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290 NE 101 St (5)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 9(4-8-1Q Date Job Address u (0 ( ck Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant C. er1 f . /1 Master Permit # 3 % 7g Owner's Address O /c I' (Q ( 11 s�. Phone Contracting Co. '\ S' ci P t T L N( e AL . Address 49 7 o S LJ 7 / ,S t T r. Qualifier i , - S S F -H-o ' S t i- ( SS# ) 1ST:tone (o fp 3— Z �.s",S— 1/ -'�1 7 State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL / RROOFING Pl PAVING FENCE SIGN WORK DESCRIPTION I\ E 1 t.-& C.C. ecsLA_e___ 7 ! ) a /*-) e- o a F Square Ft. Estimated Cost (value) 1 DO 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 law ggulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. gnature of o My C r and/or Condo President Date Notary as to Owner and/or Condo President 10 ,0 PU OFFICIAL NOTARY SAL (i SANDRA G t ONTIEL 7 0 COMNISSIORI NUMBER -• ;,,, Q CC401261 Q - My COMMISSION .EXP. (7.F F_ AUG . 17,1 8 FEES: PERMIT 'Y r2.) RADON APPROVED: Zoning Building Mechanical Date C.C.F. Signa e of Contractor or Owner- Builder Date N . as to Contractor or Owner - Builder T ak � 1i84MC�S lirAG: NOTARY SEAL 9 wfir, SANDRA a UONTIEL COMMISSION NUMUER % I' • ''r CC4O12 1 v Q. MY COMMISSION •EXP. ci. FG ( 5 o,:yro__ NOTARY S TOTAL DUE Date 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. 2 ____ J2 'N /. No. 07 / 0 Street...' - / c ,� Owner's Name and Address Registered Architect and /or En ' . eer J . Employing Plumber's Name , Noj /0 n 4 — Street €r! 2 ... _ _ .- Location and Legal Descri . on Lot Street and Number where work is to be performed —No Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. State work to be performed and purpose of building (By Floors) New Building________ _ Remodeling _`__ Addition Repairs._ Size Septic Tank_ Feet of Drain Tile__ _ —_ ____ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Weil Size of Soakage Pit SHCRES VILLAGE "t : niSP�CTION DEPARTME T .. 5 Cie3 r 5 P JivliiiNG PE Mil ._Type of Tank capacity Gals. 4. Mirk Subdivision-_ 9r) A✓ _Lc? • Date..- --- -_ .... .! .� No. of Stories... / lumbing 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 Pennanent Supplement, and bus com- plier with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by 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. ( Signed Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 :e- inspection fee of $1.00 will be made when such re- inspection is made by improper no;i.: • for in , or faulty materials and /or woriananship. 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 A 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. 2 ____ J2 'N /. No. 07 / 0 Street...' - / c ,� Owner's Name and Address Registered Architect and /or En ' . eer J . Employing Plumber's Name , Noj /0 n 4 — Street €r! 2 ... _ _ .- Location and Legal Descri . on Lot Street and Number where work is to be performed —No Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. State work to be performed and purpose of building (By Floors) New Building________ _ Remodeling _`__ Addition Repairs._ Size Septic Tank_ Feet of Drain Tile__ _ —_ ____ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Weil Size of Soakage Pit SHCRES VILLAGE "t : niSP�CTION DEPARTME T .. 5 Cie3 r 5 P JivliiiNG PE Mil ._Type of Tank capacity Gals. 4. Mirk Subdivision-_ 9r) A✓ _Lc? • Date..- --- -_ .... .! .� No. of Stories... / lumbing 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 Pennanent Supplement, and bus com- plier with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by 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. ( Signed Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 :e- inspection fee of $1.00 will be made when such re- inspection is made by improper no;i.: • for in , or faulty materials and /or woriananship. Permit No._ _.__ - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date_._ / ..!_ . L.. 0 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. Cam' Owner's Name and Address_..l___ ' _ � ___/ ------ --- ._ ______. No. -1___0 -- -__-___ Street. - /V/ / Q ./x/ Registered Architect and /or Enineer____._____—____ Employing Plumber's Name New Building _— _.- -_- --- ---- -- ___ --- Remodeling _--- - - - -_- _ __ -- Addition Feet of Drain Tile Nature of Water Supply: City—Well. Amount of Permit $ STATE OF FLORIDA, I gs. COUNTY OF DADE. Location and Legal Descri .' on Lot B1orti Street and Number where work is to be performed —No C 9 ( 44- - Street. / ,L State work to be performed and purpose of building (By Floors)- __ -_ -_ � �___'-- - - - - -_ - -LF O■ _Dist. Feet of Tank or Drain Field from Well . Size of Soakage Pit o c- ( Signed) _ _��� Repairs No. of Stories.. - '... Sire Septic Tank_ — — ------------ - - - - -- -Type of Tank pacity Gals umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga a ons : an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanen, §,te .plement, and has cmn- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors emplo ed 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. My Commission Expires Notary Public, State of Florida 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._.w____.__._. 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 inspfrt *nn, or faulty materials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS AS 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 1 Permit No._ _.__ - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date_._ / ..!_ . L.. 0 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. Cam' Owner's Name and Address_..l___ ' _ � ___/ ------ --- ._ ______. No. -1___0 -- -__-___ Street. - /V/ / Q ./x/ Registered Architect and /or Enineer____._____—____ Employing Plumber's Name New Building _— _.- -_- --- ---- -- ___ --- Remodeling _--- - - - -_- _ __ -- Addition Feet of Drain Tile Nature of Water Supply: City—Well. Amount of Permit $ STATE OF FLORIDA, I gs. COUNTY OF DADE. Location and Legal Descri .' on Lot B1orti Street and Number where work is to be performed —No C 9 ( 44- - Street. / ,L State work to be performed and purpose of building (By Floors)- __ -_ -_ � �___'-- - - - - -_ - -LF O■ _Dist. Feet of Tank or Drain Field from Well . Size of Soakage Pit o c- ( Signed) _ _��� Repairs No. of Stories.. - '... Sire Septic Tank_ — — ------------ - - - - -- -Type of Tank pacity Gals umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga a ons : an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanen, §,te .plement, and has cmn- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors emplo ed 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. My Commission Expires Notary Public, State of Florida 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._.w____.__._. 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 inspfrt *nn, or faulty materials and/or workmanship. BUILDING ELECTRICAL PLUMBING Legal Description Address of Building Owner of Building Architect Contractor or Builder Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3450 Work to be performed under this Permit Bl. Subdi- vision Value of Project DATE 194— Contractor's License No WARNING: This Construction may be In viciatri- �{ War Production 8oacst Grnerll limitations C You are cautionfd to consult your War Produt,„u,. Board office before starting the work authorized in this permit. 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• 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. CONTRACTOR OR BUILDER BY AIpHORITY BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE 194.. Contractor's License No. PERMIT N° 2213 Work to be performed under this Permit # `'' Architect Contractor Timor Builder i Legal Lot / BI. '° Subdi- / Description --- vision Address of I 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 drawin�, 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-. t i it I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER 1 I Value of Project Amt. of Permit BY AUTHORITY » . •14 JOB: BUILDING ELECTRICAL : PLUMBING Inspector's Report: • • • • • • AD: The following is ready for Inspection: . WO DO B': :VESTED : WILL BE READY • - 1 7 4 7 • • • • • la- A/7 - �G t .het, /,, k JOB: BUILDING ELECTRICAL : PLUMBING The following is ready for Inspection: Inspector's Report: • • • • : WORK : DONE BY: e t REQUEST WILL BE READY • • 3 t.- t_ / 1 C Permit No 7/3 New Building Remodeling Amount of Permit $_ / 6a 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. ( e/ Owner's Name and Address * ,,4__ Registered Architect and /or Enginee Employing Plumber's Name ____� X1 ' 12 T4' Location and Legal Description ot____________ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Size Septic Tank_ Feet of Drain Tile__ Nature of Water Supply: C 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. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT lo �7 ej L_Block Addition Type of Tank Dist. Feet of Tank or Drain Field from Well__ (Signed) (Signed) Date_ Stree Subdivision_ Street Repairs r Street_ ________ No. of Stories_ Capacity My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all 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 / / / > / J .� CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No 7/3 New Building Remodeling Amount of Permit $_ / 6a 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. ( e/ Owner's Name and Address * ,,4__ Registered Architect and /or Enginee Employing Plumber's Name ____� X1 ' 12 T4' Location and Legal Description ot____________ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Size Septic Tank_ Feet of Drain Tile__ Nature of Water Supply: C 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. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT lo �7 ej L_Block Addition Type of Tank Dist. Feet of Tank or Drain Field from Well__ (Signed) (Signed) Date_ Stree Subdivision_ Street Repairs r Street_ ________ No. of Stories_ Capacity My Commission Expires Notary Public, State of Florida Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all 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. - STATE OF FLORIDA, COUNTY OF DADE. ss. 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 _--.- - �,�------ - - -- -_ -- - - - -.. •_�._ No . Street`_ Registered Architect Architect and /or Engineer Employing Plumber's Name • = No.___.: —__ r Location and Legal Description Lot _ ____- _ _____ '_`—L_Block_____ :___:_______ Street and Number where work is to be performed —No - i i u t State work to be performed and purpose of building (By Floors) Amount of Permit $_ _________ ______ _______ _ _ _ _---- ______�____�___(Signed) (Signed) • • Date___ Street____ New Building__________ ________ Remodeling __ Addition Repairs No. of Stories t' .v _ Capacity Gals /� Size Septic Tank___::_ Type of Tank C Feet of Drain Tile____! (� _____________ —_�___ Dist. Feet of Tank or Drain Field from Well______ _____________ Nature of Water Supply: City —Well _.Size of Soakage Pit _____ __________ _____ �_— __— _�___��_ 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 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. 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 • 4 •`• , CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•O POOL CONTR. LIST CHECK Permit No. - STATE OF FLORIDA, COUNTY OF DADE. ss. 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 _--.- - �,�------ - - -- -_ -- - - - -.. •_�._ No . Street`_ Registered Architect Architect and /or Engineer Employing Plumber's Name • = No.___.: —__ r Location and Legal Description Lot _ ____- _ _____ '_`—L_Block_____ :___:_______ Street and Number where work is to be performed —No - i i u t State work to be performed and purpose of building (By Floors) Amount of Permit $_ _________ ______ _______ _ _ _ _---- ______�____�___(Signed) (Signed) • • Date___ Street____ New Building__________ ________ Remodeling __ Addition Repairs No. of Stories t' .v _ Capacity Gals /� Size Septic Tank___::_ Type of Tank C Feet of Drain Tile____! (� _____________ —_�___ Dist. Feet of Tank or Drain Field from Well______ _____________ Nature of Water Supply: City —Well _.Size of Soakage Pit _____ __________ _____ �_— __— _�___��_ 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 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. 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. /1/4 Bends .33 .48 II il 1 1 1 1 1 1 r-1 Ctio c� t I 1 1 1 1. 1 1 1n ( 1 1 1 1 1 • • 1 1 1 1 1. 1 1 r-1 i 1 1 1 1 1 1 1 1 1 1 1 1 } 1 1 - - - / 1/8 " - - - 1/16 R .3 - - - Short Sweep ,5 - - - Long it .5 - - - Yts or Tees u5 .69 Combinations .63 1.02 1.02 1.02 Tap Tees .45 .5r7 .75 - - - Tap Crosses .75 .90 1 -05 - - - P Traps .54 .69 .90 - - - Clean Outs .20 ,32 .38 - - - Ferrules .24 .38 .49 - - - Reducers - - _ _ - _ .30 Galv.Flashings .65 .73 .75 - - - EXTI1 NAVY FITTINGS 3 x 2 3 4 4 x 2 4 x 3 2 1/4 Bends .33 - - .42 .60 - - - - - - 1/8 " .24 - - .33 .48 - - - _ - - 1/16 i► .24 -- - .42 .45 - - - - - - Short Sweep .45 - ,66 .84 - - - - - - Long Sweep .54 - - .69 .93 - - - - - - Y's or Tees .45 ,63 .63 .90 .63 .87 Combinations .58 1,29 1.29 1,29 1.29 1.29 Tap Tees .54 - - .72 .93 - - - _ _ .. Tap Crosses .93 - - 1.11 1,29 - - - - - - P. Traps .66 - - .84 1.11 - - _ _ _ - Reducers - ON - .30 - - - - .30 .39 Clean Outs .24 - - .38 .44 - - - - - - Ferrules .24 - - .38 .49 - - we - - - Test Tees 1.00 - - 1.31 1.56 - - - - - - • • CRANE CO. dDARD SOIL PIPE FITTINGS 3 x 2 MISCELLANEOUS ITEMS 60/40 Solder .42 50/50 .51 • Wire Solder .60 Galv. Hanger Iron per ft.03 3 4 4 x 2 4 x 3 2-1-41 LEAD GOODS 1 t Lead Pipe per ft. .33 1 P P Traps__ .... 1.09 la- .39 2 1.66 A ll 2 .42 4 x 5 x 12 Bend ..............1.82 3 .65 4 x 5 x 15 ..2.15 4 .78 4 x 5 x 18 ....2.47 4 x 10 x 12 2.31 Sheet Lead per square foot .36 4 x 10 x 15 .2.62 4 x 10 x 18 . ............... ...........2.93 Ingot Lead .................... ..09 Oakum_ per C - 11.25 • r4 4 r r 1 i` l' 00 ,f . ,....r,, 'V , I: 1 ;! ,- • c ,-------.