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561 NE 101 St (4)Si Date 1/2-3/9 (p Job Address S I I ° • 1 O 1 S T Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant k d Master Permit # Owner's Address S(, 1 ,J Contracting Co. SE 4 oTA P -1 0' 3 i »& Address $ q 3 N E, - 11 i h sr M ,n ; Qualifier k d ►'J v EA) T J State # R f' O J 3 1' / 7 / Municipal # 000 XI l' Competency # ] FO c) 3 71 71 Ins. Co. K t.J • TN j r44.Jc Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN ROOFING PAVING FENCE SIGN WORK DESCRIPTION R o C- 1 f li-r 0 SET Tv r3 F �c �T�= !� .c c sr 10 Or) S E ;✓/1 T 15n GLVSr •T Sl L� ✓� T „),,c y Square Ft. Estimated Cost (value) l t7 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. /i) Y -/ and/or Condo President 21,2_ 3 / s ( Notary as to Odvner and/or Condo President ate My Commission Expires: BARRY CERRATO Notary Public, State of Florida My Comm. expires Dec 22, 1997 No. CC338031 FEES: PERMIT ," L i. RADON APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 1 ST. e C.C.F. ' ST' NOTARY TOTAL DUE L �- Phone .. "7 S to — 0S SS# ( ' }S Fs' Signat u? f Contractor or Owner- Builder 2/ L y Notary as to Contractor or Owner- Builder Date My Commission Expires:. BARRY CERRATO Notary Public, State of Florida My Comm. expires Dec 22, 1991 No. CC338031 3 9,201 cl Da e ITEM BATH Tl8 UNIT 4 FEE 4 i6 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 MPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE ` REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY ( 404 OVEN ABOVE GROUND TANKS LAUNDRY TRAY - WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 FP STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET I /J MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SIPPLY 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 SW I If1I NG POOL OUTLETS COM+IERC IAL WATER SitRW£E Ri V i sv et #7 TUBES SEWER CONNECTIONS G/ SIGN TRANSFORMERS UTILITY-SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA -• RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PULP & 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 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.) PLUMBING ELECTRICAL MECHANICAL Date / / 4 Job Address (ol X/e, /f9AC7 • Tax Folio /M2. 06-®/ M l 7 /l 0 0 Pin/ 221c) cie4 Legal Description of-e Owner / Lessee Owner's Address f�l �� 2/ Sf' Phone Contracting Co. LI4I 6,f'Fic) /24066- Address »o 56•)- 5 - 3 cS Sd� Qualifier c 1c4,,i l `,ld 6-ea P SS# `(/ Phone '302/— 68 State Ii (TC0 *.,2 ?3Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL MECHANICAL ROOFING PAVING FENCE SIG! WORK DESCRIPTION RC f►'l^ d.e 6-- J76 1J Square Ft. - Estimated Cost(value) J dazu, WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO Dc SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENT TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUI NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat 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 wil be done in •'pliance with all applicable laws regulating construction and zoning. Furthermore, authorize above -named contractor to do the work stated. Signature/of o o Date: N•� as to er and ■111.. 4%. My Commission Expires: ** * APPROVED: * * PERMIT APPLICATION FOR MIAMI SHORES VILLAGE / Tenant g - '60! H J2.. Mechanical r and /or Condo President Master Permit Signat Date: .�� ..�.�semr e of Co 'act r r- Builder tar as to Co My Commission E RADON C c.carr NOTARY /a TOTAL DUE 524V Fire Other Zoning Building Electrical �lumbin_ Engineering • !Y'"'L' CHURCH * * * * * * * * 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/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR - RANGE TOP UNDERGROUND TANKS LAVATORY (j os. .c.Nl�/) j OVEN ABOVE (MOUND TANKS LAUNDRY TRAY u WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER p., 5 ) l MOTORS 0- 1 HP STEAM BOILERS SHOWER &of) MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE 02,46) MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 If FIRE SPRINKLER SYSTEMS URINAL / MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOT ORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. (pF S ( GENERATORS TRANSFORMERS HEATER - REPLACE l GENERATORS TRANSFORMERS 1 LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE ( 0( 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 8 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 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.) PLUMBING ELECTRICAL MECHANICAL Permit No. ___-- -1 -o$ Registered Architect and /or Engineer Employing Plumber's Name • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 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 1(u°— "ic � '� No Street Location and Legal Description Lot- .___._- _.__._ _ _ Block_______. _._____.__ Subdivision_ Street and Number where work is to be performed —No. . S / State work to be performed and purpose of building (By Floors) / _ New Building Remodeling Addition__.___________- __._____ Repairs Capacity Gals 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 o v Amount of Permit $- - _ -__ -- __ - -- ��-------- - - - - -- — - — —_ _f_ (Signed). No. - -- _ ._---- _- - -__._ Street__ ( Signed Date 9_ 3-z No. of Stories 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 Pennanent 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 art licensed by Miami Shores Village. STATE OF FLORIDA, u. 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 tat• therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or foul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN OBI NKI NO FOUNT' NS TOTAL FIXTUREI CONTR. LIST- - CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Permit No. ___-- -1 -o$ Registered Architect and /or Engineer Employing Plumber's Name • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 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 1(u°— "ic � '� No Street Location and Legal Description Lot- .___._- _.__._ _ _ Block_______. _._____.__ Subdivision_ Street and Number where work is to be performed —No. . S / State work to be performed and purpose of building (By Floors) / _ New Building Remodeling Addition__.___________- __._____ Repairs Capacity Gals 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 o v Amount of Permit $- - _ -__ -- __ - -- ��-------- - - - - -- — - — —_ _f_ (Signed). No. - -- _ ._---- _- - -__._ Street__ ( Signed Date 9_ 3-z No. of Stories 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 Pennanent 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 art licensed by Miami Shores Village. STATE OF FLORIDA, u. 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 tat• 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 re- inspection is made necessary by improper notice for inspection, or foul materials and /or workmanship. Permit No. SL r Z Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subfnitted 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 r Registered Architect and /or Engine Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 1 Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT l•' e t No. __ 7(.2__5__1 Street 11__ Z , "`- Subdivision ( Signed) No ___ Street____ • / UC___I Q ' • Date 97 Notary Public, State of Florida No. of Stories I Amount of Pe it $___ (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 s un er this permit, as are icensed by Miami Shores Village. Mas)gPlumber. , ATE OF FLORIDA, 1 ss. ' NTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared \ well known, and who, being by me first duly sworn, upon oath deposes and says that he is the 'above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts '1y him stated are true. My Commission Expires A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty ad /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL CONTR. LIST \ I - CHECK Permit No. SL r Z Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subfnitted 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 r Registered Architect and /or Engine Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit 1 Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT l•' e t No. __ 7(.2__5__1 Street 11__ Z , "`- Subdivision ( Signed) No ___ Street____ • / UC___I Q ' • Date 97 Notary Public, State of Florida No. of Stories I Amount of Pe it $___ (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 s un er this permit, as are icensed by Miami Shores Village. Mas)gPlumber. , ATE OF FLORIDA, 1 ss. ' NTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared \ well known, and who, being by me first duly sworn, upon oath deposes and says that he is the 'above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts '1y him stated are true. My Commission Expires A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty ad /or workmanship.