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574 NE 94 St (7)Date - 2 - 9 Legal Description PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Ad Historically Designated: Yes No g Tax Folio Owner/Lessee / Tenant f'_ / J ' J 4 if P�cr Master Permit # f" q /73) Owner's Address Phonet 0 S j 3 '7 q_ Contracting CoX y '.'9 '/ /V z Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRIC PLUMBIN ; / MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 5t /.Q /yy�o 9 9 ! 73 r /4 Square Ft. Estimated Cost (value) )e Li V 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. OWNERS 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. � 7 . of Signature of owner and/or Condo President Date Sign o' : o acto or • ilder D to 7- 3d--0/ Notary as to Owner and/or Condo President Date N as t Contr v if mil fefY Date My Commission Expires: y CO �r rrauc s o; ,, - to. ' HISION NO. CCY:.3253 Nl r ' : ::SSION EXP.1AAR. 1,2072.___,'; ✓ y v FEES: PERMIT V RADON C.C.F. i NOTARY D BOND APPROVED: Zoning Building 4echanical Plumbin Electrical TOTAL DUE vz h 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 he 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 No. Street Registered Architect and /or Engineer __ _____ __ Employing Plumber's Name ___- ____ _- 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 _. - ___.__ .. Remodeling Addition _.__.___ ___. Repairs - No. of Stories CONTR. LIST CHECK CONTR. LIST CHECK CLOSETS SEPTIC TANK BATH TUBS STATE OF FLORIDA, t COUNTY OF DADE. SHOWERS SEWER DRAIN CONN. FIELD ss. LAVA- TORIES SOAKAGE PIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT SINKS GREASE TRAP SLOP SINKS SOLAR H EATE R LAUNDR Tuss DEEP WELL URINALS Amount of Permit $ - (Signed) SPRKLR. SYSTEM CATCH BASIN (Signed) SW IM'G POOL FLOOR DRAIN Size Septic Tank _ -_ _ -- _ - - -- - - - -. -- - - -- -------- - - - - -- --Type of Tank _ Capacity Gals. . Feet of Draih Tile ___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit _ Date_ - - -- - - -- - -- - DRINKING FOUNT'NS Plumbing Inspec�tor. 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 Work 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 hiln in the work 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. My Commission Expires Notary Public, State of Florida Master Plumber. TOTAL FIXTURES 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. I�rzmit ,C'17 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. Oarner'o Name and Address Registered Architect and /or Engineer _______ Employing Plumber's Name Rose Septic Tank Co. P.O.Box A44 Hialeah Location and Legal Description Lot_ Block Subdivision. -_-- -__ -_- 5?4 N.E. 94th street Sweet Stmt and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_____ New Building----- -___ -- _ -- Remodeling Addition Stza Septic Tank_ _ Feet of Drain Tile_ Nature of Water Supply: of Soakage Pit Amount of Permit $ $ STATE OF FLORIDA, 1 COUNTY OF DADE. J 1050 gal. 100 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT William A. I - -- No._ _ Type of Tank___ ___Dist. Feet of Tank or Drain Field from Well (Signed)_ Street. I� Date------ ____ _12=- 1-7 =--69 Street Capacity Gals My Commission Expires Notary Public, State of Florida Master Plumber. Repairs No. of Stories...... ....... . .. . mbing 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 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plier 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)* ° , 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•necesssry by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBE OWER SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIETUREG COtvTR. LIST CHECK SEPTIC SEWER TANK CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIM CHECK 1 - -- 1050 T 100' -. . I�rzmit ,C'17 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. Oarner'o Name and Address Registered Architect and /or Engineer _______ Employing Plumber's Name Rose Septic Tank Co. P.O.Box A44 Hialeah Location and Legal Description Lot_ Block Subdivision. -_-- -__ -_- 5?4 N.E. 94th street Sweet Stmt and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_____ New Building----- -___ -- _ -- Remodeling Addition Stza Septic Tank_ _ Feet of Drain Tile_ Nature of Water Supply: of Soakage Pit Amount of Permit $ $ STATE OF FLORIDA, 1 COUNTY OF DADE. J 1050 gal. 100 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT William A. I - -- No._ _ Type of Tank___ ___Dist. Feet of Tank or Drain Field from Well (Signed)_ Street. I� Date------ ____ _12=- 1-7 =--69 Street Capacity Gals My Commission Expires Notary Public, State of Florida Master Plumber. Repairs No. of Stories...... ....... . .. . mbing 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 5968, Compiled General Laws of Florida Permanent Supplement, and has com- plier 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)* ° , 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•necesssry by improper notice for inspection, or faulty materials and /or workmanship. Date ' Issued to OWNER For a story building at ddiiami AoreI D s�illage F L O A A PLUMBING PERMIT NV 1092 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. Fixtures Fixtures $ Sewer $ Septic Tank _ $ Total $ Village Plumbing Inspector__. Received Payment by LOT BLOCK SUBDIVISION Date e ,—; Issued to Fixtures Fixtures Sewer Septic Tank AorerThlage F L 0 PLUMBING PERMIT N) 1125 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. • '1 - For a Lstory building at Total $ Village Plumbing Inspector Received Payment by- OWNER LOT BLOCK SUBDIVISION .„,.. , 1 1 i •'..',.- -- ' i j 4 . ' ,/,'* Li ' ' .._ "1 Date e ,—; Issued to Fixtures Fixtures Sewer Septic Tank AorerThlage F L 0 PLUMBING PERMIT N) 1125 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. • '1 - For a Lstory building at Total $ Village Plumbing Inspector Received Payment by- BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Value of I; Amount of Building Project $ 11 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: . - ,_ c---- INSPECTOF. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordiattices..aad regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Contractor's License No. B1 N9 7058 DATE_ _ . _— x_-19 -- Work to be performed under this Permit__ Subdi- vision BY AUTHORITY A 11 T 45 AG .;TRICAL ..UMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building 1 PERMIT IT? 11859 Waif to b CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 195 Contractor's License No performed under this Permit Signed• Value of Project $ Amt. of Permit ("' This permit is gra d t. the contractor or bu per named above to c struct the building or to install the equipment or device described in the a ation herefor in strict complia e with all ordinances pe fining thereto and with the understanding that the work will be performed in compliance with any s, drawings, statements or s ecifications that may have •een submitted to and approve 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 cianged without aut granted is the understanding that the contractor or builder named above assumes t? pertaining to the work covered hereby whether shown on the plans or drawings or done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perform th work covered hereunder in compliance with all lations pertaining thereto and in strict conformity with the plans, drawings, statements or pecifications submitted to the proper autho of Miami Shore. Village. In accepting this permit I assume responsibility for all work done by either, my , my agent, servant or employee. BY orization. A further condition upon which this permit is a thorough knowledge of the ordinances and regulations nts or specyii assumes responsibility for work �""�.r� .4 ■,.1 SPECTOR A 1 7 AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3442 Work to be performed under this Permit r r Subdi- vision DATE 194 WARNING: This Construction may be in violation of War Production Boaid General 1 imitations Order 1-41 You are t 2utionrd to_ rr,;, .,o,r' War _P. .aduc Inn Board office before staring ine work autno{ zAi in this permit Legal Lot Bl. Description Address of Value of Amt. of Building Project Permit Contractor's License No. 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 .. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions 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 permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY