Loading...
1401 NE 101 St (8)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date (,, f S /%Q Job Address 1401 kite 101 • Tax Folio` J°Z -s 5- ai/ P J Legal Description ."J 7/9 2 0 el €/} Owner / Lessee / Tenant - 1e I') t( ,� Owner's Address 1 1 /� E ID / E -- - rife n W Contracting Qualifier�r ) nis klC Lau I ir,ss# Phone r1 5 ` oZy 4LO Municipal # Competency #CTCD(3jIns.Co. MC Lar — rr,ey Address State # t! 1_ AO - �.�� ' _ 42,9 Ile Architect /Engineer Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING, MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION ..- 440 .Y), wad Square Ft. Estimated Cost(value) RN 30 CDC) 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, anc 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 auth'- iz- the abo . :med contractor to do the work s Signa ure of o r and /or Condo President Date: Notary as to • .17 My Comnissio* ' �, •lF •�.f). ry . F„ r APPROVED: Zoning • or O MY SSION AUGUST 19 3 ** * ,nt RES FEES: PERMIT, 519‘10 RADON * * * CILI Cl Master Permit # 3a2 7' a Phone - 7. q - IQ/5 Address i© N [A) l n -41-) C'*° r — Signature of Contractor or er-Builder to lder Date: Nota y 0 My Commis 4/40./4 tira xp¢re . • KRISTEN WOOD ) .. .. . N•Y COMMISSION PIREi ,14.-s. ' AUGUST 19. 1993 • l- OF FL.� .• *•...... * udder C.C.F. / 50 NOTARY TOTAL DUP59,50 * * Fire Other Building E ctricaal Mechanical Plumbing -� 1/ S5Y *A b) tii ing N70 -424 30 787- 4'1. . Permit No 1 - 2 2' t 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 E E. KOHR Registered Architect and /or Engineer- -_ -- ------ _ —__ -- Employing Plumber's Name PEOPLES GAS SYSTEM NO- __ .. .564 Street. —_ N.5_,.. 125th st Location and Legal Description Lot Blorti 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 Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—Well. STATE OF FLORIDA, t COUNTY OF DADE. j Remodeling Type of Tank Capacity Gals. _ _ —Dist. Feet of Tank or Drain Field from Well Date. . -_ AUGUST 26_, 1.920 ._ No.__ 1401 _ S trom _ N.E. 101 s t. Addition._________ Repairs No. of Stories . . .............. Size of Soakage Pit Amount of Permit Li (Signed) -_ = .._ I U _ Plumbing4nspecto 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. 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 insp,: rn, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS NKS SLOP SINKS LAUNDRY TUBS U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NE , rater r�1rnaC.. heater . �;...r T ` T L FIXTURES CONTR. LIST 1 1 2 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL `.. CONTR. LIST CHECK -- N70 -424 30 787- 4'1. . Permit No 1 - 2 2' t 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 E E. KOHR Registered Architect and /or Engineer- -_ -- ------ _ —__ -- Employing Plumber's Name PEOPLES GAS SYSTEM NO- __ .. .564 Street. —_ N.5_,.. 125th st Location and Legal Description Lot Blorti 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 Size Septic Tank Feet of Drain Tile Nature of Water Supply: City—Well. STATE OF FLORIDA, t COUNTY OF DADE. j Remodeling Type of Tank Capacity Gals. _ _ —Dist. Feet of Tank or Drain Field from Well Date. . -_ AUGUST 26_, 1.920 ._ No.__ 1401 _ S trom _ N.E. 101 s t. Addition._________ Repairs No. of Stories . . .............. Size of Soakage Pit Amount of Permit Li (Signed) -_ = .._ I U _ Plumbing4nspecto 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. 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 insp,: rn, or faulty materials and /or workmanship. 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_ -- _ -_ -- - '?>*�°`t_ No../ / _ Street_ Registered Architect and /or Engineer________ -_ —___ Employing Plumber's Name __- -_I� — _ _ -- _ ' / 7 `k 7 No.__ Street-- _-- _.__ -- _ -- _. Location and Legal Description Lot____._ _______— __.___ _ _ _ ___ — Bloch Subdivision._ Street and Number where work is to be performed —No _ 6 / :__ / 7 Street State work to be performed and purpose of building (By Floors) _- . ------------------- ____ -- -_ w Remodeling Addition-_______ Repairs No. of Stories ew Buildin - _ - - -- - -- - -- _Type of Tank Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: _.Size of Soakage Pit Size Septic Tank Feet of Drain Tile. --------- Amount of Permit $- -___ -� - ----- ____ -- 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 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. A (Signed)_ Master Plumber. STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT — — (Signed)_ Date Capacity Gals My Commission Expires Notary Public, State of Florida 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 by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS • SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TuDS URINALS CATCH BASIN FLOOR DRAIN DRINKI NOyry7 FOUNT' NB a�® TOTAL Fl XTUREB CONTR. LIST , CHECK q 2 , `/ .7 [, L 6p'' 2.-/ . /, q � o q ! !.5 4� d' 'y_}_ '� !/ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP aellni HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST —1----- 1 It/ ` -- CHECK i" 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_ -- _ -_ -- - '?>*�°`t_ No../ / _ Street_ Registered Architect and /or Engineer________ -_ —___ Employing Plumber's Name __- -_I� — _ _ -- _ ' / 7 `k 7 No.__ Street-- _-- _.__ -- _ -- _. Location and Legal Description Lot____._ _______— __.___ _ _ _ ___ — Bloch Subdivision._ Street and Number where work is to be performed —No _ 6 / :__ / 7 Street State work to be performed and purpose of building (By Floors) _- . ------------------- ____ -- -_ w Remodeling Addition-_______ Repairs No. of Stories ew Buildin - _ - - -- - -- - -- _Type of Tank Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: _.Size of Soakage Pit Size Septic Tank Feet of Drain Tile. --------- Amount of Permit $- -___ -� - ----- ____ -- 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 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. A (Signed)_ Master Plumber. STATE OF FLORIDA, I COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT — — (Signed)_ Date Capacity Gals My Commission Expires Notary Public, State of Florida 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 by improper notice for inspection, or faulty materials and /or workmanship. P p 3