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1285 NE 95 St (8)Type Insp'n Permit No. Nam Approved Correction Re- Insp'n Fee MIAMI SHRES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Re Date Address Company Phone # Inspection Date ,S X41 s ,a 3o-s q y 0-d �77 ❑ •1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1 A/c-- 4 BUILDING y ) cif 73P4 PERMIT APPLICATION FBC 2001 Permit Type (circle): Building / Electrical Plumbing Mechani caE Roofing Owner's Name (Fee Simple Titleholder) Ilia K 6 c ' Y) Phone # —7,5 929E5 Owner's Address /9-- A/5" p �' r City / a e UL i State Zip a-3/3s Tenant/Lessee Name Phone # Job Address (where the work is being done) /2 g3 / J q� �� City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO $ Value of Work For this Permit Permit No. t.40.. 2.4 Master Permit No. Zip Contractor's Company Name PC 72, L 4-112- r Phone # Q' O OM Contractor's Address 61. Al F /'/0 Cit i'� '� State Zip aa/ 7 q Qualifier JOB ,€ &r2 Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: ❑Addition ❑Alteration New 7 epair/R ❑ Demolition Describe Work: r , Q J .42?-2 • e / u 10W6-hnq ADD C ,, Sl (- * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ ). 00 Permit Fee $ /o 6 CCF $ / , .R a CO /CC Notary $ Training/Education Fee $ i l7 Technology Fee $ . -b—C Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 6 a a S (Continued on opposite side) Bonding Company's Name (if applicable) ! ` Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument s acknowledged before me this /2 day of g rJ , 20 LYI, by 3GW e 6 Qri verso y own ho has produced As identification and who did take an oath. NOTARY Sign: Print: My Commission Expires,, APPLICATION APPROVED BY: Chc 12/15/03 , DES: anuary 12, , P =_t Notary Services State Certificate or Registration No. w4r // NOTARY PUBLIC: Sign: 4 : 11 Print: * ' Contractor The foregoing instrument was a knowledged befo e me this P7 day of f LJ , 20Q ft" o Is personally known to me o ho has produced as identification and who did take an oath. My Co "i"'tk1E RI �' C§ ; g a get yo vary S ' t OF « Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** `r Plans Examiner Engineer Zoning ITEM 3ATH ILO UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS MIT FEE 3I0ET LIGHT OUTLETS CENTRAL HEATING e gill/ .D 3ISHWASIER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) - - 0/2 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 IP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 IP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 IP 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 RANGE ►DETER SET (GAS) GAS PIPING d 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 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: C2004 -24 Printed: 2/20/2004 Applicant: MARY Owner: SAXON JOB ADDRESS: 1285 NE 95 Contractor AFFORDABLE AIR & HEAT Local Phone: 305 - 940 -0777 Parcel # 1132060144020 Signed: (INSPECTOR) echanical Perrnft SAXON MARY ST Contractor's Address: 515 N. E. 190 St. Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 34 & 35 & E1/2 LOT 33 BLK 84 Fees: Description Amount FEE2004 -1826 Building Fee $106.00 FEE2004 -1827 CCF $1.20 FEE2004 -1828 Training and Education Fee $0.40 FEE2004 -1829 Technology Fee $2.65 Total Fees: $110.25 Total Fees $1 0.25 Total Receipts: 0.t 0 Li " ,) °.°1-s Permit Status: APPROVED Permit Expiration: 8/15/2004 Construction Value: $2,000.00 Work: REPLACE 2 TON NC W 8KW HEAT HAS EXISTING 400 AMP SVC FEB 2 5 PAID 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 accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: c\c_g53D- Architect/Engineer Bonding Company Mortgagor /271.4---A Signature of o Notary . s to Owner and/or My Commissio>es: 'i:fb FEES: PERMIT APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address Q 2. 5 & `al Tax Folio Date 8 t Legal Description // `` Historically Designated: Yes No Owner/Lessee / Tenant / 55 4 /4 y � U L 3 40 N / Master Permit # VW 1 Owner's Address / 2- 'L W 6 Phone 7-5 2 44 1. Contracting Co. 41' if Fe' AIL 54 1c / ' rsVaiee `4 - Address /0756 /a al 6, el , /r/4�. 1I..r�/ 6 IP Qualifier ft`li/ L ' /4g -A./47 C-- SS# Phone 7157 9/ o e) state # 61 AN 2 3 Municipal # ✓ Competency # Ins. Co. (4,4- Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ECHANICA ROOFING PAVING FENCE SIGN WORK DE RIPTION e 4-67 2 OA/ At 4e g'/ / /1 (// �,8,1i7' e7 Square Ft. Estimated Cost (value) g ci-00 , 9� 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 -named contractor to do the work stated. d , /11 97 r and/or Condo Pre 9 L) di Date ondo President J WILLIAM C SLOAN My Commission CC332458 Expires Nov. 28,1997 Bonded by HAI 800- 422 -1555 ate Address Address Date H Notary : to Contractor or Own - Builder Date My Comm jogrqpfreILL1AM C SLOAN My Commission CC332458 X1.4 9 * Expires Nov. 28, 1997 Bonded by 14A1 o mee 800 - 422-1555 Signature of Contractor or Owner -Buil C.C.F. / � NOTARY BOND Electrical Plumbing Engineering Sec. 6 -3 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 structure by bolts or screws to resist horizontal wind loads. 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 control 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 provided with soundproofing, or sound- absorbing baffels, or enclosures, as approved to insure maintenance of a reasonable noise level. (2) All equipment on outer walls, on roofs, or in the 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 enclosed in noise- retarding materials when, in the opinion of the building official, such enclosure is necessary or would be effective. (3) (c) Violation of this section shall be punished as is now or may hereafter be provided by law (Ord. No. 299, Sec. 1 -3, 2- 21 -61). I have read the above ordinance and will comply with the regulations thereof Miami Shores Village Special consideration shall be given to the planning of all future installations to minimize the noise nuisance to adjoining property owners or occupants and the building official shall have authority to reject or require the redesign of any system which, in his opinion, would cause such a noise nuisance. Contractor Signature I have read the above ordinance and will comply with the regulations thereof. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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. PLANNING BOARD_ ,19_71 No 1285 N.Est 95th St. Date Disapproved ____ _ ( Signed) • 1)1 44; Building Insp tor My Commission Expires_ DATE Jan. 12 Own.er's Name and Address.. Mr. John Saxon RegiRered Architect and/or Engineer Name and address of licensed contractor. . _ Central Air Cond. & Sheet Metal Inc. 900 S.W. 70 Ave_ Location and legal description of lot to be built on: La. Block Subdivision Street and Number where work is to be done 1285 N. E. 95th Street State work to be done and purpose of building (by floors). . Replace existing air conditioning with 4 Carrier Air Cond0 and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of Kind of foundation_ Roof Covering_ 00 Estimated Total cost of improvements $ 36000 Amount of Permit $ 18.00 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 foi said building. All notices with reference to the building and its construction may be nt to ..... . ... Cen Central Air Cond. & Sheet Metal p 9 Inc. 900 S.W. 70 e. se The undersigned applicant for this building permit dot hereby certify that he understands and accepts his of labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Flori and has complied with the provisions thereof, and will require similar compliance from all co actor -pr sub- in the work to be performed under this permit; and will post or cause to be posted for inspe '6n o e site or notices as are required by the Act. The undersigned agrees to employ only such subcon . ctor , . i f permit, as are licensed by Miami Shores Village. gi Remarks (Signed) I Notary Public, State of Florida Chairman Member Member Member Member Member Council Approved -------------- . Date Disapproved obligations as an employer Permanent Supplement, ntractors mj,loyed by him public notice ed under this fjthe work/sue to be peifp 9 tons. 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 Date 7 '7/ Read, Sworn to and Subscribed before me. 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. MIAMI SHORES VOLLAGE BUILDING INSPECTION DEPARTMENT 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 regulation's 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. Jan. /2, Date ,19 Mlf • John Swum 2205 ti St. Owr*'s Name and Address__ No eet Registered Architect and/or Engineer. _ Central. Air Co d. Sheot Ootal, Lac. 900 SM. 70 Avo. Name and address of licensed contractor_ Location and legal description of lot to be built on: Block Street and Number where work is to be done 12it 95th Strost State work to i nforrater ri zsidia i taff hioosi ao;1 ing with Carrier Aix Cond. 9 tons. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of fonStity Roof 0 (IP•T 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_ talj aksiecif.ications fohsaid.building. All notices with reference to the building_ and its construction may I hereby submi %.,443110.1. . 5114 et Mtal, Zrac. 900 SM. 70 &ye. be sent to The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act. being Sec:ion 5966, Compiled General Laws of Florida, Permanent Stmplement, and has complied with the nrovisions thereof, and will require similar compliance from all contractors or sub-cj ttractors eH pIoyed by him in the - work to be performed under this permit; and will post or cause to be posted for inspect, d on site o ,the work suet' public notice or notices as are required by the Act. The undersigned agrees to employ only such subeontra work to be peTorrped under this permit, as are licensed by Miami Shores Village. WY) 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 Date Read, Sworn to and Subscribed before me. Disapproved ____ Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires.. PLANNING BOARD_ DATE Chatrinan 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. ing or Shore: regula plans Owner Register Name at Location Lot Street an //tri To be constructed of Kind of foundation IAMI SHORES VILLAGE %1j' BUILDING INSPECTION DEPARTMENT CATION FOR BUILDING PERMIT pro\al of the detailed statement or we plans and specifications herewith submitted for the build • Us application is made in compliance and conformity with the Building Ordinance of Miami if the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and mi Shores Village shall be complied with, whether herein specified or not. A copy of approved lading during progress of the work. Date...— ..._... ' _ __ --- ..._._._....... 19..I S /� x N o.... Via . Street • fS ,5 G4 /3L6.s �/ / /Z a._. x.... /71 vE : ___ on: Subdivision oe done / fn.... _ r _ Nota C/`1C e ? 9 3�Z ublic, State of Florida State work to be done and purpose of building (by floors C L.i? h;(. { -'►' is T 'G6/ w / I_.._ ° " t.l -1 L:._ A /4 • c/./ .! t and for no other purpose. Ncw Bui!ding Remodeling Addition Repairs No. of Stories Roof Covering Estimated Total cost of improvements $ c ..0 - Q•,__ o Amount of Permit $. .�,[ ... ...:P Zone cubage required plan Cubage Distance .to next nearest building Size of Building Lot ....... ...................... m 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 Sup ilenrent, anti has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in tkc 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 st ontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remuks ( Signed ).. STATE OF FLOP,IDA, COUNTY OF DADE. i ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Andrew V. Millen to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. uPl lif ier of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. &std that all facts therein by him stated are true. Permit No.__..._....__..._. Date ea•, orn to and Subsc 'bedbef Disapproved Date (Signed) .. ,f1l.t'�� _/ /fit . Building Inspector My Commission Expires , y t.._ 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 niter approval has hen obtained from the Pl. Board. A re inspection ice of 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anti /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ee¢ Application is hereby made for the approval of the detailed statement or Inc plans and specifications herewith submitted for the build • inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and n1I 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. 311 I Owner's Name and Address ... v..c!../ /✓ S..4 - 0 Ni No ( Street — M.4 • 915 Street and Number where. work is to be done /......5 State work to be done and purpose of building (by floors ).... ,, G. dy / r.. H._..._. ... % 7-- o A/ t� . Co A14. ..sill✓./ r . Ccloite4 _...Q1 and for no other purpose. New Building Remodeling Addition Repairs' No. of Stories _ Roof Covering Registered Architect and /or Engineer..... Name and address of licensed contactor Locatio9 and legal desajoios of lot to be Lot 3 f 4 34 4 ' 41 1J , 1 Block Subdivision. !(S.`.......... 3 - ®h,_ .. .._. Building Inspector b on: 6413Lcs ,4"z PLANNING BOARD DATE Chairman Member Member Member s 0 ._ l .... 75 To be constructed of Kind of foundation Estimate Total cost of improvements $ 7 0 0 • 0 et Amount of Permit 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 Sup clement, 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 noticcs as are required by the Act. The undersigned agrees to employ only such stontractors. on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) c- ,Ic •5 7°352 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 Andrew V. Miller to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. qualifier of the above described construction, that he has carefully read the foregoing application, and that he did sign the slime, rnd that. all facts therein by him stated are e. Permit No. .__kPJ°_ Date j + I \ 1 " " j Alit , Sworn to and Subscribed f ore m Disapproved z ... Date.._.. / / , -, } / . i ti.... ary Public, State of Flo (Signed) My Co mission Expires Member .. .. Member _. Council Approved Date Disapproved NOTE: A c•ii.rrgc of $1.00 will be made for making corrections or changes to this application after approval the 1'Lrnnir.;; Board. A re-in'p ection 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. Date has been obtained from Application is hereby made for the approval of the detailed statement u, ine 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 prggreu of the work. . . _ °L� .-- -..._. 19 pp Owner's Name and Address ....�f2.3 ._.... _ _ No... . �rA...a C �..... . Street—.i .._.... 5 55, _. Registered Architect and /or Engineer .,:,. ,..•••,..• . ........ ......•,.,,,,,, Co A 4 O _a .... -7S ... AVE' .........- Name and address of licensed contractor FS _ A% C.- Location and legal description of lot to be built on: . �J el/ ° �a MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Building Inspector Subdivision 1.23 // !ici 0 Street and Number where work is to be done State work to be done and purpose of building (by floors) 2L 1 :91- E.. jV p F N 5l , A-) Ce4 t- l?- f dVI P DIP- 5 z /t/ ro Ai and for no other purpose. Ncw Building Remodeling Addition Repairs No. of Stories — To be constructed of Kind of foundation Roof Covers $$ 5 Estimated Total cost of improvements $ ' 49 ° Amount of Permit S, . � G 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 Leber under the Florida Workmen's Compensation Act. being Section 5066, Compiled General Laws of Florida, Perm:ment 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 ' nspection on the site of the work such nuhlic notice or notices as arc required by the Act. The undersigned agrees to employ only such su t ntractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks — (Signed) �I Y (1.2°1 3S" 2--- 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.._...2Z.. ..1 Date I 7 Read, Sworn to and Subscribed before me. Disapproved i . /j Date. (Signed) Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Cirainnan 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 I'I.rnnir.;; llo.trd. A rein >pection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection oa faulty materials and /or workmanship. '' 4s / Date / 24111 Job Address ( q 5/ Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant M §a 1 c7 , fU Master Permit # #073 Owner's Address 1 2 Iva' q s Phone 75 -- 2 c.i Q Contractin Co l t'tutt V4e.i.C__ 54 ErS C L, Address 107 D U CAJ d-7 v11 X11 a Qualifier A- n. i 2 .� r <d, i-ai / L. SS# / ` hone 7 7-- f O 49 t stagifr o /p9 z , Municipal # Competa # if 2- 3 Ins. Architect/Engineer Address Bonding Company Address Mortgagor Address ROOFING PAVING FENCE SIGN WORK DESCI$IPTION ex ''� ,r• �� - . ,.:.L: Permit Type (circle one): BUILDING ELECTRICAL PLUMBING Square Ft. Estimated Cost (value) 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 complian with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the w Signature of Notary as to Owner and/or Co My Commission Expires: * FEES: PERMIT APPROVED: Zoning Mechanical ner and/or Condo Pres dent PERMIT APPLICATION FOR MIAMI SHORES VILLAGE resident Date / / / z�/�'7 Date Signature of Contracto T Owner- Builder Not v as to Contractor or Own - : uilder ZIP 1 My Commission Expires: // WILLIAM C SLOAN My Commission CC332454 Expires Nov. 28,1997 Bonded by HAI 1555 p RADON C.C.F. / Q ° NOTARY BOND TOTAL DUE 64 Building Electrical WILLIAM C SLOAN My Commission CC332459 Expires Nov. 28,1997 Bonder by HM 100- 422-1553 /-?1,‘ Date Plumbing Engineering NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: 96R5664 1996 DEC 13 10:50 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: /2 6S ' 43 9 $ -5 --e �. 2. Description of improvement: 3. Owner(s) name and address: t-' �it -X-A9 d() / /1/4 9 57 33/3x"' Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: 7LL ,� . / /5 ui cto &a/ /675 z 41..C/ �^ /2-,- 6c/ 33/ L,p 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: ll� ASL.��f /2 /tJ 9s 6 5 �-A it �,S / p! 3 /..FfP 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 ame (/ AR-L( gUO SA ° A Sworn to and subscribed before me this /2 day of Q ctr -L. , 19 j‘ `, , 4c41% WILLIAM 0 saw Address: a— Notary Public e. — * My Commission cc332458 Print Notary's Name G' / /r;4 -t C. �o • ' wo e My Commission Expires: //72P/97 .45 !'.c° . 7/Y.) '// fdond.d by HAl 800-422-1555 FLORIDA, COUm`� Or DADE STATE OFFt fho ofiyno cot an COO o �' day *loci � 4c; a o: +ice on A l9 r �Of Icial Seal. VJ 4 �`S a4 z-z Circuit 44A „v•_ RUdtld CL R BY Prepared by: (1- 41((tlR cW /4 I/O cb p vvy / P4 IS Sec. 6 -3 Air Conditioning Regulations. Miami Shores Village (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 structure by bolts or screws to resist horizontal wind loads. 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 control 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 provided with soundproofing, or sound- absorbing baffels, or enclosures, as approved to insure maintenance of a reasonable noise level. (2) All equipment on outer walls, on root's, or in the 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 enclosed 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 adjoining property owners or occupants and the building official shall have authority to reject or require the redesign 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, Sec. 1 -3, 2- 21 -61). I have read the above ordinance and will comply with the regulations thereof Contactor Si I have read the above ordinance and will comply with the regulations thereof.