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941 NE 91 Terr (7)PERMIT APPLIC FOR MIAMI SHORES VILLAGE Dat 4 r ( Job Addres� 1 4 t NE , Ve C', Tax Folio 1 l — CD— 00. 00E-)CD I �Q i(1I V\O Legal Description Owner/Lessee / Tenant Owner's Address qL41 tye O U` „ Phone rSias �' � Address � �. �� Contracting Co. 1 ti' . �.(� L , v c e / Qualifier U �� L 1 ri trt State # Municipal # Competency # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION r, 40 RA Square Ft. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IlVIPROVEMENTS 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 s RADON C.C.F. Historically Designated: Yes Address Address Address i t i g Master Permit # ss# 067 7 ?0?3 Ins. Co. ECHANICAL ROOFING PAVING FENCE SIGN Estimated Cost (value) 9 � �-t , No No . as to Contractor or Owntr- Builder G1.J1D' Y i ; , R ' 1 ate My ' ommission Expires: RICi/ tY PU)T 1C ; ;� C F'..t CtON:MI`SION NO. CC7i4 ;C.1 M C OMMN ON EXP. 1.i A,2 1 2 NOTARY BOND 3 on. 0 0 TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Structural Engineer PERMIT NO. • ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY DATE ZONING ELECTRICAL • MECHANICAL PLUMBING FIRE ' PUBLIC WORKS h STRUCTURAL BUILDING OFFICIAL 1. Subject to compliance with aft Federal. State. Co'mty.Wtage rt1(es and regulations. ViVage assume no responsibility for accuracy ()floc results from these plans. 2. This copy of plans mat be available on building site or no Inspection wtif b. conducted. • JOB ADDRESS q APPLICANT CRITIQUE SHEET C 71 71: PHONE ## APPUCATION # SHEET OF MISCELLANEOUS 6//oi DATE COMMENTS INITIALS Scale: Each block represents 10 feet and 1 inch = 40 feet. r _ --� — �— I 1 ' is x L Notes: . STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number ; DH 4015, 10/96 (Replaces HRS -H Form 4015 which may be used) (Stock Number: 5744 -002 -4015 -6) PART II - SITEPLAN J _I - , —�,. _ — f j-- , —� — ; — r � i , •'7; I • '; - Site Plan submitted by: Plan Approved ,Not Approved By ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT Date County Health Department Page 2 of 4 CONRUCTION PERMIT FO : 0,4 New System Existing System [ ' Repair [44' Abandonment A� • 411.0o1 A [ ] ]] N [ K [ ] R A I N F I E L D O T H E R APPROVED BY: BLOCK: D 4 j /a ] SQUARE [ ] SQUARE TYPE SYSTEM: CONFIGURATION: SPECIFICATIONS BY: DATE ISSUED: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & F'' PROPERTY STREET ADDRESS: i SYSTEM DESIGN AND SPECIFICATIONS 0 -. - SUBDIVISION: PROPERTY ID a „ [SECTION /TOWNS IP /RANGE /PARCEL NUMBER] - V .•I Y 1 ) '� ►- I (OR TAX ID NU 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. DEPARTMENT OF HEALTH APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ] S [GALLONS / GPDEPTIC T AEROBIC UNIT CAPACITY [GALLONS / GPD] �! GALLONS GREASE INTERCEPTOR CAPACITY GALLONS PER DOSE DOSING TANK CAPACITY FEET PRIMARY DRAINFIELD FEET [`11) STANDARD 4 TRENCH LOCATION OF BENCHMARK: /J + A ELEVATION OF PROPOSED SYSTEM SITE [4}• • ] BOTTOM OF DRAINFIELD TO BE [ .'a FILL REQUIRED: [J.- j( ] INCHES DH 4016, 10/96 (Replaces HRS -H Form 4016 (page 11 which may be used) (Stock Number: 5744 -001 - 4016 -0) [ A Chapter 10D -6, FAC A /ding Tank ] ther(Specify) SYSTEM SYSTEM FILLED 1 BED - (b 0 Applicant AGENT: _,, N!1 TITLE: t r t • TITLE: [ 4 MOUND [,A PERMIT # DATE PAID FEE PAID RECEIPT /.S a y OP lit _- II l,- ? )� $ c_! j.p / no y? / I - . 7 emporary /Experimental MULTI- CHAMBERED /IN SERIES:[ CAPACITY MULTI- CHAMBERED /IN SERIES:[ [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLON ] DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] [I14 �S / v [ABOVE ,ENFHMABK /FERENCE POINT [ / FT)`T't RA E'ACHMARK/ REFERENCE POINT EXCAVATION REQUIRED: 1.,1 INCHES / I ' 'Lt ti r.r 7 , ��• EXPIRATION DATE CHD Page 1 of 2 INSTRUCTIONS: PERMIT NUMBER: Permit tracking number by County Health Department. APPLICATION FOR: Check type of permit; if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY ID #: 27 character ID number for property. (Health Department may require property appraiser ID# or section /township /range /parcel number.) SYSTEM DESIGN AND SPECIFICATIONS: TANK: Minimum specifications from Chapter 10D -6, FAC. DRAINFIELD: Minimum specifications from Chapter 10D-6, FAC. OTHER: Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed. APPROVED BY: County Health Department personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by County Health Department. • EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued. BUILDING ELECTRICAL PLUMBING Work Rio be performed under this Permit • 1 Building Owner of Architect Contractor or Builder Legal Description Address of Building Lot j- ,CONTRACTOR QR BUILDER t MIAMI SHORES VILLAGE, FLORIDA_ DATE PERMIT N° 2385 Contractor's ' License No. Subdi vision .a r Value of Amt. of .' i`: . -- Project Permit • • -- f. 194 This peril% t is ranted 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 t 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 thisyermit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING j/ Owner of Building Architect Contractor or Builder Legal Lot Description Address of �, Building PERMIT N° 2407 Work to be performed under this Perini MIAMI SHORES VILLAGE, FLORIDA 1f BL Subdi- vision Value of Project DATE Contractor's License No. [Amt. of Permit i f r c t, . 194_ 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 th i dr ings,or in the statements or specifi9ations and that he assumes responsibility for work done by his agents, servants or employees. f Signed- ll ../0i i_ 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, stateifients or specifications submitted to the proper authorities of Miami Shores Vill E" ,In accepting this permit I assume responsibility for all work done bVeith r myself, my agent, servant or employee. e.1 f CONTRACTOR OR BUILDER t BY AUTHORITY Lot - ., Owners Name 14c.NO - - Add or GertAAL E fr la. E — Contra - c - ter IT.c.No. Ad Cub.Cont. 20 " -3 7 Zone' ;Cu.Ft.d/4, Plat Restriction Chkd. By To Planning Board 4; Re-Submitted to P.B, Plans & Spec. checkedby To Council MiSe1.51' " New Const. Sub 'vision Approved Ap p r ovc d Approved luna ree Rejected Rejected Rejected Bldg.Permit No. 23 3 4 i Date 4 - 2. ‘-g/ - Fee // 0 f ) Cost &, YOO " T y p e C__7. a . /f Stories Roof New Construction Al teratioris Plumbing Permit No.,2 3 kJ" Date 7-/ 4/ Fee .......4-------- Septic Tank /1 It It Sewer it It 7 - - 2.,4 Fee c5V-P Electrical Pormit NO. ' Fixturos Heater - ,... MO tarS Hi sc 1 . - New Construction lui I di ng Insp. ...- ...-,-- 56.-t *-' 7 - BT 0.1fisp. ),. y,,J4qi,iri6 t 4 I /1111r - . - . I ' BeaitiW` L & 'Lintels Clean-Up 'lumbing Ins. Fiiss s _ Septic HZ t r, Final 6 ertirl.:d':, ectrical Insp.. Roughing FixtUres Final Date By ea .0 12VAISP7fiert • r14.tfo n ...■•■■•■■■ By -Insp. %a - , ,,aarikze Ra-Insp - • - If orvica 0. K. to.g Co..-» .0f 0.ccup . Issued R . . 13y; - Re- Insp. By • By RO-qtrSt'i,. By„ • - • - N° • 231 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Nam' Shors Villag - Fla., E /0 Owner, Agept gr1'ant of Building ,��� .r Lot ---- Block Street Address Approved use by occupancy Remarks: This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to e erection, construction, alteration or remodeling of buil s gr structu �,;,' BUILDING DIV ION MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT se 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 regula- tions 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 the work. ' Date_____,._____ = - _ — — , 19"_ r- w No. -! r -` _ Street' .41 ` / I a' ` , , ' Name and address of licensed contractor • + / ' ` Y Location and legal description of lot to be bu on: Lott - _/....." ` ` Block__—___— _____. Subdivision Street and Nurhber where work is to be done (i. -- , .L f `- / Owner's Name and Address Registered Architect and /or Engineer State work to be done and purpose of building (by floors) 1 *I ' k and for no other purpose. New Building_____ ____— _— _______ Remodeling_ __ Addition_ Repairs No. of Stories__ • . To be constructed of_____ Kind of foundation . R Roof Covering___ / .— Estimated Total cost of improvements $ _ - __Amount of Permit $ Zone cubage required ✓ —Plan Cubage - .___, --- Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices w reference to the building and its construction may be sent to (' - - t 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 complied with the provisions thereof, and will require similar compliance from pit contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or ciuse to be posted forAnspectign the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such au} contra ors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (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 • Y and who, being by me first duly sworn, upon oath deposes and says that be is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. [� Permit No._ _ —rte Date T� Read, Sworn to and Subscribed before me. Disapproved (Signed) Building Inspector Date ANNING BOARD r Notary Public, State of Florida Commission Expires_ DATE Chairma �� ' Member Membe `� ='�� F/� Member Member Member Council Approved_ Date to me well known, Disapproved _D 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 charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. • Owner's Name and Address Amount of Permit STATE OF FLORIDA, k COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 4 Permit No.. = _A_ No Street__ _(Signed) (Signed) i i 11 ___:_1___ — _ Notary Public. State of Florida Date , V • T Application is hereby made for the approval of the detailed statement of the plans and specifications herewith bmitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordin e 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. Registered Architect and/or Engineer Employing Plumber's Name ____ _ r' � _ No ___/ Street _____4__= �________ -- ___ice. F.)) 7 6./7 � „ J . Aa -- - 7- C ' Location and Legal Descripti Lot_ , �__ __ __Y:_�_____.__ _ ______Bloc ___,.Z — Subdivision _Ys-- _�_x;jr ,L ___ !. r Street and Number where work is to be performed— No.__ _X4 - 4 . - . 7 __, . /e Street ____________ __-____ _____- __ ____ _------ _- __________ 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 .___ r ' Y _ te'l , __ 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. M er 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 3 J / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / f CHECK • Owner's Name and Address Amount of Permit STATE OF FLORIDA, k COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 4 Permit No.. = _A_ No Street__ _(Signed) (Signed) i i 11 ___:_1___ — _ Notary Public. State of Florida Date , V • T Application is hereby made for the approval of the detailed statement of the plans and specifications herewith bmitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordin e 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. Registered Architect and/or Engineer Employing Plumber's Name ____ _ r' � _ No ___/ Street _____4__= �________ -- ___ice. F.)) 7 6./7 � „ J . Aa -- - 7- C ' Location and Legal Descripti Lot_ , �__ __ __Y:_�_____.__ _ ______Bloc ___,.Z — Subdivision _Ys-- _�_x;jr ,L ___ !. r Street and Number where work is to be performed— No.__ _X4 - 4 . - . 7 __, . /e Street ____________ __-____ _____- __ ____ _------ _- __________ 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 .___ r ' Y _ te'l , __ 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. M er 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. Permit" No..____ New Building_____ —_ _ ____ Remodeling Size Septic Tank —__ _______ Type of Tank . Feet of Drain Tile_ Amount of Permit $__ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition Repairs f Date Application is hereby made for the approval of the detailed statement of the plans and specifications her ewi ubmitted or the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinaoe 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 '_,�= ,� 1 __ No Street Registered Architect and /or Engin er __ 1___________ Employing Plumber's Name _–___' Location and Legal Descriptill Lot_ __le_ State work to be performed and purpose of building (By Floors) s� Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit No. of Stories (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 .'rmit, as are licensed by Miami Shores Village. , ..�� (Signed) 4 474V__ f` .. llf er Plumber. STATE OF FLORIDA, ( f COUNTY OF DADE. ss. �f 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 be 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 - TUBSS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. IST L IST / 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..____ New Building_____ —_ _ ____ Remodeling Size Septic Tank —__ _______ Type of Tank . Feet of Drain Tile_ Amount of Permit $__ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition Repairs f Date Application is hereby made for the approval of the detailed statement of the plans and specifications her ewi ubmitted or the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinaoe 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 '_,�= ,� 1 __ No Street Registered Architect and /or Engin er __ 1___________ Employing Plumber's Name _–___' Location and Legal Descriptill Lot_ __le_ State work to be performed and purpose of building (By Floors) s� Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit No. of Stories (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 .'rmit, as are licensed by Miami Shores Village. , ..�� (Signed) 4 474V__ f` .. llf er Plumber. STATE OF FLORIDA, ( f COUNTY OF DADE. ss. �f 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 be 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. ( /, • / 7718 N. E. 2ND AVENUE PHONE 7-5284 MIAMI, FLA. „ — / 6 • ** co .? JOHN F. GAFFNY PLUMBING CONTRACTOR f . 1...._ ''' — # , /- .` \ `1'. r " • _ _ - — . , r 4— .11■1•011 permit No. - - -`"� `_', /i Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the /buildin¢�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, w ether 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 2 No 7 1' Registered Architect and /or Engineer Employing Electrician's Name _ Location and Legal Description Lot MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 1 State work to be performed and purpose of building (By Floors) New Building____ Remodeling • No. ____ tre t_ Block Subdivision_ � - - -r� Street and Number where work is to be performed —No _ Addition Repairs No. of Stories. Service Overhead Size Feeders Conduit Un rground Type of Installation— Conduit Tubing Amount of Permit $ My Commission Expires " L. Main Sw Amps. Main Fuses / ,Amps. B.X.L. Metal Moulding Street __ ' ______f1 / 2p; -- ectrical 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) aster El ctnc n. 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 be 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 b}Yhim 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. SWITCH OUTLETS - - / // / LIGHT OUTLETS / • // / PLUG R � FIXTURES NO.LAMPS REFRIG. OUTLET / IRON OUTLET / RANGE OUTLET j / l RANGE CONN. WATER HEATER W. HEAT. CONN. !/ SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. L151' CHECK permit No. - - -`"� `_', /i Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the /buildin¢�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, w ether 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 2 No 7 1' Registered Architect and /or Engineer Employing Electrician's Name _ Location and Legal Description Lot MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 1 State work to be performed and purpose of building (By Floors) New Building____ Remodeling • No. ____ tre t_ Block Subdivision_ � - - -r� Street and Number where work is to be performed —No _ Addition Repairs No. of Stories. Service Overhead Size Feeders Conduit Un rground Type of Installation— Conduit Tubing Amount of Permit $ My Commission Expires " L. Main Sw Amps. Main Fuses / ,Amps. B.X.L. Metal Moulding Street __ ' ______f1 / 2p; -- ectrical 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) aster El ctnc n. 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 be 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 b}Yhim 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. 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 cpspplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work '__ ___ No.___9__ / _E • Registered Architect and /or Engineer _____ _____— _____________ ___ ___ _LC-�, <ch_ —_ _:_- te...- -- Employing Plumber's Name — No._____ F J_ /_____LIL Street___. Location and Legal Description Lot_— _Z C ___________Block____ Subdivisio Street and Number where work is to be performed —No._ 4 l___l -C___L ____-_________— _ —__—_ treet 7 0 ,Z__ - State work to be performed and purpose of building (By Floors) ______ Owner's Name and Address Amount of Permit S_ under plied with the provisions thereof, performed under this permit; and MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) New Building___— Remodeling __ Addition____ Repairs No. of Stories Size Septic Type of Tank _ Date Feet of Drain Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit V/ Street___ _ • Capacity required by the Act. The under signed agrees to employ only sub - contractors, on weik^ to ,be perfo d this licensed by Miami Shores Village. l < !,� My Commission Expires Notary Public. State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- and will require similar compliance from all contractors or sub - contractors employed by him in the work to be will post or cause to be posted for inspection on the site of the work such public notice o Ig tires as are rmtt, ; (Signed) _______ ': .� / STATE OF FLORIDA, • 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. 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. 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 cpspplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work '__ ___ No.___9__ / _E • Registered Architect and /or Engineer _____ _____— _____________ ___ ___ _LC-�, <ch_ —_ _:_- te...- -- Employing Plumber's Name — No._____ F J_ /_____LIL Street___. Location and Legal Description Lot_— _Z C ___________Block____ Subdivisio Street and Number where work is to be performed —No._ 4 l___l -C___L ____-_________— _ —__—_ treet 7 0 ,Z__ - State work to be performed and purpose of building (By Floors) ______ Owner's Name and Address Amount of Permit S_ under plied with the provisions thereof, performed under this permit; and MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) New Building___— Remodeling __ Addition____ Repairs No. of Stories Size Septic Type of Tank _ Date Feet of Drain Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit V/ Street___ _ • Capacity required by the Act. The under signed agrees to employ only sub - contractors, on weik^ to ,be perfo d this licensed by Miami Shores Village. l < !,� My Commission Expires Notary Public. State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- and will require similar compliance from all contractors or sub - contractors employed by him in the work to be will post or cause to be posted for inspection on the site of the work such public notice o Ig tires as are rmtt, ; (Signed) _______ ': .� / STATE OF FLORIDA, • 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. 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. Too JOB: BUILDING ELECTRICAL PLUMBING • • • • • • • • • •• • • 4• • • • • • • • • • • • • . . • • AD: WORK DONE BY: REQUEST] The following is ready for Inspection: Inspector's Report: : WILL BE READY t ,' JOB: t BUILDING PLUMBING • ELECTRICAL Inspector's Report: - . 41 G4.... r PC.4 * .f • • • ▪ WORK • • DONE BY: • : • : • • • • The following is ready for Inspection: AD: � / REQUESTED : WILL BE READY • • • • d f • • JOB: BUILDING PLUMBING le ELECTRICAL • • • • WORK AD: • • The following is ready for Ins.p3ction: Inspector's Report: DONE BY: REQUESTED : WILL BE READY • • • • • • • • • • • • • 4- - JOB: BUILDING ELECTRICAL PLUMBING Inspector's Roport: •• AD: WORK DONE BY: REQUESTED • • • • • •• • • • ▪ • • • : • • • • The following is ready for Inspection: • : WILL BE READY • • • = • / JOB: BUILDING ELECTRICAL PLUMBING • -' Inspector's Report: The following is ready for Inspiction: AD: WORK DONE BY: Lt s t.. • • • REQUESTED : WILL BE READY • • • • • • • ION r 1 • JOB:, (U., 1, \ er. AD ,P L/ Ld7j f BUILDING ELECTRICAL PLUMBING Inspector's Report: • WORK • DONE BY: The following is ready for Inspection: REQUESTED : WILL BE READY 7// , ‘AL/ . 2 /‘ #)v7. JOB: BUILDING PLUMBING • • • • ELECTRICAL : • • Inspector's Report: y— WORK • DONE BY: • • The following is ready for Inspection: AD: �� )1r El ,' REQUESTED • • • • W LL BE READY t...4 M • JOB: BUILDING • • ELECTRICAL PLUMBING /// • �'. '. • • • • f - " The following is ready for Inspection: Inspector's Report: • • • • : AD: WORK • DONE BY: . : REQUESTED : WILL BE READY • • • • • 1 ./ . I f / 41 ' 2 ..;►.. ; r .f' r. P Permit No 1 y1 Owner's Name and Address ___ Registered Architect and /or Engineer r �`'�'►� Employing Plumber's Name Location and Legal Description Street and Number where work is to be performed —No l ' �?I _C - State work to be performed and purpose of building (By Floors) Amount of Permit $_ !'__ MIAMI SHORES VILLAGE My Commission Expires PLUMBING INSPECTION DEPARTMENT No _ (Signed) APPLICATION FOR PLUMBING PERMIT 0 • Date Application is hereby ma 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 c plied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work / f - 1 • No Ac - - - -- — f J � /�i Street--- - -9 Notary Public. State of Florida Street_ _ ° �e'"' Subdivisions! Street-- -- 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 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 .ublic notice o ices as are required by the Act. The under signed agrees to employ only„...such sub - contractors, on w 7 tobe rf•vl d . his rmil, js licensed by Miami Shores Village. CC..a�a �, 1.. •"' STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer- oaths and take acknowledgments, personally appeared w_______ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice 'for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No 1 y1 Owner's Name and Address ___ Registered Architect and /or Engineer r �`'�'►� Employing Plumber's Name Location and Legal Description Street and Number where work is to be performed —No l ' �?I _C - State work to be performed and purpose of building (By Floors) Amount of Permit $_ !'__ MIAMI SHORES VILLAGE My Commission Expires PLUMBING INSPECTION DEPARTMENT No _ (Signed) APPLICATION FOR PLUMBING PERMIT 0 • Date Application is hereby ma 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 c plied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work / f - 1 • No Ac - - - -- — f J � /�i Street--- - -9 Notary Public. State of Florida Street_ _ ° �e'"' Subdivisions! Street-- -- 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 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 .ublic notice o ices as are required by the Act. The under signed agrees to employ only„...such sub - contractors, on w 7 tobe rf•vl d . his rmil, js licensed by Miami Shores Village. CC..a�a �, 1.. •"' STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer- oaths and take acknowledgments, personally appeared w_______ 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.