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262 NE 98 St (4)CONTRACTOR New Construction Name -t rca\nrwA B e r r i e s ` C, Address Z r ,Z M • E c S} License No. C r c o 51 31 1 7 l� IJLJ eLC' `� ` 7 q (.Q - 6 0 C1 (p Address <60k l U.t 4 ; rat 3o 7ar waif • K r�1 i rc, i . r F L. 3 D 2 / . Telephone0 1 \ y 9 2 — g35 °159 )4/z/2 — 9 y 3 0 Qualifier Name l 1 1\\ 01/4 G ro\1n a v„.. Demolish PROPERTY OWNS' New Construction Name \fir 40 r L eo In i Address Z r ,Z M • E c S} Home Telephone ( 05 ` 7 q (.Q - 6 0 C1 (p Business Telephone .iArvl / . Fax Alteration Interior TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior V Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 2 / 97 Address Apt. City State Zip Folio Number Description of Work ?ILA rhb i r Q I n '4 1 Lot Block J Subdivision PB PG Zoning Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work'( Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other J PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax 6P PERMIT APPLICATION Master Permit No. Subsidiary Permit No. Linear Feet Bldg Value ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES AFFIDAVIT - Please read carefully. PERMIT APPLICATION 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FR0M DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, BOUNTY OF MIAMI -DADE Signatur- .f 0 'ser Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification STATE OF IIORID Y OF MIAMI - DADE Signature ►' i n -tor / Q alifier Print Na • Personally kni p,1 before me this ' 30 y 0 5, t blic - State of Florida JOYCE M. FOLSOM M ' COMMISSION 4 CC 937748 EXPIRES: May 18, 2004 Bonded Thtu Ibltry p i ttemnit a r enti ation , Type of Identification Produced: Type of Identification Produced: ADR1 Page 4 OFFICE USE ONLY CHEC 'I LIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) ( x .60) x/1000 $ (¢.005 / sq.ft.) $ (¢.01 /sq.ft.) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 ° FAX (305) 756 -8972 m http : / /www.miamishoresvillage.com ELECTRICAL T) PE Minimum Fee Q.1.}' . Dryer Q..}: TYPE Outlet, Appliance (i'Y .1-}.1,1,, Service Repair QTY A/C Central 1 -3 Ton A/C Central, Tons Fan Cooling Tower Outlet, Wall Heating Strips, each Service, Temporary Vent Hood, Cost A/C Central 4 -7 Ton A/C Wall/Win. Tons Fire Pump Dryer Vents, Number of Outlet, Switch Paint Booth Signs Ventilation, Cost A/C Central 8 -15 Ton Air Handler, Tons Fixture - Fluorescent Ductwork, Cost of Oven Piping, Flammable Liquid Space Heater (kw) Periodic Inspections A/C Central 16-20 Ton Barbecue Fixture Light Fire Sprinkler System Parking Lot Lights Process/Pressure Piping Spas/Hot Tubs A/C Central 20+ Ton Bath Fan - Vented, # Flood Lights Fireplaces, Number of Plugmold/Strip Pressure Vessel Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners 1 Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet S. Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television 'Ij Service, Number of Amps Water Heater New l MECHANICAL TYPE Q'1'}'. a.1:ATE I Ty. TYPE QTY. "1'}'1'E FYI'}'. Minimum Fee "I'YI'E Drains, Roof Condensate Drain 'FVI'E Miscellaneous Fixture Generator 'r}'PI: Soakage Pit Refrigeration, Tons Bath Tub A/C Central, Tons Drinking Fountain Cooling Tower Miscellaneous Repairs Heating Strips, each Solar Water Heater Vent Hood, Cost Bidet A/C Wall/Win. Tons Filter Replace Dryer Vents, Number of Pool Piping Paint Booth Sprinkler Repair Ventilation, Cost Cap - Fixture Air Handler, Tons Fountain Ductwork, Cost of Pump and Abandon Piping, Flammable Liquid Sprinkler System Periodic Inspections Cap - Water Barbecue Gas - Appliance Fire Sprinkler System Pump, Domestic Process/Pressure Piping Supply, AC Well Cap - Sewer Bath Fan - Vented, # Gas - Natural Fireplaces, Number of Pump, Fire Stand Pressure Vessel Temporary Toilet Catch Basin PLUMBING TYPE A/C Condensate QTY. "I'YI'E Drains, Roof TV. 'FVI'E Miscellaneous Fixture QTY. 'r}'PI: Soakage Pit QTY. Bath Tub 1 Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet 1 Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer 1 Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet S. Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 41" Tile/Res. Lavatory 'Ij Septic Tank Water Heater New l Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service 1 Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Date Type Insp'n —a Permit No. Na Address Company Phone # For Inspector: 1 Approve' ° Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time rS D Po E Miami Shores Village 10050 NE 2nd Avenue Plumbing Permit Phone: 305- 795 -2204 Permit Number: PL2002 -300 Printed: 11 /6/2002 Applicant: VICTOR LEONI Owner: LEONI VICTOR JOB ADDRESS: 262 NE 98 ST Contractor GRAHAM SERVICES, INC. Contractor's Address: 8910 Miramar Parkway, Suite 307 Local Phone: 954 - 442 -9358 Parcel # 1132060134170 Permit Status: Work: NEW FIXTURES FOR ADDITION LEONI DEVELOPMENT, INC. 01 -92 225 NORTHEAST 34TH STREET, #203 MIAMI, FL 33137 -3800 PAY TO THE ,f/��!s f �e ORDER OF f 191 *S■ Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 5 & E1/2 OF 6 BLK 31 LOT SIZE APPROVED Permit Expiration: 5/5/2003 UNION PLANTERS BANK NATIONAL ASSOCIATION 3550 BISCAYNE BOULEVARD MIAMI. FL 33137 63- 841/670 11'007698 1 :06 ?0084 Loo: II' L45000 L46 ?u Construction Value: $1,000.00 // 7/1- 1 $ Y Page 1 of 1 `Fp.o Total Fees: $9:08 Total Receipts: $0.00 7698 DOLLARS 8 le Ispection herefor in strict compliance with all ns that may have been submitted to :he plans are changed without ility for a thorough knowledge of the assumes responsibility for work done raining thereto and in strict conformity sibility for all work done by either 11AaliJrlil Pii1110; UMBit. /3 CONTRACT RS RS State Certified CF CO57317 R�Ir. A.L. Graharvi President ° Co mmercial ° industrial Off: 954 - 442_9358 PO. Box 173636 Hialeah, FL 33017 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE, 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • 305-795-2204 ' Date S k* 6 3 Job Address 2 -4' 2 - , - 1S $►Tft:¢Aax Folio Legal Description Historically Designated: Yes Owner /Lessee/Tenet Master Permit # Owner's Address Phone Contracting Co. S t ' &V_ Address 21 ` N 1 L (p er Av Qualifier ed sE NC, e • riac- d(Gd16/-- SS# Phone �S 7(c'73fo3 State # Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 550.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: —I h G /at A•-x/ o / ._ri/t/ f4,/04/ syeA Square Ft. Estimated Cost (value) / Oa Db 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 ANY 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating co .tr ion and zoning. Furthermore, 1 authorize the above named contractor to do • ork stated. 1 1 , or Owner Builder Not My Cornmission ondo Presi . ent Angola M Becher .v My Commission D0150048 lixpircs Nicvomber 15, 200E /� 6 (L' RADON FEES: PERMIT APPROVED: Zoning Building Mechanical Plumbing C.C.F Competency # Ins. Co. Ir Notary as 'tp o act n My • mmi ion xpi Date ht Signature rorOw r s NOTARY C _ C7 a GO - 2_ '7CP -oc> -, - fir.,,: : ,�,• ?iJ ; t ( '11 tr , • • BOND psi / TOTAL DUE 1 Electrical Structural Engineer c•I•v•I•t E•N•G•I•N•E•E•R Contreras Roofing 144 Northeast 26 Street Miami, Florida Project: Dear Sirs; LG ENGINEERING SERVICES, INC. Consulting Engineers 2020 Northwest 7th Street Miami, Florida 33125 Tel: (305) 649 -6454 Fax: (305) 541 -3298 TILE UPLIFT TEST Residential Home 262 Northeast 98 Street Miami Shores, Florida Information provided by client: Permit Number: BP 2002 -2100 Date Completion: May 19, 2003 Roofing Contractor: Contreras Roofing LG Engineering Services, Inc. Project Number: LG03 -0782 (Testing Laboratory Certificate #00- 0224.07) May 23, 2003 In accordance with your request and authorization, a representative ofLG Engineering Services, Inc. completed the RoofTile Uplift Test for the rear addition at the above referenced project. This testing was performed in general accordance with Roofing Application Standard RAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 10000 square feet, and the mean height of the roof is less than 30 feet above ground surface. The type of tile used for this project was reported to be Altusa Roof Tile. This tile was reported to have been foamed in place. At the time of this testing, one test for every corner, one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof tile in the field area were tested. Initially the entire area of the roof was examine for loose tile. More than 10% of the roof tile located in the field area and more than 20% of the roof tile at the roof perimeter and corner were physically examined. Based on our test results, we conclude that the installation of the roof tile at the above referenced project meets the test requirement outlined in the .above mentioned protocol Attached please find a copy of our test report for your review: LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; LG Engineering Services, Inc. ohamad Sonny Salleh, P.E. Project Manager TILE UPLIFT TEST Residential Home 262 Northeast 98 Street Miami Shores, Florida Test Number Test Load (lbf) Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass Report of TILE UPLIFT TEST for Residential Home 262 Northeast 98 Street Miami Shores, Florida Project Number: LG03 -0782 LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LG03 -0782, Page 1 1 1 w 1 1 l y 1 1 1 1 1 1 1 1 14 ID 12 19 16 11 19 2 18 D 9 10 20 22 9 8 1 4 9 6 26' APITOXIMAt 1t5f ILOCA110N 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 CUTLETS 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 If 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 MOTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP 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 SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA ' RELAY TELEVISION OUTLETS DRAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING _AWN SPRINKLER SYSTEM 3AS RANGE AFTER SET (GAS) ;AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. O:TAINI:rD, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL LEGEND TORO y,, Tc? - u? J? ? f Y'S - Togo - PDP -u SPR111`S VsDTA S\/ N1_ LT NIT7c 0 A - RN S- ,.:ORS • -WaT -Z MCI - BPC K LOW 1R GAT i ON V, -`.LV - - -- M AT N LT N 1A /c1 ADZI 70 14 0 Ma tr ; / // \ A , //1 \\10 C , . ,.// './4.' ,/.. ' ,/,./j/./ .. , .. / 2 ,. , • , / ..//,.//' /I, '-'...:,./-/, .../.• /•/, I i I ,. \I ..LC OR LEDNI 2.(02N.E. c \r' 3 /1 1 ;.; s?'RE ST;;I: 11 1 ‘3Crf, Mil:Al\AI-14D/ T1_ 132 4! ( ,/ / /// SiDE L K4/1/ - ?XL T R. 1 • 1 l j i „.1_, ; --- \i .TER ) X - 0\,A1 - _L 4 1 f'■ 7 0'1\1 \/,'• \ 7- - — • v 7 7 ..<1 9 0 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/8/2003 Applicant: VICTOR LEONI Owner: LEONI VICTOR JOB ADDRESS: 262 NE 98 ST Plumbing Permit Permit Number: PL2003 -124 Contractor's Address: 2801 NW 6 AVE Page 1 of 1 Contractor JAFFER ASSOCIATES LTD Local Phone: 305 - 576 - 7363 Parcel # 1132060134170 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 5 & E1/2 OF 6 BLK 31 LOT SIZE T otal Fees: $0.00 Total Receipts: $0.00 MIAMI SHORES VILLAGE TO THE ORDER OF. Jaffer Associates Corp. OPERATING ACCOUNT 2801 N.W. 6 Avenue • Miami, FL 33127 -3937 P.O. Box 370277 • Miami, FL 33137 -0277 Phone: 576 -7363 • Fax: 573 -8711 PAY *ONE HUNDRED TWENTY -FIVE AND XX / 100 MIAMISH SunTrust Bank, N.A. 777 Brickell Avenue Miami, Florida 33131 11 L0001, 211 0:066000604°: 100000E16 2? DATE 06/09/2003 63 -60 660 100042 100042 CHECK AMOUNT * * * * ** *125.00* ER AS OCIATES CORP. lining thereto and in strict ne responisibility for all work (1� Permit No._ . , , - ,d Owner's Name and Address ___ Registered Architect and /or Engineer STATE OF FLORIDA, COUNTY OF DADE. ss. Amount of Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date____ f 1 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. No Street ........ -- ------ ________ - -- - -- Employing Plumber's Name .•— No Street-_3y- ttA Location and Legal Description Lot---- :— _______ ________ — �__ ` __ ____Block Subdivision__—_____— ______ —___— Street and Number where work is to be State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs _____ Type of Tank ___`_'. _¢t `✓' 3.__L ________________ Capacity Gals._____' -__- Size Septic Tank Feet of Drain Tile_______ Nature of Water Supply: City —Vt ' Size of Soakage Pit. Dist. Feet of Tank or Drain Field from Well (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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 4 (Signed) — Mater Plumber. 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. My Commission Expires Notary Public. State of Florida No. of Stories__ - 04e,,. 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 LIST CHECK , SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK (1� Permit No._ . , , - ,d Owner's Name and Address ___ Registered Architect and /or Engineer STATE OF FLORIDA, COUNTY OF DADE. ss. Amount of Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date____ f 1 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. No Street ........ -- ------ ________ - -- - -- Employing Plumber's Name .•— No Street-_3y- ttA Location and Legal Description Lot---- :— _______ ________ — �__ ` __ ____Block Subdivision__—_____— ______ —___— Street and Number where work is to be State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs _____ Type of Tank ___`_'. _¢t `✓' 3.__L ________________ Capacity Gals._____' -__- Size Septic Tank Feet of Drain Tile_______ Nature of Water Supply: City —Vt ' Size of Soakage Pit. Dist. Feet of Tank or Drain Field from Well (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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 4 (Signed) — Mater Plumber. 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. My Commission Expires Notary Public. State of Florida No. of Stories__ - 04e,,. 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. C BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Lot BL Description MIAMI SHORES VILLAGE, FLORIDA DATE """ 194T Contractor's License No. '""' •° PERMIT N° 2353 Work to be performed under this Permit Owner of Building Address of y Value of Amt. of -- - Building Project Permit 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. 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 regula. tions 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._ Subdi- vision CONTRACTOR OR BUILDER BY AUTHORITY JOB: BUILDING ELECTRICAL PLUMBING / Inspector's Report: • • • • • The following is ready for Inspection: i c y , j ig 1r , d el • AD: • . DONE BY: ,l /�> -% n G � . • : j., . REQUESTED :% :'%WILL BE READY ▪ • • • • • • JOB: 6 7,-" 3 BUILDING ELECTRICAL PLUMBING • • • • • • Inspector's Report: • • • • • • • • • • • • • • / 9. WORK DONE BY: REQUESTED • • • • • • • • . The following is ready for Inspection: • • AD: • :WILL BE READY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. Permit Owner's Name and Address _ Registered Architect and /or Engineer Employing Plumber's Name _—_! Location and Legal Descriptr Lot_ _Block Size Septic Tank_____ Feet of Drain Tile_____ —,_ Amount of Permit $_w ____s__. No Street___ No Type of Tank Nature of Water Supply: City— WAI _________ __________ _______ ___ ________ _____.Size of Soakage Pit Subdivision _____________________—__. Street and Number where work is to be performed—No _ __:_____ '^ _ State work to be performed and purpose of building (By Floors) New Building \ _ Remodeling Addition Repairs No. of Stories___.,__x_ _.. _Capacity Gals.____ My Commission Expires Notary Public. State of Florida Dist. Feet of Tank or Drain Field from Well_____ ____— _________ _______ __ --(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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) / Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. ss. 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 TOTAL FIXTURES CONTR. LIST 3� CHECK SEPTIC TANK SEWER C DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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. Permit Owner's Name and Address _ Registered Architect and /or Engineer Employing Plumber's Name _—_! Location and Legal Descriptr Lot_ _Block Size Septic Tank_____ Feet of Drain Tile_____ —,_ Amount of Permit $_w ____s__. No Street___ No Type of Tank Nature of Water Supply: City— WAI _________ __________ _______ ___ ________ _____.Size of Soakage Pit Subdivision _____________________—__. Street and Number where work is to be performed—No _ __:_____ '^ _ State work to be performed and purpose of building (By Floors) New Building \ _ Remodeling Addition Repairs No. of Stories___.,__x_ _.. _Capacity Gals.____ My Commission Expires Notary Public. State of Florida Dist. Feet of Tank or Drain Field from Well_____ ____— _________ _______ __ --(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 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) / Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. ss. 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.