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441 NE 101 St (13)Date 4/7/98 Job Address Legal Description Owner / Lessee / Tenant Paul Barker Master Permit # 5127-37 Owner's Address 441 NE. 101 St. Phone 754 -4996 Contracting Co. Qualifier Douglas State ! 021452 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one):'BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE §IGN WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Douglas Orr Plumbing, Inc. Address 301 Flagler DR., Miami Spgs. Orr SS# Phone 305- 887 -1687 Municipal # Square Ft. Estimated Cost(value) $2090.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO Miff 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. Signatur o owner and /or Condo President Date: 4 ( 3 9 n A Notary as to Owner andgpr ndo �o rrantz My Commission Expires : . �' Notary Public, State of Florida o` Commission No. CC 675348 n. My Commission Exp. 10/17/2001 i- S00.3.NOTARY - Fla. Notary Service &Bondin Co. ** * * * ity.wev, firer,# rr rlrturf'rlrrrreereeNrette FEES: PERMIT 1 RADON C.C.F. APPROVED: 441 NE 101 St. Tax Folio /1 3706 O/ ? 0660 Competency lk 0012463 Ins.Co. 8/2/98 install new water service; repipe service under house Fire Zoning Buildin Mechanical Plumbin Signature of C4 itractor or Owner- Builder Date: 4/7/98 /21 Notary as to Contr2 o My Commission EX i w4 Donna P. Frantz j' �° '�' Notary Public, State of Florida ?. 1. Commission No. CC 675348 * * * * �'� OF n.°Q*MY Comn ssion Exp. * 10/17/2001 `: i- 600 -3- NOTARY - Fla. Notary Service dC Bonding Co , • ruaauarrturuuauurarrrtrr <zu NOTARY TOTAL DUE /- Other Electrical Engineering Permit No 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 regulatioua 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. q Ownei s Name and Address ` L �_ ��-�" �.. - _.._. No._ - Street. N " _ 101 5 tegistered Architect and/or Engineer I(U N 0 E it- Pt5 5 pL , 1€4 -(1, t a(i ■ 3mploying Plumber's Name y 0.4, £ LL. N 2 �. n. 8treetk Location and Legal Description Lot Block SubdivWon.__... Street and Number where work is to be performed —No #4-4 — Street._. j S_ s..-. / State work to be performed and purpose of building (By Floora)_.__'N 5 L! 404.1.-E* UJAQ' 5jS-a 4 1 - Repairs No. of Stories.... ! New Building Remodeling Addition 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 $ot OD (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 5988, Compiled General Laws of Florida Permanent : uPi. lement, and has con- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in t`e wcrk `o b.> performed under this permit; and will post or cause to be posted for inspection on the site of the work such pub!! notice or no'icer as as required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed .:.,.acs lids p .roil, licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Capacity Gals. PENNELL PwMottsCr Muth Plumber.CC4 3s7 7 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal;,• rppeared 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 be has carefully read the foreggoing 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 NOTE: A re- inspection fee of $1.00 will be made when such rainrpeedoo is mede'necersary by improper notice for inspection, or lautty materials and /or workmanship. CLOSIT• BATH e Tutus SHOWERS LAVA- Tonics 61 SLOP SINK[ LAUNDRY Tuna URINALS I NALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LICIT -- CHECK r SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CoNTR. LIST O N ff�i CHECK Permit No 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 regulatioua 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. q Ownei s Name and Address ` L �_ ��-�" �.. - _.._. No._ - Street. N " _ 101 5 tegistered Architect and/or Engineer I(U N 0 E it- Pt5 5 pL , 1€4 -(1, t a(i ■ 3mploying Plumber's Name y 0.4, £ LL. N 2 �. n. 8treetk Location and Legal Description Lot Block SubdivWon.__... Street and Number where work is to be performed —No #4-4 — Street._. j S_ s..-. / State work to be performed and purpose of building (By Floora)_.__'N 5 L! 404.1.-E* UJAQ' 5jS-a 4 1 - Repairs No. of Stories.... ! New Building Remodeling Addition 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 $ot OD (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 5988, Compiled General Laws of Florida Permanent : uPi. lement, and has con- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in t`e wcrk `o b.> performed under this permit; and will post or cause to be posted for inspection on the site of the work such pub!! notice or no'icer as as required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed .:.,.acs lids p .roil, licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Capacity Gals. PENNELL PwMottsCr Muth Plumber.CC4 3s7 7 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal;,• rppeared 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 be has carefully read the foreggoing 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 NOTE: A re- inspection fee of $1.00 will be made when such rainrpeedoo is mede'necersary by improper notice for inspection, or lautty materials and /or workmanship. e9 Permit No 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. l Owner's Name and Address g—dig41— _ �_ - -- _ .__ _, Street Registered Architect and /or Engine Employing Plumber's Name Location and Legal Description Lot ____ Block Subdivision Street and Number where work is to be performed —No ‘1‘ " ' g / Street State work to be performed and purpose of building (By Floors) New Building _ -_- ___ Remodeling _----- ...- .--------- _ -_ - -- Addition------ _- •___ -- - ____ -- Rep No. of Stories Size Septic Tank . — Type of Tank_ Feet of Drain Tile Amount of Permit $ /-4- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r°'i ;MIT Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well..__._— _ __._Size of Soakage Pit (Signed) 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 has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- . tractors 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 •f . e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on :_ ' o be performed under this permit, as are licensed by Miami Shores Village. (Sign No. Street._ A Date — AC 1 / ,ed‘.t_ Master Plumber. 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. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires 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 faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS UR CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN F IELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK e9 Permit No 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. l Owner's Name and Address g—dig41— _ �_ - -- _ .__ _, Street Registered Architect and /or Engine Employing Plumber's Name Location and Legal Description Lot ____ Block Subdivision Street and Number where work is to be performed —No ‘1‘ " ' g / Street State work to be performed and purpose of building (By Floors) New Building _ -_- ___ Remodeling _----- ...- .--------- _ -_ - -- Addition------ _- •___ -- - ____ -- Rep No. of Stories Size Septic Tank . — Type of Tank_ Feet of Drain Tile Amount of Permit $ /-4- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r°'i ;MIT Capacity Gals Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well..__._— _ __._Size of Soakage Pit (Signed) 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 has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- . tractors 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 •f . e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on :_ ' o be performed under this permit, as are licensed by Miami Shores Village. (Sign No. Street._ A Date — AC 1 / ,ed‘.t_ Master Plumber. 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. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires 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 faulty materials and /or workmanship. Permit No.. ___/ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made or the approval of the detailed statement of the plans and specifications herewith submitted for the building or othin 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 al building during progress of work. Owner's Name and Address .__r_c : .. _ No._.._ Street ' Registered Architect and /or Engine Employing Plumber's Name.. e- 61A.- e , No.._. Street Location and Legal Description Lot. /__&" « '' D Block__ Subdivision _ - Street and Number where work is to be performed —No / ._. _ �.F .._-_._.. Street. / ® / A State work to be performed and purpose of building (By Floors)_ ._ New Building Remodeling _._ Addition__.___._...____.._.__._ Repairs Size Septic Tank Type of Tank_ - Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well_- Q I Nature of Water Sup pQy,: CitWell . 1 _ Size of Soakage Pit Amount of Permit $ " My Commission Expires (Signed). Capacity Gals Plumbing The undersigned applicant for this building permit does hereby certify that he understand and accepts his obligations as ti 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 subcontractors 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 ; ':rn it, as are licensed by Miami Shores Village. 02 /` e. 7p (Signed)._ STATE OF FLORIDA, 1 SS. i 0 COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, an r - iio, being by me first duly sworn, upon oath deposes and says that he is the of the above des `red construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fat therein by him ted are true. 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 hall materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUee U RINALS CATCH BASIN FLOOR DRAIN DR NN IMO FOUNT•NS TOTAL FIXTTTUURQI � — CONTR. LIST / ��°°°°"a ^ ^"� / / _ CHECK � v t v] n - e el �6!. 7 �e L "I f.- 7�.- -i — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT. GREASE TRAP Wear HEATER DEEP WELL SPRKLR. SYSTEM SWIM'S POOL CONTR. LIST CHECK / i 4 Ok � / 3 Permit No.. ___/ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made or the approval of the detailed statement of the plans and specifications herewith submitted for the building or othin 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 al building during progress of work. Owner's Name and Address .__r_c : .. _ No._.._ Street ' Registered Architect and /or Engine Employing Plumber's Name.. e- 61A.- e , No.._. Street Location and Legal Description Lot. /__&" « '' D Block__ Subdivision _ - Street and Number where work is to be performed —No / ._. _ �.F .._-_._.. Street. / ® / A State work to be performed and purpose of building (By Floors)_ ._ New Building Remodeling _._ Addition__.___._...____.._.__._ Repairs Size Septic Tank Type of Tank_ - Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well_- Q I Nature of Water Sup pQy,: CitWell . 1 _ Size of Soakage Pit Amount of Permit $ " My Commission Expires (Signed). Capacity Gals Plumbing The undersigned applicant for this building permit does hereby certify that he understand and accepts his obligations as ti 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 subcontractors 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 ; ':rn it, as are licensed by Miami Shores Village. 02 /` e. 7p (Signed)._ STATE OF FLORIDA, 1 SS. i 0 COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, an r - iio, being by me first duly sworn, upon oath deposes and says that he is the of the above des `red construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fat therein by him ted are true. 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 hall materials and /or workmanship. BUILDING ❑ ELECTRICAL ❑ PERMIT N° PLUMBING ❑ ROOFING Owner of Building ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II BL Description Address of Building 4 MIAMI SHORES VILLAGE, FLORIDA 15264 Subdi- vision Value of Project $ DATE /' ! Contractor's License No Amt. of Permit $ 195 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 responsibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER Signed: '` ` BY INSPECTOR r 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