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70 NE 99 StLegal Description Owner / Lessee / Tenant cr( State # PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date a/0�9/ Job Address // 0 ✓ 1/ L ' 9 9 y l/ //-tip= , )() J //) J Owner's Address 70 A(&' _ r Tax Folio Mast . Permit # T % ! / J2 Phone Phone 7u -/2// Contracting Co. L-AF$ TC/W A- 0 197 / 31A)6- Address n Jam / l 6✓ _ 73d J Qualifier JO#4 / ) „ 9 . 7 e , UTvSS416�CP / Phone ,-,7Q M3 YO Municipal # Competency # 436` Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one BUILDING ELECTRICAL P UMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION i 2 i • -- 1 - A r Square Ft. Estimated Cost(value) 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. Furs- u.re, I authorize the above -named contractor to do the work stated. Signature of owner and /or Jo o President . Date: Notary a o Owner and /or Condo President My Co .fission Expires: ** * FEES: PERMIT 55 APPROVED: * * * * * * * RADON C.C.F. Zoning Buildin Mechanical Plumbin Sig, turc of Contractor or Owner- Builder Date: ee/.2� //f Notary as to Contractor or My Commission Owner - Builder CHRISTINA PORRAS MY COMMISSION • CC 617849 EXPIRES: May 30, 2001 Bow ed Thru Notary Public Underwriters t _ ** t V NOTARY D ' TOTAL DUE Fire Other Electrical Engineering ITEM BA11I TLC UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNLIT FEE i 1 BIDET L IIiTT OUTLETS CENTRAL HEATING DISITYIASIIER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENIRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/1ITER CIWIGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS NO PRESS PIPING I INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY ABOVE GROUND TANKS LAUNDRY TRAY _OVEN WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 IP STEAM BOILERS SHOWER MJTORS OVER 1- 3 IP WT WATER BOILERS SINK, POT /3 COMP: MOTORS OVER 3- 5 FP MECHANICAL VENTILATION S INK, RESIDENCE MOTORS OVER 5- 8 IP • TRANSPORTING ASSEMBLIES SINK, SLOP MJTORS OVER 8- 10 IP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MJTORS OVER 10- 25 11' FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 IP COOLING TOWERS WATER CLOSET MJTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C W I tDOW RE I NSPECT ION WATER SUFPLY TO: AIR CONDITIONERS - A/C UHT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER-NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS . LAWN SPRINKLER -WELL SPECIAL PURPOSE _ SWIMANIG POOL OUTLETS COMICRCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS , UTILITY-SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES _ SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION FUMP & ABANDON SEPTIC TANK REINSPECT ION SOAKAGE PIT CU. FT. CATCH BASIN DISC WELL DOMESTIC WELL _ AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STAtU' IPE POOL PIPING • LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BET' OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL b /gg17U Permit No Z.vvs 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 Xith, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. (0 / 11.01 R O 60R, OZ) • Owners Name and Address ?0 5 No Street.. Registered Architect and /or Engineer n ;Employing Plumber's Name *1'4)19 ° C• q 0.1d!lg No,.. -- .. ,,,e., m...�. ..,..,...... - .. Location and Legal Description Lot Street and Number where work is to be performed -No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Mort 7d 5 r. State work to be performed and purpose of building (By Floors) _• ' 4) ('' . ".A .. fr!3 ' 'f 9 i 0 4 'UCH Subdivision.__..._.___.._._ ___ Street...FL. _... /T!W New Building Remodeling Addition..._...__ Repairs No. of Stories / .... . . Size Septic Tank--- -_--- •-_------- _ —__ -- _._Type 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 Amount of Permit $ ' 40 STATE OF FLORIDA, I COUNTY OF DADE. My Commission Expires (Signed) Capacity Gals. Date /.3 . Plumb g 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 Perina ent supplement, and Ila% com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed l y him in the work to b- performed under this permit; and will post or cause to be posted for inspection on the site of the work such publi: notice or novices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed rzczdca' this permit, as aro licensed by Miami Shores Village. (Signed) 111Q_ - tom.. Notary Public, State of Fkarida Master 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. NOTE: A re- inspection fee of $1.00 will be made when such re4nspeetion is made.neoenary by improper notice for Inspection, or faulty materials and /ce workmanship. CLOSRB BATH TUBS bHOW[RB LAVA- TORIES KS SINKS SLOP SINKS LAUNDRY TU•• URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIOT LIOT cf� / (� CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H Du, WELL SPRKLR. SYSTEM SW IM'0 POOL CONTR. LIST ' CHECK b /gg17U Permit No Z.vvs 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 Xith, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. (0 / 11.01 R O 60R, OZ) • Owners Name and Address ?0 5 No Street.. Registered Architect and /or Engineer n ;Employing Plumber's Name *1'4)19 ° C• q 0.1d!lg No,.. -- .. ,,,e., m...�. ..,..,...... - .. Location and Legal Description Lot Street and Number where work is to be performed -No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Mort 7d 5 r. State work to be performed and purpose of building (By Floors) _• ' 4) ('' . ".A .. fr!3 ' 'f 9 i 0 4 'UCH Subdivision.__..._.___.._._ ___ Street...FL. _... /T!W New Building Remodeling Addition..._...__ Repairs No. of Stories / .... . . Size Septic Tank--- -_--- •-_------- _ —__ -- _._Type 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 Amount of Permit $ ' 40 STATE OF FLORIDA, I COUNTY OF DADE. My Commission Expires (Signed) Capacity Gals. Date /.3 . Plumb g 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 Perina ent supplement, and Ila% com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed l y him in the work to b- performed under this permit; and will post or cause to be posted for inspection on the site of the work such publi: notice or novices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed rzczdca' this permit, as aro licensed by Miami Shores Village. (Signed) 111Q_ - tom.. Notary Public, State of Fkarida Master 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. NOTE: A re- inspection fee of $1.00 will be made when such re4nspeetion is made.neoenary by improper notice for Inspection, or faulty materials and /ce workmanship. DOWNER LOT BLOCK SUBDIVISION I , ry 1 , ,/ 4. Date Issued to +` r For a_story Fixtures Fixtures Sewer / $ Septic Tank $ chores�illage F L O R I D A PLUMBING PERMIT N9 682 Total to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. building at Village Plumbing Inspector Received Payment by Date Miami cShores9llage L O R I D A PLUMBING PERMIT N9 704 Issued to LOT BLOCK OWNER SUBDIVISION to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by 7) 'O WNER LOT ' BLOCK ----V-- SUBDIVI`ION , LALO 6 3 "I e e to install the followingedescribed plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governin plumbing and drainage work done in Miami Shores Village, Florida. , Fora story n 7 Fixtures Fixtures Sewer ttc Tank Total 4 0 O aiami Aoresc llage F L O & ID A PLUMBING PERMIT N° _ 682 . building at Village Plumbing Inspector Received Payment by ii OWNER . LOT BLOCK SUBDIVISIO f'� / / / J I I< / // A7!' I (' C.!. y 1:'; --/- 1'�' /0 , t- , to !fed to For a / story 77 • Received Payment by aiami fhores F L 0 R 1 D A V PLUMBING PERMIT N9 704 to install the following describes plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in iami Shores Village, Florida. L ./ / Y (/) building at O Fixtures Fixtures $ Sewer $ eptic Tank / $ Total Village Plumbing Inspector