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565 NE 101 St (5)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date > Job Address S‘1 /(' ( /0/ 55,7 Tax Folio // 04 /1 //Ye 0 Legal Description ,/ `-o2 g 11 , 4 /��� g PI 1 r L / a- 2 , Master Permit ��„3o.Z.� - Owner's Address Contracting Co. Qualifier Lessee / Tenant Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: Zoning /A/ St Phone Address 7 s i re. #., - - Phone State #exa K4',1743unicipal # Competency #1/9Stli HOins.Co. 6N(/ Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING E LECTRICAL 'LUMBII MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ii s' SA ? o Square Ft. Estimated Cost(value) /� 3 ��l/a 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 informatio be done in compliance with all applicable laws regulating c authorize the above -named contractor to do the work stat Building Mechanical Plumbi ure of Da e : fO / c3 0 9 pri nt type or stamp Person. I known name of Notary Pub • Y DOR Produced I.D. number nf T ota>�y as to Contr aetor�z_Owner—Bu�, My Commission Exp �[D take an oath, or ID NOT take an oath. ** * * * * * * * * * * * * * * * ** '� D . ✓� S .S FEES: PERMIT RADON C.C.F. NOTARY oD TOTAL DUE and .._.- all work will APPROVED: Fire Other Electrical e ngineering • • BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA � /_1/92 Date 19 ELECTRICAL ❑ N ° 3 2 8 5 3 PLUMBING ® PERMIT Contractor's 49422 WC ROOFING ❑ ❑ Work to be performed under this Permit INSTALL WATER HEATER Owner of 04/1/X$0 Building CONTRACTOR or BUILDER 'VIOLET CORZA, Architect Contractor AARON PLUMBING or Builder Legal Lot Description 21 & 22 I BI 94 Address o Building 6 NE 101st ST 4X 0100.0 11 3206 17 1140 8 Signe. • %. iak <I14 <di L. (INSPECTOR) BY License No. Subdi- AMD PL MIAMI SHORES SEC 4 vision Sq Ft. 30. 00 Value of 350.00 II Amount of 5.00 NOTARY Project $ II Permit $ .50 CCF 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 applica- tion 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 respon- sibility for work done by his agents, servants or e 1,49yees. WW1 In consideration of the is! ce 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. 8926200 0 7 /01 /92TOTi. 35.50 BY AUTHORITY PERMIT APPLICATION FOR MUN.C.PALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date - 70 2 - Address 5 J AiE t o (S Tax Folio ' 2 U v 11-110--o Lo-A- Z ` 22 � ` \� n (� i k MasterPertnit � j'� Legal Description \1 -` • kJ ,UIe -i - (.ou2A 5 f c • Phone / J C I - 1 / 71 I Contra Co. A161.7(5/c. UK Address e7/75;i0 Co 6 J QualifMPAL J A Phone 5 " ,9/22 State# 41 'bv( / sr Competency# 767cii-tp 7o 7 Ins. Co . #0/9) i 3 :24Firwe, Address Square Ft. / Lessee / Tenant Owner's Address Architect /Engineer Bonding Company Address Mortgagor • Zoning Address Estimated Cost Notary as Owner a C President ary as My Commission Expirep (CST All OF' F NDA gr � M y Commissi * * U �J '. FFa * * * PERMIT FEE: APPROVED: Fire Lb tAm (gq , 6 134 Other Permit Type (circle one): BUILDING ELECTRII PLUMBING $= CHANICAL PAVIN FENCE SIGN WORK DESCRIPTION __ f � -- /j [/ #ftirr' G/I/ 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, PLUMING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate that all work will be done in compliance with all applicable laws regulate ! co . =t tion a zoning Furthermore, I authorize the above -named contractor to do th •'���,t C-)2 ignature of Property Owne r Condo Pres. Sign!��'ontract�� Owner -Bui der at � p��U�GENERAL 1NS. UN �DNUtiD T ider Building E ectrical Mechanical Plumbing 1/4 r` 1 Tkeering New Building Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No /5 /6-6 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for fhe 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. GNI) C Owner's Name and Address • A • No. l� S Street k! f 0/ v Registered Architect and /or Engineer Employing Plumber's Name .iV1.1.L� A.1 �A r e KIV O....- ..,.,e., »�.,. .>�,..,..... 8tleet —V. „f ..,...... ,:. -... Blor>< Location and Legal Description Lot Street and Number where work is to be performed —No 1 � State work to be performed and purpose of building (By Floors)_._ s.. LS. ---- - -`2.. 0 _ck..... Addition.-- _.. -__- Repairs > ✓. No. of Stories Size Septic Tank_ - - - - - -- ---- ____ -- ._. 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 • -0 4/ ▪ _ Amount of Permits (Signed)- _• - -• - -- Re ft -1;e I 7h 015 A Date. .._._ C. 2-4 Z .t�..- s-6 street ) .. S _ _..._. Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor un der 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 - contracto ployed 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 w • su • public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contract work t be , • • er this permit, as are licensed by Miami Shores Village. Si Master Plumber. STATE OF FLORIDA, 1 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 NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made'neoessary by improper notice for inspection, or faulty materials and /ar workmanship. CLOSETS BATH TUB[ SHOWERS LAVA• TORIE/ SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN F IELD SOAKAGE PIT 0 TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. � LIST CHECK New Building Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No /5 /6-6 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for fhe 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. GNI) C Owner's Name and Address • A • No. l� S Street k! f 0/ v Registered Architect and /or Engineer Employing Plumber's Name .iV1.1.L� A.1 �A r e KIV O....- ..,.,e., »�.,. .>�,..,..... 8tleet —V. „f ..,...... ,:. -... Blor>< Location and Legal Description Lot Street and Number where work is to be performed —No 1 � State work to be performed and purpose of building (By Floors)_._ s.. LS. ---- - -`2.. 0 _ck..... Addition.-- _.. -__- Repairs > ✓. No. of Stories Size Septic Tank_ - - - - - -- ---- ____ -- ._. 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 • -0 4/ ▪ _ Amount of Permits (Signed)- _• - -• - -- Re ft -1;e I 7h 015 A Date. .._._ C. 2-4 Z .t�..- s-6 street ) .. S _ _..._. Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor un der 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 - contracto ployed 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 w • su • public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contract work t be , • • er this permit, as are licensed by Miami Shores Village. Si Master Plumber. STATE OF FLORIDA, 1 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 NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made'neoessary by improper notice for inspection, or faulty materials and /ar workmanship. Nature of Water Supply: City —Well at_ �Q Amount of Permit - - -- STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Ott to, Application is hereby for the approval of the detailed statement of the plans and specifications herewith submitted for building or other structure herein describe 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 i 1 1'.. Registered Architect and /or Engineer_ _ T Employing Plumber's Name No Street Location and _4 Legal Description Lot Bloc Street and Nu j Subdivision tuber where work is to be performed —No.__ _Lr_____ � 1 Street I State work to I be performed and purpose of building (By Floors) New Building Remodeling Addition_ r Repairs No. of Stories No Street 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 (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) My Commission Expires Notary Public, State of Florida 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 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. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS ■ BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST I CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL /� A$ CONTR. LIST 1 , i CHECK Nature of Water Supply: City —Well at_ �Q Amount of Permit - - -- STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Ott to, Application is hereby for the approval of the detailed statement of the plans and specifications herewith submitted for building or other structure herein describe 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 i 1 1'.. Registered Architect and /or Engineer_ _ T Employing Plumber's Name No Street Location and _4 Legal Description Lot Bloc Street and Nu j Subdivision tuber where work is to be performed —No.__ _Lr_____ � 1 Street I State work to I be performed and purpose of building (By Floors) New Building Remodeling Addition_ r Repairs No. of Stories No Street 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 (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) My Commission Expires Notary Public, State of Florida 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 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. 