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810 NE 100 St (8)Date4 S( 02 Job Address State # 03 \ O O z 2-S # PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 Legal Description Historically Designated: Yes No Owner /Lessee/Tenet 1 1 2 - 0610 1 IN S Master Permit # j, - ° 2 040.= - g Owner's Address o i., g 100 ,R-f-- Phone Contracting Co. CO \L€ %[ S Address 6 � 1 5-0 3S C"; ("A , Y t 3 Qualifier Al TrO nt -ce SS# Phone 3O S 3 J IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION: Notary My Co as „1 >'' MARY L 51 WLE ,. . MY COMMISSION # CC 755221 :.. EXPIRES: June 29, 2002 Bonded Thru Notary Public Underwriters FEES: PERMIT _ RADON APPROVED: Zoning Building Mechanical ?to 1I 6 100 ST Tax Folio ' � e l tae ISO t yNI ,one E--f n K� Plumbing Competency # •C tk (LPh ' h o ,e , 9-e cstimatec, Cost (value) 1 ) 0 D 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 ANY 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulatin sstruction and zoning. Furthermore, I authorize the above named contractor to do the work stated. Signature of owner and/or ondo President Date S j ure o Contractor or Ow er Builde ., �t i i MARY L BOWLEG }; ,., ;,: MY COMMISSION # CC 755221 EXPIRES: June 29, 2002 A lb iotary Public Underwriters aiLt I tractor or iwner Builder tr e ate Notary as to My Commis C.C.F ( I `,) 0 TOTAL DUE Electrical Structural Engineer Ins. Co. MECHANICAL ROOFING Da e Date UNIT TL8 FEE ITEM UNIT Sri I TCH CUTLETS FEE ITEM ' -. SP ATMS • ' UNIT FEE LIGHT CUTLETS CENTRAL HEATING !ASTER RECEPTACLES A/C (WIND) SAL SERVICE TE'MARY A/C (CENTRAL) ;ING FOUNTAIN SERVICE SIZE IN WS DUCT 1CRK 1 CRAIN SERVICE RE?AIRA•ETB CFIANC•E REFRIGERATION ;E TRAP APPLIANCE CUTLETS PROCESS A1D PRESS PIPING ICEPTCR R»43E TCP UNDERGROUli3 TANKS (CRY OVEN ABOVE GROUND TANKS ) Y TRAY WATER EATER U.F. FRESSLRE VESSELS :S WASHER MOTORS 0- 1 FP STEAM BOILERS • • _R • MOTCRS OVER 1- 3 FP HOT WATER BOILERS . POT/3 COMP. ',INCAS OVER 3- -5 FP MECHANICAL VENTILATION RESIDENCE MOTCE .S OVER 5- 8 FP TRANSPORT HID ASSEMBLIES SLCP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATCRS CRARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS ;AL MOTCRS OVER 25-1C0 FP COOLING TOWERS IR CLOSET MOTORS OVER 10O FP VIOLATION ;RECT WASTES A/C WINDOW REU PECTION ER SLFPLY T0: AIR CONDITIONERS /C UNIT STRIP HEATER IRE SPRINKLER GENERATORS TRANIFCR.,RS ` I ;ATER -NEW IhST. GENERATORS TRANSFORMERS I EATER-REPLACE GENERATORS TRA1SFCRPERS AWN SPRINKLER -WILL SPECIAL PLRPOSE 3lkNING POOL CUTLETS CD,NERCIAL I ATER SERVICE SIGN MBES :R CONNECTIONS SIGN TRA`tSFCn.4ERS _ITY -SE? R [ SIGN TINE CLOCK . _ITY- WATER FIXTLRES TIC TAW ANTENNA . AY TELEVISION CUTLETS INFIELD. 4 TILE/RES. P & ABANDON SEPTIC TANK '_ VIOLATION '_ REItSPECTION :(AGE PIT CU. FT. CH BASIN O,ARGE WELL WELL == -_ �ST DRAIN F INLET .AR WATER HEATER - LE STANDPIPE ■� L PIPING .. IN SPRINKLER SYSTEM PAIGE ER SET (GAS) 3' PIPING APPLICATION FOR 3UILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER P=RMIT HAS E. AWED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING (z-kfiQCe y 4 tot ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/9/2002 Applicant: DANIEL Owner: ROBBIN JOB ADDRESS: 810 NE 100 Contractor COKER SEPTIC INC Local Phone: 305 -667 -7579 Parcel # 1132060340060 Plumbing Permit Permit Number: PL2002 -86 ROBBIN DANIEL ST Permit Status: Approved Permit Expiration: 10/6/2002 Construction Value: Work: REPLACE MAINLINE FROM UNDER HOUSE TO SEPTIC TANK Contractor's Address: DOING BUS IN DADE CO Legal Description: 5 6 53 42 MIAMI SHORES SEC 8 PB 14 -33 LOT 9 & E1/2 OF LOT 10 BLK 189 LOT Fees: Description Amount FEE2002 -2005 Building Fee $125.00 c c_ � � � � � � 0 � ��� � Total Total Fees: $1~,25:0 otal Fees: $125.00 Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit Is granted to the contractor or builder named above to construct the building or to install the earn• n' ^- • - pertaining thereto and with the understanding that the work will be performed in complia proper municipal autho ' es. This Permit may be revoked at any time if the work Is not i which this permit is gran • is the understanding that the contractor or builder named al covered hereby wheth - s • on the plans or drawings or in the statements or specific Signed: V v (INSPECTOR) In consideration of the to me of this permit, I agree to perform the work coven plans, drawings, statements or specifications submitted to the proper authorities of Mlam servants or employes. Signed: (Contractor or Build4 Teres J Solomon (954)962-7 4310 SW 25 Street Hollywood, FL 33023 -441 'Nike BANK i OF AMERICA FL 33169 Permit No ° 1 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. Ownei s Name and Address _ 7i - .0 � A " / No�` e A 1 c DJ Registered Architect and /or En g ,.. t ,. if p Plumber's e -� fi .42.75 --41, < - E7"-.A, NZe..' 2. 4 1 ... �.,X -3eGd b t�on` a S Legal ption Lot_ y `1 c� /. Bind / Subdivision S Ay Street and Number where work is to be performed -No .5 0 -4 Street .._.L.. C State work to be performed and purpose of building (By Floors) G..ste- et._11_ /- r-- �-,er_..IA . ..... _ ( �s 24......a_. New Building..___._ - ---- ..........._.. Remodeling_-_.__.__. _______ - Addition.. _---- .__ -_. -.. Repairs e.,..-..-ci. of Stories.... Size Septic Tank_ _Type of Tank — _•- •--- .___....._...- __...0 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 iS CO ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date..._ (Signed) - V r - - 1-' i i k40 -- t' (Signed) / 737 Notary Public, State of Florida Plumbing Yn vector. 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 5968, Compiled General Laws of Florida Permanent Supplement, and haw com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worK to he 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 is cur required by the Act. The undersigned agrees to employ only such sub- contractors, on world be under this permit, as are licensed by Miami Shores Village. Master Plumber. - - STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, s 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 be did sign the same, and that all facts therein by him stated are true. NOTE: A re- Inspection fee of 81.00 will be made whoa oath aaispattioo is oade.natnsary by Improper notion for inspection, or faulty materials and /or workmanship. CLOSETS BATH TOSS aHOWtRa LAVA• TORIES SINK' SLOP BIN" LAUNDR Tuns URINAL[ CATCH SAtIN FLOOR DRAIN DRINKING FOUNT' Ns TOTAL rltTUR[• Comm. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL 6PRKLR. SYSTEM SWIM'O POOL / �q, V e /`l li� S ` ✓. le S r ,, ti (e 6i- ` LIST � A � Z + e' s 5' CHICK Permit No ° 1 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. Ownei s Name and Address _ 7i - .0 � A " / No�` e A 1 c DJ Registered Architect and /or En g ,.. t ,. if p Plumber's e -� fi .42.75 --41, < - E7"-.A, NZe..' 2. 4 1 ... �.,X -3eGd b t�on` a S Legal ption Lot_ y `1 c� /. Bind / Subdivision S Ay Street and Number where work is to be performed -No .5 0 -4 Street .._.L.. C State work to be performed and purpose of building (By Floors) G..ste- et._11_ /- r-- �-,er_..IA . ..... _ ( �s 24......a_. New Building..___._ - ---- ..........._.. Remodeling_-_.__.__. _______ - Addition.. _---- .__ -_. -.. Repairs e.,..-..-ci. of Stories.... Size Septic Tank_ _Type of Tank — _•- •--- .___....._...- __...0 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 iS CO ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date..._ (Signed) - V r - - 1-' i i k40 -- t' (Signed) / 737 Notary Public, State of Florida Plumbing Yn vector. 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 5968, Compiled General Laws of Florida Permanent Supplement, and haw com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worK to he 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 is cur required by the Act. The undersigned agrees to employ only such sub- contractors, on world be under this permit, as are licensed by Miami Shores Village. Master Plumber. - - STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, s 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 be did sign the same, and that all facts therein by him stated are true. NOTE: A re- Inspection fee of 81.00 will be made whoa oath aaispattioo is oade.natnsary by Improper notion for inspection, or faulty materials and /or workmanship. BUILDING ❑ ELECTRICAL ❑ PERMIT o N. 8027 Owner. of , Building Architect Contractor or Builder Legal Description Address of Building Lot r4 PLUMBING ROOFING ❑ 0 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA er Bl. ,.- 1t, Work to be performed under this Permit Subdi- vision Sq. Ft Value of Project $ DATE 195 Contractor's License No -2 S' 4 V L Amt. of Permit $ BY AUTHORITY 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 application 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 bf the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statemen or specifications apd that lieassumes responsibility for work done by his agents, servants or employees. ' Y Signed• INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereundern compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted 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. BUILDING O Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA 6's ELECTRICAL ❑ DATE " °' 195' `° PLUMBING PERMIT No 8043 Contractor s License No '` t 9 ROOFING O °' ❑ Work to be performed under this Permit bt;; Olt l7Il ER . Bl. Signed• Subd - ' d ' ` ; ✓ vision Sq. Ft Value of Project $ Amt. of Permit $ f 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 application 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 statsments or specifications and that he assumes responsibility for work done by his agents, servants or employees. \B INSPECTOR 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 conforinity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I + assume re ons ility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY /e/7 e Permit No Size Septic Tank Feet of Drain Tile Owner's Name and Address Registered Architect and /or Engin Employing Plumber's Name_-_ Location and Legal Description Lot____Z' Street and Number where work is to be performed —No ------ ---- ------- - - Amount of Permit $ - 2- Z -- -- State work to be performed and purpose of building (By Floors)_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °'.; Date 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 wor No.__._ Street No. _�'? (— `)12x1.1 terre __Block_ / 6 ? Subdivision T :6 �__ er S / New Building V __- Remodeling___ __ _.______ Addition..____. Repairs No. of Stories. of Tank Capacity Gals _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 • •ligations as an employer of lobo under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and hus com- plied 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. (Signed). -- — My Commission Expires Notary Public, State of Florida Plumbing In. .clot. STATE OF FLORIDA, } as, 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. 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 Tu88 SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns UR CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS .. a 1' TOTAL FIXTURES CONTR. LIST / 1"..‘ 1 . 1 s I CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM' G POOL C° ^ - 'S 'QCt'e P. se. s A` CONTR. LIST / i _ - -- CM[CK /e/7 e Permit No Size Septic Tank Feet of Drain Tile Owner's Name and Address Registered Architect and /or Engin Employing Plumber's Name_-_ Location and Legal Description Lot____Z' Street and Number where work is to be performed —No ------ ---- ------- - - Amount of Permit $ - 2- Z -- -- State work to be performed and purpose of building (By Floors)_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING °'.; Date 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 wor No.__._ Street No. _�'? (— `)12x1.1 terre __Block_ / 6 ? Subdivision T :6 �__ er S / New Building V __- Remodeling___ __ _.______ Addition..____. Repairs No. of Stories. of Tank Capacity Gals _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 • •ligations as an employer of lobo under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and hus com- plied 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. (Signed). -- — My Commission Expires Notary Public, State of Florida Plumbing In. .clot. STATE OF FLORIDA, } as, 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. 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. c