MECHANICAL PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date , � � g'Q / Job Address j / /L1 L1 /V E � 1 57 Tax Folio
Legal Description Historically Designated: Yes No
G � CQ ' •r evca. Idkoardo G Z Solcrna
Owner/Lessee /Tenant �i Master Permit #
Owner's Address 2 4 - f 3 Z A/ 70 - + . Phone 75 3 3 y/ Ll
Contracting Co. (N )Q 00L- / C fv^C • Address _ITA)
Qualifier f 7 SS# $ ] - � Phon*-305- peg- 35 )
State # C-4 323 93 Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN MECHANIC ROOFING PAVING FENCE SIGN
WORK DESCRIPTIONX (- - n5� j - X03' T
/Ye - v • clJ/ / 0/( • ) v c, ,c/,ti 0
Square Ft. /4/ 0 /A ' ' ' Estimated Cost (value) 3, 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 laws regulating
f /
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stat
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owner
N; . as to Own
My Commission
and/or Condo President Date
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NOT G PUBLIC STATE OF FLORIDA
NOTARY I,S 1�0.: ►41Q3
coor1S610N 1ON EXP• 1
FEES: PERMIT RA DON
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APPROVED:
Zoning
Mechanical r . 11.61
6 -t8 -ol
Plumbing
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Notary as t
My Commission Expires:
C.C.F. o C NOTARY ■� BOND
Building Electrical
Structural Engineer
Sec. 6 -3 Air Conditioning Regulations.
(3)
Miami Shores Village
(a) All individual air conditioning units installed in walls or windows shall be securely anchored
to the walls by approved methods. Units installed over public property, paths of egress or more
than ten (10) feet above grade shall be secured to the structure by bolts or screws to resist horizontal
wind loads. Such units cantilevering more than eight (8) inches on the exterior of a building shall
be supported by steel angle brackets secured by bolting. Bolts to masonry shall be set in lead shields
or similarly rot - resistant fastenings.
(b) The following special requirements shall apply to the control and regulation of noise nuisance
from air conditioning machinery.
(1) All equipment, existing or hereafter installed, regardless of location, shall be
maintained in good working order. Equipment so located that normal operating
noises create a nuisance to adjacent owners or occupants shall be provided with
soundproofing, or sound- absorbing baffels, or enclosures, as approved to insure
maintenance of a reasonable noise level.
(2) All equipment on outer walls, on roofs, or in the other exposed locations, which are
)indnly noisy, and which causes valid complaints from adjoining property owners or
occupants may be required to be relocated, redesigned and/or enclosed in noise-
retarding materials when, in the opinion of the building official, such enclosure is
necessary or would be effective.
Special consideration shall be given to the planning of all future installations to
minimize the noise nuisance to adjoining property owners or occupants and the
building official shall have authority to reject or require the redesign of any system
which, in his opinion, would cause such a noise nuisance.
(c) Violation of this section shall be punished as is now or may hereafter be provided by law
(Ord. No. 299, Sec. 1 -3, 2- 21 -61).
I have read the above ordinance and will comply with the regulations thereof.
I have read the above ordinance and will comply with the regulations
o /signature o /signature Contractor Signature
J
OFFICIAL NOTARY SEAL
RAMON LOPEZ
tY PUBLIC Si' ATE OF FLORIDA
COMMISSION NO. CC750205
MY COMMISSION EXP. JUN 002
NOTICE OF COMMENCEMENT
A RECORDED COY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT N0. TAX FOLIO NO.) l 3 / 0/ — 0/,
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice th t p ovements will be made to certain real property, and in accordance with
01R230874� 001 MAY 31. 13:08
aimr
Chapter 713, Florida . Statutes the following information is provided in this Notice of Commencement.
1. Legal description of property and street address: / m J
2. Description of improvement:
3. Owner(s) name and address:
Interest in property:
Name and address of fee simple titleholder:
4. Contr ctor's name and addres
6 /K 7 P /
/ Ue tick Leh ( ,�- r�
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $ •
6. Lender's name and address:
Signature o1 Owner
Print Owners Name
Sworn to and subscribed before me this
Notary Public
Print Notary's Name
My Commission Expires:
012LA I7o p
7. Persons within the State of Florida - designated by Owner up notices or other documents may be served as provided
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 this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
a 110
da f
OFFICIAL N I AR SEAL;,
RAMON LOPEZ
NOTARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP.
STATE OF FLORIDA. COUNTY OF DADE
I HEREBY CERTIFY that this is a tru c py of the
original bred in this office on day of • /1a. , A0 20 0I
:?VITIVESS f y hand and Official Seas.
HARVE UVIN, CLER;(, of Circuit and County Courts
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Prepared by A u P Prepared
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Address: E 2-3/ Su)
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123.01.52 2/93
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
' 305- 795 -2204
Building Inspection Request
Date 064)
Type Insp'n M '2 C4i4 (
�I'✓`L1 1
Permit No. I f 20S
Name 1-1 OA- /C/ e cz . A 1 , 6
Address //Y ,/vei l J9
Company D
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For Inspector: Ogo Name & Date
4)!( cgssr
Approved
Correction
Re- Insp'n Fee
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