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MECHANICAL PERMITS11 0 1i r ininEs ILLAGE 3UILDO G 1NSP CTION ART6IERIT AFFLECAMION Fa E SLIM, ONS PE Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor. - ' .. Location and legal description of lot to be built on Lot li - ? 0,. Y P Block R -,. Subdivision // �e) a f Street and Number where work is to be done „6—.5—__Q — 6[p_( State work to be dent and purpose of,building (by flcors) L!!/Cy ( moT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - in or other structure herein described. This application is made in compliance and conformity with the Building rdinance 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. Date -• e—fT 7 ,I9 No Street and for no other purpose. Ncv,+ Building Remodeling Addition Repairs No. of Stories iio be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Z Z- oe, __Amount of Permit $ i Zone cubage required Plan Cubage Distance to next nearest building Size of Building 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 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 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 c actors . o o be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signe STATE OF FLORIDA, COUNTY OF DA T)E. ss. Befcre me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. Permit No. / `> Date Read, Sworn to and Subscribed before me. Disapproved Date j Notary Public, State of Florida (Signed) — a -- Building Inspect)r My Commission Expires PLANNING BOARD DATE Chainnan Member Member Member Member Member Council Approved Date Disapproved 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Application is hereby sonde for the approval of the detailed statement us toe plans and specifications herewith submitted for the build • in; or other structure herein described. This application h 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 Registered Architect and /or Engineer ,,,,t Tel ...,,,. "MITT ,,... Name and address of licensed contactor AIR.._ &_.liEAT,...1I11JI.TEA Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done...a.. t`. 5.... N. E......8. 7.__S.T......MI.BML_SHGRES..._ .... » _.�._._. State work to be done and purpose of building (by floors)...... CE.N.TBAL .1AIR... CGONDiIJQ11I,N.G y ,..2 STRIP. BEATER. "RHEEM." Ncw Building Remodeling Le Addition Repairs No. of Stories _ To be constructed of Find of foundation ... • Covering Estimated Total cost of improvements $... /. /5 . of Permit $.. Zone cubage required .Plan Cubage Distance .to next nearest building _....Size of Building Lot Mfaxirnunt 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 un dersigned 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 Sup w tletnt, and has complied Keith the provisions thereof, and will require similar compliance from all contractors or sub- • n 'ctors 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 •f the ork uch public notice or notices as arc required by the Act. The undersigned agrees to employ only such s. • •ntractors, on wor to pe ormed under this pennit, as are licensed by Miami Shores Village. / Remuks (Signed) CO`' RACTOR LI SE 12054 (Signed) Disapproved -� .....� : ( A. ... Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date BF,CENBE8..1.13, .123 4.. ,19.. —_ BOREMAN TRQT�I�I�E�IRQIT »_...._. No . StreetRZ _ Building Inspector _..__........ for no other purpose. f STATE OF FLORIDA, COUNTY OF DADE. } ss • Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Notary Public, State of Florida My Commission Expires __.....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 state are e.. Permit No.._.6 Date.... 1.4._._ Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Citair:nan »......_....._..._.._..... » Member Member _ Member — Member Member Council Approved Date Disapproved 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 rc.impection fee of $1.00 will be charged when such re- inspectlon is made necessary by improper notice for inspection or faulty materials and /or workmanship. Location and legal description of lot to be built on: New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $ 2000.00 Zone cubage required Distance to next nearest building_ Maximum live load to be borne by each floor-__ - . Permit No Disapproved _ ( Signed) 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 buiL- 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. May 30, 1973 Date 19 Owner's Name and Address U -Tote -M No 575 Street N.E. 87th Street Registered Architect and /or Engineer Name and address of licensed contractor Don Elliott Air Cond & Heat Inc. 1792 NC,) 20th St. Miami, Fla. Existing Building Lot Block Subdivision Street and Number where work is to be done 575 N.E. 87th Street State work to be done and purpose of building (by floors)- _ __ Install 5 Ton Package; Air Conditioner on Roof Addition Repairs No. of Stories Roof Covering 10.00 and for no other purpose. 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 Don Elliott Air Cond & Heat Inc. 1792 NU 20th St. Miami Florida 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, 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 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. Remarks - Amount of Permit $ Plan Cubage__ . _Size of Building Lot STATE OF FLORIDA, COUNTY OF DADE. 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. Read, Sworn to and Subscribed before me. Date Date__— G Building Inspector / My Commission Expires._ ( Signed )- -2,6/, &.ieL ` Notary Public, State of Florida to me well known, PL ING BOARD__ __ . DATE Chairman _ - Member Member Member Member Member - Council Approved _Date Disapproved 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.