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290 NE 100 St (16)3840 G MIAMI SHORES VILL BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 011 Type Insp'n FiVl tt ?- Permit No. 1R 2 ©05 _ qc9 Name Lye,,Ty /Cz, Address V10 WE IO05� �j' Compan PN UW0o\v\c Phone # k) /S56— C 1 fq . Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request cp Date Type Insp'n P I R h Permit No. P1 0 5 Name 5coh 6l_ (fo 1 Address olC O N 100 Company 2c t Phone # Inspection Date 51 Approved Correction Re- Insp'n Fee . MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui ding Inspection Request Date 5 10 Type Insp'n Rcoq fl PI Permit No. P 105--9G Name n rG e) net Address 2, 40 . I W 5 4 Phone # Inspection Date �..>/ 1 1 f Approved Correction ❑ Re- Insp'n Fee ❑ Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/18/2005 Applicant: SANTIAGO BERNAL Owner: BERNAL SANTIAGO JOB ADDRESS: 290 NE 100 ST Contractor ABY PLUMBING Local Phone: 786/295/7415 Parcel # 1132060134440 Signed: (INSPECTOR) Plumbing Permit Permit Number: PL2005 -99 Contractor's Address: 4561 SW 74 AVE Page 1 of 1 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 & 2 BLK 33 LOT Fees: Description Amount FEE2005 -4867 Building Fee $175.00 FEE2005 -4868 Training and Education Fee $0.20 FEE2005 -4869 Technology Fee $4.37 FEE2005 -4870 Scanning Fee $3.00 FEE2005 -4871 CCF $0.60 FEE2005 -4872 Submittal Fee ($50.00) Total Fees: $133.17 Total Fees: $133.17 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 9/19/2005 Construction Value: $600.00 Work: PLUMBING ALTERATION 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 PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical umbing Mechanical �1 Roofing Phone # 0 C L - 7L( Owner's Name (Fee Simple Titleholder) *M40 D 3E 'lit Owner's Address if tb0 rJ • Arn� 42 City MINA` UAW l 44 State �Z- Tenant/Lessee Name Job Address (where the work is being done) 2 90 Al- G /aQ $� City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name AS y PLos 4 /,i'4 Contractor's Address / S ?N Aics City 7A I A "1 State iC. Qualifier CA S E• M+I}ka'1�t =� State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 00. Square Footage Of Work: Type of Work: ❑Addition ZAlteration Describe Work: Pt-U/ Acre4 '114.1 Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: Q5) 756.8972 :New Permit No. Pl. ass �1 Master Permit No. WO 5- 332. Zip 3 313S Phone # Zip Phone # PA) 24S t Y/S Zip 3? /SS ❑ Repair /Replace ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ 50 Permit Fee $ /7o CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 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. Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 NOTARY PUBLI Sign: Print: Signature Signature Mn, ao -. erg- c.- enti , at ke an oath. 3 • y--oj The foregoing instrument was day of Mott-4w , 2005 , by who is personally known to me or who has produced My Commission Expires: Morelia Diaz Commission # 011308318 Ejp re April 07 , 2008 3i � gocl bh b rr'm t t�r - 5 8 5 -1 who did ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES 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 U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS 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' MOTCRS OVER 100 HP VIOLATION INDIRECT WASTES- A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP 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 UTILITY -WATER FIXTLRES 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, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Sgn PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / "�� 9 ' Job Address 9' 4J /00 .l' / /ec Tax Folio Legal Description Historically Designated: Yes T N � o t Owner/Lessee / Tenant rrk H 4 Y 4 /a Ai Master Permit # V�5-9 / Owner's Address 9O /t/: /00 J'I /e e f Phone 9P1 � - 7 Contracting Co. Ma ✓ // n "7/1/4( / Qualifier 64't rd 7 a/ ss# Phone 3or 65; - .10.7/ State # CFc 0 VP 9 - Municipal # Competency # Ins. Co. Architect/Engineer Address Address Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ion a /'ICii/ / (,VZ /e4/ ✓'ervi ce /i he . Square Ft. Estimated Cost (value) / 300.0 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 OF 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 construe on and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Mary as to Owner and/or Condo President Date y Commission Expires: °2•'.. Ines Montero * h * My Commission CC682422 • 'n,� ,e Expires September 22, 2001 FEES: PERMIT RADON C.C.F. I • 7-U NOTARY BOND TOTAL DUE (o and/or Condo President Date /s - 7r h APPROVED: Zoning Building Mechanical Plumbing Signature Address 0 / /t/e /( P4 e e- - Builder Not as to Contractor or Owner - Builder Commission Expires: Electrical �,o "`,'•.,, Ines Montero * tip.; *My Commission CC682422 %,„ / Expires September 22, 2001 /2 -U Date - 77 Date Engineering ITEM BATH TL8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES 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 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 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 A/C UNIT STRIP 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 1 , SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES 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 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.) PLUMBING ELECTRICAL MECHANICAL BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA ELECTRICAL ❑ DateJ/ ' -' iy� PLUMBING ,t PERMIT Np 9340 Contractor's t ROOFING ❑ License No. / -' l Owner of Building Architect Contractor / or Builder 1 • _.. u, el = ` t_ ... Legal Lat 11 Description 11 Bi Address of . ' , . -; ma y ► , : �'"" Building '4 ) G ? i ' , /. 