MECHANICAL PERMITA-P(LOCAT10N FOR 4 =LJOLD NIM PE MIT
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. f�
p /� Date.J
Owner's Name and Address.... / 4 1 �J
Registered Architect and /or Engineer
• Name and address of licensed contractor
Location and legal description of lot to be built on
Lot Block Subdivision
Chairman
Member
Member .......
Council Approved
o itktvli SHORES VOLL GE
BUILDING INSPECTION DEPARTMENT
Date
,19
No / � ` Street N s
r
Read, Sworn to and Subscrib- - me.
Notary Public, State of Flo'
My -- Commission Expires
PLANNING BOARD O DATE
Street and Number where work is to be done AJ-
State work to be done and pur ose of building (by floors)
- X' Az °per c 6w ic'1(' c,
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
0 0
od d
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 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 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 kie 7 C • G
(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 cons ruction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are e.
Permit No $ _ _ . Date
Disapproved Date
(Signed) ._
Bui ing Inspector
Member
Member
Member
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.
P
Street and Number where work is to be done
Date._
BUILDING INSPECTION DEPART
ApFILUCA O o f 'o o MOLDON f F•2MOT
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 r __.0 1 1 J _ No. 55 - Street___ Nil - , 9y .._ St ,
Registered Architect and /or Engineer
Name and address of licensed contractor /x-1_.1? Ct:r_N__ D._.1_T_/_Z'_/l(__j. N 4
Location and legal description of lot to be built on:
j- / 0 (' e) /Y CV of Lido 6 L ✓ . Q ,
Lot Block Subdivision
State work to be done and purpose of building (by floors) 7L2./a/
and for no other purpose.
New Building Remodeling V Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ /J 'D c ' % Amount of Permit $ 4- ee.
—
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 4 Y-12.--)--49 _e -C7 h .G_ e d L e _ c• Al , LV ,j)
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 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 he work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors,_ on work t \be performed under this
permit, as are licensed by Miami Shores Village. 1
Remarks - --____ --- (Signed) t1 `- �- Q.,.�9
'-e- -- - 11<- S,.,..4
STATE OF FLORIDA,
COUNTY OF DADE. d 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 / 7 I f Date Read, Sworn to and Subscribed before me.
Disapproved pate rr
(Signed) (.t") ( <0' - 4_e< _s 1
Building Insp ctor
Notary Public, State of Florida
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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
- materials and /or workmanship.
Date
State #
PERMIT APPLI CA`I II NF R MIAMII S a w'IIES VILLAGE
Job Address 4 ° 7 4 / E Wd �' ° - " t ' ax Folio //6/5 5K
Legal Description "52'24 /10 P l 2° f EA if Perf Designated: Yes No
/ Tenant Doe P. //
Owner's Address 5S 'YO ?Y .; dfr
Aniz IF copya4.' nb y
Contractin Co.
Qualifier ��(� X 4 /I z--
to
If Municipal #
Square Ft. Estimated Cost (value)
d/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
50 le :-. PCB <' 4 2 o6V
1)
FEES: PERMIT RADON C.C.F. / NOTARY
Master Permit # 7 VO
es, F/ 03/38 Phone c3ar ° 7•� ° 7 o o
A d d r e s s /3370 S t d / SG. .> � L L /. 4 5 1 L M 9(.
SS# Z -/ 9 -6 SW Phone 0 3_9
Competency # Ins. Co.
Architect/Engineer /1(74. Address
Address
Bonding Company N,
Mortgagor w7 Address
Permit Type (mire e one): r UIILHDING ELECTRICAL PLUM
WORK DESCRWIMON
INC MECHANICAL ROWING PAVING FENCE SIGN
o () au/7 (.57 674
i/e90 -°? 1)--
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO S ". MAY
RESULT IN YOUR PANG TWICE FO r'' IMPROVEMENTS TO YOU I', PROPERTY (IN YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOU I'; LENDER O " AN ATTORNEY EFORE RECORDING YOU Ni TICE 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 AFF 111 VIT: certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating co c ti and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Notary as to Contractor or Owner - Builder
My Commission Expires:
I( .
4
BOND
9e37 7
Signature of Contractor or Owner - Builder Date
Date
TOTAL DUE 3
APPROVED:
Zoning �// ( Building Electrical
Mechanical / 1 % (O `' 9 Plumbing Engineering
BUILDING
ELECTRICAL
PLUMBING
ROOFING_
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 5924
Owner of n .
Building
Architect
Contractor ; z;
or Builder t1v t
Legal Lot
Description — Bl.
Work to be performed under this Permit
Signed.
Value of
Project
Subdi-
vision
DATE 195_
Contractor's • .
License No. 11 u.
Amount of
Permit $
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 lie 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 assuuiesponsibility for work
done by his agents, servants or employees. n � - j ��
BY .
i
INSPECTOR
i
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
PERMIT N? 10711
Owner of ! ->
Building
Architect
Contractor
or Builder
Legal Lot
Description I I Bi
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
CONTRACTOR or BUILDER BY
Date
19'_
Contractor's
License No.
Work to be performed under this Permit
'
Subdi-
vision
Sq Ft
Value of r ,< I I Amount of
Project $ I I Permit $
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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees.
Signed • (INSPECTOR) BY
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 responsibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY