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1268 NE 93 St (8)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. Owner's Name and Address ��� - - �'- , Registered Architect and /or Engineer Name and address of licensed contractor C. f Date , 19 No Street 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) , (y AJ and for no other purpose. y New Building f' Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof r <' - � .- o o E. 6 • Estimated Total cost of improvements $ �' �, Amount of Permit $ u 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 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 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) ar-' 1 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 ----------- _ - __ - 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 Date Read, Sworn to and Subscribed before me. Disapproved Date . \ (Signed) �f Building Inspector My Commission Expires Notary Public, State of Florida 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. STATE OF FLORIDA, COUNTY OF DADE. ss Permit No 4 Disapproved (Signed) 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- ,'"j' y 19 ` �. .. lsa_ ' n / � 1 f 4' ..... . . �''- % i Owner's Name and Address .� /._� :, ._ % _�>1����z� :';� No ../ � � � % Street � ).•-:, -' Registered Architect and /or Engineer ...... ...... ....__ ri° • �� , ,tom - Name and address of licensed contractor..,..�� �._..: u /,'"'' ;.. - 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) : -: ! -2% "-- i and for no other purpose. New Building Remodeling Addition Repairs No. of Stones To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ • • � � 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, 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 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. 1 .. Remarks (Signed).: f—A- -'- / ' /;'; Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Date Read, Sworn to and Subscribed before me. 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. Date. Notary Public, State of Florida 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 heen 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. of t or , Lot Bl, Subdi- Lon vision of Value of Amt. of Project $ — Permit $ y BUILDING ELECTRICAL PLUMBING ROOFING Owner Building Architec Contrac or Build Legal Descript Address Building I MIAMI SHORES VILLAGE, FLORIDA PERMIT IN? 13471 DATE Work to be performed under this Permit 195 Contractor's License No 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 application 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 responsibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree 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, myself, my agent, setyant or employee. / 1 ■ ...�► CONTRACTOR OR BUILDER Signed: ` " �.BY INSPECTOR BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner Building Architec Contrac or Build Legal Descript Address Building I MIAMI SHORES VILLAGE, FLORIDA PERMIT IN? 13471 DATE Work to be performed under this Permit 195 Contractor's License No 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 application 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 responsibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree 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, myself, my agent, setyant or employee. / 1 ■ ...�► CONTRACTOR OR BUILDER Signed: ` " �.BY INSPECTOR BY AUTHORITY Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the builii- 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.. - 4 , 19 Owner's Name and Address a: •-_ - - . No 9 �‘ . _ - ---- Street , Registered Architect and /or Engineer _ Name and address of licensed contractor ' /_f-ak __ L A, Location and legal description of lot to be built on: Lot_ Block Subdivision Street and Number where work is to be done L2 1'�f' °° t�_ __ _d- e = - •_{� t fl State work to be done and - purpose of building (by floors) _____- ___ ___ "____ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To lie constructed of Kind of foundation Roof Covering__ ! - 2( V /r i -•; Estimated Total cost of improvements $ - �c n(. 4 Amount of Permit $ 7 e9 6 _Plan Cubage _Size of "Building Lot Zone cubage required • Distance to next nearest building Maximum live load to be borne by each floor___ . . I hereby sub it all the plans an specifications for said building. All notices with reference to the building and its construction may -,r be sent to 6 '� iLf f 1 - E I- `e, y a-( » L The undersigned applicant for this buildin 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 Gener., " a of Fl ida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all con ntractors employed by 1 'm in the work to be performed under this permit; and will post or cause to be posted fo ec on a :ite of the work such ubli ice or notices as are required by the Act. The undersigned agrees to employ only sue subco a' ✓ to be perfo this . permit, as are licensed by Miami Shores Village. — — Remarks _- -_ _ _ (Sited) .... STATE OF FLORIDA, COUNTY OF DADE. d 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. 16 r Permit No._____X ✓_ �L Date Read, Sworn to and Subscribed before me. Disapproved __ _ _.... ,_ Date (Signed) - x� "' f . t$ " p! A! Bding Inspector / My Commission Expires_ Chairman - Member Member ._ Council Approved NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of 51.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT PLANNING BOARD_ __Date J065O,Le to me well known, Notary Public, State of Florida DATE Member Member Member - Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty PERMIT APPLICATION FOR MIAMI SHORES VILLAGE • Date Legal Description Owner / Lessee / Tenant Owner's Address Contracting Co. S A' l / 4 Address Qualifier Ora--M/V) %3 1 hen(a ril SS #k State #0770/0 Municipal #e / w Competency # Ins.Co.6 . a -� `s��'�i% Pf '% t ' Architect /Engineer Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFI Q) PAVING PENCE SIGN WORK DESCRIPTION V - i.l /If /) . by_oTC1 1601, 1/ 3 , Q < (ter✓'( / .. f ' `; Estimated Cost(value) B• //0 786. cr, Square Ft. 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: ** * FEES: PERMIT " 06 RADON APPROVED: 1 /1 AE 9 13vd Tax Folio 11 3 ;O5 00, ;.7 0,. Y-O ' U ' 0 G'O YYM • AtfitjAid : �� /c N � 3 � Phone Job Address 459 OFFICIAL NO'11.11Y 51. Aiotary as to Owner and/ 'Cd My Commission Expires: MY_C3IV.1..iiSEIC2:d %2. A:1.12_2t. r, Address Mat d .we Master Permit #0y1.2, �tr '73 5? /WI) t /i'je- i;2 J (f Phone - -6 / gnature of Contractor or Owner - Builder ate: Notary as to Contr ctor er_ W0in'E'Btii'lder My Commission Expi4'e r p = tltl 1` :.. IooN , XI'. MAR. 12; cc * * * * * * * * * * * * * * ** C.C.F. f NOTARY TOTAL DUE . l',l Fire Other Zoning Building Electrical Mechanical Plumbing Engineering v • NOTICE OF COMMENCEMENT 9 3 8 2 Ca 9 7 1 1993 APR 26 15:37 PERMIT NO. TAX FOLIO NO. f -- 2 ` OS o) 7 O °/, �CJ STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: %)(rY /Ur `/ 3Y` "Jr 126-2z, 2. Description of improvement: PE 3. Owner(s) name and address: ,IL.9. X0 :1j Ley , _e Interest in property: Name and address of fee simple titleholder. 4. Contractor's name and address: 6. Lender's name and address: ( rrc-£L-1 C L f_E v a 5 it, 'l.0 « 410:2 , /l . /S6 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ / / // 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be sere 'd:as provided , by Section 713.13(1)(a)7., Florida Statutes, Name and address: , ! '73 7 A-'L4.1 / -n, ( 1 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 spe ified) Sworn to and subscribed before me this f day of C(/),/ ( ' , 19 7 Notary Public Print Notary's Name _ , &) ��r r' My Commission Expires: 0 ; - Sign 1 tur- Owner T.a, /'r Prepared by_. r Fl /t t�� Print •wners Dame A a ( i l V ee J - v t e. Address /''TL /Lt /Cj '' /4 Z l , Ai ;'C'.s j 1230152 2/93 0 CONTRACTOR ,/ / q' 4 L,,',, jT j vim° Name . ,hdo ` o, License No. o/y43/ Q /976 6 /C /3 jf //47/,,q ' & Address Telephon f y /3ec� 9f Fax a,, — r23 -0 Qualifier Name i A / ?------ PROPERTY OWNER New Construction Name � n j Q /IA)9.-j ` Address Home Telephone Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'1 Detachment Other Step 1. Job Address: /'O AJt Sr Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. Folio Number 1/3 La b 50 �.) 