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501 NE 101 St (4)Type Insp'n Permit No. Name Oi ) MI IAMI HORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 2/ 1 5 Approved Correction Re- Insp'n Fee Address L 6 -- to/ i & /0/ Company Phone # Inspection Date Owner's Address _6 -0/ A .) 6 /0/ / r- r' City N1 /AM S3 Nh Tenant/Lessee Name State Certificate or Registration No. $ Value of Work For this Permit Submittal Fee $ Notary $ 6 Scanning $ Total Fee Now Due $ /+ • (Continued on opposite side) State Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING RECEOVED Permit No. iPOS PERMIT APPLICATION JA's 2 7 2005 a ter Permit No. FBC 2001 Permit Type (circle): Building Electrical Mechanical Roofing t& A=\ Owner's Name (Fee Simple Titleholder) ( 3A A. N1 s,./ASGtj 5 Phone # 30S. lib ° egrb Job Address (where the work is being done) 572/ f.) e /0 / 5+ City Miami Shores Village Is Building Historically Designated YES County Miami -Dade Contractor's Company Name e A LLG Phone : M �«.�__ r's Address If City - ■` Qualifier %i�r I' J _ Architect/Engineer's Name (if applicable) ►�-� � Phone # NO X1 Zip 3Si3 S Phone # Zip 33L3 Square Footage Of Work: 800 0 .S Type of Work: ['Addition ❑Alteration ❑New AZ Repair/Replace ❑ Demolition Describe Work: 7D / 4//Z oe /4=7) 3P//t//'� /4.e'rL / 00S AL /�/fe / r /s �4 s,�N� s Permit Fee $ / 3 /r. CCF $ dp CO /CC Training/Education Fee $ tJ 0 Technology Fee $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if arlicable) 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 first inspecti• which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will n pproved a d a reinspection fee will be charged. Signature The foregoing day of NOTARY PUBL Sign: Print: Chc 05/13/03 me this ner or Agent trument was ackp wledged befor ,20 03 by who is personally known to me or who has produced My Commission Expires: ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *a * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED B s identification and who did take an oath. Signature Contractor The foregoing instrument was acknowledged before me this c3 , day of , 20 _, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: bel-k Print: l ommission 11 31984 Expires: Ju ' 3, 2007 My Commission Expires: o, • Q 'uncle() �'hn� T alc or, ing1 o Ii ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** /" Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER 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 MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - ' A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GEN TORS TRANSFORMERS HEATER - REPLACE 1- ENERATORS TRANSFORMERS LAWN SPRINKLER -WEEL t SPECIAL PURPOSE SWIMAING 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 AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL Proof of ownership provided ( ) _ Was acknowledged before me this B VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE STATEMENT I ( ,4rL'4 . A MtI4$CL/6 being the legal property owner, for the property Located at: ,:3 A/e /6 St 7),/,444/ 5//p- z::3, a 33 ,3f Legally described as 0 Cu A' - Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),,s'}nd I have read and understand the following disclosure Statement, which entitles me td cork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence or a farm out - building. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not Icensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. initial of reviewing clerk. Tlie foregoing instrument day . of who personally known to me or who has as identification and who did take an oath.' Notary. • ,iii,„ ! IN a as yP� P !, 2 fi • " ; Commission DD2319 *= Expires: J u! 13, 2007 N; ' • rti �� Rondcd Th : Bbnd g °;Aociti At in Co Lo Inc //J Mine Ot J6 d ESI22 \\ '� ,S61 NE / dary Survey Scale: 1" = 20' This Survey Map is not valid without the signature and original raised seal of a Florida Registered Land Surveyor and Mapper. Page 2 of 2 Survey No: 01163 • , /�� '.f� %% %icy r �r �'�.� -� ii! i 7 � Y • 1_ a b. 11.11' 100.00' M. & P. FD. 3trP Miami Shores Village 10050 NE 2nd Avenue Printed: 2/2/2005 Applicant: CESAR NAVASCUES Owner: NAVASCUES CESAR JOB ADDRESS: 501 NE 101 ST Contractor Local Phone: Parcel # 1132060171080 Signed: (INSPECTOR) Plumbing Permit Phone: 305- 795 -2204 Permit Number: PL2005 -38 Contractor's Address: Permit Status: APPROVED Permit Expiration: 7/26/2005 Construction Value: $1,800.00 Work: TO REPAIR SPRINKLER AND PIPE ON EXISTING SYSTEM Page 1 of 1 Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOTS 13 & 14 BLK 94 LOT SIZE Fees: Description Amount FEE2005 -1377 Building Fee $130.00 FEE2005 -1378 CCF $1.20 FEE2005 -1379 Notary Fee $5.00 FEE2005 -1380 Training and Education Fee $0.40 FEE2005 -1381 Technology Fee $3.25 FEE2005 -1382 Scanning Fee $3.00 Total Fees: $142.85 Total Fees: $142.85 Total Receipts: $0.00 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: e „c_ l oa 0,93/2‘ Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City—Wells materials and /ar warl®ansbip. Amount of Permit 5 . D MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) No �� - Type of Tapir piss_ Feet of Tank or Drain Field from Well Size of Soakage PIL (Signed)_.L ,AL'41-.Set — Permit No 2 15 G, Date..._..+ -- . -• —'— Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subml ted 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 Dopy of approved plans and specifications mu* be kept at building during progress of work. Owner's Name and Address t A• Registered Architect and /or Engineer En p3oying Plumber's Nam. s � 4 ... e C iL O .- .,.. Na Location and Legal Description Lot..■ %`�/ 4�1 Bkx�t .�— Subdivision Street and Number where work is to be performed —No / Street_. /f ...L'J State work to be performed and purpose of building (By F7ooa) 2-3 � __. .. W •. �t �_�.. Q^'...r . New Building.__.__ _ - -- _ -- Remodeling —_ _ ._. —_— Addition...___ _...__... Repairs No. of Stories e.A2L _I 1_ r.O Y,,,, S rt,v. Y 4.111 a -... ,,,.,,. . 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 5988, 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. STATE OF FLORIDA, ss. COUNTY OF DADE. , Before me, the undersigned authority, a notary public, duly autbarized 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 nstruction, that he has carefully read the foregoing application, nd that he did sign the same, and that all facts therein by h ii6>fl16 e6TATE a FLORIDA AT tARGI - -� MY COMMISSION EXPIRES MAY 2 1953 P " GCS . ,..- •' . L. .. T11RU deal I My Commission ltj� T!� N. " .; �,_• of Florida - - 6 _ NOTE: A re- inspection fee of 51.00 will be toads when wait twitipsotios it Qaedrminssery notlos for inspection, at faulty CLOSETS BATH Tu SS SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY Tugs URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N• TOTAL F=URI, CONTR. LIST CHECK .... R CONT. SEPTIC TANK SEWER CONN. DRAIN P1ELO SOAKAGE PIT GREASE' TRAP SOLAR MEATIER DEEP ELL SPRKLR. SYSTEM SWIM'0 POOL / / // e s r- LIST CHECK e „c_ l oa 0,93/2‘ Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City—Wells materials and /ar warl®ansbip. Amount of Permit 5 . D MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) No �� - Type of Tapir piss_ Feet of Tank or Drain Field from Well Size of Soakage PIL (Signed)_.L ,AL'41-.Set — Permit No 2 15 G, Date..._..+ -- . -• —'— Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subml ted 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 Dopy of approved plans and specifications mu* be kept at building during progress of work. Owner's Name and Address t A• Registered Architect and /or Engineer En p3oying Plumber's Nam. s � 4 ... e C iL O .- .,.. Na Location and Legal Description Lot..■ %`�/ 4�1 Bkx�t .�— Subdivision Street and Number where work is to be performed —No / Street_. /f ...L'J State work to be performed and purpose of building (By F7ooa) 2-3 � __. .. W •. �t �_�.. Q^'...r . New Building.__.__ _ - -- _ -- Remodeling —_ _ ._. —_— Addition...___ _...__... Repairs No. of Stories e.A2L _I 1_ r.O Y,,,, S rt,v. Y 4.111 a -... ,,,.,,. . 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 5988, 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. STATE OF FLORIDA, ss. COUNTY OF DADE. , Before me, the undersigned authority, a notary public, duly autbarized 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 nstruction, that he has carefully read the foregoing application, nd that he did sign the same, and that all facts therein by h ii6>fl16 e6TATE a FLORIDA AT tARGI - -� MY COMMISSION EXPIRES MAY 2 1953 P " GCS . ,..- •' . L. .. T11RU deal I My Commission ltj� T!� N. " .; �,_• of Florida - - 6 _ NOTE: A re- inspection fee of 51.00 will be toads when wait twitipsotios it Qaedrminssery notlos for inspection, at faulty Q u SECTION ATLAS M-14 PgS #237 a to tri 7 20 i ALLEY ()plea us.e, 6YaTE 555 N. E. 124th STREET NORTH MIAMI. PLOIIDA we ( L L - 94 (D /3 ALE. /0/-- Sr Ak)TES 1. LOCA ALL U.G: ui L/m s P,e/oe To Con.)S77?v 77on.) . ALL RES i9776,0 Tv gz 5cPuAL To 1O,e gEr e. Iii IiV Ex /sTi,c)c auDiT,vs. sclax iU /T/ "'ST EL SE2vic/ 75 : DWG BY,, k.60/ ./( % ia�. 2T iJl, 9/I/ SA/ 7,EEs ‘N > P. 2 ' ei .sE2 N (CUA/J /l4/1 17 ) I12EF) IEs i��uCE JAMS MA2erAJ DATE -/7 - SHEET of J. 0.M- (054/0, - e A. F. E.Q /0/7B/OD2o/ FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT BUILDING DIRECTOR* PLANNING & ZONING BOARD VILLAGE COUNCIL COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB CONTRACTORS ARE CHARGED WITH THE KNOWLEDGE Of ALL BUILD■ INC REGULATIONS WHETHER OR NOT SPECIFICALLY INMAN) NEVA THESE PLANS ARE APP;,0 ELI Fa • ID WITH O Vs'i''!!'! " NO OTHER rF MT:0 S ORDWAVES Wirt. EE U: ALL OTHER APT: WITH BY ALL PARTIES. Ow. tomes 0.. A BUILDING PERMIT USTED IN "REMARKS" .; ES OU:I.DING AND ZONING •It SPF.C.ITICAVA LISTED BELOW. LAWS MUST BE COMPLIED AtIr•ol Stniture Date Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPUCATION FOR PLUMBING PERMIT t9 • z Ly Application is hereby made for the approval of the detailed statement of the plans and specifications herewith itted for the building or other stzjicture herein described. This application is made in compliance and conformity with the Building Ordinance. 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 Registered Architect and/or Engineer Employing Plumber's Name 06071C-2e° No Street Location and Legal Description Lot Bloom . Subdivision_ ta Street and Number where work is to be performed—No SEP treet -1C State work to be performed and purpose of building (By Ploon) New Building Remodeling Addition Repain_____ No. of Stories... ....... Size Septic Tank._ Type of Tonle 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 $ No ..5_02.—V_& Street ) .... The undersigned applicant for this building permit does hereby certi k ds and accepts his obligations u an employer of labor under the Florida Walnuts's Compensation Act, being Section 5988, Compiled 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. (Signed) STATE OF FLORIDA, } n. COUNTY OF DADE. Before me, the undenlgned 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 n-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS OATH . Tull SHOWERS LAVA. TORIES S SLOP SINKS LAUNDRY TOSS URINALS CATCH DANN FLOOR DRAIN DRINK I NG FOUNT'S.' TOTAL Pomona* CCNTL LIST . CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE FIT 0 TRAP SOLAR HEAVER Duo. WELL SPRKLR. SYSTEM SVS W 0 FOOL CONTR. UST CHECK Ala/ i ...... Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPUCATION FOR PLUMBING PERMIT t9 • z Ly Application is hereby made for the approval of the detailed statement of the plans and specifications herewith itted for the building or other stzjicture herein described. This application is made in compliance and conformity with the Building Ordinance. 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 Registered Architect and/or Engineer Employing Plumber's Name 06071C-2e° No Street Location and Legal Description Lot Bloom . Subdivision_ ta Street and Number where work is to be performed—No SEP treet -1C State work to be performed and purpose of building (By Ploon) New Building Remodeling Addition Repain_____ No. of Stories... ....... Size Septic Tank._ Type of Tonle 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 $ No ..5_02.—V_& Street ) .... The undersigned applicant for this building permit does hereby certi k ds and accepts his obligations u an employer of labor under the Florida Walnuts's Compensation Act, being Section 5988, Compiled 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. (Signed) STATE OF FLORIDA, } n. COUNTY OF DADE. Before me, the undenlgned 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 n-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. BUILDING El zLEcTIUcAL ❑ PERMIT PLUMBING l i J' ROOFING ❑ Work to_be performs. Owner of Building Architect Contractor or Builder Legal Description Address Of Building MIAMI SHORES VILLAGE, FLORIDA 1■T°` 11592 under this Permit DATE ,... Contractor s License No 195— - t Z Subdi- vision Value of Amt. of "7rr Project $ t II Permit $ 1 1 r' / �. This permit is granted to the contractor or ui der named ab a to construct the building or to install the equipment or device described in the aPphcatton 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 be revoked' at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit. is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the .ordinances and regulations, pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. y • -''"'� - . X • " • 1 Signed _ •' : : . '1' • R �r1 i In consideration of the issuance to me of this permit I agree to perform the work .vered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or spefi .` ations submitted -'to the proper authorities of "Miami Shores Village. In accepting thi ermit I assume responsibility for all work done by either, myself, agent, servant or employee. f 1 CTQR -OR . BY BY r J ;� Permit No.L A / „C MIAMI SHORES VILLAGE . PLUMBING INSPECTION DEPARTMENT i' APPLICATION FOR PLUMBING PERMIT 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. Owner's Name and Address d ' � -- —C No Street Registered Ar::a: _! (�# �� I ,, Employing Pl _ _t. h 1 - 1F = — — ""�' No —s _ Street 2/ 4 / Location and Legal Description / g p Lot_ l 3 T iy - Block Subdivision" ! __ r Street and Number where work is to be performed —No. Street State work to be performed and purpose of building (By Floors) G' New Building 4 Remodeling Addition____ Repairs No. of Stories 1 i Size Septic Tank Type of Tank Capacity Gals Dist. Feet of Tank or rain Field from Well �//O lr-- __Size of Soakage Pit Feet of Drain Tile Nature of Water Supply: City —'Well Amount of Permit $ ,l / (Signed) SS. The undersigned applicant I f or 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- are plied vyith 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 re q uired by the Act. The undersigned gned agrees to employ only such sub- contractors, on work t be perf rnmd uncle — r this permit, as J licensed by Miami Shores Village. , (Signed)-- Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Comniission Expires Notary Public, State of Florida Plurnbing Inspector. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOVARS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUN7'NS �. TOTAL FIXTURES CONTR. 3 LIST CHECK 3 „ ``11 n` .. 1 /' d .-1 I ,, ..r” ::? '7� / Ar� G- may( "75.-- ! / SEPTIC TANK SEWER CONN. DI4AIN ' FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. KLR. SYSTEM SWIM' POOL - 4 04, , / �+ / I !J /41s 9�-( 'hlc'ie, 7 CONTR. LIST f / 11 ✓// a/�,./� ;^ ./ � r✓ D CHECK f � _ Permit No.L A / „C MIAMI SHORES VILLAGE . PLUMBING INSPECTION DEPARTMENT i' APPLICATION FOR PLUMBING PERMIT 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. Owner's Name and Address d ' � -- —C No Street Registered Ar::a: _! (�# �� I ,, Employing Pl _ _t. h 1 - 1F = — — ""�' No —s _ Street 2/ 4 / Location and Legal Description / g p Lot_ l 3 T iy - Block Subdivision" ! __ r Street and Number where work is to be performed —No. Street State work to be performed and purpose of building (By Floors) G' New Building 4 Remodeling Addition____ Repairs No. of Stories 1 i Size Septic Tank Type of Tank Capacity Gals Dist. Feet of Tank or rain Field from Well �//O lr-- __Size of Soakage Pit Feet of Drain Tile Nature of Water Supply: City —'Well Amount of Permit $ ,l / (Signed) SS. The undersigned applicant I f or 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- are plied vyith 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 re q uired by the Act. The undersigned gned agrees to employ only such sub- contractors, on work t be perf rnmd uncle — r this permit, as J licensed by Miami Shores Village. , (Signed)-- Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Comniission Expires Notary Public, State of Florida Plurnbing Inspector. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. I //V, or, t .404.4 /IA. -9 f'"/ Permit No l ` `' 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 buildin g during durin progress of work. Owner's Name and Address t�. L�G�S C.K No .5 / 2'4 / Street Employing Registered P umber' Name _E _ "4-1"/ / - No._ _4/ A Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. 5"01 _ j e l Street State work to be performed and purpose of building (By Floors) New Building_!/ • Remodeling Addition Repairs No. of Stories Size Septic Tank (p_ Z772 Type of Tank Feet of Drain Tile / era Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ 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. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Date - - -- 7- /0 - 67 Capacity Gals ' (? 7 / X J (Signed) iC • d - --464- 61 Master Plumber. 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 TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK A Permit No l ` `' 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 buildin g during durin progress of work. Owner's Name and Address t�. L�G�S C.K No .5 / 2'4 / Street Employing Registered P umber' Name _E _ "4-1"/ / - No._ _4/ A Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. 5"01 _ j e l Street State work to be performed and purpose of building (By Floors) New Building_!/ • Remodeling Addition Repairs No. of Stories Size Septic Tank (p_ Z772 Type of Tank Feet of Drain Tile / era Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ 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. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Date - - -- 7- /0 - 67 Capacity Gals ' (? 7 / X J (Signed) iC • d - --464- 61 Master Plumber. 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 TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES 3 1 Z J 1 11 A•244 5M 3 -38 Employing Plumber For a Owner or Agent Builder or Contractor is Lot No. '\ Block No. 0 Subdivision Address o Q "In. ` a , O 1 * A* Sewer Connections Date SEWER INSPECTION A M • P M. Approved by Condemned by REMARKS Ground I herewith submit the following plan of plumbing for approval: 3 New Dwelling X Old ❑ At center of St. ❑ A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date ROUGH -IN INSPECTION Rough -In Rain Leader AM P M Approved by Condemned by REMARKS Plan No V\ ( \i DIVISION OF PLUMBING INSPECTION 7 DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA Store ❑ Garage r_ At curb ❑ Qom. Work executed by Story Apartment E Address Address Sewer Permit No A g Hotel ❑ Soo #Y\ - 19.3. gl Remodeled ❑ Office Bldg. ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank Existing bldg. drain ❑ To dry well ❑ Date FINAL INSPECTION AM P M Approved by Condemned by REMARKS THIS SPACE FOR ELEVATION SKETCH In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to correspond with the opening shown in floor plan or ground plan on opposite page. A PERSPECTIVE SKETCI PROVIDED THE WORK C -I WILL BE SUFFICIENT AN BE CLEARLY SHOWN THIS SPACE FOR PLAN SKETCH Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock con- nections as shown on the elevation sketch on opposite page. Where ground ork is concealed, draw floor plan of build- ing showing location of walls, partitions, columns, etc., and the location of horizontal soil and waste pipes, in ref- erence to same. std F m 111 Sketch position of building and lot lines in square (which represents an entire city block) , showing on which street the building and lot faces; also show exact locations of "Y" in street and position of lateral or septic tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all underground pipes for future references. WEST NORTH A EAST Remarks: NORTH SOUTH m Feet of drain tile: 15 Additional information: Ready for Inspection: Date: APPROVED BY: Remarks: PERMIT NO. MIAMI SHORES VILLAGE, FLA. APPLICATION FOR SEPTIC TANK PERMIT DIVISION OF PLUMBING INSPECTION Date: F Jam' ' PR Q' aR I herewith submit the following applicaon for a permit covering the installation of a Septic Tank Soakage Pit: : Relaying: New: Installed by: Address: r3. --- ) V or 16 7 (NEW: $ Old: Story: 1 Addition: Remodeled: For a (Store: Garage: Apt: Hotel: Office Bldg. (Res: )( Garage wash floor: Waste water from a: Building has: Stores; Offices; Apts; Hotel Rms; Bedrums a Owner or Agent: / Address: V�`d 0 4 L I Q I 44- Lot No. t Block No. �E - I A SUBDIVISION IVL.,,.lo Is4- Address of work. a 1 d 1 No. of Plumbing Fixtures: ) 0 Laundry_Tubs: ) Floor Drains: Nature of water supply: City: Well: Feet Distant from all wells: Type of tank installed:P.g C. 1* Tank capacity in gallons: h QQ Size of Soakage Pit: Purpose of same: CONDEMNED BY: Time: