MECHANICALBUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
rl
Ovmer of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE. FLORIDA
.PEIRMIT N9 8299
Bl.
Subdi-
vision
DATF
Contractor's
License No.
Work to be performed under this Permit_
Sq. Ft.
Value of Amt. of
Project $ 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 application
hercfor 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 assume.; responsibility for work
done by his agents, servants or employees.
Signed:— — — — BY
INSPECTOR
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 Shoes Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
7
Date,
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address S9C /� �1 () l .Tax Folio
Legal Description 1 Historically Designated: Yes No
r / I
Owner/Lessee / Tenant ikC (J
Owner's Address A A}6., Q O L5 T
Contracting Co. - k 1 i! ) e T / R (_.- A Address
Y /,L'AJ / SS# � '"
State #
Architect/Engineer Address
Bonding Company ( � Address
Signatur of vner,a> ! indo
f .�
7. a
ChU�• 'S
Notary as to
My Commission Expires:
• G��� 1 2 N� [
debt
Competency # '
Notary
My Commiss
Master Permit #
Phone 0 `
FEES: PERMI RADON C.C.F. ;PO NOTARY ( ' ' BOND
APPROVED: TOTAL DUE
Structural Engineer
- Builder
Ins. Co.
f �5
- ( ;< /7
loa
Mortgagor C Address
Permit Type (circle one): BUIL G ELECTRICAL UMBING MECHANIC) ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
_,Y/ S %/A ) ._. 7 (JA
/Gift() 6
Square Ft. Estimated Cost (value) LY °'J (�`
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
PLUNMING, SIGNS EQQ ROOFING and MECHANICAL WORK.
\\ \0011 8 i�� / //
OWNER'S Aj i t� 6ro11 the foregoing information is accurate and that
constructi4and 40§SIOt „ J orEG,4 authorize the above -named contractor to d
00 IMO/
�j$luil�l$j
in compliance with all applicable laws regulating
A•
N't Nitk *k t, , , •
Si atj a of Con or • ,, '- ldei Date
-
. 3 .
Date
Zoning Building Electrical
Mechanical a (°iing
aiami _1biores lilage
L 0 w 1 0 n
Sec. 5-1.1. Air conditioning regulations.
(a) All individual air conditioning units installed in walls or
windows shall be securely anchored to the walls by approved
methods. Units installed over public property, paths of egress or
more than ten (10) feet above grade shall be secured to the struc-
ture by bolts or screws to resist horizontal wind loads. Such units
cantilevering more than e,ight (8) inches on the exterior of a
building shall be supported by steel angle brackets secured by
bolting. Bolts to masonry shall be set in lead shields or similarly
rot - resistant fastenings.
(b) The following special requirements shall apply to the con-
trol and regulation of noise nuisance from air conditioning machinery:
(1) All equipment, existing or hereafter installed, regardless
of location, shall be maintained in good working order.
Equipment so located that normal operating noises create
a nuisance to adjacent owners or occupants shall be pro-
vided 7--ith soundproofing, or sound - absorbing baffels, or
enclosures, as approved to insure maintenance of a rea-
sonable noise level.
(2) All equipment on outer walls, on roofs, or in other exposed
locations, which are unduly noisy, and which causes valid
complaints from adjoining property owners or occupants,
may be required to be relocated. redesigned and'or en-
closed in noise - retarding materials when. in the opinion of
the building official, such enclosure is necessary or would
be effective.
,(3) Special consideration shall be given to the planning of all
future installations to minimize the noise nuisance to ad-
joining property owners or occupants, and the building
official shall have authority to reject or require the rede-
sign of any system which, in his opinion, would cause such
a.noise nuisance.
(c) Violation of this section shall be punished as is now or may
hereafter be provided by law. (Ord. No. 299, 41 1 -3, 2.21 -61)
e above ordinance and ' I r the
®.:. �ncf
v . * M �ssio�•. • ' ®
0 omm •
•
°^ 9 r �p'a
•ems
a
fi
Legal Description �/� / C
Owner/Lessee / Tenant I 0 Ul �)
Owner's Address g90 O / V Q o
Contracting Co.
Qualifier / ��v (�
State #et�(_,,6Z3
Architect/Engineer
Bonding Company
Mortgagor / Address
Permit Type (circle one): BUIL G ELECTRICAL UMBIN t MECHANICA 1 ROOFING PAVING FENCE SIGN
m e . 3 TD/l/ f' (� e _
J/1E AAA() /oeco NO0
WORK DESCRIPTION
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 pennit 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, SIcWitAtliffidp0FING and MECHANICAL WORK.
a \ . 0 L. Bunchh ** � ®0911 6111OA
QA, •Cy tha�,Qll the foregoing information is accurate and
• ore, the above -named contractor t�o this
N r •-b.,
OWNER'S •
construct an+
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address ,g90 /16 •Tax Folio
/J /- Y/2AJu/ SS#
FEES: PERMIT RADON
Municipal # Competency # —'
N
APPROVED:
Zoning
Mechanical Plumbing
,Date,,
n n0 •°
Notary as to ai undo President
My Commission Expires:
Date
C.C.F.
Historically Designated: Yes
Address
7),_ Address
Master Permit #
Phone 7%5766 't
Address ' 52) /Vc / 5 C■" r
� � one
Estimated Cost (value)
Ins. Co.
No X
Notarjf 4 ' Owner-Builder
My Commission xpires:
NOTARY
*toe in compliance with all applicable laws regulating
•
9 / 2 ,0 °
ca (n o
BOND
TOTAL DUE
Building Electrical
Structural Engineer
Sec. 5-1.1. Mr conditioning regulations. •
(a) All individual air conditioning units installed in walls or
windows shall be securely anchored to the walls by approved
methods. Units installed over public property, paths of egress or
more than ten (10) feet above grade shall be secured to the struc-
ture by bolts or screws to resist horizontal wind Toads. Such units
cantilevering more than eight (8) Inches on the exterior of a
building shall be supported by steel angle brackets secured by
bolting. Bolts to masonry shall be set in lead shields or similarly
rot - resistant fastenings.
(b) The following special requirements shall apply to the con-
trol and regulation of noise nuisance from air conditioning machinery:
(1) All equipment. existing or hereafter installed, regardless
of location, shall be maintained in good working order.
Equipment so located that normal operating noises create
a nuisance to adjacent owners or occupants shall be pro-
vided with soundproofing, or sound - absorbing baffels, or
enclosures. as approved to insure maintenance of a rea-
sonable noise level.
(2) All equipment on outer walls, on roofs, or in other exposed
locations, which are unduly noisy, and which causes valid
complaints from adjoining property owners or occupants,
may be required to be relocated. redesigned andfor en-
. closed in noise- retarding materials when. in the opinion of
the building official, such enclosure is necessary or would
be effective.
,(3) Special consideration shall be given to the planning of all
future installations to minimize the noise nuisance to ad-
joining property owners or occupants, and the building
official shall have authority to reject or require the rede-
sign of any system which, in his opinion, would cause such
a.noise nuisance.
(c) Violation of this section shall be punished as is now or may
hereafter be provided by law. (Ord. No. 299, I§ 1 -3, 2- 21 -61)
I have read the
r °
L.
ea •e• � ,F04
t s SQ N / e� 1 , 2p.7
iami Jiiotcs91llage
• L o w 1 D w
above ordinance and will ccvakti nd°j the
eof.
.o ° \,\ssioe.. . 4'
e a �p J ,V \ s 1, ,o�
® (>OO
Owner's Name and Address....._
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BU1L -G 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.
Registered Architect and /or Engineer
Name and address of licensed contractor Fi LSI
Location and legal description of lot to be built on:
Lot Block � Subdiviisiion c� 7�
Street and Number where work is to be done .1� V [� .a.6::�, 7 / � � ([.a
State work to be done and ' and pur - pAse of building (by floors) / 5 'L'.�.iJ a.l! o d r � ; 7' � � "Gad % �G
A ;,' (�- mil n P o Al __
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
Date
b.D- : AS No.
J.3:1 JVDWA
Notary Public, State of Florida
Street _..!a1
,19
w G'1
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.
Remarks ( Signed )
STATE OF FLORIDA,
COUNTY OF DADE. j
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 l Date t. � Read, Sworn to and Subscribed before me.
Disapproved A -- Date
(Signed) "' k „r =� -
Buildin 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Name ..nd Address .eT.U,�iei / ••
, Date
to
utlding Inspect°
a,
MI SHORES V LLA E
EtUILDINCii• INSPECTION DEPAr4TME111T
AtipP'L0 CAT0 0 N ' FO 6• •2: ,613 0 LEM
is luvcby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
: Jr o :L, r s'ot' herein described. 'flais application is made in compliance and conformity with the Building Ordinance of Miami
\'1 :1.ccc. Florida, and all provisions of the Laws Of the State of Florida,. all ordinances of Miami Shores Village and all rules ar.d
:.s of the 1uilding Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved
_
and spec f i.atioos must be kept at building during progress of the work. .
;istered .Ar.hiteet anchor Engineer
�n :c and a i,ucas of licensed contractor
Date. .
No No Street 2
•
.Itlu•1 and le).?.11 descr;ption of lot to be built no
L plu , 2 - . Subdivision - "4 rE4- ` L- "' •
. et and Number where work is to be donc..
work to be done and purpose of building (by floors).'
F c1 :. :alcci 'Focal cost of improvements S.,.J! '
PLANNING. BOARD'
c.� li„ilclin,; lteuaodelitor, , ...... ......... Addition
i•,• rinaruc•ted o(..., .. Find of foundation.,
Amount of Permit $
1tepairs.
,1972
ttnd for no other purpose.
No. of Stories ...
I1oof. Covering
.... :a.bage required • flan Cubage
17...s...:-cc to nest neatest building Size of Building Lot
N1.-,...i.rmin live load to be borne by caclr fluo>i • I hereby submit all the plans and specifications for said- building. •All notices• with reference to the building and its . construction may
se :.,
to . _ ...
Ci:, umli•r > n!nn1 applicant for this Wilding permit iloes•hore•hy certify. that hc.undorstarids and accepts his obligations as an employer
, :.or 11111:1 thr Florida WVorkou n's Compensation. Act, being , seetion•54100, Compiled General Laws of Florida, l'rruanent Snpt,le.n.•ot,
':.r. c, a +a;a'.ic,l with the provisions thereof, :uid will rettaiire similar compliance: from all contractors or sub - contractors employed by 1unn
c wc.rl; to L performed tinder this permit; and will post or cause to be posted for inspection on the site of the work such notice
.: r.c tics as are required by the Act. The undersigned agrees to employ only such subcont• orb; on •work to be perforI1i4. under this
as are licensed by Miami Shorts, Village.
(Signed)
s OF FLORIDA, t
C",:.\ :"Y OF DADE. ss.
1'f;r r in the undersigned authorit a not■ury public, duly authorized to administer oaths and take, acknowledgments, pc rsortally ap-
to me well known,
who, being by me first duly sworn, upon oath deposes and says •that . he is the
;.bcve desc•rib :d construction, that he has carefully read the foregoing application,
by lain stated are true.
. t No. / ?Z J 2 4 '
'.sap; roved .....
t Read
4
and
•
that he did sign the same, and that all facts
orn to and Subscribe fore me.
Notary 1 ublic :WV ida3 AYF Ur L'iiii ; ; ;.G
eo!'1t ;15SSiOR
M' Cotaatnision EX tikiNDED.F r S lS i io. a ,
My I FJ•C..�.fi,4i •R'fiu (: .r • r!.:7:7 •
DATE
... :r.au Member .
• , . Member • t ,
.c :nbe: Member
C :„ i. .
,:._Data ' Disapproved'' fate
NOTE: :. cl:.argc of $1.00-will be made for making orrections'or changes to this application rafter approval has been obtained from •
:c n.•t.ec•ti ice of 51.00 will be charged when such re- inspection is made necessary ' ' i r
ieri..ls :ad /or workanauship. • ; r, . .
•