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PLUMBING. Date Job Address Owner/Lessee / Tenant Contracting Co. Qualifier Square Ft. 26 Notary as to My Co FEES: PERMIT RADON J RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Legal Description i /"/ria,J (.Ic Owner's Address 92, S P C. y C pt4c, D(ct,,,) State # Municipal # Architect/Engineer Bonding Company Mortgagor Address 11 Air Se +E1 i %i E5le trident State of Florida My Comm. Exp: 08/0410 Comma' CC669180 wner and/or Condo President /5v qR S J - Tax Folio Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ;fat J re 1 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I autho the above -named contractor to do the work stated. APPROVED: Zoning Building Mechanical Plumbing 7/ Historically Designated: Yes No Master Permit # ' 7z) �5 ss# - Phone 85 Competency # Address Address Estimated Cost (value) eft Signa aryasto" o Phone Address (`/ L), ZesK 6c1 2 31 t7332- My Commission Exp C.C.F. 40 NOTARY S or ARYSEAL Date C1ADYs j VRLAR e brARY PUBI.IC STATE OF FLORIDA 1 COMMISSION NO. CC714I03 L MY COMMISSION EXP. MAR. 1,2002 Electrical Engineering 3.0 13 e 33 2.1 Ins. Co. wner- Builder D : to - — Ll —/03 —O BOND TOTAL DUE 3 oo � APPLICANT: N PROPERTY STREET ADDRESS: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Ch CONSTRUCTION PERMIT_FpR: [N] New System [ Existing System [ / Holding Tank [ Temporary /Experimental t••() Repair [A4 Abandonment [ Other(Specify) AL AGENT: 1 LOT: \ VA. BLOCK: ti l SUBDIVISION: PROPERTY ID #: SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONtS AND STANDARDS OF CHAPTER 10D -6, FAC. REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. DEPARTMENT OF HEALTH APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY 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. SYSTEM DESIGN AND SPECIFICAIONS T [ ° ] [GALLONS / GPD] SE TIC TAkK /A ROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:( ) A [1501 (GALLONS / GPD) CAPACITY MULTI- CHAMBERED /IN SERIES:( ) N [ 1 GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS) K ( ) GALLONS PER DOSE DOSING TANK CAPACITY DOSE.RATE [ ] PER 24 HRS NO. OF PUMPS: ( ] D [ O SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ .? co SQUARE FEET + G r-ONJ t - -t SYpTEM [e-- FILLED [ J MOUND [ ] [ TRENCH [ ] BED F LOCATION OF BENCHMARK: t t tJ 1 S� (. ` �r ( � (`'� ( L. A TYPE SYSTEM: ( ] STANDARD I CONFIGURATION: N I ELEVATION OF PROPOSED SYSTEM SITE ( E BOTTOM OF DRAINFIELD TO BE [ Lti D FILL REQUIRED: [ A INCHES 0 T H E R SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: _ - `_ Q Se nc, s [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] .01 [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT EXCAVATION REQUIRED: [3 ] INCHES THE SEPTIC TAM SHALL BE PUMPED AND A SeL!D DH 4016, 10/96 (Replaces HRS -H Form 4016Ipage 1] whin p 1 ,�'' ^ i ` Q C iNSTA$ LEO A, T��� OUTLET TEE (Stock Number: 5744- 001 - 4016 -0) s.r; ��, ii f�ti L�1li [. G� 11 ` cd 3 ^\ppl cam TITLE: PERMIT # S 412 - oa3� DATE PAID t.. `t —ct% mpA D FEE PAID $ S•4 RECEIPT 1 .Z" t � hS TITLE: 0 INSTALL 12 OF InAMY MARE! Vitt uNnFR BOTTOM OF DRAINFIELD SUBMIT BENCHMARK BEFORE INSPECTION. THIS PERMIT IS NOT FOR AIM' IVrytb) INVLH 1 t Lt9A t ION ' CHD EXPIRATION DATE: 9 Page 1 of 2 INSTRUCTIONS: PERMIT NUMBER: Permit tracking number by County Health Department. APPLICATION FOR: Check type of permit; if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY ID #: 27 character ID number for property. (Health Department may require property appraiser 1D# or section /township /range /parcel number.) SYSTEM DESIGN AND SPECIFICATIONS: TANK: Minimum specifications from Chapter 10D -6, FAC. DRAINFIELD: Minimum specifications from Chapter 10D -6, FAC. OTHER: Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed. APPROVED BY: County Health Department personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by County Health Department. EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical \ Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) C 1 t •A oh s, i z Phone # C 9 sJ 2/ 1,-2.2Z 4 Owner's Address 4 12 S /U 15 City ' r LS State Zip 3 3 / 3 g Tenant/Lessee Name Phone # Job Address (where the work is being done) I Z 5 / ti E 9S 5 City Miami Shores Village County Miami Dade Zip 3 3 (3 S Is Building Historically Designated YES NO IV Contractor's Company Name / lV n'► bats ��� Phone # .�S o 33-5 SS y Contractor's Address GN50 ivw 3 3�A--t ` .City M /A-0/ i State Fe-- Zip 33/ V2-- Qualifier /i'4 7 /"i 4 Li- 4dvo,z-_. Architect/Engineer's Name (if applicable) Phone # S Value of Work For this Permit .' 2 / L 00 Type of Work: Addition ❑Alteration ❑New ❑J II Repair/Replace ❑ Demolition Describe Work: Z h 1 S . 7 roc, S_ C L 332 " * * * * * * * * * * * * * * * * * ** , * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee S . ( C) Permit Fee S 6 �— CCF S \ • ?SCE • Notary S 0 Training/Education Fee '" Technology Fee $ • 2.S . Scanning $ 4 7 • 00 Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, MPami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. P I a.CY)3 - 2q5 Master Permit No. b P2001 - i VID. Square Footage Of Work: 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 Owner or Ag The foregoing instrument was day of . 20 _ b who is personally known o me NOTARY PUBLI NOTARY P Sign: Sign. 7'' Print: A Print jVine My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. C---r 2 / 9 2 — Certificate of Competency No. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. ** *. * * ** ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 10/14/03 Contractor The foregoing instnunent was acknowledged before me this day of ` 2003 by l�l 7i who has produced who i�ersonatly of5Vvo me or who has produced as identification and who did take an oath. dged before me this cation and who did take an oath. A My Commission Expires: Comm. No. DO 011049 /A — Plans Examiner Engineer Zoning TEM um TRB UNIT 2. FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE IDET LIGHT OUTLETS CENTRAL HEATING ISHWASHER 1 RECEPTACLES A/C (WIND) ISPOSAL 1 SERVICE TEMPORARY A/C (CENTRAL) KINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOOR DRAIN SERVICE REPAIR/14TER CHANGE REFRIGERATION REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING KTERCEPTOR RANGE TOP UNDERGROUND TANKS AVATORY li OVEN ABOVE GROUND TANKS AUNORY TRAY WATER HEATER U.F. PRESSURE VESSELS LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS HOWER Z MOTORS OVER 1- 3 HP HOT WATER BOILERS INK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION INK, RESIDENCE 1, MOTORS OVER 5- 8 HP TRANSPORTING ASSEM3LIES INK, SLOP MOTORS OVER 8- 10 hP ELEVATORS/ESCALATORS EM?ORARY WATER CLOSET MOTORS OVER 10- 25 14' FIRE SPRINKLER SYSTEMS RINAL MOTORS OVER 25-100 HP COOLING TOWERS ATER CLOSET MOTORS OVER 100 HP VIOLATION DIRECT WASTES A/C WINDOW REINSPECTION ATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMAING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS TILITY -SEWER SIGN TIME CLOCK TILITY -WATER - FIXTLRES EPTIC TANK ANTENNA ELAY TELEVISION OUTLETS RAINFIELD, 4' TILE/RES. VIOLATION UMP & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. ATCH BASIN DISCHARGE WELL OMESTIC WELL REA DRAIN OOF INLET 1 OLAR WATER HEATER • IRE STANDPIPE OOL PIPING AWN SPRINKLER SYSTEM AS RANGE ETER SET (GAS) AS PIPING AN APPLICATION FOR 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 ADDENDUM TO 'BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPART 305 795 -2204 B uilding Inspection Requ Date cI 9-1 Address Company Phone # r Inspection Date tQ Approved Correction Re- Insp'n Fee 00 5-acts snau Permit No. 90 1 Name 1 r/ MIAMI SHORES VILLAGE BUILDING DEPARTM ►'NT 305- 795 -2204 Builsing Inspection Request Date Type Insp'n Permit No. 1: 1 - Name Address cl ∎S wAAr Company Phone # Inspection Date Approved Correction Re- Insp'n Fee C a ..J d o a dr; �� Z -,.ss; 92, NE- 9g St, co o (,-9'r ; ��ac� f iX I VTGS a,-,d ft le- .6 a 1 rookv 4 COL01 r 5 Ft. S19,0 k.A.J �r- co O w k ,ex- C 1 ? /J :o - �v�d��s5 9 2 5 / v E el$ Sfr€ t, (li �fi1 o�2.S "Ja +Crook,., 2 J. It y r* � L g aJr;-f(-)e-- e-O-JJre-'5 ; . 92,S NE 9g St., St) S o wog K: �� I a 4 4 X l rc s a J �i 1 � a. t t-o o w, n > 5_Ft. rag U.st oc , * 2 --R,Adre. 5 C 1?-kfA;e7 9 2, 5 /0 et tre-a1 1 tiv s 3 0 T ixtsre_s / * ry, o r., SA .6)re..s. -_� CLOSETS BATH Tug. SHOWERS LAVA- TORIES SINK[ BLOT •INKS LAUNDRY Tugs URINALS CATCH •A$IN FLOOR DRAIN DRINK' NO FOUNT'N• TOTAL FIXTURES C LIST -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR NEATER DEEP WELL •PRKLR. SYSTEM SW IM'O POOL CONTR. LIST 300 CN[CK SQ FT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ' 1 -07 -91 �� L Permit No 1 — 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 oust be kept at building during progress of work. 0061 Owners Name and Address BLOCK 925 NE 98 STRET 33138 Registered Architect and /or Engineer Employing Plumber's NMne NQRTU DADE ILK Location and Legal Description 925 N E 98 STREET Bk>r4t Subdivlslon Street and Number where work L to be performed —No 925 N E .98 STREET Street.._ 3.3 .8..._. _ State work to be performed and purpose of building (By Floors) New Building.. - - -._ _---- - - -. -• • - -._ -- Remodeling____ — Addition. Size Septic Tank_- -Type of Tank, Capacity Cals._._...__ -• -- - _ - - - -- Fed of Drain Tile. _ Dist_ Feet of Tank or Drain Field from Well.. __. _------ .-- ..__�--- .-- ...- - -._.— Nature of Water Supply: City —Wells Size of Soakage Pit_ Amount of Permit $ 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 ha. com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the woes- 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- eontracton, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) R epa i rs XXXX V cen5C. 40 co- 2.58%8 Street-._— No. of Stories GT/J 7(S Muter Pl -- - STATE OF FLORIDA, 1 as- 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 whim mob srisp•wlon is snd•'n cessery by improper notice for inspection, at faulty materials and /or worlonanship. BUILDING ELECTRICAL PLUMBING ROOFING contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER BI. Signed: Subdi- MIAMI SHORES VILLAGE. FLORIDA 0 SI PERMIT N? 8340 DATE Contractor's License No Work to be performed under this Permit Owner of Building r c az_ Jsr ot Architect I I vision BQ Ft Value of Project $ Anit of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device ductibed in gat herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. 'This time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of pertaining to the work covered hereby whether shown on the plans or drawings tin the eta ts or specifications pethat he done by his agents, servants or employees. IN In consideration of the issuance to me of this permit I agree to perform the work covered he in compliance with all oi pertaining thereto and in strict conformity with the plans, drawings, statements or specifications sub to the proper authorities of Miami In accepting this permit I assume responsibility for all work done by either, myself, my agent, se or employee. .:t ;0", 2 7712WW-- State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs i f e rmit No ''''''''' Application is her y made f 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. Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No ( Signed) (Signed) Date Owner's Name and Address No Street Registered Architect and /or Engineer Employing Plumber's Name Street ___' Location and Legal Description Lot Block— Subdivision_ ______ Street and Number where work is to be performed —No Street No. of Stories Size Septic Tank____ - - -- Type of Tank____ Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The 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, 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 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 T UBS 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 OAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs i f e rmit No ''''''''' Application is her y made f 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. Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No ( Signed) (Signed) Date Owner's Name and Address No Street Registered Architect and /or Engineer Employing Plumber's Name Street ___' Location and Legal Description Lot Block— Subdivision_ ______ Street and Number where work is to be performed —No Street No. of Stories Size Septic Tank____ - - -- Type of Tank____ Capacity Gals. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The 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, 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 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. BUILDING ELECTRICAL PLUMBING Owner of Building Archit Contrac< , 2 , G•e . z ; or Budder,. Legal Lot Description Address of Building /7 CONTRACTOR OR ILDER MIAMI SHORES VILLAGE, FLORIDA ERMIT N? 6964 Work to be perforrp unde / this Permit Subdi- vision Value of Project DATE Contractor's License No. Amt. of Permit /" This permit is ,afanted 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 pro • er municipal authorities. This P .„ 't m�ay be revoked at any time if the work is not done in compliance with such ordinances or if the plans are ch • wi o authorization. A further which this permit is granted is the understanding that the contractor or builder named above a . • • �' . ' ty for a th.., _ knawl cations an and regulations pertaining to the work covered hereby whether shown on the plans or draw ' tements • i " r sibility for work done by his agents, servants or employees. l � � f/ �`- Signed. �.i. ` :y INSPECTOR In consideration of the issuance to me of this permit I agree to perfo t= ork covered hereunder in compliance withoili ordinances and,G pertaining thereto and in strict conformity with the .lans, dra s, stat: or specific bmi o the proper authorities of Miami Shores Village. In eptin this pernlit I assu - responsibility for a w. don eithe yself, my age • or :�' . yee. BY AUTHORITY c 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 1S.041 l.B.:' -_-_- ---- - - - - -- _ No.__ `2 f i '43 t6/reet Registered Architect and /or Engineer _____ ____________________- _____ ___ ____________ _ 4, 4., - -- _ -- -_ - Rose S — __ __ _ __ _ Septic Tank Co. 0o 4 • tr3 .eve. Employing Plumber's Name —___v ____ No._ - Street_ Location and Legal Description Lot__._ __- __ ..... _________________ __ Block__ .... ---- ..... Subdivision Street and Number where work is to be performed -No i2 5 ! \f E 98 St. 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 Nature of Water Supply: City -Well _ ____Size of Soakage Pit Amount of Permit $ - - (S Signed) Pl bing Inspector. - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Sup - ent, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by im 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date _ - :r__ (Signed)._ My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. J 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 SINK6 SLOP SINKS LAUNDRY TUBS URINALS RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FF E L " SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST _ - CHECK 1 c 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 1S.041 l.B.:' -_-_- ---- - - - - -- _ No.__ `2 f i '43 t6/reet Registered Architect and /or Engineer _____ ____________________- _____ ___ ____________ _ 4, 4., - -- _ -- -_ - Rose S — __ __ _ __ _ Septic Tank Co. 0o 4 • tr3 .eve. Employing Plumber's Name —___v ____ No._ - Street_ Location and Legal Description Lot__._ __- __ ..... _________________ __ Block__ .... ---- ..... Subdivision Street and Number where work is to be performed -No i2 5 ! \f E 98 St. 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 Nature of Water Supply: City -Well _ ____Size of Soakage Pit Amount of Permit $ - - (S Signed) Pl bing Inspector. - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Sup - ent, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by im 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date _ - :r__ (Signed)._ My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made• necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No.. _/ _ Z 5 22 Feet of Drain Tile ___ Nature of Water Supply: City —Well Application is hereby made for the approval of the detailed statement of the plans and specifications herewitlisubmifted 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 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 Registered Architect and / or El leer Employing Plumber's N 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 - - -- Remodeling Addition_-_-__ ... -- -• - The undersigned applicant for this building permit does hereby under the Florida Workmen's Compensation Act, being Section 5 plied with the provisions thereof, and will require similar complian performed under this permit; and will post or cause to be posted fo required by the Act. The undersigned agrees to employ only such licensed by Miami Shores Village. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. 9/ (S (Si: Date___ / 2- Streete ' PP 4 < Repairs No. of Stories Size Septic Tank Type of Tank__— Capacity Gals. Dist. Feet of Tank or Drain Field from We1L __Size of Soakage P' lum . ing In • - tor. derstands and accepts his obli ! ons as an emp er of labor eneral Laws of Florida Permanent Supplement nd has com• ntractors or sub - contractors employed by him the work to be n on the site of the work such public notic or notices as are contractors, . n work to be performed under this permit, as arc STATE OF FLORIDA, COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fay therein by him stated are true. 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 faul materials and /or workmanship. CLOSETS BATH Tues SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL. FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD OAKAGE PIT GREASE TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SWIM •G POOL CONTR. LIST CHECK Permit No.. _/ _ Z 5 22 Feet of Drain Tile ___ Nature of Water Supply: City —Well Application is hereby made for the approval of the detailed statement of the plans and specifications herewitlisubmifted 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 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 Registered Architect and / or El leer Employing Plumber's N 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 - - -- Remodeling Addition_-_-__ ... -- -• - The undersigned applicant for this building permit does hereby under the Florida Workmen's Compensation Act, being Section 5 plied with the provisions thereof, and will require similar complian performed under this permit; and will post or cause to be posted fo required by the Act. The undersigned agrees to employ only such licensed by Miami Shores Village. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. 9/ (S (Si: Date___ / 2- Streete ' PP 4 < Repairs No. of Stories Size Septic Tank Type of Tank__— Capacity Gals. Dist. Feet of Tank or Drain Field from We1L __Size of Soakage P' lum . ing In • - tor. derstands and accepts his obli ! ons as an emp er of labor eneral Laws of Florida Permanent Supplement nd has com• ntractors or sub - contractors employed by him the work to be n on the site of the work such public notic or notices as are contractors, . n work to be performed under this permit, as arc STATE OF FLORIDA, COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fay therein by him stated are true. 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 faul materials and /or workmanship. Permit No. .? _� New Building _ -__ -- Remodeling Size Septic Tank. ......... ----- - - - - -- Type of Tank_ Feet of Drain Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. j MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN';' APPLICATION FOR PLUMBING ;ra VUT Application is hereby made for the approval of the detailed statement of thb plans and specifications herewith submitted for the 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.l /-.4`, _ i No PA Registered Architect and /or En Sneer... _______ ___---- �_.___________ - . Employing Plumber's Name eh N1 f i , _ _ ________ No._7 L5,!_fr street___X 9 et Block 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) _ ___ Nature of Water Supply: City — Well._____— _ _____Size of Soakage Pit - -- -- - - - - -- — - — — — (Signed)- Street Addition________. Repairs No. of Stories . . ....... Capacity Gals. _Dist. Feet of Tank or Drain Field from Well (Signed) - - =,lf r Date__ Street _ - �� • - -,✓�� L Subdivision - ------ ---- ----- ----- __ -- -- My Commission Expires Notary Public, State of Florida Iumbiiig The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per nt Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ployed 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. 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 TUNS ""1"111 LAVA TORIES SINKS SLOP SINKS LAUNDRY TOSS URL INA• CATCH BASIN FLOOR DRAIN DRINK NG FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK - SEPTIC TANK SEWER CONN. DRAIN SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL CONTR. LIST ` FIELDD Y - if t CHECK Permit No. .? _� New Building _ -__ -- Remodeling Size Septic Tank. ......... ----- - - - - -- Type of Tank_ Feet of Drain Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. j MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN';' APPLICATION FOR PLUMBING ;ra VUT Application is hereby made for the approval of the detailed statement of thb plans and specifications herewith submitted for the 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.l /-.4`, _ i No PA Registered Architect and /or En Sneer... _______ ___---- �_.___________ - . Employing Plumber's Name eh N1 f i , _ _ ________ No._7 L5,!_fr street___X 9 et Block 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) _ ___ Nature of Water Supply: City — Well._____— _ _____Size of Soakage Pit - -- -- - - - - -- — - — — — (Signed)- Street Addition________. Repairs No. of Stories . . ....... Capacity Gals. _Dist. Feet of Tank or Drain Field from Well (Signed) - - =,lf r Date__ Street _ - �� • - -,✓�� L Subdivision - ------ ---- ----- ----- __ -- -- My Commission Expires Notary Public, State of Florida Iumbiiig The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per nt Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ployed 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and/or workmanship. ■ PERMIT A N? 320 PLUMBING fikner of Building T7 , � 1 4 i NAME Architect and /or Engineer NAME Contractor or Builder � � � � - -- NAME • ADDRESS �j LICEN Proposed Location - -- -- - - - - -- – - — ---- LOS BLOC - . i *IS �VIf10N NO. STREET This permit is iss 7 (011 $ AMOUNT grommoi RECD. PAYMENT ACCT. DEPT. ADDRESS ADDRESS MIAMI SHORES VILLA BU ILDIN SPECTION DEPARTM To LICEN/E NO. the building above described, as per application, ` ans and Specifications heretofore filed in office. This permit is granted upon the express that all facts stated in the application are true d that the construction complies strictly the plans and specifications submitted, and in and compliance with the building laws of the State of Florida and with the building nances and zoning laws of Miami Shores Village, and' regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of say proVhions laws, ordiyfnces or rules and regulations, or up ; y _ ange in the plans and specifications unauthorized by the ui]din In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the and spec 'one thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Fk►ri 111 building o n and zoning laws of Miami Shores Village and all rules and regulations of the building departm , • Shores Village. Dated - - -- te a3- ------------ - - - - -- 19_44./2_ ! ; 1175TE charge of $1.00 will be made for making corrections or changes to this application after approval has en obta ' from the Planning Bald. re -i ction fee of $ 1.00 will be made when such re- inspection 31e necessary by improper notice for inspection or faulty , aterials and/or workmam[p. / --//- REM:WM MIAMI SHORES VILLAGE €1:52Zn " PERMIT A N? 239 BUILDING INSPECTION DEPARTMENT PLUMBING /,g -/4" , 19 "Owner of Building__ fT 2/f I� 21, NAME t .r LESS LICENSE NO. Architect and /or Engineer__ • Contractor or Builder j Proposed Location S This permit is issued to____ AMOUNT /4 . NA I© OT - OCK SUS -•.. I SION v AYMENT ACCT. DEPT. ADDRESS ADDRESS To the building above described, as per application, Plans and5pecifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordion and compliance with the building laws of the State of Florida and with the building ordinances and zo 'ng laws of Miami Shores Village, and ra regulations of the building department of Miami S es Villag This permit may be revoke • .t ' e upon the :'olati• of any provisions laws, ordinances pules and regulations, or up an _.• nit{ the plans and specificatio ', . dorbuil, g i fir. • In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and ns and specifications thereof heretofore by me sumitted, and in compliance with all provisions of 1 building laws of State of Florida, all the building ordinances and zoning laws of Miami Shores Village and 11 rules and regulations of the bti)(ing dep of i Shores Vi e. ,o : f Dated /444 — al , 19 . {' (SEAL ) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has n obtained from the Planning Board. 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. /'iii• 4 • pany Job_ Address n Time Ready RE UEST FOR INS I n spection - Date Rea d MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ./4 la 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, Florid*. 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 wo i'tJ r Registered Architect and /or Eng' eer _ Employing Plumber's Name le." ^. '"' ""_^ -No 1 ) j Location and Legal Description Lot ! Owner's Name and Address 9 Block State work to be per ed and purpose of building (By Floors) Street and Number where work is to be performed —No. New Building_ Amount of Permit S materials and /or workmanship. /7: L Remodeling Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: CtEy —Well. Size of Soakage Pit. ss. My Commission Expires Addition (Signed) The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly appeared No 2 Date 2- Street Subdivision_ Street /I E Street Repairs No. of Stories / Notary Public. State of Florida Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors) on work to be performed under this permit, as are Master Plumber. ,+s�1 authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty rP erk /2 '3-,3i CLOSETS BATH Tuns SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOT UU AL �� FIX RR � CONTR. LIST 2 / / 2. / / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM •G POOL CONTR. LIST / CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ./4 la 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, Florid*. 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 wo i'tJ r Registered Architect and /or Eng' eer _ Employing Plumber's Name le." ^. '"' ""_^ -No 1 ) j Location and Legal Description Lot ! Owner's Name and Address 9 Block State work to be per ed and purpose of building (By Floors) Street and Number where work is to be performed —No. New Building_ Amount of Permit S materials and /or workmanship. /7: L Remodeling Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: CtEy —Well. Size of Soakage Pit. ss. My Commission Expires Addition (Signed) The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly appeared No 2 Date 2- Street Subdivision_ Street /I E Street Repairs No. of Stories / Notary Public. State of Florida Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors) on work to be performed under this permit, as are Master Plumber. ,+s�1 authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty rP erk /2 '3-,3i Work done Address of work Owner Temporary Servi R oup-,11 Ifk r % Final When real Received by Date AM Permit No. (>' ange or Heater Motors " • e 11 Af ,....i I I • C ,/ - , , ...: I ‘I 'r \ . \ L ,, / PM Permit No APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewit 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 Engine 4 1" No Street Employing Plumber's Name t' s'R'� Y Location and Legal Description Lot /_ ,f i Block__ Subdivision 2 _ • / .It Street and Number where work is to be performed— No. _ -_ ,-4" _______ _NS • Street ________________ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories }"'' Size Septic Tank YIP j Type of Tank Amount of Permit $ Nature of Water Supply: City—We/1'w' SS. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No 0" Street ?P Feet of Drain Tile 1 1° Dist. Feet of Tank or Drain Field from \TIMF Size of Soakage Pit. (Signed) r t t. e.� lumbing Inspacor. 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 u 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. (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. 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 0 materials and /or workmanship. 442 fr i%( g tits :1 Date Capacity __ /4 71414 Notary Public, State of Florida ----- ---------- - - - - -- aster Plumber. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK � --Y.