MECHANICALES 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.
Date May 6 1960 , 19
Owner's Name and Address W. Condit No 10 Street N.E. 96 Street
Registered Architect and /or Engineer...._
Name and address of licensed contractor Certified York Corporation = 12 W. Dixie Highwa
Location and legal description of lot to be built on: e Miami, Fl a.
Lot Block Subdivision
Street and Number where work is to be done 3.036 N Em 96th Sts_. Miami Shore Flo-rid-a,
State work to be done and purpose of building (by floors) Installation of 3 ton , air cooled
._e_nl�d_e�as ink --- unit..�r_ith. e ver a -. -ey 1 -e - - -- beat--- p -uip -
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be construe of Kind of foundation Roof Covering
j g} 202 00
Estimated To tkl : ?st of improvements $ o A mount of Permit $ 6, 00
Zone cubage q fired _Plan Cubage
Distance to ne arest building Size of Building Lot
Maximum live ad to be borne by each floor
I hereby sub it 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 ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on w to be perfor under this
permit, as are licensed by Miami Shores Village.
Remarks (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
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 I_2_3 Date r� Read, Sworn to and Subscribed before me.
Disapproved
Notary Public, State of Florida
(Signed) `du(L � ^nom _ ff ? -��
wilding Insjiector My Commission Expires
to me well known,
LANNING 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
• .
',
'
. ` .
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date S I I ( 3$ Job Address / 0'3 b 1'(6, Sf t r Tax Folio
Legal Description C (it 15 4 / 3 1 ( 4
Owner/Lessee / Tenant AA � ALT C Master Permit #
Owner's Address /0 3(p . q Phone
Address 1 - 70 t-°.(I r/
Contracting Co. A/ D (&(S, 0 Pt 1 2 f C •
Qualifier Pic2'221 c. h Ia° 1+14 SS# Phone q,� j 7 �I . //D ?6
State # Cps-c. 03 S'S3 0 Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft. Estimated Cost (value) 6000
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 contract° • •■• the work state
Signature of o
Notary as to
My Conunis
FEES: PERMIT
APPROVED:
Zoning
Mechanical
es:
mil, C r W it e ° cat het- 5 I / 5er
r Condo President
,, t itooiiiii 22 °41 �
or Co> ,,
t in ••e..4.9? s f0 to
01\0IUN • o'er
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••.•.••• F �®
Signature
C.C.F.
NOTARY
Building
Historically Designated: Yes No t/
Contractor or Owner- Builder
/0
Notary as to Contractor or Owner ' lder
My Commission Expires:
Electrical
NOTARY SI.f.L
ATE O L3R1DA
J', i.•G. CC1..02213
'. 1,1JG. 70. r70
BOND
TOTAL DUE
ojge
Date
ate
lumbing Engineering
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.
Date iday 6.. 1960 , 19
Owner's Name and Address ........ No. 1036 Street 14,B, 96 Stroot
Registered Architect and/or Engineer
Name and address of licensed contractor golet.9.,fic.).(1 York Corp.aratien 12345 U. Dinio...111g,ht-icv
Location and legal description of lot to be built on: N . Miami, Fla.
Lot Block Subdivision
Street and Number where work is to be done 1Q3( 1 E.. 96th_ _St. Litozal
State work to be done and purpose of building (by floors) Instal:Let ion of 3 ton ._,. .. og.olod
.asanclarto. it h...rame.ra.o..._eyela.._heat....puzip-
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 $ 2025,00 Amount of Permit $ 6.0
Zone cubage required _Plan Cubage
Distance to nexf 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 sit- of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subc on o be per rmed under this
permit, as are licensed by Miami Shores Village.
Remarks (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 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 Date Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Notary Public, State of Florida
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 $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and workmanship.
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: ME2003 -101
Printed:6 /10/2003 Page 1 of 1
Applicant: KIMBERLY FERREIRAS
Owner: FERREIRAS KIMBERLY
JOB ADDRESS: 1036 NE 96 ST
Contractor CHUNILAL RAMKISSOON Contractor's Address: 8510 N. W. 3 LANE #604
Local Phone:
Parcel # 1132060143550 Legal Description: 5 6 53 42 MIAMI SHORES SEC 3 PB 10 -37 E1OFT LOT 15 & LOTS 13 & 14
Fees: Description Amount
FEE2003 -3509 Building Permit Application Fee $60.00
Total Fees: $60.00
Permit Status: APPROVED Permit Expiration: 12/7/2003 Construction Value: $4,000.00
Work: 5 TON 114,000 BTU HEAT PUMP
Signed:
Signed:
• . '?/ G •/ Z-0 3 (INSPECTOR)
Mechanical Permit
Total Fees: $60.00
Total Receipts: $0.00
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
(Contractor or Builder) BY:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 305- 756 -8972
Date S 1 2 Job Address ( ( 3 6� ( % 5 T ax Folio
As -( UFee$j – .cj - 1 –t 5 t- A- (IUFL-01s- (ad -IL( f3 F �/ U (,•
Legal Description (Y11 Po r1 t S-1((1re5 -- 3 p ZJ C (O Historically Designated: Yes No t/
3
Owner /Lessee/Tenet `` be Fe(rf ( m _9 Master Permit ��3� C ) m€ DQ3 l 1
®�
Owner's Address / U 3 G qG S-'< Phone 30 1 J 1 19 ci
Contracting Co. Address /2413 S 1/2. S r 32c � ( pviril 331
Qualifier Chem(&) l (C( IC m IC( SSOUAJ SS#
Phone 36S- 5
State # O (5513' 5 Municipal #
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 550.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDIN ELECTRICAL PLUMBING [ MECHANICAL ROOFING
WORK DESCRIPTION:
Square Ft. Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
YOUR PAYING 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). 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 all disciplines.
OWNERS 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, 1 authorize the above named contractor to do the work stated.
Signa re of owner and/o ondo President Date
Notary as to Owner and/or Condo President
My Commission Expires
Date Notary to C tractor or Owner Builder
My Commission Expires
FEES: PERMIT G "" RADON C.0 F NOTARY
Competency # Ins. Co.
H
ontr ctor or Owner Builder
Unden
:lit:11!):-. RICKZABIELINSKI MY COMMISSION I# CC 944522
EXPIRES: June 12 2004 �
Bonded t,W rw,; nibrs �,
TOTAL DUE C
i
Date
5/0
APPROVED
Zoning / - Building Electrical
Mechanical (1.7 7J G • 3 Plumbing Structural Engineer
MIAMI ,SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date! !- 12. 03 Time
For Inspector: k-It (I f
Approved _ it
Correction ❑
Re- Insp'n Fee ❑
Name & Date
Type Insp'n ) C 't ‘C.i Cc.t ,e
Permit No. i } L - J -
Name V\' ti I ) . _ L� f - l P i C �
Address i 0 a (C C is Lo 1,1
Company \ . i ° ,
Phone #