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600 NE 101 St (11)Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 67ef /" /e)/ S Tax Folio Legal Description Owner/Lessee / Tenant /f2 f 2 / n e //P Owner's Address !!C � /)'' C. Contracting Co. Pie 1 C. Co.i S /ice c - GI.. / Qualifier G'i S ,, State # L' 'G C 14 0 S 7 9 7Municipal # /vAl Architect/Engineer Bonding Company Mortgagor Permit Type (circle one WORK DESCRIPTION Square Ft. )< 10 ondo President Date Notary • to Owner and/or Con +o President Date " "y C.nunission Expires: ra 74 14' DULCS PRAT9 COMXIBSZoN # CC 493349 FXPTRE- JULY 24, 1999 ATL?.N"t`TC i+t ^sa ., INC. FEES: PERMIT v 6. RADON C.C.F. APPROVED: Zoning Building Mechanical Plumbing /42 bc( Historically Designated: Yes No SS# Competency # Address Address Address LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN o ,y Estimated Cost (value) 5 ea- '� 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. 0 R'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable law re 4i lating constru on . • zoning. F ermore, I authorize the above -named contractor to do the work stated. Signat N My Co O � 3. Address Master Permit if Phon4 e)SJ / 3 3 > 7 Av, w. Slr7,rC e�� /P t 4 t'err, �Iy� J o Contract r or Owner -Bui • er ssion Expires: 4 'p ri NOTARY Phone 2 zg— 61(4 3 Electrical 2 —Z R -0433 Ins. Co. uilder Date ouLCB PRATO cow ISatCN # CC 493349 METDVB )) MI � '[ L p � Y 24, 1999 1999 • �1 zp TRRII .... ^. i WANG 0O. , INC. Date TOTAL DUE 36 ( -4 BOND Engineering • NUJ 14.,t V t,v/Y1aYlti' Lt1ntiii 1 ) 2 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. // 31 O 6 2 /7/3j STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property. and in accordance with Chapter 713. Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 6 0 £ / 0/ S nigm 5/vxe -I !/i / /146e- 2. Description of improvement: jet' o o . / ,'.c, 1 1 3. Owner(s) name and address: $ /I r, e. Interest in property: ��1,•i,�•o - Name and address of fee simple titleholder: /✓ 4. Contractor's name and address: Pie/ Name and address: Amount of bond 5 433 7 nat• : ` Owner Genet Print Owners Name t nc�v/ eve' fm -rr' Notary Public Print Nctarv's Name My Ccr;7 : ss.c : ite_. r ( c)-0 D "7 ,f h.-f/ C.Tj ton 7"1 5. Surety:(Payment bond required by owner from N 1 HERESY CE ;inthiso _ , _do y or �- Ih° 6. Lender's name and address: N�f _� ;; r..E �a e 0 7: Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as F\ ' by Se 713.13(1)(a)7., Florida Statutes t Name and address: Sworn to and subscribed before me this day of . 19 4 0 °r ;_ JOHN P FRANZOSA • it M Co • ' Sion CC365857 Vt C CV, ,SUS n c b�r ` HAI v arwo . G - „3 contractor, if any�TATE OF FLORIDA, COUNTY OF DADE CERTIFY that this h Or RA Vz ay A S my h • nd n.•d Officio! Seal. toil L ?BR 4.210057 1993 MAR 17 10:22 Address: o i'cult ondCounty Courts 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Liencr's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: N / 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different ate is specified) Prepared by: 0/5SC At/ 2 # u�L / 8/ S �� Tom' • Permit No. i4 3 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date_ •_------ _A?tu 24,_ 1972 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. Owners Name and Address Wayne__---------------- _ —_• - -- No.__ ___ 600 Street N . E . 101 Skeet Registered Architect and /or Engineer _____ _-- ____ -- Employing Plumber's Name Q Sta _22ldt12..ki9 IIM cu 1 CNo._ 1 _ Qg3 ___ -___ Street__E t 23)td StAee,t, Location and Legal Description Lot Block Street and Number where work is to be performed —No 600 Size Septic Tank_ Feet of Drain Tile__ Nature of Water Supply: City— Well.___,_ ______ _ __________— ___Size of Soakage Pit Amount of Permit $ 7.50 STATE OF FLORIDA, COUNTY OF DADE. (Signed)- Street (Signed)-- My Commission Expires Notary Public, State of Florida Subdivision. -- --- .- ---- -- .-- .--- - - -- -. N.E. 101 Stiteet, Miami. Shane' State w o r k to be performed and purpose of building (By Floors) ____I _new _b a thl .o OM New Building_______ _ _ ___ Remodeling __ __ Addition________ —____ Repairs No. of Stories. _Type of Tank Capacity Gals. __Dist. Feet of Tank or Drain Field from Well Plumbing . . or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob • i ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perma Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp : ed 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. umber. 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 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 $1.00 will be made when such re- inspection is made • necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS UR$ URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS , TOTAL FIXTURES CONTR. LIST 1 1 1 3 CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK - -'- - Permit No. i4 3 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date_ •_------ _A?tu 24,_ 1972 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. Owners Name and Address Wayne__---------------- _ —_• - -- No.__ ___ 600 Street N . E . 101 Skeet Registered Architect and /or Engineer _____ _-- ____ -- Employing Plumber's Name Q Sta _22ldt12..ki9 IIM cu 1 CNo._ 1 _ Qg3 ___ -___ Street__E t 23)td StAee,t, Location and Legal Description Lot Block Street and Number where work is to be performed —No 600 Size Septic Tank_ Feet of Drain Tile__ Nature of Water Supply: City— Well.___,_ ______ _ __________— ___Size of Soakage Pit Amount of Permit $ 7.50 STATE OF FLORIDA, COUNTY OF DADE. (Signed)- Street (Signed)-- My Commission Expires Notary Public, State of Florida Subdivision. -- --- .- ---- -- .-- .--- - - -- -. N.E. 101 Stiteet, Miami. Shane' State w o r k to be performed and purpose of building (By Floors) ____I _new _b a thl .o OM New Building_______ _ _ ___ Remodeling __ __ Addition________ —____ Repairs No. of Stories. _Type of Tank Capacity Gals. __Dist. Feet of Tank or Drain Field from Well Plumbing . . or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob • i ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perma Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp : ed 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. umber. 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 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.