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525 NE 101 St (4)Datec . JC,,/ Job Address A ,e ./') S ? Tax Folio Legal Descript o // '^' /2__ / '/ J L • 4 N- -- C Lessee / Tenant v i;I 74 i9 Owner's Address J ' C /9 , f /9/ S 1 Contractin Co Qualifier &/ L 6 Phone / f d 01 State # Municipal # Competency 46C t° Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION I/f/S" 0 ' � 6;6 pP /gyp � �`�`e� „„ Square Ft. Estimated Cost(value) � U v� C5 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. �.Q.P.J Signature Da Notary as to Owner and /or Condo President My Commission,'” ARMANDO G. CUBAS *= MY COMMISSION EXPIRES April 7, 1995 n6, , BOND ) THRU NOTAV PUBLIC i(JJDERWRITEW APPROVED: PERMIT APPLICATION_ FOR MIAMI SHORES VILLAGE of owner and /or Condo President Z s 457‘ ARMIINDO G. CUBAS * * * * ** * = * MY C*IMISS1ON EIPPIRES ** Aril 7 1005 FEES: PERMIT "V RADON C.C.F . 1 NOTARY TOTAL DUE r BONDED THRU NOTARY PUB", Zoning Buildin Mechanical Plumbin Address/6 "P/ E J� >� A e- //:5806 79- trio j` Master Permit #7/3 Signature of Contractor or Owner- Builder Dat-' Phone Notary as to Contractor or Owner- Builder My Commission Expires: Fire Other Electrical Engineering �Zf SECTION r;* TLr.) , / %r i7 SCALE /Vem /� - P g S° 237A cal wiring and roof huilleMens tool ainieMlei before inspection. - - /1/ DWG. •BY G✓ 3,L, Iniowladge of all building reanlations CONSIfieallY .ad t& Z Z a r /6 .84 o C /,:. 9$ • /V. L /0/ ,; 3T-T, ..,..„..-0,.,-.. _ _ 364 N. E. 1750h STREET NORTH MIAMI. FLORIDA /i/• ! . / e 5 7 / • Jae v,Ca DATE / 9 -4 S } E - of / J. O./ T / '✓ A.F.E. ? % - /i'- 4 i; Lau.. Permit No. � I/ J Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ot structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miaini 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. __.. . ., l Owner's Name and Address Registered Architect and /or Eng Employing Plumber's Name .. _ -- .._ ' �' • No. Location and Legal Description Lot- 7_.w _ - ' L Block.. Street and Number where work is to be performed— No.72 &—__ State work to be performed and purpose of building (By Floors)_ New Building -- Remodeling —._ Addition Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $_ __. - ___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Type of Tank_ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit *rear " 1 2- ,0 - 416 --• Subdivision_ 1 Street__1 1 Repairs Capacity Gals. (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 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 an licensed by Miami Shores Village. �7 (Signed) /I Master Plumber. STATE OF FLORIDA, I ss. d COUNTY OF DARE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally uppeare 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 tac therein by him tated are true. My Commission Expires Notary Public, State of Florida No. of Stories N TE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fuel mat , s and /or workmanship. ET CLOSS BATH TuO S SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Twos U RIN CATCH BASIN FLOOR DRAIN DRINK 940 FOUNT' NS ^,. i/ ti i TOTAL FIKTUR[I 16T GLIST / J� ./' / n %s P ^� /3.V Zs:: , — - _ CHECK / I $WIM•G POOL , •) VY h I SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM ..] c ,Si ' " •�/�/' I /VI) CONTR. LIT HEC CHECK I � 4 ` / 4) I ' V 1 Permit No. � I/ J Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ot structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miaini 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. __.. . ., l Owner's Name and Address Registered Architect and /or Eng Employing Plumber's Name .. _ -- .._ ' �' • No. Location and Legal Description Lot- 7_.w _ - ' L Block.. Street and Number where work is to be performed— No.72 &—__ State work to be performed and purpose of building (By Floors)_ New Building -- Remodeling —._ Addition Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $_ __. - ___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. Type of Tank_ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit *rear " 1 2- ,0 - 416 --• Subdivision_ 1 Street__1 1 Repairs Capacity Gals. (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 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 an licensed by Miami Shores Village. �7 (Signed) /I Master Plumber. STATE OF FLORIDA, I ss. d COUNTY OF DARE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally uppeare 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 tac therein by him tated are true. My Commission Expires Notary Public, State of Florida No. of Stories N TE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fuel mat , s and /or workmanship.