5/ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. /1 , •' . Signed• /i r u`r INSPECTOR) BY 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. CONTRACTOR or BUILDER Work to be performed under this Permit /c� Subdi- vision Sg Ft. Value of I ( Amount of Project $ I I Permit $ BY AUTHORITY $2.00 Permit No _______ °'. -l___O _ -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date 10 -30-67 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. Owner's Name and Address Ashland No.___ ' Street N.E. 100 St. Registered Architect and /or Engineer ____________________________ _ _ Employing Plumber's Name Dade GasCom�r N __ 11 80 S treet_ N•W• 73 St. Miami Location and Legal Description Lot_____ __ _____ _____________________. — Block Subdivision Street and Number where work is to be performed -No._ Street N.E. 100 St • State work to be performed and purpose of building (By Floors) SET RANGE TO PRESENT GAS INSTALLATION• 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 _Size of Soakage Pit Nature of Water Supply: City -Well (Signed)_ Amount of Permit $ ___-_ _ My Commission Expires ( Signed)- ------ - - - - -- - - #42657 —C. Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennon t Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master P . er. STATE OF FLORIDA, �. 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 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 TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS RANGE TOTAL FIXTURES CONTR. L16T CHECK 2.00 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST 9 - CHEEK $2.00 Permit No _______ °'. -l___O _ -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date 10 -30-67 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. Owner's Name and Address Ashland No.___ ' Street N.E. 100 St. Registered Architect and /or Engineer ____________________________ _ _ Employing Plumber's Name Dade GasCom�r N __ 11 80 S treet_ N•W• 73 St. Miami Location and Legal Description Lot_____ __ _____ _____________________. — Block Subdivision Street and Number where work is to be performed -No._ Street N.E. 100 St • State work to be performed and purpose of building (By Floors) SET RANGE TO PRESENT GAS INSTALLATION• 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 _Size of Soakage Pit Nature of Water Supply: City -Well (Signed)_ Amount of Permit $ ___-_ _ My Commission Expires ( Signed)- ------ - - - - -- - - #42657 —C. Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennon t Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master P . er. STATE OF FLORIDA, �. 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 when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. ( Dt ( q— �te /� t� 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 Permit No._23 3 building during progress of work. �1 ' Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No New Building Remodeling Addition Size Septic Tank_ _ Feet of Drain Tile Nature of Water Supply: Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street ' No Street Block State work to be performed and purpose of building (By Floors) ap Subdivision r t Street I ___, -r Repairs No. of Stories v r I Type of Tank -) 734 e - ^ ( "C`?� _ Capacity Gals Dist. Feet of Tank or Drain Field from Well Ci — Well Size of Soakage Pit f.- 4 Plumbiteg Inspector The undersigned applicant for this building pe it does hereby certify that he nds and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, bein 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 su public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to • . ormed under this permit, as are licensed by Miami Shores Village. { - 1 (Signed) My Commission Expires Notary Public, State of Florida Master Plumber. 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 fact therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST —^ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK ( Dt ( q— �te /� t� 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 Permit No._23 3 building during progress of work. �1 ' Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No New Building Remodeling Addition Size Septic Tank_ _ Feet of Drain Tile Nature of Water Supply: Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street ' No Street Block State work to be performed and purpose of building (By Floors) ap Subdivision r t Street I ___, -r Repairs No. of Stories v r I Type of Tank -) 734 e - ^ ( "C`?� _ Capacity Gals Dist. Feet of Tank or Drain Field from Well Ci — Well Size of Soakage Pit f.- 4 Plumbiteg Inspector The undersigned applicant for this building pe it does hereby certify that he nds and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, bein 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 su public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to • . ormed under this permit, as are licensed by Miami Shores Village. { - 1 (Signed) My Commission Expires Notary Public, State of Florida Master Plumber. 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 fact therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No7 X 9 Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling Size Septic Tank Feet of Drain Tile Nature of Water Suppl City Well Amount of Permit $ ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMI Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name L. J. _ ____ " "lex : ,14 -, Location and Legal Description Lot / Block ar'% r (Signed) \-- The undersigned applicant for this bur ermit does hereby certify that h under the Florida Workmen's Compensation Act, being Section 5966, Compiled G plied with the provisions thereof, and will require similar compliance from all con performed under this permit; and will post or cause to be posted for inspection on required by the Act. The undersigned agrees to employ only such sub - contractors, licensed by Miami Shores Village. Addition underst neral Application is hereby made for the approval of the detailed statement of the plans and spe � ' 'onss erewith submitted for the bui ing or other structure herein described. This application is made in compliance and confonnity with the din Ordinance of Miami Shores Vi age, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all r and regulations of the Building Division of Miami Shores Village shall be complied with, wJiether herein specified or not. A copy of approved p a nd specifications must be kept at building during progress of work. e.) �... t No Street 45 Street Subdivision ' - ds Street Repair No. of Notary Public, State of Florida 402, L'i?etifri*Q'" Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well__ - I Size of Soakage Pi Plumbing Ins tor. and accepts his obligations as an employer of labor aws of Florida Permanent Supplement, and has com- actor or sub - contractors employed by him in the work to be ite of the work such public notice or notices as are n work to be performed under this permit, as are Master Plumber. 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT •NS TOTAL FIXTURES CONTR. LIST CHECK / 7 7c - 7 c i ."' ln `7<i SEWER CONN. DRAIN. FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL SEPTIC TANK CONTR. LIST CHECK ,C - .et Permit No7 X 9 Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling Size Septic Tank Feet of Drain Tile Nature of Water Suppl City Well Amount of Permit $ ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMI Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name L. J. _ ____ " "lex : ,14 -, Location and Legal Description Lot / Block ar'% r (Signed) \-- The undersigned applicant for this bur ermit does hereby certify that h under the Florida Workmen's Compensation Act, being Section 5966, Compiled G plied with the provisions thereof, and will require similar compliance from all con performed under this permit; and will post or cause to be posted for inspection on required by the Act. The undersigned agrees to employ only such sub - contractors, licensed by Miami Shores Village. Addition underst neral Application is hereby made for the approval of the detailed statement of the plans and spe � ' 'onss erewith submitted for the bui ing or other structure herein described. This application is made in compliance and confonnity with the din Ordinance of Miami Shores Vi age, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all r and regulations of the Building Division of Miami Shores Village shall be complied with, wJiether herein specified or not. A copy of approved p a nd specifications must be kept at building during progress of work. e.) �... t No Street 45 Street Subdivision ' - ds Street Repair No. of Notary Public, State of Florida 402, L'i?etifri*Q'" Stories Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well__ - I Size of Soakage Pi Plumbing Ins tor. and accepts his obligations as an employer of labor aws of Florida Permanent Supplement, and has com- actor or sub - contractors employed by him in the work to be ite of the work such public notice or notices as are n work to be performed under this permit, as are Master Plumber. 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. 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. UILDING LECTRICAL LUMBING MIAMI SHORES .VILLAGE, FLORIDA DATE -J PERMIT N° 7443 Work to be performed under this Permit 'weer of `� uilding /II G t. ,; t A C.,„,„/ d rchitect Lot `. f - (\-," " , ..te• ") BL 1s Subdi- vision Value of Project Signed. INSPECTO Contractor's License No. : ontractor Builder egal )escription ddress of uilding This permit is granted to fhe contractor or builder named above to construct the building or to install the equipment or device described in the appli- ttion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ani, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 2rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and =gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- bility for work done by his agents, servants or employees. Amt. of Permit BY AUTHORITY 194_ In copsideration of the issuance to me of this permit I agree to perform the,hv covered hereunder in compliance with all ordinances and regulations rtaining jFiereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. ► acce t4s permit I assume } ,esponsibi1i for all work done by either myself, my agent, servvnt or employee. T C OR BUILDER" BUILDING ELECT tt _CAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA • , . DATE /---- PERMIT N? 7443 Work to be performed under this Permit • Architect f -A4,11‘."'40 4 1 Bl. Contractor or Builder Legal Lot Description Address of Building 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, 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 . awings or in the statemen or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. /0- 7 , 4.a Signed. /440 Subdi- vision Value of Project BY INSPECT 194 Contractor's License No Amt. of q Permit �i y In c,nsideration of the issuance to me of this permit I agree to perform work covered hereunder in compliance with all or.Pances and regulations, pertainin ereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shfite,05age. In acce is permit I ass esponsibili for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER - AUTHORTTY