1245 NE 93 St"CERTIFIED SPECIALISTS IN COMFORTAIILE LIVING"
F=Qi' EEEA
Air Conditioning, Electrical & Plumbing Contractors
MAIN OFFICE: 1440 SOUTH DIXIE HWY., HOLLYWOOD /SERVING: DADE, BROWARO, PALM BEACH COUNTIES
TELEPHONE: NORTH MIAMI 945 -6421 SOUTH MIAMI 665-5434 HOLLYWOOD 927.327 BOCA RATON 391-4740
To PiIl=IF.i Sho7en Building and Zoning Dept.
This letter is to authorize Mr. Michael Smith to sign Permit applications for
the following job(s): Laing 1245 LTA'. 93 St.
State Registration Number:
Sincerly yours,
Gordon B. Hills
Qualifier
c4 C c' „:57
AUDIT CONTROL NO.
13092
FILE NO.
2AC008388
BATCH NO.
475
FEE AMOUNT
5150.00
OF FLORIDA Drpnrlmrnl df rlrofrt'ainr•al ( Pin?) Cnrrupalinn:ll rrp,u1a4iatl
- TION INDUSTRY LICENSING BOAC
•
!_ •. rril .ao. boa CR N0.
W77 • 'CA C008388 475
CLASS A CERTIFIED AIR•COND. CONTR.
"ED BELOW. IS CERTIFIED -
.. �r
ER THE PROVISIONS OF CHAPTER . 46 FOR
YEAR EXPIRING JUNE' 30, 1979
ILLS. GORDON B
HERBA BROTHERS INC
770 NE 32ND STREET
IGHTHOUSE POINT FL.33064
A
I.
1
1.
DISPLAY IN A CONSPICUOUS PLACE I ' ^O't
C COUN I N BLDG. & ZONING OLF1. - 909 S.E. let Ave., Miami, Fla. 33131
A PLICATION FOR REGISTRATION OF :STATE CONTRACTOR WITH DADE COUNTY
THIS NEW REGISTRATION EXPIRES SEPT. 30, 19 79 REGISTRATION F.. =E: 16.00
FILL IN THE FOLLOWING: (READ INSTRUCTIONS ON REVERSE OF LAST COPY)
1. Date your current Liability Insurance Expires •
Z. My State Contractor's Certificate Expires (Date) J.�,�'t•.L 3 C', T_9
3. Contractor's Business Phone: Area Code
4. Qualifying Agent's Phone: Area Code r �
5. Qualifier's Social Security Number: • 2 � '
e f °/
(� 3 r
SIGNATURE OF YOUR CURRENT QUALIFIER r! — Q' V7• wgTE 5)3/p
p
TN PE OF CONTRACTOR (TRADE CATEGORY) MECHANICAL fff
I
CONTRACTOR'S CERTIFICATE NUMBER CACOC8388 -
COUNTY AUDIT NUMBER 057700805 QUALIFYING AGENT:
F
SHERBA BROS INC
1440 S DIXIE HWY .
HOLLYWOOD FL 33020
L
STATE OF FLORIDA
P rpnrlmrnl of Prnfreaiorutl c .g\nb Orcupalinn.,l rr£,vintiam
CONSTRUCTION INDUSTRY
L ICENSING BOARD
HILLS, GORDON r8-
SHERBA BROTHERS.':INC -
CLASS A CERT'1FIE0' AIR - COND- CONTR.
HAS PAID THE FEE REQUIRED BY CHAPTER 468
FOR THE YEAR EXPIRING - JUNE_ 30s 1979
-7 ;>
Number
Number W• 3.2-77
MILLS GORDON B.
1
I
SIGNATURE
PLEASE READ IMPORTANT
INFORMATION ON REVERSE
CONST RUC TIOt+I Ri `t LASING BOARD
POST OFFICE BOX 8621
JACKSONVILLE. FL 32211
FOR OFFICIAL USE ONLY
10/4/77 756511071 CSH
READ CAREFULLY & FOLLOW INSTRUCTIONS ON REVERSE OF LAST COPY- DO NOT SEPARATE FORMS - TYPE OR PRINT
acknowledgement is not authorized for use unless properly validated. - Alteration, Reproduction, or Transfer of this Instrument is prohibited.
CONTRACTOR'S COPY
•
15 16.0C rl DS
16.0E STL
.00 CO'
OTE: A the Otie; paid AO fPlc form `
Is validated, It will serve to acknowledge that the name,
contractor has duly registered as a State Contractor (in
stated trade category) with the Dade County Bldg. &
Zoning Dept.
USE BELOW SPACE FOR CORRECTIONS ONLY
Name of Contractor
Street Address
City State Zip
Qualifier's Name
Social Security No. Business Ph:
Contractor's Certificate No.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR EUILDING PERMIT 'f
Application is hereby made for the approval of the detailed stateme.at 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.
Owner's Name and Address ..
Registered Architect and /or Engineer
Name and address of licensed contractor ..... /9.V ®.....< ..s... 0/..X./C" c e `Ic,ti ci e3 ®).
Location and legal description of lot to be built on: "
G. 6
Lot Block Subdivision
Street and Number where work is to be done / Z `?. !_ `..._.. _
State work to be gone and purpose of building (by floors) :.L.=.� �4
4 -' Ste.
el- 7
Chairman
Member
Member ...... _.
Date..
Remarks (Signed)''
_ No.. 1 C Street GEC S/ L.
ANNING BOARD DATE
Member
Member
Member ...._
111.2,•,t ... „ 2111
3 - 7s s
r
7'0 cs l 'Tc2d. (17) .. ...f..._..l.s. ..
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ ® e:) 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 nd specifications for said building. Ar notices with reference to the bum ding an its construction may
be sent to... -.. -- gRo S . - /V / F .S. / X o% � 1 ...._ gee—
The undersigned applicant for this building permit does hereby certi"y that he understands and accepts is obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permit ent Supplement,
and has complied with the provisions thereof, and will require similar ccmpliance from all contracto or sub - contractor mployed by, him
in the work to be performed under this permit; and will post or cause to be posted for inspection the s' of the wo Auch ublic notice
or notices as arc required by the Act. The undersigned agrees to employ only such ....,• o n o t be , 'form 'nd'er this
permit, as are licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authoriz_d 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. ._... '9') , Date /c7-- ( _ „. Read, Sworn to and Subscribed before me.
Disapproved ._ Date..
Notary Public, State of Florida
( Signed)
But ding Inspect '�— —'' My Commission Expires
Council Approved Date Disapproved Date
made for making corrections or changes to this application after approval has been obtained from
NOTE: A charge of $1.00 will be
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.