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MECHANICAL PERMITBUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description o PERMIT N9 5461 Address of Value of 11 Amount of Building Project $ II 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 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 and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• cephng this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit_ _ B1 DATE. 19 Contractor's License No. Subdi- vision BY AUTHORITY L j ABNOT BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA El ❑ DATE—._ 193 ❑ PERMIT NA 2961 Contractor's License No. El ❑ Work to be performed under this Permit_ Architect Contractor or Builder Legal Lot Description Address of Building Bl. Subdi- vision Value of Amount of Project $ Permit $ This permit is granted to the contractor or builder named above to construe the building or to install the equipment or device described in the application 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 tho 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 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 Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Disapproved MI Owner's Name and Address_lia_i e b Date Date (Signed) -1 .- Bui Inspector / BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDINM PE MIT 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. e 03 OK- — Registered Architect and /or Engineer Name and address of licensed contractor 6A 4, /5 6os._ �lr� Location and legal description of lot to be built on: Sbt N.�. fib$-` ` -rete� Z �I Lot Block Subdivision Street and Number where work is to be done TV: A - z _ State work to be done a purpose of building (by fl000rs)____2-` L .0 - c C e� eYaZCb_?�_rm. Ax- L (0 4:9,6 ,6 gQ.., ., a 0• 0• ( 0tn ie,... z ' 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 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 b performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed k - 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 - - -- -- - - - — _--- — 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 ° 1/6 MI SHORES VILLAGE crcPit Date - 3 ®•—C'Y , 19 Street____G�! • - • I No Ul e Read, Sworn to and Subscribed before me. 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. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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. N � Owner's Name and Address..' Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT • Date 1 c ,/' ' , 19 No Street Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) 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 The undersigned applicant for this building pennit 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 inspec 'on on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco.. - , on work to be erformed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) \___ / / /'� 3 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 C. E Cunningham to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the contractor 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 Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) PLANNING BOARD DATE Chainnan Member Member Member Member Member Council Approved Date Disapproved Date E: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from they arming 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 iaterials and /or workmanship. Building Inspector My Commission Expires Date C 1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE o Job Address / v .q 0 E - 2 a Tax Folio Legal Description I _ - Owner/Lessee / Tenant _ / )4 /10 r h f Owner's Address qqo "J '/� ��• Contractin Co. in cue)--1-r( IL le, Mr( II ca / XzeP1/l C.C.S Address ei ?R /V W / t Qualifier & X Y i P/ 9) fl C SS# Phone 30 / "arc State # 001C, 4t Municipal # Square Ft. .2,5n o ture of owner and/or Condo President Date IL ry f.■ .t 1111 otary as o Own - an•'o Condo President Dat My Commission Expires: _ . ~ orrlG,al moY s L I I 1Ps• ' Op QRGa.q G2CKER 7 ' ' n W:.:, ::,5:403 :: U:.'13ER O Q Ci. :766697 OF f\•O FEES: PERMIT 7 � l) Historically Designated: Yes No Master Permit # Phone 3c61 00 6.5 Competency # Address Address Estimated Cost (value) ture of Cor Ins. Co. Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING (MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION C -h(n - �, ® e_,?C ���r7 / - tOn R I C. 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, CONF LT 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 -named contractor to do ork stated. tra '.r or Owner- Builder Notary as to Contractor or Owner - Builder My Commission Expires: e P404 TINA M. FLOWERS MY COMMISSION # CC 944958 ' OF f�� EXPIRES: Jun 13, 2004 1- 800- 3-NOTARY FL Notary Service & Bonding, Inc. 414); te RADON C.C.F. ` 'l1 n NOTARY BOND TOTAL DUE X ( 0 0 APPROVED: Zoning Building Electrical Mechanical V"0.95 ( ) Plumbing Engineering ITEM 3ATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE 3 I DET LIGHT OUTLETS CENTRAL HEATING ® o DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 4 Mc„, DRINKING FOUNTAIN SERVICE SIZE IN ALPS DUCT WORK -NSW. E / ie c�` FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION 3 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 if 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 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 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 J SIGN TIME CLOCK UTILITY -WATER FIXTLRES 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 3AS RANGE METER SET (GAS) 3AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL __ .._... • PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE:' 7 t 18202661 2001 APR 24 11 :58 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: g q2 S t' 2. Description of improvement: 5 for'i e. i e. 0 3. Owner(s) name and address: Mark G be,, q' 91) A f e qa ,S /ant ) 'h.h _ Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: / '] Cash/' inerm217 /'ca.p 1 0 in" A) I (.v - II -�� /7)i /L 330/c 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Owner Print Owners Name Sworn to and subscribed before me this 1 ? of Notary Public Print Notary's Name My Commission Expires: STATE OF FLORIDA, COUNTY OF DARE l HER j bERrirJY that this is a tru, p of t on n r t titod - t is . Ih i on � day f , AD Prepared by: ✓ t)Gt_ F/0 we'S Address: £ e'r - N aS ADDRESS MIAMI SHORES VILLAGE AIR CONDITION REPLACEMENT NcoLL Different location than above? 1. 9 NL 9 z s 7 - EXISTING CONDITIONS HOUSE MAIN ELECTRIC SIZE AMPS ;OD WIRE SIZE 0 WO/ 7N# 2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE AIR HANDLER BRANCH CIRCUIT:WIRE SIZE 3. SIZE OF EXISTING COMPRESSOR DISCONNECT: AMPS. TYPE: FUSE SIZE OF EXISTING AIR HAND ER 4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? YES NO EXISTING UNIT TO BE REPLACED OR RELOCATED 5. N ,�,C�,¢,�,yt, G� AME PLATE INFORMATION FROM EXISTING UNIT MAKE PlicIn (70) /() No ' IZE mP KA N /MoD 'f e) A) ai r 5 i' Unr CONDENSOR MODEL # To) A.H.U. MODEL # To o HEAT PUMP TYPE YES NO K43 HEAT STRIP SIZE / D L A.H.U. MINIMUM CIRCUIT AMPS - s� TYPE: CONDENSOR MINIMUM CIRCUITS AMPS 38• MAXIMUM OVERCURRENT PROTECTION SIZE AND CONDENSOR AMP SIZE AIR HANDLER AMP SIZE EER NAME PLATE INFORMATION FROM NEW UNIT BEING INSTALLED MAKE am___ PACKAGE MODEL # CONDENSOR MODEL # 77W 4°D 9' &I 4 / A . H. U . MODEL # / tee 4 H S £ / 7 i F 43 0 HEAT PUMP TYPE YES NO KW HEAT STRIP SIZE ire /4 CONDENSOR MINIMUM CIRCUITS AMPS 50,V MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: • CONDENSOR AMP SIZE AIR HANDLER EER lc �- /O AMP SIZE L DISCONNECT: AMPS. TYPE: FUSE T , & CIR. BKR. SIZE 40 FUSE SIZE SW , & CIR. BKR. SIZE 6L7 FUSE SIZE SW FUSE FUSE A.H.U. MINIMUM CIRCUIT AMPS G•n, (elk - I 61( ) CIR. BKR. CIR. BKR. 6nOV HACR CIR. BKR. ‘15 HACR CIR. BKR. A 0 FUSE HACR CIR. FUSE HACR CIR. SS BKR. QD O BKR. TUBE OF QUALIFIER y e o S 2-q CERTIFICATE NUMBER 7 /tAq4eeZ "fie �'tc. Bill Pinna 6187 N. W. 167th St., H -25 Miami, Florida 33015 Tel.: (305) 825 -3004 Fax: (305) 825 -1607 24 hr. Service: (305) 940 -6195 CMC 056729