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PLUMBING PERMITL` Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE '?gob Address / 2/O Ai ( / ,�'f !/J e�.. Tax Folio Legal Description Owner/Lessee / Tenant Owner's Address / -,7 cif". . 6 Pi c Phone 7- 7 ," Contracting Co. f' " °' � , (� . 6 e-- ..1.04: .0 fit^ 1 Address Qualifier C : a.6 J d / c' SS# , m Phone .5'' / ,5' : 7 °7,i ...I � State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECT AL/LUMBING MECHANICAJ., ROOFING PAVING FENCE SIGN / fre WORK DESCRIPTION Square Ft i on • o 'resident STEPHEN E COCKING Notary State of Florida 0410 pubilc My Comm. Exp:0 81 / 0 7 L4 Cnmm# Not 8fi ditiCon esident Dat My Commission Expires: FEES: PERMIT 2C RADON APPROVED: Zoning Building Mechanical Plumbing 6 � Historically Designated: Yes Estimated Cost (value) Master Permit # 4 d7s t rA)o 2 4A ) 1-zsa 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. Signature of Contractor or Owner - Builder Notary as to Contractor or Owner- Builder My Commission E n v PU :FACIAL NOT EA t O 1 P 9 MARQAm r (lc OO5SO moon n :. S g$ NU 4. KY OOWAISSION EXPIRES 4' OF 0. .0 DEC. 17,200 C.C.F. /- NOTARY -5 BOND Electrical No 3;/ 7i?- Date Date j-/"'2 7y 3e7 TOTAL DUE • et) Engineering Notes: By STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PER)AfT, , - Scale: Each block represents 5 feet and 1 inch = 50 feet. Y 7 - ;-; 1fA "' • ., t • • T 7 DH 4015, 10/96 (Replaces HRS-H Form 4015 which may be used) (Stock Number: 5744-002-4015-6) !. I ; i 1 4 irY , 0" ‘ • , 6 PART II SITE PLAN- 1 4 44 • • 7/ , • ; /‘7%'' 7 • /;• 11 " .qt • Permit Application Number , • Jp_ e%/7 ./ 7 ,.(r - • Site Plan submitted by Signature //. Plan Approved Not Approved 1 • 4 • • • • "4 .1 .4 .49441 V ; ALL CHANG'S MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT - *e .7 ---•••• • A Title Date ' • r/r A ), , County Health Department Page 2 of 3 STATE OF FLORIDA /DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC CONSTRUCTION PERMIT FOR: [V ] New System ['' } Existing System [ ] Tank [ ,] Repair [ 1 ] Abandonment [ j APPLICANT: PROPERTY STREET ADDRESS: LOT: PROPERTY ID #: BLOCK: SUBDIVISION: .jSECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -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. HRS 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 T [ j [GALLONS / GPDj SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] A [ ] [GALLONS / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:( ] N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] D [_� ]/SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET "SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [7 ]'BED [ ] F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ E BOTTOM OF DRAINFIELD TO BE [ L D FILL REQUIRED: [ ] INCHES 0 T H R SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: ] jINCHES /FT] []IBOVE /BELOW] BENCHMARKCREFERENCE POINT) ] [INCHES /FT] [ABOVE/Sa W] .BENCHMARKIREFERENCC POINT EXCAVATION REQUIRED: [ ] INCHES AGENT: TITLE: HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744-001- 4016 -0) PERMIT # DATE PAID FEE PAID $ RECEIPT # j Temporary /Experimental JrT , , TITLE: CPHU EXPIRATION DATE: Page 1 of 2 -• CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINK• LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N• TOTAL FI %TURFS CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL Comm. LIST CHECK k °n ,1t ..... Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl}lsubmitt d for the building or other siniciure 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 keptAt building during progress of w o l ) I \ ,gyp[ / Owners Name and Address_ - -- t - *_� 41 No. 2_ s e f' `Street_ _,/_C ® Registered Architect /or) igineer Employing Plumber's N Location and Legal Description Lot.____ ___._ Bl _� =� �bdi � n �{ Street and Number where work is to be performed —No._ � ? _. .�..__.. Street 4 - * 8 State work to be performed and purpose of building (By Floors)_._. - --__ -_ -- _-- --------- - --_._ New Building Remodeling __.____ Addition Repairs No. of Stories. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT �� ( c6t o. Street_ Size Septic Tank Type of Tank_ Feet of Drain Tile______ _______________________________ Dist. Feet of Tank or Drain Field from Well __Size pf Soakage Pit Nature of Water Supply: City— Well.__ Amount of Permit $ (Signed)_ e""' '� - The undersigned applicant for this building permit does hereby certify that he understands and accepts bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori • ' °.r/nanent 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 perfomeed 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, i ' worly- to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Capacity Gals Date / STATE OF FLORIDA, I 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. Notary Public, State of Florida master Fluniber. 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. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT '2 / Permit No ( / � Date__lJ� �" MIAMI SHORES VILLAGE 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 i/ • t 1 No — C l (� r — — 1 — t t 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 Floors) New Building________ _______ —___W_ Remodeling Addition Repairs No. !/ 4^ _ Street( Block Size Septic Tank___ Type of Tank Feet of Drain Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Amount of Permit $_ / D d 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. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly ss. My Commission Expires Size of Soakage Pit Street__ Subdivision._ _Capacity Gals No. of Stories___________ _. Plumbing Insiector. rtify t 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 ork to be perfortpe"d under this permit, as are (Signed) — — — — -- Master Plumber. 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. 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 CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / J( . CHECK PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT '2 / Permit No ( / � Date__lJ� �" MIAMI SHORES VILLAGE 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 i/ • t 1 No — C l (� r — — 1 — t t 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 Floors) New Building________ _______ —___W_ Remodeling Addition Repairs No. !/ 4^ _ Street( Block Size Septic Tank___ Type of Tank Feet of Drain Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Amount of Permit $_ / D d 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. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly ss. My Commission Expires Size of Soakage Pit Street__ Subdivision._ _Capacity Gals No. of Stories___________ _. Plumbing Insiector. rtify t 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 ork to be perfortpe"d under this permit, as are (Signed) — — — — -- Master Plumber. 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. 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. Permit No.. _c ;27' Owner's Name and Address t_) 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. / / = ti' --' No -- 2 _ L '__ a f i r >itrdaC_ � - __�� Registered Architect and /or Engineer ,f Employing Plumber's Name Location and Legal Description Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building_ _____ ________ ______ Remodeling Addition Repairs —___ No. of Stories___ __ Size Septic Tank— Type of Tank . Feet of Drain _____ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit ._ ___ _________________ —_ Amount of Permit S_ 1 ' ‘ — ____(Signed) _:c_ The undersigned applicant for under the Florida Workmen's Compensation plied with the provisions thereof, and will performed under this permit; and will post required by the Act. The under signed agrees licensed by Miami Shores Village. ss this My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (' Plumbing Insp building permit does hereby certify th4Yhe understands and accepts his obligations as an employer of labor Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- require similar compliance from all contractors or sub - contractors employed by him in the work to be or cause to be posted for inspection on the site of the work such public notice or notices as to on /fvork to be performe1 under this permit, as are employ only such sub - contractors, Street Date 1/-- 7, _Capacity Gals (Signed) -- - - - -_° __-- - -� - -� STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — ____ —• to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. Notary Public. State of Florida Master Plumber. are 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 e SDP SI KS 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.. _c ;27' Owner's Name and Address t_) 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. / / = ti' --' No -- 2 _ L '__ a f i r >itrdaC_ � - __�� Registered Architect and /or Engineer ,f Employing Plumber's Name Location and Legal Description Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building_ _____ ________ ______ Remodeling Addition Repairs —___ No. of Stories___ __ Size Septic Tank— Type of Tank . Feet of Drain _____ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit ._ ___ _________________ —_ Amount of Permit S_ 1 ' ‘ — ____(Signed) _:c_ The undersigned applicant for under the Florida Workmen's Compensation plied with the provisions thereof, and will performed under this permit; and will post required by the Act. The under signed agrees licensed by Miami Shores Village. ss this My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (' Plumbing Insp building permit does hereby certify th4Yhe understands and accepts his obligations as an employer of labor Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- require similar compliance from all contractors or sub - contractors employed by him in the work to be or cause to be posted for inspection on the site of the work such public notice or notices as to on /fvork to be performe1 under this permit, as are employ only such sub - contractors, Street Date 1/-- 7, _Capacity Gals (Signed) -- - - - -_° __-- - -� - -� STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — ____ —• to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. Notary Public. State of Florida Master Plumber. are 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. BUILDING ELECTRICAL PLUMBING Owner of ii Building Architect ' 1 Contractor or Builder Ill -- I- ` 1.; A/ MIAMI SHORES VILLAGE, FLORIDA,y r DATE / r ' - 194 PERMIT ■9 3210 Work to be performed under this Permi /- ro" 1./ Subdi- vision Value of Project / • / Contractor's License No. Amt. of Permit I ( r' AUTHORITY Legal Lot Bl. Description Address of p f Building f This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown, orythe-plans,or drawings or in the state ntf tit specifications and that he assumes responsibility for work done by his agents, servants or employees: %' Signed•.. .. .I� n.. l INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. • /'/ - 1 ; : t ;• 44 „ f / / A- r .�'r ./,�•...� CONTRACTOR OR BUILDER J BY JOB;. } BUILDING • : WORK ELKTRICAL : DONE BY: PLULBING • AD. 0 REQUESTED • READY The following is ready for Inspection: - Inspectorts Report: P rttit No Registered Architect and /or Engeer„ L Employing Plumber's Name Location and Legal Description Lot Size Septic Tank tom ,, Type of Tank Feet of Drain Tile Nature of Water Supply: City —Well. 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 wiq!fr, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner's Name and Address �____JL No. Street "- /. /_ No. 3 ! S treet! f Subdivision_______ _ Street and Number where work is to be performed —No. ___ V r•" Street / �J t Block State work to be performed and purpose of building (By Floors) New Building Remodeling___ Addition _- Repairs —___ No. of Stories __ Dist. Fejt of Tank or Drain Field from Well • Size of Soakage Pit. (Signed) Date_ Capacity Gals My Commission Expires Notary Public, State of Florida Amount of Permit $ (Signed) ____'_ - -- - P umbin 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 • • ' •s as are required by the Act. The under signed agrees to employ only such sub - contractors, on work •e ■ perforrd) under is •ermit, as are licensed by Miami Shores Village. A•, •.I �`-- i ,' / Mast mber 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 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 FIXTJ RES 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 y y P rttit No Registered Architect and /or Engeer„ L Employing Plumber's Name Location and Legal Description Lot Size Septic Tank tom ,, Type of Tank Feet of Drain Tile Nature of Water Supply: City —Well. 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 wiq!fr, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner's Name and Address �____JL No. Street "- /. /_ No. 3 ! S treet! f Subdivision_______ _ Street and Number where work is to be performed —No. ___ V r•" Street / �J t Block State work to be performed and purpose of building (By Floors) New Building Remodeling___ Addition _- Repairs —___ No. of Stories __ Dist. Fejt of Tank or Drain Field from Well • Size of Soakage Pit. (Signed) Date_ Capacity Gals My Commission Expires Notary Public, State of Florida Amount of Permit $ (Signed) ____'_ - -- - P umbin 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 • • ' •s as are required by the Act. The under signed agrees to employ only such sub - contractors, on work •e ■ perforrd) under is •ermit, as are licensed by Miami Shores Village. A•, •.I �`-- i ,' / Mast mber 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 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 PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No 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. Street Registered Architect and /or Engineer Employing Plumber's Name ____.__________ __— No Street Location and Legal Description Lot Block .. Subdivision •. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) 1 New Building Remodeling. Addition. Repairs No. of Stories 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 • My Commission Expires Amount of Permit $_ ;..... (Signed) 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 iicensed by Miami Shores Village. - (Signed) Street STATE OF FLORIDA, k ss. 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. Notary Public, State of Florida 1 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 SW IM'G POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No 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. Street Registered Architect and /or Engineer Employing Plumber's Name ____.__________ __— No Street Location and Legal Description Lot Block .. Subdivision •. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) 1 New Building Remodeling. Addition. Repairs No. of Stories 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 • My Commission Expires Amount of Permit $_ ;..... (Signed) 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 iicensed by Miami Shores Village. - (Signed) Street STATE OF FLORIDA, k ss. 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. Notary Public, State of Florida 1 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. Job Address 720 A/6 ,s 7' Tax Folio Date Legal Description ,,rr Owner/Lessee / Tenant 4(/ydQv le [1 Owner's Address Contracting Co. Historically Designated: Yes No Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECT CA WORK DESCRIPTION ,71/2.1 ) / ,1 C tri PERMIT APPLICATION FOR MIAMI SHORES VILLAGE n Signatur4.f owner and/or Condo Pre 'dent Date J � otary as to Owner an o r C on d o i yi i" Y PF Da te My Commission Expi4sTARY PUBLIC Si A' E CT .p'L0 DA w ' CONLMEZION NC. CO' 41C3 � A� FEES: PERMIT RAD APPROVED: Zoning Building Mechanical C.C.F. Qualifi State # CFO (? d % Municipal # Competency # Master Permit # Phone Address J 273 < Address Address Address PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN - ?, Ph Electrical ' a e7 / 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 EVIPROVEMENTS TO YOUR PROPERTY OF 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 complian cx ith all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do a work stated. (A) /6 ature ofC. actor oY Owner - Builder %3 — 7 S s� Ins. Co. A V ate 6 4d ; Date �/ Notary 1tsC My Commission Exp ,D1:'3VTF" L'.R ,: �,•, �sr: 9.2.E NOTARY BOND TOTAL DUE Plumbing ( 11 Engineering 1, Employing Plumber's Name ___.'_ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—Well Amount of Permit $ / MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °"`64,MIT Permit No ' ' - 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. Registered Architect and /or Engineer ______ __._____________________�______ - 4 - - Location and Legal Description Lot______._ ..... ____________________ Block_ ,_ ,- Subdi vision .______._..__._— _____— _ —__.__ Street and Number where work is to be performed— No._-:4_.' .__ —.. I'''` Street State work to be performed and purpose of building (By Floors)_" ___— __,__k:._- _ ° r _ ..-:....z. _ ..... __._,:: _2' `' Repairs No. of Stories. New Building _---- -- -• -_ -- - __ -_ -_ Remodeling______ __ __ Addition Type of Tank__ _ Capacity Gals Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit (Signed)----' -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h' obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Street No.. . 11% —__— Street_!_' My Commission Expires Notary Public, State of Florida Muter Plumber. STATE OF FLORIDA, 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. 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 worlcmanship. CLOSE" BATH TU BE SHOWERS LAVA- Tome SINKS SLOP SINKS LAUNDRY Tuss URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHICK __ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HF.ATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Employing Plumber's Name ___.'_ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—Well Amount of Permit $ / MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °"`64,MIT Permit No ' ' - 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. Registered Architect and /or Engineer ______ __._____________________�______ - 4 - - Location and Legal Description Lot______._ ..... ____________________ Block_ ,_ ,- Subdi vision .______._..__._— _____— _ —__.__ Street and Number where work is to be performed— No._-:4_.' .__ —.. I'''` Street State work to be performed and purpose of building (By Floors)_" ___— __,__k:._- _ ° r _ ..-:....z. _ ..... __._,:: _2' `' Repairs No. of Stories. New Building _---- -- -• -_ -- - __ -_ -_ Remodeling______ __ __ Addition Type of Tank__ _ Capacity Gals Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit (Signed)----' -- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h' obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Street No.. . 11% —__— Street_!_' My Commission Expires Notary Public, State of Florida Muter Plumber. STATE OF FLORIDA, 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. 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 worlcmanship. .3eck PLUMBING �c. J. M. (BUCK) COUNCIL, Pass. 4150 N. W. SEVENTH AVENUE MIAMI 37. FLORIDA PL 9.5718 Village of Miami. Shores Division of Plumbing Inspection 10050 N. E. 2nd Ave., Miami 38, Florida APPLICATION FOR PLUMEING PERMIT: FOR: J. J. Davis 720 N. E. 101 St., March 7, 1958 r�• Size Septic Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °' riuVilT Permit No Nl -, ' V Y 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 J Q_S ep_h_ N / 2© Street. N. E. 101 St. Registered Architect and /or Engineer ____ ._.___— ___----- _---- _- - - -___ Employing Plumber's Name. Gif'f'en Industries Inc. PO _Box 1369 street_Coral Gables, ± 1a. Location and Legal Description Lot______. _ ........ ________.... _._._ --_.— Block_ Subdivision Str Lt and Number where work is to be performed —No iV • E • 101 St • Street Ctete work to be performed and purpose of building (By Floors)__ 144 Solar Tank•at residence New Building _--------- - - - - -- - - - -_ -- Remodeling -- Addition Amount of Permit $2.0_1a0 ______.------- _---- - - -__- (Signed) Repairs _._ No. of Stories 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 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 5986, Compiled General Laws of Florida Pennanent Supplement, and bus 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 requt 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. GIFFEN INDUST,IES, INC. ( Signed) _.___.__L? _ - - - Master Plumber. J 11. Fleming, Treas. Plumbing Inspector. STATE OF FLORIDA, COUNTY OF DADE. I 3efcte 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_ cf 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 81.00 will be made when such re- inspection is made 'necessary by improper notice for inspection, or faulty materials and /or worlmianship. CLOSETS BATH TUBS SH OWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH BABIN FLOOR DRAIN DRINK NO FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE SOLAR DEEP TRAP HEATER WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST _ L.L -Ga1 Tank CHECK r�• Size Septic Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °' riuVilT Permit No Nl -, ' V Y 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 J Q_S ep_h_ N / 2© Street. N. E. 101 St. Registered Architect and /or Engineer ____ ._.___— ___----- _---- _- - - -___ Employing Plumber's Name. Gif'f'en Industries Inc. PO _Box 1369 street_Coral Gables, ± 1a. Location and Legal Description Lot______. _ ........ ________.... _._._ --_.— Block_ Subdivision Str Lt and Number where work is to be performed —No iV • E • 101 St • Street Ctete work to be performed and purpose of building (By Floors)__ 144 Solar Tank•at residence New Building _--------- - - - - -- - - - -_ -- Remodeling -- Addition Amount of Permit $2.0_1a0 ______.------- _---- - - -__- (Signed) Repairs _._ No. of Stories 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 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 5986, Compiled General Laws of Florida Pennanent Supplement, and bus 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 requt 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. GIFFEN INDUST,IES, INC. ( Signed) _.___.__L? _ - - - Master Plumber. J 11. Fleming, Treas. Plumbing Inspector. STATE OF FLORIDA, COUNTY OF DADE. I 3efcte 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_ cf 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 81.00 will be made when such re- inspection is made 'necessary by improper notice for inspection, or faulty materials and /or worlmianship. BUILDING ❑ MIAMI SHORES VILLAGE. FLORIDA ELECTRICAL 111 DATE 195 PLUMBING ❑ PERMIT N9 8037 0 3 7 Contractor's License No ROOFING ❑ ❑ Work to be performed under this Permit_ Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER Bl. Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and 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 responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Building Owner of Architect Contractor or Builder Address of Building Legal Lot Description CONTRACTCR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 6830 B1 Work to be performed under this Permit 1 DATF = ' 195 Contractor's Z License No. Subdi- vision Value of Amcunt of ,. Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed BY- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. Iri ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6 A11- . stfiEetritG AL PERMIT A N? PLUMBING Owner of Building Architect and /or Engineer Contractor or Builder Proposed Location AMOUNT / . AME } NAM NAME RECD. PAYMENT ACCT. DEPT. Dated_ , 19_ 863 ADDRESS ADDRESS ADDR LICENSE NO. 7 LOT BLOCK s f SUB- DIVISION NO. STREET s To L This permit is issued to the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted Ripon 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 yme upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unautho ' by the buildi inspector. L`Lr MIAMI SHORES VILLAGE U LDING INSPECTION DEPARTMENT In consideration of the issuance to me of this permit I hereby agree to the proposed construction in plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the b I t 4, _ D� LICENSE 140. INSPECTOR 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. PLUMBING ELECTRICAL PERMIT A N° _ 908 BUILDING Owner of Building_44:___ Architect and/or Engineer Contractor or BuilderhoLA t NAME Proposed Location 10 SUB-DIVISION This permit is issued to LOT BLOC, e NAME NAME - 7: RECD. PAYMENT ACCT. DEPT. MIAMI SHORES VILLAGE BUIL ING INSPECTIO , DEPARTMENT , 193 ADDRESS LICENSE NO. ADDRESS ADDRESS LICENSE NO. NO. STRIf.C n a To e, trt 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 change in the plans and specifications unautbo ed by the Irding inspector. 11 AMOUNT fo In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the building ordinces and zoning laws of Miami Shores Village and all rules and regulations of the 'Wing depar ent iami ir.„ --"--*,..41 Dated_ , 19_ the INSPECTOR application and Florida, all the Vile. (SEAL) NOT A charge of S1.00 will be made for snaking 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. FI FCTRICAL PERMIT A N° 790 PLUMBING Owner of Building/ Dated_ - NAM! Architect and /or Engineer . N AM! {- - ADDRESS / ! , � Contractor o+-S ior� , _. 4f — , .,.� „ a +:,:, , .. f j -/' 1 , 4 , NAME 1 a ADDR 88 LICENSE N o OT 1. BLOCK ` SU wildest., f f rifg STREET � 'This permit is issued to ems f{ , e�` C ' f , 19`f ADDRESS the building above described, as per application Ions and Specifications heretofot4 filed in thi¢�' office. This that all facts stated in the application are trie ate` that the construction complies strictly vgtt the plans and compliance with the building laws of the State of Florida and with ' the building o finances and zon regulations of the building department of ,Miami Shores Village. This permit may be rq�ioked at any ti laws, ordinances or rules and regulation ,'c ap p]s a eci6 n any change in. the and spcat utia rued/ AMOUNT ItflT ECD. PAYM ACCT. DEPT. MIAMI S HORES VILLAGE BUILDING INSPECTION DEPARTMEN . 19/) LICENSE NO. • To ti., /C_, permit is granted upon the express conditi and specifications submitted, and in accordance ing laws of Miami Shores illage, and rules and upon the violation of y provisions of said y the building inspector, ^—� // f rf f ` INSPECTOR In consideration of the issuance to me of this it I hereby agree to the proposed construction in Iiiict conformity with the application and plans and specifications thereof heretofore by me su fitted, and i compliance with all provisions of all building laws of the State of Florida, all the --,building ordinagc�s and zoning laws of Miami Shores Village Old all rules and regulations of the building department of Miami Shores Village. r, fi r ` . =' . j a" - 17 C /et 4.1 ?al 1 " ; ZAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained frr'fn 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 matsruls and /or workmanship. RU1LIN3/4 ' MIAMI SHORES VILLAGE -'°R CKL PERMIT A N° 733 BUILDING INSPECTION DEPARTMENT PLUMBING t" t. , 19 4,,e. • Owner of Building Architect and /or Engineer NAM ADDRESS LICENSE NO. NAME j - 4 i. r ADDRESS Contractor or Builder -- - -- -- - -- — -- — - - - - - -- ------ --------- - -- NAME ADDRESS LICENSE NO. Proposed Location `- i' g = ! / ` ' LOT BLOCK SUB- DIVISION NO. STREET qw This permit is issued to t� � # - 1 - ' --- - - - -- ,r �-- . ---- -2 r 1 � ,- s;--- / i 44" • -- ------ - - - - -- the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted" capon 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 epos any change in the plans and specifications unauthorized by the building inspector. (_` �_- AMOUNT RECD. PAYMEI ACCT. DEPT. INSPECTOR In consideration of the issuance to me of this pelittit 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 departm )of Miami Shores e Village. - • Dated— t , 19 - – L. 1� f �"/' �" "°,".«.. (SEAL) NOTE: A ifharge 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. Permit No.. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT , Date Capacity Gals Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitteffor 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 __' C f No Street Registered Architect and /or Engin Employing Plumber's Name C �,, / f 34. !-_,.2__._ . , ,,r..., a1 No. ---t � '` .„./ I� et P . r r ! ' / v Location and Legal Description Lot ' .Block Subdivision_ 7 . - -T Street and Number where work is to be performed —No. - ; t'P e s- ° Street ! X11_ � ._ a:L ` _' ` ' ' .. State work to be performed and purpose of building (By Floors) .t _, t_ .. ._ �5 .8 rI /..; ' ' f � 1 -' '" /•""•' f,1 r iltro �' . --(q,drc r.. . New Building Remodeling Addition Repairs No. of Stories 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 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. (Signed) (Signed) ! STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized s s. My Commission Expires Notary Public. State of Florida 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 d - i Master Plu, /7 f ;Ytl' > „ c At to administer oaths and take acknowledgments, personally appeared - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTJRES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATS EEP WELL SPRKLR. SYSTEM SWIM 'G POOL CONTR. LIST CHECK Permit No.. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT , Date Capacity Gals Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitteffor 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 __' C f No Street Registered Architect and /or Engin Employing Plumber's Name C �,, / f 34. !-_,.2__._ . , ,,r..., a1 No. ---t � '` .„./ I� et P . r r ! ' / v Location and Legal Description Lot ' .Block Subdivision_ 7 . - -T Street and Number where work is to be performed —No. - ; t'P e s- ° Street ! X11_ � ._ a:L ` _' ` ' ' .. State work to be performed and purpose of building (By Floors) .t _, t_ .. ._ �5 .8 rI /..; ' ' f � 1 -' '" /•""•' f,1 r iltro �' . --(q,drc r.. . New Building Remodeling Addition Repairs No. of Stories 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 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. (Signed) (Signed) ! STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized s s. My Commission Expires Notary Public. State of Florida 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 d - i Master Plu, /7 f ;Ytl' > „ c At 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. ,- APPLICATION FOR PLUMBING PERMIT \‘‘ Date — - —, Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for t� gilding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of IvtiTBt..Shorl illage, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations :ia tliZTirrr}i+ag Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specificatio4 rci)is\ be kept at building during progress of work. Permit No __�._ ✓y MIAMI SHORES VILLAGE Amount of Permit $_ .,____..e My Commission Expires PLUMBING INSPECTION DEPARTMENT Owner's Name and Address _� / l No __.. Registered Architect and /or Engineer ____ __- ?..4._?f e - 0 - * "?_ Employing Plumber's Name e' Location and Legal Description Lot _-2 '' ' w Block___J 4-1 r f . Street and Number where work is to be performed —No. ioor_o' __,: State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs (Signed) Size Septic Tank Type of Tank Capacity Gals Street_riV a- Subdivision____. ' Street .,,.__ Feet of Drain Tile_____ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit / (Signed) — -- — -x ' 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. No. of Stories Master Plumber. STATE OF FLORIDA, i COUNTY OF DADE. ss. 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. 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- TOR SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST fir e J } �f / 9. CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL CONTR. LIST L IST j --f CHECK ,- APPLICATION FOR PLUMBING PERMIT \‘‘ Date — - —, Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for t� gilding or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of IvtiTBt..Shorl illage, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations :ia tliZTirrr}i+ag Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specificatio4 rci)is\ be kept at building during progress of work. Permit No __�._ ✓y MIAMI SHORES VILLAGE Amount of Permit $_ .,____..e My Commission Expires PLUMBING INSPECTION DEPARTMENT Owner's Name and Address _� / l No __.. Registered Architect and /or Engineer ____ __- ?..4._?f e - 0 - * "?_ Employing Plumber's Name e' Location and Legal Description Lot _-2 '' ' w Block___J 4-1 r f . Street and Number where work is to be performed —No. ioor_o' __,: State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs (Signed) Size Septic Tank Type of Tank Capacity Gals Street_riV a- Subdivision____. ' Street .,,.__ Feet of Drain Tile_____ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit / (Signed) — -- — -x ' 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. No. of Stories Master Plumber. STATE OF FLORIDA, i COUNTY OF DADE. ss. 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. 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. 7 e. . ef iffl JOB: - AD: BUILDING PLUMBING • • • • ELECTRICAL : • Inspector's Report : -- : WORK : DONE BY: : REQUESTED • • • • The following is ready for Inspection: - • • READY Permit No 7,. Amount of Permit $ Owner's Name and Address _ ss. 2 t V MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date / D T c 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. gR./�Gt/ [� Z "�•." s.. No. Street_ Registered Architect and /or Enginee Employing Plumber's Name 1 Location and Legal Description Lot__ Street and Number where work is to be performed—No. " 2.014 4 State work to be performed d purpose of building (By Floors) New Building G••� Remodeling Addition Repairs No. of Stories Block _(Signed) Street) 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. 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) _ 7 "' Yom "' Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. 7 7 '1 "- /0/ Q...�' CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CL ts'r LIST / / / !/ 1 U l T CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST T CHECK Permit No 7,. Amount of Permit $ Owner's Name and Address _ ss. 2 t V MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date / D T c 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. gR./�Gt/ [� Z "�•." s.. No. Street_ Registered Architect and /or Enginee Employing Plumber's Name 1 Location and Legal Description Lot__ Street and Number where work is to be performed—No. " 2.014 4 State work to be performed d purpose of building (By Floors) New Building G••� Remodeling Addition Repairs No. of Stories Block _(Signed) Street) 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. 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) _ 7 "' Yom "' Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. 7 7 '1 "- /0/ Q...�' 7 ( y I /-- Cr / Permit No Nature of Water Supply: City —Well Amount of Permit $__ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) My Commission Expires MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 4 - 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. ` `- ` p Owner's Name and Address Tr_l - Q E. is 1_______ No. Street Registered Architect and /or Engineer 1 __ f - -- Employing Plumber's Name 1` -±_ � _ ____ ___ ______ No ok ( Q /! Street___ lam. '* – Location and Legal Description Lot Block 1_Q Subdivision___i____ •___— __ ^___ lad I'L p KLI14I(r_- Size of Soakage Pit. (Signed) Street C LA L ------- ___ --- ys_ s New Building v Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well `` 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) Master Plumber. STATE OF FLORIDA, k !r'`"` 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. 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 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 Nature of Water Supply: City —Well Amount of Permit $__ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) My Commission Expires MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 4 - 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. ` `- ` p Owner's Name and Address Tr_l - Q E. is 1_______ No. Street Registered Architect and /or Engineer 1 __ f - -- Employing Plumber's Name 1` -±_ � _ ____ ___ ______ No ok ( Q /! Street___ lam. '* – Location and Legal Description Lot Block 1_Q Subdivision___i____ •___— __ ^___ lad I'L p KLI14I(r_- Size of Soakage Pit. (Signed) Street C LA L ------- ___ --- ys_ s New Building v Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well `` 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) Master Plumber. STATE OF FLORIDA, k !r'`"` 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. 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. Size Septic Tank Feet of Drain Tile PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date O MIAMI SHORES VILLAGE 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 w , whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Nature of Water Supply: City —Well. Amount of Permit $4 Q _•rt ��71 y t No 7 Owner's Name and Address ::::::r':: __ _d _ -.41 -_ ' a t-1 Location and Legal Description Lot ....r 4- Block l Street nd Number where work is to be performed—No ._ State work to be performed nd purpose of building (By Floors) New Building_____ Remodeling Addition Repairs No. of Stories ,r ss. Type of Tank Street_ (__ ,W -+ Street 7 - -, Subdivision_ Street____ /0L. elite e Capacity Gals Dist. Fdt of Tank or Ialain Field from Well Size of Soakage Pit (Signed) 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 as are required by the Act. The under signed agrees to employ only such sub - contractors, on work �.'� �� '* under .is permit, u are licensed by Miami Shores Village. �' • (Signed STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally, appeared — - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ..__________________ ____________________________ —_; of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all fa 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/ materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8 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 j It - - Size Septic Tank Feet of Drain Tile PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date O MIAMI SHORES VILLAGE 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 w , whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Nature of Water Supply: City —Well. Amount of Permit $4 Q _•rt ��71 y t No 7 Owner's Name and Address ::::::r':: __ _d _ -.41 -_ ' a t-1 Location and Legal Description Lot ....r 4- Block l Street nd Number where work is to be performed—No ._ State work to be performed nd purpose of building (By Floors) New Building_____ Remodeling Addition Repairs No. of Stories ,r ss. Type of Tank Street_ (__ ,W -+ Street 7 - -, Subdivision_ Street____ /0L. elite e Capacity Gals Dist. Fdt of Tank or Ialain Field from Well Size of Soakage Pit (Signed) 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 as are required by the Act. The under signed agrees to employ only such sub - contractors, on work �.'� �� '* under .is permit, u are licensed by Miami Shores Village. �' • (Signed STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally, appeared — - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ..__________________ ____________________________ —_; of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all fa 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/ materials and /or workmanship. 1.! • Permit No. 7, Date__ — _____ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub`mitt- 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 here spe'fied or not. A cop of approved plans and specifications must be kept at No. Street building during progress of work. Amount of Permit S- STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Owner's Name and Address Registered Architect and /or Engin e r !f Employing Plumber's Name _ ' �- - - -- - - -- `` �`�'� - - - -- No. _ r Location and Legal Description Lot_ Block C / !�- Subdivision______ e../ Street and Number where work is to be performed —No 0 2 ' Street____I__ v L ____ State work to be performed and purpose of building (By Floors) .��-G_.Jc_ 4+' _i__1,1 :_ j (/ �rh�/ ylv O ,t4far' L_ JJJJJ New Building Remodeling____.. Addition Repairs —____ No. of Stories My Commission Expires .(Signed) (Signed) 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 The undersigned applicant for this building permit does hereby certify that he understands and accep r is obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, 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. 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. Notary Public. State of Florida Master Plu r. 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 HEAT DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK • Permit No. 7, Date__ — _____ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub`mitt- 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 here spe'fied or not. A cop of approved plans and specifications must be kept at No. Street building during progress of work. Amount of Permit S- STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Owner's Name and Address Registered Architect and /or Engin e r !f Employing Plumber's Name _ ' �- - - -- - - -- `` �`�'� - - - -- No. _ r Location and Legal Description Lot_ Block C / !�- Subdivision______ e../ Street and Number where work is to be performed —No 0 2 ' Street____I__ v L ____ State work to be performed and purpose of building (By Floors) .��-G_.Jc_ 4+' _i__1,1 :_ j (/ �rh�/ ylv O ,t4far' L_ JJJJJ New Building Remodeling____.. Addition Repairs —____ No. of Stories My Commission Expires .(Signed) (Signed) 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 The undersigned applicant for this building permit does hereby certify that he understands and accep r is obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent upplement, 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. 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. Notary Public. State of Florida Master Plu r. 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.