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1250 NE 102 St (12)Date 6 -27 -00 FEES: PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 1250 N.E. 102nd Street Tax Folio Legal Description Owner/Lessee /Tenant Maria Nardo - Bona l l Master Permit # 7/ 'r Owner's Address 1250 N.E. 102nd Street, Miami, ContractingCo. Coastal Plumbing Co. of Miami Qualifier Robert E. Brincefield state # CFCO -19042 Municipal # 6264 Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL 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 regulating construction and zonin: F - I authorize the above-named contractor to do the work stated. Notary as to Owner*,. it NOe '+y.. My Commission Expires: £00Z '81 aunc IWI S321IdX3 b166£9DD # NOISSIWWOD AN ' , JeAo>S oPPutad •' :;`" V7 5 o RADON APPROVED: Zoning Building Mechanical Plumbing 6 -27 -00 -. C.C.F. Historically Designated: Yes No F1 33138 Phone 305- 754 -9005 Address 285 N.E. 185th Street, Miami, F1 33179 ss# Competency # 626 Ins. Co. Collinsworth, Alter, et al Address Address -Op Phone NOTARY Electrical Structural Engineer Signature of Contractor or Own r Builder 305 - 651 -4429 6 -27 -00 Date 6 -27 -00 Notary as to Contractor or • er - Builder Date My Commission Expires: ,�.. ;� •Y" �" Patricia Stover t:�; _ '•� ..: MY COMMISSION # CC839914 EXPIRES -. June 28, 2003 ' .'� BONDED THRU TROY FAIN INSURANCE, INC BOND TOTAL DUE .UILDING LECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ❑ ° PERMIT N9 ir CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Bl. Signed: Work to be performed under this Permit 1 j r _ 9771 Subdi- vision r L DATE f - .2 t Sq. Ft Value of Project $ Contractor's License No Amt. of Permit $ 2, BY AUTHORITY 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 application 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 responsibility for work done by his agents, servants or employees. f INSPECTOR ,X In consideration of the issuance 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. Permit 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. Owner's Name and Address Dean R._ C1auSSen — N 0 NE_102 St. Street Registered Architect and /or Engineer_____________ Employing Plumber's Name 'OQ _SiaI'j.Itk er___C4_.._ — _ --- ___ - -- No.__ 880 _ NW 54th St 6treet. ._.__----- Location and Legal Description Lot__.___._____— ___— ________,N _ Block Subdivision Street and Number where work is to be performed — 1250 NE - x,02 Ste Street State work to be performed and purpose of building (By Floors) New Building Remodeling___ ___ Addition.____ —. Repairs Size Septic Tank Nature of Water Supply: City —Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r' MIT Type of Tank Capacity G=as. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Amount of Permit $1 - -_8 +00 ----------- - - - - -- — -- (Signed) __Size of Soakage Pit 1/7/60 Date No. of Stories Plumbing Inspecto`i' --- The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin. ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ei 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 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. tom(/ - -a - �✓ y ' i (Signed)._ Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. j 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 necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS S LAVA- TORIES S INKB SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT - NS TOTAL FIXTURES 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 2 X CHICK If Permit 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. Owner's Name and Address Dean R._ C1auSSen — N 0 NE_102 St. Street Registered Architect and /or Engineer_____________ Employing Plumber's Name 'OQ _SiaI'j.Itk er___C4_.._ — _ --- ___ - -- No.__ 880 _ NW 54th St 6treet. ._.__----- Location and Legal Description Lot__.___._____— ___— ________,N _ Block Subdivision Street and Number where work is to be performed — 1250 NE - x,02 Ste Street State work to be performed and purpose of building (By Floors) New Building Remodeling___ ___ Addition.____ —. Repairs Size Septic Tank Nature of Water Supply: City —Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r' MIT Type of Tank Capacity G=as. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Amount of Permit $1 - -_8 +00 ----------- - - - - -- — -- (Signed) __Size of Soakage Pit 1/7/60 Date No. of Stories Plumbing Inspecto`i' --- The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perin. ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ei 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 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. tom(/ - -a - �✓ y ' i (Signed)._ Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. j 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 necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No 9 7 / Size Septic Tank Feet of Drain Tile._ Nature of Water Supply Well 4) �l g Amount of Permit $ ............... ___________________ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 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. Owner's Name and Address._ -_ GIC� - 1 _ _ .- _ No.__ .__ -__ Street. Registered Architect and /or Engineer_---_---_-_ ______________________._.______ No._ Street_ Employing Plumber's Name_ __ __ _ I ' � `� ‘ �� Location and Legal Descript Lot. - -_ -- _ -____ - _ - ___ _Block / 8 Subdivision. Street and Number where work is to be performed —No' J 7' . 0 ..lt/6 / O 2 s treet State work to be performed and purpose of building (By Floors). New Building ✓ __- Remodeling ____ Addition____ Repairs No. of Stories.._ . /_.....- . _ Type of Tank- _ Capacity Gals _Dist. Feet of Tank or Drain Field from Well - ---- --- _----- _ -__ -- - Size of Soakage Pit __-_ (Signed) .? ( Signed)___ Date / cS -- Notary Public, State of Florida -/ C ' .. s� 4� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hisibligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, 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 worl/ such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on w s k to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, t se. 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_ 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 SINKe LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. 3 / / .3 / - — CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP 30 R- HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL piv"- 4/4140.0 I -` CoNTR. LIST - CHECK Permit No 9 7 / Size Septic Tank Feet of Drain Tile._ Nature of Water Supply Well 4) �l g Amount of Permit $ ............... ___________________ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 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. Owner's Name and Address._ -_ GIC� - 1 _ _ .- _ No.__ .__ -__ Street. Registered Architect and /or Engineer_---_---_-_ ______________________._.______ No._ Street_ Employing Plumber's Name_ __ __ _ I ' � `� ‘ �� Location and Legal Descript Lot. - -_ -- _ -____ - _ - ___ _Block / 8 Subdivision. Street and Number where work is to be performed —No' J 7' . 0 ..lt/6 / O 2 s treet State work to be performed and purpose of building (By Floors). New Building ✓ __- Remodeling ____ Addition____ Repairs No. of Stories.._ . /_.....- . _ Type of Tank- _ Capacity Gals _Dist. Feet of Tank or Drain Field from Well - ---- --- _----- _ -__ -- - Size of Soakage Pit __-_ (Signed) .? ( Signed)___ Date / cS -- Notary Public, State of Florida -/ C ' .. s� 4� Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hisibligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, 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 worl/ such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on w s k to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, t se. 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_ 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.