PLUMBINGPOOL PIPING
JAN 1 1 MOT
Passed
p
for Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 01/12/2007
Inspector: Levrack, James
Owner: LIEBER, RAND AND PATRICIA
I Job Address: 137 92 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: CUSTOM POOLS
Building Department Comments
Thursday, January 11, 2007
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972 - st
Block:
!:0$0000:::00.0
n
r emit
6:551
Permit Type: Plumbing - Residential
Inspection Type: Main Drain
Work Classification: Pool - Private
Phone Number (305)439 - 8905
Parcel Number 1132060133170
Lot:
Phone: (305)255 - 5315
Page 1 of 1
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE /�
Date,/ / _ o4ob Address /37 /1f 9c 5 t Tax Folio 1/ - 3(9-06 3/ l 7c
Legal ■ 'ption 60 / ,/ /K 49-3 Historically Designated: Yes No
Owner/L.essee / Tenant /N IQ'N() vb ws° AJ Master Permit #
Owner's Address 13 4Ut ,f2-'S7 Phone
Contracting Co. 861 e � DT"l C 4 D TLAddress /Oc9 / 4 S
�[
Qualifier 66) . Titi D //A SS# ® j - 5 s' /r
State # S/2U Cf a"1l Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECIEIANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft. c )-Q d
OWNER'S AFFID : certify that
construction . : zo ' Furtherm
of owner and/or • • j ' -. ‘r. t -
My Commission Expires:
APPROVED:
Zoning Building
Mechanical Plumbing
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.
11 th •ore: • g information is accurate and that all work will be done in compliance with all applicable laws regulating
the above -named contractor to • , . - • stated.
Date
Notary as to Owner and/or Condo President Date
` G
FEES: PERMIT 4 -C -0 , RADON C.C.F. / ~ ° NOTARY BOND
Estimated Cost (value)
Notary as to Contract,_
My Conunis io y . GIRL NOT SEAL
j O p j MM 0ARITA MONTIEL
2 NI i ' t (n I3Q OMISSION NUMBER
t. V m� % a XC797277
- c i : A54 L()1•fc•d53SION EXPIRES
` OF FAO t 17 2002
Electrical
Ins. Co.
Date
c . ) 3�o
TOTAL DUE P 6-2 C
Structural Engineer
No Date 7 3 / - 50
App ication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer ___ —
Employing Plumber's Name
cu . n /� ' _: -IAA' t_ No._ -7 �/ F -- Street- /1: - • ( � L
40 v �9i✓tsf P'� w 1 I= J - - -_
Lotion and Legal Description Lot__ B1ock Subdivision
Street and Number where work is to be performed— No._-__-- .____ _ c ? Street ,. G_.
State work to be performed and purpose of building (By Floors) _! __ Z44' `L 9 — • ---' 60 ?:
New Building Remodeling Addition
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
Amount of Permit $
MIAMI SHORES VJLuAGE
PLUMBING INSPECTION DEPARTMEN':'
APPLICATION FOR PLUMBING °" ;�•,aWl�
. - - - __ No f 3 / street -.._ 9), 72 " ,11
(Signed)
Repairs No. of Stories .. .......................
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio s as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent/ upplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employ‘d 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.
( Signed)..
12
- 1A -
My Commission Expires Notary Public, State of Florida
.1
/ Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ...
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
- ll.Cla
CLOSETS
BATH
TUBS
—•
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
60 1 Slff I
tn/R T }!E?
/
TOTAL
FIXTURES
- --
CONTR.
LIST
/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
No Date 7 3 / - 50
App ication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer ___ —
Employing Plumber's Name
cu . n /� ' _: -IAA' t_ No._ -7 �/ F -- Street- /1: - • ( � L
40 v �9i✓tsf P'� w 1 I= J - - -_
Lotion and Legal Description Lot__ B1ock Subdivision
Street and Number where work is to be performed— No._-__-- .____ _ c ? Street ,. G_.
State work to be performed and purpose of building (By Floors) _! __ Z44' `L 9 — • ---' 60 ?:
New Building Remodeling Addition
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
Amount of Permit $
MIAMI SHORES VJLuAGE
PLUMBING INSPECTION DEPARTMEN':'
APPLICATION FOR PLUMBING °" ;�•,aWl�
. - - - __ No f 3 / street -.._ 9), 72 " ,11
(Signed)
Repairs No. of Stories .. .......................
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio s as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent/ upplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employ‘d 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.
( Signed)..
12
- 1A -
My Commission Expires Notary Public, State of Florida
.1
/ Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ...
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
- ll.Cla
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building_
Architect
Contracto
or Builder
Legal
Descripti
Address
Building
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N9 7592
Work to be performed under this Permit
Contractor's
License No
DATE 195
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 statements or specifications,and that he assumes responsibility for work
done by his agents, servants or employees. /'
(.
Signed •
BY-
INSPECTOR :y
In consideration of the issuance to me of this permit I agree to perform the work covered herriiider 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 responsibility for all work done by either, myself, my agent, servant or employee.
0.
CONTRACTOR OR BUILDER P( BY i AUTHORITY
17
yA
T -, ,
I
r
,
"
Er' rl
n
Lot
Bi.
t
Subdi-
vision
,f
��
Sq. Ft
Amt. of
Permit
$
%'r : 4' 1
Value of
Project
$
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building_
Architect
Contracto
or Builder
Legal
Descripti
Address
Building
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N9 7592
Work to be performed under this Permit
Contractor's
License No
DATE 195
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 statements or specifications,and that he assumes responsibility for work
done by his agents, servants or employees. /'
(.
Signed •
BY-
INSPECTOR :y
In consideration of the issuance to me of this permit I agree to perform the work covered herriiider 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 responsibility for all work done by either, myself, my agent, servant or employee.
0.
CONTRACTOR OR BUILDER P( BY i AUTHORITY
17
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Penni, Nom. �/ o -- — Date ..... . 4L . / 8 ....
.e ii,t:rect Architect and /or Engineer
?mploying Plumber's Name . -i vZN.!.K
:I; phi.,tl nl
is Lercby made for the approval of the detailed statement of the plans and specifications herewith sub e• .
tructure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.:
all pros i.sions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic
of Miami Stares Village shall be complied with, whether herein specified or not. A copy of approved plane and spec
',wilding during progress of work. ®
'hvner's Name and Address...R �r LLI ICr0I (Q No. j7 'Y .TZ
Street......
etpt- ._Vleic,LtAI4 i kNo,. -- 0q-'•30 m street..2 AYENVE .. af
Location and Legal Description Lot_____ _ ._.__ ___. —_, A Bloc1<_ -- ___.______.. Subdivision.._..._
Street and Number where work is to be performed —No 13 7 •yam —.l_ —Z Street
State work to be performed and purpose of building (By Floors) _-.
New Building Remodeling —__ Addition Repairs
Size Septic ....... -- -• - - -- --Type of Tank
Feet of Drain Tile. --- •---- --- --- -...--- --- - -- --- _—Dist. Feet of Tank or Drain Field from Well.. . - ---- •----- --_ --.
Nature of Water Supply: City — Well..__ _ — .._--- .-- -_--_- _Size of Soakage Pit
D ,(
Amount of Permit $
AA( lat.'' J: d,.1-1.,ES FLB 14 193/
GlnuniasiOnErpCres
Capacity . .ala
STATE OF FLORIDA,
COUNTY OF DADE.
( Signed) A / .. � (4/V
Plumbinst inspector
The undersii red applicant for this building permit does hereby certify that he understands and accepts his obligations as an e n; ioye1 of tabor
under the Florida Workmen's Cornpensation Act, being Section 5968, Compiled General Laws of Florida Permanent : upi lement, and lass Ian
lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in • e rk o b•-
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publ: notice ). no iccr is a:
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performe y ' s this � •r ill, .t •
licensed by Miami Shores Village.
Aaw
/ e' 5o ■✓ - 4V»4f(J
6 5 0 t-5372 -
Before oyg, the , dersigned thority, a notary public, duly authorized to administer oaths and take acknowled3ments, perwrr; , pp.arec.
