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MECHANICALM AME SH©°'E2 VOLLA E Street and Number where work is to be done BUILDING INSPECTION DEPARTMENT APPIICATHiN FOR 2LIOLMNS M T PE Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other stricture 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 � ® � � � � Date ._.___..1 �! ` �_��!i- .__.._1..� ,19'�'S . -- No.... .4n6' Street_ , Registered Architect and /or Engineer Name and address of licensed contractor_ 2) A!! 1 �,L� FtL C � 729+ 5 4 / e ✓ j_.. Location and legal description of lot to be built on: Lot__.. Block Subdivision State work to be done and purpose of building (by floors) I/A - STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved gate_ (Signed) Building nspector Date 3' 2 3' 2 ) c9_ .e. 1 4 /1. `TTY,, co 4. t( +4 t Co ... - 4 54 "3 .0ks t R _i t / 14 e-2, -- 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 $ ___0' - V 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 ' Z - ' ' 't 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 employe 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 perf fed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 5 ( 4 Pecfr 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 Read, Sworn to and Subscribed before me. Notary Public, State of Florida PLANNIN 'J: OARD DATE Chairman / Member Member / Member Member ...... Member Council Approved Date Disapproved Date NOTE: A c:..irge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning 13u :.n;. 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. t. 1, 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. 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: 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 Remarks Date____ i 6 -41 0 t=' __ -- No 1 114 Street___- (Signed) _ __ 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 .f the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, o to be performed under this permit, as are licensed by Miami Shores Village. 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. c^ ,- ate,.. Permit No._____Q ��$____��I Date �( '� Read, Sworn to and Subscribed before me. Disapproved - Date_ ( Signed) Notary Public, State of Florida Building I, ector My Commission Expires PLANNING BOARD DATE Chainnan 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. To Villa z e of Miami Shores October 3, 1969 I hereby agree to let Sheldon Toomer of 1266 N. E. 94th St. install an outside air conditioning unit on the east side of his home within approximately 8 feet of the adjoining (*rest) side of my property line. Douglas M. Williams 1270 N. E. 94th St. Miami Shores, Florida Date 5- IcM Job Address 1 ( ! E 9 ( Tax Folio '3;05 0 0 0 / 0 Legal Description Owner/Lessee / Tenant Owner's Address Qualifier owner PERMIT APPLICATION FOR MIAMI SHORES VILLAGE P( F xtef A W 'A eP S Phone 1 - D-) ys D 'q 9 Contracting Co. ® Q �► A 1>e_ _ Address Coq i q - 9.Lc) . () Ij I I � /7 t \� 0 '2 6 \ A ? SS# __�� _ - Phone .3 05 .�1 p L ° '"r (0 • State # Q- () _o\J 4301 19 Municipal # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMB I ' OOFING TAV G FENCE SIGN WORK DESCRIPTION E J Akio -4/N 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 b - compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor • :. a - . stated. or Condo President Date d1N CIA N QTARY JAL Notary as to Owner and/ .r " on o �MACIIINa e My Commission Expires FEES: PERMIT OTARY PUBLIC STATE OF FLO:2IDA COMMISSION NO. CC492293 . MY COMMISSION EXP. AUC. ;!12E) Historically Designated: Yes No U % S 4 a1 D Master Permit # 44/R ie Competency # Address Address gnature of Contrac • • er- Builder Date I T --� EttWOIMACIIIN Date Y PUBLIC STATE OF FLOTUDA COMMISSION NO. CC492293 . I I L MY COMMISSION rXk . AUG. 28,1939 Notary as to Contrac My Conunission Exp C.C.F. ) • NOTARY Ins. Co. $5 S 10- zt 5 TOTAL DUE O � C. APPROVED: Zoning Building Electrical Mechanical c 77 i % Plumbing Engineering ITEM U UNIT F r - - - - FEE I ITEM U UNIT F FEE BICET L LIGFTT OUTLETS C CENTRAL NEATING BIS1EA R RECEPTACLES A A/C (WINO) DISPOSAL S S SERVICE T9PORARY A A/C CENTRAL) SERV E SIZE IN MPS O OLCT ERK FLOC1 CtAIN R REFRIGERATION REASE TRAP . APPLIANCE OUTLETS P PROCESS MC PRESS PIPITG LAVATORY O OVEN A ABOVE GEM TAMS LAUtORY TRAY W WATER HEATER U U.F. PRESSURE VESSELS MYER C CTS OVER 1- 3 PP P POT WATER BOILERS iINK. POT/3 MP. A ACTORS OVER 3- 5 FP A AECIONICAL VENTILATION ;INK. SLOP A ACTORS OVER 8- 10 FP E ELEVATORS/ESCALATCRS TIVCRARY RATER CLOSET A ACTCi.S OVER 10- 25 IP F FIRE SPRINKLER SYSTE}S RIHAL M MOTORS OVER 2S•103 Hi C COOLING TOWERS S SO CA 01 AP SO F u 05'1,7/1399 09:33 3057568972 !(:'° TO (AN APPLICATION FOR BUILDING PERM 03TAINED, THE OWNER'S NOTARIZED PLUMBING MIAMI SHORES VILLAGE BUILDING PERMIT APP IT MUST ACCOMPANY THIS ADDENDUM. SIGNATURE NEED NOT BE PRESENT ON ELECTRICAL PAGE 01/01 LICATION a°?1 -© IF A MASTER PERMIT RAS B. SUBSEQUENT APPLICATIONS.) • MECHANICAL ro :� OF FLORIDA, COUNTY OF DADE HERESY cars V Mal Phis is a Pm Pho original fil ! ip his offi i on ,. i a r r day aP , CLAN, Circuit and Count W MESS my h.,nd a HARVEY RU NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 11 -505 _p, o -0 I / 0 STATE OF FLORIDA: COUNTY OF DADE: 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 Com ncem I,, 1. Legal description of property and street address: (GQ fl £ 9 4 1 1� i .f-1f-�' n s1109.0& 2. Description of im rovement: \ T a D' 3. Owner(s) name and address: 4. Contractor's name and address: 1—P•Q""€ ( i n u) 5o - n E 9 f 14 ► lo‘ t-P I Shoe_-ei. Interest in property: Name and address of fee simple titleholder: 5. Surety:(Payment bond required f ? y owner from contractor, if any) Name and address: N Amount of bond $ I 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 Statu es Name and address: t A 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) Si • nature o ner Print Name ./ r:J, °S , ,-rte ; Sworn to and subscribed before me this d0 da of A 71 Notary Public Print Notary's Name My r:nmmiccinn Fvniroc• ARY SEAL PEDRO T MA IN -. NOTARY PUBLIC STATE OF FLORIDA COMMISSION NU. CL49ZZ93 . • 1V r•nv• ,TCCT( 1 cvn A 1 1( ')C 1000 �-i 99R265050 1999 MAY 21 11:03 Prepared by: , 99M.59 910•