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657 NE 92 St (5)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or ore 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 nf State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the iuilding 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 P 1 Registered Architect and /or Engineer , ,:,- ,<,...,,...,,,„,,.,„,., Name and address of licensed contrlctorltt 4 ' 19 Locatio a lc 1 descrip ' n of lot to be built on: Lot l Block Subdivision ife a.1� .� _.�!_ G y_3 oi7e/ Remarks (Signed) Date Date ..._..._... • _. •■■•■”_ _..._... • ....... _ _ No...? :". ..__. Street Disapproved . __ . ` Date.. _........_ (Signed). Building Inspector Chair ;nan Mcrr,bcr Member _.--- .-- ....._..._._ ...._....... Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Plarinir.g Board. A re-inspection fee of $1.00 will be charged materials anti /or workmanship. Street and Number where work is to be done... 6 '-Y . 'Z .. :! �. �'' I State work to be done and purpose of building (by floors) • :el- _..__ and for no other purpose. New Building Remodeling >. • Addition Repairs No. of Stories To be constructed of Kind of foundation }oof Covering Estimated Total cost of improvements $ vie? Amount of Permit Z. ✓4 L 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 ‘Vorkrnen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent So 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 i spection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such s ntractors, on work so be performed yttder this pennit, as are licensed by Miami Shores Village. 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 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 fads therein by him ? statted�e true. Permit No.. r1L _91 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Member Member Member Disapproved or changes to this application after approval 907. Co ._. .4:a. i P L Y A��Y , . when such re- inspection is made necessary by Improper notice for inspection or faulty to me well known, Date has been obtained fmin u Date 7 /° 4 / 9 1 7 Job Address Legal Description APPROVED: Lessee Owner's Address Contracting Co. Qualifier A/ c �f State # unicipal # Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING CHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION y"�4C� eE5V /t57A) J / 4 A � 7 ?r/ a 10 KtO l Square Ft. Estimated Cost(value) 2t9i qiP 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 jt.isdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, P ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing info :ti•n is ac r. :te and that all work will b: •. a in compli nce with all applicable laws regulating cons uctio � : d zoniypg. Furthermore, I ize the :•ove -named contractor to do the work state . A. Signatu e of o •r and /or Condo President Date: 9 Notary as to Owner ajp : ?: — =. My Commission Expiresi`tf` FEES: PERMIT. RADON C.C.F. NOTARY Fire Other Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Mechanical 990 • SP_,4 S s� (� — 3;M; /3 - o% 6 7`3 ? s T Tax Folio / Tenant / -61Y4q 7 j 5 Q Phone ; V 7 t Address l) SS4E / Phone /SAO.- g/( — 5 Q Competency # Ins.Co. @ . � o z �}�� �' C586838 Sign D Master Permit # 1-1024 to y as to Contractor My Commission Expires: Owner- Builder TOTAL DUE Building Electrical ✓ ��57 Plumbing, Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING fair .- -_ _ DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 17((]r. DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOCR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS • PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS - 0- 1 HP STEAM MILE'S SHOWER MOTORS OVER 1- 3 If HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS /ESCALATORS _ TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT FIRE SPRINKLER HEATER -NEW INST. STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS _ HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE SPECIAL PURPOSE OUTLETS COMdERCIAL SIGN TUBES • SEWER CONNECTIONS SIGN TRANSFORMERS _ UTILITY -SEWER SIGN TIME CLOCK _ JTILITY -WATER - FIXTURES ANTENNA _ _ SEPTIC TANK 3ELAY TELEVISION OUTLETS _ )RAINFIELD, 4' TILE/RES. VIOLATION • - _ PUP & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. ;ATCH BASIN )ISCHARGE WELL )OMESTIC WELL IKEA DRAIN 1OOF INLET _ _ SOLAR WATER HEATER 'IRE STANDPIPE _ _ 'COL PIPING .AWN SPRINKLER SYSTEM ;AS RANGE DETER SET (GAS) ;AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AI/ APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BE OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Mortg gor • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date . Job Address (097 MF 9,2 sr Legal Description Owner / n vie 1 * Master Permit # 86 1 ( X (P Ale 7 ST 2S/ -34 �o v Owner's Address /) 1 � -7 e Contracting Co. R es I G� � / AddresaZaZS NE f S c T Qualifier ,41 C / S /Q/' 65 a V v State #0i (712(944:267,1 7 12(9 ►nic 67,1 Competency QS 42- Ins.Co. Architect /Engineer Address Bonding C j Address'` Signatur owner and Date: and /or OFFICIAL NOTARY SEAL De li BARBARA ANN FUOA221 1 j * COMMISSION NUMBER CC300191* XP. . MY COMMI SSION OF fV MAR. Notary as to Owner My Commissi ** * FEES: PERMIT APPROVED: Zonin Mechanical ondo President Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ( h S 11 1447,-` / / 4p \i - /6 ID Al/ - 7720 4 A ‘"PL. T Square Ft. Estimated Cost(value� 00 0 * * 29 1998 C.C.F. Fire Plumbing \---"Address 6 Tax Folio 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 - -amed . ., tor to do the work stated. 5a.1hva Cam, Notary as to Contractor My Commission Expires: er- Builder 3 '7 es 1P p (/6, OFFICIAL NOTARY 8 N,. BARBARA ANN FUCIA U'! * COMMI881011 NUMB eicit MY CC3801rt1 NOTARY e Op p00 M I» Other 9, ** ‘44 175 Building Electrical Engineering Carrier , Air Conditioning 0 Orvisono+ Car' er Corporatron Carrier e Career Parkway Syracuse. New York 13221 Commercial Air Conditioning RESIDENTIAL AIR CONDITIONING CO. 20250 N.E. 15 COURT NORTH MIAMI BEACH, FLA. 33179 o Carrier Corporation — 1961 • `111/4 E 0'310 S ie e= Z 1 BTUAYI - T r IN Prepared for7D A IQ .- se N iJ G TT Address (00 N G 9 D Sr. 1 I� sri t .. '1 ©O O Date ^ OJT (905 -041) Carrier AirGondrtioning Dry s oo or Car••er Coroorator a r >. �. Carrier Parkway Syracuse. New York 13221 Commercial Air Conditioning RESIDENTIAL AIR CONDMONING CO. 20250 N.E. 15 COURT NORTH MIAMI BEACH, FAA. 33179 o Carrier Corporation — 1961 • Prepared for A ►V e N TT S7 NG 9 °Z sr. Address Date • ■ 5 ktJ rysl- 34 S s1 b -'70o 0 (905 -041) PERMIT APPLICATION FOR MIAMI SHORES VILLAGE / 0 'C rs a o 6 '13 4. Date�`� _ Z ' (` � Job Address �� � � Tax Folio ,/ 3 Legal Description Square Ft. Estimated Cost(value) Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: Zoning Mechanical «rq& 9 Signature Date: 7/ otar ' as to C y Commission 21he, a Owner / Lessee / Tenant k '�� Ae.1 .^,4 LV t if ; Master Permit 14. Owner's Address g G A/F �j 9,_ 5.,-r ' _ ,3C� 7r — /r2 !! Phone f / Contracting Co. %mil / ? ! -•-- Address l�7') ) Ti/�`C /' 4 Qualifier ' / . ik ,. .__ State # aeC!%:r Municipal # Competency # Insefto. 'i'74,-,-- 23,3y Architect /Engineer A W Address I�/ /�' �''-� Bonding Company A- Address N Mortgagor Address sue/+ Permit Type(circle one): BUILDING ELECTRICAL PLUMBING M CHANI A' ROOFING PAVING FENCE SIGN WORK DESCRIPTION i/ 2 L0 11011 1l 4/i 1 /, - 7✓—. moo, ‘'` WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAX 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 ana 7 "la F"ntaiw°rs, authorize the above -named contractor to do the work stated. 7 •.►" • . 106EPHINIC OMN :Nifty Poe. siestiturs •. isrio..�.••� t sls� •f • : 4• r , or� -t •- rint. t e qr stamp name of Notary Public ergn Wy known CPR Produced I.D. Type .in.l nuu:bcr of 1. to uccd: ** * * * * * * * * * * * * DID tak an oath, or 0 * DID NOT take an oath. FEES: PERMIT / /Q RADON C.C.F. k do NOTARY % TOTAL DU APPROVED: Fire Other Electrical Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) / DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RAKE METER SET (GAS) GAS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL ,