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MECHANICALPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNT • (OWNER TO RETAIN COPY) • Date 70 .. ff1. toe q 2 ST o T ax Folio J .°�geol� tr ' 1 / 5 itae r Permit. # Owner / Lemma / lesset rt 4- TQA 10 Lu M Dm J 5' \ ! E 9 S Phonetl Co. p in �•� ` i Address g V SO 1S r C D• Qualifier e � SSA ��. �- Phone �� . 6 ,, D states (''�C 009019s; C ompetency# P�. Ins. . Architect /Engineer Bonding Company Mortgagor Legal Description Owner's Address Contracting Permit Type (circle on BUILDING ELECTRICAL PLUMBIN MECHANICAL PAVING FENCE WORK DESCRIPTION S f . N 111A 1UG.1.0 . nNE C.4 o -1-0-rAtf. . Square Ft. Estimated.Cost WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF 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, on the attached addendum (if applicable). I certify that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that sepal per:aits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVITS I certify that'al1 the foregoing information is accurate and that all v will be done in compliance with all applicable lava regulating construction and zonJ Furthermore, I authorize the above -named contractor to do the work stated. C& uiJ 4141,1 ) ignatur Date: q M TATE OF FL b B °° President Notary as to Owner and /or Condo President My Commission Expires: * * PERMIT FEE: APPROVED: Zoning Building CCU n -5e Mechanical 3 �� / ' /" Plumbing /99/ Signatu _„?' Dates ,---- cr j6Ar51 W eo . d Notary a to Con •r or Owner - Builder * My Commission Expires: Fire Address Address Address Other Electrical Engineering • P4 ,qr e r- Builder * • Carver AtCCnditioning e Garner Co poraton Carrier Carrier Parkway Syracuse, New York 13221 Commercial Air Conditioning i ( • J O Carrier Corporation - 1961 • f • I-- -4 4-1-4 rt - 1-- ' -i- }.� - _� 1.- :-- 1 Prepared fo "TeAki 13 Lv M Address a 1 s tie - 1 d s i 9 5 k 40 R.G.5 - LOT ►44 Bak a(0 ML 5 og Sec #- Date 53 (7- cc men+ TRt - Ig 41C (905 -041) (49Z�nf'A 4T. h/D A 6/,t-7 T /97c s rre a 64-(x_4_ • ,ldcc.< moot s c•, ,(,vf-&1Pa0 � ,66 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.---- ...... D of c-Pi fi, (-pc 2 __ , 1970 J. sr - Owner's Name and Address_ • J � ���'� N o.�__z � Street__�� A� � -r7- Re Architect and /or Engineer ® _ Name and address of licensed contractor4. gel Q-�% ie P® R4 li0 d✓ > y'dro » t"o 6 ti C7. ,,,,..a,..../,.../7 4y ,. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done_2 7 - ) E 9 _2 f 7 State work to be done and pwpose of building kby floors) .�41_�._Lz, 424 / *cA i-/.4 � ®p 6 C' • ......... __ 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 $ 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 _ S ` 4 ` ® 77 / ' C e ✓'lo ( ;1!!„ /= 4. 3 5' / 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) 4.e STATE OF FLORIDA, COUNTY OF DADE. Disapproved (Signed) Chairman Member Member Council Approved AI; PLDIC ,TDON (O I= MR_ ONG PERMIT ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ,R .D_.,z GZ7e i 1 --- - - - - -- - - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the 4 7 /Z4 7C 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 azp true. Permit No Date Building Inspec MGAMO SHORES VBLLAGE BUILDING INSPECTION DEPARTMENT NNING BOARD__. ___..._______ DATE Member Member Member 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 iarged when such re- inspection is made necessary by improper notice for inset. ;ion or faulty materials and /or workmanship. /?_-y Read, orn to and Subscribed before me. Date Disapproved Notary Public State of Florida My Commission kkiife ^sf ': . ^.; 1 . ..--•__ -- _?, �? _, _ BONDED THROUGH FRLO ' f D I G H O R9 ,` Date BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Owner of Building Lot MIAMI SHORES VILLAGE, FLORIDA V 0 DATE 19 6Y o PERMIT N9 5573 Contractor's . y ❑ License No. 1 Work to be perfonned under this Permit B1 Address of Building 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 plane 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 respon- sibility for work done by his agents, servants or employees. Signed INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordineneas,iftd regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ae cepting this permit I assume responsibility for ell work done by either, myself, my a Sent, servant or employee. CONTRACTOR OR BUILDER BY Value of Project $ Subdi- vision Amount of Permit $ 7 • AUTHORITY ABBOT STATE OF FLORIDA, COUNTY OF DADE. ss. I 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 2— e 19_e_X Owner's Name and Address__ it- / No. _ ,2 Street 7' 9:=2,4d/. Registered Architect and /or Engineer /� Name and address of licensed contract 9� -2i �% -�� _ __V__ / - c1 ‘g."--/. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done �S- _ �� State work to be done and purpose of building (by floors)___ "^- ' C -' / , / 62 a-- // < 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 $ 7 - e 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 ins ection on the si of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subc tracts s, on w k tg be perfpylned under this permit, as are licensed by Miami Shores Village. Remarks (Signed) f _ _ 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 " j O 7 Read, Sworn to and Subscribed before me. Disapproved Date (Signed) - 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.