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PLUMBINGMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reques Date s±�� G�J Time Permit No. PI— .20 // 3 Type Insp'n Name Address Company Phone # For Inspector /303 Approved ❑ Correction ❑ Re- Insp'n Fee ❑ Miami Shores Village Phone: 305- 795 -2204 Permit Number: PL2003 -113 " 1 10050 NE 2nd Avenue Printed: 4/29/2003 Applicant: HERBERT Owner: DEUSCHEL JOB ADDRESS: 847 NE 99 Contractor MARLOW'S PLUMBING Local Phone: 305 - 652 -3031 Parcel # 1132060340130 Permit Status: Approved Permit Expiration: Work: - E' • C DRIANFI Sign In cons • = at T o the issuance to me conformi 4, with the plans, drawings, state g done b either myself, my agent, servant I Signed: 5 Plumbing Permit DEUSCHEL HERBERT ST Contractor's Address: 402 43 RD STREET WEST Legal Description: MIAMI SHORES SEC 8 PB 14 -33 LOT 18 & W1/2 LOT 19 BLK 169 LOT SIZE Fees: FEE2003 -2534 FEE2003 -2535 FEE2003 -2536 Description Building Fee CCF Builders Bond Total Fees: Amount $80.00 $1.20 $300.00 $381.20 Total Fees: $381.20 Total Receipts: $381.20 10/26/2003 Construction Value: $1,500.00 PAY TO THE RDER OF FOR Bank of America. ACH R/r 083100277 MARLOW'S PLUMBING, INC. PH. 305 - 259 -9373 FAX 305 - 232 -5303 MIAMI, FLORIDA dot_ 0 6,e0.6,<..e> DATE 1 II60 LO 39 LH' 1:06 3 LOO 2 ? ?I: 0 0 3 6 6 0 L 2 2 3 611' 10391 63-27/631 FL 946 1$S '(•2 J DOLLARS 8 m 1LP r MB Secu rityenhanced dorumen t. 5ce Miami Shores Village 10050 NE 2nd Avenue Printed: 4/29/2003 « Applicant: HERBERT Owner: DEUSCHEL 1" JOB ADDRESS: 847 NE 99 Contractor MARLOW'S PLUMBING Local Phone: 305 - 652 -3031 Parcel # 1132060340130 Si (INSPECTOR) Plumbing Permit Phone: 305- 795 -2204 Permit Number: PL2003 -113 DEUSCHEL HERBERT ST Page 1 of 1 Contractor's Address: 402 43 RD STREET WEST Legal Description: MIAMI SHORES SEC 8 PB 14 - 33 LOT 18 & W1/2 LOT 19 BLK 169 LOT SIZE Fees: FEE2003 -2534 FEE2003 -2535 F E E2003 -2536 Description Amount Building Fee $80.00 CCF $1.20 Builders Bond $300.00 Total Fees: $381.20 Total Fees: $381.20 Total Receipts: $381.20 Permit Status: Approved Permit Expiration: 10/26/2003 Construction Value: $1,500.00 Work: REPLACE RIANFIELD •hed A Z. . d `/ In consider ' if t e 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: Date Signature of No .r as to Owner y Commission Exp dE VED ''PERMIT APPLICATION FOR MIAMI SHORES VILLAGE s)7 /JC 99 5T : APR 2� Tax Folio l �� 3a�� 3 � D/ 3 D 3 Job Address Legal Description Owner/Lessee / Tenant /4 rb D ecL� C l Owner's Address S 7 N6 9 9 sr, ' ht Contracting Co. Qualifier 61 nfS l / I a, i12 State # Cfc, op F/03 Municipal # Competency # eFi 5Y% a. Co. Architect/Engineer Address Address Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING , MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION E � /J� / ' �6 d Square Ft. Estimated Cost (value) 47O O WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. urthermore, I authorize the above -named contractor to do the work stated. wner an ondo President SUSAN J. NESENMAN MY COMMISSION # CC 860763 • OF nee- EXPIRES: Aug 4, 2003 14800- 3NOTARY Fla. Notary Service & Bonding Co. or C s: U Date y I►i�� 3 FEES: PERMIT RADON C.C.F. �� -Q0 My Commission Expir s: NOTARY APPROVED: Zoning Building Mechanical Plumbing Historically Designated: Yes ta Contractor or Owner- Builder as to Contractor Electrical 0 No Master Permit # ?z ' ' ` ( 3 Phone 36 � c;?/ . ld 3. / ?6 A7 ' Address /� L// ss# - - %done '7S/ '-a q 5 q ►. fr 1 uilde 11 • • ? S SAN 3. NESENMAN i MY COMMISSION # CC 860763 1.1 F1.G& EXPIRES: Aug 4 2 1-800-3.-NOTARY Fla N otary Service 8 Bonding Co. Date 0 Nln (03 Date BOND 3 2O' • CD TOTAL DUE cD 03 Structural Engineer CONSTRUCTION PERMIT FOR: [P] New System It') [ )(] Repair [ t / ]. APPLICANT: i-��41p PROPERTY ADDRESS: LOT: / BLOCK: / PROPERTY ID #: D R A I N F I E L D 0 T H E R ;STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT Cc.-p DATE ISSUED: Z 03 SPECIFICATIONS BY: APPROVED BY: Existing System Abandonment 2q7 /j,c= 9€ K [ .. ] GALLONS DOSING TANK CAPACITY [ SUBDIVISION: ➢1 -320( _ 0 -3 O )30 SYSTEM DESIGN AND SPECIFICATIONS T [7 ] GALLONS / GPD SEPTIC TANX /AEROBIC UNIT A [ ] GALLONS / GPD N [ - ] GALLONS GREASE INTERCEPTOR CAPACITY [0] Holding Tank (A Temporary UNDER BOTTOM OF DRAINFIELD PERMIT NO. 0> / -12 1/ 1 DATE PAID: ‘t- 2 1-03 FEE PAID: 7 1 RECEIPT #: S/ O ' / 3 - E Innovative i4ai 54,0YpS F/ 33/ ' �JJ l fc� E Cc c /e2. - e c . g • [SECTION, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SAFTISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. FILL REQUIRED: [ 1. ¢t ] INCHES EXCAVATION REQUIRED: [ 3 4 ] INCHES INSTALL Z OF SUGHTHLY LIMITED SOIL 1 z.a....,..�W ZV 1' - V J. 410 .CLAM. L 11 PERWETER OF ; :,, .C'A 4' E)N. A ' Attfr+AAT 4 A F.F'fi VJTTIFT 1PTJP :LP T , i ?(v (4-4 CAPACITY MULTI- CHAMBERED /IN- SERIES [ ] CAPACITY MULTI- CHAMBERED /IN- SERIES [ ] [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] ]GALLONS [ ] DOSES PER 24 HRS # PUMPS [ ] [3 0 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM [ ] SQUARE FEES SYSTEM TYPE SYSTEM: [ ] STANARD [ ] FILLED [ ] MOUND 1 1 _ CONFIGURATION: [ ] TRENCH [ 4 BED [ ] LOCATION OF BENCHMARK: l 1 t t'n n ' EJ + (3 E P'•' l e w ELEVATION OF PROPOSED SYSTEM SITE W (j'})] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE BOTTOM OF DRAINFIELD TO BE [35,30] (INCHES /FT) [ABOVE /B BLOB] BENCHMARK /REFERENCE 1 POINT POINT PROPOSED ABSORPTION OR DZ TRENCH( TITLE: C ! C c-PCHD EXPIRATION DATE: 7 / 2 do-3 DH 4016, 12/99 (Page 1) (Previous Editions May Be Used) Page 1 of 3 Part 1 - Health Department Part 2 - Applicant Part 3 - Installer /Contractor Part 4 - Building Department INSTRUCTIONS: PIELRMIIT NUM IL IER: Permit tracking number assigned by CPIIIU. CONSTRUCTION PEIRMIIT FOR: Check type of permit, if "Other" specify type in blank. APPLICANT: (Property owner's full name. SYSTIM HDIESIICN AND SPECIFICATIONS: TIEILIEP1H ONEE: Telephone number for applicant or agent AGENT: Property owner's legally authorized representative. MARLING ADDRESS: JZSS: P.O. Chou or street mailing address for applicant or agent. LOT, IBLOCXY, SBJIBIIDIIVIISIION or PL@OPIEIRTIY II ® #: 27 character id number for property. (CPIIID may require property appraiser IIIID # or section /township /range/parcel number) TANK: Minimum specifications from Chapter 641E -6, (FAO. IIDIRAIINIFIIPII.IID: Minimum specifications from Chapter 641E- 6,1FAC. OTHER: Other specifications, such as operating permit requirements, low - volume flush toilets, variance provisos. SPIECIIPCCAT IONS IB?!: Name of individual providing specifications. IIf designed by a registered engineer must be sealed. APPROVED IBY: County Health Department (CHIlD) personnel reviewing and approving permit. DATE IISSQINIU: Date permit is issued by CIH1D EXPIRATION DATE: : One year fro::: date issued if the sys_e:n has not been installed. Permits for system repairs become void 40 days from the date issued. Miami Shores Village Phone: 305-795-2204 10050 NE 2nd Avenue Printed: 4/29/2003 Applicant: HERBERT DEUSCHEL Owner: DEUSCHEL HERBERT JOB ADDRESS: 847 NE 99 ST Contractor MARLOW'S PLUMBING Local Phone: 305 - 652 - 3031 Parcel # 1132060340130 Fees: FEE2003 -2534 FEE2003 -2535 FEE2003 -2536 Description Amount Building Fee $80.00 CCF $1.20 Builders Bond $300.00 Total Fees: $381.20 Total Fees: $381.20 Total Receipts: $381.20 Permit Status: Approved Permit Expiration: 10/26/2003 Construction Value: $1,500.00 Work: 'E' S AC DRIANFIELD Sign (INSPECTOR) In cons' • ' at ' o 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 conform! 4 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 b either myself, my agent, servants or employes. Signed: Plumbing Permit Permit Number: PL2003 -113 Page 1 of 1 Contractor's Address: 402 43 RD STREET WEST Legal Description: MIAMI SHORES SEC 8 PB 14 -33 LOT 18 & W1/2 LOT 19 BLK 169 LOT SIZE (Contractor or Builder) BY: BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 - 2382 TELEPHONE: (305) 795 - 2204 FAX: (305) 756 -8972 GENERAL INFORMATION • HAVE PERMIT CARD & APPROVED PLANS ON SI'ZE • PLEASE CALL FOR ALL INSPECTIONS AT (305)795 -2204 Leave a message in our voice ALL PERMITS REQUIRE INSPECTIONS Phone: 305-795-2204 Printed: 4/29/2003 .** Applicant: HERBERT Owner: DEUSCHEL JOB ADDRESS: 847 NE 99 Miami Shores Village 10050 NE 2nd Avenue Contractor MARLOW'S PLUMBING Local Phone: 305 - 652 -3031 Parcel # 1132060340130 Fees: FEE2003 -2534 FEE2003 -2535 FEE2003 -2536 Description Amount Building Fee $80.00 CCF $1.20 Builders Bond $300.00 Total Fees: $381.20 Total Fees: $381.20 Total Receipts: $381.20 Permit Status: Approved Permit Expiration: 10/26/2003 Construction Value: $1,500.00 Work: REPLACE DRI ° NFIELD Sig (INSPECTOR) Plumbing Permit Permit Number: PL2003 -113 DEUSCHEL HERBERT ST Page 1 of 1 Contractor's Address: 402 43 RD STREET WEST Legal Description: MIAMI SHORES SEC 8 PB 14 -33 LOT 18 & W1/2 LOT 19 BLK 169 LOT SIZE In conside -f .' o 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 . 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: Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2003 -113 Printed: 4/29/2003 Applicant: HERBERT Owner: DEUSCHEL JOB ADDRESS: 847 NE 99 Contractor MARLOW'S PLUMBING Local Phone: 305 - 652 -3031 Parcel # 1132060340130 Fees: FEE2003 -2534 FEE2003 -2535 FEE2003 -2536 Description Amount Building Fee $80.00 CCF $1.20 Builders Bond $300.00 Total Fees: $381.20 Total Fees: $381.20 Total Receipts: $381.20 Permit Status: Approved Permit Expiration: 10/26/2003 Construction Value: $1,500.00 Work: REPLACE DRI NFIELD Sig ed: j� �i — (INSPECTOR) or In conside � o the ssuance 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 the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibllity for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Plumbing Permit DEUSCHEL HERBERT ST Page 1 of 1 Contractor's Address: 402 43 RD STREET WEST Legal Description: MIAMI SHORES SEC 8 PB 14 -33 LOT 18 & W1/2 LOT 19 BLK 169 LOT SIZE Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2003 -113 Printed: 4/29/2003 Applicant: HERBERT Owner: DEUSCHEL JOB ADDRESS: 847 NE 99 Contractor MARLOW'S PLUMBING Local Phone: 305 - 652 -3031 Parcel # 1132060340130 Fees: FEE2003 -2534 FEE2003 -2535 FEE2003 -2536 Description Amount Building Fee $80.00 CCF $1.20 Builders Bond $300.00 Total Fees: $381.20 Total Fees: $381.20 Total Receipts: $381.20 Permit Status: Approved Permit (Expiration: 10/26/2003 Construction Value: $1,500.00 Work: REPLACE DRI NFIELD Sig (INSPECTOR) Plumbing Permit DEUSCHEL HERBERT ST Page 1 of 1 Contractor's Address: 402 43 RD STREET WEST Legal Description: MIAMI SHORES SEC 8 PB 14 -33 LOT 18 & W1/2 LOT 19 BLK 169 LOT SIZE In conside o the ssuance 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 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: /7,c 22Z Ne MIAMI SHORES VILLAGE 41 BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement or Inc plans and specifications herewith submitted for the build • ing 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 iuilding 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 pragreu of the work. Date..._..._... .. ._.._�.....__..._... r 2 Owner's Name and Address' „ . ........)•. M i } _ No. .............._... Street__.. Registered Architect and /or Engineer Name and address of licensed contractor �� .� Location and legal description of lot to be built on: Lot Block Subdivision * t Street and Number where work is to be done ......_ ate State work to be done and purpose of building (by floors) I — Remarks (Signed)" STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved ,f fir Date.. t . (Signed) `r s .cxi Rivo. 0,K? ..... Building Inspector ,:,. 71.•••...•,. - .,- Notary Public, State of Florida My Commission Expires . and for no other purpose. New Building Remodeling Addition Repairs No. of Stories _ To be constructed of Kind of f undation Roof Coming Estimate Total cost of improvements $ / ► Amount of Permit $........ LT: Zone cubage required ` Plan Cubage g q g Distance .to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to. . . 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 complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors on work to be performed under this pennit, as are licensed by Miami Shores Village Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- pea red _— — -- 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.. / p Permit No.. 3 3 L Date ,s ,l t! Y Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Ch airman Member _ ....... -.. .... --- Member Member Member _..._.�...._ Member ...._ Council Approved _ Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval ltns been obtained from the PI.,nnir.g Board. A re.u1\pection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. -- CONTR. LI'Y f cL;sr. BATH TUB[ SHOWER• LAVA• TORIES SINK* SLOP SINK[ LAUNDRY Tuns URINALS CATCH DRAIN FLOOR DRINKING DRAIN FOUNT'N[ I TOT._L FIX TI. RCS CHECK SEPTIC TANK S[W[R CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL 8 ►RKLR. SYSTEM SWIM . 0 POOL CONTR. LIST r— I•—�•• _ -- CHECK Building during progress of work. `)wner's Name and Address Dan McGinniss .egist wed Architect and /or Engineer Size Septic Tank__.._ ...... of Tank Nature of Water Supply: City —Well Amount of Permit $ -_(. • 0) - - -- STATE OF FLORIDA, i u. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Penni., No.... _a.. _L2 7 Date ...Apri_1__16_,.....198L._..._. _... is hereby mode for the approval of the detalled statement of the plans and specifications herewith subr.u:...1 for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Min °! Shores Village, Florida, a„d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic,. of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A •. • _ • plans and spet.'flcatlons mud be kept at smploying Plumber's Name Q.. . .J g In Tang Ser_,..._ NoSOD._ OI•..,.1. 11,,..,,..., Location and Legal Description Lot_ Block Street and Number where work is to be performed —No 847 NE 99 State work to be performed and purpose of building (By Floors) — New Building Remodeling Addition Repairs No of Stones Feet of Drain Tile.2QQ___S.S...__.___ —_ —Dist. Feet of Tank or Drain Field from Well. (Signed)._ (Signed)._ Street...._ Subdivision..__.._... Street Capacity ^ ,ala ._Size of Soakage Pit Notary Public, State of Florida Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an en;lloyer of IQhOT under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Cum lement, and has , or1 .. t.licd with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1 y hire in rk c+ b� performed under this permit; and will post or cause to be posted for inspection on the s of the work such p notice x no leer 4s a, requ. +red by the Act. The undersigned agrees to employ only such sub - contractors, nork to be performed '. r this J rl,ril ar . licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per;or,.}l • ppearec. 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 root all acts therein by hin, stated are true. NOTE: A re- inspection fee of $1.00 will be made when loch re-inspection is mede•neoessary by Improper notice for hrspe t!on, or unlit, materials and /or workmanship. Permit No. - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employilug-Auinber's Name_ ae ' Location and Legal Description Lot #17 State / Block Street and Number where work is to be performed— No.__Q_ , , State work to be performed and purpose of building (By Floors) Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Date S.3 Street No Street Qa Subdivision 1 1 Street New Building Remodeling Addition Repairs No. of Stories Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) ( Signed) Capacity Gals 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. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS U 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 POO6. CONTR. LIST h _ CHECK Permit No. - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employilug-Auinber's Name_ ae ' Location and Legal Description Lot #17 State / Block Street and Number where work is to be performed— No.__Q_ , , State work to be performed and purpose of building (By Floors) Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Date S.3 Street No Street Qa Subdivision 1 1 Street New Building Remodeling Addition Repairs No. of Stories Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) ( Signed) Capacity Gals 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. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES(ILLAGE, FLA. N? _ 7919 JOB T S / C - r ADDRESS g /-L-- `' ?? fr INSPECTION Cyr" IC,- �1 TIME READY i.-, // /) - 2) - J� REMARKS : k INSPECTOR -. DATE / —— Permit No _ Date 122865 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or cther 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. G M S. carey Owner's Name and Address T. No._ 847 N . ' street _99 St •. Registered Architect and/or Engineer Employing Plumber's Name Tropigas No._.. N. W. street _ Location and Legal Description Lot__ 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 Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: City—Well INSTALLED GAS SYSTEM. Amount of Permit $ 2.00 STATE OF FLORIDA, I es. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Repairs No. of Stories.. _ . .... Type of Tank _Dist. Feet of Tank or Drain Field from Well ..... ..... _Size of Soakage Pit__ (Signed)_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perin. nt Supplement, and bus 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 no'ices as are required by die Act. The undersigned agrees to employ only such sub-contractors, on worn to be performed un this per-nit. as are licensed by Miami Shores Village. (Sign 35354— Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal! • appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY 'rues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHICK -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I M - G POOL CONTR. LIST - -- CHECK / —— Permit No _ Date 122865 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or cther 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. G M S. carey Owner's Name and Address T. No._ 847 N . ' street _99 St •. Registered Architect and/or Engineer Employing Plumber's Name Tropigas No._.. N. W. street _ Location and Legal Description Lot__ 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 Size Septic Tank Feet of Drain Tile_ Nature of Water Supply: City—Well INSTALLED GAS SYSTEM. Amount of Permit $ 2.00 STATE OF FLORIDA, I es. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Repairs No. of Stories.. _ . .... Type of Tank _Dist. Feet of Tank or Drain Field from Well ..... ..... _Size of Soakage Pit__ (Signed)_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perin. nt Supplement, and bus 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 no'ices as are required by die Act. The undersigned agrees to employ only such sub-contractors, on worn to be performed un this per-nit. as are licensed by Miami Shores Village. (Sign 35354— Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal! • appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made by improper notice for inspection, or faulty materials and/or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor . , or Builder I Legal Description Address of Building Lot . D ❑ CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of s. , Building ir B1 N? 7102 Work to be performed under this 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 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. 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Value of Project $— DATE 4. " a 19 T. Contractor's , 4 License No. Subdi- vision Amount of i< Permit $ ., . Signed. ' • ` s INSPECTOR BY AUTHORITY ABBOT BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building ❑ PERMIT N° 14781 ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II BI. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ This permit is ranted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Permit No. / ___ Feet of Drain Tile Amount of Permit $__ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT �°® - - -- - - --- - -- (Signed) -- (Signed) Date. .J.una _4,_ 1953 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othei structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address aines Co324t_.CoR ___.._.. No Street Registered Architect and /or Engineer Employing Plumber's Name. • .II, Mi-- CaUnCil No Street____ Location and Legal Description Lot-._18._&._ (- ._Ctf __ c F]� Block_ 1.69 - - - - - -- Subdivision _ liaml_Shore. Street and Number where work is to be performed —No _ _— 7) ' .. - -D Street.. State work to be performed and purpose of building (By Floors) New Building 1 Remodeling Addition___ Repairs No. of Stories 1 Size Septic Tank Type of Tank___ Capacity Gals._ Dist. Feet of Tank or Drain Field from WeIL Nature of Water Supply: City —Well City (- ' - -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 Perinanent 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. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare 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 fac therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul materials and /or workmanship. CLOSETS BATH TUBS SHOWIR/ LAVA. TORIES SINKS IN SLOP SINK, LAUNDRY Tula I URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS • TOTAL FIXTURE! CONTR. LIST 2 1 1 2 1. ...._7 CHECK 1. 7r 7 7 f A. t 7� i R SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP �eOL'Je1r'�► DEEP HEATER WILL SPRKLR. SYSTEM $WIM'G POOL • CONTR. LIST CHICK / / ^2 / ] v/ �° ® ` J� XJ Permit No. / ___ Feet of Drain Tile Amount of Permit $__ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT �°® - - -- - - --- - -- (Signed) -- (Signed) Date. .J.una _4,_ 1953 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othei structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address aines Co324t_.CoR ___.._.. No Street Registered Architect and /or Engineer Employing Plumber's Name. • .II, Mi-- CaUnCil No Street____ Location and Legal Description Lot-._18._&._ (- ._Ctf __ c F]� Block_ 1.69 - - - - - -- Subdivision _ liaml_Shore. Street and Number where work is to be performed —No _ _— 7) ' .. - -D Street.. State work to be performed and purpose of building (By Floors) New Building 1 Remodeling Addition___ Repairs No. of Stories 1 Size Septic Tank Type of Tank___ Capacity Gals._ Dist. Feet of Tank or Drain Field from WeIL Nature of Water Supply: City —Well City (- ' - -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 Perinanent 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. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare 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 fac therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul materials and /or workmanship. Sy