Loading...
584 NE 102 StPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date 7 -05 -91 Job Address 584 NE 102 STREET Tax Folior/ �/` o O 1 ,7 /e ( Master Permit # /&d Legal Description Owner / Lessee / Tenant Owner's Address l AmmmP a S zIseig THOMAS LAUBENTHAL 584 NE 102 STREET, MIAMI 33138 Phone 751 -6118 Contracting Co. NORTH DADE SEPTIC TANK Qualifier DENNIS NEVILLE Phone 754 -3375 State# Competency1 12842 Ins.Co. WAUSAU Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION INSTALL DRAINFIELD Address 800 NW 111 STREET, MIAMI 33168 Square Ft. g n Estimated Cost 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 1 regulating construction and zoning. Furthermore authorize t•e above -named contractor o do th work gr o and /or Condo President No I ry a to Owner and /or Condo President My ;omission Expires: Fire Building ate: ture df /Contract : or or ner- Bu ilder PERMIT FEE: _ Zoning Mechanical Plumbing 3 V -py J ti Nijtary' as to Contractor or Owner - Builder Commission Expires: * * * * * * * Other Electrical /lineering BUILDING ELECTRICAL PLUMBING Architect Gi o : ,, Contractor .. or Builder i - Legal Lot Bl. f Description Address of Building / / ` 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 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. Signed• L By 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 regula- tions 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 pe y t' I assume responsibility for all work done by either myself, my agent, servant or employee. Owner of Building Work to be performed under this Permit rCON BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N9 3883 Subdi- vision Value of Project • : of �G:,i�!p• Surd is ki.,9 vei rtt!! Contractor's ' License No. / Amt. of Permit % BY AUTHORITY I' !at, Size Septic Tank_-.._____.- - - - - -- Feet of Drain Tile.0 Nature of Water Supply: City—Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)._ The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e performed under this permit; and will post or cause to be posted for inspection on the of the required by the Act. The undersigned agrees to employ only such sub- contractors, on ork licensed by Miami Shores Village. (Signed)._ ct Date... . ........ . rk Avpi:cation is hereby roan.; 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_I441J C4 Lg.- + - -_ --- -.1-- --_ -_ - - -- No.J_-i�l-_g - 3lT.r1G / 37 Registered Architect and /or Engineer --- -_.__- - - - -` _----- - - - - -_ _- - - - -- --- - - -. -- Employing Plumber's Name-_MPI(1G f � No. Location and Legal Description Lot. --___.._.... Block_ Street and Number where work is to be performed —No . �� Street State work to be performed and purpose of building (By Floors) New Building- _--- __ -_._ _ -- Remodeling . -- _ ___ Addition. . - -._ .-- ___ -._ -- Repairs No. of Stories Subdivision Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals Plumbing Inspector. s as an employer of labor Supplement, and has corn - oyed by him in the work to be such publi e pert 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 notice or notices as are der this permit, as are Master Plumber. STATE OF FLORIDA, �. COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 SHOWER• LAVA TORIES SINKS SLOP SINKS LAUNDRY Tue6 URINALS 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 SW IM'G POOL CONTR. LIT CHECK I' !at, Size Septic Tank_-.._____.- - - - - -- Feet of Drain Tile.0 Nature of Water Supply: City—Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed)._ The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penn plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e performed under this permit; and will post or cause to be posted for inspection on the of the required by the Act. The undersigned agrees to employ only such sub- contractors, on ork licensed by Miami Shores Village. (Signed)._ ct Date... . ........ . rk Avpi:cation is hereby roan.; 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_I441J C4 Lg.- + - -_ --- -.1-- --_ -_ - - -- No.J_-i�l-_g - 3lT.r1G / 37 Registered Architect and /or Engineer --- -_.__- - - - -` _----- - - - - -_ _- - - - -- --- - - -. -- Employing Plumber's Name-_MPI(1G f � No. Location and Legal Description Lot. --___.._.... Block_ Street and Number where work is to be performed —No . �� Street State work to be performed and purpose of building (By Floors) New Building- _--- __ -_._ _ -- Remodeling . -- _ ___ Addition. . - -._ .-- ___ -._ -- Repairs No. of Stories Subdivision Type of Tank Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Capacity Gals Plumbing Inspector. s as an employer of labor Supplement, and has corn - oyed by him in the work to be such publi e pert 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 notice or notices as are der this permit, as are Master Plumber. STATE OF FLORIDA, �. COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. Owner of ` Building `-V ..k) • Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 1" ! ' ' S Z 195 ELECTRICAL ❑ PERMIT iN? 12652 contractors PLUMBING ( License No ROOFING ❑ Work to be performed under this Permit ,n ?.; q., I L.)4 Bl. } Subdi- vision Value of Project $ i Amt. 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 tune 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. Signed , y 1 , " " "" BY .. •' . _l" _ �:'"'"' -- INSPECTOR In consideration of the issuance to me of this permit I agree to pert si1i 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 1 assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ( v .4 Permit No. ____ ) ; - Date 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address __. - - t� Registered Architect and /or Engineer Employing Plumber's Name, V (/ Subdivision Street and Number where work is to be performed—No-2-1 ‘.1d d ' _ --_. Street State work to be performed and purpose of building (By Floors) Location and Legal Description Lot Amount of Permit $ Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block (Signed) (Signed)._ No Street e R ( ' Street ' �% • 2' New Building Remodeling Addition Repairs - No. of Stories Size Septic Tank Type of Tank___ Capacity Gals. Feet of Drain Tile ��c� f Dist. Feet of Tank or Drain Field from WeIL .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 arc licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fac therein by him stated are true. My Commission Expires 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 flail materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tints URINALS URINALS CATCH FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTUREI -- CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. ____ ) ; - Date 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address __. - - t� Registered Architect and /or Engineer Employing Plumber's Name, V (/ Subdivision Street and Number where work is to be performed—No-2-1 ‘.1d d ' _ --_. Street State work to be performed and purpose of building (By Floors) Location and Legal Description Lot Amount of Permit $ Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block (Signed) (Signed)._ No Street e R ( ' Street ' �% • 2' New Building Remodeling Addition Repairs - No. of Stories Size Septic Tank Type of Tank___ Capacity Gals. Feet of Drain Tile ��c� f Dist. Feet of Tank or Drain Field from WeIL .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 arc licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fac therein by him stated are true. My Commission Expires 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 flail materials and /or workmanship.