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MECHANICALOwner/Lessee / Tenant fl,,e < ?� /v Qualifier PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date (9/j X96 Job Address /?01) "V ,T Tax Folio Legal Description L Historically Designated: Yes Owner's Address �.y/p /� y�c1r ��.aa /� /sum/ Phone Contracting Co. A, fl' z ,42R vp /P /a v/ , Address ' y/ / /7 oDOEfzr j2F,Un State # e a ./ 3 0? 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 r' f,4 /✓', D ra T ,3 AV /2 eon oiT/ .v/ve (✓e/7 ,L / Poo`. / ft C T✓ ✓/o .x' T/.ts -// � ,a� n, - / 4 A -3 Ai...) hf /.i'/9P- /a fiAac l� iQr z /.u� //ao Dpi, 37V ffe/✓T Square Ft. Estimated Cost (value) // 4' p/ vo 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 d that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the abov ame t contractor to do th wgrk stated. / i , / owner and/or cy . -o President Date ���07'�.RY S��►l. Sign Notary as My Co APPROVED: Zoning Mechanical o OvROMititbd9&&211 ° �$ , ION EXP. NOV. 8,1996 FEES: PERMIT Ail& RADON Date SS# Phone AE e _- Notary as to Contractor or Owner - Builder Date My Conunission Expir • Master Permit # Signature of Contractor or Owner- Builder Date No 1 C.C.F. NOTARY TOTAL DUE g- .7e OFFICIAL NOTARY L.INiD!.FGt;: NOTARY PUBLIC RI.IA CON "_..L.T.n: 2'')%9c7 Building Electrical Plumbing Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING I /a k. DISHWASHER RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL)# o /r72, r g /, 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 HP HOT WATER BOILERS SINK, POT /3 Co*. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS 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 CORD I T I ONERS 7ne5 ` IIfyi A 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 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 ?COL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) 3AS PIPING 1 ' ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Remarks APPLICATION FOR BUILDING PERMIT Application is hereby mode 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 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...tZ.L _ ...�.._._.__._�_..._.__..._.... ,19.21 Gavots s Name and Address .., CAO./aG 5F d.F.__.. l49.11/ _ No..? yDl.._.._ . Street. .l'r/bfeS/r...,,5...1/D. Registered Architect and /or Engineer .,,s. ell ••....•!.....H!!.....•.t...... e...e,. Name and address of licensed contractor ....ogt. X.41/.1. ass 2l ...�T.....,�4D.,CGX eedt Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done /;0‘0. �.7 ......_.....�.._.. _._ �._.....__ State work to be done and purpose of building (by floors). � 8.4 / ...,t?? 5 / , 7 . P I X . . . . f 4 . < 9 . r e a ° R...C' 2 - 04 /FA 4 4 . T x . 0 . ° - 1 1 . . / . A t . o . .. J # — 3... r.. F ... 6 9r 1.4 . 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 S.•- .hei..ii�./a &.P Amount of Permit S. 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 ‘Vorkinen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied ssith 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 cruse to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su acto ys, on work to performed under this pcnnit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, rsigne• au)ktojrity, 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 Disapproved (Signed) ss. Date Notary Public, State Building Inspector My Commission Expires Chairman Member Member _.....__....._..._._ ...._ Council Approved Date Date Rea worn to and Su PLANNING BOARD DATE Mcmbcr Member Member Disapproved i ..t.J........... 'i NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the I'LrnniNg Board. A re fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice materials and /or workmanship. re me. ICIAL NOTARY SEAL CARMEN M LOPES I FARS`fi'UBtTe STATE O FCORIDA COMMISSION NO. CC288096 MY COMMISSION EXP. UNE 26,1997 Date has been obtained from for inspection or faulty 7. 8. 9. Must file if job valuation exceeds $ 2,500.00 in labor and material and must be posted prior to jobs commencin. Must be filed at: 44 West Flagler Street, 8th Floor, Miami, Florida NOTICE OF COMMENCEMENT TAX FOLIO NUMBER: PERMIT NUMBER: STATE OF FLORIDA COUNTY OF DADE THE UNDERSIGNED h ¢y gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information in provided in this Notice of Commencement. 1. Legal description of property and street address: 9 yo 1 Rath-rue, 1310d, kn. , i I . 2. Description of improvement pa. /# //' 3. Owner(s) name and address: De//1Jjoe.,- SE of 71j /.9"/ 94/D/ /scAti,./.6 vo. fit,(,/ Interest in property: Name and address of fee simple titleholder. 4. Contractor's name and address: COvIGrr - an - 0 - ice .517/ acdvrran 5J-• ) (ollt0o0 c Jf 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: 1J I A-- Sworn to and day of Amount of bond :: $ 6. Lender's name and address: S /GNA 6 6 Print Owner's Name: scribed before me on this 19 , taken 14 w mass .i v P.2 me tit 4 /.1.