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1070 NE 96 St (10)WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address /e37 � 7 -1Y Tax Folio Legal Description y� /., / Lessee / Tenant / /) / /' l- Owner's Address i/e270 22g, ` /' § e4/Fgl Ph ne .5) 757-440 Contrac Co. oC ,�� /�� 4 /0--- 47.-- Address A7cas Qualifier Ai L I7 SGE Phone(G� J ‘6 - h 6 Ca State ( 0 46/1 Municipa pt l st..t. • Ins.Co. oteee Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one : BUILDING ELECTRICAL PLUMBING 0 °' Square Ft. Estimated Cost(value ✓ Master Permit # 3 c/ ROOFING PAVING PENCE SIGN 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 AFFI VIT: I rtify that all the foregoing information is accurate and that all work will be done in / mplia: with all applicable laws regulating constructs : d zoning. Furthermore, I author %' the ab_ii tractor to do the work stated. Sig atu of owner and or Condo President ^ Signatu Date: Elvira L. Baia' \� \/�' Date: STATE OF FLOR My Comm Exp8 /1 i t Notary as to Owner a,i64S,�:/� �f nt Notary as to Contract My Commission Expires: ' dr My Commission Expires: APPROVED: Public er Builder 'er Builder FEES: PERMIT k)1' RADON C.C.F. 1 + dV NOTARY TOTAL DUE t=3 ** Fire Other Zonin Building Electrical ^ �� Mechanical \. V � umbinR Engineering • VP Car nry Carrier Pe Syracuse Com_ PARTICIPATING k CONTRACTOR RESIDENTIAL AIR CONDITIONING CO. Dade 652-6040 Broward 764-0489 Prepared for 19 41: 14 ) ( AddressjOl 0 KG ait . PThk",* stioitts UiS9 ip3O G.) • 371-4433_ Date I RESIDENTIAL AIR CONDITIONING CO. Dade 652-6040 Broward 764-0489 • 67•06 Ovvroro Cattier l'r! Syr ;I se Comn. PARTICIPATING ! CONTRACTOR !• ' Prepared for _ wEtt Address VI �. IJG9/ s1 frinCts% s it-to rt,e I-I- 797 -4(13 0 IA. '374-44 35 Date. ; ! I • October 2, 1972 Miami Shores Village 10050 N. E. 2nd Avenue Miami Shores, Florida Attn: Mr. William R. Bradford Director, Building & Zoning Dept. Gentlemen: Please find below the authorized signature of the owner— residence of the neighbor that there is not any objection on their part for the location of the air conditioning condensing unit on the west side of the house next to the garage. Owner— Residence: Mr. & Mrs. Robert Latta 1070 N. E. 96th Street Miami Shores, Florida Neigh °3 to y& 1147 R4.ert Latta: Name 44 , '� !�iQa4, Addi /04(12 - 74F% — P�.. Phoiie e Miami,Shores, Florida Very Truly Yours, C.I.D. Service, Inc. Tommy Lee • COMMERCIAL •REFRIGERATION • INDUSTRIAL • AIR CONDITIONING • DOMESTIC • HEATING SERVICE Inc., $Tu,X►IX • Hialeah, Florida 33014 • Phone: 821-1156 7$9 W. 83rd St. Date '3 - o Job Address l (:)-71:7" c t c o St— Tax Folio • Legal Description 1 "r - & - awe_ v, t. Historically Designated: Yes No Owner/Lessee / Tenant 1 w 14-� e 1 L IA k c_4--t at= L Master Permit # 4 �3 (� i,.- Owner's Address 1 c 1 o t--1 . 4 co Sr Phone Contracting Co. T C- 11 �� L G- -S Address 1 X010 \ ) . 