349 NE 102 St (9)Legal Description
WORK DESCRIPTION - 1.11 I
Notar as to �`xl - • .
My Commission E ;i•.
** *
FEES: PERMIT
APPROVED:
riLitivii 1 ArrL1L,A 1VIN r VK IV11A1v11 J1 V ILLA
Job. Address 3W !V f /D S9-
Lessee / Tenant —L f c. f r _ 1-
Owner Address 34 ( Of„ Oa
Contracting Co.
Qualifier L Jr . [fl Q( SS#
State # U it .4'& Municipal t' Competency
Architect /Engineer Address •
Bonding Company Address
Mortgagor Address
MECHANICAL ROOFING PAVING PENCE SIGN
Permit Type(circle e): BUILDING ELECTRICAL
Square Pt. Estimated Cost(value)
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 APPIDAVIT: 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.
f owner and /or Condo President
Zoning
Mechanical
P. r c ex
Phone305.. - 345 3
Address C ( F l q q f ( [ . alk/
- i 40%4 Phone 5' O U 7- kOr
1i6eL&3 Ins.Co. DIalc
.act r or
: , ' gpg1+-ANN M.SH
= Notary FhiLic -State of Florid
AV m 6
My Corr Oct p'
•� _• * Co • = . # CC953522
Notary
My Comm
* * *
RADON C.C.F. a 40
Fire
Buildin
Plumbin
Tax Folio / I.) PO &O 35r) 80
Master Permit #
c;oo . o
ntractor or Owner Builder
NOTARY e)'r TOTAL DUE'
ilder
*
Other
Electrical
Engineering_
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
_
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTCRS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
_
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
'HEATER -NEW INST.
GENERATORS TRANSFORMERS
.
HEATER- REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER •
SIGN TIME CLOCK
-
UTILITY -WATER
FIXTLPES
SEPTIC TANK
ANTENNA -•
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP R. ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA.DRAIN
ROOF INLET
S1 WATER HEATER
i
FIRE STANDPIPE
'OOL PIPING
Al _N SPRINKLER SYSTEM
3AS RANGE
AETER SET (GAS)
AS PIPING
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ELECTRICAL
MECHANICAL
BUILDING
ELECTRrAL
PLUMBING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE
ERMIT N° 6403
Contractor's o �4 ,
ense No. aC/
a
Wok to be performed under this Permit - ' r' ‘2.0/
Architect
Contractor
(
or Qi Builder L
Legal Lot V
Description
Address of
Building
Subdi-
vision
Value of
Project
This permit is gr." ted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation 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 o the or ances and
regulations pertaining to the work covered hereby whether shown on the plans Or dr wings or in tat men or specifications and t ss es respon-
�
sibility for work done by his agents, servants or employees.
?// ��
By ■
{ . % INSPE R
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with -all, ordinances an egla ions
pertaining thereto and in strict conformity with the plans, drawings, st4ternents or specifications submitted to the proper authorities of Miami Sho es
In accepting this permit I assume responsib it for all work one by eith`ti_myse my agent, servi or employee.
•
/5 , ,
CONTRA TOR OR BUILDER
AUTHORITY
1946
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 Mrs_.__ E_.___PEt_er_$ No Street
Registered Architect and /or Engineer
Employing Plumber's Name G • ' C . M QC aug_ h.an No
Location and Legal Description Lot ,e, & £ ___ -.9 Block 37
Street and Number where work is to be performed —No 349
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile
Nature of Water Supply: City —Well. Size of Soakage Pit
Dist. Feet of Tank or Drain Field from Well
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.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
J
( Signed)
Date April ___14_,- __- 19-48
Street
Miami ShQr_Qa
Subdivision
Street 11? • 1 -0211k fit* r
Repairs No. of Stories
( Signed) 4 ) I C __�L��Gi,�. _
Master Plumber.
to me well known, and who, being by me first duly sworn, upon path 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
O , / 'AI
TOTAL
FIXTURES
CONTR.
LIST
/
/
/
/
/
/
/
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
Siff ,-
CONTR.
LIST
IST
CHECK
Permit No.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address Mrs_.__ E_.___PEt_er_$ No Street
Registered Architect and /or Engineer
Employing Plumber's Name G • ' C . M QC aug_ h.an No
Location and Legal Description Lot ,e, & £ ___ -.9 Block 37
Street and Number where work is to be performed —No 349
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Size Septic Tank Type of Tank Capacity Gals
Feet of Drain Tile
Nature of Water Supply: City —Well. Size of Soakage Pit
Dist. Feet of Tank or Drain Field from Well
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.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
J
( Signed)
Date April ___14_,- __- 19-48
Street
Miami ShQr_Qa
Subdivision
Street 11? • 1 -0211k fit* r
Repairs No. of Stories
( Signed) 4 ) I C __�L��Gi,�. _
Master Plumber.
to me well known, and who, being by me first duly sworn, upon path 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.
P o