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258 NE 100 St (4)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Dal /.!C (20 STtgc i Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant qj Q8SR - 7- s q,,,.,..,.o 4.t s / fide" /A.S+JA/ Gs Master Permit # Owner's A d d r e s s /) Phone 7.5'1 2 ( 7 Contracting Co. WI 1 J4t-/ We l t t l/ i l U1 i Address 013 A1 ) 492.O 7,4, X 3 05 5 Qualifier h L I t7 GD'OOa 't 7/ SS# - Phone 3e3S (02-1 34/94/ V State # [ 005- qj too Municipal # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL LUMBIN MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1� /340 S gnature of owner and/or Condo President Da Z14 to o0 Notary as to Owner and/or Condo President My Commissio; Tires: Harold A Cole • ' !:! ' , MY CO MMISSION # CC709308 EXPIRES January 20, 2002 •• • 0‘ .' BONDED THRU TROY FAIN INSURANCE, INC FEES: PERMIT Li RADON Competency # Ins. Co. Address Address Square Ft. Estimated Cost (value)/ 35D. a 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 wor ; . tated. C.C.F. 6 NOTARY v /''x171 of Co or or Owner - Builder ate /400 Notary as to Contractor or Owner - Builder D e My Commission Ee4; Harold A Cole , rh ':.: MY COMMISSION # CC709308 EXPIRE§ ,'. - °a; January 20, 2002 ' a • °P' BONDED THRU TROY FAIN INSURANCE INC BOND r/ // k0 TOTAL DUE ,.."5 ,$ 2 APPROVED: Zoning Building Electrical Mechanical Plumbing Jttr C'S LPLIPlcck 1 Structural Engineer re(ry r S l g >7 ec( (/7pp/'c.l', Permit No IePV Owner's Name and Address 4_19_4_3. Registered Architect and /or Engipeer_ �Employing Plumber's Name _ __ Size Septic Tank___ Feet of Drain Tile___ — Nature of Water Supply: City —Well. Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT k Tan ___ No. (Signed)_ Date - a` -- i zei�'p 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 Street Street_- Location and Legal Description Lot �j Ir,t Subdivision______.____ Street and Number where work is to be performed —No 6 State work to be performed and purpose of building (By Floors)_ New Building--__ ______ ........ ._____ Remodeliing______- ______-__-__ Addition_ Repairs No. of Stories. Capacity Gals. __Dist. Feet o ank or Drain Field from Well -Size of Soakage Pit ,,, k Plumblit Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an/ ployer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supple nt, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by im 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. 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 Master Plumber. 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 SHOWER! LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tues U RINALS 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 IePV Owner's Name and Address 4_19_4_3. Registered Architect and /or Engipeer_ �Employing Plumber's Name _ __ Size Septic Tank___ Feet of Drain Tile___ — Nature of Water Supply: City —Well. Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT k Tan ___ No. (Signed)_ Date - a` -- i zei�'p 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 Street Street_- Location and Legal Description Lot �j Ir,t Subdivision______.____ Street and Number where work is to be performed —No 6 State work to be performed and purpose of building (By Floors)_ New Building--__ ______ ........ ._____ Remodeliing______- ______-__-__ Addition_ Repairs No. of Stories. Capacity Gals. __Dist. Feet o ank or Drain Field from Well -Size of Soakage Pit ,,, k Plumblit Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an/ ployer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supple nt, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by im 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. 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 Master Plumber. 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. 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 No. Street Registered Architect and /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 Feet of Drain Tile Nature of Water Supply: City — Well.___ Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) (Signed) Date_ No. of Stories Size Septic Tank Type of Tank Capacity Gals. Dist. Feet of Tank or Drain Field from Well • Size of Soakage Pit • t Plumbing Inspector. „to The undersigned applicant for this building permit does hereby certify that he understands and accepts ix( )ligations as an employer of 1 under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida rmanent 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 perfonmed 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. 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 Master Plumber. 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 H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST 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 No. Street Registered Architect and /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 Feet of Drain Tile Nature of Water Supply: City — Well.___ Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) (Signed) Date_ No. of Stories Size Septic Tank Type of Tank Capacity Gals. Dist. Feet of Tank or Drain Field from Well • Size of Soakage Pit • t Plumbing Inspector. „to The undersigned applicant for this building permit does hereby certify that he understands and accepts ix( )ligations as an employer of 1 under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida rmanent 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 perfonmed 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. 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 Master Plumber. 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. MIAMI SHORES VILLAGE, FLORIDA BUILDING El - , , DATE / 195 ELECTRICAL ❑ PERMIT 'N? 11475 coatr r s PLUMBING P..-.--..- License No. ROOFING ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Descripti Address of Building Owner of Building Lot Bl. Subdi- vision r t Value of ` Project $ 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 gc,iythe statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. .4- CONTRACTOR OR BUILDER INSPECTOR BY Signed • BY In consideration of the issuance to me of this permit I agree to perform the work cov d hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specif' ati s submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, m • : nto want or employee. Amt. of Permit $ AUTHORITY Permit No. Size Septic Tank S� Feet of Drain Tile Nature of Water Supply: City —Well Owner's Name and Address - 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. No. Street Date / - 3 / /'• C_ -_ Street Registered Architect and /or Engineer _ _____________________________ A r Street Location and Legal Description Lot N 4 it/ ___ -- Block ` Subdivision/ Street and Number where work is to be performed —No ' `s �? / i State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories _Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) tt_ E . a .' � f Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he underskands and accepts his obligatio s 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. Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. 44 (Signed) .. { 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. 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. 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 SW IM'G POOL CONTR. LIST CHECK Permit No. Size Septic Tank S� Feet of Drain Tile Nature of Water Supply: City —Well Owner's Name and Address - 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. No. Street Date / - 3 / /'• C_ -_ Street Registered Architect and /or Engineer _ _____________________________ A r Street Location and Legal Description Lot N 4 it/ ___ -- Block ` Subdivision/ Street and Number where work is to be performed —No ' `s �? / i State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories _Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) tt_ E . a .' � f Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he underskands and accepts his obligatio s 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. Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. 44 (Signed) .. { 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. 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.