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 sii the same, and butt all acts
therein by 1lu5.1- s ateai ;arc true: OF FLOW, DA
Notary Public, State
a for the building or other
Shores Village, Florida,
• of the Building Division
fications must be kept at
Nt.: of Stonrt
Mast n Plumber
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is mede•neoessary by improper notice for inspePon, tar tSutt)
materials and/tat workmanship.
GLOene
BATH
rues
(,HOW [RS
LAVA-
TORIES
LINK[
SLOP
SINK[
LAUNDRY
rue•
URINALS
CATCH
BASIN
FLOOR DRINKING
DRAIN FOUNT' NS
TOT..L
FIKTI RE•
CONTR.
LI T
•
CHECK
SWIM'O
POOL
J
__
-
SEPTIC
TANK
SEWLR
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H
DEEP
WELL
SPRKLR.
SYSTEM
1
Cowr .
LIST
Ir
I
�
1f
1
CHICK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Penni, Nom. �/ o -- — Date ..... . 4L . / 8 ....
.e ii,t:rect Architect and /or Engineer
?mploying Plumber's Name . -i vZN.!.K
:I; phi.,tl nl
is Lercby made for the approval of the detailed statement of the plans and specifications herewith sub e• .
tructure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.:
all pros i.sions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic
of Miami Stares Village shall be complied with, whether herein specified or not. A copy of approved plane and spec
',wilding during progress of work. ®
'hvner's Name and Address...R �r LLI ICr0I (Q No. j7 'Y .TZ
Street......
etpt- ._Vleic,LtAI4 i kNo,. -- 0q-'•30 m street..2 AYENVE .. af
Location and Legal Description Lot_____ _ ._.__ ___. —_, A Bloc1<_ -- ___.______.. Subdivision.._..._
Street and Number where work is to be performed —No 13 7 •yam —.l_ —Z Street
State work to be performed and purpose of building (By Floors) _-.
New Building Remodeling —__ Addition Repairs
Size Septic ....... -- -• - - -- --Type of Tank
Feet of Drain Tile. --- •---- --- --- -...--- --- - -- --- _—Dist. Feet of Tank or Drain Field from Well.. . - ---- •----- --_ --.
Nature of Water Supply: City — Well..__ _ — .._--- .-- -_--_- _Size of Soakage Pit
D ,(
Amount of Permit $
AA( lat.'' J: d,.1-1.,ES FLB 14 193/
GlnuniasiOnErpCres
Capacity . .ala
STATE OF FLORIDA,
COUNTY OF DADE.
( Signed) A / .. � (4/V
Plumbinst inspector
The undersii red applicant for this building permit does hereby certify that he understands and accepts his obligations as an e n; ioye1 of tabor
under the Florida Workmen's Cornpensation Act, being Section 5968, Compiled General Laws of Florida Permanent : upi lement, and lass Ian
lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in • e rk o b•-
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publ: notice ). no iccr is a:
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performe y ' s this � •r ill, .t •
licensed by Miami Shores Village.
Aaw
/ e' 5o ■✓ - 4V»4f(J
6 5 0 t-5372 -
Before oyg, the , dersigned thority, a notary public, duly authorized to administer oaths and take acknowled3ments, perwrr; , pp.arec.
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 sii the same, and butt all acts
therein by 1lu5.1- s ateai ;arc true: OF FLOW, DA
Notary Public, State
a for the building or other
Shores Village, Florida,
• of the Building Division
fications must be kept at
Nt.: of Stonrt
Mast n Plumber
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is mede•neoessary by improper notice for inspePon, tar tSutt)
materials and/tat workmanship.
Permit No. . �
Amount of Permit $
`3(O°
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owner's Name and Address.-- -1
Registered Architect and /or Engineer .__.__
Employing Plumber's Name. - I__..___ ___._ No .. Street
Location and Legal Description Lot.___.._ -..._ Block_-._.___ _ Subdivision _ ________.____
Street and Number where work is to be performed —No _I __ .. Street.
State work to be performed and purpose of building (By Floors ) _
New Building _ Remodeling Addition-.._- .... . ..... .._.__.. Repairs._
No.____ Street
Oa- ,5°
... 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 5986, Compiled General Laws of Florida Pennanent Supplement, and hits otn-
plied with the provisions thereof, and will require similar compliance from all contractors or sub -contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as an
licensed by Miami Shores Village. d
1
(Signed) — . - -I ! % -- / t . /^ •
Master Plumber.
STATE OF FLORIDA, 55.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally dppeare
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 tat.
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Lill
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURE!
Comm.
LIST
_—
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
NEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 'G
POOL
CONTR.
LI
CHECK
Permit No. . �
Amount of Permit $
`3(O°
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date
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 Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building during progress of work.
Owner's Name and Address.-- -1
Registered Architect and /or Engineer .__.__
Employing Plumber's Name. - I__..___ ___._ No .. Street
Location and Legal Description Lot.___.._ -..._ Block_-._.___ _ Subdivision _ ________.____
Street and Number where work is to be performed —No _I __ .. Street.
State work to be performed and purpose of building (By Floors ) _
New Building _ Remodeling Addition-.._- .... . ..... .._.__.. Repairs._
No.____ Street
Oa- ,5°
... 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 5986, Compiled General Laws of Florida Pennanent Supplement, and hits otn-
plied with the provisions thereof, and will require similar compliance from all contractors or sub -contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as an
licensed by Miami Shores Village. d
1
(Signed) — . - -I ! % -- / t . /^ •
Master Plumber.
STATE OF FLORIDA, 55.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally dppeare
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 tat.
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Lill
materials and /or workmanship.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
1 / 3 -) Al ( q a N� �
Date a - l Job Ad dress v Tax Folio
Legal Description
Owner / Lessee / Tenant
Owner's Address 7� -?�r� v cz‹-) )
Contractin Co. 4)€ /N'2 /° orib)NQ LA) C Address /l c7 r I q AVE
Qualifier
SS;f Phone 9 I- '7 �.�.�-
State KF aoSaC.,.V55Municipal # Competency # Ins.Co. - 77:e4 vPI rR.� — Z'
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION - � / U- , /
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 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 President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * * * * * * *
FEES: PERMIT IN RADON C.C.F. it
APPROVED: Fire
Zoning Buildin
Mechanical Plumbin
Notary
My Comm
Phone
Estimated Cost(value) /gon.Oo
P P ( OFFICIAL NOTARY UAL
i of NA :MA u YONT ;EL
, • rIt PSMMISDIOlfrNQalR'
• e 9401261
OF F�� ' Rr COMMISSION .EXP.
AUG. 17,1588
Master Permit # 3a
B uilder
* * **
NOTARY 5T TOTAL DUE ,4,5 D
Other
Electrical
Engineering
c, X1j�'G / (�
?) (J E.' c " .ST"
P T )k
1
.
Date
1'2/-9./
Job Address /37 AJI 5;'o? '
Legal Description
Owner / Lessee / Tenant
Owner's Address
Contracting Co.
Qualifier ` , led y 67 Phone 8 9/ -36 ¥. c
State Ift&OS706'9 Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 3//1 ,c7 /2.Z - P/
Square Ft. /00
Signature
Date:
Notary as to
My Commission
** *
APPROVED:
Loss
19. -zo , / .6L 23 ' .712,./.9 75 m' op/ 4�74 /i'-P
/37 "!E 9a %
e G Cd Ser✓ic405 �
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
of owner and /or Condo President
* *
FEES: PERMIT J .
�']`OlIr�01
* * * *
J`' RADON C.C.F.
Fire
Zoning Buildi
Mechanical
Plumbin
Address //9425
/1/ 4 t- 14 ' 14 ,6o 9
Date:
Tax Folio
S h.Dre 3
//320(00/ 33 /70
?, /D P-70
Master Permit 1P /�
Phone 7�7
c)o
Estimated Cost(value) -- /D et.
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- alined contra tor to do the work stated.
