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390 NE 101 St (13)Date 3 L / Y Job Address 3 ?O JOE Mt 1 • Tax Folio Legal Description Owner / Lessee / Tenant Q "� 1 22 GA 4 1/`/ — Master Permit # 35 7,/ Owner's Address Contracting Co. S0 L14 ' l-f 1+T &L o1 et. /44ddress 2,89C SW &ct Cr, g/A - Qualifier ` � 69-S,5 ,S 411J4/6 y ss# ) ( - 7---& i i--(f C 733 /3 State #(:f SOS "Mucipal # Competency # Ins.Co. /'1/1 Architect /Engineer C.PrICA l.J E( k /J7g-4(.7'r 2 C Address Bonding Company Mortgagor Address Permit Type(circle one): BUILDING ELECTRICALUMBIN(' MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ef : -A = qii5kkieg. P Square Ft. Estimated Cost(value) 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 authoriz: the above -named contractor to do the work stated. Signat rf of Date:3 / it( Notary as to Own My Commission Ex FEES: APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 9O N E / dI C • Phone I o : er. and/or Condo President r &VAAL Rnrsxi _k. SCOTT W DAVIS o * COMMISSION NUMBER , ' +:11 CC255237 � (5: . MY COMMISSION EXP. ** * * * ``'OF *,�O , * { J t6(1997* * * PERMIT . RADON C.C.F. ' �/ Zoning -Notary as to My Commissio Address lGr Signature o Contractor or Owner Builder Date: U/2 s y am - ' J a TOTAL DUE NOTARY �Go T cS•9✓• '. •' x' lr $: SCOTT W DAVIS w * COMMISSION NUMBER ` y • CC255237 * * 71 * MY COM UISSION ixp. ** F4. „UkN. 25 1947 Fire Other Building Electrical Mechanical Plumbing Engineering Z.G7L/ (t MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 06 /Z4/O5 Type Insp'n 2CDU3 h Permit No. PL DS J Z2 Name CD I'M vrsc kTh - r Address Company b -D p ) (-0-Y-11='; r CCD p Phone # (30 J 9 R C(- Q5 f-(=) c /a- 7 Inspection Date Approved Correction Re- Insp'n Fee 3cp0 f'-/E LO ( 37 It Type Insp'n Inspection Date Approved Correction Re- Insp'n Fee 359 8 +6� MIAMI SHORES VILLAGE �� S:d BUILDING DEPARTMENT 305- 795 -2204 Budding Inspection Request Dat Permit No. P I OD 2 D Name Address S j O �� Company 3010:1(bOrTh Phone # Fig I -63q; 3 MIAM I SHORE VILLAGE ' S G BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date q1141ton Type Insp'n real l Q 3 Permit No. ?1 Zm — 25/ Name 7 ch ilal/ Address 'R0 Alf 101 ST Company St <OQK -- i3 0 , Pake Phone # (8 11 - 8313 Inspection Date l5 Approved Correction ❑ Re- Insp'n Fee ❑ 694 Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2005 -251 Printed: 8/11/2005 Applicant: JOHN DORSCHNER Owner: DORSCHNER JOHN JOB ADDRESS: 390 NE 101 ST Contractor SUBURBAN PROPANE Local Phone: 305 - 891 -8393 Parcel # 1132060135260 Signed: (INSPECTOR) Plumbing Permit Contractor's Address: 1491 NE 130 STREET Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 & 2 BLK 39 LOT SIZE 102.650 Fees: Description Amount FEE2005 -11019 Building Fee $175.00 FEE2005 -11020 CCF $0.60 FEE2005 -11021 Training and Education Fee $0.20 FEE2005 -11022 Technology Fee $3.75 FEE2005 -11023 Scanning Fee $3.00 Total Fees: $182.55 Total Fees: $182.55 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 2/6/2006 Construction Value: $300.00 Work: RUN GAS LINES SET TANK TO STOVE AUG 1 7 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: 10050 N.E.2 Tel: (3 BUILDING AU PERMIT APPLICATION FBC 2001 Total Fee Now Due $ ` 82 . ss (Continued on opposite side) Miami Shores Village Building Department Permit Type (circle): Building Electrical )Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) R/91/41/ f 2d Phone #(3 ZSz/— Cif 6 Owner's Address 3 9 b h/ /J / $ I- City ,71914/77/ � A Kos State r Zip 3 3 /3 S Tenant/Lessee Name Phone # Job Address (where the work is being done) 3 p a is 20 / S ' City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name - Su (, uY/v1q 1 A Contractor's Address /4/9/ N / 14-51- Cit 9v mJ,9/YI' State C Zip 33/ 6 / Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit c Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑Ne ❑ Re air/Replace ❑ Demolition Describe Work: £ N 6/K Z7'�1<tS >S El � 6? ) Submittal Fee $ Permit Fee $ / CCF $ 0 • COO CO /CC Notary $ Training/Education Fee $ 0 . 2..0 Technology Fee $ 3• 1 S Scanning $ 3.00 Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ AUG 1 7 PAID Shores.,Elorida 33138 ' �. 5 8972 Permit No. Pt-,`) 5 — 2-51 aster Permit No. Phone # C3 66) E-3 / g3 5'3 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site . for the Jirst inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. / t 'W.AfjC Signature ( ry) ( 3 S S l 3 Owl e or 5 Age 5l y nt ( The foregoing instrument w s acknowledged before me this / day of 1-L,(00, 4 20 £'(, by_ who is personal jo mew duce I ,.: /• :._ MY COMMISSION It DD 447106 ` ideneff I di take an oath. Bonded T1ru Nohry Pudic Underwriters sepo A. NOTARY Sign: Print: Chc 05 /13'03 /2 l ot My Commission Expires: APPLICATION APPROVED BY: Signature Contractor The foregoing instrument was acknowledged before me this s day of f1 y57 , 20t`'j , by who is personally known to nor who has produced NOTARY PUBLIC / Sign: as identification who did take an oath. Print: e to C rah HOC My Commission Expires: My Commission D0222e0e Expires June IS 20N M*'titiz ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning • .• _ . • _ • . • , • • ',.•-,, --•,:,- - -- - . : , :7 -,; =-;- ,.'=-,•'• I' - ; 54 ,1..- .A i ii?-' i -;..., :....•... :* , ,n. ,. 1. • ..-.4,— , .r , ,-- , .c.,,,,4- , • .. .. .. s ... .-....,, , , , „:..-4. , 4.- ........ ' . ... _ . --'17-...--- ..- 1.- ., ---- """‘ ..- " , " - .. - ,. _ - -!.." - •": - 3 0 -- -r"tv .. :: : =r - - --- - -=.1 1 ,,-;? ..- .,.,.,--:-..-.=.7e1.1... -?..i."-ir.4...;.,,,,....r.......n- --..,....7 . .!•°,',; ..-',. ,. .1-.-. ..!.,:,.--..,;• • 1.- •.1 " -9-.. r.r.--.,-,..- ;; ..,•,e,....., . 4,73q.'" - 4 ,,- iti i- A--..:---. • - . • • . c,. , . p5 _ • - 1V49#03;fitOr .i. • • ••: • • - . • - thiZZAW-- PLOS' 251 p00c, �I PP S 5 W. !I;40 fiP fr Suburban Propane 1491 N. E. 130th Street N. Miami, FL 33161 305 - 891-8393 Qualifier Job Address 90 NE f0 S m farm 3/1oiz¢s Longest Run V_.6 Total BTU's (ovinaa I tiCA5 G • MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request q Date to�� b NOV 2 1 2005 Type Insp'n FM\ Permit No. VMS-. b• S i ZOO - 542. Name {A %\i ° ��V Y Address ,\� Nt `tk Compan T1,4 1 1k'1�� CD Phone # t�� Inspection Date 'tkI Approved Correction ❑ Re- Insp'n Fee ❑ Contractor D & D PLUMBING CORP Local Phone: 305 - 379 -0516 Parcel # 1132060135260 Plumbing Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2005 -122 Printed: 5/12/2005 Applicant: JOHN DORSCHNER Owner: DORSCHNER JOHN JOB ADDRESS: 390 NE 101 ST Contractor's Address: 3145 SW 19 ST Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 & 2 BLK 39 LOT SIZE 102.650 Fees: Description Amount FEE2005 -5979 Building Fee $150.00 FEE2005 -5980 CCF $0.60 FEE2005 -5981 Training and Education Fee $0.20 FEE2005 -5982 Technology Fee $3.75 FEE2005 -5983 Scanning Fee $3.00 Total Fees: $157.55 Total Fees: $157.55 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 10/12/2005 Construction Value: $1,000.00 Work: RELOCATE KITCHEN SINK AND INSTALL DISHWASHER Signed: (INSPECTOR) i .r►0 1 6 Pp4;D In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Address City / / Sj?U4 State Tenant/Lessee Name Contractor's Company Name 1 Contractors Address 3/ q c City , A,141 Qualifier .7--- 1)(A 0)/4- State Certificate or Registration No.C2 C /V26 ? � Describe Work: (L FULA CO ¶ jj Submittal Fe $ Permit Fee $ Notary $ Training /Education Fee $ Scanning $ 3-a) Radon $ Code Enforcement $ Total Fee Now Due $ (Continues on opposite sides is)-(u }✓ �13/C Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Owner's Name (Fee Simple Titleholder) Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES NO 4 01.,) MR , -,/40 �gP. S.) State Architect/Engineer's Name (if applicable) $ Value of Work For this Permit ' 1060 , Type of Work: 111 i4 dition [ Iteration ❑New Electrical County Miami -Dade Vim KAJ Zoning Structural Plan Review. $ Permit No. ?�- /s s) aster Permit No. /3 P5 � e� Phone # Zip 3E/ 3y Phone # c = 1 D / 0/ Zip r / 3 Phone # Zip Certificate of Competency No. Phone # Mechanical Square Footage Of Work: ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Roofing ❑ Repair /Replace ❑ Demolition A/ 4‘/D i r•JS'2 - /12C CCF $ ' (0° CO /CC Technology Fee $S (4-WS Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value promise in good faith that a copy of the notice of commencement and construction property is subject to attachment. Also, a certified copy of the recorded noti c for the first inspection which occurs seven (7) days after the building permit is inspection will not be approved and a reinspection fee will be charged. who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** APPLICATION APPROVED BY:� chc 05/13/03 n lien = brochure w of commencem ssued. In the natu Owner or Agent Contractor -�L The foregoing instrument was acknowledged before me this The foregoin instrument was acknowledged before pe his ' ) NOTARY PUBLIC: Sign: Print: eeding $2 the applicant must ivered to the person st be p sted at the j�site of osted notice, the sonally known to i or who has produced as identific;tion and who did take an oath. M 401tittl Ijiin Expires: • OSSiaVeZ * * * * * * * * * * * * * * * *6#* * *5*',i►e4, **'' **} X44 * * * * * * * * * * * * * * * * * * * * * * * * * * ** l ` iii 4DD 277145 1 4.1 Z ; /1;4 8 04600,44t: Engineer Zoning Plans Examiner I . ITEM UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BATH TIB BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER C RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/IETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER $3TORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. / MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE ) V / MOTORS OVER 5- 8 if TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEA URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET I ( MOTCRS OVER 100 If VIOLATION INDIRECT WASTES- I A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT I I STRIP HEATER FIRE SPRINKLER ( I GENERATORS TRANSFORMERS 'HEATER -NEW INST. l I L GENERATORS TRANSFORMERS HEATER - REPLACE I GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL I SPECIAL PURPOSE SWIModtNG POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4 TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL �I I AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANEE METER SET (GAS) GAS PIPING ,,ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINEDy T ;;IOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date 3_S Job Address 3 L 0 A/E . l 0( Tax Folio // j 5 6iT Legal Description /'Z i -� Z5 Qh,G// Owner / Lessee / Tenant DO2SCff V C Master Permit # Owner's Address ✓ q O /V-& ' /0 / Phone 7S - 7' G Contracting Co. S LT L= 2 P'-UR &/NG- Address d 4'r / X 6 /3 d.- Qualifier D4//) L ff 6 TE2 ss# Phone o l 3— 7/ State # C c b l Municipal #00 L A ° ?Competency # /36 f / Ins . Co . , z 7 1 /9 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION APPROVED: Square Ft. Estimated Cost(value) /60 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 stat Signature of owner and /or Condo President Date: Signature of Co ractor or Owner- Builder Date: Notary as to Owner and /or Condo President Notary as to Contractor or Owner-Builder My Commission Expires: My Commission Exppirees CNRISi aN PORRAS P y Ex Florida ` ;.c l o 5/30/9 ** * * * * * * * * * * P �..�a WR REGENCYINSURAKCE * ** FEES: PERMIT 3d OD RADON C.C.F. 1,0 NOTARY TOTAL DUE. e /Sp Fire Other Zoning Building Electrical Mechanical Plumbin_ �' ^ Engineering -�' CLOSETS BATH TUBS SHOW LRS LIVA• TORIES SINKS SLOP SINKL LAUNDRY TUBS URINALS CATCH •A•IN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWLR CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H[ATILR DEEP WELL SPRKLR S SWIM•G POOL CONTR. X _ LIST CHICK Permit No ..- 7- 3.7 3 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 __ Dacha rile _ No. —19 Street... N, E • 101 s.t - _. Registered Architect and /or Engineer Employing Plumber's Name . Brooks- American Sprinkler Co 2420 g N . 79th Location and Legal Description Lot_ /noel Subdiviaton.___ _- - - -� -, Street and Number where work is to be performed —No 3 9n Street N..E..- ••- 0. State work to be performed and purpose of building (By Floors) ___..___.. -.. New Building _.. Remodeling_ __ — _.. -_ -- Addition Size Septic Tank __._._ - _- --- -•- - - ---- -Type of Tank__ Feet of Drain Tile._ — —Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City— WeIL___-________________ ______.-Size of Soakage Pit Amount of Permit $ (Signed)_ Capacity Gala Repairs No. of Stories The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation(es an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, 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 die Act. The undersigned agrees to employ only such sub - contractors, k to be performed under this permit, as are licensed by Miami Shores Village. L Dace.----- -- 3 ?9.7 .... _______ — umbing Inspector. Muter P umber. STATE OF FLORIDA, t a. 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 be 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 Ex Notary Public, State of Florida NOTE: A re inspection fee of $1.00 will be made when such re is made•ueeewry by Improper notice for inspection, or faulty materials and /or workmanship. 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. M ,(/ / _ Owner's Name and Address W “�! V 4 � __._. No.390 /V Street. / ®L S ' .. •..._. Registered Architect and /or Engineer l / L -- ' .. / . —..... — ......._. M e. ( N C o Q No„ T .,,..... 8fteee.!`!.� .. , V L Employing Plumber's Name `�"' _._._ � ....,..a.. ..... ,.. -•.. Location and Legal Description Lot 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 Size Septic Task . — . - - - - -- - -.. -- — - - - -- _. of Tank__ Feet of Drain Tile._.__.- _ __ _ _- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. __--- _.------- _ - - --- -- -Size of Soakage Pit Amount of Permit $ //, --Q 0 STATE OF FLORIDA, 1 u. COUNTY OF DADE. I MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT a,.__BIYl Z Bloc1� SubdivWon__.. 3 e o L' Street iQ1 S / (Sign (Signed) Repairs No. of Stories Capacity Gals. .--- -.-- ..__._ Vi4 Ai to Plum , g 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 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 a clmowledgments, 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.neoessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWER, LAVA- TORIES SIN" SINKS LAUNDRY TURK URINAL/ CATCH !Limn FLOOR DRAIN DRINKING FOUNT'Ne � � e., TOTAL FIXTURES TR. Copan. — LIST LI CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H DEEP WELL SPRKLR. S eWIM'O POOL CoNTR. ' LIST CHECK 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. M ,(/ / _ Owner's Name and Address W “�! V 4 � __._. No.390 /V Street. / ®L S ' .. •..._. Registered Architect and /or Engineer l / L -- ' .. / . —..... — ......._. M e. ( N C o Q No„ T .,,..... 8fteee.!`!.� .. , V L Employing Plumber's Name `�"' _._._ � ....,..a.. ..... ,.. -•.. Location and Legal Description Lot 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 Size Septic Task . — . - - - - -- - -.. -- — - - - -- _. of Tank__ Feet of Drain Tile._.__.- _ __ _ _- -Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. __--- _.