171 NE 100 St (3)Date 5.---/o D 1 Job Address / / sT Tax Folio
Legal Description / Historically Designated: Yes No
Owner/Lessee / Tenant ,2 'J I cc/ P D. L 01,E E- Master Permit # �p
Owner's Address /7 / A/E /f 8 •r Phone lz o37) 7 ,-r / 6 e 0
Contracting Co. 6- 14/7/(IA)// ' K( #D/e!!/r- Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRIC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
WORK DESCRIPTION V p 0 A r f-1 A-d S P4--/i"X , t ..sWrE / a/
{—/z -0 ,-4 t s� ;o y > Co t /(o lair 'o
Square Ft. / O 0 0
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.
ce" ( '70 e
Signature of owner an or Condo President Dat a
'ice �% I� y3TiTif'i Vi:.7tT�ls' .
Notary as t. Owner and/or C. do Preset ?1 • Iysi wupge
My Commission Expires: NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
MY COMMISSION EXP. MAIL 1
Address
Estimated Cost (value)
Signature of Contractor or Owner- Builder Date
Notary as to Contractor or Owner- Builder Date
My Commission Expires:
60 K.
FEES: PERMIT a a fl RADON C.C.F. l NOTARY BOND
TOTAL DUE .4 ( �P
APPROVED:
Zoning
Mechanical
Building
Plumbing
Electrical
Structural Engineer
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date - 20 0 Job Address 171 NE 100 S Tax Folio \ , o� () / 0 13
LS
Historicall Desi Yes No
Legal Description 2O o i titt w 4 Y o-p k0 2
Owner/Lessee / Tenant PP' 1 / o $,o
Owner's Address
Contracting Co. "TO -1 4 p/(/t1 t3 i ,.f/
Qualifier 0-544 i ! 0)G1 E 64
State # 41= -0 % 0 3
Signature of owner and/or Condo President
jj
- FEES: PERMIT •� t RADON
Municipal #
APPROVED:
Zoning
Mechanical Plumbing
x/ 922-3
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /2-41/O t AA/ }2 SC % T— t t/ I N- e r / 7c/ 6
Square Ft. Estimated Cost (value) p ken • w
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 pennit 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 wor, will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do th
Date Si
Notary as to Owner and/or Condo President Date Notary as
My Commission Expires: My Co
C.C.F. 7./1 NOTARY
Competency # 1122-3 Ins. Co.
Address
Address
• Building Electrical
Master Permit #
Phone
Address L/ 2- l/ 54, 16? e7
ss# drie' 57- 73 r
f ontractor o
or or Owner- Builder
/ to
r o�� " „ !�•�� JUANA BARRIOS
MY COMMISSION # CC 910347
rr' EXPIRES: February 14, 2004
Bonded Thru Budget Notary Services
Structural Engineer
BOND
TOTAL DUE
Date
ate
r�
ITEM
BATH TlB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN -
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/1€TER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
:IOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COP.
MOTORS OVER 3- 5 FP
MECHANICAL VENTILATION
SINK, RESIDENCE
MDTCRS OVER 5- 8 FP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 FP
ELEVATORS/ESCALATORS
TEMFORARY WATER CLOSET
MOTORS OVER 10- 25 FP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 FP
COOLING TOWERS
HATER CLOSET
MOTORS OVER 100 FP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
HATER SLPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWI%W NG POOL
OUTLETS COM4¢RCIAL
WATER SERVICE
SIGN TUBES
EWER CONNECTIONS
SIGN TRANSFORMERS
TILITY -SEWER
SIGN TIME CLOCK
TILITY -WATER
FIXTLRES
EPTIC TANK
ANTENNA
_LAY
TELEVISION OUTLETS
3AINFIELD, 4' TILE/RES. _
VIOLATION
P & ABANDON SEPTIC TANK
REINSPECTION
)AKAGE PIT CU. FT.
\TCH BASIN
ISCHARGE WELL
JMESTIC WELL
tEA CRAIN
AF INLET
LAR WATER HEATER
:RE STANDPIPE
:OL PIPING
.
,WN SPRINKLER SYSTEM
S RANGE
TER SET (GAS)
S PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN AF tICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
i T
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address / 7/ /22, & /00 Tax Folio
Legal Description
Owner / Lessee / Tenant Master Permit # 49
y 1
Phone / b � G7.5' �
Owner's Address 17 / /(:) U
Contracting Co
Address it/0 , -it/e- Gv /� S1
Qualifier - 0913 / t SS4# ... Phone 0 s
State 4r` aq3 Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGNS
WORK DESCRIPTION Rid gf0 /7.7 d / c r / 44//i--A '1 y #&%9/3
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.
M PERm1 Jl 1 1 ( 9, T -4 7g
Signature of owner and /or Condo President Signature of ontra• + or Owner- Builder
Date: Date:
Notary a or Owner- Builder
My Commission Expires: My Commiss Expir - . eagel. DagobertoF Guardia
t * ;':' *My Commission CC750345
84 4.0 0 Expires June 11, 2002
** * * * * * * * * * * * * * * * **
FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE
Notary as to Owner and /or Condo President
APPROVED: Fire Other
Zoning Building Electrical
Mechanical Plumbing, Engineering
KUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
/7/ ?
O■TRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATR 1J••
❑ PERMIT N? 10386
t.�
Work to be performed under this Permit
Bl.
Subdi-
vision
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 statemennts or s,pecifications and that he assumes responsibility for work
done by his agents, servants or employees.
Value of
Project $
BY
Contractor's
License No
�1
Signed fi tBY
INSPECTOR
st
Amt. of
Permit
$ ...�.. w*�..
AUTHORITY
195
—.�
In consideration of the issuance to me of this permit I agree, -t perform the work covered hereunder in compliance with all ordinances and regulations
In accepting this .e •• I assu e r..•onsibility for all work do
strict conformity with the plans, drawingp; t tements or specifications submitted to the proper authorities of Miami Shores Village.
r�eby either,. myself, my aged, servant or employee.
pertaining thereto .
Permit No._(
Size Septic Tank
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank Capacity Gals
(Signed)
Date___ Z ��
J`
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 AddressS . T , No. ,. Street__ _ _: _ 4 .
Registered Architect an4 /or Engineer
Employing Plumber's Name__ No Street
Location and Legal Description Lot . Block Subdivision
Street and Number where work is to be performed —No Street ` `
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
(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 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.
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA,
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 $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
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No._(
Size Septic Tank
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Type of Tank Capacity Gals
(Signed)
Date___ Z ��
J`
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 AddressS . T , No. ,. Street__ _ _: _ 4 .
Registered Architect an4 /or Engineer
Employing Plumber's Name__ No Street
Location and Legal Description Lot . Block Subdivision
Street and Number where work is to be performed —No Street ` `
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
(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 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.
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA,
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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
of
O NER
LOT
BLOCK
SUBDIVISION
Mild ! + ....'.."
- , . . _.4 A .
a
/
/6
Sewer
aiami cJhores91llage
F y O a I D A
PLUMBING PERMIT N° 1174
Issued to ,•� `,� � �
to install the followin described plumbing, in accordance with the laws, statutes and regu-
lations of Miami Shores Village, Florida and the State of Florida, governing plumbingd
drainage work done in Miami Shores Village, Florida.
For a_story oel building at
Fixtures / 77
Fixtures � � $ g + r
$ /1P- f"
"Vic Tank $ {
Total $ P
eiNfi ,fit ..,." rr(
Village Plumbing Inspector
Received Payment b , 01,4016A,
/a0