352 NE 98 St (7)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
35 /d a 2 S'Y Tax Folio //-32r
Date ( // 2 hi Job Address
Legal / Desc� ��� �� iption �7` 44 GpT 1 Master Permit # 3)26'1
Owner / Lessee / Tenant 77 'ti C M7 LL F /6s /1'Eive ,
Owner's Address 3 C� Ai. E / ST Phone ?CS -c ;372
Contracting Co. 1 '/y>� // /2447,',`eIS /'/f,C 307 A /5449,vD AP, . 12i6,0✓� _,
'
Phone 43 clog'
State # C ,cC 02.49 3)3 Competency#
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft.
Signature of Owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
* . * * * * *
PERMIT FEE: APPROVED:
Zoning
Mechanical
Ins. Co. .X4 kW, CBD.PO T
L frl 0 ' L OF Xl s ?r / 64-77 fZ' �� r 't��,
Fire
Estimated Cost
IyL
Other
Electrical
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 and zoning.
Furthermore, I authorize the above -named contractor to do the work stated.
Signature of ontiactor or Owner - Builder
Date: /
N�C ary as to Contractor or Ow,ner-Builaer
My Commission Expires: if / �
Building
Plumbing J ,L, °! ( 45 % )// Engineering
Permit No
STATE OF FLORIDA,
as.
COUNTY OF DADE.
MI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
Amount of Permit $ 5.•°°
The undersigned applicant for this building permit does hereby certify that he understands
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws
plied with the provisions thereof, and will require similar compliance from all contractors or s
performed under this permit; and will post or cause to be posted for inspection on the site
required by the Act The undersigned agrees to employ only such rob-contractors, on
licensed by Miami Shores Village.
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 et
building during progress of work.
J P. Reeder
Owner's Name and Address .
Registered Architect and/or Engineer —
Employing Plumber's Name _HAR.011) J&EFER, INC. N0, st. *Street.
Location and Legal Description Lot_ Block
Street and Number where work is to he performed—No 352 N. E. 9 St Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.
Size Septic of Tank__
Feet of Drain Tile____ __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well-______________________Size of Soakage Pit
(Signed)
4/8/77
Date.
352 N. E. 98 Street
NOTE: A re-inspection fee of $1.00 will be made V7h2711 Mai INAtegtaction a made•neesesary
materials and/or workmanship.
Capacity Gals.
Street_
Repairs No. of Stories
Before me, the authority a notary public, duly authorized to administer oaths and take acknowledgments, NKtrsonally appeared
_2
ok So
to me well known, and who, being by me first duly sworn, upon oath deposes w oses and says that he is the -
of the above described construction, that he has carefully read the foregoing application, and that he d sign the same„ and that all facts
therein by him stated are true.
Notary Public, State of Florida at Large
111-Y-Lt , sr! . ..du, 199
Plumbing Inspector.
and accepts his obligations as an employer of labor
Florida Perinanent Supplement, and has corn-
ntractors employed by him in the work to be
e work such public notice or notices as are
to be performed under this perinit, as are
)
Public, State ot
Master Plumber.
improper notice for inspection, or faulty
LAVA-
TORIES
SINKS
SLOP
3904,
LAUNDRY
Times
UAINALD
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'Nel
TOTAL
FIXTURES
CLOUTS
BATH
TUBS
" . M °
CONTR.
LIST
CRACK
SEPTIC
TANK
SAVVIER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GRMASA
TRAP
SOLAR
HEATER
Dam"
WALL
SPRKLR.
SYSTEM
BWINFO
POOL
■
Lawn Sorinkl
r Wel:
only
CONTRH
1
LIST
CNACK
Permit No
STATE OF FLORIDA,
as.
COUNTY OF DADE.
MI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.
Amount of Permit $ 5.•°°
The undersigned applicant for this building permit does hereby certify that he understands
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws
plied with the provisions thereof, and will require similar compliance from all contractors or s
performed under this permit; and will post or cause to be posted for inspection on the site
required by the Act The undersigned agrees to employ only such rob-contractors, on
licensed by Miami Shores Village.
