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1094 NE 91 Terr (3)APPROVED: Zoning FEES: PERMIT ad State # S Cis /7 - /t,2 30 Municipal # RADON Building PERMIT APPLICATION FOR MIAMI SHORES VILLA G$ E C E G V E D 10050 N. n AVent?!e • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305 -75 82 9 = / .P(3 APR 8 2003 Date Job Address 0 f e / Ai / evz Tax Folio Square Ft. Permit Type (circle one): BUILDING ELECTRICAL ORK DESCRIPTION: 1 0/9/ i G{./ e,// Legal Description Historically Designated: Ye No wner /Lessee/Tenet • (12 X iiit,01() f l ' Master Permit # 0 ^ 3 r 1 Z� ner's Address 1 t3 1-k � 0 ` � S�J P e � — 7� �J 2 Z �- 3 7v Z-7/77 fi �i� - r i Contracting Co. � ` Q � / / z Address � �T � � �/ - � 7 -5��� /1! �i � 3,3 � j Qualifier L / / y' MA / / 4 z SS# / / © / Phone 6 ) s' g 5` 7 3,2 Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. d Cost (value WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). 1 certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulati construction and zoning. Furthermore, 1 authorize the above named contractor to do the work stated. nature of Contractor or Owner Builder Date FL D f 63( 00- y3 -off1 2 4_ N of [o o actor ok ner m er ate M ommission ires Ange l a M Becker i. • My Commission DD150048 1� or nd„ Expires November 15, 2008 C.C.F . 6 0 NOTARY -S 0C. BOND TOTAL DUE Electrical Mechanical Plumbing A _ J Structural Engineer 2$c MECHANICAL ROOFING 'EM :TH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE hEATERS - UNIT FEE CET LIGHT OUTLETS CENTRAL AT I hG S;RASriER RECEPTACLES A/C (WIND) SPOSAL SERVICE TEWPCRAAY A/C ((EMS) ;INKING FOUNTAIN SERVICE SIZE IN ,1M S DUCT )C'.K .00R ('RAIN SERVICE REPA I RAE TER CHANGE REFRIGERATION ;EASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING f i ERCEPTCR RA1GE TOP UIOERGROU?O TANKS ;VATCRY OVEN ABOVE GROUND TANKS :UNORY TRAY RATER HEATER U.F. PRESSURE VESSELS .ATHES MASHER MOTCflS 0- 1 HP STEAM BOILERS -DER MOTORS OVER 1- 3 FP HOT MATER BOILERS :NK, POT/3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION „lX. RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSE1ELIES ;NX, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS :W0RARY MATER CLOSET MOTCRS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS U NAI MOTORS OVER 25-100 FP COOLING TOWERS ;TER CLOSET MOTORS OVER 100 FP VIOLATION . DIRECT WASTES A/C WINDOW REINSPECTION ;TER SUPPLY T0: AIR CONDITIONERS . A/C UNIT STRIP HEATER ` FIRE SPRINKLER GENERATORS TRAISFCR)€RS r HEATER -NEW INST. GENERATORS TRAI SFORIIERS HEATER-REPLACE GENERATORS TRAKSIMERS LAWN SPRINKLER -WELL / SPECIAL PIRPOSE OUTLETS COMr RCIAL SNIMfiUING POOL WATER SERVICE SIGN TUBES :WER CONNECTIONS SIGN TRAILSFCFI€€RS 'ILITY -SEWER 'ILITY SIGN TIME CLOCK -MATER FIXTURES PTIC TANK ANTENNA L AY TELEVISION CURETS AINFIELO. 4' TILE/RES. VIOLATION 4 & ABANDON SEPTIC TANK REIFSPECTION :RAGE PIT CU. FT. .TCH BASIN SCHAACE WELL 4ESTIC WELL EA CfRAIN CF INLET LAR WATER HEATER RE STANDPIPE CC. PIPING 41 SPRINKLER SYSTEM S RANGE TER SET (GAS) . 3 PIPING APPLICATION FOR BUILDING PERIIT MUST ACCOHPANT THIS ADDENDUM. IF A MASTER PERMIT HAS B. 33TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL r Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2003 -115 Printed: 4/29/2003 Applicant: ALEXIS JUSTO Owner: JUSTO ALEXIS JOB ADDRESS: 1094 NE 91 TERR Contractor ELIJIO MARTINEZ Local Phone: 305 - 844 -3281 Parcel # 1132050010380 C F . n•Lts- Total Fees: 1040 Total Receipts: $0.00 Permit Status: Approved Work: WATER WELL A git Signet: /) "ALA. /L / / In considerate elf the issuance to me of this permit, I agree to 1 conformity wi plans, drawings, statements or specifications : done by either myself, my agent, servants or employes. Signed: Legal Description: WATERSEDGE Permit Expiration: 10/26/2003 Construction Value: $250.00 RINA G. MARTINEZ ELIGIO MARTINEZ (IN: 2875 N.W. 4TH ST. MIAMI, FL 33125 -5047 Plumbing Permit BankofA ACH Ft/r 063100277 Contractor's Address: 2875 nw 4 st Pay r the % � rtes order of /G7r'U' o PB 9 -141 LOT 12 /214-76 1:0630000471: 000463353= :ll• L692 Date 42 - 0; Page 1 of 1 Dollars 8 BLK 2 LOT SIZE 50.000 X 125 1692 63 -4/630 FL 1229 an haat Oftile on Yell Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/29/2003 Applicant: ALEXIS JUSTO Owner: JUSTO ALEXIS JOB ADDRESS: 1094 NE 91 TERR Contractor ELIJIO MARTINEZ Local Phone: 305 - 844 -3281 Parcel # 1132050010380 Sign Signed: SPECTOR) Plumbing Permit Permit Number: PL2003 -115 Contractor's Address: 2875 nw 4 st Legal Description: WATERSEDGE PB 9 -141 LOT 12 Page 1 of 1 Permit Status: Approved Permit Expiration: 10/26/2003 Construction Value: $250.00 Work: WATER WELL BLK 2 LOT SIZE 50.000 X 125 Total Fees: $8O8- Total Receipts: $0.00 I i.0fA. r .�/ ga In consid -r. A .f e is uance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. (Contractor or Builder) BY: Permit No - Date_�_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl>: submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. �' ,�/ Owner's Name and Address Jig flj__-1l rCr..___ No.____ /� i ._ Street__ Registered Architect and /or Engineer_ __ 4°0 '4.'L Employing Plumber's Name_._. . � � / L_ __- —�__ No._ - -_ --A t ' , Street 7/ Te t._......_._ Location and Legal Description Lot __- _ 12— ___.._______ Block_ 2.— Subdivision_ -K Street and Number where work is to be performed —No ,_../),9 r Street 91 T e eie State work to be performed and purpose of building (By Floors)_.. New Building_ _ -_ -V _ -- Remodeling____ __ -__ -- Addition_-- __ - - -_ Repairs STATE OF FLORIDA, } COUNTY OF DADE. Size Septic Tank ` "�`� - - - - `' 5/10 Type of Tank 143 s✓ -'` ___(� "-" • �--• Feet of Drain Tile__ -___ __ - 1_ °k._ -Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl ell. CA 4 r Y ______ ______Size of Soakage Pit My Commission Expires MIAMI SHORES VIL:,AGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING " ;�•.i�l� Amount of Permit $ I `' (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pe nanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. /J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared - e �; ' ;�F # N , to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the 4, t, 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 /ox workmanship. (Signed). Notary Public, State of Florida , No. of Stories Capacity Gals. 7 OQ t7 t Master Plumber. CLOSETS TUD6 TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NB TOTAL FIXTURES CONTR. LIST 7 L� / / f 7— / 7 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CoNTR. LIST / ' ' -- CHECK Permit No - Date_�_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl>: submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. �' ,�/ Owner's Name and Address Jig flj__-1l rCr..___ No.____ /� i ._ Street__ Registered Architect and /or Engineer_ __ 4°0 '4.'L Employing Plumber's Name_._. . � � / L_ __- —�__ No._ - -_ --A t ' , Street 7/ Te t._......_._ Location and Legal Description Lot __- _ 12— ___.._______ Block_ 2.— Subdivision_ -K Street and Number where work is to be performed —No ,_../),9 r Street 91 T e eie State work to be performed and purpose of building (By Floors)_.. New Building_ _ -_ -V _ -- Remodeling____ __ -__ -- Addition_-- __ - - -_ Repairs STATE OF FLORIDA, } COUNTY OF DADE. Size Septic Tank ` "�`� - - - - `' 5/10 Type of Tank 143 s✓ -'` ___(� "-" • �--• Feet of Drain Tile__ -___ __ - 1_ °k._ -Dist. Feet of Tank or Drain Field from Well Nature of Water Suppl ell. CA 4 r Y ______ ______Size of Soakage Pit My Commission Expires MIAMI SHORES VIL:,AGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING " ;�•.i�l� Amount of Permit $ I `' (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pe nanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. /J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared - e �; ' ;�F # N , to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the 4, t, 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 /ox workmanship. (Signed). Notary Public, State of Florida , No. of Stories Capacity Gals. 7 OQ t7 t Master Plumber. BUILDING ❑ ELECTRICAL ❑ PLUMBING .'Q1 ROOFING ❑ Work to be performed under this Permit Owner of Building Building e rE .) J 2 -0 711 ! ," Architect Contractor or Builder Legal Description Address of Building Lot 11 l ` V �� (. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE Z ` 1954_ Contractor's License No , - ? 4i PERMIT N? 8292 Bl. z to rf r t. Subdi- vision L•.- am' 7 (-def. C Sq. Ft Value of Project $ 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 the plans or drawings or in the state4ents or specifications and that he assumes responsibility for work done by his agents, servants or employees. , ( !� r Signed t'`Y �,. . r ..,, � . � ^' ,. INSPECTOR > In consideration of the issuance to me of this permit I agree to perform the work covered under in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications s itted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for i„work done by either, myself, my agent, s ant or employee. ,e Amt. of ekes Permit $ Z BY AUTHORITY