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560 NE 93 St (5)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date l2 98 Job Address (6 O S Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant /4/f� O � ( ll/E -7/ CY Master Permit # 3 Do Owner's Address (i , � 9' / 4 /(S'Iazs `/33/5 Phone 75 - J 8 Contracting Co. /�.)4/,, 4 Address (���� - �', / ,� C "�' Qualifier 9/41, SS# -- � Phone �� 1 State # W �7 9 Municipal # Competency # Ins. Co. V �q 6 4 t Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ..Z � /05-0 aefe. (7S .5Q 2)e „/ F7tJ 6A-tOo 0(4 � 7- 57 3 ---7o- - Square Ft. �o- 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 WTTH 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. FEES: PERMIT 3 S' RADON 0 �8 Condo President Date / // AVI //, —,P L/ - I _ . _,��ifelarrr : ai r Ti' IV�i % Notary as to ? i - f d /o �rdo PAttitIOnj VILLAIlate My Commission E pires: NOTARY PUBLIC STATE OFFLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1 2002 1 APPROVED: Zoning Building Mechanical Plumbing 1 J ire ilde Signatur f otary as to Contrac �r i '� it J VIL iiCRARY PUBLIC STATE OF ROM COMMISSION NO. CC714103 DV COMMISSION EXPO 1 My Commission E C.C.F. l ' 80 NOTARY 5 BOND Soo TOTAL DUE 3 // • £e) Electrical 6—/02 Date Date Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7 I / 0 / 48 Job Address 5(00 N E, CI 5 t" Tax Folio It- ?-.40(0— O 14 — 1060 Legal Description Historically Designated: Yes No / Tenant A w ) 1 4 / 1 p 1n•1 1(, i u e re) NA Master Permit #( 0 3 /3.1244/ Owner's Address (o O C 3 3` Phone Contracting Co. -S ( 6 Address X01 S 11 J s `D- b r i v - IA1c�eat Qualifier GA A O S 61. CoLoos ss# Phone 305 5SS — SSO9 State # G P CO 3 Z 11 b Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL(PLUMBIING) MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1.1 e.1.4 �a�� r�v►n D` `t o� (On �.K1l`e\ Ov �►Oe� C7�le valq OvAI W 't r‘ ?On L ev- Square Ft. Estimated Cost (value) \ (o SO S WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOU 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. J''-9Q N.r or ., er- Builder Date Notary as to Owner and/or Condo President Date Notary as to C or c�.k 5w�. 17 1 47i , My Commission Expires: My Conunission'uJ A NOTARY xppes: PUBLUC DYS STATE VIL OF FLOnIDA COMMISSION NO. CC714103 IVY-COMMISSION EXP. MAR. 1,2002 Signature of owner and/or Condo President Date FEES: PERMIT RADON APPROVED: Zoning Building Mechanical Plumbing C.C.F. ° NOTARY BOND Electrical SEAL TOTAL DUE Date Engineering ITEM BATH 11,8 UNIT 4 FEE ITEM S'W I TCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET / LIGiT CUTLETS CENTRAL HEATING DISHWASHER 1 RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR GRAIN SERVICE REPAIR/ETER CHAN(E REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY 1 OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS S / !OTCRS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MDTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MUTCRS OVER 25-100 If COOLING TOWERS WATER CLOSET / _ MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS ' A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS ' 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL CUTLETS COWERCIAL WATER SERVICE • SIGN TUBES ' SEWER CONNECTIONS P SIGN TRANSFORMERS . UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK - ^_ ANTENNA , RELAY TELEVISION OUTLETS ORAINFIELO, 4 TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN - DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET - SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING . - LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) _ GAS PIPING .•z ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERfIT 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 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE * -.S '4ch 5 ='e. 2 L °t - Z 9 1 F 300f' 3 //�� 9 ' c � // 3 2 , 0/47 /O .a t Date (� �U - J�job Address ;��p0 �� 3 ' Tax Folio Legal Description Historically Designated: Yes No (/ / Owner/Lessee / Tenant / / 7 4 V 13' Master Permit # ‘9, 5,0 Y � Owner's Address L5`l0° 4 93 ST- // c / -3f G• 0/3 one 75 5 Contracting Co. ) /.-' Address /2- /3C 1 1 - Qualifier AL Li L.,- , l/ L e ..., //1 SS# - - - Phone t? — 2 Z State # r f e c) S s<e) r Municipal # azi, Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA // PLUMBING l ECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTIO • ` (J p 7 /4nC ae 7 o 27) / A 44‘..—■ %rte 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 wil . done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named con actor to do ork stated. An /8 (ne VI -/ f.4 2 - 0)- 9 (- 1 );‘:t ature OTARY SEAL 1. APR ON NO. CC714103 owner • d/ •r ondo President Date otary asit©-Ow ! Cp • lresi•eti Date My Comr(ussion rv•t D' s�t '�'_'':• . Signature APPROVED: Zoning Building Mechanical Plumbing Not as to Contr My Commission xpires: Electrical Ins. Co. MY COMM SSION EXP. MAR. 1.2002 ate FEES: PERMIT 2 RADON C.C.F. a NOTARY S BOND TOTAL DUE 2 M. 4a Engineering BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot r.� ❑ DATE 195 fl PERMIT IT? 11458 Contractor's License No ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. A • ' Subdi- vision Value of Project $ Amt. of Permit $ 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 In consideration of the issuance 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 responsibility for all work done by either, myself, my agent, servant or employee. f` AUTHORITY g 6 o \ WATER SUPPLY WELL INSPECTION RECORD. INSTALLED BY: Weather Tight Company OWNER OR AGENT ADDRESS OF WORK LOT SIZE OF WATER SUPPLY WELL 2" Well 1 0 1 HP Self Priming Pump and 1 = Sprinkler System FOR THE PURPOSE OF Sprinkler System FEET DISTANT FROM SEPTIC TANK AND DRAINFIELD ADDITIONAL INFORMATION READY FOR INSPECTION: DATE APPROVED BY: REMARKS PERMIT NO. VILLAGE OF MIAMI SHORES, FLORIDA DIVISION OF PLUMBING INSPECTION d1d DATE Mrs. Claire Eibel 560 No E. 93 Street, Miami Shores, Florida BLOCK SUBDIVISION CONDEMNED BY: Oct, 17, 1961 A.M. P.M. Permit No 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 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__.___ . ______________ No.__ 560 - — Street NoE0 93rd St, Registered Architect and /or Engineer_ Employing Plumber's Name Rose. Septic' Tank No._ Location and Legal Description Lot_ Block Subdivision 560 NOE, 93rd St --- ____ -- Street Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors)___.___ New Building ______ ___ Remodeling____ Addition____ Repairs No. of Stories. _ Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile. 20° Rely------ - - - - -- _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well ._____ __Size of Soakage Pit Amount of Permit $ ARUM' SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °" a:M T (Signed)- bang- 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 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 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 Mlcmt Shores Village. My Cor unission Expires (Signed).- Date 3/30/60 Street__ Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to 'ie 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SI SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHUCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIOT CHUCK Permit No 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 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__.___ . ______________ No.__ 560 - — Street NoE0 93rd St, Registered Architect and /or Engineer_ Employing Plumber's Name Rose. Septic' Tank No._ Location and Legal Description Lot_ Block Subdivision 560 NOE, 93rd St --- ____ -- Street Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors)___.___ New Building ______ ___ Remodeling____ Addition____ Repairs No. of Stories. _ Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile. 20° Rely------ - - - - -- _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well ._____ __Size of Soakage Pit Amount of Permit $ ARUM' SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °" a:M T (Signed)- bang- 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 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 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 Mlcmt Shores Village. My Cor unission Expires (Signed).