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487 NE 100 St (15)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date. /3 Time Type lnsp'n f 44 /4 1 Permit No. r Name Address Company Phone # 7 Nn' /05t '/4 3o f 6 fc / -`/5'/ / For Inspector: 3 / 41_ Q 2_„, Name & Date Approved ❑ Correction ❑ Re- Insp'n Fee ❑ O a 61.1e7 -AC- 3 t'V ie4,416 4411-441 / Yo c V e_, — (33 ® //t/T7e, s' &/4 15' 9A9 7/ G �i�$5'o� v ��•G . : PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / .e9 .11 D2 Job Address 7 Air /o sZ Tax Folio , / 3 —O (0 rO / 0 0 5 Legal Description 0;61A Historically Designated: Yes No Owner/Lessee / Tenant Ida/ 7 " r b Owner's Address 027 A/ /00 j 4 J2 )1 &� Phone P 7� 7 Contracting Co. �� / � ?s a / &),&6. . Address 7 o a d 14 P., 711 <.d»'id Qualifier /l 8/11441 ,E`� - / Phone0 9 / '7'" �/ State # Municipal # Competency #.0 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 6 &7? .�G�/ � j t 24 4- � 0-e Square Ft. Estimated Cost (value) 4°' OCR 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 complian . wi ap ' licable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work ted. „di , I Notary as to • Owner, d/or C do ' 'dent My C m ssion . ara G. ME iai :* MYCOMMISSION # CC 427 EXPIRES April 11, 200 BONDED THRU TROY FAIN INSURANCE, INC ad FEES: PERMIT Q RADON APPROVED: Zoning Building Mechanical Plumbing C.C.F. o Le 6 NOTARY Notary : to ' ontractor or My ' ommissioxt Ores: = MYCOM : '''N #CC728427 EXPIR nnl =••." :• ;Q Ap 11 11, 2002 p BONDED THRU TROY FAIN INSURANCE, INC Electrical Master Permit #? (/ � °170 - a BOND TOTAL DUE 2 Structural Engineer Name: Address: Phone 1: Phone 2: Cathy Peel 487 NE 100 St. Miami Shores, FL 33138 305 759 -5099 CLIENT INFORMATION: Folio: Total Gas Load: Total Developed Length: To Furthest Appliance: Siegel Gas & Oil Corp. 7400 NW 30th Ave. Miami, FI. 33147 (305) 691 -4411 • . • • • . • •• •;' ••• •. CCA ANY INFORMATION: • • • • • • • • • • • ••• • • • • • •• • • • • • • ••• ••• • ••• • • • • • • • • • • • • • • • • • die I Gas & Oil Corp. •74t TvW 30th Ave. Miami, FI. 33147 (405)6,81 -4411 • • • • • : enan Siegel Qualifier • iCete LPG 000013 • 3 Existing 50ft u/g PE pipe Existing 2nd Stage Regulator 10 ft Existing 120 gal A/G LP Gas Tank 3/4" SCH 40 GALV. Pipe strapped to the wall Existing 1st Stage Regulator C I ►'.4 Shut off valve 0 3ft Sleeve thru floor 4— 18 ft pipe through crawl space O O • • • • • '• • •• • • • • • • • ••• •• •• ••• • Existing system adding a LP Gas residential range All work will be constructed in accordance with NFPA No. 54 & NFPA No. 58 PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date —7 /1 Job Address 4Si NE 100 S I Tax Folio // 0EC /7 a6 Legal Description o{ 3 * 4 7/1g j Owner / Lessee / Tenant a. Owner's Address Sx5 Contracting Co. I\ JL) 1 pwrfANNI Address a460 N LC) 67 <12T Qualifier DXNN 1S rfi [-a(-J LAN - Phone - 761 ``2440 State 4? Municipal # Competency # CRUt'wns.Co. IJ l Jkt_..1 Iv Architect /Engineer Address Bonding Company Address Mortgagor Permit Type(circle one): BUILDING ELECTRICAL PLUMBIN MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION � j , ,�Q , >40 Lk,rat , M'7?c 9 L L ) r6z&e7 C4U Square Ft. Estimated Cost(value) /S WARNING TO OWNEP: 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, anc 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: be don i omplia. author' e e a••ve .- to /i .- _. - , at r - o owner - d // Da e: ` :O II 11 ;!li / f contr Si Notary My Co ** • * * * R A APPROVED: +` en and ��. piregy COMMISSION EXPIRES • •, F Fly AUGUST id. 1995 . Zoning Mechanical I certify that all the foregoing information is accurate and that all work will with al app able laws regulating construction andMzon .. Furthermore, I to do the work stated. ndo President esident Master Permit #12667 Phone i / -0300 Address J re of Contractor o A= Signet Date: 4 Notary $s 1:rh� t>) act d �i W SBIt aotBuil • er • My Co r ` r � `. re COMMISSION EXPIRES � � % : ; „. i ' AUGUST la. 1995 OF n: • FEES: PERMIT j e `BP RADON C.C.F. M1 NOTARY TOTAL DUEJ / /Va * * Fire Other Building c} Electrical OY /)t / /ngineeringt ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL P -fl - » i i k - F k AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING K IT Permit No. Z —/3 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 LJ Owner's Name and Address 24 Registered Architect and /or Engineer a _ — _.- --__ -- _�--- ---- - - - - -- -- -- _ __ _ Employing Plumber's Name ��!'•� _ ��!���` —_— No. Location and Legal Description L -___ — — _ Block_ 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. Amount of Permit $ ----------- -_ - - -- (Signed)- M Commission Expires No. ____V r f __. ��Street___. Date Street__ Street_ Repairs No. of Stories. Size Septic Tank - _____- Type of Tank Capacity Gals Feet of Drain ........................ Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well ______Size of Soakage Pit Plumbing Inspector. Iif The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob 'rations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn : ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors el .loyed 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 sue I 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. ^ � % (Signed). 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 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES INK6 SINKS SLOP SINKS LAUNDRY Tuns U RINAL/ CATCH BASIN FLOOR DRAIN DRINK NO 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 P001. CONTR. LIST ,2) CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING K IT Permit No. Z —/3 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 LJ Owner's Name and Address 24 Registered Architect and /or Engineer a _ — _.- --__ -- _�--- ---- - - - - -- -- -- _ __ _ Employing Plumber's Name ��!'•� _ ��!���` —_— No. Location and Legal Description L -___ — — _ Block_ 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. Amount of Permit $ ----------- -_ - - -- (Signed)- M Commission Expires No. ____V r f __. ��Street___. Date Street__ Street_ Repairs No. of Stories. Size Septic Tank - _____- Type of Tank Capacity Gals Feet of Drain ........................ Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well ______Size of Soakage Pit Plumbing Inspector. Iif The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob 'rations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn : ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors el .loyed 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 sue I 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. ^ � % (Signed). 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 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. • Permit # 494 Permission is hereby granted / �'r�;; {l to install the following described plumbing, in accordance with th9 law, statutes and regulations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a Lot ..2-3 2— _ Block Fixtures A� r� ! FIXTURES ROUGHED IN FIXTURES SET SEWER SEPTIC TANK TOTAL' MIAMI SHORES VILLAGE Plumbing - Permit Miami Shores Village, Fla. At No. / /fir 7 2', Subdivision As Shown on attached approved plans. C.T i '" Payment Received 7' By Village Plumbing Inspector /ijrjn4sPermit issued subject to approval of County Plumbing Inspector • Permit ; 5 Permission is hereby granted G?1R isaa to install the following described plumbing, in accordance with the laws, statutes and regulations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shore Vill�r e Florida. For a eAt No. v fi 7/g • /d- Lot !' 3.. Block rd Subdivision Fixtures As Shown on attached approved plans. FIXTURES ROUGHED IN FIXTURES SET • SEWER SEPTIC TANK TOTW Village lum ing Inspector MIAMI SHORES VILLAGE Plumbing Miami Sho es Villag- Fla. Payment Re By eived 7 This permit issued subject to approval of County Plumbing Inspector Permit #— J.9 4 Permission is hereby granted TOTAL MIAMI SHORES VILLAGE P lumb-ing - P e rmi t Miami Shores Village, Fla. to install the following described plumbing, in accordance with the laws, statutes and regulations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a At No. Lot Block Subdivision Fixtures As Shown on attached approved plans. FIXTURES ROUGHED IN FIXTURES SET SEWER SEPTIC TANK Payment Received Village Plumbing Inspector This permit issued subject to approval of County Plumbing Inspector Address of work Size of Soakage Pit E P A R .T M l T T. O F 'P U L I C S I R V I C L Building has stores Additional information Ready for Inspection on: /0 / 0 DIVISION OF PLUMBING INSPECTION CITY OF MI.QMI, FLORIDA I herewith submit the following application for a permit covering installation of a Septic Tank (\t Soakage Pit ( ) Relaying ;New '/ ® / feat of drain tile. Installed by (d f4 Address No. of Plumbing Fixtures in building: Laundry tubs Floor Drains Purpose of same 193-0 ; At Approved: Condomned: , O - 19' (new((,) old( -) story( 1) addition( ) ren:odoled( ) For A (dwelling) store( ) garage( ) apartment( ) hotel( ) ( (office( ) garage wash floor( ) waste water from a office apartments hotel rooms '''bedrooms ✓ Owner or Agent /92 ` Address Lot No. Block IV. / 0 Subdivision i....-Nature of Water Supply: City ( ) Well( ) Feet distant from all wells Type of tank installed 4 j (1 , _____ capacity in gallons 1. / P.M. Remarks: , .tL1 '`?jf c c!I. ` fac,,,,k -i (i, ",y f ,„, ,,. t✓ „,, -n) [ II 0 '% ”' `e I Permit Number: ^� 7I �� ��� ( `4 ' e � G ca,V i/ . Permit # 5 1 1 Permission is hereby grantee 004> to install the following described plumbing, in accordance with the laws, statutes and regulations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shore Vi :_e, Florida. For a SEWER SEPTIC TANK TOTAL' ' MIAMI SHORES VILLAGE Plu•nbdng Permit Miami h9res Villa g��Fla. 4-4041 t No. 4./r,1 #44d1-49. W it4.‘ " 4144 0 1:41 4' Lot A5 Block Subdivision ler Fixtures As Shown on attached approved plans. FIXTURES ROUGHED IN FIXTURES SET • • Payme e'eived 1, By 4,.. Village Pluming Inspector This permit issued subject to of County Plumbing Inspector CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNTAINS - TOTAL FIXTURES £ 7� /. I S / / ✓ 3 For a I herewith submit the following plan of plumbing for approval: / f N Work executed by New C Old 1:C1 Story El Dwelling Store ❑ Garage ❑ Apartment ❑ Owner or Agent i ear Employing Plumber Builder or Contractor is Lot No. Address Sewer Connections ��� �• 6 ( 0.0 , tea/ At center of St. ❑ At curb ❑ A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date . ROUGH -IN INSPECTION Ground Rough -In Rain Leader A M B ��> '• P M. Approved by -.°1( . / " Condemned by Plan No REMARKS. 914 eS`i/9. DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA 1,--7-3 19 Block No. Subdivision SEWER INSPECTION ,� (fie // REMARKS Address Address At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank ❑ Existing bldg. drain ❑ To dry well ❑ Date— A M P M. Approved by Condemned by Sewer Permit No Addition ❑ Remodeled ❑ Hotel ❑ Office Bldg. ❑ Date FINAL INSPECTION A M P M. Approved by Condemned by REMARKS THIS SPACE FOR ELEVATION SKETCH In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to correspond with the opening shown in floor plan or ground plan on opposite page. A PERSPECTIVE SKETCI PROVIDED THE WORK'CA WILL BE SUFFICIENT N BE CLEARLY SHOWN THIS SPACE FOR PLAN SKETCH Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in reference to same. cri • Sketch position of building and lot lines in square (which represents an entire city block), showing on whigl street the building and lot faces; also show exact location of "Y" in street and position of lateral or septic,. tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all underground pipes for future references. WEST NORTH A EAST Remarks: NORTH SOUTH