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1480 NE 102 ST PLUMBINGMIAMI SHORES VILLAGE, PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT:1 Permit -s 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 Shares 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 k. Owner's Name and Address_ y 46 ,V-,S n Street—. Registered Architect and/or Employing Plumber's Name - a, C, No to Lon and Legal Description Lot Street and Numb-or where vork is to be Iked-No- ��Str Static work to be performed and purpose of building (By Flom) Now Building— er —AddIt:ion------ No. of Stories... -.-.-1 Sim Septic -- - ----- - -Type, of Tank— —_-Capacity Gals. Feet of Drain Nature of Water Amount of Permit Feet of Tank or Drain Field from Well_ ..... . . Sizo, of Soakage Pit_ (Signed) Plumbing hispector. The undersigned applic�nt 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 " being Section 5985. Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thqrsof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permiti, and will post or cause to be posted for inspection on the site of the work such public notice or notices as are reqWred by the A& The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Mimi Shores Village. (signed)_._..._. (J Motor Plumber. STATE OF FLORMA, COUNTY OF DADE. "7, Before me, the imdersij Aed authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first "y sworn, upon'cath deposes and. says that he is .... . .. tithe above described that he has carefully read the foregoing application, and �� he did sign the same, and that A facts therein by him stated we trae. My Expires Notary Public, State of Florida N,(,,T7EE: A w," fee of $1.00 witbe made when such io4aspection is made•necessary by improper notice for Inspection, or faulty _j and/or worlinanship. LA CLOSETS OATH TUBS 1(SHOWERS LAVA- TORIES SINKS SLOP LAUNDRY SINKS Tuns URINALS CATCH BASIN FLOOR MAIN DRINKING FouNT'NS TOTAL FIXTURES CONTH. CHEM SEPTIC SEWER DRAIN SOAKAGE GREASE' 40"VI1 DEEP SPRKLR. SWIM*G TANK CONN.— FIELD PIT TRAP HEATER WELL SYSTEM POOL I! CONTR. LIST P CHECK Sim Septic -- - ----- - -Type, of Tank— —_-Capacity Gals. Feet of Drain Nature of Water Amount of Permit Feet of Tank or Drain Field from Well_ ..... . . Sizo, of Soakage Pit_ (Signed) Plumbing hispector. The undersigned applic�nt 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 " being Section 5985. Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thqrsof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permiti, and will post or cause to be posted for inspection on the site of the work such public notice or notices as are reqWred by the A& The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Mimi Shores Village. (signed)_._..._. (J Motor Plumber. STATE OF FLORMA, COUNTY OF DADE. "7, Before me, the imdersij Aed authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first "y sworn, upon'cath deposes and. says that he is .... . .. tithe above described that he has carefully read the foregoing application, and �� he did sign the same, and that A facts therein by him stated we trae. My Expires Notary Public, State of Florida N,(,,T7EE: A w," fee of $1.00 witbe made when such io4aspection is made•necessary by improper notice for Inspection, or faulty _j and/or worlinanship. LA Permit No.__ -*'-- CJ ?' -E- Application is hereby made structure herein described. I and all provisions of the La, of Miami Shores Village sh building during progress of Owner's Name and Registered Architect and /or MIAMI SHORES VIL1 AGE. PLUMBING INSPECTION DEPARTMEW APPLICATION FOR PLUMBING `N.k *1T Date — Z-2 r the approval of the detailed statement of the plans and specifications herewith submitted for the building or other s application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Dh ision be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at No. ._-__-___-__-___ Street-_____ __— _.___—_----- ..____.......... Employing Plumber's Name___ No- Location and Legal Demos' Lot— .., Rim& Su Street and Number is to be poked-No State work to be performer land purpose of building (By Floors) _ -- New Buil g Remodeling- Addition_ -- Repairs — _______.._. No. of Stories_ -_ ...... Size Septic T , Type of T - _— __Capacity Gals•----- - Feet of Drain Tile A. Feet of Tank or Drain Field from Well.________T _ _- ____— _-- ----------- — Nature of Water Supply: of Soakage Pit— _ __ _ _ _ __ .......... Amount of Permit $ ( signed) _ _ ___............ _ .......... Plumbing Inspector. The undersigned app t for this building permit does bereby certify that he understands and aeoepts his obligations as an employer of labor under the Florida Worlanen s Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has eon- plied with the provisions th eof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this perms •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-contrjWm on to o t, as are licensed by Missal shores Master Plumber. STATE OF FLORIDA, 1 a& COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to miheewell imown, and ho' being by me first duly sworn, upon oath deposes and-says that he is the - .__._.______ _�__. -- that he has carefully read the foregoing appli cation, and that he did sign the same, and that all facts therein by him stated are true. My � �wn fission Expires Notary Public, State of Florida NOTE: A re- ' fee of $1.00 will be made when such re- inspection is made-necessary by Improper notice for inspection, or faulty materials and /err p. CLOSETS BATH j SHOWERS LAVA- SINKS SLOP LAUNDRY URINALS CATCH FLOOR DRINKING TOTAL TUBS TORIES SINKS Tune BASIN DRAIN FOUNT•NS FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN .SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM•G TANK CONN. F, IELD PIT TRAP HEATER WELL SYSTEM POOL ONTR LT CHECK Size Septic T , Type of T - _— __Capacity Gals•----- - Feet of Drain Tile A. Feet of Tank or Drain Field from Well.________T _ _- ____— _-- ----------- — Nature of Water Supply: of Soakage Pit— _ __ _ _ _ __ .......... Amount of Permit $ ( signed) _ _ ___............ _ .......... Plumbing Inspector. The undersigned app t for this building permit does bereby certify that he understands and aeoepts his obligations as an employer of labor under the Florida Worlanen s Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has eon- plied with the provisions th eof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this perms •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-contrjWm on to o t, as are licensed by Missal shores Master Plumber. STATE OF FLORIDA, 1 a& COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to miheewell imown, and ho' being by me first duly sworn, upon oath deposes and-says that he is the - .__._.______ _�__. -- that he has carefully read the foregoing appli cation, and that he did sign the same, and that all facts therein by him stated are true. My � �wn fission Expires Notary Public, State of Florida NOTE: A re- ' fee of $1.00 will be made when such re- inspection is made-necessary by Improper notice for inspection, or faulty materials and /err p. Date ° a. I �'> Job Legal Description OwnerAAssee / Tenant �R i Owner's Address I''kI . Contracting Co: h6 ( 1n Qualifier . nni� h State* 0,-FCC) I�`i, =_ Arclritect/Engineer� Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION. Square Ft APPLICATION FOR MIAMI ),441nC- N-E 102' 2,-.', Tax Folio, IIrstorically Designated: I Master Phone ;Vnre,�� Plumb i Address qQC Lrx a ih 1 n Municipal # n l j;-,' Competency # Ck—(�( Address Address Address MMDING ELECTRICAL LUMBING_ MECHANICAL 'ice P i 2-e i-on-i — r ►�V i G� Estimated Cost (value) — VILLAGE No t# v' I y �`i �4- r-n i , FL Phone (3M-)' -q5 I Ins. Co. PAVING FENCE SIGN iV'—� WARNING TO OWNER: 1 YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR EMPROVEMENVTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR.)d.ENDER 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, anti 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 MEC CAL WORK OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work M11 be done in compliance with all applicable laws / ��tstructi Wing. Furthermor , I authorize the'above -named contractor to d the work stated. of owner and/or --` �,, () r as to President Date Signs a of Contractor o, Owner- der Date as r es Date der Date -- r FEES: PERMIT W-) RADON C.C.F. i'� (p NOTARY APPROVED: Zoning Building Elec Mechanical Plumbing E r cla E SuviDage Commission CC661145 rtes AugM 16.2001 BOND 20 TOTAL DUE._ —� ADDENDUM TO BUILDING PERMIT APPLICATION '(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM BATH TUB UNIT FEE ITEM SNITCH OUTLETS UNIT FEE ITEM SPACE HEATERS LIMIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) OISP(m SERVICE TEMPORARY A/C (CENTRAL.) DRINKING FOUNTAIN SERVICE SIZE IN AMPS OLICT WORK FLOOR GRAIN SERVICE REPAIRAETTER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CUMETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNOERGROIAO TANKS LAVATORY OVEN ABOVE GlIOUND TANKS LAMY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS O- 1 NP STEAM BOILERS son MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT/3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDED MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER C.OSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN WRIKERWELL SPECIAL PURPOSE SWIMMING Pam OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME ROCK UTILITY -WATER F IXTR>FRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS ORAINFIELD, 4' TILE/RES. VIOLATION PUMP 5 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA C RAIN ROOF INLI T SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING