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803 NE 99 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 2/15/00 Job Address 803 N . E . 99th ST. Tax Folio Legal Description Historically Designated: Yes No X Owner/Lessee / Tenant FRANK LUB I EN Master Permit # 96,Z -Z 7 Owner's Address 803 N . E . 99th ST. Phone 7584060 Contracting Co. OWNER Address Qualifier SS# Phone BU- 0000490 State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION REPLACE POOL HEATER Square Ft. Estimated Cost (value) $4,000 . 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 owner and/or Condo President Notary as to Owner and/or Condo President Date Notary : to Contra My Commission Expires: My Commission Ex FEES: PERMr1 /a RADON APPROVED: Zoning Building Mechanical Plumbing C.C.E 442/v Date Signature of C ctor or Owner- Builder NOTARY ) BOND Electrical or or ires: GLADYS 5 VILLAR NOTARY PtBLtC STA; E Or FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. PfAR_] 7 TOTAL DUE 1/45 Dat Date Structural Engineer Date 4/24/96 Job Address Owner/Lessee / Tenant FRANK LU3IEN Owner's Address 303 N. E. 99th ST, FEES: PERMIT 40, 50 RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 303 N,E. 99th ST . Tax Folio NO Legal Description Historically Designated: Yes No Contracting Co. OWNER Address Signature of owner and/or Condo President Date C.C.F. 2 , 00 Master Permit # Phone Qualifier SS# - Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION REFINISH POOL', REPLACE SCREEN VENTS, CLEAN & PAINT ROOF (WHITE !TO 'WHITE), CLEAN & PAINT EXTERIOR. Square Ft. Estimated Cost (value) $4,000. 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. Signatur of Contractor or Owner- Builder • TOTAL DUE 47 NOTARY 5,00 4/24/96 Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder Date My Commission Expires: My Commission Expires: APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statc:: w rare plans and specifications herewith submitted for the build • ing 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 the work. —iota OCTOBER 15, 1984 Owners Name and Address FRANK LU BIEN _ N » .. »» .... StreetN: E. 99th ST. istercd and /or Engineer JAMES RODGERS Re $ ::: ra•••n,•: +•c- n:nnwx +TIT Name and address of licensed contactor T L C POOLS INC 5236 N. W. 136th ST. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 803 N. E. 99th ST. State work to be done and purpose of building (by floors) SWIMMING POOL AND DECK STATE OF FLORIDA, 1 . COUNTY OF DADE. j ss• Permit No. Disapproved (Signed) ._ lr l Date 1 o ) i,±5 .'C Date. Chairman Member Member .. ... Council Approved Date _ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimate Total cost of improvements $ 5 , 000 Amount of Permit $. 58.00 Zone cubage required .Plan Cubage Distance .to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the 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 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 complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in die 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 noticcs as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to . formed under this pennit, as are licensed by Miami Shores Village. Rern:uks (Signed) Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires .... NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Pl,rnnir.g Board. A re-inspection fce of 31.00 will be charged when such re- inspection is made necessary by improper notice materials and /or worktnanship. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 PLANNING BOARD DATE Member Member Member Disapproved Date has been obtained from for inspection or faulty Permit No.. !11.,(2. OCTOBER 15, 1984 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address FRANK LU BIEN No 803 N. E. stream 99th ST. Registered Architect and /or Engineer JAMES RODGERS Employing r ;number's NnmeT L C POOLS INC Location and Legal Description Lot Dior& Subdivision Street and Number where work is to be performed —No Street. _..._..._._ State work to be performed and purpose of building (By F'looro)__SWIMMING POOL PIPING 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 age Pit Amount of Permit $ 15.00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (S Na5236 �..m. RA N. W. 136th ST. - umbing Inspector. r The undersigned applicant for this building permit does hereby certify the he understands accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compil General Laws . Florida Permanent Supplement, and Ilan 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 i the site of the work such public notice or notices as err required by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, { ss. COUNTY OF DADE. My Commission Expires Notary Public. State of Florida Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclrnowledgnrents, 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 dgn the same, and that all facts therein by him stated are true. NOTE: A re inspection fee of 11.00 will be spade whoa snob rniupotlas is ntade.nscemary by Improper notice for inspection, at faulty materials and /or worl®anship. CLOSETS BATH Tune SHOWERS LAVA- TORIES $INKS INK SINKS LAUNDRY TUS• URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL 'Multi' CONTR. LIST -- CHECK SEPTIC TANK SEWER CONN. DRAIN F IELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL a SYSTEM SWIM'G POOL i' CONTR. LIST X CHECK 15. Permit No.. !11.,(2. OCTOBER 15, 1984 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address FRANK LU BIEN No 803 N. E. stream 99th ST. Registered Architect and /or Engineer JAMES RODGERS Employing r ;number's NnmeT L C POOLS INC Location and Legal Description Lot Dior& Subdivision Street and Number where work is to be performed —No Street. _..._..._._ State work to be performed and purpose of building (By F'looro)__SWIMMING POOL PIPING 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 age Pit Amount of Permit $ 15.00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (S Na5236 �..m. RA N. W. 136th ST. - umbing Inspector. r The undersigned applicant for this building permit does hereby certify the he understands accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compil General Laws . Florida Permanent Supplement, and Ilan 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 i the site of the work such public notice or notices as err required by tlie Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, { ss. COUNTY OF DADE. My Commission Expires Notary Public. State of Florida Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclrnowledgnrents, 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 dgn the same, and that all facts therein by him stated are true. NOTE: A re inspection fee of 11.00 will be spade whoa snob rniupotlas is ntade.nscemary by Improper notice for inspection, at faulty materials and /or worl®anship.