6 a Description of Work Lot Block WL Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax City Master Permit No. • State PERMIT APPLICATION Subsidiary Permit No. b P • O (D • Co INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores 'Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must he notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION 3er Zip 5 / / Subdivision PB PG l�-� Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work tr-5 Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. 1. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: • Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, CO7 OF MIAMI -DADE Signature of 9ldvner C/,ey Print Name Sworn to and subscribe SEAL: Signature of Notary Personally known d before me this day of j Q MICHAEL IWASKEWYCZ MY COMMISSION # CC 721000 ''-E1 ft8ES'ApiiI 10, 2002 OR, Produced Identification STATE OF FLORIDA, C�� OF MIAIVII -DADS Signature of Contr ctor / Qualifier 2 /> j Print Name Sworn to and subscribed before me this _( day of gnature o SEAL: PERMIT APPLICATION Personally known -� OR, Produced Identification Type of Identification Produced: Type of Identification Produced: SECTION BY D TE Zoning ato 62-1 / 5 /Da. Electrical Mechanical Plumbing Fire Public Works Structural Building Official ,r - 1/ 1 F — Page 4 OFFICE USE ONLY CI IE'C(LIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ O PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) O OTHER (Specify & Attach) $ �C P Inspector State Educational Fund $ (0.005 / sq.ft.) State DCA (Radon) $ (0.01/sq.ft.) Code Enforcement Fine $ Zoning Review (sq.ft. = x/1000 x ¢.60) REVIEWED AND PREPARED BY: PERMIT APPLICATION CONDO ASSOCIATION APPROVAL (Attach) 0 BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ S- ° ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -_8972 • http : / /www.miamishoresvillage.com 4 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Disposal Demolition Low -volt, Intercom/Teleph. Repair Circuits Domestic Well Dishwasher Low -volt, Television Service, Number of Amps Drainfield, 4" Tile/Res. MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator ' QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Water Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Cap - Sewer PLUMBING TYPE QTY. TYPE QTY. TYPE QTY. TYPE QTY. A/C Condensate Drains, Roof Miscellaneous Fixture Soakage Pit Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 1/9/2002 Applicant: HARVEY GLEN Owner: IVIE Contractor Local Phone: Building Permit Permit Number: BP2002 -64 Address: Cellular: IVIE HARVEY GLEN Parcel # 1132050270220 Legal Description: 5 53 42 BAY LURE Job Address: 1268 NE 93 ST Fees: FEE2002 -185 FEE2002 -186 FEE2002 -187 Description Amount Building Permit Application Fe$60.00 CCF Notary Fee Total Fees: Permit Status: Approved Permit Expiration: 7/8/2002 $0.60 $5.00 $65.60 Construction Value: Work: EXTERIOR PAINTING AS PER AGREEMENT (ONWER BUILDER PERMIT) If there is no permit package accessible on the job -site for in fee is $50.00, which must be paid in advance before calling for This Permit is granted to the contractor or builder named above to construct the bt ordinances pertaining thereto and with the understanding that the work will be perforr and approved by the proper municipal authorities. This Permit may be revoked at an authorization. A further condition upon which this permit is granted is the understand ordinances and regulations pertaining to the work covered hereby whether shown on by his agents, servants or employees. Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work cc with the plans, drawings, statements or specifications submitted to the proper authori myself, my agent, servants or employes. Signed: (Contractor or Builder) 063E S?I V11Ot1 BY: PB 44 -63 LOT 10 $850.00 6 // S 31Va £tts£9c1£9 OL9Z /£1t'9-£9 Page 1 of 1 BLK 2 LOT SIZE 75.000 X Total Fees: $65.60 Total Receipts: $0.00 0621= ellElott5fg`I E fthg02J 92:1 , o$ +xaulcn� mo y V L - 4 t9e li ' e , oz LasoN 000L-99L -009 19a0S NBLT '3N 006 9LLi iatua0 lelaueuy leans NSLSAweM 6UON yd ',wee'envy u028ul45eM len ;IlyI poIulyseM L9l££ 1d 'IWVIW H1HON 99£1-s69 10£ 'Hd '1S Hl0£1. 3N 9L41 13VHOIW AS ONIINIVd 31A1OH 3131dWO3 Gl oW3W 5 dO N30110 5 all O.LAVd g f'