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PLUMBING PERMITMIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT LL Permit No J4 � l O Dste..._.. - ! / 2i1 V 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. p Owner's Name and Address MR` LAM Aa IN G n AM No Registered Architect and /or Ery eer by Al rw+ In O l e ee . .p7/ C l ^alt ' wit. • £gtployin Pl , �c p7i C 7 air{- E'> ►�..� Na ..�. e. � .. itrNt._. ..... V.. • -- `/ Yoi�t� and gal � oq /Lot i( C sicA /D Subdivision .a_&/ /k Street and Number where work is to be performed —No ) 2 y h1 Street..._.._ 0..!_. S State w o r k to be performed and purpose of building (By Floors) _ —._ .. .L i _.__l1Lt i N l � ° _ _ .0.0 Srig D C New Building. _ __------ ...... -.._.. Remodeling— ___.__. - -__ - -- Addition.. ____ ..__ Repairs Amount of Perms $ 122_ Street_ Ai } � s7. d o Permit ( si )v,.YSC'0 (Si My Commission Expires Notary Public, Stets of Florida No. of Stories ............ Size Septic Tank— Type of Tank--_.- 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 5988, Compiled General Laws of Florida Permanent Supplement, and ligq com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort- to be performed under this permit; and will post or cause to be posted' for inspection on the site of the w. su. public notice or notices as are required by the Act. The undersigned agrees to employ only such sub -contr • � work to • . . - . er this permit, as are licensed by Miami Shores Village. Master Plumber. - STATE OF FLORIDA, µ 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 whoa wok min pandas is made by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH Twills SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY Tuv• URINALS CATCH BASIN FLOOR DRAIN DRINK NO FOUNT 'NO TOTAL FIXTURES CONTR. LIST __ CHICK SEPTIC TANK SEWER CONN. DRAIN PIEL0 SOAKAGE PIT 0 TRAP SOLAR HEATER DEEP WELL SPRKLR. S N SW IN•0 POOL CONTR. LIFT CHECK ,-- 11 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT LL Permit No J4 � l O Dste..._.. - ! / 2i1 V 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. p Owner's Name and Address MR` LAM Aa IN G n AM No Registered Architect and /or Ery eer by Al rw+ In O l e ee . .p7/ C l ^alt ' wit. • £gtployin Pl , �c p7i C 7 air{- E'> ►�..� Na ..�. e. � .. itrNt._. ..... V.. • -- `/ Yoi�t� and gal � oq /Lot i( C sicA /D Subdivision .a_&/ /k Street and Number where work is to be performed —No ) 2 y h1 Street..._.._ 0..!_. S State w o r k to be performed and purpose of building (By Floors) _ —._ .. .L i _.__l1Lt i N l � ° _ _ .0.0 Srig D C New Building. _ __------ ...... -.._.. Remodeling— ___.__. - -__ - -- Addition.. ____ ..__ Repairs Amount of Perms $ 122_ Street_ Ai } � s7. d o Permit ( si )v,.YSC'0 (Si My Commission Expires Notary Public, Stets of Florida No. of Stories ............ Size Septic Tank— Type of Tank--_.- 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 5988, Compiled General Laws of Florida Permanent Supplement, and ligq com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort- to be performed under this permit; and will post or cause to be posted' for inspection on the site of the w. su. public notice or notices as are required by the Act. The undersigned agrees to employ only such sub -contr • � work to • . . - . er this permit, as are licensed by Miami Shores Village. Master Plumber. - STATE OF FLORIDA, µ 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 whoa wok min pandas is made by improper notice for inspection, or faulty materials and /or workmanship. STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Applicant LA -m6 N r �h r`spt. 75 ff — 0 8" 3 1 /a a- �V. E .1447N-sr �� PART II - SYSTEM INSTALLATION'INSPECTION AND FINAL INSL�roN APPROVAL--------- -- - - -- Installer AA psdAteey-- Tank Manufacturer Propertank legend: Yes Tanks watertight: Yes h/ k No Proper tank outlet device: Y Drainfield Trench Absorption Bed Length Width dth Length a' feet x 7C feet = ISM f t th �L 2 670 feet feet feet feet Length G29 , � feetx feet= 3 � t 2 feet ✓ feet feet feet Proper No. drainlines: Yes No feet f feet feet feet Proper pipe separation: Yes No 3 Total = ft Total ft Distribution box level: Yes o Systems located as permitted: Yes ✓ No /f7 S ,L / Y8. 7i = 306• Systems including plumbing stub -outs installed at proper elevation: Yes l�o Average depth to drainpipe invert from finished grade: c1 a- inches Maximum depth 29 Inches Average depth of drainfield gravel: 1 inches Minimum depth of gravel / inches Proper gravel size: Yes ✓ No Gravel is suitable quality: Yes Backfill or fill material as required: (Quality) Yes No (Quantity) Yes ✓No Other findings Inspected by: Date Rel No Tank material Con (r?. �-� Tank level: Yes Approved by: Tank size .5.2- Date PART III F I S CATION APPROVAL COUNTY B LIC HEALTH UNIT gallons Manhole or marker to grade: /1/A- AN APPROVED INSTALLATION DOES NOT GUARANTEE PERFORMANCE gallons ons Yes No No Note: Completed copies of this form will be provided to the applicant, installer and the building department. 'S —H Form 4016, Feb 85 (Obsoletes previous editions which may not be used) Number. 5744.002- 4016 -0) Page 2 of 2 Permit No. . -__' .L ---{ - -.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 Divisior 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 '" S I L 5 " 644.4 No 1 2 Street 1' E ' I A I 5 T Registered Architect and /or Engineer_.__. -- Employing Plumber's Name _ - 1 4 A . A A L- s.�t i bo is L t; s Yr'� �+� I1 L_ W • � I' Mf - _ -. __._ No. _ •- ° --- -__ -__ Street____: _ Subdivision Street and Number where work is to be performed- No.._i' ei'_ _ .__ _ _ _ street N • C . i ®f � S State work to be performed and purpose of building (By Floors).. t� WELL egian2 i✓ 8 ys - rati+ Location and Legal Description Lot-_ New Building Remodeling ___________________________ Addition Size Septic Tank Type of Tank_ 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 $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ Block ...______ Repairs. No. of Stories Capacity Cals. (Signed). Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understandffi'and 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 ha; a ,- 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. (Signed). Date 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 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 fac therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS AVA• TORIES SINKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS TOTAL FIXTURID CONTR. LIST CHECK _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL Lunt- CONTR. L1ST 00 i " CHECK VI ' / V / i1 Permit No. . -__' .L ---{ - -.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 Divisior 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 '" S I L 5 " 644.4 No 1 2 Street 1' E ' I A I 5 T Registered Architect and /or Engineer_.__. -- Employing Plumber's Name _ - 1 4 A . A A L- s.�t i bo is L t; s Yr'� �+� I1 L_ W • � I' Mf - _ -. __._ No. _ •- ° --- -__ -__ Street____: _ Subdivision Street and Number where work is to be performed- No.._i' ei'_ _ .__ _ _ _ street N • C . i ®f � S State work to be performed and purpose of building (By Floors).. t� WELL egian2 i✓ 8 ys - rati+ Location and Legal Description Lot-_ New Building Remodeling ___________________________ Addition Size Septic Tank Type of Tank_ 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 $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ Block ...______ Repairs. No. of Stories Capacity Cals. (Signed). Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understandffi'and 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 ha; a ,- 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. (Signed). Date 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 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 fac therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. BUILDING ❑ ELECTRICAL PERMIT N? 12644 PLUMBING I ,, ROOFING Architect Contractor or Builder Legal Description Address of Building Lot Owner of . a Building - n Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BI. Subdi- vision Value of Project $ DATE • Contractor's License No Amt. of Permit $ SY AUTHORITY 195 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 the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Q f / PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date U 3 V / Job Address . /t/ E /V /Sf Tax Folio 1 1 . 3 a o l0 • 01,3 ' Q010 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant D 0 k I I' a Master Permit # q (2 3 j Owner's Address 1* n b 10 I S-1- Contractin Co. AA I O cS ? /Wnh /( Qualifier - t)) 5 /t&W liJ//'7 State # eFea / 9a Architect/Engineer Bonding Company Mortgagor Municipal # Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION remove. and OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and construction and zoning. Furthermore, I authorize the above -named contractor t Signature of owner and/or Condo Pr 5 't r�omm Date COMM 2071 0. CC771993 M}' COMMI SS7OOTXP. AUGUST 1, 2002 FEES: PERMIT RADON 0 C.C.F. 7 te/ Phone(C5) O 86 CD Address "l W / V . W • /4"ST Competency # Address Address 1 1 - ss APPROVED: Zoning Building Mechanical Plumbing Ins. Co:Zen " /Dill C fail 60lar is 00&>zfj i,uirk. Square Ft. Estimated Cost (value) / `J qD - 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. f Co actor or Owner- Builder do the wor tated. 4 ate ,.,,z,. 3 /37d/ Notary as to Contrac ' e a My Coi l dP` *lIL7CSTATE OF FLOQ D11 COMMI S.S709NO. CC771993 My AUGUST 31, 2002 NOTARY " BOND Signature ork will be done in compliance with all applicable laws regulating Electrical TOTAL DUE Structural Engineer ITEM BATH TLS UNIT • FEE ITEM SWITCH CURETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT CURETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN ALPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTEROPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK. SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS . URINAL MOTCRS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SPRY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMIERS ' HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION CURETS DRAINFIELO, 4' TILE/RES. VIOLATION PUMP 5 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA CRAIN ROOF INLET SOLAR WATER - .%,%' %' ,% , , - FIRE STANDPIPE .r r E r E:` �MI e1 ,,, i tl iP P _ POOL PIPING '.i t• : r LIIMP.r LAWN SPRINKLER SYSTEM • GAS RANGE METER SET (GAS) GAS PIPING • 0 • __ (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE / Job Address X22 /(]E /0 / ST Tax Folio Legal Description Historically Designated: Yes No C Owner/Lessee / Tenant 00 04.4S kL / tW& . Master Permit # 1 L ,S 9 Owner's Address / 2 Z x, /P) / ..S 7 Contracting Co. _44135 / i9)7 /3/.liC Qualifier SS# - - Phone ,' 3 -- 7 State # Municipal # Competency # Ins. Co. Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION r _ ��� �/- " — �" r �� ~ ^ 6 O Square Ft. Estimated Cost (value). 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. ` ©/ Signa owner and/or Condo ' rident te r� �_ A' �a� /Sr ?5 % - No : as o Owner an. or Condo President M ommission Expires: RADON APPROVED: Zoning Building Mechanical Plumbing Date Address Address C.C.F. >' NOTARY l BOND Phon(30 j) 7 , R — .>7 d _S Z� '4 S 4- .E / Notary y4o Cdntractor or Owner- Builder My Commission Expires: Electrical Structural Engineer �f Z -z o•o ignature of Con J a¢ctor or Owner -Bl it, Uil ate v 4 _zo. 0 / Date TOTAL DUE IAINAI MOTORS OVER 25-100 HP EATER CLOSET COOLING TOWERS MOTORS OVER 100 HP VIOLATION NDIRECT WASTES A/C WINDOW VIOLATION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW IN ST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE - SIGN TUBES • :WER CONNECTIONS SIGN TRANSFORMERS 'ILITY -SEWER SIGN TIME CLOCK 'ILITY -WATER FIXTLRES EPTIC TANK ANTENNA LAY TELEVISION OUTLETS AINFIELO, 4" TILE/RES. VIOLATION UMP & ABANDON SEPTIC TANK REINSPECTION AWE PIT CU.' FT. TCH BASIN \ SCHARGE WELL MESTIC WELL EA DRAIN OOF INLET .AR WATER HEATER RE STANDPIPE QIL PIPING WN SPRINKLER SYSTEM AS RANGE TER SET (GAS) A ' PIPING S RE OR P_ SO CA DI DO AR R_ SO Fl P_ LA G_ VE 3 • PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (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.) ELECTRICAL MECHANICAL ITEM U UNIT F FEE I ITEM U UNIT . .FEE I ITEM U UNIT F FEE BIDET L LIGHT OUTLETS C CENTRAL HEATING DISHWASHER • R RECEPTACLES A A/C (WIND) DISPOSAL S SERVICE TEMPORARY A A/C (CENTRAL) DRINKING FOUNTAIN S SERVICE SIZE IN AMPS D DUCT WORK FLOOR DRAIN S SERVICE REPAIR/METER CHANGE R REFRIGERATION GREASE TRAP A APPLIANCE OUTLETS P PROCESS AND PRESS PIPING INTERCEPTOR R RANGE TCP U UNDERGROUND TANKS .AVATORY O OVEN A ABOVE GROUND TANKS .AUNDRY TRAY W WATER HEATER U U.F. PRESSURE VESSELS :LOTHES WASHER M MOTORS 0- 1 HP S STEAM BOILERS ;EWER M MOTORS OVER 1- 3 HP H HOT WATER BOILERS ;INK, POT /3 COMP. M MOTORS OVER 3- 5 HP M MECHANICAL VENTILATION ;INK, RESIDENCE M MOTORS OVER 5- 8 HP T TRANSPORTING ASSEMBLIES ;INK, SLOP M MOTORS OVER 8- 10 HP E ELEVATORS/ESCALATORS WATER CLOSET M MOTORS OVER 10- 25 HP F FIRE SPRINKLER SYSTEMS S RE OR P_ SO CA DI DO AR R_ SO Fl P_ LA G_ VE 3 • PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (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.) ELECTRICAL MECHANICAL Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address /7 /l)/ S T Tax Folio Legal Description Historically Designated: Yes No Owner ee / Tenant Ai A /4 G-, - E ,P Owner's Address /2? ,(,' Signature of owner and/or Cond. resident Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT 40 00 RADON Mechanical Plumbing APPROVED: Buildin Zoning g g 6A1- Do Master Permit # y L ? 7 fi e joer 543 - 74.02 Phone or /e- 9/7-576 Contracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Address Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /e/P 1/7 (/ I?/f /3 /.0 �7/f577 Z31 "Pt, z Square Ft 60 / Estimated Cost (value) •/, 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 authorize the above -named contractor to do the work stated. Signature of Contractor or Owner -Bui y / N ary as to Contractor or Owner - Builder Date My Co ED , OFF�f�yO ��Y � ^SA A 1( AAONTIEL colMigsiplktgitreOf CC401261 �� g? MY COMMISSION .EXP. OF F\. AU G1, 17 1998 Date C.C.F. ' 64 NOTARY S m c BOND Electrical TOTAL DUE 45. Engineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address /,22 QE.. /2/ ( S` T` Legal Description 16%/,r / /jI /Z /i ,/s - 6T/Afgeter Permit # _10 / Lessee / Tenant ,J,(/j,11/,') G //U6d/F, Owner's Address Contracting Co. Architect /Engineer Bonding Company Mortgagor WORK DESCRIPTION pee/l/ /3vii_O f2 Signature Date: /2 y Commissi • Owner fiRrPUB�eNfirmptEl a * * * uurISSION VPIRES APRIL 16, 1992, BO ED THRU ST BLER -ADAM SWEET /22__ A - /D / 5 Competency # Address Qualifier SS# - - phone State# Fire Other Tax Folio 7/ 3-245 j 3 �a /o 7 phone 75- Ins . Co . Address Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN Air i - ' Square Ft. Estimated Cost s /Qd 0 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. Furthermore, I authorize the above -named contractor to do the work stated. wner a or Condo President Signature of Contractor or Owner - Builder 2/ Date: Notary as to Contractor or Owner - Builder My Commission Expires: * * * * * * * PERMIT FEE: APPROVED: Zoning Building Electrical Mechanical Plumbin - L �'7 9 1�/ " E . g ' ngineering BUILDING ❑ ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder a MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 14982 ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER • Legal Lot II BI. Description, Address of Building y, , Subdi- vision Value of Project $ BY DATE 195 1 Contractor's License No. Amt. of Permit $ a. 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 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: r' -. -' c BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building 'L.- !+ftt : ti 11 Architect Contractor ti' or Builder Legal Lot Description Address of Building In consideration of the issuance to me of this permit I agree to perf CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT IN? 12728 Work to be performed under this Permit A...) Bl. Signed Subdi- vision Value of Project $ BY DATE In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. .. Contractor's License No Amt. of Permit $ 1 AUTHORITY 195 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 apfiroved 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 th.e plans are changed without authorization. A further condition upon which this per it is granted is the understanding that the contractor or builder named above assum the responsibility for a thorough knowledge of the ordinances and re 1 lions pertaining to the work covered hereby whether shown on the - plans or ! rawings r in the st tements or specific �pcac.aedoLat es onsibility or ork done by his agents, servants or employees. /4 r IN8PfC m the work covered hereunder in compliance with all ordin ces and regula 'ow; pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities o ami Shores Vi11 e. Permit No....__� " (O K 7 Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( 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 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 ` '"'°'' ° °`v' =No Street Registered Architect and /or Engineer Employing Plumber's Name . � ____._ _ No Street Location and Legal Description Lot Block_ Street and Number where work is to be performed —No , —L.)- __ _____ Street 1 @ l State work to be performed and purpose of building (By Floors)_ New Building Remodeling Addition Repairs No. of Stories Subdivision Size Septic Tank a ,,,,\\0 Type of Tank___ Capacity Gals Feet of Drain Tile /_..Ld1 Dist. Feet of Tank or Drain Field from WeIL Size of Soakage Pit Plumbing Inspector. The undersigned ar-•cant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida W en's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the pro isions 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. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare ( Signed) Master Plumber. 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 fat. 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 faul aterials and /or workmanship. CLOSETS BATH TUGS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINK I NG FOUNT' NS TOTAL FIXTURE: CONTR. LIST __- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHECK Permit No....__� " (O K 7 Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( 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 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 ` '"'°'' ° °`v' =No Street Registered Architect and /or Engineer Employing Plumber's Name . � ____._ _ No Street Location and Legal Description Lot Block_ Street and Number where work is to be performed —No , —L.)- __ _____ Street 1 @ l State work to be performed and purpose of building (By Floors)_ New Building Remodeling Addition Repairs No. of Stories Subdivision Size Septic Tank a ,,,,\\0 Type of Tank___ Capacity Gals Feet of Drain Tile /_..Ld1 Dist. Feet of Tank or Drain Field from WeIL Size of Soakage Pit Plumbing Inspector. The undersigned ar-•cant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida W en's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the pro isions 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. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare ( Signed) Master Plumber. 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 fat. 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 faul aterials and /or workmanship. Permit No. C\ 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 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 Engineer Employing Plumber's Name " p Location and Legal Description Lot____Y. Street and Number where work is to be performed —No L� Amount of Permit $ -- - - ---- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ (Signed).. No No k �t= Block____ I "-J. Street Street / J .Street ry� Subdivision Nkt Y t 6() 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 Plumbing Inspec The undersigned applicant for this building permit does hereby certify that he . • stands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge • Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contrac •rs 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 art licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, I COUNTY OF DADE. 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 fac 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 faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS � U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT'NS TOTAL FIXTURE! _. CONTR. LIST Ir �� /� =. l r p F� 1 -_ CHECK 2 �� �" 1 C (�� t `��' 1, f� SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL (AO 4 �iY�. ' 6 C p :q0 I CONTR. LIST 1 1 `Qa •Ttb D • 5 CHECK Permit No. C\ 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 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 Engineer Employing Plumber's Name " p Location and Legal Description Lot____Y. Street and Number where work is to be performed —No L� Amount of Permit $ -- - - ---- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)_ (Signed).. No No k �t= Block____ I "-J. Street Street / J .Street ry� Subdivision Nkt Y t 6() 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 Plumbing Inspec The undersigned applicant for this building permit does hereby certify that he . • stands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ge • Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contrac •rs 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 art licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, I COUNTY OF DADE. 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 fac 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 faul materials and /or workmanship.