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MECHANICAL( MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date — /' i 5h(. M Permit No. boo O"1 fl Name 4CJ Address 100 M q J Company Phone # Type Insp'n Inspection Date Approved Correct inn 411 Re- Insp'n Fee AA y eArr (yr /W New Building Remodeling To be constructed of Kind of NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of 51.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION (DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. Owner's Name and Address No./ Street Registered Architect and /or Engineer _. .... ._�, Name and address of licensed contractor ,1. �� /v Le2/2 d� Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of bui din (by floors) �� �� and for no other purpose. Addition Repairs No. of Stories foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required plan Culage Distance to next nearest building Size of E uilding Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify tha: 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, Pennanent Supplement, and has complied 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 pasted 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 ::uch subcont ors, on work t9.-be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signer G STATE OF FLORIDA, COUNTY OF DADE. J ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. Permit No 3 5 Disapproved /7 (Signed) .LA- - Buildi : Inspector 4- 1( `3 ate Date Chairman Member Member .. Council Approved Date Date to me well known, Read, Sworn to and Subscribed before me. PLANNING BOARD DATE , 19 g 7 Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Owner's Name and Address Distance to next nearest building STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved Date (Signed) __ Mo.M1 SHORES 'VILLAGE ° � � APPLICATION FOR BUILDING PERMIT °4 g 1i�io�i -0 is hereby made for the approval of the detailed statement of th ; � Pp � Y plans and specifications herewith submitted for the build - L } S . r 1 ' ilia e, Florida, and all provisions of the application is made in o awsoftheState ofFlorida. all ordinances conformity Mitnu Shoresd`il Ordinance l ru les ` �, �? 1 ' g P age and all rue and r gulations 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 kepi at building during progress of the work. Registered Architect and /or Engineer .. Name and address of licensed contractor Location and legal description of lot to be built on: Lot_. ___. Block .. ...... ... . .. BUILDING INSPECTION DI_PARTMENT Subdivision 19 " 1 : 41‘ 5/ Street and Number where work is to be done State work to be done and purpose of building (by floors)____At �-4- and for no other purpose. New Building Remodeling__ _____ Addition Repairs__ ___ ____ ____ _ ___ No of Stories To be constructed of_ __________ ___ _.. -_.. Kind of foundation -_- Roof Covering improvements $ - -___ _..._.._.. _.... . S . Amount of Permit $ D Estimated T ,tal cost of im 4 J P ---- -=�'sz.- _ Zone cubage required Plan Cubage_ Size of Building Lot Maximum live load to be borne by each floor hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint in the wail( to be p: rformed 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 requir( d by the Act. The undersigned agrees to employ only suet. subcontractors, work to be performed under this permit as are licensed by Miami Shores Village. Remarks_. ___... .. _ . (Signet; ___C' Before me, the undersigned authority, a notary public, duly authorized to ado inister oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of tlu abov, deA.1ibed . onstruction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therem by him stated are true. Permit No Date Read, Sw orn to and Subscribed before me. Votary Public, State of Florida PLANNING BOARD DATE Chairman Member Member ____ ___ Member Member __ . ___ .. Member Council Approved _ __ ..... _Date Disapproved .... . .to me well known, Building Inspector My Com: ;fission Expires_ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY // (OWNER TO RETAIN COPY) Date ) / Job Address /°62- ' /fig- Legal Description S� , 4/J% / / ` j j h ai til i nfy i e Master k Owner / Lessee / Tenant Owner 's ' Address / ( c 9 3 47 -- Contracting Co. 'p Qualifier F 1 , L p-1 0 -L State# C f" C-`) v1 6-3/ Competency# Ins. Co. Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ( MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION � ) d pro Square Ft. Estimated Cost � 4 ? WARNING TO OWNER: YOU MUST RECORD A NOTICE 0)? 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, FOOLS, ROOFING, and MECHANICAL vbrk•. OWNER'S AVFIDAVIT :, 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 zoaiag. Furthermore, I authorize the above -named contractor to do the work stated. q% 64) 2 Signatu a of 0 er and /or Condo President Date: N/ /,5 0 Zoning Not as to ° Own = aft roirtifectie &Aiw t My Commission Exp.iri 'icdmr" Pain .67:-2"D 11* * . * * * * * PERMIT FEE: APPROVED: Fire {{�� I Building eav Mechanical *" ' '` I / P bing Phone 7 S - 7 2 - Address \ © E `� 3 S ltita SSA ) - Phone 2 t b Address: Addres:i Addres:i Permit 0 Tax Folio //- 3. Ste/ y v 3 .g /S Signatu of Contr r r Owner- ilder Bu Date: � o PG�SS�44 0�0 ecn' att 2 :7 ) E226 u JUL �lJ r ^. U. e Zvi A���'c� Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * * * ,' .I ; i Electrical Engineering * STATE OF FLORIDA COUNTY OF DADE I HEREDY CERTIFY that this is a true py of ttD original filcd in thiS� rfice on day of �U A. D. 194Z.-- WITNESS my hand and Official Seal. Clerk Circ it Court VY PERMIT M Tax Folio No. ti - Z o s o s State of Florida County of Dade THE UNDERSIGNED hereby gives notice that improvement will be made to certain rea? property, and in accordance with Chapter 713, Florida Statutes, the followinc information is provided in this Notice of Commencement. 1. Description of property: (legal description of the property, and street address if i t c j e _ 3 S a available) • 1 General description of improvement: 3. Owner information: hh IIIIII// a. Name and. Address: I^k 4 )' 5 L,0 ,) b. Interest in property: c. Name and address of fee simple titleholder(if other than owner): 4. 'Contractor : (name and address) Th .Q d s 5. Surety: a. Name and Address b. Amount of bond$ 3. Lender: (name and address) 7. Persons with the State of Florida designated by. Owner upon . whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: (name and address) 0 3. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 7. Expiration date of notice of commencement (the expiration date is 1 year from • the date of recording unless a different cate is specified) . I gt4A . ))(,e (60 X , ti � � i_._, e ms ,, Sign o'f Owner :worn to and subscri before me this :otar, Public NOTICE OF COMMENCEMENT 9 1R255571 1991 JUL 25 11 :52 day of _TO �l , 1991. tgs3'a1 i ('� frlis, Stato of Florida? IC[� (•Q?id$ i3;ki1 + nrCef'�� `•' !;11 , 1994 My Commi�.sion Expires: no�d,,iT ` ,Y APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date b - 1 C°Job Address /O » c Tax Folio Legal Description / Lessee / Tenan L �N� -- I (:CJ- �X��l Master Permit # 140727 Mechanical Owner's Address fOQO N L S Contracting Co. \ '\ 0I ` u ►'j Address P &) 6R1 336 Qualifier l ?(7bQ U J C SS # Phone S FS `Y State #CACOapILINIMunicipal # Competenc;r # O Ins.Co. t o -1��" FrO Architect /Engineer Address Bonding Company Address Mortgagor Address Phone'3 . -/S6 72 7 I Permit Type(circle on : BUILDING ELECTRICAL PLUMBING I WORK _'ESCRIPTION • • �=!_ 4AA.2. fit LAtt„.,„ ) / IF4P1 I aL /4 1 i / I , p7 Square Ft. Estimated ost(value) 1 u WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROV:EMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDEF: OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do Fork 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 iiiiiitp be done in compliance with all applicable laws regulating : s tru ' •t i on ��z . ing. Furthermore, I author 'ze the above - name • actor to do the work st:at :. ` ii e 44 Ah.A .1../oLholiAt OA AUFL F er an or Condo President g Si a u e •nntrra•r PI 9 D: te: r j • Tfo t• + er an or Condo ' sident 6 Notar as ct or r -Builder 9, 1 My Co . i • u Expires: : Ky C• mmj, - .', P E xpir e s' � o Kranz J � �� :k February 14, 21' 44° ** * M COMMISSION aT CC808 7oyce Kranz . � , i''- MY C ( MMISSIONI CC808980 :r. r8r BO tl* INS "i * * * * * P, D THRU TRO * ** _' - February 14 2003 / 1 {= � TROY FAIN 1 5 11 , FEES: PERMIT ! D// RADON C.C.P. INC �? NOTARY Fire CHANICAL ROOFING PAVING FENCE SIGN r or Owner- Builder OUR 3 to TOTAL DUE Other Zoning Building Electrical 6 71/1 '' Plumbing Engineering