1195 NE 100 St (7)Date 2/3/1999 Job Address 1195 N.E. 100th STREET Tax Folio #11- 32050190360
Legal Description // //
Owner / Lessee / Tenant JACK LEVIN 4/`t
Master Permit # /gr
Owner's Address 1195 N.E. 100th STREET Phone(305) 751 -1883
Contracting Co. DOUGLAS ORR PLUMBING, INC.
Qualifier DOUGLAS ORR ss# Phone (30S) 887 -1687
State # CF!C.D21452municipal # DADE Competency # CC- 001 Ins.Co. 08/02/99
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one):'BUILDING ELECTRICAL ()LUMBINN MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION REPLACING HOT WATER HEATER
Square Ft. Estimated Cost(value) $465.00
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.
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
authori the above-named contractor to do the work stated.
Signa of o and /or Condo President
Date'
No
My
ary as to Owner.>ant/ qn�o rtz4 ch
..� onna P. rantz
Commission Expi QO Commission o. CC 675348
of rte My Commission Exp. 10 /17/2001
' 4 ` 0 . - 3 "NOTARY - Fla. N Service / *Bonder Co
** * *
FEES: PERMIT
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
RADON
c
•
•
Address
Signature of Con actor or Owner- Builder
Daze:
Notary as to Coritpadt. orpQ g i�e �
My Commission Egg' ; %'; a Notary Public, State of Florida ild
tr . o Commission ssion Exp No. C 6748
' OF woe My Commi. 10/ 17/ 2
1- 800 -3- NOTARY - Fla. Notary Servicr Uc d,rr_ ; Co.
* * * *' !''!!!!!!!*!!!!!!!!!!a*!UG ' *r 4'•'r f '% **
C.C.F. ' 6 D NOTARY D -- TOTAL DUE
Fire Other
Zoning Buildin
q
Mechanical Plumbin., „�,; �// /'Engineering
301 FLAGLER DRIVE, MIA. SPRGS.
Electrical
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No % 1 Date.
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 berdn specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owners Name and Address L �:: V 1
Registered Architect and /or Engineer
1 Pt . f e Oft. t
Bon and Legal Description Lot ��-
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors j_
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—WeIL Size of Soakage Pit
' NI t,
twee.. —.
Mock-11_2 Su dWividon.W
1 S streetW k •- V . .... �
(signed)_ " c
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 5968, Compiled General Laws of Florida Permanent Supplement, and ha., com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor to he
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 err
required by the Act. The undersigned agrees to employ only such sub- contractors, � work to
- o1ned nd this permit. as are
licensed by Miami Shores Village.
(Si
No )/ 9 Street . j00_
Repairs v No. of Stories ........
Muter Plumber.
STATE OF FLORIDA,
u.
COUNTY OF DADE. )
Before me, the undersigned authority, a notary public, duly authorized to ad oaths and take adm m
awledgents, personally appeared
1l
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be 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 bo mado whoa mob sa~isapaotioa Y moda by Improper woke for laspectio , or faulty
materials and /or workmanship.
CLOSRS
BATH
Tubs
SHOWER•
LAVA•
'MINKS
a1NK•
SLOP
61NK•
LAUNDRY
Tuns
URINAL•
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT 'N•
TOTAL
FIXTURES
CONTR.
LIT
CHICK
SEPTIC
TANK
SIWIR
CONN.
DRAIN
F IILD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DRIP
WILL
SIRKLR.
SYSTEM
SW IM'O
POOL
CONTR.
LIST
CHICK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No % 1 Date.
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 berdn specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owners Name and Address L �:: V 1
Registered Architect and /or Engineer
1 Pt . f e Oft. t
Bon and Legal Description Lot ��-
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors j_
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—WeIL Size of Soakage Pit
' NI t,
twee.. —.
Mock-11_2 Su dWividon.W
1 S streetW k •- V . .... �
(signed)_ " c
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 5968, Compiled General Laws of Florida Permanent Supplement, and ha., com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor to he
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 err
required by the Act. The undersigned agrees to employ only such sub- contractors, � work to
- o1ned nd this permit. as are
licensed by Miami Shores Village.
(Si
No )/ 9 Street . j00_
Repairs v No. of Stories ........
Muter Plumber.
STATE OF FLORIDA,
u.
COUNTY OF DADE. )
Before me, the undersigned authority, a notary public, duly authorized to ad oaths and take adm m
awledgents, personally appeared
1l
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be 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 bo mado whoa mob sa~isapaotioa Y moda by Improper woke for laspectio , or faulty
materials and /or workmanship.
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the 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.
Owner's Name and Address._
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block S bdi '
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
New Building
To be co structed , f
1 r"
fe d et a •s
Disapproved Date
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date
QQ ' � � ' , 19'
u vision
fl1Y� 77 a
Remodeling Addition Repairs No. of Stories
Kind of foundation Roof Covering
ements $ .......
�(. / i rl a
Amount of Permit $
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 p 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 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 subcontractors, on work to performed under this
permit, as are licensed by Miami Shores Village. -
Remarks (Signed)
Street
Notary Public, State of Florida
N � 1o 0
and for no other purpose.
STATE OF FLORIDA,
COUNTY OF DADE. ss
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 s ted are e.
Permit No Date (� ` ' Read, Sworn to and Subscribed before me.
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
ELECTRICAL ❑ - DATE
PLUMBING ❑ PERMIT N° _ _ 2394
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
CONTRACTOR OR BUILDER
B1
195
Contractor's
License No.
Work to be performed under this Permit
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 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 cr 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 fo 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 asgume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY e
❑ PERMIT N? 14677
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
❑ Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot II BI.
Description.
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Subdi-
vision
Value of
Project $
DATE 195
Contractor's
License No
Amt. 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 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING ❑
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building 4 ) '"►
MIAMI SHORES VILLAGE, FLORIDA
DATE
❑ PERMIT N? 14355
❑ Work to be performed under this Permit
Architect
Contractor i
or Builder 4 - ._k -�k ^"
Legal Lot II BL Subdi-
Description. vision
Address of / ..
Building ///' / / ,
Value of
Project $
195
Contractor's
License No
Amt. 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 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 accepting gt this .it I assume responsibility for all work done by either, myself, my agent, servant or employee.
4111111 ` .
�� C ONTRACTOR OR p �IhTS ER BY AUTHORITY
Permit No
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 �' r
Registered Architect and /or Engineer
Employing Plumber's Name__4 .k`3sll __ __ � No l- ,Z Street. L)_ 4- ,,
Z_s.
Location and Legal Description Lot./ 5 ___r__S __________________ Block 1 7 7 S �% g
Street and Number where work is to be performed —No.// // ? $� 4',w Street f a Q l
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
STATE OF FLORIDA, I
COUNTY OF DADE.
Well
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1 . 0
(Signe
No Zit
Size of Soakage Pit
Dat
Notary Public, State of Florida
C epLAJ .�-
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile
Nature of Water
Dist. Feet of Tank or Drain Field from Well
(Signed) { -
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 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.
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 re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIST
/
"/
/
//��
•/r
AO)
/
/►�
' /S
! GREASE
'/
/
7'
--
CHECK
/ /
SEPTIC
TANK
SEWER.
CONN.
DRAIN
FIELD
SOAKAGE
PIT
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL.
�Iw/ 4 I
CONTR.
LIST
/
/O 0
J
/ Oct
1
50
CHECK
Permit No
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 �' r
Registered Architect and /or Engineer
Employing Plumber's Name__4 .k`3sll __ __ � No l- ,Z Street. L)_ 4- ,,
Z_s.
Location and Legal Description Lot./ 5 ___r__S __________________ Block 1 7 7 S �% g
Street and Number where work is to be performed —No.// // ? $� 4',w Street f a Q l
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
STATE OF FLORIDA, I
COUNTY OF DADE.
Well
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
1 . 0
(Signe
No Zit
Size of Soakage Pit
Dat
Notary Public, State of Florida
C epLAJ .�-
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile
Nature of Water
Dist. Feet of Tank or Drain Field from Well
(Signed) { -
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 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.
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 re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
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SKETCH OF SURVEY
Lot 15 less the , East 5 feet
thereof, Blook 177, Revised Plat
of MIAMI SHORES, seotion 8,,
according to the Plat thereof,
recorded in Plat Book 43, at page
67, of the Publio Records of Dade
County, Florida.
Order 185 February 17,195
P.e.0.71 -40 scales shown
I HEREBY CERTIFY: That the
attached SKETCH OF SURVEY of the
above desoribed Property is true
and oorreot tot .,,,best of my
knowledge and. eta `ae. recently
surveyed and,: ' � t 6440
8otion• .J.` ` y.*f. • o
` , d
att�L
Register :dr
G.o
&lry0yO .4 602
Flo
t61
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