285 NE 100 St (14)Da
Type Insp'n
Permi
Name
Address
Compan
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Reque<
Type Insp'n
MIAMI SHORES VILLAGE
BUILDING DEPARTMEN
305- 795 -2204
Building Inspection Request
Date I q
Approved
Correction
Re- Insp'n Fee
Permit No. P I W f 3 4
Name 1 4—rJ' S l.Z
Address c 1 v . 100 54—
Company (J cce
Phone # 1D 4 a ( 43J
Inspection Date
Z0
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building 1 Electrical � r
Owner's Name (Fee Simple Titleholder) � O 4 Phone # 7l�'t 2.5g g S -7kb
Owner's Address .5S f � kOd S p
Zip l�
City AN S A.\ 1 1(Z.t5S State
Miami Shores Village
Building Department
Plumbing
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Villa= County Miami -Dade
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 2
Permit No (C3 — 33 .
Master Permit No.
Is Building Historically Designated YES NO X
Contractor's Company Name ' I k. 9i lite I X A Phone #
State
Contractor's Address
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Type of Work:
Describe Work:
(Continued on opposite side)
c
❑Addition
v �
❑Altera 'on
( KeT se tt li c
❑New
t • * * * * * * * * ** * * * * * * * * * * * * * * * ** *F ee * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ SC) . CX'� Permit Fee $ I a o CCF $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
Mechanical Roofing
Zip
Zip
317
0 193
Square Footage Of Work:
Repair/Replace ■ Demolition
Bonding Company's Name (if applicable)
Bonding Company's Address
City State • Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Owner or Agent
The foregoing instrument was acknowledged before me this 9
day of "I)i c....11...141, 20 c'?, by i►.•-r4 1;?ou K -"
who is personally known to me or who has produced
As identification and io id take an oath.
NOTARY PUBLIC:
Sign: 1 ��
Print: Ali° I S U • „e b ', . th
My Commission Expires:
Chc 10/14/03
Signa
NOTARY PUBLIC:
Sign:
Print:
Contractor
The foregoing instrument was acknowledged before me this
day of Dl cAs Y .v , 20o3 , by 3/Fir/ p 1' o >v n a
who is personally known to me or who has produced
as identification and who did take an oath.
My Commirsion Expires: "44 "c4r111.44:45
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
3 State Certificate or Registration No. C "C eS, � L Certificate of Competency No.
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: /;;;( " C'` 1 —Plans Examiner
.
Zoning
Engineer
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/11/2003
Applicant: MARTHA MERCER
Owner: HATTESEN
JOB ADDRESS: 285 NE
Contractor ACER PLUMBING
Local Phone: 305 - 935 -4103
Parcel # 1132060134700
Signed: (INSPECTOR)
100
Plumbing Permit
Permit Number: PL2003 -334
HATTESEN
MARTHA MERCER
ST
Contractor's Address: 1851 NE 206 TERR
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 21 & LOTS 22 & 23 BLK 34 LOT
Permit Status: APPROVED Permit Expiration: 6/6/2004 Construction Value: $900.00
Work: RUN REPAIR 4 PVC SEWER LINE
Fees:
FEE2003 -8119
FEE2003 -8120
FEE2003 -8121
FEE2003 -8122
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Total Fees:
Amount
$120.00
$0.60
$0.20
$3.00
$123.80
Total Fees: $1 3
Total Receipts: $$ .00
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Date 8/5/94
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
pnet4ixe.-7/2
Job Address 285 NE 100 Street Tax Folio `/ -3246 - D/3 —'f ? OO
Legal Description
Owner / Lessee / Tenant MR. & MRS. HATTESEN Master Permit # 3 ,
Owner's Address 285 NE 100 Street Phone
Contracting Co. BROOKS - AMERICAN SPRINKLER CO., INC. Address
Qualifier VANN ELLIOTT SS#261 - Phone 305 - 691 - 1182
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION LAWN SPRINKLER SYSTEM / Z04,6
r y
Square Ft. Estimated Cost(value) / / 7:2f 6Z)
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 i.= accurate and that all work will
be done in compliance with all applicable laws regulating cons tion and - ing. Furthermore, I
authorize the above -named contractor to do the work stated.
Signature of olper and /ofi,,,Condo President
Date: 9 -0-9 _
MICHAEL ELLIOTT
MY COMMISSION # CC 186925 EXPIRES
ui March 22, 1996
:7r• • gip:
'•o •" F °,.' BONDED THRU T
Notary as to Owner and /or Condo President
My Commission Expires:
FEES: PERMIT
APPROVED:
* * *
1,4 RADON
Zoning Buildin
Mechanical Plumbin
ignature of Contra • • • • - = ' der
Date : �/Q c.� •o�M�SSIONA .�
21, is, e,
r.
Notary as o ContrQr or Owner -146 $er
My Comm ' /sion ExpiV:•. #CC203033 •; �`
* * * * * x#1 //111 ,(111 *
* #
C.C.F. 1 NOTARY TOTAL DUE
Fire Other
Electrical
**
E ngineering
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
7‘7'7
Date 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
building during progress of wort?:
Owner's Name and Address 4
Registered Architect and /or Engineer — ___�_
Employing Plumber's Name '`'�""' lL4
Location and Legal Description Lot_____
‘-'1-4444.4446
Block
No Street
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 Repairs
must be kept at
No Street `t V 4
'7 Subdivision___
Street f --- -___ -- ` -
No. of Stories
Amount of Permit $-
Type of Tank . Capacity Gals._____________ ______
Dist. Feet of Tank or Drain Field from Well_________________________ _________________ ____ —___ ___
Size of Soakage Pit
Size Septic Tank____
Feet of Drain Tile_____
Nature of Water Supply: City —Well
My Commission Expires
_ (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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. 61..a •
{ e 7 4
(Signed) ---� -------------- - --
STATE OF FLORIDA,
ss.
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.
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
LIST
CHECK
SEPTIC '
TANK
SEWER
CONN.
D IN
IELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
Permit No
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
7‘7'7
Date 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
building during progress of wort?:
Owner's Name and Address 4
Registered Architect and /or Engineer — ___�_
Employing Plumber's Name '`'�""' lL4
Location and Legal Description Lot_____
‘-'1-4444.4446
Block
No Street
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 Repairs
must be kept at
No Street `t V 4
'7 Subdivision___
Street f --- -___ -- ` -
No. of Stories
Amount of Permit $-
Type of Tank . Capacity Gals._____________ ______
Dist. Feet of Tank or Drain Field from Well_________________________ _________________ ____ —___ ___
Size of Soakage Pit
Size Septic Tank____
Feet of Drain Tile_____
Nature of Water Supply: City —Well
My Commission Expires
_ (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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. 61..a •
{ e 7 4
(Signed) ---� -------------- - --
STATE OF FLORIDA,
ss.
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.
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
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT / G�
Date --- - — �P�
•
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. i ' , 1
Owner's Name and Address °- ^ ` _L_.t = _� _L No 1J 1__
New Building Remodeling
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City--Well
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
Amount of Permit $ --
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority,
ss.
My Commission Expires
Street and Number where work is to be performed— No.___,
State work to be performed and purpose of building (By Floors)
Addition Repairs
Street/
6
Registered Architect and /or Engineer _, ,-
"
�_� ,, � ------ - - - - -- - - -- � -
Employing Plumber's Name __ � /�"_t _ L f � No. 'L &' .�
� ` e t treet__ � A.,_ r '' ''2
Location and Legal Description Lo)___i_ �.-�_ Block I G Subdivision Gam- 4.,_ (____(
Street
Type of Tank. Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
No. of Stories
---- -- - - - - -- ---- - - - ---
_ Si ned
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Pertryanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as
sub - contractors, on work to be performed under this permit, as
(Signed) - `�" - r . - - -- -- - - - - --
tMaster 'lumber.
a notary public, duly authorized to administer oaths
( „/
and take
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,
therein by him stated are true.
Notary Public, State of Florida
Plumbing Inspector.
are
are
acknowledgments, personally
and that all facts
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
FOU NT' NS
TOTAL
FIXTURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
EEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT / G�
Date --- - — �P�
•
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. i ' , 1
Owner's Name and Address °- ^ ` _L_.t = _� _L No 1J 1__
New Building Remodeling
Size Septic Tank
Feet of Drain Tile
Nature of Water Supply: City--Well
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
Amount of Permit $ --
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority,
ss.
My Commission Expires
Street and Number where work is to be performed— No.___,
State work to be performed and purpose of building (By Floors)
Addition Repairs
Street/
6
Registered Architect and /or Engineer _, ,-
"
�_� ,, � ------ - - - - -- - - -- � -
Employing Plumber's Name __ � /�"_t _ L f � No. 'L &' .�
� ` e t treet__ � A.,_ r '' ''2
Location and Legal Description Lo)___i_ �.-�_ Block I G Subdivision Gam- 4.,_ (____(
Street
Type of Tank. Capacity Gals.
Dist. Feet of Tank or Drain Field from Well
Size of Soakage Pit.
No. of Stories
---- -- - - - - -- ---- - - - ---
_ Si ned
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Pertryanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as
sub - contractors, on work to be performed under this permit, as
(Signed) - `�" - r . - - -- -- - - - - --
tMaster 'lumber.
a notary public, duly authorized to administer oaths
( „/
and take
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,
therein by him stated are true.
Notary Public, State of Florida
Plumbing Inspector.
are
are
acknowledgments, personally
and that all facts
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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Work to be performed under this Permit
MIAMI SHORES VILLAGE, FLORIDA
DATE 1 194 ,/
PERMIT N9 1579
Architect
Contractor's
License No.
J
Contractor e , ,.,
or Builder ;. ► ,.e. .1 ,
Legal Lot - Bl.
Description
Address o f Value of Amt. of
''j
Building - µ J Project 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 regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accep ng this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
C ONTRACTOR OR BUILDE BY AUTHORITY
i
r
Subdi-
vision