Loading...
1077 NE 91 Terr (9)MIAMI SHORES VILLAG BUILDING DEPARTM 305- 795 -2204 Building Inspection Request ( Date `� )\) 0 Time Type Insp'n Permit No. Name Address For Inspectori1 l' I / Approved Correction Re- Insp'n Fee 10 Company i ` Cd I Phone # o Legal Description ( Att l i 6 l WORK DESCRIPTION N e-• " TriMA4,C4A4A1 Signature of owner and/or Condo President Notary as to Owner and/or Condo President My Commission Expires: APPROVED: Zoning Building Mechanical Plumbing Date Signa 9/ 14-40 r / Date UDIA PERDOMO _• 4,' MY COMMISSION # DD 044092 I is o E XPIRES: November 21 2005 ,. F Notary Public EES: Tr 4 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /O- 1 "" Job Address 1071 N q ft(Z Tax Folio 11 0O1 ()VI() • Historically Designated: Yes , / , Owner/Lessee / Tenant Ni el 5OV\ Tv M a h m Ma ster Permit �/ '40 • 5 , Owner's Address 1 a 7/ NC 1 T t e 2' Phone Contracting Co. C fry • Address ( O L Sw I I g ' V Qualifier , j v `I D t bt 3V Vt.- State # Municipal # Competency # SCP970S 3 Ins. Co. Architect/Engineer N I v Address Bonding Company 1 1 P Address Mortgagor 1 I A Address Permit Type (circle one): BUILDING ELECTRIC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN UDIA PERDOMO OMMISSION # DD 044092 `'.kES. (*member 21, 2005 t ^i Mrrjr Public Underwriters C.C.F. �1 L� NO S TARY Electrical 0 ss# Phone (S " • Square Ft. Estimated Cost (value) O 0 No K WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. ntractor or -Buil otary as to Contractor or Owner- Builder My Commission Expires: BOND ate 1 LIDIA PERDOMO of . r : , ar > # DD 044092 y �Nc�v ernber 21 2005 t. Public ricterwriters TOTAL DUE R Structural Engineer ITEM BATH TLB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIOET LIGHT CUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DIS?OSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN A4PS DUCT WORK FLOOR CRAIN SERVICE REPAIR/11ETER GWCE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY „„ OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 FP STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 FP 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 SLPPLY TO: AIR CONDITIONERS ' A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS ' HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWI r4 ING POOL CUTLETS COMbERCIAL WATER SERVICE SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS ifILITY- SEWER SIGN TIME CLOCK ITILITY -WATER FIXTLRES :EPTIC TANK 1 ANTENNA ' ELAY TELEVISION CUTLETS RAINFIELO, 4' TILE/RES. VIOLATION UT,P & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. ATCH BASIN �r— ISO RGE WELL OMESTIC WELL AEA (MAIN OOF INLET OLAR WATER HEATER IRE STANDPIPE xlL PIPING • • ' VNN SPRINKLER SYSTEM LS RANGE :TER SET (GAS) LS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL SECTION BY DATE Zoning . Address c-rx 3 S . k /WE .. - I-14 QLt �D F( . , 33O f Telephone q 5 1 / o [? 1 °, i s F a x 959 - 9 2/ — 5- 05 - 0 Electrical Home Telephone 11 ^ _ 5 7 5q 5 - 9 q "1 Mechanical \ Demolish Plumbing Relocation of Structure )2--a -o2.. Fire Foundation Only Public Works Add'I Attachment Structural I A ' rs • Building Official ✓i =) . V Telephone CONTRACTOR Name G -11 . W N I rsoi�l A I e. License No. /`. C . 0 41-1(1 if Address c-rx 3 S . k /WE .. - I-14 QLt �D F( . , 33O f Telephone q 5 1 / o [? 1 °, i s F a x 959 - 9 2/ — 5- 05 - 0 Qualifier Name n1 - LA p KA PROPERTY OWNER New Construction Name A L L /v � TV M AN I Address / 07 7 NE rv1 1 ,m I q 1 rce-2 ¶1- 1®LES Fc • 7,3 i 3B Home Telephone 11 ^ _ 5 7 5q 5 - 9 q "1 Business Telephone \ Demolish Fax Relocation of Structure License No. ENGINEER New Construction - Enclosure . Name Alteration Interior \ Demolish Relocation of Structure License No. Shell Only Foundation Only Add'I Attachment Address I A ' rs • ✓i =) . V Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior ✓ Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) 6rte $ $ v $ ((t.005 /sq.ft.) (Xq..ftt. = X/1000 (¢.01/sq.ft.) • .. • • • • • • • • • • • • • • • • • • •• • • PERMIT APPLICATION • ••• • • • •• • • CHECKLIST • • • • ❑ PROOF OF OWNERSHIP' • ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach), • .. .. ••• •• • • • • • • ❑ • HRS / DERM APPROVAL •' 'ti 2 pit (Restaurants) (Septic / Sewer) • • • • • • ' • ❑ CONTRACTOR REGISTRATION (On File) PERIsIIT FEES TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other • • ••• • - • • ° - - • • .. • • • ••• • . • • • • • • ••• • • • • • • ••• • • •• • • ▪ •• • • • • •• • • • • • • • • • • • • • • • • • ••• INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: • • • • Step 1. Complete the attached pQr4t tpptcatio■ vi *• c?t liatftrbe signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow;foo a3ttdje !remote tjrbcessift of your application. If roofing work will be done, a roofing application must be submit- ted along with this pernfit dpplieattoa. • ; • • •. • Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. ° APPLICATION Job Address: _ ` �f�-� Olt Q 51-4 eJ eES f- L . 4 %. Address Apt. City State Zip Folio Number 1 1- 3..O 5 - 0 ( i - pogo Lot Block N AT , AG 1/4....) Arse 1-1 EN . or,: 5 TPat4 0 Subdivision PB PG Zoning Linear Feet Current Use of Property ES 0E.n A `. Square Feet Units Floors Proposed Use of Property e_ ES1 0 ENT 1 Au Value of Work $15 0 • on Bldg Value Tenant Information PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. LA 61:› 0 Subsidiary Permit No. Description of Work / A S TALL N &J L Q GA■k...0,4 Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ELECTRICAL TYPE Minimum Fee Q"I Y. • • Tn'I'F. Dryer • : : _ • • QTY. "TYPE Outlet, Appliance Q'I'Y. TYI'I{ Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New i MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wa11/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile Res. Lavatory Septic Tank Water Heater New i Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 2 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencemen accordance with Section 713 -35 of Florida Statutes. Review the brochure at Vill Choosing a Contractor. r STATE O ORIDA, ,QNTY OF MIAMI -DADE , cb... , 1 r,ati i. Signature of Owner WELS »J IOIMAN4 Print Name _ Sworn to and subscribed before me this n day of DEC. SEAL: —/ / Si: Er! eofNo tyPu �•�•.• JENNIFER STAMENKOVIC �qy Cp +1 94SION # CC 961200 ev.. Aug 14, 2004 ► 4v '- r • • crviOe & Bonding, Ina Personally known OR, LICE/6e , Produced Identification r Type of Identification Produced: C• OR 1 v S • • ••• • •• • • • • • • •• • • • • • • PERMIT APPLICATION •• • • • •• IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PL•IiIIIIT CARTE applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AI SAIyITARYC+011I911141N:ree from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT A, ) DalRi. • • • :' : • 4. SWALES MUST BE PROTEC I hD FROM BEING DAMAGED BY EQUIPMENT OR VEHICLItS, A1') ii6ED FOR STORAGE. A bond is required for work in or near the street/sidewalk. ••• • • • • • 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer • which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: ust b- POS Ha on ' S Signat /'f Con . ctor / ualifie C�t-1N LIPKA Print Name Sworn to and subscribed before me this 5 day of D E(_ SEAL: Sig titre of Notiry Public - State of Florida 610 1 ,. y Personally known A ED AT onstruc AMI -DADE JO? SITE in Law and ;ENNIFER STAMENKOVIC " COMMISSION # CC 961200 : Y.PIFiES: Aug 14, 2004 . nr,v L 7 :ctar Service & Bonding, Inc. OR, Produced Identification Type of Identification Produced: Page 3 • • • ••• RECEIVED AND REVIEWED BY: • A • • • • • • ••• • • • • • • ••• • • • • • • • • • • • .•• PERMIT APPLICATION • •• • • • • •• • • • • ••••• ••. INSTRUCTIONS: Pleas& iAdicatq the fjpe of �Lork being performed and quantity(ies) in the space provided below. • DATE: Miami Shores Village _ NE 2nd Avenue Phone: 305 -795 -2204 Printed: 12 /9/2002 Applicant: MARGOT TUMANI Owner: TUMANI MARGOT JOB ADDRESS: 1077 NE 91 TERR Contractor EH WHITSON Local Phone: Parcel # 1132050010090 If there is no permit Signe In considera on : the issu with the plans, drawings, star myself, my age servants c FOR SUNiBUST SunTrust Bank Plumbing Permit Permit Number: PL2002 -332 Contractor's Address: 423 SOUTH 21 ST Legal Description: WATERSEDGE PB 9 - 141 E1/2 LOT 10 & LOT 11 BLK 1 LOT SIZE 75.000 X Fees: FEE2002 - 7044 Description ,�-�- 70 : t Amount CCF $0.60 Total Fees: $0.60 70 a? ©- Total Fees: $0.60 Total Receipts: $0.00 w Page 1 of 1 Permit Status: Approved Permit Expiration: 6/7/2003 Construction Value: $750.00 Work: INSTALL NEW 40 GALLON NAT GAS WATER HEATER ON STAND - - •� at— :11.L.._____ r _ _0 mutt inn fee is $50.00, which m AL & JO It N RP SES IN oyz000 421 S 21st Avenue This Permit is granted to th Hollywood, FL 33020 -5013 ordinances pertaining thereto and approved by the proper n authorization. A further condi ordinances and regulations p PAY Cr-ok%.) $ % by his agents, servan . or err x h TO THE ORDER OF .- I as / 7 41 4 2 cz2 - 33Z «00 02 43li ' 1 :06 70060 7 61:03850 70 "'551n' DATE I - `) 0 DOLLARS 0243 63. 607/670 • Date 9 o c� PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Ss—' Q Job Address 10 - 7 OE q ( 1 iZ4L Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant ilk c- ^TUi kan 1 Master Permit # "t LP W ® 1 "( 1 t t q Owner's Address I ( 1 r*— Q � L ) CP d l t.rr}vbl; �{(OrrS . Phone Contracting Co.' y l ri lI(.( 4 l 1443 IA.S ,c- kc -E 0 Address g gsc? NvL (9--7 1 .e_e_4 f Y1 i,, n i , r--, Qualifier � C� 0 i � Q�� Cq U SS# , 3°5-55)— 044,7 2 State # C( 0 .c 5 Municipal # Competency # Ins. Co. GrO(PC-4 S Cc. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION '1WY St4 ( tivk n c S. Square Ft. Estimated Cost (value) 5(OD) - a 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF' YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo Presid Notary as to Owner My Commission r ices: r Condo President V / FEES: PERMIT I J RADON Date Date OF 11.‘ C.C.F. � NOTARY �� BOND APPROVED: TOTAL DUE Zoning Building Electrical Mechanical Plumbing (E SLl,�1 C4Y1S'C CCAdt(5 )1 / 1.019 j Signatu of Conti. for or Own - um -' akika)FOLStmox___ Notary as''t'Contractor or Owner- Builder My Commission Expires: Marlene Perdomo * My Commission CC592133 Expires Oct. 09, 2000 7` // -� Date (7 (-`) Date Structural Engineer ITEM BATH TUB ' F � `�I FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY _ A/C (CENTRAL) CRINKING FOUNTAIN • SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY / WATER HEATER • U.F. PRESSURE VESSELS CLOTHES WASHER 1 MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE / MOTCRS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS .RINAL MOTORS OVER 25-100 HP COOLING TOWERS HATER CLOSET MOTORS OVER 100 HP _ VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION iATER SUPPLY TO: AIR CONDITIONERS ' A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. / GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE 1 SIGN TUBES :EWER CONNECTIONS 1 SIGN TRANSFORMERS TILITY -SEWER SIGN TIME CLOCK TILITY -WATER FIXTLRES EPTIC TANK ANTENNA _LAY TELEVISION OUTLETS RAINFIELO, 4' TILE/RES. _ '2W VIOLATION S ABANDON SEPTIC TANK REINSPECTION JAXAGE PIT CU. FT. ATCH BASIN ISCHARGE WELL :MESTIC WELL TEA DRAIN :0F INLET :LAR WATER HEATER 'RE STANDPIPE XL PIPING . ;1YN SPRINKLER SYSTEM S RANGE :TER SET (GAS) S PIPING GAS e&IP V ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR ___LDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Date Legal Description Master Permit # / 6-- Pho(e,30-�) '9a - ep Address /c4, )H AileA S# FJ ne T i Owner / Lessee / Ten - Owner's Address rAitr1/4 Contracting Co. Qualifier State # J Municipal # V Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRI L PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ■ ** * * * I * APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address / 72 qj Tax Folio Zoning Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating cons •uction and zoni Furt ermore, I authorize the above -named contractor to do the work stated Signat or t/ owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: Mechanical Plumbin nat Date N. ary as t My Comniss'' ofz c 3erd (.1 re of Cont ctor or - Builder h 1A ar $r- Builder of Plorld• My Comm, Exp. MOW Cotnrrj: CC628881 * * * * CO * * * r .= * * �a * ** 60 RADON C.C.F.�4 NOTARY TOTAL DUE Fire Other Building Electrical Engineering /077 Me 41 Tecc_D=: i•AS7co -.71-71-0F iv: PlorAtiirtc see r t te, cetWinet C3L-7 S=OT PAGE I...CU110N y‘-gy CZTS u Co )77 c,17' i u 1126" F go/A-1? 70 5 1 5e No ch Womi 46 -84 (g) (1) Effluent or drainage from a home washing machine may be disposed of by discharge into the septic tank or by discharge into separate interceptor having minimum capacity of 225 gallons, baffled and vented, and provided with absorption field having a minimum area of 100 square feet for two bedroom residences with an increase of 25 square feet for each additional bedroom. (2) No reduction in required septic tank capacity or drainfield area for septic tank system shall be made when separate disposal is used for laundry wastes. (h) House drains installed in connection with new construction where waste disposal is to a septic tank shall be as follows: (1) If a building site is served by both street and utility easement or alley 12 feet or more in width, the house drains shall be installed to extend from either side of the building. (2) Where no utility easement or alley 12 feet or more in width exists, the house drain shall extend from the front street side of the building, or from either side thereof. (3) Where buildings are so located as to provide no side yards and no utility easement or alley 12 feet or more in width exists, the house drain shall extend from the front street side of the building. (4) Where buildings are so located as to provide no side yards and utility easement or alley 12 feet or more in width does exist the administrative authority shall determine and establish the location of the house drain, to either the front or the rear of the building. 4615.2 PERMITS: (a) Septic tanks and drainfields shall not be constructed, installed or altered until a permit for such proposed work has been obtained from the enforcing authority. (b) For septic tanks over 2000 gallon capacity, plans and specifications shall be first submitted to Department Environmental Resources Management for approval and such approval together with plans shall be then submitted to the Plumbing Official for approval and a permit issued before construction work is commenced. 4615.3 UNLAWFUL TO SELL: No person. firm or corporation shall install, con- tract for, sell, manufacture or offer for sale within the area of jurisdiction of this Code, any septic tank. liquid waste collection or disposal system, sewage treatment system or similar device, including chemical additives, which does not conform to the requirements of the Florida Department of Environmental Regulation, and which has not received prior approval therefrom from the Florida Department of Environmental Regulation, and the Plumbing Official. 4615.4 FACTORS COVERING THE TYPE AND METHOD OF DISPOSAL OF SEWAGE AND LIQUID WASTE: (a) The construction and/or installation of sewage and /or liquid waste disposal systems shall be based on the governing factors set forth herein. (b) Where a public sewer exists, factors governing shall include: (1) The character and quality of sewage and /or liquid waste. (2) The availability of a public sewer. (3) The design or unused flow capacity of the available public sewer as set forth in Subsections 4605.2 and 4605.4. (4) For rainwater disposal Subsections 4605.2. 4605.4 and 4611.4. (5) The design or unused flow capacity of the existing plumbing system; whether such system is capable of accommodating the load as deter- mined by the Plumbing Official and as otherwise limited by this Code. (c) Where no public sewer exists or where a public sewer or plumbing 1988 SOUTH FLORIDA BUILDING CODE Permit No. Registered Architect and/or Engineer Em o ' �P)um � pe f�/ G/,OII �/ �Loca con and Legal Descri ion Lot y Amount of Permit $ 0 N(742 are tT1e. NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXP, APR. 1,1994 ROlDEO THRU GFNFRAL TNS, I My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the b ilding 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 the progress of work. Owner's Name and Address N E k o Tu m 0.1J i L No. 10 ( 1 P 1= Street 9) // (Signed STATE COUNT to me,well- known, and who being by me first duly sworn, upon oath deposes and says that he is the of theabove described construction, that he has carefully read the foregoing application, and that he did s f9/- Date / No. 8 / t1 Street Block / Subdivision Vu rite*/ Sen Uice": )- e0 Street and Number where work is to be performed — No. /C; / V / ? 7 2e Street /., // /' J �? State work to be performed and purpose of building (By Floors) 7 s love To Willies // ,,��// &'r A� cP �` Ar' • P 1 9 -I�'stal ecrh New Building Remodeling Addition Repairs No. of Stories Type of Tank Capacity Gals. Size Septic Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well Size of Soakage Pit IDA, ADE. ( 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 complied 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 notice = required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed 4161 • -) 'lla: •. . (Signed) Al... . lC5 nl t T ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared �bsc- d Lt -r Notar ' • s c, State (7,,,,a1 Master Plumber. and that all facts therein by him stated NOTE: A re- inspection fee of $25.00 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 FOUNTAINS 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. UST CHECK Permit No. Registered Architect and/or Engineer Em o ' �P)um � pe f�/ G/,OII �/ �Loca con and Legal Descri ion Lot y Amount of Permit $ 0 N(742 are tT1e. NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXP, APR. 1,1994 ROlDEO THRU GFNFRAL TNS, I My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the b ilding 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 the progress of work. Owner's Name and Address N E k o Tu m 0.1J i L No. 10 ( 1 P 1= Street 9) // (Signed STATE COUNT to me,well- known, and who being by me first duly sworn, upon oath deposes and says that he is the of theabove described construction, that he has carefully read the foregoing application, and that he did s f9/- Date / No. 8 / t1 Street Block / Subdivision Vu rite*/ Sen Uice": )- e0 Street and Number where work is to be performed — No. /C; / V / ? 7 2e Street /., // /' J �? State work to be performed and purpose of building (By Floors) 7 s love To Willies // ,,��// &'r A� cP �` Ar' • P 1 9 -I�'stal ecrh New Building Remodeling Addition Repairs No. of Stories Type of Tank Capacity Gals. Size Septic Tank Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well Size of Soakage Pit IDA, ADE. ( 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 complied 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 notice = required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed 4161 • -) 'lla: •. . (Signed) Al... . lC5 nl t T ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared �bsc- d Lt -r Notar ' • s c, State (7,,,,a1 Master Plumber. and that all facts therein by him stated NOTE: A re- inspection fee of $25.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship.