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273 NE 98 St (11)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 7 Job Address Z i(j 9g s . Tax Folio r/ Historically Designated: Ye Lessee / Tenant O(e kr �� e� �" ^// ' 1 I � Cpl S Owner's Address ' V v 93 St. Contracting Co. I1 Jdali givire Plumb/ umb/ Queer �( I Date Legal Description S t a t e # e f 1 . 0 f (2-05 Municipal # (G2(f C o m p e t e n c y # ( - _ f f ) 4 Ins. Co. 2 ! 14 � 5 Architect/Engineer A4 Bonding Company / )7 3 Mortgagor / V 11 Signature of owner and/or Condo President Date tri ( Ar l Date Notary as to Owner and/or Condo President My Commission Expires: OFFICIAL NvTARYSEAL SHARON L WILBANKS Nc,r'AlY PUBLIC STATE Or FLORID cmemsSiON NO. CC4472S3 MY COMMISSION EXP SEI !,19 FEES: PERMIT 3s RADON DO 0 I - 7 0 m . 14, q} C.C.F. ss# Phone 7 ' 2 Address Address Address Square Ft. Estimated Cost (value) A d d r e s s 9 C " ) / 4 ! T !r Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION - PI PC Hof duo GU 1D t'f Ur'r -i S AM P44 ra J. 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: .[ 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. Furthermore, I authorize above -n: • contr . - or o do the work stated. .Q • i q� Date NFU �' A l �l Notary as to Contractor or Owner - Builder Date My Commission Expires: ''()IFIICC �L NflTARY SEAL SIP,RON LWI.L�BANI '/ ?°J 3 SC STATE OF ignature o / ontrac 1 ° NOTARY APPROVED: Zoning Building Mechanical Plumb' . g 00 NV� / `f Phone Og — 43/ Master Permit # Electrical r Owner- Builder No BOND / I- TOTAL DUE Engineering BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Bl. Subdi Description vision Address of Value of I 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 assun,}es respon- sibility for work done by his agents, servants or employees. Fork to be performed under this Permit PERMIT N? 6128 MIAMI SHORES VILLAGE, FLORIDA Signed. DATE .,°' W Contractor's License No. 194) 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 acceptipg this permil,, assure responsibility for all work done by either myself, my agent, servant or employee. ," CONTRACTOR 011 BUILDER BY AUTHORITY - CLOSET* BATH TUD O eNOVJHWO LAVA. TORIES C311"6 U* SLOP SINKS LAUNDRY Tuse URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NO TOTAL FIXTURES CL S T L IaT CNrCtt SEPTIC TANK _ SEWER CONN. DRAIN FIELD $OAKAOE PIT CRHA*a TRAP QOLAR PitATER DEEP WELL . SYSTEM SWING POOL _.... - LIST CHECK Fermat No . 78 o D li&MO SNORES VILLA I :; E PLUMBING INSPECTION DEPARTMENT APPd0CTION FOR PLUMBING PER , IT 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 in 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: Dar t Registered Architect and /or Engineer Il Employing 1 �'s Nasp North na�P sept� lv� .., .. cy . at.n an B 1 ��'I�' /9�- � SubdivWon.V.dt._- IM Street and Number where work is to be performed -No 273 BE 98 Street.M.g - .SZ'lOrffi.S 33.138 — State work to be performed and purpose of building (By Tr lours ) New Building..-_._._ -- ._..........._.. Remodeling _ -- Addition. .• - - -__ ..__..... Repairs No. of Stories Size Septic Tank— _Type of Trek Feet of Drain Tile 300_ S14_0-- Dln Feet of Tank or Drain Field from ..... ___ —._ _......._._ Nature of Water Supply: City -Well Size of Soakage Pit. Amount of Permit a My Commission Ermine ( - •J r � f 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 5998, Compiled General Laws of Florida Permanent Supplement, and hu•• c rn- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the woe.- to be performed under this permit; and will post or cause to be posted for inspection on the cite the work such •ublic notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on to be • - • • under permit, as are licensed by Miami Shores Village. (Signed) N 3 NE 913 ec- e ysria Notary Public, late of Florida street._ M. shores . 33138 Muter Plumber. STATE OF FLORIDA, I rm. 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 91.00 will be man whoa or onoia susinspoodou le rssads•ree awry by bumper notice far inspection, or faulty materials and /or esteirmanship. Permit nount of Permit $ E OF FLORIDA, 1 ITY OF DADE. ss. Owner's Name and Address" r Registered Architect and /or Engineer Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby m:;.de 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. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —NO State work to be erformed and purpose of buildin <�,, " p p p g (By �"1 s) New Building Remodeling Addition Repairs sr= eptic Tank Type of Tank Capacity Gals. Drain Tile Dist. Feet of Tank or Drain Field from Well 4ature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor ler the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- d with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be 'ormed 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 fired by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are sed by Miami Shores Village. No Street No ( Signed) (Signed) Datef :) Street My Commission Expires Notary Public, State of Florida Street No. of Stories Master Plumber. :fore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ell known, and who, being by me first duly sworn, upon oath deposes and says that he is the .bove described, construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts y him stated are true. E: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty nd /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINAL S CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CON:N. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL , ONTR. LIST :ECK Permit nount of Permit $ E OF FLORIDA, 1 ITY OF DADE. ss. Owner's Name and Address" r Registered Architect and /or Engineer Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby m:;.de 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. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —NO State work to be erformed and purpose of buildin <�,, " p p p g (By �"1 s) New Building Remodeling Addition Repairs sr= eptic Tank Type of Tank Capacity Gals. Drain Tile Dist. Feet of Tank or Drain Field from Well 4ature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor ler the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- d with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be 'ormed 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 fired by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are sed by Miami Shores Village. No Street No ( Signed) (Signed) Datef :) Street My Commission Expires Notary Public, State of Florida Street No. of Stories Master Plumber. :fore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ell known, and who, being by me first duly sworn, upon oath deposes and says that he is the .bove described, construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts y him stated are true. E: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty nd /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor ,) or Builder t Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA DATE ERM1T N? 6128 Work to be performed under this Permit • Subdi- vision Contractor's License No 194 e Address of �� / �� r' , � '� �' Value of Amt. of , Building , �9 � f � ' ,, ti Project Permit s This permit'is ed to the contractor or builc1 r named abd4e to construct the building or to install the equipment or device described in the appli- cation 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 derstanding that the contractor or builder named above assumes the respons}billty for a thorough knowledge of the ordinances and regulations pertaining to he work covered hereby whether shown on the plans or drawings or in the {statements or specifications and that lie assumes respon- sibility for work done by s agents, servants or employees. ,/,, Signed � �. r ( ' �7., �' � B i 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. ass e responsibility for all work done by either myself, my agent, servant or employee. 9 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE 195 C] PERMIT 111T° 12882 Contractor's [] License No C] Work to be performed under this Permit CONTRACTOR OR BUILDER BL Subdi- vision Value of Project $ Amt. of 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 al 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. BY AUTHORITY • • DATE ISSUEI) TO to install. the following described plumbing, in accordance the laws, statutes and regulations of Miami Shores Village, Florida ar}d the State of Florida, governing plumbing and drain- age work done in Miami Shores Village, Florida. FOR ASTORY FIXTURES' FIXTURES SEWER SEPTIC TANK TOTAL MIAMI SHORES VILLAGE VILLAGE PLUMBING INSPECTOR PLUMBING PERMIT BY ,; NO. 653 • • Permit No. 8' ' 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 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. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name ./ - - - -� Li 2 Location and Legal Description Lot _ - 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. Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $____------------ -_____ (Signed)_ No. -_.. _ __, '_- ._ 4/(_ . Street No r!- > � i � �G (Signed)._ Date treet__ Block...__ Subdivision Street Repairs No. of Stories Size Septic Tank Type of Tank__— Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from WelL Size of Soakage Pit 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 undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as an licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fac 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 TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTUREI CONTR. LIST - - CHECK DEEP WELL SPRKLR. SYSTEM SWIM•G POOL SEPTIC TANK SEWER CCINN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER T CHECK Permit No. 8' ' 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 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. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name ./ - - - -� Li 2 Location and Legal Description Lot _ - 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. Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Amount of Permit $____------------ -_____ (Signed)_ No. -_.. _ __, '_- ._ 4/(_ . Street No r!- > � i � �G (Signed)._ Date treet__ Block...__ Subdivision Street Repairs No. of Stories Size Septic Tank Type of Tank__— Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from WelL Size of Soakage Pit 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 undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as an licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fac 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.