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463 NE 100 St (5)Legal Descriptio Square Ft. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Uob Address '/63 AA: /00 57 Tax Folio / -' o Ol t . sa �Vd ��AA 1 3� Q 4 - 0 1 . ? 01/ e /�. 5 / Historically Designated: Yes No /4) )//» /1/ 5 x , 14 Master Permit # 7' cW3 3 / Tenant Owner's Address Contracting Co. Qualifier State # 1 11 Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRIC WORK DESCRIPTION AJ 5 Pr 300 3 L(. 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 d : ' e work and/or Condo President to 0 2 r eran. nu r. t ttiPl'EMLION NO. CC714 14Y COMMISSION EXP. ; L . a vim. FEES: PERMIT 5 RADON APPROVED: Zoning Mechanical Plumbing Municipal # Competency # Address Address PLUMBING Building C `f 1 : ess �Oc)-0 A/E / 3Q 3 1 -- A ) ss# hone L5c S 1 J c Phone Ins. Co. HANICAL ROOFING PAVING FENCE SIGN 60 y 141 - -)4)-e i k/, Estimated Cost (value) / 9 00 Electrical C.C.F. / ' 949 NOTARY C BOND f> TOTAL DUE3S Structural Engineer `ff STATE OF FLORIDA DEPARTMENT OF HEALTH ' �' ° Z`Oe ejfl APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number /�'I/ SY) C Scale: Each block represents 10 feet and 1 inch = 40 feet PART II - SITEPLAN 1111111 I 111111111 w. u. ME NOMA 1111111111.12A1 11111!_•i01 � �m5 1.��..I..� vs rewarmaint—iiimo IMIRMI 6 INIM11aHlri11111111111111111U•I 1111011111111111MINIMMEMIEMINII MU ISM ___E2KZ12ZN MrlI IMO Notes: Site Plan submitted by: Plan Approved By ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT .i DH 4015, 10/96 (Replaces HRS -H Form 4015 which may be used) / /, Page 2 (Stock Number: 5744 - 002 - 4015 -6) Not Approved 7-A-A) c - ° "pA Date / / — ay County Health Department BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING ❑ PERMIT N °. 8$78 ROOFING ❑ Owner of Building t T '.- f .} e c.. ' ` e.,a. CONTRACTOR or BUILDER (r Subdi- vision Sq. Ft. Value of Project too Date i4/ t " 4 Contractor V Legal Lot I I Description B1 Address of r 41/4-- Building ' i O Contractor's License No. �+ Work to be performed under this Permit BY AUTHORITY 11 Amount of 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 applica- tion 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 wheth'er shown on the plans,or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agent, se ants o� employees. ,� � t Signed �� j INSPECTOR) BY In consideration of the issuance to me of this permit I agre - o perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawin:., ,Statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work do By either, myself, my agent, servant or employee. ti \‘`' APPLICATION FOR PLUMBING PERMIT Permit No - -25( i Z- - -2- � - _. �,� Date ..---- --------- -• - -- .__ L. Application is hereby made for the approval of the detailed statement of the plans and 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 ____________ _____ ._ __!__ -_ - d z/No._,_f."!'- } } - _- __ -- - Street _,l,l._�! w Registered Architect and /or Engineer _____ ____ ___ ___.____.. __- __;__•-______ Location and Legal Description Lot Size Septic Tank Feet of Drain Tile a Amount of Permit STATE OF FLORIDA, is. COUNTY OF DADE. it MIAMI SHORES VILLA E PLUMBING INSPECTION DEPARTMENT (Signed)- (Signed). • TM Employing Plumber's Name 'I ' a' ib f; b 60 C t ' t ee I N 1 d 1 st • w 1 — A e- � /�� /1_� Block 4 ' Subdivision --... __.___._ -_-___ — Street and Number where work is to be performed-No �� Street - State work to be performed and purpose of building (By Floors) 7, G*= e -b %=- -- 'fit' //--, Pte: eJJ 1� New Building Remodeling Addition.___ Repairs:1 No. of Stories . = -' _Type of " c .Tank__ Capacity Gals __Dist Feet of Tank or Drain Field from Well . Nature of Water Supply: City - Well._____ Size of Soakage Pit 1' g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a mployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup • ent, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b 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 required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit. licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida notices Master Plumber. as are as are 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 TU BS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN F OOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK j SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE ' PIT GREASE TRAP '. .SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIsT .. 1 CHECK - ' _ \‘`' APPLICATION FOR PLUMBING PERMIT Permit No - -25( i Z- - -2- � - _. �,� Date ..---- --------- -• - -- .__ L. Application is hereby made for the approval of the detailed statement of the plans and 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 ____________ _____ ._ __!__ -_ - d z/No._,_f."!'- } } - _- __ -- - Street _,l,l._�! w Registered Architect and /or Engineer _____ ____ ___ ___.____.. __- __;__•-______ Location and Legal Description Lot Size Septic Tank Feet of Drain Tile a Amount of Permit STATE OF FLORIDA, is. COUNTY OF DADE. it MIAMI SHORES VILLA E PLUMBING INSPECTION DEPARTMENT (Signed)- (Signed). • TM Employing Plumber's Name 'I ' a' ib f; b 60 C t ' t ee I N 1 d 1 st • w 1 — A e- � /�� /1_� Block 4 ' Subdivision --... __.___._ -_-___ — Street and Number where work is to be performed-No �� Street - State work to be performed and purpose of building (By Floors) 7, G*= e -b %=- -- 'fit' //--, Pte: eJJ 1� New Building Remodeling Addition.___ Repairs:1 No. of Stories . = -' _Type of " c .Tank__ Capacity Gals __Dist Feet of Tank or Drain Field from Well . Nature of Water Supply: City - Well._____ Size of Soakage Pit 1' g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a mployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup • ent, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed b 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 required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit. licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida notices Master Plumber. as are as are 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. Permit No 5_1 069 Date__. _ tPpZ 1 '° f -- - - - - -- 6 4-- 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. ?? [[�� ,J ma y' A, � Owner's Name and Address _ SE L L-_- _.. -_ - -_ No._, - - - - -- 3 -- Street!_Y Jv v S7 Registered Architect and /or Engineer Employing Plumber's Name L_ V — ` f C llittIX Location and Legal Description Lot Block Subdivision--__.____. • Street and Number where work is to be performed —No 4-63 Str_eV . State work to be performed and purpose of building (By Floors) _ —___ — C__L. /i URA L ! v I L 2 5_ New. Building Remodeling Capacity Gals. Feet of Drain Tile__.__ __ __— _ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.____ ___ of Soakage Pit Amount of Permit $ co STATE OF FLORIDA, 183. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition_______ —____ Repairs No. of Stories (Signed)_ u_ (Si 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 - contracto : tnp . ed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the • ' of the wo such p .lic notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on • k to - perfo, n. er 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. 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. Street_._'! CLOSETS BATH TUBS SHOWER. LAVA- TORIES INKB SINKS SLOP SINKS LAUNDRY TUBS URINALS U CATCH BASIN FLOOR DRAIN DRINK NG FOUNT' NB TOTAL FIXTURE. CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O P001. CONTR. LIST CHECK Permit No 5_1 069 Date__. _ tPpZ 1 '° f -- - - - - -- 6 4-- 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. ?? [[�� ,J ma y' A, � Owner's Name and Address _ SE L L-_- _.. -_ - -_ No._, - - - - -- 3 -- Street!_Y Jv v S7 Registered Architect and /or Engineer Employing Plumber's Name L_ V — ` f C llittIX Location and Legal Description Lot Block Subdivision--__.____. • Street and Number where work is to be performed —No 4-63 Str_eV . State work to be performed and purpose of building (By Floors) _ —___ — C__L. /i URA L ! v I L 2 5_ New. Building Remodeling Capacity Gals. Feet of Drain Tile__.__ __ __— _ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.____ ___ of Soakage Pit Amount of Permit $ co STATE OF FLORIDA, 183. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition_______ —____ Repairs No. of Stories (Signed)_ u_ (Si 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 - contracto : tnp . ed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the • ' of the wo such p .lic notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on • k to - perfo, n. er 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. 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. Street_._'! BUILDING ❑ ELECTRICAL ❑ PLUMBING ROOFING ❑ Owner of Building ., .a• _ Contractor or Builder Legal Description Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Na 5706 Architect 1 Work to be performed under this Permit B1 • DATE. Contractor's License No. 19 Subdi- vision Address of Value of I Amount of Building _ M= Project $ I 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed. . . = #% ::- INSPECTOR In 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 as ceptinq this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. • BY AUTHORITY ♦S507 i /. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal' Description Address of Building Lot 6 'CONTRACTOR OR BU MIAMI SHORES VILLAGE, FLORID PERMIT N? 7129 w th th understan to and ap roved by if the plan are cha d above as umes th win so Work . o be erformed under this Perini 14 ( 0. i i-4,7 3 dikoe B1/ This permit is g r to the or builder named above to cation herefor in strict compliance with all ordinances pertaining thereto a n plans, drawings, statements or specifications that may have been submitte at any time if the work is not done in compliance with such ordinances o permit is granted is the understanding that the contractor or builder na regulations pertaining to the work covered hereby whether shown on t sibility for work done by his agents, servants or employees. plans,. igned Subdi- vision Value of Project BY Contractor' License No.- nstruct the building or to install the equipment or device describe Amt. of v. Permit the .appli - t the work will be performed in complianc 'th ariy er municipal authorities. This Permit may b r ked' ut authorization. A further condition upon which this ility fqr a. gb knowledge of the ordinance • and statement s } cific 'oars and that he ass u qs r on- ' isd INSPECTOR Y' In consideration of the issuance to me of this permit I agree to perfo the ork covered hereunder in compliance with .alb ordi pertaining thereto and in strict conformity with the plans,' drawings, statemen specifications submitted to the proper authorities of In accepting this permit I assume respor ibility for a work done by either myself, my agent, servant or employee. AUTHORITY 19 ces ons iami Shores V' age. UILDING ECTRICAL LUMBING wner of adding rchiteet ontractor = Builder egal Lot Bl. t: escription ddress of Aiding This permit 1 grant • to the contract. .r buil . er named above to c tion herefor in strict compliance with all ordinances pertaining thereto an ans, drawings, statements or specifications that may have been submitted to any time if the work is not done in compliance with such ordinances or =rmit is granted is the understanding that the contractor or builder na Te a gulations pertaining to the work covered hereby whether shown on .la iility for work done by his agents, servants or employees. s . MIAMI SHOR,E6;�VI.LAGE, FLORID DATE .,...� PERMIT N? 7129 Work it, be performed undr this Permi • t , j 4 �t p a i .6.40% t f.',•� Signed. In consideration -of the issuance to me of this permit I agree to perform rtaining thereto and in strict conformity with the plans, drawings, statement accepting this permit I assume responsibility for all work done by either myself, �f r Y lot it Y C OR BUIL , .•" ,,..• Subdi- vision BY Contra License No 194) struct the building or install the. equipment or device describe. �� the appli- ith the nderstand' orp the work will be performed in compliance h any and app.oved by e prop municipal authorities.,This Permit may be rev.ked the plans are than d with t authorization. A further condition upon which this bove ass es the respon ility for a t ugh: knowledge of the ordinances nd ns or dr ti nos or ;in,klae statem rt or a ifica ons and that h assu a s, r on- INSPECTOR k covered hereunder in compliance with all ordin . +ces and regula specifications submitted to the proper authorities of Miami Shores Vil my agent, servant or employee. AUTHORITY