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1201 NE 102 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 8 - 6 - 97 Job Address 1201 N.E. 102nd Street Tax Folio Legal Description Historically Designated: Yes owner/Lessee/Tenant DAVID PETTIS Master Permit # t 7 Cf owner's A d d r e s s 1201 N . E . 102nd Street , Miami Shores ,F1 33138 Phone 305 - 754 -0754 ContractingCo. Coastal Plumbing Co. of Miami Qualifier Robert E. Brincefield ss# 305- 651 -4429 state# CFCO- 19042 Municipal# 6264 competenc 6264 Ins Co Acord i a Ins. Agency Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Replace existing electric water heater Square Ft. Estimated Cost (value) $200.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws re x_ lating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. o President Date YZ- S urVofo a1 ' ` \ �PSTo �\CIA p e StO4 2 , � . Notary as to Otrvee an.d/os ' ; 1 ' * l ent ate My Commissioi£ir�C 477159 n5do ; o 9 ,,Op.,' �� BW1dCd 014:..f,§ " / „C � �� FEES: PERMIT RADON APPROVED: Zoning Building Mechanical Plumbing C.C.F. Address 285 N.E. 185th Street, Miami, F133179 /96.41frZ41/2 Signature of Contractor or Ow Builder CIA ST 1 Q • X415 Notary as to Con ct o> ► wne9- . ldiirr My COMMiSSiOn pr esCC 477159 %A” . � g1QCd m tu 4o i OQ$ 71.1/1/i�STA , :'� O NOTARY BOND Electrical No TOTAL DUE x Date Date Engineering - -+ CLosrrs BATH Tuss SHOWERS LAVA• TORIES S SLOP LAUNDRY TOSS URINAL/ CATCH BASIN FLOOR DRAIN ORINKI NG FOUNT' NS TOTAL FIXTURES Coffin. LIST ' , CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR NEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL COMM LIST I ! CHICK 1/ ST AT e / F 0 °368 7, 47 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT p Permit No..0 Iii �v� Date... - - S r G P T - I I dS Owners Name and Address Registered Architect and /or Engineer ,y.� >E loyin Plumber•s ,/ 0 vE 61}-, c 50� /�4 A61 tocatit on anc Legal bescrt"ptit Lot- p Street and Number where work is to be performed —No 1 ? 0 1 pp State work to be performed and purpose of building (By Floors)_— .___`.. New Building - -___— __..- •---- ... - -•_ -- Remodeling -- Addition Size Septic Tank._ Type of Tank__ Feet of Drain Tile Dist. Feet of Tank or Drain Field from Wen .. ._.__. Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, 1 µ COUNTY OF DADE. 1 iDA1 PETTES (Signed) No 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. No„--2-1.3..... v , i o�rtreet Epp cis_ -o ' -5 .... # *1d/. ___� - - -- Repairs ,, No. of Stories.......... Subdivision (si _ t '?&1c'Y ._ S treet ._I 2.01 '2 • C � 1 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 Permanent Supplement, and laax 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 arr 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. 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 dep oses and says that he is the.. .__.._ .. _. _ _.... _.. of the above described construction, that be has carefully road 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 11.00 will be made whoa wale sniupeotion V smade•neomeary by improper notice for inspection, or faulty materials and /or workmanship. 2,0/1/S/ 2_J4: /3 6 Permit No. I/ 2 O („ 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 of not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address__ Registered Architect and /or En Employing Plumber's Name Location and Legal Description Lot Q Size Septic Tank Feet of Drain Tile Nature of Water Supply Z �AfFiount of Permit $__ ss. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition ( Signed) (Signe Date__ No Street L 1 2. No.- 7, 9 Block__ /if i Subdivision_ ! }• + Street and Number where work is to be performed —No. /4 , -r 0 Street_L1/ 1`- / n A _ Yai' . State work to be performed and purpose of building (By Floors) New Building Repairs -1/ No. of Stories Type of Tank___ _,Capaci Gals. Dist. Feet of Tank or Drain Field from Well _ (,,� 11 Size of Soakage Pit f ob. __ 1 5 --- 2— 7 Notary Public, State of Florida 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 corn, 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. Master Plumber. STATE OF FLORIDA, 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 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 DR INK ING FOUNT' NS ��J� Il N 1 , /� , l /'J �J / ,/ jam TOTAL FIXTURES -_ CONTR. LIST / I/7 �j / ' 7� __ ,1 r 7t 'l `_ / CHECK 7..) SEPTIC TANK SEWER CONN. GRAIN FIELD SOAKAGE 'PIT GREASE TRAP SOLAR HEATER DEEP - WELL SPRKLR. SYSTEM SW IM'G POOL �,1 � 11,/VW' v< T. CONTR. LIST CHECK f i r' .. _ ..._.._. .. / P--0/ /3 6 Permit No. I/ 2 O („ 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 of not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address__ Registered Architect and /or En Employing Plumber's Name Location and Legal Description Lot Q Size Septic Tank Feet of Drain Tile Nature of Water Supply Z �AfFiount of Permit $__ ss. Remodeling MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition ( Signed) (Signe Date__ No Street L 1 2. No.- 7, 9 Block__ /if i Subdivision_ ! }• + Street and Number where work is to be performed —No. /4 , -r 0 Street_L1/ 1`- / n A _ Yai' . State work to be performed and purpose of building (By Floors) New Building Repairs -1/ No. of Stories Type of Tank___ _,Capaci Gals. Dist. Feet of Tank or Drain Field from Well _ (,,� 11 Size of Soakage Pit f ob. __ 1 5 --- 2— 7 Notary Public, State of Florida 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 corn, 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. Master Plumber. STATE OF FLORIDA, 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 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.