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374 NE 100 St (2)/)nn 30 zrioi 636 PERMIT APPLIICATION FOR MIAMI SHORES VILLAGE Date U Job Address 73 79 / / 00 5± Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 1 D t.A. rU Master Permit # Owner's Address ✓ .7 L l Ai. . /Sree+ /M' Phone 20S 7 /n ,S e r Y d Contracting Co. 60/4:5 ✓ /e e c)/'I. // S Address l f f vO /'/ OL 0. QualifierG/ /,J . f ve_72 CJAt ' /f SS# - Phone l/ Competency # /4 , cY J Ins. Co. Architect/Engineer Address State #,A no %7 ? ( Municipal # Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION -111,Dc`) 1 " ,� 1 One Jk i t Square Ft. Estimated Cost (value) c7.K)C 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 regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 4 ignature of owner and/or Condo President Date Signature of Contractor or Owner -B ilder / Date Notary as to Owner and/or Condo President Date Not. as to Contractor Expi �s r Owner- Builder My Commission Expires: My ' o res: 4.0 Po MELINDA K. EDELSB z° ,•, � g, COMMISSION # CC 722658 ���� EXPIRES MAR 8, 20 w^`� BONDED THRU ' OF tti ATLANTIC BONDING CO., INC. FEES: PERMIT x 3�� tADON C.C.F. NOTARY TOTAL DUE D.te APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering ITEM BATH TU8 UNIT FEE IT61 SWITCH OUTLETS UNIT V FEE ITEM SPACE EATERS UNIT FEE BIOET LIGHT OUTLETS r�.I CENTRAL HEATING _ DISHWASHER RECEPTACLES , A/C (WIND) OIS?OSAL SERVICE TBFUURY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN ASS OLCT 1QRK FLCCR DRAIN SERVICE REPAIR/1ETE.R NICE R FRr IGERATION GREASE TRAP APPLIANCE OUTLETS 1 PRCCESS AND PRESS PIPING I NTEERCEPTCR I RANGE TrP llIOERCRQ?0 TAW LAVAT(RY _ Ma ABOVE MIND TANKS LAUNDRY TRAY RATER HEATER U.F. PRESSURE VESSEI.s CLOTFES WASHER ►UTCRS 0- 1 FP STEAM BOILERS SLOWER 10TCRS OVER t- 3 FP FAT HATER BOILERS SINK, POT/3 CCMP. 1ATCRS OVER 3- 5 FP IRC'1ANICAL VENTILATION SINK, RESIDENCE 1ATCRS OVER 5- 8 If TRAITING ASSEMBLIES SINK, SLCP 1QTCRS OVER 8- 10 FP ELEVATCRS/ESCALATIRS TEWFORARY WATER CLOSET 1OTCRS OVER 10- 25 If FIRE SPRINKLER SYSTEMS URINAL _ moron OVER 25.100 FP COOLING TOWERS RATER CLOSET 10XRS OVER 100 FP VIOLATION • INDIRECT WASTES A/C WINDOW RE INSPECTION WATER SUPPLY TO: AIR CONDITIONERS - A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRAIWCA1ERS ' . FEATER -NE'A INST. GENERATORS TRANWERNERS . HEATER -REPL 4L _ GENERATORS � LAWN SPRINKL4-WEJJ. SPECIAL PURPOSE SWIMMING POOL ' OUTLETS CO. CIAL WATER SERVICE • SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORICIS UTILITY - SETTER SIGN TIME CLOCK UTILITY-WATER FIXTURES T SEPTIC TANK ANTENNA • ' RELAY TELEVISION OUTLETS ORAINFIELD, 4' TIL/RES. VIOLATION PUMP & ABANDON SEPTIC TANK _ REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN 0 I SC -LARGE WELL DOMESTIC WELL _ 1 AREA CRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING . LAWN SPRINKLER SYSTEM GAS RANGE METER SET ii (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICA__CN FOR 3UILD_ING PERMIT RUST ACCOM??NT THIS ADDENDUM. IT A MASTER PERMIT HAS B. OBTAINED, _ _. CWNEP' S NOTARIZED SIGNATURE NEED NOT BE ?RESENT ON SUBSEQUENT APPLICAT_TONS. ) PLUMBING ELECTRICAL MECHANICAL Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith fitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinanc Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules an egulations 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 ���� (('/'/�� �,� a�� Owner's Name and Address �%t_lt� - -J No. (177 S e~�-- / "� Street._,C_' -_..._ Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Street and Number where work State work to be performed gni New Building Amount of Permit $ Lot. �y Bloc& is to be performed —No 3 / c5 _/ �� /� Street purpose of building (By Floor �4�.cli ) � - L�'Ll,.�`I. Remodeling____. -- - -.___ ...___ Addition - - -__ - Repairs Size Septic Tank __-- _- --- ----- --- --- --- -- ---- ._Type of Tank__ Feet of Drain Tile___ -- — — ---fit. Feet of Tank or Drain Field from Well. Nature of Water Supply: City — Well.___— ___-__- _- - - - -- -- - - - - -- -Size of Soakage Pit (Signed) _ (Silk) 5ubdividon.__•-- _�- _ - -+. -- cde No. of Stories Capacity Gals. My Commission Expiry Notary Public, State of Florida 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 Ilan 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. Muter Plumber. STATE OF FLORIDA, I 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 hire stated are true. NOTE: A re- inspection fee of $1.00 will be made wheat awl re-inspection is made.neoessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SNOWERS LAVA- TORIES 61NKS SLOP SINKS LAUNDR Tuts URINALS CATCH OA SI N FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIRTUROil CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST '- -- CHICK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith fitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinanc Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules an egulations 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 ���� (('/'/�� �,� a�� Owner's Name and Address �%t_lt� - -J No. (177 S e~�-- / "� Street._,C_' -_..._ Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Street and Number where work State work to be performed gni New Building Amount of Permit $ Lot. �y Bloc& is to be performed —No 3 / c5 _/ �� /� Street purpose of building (By Floor �4�.cli ) � - L�'Ll,.�`I. Remodeling____. -- - -.___ ...