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PLUMBINGu ,i/ Permit No. •-••' ' • L. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub itted for 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 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. er's Name and Address C )4r_ A GtXt .. No. .7 Street - 2 7 Own Registered Architect and/or Engineer ....... ... MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Employing Plumber's Name Location and Legal Description Lot _ Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors)— New Building Remodeling . Addition Block_ Subdivision . Size Septic Tank Feet of Drain Tle Nature of Water Supply: City—Well Amount of Permit $. J er•C Type of Tank_ _. Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ... _ (Signed) (Signed)._ Repairs Date Capacity Gals Street.3)"// gs' 2e 1 ' Street_ 7' ( No. of Stories Plumbing Inspr-ctor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a employer of labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has t-Jin- plied with the provisions thereof, and will require similar compliance from all contractors or sub contractors employed by him in the wok 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 v.rmit, as an licensed by Miami Shores Village. Maiter iwnber. " STATE OF FLORIDA, u . COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oatE,s and take acknowledgments, personally .,ppeare 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 tau 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 b mproper notice for inspection, or Ltd materials and/or workmanship. Ca06178 BATH T ues SHOWERS LAVA • TORIES SINKS SLOP SINKS LAG mom T URINALS CATCH BASIN FLOOR DRAIN DRINKI NO FO i ■ NI"' NS TOTAL FIXTUREI CONTR. LIST --. CHECK — SEPTIC. TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR 11 DEEP WELL SPR KLR. SYSTEM SWIM 0 POOL CONTR. LIST —X..-- 3. fro CHECK ,i/ Permit No. •-••' ' • L. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub itted for 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 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. er's Name and Address C )4r_ A GtXt .. No. .7 Street - 2 7 Own Registered Architect and/or Engineer ....... ... MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Employing Plumber's Name Location and Legal Description Lot _ Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors)— New Building Remodeling . Addition Block_ Subdivision . Size Septic Tank Feet of Drain Tle Nature of Water Supply: City—Well Amount of Permit $. J er•C Type of Tank_ _. Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ... _ (Signed) (Signed)._ Repairs Date Capacity Gals Street.3)"// gs' 2e 1 ' Street_ 7' ( No. of Stories Plumbing Inspr-ctor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a employer of labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has t-Jin- plied with the provisions thereof, and will require similar compliance from all contractors or sub contractors employed by him in the wok 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 v.rmit, as an licensed by Miami Shores Village. Maiter iwnber. " STATE OF FLORIDA, u . COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oatE,s and take acknowledgments, personally .,ppeare 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 tau 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 b mproper notice for inspection, or Ltd materials and/or workmanship. Permit No. f / &'l 7 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 te ► __ __ __ -------- _ — - -_ No 7 -. M_ -_ Street_ -- ____ __ Registered Architect and /or Engineer_____________ —__ —_ Employing Plumber's Name rk' s. Q x C- . _ ilfiftS ! E 0 T t c n V—. No._ 3 L3 street_ _ • '1 fr Block Subdivision Street and Number where work is to be performed —No ?' S Street Location and Legal Description Lot State work to be performed and purpose of building (By Floors) _ 3'L New Building_ Size Septic Tank_-- -_----_--------- ____ -- Feet of Drain Tile_ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT --Z— Addition_ _Type of Tank ____Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ___ — ___Size of Soakage Pit (Signed)_ Repairs___ l No. of Stories. _ ..._ _- ___ ejyt Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts ft' obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, 4ompiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance f om 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 Hemmed by Miami Shores Village. (Sites) 4A C' � - — qt. 'Ls r, Date Capacity Gals._ 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. 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 TUBE URINALS URL CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN SOAKAGE FIELD PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL. CONTR. LIST CHECK 1 r� � - Permit No. f / &'l 7 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 te ► __ __ __ -------- _ — - -_ No 7 -. M_ -_ Street_ -- ____ __ Registered Architect and /or Engineer_____________ —__ —_ Employing Plumber's Name rk' s. Q x C- . _ ilfiftS ! E 0 T t c n V—. No._ 3 L3 street_ _ • '1 fr Block Subdivision Street and Number where work is to be performed —No ?' S Street Location and Legal Description Lot State work to be performed and purpose of building (By Floors) _ 3'L New Building_ Size Septic Tank_-- -_----_--------- ____ -- Feet of Drain Tile_ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT --Z— Addition_ _Type of Tank ____Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ___ — ___Size of Soakage Pit (Signed)_ Repairs___ l No. of Stories. _ ..._ _- ___ ejyt Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts ft' obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, 4ompiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance f om 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 Hemmed by Miami Shores Village. (Sites) 4A C' � - — qt. 'Ls r, Date Capacity Gals._ 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. 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. Q,c MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No r Date_ 7 2 Application is here 'y 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 Shares VEktp, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Bg Division of Miami Shores Village shall be complied with, whether herein sp ed or not. A copy of approved plans and specifications mud be bspt at building during progress of work. Owner's Name and Address__ _ 6 Registered Architect and/or Enginee Employing Plumber's Name Location and Legal Description Lot Block Street and Number where work is to be performed--No_ State work to be performed and purpose of building (By Floors)__ New Building Remodeling Addition Repairs No. of STATE OF FLORIDA, ss. COUNTY OF DADE. No . Amount of Permit $___/61,7 ( Signed) ( Signed )_ No Street Street Subdivision Street Capacity Gals. My Commission Expires Notary Public, State of Florida. o Type of Tank Size Septic Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl ell . -Size of Soakige Pit 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 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= Plumbing Inapector. under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, ands cant. as an NM** of labor - The undersigned applicant for this building permit does hereby certify that derstands and accepts his o pli with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the *lark 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 mikes at are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit air are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, parsOnally appeared CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINK S S ni.or SINKS L auroonv Tina URINALS BASIN DRAIN FOLINT'NS . _ 7 :r ' v r '''''' 1. ....-............-.. . CONTR. LIST .... / P.-2 CHECK 'IC SLP1 TANK EER SW CONN. DR DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIti• 0 POOL a ell a / iit4ie CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No r Date_ 7 2 Application is here 'y 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 Shares VEktp, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Bg Division of Miami Shores Village shall be complied with, whether herein sp ed or not. A copy of approved plans and specifications mud be bspt at building during progress of work. Owner's Name and Address__ _ 6 Registered Architect and/or Enginee Employing Plumber's Name Location and Legal Description Lot Block Street and Number where work is to be performed--No_ State work to be performed and purpose of building (By Floors)__ New Building Remodeling Addition Repairs No. of STATE OF FLORIDA, ss. COUNTY OF DADE. No . Amount of Permit $___/61,7 ( Signed) ( Signed )_ No Street Street Subdivision Street Capacity Gals. My Commission Expires Notary Public, State of Florida. o Type of Tank Size Septic Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl ell . -Size of Soakige Pit 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 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= Plumbing Inapector. under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, ands cant. as an NM** of labor - The undersigned applicant for this building permit does hereby certify that derstands and accepts his o pli with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the *lark 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 mikes at are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit air are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, parsOnally appeared TEL. 4-2580 /7 1 t j •r p 1 ij 1i:' DY f •.% - ".:*' • - i 1» - 6 / i T1 tivAi I f - S. E. VANN PLUMBING AND HEATING CONTRACTOR SEPTIC TANKS ( 1/, 1 4617 LEJEUNE ROAD CORAL. GABLES, FLA. G ilaCTIOCAL PUY MinG Owner of Building Architect a Mai S 0 Contractor of Builder �„_ Legal Lot Description Address of 0 !kidding / -2 e This permit is granted to the hemfor in strict compliance with all diewfrc.. afntem nt. a sOodfiontlace tier 1 the work is not loll, in oc ilithitiOrl i. the understanding that to the wort 001411014 'k.w r Mr agate, servants or In consideration of the l w pertaining thereto and in skint aptinc this permit I assume BL 9Y named above to oavct the thereto atad Wis the cr. shaved CO the tom tar of ado sow* ° with the Omni - for all wet* d j. : 0111540 VILLA . FUMNDA Wok "b. soder stilw Value $ or to install th that °. Permit No —� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °' • Date____f*1 .� Application is hereby made for the approval of the detailed statement of the plans and specifications here) *i submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordirftince 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, whethyf herein specified or not. A copy of approved plans and specifications must be kpt d building during progress of work. j I Owner's Name and Address ' t Feet of Drain Tile. Nature of Water Supply: City —Well. Size Septic Tank Registered Architect and /or En eer___ ___, —_ —___ _ : 1. 7 42______-___ Employing Plumber's Name_.' -e Amount of Permit $ f--- �' - - " -- S ;'ATF OF FLORIDA, is. COUNTY CF DADE. j My t _,::omission Expires State work to be performed and purpose of building (By Floors} -- No._ a No. —' New Building Remodeling_ Repairs (Signed)- ! Notary Public, State of Florida s Street --- , -_ , Street-- - - - - -� performed—No _ ; y L Block .