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1226 NE 97 St (6)BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building / >e Lo (�1 MIAMI SHORES VILLAGE, FLORIDA I I DATE PERMIT N? 10687 Work to be performed under this Permit CONTRACTOR OR BUILDER Bl. - 1 I Signed• Subdi- vision Value cf Project $ Contractor's License No ai $ 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 an • drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and re pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility done by his agents, servants or employees. Amt. of Permit ._t BY x - /1 3 INSPECT 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 permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Date 8 -20 -92 Job Address 1226 NE 97 STREET Tax Folio4 5 % Legal Description ig`friEoZ 19 Owner / Lessee / Tenant PETE SHAW Master Permit it ir,V0V Owner's Address Contracting Co. NORTH DADE SEPTIC TANK Address 800 NW 111 STREET, MIAMI 33168 Qualifier DENNIS NEVILLE SS# phone 754 -3375 State # 025836 -8 Municipal # Competency # 12842 Ins.Co. AFC() Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION INSTALL DRAINFIELD Square Pt. 300 SQ FT 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 _s accurate = d that a ork will be mpliance with all applicable laws regulating co on a.• zoning. ermore, I au' •' / :,abov= -named contractor to do the work stated Sign Date: otar re of owner and /or Condo President APPROVED: PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Mechanical 1226 NE 97 STREET, MIAMI SHORES, FL 33138 Phone 445 -4284 and /or Condo President NOTARY PUBLIC; STATE O FLORIDA AT LARGE 1Z'eS: MY COMMISSION EXPIRES JUNE 19, 1995 &QPIDED THRU HUCKLEBERRY 8 ASSOCIATES ** * * * , * * * * * FEES: PERMIT 3V'�RRADON C.C.F. , 1 Estimated Cost(value) 11000.00 ary as My Commis Fire Building Electrical tor ors er- Builder rA5 retractor or Owner - Builder n Expi fWY PUBLIC; STATE OF FLORIDA AT 6AncE MY COMMISSION EXPIRES AO 196 1M3 EONDED THRU HUCKLEBERRY $ AoiiTCIAu ;, * * * 11 * * * * NOTARY TOTAL DUE 1 -01 - 9- a Other tz '` 0 / ngineerinq / A31' o9- v6.® © -1 Date Job Address /00 it ' �y/j E ( ! Tax Folio /// W Legal Description L- / / Lessee Owner's Address Contracting Qualifier State # a.d?X-O Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL S ' nature ' owner and /or C Date: 5'#00e4 Notary a My Commis /yA /S ** * FEES: PERMIT 1 RADON APPROVED: Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 4 /%, "//c- '91 7--r Co. 2 �� -� .$Address /� Phone Municipal # yeed%7 Competency # Ins.Co. esident. XI I S) e ident �-0 .Qrr(eD/ as Buildin S 0� Mechanical Plumbin CoMU 0f ) ij fie MECHANICAL ROOFING PAVING FENCE SIGN Phone /X/ 2/ A ", 4 Master Permit # 0 1 J WORK DESCRIPTION °.4 7- 2 47 �Tfd c Square Ft. Estimated Cost(value) e• 496 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 a orize t _ =bove -named contractor to do the work sta -d. agnature of Contractor or Owner- Builder Date: svAJ !e Notary as My Commissi * * * * * * * * * * * * C.C.F. Fire Other * * NOTARY TOTAL DUE l v Electrical Engineering a to : � �� �. GAS SERVICE uw"mm| 0 LPG-MTR OOmo, 0 LPG-Cy umn ubricx upamu Owidth trees Ufence» u walks Obuohon Oxpdnk|o, Obvre: unew umoming Obkmk Ohanm umumm Omiding Oomo, o ROUGH IN NEEDED MAP O a '11 On O New Off CC CL iz u asp xw uNm OU|o u regular O tin 12 pitch O rock 0 other attic under slab size length difficulty: 0 simple u moderate — ~^ AMOUNT TO COLLECT $ (--� Customer Approval: Y Y v ORmmivam 0 Added Load N N m • ms O Retention • Ret/Add u Other Revenue / / Rate Class / O Existing u Now length size relief pan: 0 metal 0 plastic Existing: size New: size to w/h to other appls. total o. O wW u mngo U homor Omho, Ow/h Omngo O Aomn, Omha, SIC Code 1 mvbouts outlets OvwHSHED OvwASTAND o COMB VENT OTxsnmoSnAT WIRING Distance from street: • 100# cyl u12Otank O25mtank umhor O DRAIN FIELD o SEPTIC TANK o ABOVE GROUND o BELOW GROUND ����� ��JL�0��� Customer / Name � / ' ' '/ Home PH ' . � (. .1 Work PH ' /,/ !; \ )- Service ` Address / —�' ~~ < / y �� �_. City ` I ,x,�` -- I:. @� / 1 ~ Zip -'. i ." Buyer Address ,~ � --^ ' City ' St. Zip .— Federal Taxpayer |Dx Acct. » Tax rict City 0 Date Required ./ ' .1 — : '" Contact Name /` )''�' // �''` '�—� ph»»»Nu �� } /' / .. ` ) Date Scheduled / / ^. ' .' ' Sales ,omon. i /-::~ ' a to : � �� �. GAS SERVICE uw"mm| 0 LPG-MTR OOmo, 0 LPG-Cy umn ubricx upamu Owidth trees Ufence» u walks Obuohon Oxpdnk|o, Obvre: unew umoming Obkmk Ohanm umumm Omiding Oomo, o ROUGH IN NEEDED MAP O a '11 On O New Off CC CL iz u asp xw uNm OU|o u regular O tin 12 pitch O rock 0 other attic under slab size length difficulty: 0 simple u moderate — ~^ AMOUNT TO COLLECT $ (--� Customer Approval: Y Y v ORmmivam 0 Added Load N N m • ms O Retention • Ret/Add u Other Revenue / / Rate Class / O Existing u Now length size relief pan: 0 metal 0 plastic Existing: size New: size to w/h to other appls. total o. O wW u mngo U homor Omho, Ow/h Omngo O Aomn, Omha, SIC Code 1 mvbouts outlets OvwHSHED OvwASTAND o COMB VENT OTxsnmoSnAT WIRING Distance from street: • 100# cyl u12Otank O25mtank umhor O DRAIN FIELD o SEPTIC TANK o ABOVE GROUND o BELOW GROUND ����� ��JL�0��� �uxmmm / Name / � ' -/ Home PH ' / i,. .1 Work PH ' /,/ !�• \�~ Service / • { Address - '� ' xuu =� ` '|. � -� ' / `~ ' �_, ' / City City ,/r',/�` ~— ^�/ St. / � /~ Zip �~/� Mailing Address --- ' City — St. Zip • pouom|nmpvyv !Di/ �vn�o �x�o Ooh District uCm�� Date u�~ // • �_ Required Contact / / Name )�'�' /l J/' ' � • -' Phone No. 7 . ; ) /' / ` ' 1 Daeedv|od /~ - S o h ' / / • / " - - : / Salesperson ��.' 1.f. • -' ' u dirt uuxox 0 width Op�nu �� Oo�^� OUm tile Osmmno New ON Oum�, Omxo mvmmm �� iii ' . outlets - SEBVICE TYPE SEVICE TYPE .0 Restart 0 Retention lummmnn 0 Reactivate 0 Ret/Ad O New Off O Added Load 0 Other I GAS SERVICE %01PG-Bulk 0 tree Ofenmv u walks Obvnhoo Oxpdnk|or 0 bore: Onew o existing block U kamo Omuvon Oaidiog O other o ROUGH IN NEEDED O '~~' LOCATION C CL Orock Omhe, attic Y under Y slab v size length difficulty: 0 simple 0 moderate ar oUn O12phoh --~~^ AMOUNT TDCOLLECT $ Customer Approval: N N w � ^= . '^ nm 4 0!,■ • size relief pan: 0 metal 0 plastic Existing: size New: size to w/h to other oppm. total —..J Revenue .~" � � Rate Class / • a. CL 1,4 outside O in wall Ow/h u mmgo O hoate, Omkor ~ —_ SIC Code AFE Ow/HSTAND O COMB VENT OTHsnMOSn^T WIRING 51462 Distance from street: O100#cyl u1uotank Oosutank Ommm o DRAIN FIELD O SEPTIC TANK 0 ABOVE GROUND O 8ELOW GROUND • /• � • Permit No r ”5' 13- ID- gt 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 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 ?E - AZ (4 - No Registered Architect and /or Engineer Employin lumber's /� Name � _-. CoRPo� -11c4" I Jl o�n sad �eal I , p�on / e Street and Number where work is to be performed -No • State work to be performed and purpose of building (By Floors Remodeling New Building -. - -.- Size Septic Teak - _- _- — __Type of Tank - - --- •- ...._._...Capacity Feet of Drain Tile. - ....._ Dist. Feet of Tank or Drain Field from Well ..._.-_..._ - Nature of Water Supply: City-WelL Size of Soakage Pit Amount of Permit $ k$ . 00 (Simied) - 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 5988, Compiled General Laws of Florida Permanent Supplement, and h,►. com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wore• 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. • STATE OF FLORIDA, 1 COUNTY OF DADE. U. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT I data ) _ I?.o GJ.Q l.. P. - 444- Subdivision 2ii,oi - �-� Addition Repairs No. of Stories (Signed) CG 1496-‹ SS* '{- 0S- SL -lcot street. q 5' Block — I Ac Stueet . -. 1 . ........ -- -•- -- - ,3ei - to POOL 14e4eeC. Master Plumber. Before me, the undersigned authority, a notary public, dilly 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 be is the ...__.._ .... • - -•• -- - - .... -._ _.. of the above described construction, that be has carefully read the foregoing application, and that be 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 oath no-hapeoebe V anede•neoewz;y by doper notice for lnspection, or faulty materials and /or wrorloaanship. CLoscr• BATH TUSS SNOWERn LAVA• TORIES SINK• SLOP SINKS LAUNDRY Tuns U RINALS CATCH BASIN F LOOR DRAIN DRINKING FOUNT' NS TOTAL •IXTURr• COWS. LIST CNECK —' SVTIC SEWER CONN. DRAIN P1EL0 SOAKAGE PIT C TRAP SOLAR HILATER DE/LP WELL SPRKLR. SYSTEM SW IM'O POOL t OL. CONTR. LIST CHICK TANK Fr 71l� SC/ _--- 1 h ^ I ^ ^ ^ A/1 Permit No r ”5' 13- ID- gt 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 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 ?E - AZ (4 - No Registered Architect and /or Engineer Employin lumber's /� Name � _-. CoRPo� -11c4" I Jl o�n sad �eal I , p�on / e Street and Number where work is to be performed -No • State work to be performed and purpose of building (By Floors Remodeling New Building -. - -.- Size Septic Teak - _- _- — __Type of Tank - - --- •- ...._._...Capacity Feet of Drain Tile. - ....._ Dist. Feet of Tank or Drain Field from Well ..._.-_..._ - Nature of Water Supply: City-WelL Size of Soakage Pit Amount of Permit $ k$ . 00 (Simied) - 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 5988, Compiled General Laws of Florida Permanent Supplement, and h,►. com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wore• 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. • STATE OF FLORIDA, 1 COUNTY OF DADE. U. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT I data ) _ I?.o GJ.Q l.. P. - 444- Subdivision 2ii,oi - �-� Addition Repairs No. of Stories (Signed) CG 1496-‹ SS* '{- 0S- SL -lcot street. q 5' Block — I Ac Stueet . -. 1 . ........ -- -•- -- - ,3ei - to POOL 14e4eeC. Master Plumber. Before me, the undersigned authority, a notary public, dilly 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 be is the ...__.._ .... • - -•• -- - - .... -._ _.. of the above described construction, that be has carefully read the foregoing application, and that be 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 oath no-hapeoebe V anede•neoewz;y by doper notice for lnspection, or faulty materials and /or wrorloaanship. ■ Z F1/41#•Ap )Adt DC/0.114S FOR -xrs 'c.c R44“ SP4 /2 4 4/4/./v //ez_z.) mpR6 , -/"frit?z , vE ME" A.,47/ A4 pi L. c*/-/-/ LC/E POOL PLAN @ICUS: iir • 1•40 lt I! OA C 0 11 N 0 N 2cO , PooL /Spt /G I S L 5'GiRS �- • , CANS _- 1226 tti 9`1T " s-�, to i A- nt4 -1r , a‘,A 19 3 4 t v `p, ,, • a To N SHORES tP N`■■ - g ook, • CLOSITE BATH T UBB SHOWERS LA V A • TORIES SINKS SLOP SINKS LAUNDRY TUBB URINALS CATCH OASIN FLOOR DRINKING DRAIN ROUNT'NB i Tor..L PIETI RES CONTA. LI'T CHICK SEPTIC TANK SEWER CONN. DRAIN PIILO SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WILL SPRKLR. SYSTIN SWING POOL ^ I i CONTR. LIST I P - — — CHECK ,•phratu,i, is hereby made for the approval of the detailed statement of the plans and specifications herewith subr.t;:... -1 for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi; ••! Shares Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatir of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec fications must be kept at '3uilding during progress of work. ')wner's Name and Address ... ...PETER_ SHAW No, 1 — ,- __ -- 97 S T .egist.red Architect and /or Engineer DON FELICELLA ` :mploying Plumber's Name ACTION POOL. B.UJJ. D ,E &S IN C . No,._5. ,, ,,,, 8 f „ u�jS, ON S,�, HOILLYWOOD Location and Legal Description Lot. 18 & 19 lgl 4 S on ..EARLETON. SHORES. Street and Number where work is to be performed —No. 1226 __ — S treet N.E. 9 7 ST. State work to be performed and purpose of building (By Floors) SWIMMING POOL New Building Remodeling__ _ — _._.._._ Addition.- ._....__ Repairs No of Stones Size Septic Tank_..._ ...... of Tank Capacity A Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well .... ........._.-- •_ - .. Nature of Water Supply: City — Well Size of Soakage Pit Amount of Permit $. STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VOLLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date.. (signed) _ M R-c 4C T qt Plumbin.; Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as en e n;>ioyer of lobo under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent ,rupilement, and lid. von- with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed I y him in ' e •.1 rir b- performed under this permit; and will post or cause to be posted for inspection on the site of the work such ppbl: notice ' no icer rg a: requ'red by the Act, The undersigned agrees to employ only such sub-contractors, on work to be performed 'a this J :r nic .o as . licensed by Miami Shores Village. Mast.a Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perr;inrr. ; . pppearee, 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 rend the foregoing application, and that he did sign the same, and teat all acts 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 cam re.fnapeetien is meaty necessary by improper notice for inspertkm, et toulty materials and /or workmanship. Owner's Name and Address . PETER SHAW Registered Architect and /or Engineer Name and address of licensed contractor MIIAMo S DON FELLICELLA State work to be done and purpose of building (by floors) SWIMMING POOL AND PATIO —[ORES VIILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PE 1101 Application is hereby made for the approval of the detailed statement in tree plans and specifications herewith submitted for the build • inc 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 the work. Date , 19 N ].226 6c7C MIT Street N :.F., ..�Z..ST . drol ACTION POOL BUILT?)aRB.,.,,INC.,.... 5532— EUNSTLIN--- ST_ -, -- IOLLYWOOD-,. - -FI,- -33023 Location and legal description of lot to he built on: Lot 18 & 19 E j Block 4 Subdivision .. .. .EARLF<T4QN.._SRORES........_ lI cf° 2- 4 95°. of Street and Number where work is to be done 1226 N.E. 97 ST. and for no other purpose. Ncw Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation l •vering Estimated Total cost of improvements $ ,15.Of10._L10 Amount of Permit $%. ... ,. Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices .with reference to the building and its construction may be sent to.. 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 complied Stith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by bins in the work to be performed under this permit; and will post or cause to be posted for i p tion on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su•- •'•n»/acto:rs, on wt to be performed under this permit, as are licensed by Miami Shores Village. 1 / ; ✓� Remarks (Signed)...... - . 'K ......._.. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that lie has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him state •.. e true. Permit No " Date °q) / U ' ' Read, Sworn to and Subscribed before me. Disapproved .__. a _ ; . \.. ..! .. , Date (Signed) Building Inspector PLANNING BOARD DATE C'riairman Member Member Member Member .. .. Member Council Approved Date Disapproved to me well known, Notary Public, State of Florida My Commission Expires Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Pl.innir,g Baird. A rc inspection fee of $1.00 will be charged when such re- inspection is mode necessary by Improper notice for inspection or faulty materials and /or workmanship. has been obtained from Date Medtropolitan Dade County Building and Zoning Department Attention: Building Official 123.02 -92 Rev. 2/85 SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as LOTS 18 & 19, BLOCK 4 EARLETON SHORES , located at 1226 N.E. 97 ST. MIAMI SHORES, FL In accordance with Sections 33- 12(e)(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address can- not be used or filled with water until a separate permit has been obtained for an approved safety barrier, including a spring lock- self - closing gate, equipped with a safe lock and utilized when pool is not in use, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owner NOTE: This certification is to be submitted with a swimming pool permit application in duplicate. • FEA.ICC: CERTIFY TO Kt.`K -9.9 FWD. z./ Al ' P/PE scats g.25 Q. a+ , 1(10 M.i.• *0 AVE. • ` (306) 665 -7303 e : Q' BOUNDARY SURVEY OF : LOT 18, AND THE EAST ONE HALF OF LOT 19, BLOCK 4 OF "EARLETON SHORES" ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 43 , PAGE 80 OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. FLOOD ZONE AE ELEVATION 8 ADDRESS: 1226 N.E. 97 ST. /58_ �� MIAMI SHORES FL. -- REF. B.M.- ELEVATION: 8.74 (N.G.V.D.) N.E. 96 ST. -66' N.OF N.E. 10' AV E.— 23.5' W. OF. t CENTER OF P.1. — BRASS BAR IN CONC.-0 .M.* B -62) HOUSE LOWEST FLOOR ELEV.- 9.66 ( N.G.V.D.) BUYER: PETER G. SHAW 199.52' 9 F�IiDX /Rat) Roo 4 LAN FEAu,E 0 ACCURATE LAND SURVEYORS FaidicK fax — 5 ' A LLEy +••••11102••••! NY ALE 97.r 60' £ /i.IJ. CALIFORNIA FEDERAL PETER G. SHAW ATTORNEYS" TITLE INSURANCE FUND 22 A VV.4 Ur 9.5' 't 4,Q � 1(11 sOt POMPANO SEAM e ft. 31100! LOCATION SKETCH MIAMI SHORES 70.7' N.W. FROM MOTE, TWO LAMOM *MOWS 555,0% VP COO NOT •NTOACTtO POO 1AM*NMIP. tlI 1.MT.•05.WAT. M WA.. M.MT.. CERTIFICATE THIS IS TO CERTIFY THAT I HAVE RECENTLY SURVEYED THE PROPERTY OEOCRISED IN THE POR1001N0 TITLE CAPTION AND HAVE • SET OR POUND MONUMENTS As INDICATED ON THIS SKETCH AND THAT SAID ASOVE GROUND SURVEY AND SKETCH ARE ACCURATE AND CORRECT TO THE 'EST OP MY KNOWLEDGE AND SELIEF. I FURTHER CERTIFY THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDAROS FOR LAND SURVIVING UNDER RULE EIHH -S. I.A.C. ADOPTED IY THE FLORIDA BOARD OP LAND SURVEYORS. SEPT. 1. 1551. F�tlO, r //{DA) P /fl: Se4 ad SIAL 1a iicL1 VOILES As.;:. tile' •: a4. tjoossrtll L M awe,: ; •z c. I. qo 8 s A t.,#. : u`` co C O. p I 9 • STATEOI FLORIDA OA TI O I - /5 -8 3 .. ELL . T. 4aLr ...t "WES 1 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 Shr;p.'llage, 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 w ork. , \ Owner's Name and Address ` } l , ‘ ` No `> : ? ;Li ■� t..0 _ .Street- - ---- i - - -1_ h - ' Registered Architect and /or EMineer r I �. d t I .t �. Employing Plumber's Name____ Li' > ` < 1 ___ :: : No i - Street z I ;�', I r' c t P Location and Legal Description Lot ......4.:_ e .t._ Block '1_4_ Subdivision C C' , - - - Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors New Building Size Septic Tank Feet of Drain Tile i r Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. ss. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT, Addition Repairs No. of Stories Type of Tank Dist. Feet of Tank or Drain Field from Well (Signed) Date f 9 /i Capacity Gals.. 1- F Nature of Water Supply: City —Well. __Size of Soakage Pit/ - L . (Signed) I/ d; - My Commission Expires Notary Public, State of Florida 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. 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS —�� LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRA.IV DRINKING FOUNT' NS - TOTAL FIXTURES CONTR. LIST w ' / , -'. (-• r . / I • � N p 1 1 • o _ ,._,. -- _. CHECK . 9 4. e , SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST 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 Shr;p.'llage, 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 w ork. , \ Owner's Name and Address ` } l , ‘ ` No `> : ? ;Li ■� t..0 _ .Street- - ---- i - - -1_ h - ' Registered Architect and /or EMineer r I �. d t I .t �. Employing Plumber's Name____ Li' > ` < 1 ___ :: : No i - Street z I ;�', I r' c t P Location and Legal Description Lot ......4.:_ e .t._ Block '1_4_ Subdivision C C' , - - - Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors New Building Size Septic Tank Feet of Drain Tile i r Amount of Permit STATE OF FLORIDA, COUNTY OF DADE. ss. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT, Addition Repairs No. of Stories Type of Tank Dist. Feet of Tank or Drain Field from Well (Signed) Date f 9 /i Capacity Gals.. 1- F Nature of Water Supply: City —Well. __Size of Soakage Pit/ - L . (Signed) I/ d; - My Commission Expires Notary Public, State of Florida 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. 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.