899 NE 99 St (11)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date , /6 0 Job Address 8/1 1°1 ST Tax Folio /1- 3206 - o 31- o / 7 b
Legal Description Historically Designated: Yes No /N
Owner/Lessee / Tenant ( (3t =irr M W Lit ��. Master Permit # y 9
Owner's Address 3'\ y Phone 30 - 9 9O " / yz
Contracting Co. . 0e•-6-1? 1rr•k/ .t�� Address W xt./ / 0 /
Qualifier - s✓Yr157r 6 v/7 SS# - Phone 3 ?2 3 O( 3
State # Municipal # Competency # 092002 Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Typfr (circle one): BUILDING ELECTRICAL LUMBING ME ROOFING PAVING FENCE SIGN
lWORK DESCRIPTION .r/ 0, i � ' -✓�" oG ■p al of)
Square Ft. Estimated Cost (value) f 0 00 �—
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.
OWNERS AFFIDAVIT: I certify that: all the foregoing information is accurate and that all work wil s • •mpliance 'th all applicable laws regulating
constru on and zoning. ennore, I authorize the above -named contractor to do the work stat
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Notary as to Co w .nor or Own
wner- Builder Date
My Commission Expires:
Signature of o er and/ .> do Preside
Date
Notary as to ! er and/or Condo President
My Co sion Expires:
Alex Calderon
FEES: PERMIT
RADON
nY p� O."z:'.1Fi NOTARY SEAL
P a ,. GM CALD RO7 t
APPROVED:
Zoning Building
Mechanical Plumbing
ZION NUMBER
::9021
- ,7d,0I:aIJN EXPIRES
Jsl. \:.',32004
C.C.F. 1 NOTARY BOND
Electrical
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Structural Engineer
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Robert BrownLee Residence
899 NE 99 Street
Miami Shores, Fl
Phone 305 757 7779
SHEET DESCRIPTION:
Irrigation system
Javier's Sprinklers INC.
9120 Fontainebleau Blvd 109
Miami ,FI 33172, USA
(305) 223-0839
—_ —�^
CLOSETS
BATH
Tune
SIIOWIRe
LAVA•
TORIES
61
SLOP
SINKS
LAUNDRY
TuSI
URINAL[
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT•N•
TOTAL
FIKTURCS
CONTR.
LIST
/
I
CHICK
/
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SEPTIC
TANK
SIWIR
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
H
DIE►
WELL
SPRKLR.
SYSTEM
SWIM•O
POOL
-
CoHTR.
LIST
CHECK
/
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Permit No ...... ......
2
Amount of Permit $
STATE OF FLORIDA, 1 µ
COUNTY OF DADE.
/Or
My Commission Expires
MIAMI 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 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 Piz n
0 0 0 * � v +� [; No. __.
Registered Architect and /or Engineer 95h N `dd . 2th Vca A±
Employing Plumber's Name. - -- — _.._..�_ „ -- -:•- No.- - ..,,,
� 4
Location and Legal Description Lot Bloch
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building ----- •- • ... ........... Remodeling
Addition
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
(Signed)_
Street
Repairs No. of Stories
Capacity Gals. _•-- .•- •- -• - - -_ . - - --
( Signed) _.._ . — — —
Date — 2 — —76
Streei .__._�...........__..
Notary Public, State of Florida
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 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.
Muter 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 fads
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such rs.lnspecdon le mede by improper nodes for Inspection, or faulty
materials and /or workmanship.
Permit No
0
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 a �
Owner's Name and Address.. ...... x _____ -- ��.�:���? -- No. __ -------- __ -. -- _Street___
Registered Architect and /or Engineer___
Employing Plumber's Name
Location and Legal Description t_ ______._____�______
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._
Date- _ -_.._ 2
Street..
Block .�,(' Subdivision--- - - - - -. _.---------- - - - - -- - __ - --
9 l Street
State work to be performed and purpose of building (By Floors)_._--------------------------- ___ - -_
New Building Remodeling — Addition________.___._______ -. Repairs No. of Stories...
Size Septic Tank Type of Tank__ Capacity Gals
2
Feet of Drain Tile_____ _�. '________________________Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply�rt — Well.____________- __________ ___.Size of Soakage Pit
Amount of Permit $ // 742
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 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.
STATE OF FLORIDA,
COUNTY OF DADE. J
My Commission Expires
(Signed)._
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.
Notary Public, State of Florida
NOTE: A rre- inspection fee of $1.00 will be made when such re- inspection is made -necessary by improper notice for inspection, or faulty
materials an $lof workmanship.
CLOUTS
BATH
TUBS
OWER!
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
UR
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
IN
TOTAL
FIXTURES
CONTR.
LIST
e{
d�
/
!
/
/
/
Q
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
r
HEATER
_r
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
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L.®C
COHTR.
LIST
/
- -
CHECK
lF F94
Permit No
0
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 a �
Owner's Name and Address.. ...... x _____ -- ��.�:���? -- No. __ -------- __ -. -- _Street___
Registered Architect and /or Engineer___
Employing Plumber's Name
Location and Legal Description t_ ______._____�______
Street and Number where work is to be performed —No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No._
Date- _ -_.._ 2
Street..
Block .�,(' Subdivision--- - - - - -. _.---------- - - - - -- - __ - --
9 l Street
State work to be performed and purpose of building (By Floors)_._--------------------------- ___ - -_
New Building Remodeling — Addition________.___._______ -. Repairs No. of Stories...
Size Septic Tank Type of Tank__ Capacity Gals
2
Feet of Drain Tile_____ _�. '________________________Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply�rt — Well.____________- __________ ___.Size of Soakage Pit
Amount of Permit $ // 742
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 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.
STATE OF FLORIDA,
COUNTY OF DADE. J
My Commission Expires
(Signed)._
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.
Notary Public, State of Florida
NOTE: A rre- inspection fee of $1.00 will be made when such re- inspection is made -necessary by improper notice for inspection, or faulty
materials an $lof workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
1
❑ DA'l F' 195
❑ PERMIT N° _ 2.40 8 Contractor's
License No.
❑ Work to be performed under this Permit
B1
Subdi-
vision •
Value of
Project $
Amount of
Permit $ / i'
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
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 responsibility for work
done by his agents, servants or employees.
Signed- BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and 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.
CONTRACTOR OR BUILDER BY AUTHORITY sew