Signature of Contracto or Owner - Builder
Notary as to Contractor or Owner - Builder
My Commission Expires:
Notary Public
State of Florida at L arge
* * * * P Commission Expi b. **
October 15, 1994 J
o
OTARY TOTAL DUE B.31
Other
Electrical
Engineering
•
,0& I - To -
5 � f l - 6 �7
1 OA
Ferwo ve
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 7 Address /37 N iE 9/;?
Legal Description 4 49 4. s /9-0-Z0, 3/23 ',4 SJiore3
Owner / Lessee / Tenant FOvYYIlie. 4C 1Jr•P
Owner's Address �7 137 Nr 9a sf
Contracting Co. C (7
! L S RY /BPS c
Qualifier • �Nth.ON ((4c_i
State #6 Municipal #
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION f�e► obLe k +4 v+MS & p �1 N -o .e
t' I000s f I Is
OPIAJ Creek) - BoRra i 1mLIPTs )
Square Ft.
Signature
Date:
of owner and /or
Notary as t One
My Commission Expi
** *
FEES: PERMIT
APPROVED:
* r ro*
Condo President
TONY GERACI
My (nrnrn f xp- 12/08/ 96
dlOg±4fts
NC62d51 :60
marl IN= Pitiktrta
* * *
Phone 89/ ,gWt ?o
Competency # Ins.Co. 3 N o►rs
Mechanical Plumbin
Zoning Buj/din
Tax Folio //,3Z0100/3.3 /70
tB- io - "P70
Master Permit 1/ /9
Phone 757-39/4
Address
//90?‘ Ale a A� 1-16
Estimated Cost(value) #C O
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 applicable laws regulating construction and zoning. Furthermore, I
authorize the abo.v named contr =ctor to do the work stated.
Signature o
Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
j� �
RADON C.C.F. AG/ i NOTARY 1 TOTAL DUE e•
Fire/ Other
0. r4. —
ctor or Owner - Builder
Notary Public
State of Florida at Large
* * * IJty Comtiission Explres: **
Octolx r 15, 19T4
Electrical
Engineering
•
• 4
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address:
- Lo-Is « /clek Z3 of IT'V1eNbe PI A - + -
(Wt t i4 rwt i erg! -sores Src4 '''! ?8 - !D ?- 70 3e co F1i •
2. Description of improvement:
/)(61-.9Z'e ��e &roe a 6eN44/ 19 79/ -.Liu /or
3. Owner(s) name and address: ,/hio�1) i9A /P --3- 0757 , 11 !i ?Re
• I3?
Interest in property: (')W N 'e
Name and address of fee simple titleholder. l ' c,Y fl OID /14/19al P 7oSE' fh ' 1 Gto I rf
4. Contractor's name and address: C•V• e• e�P rv re e,4 G�NC
l (QaS" N gate 409 N • rnt„ 4wti .f 1. 33 up 1
5. Surety:(Payment bond req fired by owner from contractor, if any)
1
Name and address: N
NOTICE OF COMMENCEMEN 1
Amount of bond $ N / k
6. Lender's name and address: c eet ree — CVN1ANC1 . 14 I
1es-� 'Iw41 $' to •
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address: Owta e
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
Signature of Owner -�
Print Owners Name ?OINKU (� Y1 '
Sworn to and subscribed before me this Z / day of 3 L y , 19 7 .
TONY GERA,I y
Notary Public �. ofnmC .12/08/96
UB,LIC., nice Ins
Print Notary's Name ` = d d• =HO
My Commission Expires: fr t•43agoltrairs 11 e
51A1F OF t- LopiDA, COUNTY OI- DADE
I mrafuY CERTIFY that this is o frue copy o +firs
•ti2inol CI. 1In fhK o f f i c e on ' daY of
A 0 19
WITNESS wy h:. rf nl.d ('kind
III • ittiVi
By
cY-
1 .iraaf n id County Court,
94 1994 JUL 22 10:17
Prepared by: e.6. e. &rttees
— 1 - € 3 Ny Gcrwc-►
Address:
I1ci iEc
ni 4 33
S - cam'
•
3 /oc ° to �'����:►�
'Cie 4 `" ^L
I ?. t?'r F"rria5 SVT ∎f
4M TAP WO SofVf
g" coo c_
elc,
ill woCk -. 1 - 1 - 1 . 10 - Dow N - T - D
" BAre 1,040s ) NeLo 6 eeo ^ 31 0 <1-) I,a of (oCle+ s
� �' �l l F/oorS
�c ec / �3 l i
(,J l I s. New /Wed 6q6 erk.S
f ou.lto S� ►� t Z--i- In is
/J o p-}- k r - roe ✓v✓\
0 P S � �iq i S 0
PA. .411.
c_le.e e *71 K► 4 e ry .
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ep,),u4 Fifa
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atanoN $OfI1
S3 I t Loh R. ='. PA
lLtr., rkrtr law)
1175; 9.16 -11172
1131.41437
7i1 J. F. LOPEZ it ISSOQATBS
C7r11' a tRi7 RAC; Qo.m Cra
n.. arms —.--' -a
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92'td $T w �1
S=ETt11 SF SKYEY
Iowa: r- ?O'
LEGAL DESCRIPTLO :
10/5' /9 ! 20, &Woc4 23. 0f AMI7v0E. I 7' OF
pig roi SN o•E S 5Ec o "0a I
according to the Plat thereof, as recorded in Plat Book /0
at Page 70 of the Public Records of Dade County, Florida_
NNW w...... •• .-ra -s • swa.es�. fir•
ref atn v • - r w ow ... 7 ...dmrsiliol -- s. ,. rmr_. -►...
—Yn.— A, w.aar..eaaaw r~ ...rm...... -1 ... a.. •...
r• w • ar. a, wwr.... ..:last /.• r"..
.rr..s_ . rr■•� cry!, less w.. •.-
w r .. .�. -�....
f
•••■•• . .-r- -n.rer Imolar.r
a.
•■•• sow.e- .en..oV. - ••••••.
•d =" r.>e =ZS
rw raa..r
1
ET 92 5 G'- 5 7
/9 •
� WIR 1e�O[� Odd C! re 4 2 CQ/eTI KO TO
.�8 -8� IP o �" 4 ; YicroRy NorEL Coeo.
Date / - Z / Job Address /32 /Vg g
Legal Description
Owner / Lessee / Tenant �, die i /.P
Owner's Address /37 NE
Contracting Co. f Address /MOO /1/E. U' v�
Qualifier V SS OP Phon / � ! a�
( -7 a�
State #0 COS # Competency 4E Ins.Co. 7��—� -P--992-u
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION
Square Ft. Estimated Cost(value) se 7 Sn • nO
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 wit icable laws regulating construction and zoning. Furthermore, I
authorize thetab• a -n. ed contracto to do the work stated.
Signature o owner and /or Condo President
Date:
Notary as to Owner
My Commission Expire
APPROVED:
3
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
TONY+GERACI
emm xp: 12/08/06
ngSOdte ins
C624516O
=down t ?3`olhrda
** *
5-C) * *4' * * * * * *
9 ) ' FEES: PERMIT RADON C.C.F. f
Zoning Buildin
Mechanical Plumbin
Tax
/ 9 * J 34 23 /7P4 S is
Folio //3. O&' 0/33 / 7o
R613 -/ - f? 7o -34-z,7
Master Permit IP ,3-CL0 5
Phone 7,S7-
.r / a c_. /dlzrz
r- Builder
Da = s /Y /f
Notary as tot retractor or Owner - Builder
My Commission \ E9431:r 3VFICIAL NOTARY SEAL
2 7 ,ri SCOTT W DAVIS
1c S i; * COMMISSION NUMBER
'111. , Q CC2.$5237 *
* * ^ 0. Y COMMISSION EItP. I S
f °F FL ° JAN. 26,1997 �b
NOTARY TOTAL DUE �c
Fire Other
Electrical
Engineering
►3? N.5. 91ST
MIAMI J koR=
J0t,JN STAIRS G01
JIL v£Ar 1 j
A sZ. c r
(NOT To ScA lC
LN,
C.a.
'' Daus)N 3
o
7-1
/ / 9 1 Ze) eiock
23 0
Sec-f 1 57 10
• 1 70 DH F
( A-1 L F