-- CPC Q As Permit No APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewit 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 Engine 4 1" No Street Employing Plumber's Name t' s'R'� Y Location and Legal Description Lot /_ ,f i Block__ Subdivision 2 _ • / .It Street and Number where work is to be performed— No. _ -_ ,-4" _______ _NS • Street ________________ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories }"'' Size Septic Tank YIP j Type of Tank Amount of Permit $ Nature of Water Supply: City—We/1'w' SS. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No 0" Street ?P Feet of Drain Tile 1 1° Dist. Feet of Tank or Drain Field from \TIMF Size of Soakage Pit. (Signed) r t t. e.� lumbing Inspacor. 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 u 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. (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. 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 0 materials and /or workmanship. 442 fr i%( g tits :1 Date Capacity __ /4 71414 Notary Public, State of Florida ----- ---------- - - - - -- aster Plumber. I�� ---- [� - �^'~-- 3 " -6) ' -..:...=--' ______I----L-2-,...._,..„...__ y '-)' r b, - ~-- �v Drairlf57011-__ZI—LII— ----- Gas • Permit No. J 6 5 O 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date __12./9/53 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 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 __x.!_sr AK4$$ .ft _ -- _ -- ----- __ -_ -- - -- -__ - -- No. 9Z5 Street -__ ___Ita_E_..__9 .___tb. _S a RegisteredMeit /or Engineer -- ----- _-------- - - - -_- Employing MO= Name --_ iUrs t DI _lliDg & -.Ei IJIPDlef t No._____- .11429__ __ street ___.N.,.W..__4 Location and Legal Description Lot _ _-- - -.__- _ Block _.___ _.-- ____ -- - - -._ Subdivision - •- .__..._._- __ -• -. Street and Number where work is to be performed -No. — _ 92-5._1krL Street___. - -- -__- _9eth Stx`ttt., State work to be performed and purpose of building (By Floors) Drilling -2 " supply _ well ..- for pQ_Ql„ New Building __ _ _._ . Remodeling Addition__- Repairs No. of Stories Size Septic Tank Feet of Drain Tile ____ Nature of Water Supply: City -Well STATE OF FLORIDA, u. COUNTY OF DADE. _Type of Tank_ - Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $ - - • /- - - - - -- -- -- (Signed) plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understand E nd accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub contractors 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. Capacity Gals 1 ]�111>�mC Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .tppeare to me well known, and who, being by me first duly sworn, upon o a t h 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 tat 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 f„uI materials and /or workmanship. CLOSETS BATH Tues S SHOWERS LAVA- TORIES INK SINKS SLOP SINK* LAUNDRY Tuff URINAL6 CATCH BAf1N FLOOR DRAIN DRINKI NO FOUNT 'N5 TOTAL FIXTUR[1 CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FI[LC SOAKAGE PIT GREASE TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST CHECK Permit No. J 6 5 O 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date __12./9/53 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 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 __x.!_sr AK4$$ .ft _ -- _ -- ----- __ -_ -- - -- -__ - -- No. 9Z5 Street -__ ___Ita_E_..__9 .___tb. _S a RegisteredMeit /or Engineer -- ----- _-------- - - - -_- Employing MO= Name --_ iUrs t DI _lliDg & -.Ei IJIPDlef t No._____- .11429__ __ street ___.N.,.W..__4 Location and Legal Description Lot _ _-- - -.__- _ Block _.___ _.-- ____ -- - - -._ Subdivision - •- .__..._._- __ -• -. Street and Number where work is to be performed -No. — _ 92-5._1krL Street___. - -- -__- _9eth Stx`ttt., State work to be performed and purpose of building (By Floors) Drilling -2 " supply _ well ..- for pQ_Ql„ New Building __ _ _._ . Remodeling Addition__- Repairs No. of Stories Size Septic Tank Feet of Drain Tile ____ Nature of Water Supply: City -Well STATE OF FLORIDA, u. COUNTY OF DADE. _Type of Tank_ - Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $ - - • /- - - - - -- -- -- (Signed) plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understand E nd accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub contractors 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. Capacity Gals 1 ]�111>�mC Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .tppeare to me well known, and who, being by me first duly sworn, upon o a t h 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 tat 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 f„uI materials and /or workmanship. Permit No / ° New Building. Size Septic Tank_ v Type of Tank -.-_. Feet of Drain Tile_ Nature of Water Supply: City—Well Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Blo 4r - Remodeling___--- -_- - -_ ._ - Addition __.-_-Dist. Feet of Tank or Drain Field from Well. (Signed) 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 Registered Architect and /or Engi eer Employing Plumber's Name al �..�. 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)_ Subdivision Street_ Rape irs Size of Soakage Pit _- - .- •-- .__...____-- -_.___ �.. 2 (Signed) -Capacity Cals tor.. Plumbing Inss • 9 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an empl. . of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, a 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, • work to be perform A under his 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. M Commissio Expi1eS Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSRS BATH TUBE SHOWERS LAVA. TORIES SINK• SLOP SINKS LAUNDRY TUei 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'O POOL CONTR. LI ST CHICK �� g Permit No / ° New Building. Size Septic Tank_ v Type of Tank -.-_. Feet of Drain Tile_ Nature of Water Supply: City—Well Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Blo 4r - Remodeling___--- -_- - -_ ._ - Addition __.-_-Dist. Feet of Tank or Drain Field from Well. (Signed) 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 Registered Architect and /or Engi eer Employing Plumber's Name al �..�. 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)_ Subdivision Street_ Rape irs Size of Soakage Pit _- - .- •-- .__...____-- -_.___ �.. 2 (Signed) -Capacity Cals tor.. Plumbing Inss • 9 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an empl. . of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, a 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, • work to be perform A under his 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. M Commissio Expi1eS Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. Size ,1 Tipoic Tyie of T ; Net af: prein DLt. Peet of Tic 1k dais Flea - _ ;A Nature of Wstet : City— Well. of fleatege Pk _ xf BUILDING ELECTRICAL PLUMBING Legal Description Address of Building This pe 6 wner of Brding A ehi de) 'tect Contractor 1 or Builder( Lot MIAMI SHORES VILLAGE, FLORIDA DATE &e fi i✓ OZ. 194 Contractor's / License No. perfor nd r this Permit a Work to MIT N? 6018 bw Bl. er named a Subdi- vision is granted to the contractor p eation herefor in strict compliance with all ord ances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the res ' . , ' 'ty fo a thorough knowled e dinances and regulations pertaining to the work covered hereby whether shown on the plans pasi)awiq$ or in ' +°- • `eme or jpecifications an + + respon- sibility for work done by his agents, servants or employees. Signed ove to construct the building or to install the equi ment or device described in the appli- INS . In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with adinances and rr�� pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authori f Miami Shorl In accepting this permit I assume responsibility for all work done b eith ey myself, my agent,, ervant or employee. / ?4 co/ � A)19 BY _,/ By AUTHORITY Value of Amt. of Pro'ect . Permit immanart ;,' BUILDING p MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ j T Qi ) PLUMBING 1 PERMIT ? 9162 Contractor's ROOFING ❑ License No. Owner of Building Architect Contractor or Builder Legal Description Address of Building .rrsr s - Tt Om' Lot CONTRACTOR or BUILDER • Date ❑ Work to be performed under this Permit I d a#U ed 14., Subdi- vision Sq. Ft. Value of Amount if. 3 Project $ 11 Permit $ BY AUTHORITY 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 authorizes. This Permit may b/t at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorisation. A further condition epee permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowe of the o regulations pertaining to the work covered hereby wh shown on the plans awings or in the statements or speciffcadons sad " that he ass rnsa sibility for work done by his agents, servantIQr empl Signed - w "' .+? ' +. SPECTOR) BY In consideration of the issuance to me of this permit I agree a rform the work covered hereunder in compliance with all ordinances and regul pertaining thereto and in strict conformity with the plans, drawi nts or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work do either, m , my agylryervant or employee. I II �IIIIII IIIPIII�III MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. Name Address Company Phone # ( 3) 5) 9 / /' ' i O `9/ Inspection Date / c y a �S Approved ❑ Correction Re- Insp'n Fee ❑ j 4-( MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 `;• Bui)ding Inspection Request Date Type Insp'n T IaI P 1 Permit No. Name(( CJ Company Address Phone # Inspection Date Approved Correction Re- Insp'n Fee Mama of Permit 0 • 10 . fee of SLOP " "" t i re- in i me, the wdersigaed- authority, a notary public, duly authorised to administer oaths a