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574 NE 102 St (11)Date ' Job Address PERMIT APPLICATION FOR MIAMI SHORES VILLAGE „-6577 Legal Desc ription Historically Designated: Yes No 3 Owner/Lessee / Tenant P R '7 .5" ix �-nt. Master Permit # (7 �j.Q , 2 D Owner's Address ,...4 y • Al £ / a 7 3 Phon( °J / '7,4 - 7-- , Ste, 375 Contracting Co. F - ' , - , - 4 Li-- /f.A'he: _./2 /VF . Address 7e ,7V iii /6 9 7 R 'i Q„alifier /9EA'F / V7fi> 7 SS# Phone S7c 7i9 / State # r //9' Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /(i i Z� of 4- � i9li Z fl /5 di' / Alm. 2 /I/ i7? ('.r rai>� f d; Awn. e 4 ,g-�v ii.= 2 1 fe Ru la 12_ �.e/),�Grr 0; ,c, . Square Ft. /J Estimated Cost (value) 4 k" ' . ` — 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 abo actor to do the work st ed. ff-r. e FEES: PERMIT 3 RADON 1 ,22 S7 'Tax Folio ignature o Owner and/or Condo President 1 ate Notary as to Owner and/or ondo President ate Notary'as to Contractor or Owner- My Commission ° My Commission Expires: uilder Date APPROVED: Zoning Building Electrical t Mechanical Plumbing Engineering C.C.F. NOTARY TOTAL DUE 'k Date Job Address ' 7'1`" Al ( !(0 ,5'fYet flax Folio fr' ?2O6 ^O/1" /c) 3 G' Legs Description MiCini i Shores .eii.1-, *,'" I3 414 9•S i; 1q ifc( Ow ner / Lessee / Tenant .5 (4 S e m ri- w- Master Permit # 3C77\ Owner's Address Contracting Co. „� / / Phone Qualifier C�S(_� 4 � �� ss# State # CCSic Municipal # A w7Competency 4fr !t Ins.Co Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRI •L PLUMBING MECHANICAL ROOFIN PAVING FENCE SIGN WORK ( 1) PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Square Ft. 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 permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and ME OWNER'S AFFIDAVIT: I certify that all the foregoing information is ac ate and that all work will be done in compliance with all applicable laws regulating cons n and zoning Furthermore, I authorize the abo e-named contractor to do the work stated. Si•.nature •f owner and /o Condo President • Da t : � - �� r1e as C7,/e9 . 1t 4 Phone 2S tS (7 C) Address /224/0/Y /LC/' / (7X4 N•tary as to ' er and /or Condo Pr side My pires: y ** * * * * \Obi PU6 *OFFICIAL* NOTARY*SEAL o (, MA ISABEL C DOS REMECfOS FEES: PERMIT ? i 1 . * , 4. COMMISSLo N1$ NUMBER , � , 7f �0 PAY COMMISSION EX P. APPROVED: `no fr o APR. 9r .,,.., Zoning Buildin Mechanical Plumbin separate Notary ash= t,otactor. or..Owner- Builder NOTARY TOTAL DUE J egr 0 Other Electrical Engineering i MIAMI- SHORES VILLAGE, FLA. No JOB r , r 6026 ADDRESS , t- C7 si /I- c= . _ f ' yo z, `� ir INSPECTION c� t7;7 1 , TIME READ vz / . Cam°- ( 7 - f REMARKS • INSPECTOR DATE MIAMI SHORES VILLAGE, FLA. N 59411 JOB ADDRESS 5 7 /k d /07-540% INSPECTION 6J �- TIME READY 4 REMARKS • INSPECTOR DATE BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA ❑ DATE . " Zs • ‘\ii; 19 PERMIT 5 2 3 8 Contractor's a License No. to rte. ❑ Work to be performed under this Permit r Owner of Building 041 t:- Hrri t 1 7. Architect Contractor or Builder 'Weir IN wogs. r P1-44-" drtt i>, Legal Lot Description II Bl J Subdi- vision Address of r Value of 1 Amount of Building •� f f f e , f ��.� - ✓ Project $ Permit $ > J 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance w,i i 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 ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER CO 1 I BY AUTHORITY ABBOT ktpi* BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ...., r ► 3 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA 0 ❑ PERMIT N? 5319 Work to be performed under this Permit Architect Contractor or Builder ; E I Legal Lot II Subdi_ Description Bl vision Address of , Value of II Amount of Building f" x ,, I Project $ 11 Permit $ t 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed- INSPECTOR 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employed. DATE 19 Contractor's License No. BY AUTHORITY ABBOT L I 1ST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No... %,5 7 . 23 H ate. -.. - - - - -L? — 6 Y 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 .a6Ths..l1i. Registered Architect and /or -----.-_--• /fJ Location and Legal Description Block 9 n-- —1 Street and Number where work is to be performed—No ...,„t_74. • street I 0 No. Street. State work to be performed and purpose of building (By Floors)_________ ... ___ --_-----_.__.--_-- New Building 1! Remodeling____ _____ Addition. -._ Repairs No. of Stories. Size Septic Tank Feet of Drain Tile Nature of Water Suppl Amount of Permit $ °2 • B (Signed) _ STATE OF FLORIDA, COUNTY OF DADE. Type of Tank —Dist. Feet of Tank or Drain Field from Well --------- -___ -- __ - -- - Size of Soakage Pit ( 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 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. Aos,,9 Master Plumber. 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. Notary Public, State of Florida My Commission,Ezpires NOTE: A re- inspection fee of it will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship: / CLOSETS B BATH L SHOWERS S LAVA. S SINKS SLOP L LAUNDRY U URINALS C CATCH F FLOOR D DRINKING , ,,,`M T TOTAL CONTR. - - / I - _ _ / / I CHECK SEPTIC S SEWER D DRAIN S SOAKAGE G GREASE s slpiYb D DEEP S SPRKLR. S SWIM'G CONTR. - l� -_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No... %,5 7 . 23 H ate. -.. - - - - -L? — 6 Y 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 .a6Ths..l1i. Registered Architect and /or -----.-_--• /fJ Location and Legal Description Block 9 n-- —1 Street and Number where work is to be performed—No ...,„t_74. • street I 0 No. Street. State work to be performed and purpose of building (By Floors)_________ ... ___ --_-----_.__.--_-- New Building 1! Remodeling____ _____ Addition. -._ Repairs No. of Stories. Size Septic Tank Feet of Drain Tile Nature of Water Suppl Amount of Permit $ °2 • B (Signed) _ STATE OF FLORIDA, COUNTY OF DADE. Type of Tank —Dist. Feet of Tank or Drain Field from Well --------- -___ -- __ - -- - Size of Soakage Pit ( 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 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. Aos,,9 Master Plumber. 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. Notary Public, State of Florida My Commission,Ezpires NOTE: A re- inspection fee of it will be made when such re- inspection is made•neoessary by improper notice for inspection, or faulty materials and /or workmanship: / MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT aymaltNo.__.sr.._4__. _ ff ' 1 /60 9 f 2 J- 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 __ ` L �+ Ul?�--- G�7.2?_L G�-------- ••-- - -• - - -- No. - ` - - -- - - - -__ Street _1.1/.. - - -1 _Q 2 - s / �� Registered Architect and /or Engi eer__-_____ —__-_ _- �� Employing Plumber's Name.--- ___�IJ No.......... Street./ . -S/ Location and Legal Description Lot _____.________..__ ______ Bloek____Q _ ______ -_____ Subdivision Street and Number where work is to be performed -No . 7 9 �- Str /) 2 5 7 State work to be performed and purpose of building (By Floors)____________ New Building . Remodeling_ __ -_ __ Addition_ Repairs Size Septic Tank Feet of Drain Tile_______- - _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well . Date Type of Tank__ Capacity Gals. ......... - ••- ._____. -.Size of Soakage Pit No. of Stories. My Commission Expires Notary Public, State of Florida 0 Amount of Permit $ D d ___ - - -- - -- (Signed )- - - - W- __ r , --------- umbmg Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligationp"s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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 requires£ 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. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. 1 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 Tues SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tung URINALS I AS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N6 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL LIST - CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT aymaltNo.__.sr.._4__. _ ff ' 1 /60 9 f 2 J- 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 __ ` L �+ Ul?�--- G�7.2?_L G�-------- ••-- - -• - - -- No. - ` - - -- - - - -__ Street _1.1/.. - - -1 _Q 2 - s / �� Registered Architect and /or Engi eer__-_____ —__-_ _- �� Employing Plumber's Name.--- ___�IJ No.......... Street./ . -S/ Location and Legal Description Lot _____.________..__ ______ Bloek____Q _ ______ -_____ Subdivision Street and Number where work is to be performed -No . 7 9 �- Str /) 2 5 7 State work to be performed and purpose of building (By Floors)____________ New Building . Remodeling_ __ -_ __ Addition_ Repairs Size Septic Tank Feet of Drain Tile_______- - _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City -Well . Date Type of Tank__ Capacity Gals. ......... - ••- ._____. -.Size of Soakage Pit No. of Stories. My Commission Expires Notary Public, State of Florida 0 Amount of Permit $ D d ___ - - -- - -- (Signed )- - - - W- __ r , --------- umbmg Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligationp"s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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 requires£ 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. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. 1 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.