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1160 NE 102 St (10)Type Insp'n MIAMI SHORES VILLAG BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque..t Date g) q Inspection Date Approved Correction Re- Insp'n Fee Permit No. P I 000 ?, -3 5•a) Name Cr r \s1oe Address 1 163 Ns \VD-5i- Company ��lCr e 0 Phone # — C ) -OC) p d 0 fj MIAM I SHORES VILLAGE BUILDING DEPART E T Date Buildin Ti 305- 795 -2204 spection Reques me i Type Insp'n Perm Name (� Address l 1 4 0 4\ For Inspector: l 4 Approved L�,1 Correction ❑ Re- Insp'n Fee ❑ Sr7 3 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date gin Time Type Insp'n Final w ii r ,y rviot Permit No. PI a00. • a3q Name tl U.`) Address 1n1 100 N. E. l (a 6+. Company Mar 1 DLO s p y 1 hi n3 Phone # 305- (05 @ • ,303 I For Inspector: q11 5 Approved Correction Re- Insp'n Fee o o Date 7l C / 0 2 Time Type Insp'n Permit No. Name Address Company / G Phone # 30s_, b L 1 For Inspector: 2_/S( / o Approved Correction Re- Insp'n Fee MIAMI SHORES VILLA BUILDING DEPARTM 1305- 795 -2204 Building Inspection Request IF 2003 BUILDING PERMIT APPLICATION FBC 2001 Owner's Address Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit NP L.- 2,0 Master Permit No. P 1 aCO3 - 2-30 Permit Type (circle): Building Electrical Plumbin: Mechanical Roofing Q � • Owner's Name (Fee Simple Titleholder) 2 / 5 4v5S / Phone # 305-- 758 � "P / / 9 ,e / 2 S/ CityA/221 7 1kJ State fL_ Zip Tenant/Lessee Name Phone # • Job Address (where the work is being done) //6 D Al /D c9 S City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO______ r Contractor's Company Name /4 4Gr1 i (7,._ Phone # 3a5 2 5V 9 5 73 Contractor's Address / o 9 / 2 ) / ' 6' S' T 2 City �l ( / / State L Zip l / 5-7 Qualifier it// 5 A/ 4-hre-A e ee -/ 63 Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address City State Zip • $ Value of Work For this Permit 7c)` ve) Square Footage Of Work: Number of: Bays Stories Families Bedrooms Baths Type of Work: DAddition - ❑Alteration ONew j5 Repair/Replace 0 Demolition Describe Work: � �t�2 >? ve Ref /4—r� • CI032cQ q 1005 #p 3 * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees *,t*** *, ty * * * *** * * ** * ** * ** ** * ** County Escrow Fee $ Permit Fee $ 70 !� Notary $ Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side) C4 ri ) 0 556 4 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature % Signati ' Owner or gent Contractor The foregoing instrument was a owledged before me this The foregoing instrument was acknowledged before me this day of , 20 , f , day of , 20 by who is personally kno or who has produced who is personally known to me or who has produced ntification and who did take an oath. as identification and who did take an oath. NOTARY PUBLI NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** ************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED l Y: chc7nro3 Plans Examiner Engineer Zoning ITEM BATH T1.B UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN MPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0— 1 HP STEAM BOILERS SHOWER MOTORS OVER 1— 3 HP HOT WATER BOILERS SINK, POT /3 COUP. MOTORS OVER 3— 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5— BHP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8— 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10— 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS I HEATER —NEW INST. GENERATORS TRANSFORMERS I HEATER — REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER —WELL SPECIAL PURPOSE SWIMdING POOL OUTLETS COMMERCIAL WATER SERVICE i SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY —SEWER SIGN TIME CLOCK UTILITY —WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING 'ADDENDUM TO BUILDING PERMIT APPLICATION (AN'APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL w BUILDING PERMIT APPLICATION Fac zoos � - - $ Value of Work For this Permit Miami Shores Village Building Department 10050 N.E.2nd Avenu a 1x(1 • hores, Florida 33138 . ; Maitir 305) 756.8972 Permit Type (circle): Building A Electrical Plumbin! Mechanical �f Roofing (Fee Titleholder) l t1 j 5 kU s 5 Q Phone # ' 7,l U 6/ 9) Owner's Name ee Sim le Titleholder ��qq Owner's Address 0 6 6 4_ / D -- '5 D Cit /Thvti j h114.0 State 3L Zip 3/ 3 g Tenant/Lessee Name Phone # Job Address (where the work is being done) /1' 0 le),._ E ,___'5 7 1-1 City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES N Contractor's Company Name (Z 1 /% / ?1) 10). a 61 Phone # Contractor's Address /0 53 a l 3 S T City /7/ 42 OW St State {� l- Zip Q��alifier a/0 / 2. AR- '� r Architect/Engineer's Name (if applicable) Phone # Type of Work: .ddition ['Alteration ❑New ❑ r Repair/Replace El Demolition Describe Work: M 5/* / C / f t1 ' ` e e / / s —T & C, / // l-• * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 'ID elp elt bi< tOlo 3S Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ / '® c Square Footage Of Work: Permit No. PLO 3 " 3-2d3 Master Permit No. re 03 --j 3o5-‘9/ 4"Ot 3 3 01 3 CCF$ , 0 Technology Fee $ S, Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 1 .3--S (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to ptt chment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspectiop;w7tf»h %occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not hi ytpyrop5ed and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 _ by Signature day of As identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLI Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: Chc 10/14/03 q Contract The foregoing instrument was acknowledged before me this ,20Q , by who is personally known to me or who has produced who is personally known to me or who has produced as identification and who did take an oath. OFF1C1Ai. NCYtARY SEAT SHIRLEY SPARKS ro COMMISSION NO. DD018217 BRION EXP. MAY 12 r (Certificate of Competency Holder) State Certificate or Registration No. f r OO 7 3 7 Certificate of Competency No. 6 0 des B0 3 7 y 3 * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** * * ************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED B // , Plans Examiner � Engineer Zoning FEM kTH RE UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE • IDET LIC,t-fT OUTLETS CENTRAL HEATING (SMASHER RECEPTACLES A/C (WIN)) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 1INKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOOK DRAIN SERVICE REPAIRMETER CHANGE REFRIGERATION REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR RANGE TOP UNDERGROUND TANKS AVATCRY 4L OVEN ABOVE GROUND TANKS A1J RY TRAY WATER HEATER U.F. PRESSURE VESSELS LOTHES WASHER MOTORS 0- 1 HP STEM BOILERS HOWER I MOTORS OVER 1- 3 FP HOT WATER BOILERS ;INK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION ;INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES :INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS 'EMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS JRIHAL MOTORS OVER 25-100 HP COOLING TOWERS iATER CLOSET C MOTORS OVER 100 hP VIOLATION NO IRECT•WASTES A/C WINDOW REINSPECTION EATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. l GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE _ • SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS JTILITY -SEWER SIGN TIME CLOCK JTILITY -WATER FIXTURES ;EPTIC TANK • ANTENNA IELAY TELEVISION OUTLETS )RAINFIELD, 4' TILE/RES. VIOLATION 'UMP S ABANDON SEPTIC TANK REINSPECTION WAGE PIT CU. FT. :ATM BASIN )ISCHARGE WELL )OMEST IC WELL AREA DRAIN 100F INLET t SOLAR WATER HEATER `, =IRE STANDPIPE 'OOL PIPING . _AWN SPRINKLER SYSTEM 3AS RANGE 'ETER SET (GAS) 3AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2003 -323 Printed: 12 /8/2003 Applicant: CHRISTOPHER RUSSO Owner: RUSSO CHRISTOPHER JOB ADDRESS: 1160 NE 102 ST Contractor QUALIFIED PLUMBING CO, INC Contractor's Address: 1083 E 23RD STREET Local Phone: 305 - 620 -0200 Parcel # 1132050190160 Fees: Description Amount FEE2003 -7985 Building Fee $210.00 FEE2003 -7986 CCF $1.20 FEE2003 -7987 Training and Education Fee $0.40 FEE2003 -7988 Technology Fee $5.25 Total Fees: $216.85 Total Fees: $216.85 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 6/1/2004 Construction Value: $1,900.00 Work: INSTALL 1 WATER CLOSET, 1 SHOWER, 2 LAVORATORIES, AND INSTALL WATER HEATER Signed: (INSPECTOR) Plumbing Permit Page 1 of 1 Legal Description: 5 53 42 MIAMI SHORES SEC 8 REV PB 43-67 LOT 6 BLK 176 LOT SIZE In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12 /8/2003 Parcel # 1132050190160 Signed: (INSPECTOR) Plumbing Permit Permit Number: PL2003 -323 Applicant: CHRISTOPHER RUSSO Owner: RUSSO CHRISTOPHER JOB ADDRESS: 1160 NE 102 ST Contractor QUALIFIED PLUMBING CO, INC Contractor's Address: 1083 E 23RD STREET Local Phone: 305 - 620 -0200 Permit Status: APPROVED Permit Expiration: 6/1/2004 Construction Value: $1,900.00 Work: INSTALL 1 WATER CLOSET, 1 SHOWER, 2 LAVORATORIES, AND INSTALL WATER HEATER Page 1 of 1 Legal Description: 5 53 42 MIAMI SHORES SEC 8 REV PB 43 -67 LOT 6 BLK 176 LOT SIZE Fees: Description Amount FEE2003 -7985 Building Fee $210.00 FEE2003 -7986 CCF $1.20 FEE2003 -7987 Training and Education Fee $0.40 FEE2003 -7988 Technology Fee $5.25 Total Fees: $216.85 Total Fees: $k1,615 Total Receipts X00 (j (6 6, In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village 10050 NE 2nd Avenue Printed: 12 /8/2003 Parcel # 1132050190160 Signed: (INSPECTOR) Plumbing Permit Phone: 305 - 795 -2204 Permit Number: PL2003 -323 Applicant: CHRISTOPHER RUSSO Owner: RUSSO CHRISTOPHER JOB ADDRESS: 1160 NE 102 ST Contractor QUALIFIED PLUMBING CO, INC Contractor's Address: 1083 E 23RD STREET Local Phone: 305 - 620 -0200 Permit Status: APPROVED Permit Expiration: 6/1/2004 Construction Value: $1,900.00 Work: INSTALL 1 WATER CLOSET, 1 SHOWER, 2 LAVORATORIES, AND INSTALL WATER HEATER Page 1 of 1 Legal Description: 5 53 42 MIAMI SHORES SEC 8 REV PB 43 -67 LOT 6 BLK 176 LOT SIZE Fees: Description Amount FEE2003 -7985 Building Fee $210.00 FEE2003 -7986 CCF $1.20 FEE2003 -7987 Training and Education Fee $0.40 FEE2003 -7988 Technology Fee $5.25 Total Fees: $216.85 Total Fees: $216.$5 Total Receipt $ 0 0 1 b 6.7____S In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village 10050 NE 2nd Avenue Printed: 12 /8/2003 Parcel # 1132050190160 Signed: (INSPECTOR) Plumbing Permit Phone: 305- 795 -2204 Permit Number: PL2003 -323 Applicant: CHRISTOPHER RUSSO Owner: RUSSO CHRISTOPHER JOB ADDRESS: 1160 NE 102 ST Contractor QUALIFIED PLUMBING CO, INC Contractor's Address: 1083 E 23RD STREET Local Phone: 305 - 620 -0200 Permit Status: APPROVED Permit Expiration: 6/1/2004 Construction Value: $1,900.00 Work: INSTALL 1 WATER CLOSET, 1 SHOWER, 2 LAVORATORIES, AND INSTALL WATER HEATER Page 1 of 1 Legal Description: 5 53 42 MIAMI SHORES SEC 8 REV PB 43-67 LOT 6 BLK 176 LOT SIZE Fees: Description Amount FEE2003 -7985 Building Fee $210.00 FEE2003 -7986 CCF $1.20 FEE2003 -7987 Training and Education Fee $0.40 FEE2003 -7988 Technology Fee $5.25 Total Fees: $216.85 Total Fees: _$2$ Total Receipts: -0 . 66 0 `' )mss In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Dzes 9a..:l.'. No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or. other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.___`"._ - — �` -------- •- .--- ____ -- _ I I No. l Cr> _` — Street Registered Architect and /or Engineer ___________ r—_. •c_1L" �.► � Yf�♦ •` �� -__S__ _ � ! Employing Plumber's Name V �_ No.__. Location and Legal Description Lot. — _..__ --- Block Street and Number where work is to be performed —No % State work to be,-performed and purpose of building (By Floors)._ . New Building: ...... .. .... .... ... ._ -- Remodeling___ -- _-- - -__ -- Addition -___ —. Size Septic 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 $._....- .._____ -•_ - -� `- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street_ 1 ' , Subdivision t Street Repairs No. of Stories Capacity Gals (Signed)____Lh L Date e ' l — to (Signed)-- M. - Master Plumber. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi o • ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P: 1 • : nent 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 required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 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•neoessary 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 DRINK NG FOUNT' NS TOTAL FIXTURES CONTK. LIST CHICK —_ ••■•• SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PST GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK _ Dzes 9a..:l.'. No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or. other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.___`"._ - — �` -------- •- .--- ____ -- _ I I No. l Cr> _` — Street Registered Architect and /or Engineer ___________ r—_. •c_1L" �.► � Yf�♦ •` �� -__S__ _ � ! Employing Plumber's Name V �_ No.__. Location and Legal Description Lot. — _..__ --- Block Street and Number where work is to be performed —No % State work to be,-performed and purpose of building (By Floors)._ . New Building: ...... .. .... .... ... ._ -- Remodeling___ -- _-- - -__ -- Addition -___ —. Size Septic 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 $._....- .._____ -•_ - -� `- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street_ 1 ' , Subdivision t Street Repairs No. of Stories Capacity Gals (Signed)____Lh L Date e ' l — to (Signed)-- M. - Master Plumber. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi o • ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P: 1 • : nent 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 required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 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•neoessary by improper notice for inspection, or faulty materials and /or workmanship. BOWEN NELSON MANAGER Mr. Dan Hansell Cit'r Hall I:Iiami Shores, Florida Dear Sir: Bib RED Enclosure Salon. 4ortfage Company, On.e. 1142.3 ALFRED I. DUPONT BUILDING MIAMI 32. FLORIDA PHONE 9.4531 I: 14, 1950 Re: BUI'LuR, Frank J. FHA k 09-04 5378 We attach plumbing card covering the above case. Please forward certificate of Approval, in duplicate, to this office, after inspection has been made. Very truly yours, NELSON MORTGAGE COMPANY, INC. • By I/ `_ `L- Nncm R.?I. De':Jitt, Vice t'resident F.H. A.. PRIVATE AND INSURANCE COMPANIES MORTGAGES CONSTRUCTION LOANS _M rank J. lLV;' 09- 045378 1160 ;'.1' . 102nd St. I_ }iami Shores Lot 6, Block 176, Section 8 `Zevi sed, _A;D 43/67 1u .bin : Co, installed t . e slur ibinr Plunb_nf• inspected and anproved Dec. 9, 1949 b' Dan Hansen, I"iami Shores. P] ease send P1'i oink• Cf rtificates in dllp7 icate to: Felson ° ort c: Comnan7, Inc. 1418 18 dui'ont 7ui1 c'. _ng i "i ami 32, Florida 'UILI?ING =ECf RICAL LUMBING wner of wilding : ontractor Builder egal Lot .escription Work to be performed under this Permit rchitect )J L L-•• ddress of uildin // l ...�� This / is permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- ition herefor in strict compliance with all ordinances pertaining thereto and w'th the understanding that the work will be performed in compliance with any ens, drawings, statements or specifications that may have been submitted to aid approved by the proper municipal authorities. This Permit may be revoked 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 :rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and :gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that, he assumes respon- bility for work done by his agents, servants or employees. 