-- ._._____ -___. Subdivi n Location and Legal Description Lot_____________________ -_.._._ ✓ ,, Street and Number where work is to be rformed —No I c/ 'L2- _ ;,�..._, cet 4 - No. of Stories . . ........... ..... ... Type of Tank_ Capacity Gals Dist. Feet of Tank or Drain Field from Well _ __Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga i6ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 ..".y. licensed by Miami Shores Village. . .,. . t t �� /, , (, a (Signed)- --- - - • -- - - -- ' Muter Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared tc 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 thetain by hie stated are true. 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 /es workmanship. CLOSETS BATH TUBE SHOW ERS LAVA. TORIES SI NKS SLOP SINKS LAUNDRY Tuns UR CATCH BASIN FLOOR DRAIN DRINKI NG FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHICK Permit No —� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °' • Date____f*1 .� Application is hereby made for the approval of the detailed statement of the plans and specifications here) *i submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordirftince 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, whethyf herein specified or not. A copy of approved plans and specifications must be kpt d building during progress of work. j I Owner's Name and Address ' t Feet of Drain Tile. Nature of Water Supply: City —Well. Size Septic Tank Registered Architect and /or En eer___ ___, —_ —___ _ : 1. 7 42______-___ Employing Plumber's Name_.' -e Amount of Permit $ f--- �' - - " -- S ;'ATF OF FLORIDA, is. COUNTY CF DADE. j My t _,::omission Expires State work to be performed and purpose of building (By Floors} -- No._ a No. —' New Building Remodeling_ Repairs (Signed)- ! Notary Public, State of Florida s Street --- , -_ , Street-- - - - - -� performed—No _ ; y L Block .-- ._._____ -___. Subdivi n Location and Legal Description Lot_____________________ -_.._._ ✓ ,, Street and Number where work is to be rformed —No I c/ 'L2- _ ;,�..._, cet 4 - No. of Stories . . ........... ..... ... Type of Tank_ Capacity Gals Dist. Feet of Tank or Drain Field from Well _ __Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga i6ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 ..".y. licensed by Miami Shores Village. . .,. . t t �� /, , (, a (Signed)- --- - - • -- - - -- ' Muter Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared tc 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 thetain by hie stated are true. 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 /es workmanship. J. M. (BUCK) COUNCIL, PRES. 4150 N. W. SEVENTH AVENUE MIAMI 37. FLORIDA PL 9.8718 Village of Miami Shores Division of Plumbing Inspection 10050 N. E. 2nd Ave., Miami, Fla. APPLICATION FOR PLUMBING PERMIT: FOR: C. Pratt 924 N. E. 98th St., January 2, 1957 Set Electric Water Heater on Existing Roughing. BUCK PLUMBING, INC. NOTE: Ready to be put on Board for Inspection. SECTION BY DATE Zoning Electrical Mechanical Plumbing L__., ... p3 Fire ■ Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES oa )9- ( sq.ft. = x/1000 x 0.60) (0.005 /sq.ft.) (0.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES,_FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYPES Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE: Service Repair Q'I'1' A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE QTY. Minimum Fee 'TYPE QTY. Condensate Drain 'TYPE Generator QTY. 'TYPE QTY. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE. Miscellaneous Fixture QTY. TYPE Soakage Pit Q'I'Y. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon �. 1 Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re - pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF Sign RIDA, COUNTY OF MIAMI -DADE Owner ) Print Name p� S ` .m to and subscribed befor thus /I'f day of i Alk't Signa KEN SEAL Ariatil :t A'- •- ! rc- Stag - -- bilc, State of Florida My comm. exp. May 24, 2007 Comm. No. DD 182405 Personally known OR, Produced Identification PERMIT APPLICATION e of Contractor / Qualifier day of Print Name NTY OF MIAMI -DADE S o' • .d subs '.ed be e e this s,e ��'` brc -Sz n.. -. SE : Personally known H SHERMAN Notary Public, State of Florida My m. exp. May 24, 2007 Comm. No. DD 182405 OR, Produced Identification Type of Identification Produced: Type of Identification Produced: CONTRACTOR New Construction LN Nam e /� S S i .5 C• D Enclosure License No. 33 )3V Address ‘ T pd N I 1• , ( ( 5 1 5 \c■ , 33IkeZ Telephone Demolish Fax Relocation of Structure Qualifier Name Shell Only Foundation Only PROPERTY OWNER New Construction Name b)k -"'S>e, V CA 'L Enclosure Address 9 Zk I //∎ t 11C 5 Mom• . 5L0rt_ P 1 33 )3V Home Telephone Repair Business Telephone Alteration Interior Fax Demolish TYPE OF MANAGEMENT ✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other RECENE 4 2003 INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 9Z' \ 1.)€ l ir 5. Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. Folio Number Lot Block Subdivision PB Current Use of Property Proposed Use of Property Tenant Information Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name Address License No. Telephone Fax PERMIT APPLICATION Master Permit No. a.? Subsidiary Permit No. -P) 1A ? AtC5 P1 Description of Work Square Feet Value of Work City State e0A F4 ® PG 3/ Zoning Linear Feet Flood Zone Base Floor Elev. 3! 1 3R Zip Units Floors Bldg Value Tax Assessed/Appraised Value ENGINEER Name A"'" Address License No. Telephone Fax ab�� n Ias oy #4X