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PLUMBINGPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address 999 NE 99 STREET Legal Description g' 1 / /07,1 /ew Master Permit # 34!.,W Owner / Lessee / Tenant ROBINSON Owner's Address Contracting Co. NORTH DADE SEPTIC TANK State# 00- 0258368 Competency# Architect /Engineer Bonding Company Mortgagor WORK DESCRIPTION Square Ft. 200 SQ FT 'ERMIT FEE: pop al dotard- to Ow -;y Commission * APPROVED: 999 NE 99 STREET phone 754 -8748 Address Qualifier DENNIS NEVILLE SS# 12842 liti(Y Address Address Address INSTALL 200 SQUARE FEET DRAINFIELD Signat4e of Owner and /or Condo President Signa Date: Date: /or Condo President ROUST POIlIC1 nTATI OP FLORIDA AT LARGE res :a, oowryioe witokoss 19,1 �6onom TWf ru b tw8IAT & Acs 800 NW 111 STREET, MIAMI 33168 Zoning Building Mechanical Tax Folio /L .40 W f 4 . 2 7j l phone 754 -3375 Ins. Co. MARYLAND CASUALTY Permit Type (circle one): BUILDING ELECTRICAL ( PLUMBING ) MECHANICAL PAVING FENCE SIGN Estimated Cost $1650.00 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. 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. Furthe;;•re authorize the above -named contractor to do tha-work s f' Cont rtctor or Owner- Builder .=-2. No ary as to/� ntx 'cto�eT�� OOwml:rs-B lder My CommissiO pires: /ST ro M A � ARE DUNE 1 9 A AT LARGE �l0110ED TNR1! MUC[LE ttr & ASSOCIATE Fire Other Electrical gineering BUILDING ELECTRICAL PLUMBING ROOFING „ Owner of Building Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE ./ - C-) 19 o PERMIT N9 6349 Contractor's License No. 1 • r Y Lot . i CONTRACTOR OR BUILDER C 1 'f t Bl Work to be performed under this Permit attic ..- ...I •: -.. • Subdi- vision Value of Project $ BY AUTHORITY r . 1 1 1 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Amount of ,7, ,� Permit $ Signed. f .. —b - y .., t' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. ABOOT Permit No if-S Owner's Name and Address Registered Architect and/or Employing Plumber's N ce) - C Amount of Permit $ My Commission Expires 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. Location and Legal Description Ld Block- Subdivision _ Street and Number where work is to be performed—No q.A.ot__ /VI - Street q 9 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 Feet of Drain Ti1e.A- Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well.__ _ — Size of Soakage Pit ( Signed)_ 2-Ge/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 Worlanen'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-contractor , o work to be performed unde this permit, as are licensed by Miami Shores Village. (Signed) qq Date "---‘ ' Street ' 3 3 4 VI/street_ 5 - Notary Public, State of Florida .4_ Capacity Gals. STATE OF FLORIDA, I es. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made.necessary by improper notice for inspection, or faulty materials and/or workmanship. CL"E" BATH TUBS SHOWERS LAVA- TORIES SIN SLOP SINKS LAUNDRY Tugs URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. L IST CHECK - •—■•••—••••■■ SEPTIC TANK SEWER Conn. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I M•G POOL. Cowie. LIST CHICK Permit No if-S Owner's Name and Address Registered Architect and/or Employing Plumber's N ce) - C Amount of Permit $ My Commission Expires 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. Location and Legal Description Ld Block- Subdivision _ Street and Number where work is to be performed—No q.A.ot__ /VI - Street q 9 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 Feet of Drain Ti1e.A- Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well.__ _ — Size of Soakage Pit ( Signed)_ 2-Ge/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 Worlanen'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-contractor , o work to be performed unde this permit, as are licensed by Miami Shores Village. (Signed) qq Date "---‘ ' Street ' 3 3 4 VI/street_ 5 - Notary Public, State of Florida .4_ Capacity Gals. STATE OF FLORIDA, I es. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made.necessary by improper notice for inspection, or faulty materials and/or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect ,— Contractoll or Builder e/ • ` " " .11, — ''! Legal Lot Description Address of Building ' 400 CONTRACTOR OR BUILDE MIAMI SHORES VILLAGE, FLORIDA 7 DATE 7 194.) PERMIT N? 4618 Work to be perform Bl. under this Permit Signe Subdi- vision Value of Project Contractor's License No. Amt. of Permit By This permit is granted to the contractor or builder named above to construct the building or to install the equipment or dice 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, sfatements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at'kany time if the work is not done in compliance with such ordinances or if the plans are changed . 