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MECHANICALDate Legal Description d 4 E.45/ 7 3 MS SE c/ Owner / Lessee / Tenant L at�il/ ��JF Master Permi t E)(I S /Add Owner's Address /// G /U er 9 3 SP Contracting Co. LOC4L #/4 a OND /n0/t) /.j Address AL__,. / S7 Qualifier q i'/ /N• 24E SS# / Phone / «&P20 State #69 0 Competency 0 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING ROOFING PAV G FENCE SIGN .3 A/ WORK DESCRIPTION EP cENe Jr ,e 4rvAz•1J ,A4! / Aia Square Ft. Estimated Cost(value)2_1!2i720. 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 be done in compliance authorize the above -n Signa re of owner and /or Condo President Date: Notary a My Comm ** * APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address46 ,06 93 Sr Tax Folio // 320( /3 369 8 certify that all the foregoing information is accurate and that all work will with all applicable laws regulating construction and zoning. Furthermore, I ed contractor to do the work stated. Owne G mSS f� um A�oo d r President Expi om September 25, 1994 vu NZ' BONDED TIM NOTARY PUBLIC UNDERWRITERS FEES: PERMIT 1 P1‘ 4 7 RADON Zoning Mechanical. * Notary a to Contractor or Ownr- Builder My Co -'�' "�, Ex HY COMI�KTSION &XPIRES ��QN IV N a; . •, � • $1100171WW25, 1994 ,„ia BONDED TN MUG NOTARY UC UNDERWRITERS * * * * * * * * C.C.F. Fire Other Phone 7s fe/y/ s v .o,t y / 52r-t° Jv is. 6 Si�iature of Contractor or Owner - Builder Date: NOTARY TOTAL DUE ', Building Electrical Plumbing_ Engineering ** 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...14' .2–.1''---- . _._! ...._ ,18/ Owner's Name and Address ...... . .� -' °....l.Y ..._ — No... 5� _ . Street . ..�,t` !? s Registered Architect and /or Engineer Name and address of licensed contractor .6 G v n Location and legal description of lot to be built on: Lot Block Subdivision Street / Street and Number where work is to be done . D _ it / �L _ . '2 i /e`rf St -- ate work to be done and purpose of building (by floors) 1/ 5..1 f.'... ...– y /° /' 41 � �ii,� - s U / / ! ✓..I?..G. .and for no other purpose. STATE OF FLORIDA, COUNTY OF DADE. j ss Disapproved .,1� Date (Signed) l / ITt ••! .. T.! !ft t. W I . 4 _.. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 6 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 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. � Remarks (Signed 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 ss ed e true. Permit No..__`: . ! Date C'� / ° 7 _ Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires to me well known, PLA INC BOARD _._... ...DATE Chairman Membcr 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 oe faulty materials and/or workmanship. 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 t k N ( 7 t g n1 Registered Architect and /or Engineer Name and address of licensed contractor em Location and legal description of lot to be built on: Lot__ Block Subdivision Street and Number where work is to be done_ / h S 7 �G L ®� re ° ' 4 State work to be done and purpose of building (by floors) —.-------- __._._------------- _____._..__........... __ Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ate_ Tc -a e v Date and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Cnvejng Estimated Total cost of improvements $ ? c3 — 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 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. A l Remarks - (Signed) / ` «!t. ea, a c _ t. 7 z. iZ _ / Q ,19 No /& Street g ao l 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. Permit No / ( - 2 Disapproved (Signed) Read, Sworn to and Subscribed before me. Date Disapproved Notary Public, State of Florida B uilding Inspector My Commission Expires PLANN BOARD._ ___ .. DATE Chairman .._ Member Member Member -- Member ... _ Member to me well known, Date NO : charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plann g Board. A re- spection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials a d /or workmanship.