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1178 NE 98 StPERMIT APPLICATION FOR MIAMI SHORES VILLAGE CO �P � / Job Address / I / U . .` r Tax Folio 1 0 05 O i O W () D\-3 � M-s , � � y 3 — Hilt orically Designated: Yes Ch • icr 70 / L - . 5-7.-- Phone,sa S t 53 930 Contracting Co. X 64',10 Addres (}.?l'�c / Ste` / �le C" - / L Lc- � / /— (®0-,?? Competency # Ins. Co. ‘1"/ Owner/Lessee / Tenant Qualifier c Notary as to My Commissi FEES: PERMIT APPROVED: Zoning Mechanical State #0 e Municipal # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BU DING ELfQTRIC PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /,� �' D — /i( P / T l �rS L Y � Square Ft. Estimated Cost (valu 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 an - I authorize the above -named contractor to do the work stated. Signs a of . wner d/or Condo President a d & DA :f r, PU3LIO CZATE O FLORI A'i Ca.r.LK:L :oN NO. CC364805 ;.'S'L C6�TSiLsi ?_OR1 EXP MAR.28,12 RADON Building Plumbing to C.C.F. N"LT `.,t W L um Kr. S'"! tl`.CE OF FLO131Bm OOT1a .11.:r �: ION NO. CC/24953 A y1f FAP. Ah'P. fl U32 NOTARY BOND Electrical Master Permi TOTAL DUE Structural Engineer 3g F-1 -- ro 87T L. P . 02 1 //78 //7* A4/A/ s&tec 0 (9M 1 CIL 0 //ot. i irS 00AJ12.11-Jc%/1-S Date WORK DESCRIPTION Notary a o Owner and/or Condo President My Commission Expires: APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address // 7I 44 4 9J' � ,f % Tax Folio // o/f - a y o e Legal Description Historically Designated: Yes Owner/Lessee / Tenant /z i e WA ,t) .' . e / A TTiZ Ta) Master Permit # Owner's Address . >H Phone Contracting Co. /1),() J c 9/0M Z7) Address Qualifier GCa rv'f /V 6k© A/ ss# 9s� State # f -, co v6-.9 7g Municipal # Competency # Ins. Co. Architect/Engineer Address Address Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL ' LUMBING MECHANICAL ROOFING PAVING FENCE SIGN oppE 1A-1€6a/ . 17-Gh) a <-9" Pct Square Ft. Estimated Cost (value) /9,5 6o 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 certi the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo _ �� i ermore, I a thorize the above -named contractor to do the .rk stated. 5 -- )vtAfia c Tu) RADON C.C.F. -. 0 NOTARY Signature of Contractor or Owner - Builder 4,24/ , Notary as to Contractor or Owner - Builder Date My Commission Expires: ,,, -`" Alan W. tanM MY COMMISSION N CC6647B1 EXpIRf3 '''�� °` October 10, �1, BONDED TNRU TROY FAIN IRANCE, INC. Electrical BOND TOTAL DUE 47 ( Date Structural Engineer BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 6640 Work to be performed under this Permit Address of Building This permit is granted to the Bl. Subdi- vision DATE Contractor's License No f Value of Amt. of Project Permit AUTHORITY 194_ retractor or builder nand above to construct the building or to install the equipment or 'device' • escribed in the appli- cation herefor in strict compliance th 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 pon which this permit is granted is the understanding that the contractor or builder named above assn ies the resppnsibility for a thorough knowledge of g ordinances and regulations pertaining to the work covered hereby whether shown on the planstor drawings orin,t a statements or specifications and t h€ times respon- sibility for work done by his agents, servants or employees. J y i '" Signed • ••• Y / '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 1 pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoiitks of Miami Shoes 9illtige. In accepting this permit I assume responsibility for "a work done by either myself, my agent, servant or employee. 4. CONTRACTOR OR BUILDER PI P Permit No. _ t 1 / v` Date _ 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 L - , f_Y_ e.....4..b f. - t • No ✓` Registered Architect and /or Engineer Employing Plumber's Name_4I , ___ /_:C ____r' : No k__ ' r T = Street :' �• Location and Legal Description Lot ' ' Block 1 Subdivision '.._<2_.c,_____ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building ✓ MIAMI SHORES VILLAGE 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 Amount of Permit PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street____!' Street,/ Remodeling Addition Repairs No. of Stories 1 ( Signed) Plumbing Inspector. l i 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 corn- 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. My Commission Expires Notary Public, State of Florida 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 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 / K 41 - -,L, / - TOTAL FIXTURES -- CONTR. LIST _ ' �� - / / / CHECK _ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL l-f d.:k :., CONTR. LIST / CHECK Permit No. _ t 1 / v` Date _ 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 L - , f_Y_ e.....4..b f. - t • No ✓` Registered Architect and /or Engineer Employing Plumber's Name_4I , ___ /_:C ____r' : No k__ ' r T = Street :' �• Location and Legal Description Lot ' ' Block 1 Subdivision '.._<2_.c,_____ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building ✓ MIAMI SHORES VILLAGE 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 Amount of Permit PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street____!' Street,/ Remodeling Addition Repairs No. of Stories 1 ( Signed) Plumbing Inspector. l i 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 corn- 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. My Commission Expires Notary Public, State of Florida 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 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. I . •44 • • • • S• • I • z - ■) 4%,, • •-• • • • • ( /\//i: , .• • ; •