'thout authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the re o a sibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the .plans Dwi s or in tateme qr spe ' ications . t . t s respon- sibility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinan pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoOties of M ' hies In accepting this permit I assume responsibility for all work don bye r myself, my age. , servant or em loyee. d regulations ge. DING LCTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA DATE 194; Contractor's License No PERMIT N° 2071 Work to be performed under this Permit 131. - Subdi- vision Value of Project Amt. of . Permit •, This permit is granted to the contractor or builder named above to construct the building or to install the equipment br 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 toe responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings 'or ina...tiadhewcar,00Au. specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • r 'By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- -ions pertaining thereto and in strict conformity with the plans, drawings, statements or' specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL : PLUMBING Inspector's Report: The following is ready for Inspection: • • AD: : WORK : DONE BY: : REQUESTED • • • • ONO WILL BE READY Permit No. ._l. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subrfiitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer .. 1 Employing Plumber's Name Location and Legal Description Lot — ____. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 7/ Amount of Permit $_ 7 STATE OF FLORIDA, t COUNTY OF DADE. i ss. No Street_ – ------------ - - - - - - – – e e. ` ; ` Street Subdivision--- - - - -- – – – -- – – – 1 1 7 9 I - met Block _(Signed) (Signed) Size Septic Tank_ –___ _ILO Type of Tank . Capacity Gals Feet of Drain Tile_____/_CLC __ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Date My Commission Expires Notary Public. State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK ' Permit No. ._l. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subrfiitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer .. 1 Employing Plumber's Name Location and Legal Description Lot — ____. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 7/ Amount of Permit $_ 7 STATE OF FLORIDA, t COUNTY OF DADE. i ss. No Street_ – ------------ - - - - - - – – e e. ` ; ` Street Subdivision--- - - - -- – – – -- – – – 1 1 7 9 I - met Block _(Signed) (Signed) Size Septic Tank_ –___ _ILO Type of Tank . Capacity Gals Feet of Drain Tile_____/_CLC __ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Date My Commission Expires Notary Public. State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an 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. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. t L . Permit No......2 o Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subrftitted 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. 3 ,0 /5, Ceti Owner's Name and Address Registered Architect and /or Engineer f l Employing Plumber's Name — _{,.111.4,dy4'___ 7/ Y MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $_ —_ Signed) _— Date (Signed) t- Street My Commission Expires Notary Public. State of Florida r Street___ Location and Legal Description Lot___________ _____Block _ Subdivision__ _______________________________ Street and Number where work is to be performed —No 1 " ___ ‘ _ _ __ __ trlet _ State work to be performed and purpose of building (By Floors New Building Remodeling Addition Repairs No. of Stories Size Septic Tank___ . _ff_ -O Type of Tank . Capacity Gals._________________ Feet of Drain Tile____ ��_y —___ 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 un •.. ands 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. 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK t L . Permit No......2 o Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subrftitted 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. 3 ,0 /5, Ceti Owner's Name and Address Registered Architect and /or Engineer f l Employing Plumber's Name — _{,.111.4,dy4'___ 7/ Y MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $_ —_ Signed) _— Date (Signed) t- Street My Commission Expires Notary Public. State of Florida r Street___ Location and Legal Description Lot___________ _____Block _ Subdivision__ _______________________________ Street and Number where work is to be performed —No 1 " ___ ‘ _ _ __ __ trlet _ State work to be performed and purpose of building (By Floors New Building Remodeling Addition Repairs No. of Stories Size Septic Tank___ . _ff_ -O Type of Tank . Capacity Gals._________________ Feet of Drain Tile____ ��_y —___ 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 un •.. ands 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. 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. 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.