Loading...
PLUMBING PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 2-Z E f 1) I p,1 Tax Folio Legal Description Historically Designated: Yes No 7( Owner/Lessee / Tenant V P.j/lti /1.) Master Permit # (Z2 24c ( / ( 7 / 30 T 6 Owner's Address / 2- 2- ( �� / 10 1 - Phone % Z/ 3r e �� P Contracting Co. 02-eNtt Address Qualifiers 1 SS# Phone P4 2-- state ti C Fe o S' c‘) 7) S Municipal # Competency # Ins. Co. Address Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA - " ' LUMBING _ ECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIP'T'ION ,4,/Y✓,.f .K J TUA �� A' 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. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in comp c all applicable laws regulating construction and zoning. Furthermore, I authorize the above -nam a - ,ntractor to do .,e work st Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: APPROVED: Zoning Building Mechanical Plumbing 1 lI e e of Contrac r 1v 41;7 ,7 1 es: COMMISSION NO. CC 4 41 1at3 � A M YCOMM13SIONEXP. MARL 1 ac S P. C • Signa aryastoCo t y Commission Exp Electrical Engineering ° or Owner- : uilde / Date // - d Date FEES: PERMIT, RADON C.C.F. t 0 NOTARY BOND TOTAL DUE CLosrrs BATH Tue. SHOWER. LAVA• To ISINK• SLOP SINKS LAUNOY Tugs R UINALS CATCH w ...ACM FLOOR R 4 DRA OINKING FOUNT•19 FIXTt RIES Corm!. LI T CHECK ......■ SEPTIC TANK SEWER CONN. DRAIN FIELD Somckoa PIT G TRAP SOLAR H DEEP WELL ,-- SPRKLR. SYSTEM SWIM'CI POOL -- .-.•■••—• I -- I ...... — CONTR. LIST I CHICK . 01-01-782-055-00-20-0 D-81-392- 01-01-420-618-01-20-0 Size Septic Tank.....— Feet of Drain Tile Nature of Water Supply: .... of Soakage Pit -• • STATE OF FLORIDA, u. COUNTY OF DADE. a- C2 ii7Ct,-41e /5-7 MIAMI SHORES SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT NRSe leffif70 4 33 )— (Signed) . Perini, Nu... C; Date__ / Ai'cr A 7j Applic.,tioli is hereby made for the approval of the detailed statement of the plans and specifications herewith subrit!. _1 for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miz. Shores Village, Florida. ,md all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic- , of the Building Division ot Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spot fications must be kept at )uilding during progress of work. ex's Name and Address snyciez .egist.tred Architect and/or Engineer :.rnploying Plumber's Name ...People.S--Gas—Systent No. Street. LZ5St. Location and Legal Description Lot_ Block Subdivision...._..._._ 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 No 1225NA_ Ell_ Street 101 Street • • ..... • _Type of Tank Capacity Ads. __Dist. Feet of Tank or Drain Field from Well cas,Nter, 4 2.,50 Provided_ Cutlet.jor Pool. Heater Amount of Permit $ (SigOed) ■1.1.0, Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an endloyet of lahot under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent f up lement, and has oori.. hid svith the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 1 y him in : • X , rir v performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publ: notice 3■ no leer •43 requ!red by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed this (41 . licensed by Miami Shores Village. Mast ./1 Plumber. Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, pericr.4. .ppearer.. 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 be did sign the sone, and hut all acts therein by him stateLlTitERWWSLIC STATE OF FLORIDA AT LARGE MY CO...\MISSIUN E.,PlaES iL8 23 1985 cL-14:A41. . My ComnussiOn tapirs* 0 15 Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection la mede•neoemary by improper notice for inrpoy..eon, or fruity materials and/or workmanthip. A. Li t r3 . 4 E `LT 0 0 0 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA U DATE PERMIT N? 13175 11 ❑ Work to be performed under this Permit C Is. % = Legal /212-51 Lot 7 e ( 5 ' I) Bl. Subdi- �- ,. Description / �' vision f' Building J Address of / /� j / ,/ Value of Project II Amt. of �✓ $ Permit $ This permit is granted to the contractor or builder named herefor in strict compliance with all o finances pertaining thereto and with the un drawings, statements or specifications th may have been submitted to and app .ve time if the work is not done in compliant with such ordinances or if the plans a c granted is the understanding that the co ractor or builder named above assume pertaining to the work covered hereby w ether shy �„�o�lans or drawing done by his agents, servants or employe CONTRACTOR In consideration of the issuance to me of this pe pertaining thereto and in strict conformity with thy'plans, r In accepting this permit I assutge resp�gsibility �/E all work done c 4 ii ,�. -;, tjir '0 v..) 1 195_ Contractor's License No / # above to tract 144011. dersta d Signed • I agree to perf a state the building or to install the equipment or device described in the application that the work will be performed in compliance with any plans, oper municipal authorities. This Permit may be revoked at any ut authorization. A further condition upon which this permit is lity for a thorough knowledge of the ordinances and regulations ements or specifications and that he assumes responsibility for work BY 4 414 0 „ ,0 INSPECTOR the work covered hereunder in compliance with' all ordinances nd regulations or specifications submitted to the prop authorities of Miami bores Village. ° - 1f, m agent, servant or employee. , j Permit No. l__t! 6 Owner's Name and Address _ Pet, t ` Registered Architect and /or Engineer i - Size Septic Tank Feet of Drain Tile e ll. Nature of Water Supply: City —Well. 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 othel 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. � , l Employing Plumber's Name. • P . /'',-e '( �' . ' i s `� '� No.___4 '' /' " Street Location and Legal Description Lot Block__ Subdivision Street and Number where work is to be performed— No.___, s _9i _ ? /r__ . �_.__ Street ' ' �� . - State work to be performed and purpose of building (By Floors) New Building_ __.l ' Remodeling Addition__ _ Repairs No. of Stories • Type of Tank _Dist. Feet of Tank or Drain Field from We1L Size of Soakage Pit (Signed) No. 12 ./d • Street Date Capacity Gals.__. I. y i! The undersigned applicant for this building permit does hereby certify that he underst,' • ' anfl accepts his obligations an employer �f labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General s of Florida Permanent Supplement, and has corn- 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 art licensed by Miami Shores Village. (Signed). STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 fat. therein by him stated are true. Notary Public, State of Florida P1i}mliing Inspeyfor. Master Plumber. 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. eP ' llu� cam-- Cc J? CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUe9 URINALS CATCH BASI FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURE: -- CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL _ CONTR. LIeT CHECK i Permit No. l__t! 6 Owner's Name and Address _ Pet, t ` Registered Architect and /or Engineer i - Size Septic Tank Feet of Drain Tile e ll. Nature of Water Supply: City —Well. 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 othel 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. � , l Employing Plumber's Name. • P . /'',-e '( �' . ' i s `� '� No.___4 '' /' " Street Location and Legal Description Lot Block__ Subdivision Street and Number where work is to be performed— No.___, s _9i _ ? /r__ . �_.__ Street ' ' �� . - State work to be performed and purpose of building (By Floors) New Building_ __.l ' Remodeling Addition__ _ Repairs No. of Stories • Type of Tank _Dist. Feet of Tank or Drain Field from We1L Size of Soakage Pit (Signed) No. 12 ./d • Street Date Capacity Gals.__. I. y i! The undersigned applicant for this building permit does hereby certify that he underst,' • ' anfl accepts his obligations an employer �f labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General s of Florida Permanent Supplement, and has corn- 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 art licensed by Miami Shores Village. (Signed). STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 fat. therein by him stated are true. Notary Public, State of Florida P1i}mliing Inspeyfor. Master Plumber. 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. eP ' llu� cam-- Cc J? Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -1 2 , / e / 7 � �� Permit No Date C.) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bui ng o ther structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores lage, F rida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Bi 1 • ion of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications u e kept at building during progress of work. Owner's Name and Address ; ial e i No. Street Registered Architect and /or Engineer " "'l : day d E'I .l % a.1- ) - .r Employing Plumber's Name •'• , " . -ri121 7 No. - - - Location and Legal Description Lot 7 T' • 4 r t • 8 Block 1 r Street and Number where work is to be performed —No ? ` Street -° • I. • L l r: t t • State work to be performed and purpose of building (By Floors) , ' , i1 i i ` no F. -v New Building - Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Nature of Water Supply: City — Well.__ Street ' ' i O t • Subdivision 1 eet f 6 k or Drain Field from Well __ __ Size of oakag 'it (Signed The undersigned applicant for this building permit . • _. hereby certify that he un I erstands and accepts his obligations as an employer of lab under the Florida Workmen's Compensation Act, being Section ° . - ompiled G • •ral Laws of Florida Permanent Supplement, and has co n 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 1 work be pe or. J. ndej. this •ennit, as are licensed by Miami Shores Village. 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. Plumbing spector. CLOSETS BATH TUBS SHOWERS LAVA - TORIES SINKS SLOP SINKS LAUNDRY URINALS TUBS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST 4 7 1 4 CHECK � � IScp 1 Lr` f.* l '' I S c-i. - -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL. L' , f ,,. }1 � 1.{(•x 1 �'�'1 .' ;.'i� :. to al CONTR. LIST I CHECK /f�� i '/' (`^�• _ SO V ''1S \ °b \ Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -1 2 , / e / 7 � �� Permit No Date C.) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bui ng o ther structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores lage, F rida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Bi 1 • ion of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications u e kept at building during progress of work. Owner's Name and Address ; ial e i No. Street Registered Architect and /or Engineer " "'l : day d E'I .l % a.1- ) - .r Employing Plumber's Name •'• , " . -ri121 7 No. - - - Location and Legal Description Lot 7 T' • 4 r t • 8 Block 1 r Street and Number where work is to be performed —No ? ` Street -° • I. • L l r: t t • State work to be performed and purpose of building (By Floors) , ' , i1 i i ` no F. -v New Building - Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Nature of Water Supply: City — Well.__ Street ' ' i O t • Subdivision 1 eet f 6 k or Drain Field from Well __ __ Size of oakag 'it (Signed The undersigned applicant for this building permit . • _. hereby certify that he un I erstands and accepts his obligations as an employer of lab under the Florida Workmen's Compensation Act, being Section ° . - ompiled G • •ral Laws of Florida Permanent Supplement, and has co n 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 1 work be pe or. J. ndej. this •ennit, as are licensed by Miami Shores Village. 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. Plumbing spector. x 1 o yi - 1.P. • ta_ \V: \ Cnn, '3 ' p,9 I8 ,"./Ii 7 o ir 7 3.9 74 //0 • r 7/ C tv t-/ — /9ti/1 / pi 771 .7