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MECHANICAL PERMITSPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date c — 91 Job Address 1260 >U ( 9 S % • Tax Folio Legal Description d c ,4--r- j o ti/ Historically Designated: Yes No Owner/Lessee / Tenant / . LV / f Master Permit # Owners Address 1200 / v ( 9 cis; Phone Contracting Co. S IT I "62 J V C •mil V C• Address G0 61 ,/V e-i/ CJ 7 S T - 7 Qualifier 3 6 S Pro A. r2 - ss# sS P S 9 4 l State # cAC 63 O `y Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 2 . e PC4C e- k 15 f /N 5r GQ/D 05 6'/C S1 (' Square Ft. Estimated Cost (value) / 8 U U s-(24J-, Signature o owner or Condr ed nt Date 2/A6 Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT •` p,RY Pti OFFICIAL NOTARY SEAL O� ( i SCOTT W DAVIS .Z. l ' COMMISSION NUMER CC255237 - MY COMMISSION EXP. OF F1. JAN. 26 1997 RADON C.C.F. Signat of Co or Owner -Build 372.7g 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 do in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work ated. D Nottary as to Contractor or Owner- Builder My Commission Expires: ,`p.,9,Y PUB OFFICIAL NOTARY SEAL SANDRA M L1Ct TIEL 5 Sr COMMISSION MUCIF:ERI Y:;�� q Q C C 4 O '2 1 T° 4 '4 1 Q ; ww COMiiISF;:Aid •E (P. ••••""'" � ( p Atla. 17,1" `l NOTARY S- TOTAL DUE S — zz -9 Date Date APPROVED: Zoning Building Electrical /- Mechanical t/k Plumbing Engineering Disapproved Date. (Signed) 64 • Chainnan Member Member MIAMI 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 STATE OF FLORIDA, COUNTY OF DADE. Ss. Owner's Name and Address. Registered Architect and /or Engineer Name and address of licensed contractor O sit' _S.. Location and legal description of lot to be built on: Lot._) (1 A Block Subdivision. ndNmbrwh / aGo Al e qS/ Street and Number where work is to be done State work to be done and purpose of building (by floors) S . 141 €2 5` s oe,> o No Street / 01 , 0 e s o 1 o E 3z,§' 7L J and for no other purpose. New Building '' Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering / 00 Estimated Total cost of improvements $ /9 9 U • °--11 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 submit all the plans and specifications for said building. All notices with reference to the building y id its construction may be sent to_52_Q _ C /d ' e . . %o sct.�... '-O? a / 0 ∎- 0 E , i:1 '� „P�. / 4 c7 ios� 4 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 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. D Remarks ( Signed) __ L -414.- (,/ _ .Q!J eek PLANNING BOARD DATE Notary Public, State of Florida 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 f regoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No._s a G. Date 2 - . __' Read, Sworn to and Subscribed before me. Building pector My Commission Expires 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. UILDING ❑ LECTRICAL ❑ LUMBING ❑ OOFING ❑ caner of 'Acting chitect Infractor Builder gal Lot =scription idress of !ilding n1771 4'4* r ' This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, 'wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any e 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 .nted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations taining 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 ie by his agents, servants or employees. In consideration of the issuance to me taining thereto and in strict conformity with .ting this permit I assume responsibility for CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT GV tom. A. n^ 7,0 Bl N? 3206 Work to be performed under this Permit Signed. �, K Subdi- vision Value of Project $ DATE Contractor's License No. 195 Amount of Permit $ INSPECTOR of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- all work done by either, myself, my agent, servant or employee. BY AUTHORITY ems 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. Owner's Name and Address._. Registered Architect and /or Engineer j Name and address of licensed contractor Q._8. !7 ._ _. : _k.p1. .b J & New Building Remodeling Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done /2‘.02 4414- 9 State ork to be done and purpose of building (by floors) lll..Zi.P.".1 ...d,F .,.5 7''4J fk e e ba 4e" -_.- - . /_.i t 42- -D-! rr/.A. l .. . &._. .3 -_rte 4 id tm- To be constructed of Kind of foundation MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT I / y� Date "f q / ! / �y 19 9. . 0 i-X Sq No. /2 6..0 Street.lfl. -� /6 17:4`/ , and for no other purpose. Addition Repairs No. of Stories Roof Covering � o 0 Estimated Total cost of improvements $ 2-Q d o Amount of Permit $ l. Q 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 -con ract• s employed by him in the work to be performed under this permit; and will post or cause to be posted for i :.e. ion on the sit of t :rk such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such s :con '. , .rs, on w k . - performe. under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. 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 . 9i d—T Date Disapproved ( Signed) r/ Building Inspector Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman T / 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. _ d c-x"--//7.4./ 9)c I A 5 7-0 ervatse- efee4.6 /fit eVJ Di /0/214 4to /l/E \4Q.77 4t ty /4./54 ef , Fo m d--11 / 6o 4A-6 cetr': hm/ ev`wees,,P4, • Z. fs • k . 7 1 . 1 al% 0? Q. 4 • .41/41.1'..1, t. ig 0 4.P' • • 3e7 / 41 er & 0 4/ re 11,1 734 2.5 /8- tve / f 404 4-15 BUILDING ❑ ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Lot Address of Building MIAMI SHORES VILLAGE. FLORIDA ° PERMIT N? 9954 Owner of Building r , Bl. Work to be performed under this Permit ". •• Subdi- vision Project $ e DATE? Sq. Ft Value of "� Contractor's License No Amt. of Permit $ 19$ 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 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 responsibility for work done by his agents, servants or employees. , '` Signed • i c. ' .' G ( ='`r ` BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance w ith all ordinances and regulations pertaining , , , thereto and in strictconformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I4`ssume rBslionsibility for all work done by either, myself, my agent, seryant or employee. CONTRACTOR' OR BUILDER BY AUTHORITY 7