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803 NE 91 Terr (8)V PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date lij.;3 / Job Address 0 // ,E. ?/ reee Tax Folio 1/- 3..7Q(o - D0,5 - 0) 30 Legal Description C jW% 64T / L0/ / 5 1 Z Historically Designated: Yes No 93$35 (0 / Tenant MAR // C- 40,.(i'1R' Owner's Address Contracting Co. / / /j /PD(i >' /,? C&/0/ 7/0/(0//6 Qualifier Al Ice 0• z State # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN p WORK DESCRIPTION /� t4 (h-C E ,6P s (l iG 4 (? ‘ co /-W / ( /0( -1( //f t 9 1 pmGFfT (3•S To /d /© /(e)) (4,( 4 AA LcC77 Square Ft. Estimated Cost (value) 366 & - (00 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— NS regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 80 3 /f ` O PB , SIQfeg 33(38 Phone 36 r, - 7 Si- / 8 gnat&e of er and/or Condo President Notary as to Owner and/or C • do President Date My Commission Exp>vj c Ao. %k1•A4o`ct .0`144„,, Edward W, Taylor t Notary Public, State of Florida Commission No. CC 627323 • •'` My Commission Exp.04 /01 /2001 Bonded Through Fla. Notary Service & Bonding Co. Municipal # / ► at Z3 X18 � I` J 3 / fry Address APPROVED: Zoning n /J Building Mechanical /Nst Master Permit # g -2/s sceJ.7- E M(4/ ss# 2 7 - 02- -6773 Phone 5 -- 6(J -7777 Competency # C 4j G 19 (1 Ins. Co. Address Address Address Electrical h Notary as to Contractor or Owner / 2 uilder i r d / y Commission Expires, 4.4.4.ccccck.«m.cw s46w.mkk § ww 3 < , ' . \.1 Notary Public, State of Florida ( ' • ,r, Commission No. CC 627323 a' My Commission Exp.041 /2001 Bonded Through Fla.Nots^y Service & Bonding Co. CID C.C.F. / NOTARY BOND ,Date Plumbing Engineering ITEM BATH 11.8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING /b DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 714 5 DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR GRAIN 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 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIOENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSE'BL1ES SINK, SLOP ., MOTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 If VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS - A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEVI 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 CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA ' RELAY TELEVISION CURETS GRAINFIELD, 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 (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Is98 NOV 24 PH I :48 988562366 NOTICrOF COMMENCEMENT RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. /f" 327 - c19 - 62. 36 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: G6 LD &/ t? Aet /4f7DAt 1 393 /�/ �. 9/ 7 ?/ t'• L r /5 W '/2. to r/6 /air M (XM i S) /t FAX 1 ft 3 2. Description of improvement: ,CEP(4CE EX"/ ST( 4/11 (6AM//I'(t I /go t i»J f /JM,c(T 3. Owner(s) name and address: Artf l?rti,4 CAllA AIA64 563 NE 9/ Tree /'f Wf( S4f resc / ( 33/38 Interest in property: 1)&A/te Name and address of fee simple titleholder: 4. Contractor's name and address: 7 4//2 CQ//Q// /, / t/(iJ4 /A/(, 4.2 /5 ScU 73 A M M i / f/. 33/ Ss 5. Surety:(Payment bond required by owner from contractor, if anYj COON OF DADE Name and address: E OF FLOR1Dp`-_ {iledin�h= Amount of bond $ ahis Copy is a true Copy or h. d � -�7, of the Cllc wl{IdE55 my ►___ Officos �►, r County Court 6. Lender's name and address: This 7. Persons within the State of Florida designate by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of !his Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) int Owners Name M/ er4A C 4(/,4 / /icl li Prepared by: -EMO 'E L A/C iilc. Sworn to and subscribed before me this day of Ain 1!. , 19 93 .SL .) 7.2 /we «««««««««««««««« Nl �.L i / ? / SS a . : : Edward W. Taylgic d 5: TG �y < . ( ., � Notary Public, State of Florr a 7`- .., •n No. CC 627323 Act) , _ g (Q e t •' My Commission Exp.04/0 11 : / ' ri Naar Ib Notary Public Print Notary's Name My Commission Expires: •y Owner upon whom notices or other documents may be served as provided 12301-52 2/93 Date C I ii2a /17 Job Address Legal Description / Lessee / Tenant MCJ r - Orkin_ l_Chvr 1a._ Owner's Address qn3 N . qI 1P•rCckc P Contracting Co. OWNER'S AFFIDAVIT: I certify that all the foregoing informati be done in compliance with all applicable laws regulating authorize he abov- -named contractor to do the work stat D ignature •f o er and /or Condo President (9t&a.et) o.uizetaoyo Notary as to Owner and/ = r 1 - - ` - - - - My Commission Expires: �" "•P;; PATRICIAL.WILSON ?.; ;,_ MY COMMISSION R CC 482514 ' EXPIRES: July 25, 1999 • Bonded Thni Notary Public Underwdters ** * * * APPROVED: • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ( 803 N E I Te.r rac x � Co - Zoning Building Mechanical Plumbing * * Tax Folio Master Permit # 4 Notary as to Con My Commission Ex Phone '151 - Address q I0 - i/\V•e• n P r i e.c `; G Qualifier ff" G �i -(Nnc . r SS# AGS - (�d� - �Rf y Phone 759 G State iitLu O ( J0-i i Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION I I')S l(i flr ref c gnn ck,mi Pier_"E(i C Prl S e �P. (JIB I - k yr c1 1 i � r ex - cx Ci re ,v\ r pay\CA Square Ft. Estimated Cost(value) a,`7dC . O() 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. accurate and that all work will on and zonin: Furt I•r = , I rAST,,gr or FWPAttiQ_]t er :: MY COMMISSION # CC 482514 � EXPIRES: Jury 25, 1999 `Y,We '; Bonded Thai Notary Public Underwriters * * * FEES: PERMIT .6 ''' RADON C.C.F. NOTARY TOTAL DUE Fire Other Electrica r- Builder * Engineering 1751 :Arc'. iLE MIT FEE I IBC I STIIii CUTLETS (TUT / FE IT at SPA C- IEATE. NH IT , ! -^- 1 I CNT n m 'I 1 CENTRAL 1sEUT I IC 1Ara mqVIC 1 . 1 S IGH TIES I 1 z,=.. C ICC 1 1 SIGN TIR.'d&OR1E S 1 1 SIGN TM C. T:L ;Tr - (ti : L i TY TA cR 1 F IXTIRES EFT S1C TAW I 1 ANTEMA RELAY 1 1 TELEVISION CUTLETS GRAIN is . 4 T1[ IRES. 1 1 VIOLATION P ; A$A?COH SEPTIC TAW 1 1 RE INSPEC ION C! '•9 e ,T A, — -_I =_L_ , _ -NI C? !C=I DING = AC =C`N _ _ -_. ALDE IDC1.!. II a i!;S :FL L r _C J.L'. D , -_— aG ' S No:s3 Zip 5 =S :UR= N=D � SI !RI ax S72SZqTs =fir PLUMEING IS" -^SAL 7 - 1 1M1}6 Fa .4{TAIII -_( CRA S-Z7. TRAP LAVATORY '..g2.1ORY TRAY KASr R S-CFER _:YY. POT/3 CaP. z;:. .ES ICENC S:1 {. 1.C? :' :RY i A i ER C,.:_cr �"i Url;MAL :LC:RE T TASta ?A _. :.PF! ',' T0: = ;C UHIT was.74 1J5"T. ;_:RN Fr I NKLER -re..!. _XI18II ?CCL G:TC:: a I r e'' ti CIE! CCI.+ES IC XEL ARE: :'RAIN ACC= A...E UTER HEATER L::;N t.i1(L R C: .ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL ScRvicv waturt SZ VII~ SIE IN ALPS SE"YY la R!?A.JR,1E a Cike AP?! !Ara CUTLETS RliGc iiP OVEN TAE :- rt Arms a- 1 OUS a /e 1— 3 1 OVER 3- SCI CRS OVER 5- 3 :4 4DTi CtS OVER 0- 10 P 4G T CRS OVER 10- 25. P VCRS OVEN RICO :P CTGZS OVER ICO P A/C Il? CM AIR C.."GIT STRIP : Ta r FRAJWUWE ZIERATCRS TRAIMCISS 'Er 1.1L P.RP05c CUTLETS =AERCLL ,1 MECHANICAL A/C (Tiro) AJC (CENTRAL) OLCT TOM RE RIGERATIOH MICC:M AND PRESS P IP IHG U1118=2.0 TANKS ABOVE GQIIC TANKS U.:. PRW.RE V S STEAM SOILEERS 1.13T TA TER MILER 1C'.AJIICAL VENTILATION I ' M AeSE4tTES E1VATCRSJE_c.:Liii S FIRE SPRIHIO_ER SYS1tc.S arING 1. EIS VIOLATION :;E:ifVEMOH Permit No r ( MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /0/3/7 7 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.06/1 t • No 41F0 3 Street.4!' , Registered Architect and /or Engineer Employing Electrician's Name 40 4f� ` Cie 4 Location and Legal Description Lot Street and Number where work is to be performed —No act.3 Block Subdivision State work to be performed and purpose of building (By Floors) New Building Remodeling.t( Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding /- !s ,4 Selo /cc arlr's'4 Amount of Permit $ ' 00 (Signed) ‘‘." Electrical • hector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his (igations as an e ployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori .. Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-con ractors 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. I SS. (Signed) No.... co S W Stretrio? 740.4r- Street .4'," f/ .7eit -C 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, and 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 workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEA'?ER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.3 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No r ( MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date /0/3/7 7 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.06/1 t • No 41F0 3 Street.4!' , Registered Architect and /or Engineer Employing Electrician's Name 40 4f� ` Cie 4 Location and Legal Description Lot Street and Number where work is to be performed —No act.3 Block Subdivision State work to be performed and purpose of building (By Floors) New Building Remodeling.t( Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding /- !s ,4 Selo /cc arlr's'4 Amount of Permit $ ' 00 (Signed) ‘‘." Electrical • hector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his (igations as an e ployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori .. Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-con ractors 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. I SS. (Signed) No.... co S W Stretrio? 740.4r- Street .4'," f/ .7eit -C 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, and 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 workmanship. BUILDING LECTRICAL 'LUMBING Dwner of Building °architect Contractor 3r Builder 71, w CTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 4666 Work to be performed under this Permit " ` •`40:1:4-.0 t', j / . Bl. t ;.r Subdi- vision ,ega1 Lot -Description Address of luilding This perm is granted to the contractor or builder named above to construct the building or to install the equipment or device descritied in the appli- -ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any flans, 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 -egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- 3ibility for work done by his agents, servants or employees. Value of Project BY DATE / _' ' r 194_ Contractor's License No. Amt. of Permit Signed. t . , . +w ' - B • 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. vertaining thereto and in strict conformity with the plans, drawings, 'statements or specifications submitted to the proper authorities of Miami Shores Village: In acceplrg this permit I : ss s i e responsibility f&r all work done by either myself, my agent, servant or employee. AUTHORITY BUILDING ELECTRIA L PLUMBING Owner of Building Architect Contractor or Builder ✓ t1�, Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA DATE C • E 1946 License tor' No. Work to be performed under this Permit , % , r` -�,A s�' A- e-642.4.00 PERMIT N° 4666 new, (id . Bl. 0'1 Subdi- vision Value of Amt. of it Project Permit This pe is grante. `. t e contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation 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. d Signed B A" IISPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with al)rgrdinances and e ons, pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoHtM of Miami Sho9b/ iI�lge. M In acce . 1g this permit I assume responsibility for all work done by either myself, my agent, servant or employee. 2 , BY AUTHORITY