Loading...
1200 NE 102 St (8)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) t .2o0 iUE lv. S+ - 1-1 ;,f- e r 14.04,-F Date /(e' / 7/ Job Address Legal Description Owner / Lessee / Tenant Owner's Address Hap Iaa S +. Contracting Co. M is m i ,S 6 res 1�1 u r» h n d ignature of Owner and /or C6do President ate: otary as to Owner and/ ETA ,Er esiden _ t AT tARtiE y Commission Expires: �Ic a MY COMMISSION EXPIRES MAY 25,1993 * . * * BONDED AkRU HU :KLEi RY & ASSalAra FRMIT FEE: APPROVED: Fire Tax Folio /1 �i2,� ✓�o{5 80�a Master Permit 0 Phone (� g,5. -- /5 q - 7 Address 11630 Ave. »Bali ( FL 33/0 Qualifier De.Y►v►is 1 Laug hIi SSA Phone 7$1_ ,2 , State# CFC O I q20S Competency° d00 Architect /Engineer Address Bonding Company Address Mortgagor Address Ins. Co. G r ci " cl. . Permit Type (circle one): BUILDING ELECTRICAL LUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION f e p ; P e, entire, kt ous, - From mete) tncl„rl(„j het 4- c.01 water d icfributier rnv houst. . 1.nstall SD A I. H 1UN. Square Ft. Estimated Cost 4_30oD. nn WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO JO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU LNTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE ZECORDING YOUR NOTICE OF COMMENCEMENT). '. pplicat!o .rs hereby made to obtain a permit to do work and installation as indicated above, and )n -the attached addendum (if applicable). I certify that all work will be performed to meet the =tandards'of 411 laws regulating construction in this jurisdiction. I understand that separate i;emits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHAN1C4,work. F V I NINE ?'S. AFFIDAVIT: I certify that all the foregoing information is accurate - a>ad`tha - a1l-xork 'ill be done ,in compliance with all applicable laws regulating coast •urthermore, I authorize the above -named contractor to o the wor s t a t e d Signature of Contractovor Owner- Builder Date: In irt/ /::3a44 //I Notary as to Contractapomy9ww7Ruildtr lAut + RIDA AT L AR. My Commission Expires: MY COMMISSION EXPIRES ,,MAY 25, 493 * * * *BONDED T1i�1 HUCKLEBERRY & ASS [�AT ES Other .. t'' Zoning Building Electrical Mechanical Plumbing 3 U 0A Or Engineering 1 Permit No. 5 Location and Legal Description Lot ,/ 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 sub fitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance o 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 re ulations 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 f 1 t No Street Registered Architect and /or Engineer . / Employing Plumber's Name 1'� e._:.;x s______!: t�_ N Block ,l__s -5 ) ? Street performed—No e Street and Number where work is to be QQ �ps State work to be performed and purpose of building (By Floors) r7 4.,.y�L - 4 New Building Remodeling Addition Repairs No. of Stories Date 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 / /Y /A'l11 Amount of Permit $ ss. My Commission Expires (Signed) (Signed) ei • • Street Subdivision,, .t�� / ; 3 • Notary Public, State of Florida Master Plumber. 1 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The 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 f the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts erein 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 'a 1 s 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 i - __ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL W "L !!! CONTR. LIST CHECK 1 Permit No. 5 Location and Legal Description Lot ,/ 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 sub fitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance o 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 re ulations 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 f 1 t No Street Registered Architect and /or Engineer . / Employing Plumber's Name 1'� e._:.;x s______!: t�_ N Block ,l__s -5 ) ? Street performed—No e Street and Number where work is to be QQ �ps State work to be performed and purpose of building (By Floors) r7 4.,.y�L - 4 New Building Remodeling Addition Repairs No. of Stories Date 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 / /Y /A'l11 Amount of Permit $ ss. My Commission Expires (Signed) (Signed) ei • • Street Subdivision,, .t�� / ; 3 • Notary Public, State of Florida Master Plumber. 1 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The 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 f the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts erein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty 'a 1 s and/or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Bpilding 7 1 r & 44 Architect CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA C DATE 40,, v,re2.-1 lr 1947_ PERMIT N? 5348 Contracto s No. /9490 Work to be performed under this Permi a 'Contractor /1 9 or ��r' �t, r Builder n Legal Lot / B1./ �1 Subdi- l,/ Description vision N'r, Address of 1 pp Value of ! Amt. of Building f �Q(/ � E �Q p? �-^7 Project Permit �s This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes th spo • sibility for a thorough knowledge of the ordinances and regulation$.pertaining to the work covered hereby whether shown on the plans or ..:Vf in gig t or specifications and that he assumes respon- sibility fo/work done by his agents, servants or employees. r f ! Signed � '" R By . ,,, SPE ri"i` consideration of the issuance to me of this permit I agree to perform the work coy ed hereunder in compliance withJ11,,1,00rdinances andd 'ons pertaining thereto and in strict conformity with the Mans, drawings, statements or specifions submitted to the proper authoritiis of Miami Shotes- Village. In accepting this permit I assume responsibility for a work done by either myself, my agent, servant or employee. AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building This permit is granted Lot CONTRACTOR OR BUILDER MIA PERMIT N? 2395 Work to be performed under this Permit I SHORES VILLAGE, :FLORIDA DATE l' , Subdi- vision Value of Project BY Contractor's / License No. Amt. of Permit 194 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 alIJ 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 n compliance with such ordinances or if the plans are changed without authorization. A further condition a upon which this permit is granted is the understanding that the contractorior 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 :.. �! 00 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- bns pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Tillage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot PERMIT N9 254 - Work to be performed under this Permit; L A 4 1 r ` MIAMI SHORES VILLAGE, FLORIDA DATE 81. f CONTRACTOR OR BUIf;UERr BY 194 / Contractor's , License No Subdi - vision J t Value of } " . , . plit ,...., A t 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 k 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 dovered hereby whether show th 1a 1 or drawings or in the statement's d specifications and that he assumes responsibility for work done by his agents, servants or employees. '/!f F• i ( _ � . li BY Signed: INg`PECTOR In co ideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wit,t..all ordinances and regula- - )ertai g thereto and in strict conformity with the plans, drawings, statements or specifications submitted to-the proper authorities of Miami Shores Infacce ting this permit n t I assu res sibility 1~or all r k one 13 m done either myself, my agent, trvant or e e. Jar t' k. ` _ ` ., AUTHORITY Permit No • Amount of Permit $__ _______________________1____ —_: MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • Date___ No. - --------- ----- - - - - -- ---------------- 6f . a 5 • Type of Tank (Signed) Capacity Gals.___ Size Septic Tank______ r Feet of Drain Tile_ J 2 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well Size of Soakage Pit 7 Master Plumber. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith'rsubmi structure herein described. This application is made in compliance and conformity with the Building Ordinarlice of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address — Registered Architect and /or Engineer. Employing Plumber's Name r 4'____�, for the buildi'iig or other Street f arer Street__5 Location and Legal Description Lot_ _— ___ ,,, m_-- Bloolc.-_-,„ � _ .,—Subdiv sio Street and Number where work is to be l erformed —Nr / e __(:. Street___ :_, __ State work to be performed and purpose of building (By Floors) =� I New Building +' Remodeling Addition Repairs —___ No. of Stories -- (Signed) -- – -- — – —_— – -- -- Plumbing Inspector. The undersigned applicant for this 1uilding permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 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. I _ My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS [LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST it .S./ 1 ' ' CHECK . ti✓ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE 1 PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / CHECK Permit No • Amount of Permit $__ _______________________1____ —_: MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • Date___ No. - --------- ----- - - - - -- ---------------- 6f . a 5 • Type of Tank (Signed) Capacity Gals.___ Size Septic Tank______ r Feet of Drain Tile_ J 2 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well Size of Soakage Pit 7 Master Plumber. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith'rsubmi structure herein described. This application is made in compliance and conformity with the Building Ordinarlice of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address — Registered Architect and /or Engineer. Employing Plumber's Name r 4'____�, for the buildi'iig or other Street f arer Street__5 Location and Legal Description Lot_ _— ___ ,,, m_-- Bloolc.-_-,„ � _ .,—Subdiv sio Street and Number where work is to be l erformed —Nr / e __(:. Street___ :_, __ State work to be performed and purpose of building (By Floors) =� I New Building +' Remodeling Addition Repairs —___ No. of Stories -- (Signed) -- – -- — – —_— – -- -- Plumbing Inspector. The undersigned applicant for this 1uilding permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 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. I _ 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. 4 61 etia 1 1. Permit No.. 41 V New Building_ Amount of Permit $_____0 STATE OF FLORIDA, } ss J COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT - APPLICATION FOR PLUMBING PERMIT Size Septic Tank_ W_ —__— _ ___w ____ ________ 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 _(Signed) (Signed) Date f _' -- : 1_— 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 agar ' We11s No 1200 Street Ng 10bAd Sta._ Registered Architect and /or Engineer Employing Plumber's Name _______ No SW Street! 2St _______�_ Location and Legal Description Lot___ Block 185 Subdivision____ Breese Street and Number where work is to be performed —No 1200 Street U IOU& St, State work to be performed and purpose of building (By Floors) 74tattall Remodeling __ Addition Repairs No. of Stories 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. Notary Public. State of Florida Master Plumber. 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. /A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty 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. DRA FIE Z p W ' K 0 a SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. '' LIST CHECK Permit No.. 41 V New Building_ Amount of Permit $_____0 STATE OF FLORIDA, } ss J COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT - APPLICATION FOR PLUMBING PERMIT Size Septic Tank_ W_ —__— _ ___w ____ ________ 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 _(Signed) (Signed) Date f _' -- : 1_— 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 agar ' We11s No 1200 Street Ng 10bAd Sta._ Registered Architect and /or Engineer Employing Plumber's Name _______ No SW Street! 2St _______�_ Location and Legal Description Lot___ Block 185 Subdivision____ Breese Street and Number where work is to be performed —No 1200 Street U IOU& St, State work to be performed and purpose of building (By Floors) 74tattall Remodeling __ Addition Repairs No. of Stories 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. Notary Public. State of Florida Master Plumber. 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. /A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty or workmanship. JOB: BUILDING ELECTRICAL PLUMBING : : The following is ready for Inspection: - Inspector's Report AD: / , ez y! E /40 WORK G!�" DONE BY: / At*/ . :REQUESTED / s ,,,/ ' V'tuiy • • • WILL BE READY JOB: JgA o ""'' • BUILDING • ELECTRICAL PLUMBING • WORK • DONE BY: • • REQUESTED The following is ready for Inspectio Inspector's Report: AD: / ee • • S- - /7,_ a/ : 3 f-- ( 4 7 -1-4- e • • e rir. e 2214 . • . . . : : c(e ` / : WILL BE READY Permit No..__e2 Size Septic Tank_ Feet of Drain Tile_________ _ Nature of Water Supply: City —Well Amount of Permit $_ �Qn STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE P LUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other . structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address .Ed ar - rWnl1s________ No. 12110 Regis.tered Architect and /or Engineer _ Employing Plumber's Name _Gs nr• A Caawfnrsl__ No Location and Legal Description Lot _ —L__ ____________________ Block- 1 _____________ Subdivision_BAY__ BrSLUe __________ Street and Number where work is to be performed No.____ ____ Street__ - _ _1D?ni State work to be performed and purpose of building (By Floors) IAI 1�.@,r_______�_____�____ _ ____________ -_____ New Building Remodeling Addition Repairs No. of Stories ______ My Commission Expires sz'1Q_____________ ___ °_ -- Type of Tank 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 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) -- George Cr wford Date August 2fi 1241 _Capacity Gals._____100 _gal 1 on Notary Public. State of Florida aster Plumber. 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 FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK X Permit No..__e2 Size Septic Tank_ Feet of Drain Tile_________ _ Nature of Water Supply: City —Well Amount of Permit $_ �Qn STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE P LUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other . structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address .Ed ar - rWnl1s________ No. 12110 Regis.tered Architect and /or Engineer _ Employing Plumber's Name _Gs nr• A Caawfnrsl__ No Location and Legal Description Lot _ —L__ ____________________ Block- 1 _____________ Subdivision_BAY__ BrSLUe __________ Street and Number where work is to be performed No.____ ____ Street__ - _ _1D?ni State work to be performed and purpose of building (By Floors) IAI 1�.@,r_______�_____�____ _ ____________ -_____ New Building Remodeling Addition Repairs No. of Stories ______ My Commission Expires sz'1Q_____________ ___ °_ -- Type of Tank 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 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) -- George Cr wford Date August 2fi 1241 _Capacity Gals._____100 _gal 1 on Notary Public. State of Florida aster Plumber. 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. , APPLICATION FOR PLUMBING PERMIT q i Permit No • I Date____ /.2. Application is hereby made for the approval of the detailed statement of the plans and specifications herewitt!subm' to for the builds g or other structure herein described. This applications is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __ Registered Architect and /or Engineer ____ __aeZe E mploying Plumber's Name — _a0 Vo 2 V 2 -Y Street__aC_ ` Location and Legal Description Lot_____ __________— _ ___________ —____ __Block_____, /J�_______________ Subdivision__ _ Street and Number where work is to be performed —No / 2- ____ ___ Street___, "J _>D State work to be perforated aged purposes of building (By Floors) New Building_ /� Remodeling Addition Repairs —___ No. of Stories ------------- _- ___ -___ Type of Tank Feet of Drain _ —___ Dist. Feet of Tank or Drain Field from Well_ Tile_______ ___�. _ __ Nature of Water Supply: City — Well.__ Size Septic Tank Amount of Permit $_ appeared ___ and will NOTE: A re- inspection fee of materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT The undersigned applicant for this building permit does under the Florida Workmen's Compensation Act, being Section plied with the provisions thereof, performed under this permit; and required by the Act. The under licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 1 Before me, the undersigned authority, a notary My Commission Expires hereby certify public, duly No Street Size of Soakage Pit (Signed) Plumbing Inspector. that he understands and accepts his obligations as an employer of labor 5966, Compiled General Laws of Florida Permanent Supplement, and has com- will require similar compliance from all contractors or sub - contractors employed by him in the work to be post or cause to be posted for inspection on the site of the work such public notice or notices as are signed agrees to employ only such sub - contractors, on work to be- performed under this pertnit, as are (Signed) Capacity Gals mg Notary Public, State of Florida Roaster Plumber. authorized to administer oaths and take acknowledgments, personally 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. $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty CLOSETS BATH TUBS SHOWERS jLAYA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST � ' I CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LtsT /{ . . CHECK , APPLICATION FOR PLUMBING PERMIT q i Permit No • I Date____ /.2. Application is hereby made for the approval of the detailed statement of the plans and specifications herewitt!subm' to for the builds g or other structure herein described. This applications is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __ Registered Architect and /or Engineer ____ __aeZe E mploying Plumber's Name — _a0 Vo 2 V 2 -Y Street__aC_ ` Location and Legal Description Lot_____ __________— _ ___________ —____ __Block_____, /J�_______________ Subdivision__ _ Street and Number where work is to be performed —No / 2- ____ ___ Street___, "J _>D State work to be perforated aged purposes of building (By Floors) New Building_ /� Remodeling Addition Repairs —___ No. of Stories ------------- _- ___ -___ Type of Tank Feet of Drain _ —___ Dist. Feet of Tank or Drain Field from Well_ Tile_______ ___�. _ __ Nature of Water Supply: City — Well.__ Size Septic Tank Amount of Permit $_ appeared ___ and will NOTE: A re- inspection fee of materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT The undersigned applicant for this building permit does under the Florida Workmen's Compensation Act, being Section plied with the provisions thereof, performed under this permit; and required by the Act. The under licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 1 Before me, the undersigned authority, a notary My Commission Expires hereby certify public, duly No Street Size of Soakage Pit (Signed) Plumbing Inspector. that he understands and accepts his obligations as an employer of labor 5966, Compiled General Laws of Florida Permanent Supplement, and has com- will require similar compliance from all contractors or sub - contractors employed by him in the work to be post or cause to be posted for inspection on the site of the work such public notice or notices as are signed agrees to employ only such sub - contractors, on work to be- performed under this pertnit, as are (Signed) Capacity Gals mg Notary Public, State of Florida Roaster Plumber. authorized to administer oaths and take acknowledgments, personally 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. $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty