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301 NE 101 St (8)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /0 6/9 9 Job Address 30 l /V / 0 / Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 37 ; r o n 01 / 4 - 9 e/e Master Permit # Owner's Address ?D ( N/ i6 / ` 4. Phone 3 4 .5 - 7,-)--(1 — 0 7 a Contracting Co. frif Address /D6O Sze.1 a - 7 ee...r /2ii a-- /. Qualifier /IDV d 4 ' / � SS# - Phone @DO 6 03 /6 // State # Municipal # Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Z/��Sfia`/ / S 5 pee, e 1 64)e- (dee re- / am et patioex -- 430' . -(0 a- >00 L/3 GP 9a - 6 . Square Ft. Estimated Cost (value) X9 90 - 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. OWNERS AN 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 My Commission Expires: APPROVED: Zoning Building Mechanical Plumbing Date Notary as to Owner and/or Condo President Date Signature of Contractor or Owner- Builder Notary as to Contractor or Owner- Builder My Commission Expires: Electrical Ins. Co. 't:z FEES: PERMIT — RADON C.C.F. NOTARY ' — BOND TOTAL DUE Date Date Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1 11 i S ( 1 4 1 Job Address 3 o I 1N) E )0 1 S j Tax Folio Legal Description p Historically Designated: Yes No Owner/Lessee / Tenant 3 m v i= /L Master Permit # Owner's Address 1 ry a 1 0 1 ST' Contracting Co. (' ,A S Qualifieriaa4ed Signature of owner d/o on esident Date • I '. 1 II er and/or Con • • r. ent 0% ®111 / /� Z MoL —... 4 l PEREZ Public � Mete of Florida ... My Comm. Exp: 12/03/99 *// � Comma CC614937 My Commissi FEES: PERMIT ate Signature Address P h o n e 3 D 5;7 5 '1 0 3- 0 6 SS# Phones- 7q3 -f5( J State # I Municipal # Competency # Ins. Co. RGi vlc Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 4Uv1 5 S \Y t ecuvvednin otirA I nt /2e , A Oim p 11/ Square Ft. ` >J 5 (, Me Tre Estimated Cost (value) ` 990. 00 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. Building d or N. Rafael Fernand * *My Commission CCeS8099 \., Expires June 23. 2001 TOTAL DUE Date • as • C.9' actor or • r." der Da e M Co s on Expires: RADON C.C.F. NOTARY BOND APPROVED: Zoning Mechanical Plumbing Engineering Electrical Customer Name: /Address: City /State /Zip: PIPING DIAGRAM Qualifie:- Name: FLOOR ] ?LAN �y Contractor License # Qualifier S.S # Contractors Name: Contractors Address: Qualifie.= Signature 1616 262-3796 Fame Gas Corp 1060 SW 27 Ave Miami Fl 33135 F[oward Gouz HONE GAS CORP Tax Folio # - Date: / / W /O# /0 i Pipe Size: Outlets: Regulator type: Longest run (low pressure) Total B.T.U.'s giA cc bbg MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date...6./z7 — 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 et building during progress of work. Owner's Name and Address 7 41 No. Registered Architect and/or Engineer . . Employing Plumber's Name ..1424// --Se?./e/S - iltreeLl.irk.dade../.4.17 • Location and Legal Description Lot. Blocir Street and Number where work is to be performed-No Street. State work to be performed and purpose of building (By Floors)_ 4? New Building. Remodeling—__ —_ Addition— Size Septic Tank-. _Type of Tank__ Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Nature of Water Supply: City-WelL Size of Soakage Pit - () Amount of Permit 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 WorIcrnen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and liaq com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wor i,. 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 ( signed o \ ■Kloe (Signed) Repairs No. of Stories . Subdivision Street_ .3.44-4/-4: 5 Notary Public, State of Florida ... • •• .•- • Plumbing Inspector. Muter Plumber. STATE OF FLORIDA, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re fee of $1.00 will be made when ion* re-inipeotion is snede.neosssory by hamper Dodo. for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUIS• 6 LAVA• TORIES SINKS SLOP SINKS LAUNDRY Tue. URINALS CATCH SARIN FLOOR DRAIN DRINKING FOUNT' NG TOTAL PutTuRE11 CONTR. LUDT / m.....■.. CHECK ....... SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP. SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW1140 POOL CONTR . LIST CHECK ■ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Date...6./z7 — 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 et building during progress of work. Owner's Name and Address 7 41 No. Registered Architect and/or Engineer . . Employing Plumber's Name ..1424// --Se?./e/S - iltreeLl.irk.dade../.4.17 • Location and Legal Description Lot. Blocir Street and Number where work is to be performed-No Street. State work to be performed and purpose of building (By Floors)_ 4? New Building. Remodeling—__ —_ Addition— Size Septic Tank-. _Type of Tank__ Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Nature of Water Supply: City-WelL Size of Soakage Pit - () Amount of Permit 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 WorIcrnen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and liaq com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wor i,. 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 ( signed o \ ■Kloe (Signed) Repairs No. of Stories . Subdivision Street_ .3.44-4/-4: 5 Notary Public, State of Florida ... • •• .•- • Plumbing Inspector. Muter Plumber. STATE OF FLORIDA, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re fee of $1.00 will be made when ion* re-inipeotion is snede.neosssory by hamper Dodo. for inspection, or faulty materials and/or workmanship. Permit No.__ASTe 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 ll_- Registered Architect and /or En: eer Employing Plumber's Name Location and Legal Desc - - - - -te Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No ( Signed) _ Street. State work to be performed and purpose of building (By Floors)_ New Building Remodeling Addition_ Repairs Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.________ — __ __Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his o under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pert plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors performed under this permit; and will post or cause to be posted' for inspection on the site of the work required by the Act. The undersigned agrees to employ only such sub - contractors, n work be licensed by Miami Shores Village. ( Signed) __ Date � _ a 7 Street),/ e /6/J No/o _9 .>'I Street lefAr Subdivision No. of Stories. ... g Inspector. gations as an employer of labor nent Supplement, and Itas com- tnployed by him in the work to be uch public notice or notices as are erformed under this permit, as are Master Plumber. 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. 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 by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS TOTAL F I %TURES CONTR. LIST / / 2 CHECK 1 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL ` NTR. Corm. LIST ' CHECK Permit No.__ASTe 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 ll_- Registered Architect and /or En: eer Employing Plumber's Name Location and Legal Desc - - - - -te Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Street and Number where work is to be performed —No ( Signed) _ Street. State work to be performed and purpose of building (By Floors)_ New Building Remodeling Addition_ Repairs Size Septic Tank Type of Tank Capacity Gals. Feet of Drain Tile —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.________ — __ __Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his o under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pert plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors performed under this permit; and will post or cause to be posted' for inspection on the site of the work required by the Act. The undersigned agrees to employ only such sub - contractors, n work be licensed by Miami Shores Village. ( Signed) __ Date � _ a 7 Street),/ e /6/J No/o _9 .>'I Street lefAr Subdivision No. of Stories. ... g Inspector. gations as an employer of labor nent Supplement, and Itas com- tnployed by him in the work to be uch public notice or notices as are erformed under this permit, as are Master Plumber. 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. 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 by improper notice for inspection, or faulty materials and /or workmanship. G l� , ls v /s2i o a 'Go BUILDING ELECTRICAL PLUMBING Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA/ / ( t't PERMIT N° 8723 Contractor's License No. Work to be performed under this Permit If 41 *. it 1 .0 Architect -- Contractor or Builder jy,f m Legal Lot Bl. Description Address of - 7'' Building ...:li ,-- /,/ This permit is granted to the contractor or builder nained abov¢to construct the building or to install the equipment or d ice described in • a.pli- cation herefor in strict compliance with all ordinances pertaining ther € €to and with the un4fstanding that the work will be perf ed in compliance wit •71.y... plans, drawings, statements or specifications that may have been submitted to and approvd by the proper municipal authoriti This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if th plans 4 changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named ab ve ass evthe responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the~p r ray igs or in the statements or specifications a d t at he assumes respon- sibility for work done by his agents, servants or employees. ,' °4igned Subdi- vision Value of Project BY Amt. of Permit INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ord' antes and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities o Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 4, Permit No :i J Da 0 __ : r e a prow e detailed statement of the plans and specifications herewith submitted for the building or othe structure herein described. This ppli tion is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florid and all provisions of the Laws of the tate of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divi of Miami Shores Village shall be co plied with, whether herein specified or not. A copy of approved plans and specifications must be ke building during progress of work. Registered Architect and /or Engin Employing Plumber's Name Location and Legal Description Lot l` ss. c No d / + 1 Street l No. ___ /7 w Street Block 3 F Street and Number where work is to be performed —No - d ! l ___ Street State work to be performed and purpose of building (By Floors) r * R " ^ �! New Building Remodeling Addition Repair Subdp lion Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile r r Dist. Feet of Tank or Drain Field from Well Nature of Water Supp Cit Well.___ _:�'i Size of oak4ge Pit _ ^____ ( Signed) My Commission Expires Notary Public, State of Florida (V 2 No. of Stories ( Sig J :( i -'4" /,,,,.Plumbing Inspector. r t The undersigned applicant f f this building permit does hereby certi y t at he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co gyp' ed General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance fro 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. 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 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 / / 4 , CHECK f r A {„, SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL 6 .4 CONTR.- LIST '' CHECK i �. Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 4, Permit No :i J Da 0 __ : r e a prow e detailed statement of the plans and specifications herewith submitted for the building or othe structure herein described. This ppli tion is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florid and all provisions of the Laws of the tate of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divi of Miami Shores Village shall be co plied with, whether herein specified or not. A copy of approved plans and specifications must be ke building during progress of work. Registered Architect and /or Engin Employing Plumber's Name Location and Legal Description Lot l` ss. c No d / + 1 Street l No. ___ /7 w Street Block 3 F Street and Number where work is to be performed —No - d ! l ___ Street State work to be performed and purpose of building (By Floors) r * R " ^ �! New Building Remodeling Addition Repair Subdp lion Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile r r Dist. Feet of Tank or Drain Field from Well Nature of Water Supp Cit Well.___ _:�'i Size of oak4ge Pit _ ^____ ( Signed) My Commission Expires Notary Public, State of Florida (V 2 No. of Stories ( Sig J :( i -'4" /,,,,.Plumbing Inspector. r t The undersigned applicant f f this building permit does hereby certi y t at he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co gyp' ed General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance fro 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. 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 inspection, or faulty materials and /or workmanship.