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940 NE 99 St (3)Sim tore of and/or( C Sign ure of owner and/or Condo President fi tSI I ' N tary as to O s er tS y Commission Expires: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date el 'al- 9 1p Job Address q40 N . qq T'�'�' - Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant . i 1 i Y m n - 1 -1 " - OitrMaster Permit # 1 1/ gi l 8 Owner's Address q40 NE qq Contracting Co. 4 I 0 m i rnbi nq �rfG Address qw N w 1-'+ . 1 i e 1' Qualifier j cr r 1`-/ G Lt �j I i n SS# Phone (O 1 ALP State # CFC01 qa (Y ' Municipal # (FCC), q5 Competency # {= CD(C1;20-5 Ins. Co. j rvC mil- 2 i` Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION r' \r f(,iter Square Ft. Estimated Cost (value) 7 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. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Date t y c 8. or o Pre. ' ent Date 44 Gloria E SuvUlage .k *My Commission CC661145 %.7 80, Expires August 16.2001 FEES: PERMIT ` . RADON APPROVED: Zoning Building Mechanical Plumbing C.C.F. G v NOTARY Phone C ) r51 5:1 15 Signature of Contractor or Owner- Builder otary as to C tractg or firer- Brlilder y Commission Expires: iirt,t% Gloria E Suviva0e * *My commission CC661145 %Rl+, Expires August 16, 2001 Date BOND TOTAL DUF. 3.: '6� ITEM UNIT BATH H TLB FEE I TER SNITCH CUTLETS UNIT FEE ITc31 SPAS HEATERS umIT F E 3IOET LIGHT CUTLERS I CENTRAL HEATING BISnwAS11ER 1 RECEPTACLE 1 A/C MN)) DISPOSAL I L SERVICE GARY ! it (CENTRAL) CR I HK 1 NG FOUNTAIN SERVICE SIZE IN ASPS I GCCr WORK FL OCR DRAIN ! ! SERVICE :ReMRiEic.R CHANGE 1 REFRIGERATION LEAS TRAP 1 APPLIANCE CURES 1 ! PROCESS ANO PRESS PIPING I NTcR"TCR I RANGE TOP 1 UNGEROROUN3 TANKS L&vArCRY OVEN ABOVE 6RO840 TANKS LAUNDRY TRAY ! 1 WATER HEATER U.F. PRESSLRE VESS`S CLOTHES 71ASnER I 1 i CRS 0- 1 HP STEAM BOILERS SHOWER 1 ! .SOTCRS OVER 1- 3 HP HOT WATER ;OILERS SINK. POT/3 CAL . 1 1 t�TCRS OVER 3- s + MECHANICAL i VE{T I LAT ION SINK. RES I OEL I 1 4OTCRS OVER S- 3 HP TRANS?CIT ING ASSEMBLIES SINK. SLOP ! I MOTORS OVER 3- 10 HP E ►"VA t' ?a ' TORS Z :F RY ?LITER CLrt.SE T 1 MOTORS OVER 10- 25 HP FIRE SPRINKLER STS TBIS L.AINAL 1 MOTORS OVER 25400 HP 1 COOLING TUISS VIOLATION WATER CLOD f 1 5OTCRS OVER i00 HP INDIRECT WASTES 1 I A/C XINCO}I REINS?ELTION IA TER Sut✓PLY 70: ,',/9kf..- 1 1 AIR CONDITIMERS • A/C UNIT I ! STRIP HEATER FIRE SPRINKLER 1 • 1 GENERATORS TRAX7CRYSS 1 1 HEAT ER-HEW Imo • i • I GENERATORS TR. N S . , (AN APPLICATION FOR BUILDING PER =T ;!'UST 3CCOM 1N': THIS A DETDL'hf. Ic A MASTER ?Eau: RS 3E= OBTAINED, THE OWNER'S NOTARIZED SZSUT RE Y c.:. D NOT BE PRESENT ON SUBSEQUENT a.P°LicATrcNS. ) LAWN SPRINKLER-WELL SEW I W ING POOL • NAiER SERVICE SEKR CONNECTIONS UTILITf -s UT ILITY-WA TER Sc TIC TANK RELAY GRAINFIELD, 4 TILE/RES. PUMP ; ABA ON SiPT1C TA/1 SCLiXAGE-• PIT CU. FT. CATCH 3ASIN OISCJARGE WELL DOMESTIC 'NE„L L AREA CtAIN RCCF INLET SOLAR WATER HEATER P E STANY IF PCL ?1P „G LAWN :PRIMER S:STE4 GAS t_ GAS ?'p'j PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION elERArrRS TIsleTRIERS SPEC 1AL PI.RPOSc” CUTLETS CURL SIGN MES SIGN TRAtaORLERS SIG T11E CLOCK F IXTI.RES ANTENNA TELEVISION CUTLETS VIOLATION REIN PECTICH ELECTRICAL MECHANICAL JOB: b * AD: BUILDING ELECTRICAL PLUMBING 4.• • -w The following is ready for Inspection: Inspector's Report: - WORK DONE BY REQUE5' ED • • • • • • • • • • * WILL BE.READY JOB: 4 BUILDING ELECTRICAL. PLUMBING p • nspector's Report: - AD: • WORK DONE BY • • • • • • • REQUESTED The following is ready for Inspection: JOB BUILDING ELECTRICAL PLUMEING • • • • Inspector's Report: - • REQUESTED • AD : - - � 1 � - ll/ 6 WORK DONE BY /( r The following is ready for Inspection: • • • • • • • • WILL BE READY Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ___t' UJ it.____ 0 q No c 24-Q Street Registered Architect and /or Engineer Employing Plumber's Name ____ _SQ.1_ar___>Latfl_____h@a tf:r__ Location and Legal Description Lot 6 -7 Block Street and Number where work is to be performed —No 74_ State work to be performed and purpose of building (By Floors) New Building_____ Remodeling Addition Date--- DEC_ No _31.0 Street__LL__2a_th_ %� t .tr S"o rF c $.o Subdivision l ('%' F;__�__ Q Street ----- -- 1 I 4- '_ 9 G t-- Repairs No. of Stories Nature of Water Supply: City —Well ss. My Commission Expires Capacity Gals.82 a1.a .l2__re.g.. Size Septic Tank Type of Tank _ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $_ 2 .QQ ____ (Signed) _____ SO_LAR L:ILT.La ___ --- �:Q- r---- - - - - -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on / work to be performed under this permit, as are licensed by Miami Shores Village. 1% (Signed) Master Plumter. 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK CONTR. LIST SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CHECK • x Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ___t' UJ it.____ 0 q No c 24-Q Street Registered Architect and /or Engineer Employing Plumber's Name ____ _SQ.1_ar___>Latfl_____h@a tf:r__ Location and Legal Description Lot 6 -7 Block Street and Number where work is to be performed —No 74_ State work to be performed and purpose of building (By Floors) New Building_____ Remodeling Addition Date--- DEC_ No _31.0 Street__LL__2a_th_ %� t .tr S"o rF c $.o Subdivision l ('%' F;__�__ Q Street ----- -- 1 I 4- '_ 9 G t-- Repairs No. of Stories Nature of Water Supply: City —Well ss. My Commission Expires Capacity Gals.82 a1.a .l2__re.g.. Size Septic Tank Type of Tank _ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $_ 2 .QQ ____ (Signed) _____ SO_LAR L:ILT.La ___ --- �:Q- r---- - - - - -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on / work to be performed under this permit, as are licensed by Miami Shores Village. 1% (Signed) Master Plumter. 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. 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. Permit No....___.-Nrn--/aak--1. Nature of Water Supply: City —Well STATE OF FLORIDA, COUNTY OF DADE. * M IAM I SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __....L.L_ -' _ Registered Architect and /or Engineer____ t Employing Plumber's Name ____ 4 _ 7 ._ _ _ _ � f,___.,,_?._`� _�: No ,,A_ _ _ _ Street ".° Block id Subdivision___' _____ __= ,_ ss. Location and Legal Description Lot___(y _ Street and Number where work is to be performed —Nowt State work to be performed and purpose of building (By Floors) New Building �'` .. Remodeling Addition Repairs Size Septic Tank Type of Tank _ Capacity Gals. ______________________ Feet of Drain Tile_____ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. f - l V. Amount of Permit $ -- ,---4- -(--- =' (Signed) — - -- — -- — - -- — —� — --> -= — --- - - - -- P Yuml?ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on rk to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires (Signed) No. __ _2c__ ' Street__. // Street Date Notary Public. State of Florida • No. of Stories 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 satne, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST Q� fs / / �7 .L� / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No....___.-Nrn--/aak--1. Nature of Water Supply: City —Well STATE OF FLORIDA, COUNTY OF DADE. * M IAM I SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __....L.L_ -' _ Registered Architect and /or Engineer____ t Employing Plumber's Name ____ 4 _ 7 ._ _ _ _ � f,___.,,_?._`� _�: No ,,A_ _ _ _ Street ".° Block id Subdivision___' _____ __= ,_ ss. Location and Legal Description Lot___(y _ Street and Number where work is to be performed —Nowt State work to be performed and purpose of building (By Floors) New Building �'` .. Remodeling Addition Repairs Size Septic Tank Type of Tank _ Capacity Gals. ______________________ Feet of Drain Tile_____ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit. f - l V. Amount of Permit $ -- ,---4- -(--- =' (Signed) — - -- — -- — - -- — —� — --> -= — --- - - - -- P Yuml?ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on rk to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires (Signed) No. __ _2c__ ' Street__. // Street Date Notary Public. State of Florida • No. of Stories 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 satne, 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. Amount of Permit $____ Nature of Water Supply: City —Well MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Permit No Date t 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 4.< No Street Registered Architect and /or Engineer Employing Plumber's Name _( . No. Street Location and Legal Description Lot____6 Block_ /0 Subdivision Cl Street and Number where work is to be performed —No. It( C 4 - _ c__�1'�I ' Street PLUMBING INSPECTION DEPARTMENT State work to be perform purpose of building (By Floors) New Building — Remodeling Addition Repairs No. of Stories___. ________ Size Septic Tank_ Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Y __(Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on }vprk to be performed under this permit, as are licensed by Miami Shores Village. / / ; j , (Signed) + ,1 j'ep �" n(.-� y�Jl "yr� Master Plumber. STATE OF FLORIDA, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSET $ BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST / 2 / / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWtM'G POOL CONTR. LIST , CHECK Amount of Permit $____ Nature of Water Supply: City —Well MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Permit No Date t 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 4.