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 et
building during progress of work.
J P. Reeder
Owner's Name and Address .
Registered Architect and/or Engineer —
Employing Plumber's Name _HAR.011) J&EFER, INC. N0, st. *Street.
Location and Legal Description Lot_ Block
Street and Number where work is to he performed—No 352 N. E. 9 St Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.
Size Septic of Tank__
Feet of Drain Tile____ __Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well-______________________Size of Soakage Pit
(Signed)
4/8/77
Date.
352 N. E. 98 Street
NOTE: A re-inspection fee of $1.00 will be made V7h2711 Mai INAtegtaction a made•neesesary
materials and/or workmanship.
Capacity Gals.
Street_
Repairs No. of Stories
Before me, the authority a notary public, duly authorized to administer oaths and take acknowledgments, NKtrsonally appeared
_2
ok So
to me well known, and who, being by me first duly sworn, upon oath deposes w oses and says that he is the -
of the above described construction, that he has carefully read the foregoing application, and that he d sign the same„ and that all facts
therein by him stated are true.
Notary Public, State of Florida at Large
111-Y-Lt , sr! . ..du, 199
Plumbing Inspector.
and accepts his obligations as an employer of labor
Florida Perinanent Supplement, and has corn-
ntractors employed by him in the work to be
e work such public notice or notices as are
to be performed under this perinit, as are
)
Public, State ot
Master Plumber.
improper notice for inspection, or faulty
Owner
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address 3 i/,171 98 s! Tax ioliol/ sl
Legal Descriptio -T y L ,
/1/ g aste / /A �� / � / P' 7 'Permit # 3/.��
/
Itesigee / Tit % OM C / /I /L L e
Owner's Address 3 6 /'• /, . Q8 S /
Contracting Co. /1 Ci4" GA' CU/? /°
Qualifier )WW /X1 firArAWZ //I SS# - - phone < Cr 1 ll " `t
State# Competency#
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL LUMBINN) MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION /t o L. i3 i , 2 G /l 5 C L/L 6 /1 5 2. !/il= /=ate At
c&e>/ -f 6 /
Square Ft.
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. 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 and zoning.
Furthermore, I authorize the above -named contractor to do the work stated.
Signature of Owner and /or Condo President
Date:
Notary as to Owner and /or Condo President Notary as to Contractor or Owner- Builder
My Commission Expires: My Commission Expires:
* * * * * * * * * * * * * *
PERMIT FEE: APPROVED:
Zoning
Mechanical
Fire
Building
phone 75 - S 3 7
Address /V 1 145 / - FO sr No
Address
Address
Address
L4 1
Ins. Co.
Estimated Cost / Ste'
26 A!
Signature of Contractor or Owner- Builder
Date:
Other
Electrical
)Engineering
•
•
// /f� .../
Application Permit No Date..._..9�°� !�_ — ....._ __ - -
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
stricture 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 mum be kept at
building during progress of work.
TOM CHAILLE 352 N.E. 98 .T.
Owner's Name and Address No Street..—
ACME . GAS COPP . 1491 N .E N.E. 130 ST . , NO . MIAMI FL 331'1
Registered Architect and /or Engineer
Employing Plumber's Name .. _ ._ No.— _-. ...... Street.._ ._....._..
Location and Legal Description Lot SEC ONE Bkr PL.BK.. 10 PAGE 75ubdi
352 N .E . 98 ST . ,
Street and Number where work Is to be performed —No Street._..._.__...__.._._ __
ea}��}44�
j ii 4?�474� 100 LB TTF L.P. GAS CYL & GAS LINE FOP NEW COOK TOP
State work to be perform — - — - - - -
New Building..-._.-_— _.__.........._.. Remodeling— _- .__.- _..___.__ Addition...- _. --- -__ Repairs No. of Stories..
Size Septic Tank._.
Feet of Drain Tile
Nature of Water Supply: City —WeIL
Amount of Permit $
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an an employer of labor
under the Florida Workmen's Compensation Act, being Section 5969, Compiled General Laws of Florida Permanent Supplement, and hry com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wore ro hP
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 err
required by the Act The undersigned agrees to employ only such sub - contractors, on to be . - . under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
( 2(.11.J i'4.-Ar.iiC 1
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 be has carefully read the foregoing application, and that be did sign • . same, and that all facts
therein by him dated are true.
My Commied& lExpliEiis
Ti,Ri ;; `
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank_
nisi Feet of Tank or Drain Field from Well______
Size of Soakage Pit
(Signed)
(Sipped)
IN F RANKL ►T Master Plumber.
Notary Public, State of Florida
NOTE: A re- inspection fee of $LOO will be made who wiohirelespeotlen Y eade.neoemary by Improper notice for Inspection, or faulty
materials a►d /cv workmanship.
CLOSET S
BATH
TUaa
H OWEaS
SHOWERS
LAVA•
TORI[a
SINKS
SLOP
Sums
IN
LAUNDRY
Tullis
UKINALa
CATCH
BASIN
FLOOR
DRAIN
DRINRINO
FOuNT'NS
TO"'AL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
Comm.
DRAIN
F IELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
S
SYSTEM
SWIM'G
POOL
COR TI.
LIST
CHECK
•
•
// /f� .../
Application Permit No Date..._..9�°� !�_ — ....._ __ - -
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
stricture 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 mum be kept at
building during progress of work.
TOM CHAILLE 352 N.E. 98 .T.
Owner's Name and Address No Street..—
ACME . GAS COPP . 1491 N .E N.E. 130 ST . , NO . MIAMI FL 331'1
Registered Architect and /or Engineer
Employing Plumber's Name .. _ ._ No.— _-. ...... Street.._ ._....._..
Location and Legal Description Lot SEC ONE Bkr PL.BK.. 10 PAGE 75ubdi
352 N .E . 98 ST . ,
Street and Number where work Is to be performed —No Street._..._.__...__.._._ __
ea}��}44�
j ii 4?�474� 100 LB TTF L.P. GAS CYL & GAS LINE FOP NEW COOK TOP
State work to be perform — - — - - - -
New Building..-._.-_— _.__.........._.. Remodeling— _- .__.- _..___.__ Addition...- _. --- -__ Repairs No. of Stories..
Size Septic Tank._.
Feet of Drain Tile
Nature of Water Supply: City —WeIL
Amount of Permit $
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an an employer of labor
under the Florida Workmen's Compensation Act, being Section 5969, Compiled General Laws of Florida Permanent Supplement, and hry com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wore ro hP
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 err
required by the Act The undersigned agrees to employ only such sub - contractors, on to be . - . under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
( 2(.11.J i'4.-Ar.iiC 1
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 be has carefully read the foregoing application, and that be did sign • . same, and that all facts
therein by him dated are true.
My Commied& lExpliEiis
Ti,Ri ;; `
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank_
nisi Feet of Tank or Drain Field from Well______
Size of Soakage Pit
(Signed)
(Sipped)
IN F RANKL ►T Master Plumber.
Notary Public, State of Florida
NOTE: A re- inspection fee of $LOO will be made who wiohirelespeotlen Y eade.neoemary by Improper notice for Inspection, or faulty
materials a►d /cv workmanship.
Permit No...._ 9J I Date ...57a.r9 rl_2 -- J9 7 - -•_ —
Application is hereby made for the approval of the detailed statement of the plans and opecifications herewith submitted for the building or other
structure herein described. This application L 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 specificatknis must be kept at
building during progress of work.
Owner's Name and Address �'Oid �' it 1 e
Registered Architect and /or Engineer
e�
, �p0�yin ` �� North � `Sgajr�4: � e `
lion and I,eg ption I.ot , 1 )) � Block
Street and Number where work is to be performed —No 352 ATE
State work to be performed and purpose of building (By Floors) __ ____
New Building..-_-._ -- _.._---.-....._.. Remodeling-- ...... . ____...__ Addition.--_..
