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1301 NE 100 St (9)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Ici , Q " ) Date (� �--y Type Insp'n �o Y co Permit No. V 104- -3 YO Y o f . Address ` l e 100 S-- P iCr"In 3)3 Name Company Phone # Inspection Date Approved Correction Re- Insp'n Fee Type Insp'n Permit No. Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 44 zS 1 /6 Date 121 P i 04 •;7 I 3OH NE, Loo S+- CP.hx MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildi g Inspection Request , (3 Date Type Insp'n Permit No. Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee r/-.5 vfi C9Lw'� 110 OCT MIAMI RES VILLA &E7 2005 BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request D to! 11 l c Type Insp'ri't" i 7-4 AV_ - FLU YV1 /vl N€ Permit No. -PL-O4 — 1 Name �'G 'a N A gx c _t S Address 13C) 1 Company t )c )'t-Jc:5, Phone # (305 ) 7S 1 - Z 1 1 1 Inspection Date i l 1 Z O A Approved 7 Correction ❑ Re- Insp'n Fee ❑ ; , k W { OCT 1 7 2005 MIAMI SHORES VILLAGE Cor/ BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 411 Type Insp'n AnQ ) Permit No. P l4-7;7 I Name ► s Address 1501 N6 100s) Company 32 rci Phone # t / Inspection Date 10112 Approved Correction Re- Insp'n Fee K15 305 751 2299 flpr 27 06 03:13p Margol MARGOLIS PO BOX 530188 MIAMI, FL 33153 Phone: (305) 751 2111 Fax: (305) 751 2299 FAX TO: Mabell, Miami Shores Village FROM: Nancy Margolis FAX: 305 756 8972 PAGES: 3 PHONE: DATE: April 27, 2006 RE: 1301 NE 100 Street CC: ❑ URGENT ❑ FOR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY Mabell, Enclosed please find the correction needed notice dated 3/7/06 and the signed final inspection dated 3/8/06 for EL 2004 -369. This should close out that last electrical permit. Please contact me if I can be of any further assistance. You can reach me at the number above, and let meknow that the demo permit has been taken care of. Thank you for your prompt attention into this matter. Sin rely, �a cy Cigna arg 305 751 2299 p. 1 SPECIIONTYPE HSPECIOR DATE Temp ary Pole Group - irP; Foo r Grounding To • out �' '`T , Slab 7..,-.4',." �- C Service / j Rougll 1,..1 /� (ij[L4 B. Alarm Prewire Condensate Driveway Form / Rock T.V. Prewire ,_.*if %! ..ti Intercom Prewire Suppression Test Storm Shutter Final Phone Prewire re7, -.Jr .li� B. Alarm Final Sewer T.V. Final / 7A-03.3 Intercom Final L P Tank Phone Final Gas Rough 30 Day Temp Power Gas Final Pool Grounding Irrigation Int: Ext: Pool Slab Well Interceptor Pressure Test Fire Sprinkler Final Pool Maindrain Pool Piping FINAL 'f�� /.:�. , - . . INSPECfON i • marl DATE yy- • . f1(� Group - irP; y'/ 7 4 57 To • out �' '`T , i vfj' 2nd • or Rough . & 1-- )3rd Floor Rough (ij[L4 Sidewalk Condensate Driveway Form / Rock Drainfield Storm Shutter Anchors Suppression Test Storm Shutter Final Septic Patio / Deck Final Sewer Fence Final Water Service Pool Steel L P Tank Pool / Patio Deck Gas Rough Screen Encl Final Gas Final Pool Final Irrigation Int: Ext: Roof Final Well Interceptor Pressure Test Fire Sprinkler Final Pool Maindrain Pool Piping FINAL C_11 :1VI FINAL I-Ipr et ut u.7: IIIIIIrjlhWagraibllMll INSPECTION TYPE 1.7p INSPEC1OR marl DATE Shingle in Progress Framing Insulation '' & Drywall (erl.' i( - (ij[L4 Sidewalk Driveway Form / Rock Storm Shutter Anchors Storm Shutter Final Patio / Deck Final Fence Final Pool Steel Pool / Patio Deck Screen Encl Final Pool Final Roof Final FINAL C_11 :1VI ol is 305 751 2299 p.2 FOR INSPECTIONS CALL 305 - 795 -220 INSPECTION REQUESTS ARE ACCEPTED DURING THE HOURS OF 8:30 AM TO 3:30 PM FOR INSPECTIONS THE FOLLOWING BUSINESS DAY. CERTIFICATE OF OCCUPANCY MUST BE SECURED BEFORE THIS BUILDING CAN BE USED FOR ANY PURPOSE DO NOT REMOVE THIS CARD BEFORE COMPLETION OFFICE PHONE NUMBER: 305- 795 -2204 Apr 27 06 03:14p nspection. Number: l NSP -11' 1. Inspection Date: 03/07/2006 Inspector: Devaney, Michael Owner: MARGOLIS, PETER Job Address: 1301 100 Street NE Project: <NONE> Building Department Comments Friday, March 3, 2006 Miami Shores Village, FL Margolis Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: MARDECK ELECTRIC INC 305 751 2299 P. 3 emit Number: EL2004 -369 Permit Type: Imported Permit Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)859 -2112 Parcel Number 1132050140020 Lot: Phone: 954/888 -1765 Page 1 of 2 Passed Inspector Comments G L . e fie' Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Apr 27 06 03:14p nspection. Number: l NSP -11' 1. Inspection Date: 03/07/2006 Inspector: Devaney, Michael Owner: MARGOLIS, PETER Job Address: 1301 100 Street NE Project: <NONE> Building Department Comments Friday, March 3, 2006 Miami Shores Village, FL Margolis Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: MARDECK ELECTRIC INC 305 751 2299 P. 3 emit Number: EL2004 -369 Permit Type: Imported Permit Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)859 -2112 Parcel Number 1132050140020 Lot: Phone: 954/888 -1765 Page 1 of 2 Miami Shores Village 10050 NE 2nd Avenue Plumbing Permit Phone: 305- 795 -2204 Permit Number: PL2004 -371 Printed: 1/11/2005 Page 1 of 1 Applicant: PETER MARGOLIS Owner: MARGOLIS PETER JOB ADDRESS: 1301 NE 100 ST Contractor FELIX FERA PLUMBING Contractor's Address: 1885 A NE 149 ST Local Phone: 954- 981 -3016 Fees: Description Amount FEE2005 -381 Building Fee $180.00 FEE2005 -382 CCF $0.60 FEE2005 -383 Notary Fee $5.00 FEE2005 -384 Training and Education Fee $0.20 FEE2005 -385 Technology Fee $3.00 FEE2005 -386 Submittal Fee ($50.00) Total Fees: $138.80 Permit Status: APPROVED Permit Expiration: 6/26/2005 Construction Value: $1,000.00 Work: NEW MASTER BATHROOM Signed: (INSPECTOR) Total Fees: $138.80 Total Receipts: $0.00 Parcel # 1132050140020 Legal Description: GORDON TRACTS PB 55 -20 TRACT B LOT SIZE SITE VALUE OR 18814 -0493 12 PAID 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electric' Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 0.. v\ Phone #Cs? S) C c • Z 1 1 2 Owner's Address [ >o \ kIL k(....) S City •AA—L;. eC__ S State Tenant/Lessee Name Job Address (where the work is being done) \ 3 D \ \ _ \' City Miami Shores Village County Miami -:ade Is Building Historically Designated YES NO City /1/, Al 01• State r Qualifier A/Af - T7t. v A4 Ai /_< /e- / State Certificate or Registration No. lr d' 3 Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Describe Work. Notary $ 5 Training/Education Fee $ 0 . Scanning $ Code Enforcement $ Submittal Fee $ -C' Permit Fee $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village 00' Structural Plan Review. $ Permit No. ?IN ster Permit No. Zip Phone # Zip 6 3' 3 Cc Contractor's Company Name FE; / /,C / /; /L j f(z Phone # e S dQ Contractor's Address /fP C A /<1 9 S Zip Certificate of Competency No. a.° f 1' i Phone # Square Footage Of Work: Type of Work: / Addition ❑Alteration ❑New ❑ Repair/Replace 1:1 Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 0 U � — CCF $ O • ( oO CO /CC 3 Technology Fee $ Radon $ Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature - `"`'`J Signatur The fore day of NOTARY Sign: P Chc 05/13/03 oing w/(6 Contractor w! i istrument was acknowledged before me tl The fore oing instrument was acknowledged before me thi ji i _ • , day of , 200q by r who 1 as prod , ced who is personally know„ ro me or who has produced As identification and who did take an oath. as identification and who did take an oath. wner or Agent who is personally known to me My Commission Expires: trr"? Ginn y H. • ell My C. omission Expires: o • " 2• —'- Commission #DD323870 Jessica Rose Fisher AP * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** - • Bonded Thru , H oo antic Bonding Co., Inc. NOTARY P I ' IC: ,. � •. Sign / J .. L�. _� 1 �� .L Print: waa Expires October 27, 2008 * * *A * * * ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: .. /. 1. �e��' �. �U f Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT 1? FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS I X/ ; CENTRAL HEATING DISHWASHER RECEPTACLES i 17 A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER it 4c a1 U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER IOTCRS QVER 1- 3 If HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEM3LIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES- ' A/C WINDOW _,_, REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS ( 1 A/C UNIT S,TR I P HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS '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 UT I L I TY -WATER F I XTLRES II 1 4_ __ __ SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING • (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, HE OWNER' S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION [ELECTRICAL MECHANICAL 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 s cifiedd or not. A copy of approved plans and specifications must be kept at building during the progress of work. Owner's Name and Address / / C� v "�' No. / 0 1 Street 71 S / 0 K/ Registered Architect and/or Engin Employing Plumber's Name No. — Street Location and Legal Description Lot Amount of Permit $ New Building Street and Number where work is to be performed — No. Street State work to be performed and purpose of building (By Floors) / Remodeling Addition Repairs 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 (Si Block (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 complied 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 no ' • • • :r : • required b the - ct. Th .. designed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licens; • by Miami S . s Vil STATE OF FLORIDA, COUNTY OF DADE. /I Date 3 - Subdivision • SS. No. of Stories 1 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $25.00 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 FOUNTAINS - 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. 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 s cifiedd or not. A copy of approved plans and specifications must be kept at building during the progress of work. Owner's Name and Address / / C� v "�' No. / 0 1 Street 71 S / 0 K/ Registered Architect and/or Engin Employing Plumber's Name No. — Street Location and Legal Description Lot Amount of Permit $ New Building Street and Number where work is to be performed — No. Street State work to be performed and purpose of building (By Floors) / Remodeling Addition Repairs 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 (Si Block (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 complied 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 no ' • • • :r : • required b the - ct. Th .. designed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licens; • by Miami S . s Vil STATE OF FLORIDA, COUNTY OF DADE. /I Date 3 - Subdivision • SS. No. of Stories 1 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. Permit No 6. 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. 7,7-) Owners Name and Address J -_- No._15_L91_.__.__&t street __14 a_5 7; Registered Architect and /or Engineer — _-- _-- . - - -__ __-- --_----------__ - _-- Employing Plumber's Name__!__! C�p� R __ y S'7 'M' _____ - -- No.I -- - .Cl� Street. —l_ =? Z --- __----- _• - - -_ _ - -- . 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.._ 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.____ ...... of Soakage Pit Amount of Permit $_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed ynder this permit, as are licensed by Miami Shores Village. • STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT •/ 7/ .4 7 — 7 k - 7 ( Signed )_ Date. /0 % z '-7/ Street 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 Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for insp < - '-tmn, or faulty materials and /or worlcmanship. CLOSETS BATH TUBS SHOWERS LAVA - TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS P001 G„ j C! 4 'r TOTAL FI %TURFS C LISTT 76 J — CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SWIM'G POOL 24i T CONTR. LIST • OO CHECK Permit No 6. 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. 7,7-) Owners Name and Address J -_- No._15_L91_.__.__&t street __14 a_5 7; Registered Architect and /or Engineer — _-- _-- . - - -__ __-- --_----------__ - _-- Employing Plumber's Name__!__! C�p� R __ y S'7 'M' _____ - -- No.I -- - .Cl� Street. —l_ =? Z --- __----- _• - - -_ _ - -- . 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.._ 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.____ ...... of Soakage Pit Amount of Permit $_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed ynder this permit, as are licensed by Miami Shores Village. • STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT •/ 7/ .4 7 — 7 k - 7 ( Signed )_ Date. /0 % z '-7/ Street 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 Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for insp < - '-tmn, or faulty materials and /or worlcmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA ❑ DATE i t"' 195 S PERMIT N9 2966 Iontratr's 0 Work to be performed under this Permit Bl Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY ` AUTHORITY eA / Permit No.. -___ Owner's Name and Address 4 4 6 e/ Registered Architect and /or Engineer Employing Plumber's Name t' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date__ Ll g 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. NospUp lril1 -gStreet- __ J l &!-lt,4 -' No. 5 /i1e lt_ �/CJ Location and Legal Description Lot — _i� ______— _____Block Subdivision o� -- IQs YO Street and Number where work is to be performed— No.__1_a P__�__4 _- �1L° o- Street _________— ____— ___— __-- _____ —_ State work to be performed and purpose of building (By Floors) teclitL_Vg __Tf__ — __! ! �¢ _�11 _ — ___ — New Building ✓_________— ______ Remodeling __ Addition Repairs / No. of Stories ______ _____ Size Septic Tank Igi2 yd _- 2_fe :_ Type of Tank . Capacity Gals._-___-___-_____ -_- Feet of Drain Tile_______— —. —___ Dist. Feet of Tank or Drain Field from Well __-- ______ Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ -��= — -- -- --(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 work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. (Signed) My Commission Expires Notary Public. State of Florida NOTE: re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for- inspection, or faulty materials . /or workmanship. fh Master Plumber. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS ,,/ 1 � I!/e7 TOTAL FIXTURES CONTR. LIST lJ t3 J C V ,,,2,5 / ' ',/ 0 I o oG CHECK 4L OT l ,( - � •,... 4 t .; SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP +8111/YMR" HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL Ha/.. �PL /P Ws7FK 5 ri e 1 Mt- .� -�! I ' { M A .� CONTR. LIST N � J RJ D i CHECK !-r 44,0'-b. l(re ) , o ) / Permit No.. -___ Owner's Name and Address 4 4 6 e/ Registered Architect and /or Engineer Employing Plumber's Name t' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date__ Ll g 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. NospUp lril1 -gStreet- __ J l &!-lt,4 -' No. 5 /i1e lt_ �/CJ Location and Legal Description Lot — _i� ______— _____Block Subdivision o� -- IQs YO Street and Number where work is to be performed— No.__1_a P__�__4 _- �1L° o- Street _________— ____— ___— __-- _____ —_ State work to be performed and purpose of building (By Floors) teclitL_Vg __Tf__ — __! ! �¢ _�11 _ — ___ — New Building ✓_________— ______ Remodeling __ Addition Repairs / No. of Stories ______ _____ Size Septic Tank Igi2 yd _- 2_fe :_ Type of Tank . Capacity Gals._-___-___-_____ -_- Feet of Drain Tile_______— —. —___ Dist. Feet of Tank or Drain Field from Well __-- ______ Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ -��= — -- -- --(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 work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. (Signed) My Commission Expires Notary Public. State of Florida NOTE: re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for- inspection, or faulty materials . /or workmanship. fh Master Plumber. • • fa