< No Street Registered Architect and /or Engineer Employing Plumber's Name _( . No. Street Location and Legal Description Lot____6 Block_ /0 Subdivision Cl Street and Number where work is to be performed —No. It( C 4 - _ c__�1'�I ' Street PLUMBING INSPECTION DEPARTMENT State work to be perform purpose of building (By Floors) New Building — Remodeling Addition Repairs No. of Stories___. ________ Size Septic Tank_ Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Y __(Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on }vprk to be performed under this permit, as are licensed by Miami Shores Village. / / ; j , (Signed) + ,1 j'ep �" n(.-� y�Jl "yr� Master Plumber. STATE OF FLORIDA, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. - t BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE r•� ' 1 94 Contractor's �,.r/ r/ License No. PERMIT N° 1568 \ Work to be performed under this Permit ' t Architect Contractor or Builder Legal Lot 131. Description . 7 E Address of f'' f . 4►.. Value of Amt. of Building . (.; " i.-• 9r fi' Project Permit i •J This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on tlt)!~ptans or drawings or in t statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed- f, f. • By INSPECTOR T In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village, In acc5ptigg- is permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER ,t _ J Subdi- vision BY AUTHORITY BUILDING ELECTRICAL • PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 1695 Work to be performed under this Permit DATE Contractor's License No. 19 4 — Architect Contractor or.St:iteler s Legal Lot Bl. Subdi- Description vision Value of Amt. of Building Address of , Project Permit This perm t is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • k. By INSPECTOR INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statement ;aor specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work don y either myself, my agent, servant or employee. ,4, I 6 <- , CONTRACTOR OR BUILDER BY AUTHORITY t ,,.� APPLICATION FOR PLUMBING PERMIT Permit Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ____P_a_u1 ThOm&s No 740 Street Ng_ Registered Architect and /or Engineer Employing Plumber's Nanie Location and Legal Description Lot 6-7 Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Amount of Permit $__ 2.. 00 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 to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT __Co.____ - - - -- No 310 Street__NYY - - _5th sty v 1i Block /1 ao Subdivision 3 bores qaav H 9 Street lik• 9.9fe _.. St In >� tl�ll solar 6 jr_mtem_ _ -- (Signed) New Building Remodeling Addition Repairs No. of Stories. Size Septic Tank Type of Tank Capacity Gals82___gal._____12___reg.. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. (Signed) OU.R• -- WATER - -- HEATER - -CO -. 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, o k to be performed under this permit, as are Master Plumber. authorized to administer oaths and take acknowledgments, personally deposes and says that he is the foregoing application, and that he did sign the same, and that all facts 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. Notary Public, State of Florida CLO$6T$ 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 t ,,.� APPLICATION FOR PLUMBING PERMIT Permit Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ____P_a_u1 ThOm&s No 740 Street Ng_ Registered Architect and /or Engineer Employing Plumber's Nanie Location and Legal Description Lot 6-7 Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Amount of Permit $__ 2.. 00 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 to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT __Co.____ - - - -- No 310 Street__NYY - - _5th sty v 1i Block /1 ao Subdivision 3 bores qaav H 9 Street lik• 9.9fe _.. St In >� tl�ll solar 6 jr_mtem_ _ -- (Signed) New Building Remodeling Addition Repairs No. of Stories. Size Septic Tank Type of Tank Capacity Gals82___gal._____12___reg.. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. (Signed) OU.R• -- WATER - -- HEATER - -CO -. 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, o k to be performed under this permit, as are Master Plumber. authorized to administer oaths and take acknowledgments, personally deposes and says that he is the foregoing application, and that he did sign the same, and that all facts 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. Notary Public, State of Florida