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2001 Plumbing permitDate l Job Address f 7 77c /6 0 4Tax Folio Legal Description (/(}Alet L g a.a4-05 Qualifier f V ( D L- . State # C iC 62 Owner/Lessee / Tenant Owner's Address �[ Contracting Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILD G ELECTRICAL WORK DESCRIPTION Square Ft. Estimated Cost (value) 52 O -- -- 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. V ..J✓l� -sZ 3, 2491 p 1 d/or C/ndo President T / ` .! b Si ture of owner / • �'. CC786697 - 4 MY COMMISSION EXPIRES OF FAO NOV. 15,2002 . A M BECK OOMMSSION NUMBER Notary as ; • Owner My Commission Expir FEES: PERMIT APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE RADON Phone 25 3 7 1 5 - 6 7 3 ' / .56 /CJ 6 5 t - i SS# - 567ZPhone345 "7 / 0 Historically Designated: Yes No Address Master Permit # g 6 Municipal # J� _C 22-0? 7Competency # C1156 61 3 1 Ins. Co. Address Address Address ECHANICAL ROOFING PAVING FENCE SIGN ) 4 • gnatur of . ontractor or Owner- uilde; Date c / 4 I`' t1 w•s- No . as to Contr a tor or • pp 4R`! PUB . StA , OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1,2002 My Commission E C.C.F. D NOTARY S., () BOND Building Plumbing Electrical Structural Engineer TOTAL DUE 3 —o Date ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON PLUMBING ELECTRICAL IF A MASTER PERMIT HAS B. SUBSEQUENT APPLICATIONS.) MECHANICAL ITEM ',ATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM . SPACE HEATERS UNIT FEE' IIDET LIGHT OUTLETS CENTRAL HEATING IISHWASHER RECEPTACLES A/C (WIND) 'ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) RINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION REASE TRAP , APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR RANGE TOP UNDERGROUND TANKS AVATORY OVEN ABOVE GROUND TANKS AUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS LOTHES WASHER MOTORS 0- 1 FP STEAM BOILERS HOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS INK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION INK, RESIDENCE ✓ MOTORS OVER 5- 8 FP TRANSPORTING ASSEM6LIES INK, SLOP MJTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS EMPORARY WATER CLOSET MOTC% S OVER 10- 25 HP FIRE SPRINKLER SYSTEMS 1INAL MOTORS OVER 25-100 HP COOLING TOWERS ;TER CLOSET MOTORS OVER 100 HP VIOLATION DIRECT WASTES A/C WINDOW REINSPECTION ;TER SUPPLY TO: AIR CONDITIONERS • A/C UNIT FIRE STRIP HEATER SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS . HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMt,ERCIAL WATER SERVICE SIGN TUBES WER CONNECTIONS SIGN TRANSFORMERS ILITY -SEWER • SIGN TIME CLOCK ILITY -WATER 'TIC FIXTURES TANK ANTENNA .AY TELEVISION OUTLETS kINFIELD, 4' TILE/RES. VIOLATION F & ABANDON SEPTIC TANK REINSPECTION - . 'RAGE PIT CU. FT. 'CH BASIN CHARGE WELL GESTIC WELL • A DRAIN . F INLET AR WATER HEATER E STANDPIPE L PIPING N SPRINKLER SYSTEM ' RANGE - :R SET (GAS) • PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON PLUMBING ELECTRICAL IF A MASTER PERMIT HAS B. SUBSEQUENT APPLICATIONS.) MECHANICAL /L Permitlio . Amount of Permit STATE OF FLORIDA, sa. COUNTY OF DADE. 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 F)orida, all ordinances of Miami Shores Village and all rules and regulations of the Building of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and/or E Employing Plumber's Nano 11,7STV1.1.9 Location and Legal Description Lot MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank_ ...Type of Tank__ Feet of Drain Tile Nature of Water Supply e a No._ / Street./ mvsysttts NO0•2aigFulL4s StireteLeaser2 Subdivision Street and Number where work is to be performed-No Street State work to be perf e8 se of building (By Floors)__ New Building_ Remodeling_________ Addition _ Repairs. (Signed)- (Signed) No. of Stories. Capacity Gab._____ _____ ___ l of Tank or Drain Field from et Size of Soakage Pit . . .... umbing Inspectoi. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and)las 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 notic or notices as are required by tlie Act. The undersigned agrees to employ only such sub-contractors, on wo4 iformed unde4Jth permit, as 'are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take adcnowledgments, personally appeared to me well Imown, mid 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 fee of *1.00 will be made when such se-humans is wader necessary by improper notice for inspection, or faulty materials and/or workmanship. CLosiTs BATH TUBS SNOWERS LAVA. To SINKS SLOP SINKS LAUNDRY Tuss .. uRINALIS CATCH BASIN FLOOR DRAIN _.__ DRINKING FOUNTIY5 W ' % ( / .c TOTAL . Prirrunas Cows. LIST ,... ..... . 2— 1 - L • CHECK SEPTIC TANK SEWER CONN. DRAIN Fume e SOAKAGE PIT GREASE TRAP SOLAR HEATER DEE P WELL SPRKLR. SYSTEM SWIM*0 POOL Ty y c ...... CONTR. LIST CHECK /L Permitlio . Amount of Permit STATE OF FLORIDA, sa. COUNTY OF DADE. 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 F)orida, all ordinances of Miami Shores Village and all rules and regulations of the Building of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and/or E Employing Plumber's Nano 11,7STV1.1.9 Location and Legal Description Lot MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank_ ...Type of Tank__ Feet of Drain Tile Nature of Water Supply e a No._ / Street./ mvsysttts NO0•2aigFulL4s StireteLeaser2 Subdivision Street and Number where work is to be performed-No Street State work to be perf e8 se of building (By Floors)__ New Building_ Remodeling_________ Addition _ Repairs. (Signed)- (Signed) No. of Stories. Capacity Gab._____ _____ ___ l of Tank or Drain Field from et Size of Soakage Pit . . .... umbing Inspectoi. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and)las 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 notic or notices as are required by tlie Act. The undersigned agrees to employ only such sub-contractors, on wo4 iformed unde4Jth permit, as 'are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take adcnowledgments, personally appeared to me well Imown, mid 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 fee of *1.00 will be made when such se-humans is wader necessary by improper notice for inspection, or faulty materials and/or workmanship. Permit No.__] Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building X ___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block May 30, 1972 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 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. MERCE LAND COR ° . 4721 N.W. 4th Terrace Owner's Name and Address _________— No._ Street. Registered Architect and /or Engineer _____ -__-�_ - _-- __ —� -- Employing Plumber's Name SUN GOLD INDUSTRIES, INC. P.0 BOX 726 LUDLAM STATION 3315 ___ -_ -- No._ � treat_ 5 187 Street N.E. 100th Street Remodeling _-------- _-- _-- __ -_ -_ Addition__ -_ Repairs No. of Stories.... ______ Size Septic T aDk- ____� -2 �a __ �nType of T C G Feet of Drain Tile_________________? 5 t _______—_ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._____ _____________________ _________Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 4 (Signed) 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- plier 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 under this permit, as are licensed by Miami Shores Village. (Signed) apacity s. Plumbing Inspector. 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 inspr' "'t-nn, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES INKS SINKS SLOP SINKS LAUNDRY Tups URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL COPT!. NT LIST CHICK - - — CI 00 11 s PRECAST 900 gallons Permit No.__] Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building X ___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block May 30, 1972 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 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. MERCE LAND COR ° . 4721 N.W. 4th Terrace Owner's Name and Address _________— No._ Street. Registered Architect and /or Engineer _____ -__-�_ - _-- __ —� -- Employing Plumber's Name SUN GOLD INDUSTRIES, INC. P.0 BOX 726 LUDLAM STATION 3315 ___ -_ -- No._ � treat_ 5 187 Street N.E. 100th Street Remodeling _-------- _-- _-- __ -_ -_ Addition__ -_ Repairs No. of Stories.... ______ Size Septic T aDk- ____� -2 �a __ �nType of T C G Feet of Drain Tile_________________? 5 t _______—_ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._____ _____________________ _________Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 4 (Signed) 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- plier 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 under this permit, as are licensed by Miami Shores Village. (Signed) apacity s. Plumbing Inspector. 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 inspr' "'t-nn, or faulty materials and /or workmanship.