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54 NE 101 St (9)WORK DESCRIPTION ICN / 2 4L itaa our) 2 Square Ft. Estimated Cost (value) `3OcD eb PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address c if Ng 10 1 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenann i! A RR 'i P U AA A Master Permit # 13'6 Owners Address Phone C3 - 5 - t41 Contracting Co. . A 16 U IJ co P L OK I J I N C Address Qualifier T(A:t(A C • q ss# ( - Phone 14) 43$- &I ' *rib f, 310D i� _ pe cy 2$Ins. Co. State # municipal # Competency #�j� Ob02 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL ' LUMBING MECHANICAL ROOFING PAVING FENCE SIGN i> C WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AP PIDAVIT: 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 wor stat Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PE APPROVED: Zoning Mechanical r 6 RADON 1 NOTARY < ,C) ?) BOND otary as ontract or er- : uilder u ate My Commission Expireg P�v„ FFICIAL NOTARY SEAL 6 ANGELA M BECKER l'i ( fi r COMMISSION NUMBER Q CC786697 y! MY COMMISSION EXPIRES ` f� NOV. 15,2002 Electrical Structural Engineer EM TN TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE DET LIGHT OUTLETS CENTRAL HEATING SHWASHER 1 RECEPTACLES A/C (WIND) S?OSAL SERVICE TEMPORARY A/C (CENTRAL) .INKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK OCR DRAIN ; SERVICE REPAIR/METER CHANGE REFRIGERATION EASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING TERCEPTOR RANGE TOP UNDERGROUND TANKS .VATORY 2 OVEN ABOVE GROUND TANKS JNORY TRAY WATER HEATER U.F. PRESSURE VESSELS .OTHES WASHER MOTORS 0- 1 HP STEAM BOILERS CNER MOTORS OVER 1- 3 HP HOT WATER BOILERS NK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION NK, RESIDENCE i MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES NK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS :6PORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS 1INAL MOTORS OVER 25-100 HP COOLING TOWERS .TER CLOSET 2 MOTORS OVER 100 If VIOLATION DIRECT WASTES . 1 A/C WINDOW REINSPECTION ;TER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS . HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIIIIING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES :WER CONNECTIONS SIGN TRANSFORMERS 'ILITY -SEWER SIGN TIME CLOCK j 'ILITY -WATER FIXTLRES :PTIC TANK ANTENNA . :LAY TELEVISION OUTLETS tAINFIELD, 4' TILE/RES. VIOLATION ,14" S ABANDON SEPTIC TANK REINSPECTION )AKAGE PIT CU. FT. ;TCH BASIN 'SCHARGE WELL )MESTIC WELL tEA MAIN /OF INLET )LAR WATER HEATER RE STANDPIPE )OL PIPING ;WN SPRINKLER SYSTEM S RANGE :TER SET (GAS) .S PIPING ADDENDUM TO BUILDING PERMIT APPLICATION .N APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. )BTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Date Legal Description Owner/Lessee / Tenant ( ►.-•A (L (( A R E Owner's Address Contracting Co. Qualifier State # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION Q- eouso WSJ 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 II1IPROVEMENTS 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. OWNERS 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 zo ' f.:: Furthermore, I authorize e I . ve -named contractor to do the work tated. !or Condo Presi FEES: PE PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 52/ IVe I 0 1 ST. Tax Folio l- cT 4- to i' S. 5t 0 ms Sed PS to P&10 RADON APPROVED: Zoning Building Mechanical Plumbing rl.Q/?/?if:vn Municipal # /0-'7- CO Date Historically Designated: Yes No t1 U AA- A Master Permit # 0771/ f ddress 74'c7 /r!JGU q j CU.+% P SS# Competency # Address Address Address Phone 3 05- q7 MECHANICAL MECHANICAL ROOFING PAVING FENCE SIGN W +1 Iiirl. er -B , ilder • My ommmssion xpue C.C.F. /' a 0 NOTARY 0 ' BOND Electrical it 3 )-n6 — 13 - Ins. Co. . 26,12 -7 !1(.'G TOTAL DUE .,Sz� " 9J to 0 0 Date Oct ate Structural Engineer ITEM ;ATM 1l6 UNIT FEE ITEM SWITCH OUTLETS• UNIT FEE ITEM SPACE HEATERS UNIT FE E IWET LIGHT OUTLETS CENTRAL HEATING ) I SHAS1f.R RECEPTACLES A/C (WIND) 1ISNOSAL OSAL SERVICE TEhPCRARY A/C (CENTRAL) ;R INKING FOUNTAIN • SERVICE SIZE IN AhPS DUCT WORK LIM1 DRAIN _ SERVICE REPAIR/)�TER CHANGE _ REFRIGERATION A EASE TRAP APPLIANCE OUTLETS PROCESS A AND PRESS PIPING HTERCEPTOR _ RANGE TOP UNDERGRO TANKS .AVATORY OVEN ABOVE (MOUND TANKS AUNORY TRAY WATER HEATER U.F. PRESSURE VESSELS LOTHES WASHER MOTORS 0- 1 FP STEAM BOILERS IUKER • 'INK, MOTORS OVER 1- 3 FP HOT WATER BOILERS POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION INK, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES INK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS R INAL RY WATER CLOSET MOTORS OVER 10- 25 FP 0 FIRE SPRINKLER SYSTEMS RINAL MOTORS OVER 25-100 FP COOLING TOWERS ATER CLOSET MOTORS OVER 100 FP VIOLATION ADIRECT WASTES A/C WINDOW RE INSPECT ION ATER SUFPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER F IRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. HEATER GENERATORS TRANSFORMERS - REPLACE laxN -- -� GENERATORS TRANSFORARS SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES :WER CONNECTIONS .ILITY SIGN TRANSFORMERS -SEWER ILITY SIGN TIME CLOCK -WATER PT FIXTLRES IC TANK ANTENNA LAY TELEVISION CUTLETS AINFIELO, 4' T1LE/RES. -. VIOLATION • 4 & ABANDON SEPTIC TANX 4KAGE RE INSPECT ION PIT CU. FT. rcH BASIN IARGE WELL 4ESTIC WELL :A GRAIN )F INLET 0 .AR WATER HEATER -� IE STANDPIPE - ►--- IL PIPING . N SPRINKLER SYSTEM RANGE --- ER SET (GAS) r—�-- P IP RG PLUMBING urev ! Ca AJ Huutivuum iu BUiLUINU PERMIT APPLIUAI•IUN (AN APPLICATION FOR BUILDING PERMIT RUST ACCOMPANY THIS ADDENDUM. IF A RASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL CLOSETS BATH TUB• SHOWERS LAVA• TORIE/ SINK/ SLOP SINK[ LAUNDR TU /S URINAL/ CATCH SAWN FLOOR DRAIN °PUNKIN° FOUNT'N/ TOT..L PI[TI RES CONTR. LI'T r - � ' CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H DEEP WELL SPRKLR. SY STEM SWIM'° POOL I C o. NTw LIFT ..-"-' 'W1 HT •••+" CHECK _ n / l il . 1'enni: No... Amount of Permit State work to be performed and purpose of building (By Floors) STATE OF FLORIDA, } ss. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT :,,' it III is Lerch) made for the approval of the detailed statement of the plans and specifications herewith subr.i :",..-1 for the building or other ; herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.:- ••t Shores Village, Florida, a,:d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic- of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec fications must be kept at 'auilding during progress of work. `.)vner's Name and Address .... •�2S�' .egi,t Architect and /or Engineer mploying Plumber's Name n � No v20 . .Y .: Street. .=.,W' Location and Legal Descrip on Lot Block ' � Subdivision Street and Number where work is to be performed —No.s� �� E1. (1 %, .2 eet New Building Remodeling___ ..... Addi ion Size Septic Tan_-. -- -- .---- •• - - -• -- Type 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 -- ----- ----- - - - - -- -- ��%�' <'� Plu mbing; Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a ndlover of 1a101 under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent fupi lenient, and ha, , .�n �• i with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in t ,! 'F! rk r b. performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publ; notice T. po icer •rs as required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed '.,a this > rl.li; ;u . licensed by Miami Shores Village. Date 6' _ Street 4.4. . /o ' Capacity ^ .als My Commission Expires Notary Public, State of Florida Repairs No. of Stones Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per or,e; ' , ppeare . 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 ti1at all acts therein by hin, stated are true. NOTE: A re- inspection fee of $1.00 will be made when sins re- inspection Is mede•neoasary by improper notice for inspection, or fruit) materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No /9 Date..._. 73.17.7 ...... 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 Edward B. Tait No.____ Street Registered Architect and /or Engineer Employing Plumber's Name Rose S s►p t i c T �n k Co P, 4 . �p�p,.,,,,], ,,. „ ,... ,,.,,..,< . -. , Location and Legal Description Lot- 887-5594 Bl ock ■ Street and Number where work is to be performed -No 54 N N. E E . 101 street Street. State work to be performed and purpose of building (By Floors) __.____. - -.. N Building Remodeling___ __.___ Addition Repairs No. of Stories.. Capacity Cals. Size Septic Tank_ --- _----------- _ -.. - -- - - - -Type 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 $ 4.00 - g Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and liar 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. (Styled) Master Plumber. STATE OF FLORIDA, 1 µ COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ._.___._........ ........ . . .... _ _ _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when web raiospectioe is made. necessary by improper notice for Inspection, or fault' materials and /or workmanship. CLOSETS BATH TUBS SHOWER• LAVA- TORIES SINKS SLOP SINK• LAUNDRY Tun• URINAL• CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIIITUR[• CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN PILLD SOAKAGE PIT GRIMM TRAP SOLAR N DEEP WELL BPRKLR. SYSTEM BWIM'O POOL CONTR. 25 ( LIST 1 I CHICK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No /9 Date..._. 73.17.7 ...... 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 Edward B. Tait No.____ Street Registered Architect and /or Engineer Employing Plumber's Name Rose S s►p t i c T �n k Co P, 4 . �p�p,.,,,,], ,,. „ ,... ,,.,,..,< . -. , Location and Legal Description Lot- 887-5594 Bl ock ■ Street and Number where work is to be performed -No 54 N N. E E . 101 street Street. State work to be performed and purpose of building (By Floors) __.____. - -.. N Building Remodeling___ __.___ Addition Repairs No. of Stories.. Capacity Cals. Size Septic Tank_ --- _----------- _ -.. - -- - - - -Type 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 $ 4.00 - g Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and liar 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. (Styled) Master Plumber. STATE OF FLORIDA, 1 µ COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ._.___._........ ........ . . .... _ _ _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when web raiospectioe is made. necessary by improper notice for Inspection, or fault' 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 w ear}:. Owner's Name and Address _ .______.__ -_ _"___ --- No Street__ Registered Architect and /or Engineer__ _-- // Employing Plumber's N. , _ � - _ i � � No. ___- -- _ .l'0 __ !__— Street -- -- _ s_ --- 7 Location and Legal Description Lot___ ______�_______ _ _ _ lock____ _! Subdivision s - Street and Number where work is to be performed— No.___ — __ —_ _ Street p a/ - C State work to be performed and purpose of building (By Floors) New Building Remodeling______ Addition • - Repairs No. of Stories Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORE'S, VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • Type of Tank____ Capacity Gals Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit (Signed)_ Date The undersigned applicant for this building permit does hereby certify that he understands and accep under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo plied with the provisions thereof, and will require similar compliance from all contractors or sub -co performed under this permit; and will post or cause to be posted for inspection on the site of required by the Act. The undersigned agrees to employ only such sub- contractors, o licensed by Miami Shores Village. his obligations as ay em Permanent Suppl m actors employed by In work uch public notice o rfo ,e•, ;nder • / � % //I z7-/ Plumb My Commission Expires Notary Public, State of Florida loyer of labor and has com- e work to be notices as are permit, as are Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. I 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 S SINKS SLOP SINKS LAUNDRY TUBS URINALS RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL LIST X X 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 w ear}:. Owner's Name and Address _ .______.__ -_ _"___ --- No Street__ Registered Architect and /or Engineer__ _-- // Employing Plumber's N. , _ � - _ i � � No. ___- -- _ .l'0 __ !__— Street -- -- _ s_ --- 7 Location and Legal Description Lot___ ______�_______ _ _ _ lock____ _! Subdivision s - Street and Number where work is to be performed— No.___ — __ —_ _ Street p a/ - C State work to be performed and purpose of building (By Floors) New Building Remodeling______ Addition • - Repairs No. of Stories Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORE'S, VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • Type of Tank____ Capacity Gals Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit (Signed)_ Date The undersigned applicant for this building permit does hereby certify that he understands and accep under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo plied with the provisions thereof, and will require similar compliance from all contractors or sub -co performed under this permit; and will post or cause to be posted for inspection on the site of required by the Act. The undersigned agrees to employ only such sub- contractors, o licensed by Miami Shores Village. his obligations as ay em Permanent Suppl m actors employed by In work uch public notice o rfo ,e•, ;nder • / � % //I z7-/ Plumb My Commission Expires Notary Public, State of Florida loyer of labor and has com- e work to be notices as are permit, as are Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. I 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. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ Date M 19 (°'' ELECTRICAL ❑ PLUMBING PERMIT NiD 8626 Contractor's ROOFING ❑ License No. r , «7 Owner of Building ❑ Work to be performed under this Permit Architect Contractor ,;! or Builder :•; -� t ` . #,. i �aa.»t y t r t,t 14. Legal Lot Description 1 B1 Address of �•_ Building al ' ` t: lei I 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 applica- tion 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 br drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or mployeee( Signed. — - _ . SPECTORJ +s BY In consideratiop-;af the issu3 c #o dorm of this permit I agree tory orm the work covered ht'eunder in compliance with all ordinances and regulations pertaining theretwand, co 'o' ity with the plans, drawings,)tat ents or specifications submitted to the proper authorities of Miami Shores Village. I4ccepting s., mtt4#lssu 'res!.tl:ibility for all work done b tther, myself, my agent, servant or employee. t I moo wi 0_ TR A GTOR - o I.tB U I L D ER BY AUTHORITY 41 L ,f Subdi- vision Sq Ft ,pa+ '4 Value of �, 11 Amount of Project $ ''" 11 Permit $ OWNER LOT BLOCK SUBDIVISION , j f /M y � • s,e Date Issued to Fixtures $ Sewer ' $ Septic Tank $ aiami Jhores9llage F L 0 fl 1 D A PLUMBING PERMIT N9 _ 927 tb install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. Ot- For a _story r r building at V: Fixtures Total $ Village Plumbing Inspector Received Payment by T OWNER LOT BLOCK SUBDIVISION y ' " Date Issued to For a / story iami r hbres — llage F L 0 R 1 D A PLUMBING, PERMIT building at N° 948 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. Fixtures Fixtures $ Sewer $ Septic Tank $ '• Total $ Village Plumbing Inspector Received Payment by p` OWNER LOT BLOCK SUBDIVISION Se ', , /3. r. Issued to 0 �hores F L O A D A PLUMBING PERMIT N9 948 to instA the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. 24. For a story ''" • building at Fixtures Fixtures $ Sewer $ O tic Tank $/ E' ,a Total $ ,+'` Q ! Village Plumbing Inspector ,, . ate Received Payment by ,�,: +dam 4 err). OWNER LOT BLOCK SUBDIVIS (1N rf r 1 w -` t (j �. j � I F L 0 & 1 D A Fixtures Fixtures Sewer ddliami chores PLUMBING PERMIT e k e j 00 Issued to I $ I / d 4 •tic Tank $ Total $ A ‘4( Village Plumbing Inspector Received Payment by N° 927 'install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbjng and drainage work done in Miami Shores Village, Florida. For a. story building at ,j► /