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. • rAKE Air 0.7;;A n el, Sf ADDRESS 64( 41 G, / D / hst.S LOT BLOCK SUB i C IT Y PUJM IN G COMPANY H..O. LASSETER 4/0‘te 141 /fit,jc*Yr_ All f;1:3;1-77 uhe /er frotinel 70 Nod - /,g s rho, i // BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lbt Description Address of tr , r Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA # DATE ' t I 194 Contractor's 4 / License No PERMIT N? 5079 Work to be performed under this Permit Bl. et) Signed: Subdi- vision This permit is granted to the contractor or builder name. above to construct the building or to install the equipment or device described in the appli- cation 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,duthorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above as -s the res nsibiJify for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or . mgs or:ine st erne . . r specifications and that he assumes respon- sibility for work done by his agents, servants or employees. IN CTOR In consideration of the issuance to me of this permit I agree to perform the , covere. ereunder in compliance wib]ip1l ordinances 4d, �g l atio n s pertainin thereto and.irws ictic with the plans, drawings, statements o specificati s submitted to the proper authorities of Miami Shores Village. In acce is permit I s ie responsibility for all yyork done by ei my /agett,'servant or employee. By. AUTHORITY ude Address of Building This permit is granted to the contractor,or build r named Arnt. (0 Per mit BUILDING ELECTRICAL PLUMBING 1 Owner of 'Building Architect ` Contractor or Builder Legal Description MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5079 Wor :to this 'Permit i s permit I agree to perform the w lam, drawings, statements or erbi `Sub vision alue of roject DATE e)el 194 Iii' /4 Contractor's License No ove to construct the building or to install the equipment or levice described in the appli- cation 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 *lay 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 an coniplianee.with such Qrdinances or if the plans are changed without $ thorization. A further condiOon upon which this permit is granted is the understanding that the contractor or budder named above aseS` the res Psibiii� for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby Whether shown or the plans or dra gs or in t re stat�unren etc specifications and that {he as�pm se respon- sibi „for work done by his agents, servants or employees: '''''''''"4 ' II .'�' fined: ' '`' `..'r By of etrntidi in compliance witfi all ordinances and regulations submitted to the proper authorities of Miami Shores Village. ervant or employee. Se 7 rl Issued to -.-.' OWNER aiami chores9llage F L O A I D A PLUMBING PERMIT N? 1158 LOT BLOCK SUBDIVISION 1' ` r 4 ' ' . to install t following described plumbing, in accordance with the laws, statutes and regu- lations of iami Shores Village, Florida and the State of Florida, governing plumbing and - drainage work done in Miami Shores Village, Florida. For a story / - / ^ building at '" 1 f /- 1 ^ °` . 2 Fixtures � CGS -,f�i f 44.6‘ ^�,.�!'�' i %"�,t�u''�'� Fixtures 9 $ 7 , d • /* 0614+:41e, / ' 0 Sewer $ / 41 •tic Tank $ Total $ r a u • Village Plumbing Inspector Received Payment by y 4/ e 4.fe OWNER LOT BLOCK SUBDIVISION PLUMBING PERMIT aiami Aores F L O R ID A N? 1190 to install t E following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at Fixtures Fixtures $ Sewer $ •tic Tank $ / 6 6 Total S / 0 0 Village Plumbing Inspector Received Payment by /4" I herewith submit the following application fo /a permit covering the installation of a Septic Tank Soakage Pit: Feet of drain tile: (� Installed by: �� ��1 al/ ,4 : 1 . (NEW: // Old: Story: � Addition: Rdmodeled: For a (Store: Garage: Apt: Hotel: Office Bldg. (Res: y' Garage wash floor: Waste water from a: Building has: Stores; Offices; Apts; Hotel Rms; Bedrums 3 Owner or Agent: // 7, . = i1- C..• Address: Lot No.' /f `b) Block No. Al SUBDIVISION Address of work: P - A gallons: kai MIAMI SHORES VILLAGE, FLA. APPLICATION FOR SEPTIC TANK PERMIT DIVISION OF PLUMBINONSPIiJCTION Date; (2 Additional information: • • : Relaying: New: Address: /6e/ � r oT No. of Plumbing Fixtures: Laundry Tubs: Floor Drains: Nature of water supply: City: k Well: ' Feet Distant from all wells: 1 & -'" . Type of tank installed: /'f t d Tank capacity in Size of Soakage Pit: Purpose of same: Ready for Inspection: Date: 4a 7 _ Time: / (� APPROVED BY: 4 , ! , )CONDEMNED BY: Remarks: /1 o-/- 7- /2e7( PERMIT NO. or 7 v 7 16--07,i 1 °--7"lo ig&