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520 NE 102 St (2)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address 3 n � � / 0 2, /St • Tax Folio /1 #04? (1 /o6a 9. Legal Description �C Iaster Permit # ��‘os r / Lessee / Tenant I,J4 /Lk (S■✓ W J L, SO" Owner's Address Contracting Co. Qualifier 0t'P/j/Q ,de"� SS# , phone 4 ` L: 76 i State# go? Competency# 000 9/0/6,G Ins. Co. 'Mite/ astt4 Architect /Engineer Address � Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION t-{JJ' Square Ft. 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. 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 state Signature of Owner and /or Condo President I e:/hay/. a Notary as to Owner and /or Condo President My Commission Expires: Ver4 ,- 6vf - //1 4I PU lJC STATEAF FLORIDAk APPROV• COMMISSION EXPIRES 5/09/94 4 o nded thru Stembler•Adams &Wet PERMIT FEE: ,So Zoning Building Mechanical phone Address S T 70 /t.)' `-v (� �` Estimated Cost Z .2--° Signature of Contracto for Owner - Builder Date: sI /a na `Jiiiii Notary as t Contr. ?' �s My Commission Expir .c * * * Other Electrical SONDRA,JONES • @d1ns. Co. CC173248 * * * STATE OF FLORIDA - DEPARTMENT OF HEALTH ANU REHABILITATIVE 8EHVlt.ts APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM - CONSTRUCTION PERMIT Building Permit 0: & Chapter 10D -6, F.A.C. Application /Permit Number: el -/:5113 Date Application Received: f is /9 Fee Amount Paid: a • e- a Authority: Chapter 381, F.S. Application Is For: New System [ J Repair [1/r Receipt t: Jr/ ff1.e1/ Existing System [. ] Experimental System [ ]' (Temporary) [ ] Tank Abandonment [ ] Holding Tank [ ] Other (Specify) 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 BY AP APPIIICAPTi J Owner: P1241 OA/ ��S Telephone: (Work) • (Home)75-e- E)S'O o 1 2 Sf Cit M •.6 tats :R /1 Zip: Owner's Mailing Address: L ��� 0 Y� Owner's Agent: (1,) /J 1 LO Telephone (W) c..6 '2 7 ' ((H) Agent's Mailing Address: 57q70 / ) •Q 4J 1 city: `l'Qrn/ State:/ ; P Zip:.. / LC Property Street Address: ,k L N).' / Exact Directions to Property: l !� L DCrC w as I / - J r' 4 4.1i Lot 0 Block 0 Unit Date Subdivided Section: Township: Property Size: Square Feet /Acres Public [te<Jimited Use [ ] Water Supply: Private [ ] • Is Sanitary Sewer Available Is Public Water Available: Ranges Type of Establis 0 of Units Commercial/ esident 1 (circle Applicant'S Signature: ■..5.-; PP 9 Parcel 0: Zoning Designation: Yes [ ] No [ t(If $o, approximate the distance to the sewer line closest to your property: Yes [ ] No [ ] If No, approximate the distance to the water line closest to your property: BUILDING INFORMATION Building 0 of Persons 0 of Seats Hours of Area (sq„ft) Operation & 0 of Bedrooms 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 /OR 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. Date : . /n A Permit No.___32 Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot____ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. No..1 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subn{itted for l (he 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 pl,s and specification smyst be kept at building during progress of work. • Re 411 CS Street_ Q Street__ Subdivision Street Street and Number where work is to be performed— No._kr_st e State work to be performed and purpose of building (By Floors)___. New Building S___ _ -- Remodeling____ _W_____ Addition._____ ........ Repairs No. of Stories. _ ............... Size Septic Tank____ Feet of Drain Tile S Nature of Water Supply: Amount of Permit $_ 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 5968, 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, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Well Type of Tank___ V B _ Capacity Gals _Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit ( Signed) _ (Sign Plumb -Inspector. Master Plumber. 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 worbanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N6 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER ONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK n - ... Ia Q IV- A L' AN , A a /I /f, /Y o Permit No.___32 Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot____ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. No..1 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subn{itted for l (he 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 pl,s and specification smyst be kept at building during progress of work. • Re 411 CS Street_ Q Street__ Subdivision Street Street and Number where work is to be performed— No._kr_st e State work to be performed and purpose of building (By Floors)___. New Building S___ _ -- Remodeling____ _W_____ Addition._____ ........ Repairs No. of Stories. _ ............... Size Septic Tank____ Feet of Drain Tile S Nature of Water Supply: Amount of Permit $_ 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 5968, 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, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Well Type of Tank___ V B _ Capacity Gals _Dist. Feet of Tank or Drain Field from Well __Size of Soakage Pit ( Signed) _ (Sign Plumb -Inspector. Master Plumber. 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 worbanship.