816 NE 99 St (6)Date g
Legal Description 1/ y � n Historically Designated: Yes No
Owner/Lessee / Tenant ( t / f7 /Gt. 4 . 2h �"GC GL /7 Master Permit #
I Phone 206 - 7 51)— 6 / 0 6
owner's Address 8)/ NE. 9'q ST
Contracting Co. Address
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 -2e /0/ , room �u,� and T/ le) •
Square Ft. ,_57)
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.
• / 4/ • /97
Sign :f e of owner and/or Condo President Date Signature of Contractor or Owner - Builder Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
S Job Address
8760 /V ??..M 6T Tax Folio
RADON
Estimated Cost (value) %
Notary as to Contractor or Owner- Builder Date
My Commission Expires:
C.C.F. ` NOTARY BOND
TOTAL DUE 43 r S'&
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering
iLDING
LECTRICAL
LUMBING
tiOOFING
Jwner of
; uilding
-7hitect
tractor
Builder
,gal
Sscription
.ddress of
>>ilding
Lot
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE
n , PERMIT INT?. 11365
n Work to be performed under this Permit
wro
Subdi-
vision
195
Contractor's
License No
Value of Amt. of " '
r° 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
refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
:wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
e 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
nted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
aining to the work covered hereby whether shown on the plans or drawings or ip the statements or specifications and that he assumes responsibility for work
e by his agents, servants or employees. - ��
.i BY
Signed •
In consideration of the issuance to me of this permit I a eeto perform the work covered hereunder in compliance with all ordinances and regulations
ning thereto and in strict conformity with the plans, drawiligg, statements or specifications submitted to the proper authorities of Miami Shores Village.
epting tkis permit I assume responsibility for all work done by either, myself, my ag�pt,«eervant or employee.
o - ,
CONTRACTOR OR BUILDER sr BY AUTHORITY
Permit No. __Zk; - /--- :G
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.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building
Size Septic Tank
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank
No
(Signed)
( Sig )
Date
Street
Owner's Name and Address
Registered Architect and /or Engineers
s )
-- ` ' --
Employing Plumber's Name `7 � -? - ' , - - -- , No. Street
Location and Legal Description Lot 1 t ` ‹___ i' ____ Block Subdivision
Street __
Remodeling Addition Repairs No. of Stories
Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature 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
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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 are
licensed by Miami Shores Village.
Master Plumber.
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 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
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
TBATH
UBS
SHOWERS
TOARIES
SINKS
SLOP
SINKS
L TUBS
URINALS
BASIN
DRAIN
NG
FO NT
TOTAL
FIXTURES
CONTR.
LIST
,Q
'/
a
A
i
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
1 .
CONTR.
LIST
A
'.
A"
I,
CHECK
Permit No. __Zk; - /--- :G
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.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building
Size Septic Tank
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank
No
(Signed)
( Sig )
Date
Street
Owner's Name and Address
Registered Architect and /or Engineers
s )
-- ` ' --
Employing Plumber's Name `7 � -? - ' , - - -- , No. Street
Location and Legal Description Lot 1 t ` ‹___ i' ____ Block Subdivision
Street __
Remodeling Addition Repairs No. of Stories
Capacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature 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
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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 are
licensed by Miami Shores Village.
Master Plumber.
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 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
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.
z % 7