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770 NE 97 St (12),• PERMIT APPLICATION / �!i / F MIAMI SHORES VILLAGE Date c 00 Job Address 770 , 7✓ i 1 Tax Folio //" 3 Le a , ' p 'on i 1 / // - 6 9 Historically Designated: Yes No • Owner/Lessee / Tenant V /7 1 ( 5 ill E A h-. 5 Master Permit # 9€613 3 // /) PhoncE56 3 5) Contracting Co. a4 5 4-/L( ( �.,4 10 j es 0g0 /Lit; /30,5) Qualifier - i3D �) i iq" SS# d? - C/ -a/ .0 Phone V 1 Owner's Address /2/ Y -- 1 - 2C — ;Competency State # Municipal # ��✓ � # �l Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECT R A PLUMBING MJHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION W ti1 �/L+3� ") l=ie/ Square Ft. Estimated Cost (value)3 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 APF'll.)AVIT: I certify that all the foregoing information is accurate and that all 11 be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to a work ted. i ' 1 COMMISSION NU '.. c: CC786697 -1340F rav C04AM SS* HA EXPIRES F�� PION. 15,2002 6 A t ,, � e of owner and/or Condo Presillent Date tary as to My Commission Expires: 33 'J'., Z somrramw,irprpAilTip eran. of FEES: PERMIT ki RADON '0 0 r or VELAR +�'ABiY PUBI1CSTATIS OF FW 11 A C.OMMISSION NO. CC7241A3 MY COMM EXP_MAIZ. Sign Notary : to Contrac My •mmission Exp C.C.F. / ' NOTARY 1 APPROVED: Zoning Building Electrical Mechanical Plumbing BOND3 / e TOTAL DUES (l7 60 Date Structural Engineer )v *1 Permit No li 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 Registered Architect and/or Engineer EraploYing Plumber's Name A 11-- Location and Legal Description Lot. Street and Number where work is to he performed—No State work to be performed and purpose of building (By Floors)_ . . New Building Remodeling Addition Repairs No of Stories Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City—Wen. Amount of Permit My Commission Eapires NOTE: A re-inspection fee of MOO will materials and/or workmanship. 0AMD SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLOCATSON FOR PLUMBING PERMIT th4'' No 96 4/L.. Block 9 Q') stre..19 Street. 4/ Sr Type of Tank —Dist. Feet of Tank or Drain Field from Size of Soakage Pit. (Signed) 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 5968, 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. Notary Public, State of Florida STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackncnvIedgments, 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 he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. made when se ch sulaspoodes te inade.neeessesy by improper notice far inspectkm, or faulty CLOGSTO BATH T D o ONOWIIRS LAVA- T 3,p° SLOP DIP LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'Ne TOTAL FIXTGRIS CONTM. LIGT Z-- CHIZCSS ..,- g VATIC TANK DEIWELR CONN. DRAIN PIMP DOAKAGII PIT DREAMS TRAP goLAN HAT MEP WILL EIPPKLII. SYSTEM SIIIIIM•0 POOL COPITLI. LIST CHIICCA Permit No li 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 Registered Architect and/or Engineer EraploYing Plumber's Name A 11-- Location and Legal Description Lot. Street and Number where work is to he performed—No State work to be performed and purpose of building (By Floors)_ . . New Building Remodeling Addition Repairs No of Stories Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City—Wen. Amount of Permit My Commission Eapires NOTE: A re-inspection fee of MOO will materials and/or workmanship. 0AMD SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLOCATSON FOR PLUMBING PERMIT th4'' No 96 4/L.. Block 9 Q') stre..19 Street. 4/ Sr Type of Tank —Dist. Feet of Tank or Drain Field from Size of Soakage Pit. (Signed) 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 5968, 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. Notary Public, State of Florida STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackncnvIedgments, 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 he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. made when se ch sulaspoodes te inade.neeessesy by improper notice far inspectkm, or faulty AAORPA0 Location end Legal Description Lot_ Street and Numb es where or to to be performed—No PLUMBING INSPECTION DEPARTMENT &PPLOCTE1064 FOR PLUMBING PERMIT Pennit No..),. I 4.0.3. 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'® Name and Address %-/-■. / 6( Registered Architect and/or Engineer Employing Plumb:* llama A 11-ai_21_1. A004461/11 trest 9- Street. .4i-k.a.2.5 Bloc r7 O) State work to he purforme8 and purpose of budding ( y Mara )____ New Building. . Remodeling _ Addition Size Septic Tank._ Feet of Drain Tile Nature of Water Supply: City—Well. Amount of Permit RES VILLAGE (Signed) No V ? 9 0 Type of Tack /list. Feat of Tank or Drain Field from Well Size of Soakage Pit Street C 7 9 .9 — (si 4 ,C3e* Repain. No. of Stories ..... 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. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly casthorized 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 Ito 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 fee of BLOO will be made wins sea atkaapeados smads.usasasasy by improper mottos for luspecdon, or faulty materials aad/ai inakutanship, CLOOESTO BATH TUDO 6 " Via " LAVA- 'roma° Oionto SLOP @IN LAUNDRY Tuns URINALS CATCH ABIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SIF.PTIC TAN N 13awara CONN. DRAIN Piet) SOARACE PIT GREASE TRAP SOLAR MILATIER DEEP WELL SPRKLR. SYSTEM SWIM'S ----71M Comm. LIOT F75—(3 CHUCK AAORPA0 Location end Legal Description Lot_ Street and Numb es where or to to be performed—No PLUMBING INSPECTION DEPARTMENT &PPLOCTE1064 FOR PLUMBING PERMIT Pennit No..),. I 4.0.3. 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'® Name and Address %-/-■. / 6( Registered Architect and/or Engineer Employing Plumb:* llama A 11-ai_21_1. A004461/11 trest 9- Street. .4i-k.a.2.5 Bloc r7 O) State work to he purforme8 and purpose of budding ( y Mara )____ New Building. . Remodeling _ Addition Size Septic Tank._ Feet of Drain Tile Nature of Water Supply: City—Well. Amount of Permit RES VILLAGE (Signed) No V ? 9 0 Type of Tack /list. Feat of Tank or Drain Field from Well Size of Soakage Pit Street C 7 9 .9 — (si 4 ,C3e* Repain. No. of Stories ..... 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. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly casthorized 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 Ito 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 fee of BLOO will be made wins sea atkaapeados smads.usasasasy by improper mottos for luspecdon, or faulty materials aad/ai inakutanship, Permit No Size Septic Tank Feet of Drain Tile Application is hereby made for the approval of the detailed statement of the plans and specifications herewith structure herein described. This application is made in compliance and conformity with the Building Or in4nce and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rule end r of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved building during progress of work. ,r Owner's Name and Address 1i Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _4_�._, No Nature of Water Supply City -Well i% Amount of Permit -$=' STATE OF FLORIDA, ss. COUNTY OF DADE. Block -Type of Tank I�� a pacity Gals (Signed) No e . J Date Air g suu itdar huild g ar. ter of Miami Sh Tlage, orida, egul o tJe Bu d Division s must be kept at Street treet • 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 Dist. Feet of Tank or Drain Field from Well 4 -` Z I ! Size of Soakage Pit My Commission Expires Notary Public, State of Florida Plumbing Iypector. The undersigned applicant for this building permit does hereby certify that he un. = "stands 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 ackno/ledgments, 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS • ♦ � TOTAL FIXTURES CONTR. LIST / / - - p l �� //� -�"- C; ,7 J'I //- 1 • e, - __ -- CHECK '�� L� SEPTIC TANK SEWER CON N. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL /// .` (''''�t CONTR. LIST L / / U CHECK �� E / -/ • / / r Permit No Size Septic Tank Feet of Drain Tile Application is hereby made for the approval of the detailed statement of the plans and specifications herewith structure herein described. This application is made in compliance and conformity with the Building Or in4nce and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rule end r of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved building during progress of work. ,r Owner's Name and Address 1i Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _4_�._, No Nature of Water Supply City -Well i% Amount of Permit -$=' STATE OF FLORIDA, ss. COUNTY OF DADE. Block -Type of Tank I�� a pacity Gals (Signed) No e . J Date Air g suu itdar huild g ar. ter of Miami Sh Tlage, orida, egul o tJe Bu d Division s must be kept at Street treet • 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 Dist. Feet of Tank or Drain Field from Well 4 -` Z I ! Size of Soakage Pit My Commission Expires Notary Public, State of Florida Plumbing Iypector. The undersigned applicant for this building permit does hereby certify that he un. = "stands 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 ackno/ledgments, 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.