE C21 OWNER - BUILDER FORM (Attach) ® FIRE DEPARTMENT APPROVAL (Commercial / multi- family) m CONCURRENCY (New Construction) CD OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review CI PROOF OF OWNERSHIP (Attach) HRS / DERM APPROVAL (Septic / Sewer) CI IMPACT FEE (New Construction) Metropolitan Dade County (C.C.F.) $ / • 5C LI OTHER (Specify & Attach) $ SECTION Zoning Electrical Mechanical Plumbin: Fire Public Works Structural Building Official BY DATE ( sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION CI CONDO ASSOCIATION APPROVAL (Attach) BPR APPROVAL (Restaurants) CI CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 o FAX (305) 756 -8972 http : / /www.miamishoresvillage.com PAY TO THE ORDER OF MEMO ADVANCE - LEVEROCK PLUMBING, INC. 1640 N.W. 135TH STREET NORTH MIAMI, FL. 33167 -1608 (305) 688 -2743 Village Of Miami Shores Seventy -One and 80/100 Bank of America, N.A. 63- 27/631 8579 11/27/2001 B C O A $ * *71.80 S a DOLLARS 4 ZED SIGNATURE ' NP 8 11'0085 7910 ':063 100 2 ? ?I: 00 L L8 LO sat, L9" • miAmr HORES . VILLAGE, FLA. z? em,, (7 ADDRESS JOB INSPECTION TIME READY REMARKS INSPECTOR C a N9 5560 }Q DATE l' / MIAMI SHORES VILLAGE, FLA. X° 5683 - JOB ADDRESS � / INSPECTION v/ 7r TIME READY � G REMARKS: INSPECTOR � DATE ' • U OWNER v LOT BLOCK SUBDIVI1ON / ffr W g- 7- .aye � r ed to A�! /' 2e0 // iami cJhores F L O A I D A LUMBING PERMIT N9 673 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 plumbipg and drainage work done in Miami Shores Village, Florida. For a_t_story Fixtures building at Fixtures Sewer ( $ tic Tank $ Total $ Village Plumbing Inspector Received Payment by /;f 4 r v OWNER LOT BLOCK SUBDIVISION 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. V For al_story ,Me building at / e Fixtures Fixtures Sewer ill& Tank iami Azorenillage F L O R ID A LUMBING PERMIT N9 687 4 /n Total $ Village Plumbing Inspector i / F �` 'i 2 Received Payment by `:�� 'UILDING `- - -LECTRICAL - 'LUMBING :OOFING Owner of wilding ``achitect ontractor -4r Builder -egal Lot )escription ",ddress of luilding In consideration of the issuance to me ,ertaining thereto and in strict conformity with = epling this permit I assume responsibility for MIAMI SHORES VILLAGE. FLORIDA p PERMIT N0 4962 CONTRACTOR OR BUILDER DATE Contractpr's License No , ._411•11t 195 Work to be performed under this Permit u Subdi- vision Value of Amount of Project $ ,+ Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application xerefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, irawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 arar..ted is the understanding that the contractor or builder named above assumes the responsibility for a thorough kno dge of the ordinances and regulations ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and he assumes responsibility for work lone by his agents, servants or employees. BY Signed. "1 ' e' '.By of this permit I agree t INSP o perform the work covered hereunder in compliance with all ordinances and regulations the plans, drawings, statements or Specifications submitted to the proper authorities of Miami Shores Village. In ac- all work done by eitherr, myself, my agent, servant or employee. AUTHORITY 6 . Permit No 1� Date 1 -31 -61 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING NkmoT 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'a Name and Address C11710 D L ------ _--- .- ____ -- No._ 315 _- _ —_._ -- Street N 98th St Registered Architect and /or Engineer________ —___ _ Employing Plumber's Name Dade G(L_ CD _ _ No._ 694o_ Location and Legal Description Lot_ ._--_ Block Street and Number where work is to be performed— No.____3 _— ____�___. State work to be performed and purpose of building (By Floors)___._— _ New Building _._ Remodeling____ ___ Addition __._ Siam Septic Tank...-- ______ --------- ------------- - ____ -------Type of Tank Street ICE' 98th St Repairs No. of Stories. 200# Capacity Gals. Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Amount of Permit $ 2 Q ---- - - - - -- - - ( Signed) Dade Gas Co Subdivision __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 MM. 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)________ .... Co Master Plumber. 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. My Commission Expires Notary Public, State of Florida orZi 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 worlananship. CLOSETS BATH TUBS SHOWERO LAVA. S SINKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKI NG FOUNT' NS TOTAL FIXTURES CONTR. LIST CH¢cK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CLONTR IEST SA ft r CHECK Permit No 1� Date 1 -31 -61 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING NkmoT 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'a Name and Address C11710 D L ------ _--- .- ____ -- No._ 315 _- _ —_._ -- Street N 98th St Registered Architect and /or Engineer________ —___ _ Employing Plumber's Name Dade G(L_ CD _ _ No._ 694o_ Location and Legal Description Lot_ ._--_ Block Street and Number where work is to be performed— No.____3 _— ____�___. State work to be performed and purpose of building (By Floors)___._— _ New Building _._ Remodeling____ ___ Addition __._ Siam Septic Tank...-- ______ --------- ------------- - ____ -------Type of Tank Street ICE' 98th St Repairs No. of Stories. 200# Capacity Gals. Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Amount of Permit $ 2 Q ---- - - - - -- - - ( Signed) Dade Gas Co Subdivision __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 MM. 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)________ .... Co Master Plumber. 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. My Commission Expires Notary Public, State of Florida orZi 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 worlananship. BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE 194/ - = PERMIT N2 8756 Work to be performed under this Permit Owner of Building Architect Contractor or Builder :Legal Lot Bl. Subdi- Description vision Address of Value of Building Project Contractor's License No. Amt. of . Permit 1" This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 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 respon- sibility for work done by his agents, servants or employees. Signed: By ' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all�diriances 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. e CONTRACTOR OR BUILDER BY AUTHORITY aiami �horesllage F 1. 0 A 1 D A PLUMBING PERMIT N9 687 Date Issued to OWNER LOT BLOCK SUBDIVISION 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 !' Fixtures $ \‘ Sewer Septic Tank $ °%' Total $ Village Plumbing Inspector Received Payment by BUILDING ELECTRICAL PLUMBING MIAM H ES VILLAGE, FLORIDA DATE 194 Owner of Buil ding Architect Contractor or Builder Legal Lot Bl. Description Address of Building PERMIT N9 1974 Work to be performed under this Permit Subdi- vision Value of Project Contractor's License No. Amt. of 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 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: By 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 work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY OWNER LOT BLOCK SUBDIVISION } 7 Mami cfhores9llage F L O R D A PLUMBING PERMIT N9 673 Date Issued to 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. building at For a story Fixtures Fixtures $ Sewer $ Y Septic Tank Total $ • Village Plumbing Inspector Received Payment by Permit No. 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 �, ______._�____�_�_ No Street_ and Legal Description Lot______ —__— —___ Block Subdivision_ and Number where work is to be State work to be performed and purpose of building (By Floors) New Building_ Size Septic _____ Type of Tank . Capacity Gals.___ 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 $____ APPLICATION FOR PLUMBING 'PERMIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No <4 Remodeling Addition Repairs No. of Stories_________.__. / (Signed) �___c – _� - --- - ----- _ -___ -- v 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. ss. My Commission Expires (Signed) * Street i3 a 4 //1 k Date_____: - --- - -? 1 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 the 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 nude 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. 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 �, ______._�____�_�_ No Street_ and Legal Description Lot______ —__— —___ Block Subdivision_ and Number where work is to be State work to be performed and purpose of building (By Floors) New Building_ Size Septic _____ Type of Tank . Capacity Gals.___ 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 $____ APPLICATION FOR PLUMBING 'PERMIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No <4 Remodeling Addition Repairs No. of Stories_________.__. / (Signed) �___c – _� - --- - ----- _ -___ -- v 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. ss. My Commission Expires (Signed) * Street i3 a 4 //1 k Date_____: - --- - -? 1 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 the 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 nude when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Lot 0 MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 4975 Owner of Building ;. Architect Contractor or Builder Legal Description Address of Building B1 Work to be performed under this Permit a Subdi- vision Value of Project $ j DATE Amount of Permit $ - j. r 195., Contractos 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 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- BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all `ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 d L BUILDING ELECT /ICAL PLUMBING PERMIT N? 7567 Work to be performed under this Permit Owner of C �' Building Architect Contractor or Builder Legal H 'Lot Description Address of e, Building 7 NTRACTOR OR $U 1sry MIAMI SHORES VILLAGE, FLORIDA DATE 194 Bl. Subdi- vision Value of Project BY Cdrftractor's License No. Amt. of Permit t C� This permit is granted to the contractor oP builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 he 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 be assumes respon- sibility for work done by his agents, servants or employees. 1,,,-, ��, / n Signed • at I (%r' r'`1, �.: r ` By `*; INSPECTOR � In consideration of the issuance to me of this permit I agree to perform e rk covered hereunder in compliance with n11 or 'tfances ai4 relations pertaining thereto and in strict conformity wii the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting tjai� permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No '' z ��' 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 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. �A L No._ JA /V. Street 7.1:574_ - _. _ Owner's Name and Address _0 - `�=�, No Registered Architect and /or n: __ i°1_ 4 /, -F G Employing Plumber's Name ' 0 - 0 _ - - �_!t5 D Street - - -* //11 - Location and Legal Descri t Block Subdivision Street and Number where work is to be performed —No .3/J p1_ Street 71 State work to be performed and purpose of building (By Floors) / -- ..e "`` --4.— Tr .' New Building Remodeling Addition _ epairs_- _____ _- ____ - ____ ___ No. of Stories My Commission Expires Notary Public, State of Florida Size Septic Tank / Type of Tank Capacity Gals Feet of Drain Ti1e__1 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. ____ Size of Soakage Pit ti ' - (Signed) , � _ _ ,_ , / -- "=- - - - - =� P f 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. --- - - - - -- 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 f 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 C.ONTR. 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 Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No '' z ��' 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 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. �A L No._ JA /V. Street 7.1:574_ - _. _ Owner's Name and Address _0 - `�=�, No Registered Architect and /or n: __ i°1_ 4 /, -F G Employing Plumber's Name ' 0 - 0 _ - - �_!t5 D Street - - -* //11 - Location and Legal Descri t Block Subdivision Street and Number where work is to be performed —No .3/J p1_ Street 71 State work to be performed and purpose of building (By Floors) / -- ..e "`` --4.— Tr .' New Building Remodeling Addition _ epairs_- _____ _- ____ - ____ ___ No. of Stories My Commission Expires Notary Public, State of Florida Size Septic Tank / Type of Tank Capacity Gals Feet of Drain Ti1e__1 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. ____ Size of Soakage Pit ti ' - (Signed) , � _ _ ,_ , / -- "=- - - - - =� P f 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. --- - - - - -- 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 f materials and /or workmanship. Company Job Address Inspection Time Ready o,.6 a REQ i T FOR INSPECT, `2000 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Permit No 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 D. Clinch Registered Architect and /or Engineer __ E loying Plumber's Name DADE GAS COMPANY_ m Location and Legal Description Lot_____________ Block Street and Number where work is to be performed —No 315 �'' _28 St • State work to be performed and purpose of building (By Floors ) ___ N Building Remodeling_ ___ Addition Size Septic Tank Feet of Drain Tile Amount of Permit $ No._ _ 3 /5 ATE 9 S Street 6940 1V71 - 27 - Ave. No.. Street. Subdivision Street Repairs Type of Tank_ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.______________ ___________._.____.__________.r Size of Soakage Pit (Signed)_ Date November 23, 9962 No. of Stories. _ 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 5968, Compiled General Laws of Florida Permanent Supplement, and Ilas 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 and this permit, as are licensed by Miami Shores Village. (Signed).- -- — - -- 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. My Commission Expires Notary Public, State of Florida Mast 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 I NALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS .Range X. TOTAL FIXTURES _�- CONTR. LIST CHGCK -s SEPTIC TANK .•• SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LICIT CHSCK , _ ___ - `2000 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Permit No 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 D. Clinch Registered Architect and /or Engineer __ E loying Plumber's Name DADE GAS COMPANY_ m Location and Legal Description Lot_____________ Block Street and Number where work is to be performed —No 315 �'' _28 St • State work to be performed and purpose of building (By Floors ) ___ N Building Remodeling_ ___ Addition Size Septic Tank Feet of Drain Tile Amount of Permit $ No._ _ 3 /5 ATE 9 S Street 6940 1V71 - 27 - Ave. No.. Street. Subdivision Street Repairs Type of Tank_ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.______________ ___________._.____.__________.r Size of Soakage Pit (Signed)_ Date November 23, 9962 No. of Stories. _ 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 5968, Compiled General Laws of Florida Permanent Supplement, and Ilas 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 and this permit, as are licensed by Miami Shores Village. (Signed).- -- — - -- 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. My Commission Expires Notary Public, State of Florida Mast 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 • APPLICATION FOR PLUMBING PERMIT Permit No pplication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other 'ucture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, o 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 t Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at ouilding during progress of work. :4C* Owner's Name and Address , No _.f_ __AdteL Street Registered Architect and/or Engineer Amount of Permit " MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. Street.. Date Employing Plumber's Name • Location and Legal Description Lot_____________ ...... ________ Street and Number where work is to be performed—No. 1 Street State work to be performed and purpose of building (By Floors) New 13uilding Remodeling Addition Repairs No. of Stories Size Septic Tank_ Type of Tank . Capacity Feet of Drain ........ _______ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well .Size of Soakage Pit _ (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 requited 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 My Commission Expires Notary Public. State of Florida 4 , Master PI bet STATE OF FLORIDA, SS. 4..., -, ; 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 Tuss SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuss 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 J WELL SPRKLR. SYSTEM SWI M'G POOL CONTR. LIST CHECK • APPLICATION FOR PLUMBING PERMIT Permit No pplication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other 'ucture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, o 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 t Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at ouilding during progress of work. :4C* Owner's Name and Address , No _.f_ __AdteL Street Registered Architect and/or Engineer Amount of Permit " MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. Street.. Date Employing Plumber's Name • Location and Legal Description Lot_____________ ...... ________ Street and Number where work is to be performed—No. 1 Street State work to be performed and purpose of building (By Floors) New 13uilding Remodeling Addition Repairs No. of Stories Size Septic Tank_ Type of Tank . Capacity Feet of Drain ........ _______ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well .Size of Soakage Pit _ (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 requited 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 My Commission Expires Notary Public. State of Florida 4 , Master PI bet STATE OF FLORIDA, SS. 4..., -, ; 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. Nature of Water Supply: City —Well SS. ti giIAMI SHORES VILLAG PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No �� ° J _ 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 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 No F____ Street \ Registered Architect and /or Engineer - _ Employing Plumber's Name No Street 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 Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit My Commission Expires Notary Public, State of Florida Amount of Permit $ (Signed) c _ ____ 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, t 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. LI CHECK Nature of Water Supply: City —Well SS. ti giIAMI SHORES VILLAG PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No �� ° J _ 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 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 No F____ Street \ Registered Architect and /or Engineer - _ Employing Plumber's Name No Street 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 Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit My Commission Expires Notary Public, State of Florida Amount of Permit $ (Signed) c _ ____ 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, t 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. 0 Permit No C 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 , whether herein specified or not. A Dopy of approved plans and specifications must be kept at building during progress of w �or A/ � < Street MIAMU SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICAlfION FOR PLUMBING PERMIT 7/1 • Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name _ALUM f __ —_ of e at Location and Legal Desctiption 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.. Siars Septic Tank__..------------ •---------- - - - - -- -Type of Tank__ Block_ Feat of Drain Tile.—__ -- - - -- _Dist. Feat of Tan& or Drain Field from Well Nature of Water Supply: City —Well _._____— .._Size of Soakage Pit 0 6 Amount of Permit $ (Signed) _ (Si SubdlvW, n_. Street.. AV E Capacity Gals. 1 Repairs No. of Stories E .s7 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig as as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permane Supplement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors : ,. oyed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the si of the work public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, , k to be oriped . I der this permit, as are licensed by Miami Shores Village. 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 slips the same, and that all facts therein by hire stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will ba mode Vilna is rnslda•tae007sary by hnproper notice for inspection, or faulty materials and /cr workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SIGIN" SLOP sINKO LAUNDRY TUDO URINAL{ CATCH BASIN FLOOR DRAIN DRINKING FOUNT'Ne TOTAL FIXTURES CONTR. LIOT CHECK -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL 8 . SYSTEM SWIM•G POOL CONTR. - LICIT CHECK .. ... .. 0 Permit No C 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 , whether herein specified or not. A Dopy of approved plans and specifications must be kept at building during progress of w �or A/ � < Street MIAMU SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICAlfION FOR PLUMBING PERMIT 7/1 • Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name _ALUM f __ —_ of e at Location and Legal Desctiption 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.. Siars Septic Tank__..------------ •---------- - - - - -- -Type of Tank__ Block_ Feat of Drain Tile.—__ -- - - -- _Dist. Feat of Tan& or Drain Field from Well Nature of Water Supply: City —Well _._____— .._Size of Soakage Pit 0 6 Amount of Permit $ (Signed) _ (Si SubdlvW, n_. Street.. AV E Capacity Gals. 1 Repairs No. of Stories E .s7 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig as as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permane Supplement, and Ilan com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors : ,. oyed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the si of the work public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, , k to be oriped . I der this permit, as are licensed by Miami Shores Village. 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 slips the same, and that all facts therein by hire stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will ba mode Vilna is rnslda•tae007sary by hnproper notice for inspection, or faulty materials and /cr workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Pesnrit No Date 4 ' e __... 4 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building dr 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 w k. Owner's Name and Address_ _t1y{.0 4L__b_.: C� .4sst _ No. _ - -- -- _..--- - - -___ Street_ - -9!. 7 : S Registered Architect and /or Engineer ______ __ e Employing Plumber's Name Earf _ .. ' �� - _____.-_ No. J _i _Type of Tank_ Street.. _ 7. 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 m Repairs Capacity Gals Size Septic 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, COUNTY OF DADE. j My Commission Expires • IT No. of Stories. _Size of Soakage Pit - -- (Signed)._ � / - 1...... The undersigned applicant for this building permit does hereby certify that he un stands and accepts 's oblige under the Florida Workmen's Compensation Act; being Section 5968, Compiled Cener L ws of Florida ennanen plied with the provisions thereof, and will require similar compliance from all contract rs or sub - contras rs emplo performed under this permit; and will post or cause to be posted for inspection on the site of the wor suq�i p required by the Act. The undersigned agrees to employ only such sub- contractors, n work to be licensed by Miami Shores Village. ( Signed) - Notary Public, State of Florida umbing Insp ns as an employer of labor plement, and has cam- him in the work to be notice or notices as are under this permit, as are 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. CLOBETa • BATH •TUBS SHOWERS LAVA- TORIES SINKS I SLOP SINKS LAUNDRY TUBE URINALS INALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CCONTR. LIST // G if CHECK I SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL Comic LIST CHECK / MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Pesnrit No Date 4 ' e __... 4 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building dr 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 w k. Owner's Name and Address_ _t1y{.0 4L__b_.: C� .4sst _ No. _ - -- -- _..--- - - -___ Street_ - -9!. 7 : S Registered Architect and /or Engineer ______ __ e Employing Plumber's Name Earf _ .. ' �� - _____.-_ No. J _i _Type of Tank_ Street.. _ 7. 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 m Repairs Capacity Gals Size Septic 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, COUNTY OF DADE. j My Commission Expires • IT No. of Stories. _Size of Soakage Pit - -- (Signed)._ � / - 1...... The undersigned applicant for this building permit does hereby certify that he un stands and accepts 's oblige under the Florida Workmen's Compensation Act; being Section 5968, Compiled Cener L ws of Florida ennanen plied with the provisions thereof, and will require similar compliance from all contract rs or sub - contras rs emplo performed under this permit; and will post or cause to be posted for inspection on the site of the wor suq�i p required by the Act. The undersigned agrees to employ only such sub- contractors, n work to be licensed by Miami Shores Village. ( Signed) - Notary Public, State of Florida umbing Insp ns as an employer of labor plement, and has cam- him in the work to be notice or notices as are under this permit, as are 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. 6 �— CI-"E" TUBS TUBE gHOWBR6 LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE IAS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES COPITR. LIBT CHILCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. L1 .0T - CHItCK 9 Permit No. ` __. Owner's Name and Addres__=' r= Street and Number where work is to be performed —No Size Septic Tanlfi:_: "_ _ L A Feet of Drain Tile__ ___.___ Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ' K IT Type of Tank_ Y C — ------- - - - - -- --------------------------------------------------------------- �� Q Amount of Permit $ 2 _ --- _____------- ____ -- _ -- (Si CS.1 (Signed 27,& Application is hereby made for the approval of the detailed statement of the plans and specifications here submitted for the building or oth structure herein described. This application is made in compliance and conformity with the Building Ordi ce 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 Street- Registered Architect and /or Engineer ..... _______._________________�� Employing Plumber's Name &L ).0 9 8= 2 = Street_.--- - Location and Legal Description Lot______ ..... __.___ _ __ _ Block Subdivision Street. State work to be performed and purpose of building (By Floors)_____ New Building Remodeling_ -___ _ __.__ Addition__.___ Repairs No. of Stories_ Capacity Gals 6 Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati .,• as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, 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 die 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. My Commission Expires Notary Public, State of Florida STATE OF FLORIDA, 1 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 :he 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. Date 1) J /1 Legal Owner /Lessee / Tenant M140%10 Q4.01.4) C l Waft Owner's Address l/' I/F / eat • Contracting Co. 4gCQ COA Srg 77 / c €I Qualifier tiAa N A- Tow.- ) e. /gJeeJ State # GC O y go6S Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one Signature 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 work stated. e l) er and/or Condo President /llf/ Notary s to Own • d/or Condo President y ommission Expires: � d� A Mitropouioe * "_wi *My commission CC747477 % / Expires June 2, 2002 FEES: PERMIT PERMIT APPLICATION FOR MIAMI SHORES V Job Address ��,`j 96 Tax Folio 1 1 7i ®0 0 I 1 S 6 k 0 nowt' QC' F /tt // 4/7 4- RADON APPROVED: Zoning Building Mechanical Plumbing ELECTRICAL Date SS# Competency # Address Address Address Historically Designated: Yes No Master Permit # Phone Address /b 6 S N 0 /V . ti/a1-1 Phone ‘. 81q2- 45-'0 7 MECHANICAL ROOFING PAVING FENCE SIGN otary as Contract. or Owner- Builder , My Co ssion xP p" a 0 ��_i, ,,;, _ . cr . p G „�.c Z - , ;(i C l >Ju. .lug. ,:J, -. u ' •r: I■ . v i ' CFc ( 7 NU. T'. Structural Engineer Ins. Co. Date NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: 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: 2. Description of improvement: 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: ,g(..,0 COA/5 /,2.t/C ? CO/eft 5. Surety:(Payment bond required by owner from contractor, if any) Amount of bond $ Name and address: i, / STATE Or FLORIDA, COUNTY or DADS i ► a �... IH ong W17N EBY CER1IF al m d in us office on lit an my nuns ... •• ra m 7. Persons within the State of Florida designated by Owner upon wri6 . Ic= or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, c�u�, Name and address: A ()I its ,e, 1) S NE 9 b �' S .{ t , }, !tangy r� - ?4 33)3 sr 6. Lender's name and ad. ress: Notary Public My Commission Expires: Signature Print Owners Name /'1a f , • 13/M3 �, Yf P.R Sworn to and subscribe me this ( 2E1 day of 4e. , kg200 1. Print Notary's Na • 444a s ft er/ 110c 4 0.L . /4 4. A M1Uopoulos .. *My rommission CC747477 N Expires June 2, 2002 i r 1R525283 2001 SEF' 25 15:01 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: L2 Se,)ber, )(p(p 5 NE 13'7 7•t' frad_o Nordin )1101 -u 33 ) S1 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Prepared by: �Pra - ._'P__ er1i�1�t (� . Address: J(D /D' y4 JJ Y ler Tp eQ / 5r /fir clnl FL. 1 In Inspection Number. INSP- 9588 Inspection Date: 05/15/2006 Inspector: Levrack, James Project: <NONE> Contractor: HOME OWNER Building Department Comments Friday, May 12, 2006 Owner: MILLER, JOHN AND KATHRYN Job Address: 315 98 Street NE Miami Shores Village, FL Inspection Worksheet Miami Shores Village 15050 N.E. 2nd Avenue Miami Shores, FL Pho : (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: PL-2-06-365 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Sprinkler System Phone Number (305)756 -6761 Parcel Number 1132060135620 Lot: Page 2 of 2 d t i) 6 b n • ec is r Comments ( / Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Number. INSP- 9588 Inspection Date: 05/15/2006 Inspector: Levrack, James Project: <NONE> Contractor: HOME OWNER Building Department Comments Friday, May 12, 2006 Owner: MILLER, JOHN AND KATHRYN Job Address: 315 98 Street NE Miami Shores Village, FL Inspection Worksheet Miami Shores Village 15050 N.E. 2nd Avenue Miami Shores, FL Pho : (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: PL-2-06-365 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Sprinkler System Phone Number (305)756 -6761 Parcel Number 1132060135620 Lot: Page 2 of 2 Job Address: 315 98 Street NE Additional Information Miami Shores Village, FL 'Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Issue Date: 2/14/2006 Expires: 02/13/2007 Owner's Name: JOHN AND KATHRYN MILLER Permit Type: Plumbing - Residential Work Classification: Sprinkler System Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: SPRINKLER SYSTEM REPAIR, REPIPING AND NEW SPRINKLER LEADS Type of Work: SPRINKLER SYSTEM Additional Info: Classification: Residential Type of Piping: Bond Return : In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee - Additions /Alterations $160.00 Scanning Fee $3.00 Technology Fee $4.00 Total: $172.80 Building Department File Copy Applicant Signature Permit Status: APPROVED Permit Number: PL -2 -06 -365 Phone: (305)756 -6761 Parcel #: 1132060135620 Block: Lot: Section: PB: Total Square Feet: 7500 Total Valuation: $ 500.00 Required Inspections Underground Sprinkler Final Invoice Number PL - 2 - 06 - 23845 Total: mt Paid 1 6 PAID Amt Due $172.80 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Miami Shores Village 4 E .. r z :. PM Bullding De ent e 10050 N. 14.1 e6 Tel: (3 ]BUILDING ]PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electricall Plumbin Mechanical Roofing Owner's Name (Fee Simple Titleholder) S (t Phone # ,3C)5-75i - L97t' 1 Owner's Address 315 AtE Z€Q+ City i oft s State . Fltafi Tenant/Lessee Name AA Job Address (where the work is being done) 315 NE 9 - J City Miami Shores Village County Miami -Dade 1[s Building Historically Designated YES NO NSA Contractor's Company Name Contractor's Address City State Architect/Engineer's Name (if applicable) $ Value of Work For this Permit 50,1 Type of Work: DAddition v^ Describe Work: Total Fee Now Due $ (Continued on opposite side) lorida 33138 8972 Permit NoP-- CE Master Permit No. zip LZ3 ) 3K Phone # /4P Phone # zip 53131 Zip Qualifier Phone # Square Footage Of Work: °1 ,7 t ❑Alterat on ['New E " epair/Replace ❑ Demolition ,r / a 4 1 * * * * * * * * * * * * * * * * * * * ** * ** *F * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ do C!j' CCF $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Boni, "ii _,; Company's Name (if applicable) N J A 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 certified 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. ID Chc 10/14/03 Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this / 3 . The foregoing instrument was acknowledged before me this day of� �� •, 20 C-byk CD � le h r V 1- N) 1 Leif • , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identificgkomiptAptittiah finiobiJDA as identification and who did take an oath. NOTARY PUBLIC: H�rilaild PUBLIC: Cam '� .i on # DD476455 Sign: ' 9 Sign: Print: / • tic s .n • ing C o., Inc. Print: My Commission Expires: ' APPLICATION APPROVED BY: (Certificate of Competency Holder) My Commission Expires: State Certificate or Registration No. Certificate of Competency No. -06 Plans Examiner Engineer Zoning