806 NE 92 St (8)Date e 2/9/Job Address ert910 ( Tax Folio/ J d �S �� ®t' /
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Legal Description /
� o� ,� /00) 74/ i Master Permit # JAV//
Owner / Lessee / Tenant
Owner's Address QC JJ 9 S'`
Contracting Co.
Qualifier
State ✓
Date:
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
26 ; 6J
Architect /Engineer �\
Competency 14
Address
Bonding Company Address
Mortgagor Address
Zoning Building
/Mechanical , ' umbing
Date:
Address / 7
S - Phone
Ins. Co.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION �
Square Ft. Estimated Cost c s
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.
Furth. .N.. authorize the above -named contractor to d• the work stated.
Ayr
ture of Owner and /or Condo resident S nature of Contractor or Owner - Builder
pi ,e faad-- 4,1/$14-4) 41A Sieilek
■
Not-'ry .s to Owner and /or Co do President N ar a t o Contractor o 0 ner- Builder
Hy Commission Expires: w f /( My Commission Expires: df�l5 �-
* * * * * * * * * * * *
PER4IT FEE: APPROVED: Fire
Other
one
Electrical
' 4 ( fJ, o
0
Engineering
witi be none in compliance w
Furthermore, I authorize the ab
* * *
•
PERMIT FEE: PPROVED:
Zoning
Mechanical
e -named contractor to do the work stated.
Sign }ire of Owner and /or ondo President Signature of Contractor or Owner - Builder
Date) Date:
N•Cary as to Owner a • /or Co do President Notary as to Contractor or Owner - Builder
My Commission Expires: ,y/ My Commission Expires:
* vJ * * * * * * *
Fire Other
Building Electrical
Plumbi
Engineering
•
•w
Permit No.. / 4-5' 6
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 giN V— .Ete No. Street.
Ftegistered Jkrchitect and/or Engineer
Employing Plumber's Name Mi./ PALty....... PL street...efr
Location and Legal Description Lot_ BlocIr
Street and Number where work is to be performed—No .? o A / Z "-. Street 70 sr
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.
Size Septic Tank___.______________Type of Tank_
Feet of Drain Tile._ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City of Soakage Pit
(/
f
'Amount of Permit $
STATE OF FLORIDA, t u.
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
.2.
Z-&
( Signed )_
(Signed)*
D ate. 6 3 CD — 7
Repairs No. of Stories
Capacity Gals.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, 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.
6614-'-
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 be 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 web re-Inspection Is made . neory by improper nodes for inspection, or faulty
materials and/or workmanship.
CLOSETS
BATH
TUBS
....„.
.'"'"...'""•". `.
LAVA-
TOR IES
ISM
SLOP
SINK•
LAUNDRY
u
Tugs
UNMALIII
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'Ne
wt.,/
im ....,
.._.. .
TOTAL
FIXTURES
CONTR.
/
/
,3
/
_//
LIST
CHICK
ts
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL.
SPRKLR.
SYSTEM
SWING
POOL
14//9
Copan.
/
,--.12L---
LIST
CHICK
Permit No.. / 4-5' 6
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 giN V— .Ete No. Street.
Ftegistered Jkrchitect and/or Engineer
Employing Plumber's Name Mi./ PALty....... PL street...efr
Location and Legal Description Lot_ BlocIr
Street and Number where work is to be performed—No .? o A / Z "-. Street 70 sr
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.
Size Septic Tank___.______________Type of Tank_
Feet of Drain Tile._ Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City of Soakage Pit
(/
f
'Amount of Permit $
STATE OF FLORIDA, t u.
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
.2.
Z-&
( Signed )_
(Signed)*
D ate. 6 3 CD — 7
Repairs No. of Stories
Capacity Gals.
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, 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.
6614-'-
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 be 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 web re-Inspection Is made . neory by improper nodes for inspection, or faulty
materials and/or workmanship.