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1195 NE 98 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 6-01-93 Job Address 1195 NE 98 STREET Legal Description / /7/ 7latLd V Owner / Lessee / Tenant RICK FERNANDE Master Permit. a Owner's Address 9519 NE 2 AVENUE, MIAMI SHORS 33138 Phone -651 1 /754 -3000 Contracting Co. NORTH DADE SEPTIC Qualifier DENNIS NEVILLE State # 025836 - 8 Municipal # Competency # 12842 Ins.Co. TRAVELLER Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ** - * INSTALL DRAINFIELD 1ST COMMISSION Y a C.S1CCIAT a e_ TIiRU Tax Folio 11 ,laa. �� ®/ 008 Address 800 NW 111 STREET SS# Phone 754 -3375 Square Ft. 300 SQ FT Estimated Cost(value) $1000.00 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 AFFIDAVI • 3 cert•d:/that all the foregoing informatio accurate and .:t all work will be done i c9nt ia.ee wi all app a�+le laws regulating con truc 'on and rthe I author th a•• a -na ed contra • or to do the work stated. Sign: � of ontr• or or 1 ' er- Builder Date Notar a�to Owne a 'G /o• Condo President No : s to Con cor or Owner - Builder My Commission Exp s: 7k7 . mmission Ex•ires: }NOTARY PUBLIC; SE: t. F I i :NDA ^.7 L sad M y EXP: :S r:P S 11-;75 NOTARY PUB! IC; * * * COOMISSION L Mr 'APia7.3 ....• PONOFO THRU ** FEES: PERMIT J 06' RADON C.C.F. ' -br- NOTARY TOTAL DUE3o APPROVED: Fire Other Zoning Building Electrical Mechanical ( Plumbinj r " I gineering MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT �7 / APPLICATION FOR PLUMBING PERMIT / Permit No °l�/ b Dste..._. _� - -_ 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 Ri; Wo1 fP (T rust ` No - i0 A1 Registered Architect and /or Engineer E loy+n ytpb Plees Nnme._ ar t. n P C P p t i c' `rn No0.0 2tO Leglll is on Lot- 1 Mork / 7 7 Subdivision •4! 2. Street and Number where work is to be performed -No 1 1 9 5 NR q $ t h S t State work to be performed and purpose of building (By Floors)__ New Building.._..._ _---- .- ........_.. Remodeling _ Addition Size Septic Tank_._ -Type of Tank- - Feet of Drain Tile. 2 � -Sq-f - Feet of Tank or Drain Field from Well..._.__. ________ Nature of Water Supply: City -Well Size of Soakage Pit Amount of Permit (Signed (Signed) Street.._. Salzedo St_ Repairs xx No. of Stories ...... .. . .. . _ VV 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 5988, Compiled General Laws of Florida Permanent Supplement, and llr•I com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to he performed under this permit; and will post or cause to be posted' for inspection on the site the work suc • ublic notice or notices as arr required by the Act. The undersigned agrees to employ only such sub - contractors, wor to be . - • • u .. this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly swan, upon oath deposes and says that be is the .._......._....... _ _.... — of the above described construction, that be 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- inspection fee of 81.00 will be scads whoa wsei Polo paottou Y mado.osoassey by Improper eotfe. for inspection, or faulty materials and /or workmanship. CLOSET• T Tuns UES SNORERS Tama. TORIES SINKS BLOB SINKS LAUNDRY Tugs URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'Ne NS TOTAL •I.fTYR[S CONTR. LIST -- CHICK •— SEPTIC TANK SEWER CONN. DRAIN /•1[L, aOAKAGS PIT 0 TRAP SOLAR MEATIER DELP WILL 1 S SWIN•O POOL CONTR. LIST CNCCK .---- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT �7 / APPLICATION FOR PLUMBING PERMIT / Permit No °l�/ b Dste..._. _� - -_ 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 Ri; Wo1 fP (T rust ` No - i0 A1 Registered Architect and /or Engineer E loy+n ytpb Plees Nnme._ ar t. n P C P p t i c' `rn No0.0 2tO Leglll is on Lot- 1 Mork / 7 7 Subdivision •4! 2. Street and Number where work is to be performed -No 1 1 9 5 NR q $ t h S t State work to be performed and purpose of building (By Floors)__ New Building.._..._ _---- .- ........_.. Remodeling _ Addition Size Septic Tank_._ -Type of Tank- - Feet of Drain Tile. 2 � -Sq-f - Feet of Tank or Drain Field from Well..._.__. ________ Nature of Water Supply: City -Well Size of Soakage Pit Amount of Permit (Signed (Signed) Street.._. Salzedo St_ Repairs xx No. of Stories ...... .. . .. . _ VV 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 5988, Compiled General Laws of Florida Permanent Supplement, and llr•I com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to he performed under this permit; and will post or cause to be posted' for inspection on the site the work suc • ublic notice or notices as arr required by the Act. The undersigned agrees to employ only such sub - contractors, wor to be . - • • u .. this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly swan, upon oath deposes and says that be is the .._......._....... _ _.... — of the above described construction, that be 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- inspection fee of 81.00 will be scads whoa wsei Polo paottou Y mado.osoassey by Improper eotfe. for inspection, or faulty materials and /or workmanship. drawings, statements or specifications that may have been submitted to and approved b ri- "e if the work is not done in compliance with such ordinances or if the plans a ch • Anted is the understanding that the contractor or builder named above assum raining to the work covered hereby whether shown on the plans or drawing ae by his agents, servants or employees. BUILDING ❑ ELECTRICAL I PERMIT N? 13547 PLUMBING ROOFING ❑ ork to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building This permit is granted to the contractor or builder named above 4) 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 per municipal authorities. This Permit may be revoked at any ut authorization. A further condition upon which this permit is ity for a thorough knowledge of the ordinances and regulations ments . • ' ' • • responsibility for work Lot MIAMI SHORES VILLAGE, FLORIDA I / ) .•t.•LMt ' N.) L. 4_ CONTRAC OR BUILDER �/ Bl. 5 Subdi- vision Value of Project $ INSPECTOR In consideration of the issuance to me of this p I agree to orm the work covered hereunder in compliance with all ordina ces and regulations pertaining thereto and in strict conformity with the plans, • r. •• _ ements or specifications submitted to the proper authorities of ami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY DATE 195 Contractor's License No s tee., AUTHORITY Permit No. /01 Application is hereby made the approval of the detailed statement of the plans and specifications herewith sul6riSitted for the building or otht i structure herein described. h 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. 7���//�� Owner's Name and Address llef . i' ?. - - - - -' -d _- No 1./ __Q 1S"' Street -__7! ' 9,Pf Registered Architect and /or Engine Employing Plumber's Name s1' >' Location and Legal Description Lot Block__._ Subdivision Street and Number where work is to be performed —No _L1_2_67_ ______ Street_ . E- ,___ -' Z Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ ` ----- _____.___ _. ( Signed STATE OF FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to a No. ._ LS_ Q JZ t -- _--_ Street ffQ _r 1f /nee Date - - - -- •� � -- - -- � � -•� - - -- . State work to be performed and purpose of building (By Floors)____ New Building Remodeling Addition..._ Repairs No. of Stories Size Septic Tank Type of Tank____ Capacity Gals._ Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL Size of Soakage Pit 11 d accepts his obli of Florida Perine ub- contractors em f the work suc rk to be p a■iV o e w The undersigned applicant for this building permit does hereby certify that he understands under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law plied with the provisions thereof, and will require similar compliance from all contractor performed under this permit; and will post or cause to be posted for inspection on the s required by the Act. The undersigned agrees to employ only such sub- contractors, licensed by Miami Shores Village. (Signed). Plumbing In ector. ations as an employer of labor nt Supplement, and has com- oyed by him in the work to be public notice or notices as are ormed under this permit, as ar Master P1 'ster oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, eposes 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 fat' therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTUREI - -- CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL - CONTR. LIST CHECK Permit No. /01 Application is hereby made the approval of the detailed statement of the plans and specifications herewith sul6riSitted for the building or otht i structure herein described. h 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. 7���//�� Owner's Name and Address llef . i' ?. - - - - -' -d _- No 1./ __Q 1S"' Street -__7! ' 9,Pf Registered Architect and /or Engine Employing Plumber's Name s1' >' Location and Legal Description Lot Block__._ Subdivision Street and Number where work is to be performed —No _L1_2_67_ ______ Street_ . E- ,___ -' Z Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $ ` ----- _____.___ _. ( Signed STATE OF FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to a No. ._ LS_ Q JZ t -- _--_ Street ffQ _r 1f /nee Date - - - -- •� � -- - -- � � -•� - - -- . State work to be performed and purpose of building (By Floors)____ New Building Remodeling Addition..._ Repairs No. of Stories Size Septic Tank Type of Tank____ Capacity Gals._ Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL Size of Soakage Pit 11 d accepts his obli of Florida Perine ub- contractors em f the work suc rk to be p a■iV o e w The undersigned applicant for this building permit does hereby certify that he understands under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law plied with the provisions thereof, and will require similar compliance from all contractor performed under this permit; and will post or cause to be posted for inspection on the s required by the Act. The undersigned agrees to employ only such sub- contractors, licensed by Miami Shores Village. (Signed). Plumbing In ector. ations as an employer of labor nt Supplement, and has com- oyed by him in the work to be public notice or notices as are ormed under this permit, as ar Master P1 'ster oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, eposes 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 fat' therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faul materials and /or workmanship. :7 ".