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866 NE 99 St (9)Date3 P / Job Address e6[' /t 99V • Tax Folio 1 3 2 /41 2cl200 Legal Description Pa+' `1 + G VI 5 13 k '12 V i 5 2-- 3„S -74 Owner / Lessee / Tenant ,14 . r/ /I I 6 Master Permit # 3 ,) . 3 Owner's Address S 6 g /4/ 'f9 9 -C T - Phone Contracting Co. r Q /e / //4t P) Address . 4 s• a/c / /l ("as/le/414 Qualifier • SS# Phone STIg' " / State #(7 4W;9 nicipal # Competency # Ins.Co. 4/ /oraroti(1; Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICA PLUMBI MECHANICAL ROOFING PAVING PENCE SIGN 4 / e kc / Pa l / /1p WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 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. 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 My Commission Expires: Signature Date: Notary as t My Commissi ntractor or Owner- Builder Lm C t OFFIOIRL Osene rBau1 e • • • SCOTT W DAVIS jt�'' S * COMMISSION NUMBER •W -;' < < CC255237 c' c ' MY COMMISSION EXP. r& * .)AN *25.199N er ** ** * * * * * * * * * * FEES: PERMIT 4414 RADON C.C.F. NOTARY % 41-ts ° TOTAL DUE APPROVED: Fire Other Zoning Buildin: Electrical Mechanical Plumbin: r �/ / Engineering BUILDING ELECTRICAL PLUMBING ROOFING 4 MIAMI SHORES VILLAGE, FLORIDA .� ❑ • - DATE 1 1 '' 19 E; PERMIT N9 6 811 Contractor's /" License No. Owner of Building Architect Contractor or Builder Legal Description Address of Building D Lot Work to be performed under this Permit 11 B1 CONTRACTOR OR BUILDER BY Subdi- vision Value of Project $ Amount 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed. , , t i :. �f . - 1 .. - . ,f F • % it ; INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance 340th all ordinan regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY �YloT "kiSi"' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fo"the ltilding 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. l /� Owner's Name and Address 5 C..d._ .__. No. __ a - .41__' 4__ Street- -_ Registered Architect and /or Employing Plumber's Name _ _ ) _ o . ( Signed _6/ 22_3. JJ ._i'M Street- —_i✓ '7 _ Capacity Gals My Commission Expires Notary Public, State of Florida Master Plumber. Location and Legal Description Lot C Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Fl oors)_— ___— ..... ______________.._..__ 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 -- - - - - -- - Awl _ -t1 Amount of Permit $ -7-7 - ---- 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 bus 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 s public otice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be • s der this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I ss. 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 81.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBE S SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY Toss URINALS CATCH BASIN FLOOR DRAIN DRINK NO FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM POOL LuT Y CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fo"the ltilding 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. l /� Owner's Name and Address 5 C..d._ .__. No. __ a - .41__' 4__ Street- -_ Registered Architect and /or Employing Plumber's Name _ _ ) _ o . ( Signed _6/ 22_3. JJ ._i'M Street- —_i✓ '7 _ Capacity Gals My Commission Expires Notary Public, State of Florida Master Plumber. Location and Legal Description Lot C Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Fl oors)_— ___— ..... ______________.._..__ 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 -- - - - - -- - Awl _ -t1 Amount of Permit $ -7-7 - ---- 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 bus 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 s public otice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be • s der this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, I ss. 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 81.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. Date._ 'con; , ^.: Z _ ! _ 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- ,� r ' r� jl ? h OwnPa's Name and Address 44_4 _,,, -�'. ';__ Registered Architect and /or Engineer _ . _ la Employing Plumber's Name a _ _ 6 �"T = --- _ -•_ - -. No ! '`1 ( - c g Street.. . . r .. ' r Location and Legal Description Lot Block Subdivision �f ��!"'� ^.'41� ` �� Street and Number where work is to be performed-No _ _____ Street aL ' _ 2 .1L L,_ r- Permit No Size Septic Tank______ ...... - ..... _..________..... _______.___ -Type of Tank Feet of Drain Tile_ _Dist. Feet of Tank or Drain Field from Well Amount of Permit $ Nature of Water Supply: Well. 2 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ l 1'�'' LL Street State work to be performed and purpose of building (By Fl oors ) __._- _------------------ _ - - -._ New Building_____ Remodeling .__ _.____ Addition____ Repairs No. of Stories Capacity Gals Size of Soakage Pit (Signed)- n - v 7 PlumbingTnspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn - 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. (Signed _�_��� r r >J; Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. j 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. CLO3E4S BATH TUBS SHOWERS LAVA. TeRIE8 SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS HQ' " 7 ` OT TAL ` FIXTURES CONTR. LIST — "� vy. 1 �X.� 41 1 �f /(�� - _____ ,/�.p f_ S I L l SILL CHICK • SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S' POOL. CONTN. LILT i - CHICK Date._ 'con; , ^.: Z _ ! _ 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- ,� r ' r� jl ? h OwnPa's Name and Address 44_4 _,,, -�'. ';__ Registered Architect and /or Engineer _ . _ la Employing Plumber's Name a _ _ 6 �"T = --- _ -•_ - -. No ! '`1 ( - c g Street.. . . r .. ' r Location and Legal Description Lot Block Subdivision �f ��!"'� ^.'41� ` �� Street and Number where work is to be performed-No _ _____ Street aL ' _ 2 .1L L,_ r- Permit No Size Septic Tank______ ...... - ..... _..________..... _______.___ -Type of Tank Feet of Drain Tile_ _Dist. Feet of Tank or Drain Field from Well Amount of Permit $ Nature of Water Supply: Well. 2 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No._ l 1'�'' LL Street State work to be performed and purpose of building (By Fl oors ) __._- _------------------ _ - - -._ New Building_____ Remodeling .__ _.____ Addition____ Repairs No. of Stories Capacity Gals Size of Soakage Pit (Signed)- n - v 7 PlumbingTnspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn - 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. (Signed _�_��� r r >J; Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. j 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. a 3 s_ gd BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building + - Architect Contractor or Builder Legal Description /J o' MIAMI SHORES VILLAGE, FLORIDA �+ DATE 7 z 19 PERMIT 6 613 Contractor's License No. 7 7 7 0 ❑ Work to be performed under this Permit ; ACTOR OR BUILDS Lot Bl BY r .,.. AUTHORITY Al. - Subdi- vision Address of r "/ ' c r r- Value of 11 Amount of / `. Building '" j t 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. 1 F,, Signed (1 '� l --1 mss. — « . - - 1 � INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complictice with all ordinances sad regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper Cauthorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. w ♦B BOT 'R1