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824 NE 100 St (11)• Date Y Legal Description f /�IY/�ff0gi5 ) C 6 /477 W4 z- Historically Designated: Yes • Owner /Lessee / Tenant L L /��1 6%!� [ � ��� Master Permit # 227 /1/_ / T Contracting Co. ' "./= ✓� >��'� , =0 �'i Qualifier State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Owner's Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIP'T'ION %��,iz ��4 7/ /PA/9 P/7�C 7 7/i/(1- , d/ — T ) 7 Z/, ',E e P YO F/. Square Ft. / 0 d PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address �!/ x//E Tax Folio 17 32-0 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. 7/tz Signature of owner and/or Condo resident Date N otary as to Owner and/or Condo President ate My Commission_Expires:-- �1 -a_`9 7 gPt P110 BFFL=d, C,nTA V MAIL FEES: PERMI RADON C.C.F. SS# Address APPROVED: Zoning Building Mechanical Plumbing Engineering Phone 759-7 rO / Pee/or/Vt- - O57 JNr�� f , / R- Iftiiry Estimated Cost (value) ailrb7. 1(j Signature of Contractor or Owner- Builder Date Phone Notary as to Contractor or Owner - Builder Date My Commission Expires: Electrical Date Q®. ?9 >4 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at Permit No. AS a`Clif building during progress of work. r Size Septic Tank__ . Feet of Drain Tile __ Amount of Permit $ Owner's Name and Address. Registered Architect and /or Engineer Employing Plumber's Name s ' '' f -..�- _ _.____� No. -. Street__ Location and Legal Descriptio Lot.__ Bl _ Street and Number where work is to be performed —No ..41i CtiL- Street_ _ State work to be performed and purpose of building (By Floors) New Building -- Remodeling ._ Addition Repairs. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank__ Capacity Gals. Dist. Feet of Tank or Drain Field from We1L No Street Nature of Water Supply: City —Well -_ Size of Soakage Pit (Signed) Subdivision No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as au employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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) 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 :Ippeare 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 tae• therein by him stated are true. y Commission Expires Notary Public, State of Florida NOTE: re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul materials a or workmanship. CLOSETS BATH TUBS SHOWERO LAVA.. TORIES SINKS SLOP SINKS LAUNDRY TUeB URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT N5 TOTAL FIXTURCI CONTR. LIST — - ..— CHrCK SEPTIC TANK SEWER DRAIN CONN. FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIOT CHECK _.....0° i _ _ Date Q®. ?9 >4 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at Permit No. AS a`Clif building during progress of work. r Size Septic Tank__ . Feet of Drain Tile __ Amount of Permit $ Owner's Name and Address. Registered Architect and /or Engineer Employing Plumber's Name s ' '' f -..�- _ _.____� No. -. Street__ Location and Legal Descriptio Lot.__ Bl _ Street and Number where work is to be performed —No ..41i CtiL- Street_ _ State work to be performed and purpose of building (By Floors) New Building -- Remodeling ._ Addition Repairs. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank__ Capacity Gals. Dist. Feet of Tank or Drain Field from We1L No Street Nature of Water Supply: City —Well -_ Size of Soakage Pit (Signed) Subdivision No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as au employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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) 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 :Ippeare 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 tae• therein by him stated are true. y Commission Expires Notary Public, State of Florida NOTE: re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul materials a or workmanship. Permit No. ___l 12 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date June _._4 2953 i Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or (Abel 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 Divisior 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 Uaj.nes Cont. Co No Street Registered Architect and /or Engineer Employing Plumber's Name.. J. M.___ louncil No. Street Location and Legal Description Lot_.._..2(1. &._.> .4__oL.J. _ _._.Bllockk_.__.__ ...16� Subdivision Miami- 5ho =as Street and Number where work is to be performed —No. _S. _ : Street. State work to be performed and purpose of building (By Floors)_._: New Building . Remodeling Addition__ __________________.. Repairs No. of Stories 1_ Size Septic Tank Type of Tank_._ Capacity Gals. __..... Amount of Permit $ My Commission Expires _Dist. Feet of T or ain Field from Well Feet of Drain Tile Nature of Water Supply: City— Well City Size of Soakage Pit _� 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, and has cmi- 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 agree to employ only such sub- contractors, on work to be performed under this permit, as an licensed by Miami Shores Village. /7 ( Signed) (Signed) Plumbing Inspector. 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 appeare 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 lac 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 f;Iu1 materials and /or workmanship. CLOSETS BATH TUBS SHOWER6 LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS UR CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTUREI CONTR. LI T CHECK n e � 1 r 2 AS !J 1 r �� / 7 / SEPTIC Zr / _ TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP EATER DEEP WELL SPRKLR. SYSTEM $WIM'G POOL N>ria.e. �9 - CONTR. LIT CHECK I / /r' °' 5- '1 Permit No. ___l 12 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date June _._4 2953 i Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or (Abel 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 Divisior 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 Uaj.nes Cont. Co No Street Registered Architect and /or Engineer Employing Plumber's Name.. J. M.___ louncil No. Street Location and Legal Description Lot_.._..2(1. &._.> .4__oL.J. _ _._.Bllockk_.__.__ ...16� Subdivision Miami- 5ho =as Street and Number where work is to be performed —No. _S. _ : Street. State work to be performed and purpose of building (By Floors)_._: New Building . Remodeling Addition__ __________________.. Repairs No. of Stories 1_ Size Septic Tank Type of Tank_._ Capacity Gals. __..... Amount of Permit $ My Commission Expires _Dist. Feet of T or ain Field from Well Feet of Drain Tile Nature of Water Supply: City— Well City Size of Soakage Pit _� 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, and has cmi- 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 agree to employ only such sub- contractors, on work to be performed under this permit, as an licensed by Miami Shores Village. /7 ( Signed) (Signed) Plumbing Inspector. 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 appeare 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 lac 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 f;Iu1 materials and /or workmanship. 1 3' . co AwA4 •