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813 NE 97 St (10)BUILDING ELECTRICAL PLUMBING ROOFING Owner c Building Architec Contract or Build Legal Descript Address Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT IN? 11616 Work to be performed under this Permit DATE i'. 195 Contractor's License No 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 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 responsibility for work done by his agents, servants or employees. Signed• r BY INSPECTOR 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. t or . On Lot i . Bl. ' ' .. Subdi- vision / 1 r of ... • • / Value of Project $ Amt. of Permit $ BUILDING ELECTRICAL PLUMBING ROOFING Owner c Building Architec Contract or Build Legal Descript Address Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT IN? 11616 Work to be performed under this Permit DATE i'. 195 Contractor's License No 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 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 responsibility for work done by his agents, servants or employees. Signed• r BY INSPECTOR 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot PERMIT IST? 11423 Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BL I Subdi- vision Value of Project $ DATE Contractor's License No Amt. of Permit $ BY 1 AUTHORITY �� 195tr 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 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 as,urnes responsibility for work done by his agents, servants or employees. 1 Signed: BY J INSPECTOR 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. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request \� Date 2 l" Type Insp'n / pt, Permit No Name Address Inspection Date Approved Correction Re- Insp'n Fee Conipu.., — Phone # t`56 - ;•% BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address .� `` - ; City t fir C% .? =/' State Tenant/Lessee Name Job Address (where the work is being done) « City Miami Shores Village Is Building Historically Designated YES Architect/Engineer's Name (if applicable) $ Value of Work For this Permit '/ d --' Type of Work: Describe Work: ❑Addition ['Alteration Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical State Contractor's Company Name Contractor's Address `(s;- ; 1 , �, Master Permit No. Permit No / Plumbin MI p� Roofing Phone # j`9/ - . 2 County Miami -Dade NO t--° C %r Zip 33 f , Phone # Phone # Square Footage Of Work: Zip � �.: (// Phone # 0 / City t4 Qualifier .!ai,� ei, Zip - 33 ❑New iRepair/Replace ❑ Demolition ****************************F Submittal Fee $ Permit Fee $ / 3 -/ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name, plicable) Mortgage Lender's Addre95 ■ 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 Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by day of /'V1— 20 U� by ` T //A) /9Sf & /� who is personally known to me or who has produced who i ersonally kno o me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLI , Sign: Sign: 2�> ' 440 Print: Print: C/-// 4/ 444 ... t�!+ e CHRISTINA PORRAS My Commission Expires: My Commission . s. MY COMMISSION Ii CC 997648 %V • ,„ .4 EXPIRES: Me 30, 2005 *....* x************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** .', Fa r * *3E�„t, *fit *„ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 12/15/03 (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. * * * ** * * ** ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** - r Plans Examiner Engineer Zoning 1 ITEM BATH 1113 WIT FEE ITEM SW I 1 r HEATERS UNIT FEE BIDET L IGITT DISITYiASTER RECEPTACLES A/C (YHIU) 0ISPOSAL DRINK FOUNTAIN FLOOR CAIN SERV ICE REPA UM GERAT ION CREASE TRAP INTERCEPTOR RANGE TLP UR/ERG/10U LAVATORY OVEN WATER I !EAT ER ABOVE GROUND TANKS U.F . PRESSURE VESSELS LAUIURY MAY CLOTHES WASHER I.fUTORS 0- 1 IP STEAM BOILERS SHOWER 6I3TORS OVER 1- 3 IP HOT WATER BOILERS SINK, POT /3 COW. MOTORS OVER 3- 5 ti' MECHANICAL VENT ILAT ION SINK, RESIDEICE MOTORS OVER 5- 8 IP TRANSf'ORTItIG ASSEbt3LIES SINK, SLOP MJTOTTS OVER ELEVATUIIS /ESCALATORS TEIFORARY WATER CLOSET MOTORS OVER FIRE SPRINKLER SYSTEMS UT I NAL hUTORS OVER COOL I ItG TOYIERS WATER CLOSET MOTCCS OVER 100 IP VIOLATIUII INDIRECT WASTES A/C W I 10011 RENISPECTION WATER SUFPLY TO: A IR COTO IT !OTTERS A/C UN I T HEATER F IRE SPRINKLER �■ .. TRANSFORMERS NEATER -NEW INST. GENERATORS TRANSFORMERS �■ HEATER - REPLACE 111 � O. TRANSFCAMCRS LAWN SPRINKLER -WELL .OS ■ SWIMAI POOL I OUTLETS COMMERCIAL WATER SERVICE 1111 SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY - WA1ER FIXTLRES SEPT IC TAM( ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4" TILE/RES. VIOLATION FUR' & ABANDON SEPTIC TANK RE INSPECT ION SOAKAGE PIT CU. FT. :ATCH BASIN )ISLGIARGE WELL KJMESTIC WELL REA. DRAIN OOF INLET OLAR WATER HEATER IRE ! STANDPIPE DOI. PIPIIIG I AWN SPRINKLER SYSTEM AS RANGE ETER SET (GAS) LS PIPING I ADDENDUM TO BUILDING PERMIT APPLICATION (Al b APPLICATION FOR BUILDIFG PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEr OBTAINED, THE OWNER'S NOTAR]ZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795 -2204 Printed: 1/18/2005 Applicant: ROBERT HANNAU Owner: HANNAU ROBERT JOB ADDRESS: 813 NE 97 ST Parcel # 1132060142590 Signed: (INSPECTOR) Plumbing Permit Permit Number: PL2005m14 Contractor LASSETER PLUMBING CO INC Contractor's Address: 865 NE 130 ST Local Phone: 305 - 893 -7180 Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 14 & W1/2 OF LOT 15 BLK 73 Fees: Description Amount FEE2005 -683 Building Fee $130.00 FEE2005 -684 CCF $0.60 FEE2005 -685 Notary Fee $5.00 FEE2005 -686 Training and Education Fee $0.60 FEE2005 -687 Technology Fee $3.25 Total Fees: $139.45 Total Fees: $139.45 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 7/10/2005 Construction Value: $2,450.00 Work: NEW WATER SERVICE AND RE LOCATE SEWER LINE FOR POOL INSTALATION 5q 14 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 City State Tenant/Lessee Name Contractor's Company Name Contractor's Address // ri /r Qualifier, F mk°_ ° /,/ ` %� State Certificate or Registration No. $ Value of Work For this Permit Architect/Engineer's Name (if applicable) Describe Work: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: 1305) 795.2204 Fax: (305) 756.8972 Type of Work: ['Addition ❑Alteration ❑New Total Fee Now Due S 6-q . 7 7 442 (Continued on opposite side) Master Permit No. Permit Type (circle): Building. i i Electrical Plumbing Mechanical Roofing Owner's Name (FeenpleTitleholder) i ;` -� % � �,�s Phone # Zip is Building Historically Designated YES NO ****************************F Submittal Fee 8 Permit Fee $ ji 7 CC Cf Notary S �, -00 Training/Education Fee $ (.0e T Scanning S 3 .c0 Radon 8 Zoning Code Enforcement S Structural Plan Review. $ Phone # ■ Phone Job Address (where the work is being done) �" o �! ` '' City Miami Shores Village County Miami -Dade Zip City State Zip of Competency No. Square Footai Phone # ill Permit No. 91 OS s' 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: 1 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 B The foregoing instrument was ac owledged efore this 1 by (5h r )-jl�y' nnQu , who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUB IC Sign: Print: My Commission Expires: **** * * * * * * * * * * * * * * * p* * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * ** # * * * ** * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 —Contractor The for going instrument was ackno day of , 20 OS, by who irpersonally known t NOTARY PUBLIC: Sign: or who has produced 'cation and who did take an oath. as -- Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning * * * * * * * * * * * * * * * * * **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** /- C) Plans Examiner Engineer ITEM BATH TUB UNIT FEE 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 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 TEMP ORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL . MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 IP 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 SW I Mf 1 I NG POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK J/ ANTENNA RELAY / TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. 1 j VIOLATION PUMP & ABANDON SEPTIC TANK j, 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 - ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Permit No. / / 6 4 Application is Lereby made for the approval of the detailed statement of the plans and specifications herewith ,ubnlitted for the building or other structure herein described. This application is made in compliance and conformity with the Buidinn Ordinance of Jliami Shores Village, Florida. and all provisions of the Laws of the Slate of Florida, all ordinances of AI +:I.Ii Shores Village a::d as rules t. rd re niations of tLe Building Division of Miami Shores Village shall he complied with, whether herein spcciiicd or not. A copy of approved plans t.nd specifications must he kept at building during progress of work. Owner's Name and Address No. __ Street Registered Architect and /or Engineer__ Employing Plumber's Name No.- -- _- __- Sliect Location and Legal Description Lot _ Block .___ 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 CONTR. LIST CHECK CONTR. LIST CHECK CLOSETS SEPTIC SEWER TANK CONN. Size Septic Tank Feet of Drain Tile .. Nature of Water Supply: City —Well. Amount of Permit $ BATH TLS STATE OF FLORIDA, COUNTY OF DADE. SHOV /ERS LAVA- TORIES ss. DRAIN FIELD SOAKAGE PIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FGIt PLUMBING PERMIT SINKS SLOP SINKS GREASE TRAP SOLAR HEATER LAUNDRY U RINALS : C.�TC :: Tu ©s DASLL' DLLP WE L SPRKLR. SW17.1 G SYSTEM POOL Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) (Signed) Date FLOO1• DRAIN , F3 "T Ns Capacity Cals. My Commission Expires Notary Public, State of Florida TOTAL FIXTURES Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his chli!,tdinus as an employer of labor under the Florida \Vorkmen's Compensation Act, being Section 5003, Comp;lcd Central Law. of Florida Pcnu own': rhii'. ; +!I Inct t, and 1105 com- plied with the provisions thereof, and will require similar compliance from all contractors Ir sub - contractors celploycel by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site uI the work such public notice o• notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be perfor lied under this permit, as are licensed by Miami Shores Village. Masier Plmnber. 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 lie is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the salve, aid 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. Permit No. . - New Building Size Septic Tank ___ - - Feet of Drain Tile Nature of Water Supply: City —Well . MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date_ . t 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 i__ 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. Street _._..• State work to be performed and purpose of building (By Floors) __ Remodeling__ Addition Repairs _ Type of Tank Dist. Feet of Tank or Drain Field from Well, Size of Soakage Pit Amount of Permit $ - — - - - - ----- - - - - -- -- --- - - --_- (Signed) _ Street - Capacity Gals. _ ( Signed) No. of Stories .. 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 hint 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. STATE OF FLORIDA, ss. 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 hint 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. BATH CLOSETS TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DR. NKI NG FOUNT •NS } 14 //) TOTAL FIXTURES CONTR. LIST CHECK / '� / " ) - .. l SEPTIC TANK SEWER DRAIN CONN. FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL ` CONTR. LIST CHECK r Permit No. . - New Building Size Septic Tank ___ - - Feet of Drain Tile Nature of Water Supply: City —Well . MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date_ . t 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 i__ 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. Street _._..• State work to be performed and purpose of building (By Floors) __ Remodeling__ Addition Repairs _ Type of Tank Dist. Feet of Tank or Drain Field from Well, Size of Soakage Pit Amount of Permit $ - — - - - - ----- - - - - -- -- --- - - --_- (Signed) _ Street - Capacity Gals. _ ( Signed) No. of Stories .. 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 hint 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. STATE OF FLORIDA, ss. 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 hint 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. 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 Shores Village, Florida, cued all provisions of the Laws of the State of Florida, all ordinances of Miami Shares 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 woe'. Ckvnefa Nye end Address Registered Architect and /or Engin tetstloyhtg 14 s 's Muse Lowden and Legal Oesc Lot Bloch Std and Number where work Ls State work to be perfcrmell and purpose of building (3 sr New adding____ - _ .- _ 1Re`modeling— ___.._._...__ Addition.. ___________ Repairs_ No. of Stories COCJTGB. LIG? CgQC14 COInTE. LIST CNECa S EPTIC TANK SEWER Corm. ze Septi© Ta02. Feat arf Drain Tile Nature of Water Supply: City —.Well. Amount of Permit STATE OF FLORIDA, I sa. COUNTY OF 'DADE. NOTE: A reptespection fog materials and /or DRAIN OOAKAGS OMO PIT My Commission Eln;tires g Il J SAME SNORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT the performed —No GREASE TRAP SLOP SINKS SOLAR H EATER A UHDRY Tuns DEEP WELL No Subdivision._______ Street ® T7c - .. - URINALS BPRKLR. SYSTEM (Signed )_ CATC BASIN ens IM'G POOL Type of Ta Ica. Feet of Tank or Drain Field fro® Size of Soakage Pit. FLOOR DRAIN DRINKING FOUNT' NS _Capacity Gals- �` _ .. mbing Inspector. The undersigned applicant far this building permit does hereby certify that he understands and accepts his obligati s as an employer of labor under the Florida Workmen s Compensation Act, being Section 5968, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the povisions thereof, and will require similar compliance from all contractors or sub - contractors e °toyed 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 p blic notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, , to penf , ,• . under this permit, as are licensed by Miami Shares Village. efore me, the undersigned authority, a notary public, +'y authorized administer oaths and take aclmowledgments, 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 thelein by him :'sated are true. Notary Public, State of Florida TOTAL FIXTURES win be nada whet snob rolsoosetion is raade.nsousary by Improper notice for hispoction, or faulty ---mmuippr BUILDING PERMIT APPLICATION FBC 2001 Owner's Address cthEtttrYhaf J State Prosda, Tenant/Lessee Name k % 11 State Certificate or Registration No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ['Addition Describe Work: Notary S Scanning $ Code Enforcement $ (Continued on opposite side) X13 me ciri ovizery Total Fee Now Due S � / ) r Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NO Training/Education Fee $ r� Permit Type (circle): Building Electrical i / Plumbing Owner's Name (Fee Simple Titleholder) 'Vir KC!ll'a ) Miami Shores Village County Miami - Dade Radon $ Zoning Structural Plan Review. $ Permit No. t Master Permit No. ( 1W:4 gel �� i i" Job Address (where the work is being done) g r t SV' 1 rn 1 i , e..�t S Cite Is Building Historically Designtated YES Contractor's Company Name Contractor's Address \a o "J ccin State s ► -Pt Certificate of Competency No. Mechanical Roofing Phone # an- TO -y I Zip 3313% Phone # 3n-ac Zip 3 X31 w Phone J 305 D 5S 53r5. Zip P City Qualifier 1V � t� lr lo Lent .Z • t-e 1 Phone # `` -an - D �� Square Footage Of Work: ❑Alteration :New ❑ Repair/Replace ❑ Demolition CO(k Submittal Fee $ " CI CC Permit Fee $ CCF $ O i C) CO /CC Technology Fee $ /* - Bond $ Bonding Company's Name (if applicable) I� Bonding Company's Address City State Zip MOP' 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: 1 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 7 . ( Owner or Agent The foregoing instrument was acknowledged before me this CI [ 4 The fore =Ding instrument was acknowledged before me tluis� � day of ��s 20 " t, by day of , 2� , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. S P My Commission Expires: OTAR "UB t: • . JULIETTE COLLADO it 00 EXPIRES: January 1, 20Sil .: .: inter .. J.. G ****** * * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** **** ***** * * * **** *********** ** * ***** APPLICATION APPROVED BY: Chc 05/13/03 * * * * * * * * * * * * * * * ** Signature TAR My Commission Expires: 1'46 Contractor as identification and who did take an oath. **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 7 7 C) VPlans Examiner Engineer Zoning JS C:171 _ g MY COMMISSION # n ' Y276 /' or F1.° EXPIRES: January I. 1-800.3-NOTARY FL Notary Disc r. ,c. Co. *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12/14/2004 Applicant: ROBERT HANNAU Owner: HANNAU ROBERT JOB ADDRESS: 813 NE 97 ST Contractor CUSTOMS POOLS Local Phone: Parcel # 1132060142590 Plumbing Permit Permit Number: PL2004 -327 Contractor's Address: 13250 SW 131 ST #100 Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 14 & W1/2 OF LOT 15 BLK 73 Fees: Description Amount FEE2004 -12582 Building Fee $160.00 FEE2004 -12583 CCF $0.60 FEE2004 -12584 Training and Education Fee $0.20 FEE2004 -12585 Technology Fee $4.00 FEE2004 -12586 Submittal Fee ($50.00) Total Fees: $114.80 Total Fees: $114.80 Total Receipts: $0.00, Permit Status: APPROVED Permit Expiration: 5/11/2005 Construction Value: $800.00 Work: PLUMBING FOR POOL Signed: (INSPECTOR) NOV 1 5 Signed: (Contractor or Builder) BY: 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 responisibility for all work done by either myself, my agent, servants or employes.