The URL can be used to link to this page

280 NE 95 St (7)ELECTRICAL TYPF. Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTV. A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary - Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch - Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton - Pressure Vessel Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New 1\ 1ECHANICAL TYPE Minimum Fee QTY. TVPI; Condensate Drain Q'FV. TV Generator QTY. TYPE Refrigeration, Tons QTV. A/C Central, Tons Q.Q.Y. Cooling Tower Heating Strips, each Vent Hood, Cost A/C WaWWin. Tons Dryer Vents, Number of - Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of - Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel Gas - Appliance PLUMBING TYPi; A/C Condensate Q . i . Y TYI,i,. Drains, Roof QTY. .TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit Q.Q.Y. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System f/ Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) 3, Oa SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (sq.ft. = x/1000 x0.60) (¢.005 /sq.ft.) (¢.O1 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) .'CONTRACTOR REGISTRATION (On File) PERMIT FEES $ $ Zoning Review $ � y , TOTAL $ DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2' AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. 1. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STA RIDA, COUNTY OF MIAMI -DADE Signa ure of Owner Print Name _ / Print Nam Signature of tary Publi tate o Flo � Pt Angela M Becker • ` 4 My Commission 00150048 `? �, d� E s ovember 15, 2008 SEAL: Personally known OR, Produced Identification STATE OF FLORIDA, COUNTYMIAMI -DADE Signature of Contractor / Quali ALLA i71,04 A . and su e of No C Sworn gnat SEAL: Type of Identification Produced: Type of Identification Produced: PERMIT APPLICATION ry Public - S(Ate o o It w a 4-( scribed before me this 3 D r 11TQ. day of Comm ssio�ulDhru lnc 2 007 Expir - onded T Atlantic s: Bonding Co. Personally known OR, Produced Identification 3525 001 `J- 1-05a -1.0 2Y ,p 01T-90 4 CONTRACTOR //� / Name 1 ✓ ��[ H Li ' a Vi License No. ?t, la ocrop C J Address I 6 lb kW d" ? / Telephone F x 36s: b; -3 it Qualifier Name yt cv 1 S 6 v PROPERTY OWNER Name M7'/2 Address I �10 C f Cill Home Telephone O Z r �]�C3 ✓ v J Business Telephone 9-0-2/5 � — Fax f� / j 9B•8 i TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION Job Address: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. fril Apt. Address Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Poi r0 ec,5h PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax .cc Master Permit No. Subsidiary Permit No. City PERMIT APPLICATION State Zip Description of Work i Q). -5 re- yOIA` c ( , i �r U l t„r : P Zoning Linear Feet Square Feet Units Floors Value of Work 4I f bb` O Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax t1 /101 JCS N GONG: • . /00. 06 • a C. / S4z7 2 /5. : /200. l • ir.i 75 14 rzgAe.w"ay /¢a 75 E w • 0 0 = • ,i ac . ,fit' N > DN Go 224,5 DNE. STD- Rg5/D6i1/ce. 2700 /3 '- r 0 9 38 -6s� p r / N ` �O /e7/D• . .¢'GONG: /200 7b50 1 10,60 till.. it 2¢ /24AL tu�C. k /ao oo , . /3 -7 A 2265 ONE S7 2, Rq5 /DeA/Ge. 9 5 e- (6 5, ;5- - n . t ✓� v Nob 0. • nIki mc yr wrvimcr.ls•cs•.G... A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. Y �OC)3 04 . 'T FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby glves notice that improvements will be made to certain real property, and In accordance with Chapter 713, Florida Statutes, the following information Is provided in this Notice of Commencement. 1. Legal description of property and street/address: D- u ( i `- sue' 2. Description of improvement: j--t— %cos k.N. R Y s' LAIC i a 3. Owner(s) name and address: Pre. •�� Z — i i t ' Z Q 5 ( 1 t , Hag/ d / - I n t e r e s t in property: Ow�2}YL- Name and address of fee simple titleholder. 4. Contractor's name and address: tip �� 1 (ce— I� 5. Surety: (Payment Name and address Amount of bond $ 6. Lender's name and address: and required by owner from cogt r.itm()p,,,, cout..TY or rAry tO-i EYCERT "1'tl .f. i c yo't7'- 7. Persons within the state of Florida designated by ( Vvnerupon whorrrn provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: D � /� l- 8. In addition to himself, Owners designates .the following person(s) to receive a copy of the Uenor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a dtffere tp specified) orrg:lat G' to A Signature of Owner �, / Print Owner's Name Dom/ N `eZ / C�€ _ CFN 20103R0528267 OR Bk 21473 Ps 4552; (1P9) RECORDED 07/31/2003 12:48:32 HARVEY RUVIHv CLERK OF COURT MIAMI -DADE COUI'ITYp FLORIDA LAST PAGE • ; or `document a)+be:-served as `9B -Z. go /1/.oil � n/1i CA, Tom-- 3 / Prepared by r'/ 4 A `t4" fir= Sworn to ands • • ribed before me this 3/ day of, „ � 20 . t � r P • a .: V arga s p 20. = Comm on #DD231984 Address: / C 6 / 6 44• �' Notary Public � ` , �_ 9 a Expir Jul 13, 2 /Re � �� a :� .c1-(' �:7 Print Notary's N: N : • pi! Atlantic Bonding Co., Inc. 6 My commission expires: 123.01-52 PAGE 8/02 BUILDING ELECTRICAL PLUMBING♦ Owner of Building Architect Contractor y or Builder C( NTAAcr O [)ILDER MIAMI SHORES VILLAGE, FLORIDA DATE RMIT N° 6674 Contractor' Licen se No. ` Work to be permed under this Permit / 4 / .r ' tt C -,,( I Subdi- vision Legal Lot Bl. Description Address of ` `�' Building 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 conditiojei uppn which this pe rmit is granted is the understanding that the contractor or builder named above assumes th Psponsibility or thorough knowledge oVh- 1. dinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings #1 the stat or specifications and .:t Ass mes respon- sibility for work done by his agents, servants or employees. / , -° � �` Si e �, 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 authoriff of Miami Slpre \tillage. In accepting this perniiRassume responsibility for all work done by either myself, my agent, servant or employee. Value of Project BY Amt. of Permit AUTHORITY 194 3' L I Permit No. Amount of Permit $__ 111 STATE OF FLORIDA, } ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 �Eee.�if� `� . #�_ -- ` - No O O Registered Architect and /or Engineer ,,// Employing Plumber's Name 71�1� N 11 C AX_'r12 _.0 No. __9_2 • pp,� Location and Legal Description LotW^ A µ 7� e ,Q____ Block _____ (Signed) Date Subdivision 1//./izor Street____ ! __r___! 6 rfs Street and Number where work is to be performed —No Street State work to be perform and purpose of building (By Floors) / New Building __ Remodeling Addition Repairs No. of Stories Size Septic Tank J 7 G t -��' i.! - C'' Type of Tank Capacity Gals. Feet of Drain Tile -- i Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.______�:__ ____ ______ Size of Soakage Pit I 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. (Signed _° 1 • `" • o w ,( C* t c 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. 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. M CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUN �°1 / �% / qq TOTAL FIXTURES C L STR (JI. W 0 0 >) L' .c CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL ✓l� ! �, CONTR. LIST 1 (' C ' CHECK / l _ _ • L I Permit No. Amount of Permit $__ 111 STATE OF FLORIDA, } ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 �Eee.�if� `� . #�_ -- ` - No O O Registered Architect and /or Engineer ,,// Employing Plumber's Name 71�1� N 11 C AX_'r12 _.0 No. __9_2 • pp,� Location and Legal Description LotW^ A µ 7� e ,Q____ Block _____ (Signed) Date Subdivision 1//./izor Street____ ! __r___! 6 rfs Street and Number where work is to be performed —No Street State work to be perform and purpose of building (By Floors) / New Building __ Remodeling Addition Repairs No. of Stories Size Septic Tank J 7 G t -��' i.! - C'' Type of Tank Capacity Gals. Feet of Drain Tile -- i Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.______�:__ ____ ______ Size of Soakage Pit I 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. (Signed _° 1 • `" • o w ,( C* t c 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. 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. M Permit No fir 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 regulation 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 ' 4,0,1,1_s L No N ff Street.. - S ..... ..tegist:red Architect and /or Engigeer _ :mploying Plumber's Name erg deiB®�� 64 � G '�� L m , Location and Legal Description Lot- Block Street and Number where work is to be performed —No ° 266 _" i Street. y � 7 - State work to be performed and purpose of building (By Floors)_._------ ...--- •- .--- •- - - _-- -• . New Building _ Remodeling___ _ _..__ Addition..._.._ Repairs No. of Stories Size Septic Tank_-_ -- Feet of Drain Tile. ! Amount of Permit $ Nature of Water Supply: City—Well. " __ —___Size of Soakage Pit STATE OF FLORIDA, 1 u. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -Type of Tank___ -- _----- -_ - - -. __Dist. Feet of Tank or Drain Field from Well (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli:': tions as an em toyer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent 1 upi.lement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1y him in t'-e wcrk `a b- performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publ! notice or no`icer as arcs required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed °: _acs this porinit, as ar i licensed by Miami Shores Village. iikkie72(. ( Signed Date. Capacity Gals. 3/2,7/7 es. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal :y eppeareaa 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 pacts therein by him stated are true. My Commission Expires Notary Publics, State of Florida Masts Plumber. NOTE: A re-inspection fee of $1.00 will be made when ouch re - hospection is mods necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUB[ SHOW[RB LAVA- TORIES SINKS SLOP SINK[ LAUNDRY Tues URINAL/ CATCH BASIN FLOOR I DRAIN DRINKING FOUNT'N[ TOTAL FI[TIRES CONTR. LI.T CHICK SEPTIC TANK SEWER CONN. DRAIN F E SOAKAGE PIT G TRAP SOLAR HEATER DEEP WILL SPRKLR. SYSTEM SWIM'O POOL t` CoNTR. LIST -- ` F ILD - - -- _ CHECK Permit No fir 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 regulation 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 ' 4,0,1,1_s L No N ff Street.. - S ..... ..tegist:red Architect and /or Engigeer _ :mploying Plumber's Name erg deiB®�� 64 � G '�� L m , Location and Legal Description Lot- Block Street and Number where work is to be performed —No ° 266 _" i Street. y � 7 - State work to be performed and purpose of building (By Floors)_._------ ...--- •- .--- •- - - _-- -• . New Building _ Remodeling___ _ _..__ Addition..._.._ Repairs No. of Stories Size Septic Tank_-_ -- Feet of Drain Tile. ! Amount of Permit $ Nature of Water Supply: City—Well. " __ —___Size of Soakage Pit STATE OF FLORIDA, 1 u. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT -Type of Tank___ -- _----- -_ - - -. __Dist. Feet of Tank or Drain Field from Well (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli:': tions as an em toyer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent 1 upi.lement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1y him in t'-e wcrk `a b- performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publ! notice or no`icer as arcs required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed °: _acs this porinit, as ar i licensed by Miami Shores Village. iikkie72(. ( Signed Date. Capacity Gals. 3/2,7/7 es. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal :y eppeareaa 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 pacts therein by him stated are true. My Commission Expires Notary Publics, State of Florida Masts Plumber. NOTE: A re-inspection fee of $1.00 will be made when ouch re - hospection is mods necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor //;;.r f r 4/; or Builder Legal Lot Description Address of Building CONTRACTOR O� ,yILDER MIAMI SHORES VILLAGE, FLORIDA DATE ERMIT N? 6674 Contractor's Licens No. Work to be performed unper this Permit ,� -c ,�; ..•�''� 6 Bl. Subdi- vision Value of Project BY 194 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 m the appli- cation 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 changgd without authorization. A further conditi • u • on which this permit is granted is the understanding that the contractor or builder named above assumes th onsibility or R thorough knowledge • • * dinances and regulations pertaining to the work covered hereby whether shown on the plans or draling,o a stag or specific :. sns and mes respon- sibility for work done by his agents, servants or employees. ;` 1- Signed:' 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 permiO4 assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY • BUILDING ELECTRICAL PLUMBING ROOFING Owner of I - Building L MIAMI SHORES VILLAGE, FLORIDA ! ❑ DATE. 19 ( L0 a PERMIT N9 7201 Contractor's ` - License No. ❑ Work to be performed under this Permit Architect Contractor or Builder i Legal Lot Description II M CONTRACTOR OR BUILDER ',. Subdi- vision Address of Value of 11 Amount of ' Building t`', Project $ II 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed' . _r -_E $;: 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. s rft , ap. ceptinq this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY AI SOT Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su4imitted 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 _ -__ 4D_NA__1: 1._ • 13 r 4 L_ -__— No. 0 - Street /_i: Registered Architect and /or Engineer -------- - -_ - -- - - -_ - -- _ -- Employing Plumber's Name kl!_ !G t "C T if SS/ %I c 4 Date._ Street-- . Location and Legal Description Lot Block Subdivision_ Street and Number where work is to be performed —No C • L� . 9 Street State work to be performed and purpose of building (By Floors) _- -_ -_ -- -- .__ -- New Building__-- _-_— ____- - _____ - - - - --- Remodeling —__ —__ Addition - - --_-. Repairs -- -- -•- - -- --- -- - --. No of Stories- - ..... _ _ - •. - - . Type of Tank Feet of Drain Tile_3 _�_ _ �_i L4 Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well..