___ Addition - - -__ - Repairs Size Septic Tank __-- _- --- ----- --- --- --- -- ---- ._Type of Tank__ Feet of Drain Tile___ -- — — ---fit. Feet of Tank or Drain Field from Well. Nature of Water Supply: City — Well.___— ___-__- _- - - - -- -- - - - - -- -Size of Soakage Pit (Signed) _ (Silk) 5ubdividon.__•-- _�- _ - -+. -- cde No. of Stories Capacity Gals. My Commission Expiry Notary Public, State of Florida 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 Ilan 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. Muter Plumber. STATE OF FLORIDA, I 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 hire stated are true. NOTE: A re- inspection fee of $1.00 will be made wheat awl re-inspection is made.neoessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No.. ._ 6 . $ -29 -73 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. Owners Name and Address OBS.a r Ma r.Z e 1 No. 37A street N . E. .. 10Street . Registered Architect and /or Engineer - Employing Plumber's Name BrQQks-AArra } r Location and Legal Description Lot. Street and Number where work is to be performed —No State work to be performe8 and purpose of building (By Amount of Permit $ STATE OF FLORIDA, u. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT street.._N.Wr...7.�....Street. Blo 4r Subdivision 3 74 street _---- - - -i�T . E .-- -1.0Q. m ,) Lawn Sprinkler installation New ...... ._.._._ Remodeling_____ -._-_._..__ Addition._._ _._._ _.... Repairs No. of Stories. Size Septic Tank_ -Type of Tank__ Feet of Drain Tile._— __.._ N __ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well We 11 Size of Soakage Pit. Capacity Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his .��igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perm: ent 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 wRrk to be performed u_. er this permit, as are licensed by Miami Shores Village. (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 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 msdolme ssary by improper notice for inspection, or faulty materials and /or workmanship. CLOSRS BATH TUBE SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tugs URINAL[ CATCH BASIN FLOOR DRAIN DRINK NO FOUNT'NE TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL BPRKLR. SYSTEM SW IM' O POOL. CONTR. LIST v 11 CHECK Permit No.. ._ 6 . $ -29 -73 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. Owners Name and Address OBS.a r Ma r.Z e 1 No. 37A street N . E. .. 10Street . Registered Architect and /or Engineer - Employing Plumber's Name BrQQks-AArra } r Location and Legal Description Lot. Street and Number where work is to be performed —No State work to be performe8 and purpose of building (By Amount of Permit $ STATE OF FLORIDA, u. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT street.._N.Wr...7.�....Street. Blo 4r Subdivision 3 74 street _---- - - -i�T . E .-- -1.0Q. m ,) Lawn Sprinkler installation New ...... ._.._._ Remodeling_____ -._-_._..__ Addition._._ _._._ _.... Repairs No. of Stories. Size Septic Tank_ -Type of Tank__ Feet of Drain Tile._— __.._ N __ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well We 11 Size of Soakage Pit. Capacity Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his .��igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perm: ent 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 wRrk to be performed u_. er this permit, as are licensed by Miami Shores Village. (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 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 msdolme ssary by improper notice for inspection, or faulty materials and /or workmanship. Owner's Name and Address Registered Architect and /or Engineer Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. SS. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors) New Building -____. Remodeling Addition Repairs V� (Signed) (Signed) _ Date .� Permit N 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 confonnity 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.3 - !l — Street - Street--- -_--. d 144- --411 - 1 )4 Employing Plumber's Name No Street Location and Legal Description Lot Block Subdivisi n Street and Number where work is to be performed —No S __ ___V �j_. ' , Street___. d_.c No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile -__ / a-6 Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit My Commission Expires Notary Public, State of Florida 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take 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'S POOL CONTR. LIST / M U �/ • CHECK Owner's Name and Address Registered Architect and /or Engineer Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. SS. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors) New Building -____. Remodeling Addition Repairs V� (Signed) (Signed) _ Date .� Permit N 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 confonnity 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.3 - !l — Street - Street--- -_--. d 144- --411 - 1 )4 Employing Plumber's Name No Street Location and Legal Description Lot Block Subdivisi n Street and Number where work is to be performed —No S __ ___V �j_. ' , Street___. d_.c No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile -__ / a-6 Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit My Commission Expires Notary Public, State of Florida 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take 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 No . d 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..-C Owner's Name and Address Registered Architect and /or Engi Size Septic Tank Feet of Drain Tile___-- _ —____ Nature of Water Supply: City — Well.__ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Employing Plumber's Name No Location and Legal Description Lof_ —_____ ___-___- _— __-_--____— _-__---_____Block Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs —___ No. of Stories__-_-_........ Type of Tank . _- Capacity Gals ..... Dist. Feet of Tank or Drain Field from Well ------------ - - - - -- - -- — Amount of Permit $ � _____ _—___________— __— _____ ________ (Signed) Street. Street Size of Soakage Pit if 'Y (Sighed) l / / Master Plumber. ----------- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that 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. 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. 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'S; POOL CONTR. LIST CHECK Permit No . d 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..-C Owner's Name and Address Registered Architect and /or Engi Size Septic Tank Feet of Drain Tile___-- _ —____ Nature of Water Supply: City — Well.__ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Employing Plumber's Name No Location and Legal Description Lof_ —_____ ___-___- _— __-_--____— _-__---_____Block Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs —___ No. of Stories__-_-_........ Type of Tank . _- Capacity Gals ..... Dist. Feet of Tank or Drain Field from Well ------------ - - - - -- - -- — Amount of Permit $ � _____ _—___________— __— _____ ________ (Signed) Street. Street Size of Soakage Pit if 'Y (Sighed) l / / Master Plumber. ----------- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that 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. 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. Issued to 41111 p • ;. to install the following described ph .• / lations of Miami Shores Village, drainage work done in Miami Shor ye For al—story Fixtures Fixtures Sewer •ic Tank atilt F L PLUM r- .*/ Total Village Plun Received Pa) SPECIFY FLoRlli CEMENT • .■■ dd[iami Aores9'llage F L O & D A PLUMBING PERMIT OWNER Received Payment by LOT Y , i" , d i to install t e folloch described plumbing, in accordance lations of Miami Shores Village, Florida and the State of drainage work done in Miami Shores Village, Florida. '', c p For a_ story + ' building at , + ` C d with the laws, statutes and regu- Florida, governing plumbing and N? 1157 Fixtures Fixtures $ fl Sewer $ �� t'l •tic Tank $ Total $ � v Village Plumbing Inspector �► , " ° j =A`" ? " `'" I herewith submit the following application for a permit covering the installation of a Septic Tank rl: ( : V For a (Store: (Garage wash floor: Building has: Owner or Agent: LOT NO. Address of work: Additional information: PERMIT NO. BLOCK Nb.:ti .37!!" ,7„/, DADE COUNTY ZONING OFFICE Form #11 DIVISION OF PLUMBING INSPECTION Old: Story: Soakage Pit: Feet of drain tile: New: Date: Installed by: Addre Address: SUBDIVISION /e; Ready for Inspection: Date: APPROVED BY: a /// , ;,> CONDEMNED BY: Remarks: e e , s - , y . 5 1' Addition: Remodeled: Floor Drains: No. of Plumbing Fixtures:, Laundry Tubs: Nature of water supply: City: ✓ Well: Type of tank installed: Ae Ca C 7 Tank capacity in gallons: Size of Soakage Pit: Purpose of same: Feet distant from all wells: Garage: Apt.; Hotel: Office Bldg: — Res: k Waste water from a: Stores; Offices; Apts.; Hotel Rms; /Bedrms 58 Permit No SI Amount of Permit $ Owner's Name and Address Nature of Water Supply: City —Well licensed by Miami Shores Village. ss. 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 specific or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer r Employing Plumber's Name —.14/ _��( -' ! t . • No 6 f Street_ Location and Legal Description Lot - ____ Block ` r C Subdivision 1 '412' -•tip t Street and Number where work is to be performed —N -3 7 !' Street______, c "' ' 11 New Building Remodeling Addition Repairs 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 (Signed) (Signed) Date T Zumbing 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are Street Master Plumber. No. of Stories STATE OF FLORIDA, 1 COUNTY OF DADE. 1 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. CLOSETS BATH T UBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS TOTAL FIXTURES CONTR. UST L— CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL. CONTR. LIST CHECK Permit No SI Amount of Permit $ Owner's Name and Address Nature of Water Supply: City —Well licensed by Miami Shores Village. ss. 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 specific or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer r Employing Plumber's Name —.14/ _��( -' ! t . • No 6 f Street_ Location and Legal Description Lot - ____ Block ` r C Subdivision 1 '412' -•tip t Street and Number where work is to be performed —N -3 7 !' Street______, c "' ' 11 New Building Remodeling Addition Repairs 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 (Signed) (Signed) Date T Zumbing 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 undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are Street Master Plumber. No. of Stories STATE OF FLORIDA, 1 COUNTY OF DADE. 1 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.