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511 NE 94 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date i/ /3 ` t' Job Address ) / /V / °, f .51 Tax Folio Legal Description Historically Designated: Yes No / Tenant 6 / G (epo Owner's Address .52 / ,(% g‘4/0 Contracting Co. e V Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL pbU�BING) MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 441 ("k1 J 7s7 1 /i• V 44,6e've".) ,d o' ' Square Ft. 4✓`4- '' 4076 ow 75-w ( Estimated Cost (value) /aa 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 t My Co FEES: PERMIT and/or C do President b t C/6 7k _ 4/-3o - // -3 ar ororoi rmntinri. S to pares: GLADYS J VILLA ? 11.11Y PUBLIC SPATE OF FLORIDA COMMISSION NO. CC7144103 MY COMMISSION EXP. MAR. 1 002 scion E RADON APPROVED: Zoning Building Mechanical Plumbing Address Signature of Contractor or Owner- Builder Date 0 J Notary as to Contractor or Owner- Builder Date My Commission Expires: C.C.F. / {o D NOTARY S Phone 2 ' 3 Electrical Master Permit # `"T 15 K5 BOND 0 Structural Engineer Permit No 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 berdn specified or not. A copy of approved plans and specifications must be kept at Owner's Name and Address r n aaa � > F€- LA 1 I CX �r'S N Street c1 Pei/ ce .te o X01 pie building during progress of work. W 1 it( a u fe i p 0 ( j s y2 f e . _35b Registered Architect and /or En' L !/�� Employing Plumber's Name - re)"9 �1 .b/ .. Ala,...,- ar-J-T "" ill sz -C7 Y)eseti Location and Legal p n Ie - 3 /�'� lion Lot -,— 1 (/ c4 1 rs loc .SS Subdivision ��/1 ! 5i[BreS Sea ' 51- Street and Number where work is to be performed -No s / / E 2es S State work to be pesf�rmed and purpose of building (By Fkro:s)___ -.- - 4._— f- _t, �._..— I - Fca -c,( 1 �� Remodeling____ __ .__ Addition...- _- _-- .___.... Repairs No. of Stories.... New Building_. - - -._ Size Septic Tank_._ _Type of Tanir Feet of Drain Tile. Nature of Water Suppl Amount of Permit $ 1 ___Dist. Feet of Tank or Drain Field from Well ..- __________ .. Well. ( '_ Size of Soakage Pit C (-o S WOLS Lf2 r — !s (ILtx'cs`s...P.,0,r- 1 - c MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (SI The undersigned applicant for this building permit does hereby certify that he understands under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws plied with the provisions thereof, and will require similar compliance from all contractors or performed under this permit; and will post or cause to be posted' for inspection on the site required by the Act. The undersigned agrees to employ only such sub- contractors, on licensed by Miami Shores Village. Date _ _ _ L46 /0__ Street.._(..( _ sr - and accepts hi /°f Florida/Pert drb -contr Mors em >f the ork sue k to STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Lemon Ar L . a . to me well known, and who, being by me first duly sworn, upon oath deposes and says t .t he is the._ PI u m l / 215 _ '2/1- cl.c.roe ..._.. of the above described construction, that he has carefully read the foregoing . • I • fion, and that did sign fhe same, and that all facts therein by him stated are AT" v; }i'P LIC. ST AI t+FIL[1R111n AY LlallFg VY CPGt.T 51t1N [Yr14IS JAN.; 02i 1993 Myo "missioo t':Irplr« Plumbing Inspector. mployer of labor and hay corn - the wore to be notices as arr permit, as are Master Plumber. NOTE: A re- inspection fee of $1.00 will be made whoa snob misapscdoa Y taads•aoosseary by eiotioe far lo'cpoct cn or faulty materials and /or workmanship. CLOSETS BATH Tull[ SHOW[Ra LAVA• TORIES SINKS SLOP $INKS LAUNDRY Tull[ URINALS CATCH SAWN FLOOR DRAIN DRINKING FOUNT•N• 7-5- ,. Asiive 4 e idR SN FJf1 /IITUR[[ CONTR. LI[T 3 3 . CHECK 11) %N'�! ` " + SEPTIC TANK S[W[R CONN. DRAIN 'limo SOAKAGE PIT G TRAP Q �^r�� �9 C DEEP HEATER WELL a ST[TEM SWING POOL f+_°qY '7 CONTK. LIFT I / I - - � Q M ' CHECK Permit No 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 berdn specified or not. A copy of approved plans and specifications must be kept at Owner's Name and Address r n aaa � > F€- LA 1 I CX �r'S N Street c1 Pei/ ce .te o X01 pie building during progress of work. W 1 it( a u fe i p 0 ( j s y2 f e . _35b Registered Architect and /or En' L !/�� Employing Plumber's Name - re)"9 �1 .b/ .. Ala,...,- ar-J-T "" ill sz -C7 Y)eseti Location and Legal p n Ie - 3 /�'� lion Lot -,— 1 (/ c4 1 rs loc .SS Subdivision ��/1 ! 5i[BreS Sea ' 51- Street and Number where work is to be performed -No s / / E 2es S State work to be pesf�rmed and purpose of building (By Fkro:s)___ -.- - 4._— f- _t, �._..— I - Fca -c,( 1 �� Remodeling____ __ .__ Addition...- _- _-- .___.... Repairs No. of Stories.... New Building_. - - -._ Size Septic Tank_._ _Type of Tanir Feet of Drain Tile. Nature of Water Suppl Amount of Permit $ 1 ___Dist. Feet of Tank or Drain Field from Well ..- __________ .. Well. ( '_ Size of Soakage Pit C (-o S WOLS Lf2 r — !s (ILtx'cs`s...P.,0,r- 1 - c MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (SI The undersigned applicant for this building permit does hereby certify that he understands under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws plied with the provisions thereof, and will require similar compliance from all contractors or performed under this permit; and will post or cause to be posted' for inspection on the site required by the Act. The undersigned agrees to employ only such sub- contractors, on licensed by Miami Shores Village. Date _ _ _ L46 /0__ Street.._(..( _ sr - and accepts hi /°f Florida/Pert drb -contr Mors em >f the ork sue k to STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Lemon Ar L . a . to me well known, and who, being by me first duly sworn, upon oath deposes and says t .t he is the._ PI u m l / 215 _ '2/1- cl.c.roe ..._.. of the above described construction, that he has carefully read the foregoing . • I • fion, and that did sign fhe same, and that all facts therein by him stated are AT" v; }i'P LIC. ST AI t+FIL[1R111n AY LlallFg VY CPGt.T 51t1N [Yr14IS JAN.; 02i 1993 Myo "missioo t':Irplr« Plumbing Inspector. mployer of labor and hay corn - the wore to be notices as arr permit, as are Master Plumber. NOTE: A re- inspection fee of $1.00 will be made whoa snob misapscdoa Y taads•aoosseary by eiotioe far lo'cpoct cn or faulty materials and /or workmanship. No. 749007 BUILDING Tie Beam Framing PLUMB! Temporary Toilet Septic Tank ELECTR 1 Temporary Servic Air Cond. SPECIAL Sidewalks and Clean-Up THIS CARD MUST BE DISPLAYED ON FRONT OF JOB. 1lliami choPeAl BUILD PERMIT Yard Spaces Sheathing Slab Rough Fixtures P , /1p y� r� Ducts 0 —/ 0 .e 76 OwnerP.10, itSAVIN )WWC,1 tiro Confractor'M SUMPIAS WC • Lot Block Subdivision Address 311 NE 914. sy0 NOTICE: All Sub - Contractors Must Obtain LICENSES and PERMITS Before Work is Started. No Work on Sunday No Work Before 7:30 A.M No Night Work. Foundation kh ffil c Roofing Rough Fixtures r Pool door Walls ,Final . �- O � /; Top Ouf ani fub 7 Mechanical Slab NOTICE TO BUILDER: Protect This Card and Return To wilding Department For Certificate of Occupancy