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826 NE 92 St (8)M t ► C'' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address kJS & (,2 r Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant / C /C • 4-, / ( c /A Master Permit # &q 3 _ r Owner's Address es NZ", Phone - yL Y Contracting Co. � � � G � c� r li t S,• Address Qualifier M� 3 SS# ( Phone State # f'.. /4 / 1 ; ,`1 Municipal # Competency Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA 1LUMB CHANICAL ROOFING PAVING FENCE SIGN WORK DESC ON 'n-Y �% e ) �� _�� — fr (A/ 7G/1 Square Ft. Estimated Cost (value) Ins. Co. 7a 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 onstruc ion and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owne and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON C.C.F. Signature of Contractor or Owner- Builder NOTARY Notary as to Contractor or Owner- Builder Date My CommissiorT - • CCimMLJ:I;:CI\r i . ... TOTAL DUE Date APPROVED: Zoning Building Electrical Mechanical Plumbing ���/ Engineering Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Jo Add Itss 7 26 iv( 5 2_ ) Tax Folio Legal Dess.rippionn Owners / Tenant a4.5 Owner's Ad � � ,2 ' #06 Qualifier (7 5 »v 14) D i 12-F oo L[3 ©o 3 Murnici .. # Contracting, Co. State # WORK DES It 4 Signature of Notary as to CATMET andicrs Coneo nresiticat Date My Commission Expires: APPROVED: Zoning Mechanical r Ponl or Conic President Plumbing Historically Designated os944'/7 ��t' *ster Permit # ArchitectiErginecr Bonding Company Address Mortgagor Address Address fZ l/ 5 A c ss# - ”//- Phone 5 — > r Competency # / 5 Ins. Co. 30- Zy5L V Address Permit Type (cirt one): [x UILDING ELECTRICAL c UMBING MECHANICAL ROOFING PAVING FENCE SIGN ON 1 P odL f ') 34-7N e_avhi cls Pcr it- -tsrer n s Square Ft. Estimated Cost (value) ��L�. oz) WARNING TO OWNER: YOU MUST RECORD A NOTICE CIF COMMENCEMENT AND YO FAILURE TO SO MAY RESULT IN YOt PAYING TWICE IF® ul a << R VEMENTS T. YOUR PROPERTY YOU INTEND TO O3TAIN FINANCING, CONSULT WITH YOUR LENDS: OR AN ATTORNI'Y a EIFORE RECORDING YOUR NOTICE .1F 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 perforated 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. Notary My Co sst. xpires: NOTARY Yes No Phone gob 4E 1UMA Notc ry Public - State of Ron My Commission Expires Apr 25, Commission # C0829911 BOND 7� 7 52 3 � 'z / i Date 1///7) Date TOTAL DUE Building Electrical Structural Engineer ITEM BATH TL8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT CUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TOFORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DIET WORK FLOG DRAIN SERVICE REPAIR/NETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING 1NTERCEPTCR RANGE TOP UNDERGROUND TANKS LAVATORY 1 OVEN ABOVE (ROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES W A S H E R SHOWER V / I 3 MOTORS 0- 1 HP STEAM BOILERS MOTORS OVER 1- 3 If HOT WATER BOILERS SINK, POT /3 CCMP. MDTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK. RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTCIS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 IP COOLING TOWERS WATER CLOSET MOTORS OVER 100 I•P 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 i• ETS COM ERC IAL "SWAHNEI-P WATER SERVICE • SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES _._. SEPTIC TANK ANTENNA RELAY ■ TELEVISION OUTLETS VIOLATION -- DRAINFIELD, 4' TILE/RES. 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 /• . :1 - _ LAWN SPRINKLER SYSTEM - VIM GAS RANGE - METER SET (GAS) ■� GAS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL. MECHANICAL° Permit No ....... /.__ -- Q // l 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 _ " _ ,_!1�_. Registered Architect and /or nginee — Employing Plumber's Name / ./(( ii.'.'".' �� G o Location and Legal Description Lot_.__..-_ ......... ________ __. `— Block_._ — - Subdivision --•_----._.-----------•---- • -- Street and Number where work is to be performed —No ` - e ✓2 Street_ Sits Septic Tank_ Feet of Drain Tile_ Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. A SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING mkmoT State worn to be performed and purpose of building (By Flows)______ New Building -- _-- ---- -- - -- - - --___ Remodeling_---- _ —___ Addition No. Date Street Street--------- ---- --------- - - - - - Repairs No. of Stories. Typ if ;JI'/ank i ist. Feet Of Tank or Drain Field from We11 __Size of Soakage Pit Capacity Gals - -- r (Signed) - --- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his Aligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5886, Compiled General Laws of Florida Pefinanent 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 reottired by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are Himmel iv Miami Shores Village. s (Signed)-- Master Plumber. My Commission Expires Notary Public, State of Florida 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 burn stated are true. NOTE: A re- inspection fee of $1.00 will be made when aanh inspection is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINK 13 LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIUT CNHCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL Cow. LIST CH acK Permit No ....... /.__ -- Q // l 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 _ " _ ,_!1�_. Registered Architect and /or nginee — Employing Plumber's Name / ./(( ii.'.'".' �� G o Location and Legal Description Lot_.__..-_ ......... ________ __. `— Block_._ — - Subdivision --•_----._.-----------•---- • -- Street and Number where work is to be performed —No ` - e ✓2 Street_ Sits Septic Tank_ Feet of Drain Tile_ Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. A SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING mkmoT State worn to be performed and purpose of building (By Flows)______ New Building -- _-- ---- -- - -- - - --___ Remodeling_---- _ —___ Addition No. Date Street Street--------- ---- --------- - - - - - Repairs No. of Stories. Typ if ;JI'/ank i ist. Feet Of Tank or Drain Field from We11 __Size of Soakage Pit Capacity Gals - -- r (Signed) - --- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his Aligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5886, Compiled General Laws of Florida Pefinanent 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 reottired by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are Himmel iv Miami Shores Village. s (Signed)-- Master Plumber. My Commission Expires Notary Public, State of Florida 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 burn stated are true. NOTE: A re- inspection fee of $1.00 will be made when aanh inspection is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship. i 3ATH CLOSETS TUE5 SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT i TOTAL FIXTURES CONTR. LIST _ CHECK SEPTIC TANK SEVER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IN 'G POOL - - -- - -- - - -- - - -_ - CONTR. LIST — — - _ CHECK 1 Permit No. -- Date 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 Di■ ision of Miami Shores Village shall he complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work., ` 04: < Owner's Name and Address r2 • No. Registered Architect and /or Engineer - Employing Plumber's Name / Location and Legal Description Lot Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors)_ New Buildin - Remodeling _ _ _ Addition Size Septic Tank_ _._. Feet of Drain Tile __ " - -.- Nature of Water SuppI): City —Well. Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. s s. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block 't (Signed) ( Signed) Type of Tank______ Dist. Feet of Tank or Drain Field from Well - Size of Soakage Pit - Street ii Repairs Street Street.._ Subdivision. .Capacify Gals. No. of Stories 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 vith the provisions thereof, and will require similar compliance from all contractors or sib- 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the f the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts .herein by hen stated are true. Notary Public, State of Florida Plumbing Inspector. Master Plumber. NOTE: A re- inspection fec of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty ateriah and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ❑ PERMIT N? 7117 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 195 Contractor's License No. Work to be performed under this Permit Bl. Subdi- vision Value of Project $ Amount 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 tho responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on tho plans or drawings cr in tho 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 Shoes Village. In ac- cepting this permit I assume responsibility for all work done by either, mysJlf, my agent, servant or emplcyee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9880 Work to be performed under this Permit Owner of Building BI. Subdi- vision Value of Project $ DATE 195 Contractor's License No. 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 submit:ed 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. BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9887 Work to be performed under this Permit Bl. Subdi- vision Value cf Project $ DATE 195 Contractor's License No 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 wit } out 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 cove -ed hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specification 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. BY AUTHORITY BATH CLOSETS TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS "ATCH BASIN FLOOR DRAIN DRINK NG FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC SEWER TANK CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Permit No. _ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub), Ittc structure herein described. This application is made incompliance and conformity with the Building Ordinance of and all provisions of the Laws of the State of Florida, ill ordinances of iliami Shores Village and all rules and regnl,lim s of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and site;ifi building during progress of work. Owner's Name and Address - Registered Architect and /or Engineer Employing PIumber's Name Location and Legal Description Lot _______. _ Block Street and Number where work is to be performed -No. State work to be performed and purpose of building (By Floors) New Building Size Septic Tank. . Feet of Drain Tile -_ Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition No No. Type of Tank_ - Dist. Feet of Tank or Drain Field from Well Size of Soakage Fit ( Signed) ( Signed)._ Repairs Street ___ _ Street Street Subdivision _.Capacity Gals. My Commission Expires Notary Public, State of Florida Inr the building or other Shores Village, Florida, the Building Division iun must he kept at No. of Stories 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 Perna nent Supplement, and has com- plied with the provisons thereof, and will require similar compliance from all contractors :r sub - contractors employed by hint in. the tvorl, to he 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.