The URL can be used to link to this page

253 NE 101 St (7)Date /°zy� '7 Legal Description Owner/Lessee / Tenant .. - / -ea--- / LhevIQJ Master Permit # Lio 2 6 7 Owner's Address q..5',3 /v , / SF Phone 89; ` f `g (P) 7,3 7 /,7 i (//) Contracting Co. 111A. ( ,(,, i ! , ) L ai Address /9,c2_ /L L c ; , . ,40,„ Qualifier -rr fi ,. e SS# . ( S /' / — 785-1 ' State # t{ Munici # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 0 ej �-° /� � I 0' Square Ft. Estimated Cost (value) �Q , 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 re _ 1, ting cons and zoning. Furthermore, I authorize the above -named contractor to d - work stated. Notary as to Owner and/or Condo President My Commission Expires: „ 6 �W a . - ,/ :) PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 0Z5 4 /6 . /O Tax Folio FEES: PERMIT SS - RADON APPROVED: Zoning Mechanical Plumbing Building C.C.F. Historically Designated: Yes No Signature of Contractor or 0 • er ate Notary as to Contractor or Owner - Builder My Commission - Expires::: --- . - -_ -_ 0 d A - � 'a . s 7" C ;q �K . .J :Of r'1�`' • 1 n eD �� Electrical NOTARY Jr BOND / / l Date c,-9 30a TOTAL DUE ... 7 `f 8a Engineering FEE PAID $ � _JCTION PERMIT RECEIPT # /: G r o o t rity: Chapter 381, FS & Chapter 10D -6, FAC COySTRUCTION PERMIT 'OR: [ ] New System [P xisting System [' Udolding Tank [Temporary /Experimental V ] Repair [ ] Abandonment [ Other(Specify) AGENT: C cppir PROPERTY STREET ADDRESS: z �� p / o 59 APPLICANT: P o f iJ a e. LOT: r c BLOCK: ar. SUBDIVISION: /1/ oy PQ) /`) PROPERTY ID #:4320 60/34 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC REPAIR`PEIMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. SYSTEM DESIGN AND SPECIFICATIONS T � A N [ K So D [ 0 T H E R / GPD "_ EPTIC TAN AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES] ] [G ONS / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] UARE PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED I CONFIGURATION: [ ] TRENCH [ ] BED N �f F LOCATION OF BENCHMARK: I ° ��'7 ', � ®' O� � C 2 '".-�' I ELEVATION OF PROPOSED SYSTEM SITE 1 INCHES /FT [ABOV OW] BENCHMARK /R FERENCEPOTNT E BOTTOM OF DRAINFIELD TO BE [ 'A [I /FT] [A VE BELO BENCHMA /REFERENCE POINT - �"° ---- °�� L D FILL REQUIRED: [ ] INCHES EXCAVATION REQUIRED: ] INCHES SPECIF- ICATIONS BY: APPROVED BY: DATE ISSUED:/,_ PERMIT # HEALTH AND REHABILITATIVE SERVICES DATE PAID /- r/AGE DISPOSAL SYSTEM o,c 0 [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] TITLE: HRS -H Form 4016, Mar 92 (Obsoletes previous editions whch may not be used) (Stock Number: 5744 - 001 - 4016-0) [ ] MOUND [ ] [ CPHU EXPIRATION DATE: (6 2717 Page 1 of 2 • Plan Approved STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number Notes: lsfn. I ,1. 7P f Site Plap_SubMitted by =1_ I I n1 I n I h 1 • ■ u 1 RR • ••• ■•� • ■•■ NS L- MAMAS !• 1 gm m • ■.■ #SI_ .■ •S:■ O EMS MAO • _MMO Alr I 01 in • us ••• • • ••• :Mon ass . ■ AN I I •.. ••• i• ■••* • • :••/,�`//,■ • ■••••• ! ■■ •••!1 1• ■S MEMENNO SMOSSOSISM fw • ■•• Y�:. : • •■ ••••.• ww• _ iw U ° •• w wsi •••••••••• •■•■ •■ •• • • ...• • ••,•••••••••• •U••• ■II••U! ■RU• •• 110 WIMP *NH IMO • MOM MO OM MMUS IMMO OM ••`•••••!•. ••••i#••••• • amsm • •■ • . J' '• • ' ••• _ _•1r as • ■•R■ ■••■ ■■ • ■ ■ morsermens i wsus M 1• L m • � • • 111 :' :..u.... ••i....... •■ • • ■• •.� •l ..r r•l•••R• ■ • • ■ •■ •••. ' ■. ....■ i■•■ .• • ■• •••■.• •••••1.■ 1■■■, ••■ NMI ■•••■ ■ ••••••.• ■R.• ■•• ••• • • . •...••:.••'•■ • ■• ■ mow Ism* ••• •■ • ■•• ■•� ■•••••■•••• ■■ •••••• ■• 1011§000011001 • omm . • •�I I ••t •.• •• •• ■.... .....••!••• •••••!•••■■ •.•1••• ■••! ■••■.••• •_ ■■ •■• ••U _ _ ■ w ••� •* SAMNA" ui..u. OM mum •• ■ • � •■ •••. • ■•■•■■•■ :.•••••!i ••■•••• •• •.• •■ ■ •••■ ••• ■■ - ' � " . u...MS : RIM •! ■•■ • • ■....•••• . . gum ■ •Ill• •• ■••I ■ ■ ■ ■ .•.•...••■._._••••••• ■•m! ••IOitiONsi -WAIF -_ ■ :halal •■•••■ ■ ■ [ •••• h •1 ■. •• ■ ■•• ■••• II • 11• I• ••••••I! s �■•■ . ■ •• Assn • .•..: •• ■■ • ! [ mums ■� i• mussumwmoss •• ■•■ r••• ■uw•r. _ • • WOWS 1111 • •••••••• II •. •i•■ ri .161 _.. 4 • ••• s (� NU mo IS SIMMS SRN Min •■•••! " • ■.• ••.•■ ■ •. ■ ■■ • ■u • •■li • ■ ••• .• ■. • saw no . •■ s. • imussusilan massuwwwws WESOSOMMI ■ ■ ■ Emu gs NEMO 1■ •ri••■ Wargegasem • Salta �••. • ■ • ■• SOS OW SU c • •�i••.. i' .>i •■■ ■■ • R■■i�w` niw ■ ••Ia■ ••s•.••Y•U ■ ■ ■• .•.••••• ! •• ■•• .•• ■ •� ■� awe r�r . •••u•• ww ■ ••�. •! -www iR twrwwnr • ■ ■••• ■•••• • ■ •■ • ww •r a • ••■•• . 1�� ` • • •Y•■Y■ti■� ■ i � ■• ■M ••! •• . I __ ■• ■• •■. ■•• ■•: ■ ■■ ■■•• : ■■O WS•r:• • ■••1• ••••• •■•• I mu � • •• go imirssussimorawr01.1 ■• • •• • ■ •• •■ • . • 1/■■ ■••■ ■ • • ■ •. •• ! ■' ' ■•� Wm man amain sum : •■1r■ ■_ : r1 • s •IU. U•I 00010001 • ammissamissi AMOOmmulems •• ..■ ■ I •• •:■■ : ••:: on ■ mu ■ ■ ■ ■ T ■ CMANONVLSZONNON i1■■ .: •• R •■ ■ r • • •••••l1 a � . •g• 1 MUM 11�• ■• •■;! ! •■ O • !• ■1 ■ •• IIIII■:••�I[•JIN MONSIUU••Lw•I• E LI ' •I •■ Al WI r ■ . _POT • waaama • : • ti . moS SUNS OIAM. .010,00 SillspORNOW saWspoSSIsm lossmismpassi mcsissOOM • ••■■•••• . ■ • ■ ■■■ - •■ w rR�' aw a Is.. .� Rs - ■•■ MI ■ - ■ N •liiM •• ■ ■ ■�■ ■O• •.• rl r IS . . • ■• •• ■ ■■•■•■ ■• ts.mri•m• d. ■/° •• 00 1 -L„ , .I„Im•Ssa•WIRAII RS swim • � - u .:•• • 1 ■ OM OS 1 rt I I. II I � t . TA L _ a II_ Rilmal0.0100 ■ . • its0 ■ • L • , • a • .�..�c-Xal�i .. swim • ININEMUSSOSS msassmossi ■ ■ mal mimisSismslim .. r SIM • - - -J - Crri *Woe AST lik • ■ U _ i_ N ON ••(_. ■ • ' TITLE j • + . PART II - SITE PLAN SIGNATORI_ Not Approved (,41_.° � 4 t , 'r 7Pt - . 1 ' ;7; 11,k Date 1 _ r r , r l . l By County Public Unit ALL CHANGES MUST BE APPROVED BY THE COUNTY PUBLIC HEALTH UNIT HRS -H Form 4015, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 002 - 4015 -6) Page 2 of 3 ❑ PERMIT N° 15559 J am: BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ❑ Work to be performed under this Permit Architect Contractor y^» or Builder r Legal Lot II B I Description Address of Building i s MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ DATE w. 195 Contractor's License No Amt. of 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed• x BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assun}e- responsibility for all work done by either, myself, my agent, servant or employee. ` i t O i ... t co N t ACTOR OR BUILDER BY AUTHORITY Permit No. .457.57... Owners Name and Address Registered Architect and /or Engine Employing Plumber's Name Amount of Permit $ .1 t 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. ,$ s No. Street \3-\ _ No. Street Location and Legal Description Lot__ _Block- Subdivision Street and Number where work is to be performed -No. ___7 ' 61 -t-t e FL Street- o e State work to be performed and purpose of building (By Floors) 7 . / New Building _ Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank_ Capacity Gals. Feet of Drain Tile . Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well _— Size of Soakage Pit (Signed)_ Date Id- a 3- . 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 5968, Compiled General Laws of Florida Pennanent Supplement, and has corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as art licensed by Miami Shores Village. ( Signed ) _ My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, I as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he, did sign the same, and that all tae 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 bur materials and /or workmanship. CLOSETS BATH TUBS SHOW[RO LAVA• TORIES SINKS SLOP SINKS LAUNDRY Tim URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIKTUR[I CONTR. LIST CHICK _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER Map WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. L15T CHICK , Permit No. .457.57... Owners Name and Address Registered Architect and /or Engine Employing Plumber's Name Amount of Permit $ .1 t 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. ,$ s No. Street \3-\ _ No. Street Location and Legal Description Lot__ _Block- Subdivision Street and Number where work is to be performed -No. ___7 ' 61 -t-t e FL Street- o e State work to be performed and purpose of building (By Floors) 7 . / New Building _ Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank_ Capacity Gals. Feet of Drain Tile . Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well _— Size of Soakage Pit (Signed)_ Date Id- a 3- . 