------- _ - - --- -- -Size of Soakage Pit Amount of Permit $ //, --Q 0 STATE OF FLORIDA, 1 u. COUNTY OF DADE. I MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT a,.__BIYl Z Bloc1� SubdivWon__.. 3 e o L' Street iQ1 S / (Sign (Signed) Repairs No. of Stories Capacity Gals. .--- -.-- ..__._ Vi4 Ai to Plum , g 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 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 a clmowledgments, 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.neoessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ❑ ELECTRICAL El 195 PLUMBING ® PERMIT N? 8528 ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building LA- • Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR. OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Bl. Subdi- vision Sq. Ft Value of Project $ 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 • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinan' and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami *Mores Village. In accepting this permit I assume responsiblity for all work done by either, myself, my agent, servant or employee. N • r +u BY AUTHORITY V Permit No - 1'r� a MIAMI 'SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING I'S? • 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. .!� )� il) J��- ,. / / Owner's Name and Address W W l 4 �`� No._— - •'€ . Street-.-- -1-_�/ 5 Registered Architect and /or Engineer _-- __�__� Employing Plumber's Name f� O / o 4 * Location and Legal Description Lot_ L + 'Z _ Block No. 2156 _ Jk1 Street__ 3 , • Subdivision Date. PJ21 Street and Number where work is to be performed —No —17 /Z.1- ' Street State work to be performed and purpose of building (By Floors) _ New Building _. Remodeling .._ Addition_______ Repairs No. of Stories. Septic Tank _ Type of Tank_ Amount of Permit $ Commission Expires (Signed)_ (Signed). 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 5, P umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s 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 tlie Act. The undersigned agrees to employ only such sub - contractors, on wor to be performed under this p rmit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 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 oses 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 TUBE LAVA TORIES = 61N" SLOP SINKS LAUNDRY Tuee URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS i tiej TOTAL FIXTURES CONTR. LIST / / CHECK - -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT / GREASE TRAP 50 . H EATER / DEEP WELL • SPRKLR. SYSTEM SWIM•G POOL - -_— _ CONTR. LIST CHECK V Permit No - 1'r� a MIAMI 'SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING I'S? • 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. .!� )� il) J��- ,. / / Owner's Name and Address W W l 4 �`� No._— - •'€ . Street-.-- -1-_�/ 5 Registered Architect and /or Engineer _-- __�__� Employing Plumber's Name f� O / o 4 * Location and Legal Description Lot_ L + 'Z _ Block No. 2156 _ Jk1 Street__ 3 , • Subdivision Date. PJ21 Street and Number where work is to be performed —No —17 /Z.1- ' Street State work to be performed and purpose of building (By Floors) _ New Building _. Remodeling .._ Addition_______ Repairs No. of Stories. Septic Tank _ Type of Tank_ Amount of Permit $ Commission Expires (Signed)_ (Signed). 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 5, P umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s 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 tlie Act. The undersigned agrees to employ only such sub - contractors, on wor to be performed under this p rmit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, 1 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 oses 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. s s , 0 3 1 9