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55 NE 100 St (9)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE P 6 (C0 s Date' Job Address Legal Description / Lessee / Tenant Owner's Address N 1 . /eV -5 Contracting Co. Qualifier APPROVED: Notary as to Owne •.nd jr Co do President My Commission Expires: Fire Buildin Mechanical Plumbin Zoning Tax Folio Address �90 /� /LL. 2 3 r SS4i - Phone e7/ - ) 3c o State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING / � ELECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ..::e�// T7�j,C i � Ll Square Ft. Estimated Cost (value) S`o0 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 comp lance with all applicable laws regulating construction and zoning. Furthermore, I authorize the wove -named contractor to do the work stated My Commission E Master Permit # 3 g(3,C Phone ** * * * * * * * * * * * * * * ** 5-v FEES: PERMIT ice• RADON C.C.F. ( 5O NOTARY TOTAL DUE Other Electrical Engineering - 4,_L J ' ,��a. 0 ALVIN NO. 1242 — 8'A X 11 35° 16' ISOMETRIC 1-1,Am NGef-1Flt1 J-ju 65 L o r∎JGc .S-r j 3S �. -US ' -I 3 1-0 b F ( . ALVIN NO. 1242 - 8% X 11 35°16' ISOMETRIC NGzM1nJ 14F 6 5 -rs ) o �c MI At- i �� "`' F L a fOGt:..S -r j 3S 1 NS HI g T i -€ slzE /b.,i MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No 1_l_ `F" Date___ ___ 5 7 . 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 Registered Architect and /or Engineer Employing Plumber's Name �• STATE OF. FLORIDA, t COUNTY OF DADE. • Location and Legal Description Block_ Street and Number where work is to be performed —No S At4 A90 State work to be performed and purpose of building (By Floors) New Building _ -- Remodeling _ __ —.-- Addition. ss. No. Street./_Q_ .9. / No.._ _4a 1 4 W street. , ( S igned) __ -_ Le)X - (Signed My Commission Expires Notary Public, State of Florida Subdivision Street. Repairs No. of Stories. 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 umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi . igations 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- plier 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. 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 S INKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST r CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No 1_l_ `F" Date___ ___ 5 7 . 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 Registered Architect and /or Engineer Employing Plumber's Name �• STATE OF. FLORIDA, t COUNTY OF DADE. • Location and Legal Description Block_ Street and Number where work is to be performed —No S At4 A90 State work to be performed and purpose of building (By Floors) New Building _ -- Remodeling _ __ —.-- Addition. ss. No. Street./_Q_ .9. / No.._ _4a 1 4 W street. , ( S igned) __ -_ Le)X - (Signed My Commission Expires Notary Public, State of Florida Subdivision Street. Repairs No. of Stories. 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 umbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi . igations 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- plier 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. 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. Permit No 1 54 ? jdri 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 Registered Architect and /or Engineer________ Employing Plumber's Name_ Location and Legal Description Lot ____.___--- .---- _________.____ Street and Number where work is to be performed- No.___-_ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City -Well . Amount of Permit $-- ......... ...... --- - - - - -= My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT S Ko No. —__ Block_ - -- (Signed)-- Date - - - ---- --- ------ ---- -- - - - X No. -- - _ Street-- qL7 3/; 6 Street Ai E i 00 1 - 71 57 Subdivision Street State work to be performed and purpose of building (By Floors)__ _ ________z1�''L__!i.!_Ri_Al.e New Building -__ Remodeling_ ___ -___ --- -- __ --_ -_ Addition__- ____._ Repairs Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well _ __Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract performed under this permit; and will post or cause to be posted' for inspection on the site of the w required by tlie Act. The undersigned agrees to employ only such sub - contractor, on ork to licensed by Miami Shores Village. et o 3-4 7. No. of Stories robing Inspector. obligations as an employer of labor nt Supplement, and has corn- ed by him in the work to be lic notice or notices as are ed under this permit, as are el such e perfo nplo p STATE OF FLORIDA, 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 NK SINKS SLOP SINKS LAUNDRY TUBE UR CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST y. .,. _ •� d c • . CHECK Permit No 1 54 ? jdri 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 Registered Architect and /or Engineer________ Employing Plumber's Name_ Location and Legal Description Lot ____.___--- .---- _________.____ Street and Number where work is to be performed- No.___-_ Size Septic Tank Feet of Drain Tile Nature of Water Supply: City -Well . Amount of Permit $-- ......... ...... --- - - - - -= My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT S Ko No. —__ Block_ - -- (Signed)-- Date - - - ---- --- ------ ---- -- - - - X No. -- - _ Street-- qL7 3/; 6 Street Ai E i 00 1 - 71 57 Subdivision Street State work to be performed and purpose of building (By Floors)__ _ ________z1�''L__!i.!_Ri_Al.e New Building -__ Remodeling_ ___ -___ --- -- __ --_ -_ Addition__- ____._ Repairs Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well _ __Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract performed under this permit; and will post or cause to be posted' for inspection on the site of the w required by tlie Act. The undersigned agrees to employ only such sub - contractor, on ork to licensed by Miami Shores Village. et o 3-4 7. No. of Stories robing Inspector. obligations as an employer of labor nt Supplement, and has corn- ed by him in the work to be lic notice or notices as are ed under this permit, as are el such e perfo nplo p STATE OF FLORIDA, 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. BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA Date 3- 194; ELECTRICAL ❑ PLUMBING PERMIT N? 8498 ROOFING Owner of Building Architect Contractor - -- ; 4 or Builder if'/ :44.' -- A. '"L4_ y ,..i Legal Lot 1 1 Description 11 B 1 Address of Building ." �y y: is CONTRACTOR or BUILDER Work to be performed under this Permit BY 2 Contractor's, 0 t', / 2 ' 8 License No. -°� Subdi- vision Sq Ft Value of 11 Amount of Project $ 11 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. # . 4. r (INSPECTOR) BY„' i_. .W� 'e`0" --I' .n.: -t .s+.; t 4 In consideration of the issuance to me of this per t I agree to perform the work covered hereunder in compliance with all ordinances and regu lations pertaining thereto and in strict conformity with the p1 , drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. it AUTHORITY OWNER LOT BLOCK SUBDIVISION aiami Azores F L O R I D PLUMBING PERMIT N9 683 Date Issued to to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores 'Village, Florida. For a story building at Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by OWNER i." LOO ,! BLOCK �y/ SSU /j BDIVISIION ate ss sued to z Fixtures For a._/story / 7 building at ddiiami Aores F L O A ID A PLUMBING PERMIT N9 683 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. Fixtures $ Sewer $ eptic Tank 1 $ Total $ Village Plumbing Inspector Received Payment by ,fe# •