___._ ....... __________— _._....... - __—_ -- -Size of Soakage Pit -- Size Septic Tank_ ___ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. (Signed)- (Signed _ Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his options as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per , . ent Supplement, and bus 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 o e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on .r to .e pe forme.' der this permit. 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. 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 TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS 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 CONTR. LIST — _ CHECK 40°. _ Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su4imitted 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 _ -__ 4D_NA__1: 1._ • 13 r 4 L_ -__— No. 0 - Street /_i: Registered Architect and /or Engineer -------- - -_ - -- - - -_ - -- _ -- Employing Plumber's Name kl!_ !G t "C T if SS/ %I c 4 Date._ Street-- . Location and Legal Description Lot Block Subdivision_ Street and Number where work is to be performed —No C • L� . 9 Street State work to be performed and purpose of building (By Floors) _- -_ -_ -- -- .__ -- New Building__-- _-_— ____- - _____ - - - - --- Remodeling —__ —__ Addition - - --_-. Repairs -- -- -•- - -- --- -- - --. No of Stories- - ..... _ _ - •. - - . Type of Tank Feet of Drain Tile_3 _�_ _ �_i L4 Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well..___._ ....... __________— _._....... - __—_ -- -Size of Soakage Pit -- Size Septic Tank_ ___ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. (Signed)- (Signed _ Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his options as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per , . ent Supplement, and bus 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 o e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on .r to .e pe forme.' der this permit. 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. 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. Date Legal Description / Tenant J hl G 1_ � � R L ST PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 280 Iv `\ et 5 S I Tax Folio Owner's Address 2 80 'm e 9 SY C o n t r a c t i n g Co. / 0 L6 P Lc,i 6 / Iy . T J Qualifier 0 5 41 I* 02 I L0 0 ss# Zo!-‘,s-p -y State# k r 004;003 Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL APPROVED: Zoning Mechanical PLUMBING Historically Designated: Yes No Master Permit # L444 78) L) L/3-- a 9 Phone (3a) 7,57- 7 3 2 3 Address L7 211 5w / O 7C - Phone ,Tf! 1 1 (>j j Competency # /9 Ins. Co. Address Address Address MECHANICAL ROOFING PAVING FENCE WORK DESCRIPTION k&-piAcc TvB Yid vc c-T J ELLoc 4 T Lc /J i 12-C (414/1 Ap_;f• l J o _ Square Ft. Estimated Cost (value) 900 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. Furthermore, I authorize the above -named contractor to do the work stated. Si Notary as to Con s for or Owner- Builder My Commission Expires: Ak0P4e RENE TUMA COMMISSION # CC 451846 linl r' EXPIRES APR 9,1999 BONDEDTHRU ATLANTIC BON DIN G CO., INC. C.C.F.114 NOTARY BOND Electrical ctor or Owner- : uilder SIGN TOTAL DUE Date Structural Engineer ITEM BATH 118 / / UNIT FEE ITEM . SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE 3ICET ( LIGNT OUTLETS CENTRAL HEATING OISn1YASr(ER ( 'C ( RECEPTACLES- A/C (WIND) DISPOSAL SERVICE TEW ARY A/C (CENTRAL) DRINKING FOUNTAIN • SERVICE SIZE IN AMPS DUCT WORK FLOOR CRA I N SERVICE REPA I R/WER C: {AIC.E REFRIGERATION GREASE TRAP APPLIANCE' OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROIIMO TANKS LAVATORY • OVEN ABOVE GROUND TANKS LAU?ILRY TRAY WATER HEATER .U.F. PRESSLAE VESSELS CLOTHES WASME Piloc.ArE / MOTORS • ;.b 0- 1 ,tP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HIT WATER BOILERS SINK, POT/3 COMP. 1OTCRS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE 4 MOTORS OVER 5- 8 HP TRANSPORTING ASSE EL I ES SINK, SLCP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TE4PCRARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTE1S URINAL MOTORS OVER 25-100 HP 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. PELd lt / GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFOBERS LAWN SPRINKLER -WELL SPECIAL PLRPOSE SWIM44ING POOL OUTLETS CCMIERCIAL WATER SERVICE • SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TAM( ANTENNA • RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION' PUMP 3 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN 01 SC:'.ARtE WELL DOMESTIC WELL AREA MAIN R00F INLET SOLAR WATER HEATER • FIRE STANDPIPE POOL APING • LAWN SPRINKLER SYSTEM GAS RAVC'c METER SET (GAS) GAS PIPING 9 • .. ... . , 1 -6- .n { e (AT APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. Ir A MASTER PERMIT HAS 3. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL