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465 NE 102 StPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 6-15-93 Job Add 465 465 NE 102 02 STREET Tax Folio �/ 40 9 / 7 ' /7 Legal Description c4e . s i o'`" 9a- 0 Owner / Lessee / Tenant HADERE Master Permit it5 0 Owner's Address 465 NE 102 STREET, MIAMI SHORES 3313 Phone 756 -5520 Contracting Co. NORTH DADE SEPTIC TAN Address 800 NW 111 STREET Qualifier DENNIS NEVILLE SS# Phone 754 -3375 State # 025836 -8 Municipal Of Competency # 12842 Ins.Co. TRAVELLERS Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION INSTALL DRAINFIELD Square Ft. 300 Estimated Cost(value) j P45 ✓� 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 t all work will be done in compliance with all applicable laws regulating co - fiction and zo Furthermore, I authorize the above -named contractor to do the work stated et Signature o er and/or President' Si : of Con actor o Date �C\ Dat - : (p- 15 -93 ii No as to OwnnO: /o. Condo President My Commission Ic, S • TE OF FLORIDA AT LARGL MY COMMISSION EXPIR2S 2L'Xr 19, 19)5 BONDED THRU IIIKICL L 2:Y K ASSt;CL VI $ ** * * * * * * * Owner- Builder nor y as to C. •• = c •r or Owner= Builder My Commission s ires: NOTARY PUBLIC; STATE OF FLOLttDA AT LAMA MY COMMISSION EXPIRES .!UNE 1 ?, 1Q)5 * * .BRNDED THIVIIUCKLE•iEILc'Y *S C•:.Tr* ** TOTAL DUE ,1 1 FEES: PERMIT SAO RADON C.C.F. ,.6 NOTARY APPROVED: Fire Other Zoning Buildin: Electrical Mechanical umbin: ' `' 5Pgineering Permit No 9r( _ _ _ Date Aug. 3 1959 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 HA)(It.__FQ1LBSS No._165 NE_ 102nd - Street Registered Architect and /or Engineer ______ _...__---- �_------ - - - - -- Employing Plumber's Name BxQQ)k_Sgrinkler Co. _ —_ _-_ - -__ N 880 NW 54th Street-._ -_ .__ __ Location and Legal Description Lot____.. _ ._____ _ __________ Block Street and Number where work is to be performed —No 116K NF 1Q2ii St. Street State work to be performed and purpose of building (By Floors)__---- _51?rinkler system & 211 well New Building ____ Remodeling_____ ___.____ Addition_______ — Repairs No. of Stories. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING :" ikMIT Type of Tank Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit Amount of Permit $ 8 ----- _— ____ -- — -- (Signed )_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and a :. is his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Fl • da Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- . . actors 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 ork 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. ( Signed). Subdivision.. ---... .---- --- __ - • -- Capacity Gals 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 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 SHOWLRS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKI NG FOUNT TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONK. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•O POOL CONTR. LIST nix CHECK Permit No 9r( _ _ _ Date Aug. 3 1959 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 HA)(It.__FQ1LBSS No._165 NE_ 102nd - Street Registered Architect and /or Engineer ______ _...__---- �_------ - - - - -- Employing Plumber's Name BxQQ)k_Sgrinkler Co. _ —_ _-_ - -__ N 880 NW 54th Street-._ -_ .__ __ Location and Legal Description Lot____.. _ ._____ _ __________ Block Street and Number where work is to be performed —No 116K NF 1Q2ii St. Street State work to be performed and purpose of building (By Floors)__---- _51?rinkler system & 211 well New Building ____ Remodeling_____ ___.____ Addition_______ — Repairs No. of Stories. Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING :" ikMIT Type of Tank Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit Amount of Permit $ 8 ----- _— ____ -- — -- (Signed )_ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and a :. is his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Fl • da Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- . . actors 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 ork 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. ( Signed). Subdivision.. ---... .---- --- __ - • -- Capacity Gals 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 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. BUILDING ELECTRICAL PLUMBING ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot r' 1 PERMIT N? 8102 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. v Work to be performed under this Permit [ ' 0'444 • *. Bl. 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, gh knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements of specific tions and that he assumes responsibility for work done by his agents, servants or employees. NSPECTOR 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. Signed Subdi- vision BY FLORIDA DATE 195 Contractor's License No Sq. Ft Value of Project $ Amt. of Permit $ 7/ AUTHORITY f ► • BY 17 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. Permit No Si o Owner's Name and Address Nature of Water Supply: City -Well Employing Plumber's Name Location and Legal Description Lot. ___..__ Street and Number where work is to be performed -No Registered Architect and /or Engineer___________ MIAMI SHORES VILLAGE' PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING "'`;a%MlT State work to be performed and purpose of building (By Floors)_ _.____._._ New Building � .--• - --- Remodeling-------- -- ---- _--- ____ -_ Addition No Feet of Drain Tile 3 _Dist. Feet of Tank or Drain Field from Well No._ ii‘ ` - r ___ Street Block o-o Amount of Permit - -- --------------------- - - - - -- - -- ( Signed)_ - at - = H Rol A2 r--. (Signed) Date • 3 Street. ______ -� Subdivision. Street Repairs No. of Stories Size Septic Tank 7 ° ° - - - -- - - - - -- -Type of Tank_ / e-1 __ ^^ '- Capacity Gals 7o 0 Size of Soakage Pit 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. My Commission Expires Notary Public, State of Florida / 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. 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 SHOWER/ LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS U RINALS 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 $WIM'O POOL CONTR. LIST - CHECK 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. Permit No Si o Owner's Name and Address Nature of Water Supply: City -Well Employing Plumber's Name Location and Legal Description Lot. ___..__ Street and Number where work is to be performed -No Registered Architect and /or Engineer___________ MIAMI SHORES VILLAGE' PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING "'`;a%MlT State work to be performed and purpose of building (By Floors)_ _.____._._ New Building � .--• - --- Remodeling-------- -- ---- _--- ____ -_ Addition No Feet of Drain Tile 3 _Dist. Feet of Tank or Drain Field from Well No._ ii‘ ` - r ___ Street Block o-o Amount of Permit - -- --------------------- - - - - -- - -- ( Signed)_ - at - = H Rol A2 r--. (Signed) Date • 3 Street. ______ -� Subdivision. Street Repairs No. of Stories Size Septic Tank 7 ° ° - - - -- - - - - -- -Type of Tank_ / e-1 __ ^^ '- Capacity Gals 7o 0 Size of Soakage Pit 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. My Commission Expires Notary Public, State of Florida / 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. 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.