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920 NE 100 St (2)r PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 10-30q7 Job Address _ ( ° 2 0 A-IC. ( D 0 Sr Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant �//, -/f ,f,.�171/v,- 0, Master Permit # ( - - /al 0 Owner's Address 920 / 2 Address 900 NW C o n t r a c t i n g Co. « & 1 ' 6 P &f^'/lfl0 � Qualifier i . � �� . . 041,/, 1 SS# - ��' /,( /. Phone O4 1 Municipal # Cr, ©(Q J Competency teellag Ins. Co. State # a ` , 0 Rd 05 Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRI AL PLUMBING ME / HANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost (value) O ) 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). 1 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 regula :cons to. I F - armor -I authorize the above -named contractor to do the work stated. ignature of own and/: ' ondo President Pres L /A1Z nfC:T] N M [ary as tailliatiltifilaISITATE OF FLO COMMISSION NO.0040929d MY COMMISSION EXP. SEPT 2 ,1998 FEES: PERMIT azoil RADON APPROVED: Zoning Building Mechanical Date ent Date v- -30-97 Address Address Address Phone ( ) 7.58 3P Y Signature o Contractor or Owner - Builder C.C.F. / 8 0 • NOTARY s iJ No ,/ Date BOND TOTAL DUE 2 ( AN APPLICATION FOR BUILDING ?!R Ir eusT ACC0MPANY THIS ADDENDUM. IF A MASTER PERMIT HAS 3E= OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) IT M ADDENDUM TO BUILDING PERMIT APPLICATION 3ATH TU3 31DET 3I ShWASHERR I SPOSAL DR INKING FOUNTAIN CR CRAIN GEAr TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES 'NATra FrOWER UNIT ITEM SYrr mN mum UNIT LIG-IT OUTLETS RECEPTACLES SERVICE T'ERRARY SERVICE SIZE IN AJFS RANGE TOP 1 OVEY #AtE HEATER bOTCRS 0- 1 if FEE ScRVIc RI?AIR/VETEB cu APPLIAlia afros 1 ITEM SPACE €.&TEAS UNIT FE CENTRAL HEAT 1 NG A/C (1190) A/C (CENTRAL) C CTT KIRK REFR IGE.RAT I ON PROCESS AND PRESS PIPING UNCERGnGUND TANKS ABOVE GC00 TANKS U.F. PRESSURE VESSELS STEAM 30I L.F"''S SINK POT /3 CCtiP. SINK. RESIOEN:E S1NK. SLOP TE4FCRARY PATER CIOSZii l;A 1 NAL PATER CLOSET INDIRECT PASTES PLUMBING 'IATZq SLPPLY T0:1ZU}nsrk4 2 A/C UNIT :9ATER SERVICE SEWER CONNECTIONS UT I L I iY- SE,IER UTILITY- iYATER Sc: T 1C TANK RELAY DRAINFIELD, 4' T1LE/RES. PUP S ABA/ CON SEPTIC LINK SOAKAGE PIT CJ. FT. C.TC`i 3ASIN 01 SV{: RGE NEIL DOMESTIC KELL AREA NA I N ROOF INLET SCLAA HATER I€ATE FIRE STANDPIPE PAL 'TING LAAN 3P0INKLL 3%17E4 GAS ;ANv: GAS E . ?TI ?TING ELECTRICAL 1DTCRS OVER 1- 3/f T CRS OVER A/C XINDON STRIP WATER SIGN TIME C L C C K AIWA VIOLATION RE I N'�„ ?ECT I ON 3- AIR CvNOI T IONERS TELEVISION OUTLETS 5 I .oTCRS OVER S- 3 if MrCRS OVER 3- 10 tf 40TCRS OVER 10- Z5 tf NCTCRS OVER 25-100 if /AT= OVER 100 if FIRE SPRINKLER Gc','IE.RATCRS TRANSFORMERS NEATc'A -NEiI INST. GZN'IERATCRS TRANSFORMERS :'EATER-REPL. Gc.. ERATCRS TRAI�ISFCAI,¢RS LAWN SPRINKL.FR -BELL. 1 1 SPECIAL PURPOSE SWIM ING POOL SIGN TUBES HOT WATER EO I LE'RS MEC-I4N ICA,L NS? TRACRT I NG 'MM US I ES E.EVATORSS/ESCALATORS F IRE SPRINKLER SYSTEMS COOLING TOWERS V I OUT l ON REINSPErTION MECHANICAL VENTILATION mugs CCl RC!AL SIGN TRANSFORMERS 1 1 • li i ii1111 11111.1111111111.11MIMMIHIIII in g1115 .1 1 FIXTLRES ANT BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building -+ Architect Contractor or Builder Legal Description Address of Building ❑ Il MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 11096 ❑ Work to be performed under this Permit is-- ' "" ' • Lot Bl. i v me? 9 =f /, ; /f/ C 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 hot '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 i the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. f la 1 4 In consideration of the issuance to me of this permit I agreeyfi perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawing.,, tements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done() either, myself, my agent, servant or employee. Subdi- vision CONTRACTOR OR BUILDER BY Value of Project $ DATE •••••••■• Contractor's License No r Amt. of Permit / J — ,!mss • ,„,00 AUTHORITY • 195 Permit Date Application is hereby ma‘e 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 Ust ±__,___ `_ "_.: No Street Registered Architect and /or Engineer S r Employing Plumber's Name lr - a_____ No. L/ 4i" Street 7 A r� Location and Legal Description Lot . y d �__ � Block / 7 � Subdivision_ C G! Street and Number where work is to be performed —No — 9 z 0 Street_ N E. / State work to be performed and purpose of building (By Floors) Tb AG .. New Building _1/ Remodeling Addition Repairs No. of Stories Size Septic Tank_' 16 1' t s Feet of Drain Tile___x* Nature of Water Suppl / I7 1 1— / Amount of Permit $ i (Signed) ��yy Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands a c is 1>f�6bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law of lorida 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 he performed under this permit, as are licensed by Miami Shores Village. � 4`if / `"'! STATE OF FLORIDA, t COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank • Ate viA • Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) 1 pacity Gals 1 Sc a s- 6 Notary Public, State of Florida / Cc - -- 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 lie 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 SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS ( UK p�,�. AI ty ��/r'> / R / biro," �'M 0,1,4 h tx / / TOTAL FIXTURES CONTR. LIST 2 d / CHECK 4' � !' *1' 0.��) �n 9 ,..r. SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL t g`t, e, A :- V CONTR. , _ LIST f/ • fr CHECK / V DOCG 2— P Permit Date Application is hereby ma‘e 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 Ust ±__,___ `_ "_.: No Street Registered Architect and /or Engineer S r Employing Plumber's Name lr - a_____ No. L/ 4i" Street 7 A r� Location and Legal Description Lot . y d �__ � Block / 7 � Subdivision_ C G! Street and Number where work is to be performed —No — 9 z 0 Street_ N E. / State work to be performed and purpose of building (By Floors) Tb AG .. New Building _1/ Remodeling Addition Repairs No. of Stories Size Septic Tank_' 16 1' t s Feet of Drain Tile___x* Nature of Water Suppl / I7 1 1— / Amount of Permit $ i (Signed) ��yy Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands a c is 1>f�6bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law of lorida 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 he performed under this permit, as are licensed by Miami Shores Village. � 4`if / `"'! STATE OF FLORIDA, t COUNTY OF DADE. ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank • Ate viA • Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ( Signed) 1 pacity Gals 1 Sc a s- 6 Notary Public, State of Florida / Cc - -- 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 lie 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. Owner's Name and Address Registered Architect and /or E • ee State work to be performed and purpose of building (By Floors) New Building . Remodeling Feet of Drain Tile Amount of Permit $_ __. • ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No /1 / Date�� L%.GY! " ' /d ` 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. Employing Plumber's Name_ Location and Legal Description Lot Block Street and Number where work is to be performed —No ,� ,� ( Subdivision 9 �Q 4 / 6-1.00 w/ Street Addition Repairs Size Septic Tank Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit (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. (Signed) No Street No. __,2/ /' 4 id Street__7 STATE OF FLORIDA, t 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. My Commission Expires Notary Public, State of Florida ,/ No. of Stories 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 SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT' NS 9 o-c.c /�q. n, W'�T� As■L 4 �- TOTAL FIXTURES . CONTR. LIST CHECK _ Tyr/) SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST t f .` C CHECK Owner's Name and Address Registered Architect and /or E • ee State work to be performed and purpose of building (By Floors) New Building . Remodeling Feet of Drain Tile Amount of Permit $_ __. • ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No /1 / Date�� L%.GY! " ' /d ` 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. Employing Plumber's Name_ Location and Legal Description Lot Block Street and Number where work is to be performed —No ,� ,� ( Subdivision 9 �Q 4 / 6-1.00 w/ Street Addition Repairs Size Septic Tank Type of Tank Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit (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. (Signed) No Street No. __,2/ /' 4 id Street__7 STATE OF FLORIDA, t 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. My Commission Expires Notary Public, State of Florida ,/ No. of Stories 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.