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400 NE 101 St (4)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE / 3? / Sir //;/'2 o Date a -1.4- - Job Address 4a) rxE In/ rF Tax Folio Legal Description Owner / Lessee / Tenant . JxVIh1 Owner' s Address 400 lV (C)/ Ir-t°f Phone Master Permit # 5 G 15 etrie:D /J w Contracting Co. N it r7n, ,c=14 Address Qualifier D M* 1 -0e -5hl; rYSS# Phone - 4E54- 0 4 4 U State 16 1=L- Municipal !! Competency 4#C r9cIgQrns.Co. 74= C Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRIC PLUMBIINGG 'MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ! I'�C� - t Cam' )r/ C ©id u XJ` Square Pt. Estimated Cost(value) 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 regulatin: construction and zoning. Furthermore, I authorize the above -named contractor to do the work Signature of owner' and /or Condo President Date: N. : ry . s7to Own or or y Comm sion Exk ** * PEES: PERMIT 30,0 RADON APPROVED: Zoning Mechanical Si Date: 41S-I/7)!. ssion y Co er- Builder actor or Owner- Builder GLORIA E SUVILLAGO My Commission CC308780 Expires Aug. 18,1997 Bonded by HAI 800- 4112.1555 * ** TOTAL DUE I `" Other Electrical Plumbing Engineering 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/1ETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP . UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY 1 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 ASSEM3LIES 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 & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. • . CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET • SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING PLUMBING 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.) ELECTRICAL MECHANICAL Permit No Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1 Act \ e, Amount of Pennit $ Sirs Septic Tank- — ________.-Type of Tank—_ Capacity Gals. Feet of Drain .... —_—_-__Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well.— Size of Soakage Pit (Signed) Repairs. a No. of Stories. 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. No Street. Registered Architect and/or Engineer Employing Plumber's Name TY> -- No. Street _ Location and Legal Description B —.. Subdivision-----.. Street and Number where work is to be performed—No. ' ---L- Street_ State work to be performed and purpose of building (By Floors)— — New Building Remodeling _ Addition_ The undenigned 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 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 Missal Shores Maga 0 --z,t---, ... STATE OF FLORIDA, sp. 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 sip the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such resinspection is made.necessary by improper notice for inspection, or faulty materials and/as worlananship. CLOSIrrs BATH TUDS 11 LAVA- TORIES SINKS elLor SINKS LAUNDRY Tuns Unix?. Ls CATCH BASIN noon DRAIN DRINKING FOUNT'NS TOTAL FIXTURE, —.- CONTD. LIST CHECK SEI•TIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT 0 TRAP SOLAR HEATER DEEP WELL SPKLR. SYSTEM SWIMG Pool. Corm. Liar Omen Permit No Owner's Name and Address MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1 Act \ e, Amount of Pennit $ Sirs Septic Tank- — ________.-Type of Tank—_ Capacity Gals. Feet of Drain .... —_—_-__Dist Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well.— Size of Soakage Pit (Signed) Repairs. a No. of Stories. 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. No Street. Registered Architect and/or Engineer Employing Plumber's Name TY> -- No. Street _ Location and Legal Description B —.. Subdivision-----.. Street and Number where work is to be performed—No. ' ---L- Street_ State work to be performed and purpose of building (By Floors)— — New Building Remodeling _ Addition_ The undenigned 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 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 Missal Shores Maga 0 --z,t---, ... STATE OF FLORIDA, sp. 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 sip the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such resinspection is made.necessary by improper notice for inspection, or faulty materials and/as worlananship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building I1 PERMIT N? 12252 n n Work to be performed under this Permit Architect Contractor •*" or Builder Legal Lot II 81. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ DATE ' 195 Contractor's License No Amt. of Permit $ i 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 statements or specifications and that he assumes responsibi ' for work done by his agents, servants or employees. _ Signed BY INSPECTOR In consideration of the issuance to me of this permit I agree to perffm the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, 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. BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATF 9 '1 • .� / 195 ELECTRICAL 1 1 PERMIT 'N? 11989 Contractor's PLUMBING I I License No ROOFING ❑ Work to be performed under this Permit Owner of Building Architect Contractor --- ! or Builder L.r- :, --.� f Legal Lot I Bl. Subdi- �..� Description i/ 4 f y vision �Yl 1 Address of Building it CIS Y) 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 statements or specifications and that he asstimes responsibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER Signed: Value of Project $ !! �CTOR Amt. of Permit $ BY 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 conformity with the plans, 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. BY AUTHORITY Permit 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 1,09, 1s E-- Registered Architect and /or Engineer yr Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No ►1_. Date No Street '1___ Street__ Location and Legal Description Lot Block_ _ ___ (� Subdivision rIZ4 Street and Number where work is to be performed —No. tYeT t1 � ei'f'lir ' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile Dist. Feet Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well J ___ 4____P Size of Soakage Pit Capacity Gals Type of Tank Amount of Permit $ ( Signed) Plumbing Inspector. 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 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. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. j 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. My Commission Expires Notary Public, State of Florida NOT re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials n /or workmanship. CLOSETS BATH T UBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS DK. h /�i U � i - / / ��' Q riVt.Y ^, B / 7 \._-. TOTAL FIXTURES CONTR. LIST a / / CHECK = S 4) ■02 ' r� , 1 S'' 7s. SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL II /4.-r" = ,- -, 4,1 a- V` / ' 1 � CONTR. LIST 2 ). / rr V I/ ^ C..) CHECK i Permit 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 1,09, 1s E-- Registered Architect and /or Engineer yr Employing Plumber's Name MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No ►1_. Date No Street '1___ Street__ Location and Legal Description Lot Block_ _ ___ (� Subdivision rIZ4 Street and Number where work is to be performed —No. tYeT t1 � ei'f'lir ' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Feet of Drain Tile Dist. Feet Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well J ___ 4____P Size of Soakage Pit Capacity Gals Type of Tank Amount of Permit $ ( Signed) Plumbing Inspector. 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 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. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. j 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. My Commission Expires Notary Public, State of Florida NOT re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials n /or workmanship. 0 i3 .15 4 rf 5,