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 5968, Compiled General Laws of Florida Pennanent Supplement, and has corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as art licensed by Miami Shores Village. ( Signed ) _ My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, I as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he, did sign the same, and that all tae 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 bur materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE "' / / 1 194 4 ELECTRICAL PERMIT N? 4574 Contractor's 1,' 11 S PLUMBING License No Work to be performed under this Permit ` '; a c ^+^s. #' " " Owner of ' Building f ' 1 •/l -1-4 ' y,. t_ ,:, Architect Contractor or Builder' `" m Legal Lot Description Address of Building. tea... Bl. Subdi- vision Value of Project Amt. of 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 t appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance ith any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may 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 u hich this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the or nances 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. . J ... J Signed. {,, _,: •C.1 By , `'M/ ' 1 INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility foLall work done by either myself, any agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of ( r; ) W f 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 w th 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 upin 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 drawing or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. «l ,,,,/�, Signed. P' By ' /° f ' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance .with tre dinances andxe.#ons 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 as me responsibilit all work done by either myself, my agent, servant or employee. CONTRACTOR OR MIAMI SHORES VILLAGE, FLORIDA / DATE " 194 `4? PERMIT N? 4574 Work to be performed under this Permit"a 5 .4_ etif Subdi- vision Value of Project . BY Contractor's License No. Amt. of Permit �r AUTHORITY BUILDING ELECTRICAL PLUMBING t..•- Owner of -4 Building Architect Contractor ,r Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3538 DATE Work to be performed under this Permit Contractor's License No t<i.: This Ccrstruction may he in viofa;•n ni • -' 4 U' uoi B& c Gdi18r l) i m i t.oa J ar: , , ,r;urr.d to consult your War Pi orAuc,ion tc,rd office before starting the work authorized in :his per CONTRACTOR OR BUILDER BY AUTHORITY Legal Lot BI. Subdi- Description Vision Address of Value of Amt. of Building 1 r f : ' . 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. a, + Signed• , By r ECTOR In consideration of the issuance to me of this permit I agree to perform the work covered he in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores peril* Village. In accepting this pert I assume responsibility for all work done by either myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder i +' Legal Lot Description coposo '1/4\ • '. :44 Bl. Address of S. Building = CONTRACTOR.,OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3538 Work to be performed under this Permit Subdi- vision Value of Project J) DATE .. • - 194 - Contractor's License No. - 4 :; 'I'r:C: This Cotistrructien ratty !Me :'.uUucrion &oarg General Limitations 9-c.,. r•1? (autionPd to consult your Vim oitce Mom starting the worts authorized it this permit. Amt. of Permit This permits granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application heiefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, dratat`ngsatatesmmnts,or sp that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked -at any _time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances.and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements, or specifications and that he assumes responsibility for work done by his agents, servants or employees. y °= n R_ � / eo 1 algnea• By SECTOR Inc ideration of he issuance to me of this permit 1 agree to perform the work covered hefeunder in compliance with all all,iuslinances and jregt}ia p do .ertaint thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au& ies of Miami li k/ MS Village. n ac epting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. �'�f,, %4/ 3 BY AUTHORITY =a% PLICATION FOR PLUMBING PERMIT Permit No. - Date__— (11 ( /2 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. /� y v_ ^- �r A' Owner's Name and Address L / 17__�/ L_ ____�_ No.__ s __ 3 Street__ 4L.l'e'' Registered Architect and /or Engineer , may � /4LL ` ! 7 2 e 2 7 /1 4 ' 1 � No._ � _____________ Street__ _ : = » � � Employing Plumber's Name/ft My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 6. Location and Legal Description Lot___ —__ ___________— ___,_ — — ____$lock __�__ — _ Subdivision— _ _______ ______,_ : _ Street and Number where work is to be performed—No. _Ai . __ ,S , ,, ,et,,.. – `® – **/ !! State work to be performed and purpose of building (By Moors) n L J!'c? _ I" New Building Remodeling Addition Repairs No. of Stories_ Septic Tank �_— ______ Type of Tank Feet of Drain Tile___ !3 _ ? _ _ ____ Dist. Feet of Tank or Drain Field from Well__ Nature of Water Supply: City —Well. .. Size of Soakage Pit (Signed) Capacity Gals.________________— Amount Permit $_— _____________ —_ –__ ___________________(Signed) ��---_--__— r_ _------ ----- _------- _- --- _ —__�_ 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. ss. 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 Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHECK PLICATION FOR PLUMBING PERMIT Permit No. - Date__— (11 ( /2 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. /� y v_ ^- �r A' Owner's Name and Address L / 17__�/ L_ ____�_ No.__ s __ 3 Street__ 4L.l'e'' Registered Architect and /or Engineer , may � /4LL ` ! 7 2 e 2 7 /1 4 ' 1 � No._ � _____________ Street__ _ : = » � � Employing Plumber's Name/ft My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 6. Location and Legal Description Lot___ —__ ___________— ___,_ — — ____$lock __�__ — _ Subdivision— _ _______ ______,_ : _ Street and Number where work is to be performed—No. _Ai . __ ,S , ,, ,et,,.. – `® – **/ !! State work to be performed and purpose of building (By Moors) n L J!'c? _ I" New Building Remodeling Addition Repairs No. of Stories_ Septic Tank �_— ______ Type of Tank Feet of Drain Tile___ !3 _ ? _ _ ____ Dist. Feet of Tank or Drain Field from Well__ Nature of Water Supply: City —Well. .. Size of Soakage Pit (Signed) Capacity Gals.________________— Amount Permit $_— _____________ —_ –__ ___________________(Signed) ��---_--__— r_ _------ ----- _------- _- --- _ —__�_ 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. ss. 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 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. 7Z /s BUILDING ELECTRIC/oil PLUMBING The following ia ready for inspection:- Inspectorls Report:-. • 4 • WORK • DOTE BY: REQUESTED : WILL BE READY . -----ar-7---- • a ' Inspection has made a final incipection of plumb!mg wcrk install- ed at covering same. MIAMI SKORi!]S VILLAGE FLORIDA CERTIFIenTE 07 APPROVAL OF PLilMB7G This iFl• to certify that - Lac Division of Plumbing (1,n5-2R id! — (Street Address) Lot Block Subdivision and find that the work conforms to tie ordinances and regulations Date A..." zo3__ MIAMI SHORES VILLAGE BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE 194a PERMIT N9 3 319 Contractor's License No. Work to be performed under this Permit Owner of Building / r r Subdi- vision Value of Project — W#RNINCs This Construction may be to violatrr r War Production Ro ^rd Gr ier?i ( Architect Contractor or Builder f' ;: d` :.j : . Legal Lot Bl. 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed• By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions 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. Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name _ Location and Legal Description Lot Amount of Permit $_ 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. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No 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 sped fications must lie 'H¢2t at building during progress of work. Type of Tank No Size Septic Tank Feet of Drain Tile__ Nature of Water Supply: City —Well. Size of Soakage Pit. Dist. Feet of Tank or Drain Field from Well Street_ ___ _____ — ______— _____ - Street________ _______ _ - - - - -- Block — __ -- Subdivision__ ___ _____ __ -- ---- _____ _--- ____ - _ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building — __________— Remodeling Addition___.. Repairs No. of Stories Street _Capacity Gals._____________ —____ (Signed) 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 (Signed) 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 therein by him stated are true. Notary Public. State of Florida Master Plumber. same, and that all facts re- inspection is made necessary by improper notice for inspection, or faulty CLOSETS BATH TUBS SHOWERS LAVA- TORIES $INKS SLOP SINKS LAUNDRY URINALS TUBS 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 Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name _ Location and Legal Description Lot Amount of Permit $_ 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. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No 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 sped fications must lie 'H¢2t at building during progress of work. Type of Tank No Size Septic Tank Feet of Drain Tile__ Nature of Water Supply: City —Well. Size of Soakage Pit. Dist. Feet of Tank or Drain Field from Well Street_ ___ _____ — ______— _____ - Street________ _______ _ - - - - -- Block — __ -- Subdivision__ ___ _____ __ -- ---- _____ _--- ____ - _ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building — __________— Remodeling Addition___.. Repairs No. of Stories Street _Capacity Gals._____________ —____ (Signed) 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 (Signed) 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 therein by him stated are true. Notary Public. State of Florida Master Plumber. same, and that all facts re- inspection is made necessary by improper notice for inspection, or faulty '\ tt • MIAMI SHORES VILLAGE 1‘ A PLUMBING INSPECTION DEPARTMENT I APPLICATION FOR PLUMBING PERMIT Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for th 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 __ ._ __�___ ___________ No._____!i�______ Street___ _______ __ Registered Architect and /or Engineer Employing Plumber's Name /,17 _— Location and Legal Description Lot Amount of Permit $_ My Commission Expires No ,P 5 Street_ __ 4 Vin _Block. Subdivision__— ___________ Street and Number where work is to be performed —No __ _ ________._____________ Street X ?_�_ State work to be performed and purpose of building (By Floors) Building —___— Remodeling Addition___.__ Repairs —___ No. of Stories ______ _______. Size Septic Type of Tank . — ____Capacity Gals ti Feet of Drain Tile___ _� _?__' ___— Dist. Feet of Tank or Drain Field from Well____ Nature of Water Supply: City —Well. Size of Soakage Pit ---- - -__ -- -(Signed) -- _ - - -__ --- _- --_ - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an efftployer -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 tote 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 qt 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) // e. r! >rt'ti 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. Notary Public, State of Florida Plumbing Inspector. 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 SEPTJC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST ®® r CHECK 1 '\ tt • MIAMI SHORES VILLAGE 1‘ A PLUMBING INSPECTION DEPARTMENT I APPLICATION FOR PLUMBING PERMIT Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for th 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 __ ._ __�___ ___________ No._____!i�______ Street___ _______ __ Registered Architect and /or Engineer Employing Plumber's Name /,17 _— Location and Legal Description Lot Amount of Permit $_ My Commission Expires No ,P 5 Street_ __ 4 Vin _Block. Subdivision__— ___________ Street and Number where work is to be performed —No __ _ ________._____________ Street X ?_�_ State work to be performed and purpose of building (By Floors) Building —___— Remodeling Addition___.__ Repairs —___ No. of Stories ______ _______. Size Septic Type of Tank . — ____Capacity Gals ti Feet of Drain Tile___ _� _?__' ___— Dist. Feet of Tank or Drain Field from Well____ Nature of Water Supply: City —Well. Size of Soakage Pit ---- - -__ -- -(Signed) -- _ - - -__ --- _- --_ - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an efftployer -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 tote 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 qt 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) // e. r! >rt'ti 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. Notary Public, State of Florida Plumbing Inspector. 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.