17\ x 165 }- \W Qualifier -1 es ■s + Phone ( 3°5 ) 4151- 3`65 7 A State # Municipal # Competency # q - 39 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1 ttilS of L.L A 1 /2- t I P ff ` -� VC F 20 \ r I r -, A ; N NJ R- O— k r. 1Z%SE?2 L c _ m.T at�l Square Ft. a LP Estimated Cost (value) a G ci- 0 WARNIING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR LMPROVEMENTS 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 #nd zonrg. Fyrthermore, I authorize the above -named contractor to do the work stated. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE N otary as to Owner d/or Condo President Date My Commission Expires: ., 3 9 0 - pv OFFICIAL NOTARY SEAL ,9 g MARGARITA twornEL ` >cl 1x r- OOEl". BtlOn NUMBER ,y` ° clY CO,n;.gssl EXPIRES 1 y�F OF DEC. 17,200 -- FEES: PE = � N APPROVED: Zoning Building Mechanical Plumbing 5 . /g• , .5- 1"1 -0 dent Date Signature of Contractor or - Builder Date .... & f S ill 00 Notary as to i • ctor or Owner - Builder Dale My Commiss ; Expires: , � •*„ Sherfy Lynne Horton *'`i *My Commission CC727595 of Expires March 24, 2002 Electrical —r J C.C.F. (, 0 NOTARY c BOND TOTAL DUE Structural Engineer NE 96TH ST #1n7n LOT 8 BLK 81 PROP 2' PREFAB RISER PROP 1/2" PE SVC CALL 48 HOURS BEFORE YOU 01G IN FLORIDA ITS THE LAW! 1- 800 -43 -4470 2UNSHINE STATE ONE CALL OF FLORIDA, INC. LEGEND PE POLYETHELYNE BSE BLACK STEEL ENAMEL WRAPPED EFV EXCESS FLOW VALVE SVC HIGH PRESSURE SERVICE E/M ELECTRONIC MARKER T/F TRANSITION FITTING T/T TAPPING TEE R/W RIGHT OF WAY EOP EDGE OF PAVEMENT 1. LOCATE AND PROTECT ALL UTILITIES IN AREA OF CONSTRUCT /ON. SUNSHINE /1 -800- 432 -4770 2. RESTORE ALL AREAS TO PR /OR CONDITIONS. 3. ALL CONSTRUCT /ON TO FOLLOW JURISDICTIONAL GOVERMENT AND PCS STANDARDS. S R/1 PROP OPEN CUT WORK AREA T /T, T /F, E /M, EFV RESTORE ALLEYWAY e,o. w, 01.21 % . 1:w v . NA% uo. 0 PROPOSED 1/2" PE SVC 1070 NE 96TH ST MIAMI SHORES JO :2000 GSA: 329174 APE :: 010170000102 ATLAS: M -12 LOT :8 BLK:81 580V.• SHEET: 1 OF 1 SCALE: NTS DRAWN BY: CNN DATE :: 05 -16 -00 NE 96TH ST #1070 LOT 8 BLK 81 PROP 2' PREFAB RISER PROP 1/2" PE SVC R/W RIGHT OF WAY EOP EDGE OF PAVEMENT CALL 48 HOURS BEFORE YOU DIG IN FLORIDA ITS THE LAW! 1- 800 -43 -4470 ' UNSHINE STATE ONE CALL OF FLORIDA, INC. LEGEND PE POLYETHELYNE BSE BLACK STEEL ENAMEL WRAPPED EFV EXCESS FLOW VALVE SVC HIGH PRESSURE SERVICE E/M ELECTRONIC MARKER T/F TRANSITION FITTING T/T TAPPING TEE 1. LOCATE AND PROTECT ALL UT /L /TIES IN AREA OF CONSTRUCTION. SUNSHINE /1- 800 -432 -4770 2. RESTORE ALL AREAS TO PRIOR CONDITIONS. 3. ALL CONSTRUCTION TO FOLLOW JURISDICTIONAL GOVERMENT AND PGS STANDARDS. • S R /VLi PROP OPEN CUT WORK AREA T /T, T /F, E /M, EFV RESTORE ALLEYWAY PROPOSED 1/2" PE SVC 1070 NE 96TH ST MIAMI SHORES .10 :2000 CSA: 329174 ATE. 010170000102 ATLAS: M -12 LOT :8 BLK.81 SBOV. SHEET.. 1 OF 1 SCALE: NTS DRAWN BT: CNN DATE: 05 -16 -00 Type lnsp'n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Request Date C t? he G -?› - 1 5 0 (16, -(=c_c e Address f �% �% cC Company Phone # Inspection Date Approved c.J 3• /C' O Correction ❑ Re- Insp'n Fee ❑