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600 NE 101 St (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 'd 4f Job Address c ©O i6 / 42( S' 74- Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant �1� L '"L `� dV t° ` Master Permit # 3s 3 Owner's Address aD O c' / G''^S t Qualifier ��� CC !� l"Z 'O 4 i —, e (' .04 .34 f` Sr6 -3d'2' Contracting Co. /0 G ,45 State # e-4 c64' 6 9, Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIP'T'ION 7,2_ Z4 / ,cps Municipal # FEES: PERMIT X RADON Square Ft Estimated Cost (value) o 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. ignature of Condo sident . Date Notary to Owner and/or Condo resident Date My C mmission Expires: John Franzosa * l s J *My Commission CC710129 Nsc Expires April 20; 2002 BA-8/?8 Address Phone c3tS Competency # Ins. Co. N. ary as My Co er- Builder V- 3,g nilder Ni ARYSEAL ssion •.. - YS J VILLAR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. l 2002 C.C.F. 3 ' D 0 NOTARY 5 BOND TOTAL DUE / APPROVED: Zoning Building Electrical Mechanical C� ���� Plumbing Engineering ITEM BATH TLE UNIT FEE ITN SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OMITS CENTRAL HEATING !.r/Gw DIShwASHER RECEPTACLES A/C (WINO) o I SAL SERVICE TEWQIARY A/C (CENTRAL) p i-' OR INK ING FOUNTAIN SERVICE SIZE IN A6PS ma WORK / . - .4,r4717 - 1/5 FLOOR DRAIN SERVICE REPAIR/fETER OlAte REFRIGERATION CREASE TRAP . [ APPLIANCE CUTLETS PROCESS AN) PRESS PIPING INTERCEPTOR 1 RANGE TCP UTCERGiQJW TANKS LAVATORY OVEN ABOVE E OUNG TANKS LAUNCRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 FP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT RATER BOILERS SINK, POT /3 COMP. OTCRS OVER 3- 5 If MECHANICAL VENTILATION SINX. RESIOENCE 1 43TCRS OVER 5- 8 If TRANSPORTING ASSEMBLIES SINK. SLOP IGTCRS OVER 8- 10 FP ELEVATORS/ESCAUATGRS TEMPORARY WATER CLOSET 4(3TCRS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL SQTCRS OVER 25-100 If COOLING TOWERS WATER CLOSET 1 SQTCRS OVER 100 If VIOLATION INDIRECT WASTES _ A/C WIND RE INSPECT ION WATER SUPPLY TO: f AIR CIIFOITIONERS ' A/C UNIT STRIP HEATER FIRE SPRINKLER r C''tERATORS TRANSFOPS8S HEATER-NEW INST. GE'NERATf S TRANSFORMERS . HEATER - REPLACE GEN RATQRS TRANSFCR68SS LAWN SPRINKLER -WELL SPECIAL PL,RPOSE SWIMMING POOL ' CUTLETS COMMERCIAL WATER SERVICE SIGN TUBES 7 `" i SEWER C4MECT I ONS SIGN TRANSF UTILITY-SEWER SIGN TIME CLG X `-' d UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD. 4' TILE/RES. VIOLATION � [ PUMP 3 AM ON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN O I SC:'.ARGE WELL DOMESTIC IC WELL 0 AREA DRAIN �. ROOF INLET '.F: SOLAR RATER HEATER . - FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE %TER SET (GAS) GAS PIPING 0 (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS 3. OBTAINED, THE OWNER'S NCT ?.SZ_D SIGNATURE N ED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL • May,18 '98 11:15 'Walt/row own Sworn to and subscribed belore me this -- day of Notary Public My Commission pires: /4? /V l-- 9 FAX NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. I 1 - 3 a 0(c o - i 1 3 I STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance •+ith Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. ( 0 0 O /l) .. /0 / .C /L1 / A M l S .la O ►2P_ S �'� 3 3 i 3 1. Legal description of property and street address: /1 999/ -(o ArY1>P�- M�ta Spc 'h r1 i tS 1of.)oZ co Aa• b - 1 104 /1 blk / 2. Description of Improvement: R¢ e - 9 T Q d 4,C • 3: Owner(s) name and address: Leonard T. M o v l n Q I (o U C N E . . 101 31 N 1 i s rr+ I Shores f 3 1 ' Interest in property: Name and address of lee simple titleholder: - Foe- 42 /Ze fs'r / 4. Contractors name and address: '79?7/'GA Gi 5. Surety:(Payment bond required by owner from contractor, If any) Name and address: Amount of bond $ 6. Lenders name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.. Florida Statutes. Name and address: _ 8. In addition to himself. Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Sec - tion 713.13(1)(b). Florida Statutes. Name and address: S. Expiration date of this Notice of Commencement: (the expiration date Is 1 year from the date of recording unless a different date is specified) 4 ,. ftt,, soh' Forozosa * -? *My C ° ' 710129 „ &ohs Ape 20.10117 r STATE OF FLORIDA, COUNT OF DADEthe I HEREMY CERTIFY t`.o' this is a frue CpPY a I i :na: fiisyl in his `tics on �. 11 ii .A i ..••-- : ; , 1 ,ncl OI%idal Seal. W TNEcS ,:Y f npf p aCou hA c RUVI� CLERK, Circ • By 93R459173 1998 SEF' 16 12:12 a 56 L4 E 33a) P. 1 MIAMI SHORESMLLAGE BL' ;.DING INSPECTION DEPARTMENT APPL!C/ TION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. i L 0 d7 - Owner's Name and Address 11 ` 1 ' i L (9 O 2 Y Date No. Street , 19.[x. /._ Registered Architect and /or Engineer A ) -- Sr Name and address of licensed contractor (9_s 2 ___ _f_2 1. 0 /�•F• _!_�� Location and legal description of lot to be built on: Lotl 0 N' X 11 Block /L1 ...3 Subdivision. / "! j g l -_,.? 1211.E _S 9' Street and Number where work is to be done 6 c a_ IL/ _/__If / ..I State work to be done and purpose of building (by floors) _ f_ �Z_' 4,y- - _,, 6/b/1=,A_t -- a. CO_itl22:. - -- .Sy..s-z -fib' be sent to 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, Pernanent Supplement, and has complied 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 subcontractors, o work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) __ -- -. _ ..._ � d — CA d/14 J and for no other purpose. New Building // Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ . -51 Amount of Permit $ Zone cubage required .Plan Cubage Distance to next nearest building -_ Size of Building Lot Maximum live load to be borne by each floor____ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may Disapproved , - Date (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. Permit No 1 ( . 3 Date �' ^ 30 � O� Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspecto My Commission Expires NNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.