►r Co4,2 Prinncyi UkIfc r►� /rim I 5110i71 5 U kOrt Persons within the state of Florida designed 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: ,t) / i In addition to himself, Owner designates the following person(s) to receive a copy of a Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes, Name and address: Expiration date of this Notice of Commencement (the expiration date is one (1) year from the date of recording un less a different date is spe • OF OWNER • roe ersonai :i: TisfRY s N afly!>BLIC STs COMMIS':ION NO. CCZaith not CO IVf ISSION NOV. 8 1996 r • OAYL OE FLORIDA, COU(' 5r' OF DADE NO c3`7 C( :i°!?V Ghat 673 !3 ruo p of 4ho 00 e.E1 I:c= fn $:�a p461co of , AFB. 19 nd crd o; ;:c!CI ScoI. q TC q ,1'fCircu'tan-0CountyCou 1. .Sasc. ob LUG A '1 Prepared by: ri 1iphce, (4lapMRN Address: 5 80 of mills/ i- ..1 mfofffVs ATE OF FLORIDA COMMISSION NO. CC241145 MY COMMISSION DIP. NOV. 8,1996 Public: a.. Nota BUILDING ELECTRICAL PLUMBING ROOFING 1) MIAMI SHORES tc.LAGE. FLORIDA Owner of Building k: Architect Contractor or Builder :e.. 0 ❑ DATE '4 r 3_- -195 ❑ PERMIT 111? 3564 Contractors , ❑ License No. 0., Work to be perfcned under this Permit Legal Lot Description Address of Building CONTRACTOR OR BUILDER B1 BY subdi- vision Talue of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construct tb building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the unerstanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approvd 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 Ganged without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes th3 responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or h the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: ,.„, -, -- - I' .._10. ` ---- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered Zunder 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 assu=re responsibility for all work done by either, myself, my agent, servant or employee. .7 AUTHORITY e *Mk' M AM S ;! ® REM V LLA E BUILDING INSPECTION DEPARTMENT APPLOICATOON FE3 SLOL®0NO FERMOT 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..._ O)- i.2..___..._ � ,19 Z5 Owner's Name and Address 1_ a -, _ e _ _. No. 1 fir. street__ -- 0 4'CC f/' / ?. -- ....... Registered Architect and /or )~ngineer Name and address of licensed contractor. .I,1. ±4 ....B.E..,cQ ).Z4'Q/ 4�';. 3heel .. :>c p :,. /CO 5(„u7,9 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)..ReV Zee Disapproved _- ( Signed) Date. Bui • ° g Inspector New Building Remodeling Addition Repairs 13 MIA wjtl 3 - fa ' Ca I e - - l _1 s ��e ct . � ' . /D k' v.� (-).0 , hect V C d w S' G r �eGGL Q I. in o v r-`1 ,,,,✓ °" rd for o o r purpo No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $..__ ?op. w Amount of Permit $ 6 o0 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 s�ubbymiit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to i Set! 7e . :.4 -ge- 'W/9/ _ l ) F// 33/ 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 Sup {dement, and has complied with the provisions thereof, and will require similar compliance from all contract.rs or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspectio th a of th- R.rk such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontract to ; performed under this permit, as are licensed by Miami Shores Village. Remarks._ (Signed) _LA/ 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 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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No._______ u__ Date 4 Qs Read, Sworn to and Subscribed before me. . me well known, Notary Public, State of Florida My Commission Expires PL NNING 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 fao't materials and /or workmanship. e,' Street and Number where work is to be done State work to be done and purpose of buildin (by floors) STATE OF FLORIDA, I COUNTY OF DADE. ss • 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 IJi V 3 - c-: L_ ` C^0 D w) No.j ') & Registered Architect and /or Engineer.. 4 J » / 6 - Name and address of licensed contractor. -.. J ll -G_ ' G- a o c,''' ' � J , r ( —A �� 1 Location and legal description of lot to be built on: Lot Block Subdivision 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 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) v Date , 19 9 Street 7 //(/;, ; 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, ; Read, Sworn to and Subscribed before me. Permit No +_ � ' ' 1 Date Disapproved r , Date q \ \f Notary Public, State of Florida ( Signed) .... .. -> - -= = , r ------- \` Building Inspector - 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.