Loading...
77 NE 100 St (6)Date / Legal ►escriptiot.�O g A/ /= l6 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ?-. Job Address 7 7 Pe- (oo 5i Owner / Lessee / Tenant 7 7 Qualifier State # Owner's Address Contracting Co. / & l © o Po-L SS# Phone - g /3- 6 Municipal # Competency #C -R 0 ( /G /y$Ins .Co . S v� �-► , 6 (, , N,rS Address Tax Folio // 3c 26 / ' Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION , Q - e S v,'. c /a o(.._ Square Ft. Estimated Cost(value) / O ea 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 President My Commission Expires: * * FEES: PERMIT 1 3125'4119 RADON C.C.F. APPROVED: Fire Zoning Building Mechanical Plumbing Signature Date: ////6/9 y as to My Commissio Master Permit #30.. vw? sice-, 54 C cur ; 1�; Q; stamp name o �otar� ersona<< ° known . OR Produced I.D. ypc and number of I. D. produced: Phone * * DID takan oath,tr fig s , NOT take an oath. NOTARY TOTAL DUE u ** Other J k JL"El ec tr i cal Engineering j am MIAMI SHORES VILLAGE Building Inspector BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ur we plans and specifications herewith submitted for the build • ing 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 iiuil. ling 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 the work. PLANNING BOARD Date NOVEMBER 12 Ov-ncr's Name and Address.. JANET SILVAGNI R egistered Architect and /or Engineer , ,,, , ,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,,�.,..__ Name and address of licensed contactor ACTTQlJ POOL $11ILD „F,115, 5 .832._EINSIQN ,.,,$IREE...., E(wJ111,,,,, Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ..... 7. State work to be done and purpose of building (by floors)..BISJIREACE...BOQL otary ' ub ic, lon • ii and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of , Kind of foundation Roof Covering Estimated Total cost of improvements $ / ..Q ° Amount of Permit $. Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction ma y be sent to.. The undersigned applicant for this building pennit 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, anti has complied ssith 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 subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed ).. _.... _ ......- - - - -• ! rte �' STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. Permit No Date Read, Sw f : s and Subscri . . be Disapproved Date (Signed) My Commission Expires. ' i? fl TP Sr r f i�Tj . ° ,Y,.,P 1'f �•t, ii• S °11JJ L'il,. 4. P. F' e•: �, :' -iJ, i :'. DATE TttikU_C i L i Chairman Member - Nlerr,ber ,... Member , Member .. .. Member Council Approved Date Disapproved Date NOTE: A ch.rrgc of $1.00 will be made for making corrections or changes to this application niter approval has been obtained from the PLrnnir,;; Board. A re fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement or we plans and specifications herewith submitted for the build • inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address ..$ ?.1-. Registered Architect and /or Engineer . ....0 1314 Name and address of licensed contractor..,) 11 © ..... i1'!. ? ........_ 90.F.._._ i1toT.a.!✓ Location and legal description of lot to be built on: )/ Lot h— ..... /...? 2 // �� 0.. Block....l Subdivision. S1 s 1._.._ Date ..._./.17 ,19 .._._ No 7 Street .. Street and Number where work is to be done �_...... State work to be done and purpose Af building (by floors) P CI G,G..... %. ..... ..PAT .P ......................_.. __._ I4 }JGO 614 ..G. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof vering Estimated Total cost of improvements $ 70.0.17 Amount of Permit S. Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. �.9.. ..� fuiv.5i A) GjiL 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, anti has complied \\ ith 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 fo, /n ection on t site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only su tractors, o ork to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorizcd to administer oaths and take acknowledgments, personally ap- peared 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. Permit No. ._.� V Date I ")19 / (� Read, Sworn to and Subscribed before me. Disapproved X' ;`u Date (Signed) �>1 Building Inspector Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Mtembcr .. ... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application niter approval has been obtained from the Pl,rnnir.g Board. A rc - inspection Ice of SI.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials and /or workmanship. Permit No...O.!...l _ — New Building Remodeling 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 Amount of Permit $ 1 I ©O (Signed) STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)._ »ate - - -! /� 3�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 regulation° 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. Ownei s Name and Address € L f-_ No.-72_ Street._ ..11 i'tegistered Architect and /or Engineer .QA.At RL Employing Plumber's Name 42 _.I _S3 G. L s N�o,.� P .m..,....Q..:...... St> .ZIl.'!/.a5+4...,..., Location and Legal Description LoLJ_9_ Bloch _.L=._ Subdivision O?'►,.A SA> „j_. Street and Number where work is to be performed —No 7 7 isi f Street_.. .04 State work to be performed and purpose of building (By Floor,)___. Q .L ... _.1 _..1f1<_ . Addition..._..._ Repairs No. of Stories Capacity Gals Notary Public, State of Florida Plumbin. Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e:nployer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent rum lement, and has con- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors emsloyed l y him in t`,e wcrk r b! performed under this permit; and will post or cause to be posted for inspection on the site of the work suc / notice or noticer as at:: required by the Act. The undersigned agrees to employ only such tub contractors, on / to be pert inrinit, as ar ; licensed by Miami Shores Village. Mastn Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personals. +.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 mede•neoeaary by improper notice for inspection, or faulty material and /or workmanship. CEDERS BATH TUBS SHOWERS LAVA- TORIES 61 • SLOP SINKS LAUNDRY Tuv, URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIOT \ - - -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•0 P001. CONTR. LIST - CHECK Permit No...O.!...l _ — New Building Remodeling 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 Amount of Permit $ 1 I ©O (Signed) STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)._ »ate - - -! /� 3�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 regulation° 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. Ownei s Name and Address € L f-_ No.-72_ Street._ ..11 i'tegistered Architect and /or Engineer .QA.At RL Employing Plumber's Name 42 _.I _S3 G. L s N�o,.� P .m..,....Q..:...... St> .ZIl.'!/.a5+4...,..., Location and Legal Description LoLJ_9_ Bloch _.L=._ Subdivision O?'►,.A SA> „j_. Street and Number where work is to be performed —No 7 7 isi f Street_.. .04 State work to be performed and purpose of building (By Floor,)___. Q .L ... _.1 _..1f1<_ . Addition..._..._ Repairs No. of Stories Capacity Gals Notary Public, State of Florida Plumbin. Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e:nployer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent rum lement, and has con- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors emsloyed l y him in t`,e wcrk r b! performed under this permit; and will post or cause to be posted for inspection on the site of the work suc / notice or noticer as at:: required by the Act. The undersigned agrees to employ only such tub contractors, on / to be pert inrinit, as ar ; licensed by Miami Shores Village. Mastn Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personals. +.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 mede•neoeaary by improper notice for inspection, or faulty material and /or workmanship.