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MECHANICAL PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date - `C Z Job Address 1 o 7 N � / Y S r ' Tax Folio // 3.2ar a 7 69103 Legal Description / Lessee / Tenant j4000A R D 03F2M A/V S/P• Master Permit # 3 9e4. Owner's Address Lo-r 20 3LocK a.- S2g : BAy LL) E la-o7 AE. c )> 517 Contracting Co. FEEVE , i,' Co vor r /DA)ff C Address o SO. /?/( 10,40 /41(6,4W Qualifier S ,ol-)En) E. EvE. Phone 750 2'x(73/ State r'l: CA #° --- Competency 41: o � 4 'Ins .Co . oA F/ LE Architect /Engineer Address Bonding Company Address c/ Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION C•14.4-A6c OUT Cr EXISTING 57 141 sr;7 To A 7 +EENI I(. 0 56 5p1 T 7 41C. W/fOk.u. t—tT Square Ft. Estimated Cost(value) D--30. 0 0 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 contractor to do the work stated. Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo Presirtpnr t/egonrcq 4•G►g./itnrary nn to Contractor or Owner- Builder My Commission Expires: Print type or stamp nameof N9ta y lj %sion Expires: Personally known ❑OR Produced I.D.p - NOTARY PUBLIC STATE OF FLORIDA Ty )e and number of I.D. produced: MY COMMISSION EXPIRES 5/09/94 ** * * * * * * A A * * *Bonded tin Stembler Adams% Sweet ** ❑ 13 take an oath, or [-DID NOT take FEES: PERMIT I �'( �c RADON C.C.F.` it NOTARY 5 d/ TOTAL DUE APPROVED: Zoning Mechanical k . 408 Phone natt� of Cont actor or Owner- Builder Fire Other Building Electrical if/Plumbing_ Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 1 Date 4 -e- 01- Job Address P19 N 672 S Tax Folio Legal Description i ' Historically Designated: Yes No Owner /Lessee/Tenet ke L V i .a> tsp a Master Permit # Owner's Address Phone Contracting Co. C'Rt Ftvdeal CotLfl. Address t 2._Scs Qt2AU tog t4 \%1 ( Qualifier t L SS# qcq ZS O t 6 . State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. s ta +rh 4 A 4 . 14 h CZc-t q.-to _ 5.6,1 t Square Ft. Estimated Cost (value) 2 COO, 00 Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: Xri s'a' kkkP#lt1oh 0C 1,1t.., 01 Z - •k-CtLt, eZ. C.456.1c3 -Viet .v3 eq •l 9 c t - �� q -fit CL esar� 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 ANY 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that regulating construction and zoning. Furthermore, I authorize the above named contract t. •o the work state Signature of owner and/or Condo President ork will be done in compl'ance w 1 . sp . able laws 4-- as Date d nature of Contr. wner Builder Date Notary as to Owner and/or Condo President Date V N6tary as to Co actor or O Builder Robin S. MasleIIo Date My Commission Expires My Commission Expires 1 *.A. MY COMMISSION* CC911199 EXPIRES : February 24, 2004 BONDED THRU TROY FAIN INSURANCE, INC. FEES: PERMIT RADON C.C.F NOTARY BOND APPROVED: TOTAL DUE Zoning Building Electrical Mechanical Plumbing Structural Engineer Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/15/2002 Applicant: ELLEN J WARGER Owner: SEPE Contractor CAILIS MECHANICAL Address: 12555 ORANGE DRIVE Local Phone: 954 - 252 -0263 Cellular: Parcel # 1132050270310 Job Address: 1207 NE 92 ST Permit Status: Approved Permit Expiration: 9/11/2002 Construction Value: $3,000.00 Work: INSTALLATION OF NEW 2 TON SPLIT SYSTEM & ALL DUCT WORK If there is no permit packal fee is $50.00, which must be This Permit is granted to the contra( ordinances pertaining thereto and with and approved by the proper municipal authorization. A further condition upon ordinances and regulations pertaining i by his agents, servants or employees. Signed: d.= In consideration of the issuance to rr with the plans, drawings, statements o myself, my agent, servants or employe Signed: li 0 Legal Description: BAY LURE PB 44 -63 W25FT OF LOT 19 & ALL LOT 20 BLK 2 Total F $0.00 Total Receipts: $0.00 ORSO, INC PH. 305 - 751 -2214 8990 BISCAYNE BLVD. MIAMI SHORES, FL 33138 PAY TO THE /r ORDER OF ' "` � Shc" . .i¢ COQ 4 6. 1 -14 tA-ed td �/ 9GS co DOLLARS Mechanical Permit Permit Number: ME2002 -33 First Union National Bank N ® flrstunlon.com Org. 003 R/7 067006432 SEPE ELLEN J WARGER • As • • u • • • Al • Page 1 of 1 n e a: io 3488 FLEXIBLE BUSINESS BANKING 63- 643/670 BRANCH 13093 LI .9 0 Z DATE I $ /02 % r FOR CLo nr 000 3488" 1:06 7006 4 3 21: 2090000 58060611• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 Date 1 4 — t 1 — 0'2 Job Address / /") ' J S Tax Folio Legal Description i , Historically Designated: Owner /Lessee/Tenet Vc c ► L.1 Owner's Address Contracting Co. C ptt S Qualifier State # Av "_r ca Cc:a -p Municipal # Yes No Master Permit # Phone Address `l LS SS C:iZ t1�3(.1,C Da— %4t togs 13F1‘l E ss# '15 ZS Z- 0263 Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: X■S%AAMPA1t]Ea 0�" �^ iv LtA7.• kS- ..., a a CZAS ado b tsct- v xzVt . _ —L. a 'Yl a l l i a t-,-.4,1 ( c, & L.+Q aor, Square Ft. Estimated Cost (value) 2 LSO, CO 4.4 Os 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 ANY 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that ork will be done in compliance w regulating construction and zoning. Furthermore, I authorize the above named contract t o the work statec,I„-- - Signature of owner and/or Condo President Date FEES: PERMIT APPROVED: Zoning Mechanical ature of Contr caner Builder Notary as to Owner and/or Condo President Date ✓ Notary as to Contractor or O, Builder Robin S. Maslello MY COMMISSION # CC911199 EXPIRES Date My Commission Expires My Commission Expires ++p February 24, 2004 ''? •,;: L;;d;•' BuNDEDTHRU TROY FAIN INSURANCE, INC Iapplcable laws Date RADON C.C.F NOTARY BOND TOTAL DUE Building Electrical Plumbing Structural Engineer