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ElectricalDate ® - c te , Job Address ) 3 ©0 IJ. E. 2 Pv C Tax Folio 1 1- 600 " b ® ` -- Legal Description Historically Designated: Yes No Owner/Lessee / Tenant - P1 A-i n ��+7 534e-.J ) Master Permit # ( ) e l - )7 5 Contracting Co. �a»J � L � � �� C, � � c. C®, Address 69'0 C) fo) . TM 0 n 1 A,4 hiker 1 • Qualifier �-� � ‘ t) I SS# / Phone (-7") r. x` .9 - / , 6-5 Owner's Address I s' AS i s State # 6 Architect/Engineer )J ) Bonding Company Mortgagor ti PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Permit Type (circle one): BUILDING /ELECTRIC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ) . t_tu i r O C� +=- v i (7 C647F, Square Ft. 4. /. Estimated Cost (value) 0 0 ® WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT ANDYOUR 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 above -named contractor to do the work stated try L cv-e b ,' „AA-A Si'1; ture of o s er and/or Condo President 5, v P 07 � ," L y -14' Date G 7- 2.Y - 96_ No as - or Condo President Date M Commission Expires: Municipal - ,Z2 q) Competency # b )ms s. Co. ®" J0144 It FAAQUIVA Notary Public - Alm riPaddri Canntadon Coimwto CC AID Address Address Address S of Conti t N. : as to Contractor o y Commission Expires: FEES: PERMIT 25 m o. RADON ` C.C.F. c (� .P.9 NOTARY Date e Date BOND TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering MO. art .11-, etiet norilf4r-Acw GLZ.1. t; iC #ol notevermno3 it Wlr • �. #42.10 50)000. x 2.5% = 1)250.00 + 0.00 + 0.00 + 0.00 + 0.00 - 0.00 * anal- ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOG DRAIN - SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR - RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 hP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP • TRANSPORTING ASSEM€LIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: • AIR CONDITIONERS A/C UNIT STRIP HEATER F IRE SPR I NKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFERS HEATER - REPLACE GENERATORS TRANSFORMERS • LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOG( UTILITY -WATER * FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. — VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. _ .r4 i '( Contol ; 2 CATCH BASIN 6-r,2_,rz'` 17 DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING • LAWN SPRINKLER SYSTEM , GAS RANGE METER SET (GAS) GAS PIPING (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Name and address of fee simple titleholder: ki ) A 5. Surety:(Payment bond required by owner from contractor, if any �.1 , 6. Lender's name and address: Name and address: Amount of bond $ c> , A ) L. 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be se by Section 713.13(1)(a)7., Florida Statutes, Name and address: )- ,; OLLO A , NOTICE OF COMMENCEMENT . .A RECORDED COPY MUST BE POSTED ON Tile JOB SITE AT TIME OF. FIRST INSPECTION _ PERMIT NO. TAX FOLIO NO. % 1 - 2 ).z 4' - oOc - bdti © _ 66, STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713. Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 1) IN ,v ,-,- 1 Db A� . � Z i5 , }� � ,JJ� mi cf,., tom DR s L . —3 t 4 2. Description of improvement: ) Ate' TR LL + ► ► c brc Q. i) . r. D (�_ --r'� A �.% v-m es) o , 3 0 A . 3. Owner(s) name and address: 'R.,g � / ►J, \) ►-r0 �71rb�RJ E 2 , �vE:10J � / , f 1N1,1- �� 5 �"y) 1 Interest in property: M 4. Contractor's name and address: 1 es, F OF FLORIDA, OOUNTY OF DA 1 HIRES? CERTIFY that this is a E y of ifir arIgi this office on 1 CpA- 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notre as provided in Section 713.13(1)(b), Florida Statutes. Name and address: N ,aal 5.01. of Circuit and County Court as provided 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) 131nIfCI (,tN1,11 -C it Sipnat�,r of Owner Print Owners Name Notary Public Print Notary's me My Commission Expires: oily L( ((et. Sworn to and subscribed before me this t1,5SocU?Fgh.c, < �� 2V day of ,199A ) Idle" Ilbikit tee • JOIN M. FAIRt'AR Notary PUblio - Ids dAmide Mr CernagMon E sMot97,2111G0 Cameldon•CC8433 % Prepared by: c> 1-) f < 'Cr nai HC.,- Address 6010 r) E. Oen2T' Alt, 123M-52 zrixt PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date O7- 29 - Job Address 1 L OD ,E.2.45 ..TaxFolio )i k3 ' -fib® -- 4O -®C5c) Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Architect/Engineer Bonding Company Mortgagor A 114 Square Ft NO a sh: , ,- �r My Commission Expires: Master Permit # Owner's Address (___a.6) 9 - r�ess 1 ? � - P 7, s'- 2� ��' )�� , o -° :� � .,� - �g Contracting Address (Q L) TA C.c s .,t4 ► PP AA/ Qualifier t-) � )'1 F r() n SS# Phone 45 7� q9 - ) State # b D pC) Municipal #: b22 °i) q 6 Competency # bObb ).--N,,_ Ins. Co. D ►0 �'"' �-- .1O Permit Type (circle one): BUILDING LECTRI LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION A LLB 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 RI Y.CTRICAL, 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 ork,stated. r1 l�Glt 1A/f/r�zi ture of _ i s o do President OOGV cr te-5' or Condo President FEES: PERMIT >7.2.3 RADON 7lv: -5 Date 7 2 - Date C.C.F. Address Address Address Estimated Cost (value) o: or Date . 11 11 Alb Date JOHN M- FARQUHAR Notcry Public • Stain ff Ficrtdn My Commission Expires Ma 27. 2in) Commission it CC 543396 Signa Notary My C as to actor o 'ssion Expires: NOTARY APPROVED: Zoning Building Electrical Mechanical Plumbing 4 2 - 2 BOND TOTAL DUE Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPICE HEATERS UNIT FEE BIDET • LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL. SERVICE_ TEMPORARY + A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS "Sr-0, DUCT WORK FLOOR DRAIN - SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR - RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP - TRANSPORTING ASSEMBLIES SIN(, SLIP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: • AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS . LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS _ UTILITY -SEWER SIGN TIME CLOD( UTILITY -WATER FIXTURES +► SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. ._ _ VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. - CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL. PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ` tom ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION i I PERMIT NO. TAX FOLIC? -NO. 11- 2 ).3 -0 a c>b '.1U - c7c)-50 STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: v(0 1 1 ()0 ►�5 , � . Z -., . PO) )60 a 1 1vt. g). Net _6 %-16 . ) 2. Description of improvement: o 1- JO& Soo A xicp =' M ) 4 -;_ E NE 3. Owner(s) name and address: .- E!Sa'R - R 11 - Z , 2 C4vE „ 'K'1 i64•>vel1 - �1a04 -. "a ►40 Interest in property: 1L1) A Name and address of fee simple titleholder: 111 Pt 4. Contractor's name and address: s.+J �� L '-�� Q 3 V ► C� ? ,� �'T - ,J� lag( r •3✓. � �� - s - , ).4 i3 A4 1L. 3 ► ?8 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 1) 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be sere -d as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: L)U-C 1 \3 >J z�� �v� ., J'4 AAA I "6-10 K.S L. . G 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Uenor's Notic.e as provided in Section 713.13(1)(b), Florida Statutes. Name and address: k) ) A 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) $( 9 Uw1 v�e. - se� Cleaner Print Owners Name Swam to and subscrib re me this 24 day of Notary Public / .Q r Jog Print Notary's Name My Commission Expires: r� s5c) P fz(cc (r ft ,19 945. MN RI MUM lit Canniest" Oa 000 443396 ATE OF FLORIDA, COUNTY OF DADS 1 HIRES, C5RTIFY that this is a . o • = of t1# ffico on A ® 19 Idol 5.01. o f Circuit and CountyCoari D.C. Prepared by: -' i 1. - F - A Q D H f ddress: /WO() A G - 't} 'CO R% 141Pt net 1 9 F7._ !3& 123m.52 2193 0 r4) re) co