715 NE 92 St (11)Date 1 -26 -93
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 736 NE 92 STREET
Tax Folio
Legal Description
Owner / Lessee / Tenant SHORES PLAZA EAST (BETTY BARRY) Master Permit 4t _o2r
Owner's Address
715 NE 91 STREET, MIAMI SHORES
Phone
Contracting Co. NORTH DADE SEPTIC TANK Address 800 NW 111 STREET
Qualifier DENNIS NEVILLE SS#
Phone 754 -3375
757 -2602
State # 0258368 Municipal # Competency # 12842 Ins.Co. AFC()
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION INSTALL DRAINFIELD
Square Ft. 400
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 ing. Furthermore, I
authorize the above -named contractor to do the work stated.
Signature
1 J / Owner and /o ondo President
Date: ) - Date: 1 26-q3
otar as to
TARY PUBLIC; STATE OF FLORID
My Commission E
MY COMMISSION EXPIRES ZIC.: 19, 1 A995 LAR3= My Commissio pires:
NOTARY PUCLIC; STATE or FL^Rlis'1 AT LARD:
BONDED THEW HUCKLEBERRY & ASSOCIATES MY COMAMSSICM EXPIELS .L'4: 79, :935
** * * * * * * * * * * * Slmpsoo mu HWiCtEiERa7i'. ASz.:C'IeTC **
Nota to Own
FEES: PERMIT ,;49‘4 RADON C.C.F. . �Q NOTARY TOTAL DUE D. J
APPROVED:
Zoning Building Electrical
Mechanical
2 k
Condo President
Estimated Cost(value)$
0
Fire Other
Sign r o •ntrac'or or Owner- Builder
ra• or or Owner-Builder
Engineering
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address 715 NE 92 STREET / Tax Folio J/ A2 // /y /57/ C
Legal Descri tion (,� r'i-`7' b Master Permit #
Owner's Address
Qualifier
State#
Architect /Engineer
Bonding Company
Mortgagor
Notary as to Owner
My Commission Expir
* * *
Owner / Lessee / Tenant
Contracting Co. 0 G LLOYD SEPTIC TANK
DENNIS NEVILLE
BOSWELL
715 NE 92 STREET, 33138
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION INSTALL DRAINFIELD
Square Ft. 400 SQ FT Estimated Cost $1450.00
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. 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 -•ulating construction and zoning.
Furthermore, I authorize the above -named contractor to work ed.
Signature of Owner and /or Condo President
Date:
Competency# 12842
Address
Address
Address
Address 800 NW 111 STREET,
SS#
Sign
Date:
phone
phone
/ FAM6/11p9CES/61§SIIETKIBIDA AT LARDNOta y as to Co ac
MY COMMISSION EXPIRES JUNE 19, 1995 My Commission Expires
* BONDED T iRU HUCKLWRRY & AS IATER
PERMIT ?EE: APPROVED: Fire Other
Zoning
Mechanical
759 -0238
754 -3375
Ins. Co. MARYLAND CASUALTY
(
of Contracto or Owner - Builder
de,i9
0NoislAy 9UBL7erST1 bit IfORIDA AT LARDS
: MY COMMISSION EXPIRES ONE 19. 1295
*BONDED TI*1J HUCKLEmRT & ASSUCIATEI
Building j Electrical
Plumbing4L 1 A ` )) " /engineering
Permit No.
Application is hereby made for the approval of the detailed statement of tn4 plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and confo) r with the '"Wilding Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village aad all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified ez rrt. A copy of approved plans and specifications must be kept at
building during progress of work.
Owners Name and Address P;l- - _ `4
Registered Architect and /or Engine- ___-_____ ...
____ ?_
Employing Plumber's Name
v
Location and Legal Description Lot_____ — .__Z_ . 7 J- �_ _, __ Sub on._
Street and Number where work is to be performed —No._-e_ -- 9 Street
State work to be performed and purpose of building (By Fl Dots)_ _- ____._____________- -_ _ - __ --
New Building __.__. Remodeling___ -- Addition
Size Septic Tank 6 �- � -� ; - e
Feet of Drain Tile 3
Nature of Water Supply: City — Well.__
Amount of Permit $ ~ -
STATE OF FLORIDA, I
es.
COUNTY OF DADE.
MIAMI SHORES VIL AG Z
PLUMBING INSPECTION DEPARTMEN:'
APPLICATION FOR PLUMBING ' '
e of-Tank. _ Capacity Gals. ? t—t—
4 -1:A•= a- ra or Drain Field from Well
_Size of Soakage Pit
(Signed)__ --
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 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 . ublic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, . work to be • -rf • med under this permit, as are
licensed by Miami Shores Village.
(Signed)._
Date — _ S
No. Street
eet_
Repairs No. of Stories.
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.
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 faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
Tues
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOU NT' N6
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
Comm.
LIST
CHECK
Permit No.
Application is hereby made for the approval of the detailed statement of tn4 plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and confo) r with the '"Wilding Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village aad all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified ez rrt. A copy of approved plans and specifications must be kept at
building during progress of work.
Owners Name and Address P;l- - _ `4
Registered Architect and /or Engine- ___-_____ ...
____ ?_
Employing Plumber's Name
v
Location and Legal Description Lot_____ — .__Z_ . 7 J- �_ _, __ Sub on._
Street and Number where work is to be performed —No._-e_ -- 9 Street
State work to be performed and purpose of building (By Fl Dots)_ _- ____._____________- -_ _ - __ --
New Building __.__. Remodeling___ -- Addition
Size Septic Tank 6 �- � -� ; - e
Feet of Drain Tile 3
Nature of Water Supply: City — Well.__
Amount of Permit $ ~ -
STATE OF FLORIDA, I
es.
COUNTY OF DADE.
MIAMI SHORES VIL AG Z
PLUMBING INSPECTION DEPARTMEN:'
APPLICATION FOR PLUMBING ' '
e of-Tank. _ Capacity Gals. ? t—t—
4 -1:A•= a- ra or Drain Field from Well
_Size of Soakage Pit
(Signed)__ --
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 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 . ublic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, . work to be • -rf • med under this permit, as are
licensed by Miami Shores Village.
(Signed)._
Date — _ S
No. Street
eet_
Repairs No. of Stories.
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.
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 faulty
materials and /or workmanship.
Owner's Name and Address d
Size Septic Tank
Feet of Drain Tile.
Nature of Water Supply: City -Well.
STATE OF FLORIDA, } as,
COUNTY OF DADE.
MIAMI SHORES VIL :_A.G
PLUMBING INSPECTION DEPARTMEi' :
APPLICATION FOR PLUMBING
Permit No t ..S S — Date f i;v s tO
Application is hereby made for the approval of the detailed statement of EL; plans and specifications herewith submifted for the building or other
structure herein described. This application is made in compliance and conf ....<.y with the Sodding Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miam^ Shores Village aid all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified ■- nrt. A copy of approved plans and specifications must be kept at
building during progress of work.
State work to be performed and purpose of building (By Floors)
New Building Remodeling_____ Addition
No.
Street.
Registered Arch.;tect and /or Engineer
Employing Plumber's Name No.--______.. Street.
and Legal Description Lot_-__ -/_ :? _. ` Block_ 6 3 Subdivision. , 5 ' L
Street and Number where work is to be performed-No-___7/ S 2(-. r z Street
Repairs No. of Stories .. ..... . .... .............
Type of Tank_
Capacity Gals.
__Dist. Feet of Tank or Drain Field from Well
_Size of Soakage Pit
�' — GJ
Amount Permit $ 1 _ - -� _- -_ - - -- -- - - - - -- -- (Signed)_ --- =��-
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.
r
( Signed). Ati 61' z
My Comrnission Expires Notary Public, State of Florida
aster 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 worlananship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA.
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
R INALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
C:
LIST
LIST
eS
V
5 — .
/.
/
_�—
CHECK
SEPTIC
TANK
SEWER
CON'.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
eimigge
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
54-5
&Lir rre: l/L
n
I
,
CONTR.
LIST
/
� „
" "bb
CHECK
Owner's Name and Address d
Size Septic Tank
Feet of Drain Tile.
Nature of Water Supply: City -Well.
STATE OF FLORIDA, } as,
COUNTY OF DADE.
MIAMI SHORES VIL :_A.G
PLUMBING INSPECTION DEPARTMEi' :
APPLICATION FOR PLUMBING
Permit No t ..S S — Date f i;v s tO
Application is hereby made for the approval of the detailed statement of EL; plans and specifications herewith submifted for the building or other
structure herein described. This application is made in compliance and conf ....<.y with the Sodding Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miam^ Shores Village aid all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified ■- nrt. A copy of approved plans and specifications must be kept at
building during progress of work.
State work to be performed and purpose of building (By Floors)
New Building Remodeling_____ Addition
No.
Street.
Registered Arch.;tect and /or Engineer
Employing Plumber's Name No.--______.. Street.
and Legal Description Lot_-__ -/_ :? _. ` Block_ 6 3 Subdivision. , 5 ' L
Street and Number where work is to be performed-No-___7/ S 2(-. r z Street
Repairs No. of Stories .. ..... . .... .............
Type of Tank_
Capacity Gals.
__Dist. Feet of Tank or Drain Field from Well
_Size of Soakage Pit
�' — GJ
Amount Permit $ 1 _ - -� _- -_ - - -- -- - - - - -- -- (Signed)_ --- =��-
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.
r
( Signed). Ati 61' z
My Comrnission Expires Notary Public, State of Florida
aster 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 worlananship.
•
w)"
'Vinnape of Miami Shores N° 3688
JOB tt—)
ADDRESS 7/
INSPECTION
il/. F . *e°
4
TIME READY
REMARKS `'
INSPECTOR DATE /3 �'
Hag ()Miami Shores N° 3711
/ t \ >e
JOB L, .-
- ADDRESS
INSPECTION _-!' –r 2 iii.. ,v (f
TIME READY F I-d. A ' ! —
REMARKS A. z °:< ;;,; ' ,< t r / d
INSPECTOR DATE