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MECHANICAL PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Jd S Job Address /dig J . F )c 7 Tax Folio //— 3 a os " Do? 7-0V? 0 Legal Description Historically Designated: Yes No Owner / Tenant A t/ /Ile/ S e.2 Owner's Address is /y A/. 6 . - � . <7. Contracting Co. 4 -/ �l/i �',� �' / P' /o /� v Qualifier Ac,, I7 e. 4 . 7e , „� Phone 2Y107, State # /A/M, o � Say Municipal # Competency # Ins. Co. � AAI e A - Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMB 1 MECHANICAL :. 1 OFING PAVING FENCE SIGN WORK DESCRIPTION 5 "/.. /l G .' I 'v Square Ft. Estimated Cost (value) / 7 o f .., 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 c t actor to do the work stated. APPROVED: Zoning Mechanical FEES: PERMIT 77U: 1./ � 7 s' Signature of4�wner and/or Condo President ate DORFJ - .i 1 L YOUNT 1 C nim Exp. 6125100 ; gin SOilb:ri By Scrd: Ina 9. Notary as t.\ ;� . i S Pr Date y My Commission Expires: RADON C.C.F. NOTARY Master Permit # P h o n e _ .7- 7/ Address ,,o ,7, / 4 7007 5 cX ■ K1M Y o OUNT orLOwner- Builder Date My Comm Exp..5/26/2001 Bonded By Service Ins No. 00650501 079 7 Notary as o Cone`t`84"rWnnr i`iIRter Date My Commission Expires: TOTAL DUE (O 5 a" B Electrical Plumbing Engineering ROOM AIR CONDITIONERS C. E. HOGAN F. R. SCHREFFLER CONNERb Village of Miami Shores City Hall, License Dept. 10050 N. E. 2nd Avenue Miami Shores, Florida Dear Sir: HOGAN AIR CONDITIONING 260 N. E. 59TH STREET MIAMI. FLORIDA This is a letter to notify you that Mr. Lindheimer of 1214 N. E. 92nd Street, will be responsible for any noise caused by the Mitchell Room Air Conditioner we are installing for him. February 13, 1953 Lindheimer • SALES • SERVICE • INSTALLATION Phone 78 -2 442 STATE OF FLORIDA, COUNTY OF DADE. j ss. MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTMEN' APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of they det, iled statenien* of the plans and specifications herewith submitted for the build- ing or oiler structure her i. described. This t t lica'.rr . is made in compliance and con o•m ty w,th the Building Ordinance of Mia ii Shores Village, htor da, and all pro. isions of the: Laws c f the State. of hl,.rid. all o d nances ,,f Mi in Shores Village and all rules and regu'ations of the Building Div.:. i of : ,i.un: Sho; ulage h '1 e ^o. ipl.ed with, whether herein specified or not. A copy of approved plans and specifications must be kc•t . at building durin,, progress of tl.e work. Date- \ -L l y'.6• -- f Owner's Name and Address e. (1/ %li .e2./'/�/. . (` Q1L2 No.__ /. _/_7.. Street Registered Architect and /or Engineer _. Name •nd address of licensed contractor - l_ ..0 / __+_. ,/ r jam! �i/-- � / ; /1 — � r 1:4f✓6 _ :56 V:. .4/(2... Location and Legal description of lot to be built on: f^ G b A./E ,� Y om. j� Lot. _ Block.._ _ _ -_ Subdivision Street and Number where work is to be done. k:77.4//:.4.-.6'—j, do " tr_,!,_,,:_ a;- :1`' - __ State ork to be doe and purpos of building (by floor _2,___ 2 1./"�e ,� 1---- / i°Q 1 ' / hi.441,PO - -LL) and for no other purpose. New Building_ _ _ Remodeling.. .__. _ __ Addition. _ Repairs _ _ No. of Stories To be constructed of _._ _ _ Kind of foundation oof Cov 'ring - tYrrit ' Estimated " ,tal cost of improvements $.. � " ' ` ' onnt ' ` P ennrt $... _ Zone ^ubage required __. _plan Cubage_.