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736 NE 94 St (4)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n Permit No. Name — Address Compan Phone # �' l 0 4 For Inspector:\ Name & Date Approved 5 11,, 4, 6 1-4 I Correction ❑ Re- Insp'n Fee ❑ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972 Date Job Address y 13 Co 4 N k L S+ . Tax Folio Legal Description Historically Designated: Yes Owner/Lessee/Tenet): I ‘t `"--co 4 Q a t kn v L,^ Master Permit # 2 Owner's Address X f r� 3 ( �� 9 S' ' Phone 3 ©S 75'(--- V D it- !# 51 Contracting Co. c 4 e4.6',36 C41)4" C41)4" I/1161 G )`14 Address P:0 k se I f o ie / / Qualifier / 4€Cth.J A ' 46-A.6.64 SS# ,6,Jij 7s-1 -sv30 G G . 05 7 * 6- 5 yip y ' 3 5' State # 7 ,S Muni cipal # Competency # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING I MECHANICAL ROOFING WORK DESCRIPTION: 7-44.4.A7-1 a Z ' "/ Soe / r Srswc s' Square Ft. Estimated Cost (value) e;fva' err. 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 ANY 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). 1 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 all disciplines. OWNERS AFFIDAVIT: 1 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. ,. Signature of ea o Presid eent Date Notary as t My Commi FEES: PERMIT 1 5 APPROVED: _ f Zoning Mechanical RADON Signature of Contr or or Owner Builder Date Notay as to Contrac . or Owner My Commission Expires C.C.F t NOTARY Building Electrical Plumbing Structural Engineer tom= �' 1! � _ TOTAL DUE / 0 jl 7D OFFICIAL NOTARY sAL COMMISSION NO. D0016226 MY COMMISSION �1 , 8.2005 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: ME2003 -72 Printed:4 /28/2003 Page 1 of 1 Applicant: r' or t Owner: PAASER 3 a r t JOB ADDRESS: 736 NE 94 Contractor CARIBBEAN COOLING ENGINEERS Local Phone: 305 - 363 - 2607 Parcel # 1132060141680 Legal Description: 5-6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 11 & E1/2 LOT 12 BLK 65 LOT SIZE Cc, r y, a v Permit Status: APPROVED Permit Expiration: 10/25/2003 Construction Value: Work: INSTALLATION OF 2 AC SALIT SYSTEMS c d In consideration of the issuance to r conformity with the plans, drawings, s done by either myself, my agent, sery a Signed: X 144. A S' ed: Sav - noa 0 o' - / o 0 n OSST 3ti1 03ZI110H1fV Mechanical Permit -MASS r n Tai rnob-k ST Contractor's Address: 8260 EAST DIXIE HWY Total Fees: Total Receipts: $0.00 .11 ht 0002:12 E h900L90:1 .11055100.11 7 4, Z£t900L901/1:I HOV VIAOH3VM ONCE ld'a00MAllOH 133a1S aNV13A310 9I9Z '3NI 'SIODNVad A2i1VO OW31N AO a3aao 3H1 Ol AVd A RECORDDD �ECOPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION U PERMIT NO. 1 4 V,3'' TAX FOLIO NO. l/3, OCPD /T/LOv STATE OF FLORIDA: COUNTY OF MIAMI -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 Commencement. 1. Legal description of property and street/address: 2. Description of improvement' 7j) per- 2. 3. Owner(s) name and address: 04L A , v , v 736, 1L7 - 5.4 , frt. SG,bt,rs F4. 35 I Interest in property: O we V Name and address of fee simple titleholder. 4. Contractor's name and address' f.¢.€r6.s,TA 41•• . r r /l 5. Surety: (Payment bond required by owner from contratitetff y1 ORIO Name and address: Amount of bond $ 6. Lender's name and address: nature of Owner Print Owner's Name Notary Pub Print N • ry's Name My commission expires: 123.01 -52 PAGE 8/02 & Sworn to and subscribed before me this3O day o A. N.„, An M Becker r n� 00150048 November 15, 2008 sik. , rr AZ/4 CERTIFY COUNT OF DADE HEREBY that thfo y of the s of ice on nay of CFN 2003R0322389 OR Bls 21266 Ps 3272; (1P9) RECORDED 05/19/2003 11:03:41 HARVEY RUVINp CLERK OF COURT MIAMI -DADE COUHTYr FLORIDA LAST PAGE HARVEY RUM, . •y �M //-'v' ourts 7. Persons within the state of Florida designated by Owner upo ' �' • other do ments provided by Section 713.13(1)(a)7., Florida Statutes, �� Name and address: 8. In addition to himself, Owners 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 d erent date is spe 'fie Prepared by Cam/ Address: 9, / �•9/�,,/r/ 1111111 1111111111 111111111111111 1111111111111 11111111 'LM ;TH 11.8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE GET L I GILT CUTLETS CENTRAL HEATING ,SHWASHER RECEPTACLES A/C (WIND) iS?OSAL SERVICE TEWCRARY A/C (CENTRAL) ;INKING FOUNTAIN SERVICE SIZE IN ARS DUCT UR K 1" .00R DRAIN SERVICE REPAIR/1ETER CHANGE REFRIGERATION ;EASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING 4TERCEPTOR RANGE TOP : UNDERGROUND TANKS ;VATORY OVEN ABOVE GROUND TANKS :UNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS .OTHES WASHER MOTORS 0- 1 HP STEAM BOILERS -OWER MOTORS OVER 1- 3 HP HOT WATER BOILERS INK. POT/3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION INK. RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES INK. SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS :MPORARY WATER CLOSET MOTORS OVER 10- 25 If FIRE SPRINKLER SYSTEMS FINAL MOTORS OVER 25-100 FP COOLING TOWERS ;TER CLOSET MOTORS OVER 100 FP VIOLATION •DIRECT WASTES A/C WINDOW REINSPECTION ;TER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL FUME SRIMfilING POOL CUTLETS COWERCIAL WATER SERVICE SIGN TUBES WEER CONNECTIONS - SIGN TRANSFORMERS "III1Y-SEWER SIGN TIME CLOCK "ILITY -WATER FIXTLRES : ?TIC TAN( ANTENNA LAY TELEVISION CURETS AINFIELD. 4' TILE/RES. VIOLATION WP & ABANDON SEPTIC TAN( REINSPECTION ^_ -T- :AXAGE PIT CU. FT. ,NCH BASIN SO iARGE WELL mESTIC WELL EA CRAIN CF INLET LAR WATER HEATER RE STANDPIPE OL PIPING • 674 SPRINKLER SYSTEM S RANGE TER SET (GAS) S PIPING AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A RASTER PERMIT HAS B. 33TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL To: Mrs. Waters Miami Shores Village Hall Miami Shores, Fla. For: SWIGERT AIR CONDITIONING ENGINEERS 476 S. W. EIGHTH STREET MIAMI PHONE 3 -0388 August 6,1953 Enclosed please find my check for $5.00 for permit for the George H. Kiddwell job at 736 N.E. 94th Street. I will guarantee the 3/4 ton Philco Air Conditioning unit will not make enough noise to disturb the neighbors. signed No. 4 . 4' ; 4 -- .A.Sw'gert MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTMEN APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the det.iled statemen• of the plans and specifics• ions herewith submitted for the build- ing or o h. - ructure her i described This i is made in compliance and con min ty w,th the Building Ordinance of Mia ii S'.iores Villat'e, or da, and all pro isions of the Laws of the State of 1. ',rid. all o d nances of Mi iu Shores Village- and all rules and rcgu a ion of the Building Div i of lam Sho, illage 1- 'I ,e o ipl.ed with, whether herein specified or not. A copy of approved plans and specificati •m• must be kei • at budding durin progress of tl.e wcrk. Cwner' Name and Address._ _ 1 __l G'1 (/. 't. / / Registered Architect and /or Engineer._ Name nd address of licensed contractor Location and legal description of lot to be built on: I Of: Block. - No Date ? ` Subdivision cu Street and Number where work is to be done. 2.3.6_ __L _� State work to be done and purpose of building (by floors) ?2:/f— '_4J� � - — — - and for no other purpose. New Building_ Remodeling__ ____ _ . _ . Addition__._ _K ___ ___ __ _ Repairs. _ No. of Stories ( To be constructed of _ _ Kind of foundation RooL.4ov' ring._ Estimated i ? tal cost of improvements $._ 7 : _ f `'Z' Amount c ` Permit $._ . __ Zone ^ubage required _ -- -- _ -- _plan Cubage Distance to next nearest building__ _ _ _ ___Size of Building Lot V.aximum live load to be borne by each floor _ . _____ hereby submit all the plans and speciii; ations for said building. All notices with reference to the budding and its construction may b,, sent to - -- --- -- - - --- - - - The unde signed appli ant for th 's building permit does hereby certify i'iat he understands and accepts his .•bligations as an employer of 1 bor under he Florida Workmen's Compensation Act being S- -tion 5966 Coi p led Gen al Laws of Florida P r anen Sipple Went, and h s compl ed w:th he pro,/ :ions thereof, and will require s•milar comp lance from all contractors or subcontractors cmplo •ed by him it the wo k to be p rf med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :h public note e or permit as are licensed by M am otires as are requir d by the Act. The u. d. r ign -d agrees to employ only such abcontr. ctors, fnn work to be perforn, d der this Shores 1. il'• ge ✓ Remarks._ ( Signed) Disapproved (Signed) Permit No f � Date__' -' Date__ PLANNING BOARD ____DATE Chairman Member it'ernber .__ _ _ Member ■.ember Member _ Council Approved _ ____ _ _ _ _Date Disapproved _ Street_ Read, Sworn to and Subscribed before me. Notary Public State of Florida Building Inspector My Com:nission Expires STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to adre.nister oaths and take acknowledgments, personally p p- p 'arcd to me well known, and who, being by me first d. ly sworn, upon oath depo<•es and says that he is the of th abov de c ibed • istruction t, • h has careially read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr ie. - Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application ift.•r approval li is been obtained from the Planr ng Board A re-inspection fee of $].00 will be charged when such re- inspection is ml .e necessary by improper notice for inspe.•t•:m or fa. Ity n;atcrials and /or workmanship. • F 4.4, -,^419-N