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261 NE 102 St (12)• Date Job Address Legal Description Owner / Lessee / Tenant C# r i S 7 3 1 4 4 e- Master Owner's Address / /l/ 6 /(); S 7cre21/ I A 1,, X33 )37 Phone Contracting Co. /�' -A- 1 64'5 = C J ( C� Address 9 -.. C) /C.(..4) . L (57 4 - Qualifier PO Y ()t GleC SS# ( Phone 63 ( -6 State #� C0035 Iunicipal 11 Competency # Ins.Co. 0 ^' 1 " 7 Address Address Architect /Engineer Bonding Company Mortgagor Permit Type(circle WORK DESCRIPTION Z'5+4 7r &pm Z k "9, 9 6-tie coo k Square Ft. Estimated Cost(value) /17S 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 author.. 1 the above -name cont , =ctor to do the work stated. Signa Date: Notary as to 1 . er and/or Cndo Presiden T(iL4gM I L Notary as to Con My Commi-si •- Expire My Commission Ex F�Ts R vC 5 A i Cr F;�oarDA CO�1SX. °S�Ci ! �� h` y C. CL C- ry2 ** * * DAY Ca1�rmitt o.N AP. MAR. *. APPROVED: Buildin Mechanical Plumbin Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ((2 / f(7? St Tax Folio eo l Af (R�JC icy- 1 ? Acre; J�i��,� ..sk cv .s one): BUILDING ELECTRICAL resident RADON C.C.F. ► NOTARY Address MECHANICAL ROOFING PAVING PENCE SIGN Signat Date: Fire Other 3 6 7 9 Permit # 'v /`� e of Contractor or Owner-Builder jer P!/ OFFICIAL NOTARY SEAL k 7 7 . <. BARBARA ANN FUGAZZI j * COMMISSION NUMBER 'Il 'r CC360191 U2 1 Q o M* COMMI4SION EXO* -F F� MAR. 29.199 TOTAL DUE Electrical Engineering s 0, D. /k)( 7 ,. a .11 • :14 .c • • . _ 3 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. �d // Owner's Name and Address - r7 - , �? �� __ No. __ oo�� %&� Street. / Registered Architect and /or Engineer ____ ___.__ _________..___.. Employing Plumber's Name No.__._4 � Street. ..:- e ���'�� , Location and Legal Description Lot.._ New Building Amount of Permit $ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEi APPLICATION FOR PLUMBING Block__ Subdivision Remodeling_ ____.... _______ Addition._.___._ Repairs No. of Stories Size Septic Tank _ Type 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 (Signed)_ ( Signed )__ 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 under the Florida Workmen's Compensation Act, being Section 5986, 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. Date Street Master Plumber. STATE OF FLORIDA, I 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•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FI %TURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST / O - CHECK {� 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. �d // Owner's Name and Address - r7 - , �? �� __ No. __ oo�� %&� Street. / Registered Architect and /or Engineer ____ ___.__ _________..___.. Employing Plumber's Name No.__._4 � Street. ..:- e ���'�� , Location and Legal Description Lot.._ New Building Amount of Permit $ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEi APPLICATION FOR PLUMBING Block__ Subdivision Remodeling_ ____.... _______ Addition._.___._ Repairs No. of Stories Size Septic Tank _ Type 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 (Signed)_ ( Signed )__ 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 under the Florida Workmen's Compensation Act, being Section 5986, 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. Date Street Master Plumber. STATE OF FLORIDA, I 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•necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No ./J 6 _. 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 0 -• -___ --� � No._ Street 4 Registered Architect and /or Engineer__ —__ ___ Employing Plumber's Name Location and Legal Descriptio Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, ss, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Subdivision Street and Number where work is to be performed —No "' . Street State work to be performed and purpose of building (By Floors) _-_--_,94 . f.e—" New Building __— .____.______._______ Remodeling_____ Addition__________ Repairs No. of Stories Septic ..... -- --------- - - - - -- -Type of Tank— -e_ , 2-__° 2_c. ,;,4- Capacity Gals. - - -- �� Feet of Drain Tile__._ ' e x ist: Feet of Tank or Drain Field from Well . Size of Soakage Pit (Shgned)- No.___ -- % - Street_ Y ( Signed Date 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. 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 Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty materials and /or workmanship. CLOsET6 BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 44e1 z, 1, /^< r' • ",.....t,` A � IU!/ TOTAL FIXTURES co. NTR LIST N / J CHICK / ! /h /) / SEPTIC � / 5' /� / rJ C/ / �l �I S . TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL — COMM LI sr CHICK / / 4. - -- Jr I Q _ Permit No ./J 6 _. 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 0 -• -___ --� � No._ Street 4 Registered Architect and /or Engineer__ —__ ___ Employing Plumber's Name Location and Legal Descriptio Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, ss, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Subdivision Street and Number where work is to be performed —No "' . Street State work to be performed and purpose of building (By Floors) _-_--_,94 . f.e—" New Building __— .____.______._______ Remodeling_____ Addition__________ Repairs No. of Stories Septic ..... -- --------- - - - - -- -Type of Tank— -e_ , 2-__° 2_c. ,;,4- Capacity Gals. - - -- �� Feet of Drain Tile__._ ' e x ist: Feet of Tank or Drain Field from Well . Size of Soakage Pit (Shgned)- No.___ -- % - Street_ Y ( Signed Date 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. 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 Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty materials and /or workmanship.