1 ,, , . / INSPECTOR I- In co i 'aeration of e issuance to me of this permit I agree to perform the !work covered hereunder in compliance with all ordn'jan s and regulations srt nd i trict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of, Miami Shores Village. i a assume responsibility for all work done by either myself, my agent, servant or employee. 4-42 MIAMI SHORES VILLAGE, FLORIDA ff DATE / l„c ..�� PERMIT N? 8581 • L t Bl. Subdi- vision Value of Project 194 Contractor's License No. Amt. of Permit E✓ CONTRACTOR OR BUILDER BY AUTHORITY Location and Legal Description Lot ss. My Commission Expires 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 . I c Registered Architect and /or Engiy er Employing Plumber's Name ' e a ( Signed) _ No Street "l No Street ( Y Block Subdivision Street and Number where work is to be performed— No._,.1_ -' )...)._1_11- ' •--"? ' °'(-...! Street State work to be performed and purpose of building (By Floors) New Building "' Remodeling Addition Repairs ` Type of Tank Capacity Size Septic Tank t � -c -�� YP P Y Gals Feet of Drain Tile 7 _J Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit (Signed) 11 �_ 1 _' •• r /r r - +' .. - t tr_� j •* 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 frorn all contractors or sub- contra rs 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, 01: work to performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. Notary Public, State of Florida No. of Stories Master Plumber. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS ti t ..r T , TOTAL FIXTURES CONTR. LIST �, .. .. / i i CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST � : CHECK Location and Legal Description Lot ss. My Commission Expires 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 . I c Registered Architect and /or Engiy er Employing Plumber's Name ' e a ( Signed) _ No Street "l No Street ( Y Block Subdivision Street and Number where work is to be performed— No._,.1_ -' )...)._1_11- ' •--"? ' °'(-...! Street State work to be performed and purpose of building (By Floors) New Building "' Remodeling Addition Repairs ` Type of Tank Capacity Size Septic Tank t � -c -�� YP P Y Gals Feet of Drain Tile 7 _J Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit (Signed) 11 �_ 1 _' •• r /r r - +' .. - t tr_� j •* 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 frorn all contractors or sub- contra rs 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, 01: work to performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. Notary Public, State of Florida No. of Stories Master Plumber. Date Map loo. Zone Plbg.Pmt. Sept.Tk. Re -Insp. Bldg.Pmt. Clerk Fee w Application is herewith submitted for a permit covering the installation of PLUMBING, SEPTIC T LNK, DRY WELL RET.LY DRAIN, GAS, SOLAR HEATER OWNEE ADDRESS OF JOB Bldg, has Stores FIXTURES Lay. Tub Shower Sink v . Water Closet Urinal Laundry Tray Water Service Well Grease Tp. Ground Rough Tank & ' f • Well Roof Dr. Gas Condemned: Date Reason DADE COUNTY BUILDING & ZONING DEPARTMENT APPLICATION FOR PLUMBING AND SEPTIC TANK PERMITS SUBDIVISION LOT PLUMBING INST:►LJ,F1) BY / s + �• Journeyman SEPTIC T LNK INSTALLED BY / � For A: New '" Old / Story Addition Remodeled Offices Apts. Hotel lines Bed Rr Septic Tank, Gallons Ft. of Drain Tile; Gal. Dry Well Use of Building Conform to Zoning O.K, by Floor Dr. Slop sink Serves Total Fixtures Gas Outlets a lon o_ar Heater Gas Heater electric I3t1. Gas Mi.scellcanous Sewer Final Inspector MECHiNICAL FLAN 7