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302 NE 100 St (2)Si No My APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ''/ ` `( /o / Job Address 3 2 (2 �V / (2 0 41 Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant h. V 62.14 002 Master Permit # Owner's Address f n PL Phone ' / Contracting Co. L / V E L � M c/LH ,9) /, ` Address q Sy �� 7P1 L L Apt(s Qualifier (/ 15 � 2- SS# Phone 2- C / -1V-Z I2 ^ State # 0D 3 g O d Municipal # Competency # S5 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor ddress Permit Type (circle one): BUILDING ELECTRICA /41 eia WORK DESCRIPTION //Mitt/ I � " e ` Square Ft. Estimated Cost (value) 2 2 (7 d 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 al • k will be done in compliance with all applicable laws regulating construction and zoning. Furthermore I authorize the above -named contractor to do ' wo stated. d/or Condo President and/or Condo President ssion Expires: 3 4 p,Y PO ANGEL FERNANDO FORNARIS COMMISSION # CC 642153 ,.. EXPIRES APR 2HRU 001 lFp� kyA T�q WANG CO., INC. FEES: PERMIT'( vIf) RADON C.C.F. --D NO Signa • o . actor or Notary as to My Co ECHANICAL ROOFING PAVING FENCE SIGN tractor or Owner- Builder RENE TUMA Notary Public - State of Florida My Commission Expires Apr 25, 2003 Commission # CC8299 r Electrical um 44/1 1 L ) t/gc5 t1 r 3/H ° Date TOTAL DUE 90 3fi %o Date Structural Engineer ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET 1 / LIGHT OUTLETS CENTRAL HEATING DISHWASHER ..5(51 O aL ` 1 RECEPTACLES A/C (WIND) DISPOSAL SEr Or-t- i SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AM'S DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER ill / OVEN = WATER HEATER MJTCRS 0- 1 HP MOTORS OVER 1- 3 FP ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS SINK, POT /3 COMP. SINK, RESIDENCE 567 PL SINK, SLOP / MOTORS OVER 3- 5 FP MOTORS OVER 5- 8 FP MOTORS OVER 8- 10 FP MECHANICAL VENTILATION TRANSPORTING ASSEM3LIES ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET IFII MOTCRS OVER 100 FP VIOLATION INDIRECT WASTES WATER SUPPLY TO:.TcE M{iKciZ A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER - REPLACE ,LAWN..SRRI•NKLER- WEt1;'- -- SWIM4ING POOL WATER SERVICE SEWER CONNECTIONS JTILITY -SEWER JTILITY -WATER SEPTIC TANK IELAY )RAINFIELO, 4' TILE/RES. 'UMP E ABANDON SEPTIC TANK AAKAGE PIT CU. FT. :ATCH BASIN MES WELL O WELL MESTIC WELL / 'r' -_ � __ -_ -_ �= ° '""'�ECl'AC�PURPOSE`� A/C WINDOW AIR CONDITIONERS REINSPECTION STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS "'" ' OUTLETS COM4ERCIAL SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK FIXTURES ANTENNA ...... • �... TELEVISION OUTLETS VIOLATION REINSPECTION ' REF NT =® I OOF INLET JLAR WATER HEATER IRE STANDPIPE ' )OL PIPING 1WN SPRINKLER SYSTEM 1S RANGE � . , :TER SET (GAS) :, . S 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 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date C d Job Address 3O 7_1W / CO fL Tax Folio Legal Description , / Historically Designated: Yes Owner / Tenant ,1� Ay' 11 (S —/'C O� tl lfhe,/2 j / VN�S Master Permit # Owner's Address ?O 2- i .6- / 00 / Contracting Co. AL4 N i% /92610474 6 Qualifier KEl/+1 C N Signature of o ` +r and/or N•ndo President Date Notary as to Owner and/or Condo President ,. Z My Commission Expires: . y7 ,0,..9 P OFFICIAL NOTARY SEAL ei SANDRA M MONTIEL i r * COMMISSION NUMBER ' ?a., Q CC401261 -!• �" 4.- ?AV COMMISSION .EXP. �OF fV ° _ AUG. I/ FEES: PERMIT ; F. e" RADON APPROVED: Zoning Mechanical Plumbing Building C.C.F. / / — 32-o 6 —W3 — 7 t) No ( 473 Phone Phone 7, ^ . C/ 76 Address ‘0 7Q ,4JW . 2rsr /tii /, SS# Phone ( 7/-1 3 61-0 State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PL MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION & . s %J3-/ I �C�74/ /0� 4/4 y / � � , u N L/ fi! C - 7 A 7 at Pia r fi aN' - /-/ �e 6-747e/ye - byeeti /A/S l (j &ev S - Square Ft. Estimated Cost (value) 15 0 - WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated 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 regu ,. ting construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Electrical otary as to Contractor or Owner -Buil My Commission Expires: 1 OMAIDA HERNANDEZ MY COMMISSION N CC 482167 D(PIf6:S: May 10,1999 „ , a, Bond 11uu Notary Public lbrde wdtem ..24/ f Si a a e of Contractor or i wner- Builder Date gi p. Date NOTARY r ) BOND TOTAL DUE 14 Engineering NO. 1242 - 81/2 X 11 35°16' ISOMETRIC NA ! - 6890, NW 2dth StREET i • • MAIVII, FL 83122 , I .1 w Permit No 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 s 27 1/ 1_ Registered Architect and /or Enginee Employing Plumber's Name ��'L=-- --` ------- -- - - -- No` -_ Nature of Water Supply: City —Well._ Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ (Signed) _ ( Signed) _. Date____ ' So —6w Street / 6' e) Street 71 G' CaA! Block__ Subdivision Street £ / 19-6 Location and Legal Description Lot__ Street and Number where work is to be performed—No-____2_e_12-__ 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 _Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig f'ns 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, �. 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. 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. CLOUTS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CA BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. Li / ` / / / _._ — _�_ CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL _ COMM. LIST ' CN[CK CHICK w Permit No 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 s 27 1/ 1_ Registered Architect and /or Enginee Employing Plumber's Name ��'L=-- --` ------- -- - - -- No` -_ Nature of Water Supply: City —Well._ Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ (Signed) _ ( Signed) _. Date____ ' So —6w Street / 6' e) Street 71 G' CaA! Block__ Subdivision Street £ / 19-6 Location and Legal Description Lot__ Street and Number where work is to be performed—No-____2_e_12-__ 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 _Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig f'ns 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, �. 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. 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. BUILDING El MIAMI SHORES VILLAGE, FLORIDA ( 4 Date 19 --. ELECTRICAL ❑ PLUMBING ❑ PERMIT v° 9645 ROOFING ❑ Owner of Building Oi Ai. t r Architect Contractor or Builder v • i c PC Legal Lox 1 i Description 1 BI Address of 3t (L. /a. Building CONTRACTOR or BUILDER Work to be performed under this Permit L . Contractor's C4: Z 7 C. License No. ! / Subdi- vision Sq Ft. Value of I 1 Amount of -- Project $ II Permit $ 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 1 • 1!? �.- . +w .. +' "L—'" (INSPECTOR) BY In consideration of the issuance to me of this permit I to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, dra littgs, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work one by either, myself, my agent, servant or employee. BY AUTHORITY MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 Law• of the State of Florida, all ordinances of Miami Shores Village 'nd all rules and regulations of the Building Division of Miami Shores Village sh,:11 be complied with whether herein specifie 1 not. A cop of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address____ ___Ry4M Registered Architect and /or Engineer Name and address of licensed contractor C51 L'7'f t1L___ iCsrAlt' jJsc, �'7 Z Co GM Location and legal description of lot to be built on: Lot_ Block Subdivision Street and Number where work is to be done 01 W , 1 d 57 State work to be done and purpose of building (by floors ) _ ___ R Y-14, c I'- t_SI -EM_ 4'4--, rem_. is- ----- -- ----- - - - - -- and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $____�• _ Zone cubage required____ plan Cubage Distance to next nearest building __ Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 rovisions 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. L CAlkirOdC_- C-d/kr 1 i Remarks (Signed) II__,, _ -- __ --•• � e __ -- //__ / D STATE OF FLORIDA, COUNTY OF DADE. j ss. Disapproved _ ___ -- _ Date (Signed) `. Date_ ._ Notary Public, State of Florida Street_-. _ , 19__6 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. Permit No 7 Z 3 Date ` 1 z -c_ '7 Read, Sworn to and Subscribed before me. Building Inspect My Commission Expires P A NNING BOARD_-__.___ DATE Chairman _ -- _ Member .__ _ - - Member _ Member Member Member _ Council Approved ___- . Date Disapproved ____ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder t- Legal Lot Description II B1 � - E CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 5723 DATE. t Contractor's License No. • 19 Work to be performed under this Permit tOT Subdi- vision Address of - ? Value of 1 Amount of ( Building ` "� ! ' ' Project $ ` "` Permit $ ' 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. @;,, Signed r ..7 INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliant with all ordinances and regulations pertaining thereto and in strict conformity with the plane, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT Permit No State work to be performed and purpose of building (By Floors) 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 specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address G,�._�Jiamer No. Street_1QQ St & EEIE___3__Ave Registered Architect and /or Engineer ,___— ____ —___— Employing Plumber's Name No. Street Location and Legal Description Lot • Bloc __ ti Subdivision Street and Number where work is to be performed —No. 1= • - �' Y' ve St reet I I • Date Jana___]_s_ ____1.9- ---- Bottle Gas Insta llation,__Stove heater and heat furnace 1/j New Building Yes Remodeling Addition Repair No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit / 7./ //I 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. My Commission Expires (Signed) Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 1 t 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. 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 H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL St ov J Y9 H H H ! H 2 ¢ I fix CONTR. LIST CHECK X X X A 3 Permit No State work to be performed and purpose of building (By Floors) 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 specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address G,�._�Jiamer No. Street_1QQ St & EEIE___3__Ave Registered Architect and /or Engineer ,___— ____ —___— Employing Plumber's Name No. Street Location and Legal Description Lot • Bloc __ ti Subdivision Street and Number where work is to be performed —No. 1= • - �' Y' ve St reet I I • Date Jana___]_s_ ____1.9- ---- Bottle Gas Insta llation,__Stove heater and heat furnace 1/j New Building Yes Remodeling Addition Repair No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit / 7./ //I 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. My Commission Expires (Signed) Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, 1 t 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. 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 Owner's Name and Address __ Registered Architect and /or Engineer Employing Plumber's Name ____ _ w 2r r : * 5� i I to ' ��,x � � - - -� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. al 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. No. Street Street __��l��y__, es Location and Legal Description Lot 1 2 Block __y Subdivision__ Street and Number where work is to be performed —No • Street __ State work to be performed and purpose of building (By Floors) New Building 11klr Remodeling Addition Repairs No. of Stories 1 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 .? k__. Size of Soakage Pit Amount of Permit $__ e 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. (Signed) _ °° A ► t ' Co ' 9 Master Plumber. ss. My Commission Expires (Signed) V it 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. 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. ) r CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST 3 1 y i 2 1 1 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST / / CHECK Permit Owner's Name and Address __ Registered Architect and /or Engineer Employing Plumber's Name ____ _ w 2r r : * 5� i I to ' ��,x � � - - -� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. al 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. No. Street Street __��l��y__, es Location and Legal Description Lot 1 2 Block __y Subdivision__ Street and Number where work is to be performed —No • Street __ State work to be performed and purpose of building (By Floors) New Building 11klr Remodeling Addition Repairs No. of Stories 1 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 .? k__. Size of Soakage Pit Amount of Permit $__ e 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. (Signed) _ °° A ► t ' Co ' 9 Master Plumber. ss. My Commission Expires (Signed) V it 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. 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. ) r Permit No. Application is hereby made for the approval or 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. , r KJwner s Name and Address �.z • � 1.‘4__ No Street Ctr d J =r,q ,,f Registered Architect and /or Engineer t • Employing P... IJLT Name _ Amount of Permit $ MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Date ss. PLUMBING INSPECTION DEPARTMENT Size Septic Tank Type of Tank • f4 • No. �. (Signed) (Signed) My Commission Expires Notary Public. State of Florida Street Location and Legal Description Lot = iL Block �� Subdivision 1 % ( • Street and Number where work is to be performed —No ; e 1 ,` Street State work to be performed and purpose of building (By Floors) New Building V Remodeling Addition Repairs No. of Stories 9 t: ,°) Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Plumbing 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. 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. fl 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 SWIM'G POOL CONTR. LIST / CHECK , icy Permit No. Application is hereby made for the approval or 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. , r KJwner s Name and Address �.z • � 1.‘4__ No Street Ctr d J =r,q ,,f Registered Architect and /or Engineer t • Employing P... IJLT Name _ Amount of Permit $ MIAMI SHORES VILLAGE APPLICATION FOR PLUMBING PERMIT Date ss. PLUMBING INSPECTION DEPARTMENT Size Septic Tank Type of Tank • f4 • No. �. (Signed) (Signed) My Commission Expires Notary Public. State of Florida Street Location and Legal Description Lot = iL Block �� Subdivision 1 % ( • Street and Number where work is to be performed —No ; e 1 ,` Street State work to be performed and purpose of building (By Floors) New Building V Remodeling Addition Repairs No. of Stories 9 t: ,°) Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Plumbing 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. 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. fl Btfttet Nes 'ELECTRIC* PLUMING Contractor or Builder L—____ NAME Proposed Location • PERMIT A N? 596 f e. LOT / BLOCK Owner of Buildin =1' NAME Architect and /or Engineer____ - �' NAME 2 SUB-DIVISION ADDRESS ADDRESS ADDRESS MIAMI SHORES VILLAGE I Q BUILDING INSPECTION DEPARTMENT ..„ s7' , 19_2_ NO. / This permit is issued to__ .._s':. __._i__: / " 'i ` . z r .___.___ To the building above described, as per application. Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances N. ru]�s and regulations, or upon an9 change I t e plans and specifics ons styl prized by the building inspector. f; f . a � �� r t r F s ` I' ■ .'• ¢ ! t x l l AMOUNT RECD. AYMENT ACCT. DEPT. INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. Dated , 19 _x__ (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. 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. LICENSE NO. LICENSE W. STREET �_ ittlitOTIM XEL-EeTRICAL PERMIT A N° PLUMBING Owner of Building , Architect and/or Engineer NAM NOTE: D. PAYMENT ACCT. DEPT. • --r 676 ADDRESS • MIAMI SHORES VILLAGE, BUILDING INSPECTION DEPARTME / AL_t. • LICENSE NO. ADORE Contractor or Buildee'_— ADDRESS LICENSE NO. Proposed Location itt": 2 ' • NO. STREET 19 BLOCK SOS-DIVISION ...e." ., .4 / Thi permit is issued c5){..44T., r - -_-_.;," .. ::...: ___I...1.. .t.,-________:Lr.__12.— _____L:____—_ ..._ To the building above described, as per Kiplication, Plans and Specificatinns heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the constriction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws f the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and reguytioiy, or u n any1ch ge inr the plans and specifications ttnauthorized by the budding inpector., .. ` $ j_l___________ AMOUNT ■ INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and ip compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Vi11agetsd all rules and regulations of thrldilding department of Miami Slfores Village. ,,, ......,..' • de doa: ..... / '''' `' .0 1 4* A 4 4ffig-A14 A charge of $1.00 will be made for making corrections or changes to this application after ipproval has b en o 1 ttided. g m _ anning t oard. 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. -ELECTRICAL L PERMIT A N° 870 PLUMBING Owner of Buildin Architect and /or Engine Contractor or Buildet,4', $ Dat 1 Proposed Location __! t / �.., k j NAME NAME NAME LO \ SUB -DI ISION NO. STREET TTjjjj ! This permit is issued 477-4-; _ -- the building above described, a/per app ication, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications una t razed by the buiIdi g inspector. • AMOUNT BLOCK RECD. PAYMENT ACCT. DEPT. ADDRESS LICENSE NO. ADDRESS ADDRESS MIAMI SHORES VILLAGE Bl'iIILDING INSPECTION DEPARTMENT , 19 q_ C LICENSE NO. I Z_y1. INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the buil 'ng de finept of Miami Shores Village. 19- — -lr — — (SEAL) • A charge of $1.00 will be made for making corrections or changes to this application after approval ljdrbeen obtained from the Planning Board. 1 A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspeet'i"on or faulty materials and /or workmanship. Permit No. 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 —N 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 specified or not. A copy of approved plans and specifications must be kept at building during progress of work. G Bam _r No No. Street State work to be performed and purpose of building (By Floors) Bott leGa s In sta flat i on ,._ t__Q_V_e ter_ and heat furnace 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 ------ - - - - -- Amount of Permit $ i I czt (Signedi (Signed) Date June 1st 1940 —__ Subdivision Street Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws 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, k 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 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 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 SWIM'G POOL 6t OV ' AI''rJ W 11 �T H F CONTR. LIST CHECK X X X 3 Permit No. 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 —N 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 specified or not. A copy of approved plans and specifications must be kept at building during progress of work. G Bam _r No No. Street State work to be performed and purpose of building (By Floors) Bott leGa s In sta flat i on ,._ t__Q_V_e ter_ and heat furnace 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 ------ - - - - -- Amount of Permit $ i I czt (Signedi (Signed) Date June 1st 1940 —__ Subdivision Street Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws 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, k 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 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 faulty materials and /or workmanship. Amount of Permit $- appeared Permit �__�___;:�' 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 specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address _ ___E__ !`��. Registered Architect and /or Engineer - - -__ Employing Plumber's Name ____Cla\kk •a___ 4 to No. 2 - 9 Street__ '_ , 4 -'It Location and Legal Description Lot_ n 1 Block '4 0 Syyuby'S.diivision_ ,,Cl Street and Number where work is to be performed —No .50 Street___11._� _Pat--12-(1211 State work to be performed and purpose of building (By Floors) Repairs No. of Stories 1 Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well aQ ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. Street New Building S ' Remodeling Addition The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit: and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly (Signed) (Signed) 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 therein by him stated are true. Date - Notary Public. State of Florida Type of Tank Capacity Gals. Dist. Feet of Tank or Drain Field from Well . Size of Soakage Pit f 7./ Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are 15/ a NILICV 6i4 A. A 1 11 I WM/tti Master Plumber. authorized to administer oaths and take acknowledgments, personally did sign the same, and that all facts 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 TU 1 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 SWIM 'G POOL CONTR. LIFT CHECK Amount of Permit $- appeared Permit �__�___;:�' 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 specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address _ ___E__ !