__.. Distance to next nearest building_. .. _Size of Building Lot .. Maximum live load to be borne by each floor .. __ _ hereby submit all the plans and speciii..ations for said building. All netices with reference to the building and its construction may be sent to. The unde signed appli ant for th's building pc-mit does hereby certify i'mat lie understands and accepts his obligations as an ernplo. of 1- bor under he Florida Workmen's C:umpcnsation Act bong S. -t :on F'')63 Cut p Led Gen al Laws of Florida P r am -n S .t p cent. and h s compl ed w'th he prov•-ions thereof, and will require s•nular coi.ir: Ian e from all contractors or sub contractor., cmplo -ed by II'rii in the wo k to be p rt med under th s pern it and ill post or cau ., to ')e rested f•,r ins ction on the the work a •h public not- e or ,otites as are requir d by the Act. The u• d. r ign -d agrees to employ only sich , ibc h ctors, on irk to be perform d d this pemrit as are licensed by M am, Shores ‘it'; ge. Remarks. (Sig•ied) . Building Inspector My Coin:ni scion Expires_ Before me, the undersigned authority, a notary public, duly authorized to adr:_nister oaths ..nd take acknowledgments, pcconall: �p peared and who, being by ore first d lv sworn, upon oath deposes and says that he is the of th abov. de c. ibed istruction t. , 1. has careially read the foregoing application, and that he did sign the same, and 0 a. _.:i t,,cts therein by him stated are ti ie. Permit No._ ____ _ _ _ _ -_ _ Date_ __ Read, Sworn to and Subscribed before me. Disapproved _ ___. Date__ Notary Public State of Florida (Signed) to me well known, PLANNING BOARD -___DATE Chairman Member Member ._ _ Member Member _. Member - Council Approved Date Disa ' r.'.. c l Date NOTE: A charge of $1.00 will be made for making corrections et -11.,inges to this application ft.-r cpproia1 1, s ! . , u at:' ued from the Planr ng Board. A re- inspection fee of $1.00 will be charged when such re- inspection is ni: le ncces.a', br• improper notice fc r imp' t• P. or I o ty materials and /or workmanship. d r,) „„..._ ,, / /, / I' , e ee're.91*,i x Weitti4' BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ rf ?wner of wilding Architect Contractor it Builder Legal Description MIAMI SHORES VILLAGE, FLORIDA 4' DATE l #'L4/ 19 PERMIT A mot.. N9 5473 Lot Auilding ddress of 12 iv B Work to be performed under this Permit 1 B1 Signed. Contractor's License No. N,' ,j 1.17 Subdi- vision Value of If Amount of Project $ CO- it 41. II 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 osidinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he aslumes respon- sibility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complian : with all or ones and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au orities of Miami Shores Village. In cm cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ,•,o, Owner's Name and Address New Building To be constructed of Estimated Total cost of Zone cubage required Permit No Disapproved ( Signed) ,57.3 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 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. Date_ Date 7- 7- to No 7- Registered Architect and /or engineer Name and address of licensed contracto a __ _ _ _ „?1 a ./— 67,64.i Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done ,,1 / 9"_ State work to be done and purpose of building (by floors)__ ,,l -- Notary Public, State of Florida 194 Street % ?_ Subdivision and for no other purpose. Remodeling Addition Repairs No. of Stories Kind of foundation Roof Covering improvements $ 3 ,f --1-12 Amount of Permit $ , • if r) 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 him in the work to be performed under this permit; and will post or cause to be posted for ins ction on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subgffitracto on work o be pe p ed under this permit, as are licensed by Miami Shores Village. Remarks (Signed)._ Read, Sworn to and Subscribed before me. STATE OF FLORIDA, COUNTY OF DADE. j Ss. Before 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. Building Inspector`_ My Commission Expires PLANNING 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.