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818 NE 92 St (12)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date /J r Job Address g. / e 7) e 9 g S Tax Folio // Jr0 / ©r'e 0 Legal Description /f ' A ' f 4 i d6 //) � `6,A / Master Permit # Owner / Lessee / Tenant /10c4 Owner's Address Of 71,ga . f f Phone Contracting Co. ` 2. e,i A r 44Address SDO AAA/ 1 1 )5r Qualifier iA/✓✓JS / e 1'/4 SS# Phone 1 251 3 91 Stated r/ Competency# 1,2n 'Z.__ pt 6, Ins. Co. ls✓g5 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION Je ('/ ( J0 69, re-110/ Square Ft. 3 d ® Estimated Cost 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 , ..rk stated All Signat a of Contra or or Owner - Buil Date: Sign&ture of Owner and /or Condo President Date: � �� „4„604 ' �z� Aiiiv2"---11 Not ry to Owner and /or Con o President N ary an s to Contractor or Ow r- Builder My Commission Expires: N //4 ' My Commission Expires: t /// * . * * :k / �t �k yic �c �k �c yic ylt PERMIT FEE: APPROVED: goo ®o Fire Other Zoning (may c Plumbing �-� <L t \ '47 Engineering Building Electrical PERMIT Ei.ECTRICAL PLUG Owner of Building Architect Contractor or Builder Legal Description II Address of , Building This perish is herefor in strict' cons drawings, .tattmeaf+t time if the work is not in granted i. the g sir don �to the work 1how1 on e by his ague, .erg or In consideration of the issuance pertaining thereto and in strict conf In accepting this plonk 1 assume mo it) fleti, CONTRACTOR OR $ to me of this permit I agree to p form the with the plane, drawtp, .tatetgents or for alt vork done by eft, m T4(, It;,. ER sr OR OR BUAL.L7! , MIAMI Architect Contractor or Builder Legal Lot Description. Yed 03 ,'Amt of 1 ::.. $o me of thiss pe I agree with f ` at l 1 Wor done 1� Permit No. 3. Application is hereby made for the approval of the detailed statement of structure herein described. This application is made in compliance and co:'.3 and all provisions of the Laws of the State of Florida, all ordinances of Minn of Miami Shores Village shell he complied with, whether herein speci$l building during progress of work. Owner's Nine and Address___�...��___ � ,,,._ Registered Ara—Lett and /or E r_. . ,._ Employing Plumber's Name _ No._ Location and Legal Description Lot________ Block �w ____ Street and Number where work is to be performed —No ? — Street State work t.c. be performed and purpose of building (By Floors) _ New Building Remodeling _- _- ---- •----- _-- _•- --- Addition -- Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—well STATE OF FLORIDA, COUNTY OF DADE. J My Commission Expires MIAMI SHORES VI: PLUMBING INSPECTION DEPARTM.•:" APPLICATION FOR PLUMBIN*' cans and specif:cations herewith submitted for the building or other ..:j with the :'.'lilaing Ordinance of Miami Shores Village, r'lorida, all rules and regulations of the Building Division .A cope approved plans and specifications must be kept at lte Street- Amount of Permit $ (Signed) _ 7 " — _4 Date Street__ Subdivision Repairs No. of Stories Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals. 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- contract s, on v ork tp�1be perff edp+nder s permit, as are licensed by Miami Shores Village. e (Signed). t Before. sne, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well knowss, 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 tl by him stated are true. Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA - TORIES SINKS SLOP SINKS LAUNDRY Tue6 U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIST C:SSCK s' —! SEPTIC TANK SEWER CONK. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL CONTR. LIST A"— CHECK Permit No. 3. Application is hereby made for the approval of the detailed statement of structure herein described. This application is made in compliance and co:'.3 and all provisions of the Laws of the State of Florida, all ordinances of Minn of Miami Shores Village shell he complied with, whether herein speci$l building during progress of work. Owner's Nine and Address___�...��___ � ,,,._ Registered Ara—Lett and /or E r_. . ,._ Employing Plumber's Name _ No._ Location and Legal Description Lot________ Block �w ____ Street and Number where work is to be performed —No ? — Street State work t.c. be performed and purpose of building (By Floors) _ New Building Remodeling _- _- ---- •----- _-- _•- --- Addition -- Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—well STATE OF FLORIDA, COUNTY OF DADE. J My Commission Expires MIAMI SHORES VI: PLUMBING INSPECTION DEPARTM.•:" APPLICATION FOR PLUMBIN*' cans and specif:cations herewith submitted for the building or other ..:j with the :'.'lilaing Ordinance of Miami Shores Village, r'lorida, all rules and regulations of the Building Division .A cope approved plans and specifications must be kept at lte Street- Amount of Permit $ (Signed) _ 7 " — _4 Date Street__ Subdivision Repairs No. of Stories Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals. 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- contract s, on v ork tp�1be perff edp+nder s permit, as are licensed by Miami Shores Village. e (Signed). t Before. sne, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well knowss, 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 tl by him stated are true. Notary Public, State of Florida Master Plumber. 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. Permit No. Date L 1 ,, 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. f // Owner's Name and Address 1 ' / 1 -' 1/✓t -�_. }�__k l ' No. ! Registered Architect and /or Engineer /J Employing Plumber's Name___ _ f� No. Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Septic Tank Feet of Drain Tile Amount of Permit $___/ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling Type of Tank '' 1 L Addition Repairs Street. J! No. of Stories Capacity Gals.___ 0 Master Plumber. My Commission Expires Notary Public, State of Florida Dist. eet of Tank or Drain Field from Well Nature of Water Supply: City —Well. _ Size of Soakage Pit ( Signed) / xd141" / .6 y Plumbing nspectoZ .? 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 )a- 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. - l. � ( Signed )'4, t 1 / - STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDR TUBS URINALS CATCH BASI FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL $PRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. Date L 1 ,, 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. f // Owner's Name and Address 1 ' / 1 -' 1/✓t -�_. }�__k l ' No. ! Registered Architect and /or Engineer /J Employing Plumber's Name___ _ f� No. Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Septic Tank Feet of Drain Tile Amount of Permit $___/ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling Type of Tank '' 1 L Addition Repairs Street. J! No. of Stories Capacity Gals.___ 0 Master Plumber. My Commission Expires Notary Public, State of Florida Dist. eet of Tank or Drain Field from Well Nature of Water Supply: City —Well. _ Size of Soakage Pit ( Signed) / xd141" / .6 y Plumbing nspectoZ .? 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 )a- 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. - l. � ( Signed )'4, t 1 / - STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. 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. Permit No. __ /, Application is hereby n ' de for the approval of the detailed statement of the plans and specifications herewith su ted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance o 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 _ i ' ` ' I No. Registered Architect and /or Engi Size Septic Tank Feet of Drain Tile STATE OF FLORIDA,I COUNTY OF DADE. I ss. APPLICATION FOR PLUMBING PERMIT ( Signed) Dat Employing Plumber's Name No. r Street / -r' • iJ Bloch ! __!, : i•_L_� . fix_:_ -`~ t Location and Legal Description Lot Street and Number where work is to be performed —No. f'_1 � r'` St eet State work to be performed and purpose of building (By Floors) New Building _ - ___ Remodeling Addition Repairs Type of Tank _________ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply/ City —Well. Size of Soakage Pit i r Amount of Permit $ ---------- (Signed) imif...s_. ' __ ' »-.c .4't Plumbing Inspector. r The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob o ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled (jeneral Laws of Florida Perma ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor employed by hint in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the wolf 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. Street Capacity Gals. No. of Stories 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 / 1 /- 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 -r SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDR TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST --f.: L✓- { / - % h 4J' {/' ` I CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL ^ y ' rte, I CONTR. LIST 1 -1i-- CHECK Permit No. __ /, Application is hereby n ' de for the approval of the detailed statement of the plans and specifications herewith su ted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance o 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 _ i ' ` ' I No. Registered Architect and /or Engi Size Septic Tank Feet of Drain Tile STATE OF FLORIDA,I COUNTY OF DADE. I ss. APPLICATION FOR PLUMBING PERMIT ( Signed) Dat Employing Plumber's Name No. r Street / -r' • iJ Bloch ! __!, : i•_L_� . fix_:_ -`~ t Location and Legal Description Lot Street and Number where work is to be performed —No. f'_1 � r'` St eet State work to be performed and purpose of building (By Floors) New Building _ - ___ Remodeling Addition Repairs Type of Tank _________ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply/ City —Well. Size of Soakage Pit i r Amount of Permit $ ---------- (Signed) imif...s_. ' __ ' »-.c .4't Plumbing Inspector. r The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob o ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled (jeneral Laws of Florida Perma ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor employed by hint in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the wolf 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. Street Capacity Gals. No. of Stories 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 / 1 /- 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. MIAMI SHORES VILLAGE PLUMBING INS.'ECTION D is I.