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1249 NE 97 St (7)
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date X06 Job Address /251f LCD 9 7 7dee 'ax Folio Legal Description /D / / 1.-- 6/X 3 Historically Designated: Yes Master Permit # y 9 53 Owner/Lessee / Tenant 741149X4/31444.-) Owner's Address f �- �� /IC " s T. Contracting Co. 6 S( 406 Phone —36 � c t l Q ?OO State #0 � 2S I © S 0 ' Municipal # Competency # Ins. Co. 6 efI po fe) Qualifier .. A.94-1/AF," Architect/Engineer Bonding Company Mortgagor Permit Type (circle one Square Ft. _D T�? I 014_1 wner and/or Condo President Vide 1 1a0— !j4o-- 55 - 5 L i 17 AO Not as to d'wtimer and/or Condo President Date My Commission Expires: Signature,of E4 D 4� o fir. I' FEES: PERMIT APPRO : Zoning Mechanical 1PRY PU OFFICIAL NOTARY SEAL p e ANGELA M BECKER 2 14" r # / n COMMS9CN NUMBER 4 Cc'ssss7 QT LI, COMMISSION EXPIRES OP Fl.° .._ NOV. 15,2002 /0/40 ol06 Building ss# Address /Roo pie / J % 41 Address ': ! J L S w 7 7 4 Address (i62-&z- Y6E4 /q oc off, /7 Estimated Cost (value) 00 6 ECHANICAL ROOFING PAVING FENCE SI 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 constructi in this jurisdiction. I understand that septrate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and CAL WORK. c.o.-- OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurat d that : w.. will b done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above ork stated. o astoC My f omnmission Phone 4 XY S��� f� 3 a _ er- Builder Date , vIv Co, � 4 a y , '1 , 25 O03 RADON C.C.F. NOTARY 5, 0 C BOND Electrical Plumbing V \' J\ Engineering No r- Builder Date TOTAL DUE //2 / BUILDING AND TONING D A'117f ^ 2 . (3O51 795-r04 FAX: (^ BUILDING P$iIT /CCNrPACPORS =STRATTON C=',LIS T C:py of STATE OF FLORIDA CER'T'IF'ICAT'ION (DPER) cr STr IE cREISMATION AND DADE COUNTY CaTEMENCY LICINSE Copy of current ATION L LICENSE from count_. cr :iu n__ :^.a? it! business is located. Certificate of Insurance for LIABILITY (addressed to Miami Shcr_s Village) Certificate of Insurance for MUM'S COMP (addressed to Miami ShoresVillage) or if exempt. State of Florida LES Form BQf -204, Construction Industry biotic_ of Election to be Exempt. PLEASE SUBMIT EVER2TfIING CHECKED OFF Permit Application (signed by person performing the work, licensed contractor and the property owner, both signatures notarized). where Two sets of plans /drawings signed and sealed by registered architect or engineer. Occupancies 'by Group Classification must be on plans and cerait application. All plans must include folio number and property address. Amended plans, in addition to the above, must also include the permit number. Structural Calculations signed and sealed by arcc.tect or engineer when applicable. Current survey of the property. Certificate of Elevation signed and sealed by Surveyor. Substhntial Improvements Checklist (contractor or owner). TWo sets of energy calculations. Two sets of signed & sealed Truss Plans (agi: _-) . DADE County or State of Florida Products Approvals for roof materials, sends, windows, exterior /garage doors, aluminum carports, screen enclosures, shutters awnings, skylights, french doors and etc. Approvals f =an HRS, DADE County Impact Fee Section, Fire Department E. Health Department (when applicable) . DERM Warranty Deed or Other Proof of Ownership if necessary. Structural Review fee Flood Elevation Notice of Commencement NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION Amount of bond $ tofig , ,Ade te Print Notary's Na e Notary Public My (:nmmieeinn F yr • STATE AR FLOPirm PERMIT NO TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: 00R465935 20017 SEP 26 13 :33 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property. and in accordance with Chapter 713, Florida Statutes, the following information is //0? AL., this Notice of Commencement. 1. Legal description of property and street address: / ,R7 l N / � , 9 1 S / Am/ 2. Description of improvement: c r ' - 9 YA /i v hJ C0 3. Owner(s) name and address: S'L'Z /WA/ g AL A /oI V gc q - 7 s7; M. 911 -0 °‚'- Interest in property: Name and address of fee simple titleholder: OH • 4. Contractor's name and address: PO Oc. S too ,4C1 1st L. muA.n t rt.. S 142- 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: )� 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of !his Notice of Commencement: (the 2xRin date is 1 year from the date of recording unless a different date is specified) S,• tut' co .• -. • r �^ I Print Owners Name 24.11.$ 1 1!!1 (S g Sworn to and sub. cribed b = ore e s - day of r • d�: e JO.• Prepared by: 4i Address: P iI 12701.52 29 t. "'EREBY CERTIFY Trvvu�� OF LADE fiat this rs a tye tiled 'n thi office on e J eT• .9920 5s Seat. •r, drv,.. ,gy Clt RC e/ Coti and County Courts 4.41-F 07 0 - �, / L'i D.C. /0- 1 Date O0pJ12.000 Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL _OWNER'S_ CERTIFICATION 1 certify that I am the legal owner of the property described as 17-1.9 9 - located at In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, ihspected 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. Note: This certification i permit application i to be subm duplicate. Legal Owner C 7'Y\C_ 2:014 d' ted with a swimming pool Date OXo- t/■ -12.000 Miami Shores Village, Building and Zoning Department Attention: Building Official SWIMMING POOL _OWNER'S CERTIFICATION certify that I am the legal owner of the property described as 1 c l tvia7 located at In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, 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 i ted with a swimming pool permit application i to be submi duplicate. charge, for the use of the general public; however, the term 2 does not include a swimming pool located on the grounds of a 3 private residence. 4 (10) "Residential" means situated on the premises of a 5 detached one family,or two - family dwelling or a one - family 6 townhouse not more than three stories high. 7 (11) "Swimming pool" means any structure, located in a 8 residential area, that is intended for swimming or 9 recreational bathing and contains water over 24 inches deep, 10 including, but not limited to, in- ground, aboveground, and 11 on- ground swimming pools; hot tubs; and non portable sp as. 12 (12) "Young child" means any person under the age of 6 13 years. 14 515.27 Residential swimming pool safety feature 15 options; penalties.- - 16 (1) In order to pass final inspection and receive a 17 certificate of completion, a residential swimming pool must 18 meet at least one of the following requirements relating to 19 pool safety features: 20 (a) The 000l must be isolated from access to a home by 21 an enclosure that meets the pool barrier requirements of s. 22 515.29; 23 (b) The pool must be equipved with an approved safety 24 pool cover; (c) All doors and windows providing direct access from the home to the pool must be equipped with an exit alarm that has a minimum sound pressure rating of 85 dB A at 10 feet; or (d) All doors providing direct access from the home to 29 the pool must be eauipped with a self - closing, self- latching 30 device with a release mechanism placed no lower than 54 inches 31 above the floor. Florida Senate - 2000 22- 158 -00 6 CODXNG:Words are deletions; words underlined are addirions. /4 0 44Y 1u4 Y4619 I P.006 F -419 SE 86 See BB 25 • &J r/ mss• 40/o (p. /e' N/ GARY B. CASTEL SURVEYING,. BC LANG SURVEYORS+ 201 a B.W. ti33nd COURT. MIAM), FLOR OA.39.160 • 0063 263-0720 (am) Z61r•dha. . P /A/ ,i ► 3 oed Le0eatt; F - cI 1... a.. - w.a«e. a - Nand arre- oeri ec. at — Mar • - 0101 el rev Q - mI* be ?sno. kb - Masensd lbws Eninkaabasnt •"�Ote q- D5 - Ott-0 - 1frtm r g ushan vv-e___ 2? 112. 50' Cam? 4 BovN ona bleed on Note: lands shown MtefoOn• were not absi acted PCBM * O r ct / 9eSAngS H shown aro booed for reinients Intl/Os rIpM - of • ways of ord Bev. -► Rylt NO wrr) V Datum on ud - • l !pad d torifs,00 t+tl rno amt 10211 Mal o/ It - � t' : • ' • 1 i s i . _ l, ' - ;` N, ' ' .,, 1" m 0 /gyp . /AO./■ I4er ei' /20/ VIM WWI wawa. em. SEAL . • E3o.juL y 5 L) \/ �Y• inky D MOP: Lot 1 tl that tit 0 Lot it, Block 3, UAW ? aoeotdtgg to the pist. ii R ceet id Page bo, of u, P 11v tit*, a ault0 COuntt � '4 1'1, •1`f it t r • $ ' �WMat •h� N did; t'Q: - aFsat. boE • ai pp a 46.411 111100 •tti1i6i - Jl1 1 ?rc#lf. a ►J�. Attoif:iij.' eitff *nevco 006 • - - • C? Oo**. i, ita *Omer. eadl of isei g oo as iatasaa ap$iair' 7S • • ik g $ N. 7 6 it if / / • /9 L0CAT BOUNDARY SURVEY TI IwOMMrrMllbMrI11 Mseam* Imirer silYIr►ilia' Alm et es aKO+raa► a UM 11011 ewr star* waM� GARY s. CASTEL Reats1. d Lanr aiIi'l.i1 r its. 6110 3 MAP 2 I 20 • • -R z • •1� Permit No/6 2" 3 Amount of Permit $__cal STATE OF FLORIDA, 1 COUNTY OF DADE. ss. 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. ' i Owner's Name and Address Registered Architect and /or En ineer Employing Plumber's Name 1 No./ O 7 Str eet__ t _,Z Location and Legal Description Lot /! i_ Block Subdivision_E 9 ` TO U . ' Street and Number where work is to be performed—No 4_ ' Street /��� ' '���• , • State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories No. `) a & Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile I 0 4_, Dist. Feet of Tank or Drain Field from Well Nature of Water Supply Well Size of Soakage Pit Street umbing Inspector. The undersigned applicant for this building permit does hereby certify that he , nd: stands and accepts his obligations as an employer of labor -A- under the Florida Workmen's Compensation Act, being Section 5966, Compiled a •ne . Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all con • . ctors or sub - contractors employed by him in the work to bet 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 Date / ( / j licensed by Miami Shores Village. (Signed _ ___ {_ 1Iaster 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 UR URINALS CATCH BASIN FLOOR DRAIN DRINKING FO 4511► TOTAL FIXTURES _ - -- CONTR. LIST � /� 3 / / CHECK h SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL / .. `f"' I !/� Y CONTR. LIST / CHECK Permit No/6 2" 3 Amount of Permit $__cal STATE OF FLORIDA, 1 COUNTY OF DADE. ss. 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. ' i Owner's Name and Address Registered Architect and /or En ineer Employing Plumber's Name 1 No./ O 7 Str eet__ t _,Z Location and Legal Description Lot /! i_ Block Subdivision_E 9 ` TO U . ' Street and Number where work is to be performed—No 4_ ' Street /��� ' '���• , • State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories No. `) a & Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile I 0 4_, Dist. Feet of Tank or Drain Field from Well Nature of Water Supply Well Size of Soakage Pit Street umbing Inspector. The undersigned applicant for this building permit does hereby certify that he , nd: stands and accepts his obligations as an employer of labor -A- under the Florida Workmen's Compensation Act, being Section 5966, Compiled a •ne . Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all con • . ctors or sub - contractors employed by him in the work to bet 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 Date / ( / j licensed by Miami Shores Village. (Signed _ ___ {_ 1Iaster 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. @' 4. _ �.4 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT � APPLICATION FOR PLUMBING PERMIT Permit No / 3 S ' c / Date--- - - °--- __ 7 - - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte 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 Registered Architect and /or Engu, Employing Plumber's Name Size Septic Tank_ Feet of Drain Tile - Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. No. (Signed)- ( Signed) ______ -- r r_ Street Street_-__ Location and Legal Description Lot �' Block_ /� c y ` Subdivision ....... ____............ _._____._ Street and Number where work is to be performed —No f1_' _ '7 / S treet_ State work to be performed and purpose of building (By Floors) New Building ______._- _- ______ Remodeling ______ Addition._____________ Repairs No. of Stories ... ... ...... ... _ Type of Tank____ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well _— _ __Size of Soakage Pit CM Plumbing Inspector. - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent upplement, 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 Master Plumber. 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 worlmtanship. 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 SWIM'G POOL CONTR. LIST - - -- CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT � APPLICATION FOR PLUMBING PERMIT Permit No / 3 S ' c / Date--- - - °--- __ 7 - - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte 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 Registered Architect and /or Engu, Employing Plumber's Name Size Septic Tank_ Feet of Drain Tile - Nature of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. No. (Signed)- ( Signed) ______ -- r r_ Street Street_-__ Location and Legal Description Lot �' Block_ /� c y ` Subdivision ....... ____............ _._____._ Street and Number where work is to be performed —No f1_' _ '7 / S treet_ State work to be performed and purpose of building (By Floors) New Building ______._- _- ______ Remodeling ______ Addition._____________ Repairs No. of Stories ... ... ...... ... _ Type of Tank____ Capacity Gals. __Dist. Feet of Tank or Drain Field from Well _— _ __Size of Soakage Pit CM Plumbing Inspector. - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent upplement, 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 Master Plumber. 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 worlmtanship.