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PLUMBING PERMITDate Legal Description Owner/Lessee / Tenant -- D --- e . 7'4 - 47 A • L CAL l 6/ /s/ E J / Owner's Address 70 / ■ 7D/ f ' Phone Contracting Co. A. . e. J � Ortsw i G Qualifier -4- 4-i L lP G 4 / v State # Municipal # Competency # Ins. Co. Architect/Engineer Bonding Company Mortgagor Address WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address ?a d 6 ` (0 / S1' • Tax Folio Sign pfurelol�owner and/or Condo President Date 1-) 9 Notary as to Owner and/or Condo President ate My Commission E e, STEPHEN E COCKIN( State of Florida My Comm. Exp: 08/04/0 Commit: CC869180 s • at 6 r – r • tracer -Ii S - O FEES: PERMIT. RADON APPROVED: Zoning Building Mechanical Plumbing C.C.F. Historically Designated: Yes No 171 i f? r/ Address (f f 3 2 AJ ( ) oZ -� SS# Phone Address Address Permit Type (circle one): BUILD G EL) CTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN 7 ,7 3. /QDQ 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 authorize the above -named contractor to do the work stated. MIL 1' - Master Permit # Signature of Co tractor or Owner- Builder 3/3 Date Notary as to Contractor or Owner - Builder Date My Commission Expires: �OL e 0134 7R.- - -,61- /03- o Erephefr) 6. dock NOTARY BOND Electrical .3 v TOTAL DUE 9 v .6v Engineering CONSTRUCTION PERMIT FOR: V] New System [ (] Repair c APPLICANT: '�f e C: d � PROPERTY STREET ADDRESS: g T A [ N [ K 0 T H E R STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC [/] Abandonment LOT: t'( BLOCK: ]Existing System [,`) Tank ( Temporary /Experimental [ �) Other(Specify) PROPERTY ID #: D en. ] , SQUARE FEET PRIMA R [ ] SQUARE FEET A TYPE SYSTEM: I CONFIGURATION: N F LOCATION OF BENCHMARK: I E L D FILL REQUIRED: [ SUBDIVISION: SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 1OD -6, FAC. REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. DEPARTMENT OF HEALTH APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. SYSTEM DESIGN AND,SPECIFICATIONS '[GA�L�LOONNS�j GPD]', SEPTIC TANK /AEROBIC UNIT CAPACITY ] / GPD J GPi IZF CAPACITY ] GALLONS GREASE INTERCEPTOR CAPACITY GALLONS PER DOSE DOSING TANK CAPACITY Y DRAINFIELD ~ S YST E M% SYSTEM ( ' STANDARD ( ] FILLED ( ] TRENCH ( ELEVATION OF PROPOSED SYSTEM SITE [1' BOTTOM OF DRAINFIELD TO BE ( SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: v . ; ,r c 5: ) INCHES DH 4016. 10/96 (Replaces HRS -H Form 4016 (page 11 which may be used) (Stock Number: 5744 - 001 - 4016 -0) ] . ( FT INC _ HE „.+� ] [ ABOVE 8 % ELOW],ABENCHMARR /.REFERENCE P , NTy (J'LINCHES /FT] (ABOV,E /BELOW) BENCHMARK /REFERENCE POINT EXCAVATION REQUIRED: (3,a9 INCHES (SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] (OR TAX ID NUMBER) AGENT: F A TITLE: .;” 6.7-3 r TITLE:( _ O'�TLAA1© DMDQM,I;ILT • PERMIT # DATE PAID FEE PAID $ RECEIPT # MULTI- CHAMBERED /IN SERIES:( ) MULTI- CHAMBERED /IN SERIES:( ) [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] DOSE MATE ( J PER 24 HRS NO. OF PUMPS: [ ] MOUND [ ) EXPIRATION DATE: -CHD y' 2 7j Page 1 of 2 INSTRUCTIONS: PERMIT NUMBER: Permit tracking number by County Health Department. APPLICATION FOR: Check type of permit; if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY 1D #: 27 character ID number for property. (Health Department may require property appraiser ID# or section /township /range /parcel number.) SYSTEM DESIGN AND SPECIFICATIONS: TANK: DRAINFIELD: OTHER: SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: EXPIRATION DATE: Minimum specifications from Chapter 10D -6, FAC. Minimum specifications from Chapter 1OD -6, FAC. Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos. Name of individual providing specifications. If designed by a registered engineer must be sealed. County Health Department personnel reviewing and approving permit. Date permit is issued by County Health Department. One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued. illr/ _ ' 1 1 ;. 1 1 1 I ' _ 11_ ,1 _ slaL '( - I am " I i .. 1 , 1� , IJ 1 _ i �j— t 1 1 a 1 1 4 1 ? l , _ �_ j —j_ _.1 1 —I 1 1 a ; _ ■ -' d I 1 1 I_I iil III P 'a I ' -- I LI, j_CL 41 ' I 7 —)Ti- 1 ' 1 II .r ■ II III 1 1' Lir 1 i I lie 'IL 'r a i 1 1 �_ 1 I _ _ i ! '- J _ L 1_0 3J i I f f' . 1 1 I.■ _ C lii • I - CI - I L I 11 t I CJ�I ':J 1 1 1 1 1 i_ I , �+ 1, _I V_. nL .., s J 'it J _mil J 1�11._t.I ,�',17 I1 1:' F 1\ � ; y L Ill 4 d i i_. T _ l 1 l - - .> � `�'1 t , i 1 I 4 d T _ MIN. S Si 1 111 1 1 1 ir iik M 111 W WIN , 11I_ (1 1 I'1 f WM � 0! III I I - i 1 1 t _ i 9 (-.[o i Luz] , 1 % 9d ( %L Cd _ WENN a al m ma 1 _ P LJ /2 _ ■ . ? ?l�ld ■ I 1 a a i ■ ■ 1 1 _ -- , 1 - n _L r r i l' �I I I 1 ■ I IMO i i _ I J JJ n n 1 1 1 `7`l I I )_i 1 1 � � 1 '� -a ■ i ? ■ 1 1 � � + ( (1 _,._ [ [ l l ( 1 t t_ - I �'I 1 ; i . Jt�� � � 11 � 1 � I 1t 1 1 ■ . J / .\ L » F 10 1 1 � ■ 1 fi ■ 1 EL • ' PLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number dpi F( PART II - SITE PLAN- Scale: Each block represents 5 feet and 1 inch = 50 feet. `i/ 6 1 0/ C Notes: (4 w Site Plan submitted •y: Signature Not Approved Plan Approved By STATE OF FLORIDA DEPARTMENT OF HEALTH ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT • DH 4015, 10/96 (Replaces HRS-H Form 4015 which may be used) • , • (Stock Number : 002 - 4015.6) , y-1,4/ 14 Date , • . ,7* • County Health Department Page 2 of .3 Permit No Owner's Name and Address ;Registered Architect and /or Engineer - _Employing Plumber's Name 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 New Building Remodeling Amount of Permit $ (� STATE OF FLORIDA, ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)- (Signed) Capacity Gals a,... -- }4. 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 Addition..._..._ Repairs No. of Stories Size Septic 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 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e:nployer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent rum . lement, and har com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed ly him in tie wcrk :o b- performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publt ° notice or noicer. as am required by the Act. The undersigned agrees to employ only such sub - contractors, on yrork to be • . ormed r...�es cis �rmiC as ar licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personae,• eppeareu 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 be did sign the same, and that all 'acts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of 11.00 will be made when such re-inspection Is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA• TORIES 61N Kt SLOP SINKS LAUNDRY Tuns U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIKTCRE• CONTR. LIWT -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL 1 CONTR. LIST CHECK Permit No Owner's Name and Address ;Registered Architect and /or Engineer - _Employing Plumber's Name 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 New Building Remodeling Amount of Permit $ (� STATE OF FLORIDA, ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)- (Signed) Capacity Gals a,... -- }4. 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 Addition..._..._ Repairs No. of Stories Size Septic 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 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e:nployer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent rum . lement, and har com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed ly him in tie wcrk :o b- performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publt ° notice or noicer. as am required by the Act. The undersigned agrees to employ only such sub - contractors, on yrork to be • . ormed r...�es cis �rmiC as ar licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personae,• eppeareu 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 be did sign the same, and that all 'acts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of 11.00 will be made when such re-inspection Is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. /i Permit No. 1/ of Miami Shores Village shall be complied building during progress of work. Owner's Name and Address My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATI ®N 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 with, whether herein specified or not. A copy of approved plans and specifications must be kept at Registered Architect and /or Engineer �} y ______ Employing Plumber's Name '12444/0144_ _ s o._ &'__ !J" Street 1 Block / Subdivision j1C Location and Legal Description Lot _ Street and Number where work is to be performed —No _ w Street __ t State work to be performed d ur ose of building Floors) P din purpose g( Y New Building .r Remodeling Addition Repairs Type of Tank. P /l-,,% Capacity Gals Size Septic Tank st s / ".4 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 $___ __ (Signed) //or Street_ _ /I' / Date /1 — � Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ✓��] �� (Signed) . �/ a STATE OF FLORIDA, ( COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally Notary Public. State of Florida `j .6 7P C o /0/ a./t No. of Stories appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / CHECK /i Permit No. 1/ of Miami Shores Village shall be complied building during progress of work. Owner's Name and Address My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATI ®N 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 with, whether herein specified or not. A copy of approved plans and specifications must be kept at Registered Architect and /or Engineer �} y ______ Employing Plumber's Name '12444/0144_ _ s o._ &'__ !J" Street 1 Block / Subdivision j1C Location and Legal Description Lot _ Street and Number where work is to be performed —No _ w Street __ t State work to be performed d ur ose of building Floors) P din purpose g( Y New Building .r Remodeling Addition Repairs Type of Tank. P /l-,,% Capacity Gals Size Septic Tank st s / ".4 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 $___ __ (Signed) //or Street_ _ /I' / Date /1 — � Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ✓��] �� (Signed) . �/ a STATE OF FLORIDA, ( COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally Notary Public. State of Florida `j .6 7P C o /0/ a./t No. of Stories 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. 11 b Permit No._ ____. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 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. ° d Owner's Name and Address Registered Architect and/or rc ttect an or E ngineer .r Employing Plumber's Name - b14:4401444_-- 1 jl Block Location and Legal Description Lot ___________�„'.� Street and Number where work is to be performed —No Ali State work to be performed ari'd' purpose of building (By Floors) New Building f ' __ Remodeling Size Septic Tank Sgr4 Feet of Drain Tile 7-t.1 Dist. Feet of Tank or Drain Field from Well Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires Addition Repairs Type of Tank ( . No 0 PI 211 fiagetd Nature of Water Supply: City Well Size of Soakage Pit. (Signed) (Signed) Date - _ _______ Street__] 'i _ s street_ Jl Subdivision___,t_d Street —� ------- ------ - - - --- Capacity Gals. co 7 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on w9rk to be performed under this permit, as are licensed by Miami Shores Village. �1 Before me, the undersigned authority, a notary public, duly 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. authorized to administer oaths and take acknowledgments, personally Notary Public, State of Florida .„(7 No. of Stories Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / CHECK Permit No._ ____. 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. ° d Owner's Name and Address Registered Architect and/or rc ttect an or E ngineer .r Employing Plumber's Name - b14:4401444_-- 1 jl Block Location and Legal Description Lot ___________�„'.� Street and Number where work is to be performed —No Ali State work to be performed ari'd' purpose of building (By Floors) New Building f ' __ Remodeling Size Septic Tank Sgr4 Feet of Drain Tile 7-t.1 Dist. Feet of Tank or Drain Field from Well Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires Addition Repairs Type of Tank ( . No 0 PI 211 fiagetd Nature of Water Supply: City Well Size of Soakage Pit. (Signed) (Signed) Date - _ _______ Street__] 'i _ s street_ Jl Subdivision___,t_d Street —� ------- ------ - - - --- Capacity Gals. co 7 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on w9rk to be performed under this permit, as are licensed by Miami Shores Village. �1 Before me, the undersigned authority, a notary public, duly 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. authorized to administer oaths and take acknowledgments, personally Notary Public, State of Florida .„(7 No. of Stories Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BE-11. - TRTME PERMIT A N9 299 PLUMBING Owner of Building Architect and/or Engineer NAME Contractor or Builder_ _ - NAME ADDRESS LICENSE NO. Proposed Location I N. f / • . LOT BLOCK SUB-DIVISION NO. STREET $ AMOUNT NAME ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT k , 19 , 4 This permit is issued to -./ ' ( ' . To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores/Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any than in the plans and specifications unauthorized by the building inspector. g( RECD. PAYMENT ACCT. DEPT. INSPECTOR • , • LICENSE NO. In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. 710 Dated t • .. 19 (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. 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. OWNER LOT BLOCK SUBDIVISION • 71iami ,_fhores9lla FL O R 1 D A PLUMBING PERMIT N9 1253 Date r' Issued to 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. For a - story Fixtures Fixtures Sewer r� $ Septic Tank $ Total $ building at Village Plumbing Inspector 4.� Received Payment by ElR'C ? PERMIT A N° 299 PLUMBING •ner of Building (1t ft • NAME ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT .f. �'✓ 19 NAME Architect and /or Engineer v Contractor or Builder NAME ADDRESS �,"/ Proposed Location '' 1 . . 1 9 � �J /' / 4,7 `f LOT BLOCK SUB- DIVISION This permit is issued to . - AMOUNT RECD. PAYMENT ACCT. DEPT. NO. To._ LICENSE NO. LICENSE NO. STREET the building above described, as per application, Plans and Specifications heretofote filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction cor iplies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Sho s Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules d regulations, or upon a change' in the plans and specifications unauthorized by the building inspector. INSPECTOR ill In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and n s and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. P` Dated — — -- t 2 - — , 19 o 3n'' (SEAL) . NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board: 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. ` '2F, + ( Wit. PERMIT A N° 18 PLUMBING r J'° •ner of Building____ i� NAME Architect and /or Engineer Contractor or Builder_ laws, ordinances or rules and regulations, or upo h AMOUNT Dated NAME RECD. PAYMENT ACCT. DEPT. ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT / 19 —L ADDRESS LICENSE NO. 5ZYLtUt741ut "4 --- ICENSE NO. NAME Proposed Location i l t LOT 'LOCK 4 — ? � i ia i • • This permit is issued to l_W42s _ 1 _ - ` - - - -- - - - -- ----- - - - - -- To_ the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at an time upon the violation of any provisi. -. of said any chan to the, plans and specifications un ut ized by b)ding/nspecto STREET s f INSPECTOR ill In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and n s and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of M. i Shores Village and all rules and regulations of the building depart ent of Miami Shores Village. (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. 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. ,% ,r Le A , Issued to aiami Aoren F L O R I D A PLUMBING PERMIT N9 1253 d iee: 4.:s? c>, - • e to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami SI,res Village, Florida and the State of Florida, governing plumbing and drainage work done n. Miamphores Village, Florida. v 7' . building at 6 For a story , i ffi, • Fixtures 4 4 ,4/ , . A I f Fixtures .4,e $ >,;<17- Sewer / 471 4) $ /e 6 t) tic Tank $ 1 4/ r' Total .. $ ..,. L,.., , ,.. I" 4 4 ) 7 . 11 i : : i at . 4 4 7 t r Y 1 b I R0•00 ' - .. f ' Village Plumbing Inspector Received Payment by OWNER i t . • / LOT BLOCK SUBDIVISION 4. .. i ■ , , • , 4 i . L , . > , 0 ,7,‘''‘; t ,' C " ' ' f i - e) ,% ,r Le A , Issued to aiami Aoren F L O R I D A PLUMBING PERMIT N9 1253 d iee: 4.:s? c>, - • e to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami SI,res Village, Florida and the State of Florida, governing plumbing and drainage work done n. Miamphores Village, Florida. v 7' . building at 6 For a story , i ffi, • Fixtures 4 4 ,4/ , . A I f Fixtures .4,e $ >,;<17- Sewer / 471 4) $ /e 6 t) tic Tank $ 1 4/ r' Total .. $ ..,. L,.., , ,.. I" 4 4 ) 7 . 11 i : : i at . 4 4 7 t r Y 1 b I R0•00 ' - .. f ' Village Plumbing Inspector Received Payment by y $, Permit No .sz (01 Date____ _,�f�/.'�' _ _ __ `• 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 Registered Architect and /or Engineer Employing Plumber's Name y Pa _ _� __,s.� � u " � ._: a No. / .� , Location and Legal Description Lot _ Block la F Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building `e. Remodeling V, Addition Size Septic Tank Type of Tank 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. Amount of Permit $ (Signed) P "l' ) e Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. v .r" APPLICATION FOR PLUMBING PERMIT ss. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT fo 7U (Signed) - -E /o No. 7( Z Repairs No. of Stories Ir Street Street__ Notary Public. State of Florida Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the 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. Master Plumber. "Vi- ��� �• s Subdivision�r_,_�_._ �______ Street a i; when such re- inspection is made necessary by improper notice for inspection, or faulty ( c c CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK y $, Permit No .sz (01 Date____ _,�f�/.'�' _ _ __ `• 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 Registered Architect and /or Engineer Employing Plumber's Name y Pa _ _� __,s.� � u " � ._: a No. / .� , Location and Legal Description Lot _ Block la F Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building `e. Remodeling V, Addition Size Septic Tank Type of Tank 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. Amount of Permit $ (Signed) P "l' ) e Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. v .r" APPLICATION FOR PLUMBING PERMIT ss. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT fo 7U (Signed) - -E /o No. 7( Z Repairs No. of Stories Ir Street Street__ Notary Public. State of Florida Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the 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. Master Plumber. "Vi- ��� �• s Subdivision�r_,_�_._ �______ Street a i; when such re- inspection is made necessary by improper notice for inspection, or faulty ( c c Permit No a9q, New Building .[C Amount of Permit $ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 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 —_ _______— No 1__Q 2f t Street____ o //s- Registered Architect and /or Engineer Q e� Employing Plumber's Name _ .�ild!1N —_ 011.4' �tC No Z_1 21 4)_ Location and Legal Description Lot Block /0 Street and Number where work is to be performed —No /.Q Street / d / State work to be performed and purpose of building (By, loors) Remodeling Addition Repairs Type of Tank Capacity Gals. Size Septic Tank Feet of Drain Tile —_ —___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized ss. ---- ----- - -- - -- - - -- - - (Signed) ` ! — - -- — -- Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Aeiverv 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 therein by him stated are true. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such re- inspection materials and /or workmanship. 021' 74° /6/ No. of Stories. / t t Master Plumber. Notary Public. State of Florida the same, and that all facts is made necessary by improper notice for inspection, or faulty CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No a9q, New Building .[C Amount of Permit $ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 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 —_ _______— No 1__Q 2f t Street____ o //s- Registered Architect and /or Engineer Q e� Employing Plumber's Name _ .�ild!1N —_ 011.4' �tC No Z_1 21 4)_ Location and Legal Description Lot Block /0 Street and Number where work is to be performed —No /.Q Street / d / State work to be performed and purpose of building (By, loors) Remodeling Addition Repairs Type of Tank Capacity Gals. Size Septic Tank Feet of Drain Tile —_ —___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized ss. ---- ----- - -- - -- - - -- - - (Signed) ` ! — - -- — -- Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Aeiverv 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 therein by him stated are true. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such re- inspection materials and /or workmanship. 021' 74° /6/ No. of Stories. / t t Master Plumber. Notary Public. State of Florida the same, and that all facts is made necessary by improper notice for inspection, or faulty 7o )1E- /0/ sT 4P,a- 4 .44,4,vreft