Size Septic Tank--
v Type of Tan1L— __.�'� filer .�1aista._._._-. GaL...- - - - - -- - - - - - --
Feet of Drawl Tile_ k00 ER o P tat_ —Dist. Feet of Tank or Drain Field from Well.. - - -_ . —_ ____.. ------- '-- • - . - - - - -_ -
Nature of Water Supply: City—Well Size of Soakage Pit
Amount of Permit f
MI , SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed ) -.
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 5968, Compiled General Laws of Florida Permanent Supplement, and liar com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him In the wore to he
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 cob- contractors, on work be .. . under O1s permit, as are
licensed by Miami Shores Village.
(Slimed)
No. 152 DIE _98
Na.�..g�....... 44168. .
y� subdivision&I
98 St
Repairs No. of Stories
street.. Miami Shores 33118 _ —
street__L_$hore s . _...—
My Commission Expires Notary Public, State of Florida
tubing inipector.
Master Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before rue, 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 be is the - - - .._ ._..._.... _ - ..- -• _ • - - .- -.
of the above described construction, that be has carefully read the foregoing application, and that he did sign the soma, and that all fecta
therein by him stated are true.
NOTE: A re- inspection fee of 81.00 will be sazado whim Snub swispaotien is made.naoauory by Improper notice for hiopectson. ex faulty
materials and /cr workmanship.
CLOI[T$
BATH
Tuve
SHOWER
LAVA-
TORIES
41
SLOP
SINKS
LAUNDRY
Tue.
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINK' NO
FOUNT'NI
TOTAL
PIATURES
CONTIA.
LIST
--
—
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IN'0
POOL
COK.
LIST
—
CHICK
Permit No...._ 9J I Date ...57a.r9 rl_2 -- J9 7 - -•_ —
Application is hereby made for the approval of the detailed statement of the plans and opecifications herewith submitted for the building or other
structure herein described. This application L 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 specificatknis must be kept at
building during progress of work.
Owner's Name and Address �'Oid �' it 1 e
Registered Architect and /or Engineer
e�
, �p0�yin ` �� North � `Sgajr�4: � e `
lion and I,eg ption I.ot , 1 )) � Block
Street and Number where work is to be performed —No 352 ATE
State work to be performed and purpose of building (By Floors) __ ____
New Building..-_-._ -- _.._---.-....._.. Remodeling-- ...... . ____...__ Addition.--_..
Size Septic Tank--
v Type of Tan1L— __.�'� filer .�1aista._._._-. GaL...- - - - - -- - - - - - --
Feet of Drawl Tile_ k00 ER o P tat_ —Dist. Feet of Tank or Drain Field from Well.. - - -_ . —_ ____.. ------- '-- • - . - - - - -_ -
Nature of Water Supply: City—Well Size of Soakage Pit
Amount of Permit f
MI , SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed ) -.
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 5968, Compiled General Laws of Florida Permanent Supplement, and liar com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him In the wore to he
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 cob- contractors, on work be .. . under O1s permit, as are
licensed by Miami Shores Village.
(Slimed)
No. 152 DIE _98
Na.�..g�....... 44168. .
y� subdivision&I
98 St
Repairs No. of Stories
street.. Miami Shores 33118 _ —
street__L_$hore s . _...—
My Commission Expires Notary Public, State of Florida
tubing inipector.
Master Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before rue, 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 be is the - - - .._ ._..._.... _ - ..- -• _ • - - .- -.
of the above described construction, that be has carefully read the foregoing application, and that he did sign the soma, and that all fecta
therein by him stated are true.
NOTE: A re- inspection fee of 81.00 will be sazado whim Snub swispaotien is made.naoauory by Improper notice for hiopectson. ex faulty
materials and /cr workmanship.
•
Paster Permit Number
Jot Address /Suite No. 352 NE 98 ST
Permit Type LPGX
Current Use Of Property. RES
Proposed Use. POOL HRT
Contact Name. Chaille Tom
City Miami
D'A N me . Tom Chaille
LEGAL:
DADE COUNTY BUILDINS AND ZOING DEPAR'IME E'
111 N.. 1 Street, Suite 1010
APPLICATION FOR SU3SIDIARY PEPM:IT
(ALL, Spaces Must Be Filled -In By Applicant)
(Please Complete Fee Sheet)
Contractor's No 1616 Contractor's Name Home Gas Corp....
Qualifier S.S. No 265 -44 -4654 Qualifiers Name PHILIP GOUT
(ELEC, PLUM, MECH , LPGX)
ADDRESS 352 NE 98 ST Phone.
Tax Folio No. //
State Florida Zip 33161
Application is hereby ma to obtain a permit / to do the work and
instal - ' .: s heron i . sated all work w . be performed to
me the appjl ed plans J d laws regulat construction in
21IILIP GOUZ W /O#
Print Name
8 -18 -88
FAILURE TO COMPLY WITH THE MECHANICS LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.
32'o O/3 5 �
Plumbing and Gas
Fee Sheet
Category 01
P001 Outlets & Fixtures # of outlets /Fixtures
P003 Sewer Connection # of sewers
P004 Sewer Capping # of sewer caps
P005 Rainwater Roof Inlet # of inlets
P006 Catch Basin # of Basin
P007 Surface Inlet # of inlets
P008 Soakage Pit Cubic Feet
P009 Condenstate Drain # of outlet
P010 Water Service Connection # Meters
P011 Water Connection or
outlet for applience # of Connection
P015 Sun Pump # of Pumps
P016 Repairs to water piping Installed valve
02 Gas Fitting (Natural Gas)
P018 Natural Gas LP outlets
P019 Appliances
P020 Meters
P021 Major repairs to gas
pipes
P023 Change of company
03 Lawn Sprinkle=
P012 Irrigation system/
underground sprinkler
Category 05 Chemical Toilets
P005 Portable chemical
toilets
P031 Temporary toilets
Category 06 Septic Tank
P002 Septic tanks /inceptor
Grease trap
Category 07 Solar Water Heater
P013 Solar Water Heater
Installation
# of outlets
# of appliances
# of meters
# of piping
# of changes
Per zone
Per toilets
Per toilets
# of items
# heaters
Category 10 Pool Piping
P014 Pool piping fee # of Pools
Category 11 Well Drilling
P017 Wells # of wells
Category 14 Fire Water
P010 Water Service Connection # of Meters
Category 15 Site Utilities
P006 Catch Basin
P007 Surface Inlet
P008 Soakage Pit /French
Drain
P010 Water Connection
P003 Sewer Connection
P024 Water Treatment Plant
P025 Sewer Treatment Plant
P026 Lift Station
P027 Sewege Ejection
P028 Water and Gas Mains
P029 Storm and Sand
Collector Lines
P030 Man Hole
P004 Sewer Capping
LPG$
P018 Natural Gas and
LP Outlets
P022 Under Ground LP Tanks
P023 Change of Company
P019 Appliances
P020 Meters
P021 Major Repairs to Gas
Pipes
# of basin
# of inlets
Cu. Ft.
# of meters
# of connection
# of piping
# of piping
# of piping
# of ejector
# of feet
# of feet
# of holes
# of caps
# of outlets
# of tanks
# of changes
# of appliances
# of meters
# of piping
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Permit No. ff7
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 spedfiations must br kept et
building during progress of work.
Owners Name and Address Tom chaille No.
Registered Architect and /or Engineer Home GAs Corp.. 1060 $..3 L..2 --
// E y( g Iua r edd Philip Gouz �a. ....� ._.� .�....... ®tr�x �._...._
tion sugL,egal) piano 4 :ea 5 Block _ _ Subdivision. 2_,40
Street and Number where work is to be performed —No 35 2 N . E . 98 ST
Street. - — - - - —
State work to be performed and purpose of building (By Fbora)_ LP_Ga Instal j_iR7
New Building- . - - -• -- - •-- - -• - -- • - - - -.. Remodeling- ---_.-... - -_— Addition- .._.- __- .- .- -..... Repairs No. of Stories
Size Septic Tank_— Type of Tank LPGX 420 # ------------- ._... __.. .Capacity Gals..._1.0 gins
_
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 $ ' �O
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
J LEVEROCK
3 599
y3 -A5 it
5 352 N.E 98 st _
P u bang Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts h s obligations as an employer of labor
under the .Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and li c o m -
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wore to tie
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 ar.
required by tie Act. The undersigned agrees to employ only such sub - ontr ' on work , .. be perf • - ` this permit, um are
boonsed by Miami Shoree Village.
(Si
STATE OF - FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and sago that he is the. - - • - - -... -- _ _ ..._. _..
of the above described construction, that be has carefully read the foregoing applications, and that be did sign the same, and that all facts
therein by hire stated are true.
Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be asado when stet. n rage tiro is madoiserastary by k npsoper notion fur letepection, es faulty
matrsialn and/es workmanship
Permit No. VT\ '
Size Septic Tank--
Feet of Drain Tile.
Nature of Water Supply: City—WeIL
Amount of Permit $
My CommiWon Expires
MIA 1 SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 L 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 specific atloru must be kept at
building during progress of work. X C�
Owner's Name and Address 717 I" 4 � n (\ y , C/ L No. 3 S Z ___ Street.. X • (F. _.. r bEr
Registered Architect and /or Engineer &I ( ) ��'Z & 6 13(3 4- � ' gf 577:6 4-�f !'vc ..._ .
lr l'1 bon' tun 6-ul ��L Sc . a 7(70 rtlE // i . 09 14
/,3.ZG / j 7m Vi e. i y frof ie. o r 4 arS b N . ..m.....®...... rtr«t.._. / /ec S S /
lLoeation and Legal tier Lot Blom � ZG Subdivision
Street and Number where work is to be performed —No 35 - /? street . -- �� _ . __-_
State work to be performed and purpose of building (By Floars)__. r� � _ rr G 5,4 ..... . %l ?r {A ........... .
New Building.- - - - -_ — -- .- ....- ....._.- Remodeling___ -__ Addition. •- _---- •_ -.... Repairs No. of Stories .......
(Signed)
Type of Tank - - - --
-- _Dist. Feet of Tank at Drain Field from
Size of Soakage Pit-
( si te d ) •U`(-t- \ 1-1 WA)
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 Iwr com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wort 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 err
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, its are
llcensed by Miami Shores Village.
J3
Date.. !
Notary Public, State of Melds
STATE OF FLORIDA, 1
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 be has carefully read the foregoing application, and that he did sign the sum, and that all fads
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 win be made when snob a .. odoe Y aaade•neeasanry by improper notion for fin, err faulty
materials and /ar workoz,anahip.
CLearTS
BATH
Tuee
e MOW[Re
LAVA-
TORIES
61NKS
SLOP
SINKS
LAUNDRY
TUMID
URINAL/
CATCH
BASIN
FLOOR
DRAIN
DRINK NO
FOUNT' NS
TOTAL
FIETURre
CONTR.
LIST
CHECK
SEPTIC
TANK
8[W[R
CONN.
DRAIN
FIELD
SOAKAO[
PIT
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TRAP
SOLAR
N[AT[R
Di v
W[LI.
SPRKLR.
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CONTR.
LIST
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Permit No. VT\ '
Size Septic Tank--
Feet of Drain Tile.
Nature of Water Supply: City—WeIL
Amount of Permit $
My CommiWon Expires
MIA 1 SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
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 L 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 specific atloru must be kept at
building during progress of work. X C�
Owner's Name and Address 717 I" 4 � n (\ y , C/ L No. 3 S Z ___ Street.. X • (F. _.. r bEr
Registered Architect and /or Engineer &I ( ) ��'Z & 6 13(3 4- � ' gf 577:6 4-�f !'vc ..._ .
lr l'1 bon' tun 6-ul ��L Sc . a 7(70 rtlE // i . 09 14
/,3.ZG / j 7m Vi e. i y frof ie. o r 4 arS b N . ..m.....®...... rtr«t.._. / /ec S S /
lLoeation and Legal tier Lot Blom � ZG Subdivision
Street and Number where work is to be performed —No 35 - /? street . -- �� _ . __-_
State work to be performed and purpose of building (By Floars)__. r� � _ rr G 5,4 ..... . %l ?r {A ........... .
New Building.- - - - -_ — -- .- ....- ....._.- Remodeling___ -__ Addition. •- _---- •_ -.... Repairs No. of Stories .......
(Signed)
Type of Tank - - - --
-- _Dist. Feet of Tank at Drain Field from
Size of Soakage Pit-
( si te d ) •U`(-t- \ 1-1 WA)
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 Iwr com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wort 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 err
required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, its are
llcensed by Miami Shores Village.
J3
Date.. !
Notary Public, State of Melds
STATE OF FLORIDA, 1
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 be has carefully read the foregoing application, and that he did sign the sum, and that all fads
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 win be made when snob a .. odoe Y aaade•neeasanry by improper notion for fin, err faulty
materials and /ar workoz,anahip.
Owner's Name and Address
Registered Architect and/or Engineer
Block
Remarks _ (Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Applicati�. is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein
describe .,,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 ofr'l rida, 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 saecified or not. A copy of approved plans and specifications must be kept at building during progress of the work.
° P3• SANS K . Date /Mk/ 2-5 19 F
0#41- LE No. eD Street /vE % S/
4 - 0 C.0 rc /06- SSA 6 4 5w gi .5r Srtei -Fr
Name and addres of lice contr tor 47 • &a Lf fc , 1 2-A/c • /770 N& / / DY ' 4 '` 6 mz7 " " /
Location and legal description of lot to be built on: it) ! z or ..CITY (A" OP (oT S , j gt 6 �n \/7 /
(f Subdivision �•t�i 9. 5 / S&-TV Q ,4 /�
Lot /`I .) l/'
Street and Number where work is to be done ,3 S ive P `/ sr E r
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
CO,■/ ST/u c 7 .�SeC)- 27'r/'1z' & POO e- i 5/
( 5.5.P:) (1 9 Fr)
and for no otherpurpose.
Repairs No. of Stories / V _
New Building 7\ Remodeling Addition
To be constructed of
Estimated Total cost of improvements S /s---
i O Amount of Permit $
Zone cubage required Plan Cubage
Distance to next nearest building }� ���� Size of Building Lot / / 5T � l5 / C FT
Maximum live load to be borne by each floor r�S_
Kind of foundation Roof Covering M,`+
I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's
Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Supplement. and has complied 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 subcontractors. on work to he performed
under this permit. as are licensed by Miami Shores Village.
STATE OF F'LORIDA
COUNTY OF DADE. } ss.
Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared
trot
to inc well known.
and who, being liy me first duly sworn, upon oath deposes and says that he is the
of the above described construction. that he has carefully read the f egoing pplication. and that he did sign the same. and that all facts therein by him stated are true.
Date . i k Read, Sworn to and Subscribed before me.
3b
Permit No.
Disapproved \ � Data
) ' ���
(Signed)
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman _ Member
Member Member
Member _ Member
Date
Council Approved Date Disapproved
NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship.
•
Date 4 tf 4 5;7 e
Miami Shores Village
Building and Zoning Department
Attention: Building Official
SWIMMING POOL
I certify that I am the legal owner of the property described as
B M 5 Ems , located at-135;1_ 93 S
�3
mrAwr 56
In accordance with Section 33- 12(f), Code of Metropolitan Dade
County, I certify that t understated and agree that the swimming pool
to be constructed at the above address cannot be used or filled with
water until a separate permit has been obtained for an approved safety
barrier, and such barrier erected, ihspected and approved.
I further understand that this certification, however, does not
eliminate the need fbr obtaining a Permit and erecting an approved barrier
prior to final inspection and use of the pool.
Legal Own
Note: This certification is to be submitted with a swimming pool
permit application in duplicate.