`��. Registered Architect and /or Engineer - - -__ Employing Plumber's Name ____Cla\kk •a___ 4 to No. 2 - 9 Street__ '_ , 4 -'It Location and Legal Description Lot_ n 1 Block '4 0 Syyuby'S.diivision_ ,,Cl Street and Number where work is to be performed —No .50 Street___11._� _Pat--12-(1211 State work to be performed and purpose of building (By Floors) Repairs No. of Stories 1 Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well aQ ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT No. Street New Building S ' Remodeling Addition The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit: and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly (Signed) (Signed) 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 therein by him stated are true. Date - Notary Public. State of Florida Type of Tank Capacity Gals. Dist. Feet of Tank or Drain Field from Well . Size of Soakage Pit f 7./ Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are 15/ a NILICV 6i4 A. A 1 11 I WM/tti Master Plumber. authorized to administer oaths and take acknowledgments, personally did sign the same, and that all facts 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. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No building during progress of work. Owner's Name and Address _ ____________G____________ CL. t (t -_L��_ New Building v Remodeling__ Size Septic Tank Type of Tanls, Feet of Drain Tile Dist. Feet of Tank Nature of Water Supply: City —Well Amount of Permit $_ My Commission Expires 1r Size of Soa s ____ (Signed) The undersigned applicant for this building mit does here lip under the Florida Workmen's Compensation Act, b lig Section 59'66, plied with the provisions thereof, and will require imilar compliance performed under this permit: and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly 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 therein by him stated are true. Date ! e? 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 / No. Street 1�___!___ Registered Architect and /or Engineer ' ' T 1 L_ &L_. Employing PLLetiselrb Name �£: �- - - -_ 1�1.d__L.,., (fir__ No 14 D .4 Street - � ' Z /"/' Location and Legal Description Lot 1/' / r _'_— _V Block 0 w _ /�c .j_ ( X11 t t�, f 1 r If �_ Subdivision _____________L__! e' 1' Street and Number where work is to be performed —No ' Street State work to be performed and purpose of building (By Floors) Addition Repairs No. of Stories 1 r l Cap t�; G ls.___. Notary Public, State of Florida Plumbing Inspector. ify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the wok such public notice or notices as are sub - contractors, on work to 1?Q performed under this permit, as are r" ` f (Signed) , t c authorized to administer oaths and take acknowledgments, personally the same, and that all facts 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 SWIM'G POOL /� ` $ - .. IN 1 1 I - f •, , { � CONTR. LIST / /n! f % �1.. 1 ` , I � . CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No building during progress of work. Owner's Name and Address _ ____________G____________ CL. t (t -_L��_ New Building v Remodeling__ Size Septic Tank Type of Tanls, Feet of Drain Tile Dist. Feet of Tank Nature of Water Supply: City —Well Amount of Permit $_ My Commission Expires 1r Size of Soa s ____ (Signed) The undersigned applicant for this building mit does here lip under the Florida Workmen's Compensation Act, b lig Section 59'66, plied with the provisions thereof, and will require imilar compliance performed under this permit: and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly 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 therein by him stated are true. Date ! e? 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 / No. Street 1�___!___ Registered Architect and /or Engineer ' ' T 1 L_ &L_. Employing PLLetiselrb Name �£: �- - - -_ 1�1.d__L.,., (fir__ No 14 D .4 Street - � ' Z /"/' Location and Legal Description Lot 1/' / r _'_— _V Block 0 w _ /�c .j_ ( X11 t t�, f 1 r If �_ Subdivision _____________L__! e' 1' Street and Number where work is to be performed —No ' Street State work to be performed and purpose of building (By Floors) Addition Repairs No. of Stories 1 r l Cap t�; G ls.___. Notary Public, State of Florida Plumbing Inspector. ify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the wok such public notice or notices as are sub - contractors, on work to 1?Q performed under this permit, as are r" ` f (Signed) , t c authorized to administer oaths and take acknowledgments, personally the same, and that all facts 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.