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1470 NE 101 St (12)P -ERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) � ' Date �! �qf Job Address /4/ L /cY r J t Tax Legal Description / / >f s' "47 A1Y1% Permit # 3 /✓,;? _ 1 l Owner / Lessee / Tenant O , J /.'4 A J Phone 17 7 99 /Z Owner's Address Square Ft. Contracting Co. I IR, G U ' ' (Address Ito 3 /U SE Qualifier 1 V SS #2 ZITS Phone )73 � State# Competency # C C (a 0/24: 0/24: Ins . Co. - Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN I po f� IU'u dot � t� J/0/f2 WORK DESCRIPTION e � 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. Signature of Owner and /or Condo President Date: Notary as to Owner and /or Condo My Commission Expires: * . * * * PERMIT FEE: APPROVED: Zoning Mechanical * President * Fire .e.4 A A4 4 N ary to Contractor o p M Commission Expires: 7 * * * * Estimated Cost Signature o Date: 2 - Other Folio / 1/417/5 ,-24 490 O Electrical Engineering ry 'abc'L ontractor or Owner- B2.1,ilder * - 4MIT APPLICATION FOR MUNICIPALITIES Date i' G f /d1 ,/4 /a/ ;3_1_14AY Legal Description /2 � ► 6/ /"Master /// Phone -/ �:- 7t Contracting Co. D , 1I V� Ad/ iv_ Address / / &? /4 , I 5 Owner's Address Qua1ifierV/1 ,T2 Q 4 ,4, #t -7 Phone — L93 - State 11 Architect /Engineer Bonding Company Mortgagor Job Address / Lessee / Tenant Zoning • (OWNER TO RETAIN COPY) Competency # /,0/g /VG—. o ° •o„ /N °n °��o° O p 0 Notary a4 to Owner and /or Condo Pre�siWen `,My Commission Expires: U1ITS'0 `�d4Nd s * Wot rj 110)14; ftidh * b7 N.E 463rd 51(4c Commissin �:�r�� 5 C�•7 10.,* .r'. E i APPROVED: 4���J?�l� - wu iu.,�t,�,.�� „�� MN. zr Fire Building Mechanical Plumbing Address Address Address Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION 54, I Abir 1 - A � ��- (4 544/01Q-A- --11 4 Gee - Square Ft. Estimated Cost Tax OF DADE COUNTY Fo1 i o / / i a / 40 f p16 r Permit # ,i /c7/c Ins. Co. MECHANICAL PAVING FENCE SIGN " - e e- a L -e- WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMET AID 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 000 cpl o ocable':' laws regulating construction and zoning. Furthermore, I authorize the abo A i 4 i'actor to do the work stated. Mtn Si�nat{:r� of Own d /or Condo resident �� � n� mo [3o wner - Builder otary a 4 to Contractor CtOw ne'r- Builde My Commissi E xpk I res : Wry Commiss Bonded Thal dwfl!.o'd Other' Electrical Engineering PERMIT # Tax Folio No. // Jag, 5 az/ NOTICE OF COMMENCEMENT State of Florida County of Dade THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of the property, and street address if available) /6/ S7'- 2. General description of improvement: .//eW �� - /*, )1 bra L �i -, — k*JF4 /(r' 3 Owner information: a. Name and Address: � C�(�1 ` \ ��� b. Interest in property: Npro tiC (U ( 3re e l risic,u-e P600- PA) c. Name and address of fee simple titleholder(if other than owner): l/-1 4. Contractor: (name and address) 5. Surety: a. Name and Address ;t - ji 3/�,e//rt Mick 04 b. Amount of bond$ �h7� 6. Lender: (name and address) �� � L oc.�.� S - /41b % di C ???, Persons with the State of Florida designated by Owner upon . whom notices or other documents may be ser,�y as provided by Section 713.13(1)(a)7., Florida . Statutes: (name \ and address) �f�L// 8. In addition to himself, Owner designates / of ,o,r(eK /Ve QQ L/f, e to receive a copy of the Lienor's Notice a r6vided in Section 713.13(1)(b) PY � P (1)(b), Florida Statutes. 9. Expiration d of commencement (the expiration date is 1 year from 4 0 p 0 ��M ° ' O COOpV the date;ofo ° record'i.ng•",unless a different date is specified) O v O Sworn to and ° ks4b7sc,r o i,bed before me this day of , 1991. ° r•;;tri My Citwo: Cft 1M Notary Publdc My Commission Expires: 6'm6L G iuu :s• Co. Signature of Owner Permit No . co L Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su hied 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. £ J�0 3 10 l r Nol e c 25 umber e Location and Legal Description Lot- _LEO Owner's Name and Address Registered Architect and /or En Na.._ . Ss.....� itrt»e...N..L� 44 . ..• Subdivlaion4.2 4A#1 ; r / Street and Number where work is to be performed —No Street-. / State work to be performed and purpose of building (By Floors) .100_4,-- L yy ' £,J 7� _- J.......__. . Repairs No of Stories ......... New Building- -_ - - -_ ___.._.......__._.. Remodeling_.__._ Addition MIAMI SHORES VILLAGE �1 5 �—L PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No 1 'f 7b Street....,N -L' ol- Size Septic Tank__ Type of Tank__ Feet of Drain Tile. _ Dist Feet of Tank or Drain Field from Well ...- .__.._— Nature of Water Supply: City—Well Size of Soakage Pit Lc -e. ( Si 0-53 (p Amount of Permit • V 0 (signed)_ Ca 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 5988, 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 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 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. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgments, personally appeared I& 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 be has carefully read the foregoing application, and that be 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 whoa swab sriaspeetioa Y oade.neowsary by improper node. far hispection, or faulty materials and /or workmanship. CLOSETS BATH Tu•• SHOWERS LAVA• TORIES SINKS SLOT SINKS LAUNDRY Twos URINALS CATCH eA•tN FLOOR DRAIN DRINKING FOUNT'N• TOTAL F11TUR•• CONTR. LIST CHICK — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAO[ PIT G TRA• SOLAR HEATIR DEW WILL a SYST[N SWIN'O POOL CONTR. Lin' CHECK Permit No . co L Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su hied 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. £ J�0 3 10 l r Nol e c 25 umber e Location and Legal Description Lot- _LEO Owner's Name and Address Registered Architect and /or En Na.._ . Ss.....� itrt»e...N..L� 44 . ..• Subdivlaion4.2 4A#1 ; r / Street and Number where work is to be performed —No Street-. / State work to be performed and purpose of building (By Floors) .100_4,-- L yy ' £,J 7� _- J.......__. . Repairs No of Stories ......... New Building- -_ - - -_ ___.._.......__._.. Remodeling_.__._ Addition MIAMI SHORES VILLAGE �1 5 �—L PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No 1 'f 7b Street....,N -L' ol- Size Septic Tank__ Type of Tank__ Feet of Drain Tile. _ Dist Feet of Tank or Drain Field from Well ...- .__.._— Nature of Water Supply: City—Well Size of Soakage Pit Lc -e. ( Si 0-53 (p Amount of Permit • V 0 (signed)_ Ca 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 5988, 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 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 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. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgments, personally appeared I& 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 be has carefully read the foregoing application, and that be 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 whoa swab sriaspeetioa Y oade.neowsary by improper node. far hispection, or faulty materials and /or workmanship. R EET :T. .11 • Pi `: • / / 7 • • • . • . sI w fi 7 p, Ic v - • 72.; "/ ( / 7. I / cV.J. <5 • • . • • - S D E-. C 7 .77. • Y ` . /72 c c s t. c • • .c 0 70 48 HOURS EiFORE DIGGING BROWARD • PALM BEACH • INDIAN RIVER • ' ST. LUCIE • MARTIN COUNTIES CALL TOLL FREE 1-800-432-4770 U. N. C. L E. UNDERGROUND UTILITIES NOTIFICATION CENTER • . 0 L a , ..,),44€4 LT' mt\ckr_2. Nao . c . • /..) kcic) i- / /77- c frc: c( 1 1 44.? • jcpi L eft .0.erld &at Corrit • CAI k C.■■•■STA LO • — 7 s - tr.E.rr . CZ o. 1:: =-••• 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 wor Owner's Name and Address .......... Registered Architect and /or Engin Employing Plumber's Name Location and Legal Description Lot. i :5 No. '-fir r Street- I i. Block -_ i pSubdivgision. I Street and Number where work is to be performed —No , T AE Street ! !� State work to be performed and purpose of building (By Floors)_ -.__ ________ __________ New Building - Remodeling —_____ ___ Addition Size Septic Tank Feet of Drain Tile. Nature of Water Supply Amount of Permit $._ ___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT c No. _ / 4/- -� - - — Street /j , _Type of Tank _ _Dist. Feet of Tank or Drain Field from Well --- _-- --- _--- __._______ -- -.Size of Soakage Pit (Signed)._ Date Repairs No. of Stories My Commission Expires Notary Public, State of Florida Capacity Gals. 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 coin - 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. �, 5"-d--r- (Si - ' ' ' — -- - - !�� _ %" Master Plumber. STATE OF FLORIDA, �___ S COUNTY OF DADE. /47 0 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 TUBE URINALS CATCH BASIN FLOOR DRAIN DRINK ND FOUNT' NS W/4t TOTAL FIXTURES CONTR. LIST '9 CHECK ' 1 S-0 v -- 4 �� SEPTIC TANK S WER' CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAF HEATER DEEP WELL. SPRKLR. SYSTEM SW IM'G POOL / CONTR. LIST ./ `7° - - - CHECK 1°1) 64 - - 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 wor Owner's Name and Address .......... Registered Architect and /or Engin Employing Plumber's Name Location and Legal Description Lot. i :5 No. '-fir r Street- I i. Block -_ i pSubdivgision. I Street and Number where work is to be performed —No , T AE Street ! !� State work to be performed and purpose of building (By Floors)_ -.__ ________ __________ New Building - Remodeling —_____ ___ Addition Size Septic Tank Feet of Drain Tile. Nature of Water Supply Amount of Permit $._ ___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT c No. _ / 4/- -� - - — Street /j , _Type of Tank _ _Dist. Feet of Tank or Drain Field from Well --- _-- --- _--- __._______ -- -.Size of Soakage Pit (Signed)._ Date Repairs No. of Stories My Commission Expires Notary Public, State of Florida Capacity Gals. 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 coin - 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. �, 5"-d--r- (Si - ' ' ' — -- - - !�� _ %" Master Plumber. STATE OF FLORIDA, �___ S COUNTY OF DADE. /47 0 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. G� - -- CLOSETS BATH Toss SHOWER• LAVA• TORIES SINKS SLOP SINKS LAUNDRY Toss U RINAIa CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N[ TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SIWLA CONN. DRAIN F 1[LO SOAKAGS PIT G TRAP SOLAR M[AT[R Damp WILL 8 a SWIM•O POOL COHrTR. LIST r CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su i(tied 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 Dopy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address O 6 Registered Architect and /or Engineer Employin Pl bor's Name � ' �i21 / No. 4. �S .®....... itr :: ..... • Loot on an gal Description Lot. $ .._.!_.Subbddi / v �' •� ,.. ! , Street and Number where work is to be performed —No .. v Street. State work to be performed and purpose of building (By Floors)__ New Building _ _ _.---- .- ......._.. Remodeling ___. .._.__ __ Addition Size Septic Tank.._ Feet of Drain Tile. Nature of Water Supt ity —W Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT \ r " 0_2v /" ) /v No /4/70 Street ._ '0/ 57- Repairs No. of Stories .... _Type of Tank_ __ -- _ _Dist. Feet of Tank or Drain Field from Well -.._______________ .... _.— ___.— _. ....__.^ Ve / E, T (Signed) - _ ._(3Y — � a 4 V... -.._ 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 liar 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 arr required by the Act. The undersigned agrees to employ only such sub -con • on work • be performed under this permit, as are licensed by Miami Shores Village. (Signed) ' r /►1l l b '' L p ,ja 99 Master Plumber. STATE OF FLORIDA, I .~ 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 be has carefully read the foregoing application, m / that he did sign the-- tlwit all facts �� � / therein by him stated are true. - _ - - ; (/7 mde NOTE: A re- inspection fee of $1.00 will be a whoa war se�iaspeotion r aade by per aotioe for Inspection, or fealty materials and/or workmanship. Notary Pu • State of !ROTARY. PUBLIC STATT OF FLORID-k BONDED IHRU GENERAL INSURANCE UND t itin COMMl55LON CXEI_RES APR 28 1984