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400 NE 102 St (7)Signature of Dat • APPROVED: , PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date 7/0,7. Job Address Legal Description /oc Owner / Lessee / Tenant er /or Condo President Signature of Co Da • Nota C a s Ito C=.gner .and` /or=Condo President My Co �� �� seonvBxgire's: NOTARY PUBLIC, -STATE OF FLORIDA. " EXPIRES: April 16, 1995. .BONDED TIUIU:NOTARY PUBLIC UNDERWRITER& • ** * *, -.* FEES: PERMIT -5P, B 0 RADON Zoning Mechanical «00 4 „24, 4" /D Z. ST Tax Folio/ fo ',57~2r /Rmvoe Master Permit #70 Owner's Address SL6o ,U8' /6.2. Sr Phone 7S - Gr2,9 Contracting Co PI /f tS /le 56' ie_j Address /O R0 / - j je Qualifier &1L (! G1 /i/O f f Phone 6 - / 9'/ F State 1! Municipal # Competency # 000 % e903 ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Permit Type(circle one): BUILDING ELECTRICAL MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION 3 O 0 0 , t h f4 V Building Address Square Ft. Estimated Cost(value) A 2400, 4 4 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. Not My NOTARY PUBLIC,'STATE OF FLORIDA. MY COMMISSION E$I'IRES: April 16, 1595. * * kONDED TI tU NOTAR*PUDLIC UI DERWRITI S. ** * C.C.F. NOTARY TOTAL DUE © Fire Other lumbin & ractor or Owner- Builder r• as to Contractor pr Owner Builder omission Expiros;. Electrical ngineering • Building Permit #: Application /Permit Number: q Application Is For: New System [ ] Repa' [ Date Application Received: 60/3 0� _ Existing System [experimental System [ ] (Temporary) [ ] Tank Abandonment [ ] Amount Paid:$ �D Holding Tank [ ] Other (Specify): c� Receipt #: ( /' / d!) NOTE: PERMITS EXPIRE ONE YEAR FROM DATE OF ISSUANCE AND ARE NOT RENEWABLE. REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM DATE OF ISSUANCE. APPROVAL OF A SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR A SPECIFIC PERIOD OF TIME. TO BE COMPLETED B APPLICANT :, Owner: �� Telephone: (Work) (Home) 7,1-dS.29 Owner's Mailing Address: 440 0 A)6 / 0 , , . sr City: /9/4.9Y State : F . Zip: .1.1/.1 f Owner's Agent: 42i471rL �1a� /4 'We Telephone (W) J V 7`9D6 / (H) Agent's Mailing Address: 7(9' S a'x'%',u7 '41i2 City: /1/1",/ State: A Zip: i' Property Street Address: '/00 ,Jg /oa_ s Authority: Chapter 381, F.S. & Chapter 10D -6, F.A.C. Exact Directions to Property: TMENT OF HEALTH AND REHABILITATIVE SERVICES _�,.ic�t2TON FOR ONSITE SEWAGE DISPOSAL SYSTEM - CONSTRUCTION PERMIT Lot # Block # Subdivision Unit Date Subdivided Section: Township: Range: Parcel #: Zoning Designation: Property Size: Square Feet /Acres Water Supply: Private [ ] Public [ ] Limited Use [ ] Is Sanitary Sewer Available: Yes [ ] No [ ] If No, approximate the distance to the sewer line closest to your property: Is Public Water Available: Yes [ ] No [ ] If No, approximate the distance to the water line closest to your property: BUILDING INFORMATION Type of Establishm # of Units Building # of Persons # of Seats Hours of Commercial Residentia Area (sq ft) Operation (circle & # of Bedrooms S, Fes'• 2 Plumbing Fixtures: Garbage Grinders /Disposals _ Spas /Hot Tubs _ Floor /Equip. Drains _ Ultra -low Volume Flush Toilets Other BUILDING PLANS MUST BE ATTACHED SHOWING OFFICES, BEDROOMS, TOTAL BUILDING AREA, AND ANY PERTINENT FEATURES REQUIRED BY CHAPTER 10D -6, F.A.C. IN ADDITION, A DETAILED SITE PLAN AND /O SURVEY, DRAWN TO SCALE, MUST BE ATTACHED SHOWING PROPERTY DIMENSIONS, BUILDING LOCATIONS, AND PERTINENT FEATURES REQUIRED TO BE SUBMITTED PER CHAPTER 10D -6.046 F.A.C. Applicant'S Signature: gc Date: Permit No .77 — 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 wor Owners Name and Address a .. -, / No. 0 Registered Architect and /or Engineer Emp1 ing Plumbe N Location and Legal Description k Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)__..___..._ New Building. _ _ _.__ _ .. Remodeling _______ Addition..._.._ Size Septic Tank_ Feet of Drain Tile. _Type of Tanis _Dist. Feet of Tank or Drain Field from Well. -_ -- Nature of Water Supply: City—Weil. Size of Soakage Pit. Amount of Permit 8 /95 - 3 STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract performed under this permit; and will post or cause to be posted' for inspection on the site of the wo required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be licensed by Miami Shores Village. str lock Subdivision (Signed) Repairs No. of Stories. _Capacity Gals...-.. Plumbing Inspector. tions as an employer of labor ent Supplement, and has com- nployed by him in the work to be such public notice or notices as are per orm . under this permit, as are Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac]mowledgments, 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. materials end/ r wo ilmsanahipee of 81.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty CLOSETS BATH TUBE SHOWBR{ LAVA. TORIES SINKS SLOP SINK{ LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURE{ CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM BWIM•O POOL CONTR. LIST I CHECK �— Permit No .77 — 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 wor Owners Name and Address a .. -, / No. 0 Registered Architect and /or Engineer Emp1 ing Plumbe N Location and Legal Description k Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)__..___..._ New Building. _ _ _.__ _ .. Remodeling _______ Addition..._.._ Size Septic Tank_ Feet of Drain Tile. _Type of Tanis _Dist. Feet of Tank or Drain Field from Well. -_ -- Nature of Water Supply: City—Weil. Size of Soakage Pit. Amount of Permit 8 /95 - 3 STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT The undersigned applicant for this building permit does hereby certify that he understands and accepts his under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract performed under this permit; and will post or cause to be posted' for inspection on the site of the wo required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be licensed by Miami Shores Village. str lock Subdivision (Signed) Repairs No. of Stories. _Capacity Gals...-.. Plumbing Inspector. tions as an employer of labor ent Supplement, and has com- nployed by him in the work to be such public notice or notices as are per orm . under this permit, as are Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac]mowledgments, 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. materials end/ r wo ilmsanahipee of 81.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty .....,.■..... Ci.clerrs BATH TUBS SHOWERS LAVA. T SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH Ems p N FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES COWL LIST CHECK iL ............ SEPTIC TANK SEWER CONN. DRAIN INKLo SOAKAGE INT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLN. SYSTEM SW I M '0 POOL Copal's. LIST CHICK Pec:Ait Nu. Application is hereby nde for the approval of the detailed statement of the plans structure herein described. This application is made in compliance and conformity and all provisions of e Laws of the State of Florida, all ordinances of Miami Sh of Miami Shores Vijlage shall be complied with, whether herein specified or building during pr ess of work. A e hei e Owner's Name an Address_ . Registered Archit and/or Engineer__ New Building.. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT JO MIAMI SHORES VILLAGE No— A i" _Pe Street...L/1P es an • • • o of approved plans and specifica Size Septic of Tank__ Feet of Drain Tile._.— __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well.____ .... of Soakage Pit My Commission Expires ( Signed )_ ( Signedj Date.. an • fications herewith submitted for the building or. other the Building Ordinance of Miami Shores Village, Florida, ing Division kept at Employing Plum 's Name _ No.. Location and Legal scription L Block -Subdivision. Street and Number where ork is to be ' ormenc ---------------------- ---- ....------- Street / 0 - -i: S t - State work to be performed and purpose of Remodeling Addition. Repairs No. of Stories Capacity Gals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o gations as an employer of labor under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn ent Supplement, and has com- plied with the provisions thereof, and wilt 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 syork to be perf ed u • er this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, es. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well Imown, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he bas carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Master Plumber. NOTE: A re-inspection fee of BLOB will be made when such re-inspection is made by improper notice for inspection, or faulty materials and/or worlcmanship. �j BUILDING ELECTRICAL PLUMBING ROOFING Architect Owner of Building Contractor or Builder Legal Lot Description Bl Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 5387 Work to be performed under this Permit 7", BY Subdi- vision Value of Project 1 DATE r 7 ` 195 Contractor's License No. ' Amount of Permit $ 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. o-t Signed. _ BY`:`• INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. JTHORITY 6 - MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building ❑ PERMIT N° 14994 ❑ Work to be performed under this Permit Architect Contractor or Builder _✓ Legal Lot II BI. Description. DATE $ 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. ;^•�'�+ Address of Building // Subdi- vision Value of Project $ Signed BY INSPECTOR In consideration of the issyance to me of this permit I agree to perform the work covered hereunder pertaining thereto and in st-• oriformi with the plans, drawings, statements or specifi Lions submitted to In accepting this permit I me resp sibility for all work done by either, m .e}f`. ngent, kervant op' 'e f ✓' ' / ' y��/ 7 f , !! C* OR BUILDER 1 ` t M. BY ' Contractor's License No Amt. of Permit 195 in compliance with all ordinances and regulations tlyfe proper authorities of Miami Shores Village. p�byee. AUTHORITY Permit No.. _ -.1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othcl 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 Divisior of Miami Shores Village shall be with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of wor Owner's Name and Address. - -• - •-- -------- - - -• -- No. /..-6) // Street 0 4,7_ Registered Architect and /or Engi es.-. Employing Plumber's Name :_ ..... . -._ . eke -. . No. Street Location and Legal Description Lot--- ___-_-___.__. ...... _.- ....... __ ---_ Block.-__.. --.- Street and Number where work is to be performed— No Street ..s , S State work to be performed and purpose of building (By Floors)_ New Building____.__ Remodeling Addition Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ 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 has corn - plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .ippeare 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 lac 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 hall materials and /or workmanship. 9 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Type of Tank_ . Dist. Feet of Tank or Drain Field from Well Subdivision Repairs._..__.._.._...__ __.__ No. of Stories Size of Soakage Pit ( Signed) __ (Signed)__ Date - - -- 7 ' 2� - S� Capacity Gals. Master Plumber. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tuee URINALS CATCH BABIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE, comm. LIST - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR N LATLR DEEP WELL SPRKLR. SYSTEM SWIM'O POOL - CONTR LIST CHECK . Permit No.. _ -.1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othcl 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 Divisior of Miami Shores Village shall be with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of wor Owner's Name and Address. - -• - •-- -------- - - -• -- No. /..-6) // Street 0 4,7_ Registered Architect and /or Engi es.-. Employing Plumber's Name :_ ..... . -._ . eke -. . No. Street Location and Legal Description Lot--- ___-_-___.__. ...... _.- ....... __ ---_ Block.-__.. --.- Street and Number where work is to be performed— No Street ..s , S State work to be performed and purpose of building (By Floors)_ New Building____.__ Remodeling Addition Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ 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 has corn - plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .ippeare 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 lac 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 hall materials and /or workmanship. 9 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Type of Tank_ . Dist. Feet of Tank or Drain Field from Well Subdivision Repairs._..__.._.._...__ __.__ No. of Stories Size of Soakage Pit ( Signed) __ (Signed)__ Date - - -- 7 ' 2� - S� Capacity Gals. Master Plumber.