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800 NE 97 St (5)Date 'a C 14- pp hereby approval plans specifications herewith submitted Application is hereb made for the a al of the detailed statement of the fans and 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 h_ .specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Permit No 02/ Owner's Name and Address ............ _______ Registered Architect and /or Engineer__ Employing Plumber's Name /0fi 1 �` t'k '. t d� 1 C p /9�� "� No— Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ' - ....... No. New Building . -_-..--.._.. ........ _____ - -- Remodeling_____. .... -- ___._.__ Addition-- - - - - -_ _ Repairs 00 6 ktr Atti Street Str Subdivision No. of Stories _ Size Septic Task _----------------------- - - - - -- -Type of Tank._ Feet of Drain Tile_ __ _ _ ____— _ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well .___ __ _ __ ___ ___Size of Soakage Pit Capacity Gals lumbing 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 Penn. i :. - upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ploye 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 ch pu 'ic notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on why be der this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida STATE OF FLORIDA, t sa COUNTY OF DADE. 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 H SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBE 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 SW IM'G POOL CONTR. LIsT CHECK Date 'a C 14- pp hereby approval plans specifications herewith submitted Application is hereb made for the a al of the detailed statement of the fans and 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 h_ .specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Permit No 02/ Owner's Name and Address ............ _______ Registered Architect and /or Engineer__ Employing Plumber's Name /0fi 1 �` t'k '. t d� 1 C p /9�� "� No— Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ' - ....... No. New Building . -_-..--.._.. ........ _____ - -- Remodeling_____. .... -- ___._.__ Addition-- - - - - -_ _ Repairs 00 6 ktr Atti Street Str Subdivision No. of Stories _ Size Septic Task _----------------------- - - - - -- -Type of Tank._ Feet of Drain Tile_ __ _ _ ____— _ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well .___ __ _ __ ___ ___Size of Soakage Pit Capacity Gals lumbing 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 Penn. i :. - upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ploye 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 ch pu 'ic notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on why be der this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida STATE OF FLORIDA, t sa COUNTY OF DADE. 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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. O fs Name and Address _ //k r _ _ /'11/1%) '- Registered Architect and /or Engineer.._ _ Name and address of licensed contractor_ ._.. S7' C- ✓e .. i ,,,/ S x 0 . /‘v o it.) e t .- c'l• Wit' Location and legal description of lot to be built on: Lot__ 1_ ___ � V2 (y Block ___ f., Subdivision_.. - 5 Street and Number where work is to be done Y 1 e rl State work to be done and purpose of building (by floors). Permit No._ _____ Disapproved (Signed) Chanan Member ________. _ Member . Council Approved Pike I° �b --- ate - Building Inspector PLANNING and for no other purpose. New Building .___ Remodeling ___ Addition _. _ Repairs l■ No. of Stories e To be constructed of Kind � foundation,_ Roof Covering . __ ___. _.. _ Estimated Total cost of improvements $ n Amount of Permit $ P- 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 foi said building. All notices with reference to the building and its construction may be sent to- - The undersigned applicant for this building permit doc 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 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks.. _ ______ - - (Signed)_i'� STATE OF FLORIDA, COUNTY OF DADE. ss Before me, ;h< undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared -- 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 s ^ are true. c NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Date__ No Street `� TLo�� Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires DATE Member Member Member Date Disapproved Date 4 1- p ( BUILDING PERMIT APPLICATION FBC 2001 CI /1 1.0 -0I 1: -0; /KC -f j State Tenant/Lessee Name Contractor's Company Name Contractor's Address City / / ! T IS C� -if Architect/Engineer's Name (if applicable) Phone # Total Fee Now Due $ (Continued on opposite side) ,/" ;v, 174, c $ Value of Work For this Permit -2 4 - . Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Type of Work: ❑Addition ['Alteration ❑New // Describe Work: K .t'� � % t� • Permit No. Master Permit No. Zip 2 -'t Phone # Phone # fir. ' State / - Zip „ v' / `11 Square Footage Of Work: * * *** * * * * * * * * * * * * * * * * * * * * * ** F ees *** * * * * * * *** * * * * * * * *** * * * * * * ** Submittal Fee $ F Permit Fee $ CCF $ /p / CO /CC Notary $ Training/Education Fee $ t e Technology Fee $ + , I ( 1 Scanning $ f z " Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 1 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing `" — . Owner's Name (Fee l Simple Titl�hoider) ,���� -,Z' ,b�,i l � �i�'L Phone ft, �c'' '� • Owner's Address /� Job Address (where the work is being done) 8f)c 41 C C i'' / :3 City Miami Shores Village County Miami - Dade Zip Is Building Historically Designated YES NO Qualifier Repairfplace . ❑ Demolition Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is •issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day o f A . r 20O Y ' , by a p hi a. P4e rT'/3ct /) , day of , 20 � by who is personally known to me or who has producedl/ 61- who is personally known to me or who has produced 9©O•S 'f7- #7l - .S 41 ntification and who did take an oath. as identification and who did take an oath. NOTAR / p Chc 12/15/03 NOTARY PUBLIC: �/ 4� 1 i4 s� Sign: rti ;;Y&JV:UM Sign: (Certificate of Competency Holder) n My Commission Expires:: 7 1. ' 4,, c ' ., IVISSION EXPIRES My Conunission Expires: State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY: Signature **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * .************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** C)-( -)/ /ma — 3 2004 r'`l1 t r - e e ik'I�res fss hey 5tci-o-re,tTO' Plans Examiner Engineer Zoning f `.••• . o • ••••••• • v • v .o • • v oo ja 6" ;411k) 0,09-° J � 75.00' , r ' ism - � d-C.10 c 4 t,• � �ii pry 4 rts '.� h pQ • t .., ';5,$.. . f i _ 1 N ,Vi.� • r • Py • f 5• ter.' ::.)t...4.:: tia-- i. ; t - . t � .0 0(; r 1 .4 . . '� S _ . y n !{/ •ae . , . . rj� 1. a ' .� ''C''p c4 t J r �1 , '))171)%1•;••••-r a • 1 } e%;,:l %;,:l .?1 A ` : v'.....:...,.. L� r 1 •} • .Mln .fi.i- :A.$ .'...a1.., . P d„ O. d a.