- Date 3/30/60 Street__ Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to 'ie 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. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty materials and /or workmanship. Amount of Permit $ 1 01__ S STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Owner's Name and Address No e Street Size of Soakage Pit ( Signed) f (Signed) Permit No Date �/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subtmit(c�d 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. My Commission Expires Notary Public, State of Florida /7 Registered Architect and /or Engineer Employing Plumber's Name No __ ___L 5 ( Street 4' e. Location and Legal Description Lot Block Subdivision Street and Number where work is to be erformed —No ( �� 1 2/. J � c l '" i p Street__ S State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank ` Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well p o Nature of Water Supplyz'City - Well , 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 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 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. Master Plumber. 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS _i i • ' i •. r':_ :, /; n�' TOTAL FIXTURES CONTR. LIST y //' ( iTh :..r � CHECK ^ .` S S { IS S _\ � S SO SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK ` flp 00 100 1 Amount of Permit $ 1 01__ S STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Owner's Name and Address No e Street Size of Soakage Pit ( Signed) f (Signed) Permit No Date �/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subtmit(c�d 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. My Commission Expires Notary Public, State of Florida /7 Registered Architect and /or Engineer Employing Plumber's Name No __ ___L 5 ( Street 4' e. Location and Legal Description Lot Block Subdivision Street and Number where work is to be erformed —No ( �� 1 2/. J � c l '" i p Street__ S State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank ` Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well p o Nature of Water Supplyz'City - Well , 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 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 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. Master Plumber. 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. 0/ )O/ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ` Date / / �' O 1 � : Job Address 5 0 14 • / 3 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant (V777' c, " / G �� `( Master Permit # Owner's Address G 0 /( 9 3 Phone <5® '- 4/ " 9� / ^ J'�-� -/ 730 � � � , 4 A-v� _ n1, # i � , 57/4p p Contracting Co. � � M � C� 0 / 7 Address / 3 l � �� . Qualifier 6 t4 4 �"d v Ca, ova CC/a.-0 SS# ; - Phone 5 o 5 -7, g 6 7- 6 500 State # Municipal # Competency # /OR0OV Ins. Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICA PLUMB WORK DESCRIPTION . 5*1 Are reSX 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 r a :, instruction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Notary as to Owner afid/or Condo President Date My Commission Expires:__ _ O. FICIAL R G Ol, c` PU eei ANGELA W C , 1 4. comas- f `E •13, j' Q Cr CF n r FEES: PERMIT 6 ) `) RADON APPROVED: Zoning Building Mechanical Plumbing 2- /2 -0/ Address Address Address ING MECHANICAL ROOFING PAVING FENCE SIGN a G ' G a I VAAll 2 e c , 6 r //Ale, ri 6-4-U(e rye, igteo C1 f'/'I 1 ' 7ob,00 Estimated Cost (value) /2 -%Z -0/ /z Date Signs Contractor .j$ - -But Notary as to Contractor or Owner - Builder My Commission Expires: jj n / � , C ,,, �(J R \ Q! ,1 ° CP 1 Or t+!G s NOTARY S . O 0 BOND Electrical TOTAL DUE /2 - / / —o Date q9.0 Engineering 'es39 ¥ - %ak& -J04.21 d•' 0 )VNod, SA) (1. d i6 ^1 " ,1Zy, 00 0 „V) 'Ain) w) u Vc 09 C Nd'? / `r -} 9 V° ",1._ �r �vv � , 'a 1v-iti (k)6 �. o \' "S N '� - b ► N o °)S 4- 4 o • 2 t Pay to the order of ? bUILUINI, LI PLUMBING o PERMIT N2 50390 t'" ROOFING ❑ P MECH ❑ Owner of Building CZ) For (ti/ % Architect f1� or Builde Contractor � �/ (i0 � Legal Lot 4 Si Description (� BI. Address of 79 /> / � 00 g 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 applica- tion herefor in strict c compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with an . plans, drawings, statements or specifications at may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work 18 not done in comp) nce with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered he y whether shown on the plans or drawings or in the statements or specifications and that he assumes respon _:g:ct. for work done L. his - - - -- -' ployees In accepting this permit i assume re . i i ibility for all work done by either, myself, my agent, servant or employee. pertaining thereto and in strict c• i 4 °' • the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. Signe. w sip In consideration of the is i7 I l k er p I agree to perform the work covered hereunder in compliance with all ordinances and regulation. CONTRACTOR or BUILDER CAMACHO GAS INSTALLATION & REPAIR, INC. 13730 NW. 5TH AVE. PH. 305 -687 -6300 NORTH MIAMI, FL 33168 -3904 BANK OF AMERICA 02992 FL 5 3 90 Work to be performed under this BY „8 00 L48911a ':o6 3 L00 2771: 00366 L L58770fl Date if Contractor's License No. Per Ce4/V-i2 ti 7 l'° 0 113aoLP.OIq a Lob( Permit: ri5, I•t S a t. a Su is i- J CCF: Notary: __,S,- CU C) vision ��' 3� Bond: Sq. Ft.: Radon: Value t of Amount of P Q. / 0 Project $ Permit: (� . a► u.- ni- nwn►.arn .n► +u 4. A .n. n.- nr -n►- . AO +uoar 411,0 ni 411 4/0 n►_n►_nr_�unr �r- �u• nrnr_n •r n► >i► n► 4 11 , nr A. .1» 0 A. 41._9 ►.41..+D- ,.:4.:I.- . 4►y0 - 0 0 - 0 - Ir 0 - 0 0 IP 0 4 U. 4 4 e 81 I1 Ijq 1489 63 -27 Date /2--P1.-0/ 6 Xl /(4 L - $ D. 6 0 /'""Dollars 8 -•. AUTHORITY so (-) / Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/7/2005 Applicant: ANTHONY RIVERON Owner: RIVERON ANTHONY JOB ADDRESS: 560 NE 93 ST Contractor Local Phone: 305 - 687 -6300 Parcel # 1132060141060 umbhg _Perndft Permit Number: PL-01-1015 CAMACHO GAS INSTALLATION & REPAIR IIinntractor's Address: 13730 NW 5 AVE Legal Description: 6 53 42 MIAMI SHORES SEC 2 PB 10 - 37 LOT 2 & E3OFT OF LOT 3 BLK 57 LOT Fees: Description Amount FEE2001 -418 Building Fee $75.00 FEE2001 -419 CCF $0.60 FEE2001 -420 Notary Fee $5.00 FEE2005 -14192 Renewal /Extension Fee $75.00 Total Fees: $155.60 Total Fees: $155.60 Total Receipts: $80.60 Permit Status: Approved Permit Expiration: 4/30/2006 Construction Value: $700.00 Work: INSTALL APP. 45. GAS OF GALVANIZED LINE FROM PROPANE TANK RANGE TO RANGE Signed: (INSPECTOR) Page 1 of 1 40107PAID c ASH In consideration of the issuance 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. Signed: (Contractor or Builder) BY: rEG C01 110705 1332 110401 031812 CASH $75.00 DATE: NOV 1 6 NO5 NUMBER OF PAGES INCLUDING COVER BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138 -2382 TELEPHONE: (305) 795 -2204 FAX: (305) 756 - 8972 FAX TRANSMITTAL BLDG DEPT TO: rxe 'e'i FAX: ' S6$ " FROM: ?O&.0 ' t Q- t '1Z FAX: (305)756-8972 MESSAGE: THANK YOU Miami Shores Village Hall Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/16/2005 Signed: (INSPECTOR) awnh° Permit Number: PL FrrA Page 1 of 1 Fees: Description Amount FEE2001 -418 Building Fee $75.00 FEE2001 -419 CCF $0.60 FEE2001 -420 Notary Fee $5.00 FEE2005 -14192 Renewal /Extension Fee $75.00 Total Fees: $155.60 $155.60 $155.60 In consideration of the issuance 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. Signed: (Contractor or Builder) BY: MESSAGE COHF I RMAT I ON ■ .. . . e - ■f■ ii■■L■f ■i f■ f ■.■: : : : : : : a f i ii■■■■L■.■.tititi}titi .:V1ti■si•x<xff ■� 4 . 11/16/2005 13:11 ID =MIAiI SHORES UILLAGF DATE TIME S,R -TIME DISTANT STATION ID MODE PAGES RESULT D.C:ODE S.C. 11/16 13:10 0 2�1" 305 868 228.3 TX 002 OK L 0000 i i i i i i ■� i i e i N" ' - ■ ■ ■ ■ : i ■ ■i ■■■i■i i i■i 1.6 ■ " N ■'� ■i ■ o ■■r■f}M": ■tititi' N'Ye: o°