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966 NE 92 St (6)BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA PERMIT Bl N9 5227 Work to be performed under J Permit DATE 19 Contractor's License No. Subdi- vision Address of Value of II Amount of Building Project $ Permit $ This permit is granted to the contractor or builder n amed 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 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 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 ordinances arid regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ASP, MIAMI SHORES VILLAG BUILDING DEPARTME 305- 795 -2204 B uilding Inspection Re Date (Q °' / 70 Time Type Insp'n Permit No. M ,Y.. 203- Name Address Company Phone # de 9 Sf" Correction ❑ Re- Insp'n Fee ❑ /ir ( 365 Of :63 9V For Inspector: 6 - ®- O3,1 ame & Date Approved /vim Date - Job Address Legal Description , ✓:;a Ownerlessee/Tenet PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305 - 7568972 Owner's Address ` " fri - ts I L . N • ! / I' .1 Contractin Co. Qualifier �' r C I �, A a' ! State # ' � � k2 ` 1 a 1 Municipal # / PLC i 04. Tax Folio IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: Signature of owner and/or Condo President Notary as to Ov< My Commission FEES: PERMIT 7(' APPROVED: lap Mechanical f `• iv- D 3 Plumbing Date Robert J. Chryst MYCOMMISSION # DD113321 EXPIRES May 24, 2006 RONDEDTHRU TROY FAIN INSURANCE, INC RADON C.C.F Historically Designated: Yes Address SS# Phones c-? C J F r' Competency # Master Permit # Phone /S (' X16 9 �" Square Ft. Estimated Cost (value) ,-� C.bOX ;fl it �r:: r'�f 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 ANY 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 all disciplines. OWNERS 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. Date Signature ntractor .r Owner Builder r `‘. NOTARY f 1 • F Ins. Co. �lqr ('C -` d J 1 Notary , as to Contractor or Owner Builder My C mmission )ages anz MYCOMMISSION 00174033 EXPIRES December 26, 2006 BONDED THRU TROY FAIN INSURANCE, INC BOND TOTAL DUE 4 i toZY Date 1 Date Zoning Building Electrical Structural Engineer Work: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/10/2003 Applicant: DENNIS Owner: TINSMAN JOB ADDRESS: 966 NE 92 Contractor C & R AIR CONDITIONING CO Local Phone: 305 - 685 -6394 Parcel # 1132060060120 Legal Description: Fees: FEE2003 - 3500 Description CCF Total Fees: (J Permit Status: APPROVED Permit Expiration: REPLACE 3.5 TON SPLIT SYSTEM 0'005 2 3 3 1 1 ' I:06700 24 361: 40 L309 L06 Mechanical Permit Permit Number: ME2003 -96 TI NSMAN DENNIS ST Contractor's Address: 2121 NW 139 ST #10 Page 1 of 1 AMD PL GOLDEN GATE �� PK �� PB 7 -54 LOT 15 LOT SIZE 50.000 X 140 OR Amount Qe t. 3k D o $1.80 $1.80 12/3/2003 Construction Value: $2,905.00 Total Fees: Total Receipts: AIR CONDITIONING CO. P.O. BOX 681330 • MIAMI. FL 33168 -1330 PHONE: (305) 685 -6394 TT ®HE ` `, ALL V ORDER OF ae/Va6 • 41;) / (9-4° M.MO BANK OF AMERICA FLORIDA 63-243/670 1 1 j A 5233 D SIGNATURE DOLLARS ct 8 8 � b.8a $0.00 lining thereto and in strict �e responisibility for all work Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 -'p i5z ✓. J 4 6 ) 4 Registered Architect andior Engineer Name and address of licensed contracto Lot Block Street and Number where work is to be done Disapproved (Signed) APPLICATION FOR BUILDING PERMIT Location and legal description of lot to be built on: Ali 1�1f', /J.ree6 State w.rk to be done and purpose of building (by floors). state exterior colors (submit samples) D New Building Remodeling To be constructed of Kind of foundation �� , ��n Roof Covering Estimated Total cost of improvements S �% ' Amount of Permit $ Vl4" eg 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to e4 ? Permit No. Date MIAMI SHORES VILLAGE P. (?' BUILDING INSPECTION DEPARTMENT VI ACM L . /Ve � :-d 7' Subdivision t Date t. Addition Repairs Date Read. Sworn to and Subscribed before me. i� o� 19 No 4' C Street iG 'a Zrde 1 1 and for no other purpose. No of Stories STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared Notary Public. State of Florida c 9 ) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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) G¢(—",-- 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 f. goingrapplication, and that he did sign the same. and that all facts therein by him stated are true. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials andror workmanship. e . MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDINM 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. el Date 5 Y ., 19 Owner's Name and Address 1 t� �1_n __ �l _ No 2 - Registered Architect and /or Engineer Name and address of licensed contractor CC Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss Building Ins, ector ct~t State work to be done and purpose of building (by floors ) ____ II_ __ ' 2,_.. -. ___ __a _a_.:L 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 $_________1/ 2- C ti � ) ) " _ Amount of Permit $ t._ 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 thee p plans and specifications for said building. All notices with reference to the building and its c struction may be sent to — Q —� —V' - - -�a 4_4.4,i 4 - - � p--- - �� - - � 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 'on on the site o - work s public notice or notices as are required by the Act. The undersigned agrees to employ only such sub ntr to on wor e p;'. • ed under. this permit, as are licensed by Miami Shores Village. (Signed) g Remarks__ - -- ned ) I- - � ?.. � =:ice � /__ a Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- ped3. and who, being by me first duly sworn, upon oath deposes and says that he is the c Hof 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 'S7--- Date s—� `' Read, Sworn to and Subscribed before me. Disapproved (Signed) to me well known, Notary Public, State of Florida 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.