MECHANICALBUILDING INSPECTION DEPARTMENT
AIR CONDITIONING
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure ; erein
described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida, and all provisions of the Law4of 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 None
Name and address of licensed contractor None
Location and legal description of lot to be built on:
Lot & W 1/2-23 Bloek Pltbk 10- 37subdivision Miami Shores Section 2
Street and Number where work is to be done 575 N.E. 95th Street
State work to be done and purpose of building (by floors), state exterior colors (submit samples) Install 2 Central Air Units
(2 ton each), 1 with 1OKW heat strip, duct as shown on plan (in attic).
and for no other purpose.
New Building Remodeling X Addition Repairs No. of Stories 1
To be constructed of Kind of foundation a:Ce of Covering
Estimated Total cost of improvements S 1 , 800 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to
575 N.E. 95th Street Miami Shores, Florida 33138
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 work by owner - see plan (Signed)
STATE OF FLORIDA
COUNTY OF DADE.
155.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared
Wesley D. Carter
and who, being by me first duly sworn, upon oath deposes and says that he is the Owner
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.
/ o
Permit No. 1/1 Date Z# i Read, tSxorn to and Subscribed bef
Disapproved Date
MIAMI SHORES VILLAGE
APPLICATION FOR BUILIOLINk PERMIT
Wesley D. Carter & Mary E. Elder
(Signed)
Building Inspector
My Commission Expires
Date February 8 19 88
Na 575 Street N.E. 95th Street
(305) 757 -2638
Wesley D. Cart
Notary f Isr61 OF FIORYDA
tlY COGGISSI -0O tr. PO' 21,1991
iwuutU IHUU stHtKid. OS. OM/.
to me well known.
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
STATE OF FLORIDA
COUNTY OF DADE.
} SS.
BUILDING INSPECTION DEPARTMENT
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 LawryiLf 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.41W '•er
herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. f '
Owner's Name and Address Wesley D. Carter & Mary E. Elde N 575 Street
N.E. 95th Street
Registered Architect and/or Engineer None
Name and address of licensed contractor None
Location and legal description of t to be built on:
L 22 & W ½23 Bl k 544Pltbk 10- 37subdivision Miami Shores Section 2 JG'W / d 7th .2/
Street and Number where work is to be done 575 N.E. 95th Street
State work to be done and purpose of building (by floors). state exterior colors (submit samples) Close in garage, misc. interior work
in garage and family room, remove existing wall AC units, add 2 AC systems, relocate
sprinkler pump. and for no other purpose.
New Building N/A Remodeling yes Addition N/A Repairs N/A No. of Stories 1
To be constructed of Kind of foundation �f Roof Covering
Estimated Total cost of improvements S 800' 00 Amount of Permit S ! r vv f
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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to
575 N.E. 95th Street Miami Shores, Florida 33138 (305) 757 - 2638
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida ‘torkmen'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 work by owner - see plan
(Signed)
Date
Wesley D. Carte
February 8
Permit No. / J 14 0 Date 4 1 '/4 ' Read. \S orn to and Subscribed befor me.
Disapproved Date / 'a --
(Signed)
Building Inspector My Commission Expires
Notary b1
pu, a F orida
tAP�'V S �UUI�C S ®t 96 V.iDRIDA
PV CO)UISSIOU CID. PAY 27,1991
WPM() Y44HU GEUERAI. 1t1S. UNO.
19 88
Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared
Wesley D. Carter
and who, being by me first duly sworn, upon oath deposes and says that he is the Owner
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.
to me well known.
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Pate Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 03701— O 1 Job Address 375 cr 9..1 i Tax Folio r (' 34 vG _ 01 Y— 0 7 C 0
C. al - Lz e - Lid y L V23 Vett -
Legal Description vr-r ,.. , � 4u 4. cf✓- c .z 'We() Historically Designated: Yes No
Owner/Lessee / Tenant 7 ( /✓/ �, Fo vi) Master Permit #
Owner's Address S 75 ,V �'<J .J T G G j , , , ,.-,( ✓e .2 ! Phone .3 ci J = 7J (, ~ 6 Y ,S i
Contracting Co. v r �x,0 e ✓T' (r✓J�? ta£r ` /Address C, 040 J W . 7J 4.J
Qualifier be, 4 n/' is & . Vr s f o.,1 SS# Phone `( — L o z o
State # C. 4 c O ,s 7 0 0a Municipal #
Architect/Engineer
Bonding Company
Mortgagor
FEES: PERMIT RADON
APPROVED: '
Zoning
1'
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA> ROOFING PAVING FENCE SIGN
WORK DESCRIPTION C /-c. c ,c t rTi .a Z J TO' r -r ,T" ,_C ti. c 3 T
(.Ler- sr7;.t t � c� p .✓ d (Ks cQ<..,c,? wo,.l4. c..s� .J��,d��d� • J
Square Ft. Estimated Cost (value) Y 9/ `t . a.
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.
Competency #
Address
Address
Address
Building Electrical
•
Signs a of Contractor or Owner- Builder
� 03 r � ' I
Notary as to Contractor or Owner- Builder
My Commission Expiress,0Ya ,,, W. Keith Phillips, III
_rye' ; TCommission # CC 829610
I4 • Expires June 14, 2003
T` Atlantic Bonding Co., Inc.
Ins. Co.
J - of
Date
C.C.F. NOTARY —0 r BOND
TOTAL DUE
Mechanical 7/)) 4✓ 3 . . d I Plumbing Structural Engineer