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GasOwner/Lessee / Tenant Owner's Address COLD Contracting Co. 0,/ / laws regula Signature of owner an or Condo President PERMIT APPLICATIQK MR MI4MI SHORES VILLAGE • O • • • . • • . • • • . • • ••• • • • Date . " `✓ a,V Job Address 56 6 /1/ 4 - 1 7W •:. Legal Description Historiea,Uy Designated:. Yes • • • • • • • • • • • • • • • • • : Masser Permit # (v 6A ; Date _ Notary as to Owner and/or Condo Pres • Date My Commission Expires: APPROVED: Zoning Building Mechanical Plumbing • • No • Phone •C • • • •• ••• •• • ..... . .ate •// ©� A/'/ 5 5.7.- •• • • • • • Phone ,"O,.c- 6. s_s -If 7 J State # / 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 .f 4 4 !, �,s4,44.f' /- c/a✓ CI J L ,'e✓ 4 / /a- / ,4j../ Cs •t Square Ft. Estimated Cost (value) 1 y . . 3 - WARNING TO OWNER: YOU MUST RECORD A NO "ICE 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 cf 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 construc .n and zoning. Furthermore, I authorizz the above -named contractor to do the work stated. Sign a of Contractor or Owner - Builder CAI :4 : 1 Notary as to Contract My Commission Expires: AMA 0. aVlLA Commission # CC813613 ILMA AVILA Expires Mar 01, 2003 ®" Commission # CC813613 BOMDED TFiROUGW , �TI aF t` of Expires Mir 01, 2003 rf wnr BONDED THROUGH FEES: PERMIT t5 RADON C.C.F. \ 0 NOTARY �� l Electrical Engineering lder TOTAL DUE Date Date PAY ORDER OF Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/12/2003 Applicant: ALEXANDER Owner: QUINTANA JOB ADDRESS: 366 NE 93 Contractor WEEKS GAS Local Phone: 305 - 635 -4427 Parcel # 1132060136320 9s. Total Fees: $A-AA Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 8/11/2003 Work: SET LP TANK RUN GAS LINE FOR RANGE THE PERMIT PROFESSIONALS CORAL SPRINGS, FL PHONE 786-306-8268 33075-8205 Plumbing Permit Permit Number: PL2003 -45 Contractor's Address: 3800 NW 59 ST Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 W1/2 LOT 2 -LOT 3 & 4 & E1/2 LOT 5 BLK 47 IM A FOR U ON BANK - Where Your Business L gig Business ON, FLORIDA • u LII' 1:067007703!. 00LLOL40 -. QUINTANA ALEXANDER ST Construction Value: DATE BY: $493.32 4051 63- 770/6 BRANCH 01 $. ° tS c ' cC o (Iy _ 8 9scu.11Y ( f (L(li�IJ 1f�� T s Page 1 of 1 2e- inspection ation herefor in strict compliance with all ications that may have been submitted to or if the plans are changed without )nsibility for a thorough knowledge of the Iat he assumes responsibility for work done pertaining thereto and in strict conformity ;ponisibility for all work done by either • 4 e 7 7 T .4 4 A) / / Job Address j ?-17 57 • • • • • • • • • o • • • ... .. • • • .... • • • • .•• • •• • • • • • • • •• • • • • • • • • •• • • •••• • •••• • • • Ga . . • VVEEl'5 3800 11W 59 5T Miami Fl 33142 5 Pr ne Profess onalsa (305) 635 -4427 ' 5 licensed F3 Msured LPG011753 James Hodson Notary Public • • • • • • • • • • • •• • • • o • • •• • •• • •• • • • • •• •• • • • :• • •• • • •• • •• • • • • • • • • • • • •• •• • • •••• • • •• • • • 1� Ali i0 sT. 1 J ... • ... . • • • • • • • • • • • • • • • • • • • • • • ••• ••• • • • ... • • • • • • • • • .. • • • • • • • • • • • • • • • • • • ••• • • • • ••• • • .. ••• .. • • • .. • • • • • • • .. ••• • • • • • .. • Permit No l Application is hereby made for the approval of the detailed st itement of the plans and specifications herewith submitted for the build' g or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vi ge, 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 het tin specified or not. A copy of approved plans and specifications must be kept, at building during progress of work. { Street s Owner's Name and Address P- • It dt it' Registered Architect and /or Engineer Employing Plumber's Name __ /1 Location and Legal Description Lot__ Nature of Water Supply: City -Well. Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT s The undersigned applicant for this building permit does h :reby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar con pliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. My Commission Expires ._L !.._t, tie °+ No a llo — ______— _____________ Street_ !1t� ti – Block C _" _____ --- ______ -- - --- -- Subdivision .� –� – Street and Number where work is to be performed —No 721 L__ 1/ ' State work to be perfor and purpose of building (By Floc rs) New Building_____-- ______________ Remodeling Addition_ Repairs No. of Stories Size Septic Tank _______________________ Type of "ank - ___ -i = -- –( ;Y= r ________— _Capacity , r Feet of Drain Dist. Feet of Tan c or Drain Field from Well Size of Soakage Pit. (Signecj' _ j Date_ - - L� / 4 Gals.__ Plumbing I>spector. rtift he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are " (Signed) � ^ i;• I � � ____ -____ f ~- �i � � i f � 1 - •$ ' e Master Plumber. r 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, upc n oath deposes and says that he is the of the above described construction, that he has carefully re id the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made wheel such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SL )P SIII LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER �'ONN DRAIN FIELD SOAKAGE PIT GREASE TRAP SOI.AR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK / Permit No l Application is hereby made for the approval of the detailed st itement of the plans and specifications herewith submitted for the build' g or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vi ge, 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 het tin specified or not. A copy of approved plans and specifications must be kept, at building during progress of work. { Street s Owner's Name and Address P- • It dt it' Registered Architect and /or Engineer Employing Plumber's Name __ /1 Location and Legal Description Lot__ Nature of Water Supply: City -Well. Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VI LLAG E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT s The undersigned applicant for this building permit does h :reby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar con pliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. My Commission Expires ._L !.._t, tie °+ No a llo — ______— _____________ Street_ !1t� ti – Block C _" _____ --- ______ -- - --- -- Subdivision .� –� – Street and Number where work is to be performed —No 721 L__ 1/ ' State work to be perfor and purpose of building (By Floc rs) New Building_____-- ______________ Remodeling Addition_ Repairs No. of Stories Size Septic Tank _______________________ Type of "ank - ___ -i = -- –( ;Y= r ________— _Capacity , r Feet of Drain Dist. Feet of Tan c or Drain Field from Well Size of Soakage Pit. (Signecj' _ j Date_ - - L� / 4 Gals.__ Plumbing I>spector. rtift he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are " (Signed) � ^ i;• I � � ____ -____ f ~- �i � � i f � 1 - •$ ' e Master Plumber. r 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, upc n oath deposes and says that he is the of the above described construction, that he has carefully re id the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made wheel such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. APPLICATION FOR PLUMBING PERMIT t STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE - -- -- - -- -�--,w – A m o u n t of Permit $ Date_ Application is hereby made for the approval of the detailed startment of the plans and specifications herewith submitted for the build' g or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vi ge, Florida, and all provisions of the Laws of the State of Florida, all ordinan. es of Miami Shores Village and all rules and regulations of the B ding Division of Miami Shores Village shall be complied with, whether herei n specified or not. A copy of approved plans and specifications must be kept' at building during progress of work. Owner's Name and Address MIL! — M No. Registered Architect and /or Engineer �__�___ Employing Plumber's Name It 0 �s._ 0. Location and Legal Description Lot �____Block_4l___ W_— _ Subdivision i-11 L_ !� Street and Number where work is to be performed—No Street_V-34 State work to be perfor d and purpose of building (By Floor ;) New Building__ Remodeling Addition Repairs No. of Stories PLUMBING INSPECTION DEPARTMENT Size Septic Tank__ z v V _ ____ Type of Tank _I____ Capacity Gals.__ C _ _"� Feet of Drain Tile___ �_ __ ___— _ Dist. Feet of Tank or Drain Field from Well___ __________________________ ___ Nature of Water Supply: City Well —_ Size of Soakage Pit (Signed) — Plumbing Inspector. The undersigned applicant for this building permit does ha reby certif',rfiat he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be pos ed for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ onl'' such sub - contractors, on work to be perfo under this pe as are licensed by Miami Shores Village. (Signed) TF , t1 „ 4 – – — Master Plumber. Street_ / 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, upcn oath deposes and says that he is the _ of the above described construction, that he has carefully re id the foregoing application, and that he did sign the same, and that all facts 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 wheel such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA - TORIES SINKS SLO' SINI.S LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER ONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOL,.R HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK t9 .. A, -. .� J� 1S .11 . /.� L r. /1 /h Permit No. APPLICATION FOR PLUMBING PERMIT t STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE - -- -- - -- -�--,w – A m o u n t of Permit $ Date_ Application is hereby made for the approval of the detailed startment of the plans and specifications herewith submitted for the build' g or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vi ge, Florida, and all provisions of the Laws of the State of Florida, all ordinan. es of Miami Shores Village and all rules and regulations of the B ding Division of Miami Shores Village shall be complied with, whether herei n specified or not. A copy of approved plans and specifications must be kept' at building during progress of work. Owner's Name and Address MIL! — M No. Registered Architect and /or Engineer �__�___ Employing Plumber's Name It 0 �s._ 0. Location and Legal Description Lot �____Block_4l___ W_— _ Subdivision i-11 L_ !� Street and Number where work is to be performed—No Street_V-34 State work to be perfor d and purpose of building (By Floor ;) New Building__ Remodeling Addition Repairs No. of Stories PLUMBING INSPECTION DEPARTMENT Size Septic Tank__ z v V _ ____ Type of Tank _I____ Capacity Gals.__ C _ _"� Feet of Drain Tile___ �_ __ ___— _ Dist. Feet of Tank or Drain Field from Well___ __________________________ ___ Nature of Water Supply: City Well —_ Size of Soakage Pit (Signed) — Plumbing Inspector. The undersigned applicant for this building permit does ha reby certif',rfiat he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be pos ed for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ onl'' such sub - contractors, on work to be perfo under this pe as are licensed by Miami Shores Village. (Signed) TF , t1 „ 4 – – — Master Plumber. Street_ / 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, upcn oath deposes and says that he is the _ of the above described construction, that he has carefully re id the foregoing application, and that he did sign the same, and that all facts 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 wheel such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 1 ___________...,, JOB: BUILDING AD: ELECTRICAL : • : WORK PLUMBING _ : DONE BY: The following is ready for Inspection: -- Inspector's Report : - • • :REQUESTED • • • • • • I • WILL BE READY 2- y 3 3 dv