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700 NE 94 St (9)cre Date 0 L- t 3 - 0 1 Jab Address 7 O A) a 1 `( sr Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant j) / ,q Ay.... lA J' l Owner's Address 7 9 AJ F . y a,J' / A4,A44 i JJ, a✓ o .,i Ft 33/ 36P Phone 0 - 7( - L(c 3 Contracting Co. 4--Ce L E vr..i` IFIER1\`fiIIIT AIFIFILIICATIION FOR MIAMI' SHORES VILLAGE Qualifier , /7e.. -J E s t ,$ 4 s C ,.•e. / .P' i 70 .J Permit Type (c role one): BUILDING NG ]EL1ECTRIICAL (PLUM �„g B c. Address 7.S 4 State # G A C O S 7 0.02 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address IL WORK DESCRIPTION C 7 � Master Permit # SS# Phone 2 (, - a, 0 L.. 0 1[N�e MIECIHIAANIICAL ROOFING PAVING 'FENCE SIIGN Square Ft. Estimated Cost (value) Z 4 Z 0 O . WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWIICIE FOR IIMPROVIEM:ENTS TO YOUR PROPERTY (II]F YOU INTEND TO OBTAIN IFIINANCIING, CONSULT WIITH 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. flz ( Signs of owner and/or Condo President Date Notary as to Owner and/or C My Commission Expires: FEES: PE 0 z - / 'dent Date ",� W. Keith Philli p ` � ��1 ?conuniasioa # , I j Q7 •-ig„ Atlantic Bowfin On, tom. RADON C.C.F. NOTARY ° 0 APPROVED: Zoning Building Mechanical Y ignature of Contractor or Owner- Builder (J* 1 Notary as to Contractor or Owner - Builder My Commission Expires: Electrical Ff c T (�� .=. ) d L -"() - Date 2- - (.3 -0 Date 4: { :4•., W.. eith P Co aioa SO r„ J # �1Q :t�. SO am Arlan* e . BOND TOTAL DUE ,) 0/ Z. (c .B I Plumbing Structural Engineer Service Experts uc Gables Air Conditionin 4600 SW 75 Ave, Miami, Fi. 33155 Off-305-264-2020 ax -305- 266 -8726 Daai Date: To: Company: X I mo. J From: Fax #: eference: e c 1� IAD ax ental Transmittal Number of Pages: (including this page) Message: u c l �� `", CA 2.. c ?; (4X& e.0 -t ( kW. ( 4 . 7 . V c_& 4 J RECEPTACLES MOTORS 0.. 1 HP MOTORS OVER 1- 3 HP MOTORS OVER 3- 5 HP MOTORS OVER 5- 8 HP MOTORS OVER 8- 10 HP STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEM COOLING TOWERS VIOLATION REINSPECTION MOTORS OVER 10- 25 HP MOTORS OVER 25-100 HP MOTORS OVER 100 HP TELEVISION OUTLETS VIOLATION REINSPECTION CENTRAL HEATING SINK, SLOP GAS HETER ROOF INLET SOLAR WATER HEATER TEMPORARY WATER CLOSET POOL PIPING LAWN SPRINKLER SYSTEM FEE ITEM SYt I TCH OUTLETS LIGHT OUTLETS UNIT .FEE ITEM SPACE HEATERS (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON ITEM BATH TUB BIDET DISHWASHER DISPOSAL DRINKING FOUNTAIN FLOOR GRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY CLOTHES SHOWER SINK, POT/3 COMP SINK, RESIDENCE URINAL WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: HEATER- REPLACE LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE SEIYER CONNECTIONS UTILITY -SEWER UTILITY -WATER SEPTIC TANK RELAY PLUMBING ELECTRICAL GRAINFIELD, A° TILE/RES. PUMP & ABANDON SEPTIC TANK SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA FIRE STANDPIPE 3AS PI ADDENDUM TO BUILDING PERMIT APP L NCATIO IF A MASTER PERMI HAS B. SUBSEQUENT APPLIiI,TIONS.) MECHANIC L Date 5; 94 Job Address 7 Qi Legal Description Historically Designated: Yes No Owner/Lessee / Tenant - 7 - 7407 - If s4 g-/ ,P> /6a &li / 7 vaster Permit # Owner's Address - 7 6 e NE" �'! c Contracting Co. Qualifier Square Ft. Permit Type (cnvelle one): WORK 1UESCRIIFTION PE 1 e r>if ir6a. State # �(�� ( z,� Municipal # Ins. Co. Architect/Engineer Bonding Company Mortgagor Address UILDI[NG ELECTRICAL PLUM I ;;1(1`l MECHANICAL " ROOFING PAVING IFENCIE qthpit 1 1)11 )1;6 ?ig(ei/6.' — Estimated Cost (value) /66' WARNING TO OWNER: YOU J MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAR LURIE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE "; TY (IF YOU INTEND TO 0 TA1IN FINANCING, CONSULT WITH YOU I'•: LENDER OR AN ATTORNEY BEFO,'; E IREC RDIING 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. OWNERS AFF IG�VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regul onsr ction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date 21-) Notary as to Owner and/or Condo Presicn Date My Commission Expiros:. ; C) 7 c n APPROVED: Zoning Mechanical (7 ,00 FEES: PERMIT bJ - RADON I�III'II' APF LI[(CAflON FOR M1A IE SHORES VII L]LAGIE Phone � ^ / 7e2jC" - Address / W e /77,e- / 4 SS# Phone Building Tax Folio //" 3a1(- Cf i'730 Competency # Address Address tdi Signature of Contractor or alkAa atn Notary as to Contractor o My Commission Expires: C.C.F. _ 5 NOTARY Electrical 1P�Y P0 OFFIC i C COA!'N1S` • BOND 4;7 TOTAL DUE SIGN Date g/alciOs - Date Plumbing Engineering Chairman _ Member Member . Council Approved WAMII S CE o RCVS dI L LAS BUILDING INSPECTION D[EPARTIMI[ENT APPLUC A O NF ° ELOOP—DONS FIERMOT 0 PLANNING BOARD 0 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 Own r s Name and Address... Mr o & Mrs. _ Louis Gentry No.1.Or_n1`l o_E -, St9eet__.9_4 1 � . Club Dr Regi tered Architect and /or Engineer... . d °17 ..._ Name and address of licensed contractor_ -A /C Contractor - /- - -Hill Hill-York-Sales- Corp -- ,- 3- 7- 00--- N-,.- - -W -ti- 52nd Location and legal description of lot to be built on: St., Miami, Florida Lot_. 17 Block 65 Subdivision __.__. - _Sec _ ,__ #3 Street and Number where work is to be done COr. , I1Za---_ E_ o____ 9. 4 th .__ St— .__Sc- _C.lub.._.Dr1ST-e State work to be done and purpose of building (by floors). Central Air Conditioning - 1 -5 Ton Unit 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 $ 10 0 e o _ Zone cubage required _ plan Cubage____ _. Distance to next nearest building._ -.. _ _ _ Size of Building Lot 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 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 Section 5968, 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 1public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work, be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) `/ ' ' X T 1 ` -- 144A STATE OF FLORIDA, COUNTY OF DADE. Ss. Before me, th undersigned aut rity, a notary public, duly authorized to administer oaths and take a kuowledgments, personally ap- peared / _rte to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the - c - -e — �-". -/.-� of the above described construction, that he has carefully read the foregoing application, and that he did sign e same, nd that all facts therein by him stated are true. / Permit No £-7 3 _ Date_._ " /2_ _-(.� 7 ____ Read, Sworn to and S bscribed.before me. Disapproved .._. _ D e (Signed) / .lc < Not • Public, State of Florida ._ Buildin spector My Commission Expires __ . / 77 - 2..-et..... . ' o? ..57 /7 -.7 May 10 1967 - ,19 DATE Member Member Member _ _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. o • e State work to be done and purpose of building (by floors)_ 7 L. r_ o o r' Disapproved .___ _ Dap (Signed) Building � !pector Chatnnan Member Member . MHQMO SHORES VOL LAME °.CAE BUILDING INSPECTION DEPARTMENT AFG LO L ATO NF 03 B M O O=DD O N G PERMIT' 1 \fC s J •t,Hc 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 i Date J , 19.47 Owner's Name and Address... J. v _.__,( 0 1,6 C v � M ? � No Street__ Regf:iered Architect and /or Engineer.. . Name and address of licensed contractor_ 0..0. e'M No C r ? n C (o * c i_,3 6 7 A( r - ✓ .2. / ‘ - • / - d , , - ) ti i Via ,1 Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done __ O n J( L . Subdivision.. { 3 - 1 - . 1 _ C s T and for no other purpose. New Building.____ .__ ` Remodeling__._.. _... Addition ..- _ Repairs No. of tones To be constructed of Kind of foundation.._ Roof Covering __ rc �0Z a 3 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 foi said building. All notices with reference to the building and its construction may 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 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 of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr ; .-ors„ on work to be performed under this permit, as are licensed by Miami Shores Village. / Remarks (Signed)!�6��_ 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 2 �/ Date. _�(�_�l� 7 .. ____ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires.... PLANNING BOARD.. __ . DATE 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.