638 NE 97 St (3)To
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
4
Date er - 0 2 -f' '7 Job Addres ld Ai 97 ST
I
Legal Description t ' ' /7, 5 ,.
Owner / Lessee / Tenant 4d 'O drE.12 f p,(
Owner's Address i ?P 4f/7 97 S' /gyia, .Tave
Contracting Co. ,ed4e; 6,a,,vir, -reacric S-zoer
Qualifier iCi✓ (4 4 Phone .$ 7 - 7®6
State # Municipal # Competency # 90 °�� Ins.Co.
Architect /Engineer
Bonding Company Address
Mortgagor
Permit Type(circle one): BUILDING ELECTRICAL .PLUMBIN MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /%tr® 4;16 S &1°'P' /c T,4x 4 7,d" 49° .0k.a,A/F i .
A 7 dell u®av 6 - 5ehi •os 7 tht
Square Ft. Estimated Cost(value) get'
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, ROOPING 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.
Signature of owner and /or Condo President
Date:
8.2/-q2
Notary: 6 to -Owner and /or • do President
My Commis- siov Expiree: NOTARY PUBLIC, STATE OF FLORIDA.
MY COMMISSION EXPIRES: April 16, 1995.
- - BONnED TRRU NOTARY PUBLIC UNDERWRITER&
** * * * * * * * *
FEES: PERMIT kf 56 RADON C.C.F. 1‘
APPROVED:
Zoning Building
Tax Folio l/ J &t / 7 /4‘6
$
Master Permit #j&/ j &/
Phone
Address /40•P01 -1? V4' £ spier 0/4 ,
Address
Address
Signature of Cont : or Owner- Builder
Date:
E3 -21 -92
Nota as to Contra,Co±: or Owner- Finilder
My Commission Expires:
NOTARY PUBLIC, STATE OF FLORIDA.
MY COMMISSION EXPIRES: April 16, 1993.
BOMBED TRW NOTARY PUBLIC UNDERWRITRRS,
* * * * * * *
**
NOTARY TOTAL DUE k4; ba
Fire Other
14* E ectr((ical
Mechanical Plumb' V� g ngi?le ng
OP
Permit No ' _r_ 1 Date
Application is;1iereby made for the approval of the detailed statement of the plans and specifications herewith submitted
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specif
building during progress of work.
y
Owner's Name and Address %" � %1 L- No
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 .a i_..‘
� Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Amount of Permit $ f Si ne . 4 4 _.,._ ' � '
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)
Repairs
My Commission Expires Notary Public, State of Florida
/
for the building or other
Shores Village, Florida,
of the Building Division
ications must be kept at
Street
No. of Stories
Pltiaing Inspector.
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
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTU 6
CONTR.
LIST ST
.
//
l
/f
/
y
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
pp
/1'
' �
CONTR.
LIST
f ���
//�
f� ,
CHECK
OP
Permit No ' _r_ 1 Date
Application is;1iereby made for the approval of the detailed statement of the plans and specifications herewith submitted
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specif
building during progress of work.
y
Owner's Name and Address %" � %1 L- No
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 .a i_..‘
� Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Amount of Permit $ f Si ne . 4 4 _.,._ ' � '
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)
Repairs
My Commission Expires Notary Public, State of Florida
/
for the building or other
Shores Village, Florida,
of the Building Division
ications must be kept at
Street
No. of Stories
Pltiaing Inspector.
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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE Vi i '
PERMIT N2 7278
Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot B Subdi-
Description vision
Address of i Value of Amt. of
Building Project Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or devicel in 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 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: By
INSPECTOR
BY AUTHORITY
194
Contractor's
License No.
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.
m
Iw ccepting this permit I assue responsibility for all ,Work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 12t�9Z Job Address t1.E.. q,tb ST2EET Tax Folio r/ /1 /tiro
Legal Description / - 1 ;T1p /t,/ mJS.t/g
Owner / Lessee / Tenant Da•■■O GcRtseTs
Owner's Address (® 3$ t.1 E Sr") S-r ti a ET
Qualifier WIL. -►a►m .. 14.6.St4
State #
Architect /Engineer Retbetcr hs9Oc•
Permit Type(circle one): BUILDING ELECTRICAL
WORK DESCRIPTION B,1.1 14R -ooM b►pmt 01J
Signature of owner and /or Condo President
Date: Date:
FEES: PERMIT RADON C.C.F.
Master Permit # 33319
Phone'So5 '
Contracting Co. VitLuxp..3 r1 • ►VASti =NC. Address 713CA S5 r .5�' Might l
Phone(Be4S) .5 54'73
obe,c. 853
Municipal # Competency # Ins.Co. AETt4A
Address 1 6 "TR „v rr Y Rock v_0A0
LAI.E GEoR�.E 1 hl-Y,
Bonding Company Ae.'r A. Address (DMZ Ww•■ "46rrbel SP. 1"t WLp 1 F�
Mortgagor Address
MECHANICAL ROOFING PAVING PENCE SIGN
Square Ft. Estimated Cost(value) * 20 '0.
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.
Signature of Contractor or Owner-Builder
Notary as to Owner and /or Condo President No as to Co
My Commission Expires
JOHN W. YOULDEN
My Commission Expires: My Commission >• = ,rr
,.. Aug. 17, 1996
�'. .. CC
** * * * * * * * * * * *r...... •• Comm. No. 222141
` * * **
NOTARY TOTAL DUE 05
APPROVED: Fire Other
Zoning Building Q Electrical
Mechanical Plumbing y i' "�� /Engineering
l
VV IILLUAMVll lli. NASH, INC.
F UMBING AND MECHANICAL CONTRACTORS
JAMES J. NASH
PROJECT MANAGER
7861 N.W. 55 STREET' MIAMI, FLORIDA 33166 -4193
Phone: (305) 592 -5473 • Fax: (305) 592 -0163
ITEM
BATH TUB
UNIT
1
FEE
8,0 O
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
ig
ferpc
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT/3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS /ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
/
d;'V
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.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
1
SPIUIING POOL
OUTLETS COMMERCIAL
WATER SERVICE
7.6'6
SIGN TUBES
SEWER CONNECTIONS
(
9 Qo
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
f
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4" TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
glw ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER °S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL