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MECHANICAL PERMITDate Legal Square Ft. APPROVED: Zoning Mechanical Owner/Lessee / Tenant Owner's Address Contracting Co. Qualifier IBIS: PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 77 / c lee ftaxmie /( (�' 6) 6 7 0/c / 04.3(2 2 Historically Designated: Yes No Master Permit # 3 9' 7 (-7e Phone ._., 1 AWE /0 '� , 2 of own Fir ondo President ate Signa e f / Notary as to Owner and/or Condo President ate My Commission Expires: Address .S 9 (° SS - - Phone 9 -0777 Competency #��,r�ttolft , Ins. Co. Address Address State # / Municipal # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BU G ELECTRICAL PLUMBING MECCA ROOF I G PAVING FENCE SIGN WORK D C ON / 71 .� 1 — � Gt�1 (:Li Estimated Cost (value) s� 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 construction and zoning. Furthermore, I authorize the above -named contra to do - work stated. NOTARY TOTAL DUE Notary as to Contrac or or, wner-Builder D My Commission Expires: Building Electrical Plumbing Engineering BUILDING ❑ PLUMBING ELECTRICAL PL 0 PERMIT N° 8658 ROOFING ❑ 6/ Owner of Building - Architect Contractor or Builder ' -. Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA _ Z r - 19 Date — 7 9_/ r.° 9i rte' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion 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. Signed • CONTRACTOR or BUILDER Work to be performed under this Permit B1 74 30A, g Subdi- vision Sq Ft Value of Project (INSPECTOR) BY Contractor's ( Yo 1 License No. /..� II Amount of II Permit $ In consideration of the issuance to me of this permit gree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myrlf, my agent, servant or employee. BY AUTHORITY r • BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA Date r ' 1947 ELECTRICAL ❑ PLUMBING ❑ PERMIT •9 8659 Contractor's r'� q f` ,, ROOFING ❑ License No. ��' / T ❑ Work to be performed under this Permit Owner of ---'•' � Building TT .+� -12 ^- 4 ' Architect f Contractor t c or Builder /W,'1 d.�• II BI Legal Description Address of Building Lot tfr- Subdi- vision Sq Ft Value of II Amount of Project $ 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion 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 e s • lay s. In consideration of the issuance to me of this permit I . gee to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, dr . gs, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Signed• NSPECTOR) BY CONTRACTOR or BUILDER _27}/ BY AUTHORITY State w Permit No Disapproved _ ...... Date (Signed) ... e Buildinc Inspector MIAMI SHORES VILLAGE BUILDING INS APPLICATION Fs R BUILDING PERMIT ECTION DEPARTMENT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the uild- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of 11)1 11—..—~- ----- Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules an 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._. , 19.... .. Owner's Name and Address F /E4 s 74L5 No..4437 street.A. fr Registered Architect and/or Engineer ----- Narile and address of licensed co tfir- Location and legal des ion of lot to be built on: Lo. ....... Block Subdivision__ Street ancyiumber where work is to be done to be done and purpose of building (by floors) /- 3 RcDj i te4/4- N w Building Remodeling Addition Repairs_ No. of Stories 17o be constructed of Kind of foundation 436 stimated Total cost of improvements $ C 0 ' — Amount of Permit $ .. Zone cubage required _Plan Cubage_ lOtts,tance to next nearest building. Size of Building Lot Maximum live load to be borne by each floor Roof Covering _ It hereby sub5ifth and specifications for building. All notices with reference to the Inading a d its construction may be sent to_ 5 ReJ - ost:22 / 3 a.z-- MhtiA4 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 ( Signed )__7 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. Date_ 2/-6 X Read, Sworn to and Subscribed before me. .ex A-14 cso AD1.41 - .1e ese ti"-ei Notary Public, State of Florida My Commission Expires .......... PLANNING BOARD DATE Chairman _ _ Member Member .. _ Member Member . Member Council Approved _Date Disapproved and for no other purpose. -• ...... to me well known, Date NOTE: A charge of $1.00 will be made for making corrections or changes o this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be chargzd when re-inspection is made necessary by improper not for inspection or faulty materials and/or workmanship. ,4' do 0 g Ai) T 4,e 1 /e -e S ET 4 7,S7 - - ice CO C cC 1 f ( 5 i 7/74_ MIAMI SHORES VILLAGE, FLA. N9 T. JOB fl ADDRESS `2 INSPECTION r � C,- . c` _ 7 ; n 4- ° -G .0 7 � � TIME READY G % i ' REMARKS : INSPECTOR 9364 DATE A BUILDING INS:Pi -CT :ON uDv= :�F�RT ^.1\17 u L.: tV.s NI Ll lid P u a 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. ate.. 19 / .-aces Nano and Addeess d 1 ' ' Registered Architect and /or Engineer _ tg ) j • - / ( </ � s >" � < % Name and address of licensed contractor 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 building (by floors) -��e:. .. _ La A L.c•'� L� e seE2 j and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering . - , c't Estimated Total cost of improvements $ C � , Q - ' -.---` Amount of Permit $ 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 pennit 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 sucubcontractors, on work to performed under this permit, as are licensed by Miami Shores Village. , , y Remarks____ (Sign STATE OF FLORIDA, i 4' :722 % r'.! - ----e"— r_—Y� 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 e. Permit No d ^ ? Date �" / � ead, Sworn to and Subscribed before me. t Disapproved _ �D to t y Notary Public, State of Florida ( Signed) � Building Inspector / My Commission Expires PLANNIN 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 7 . -_. ( ijj f'3i • to me well known,