1240 NE 97 St (10)Name and address of licensed contractor
New Building Remodeling
To be constructed of Kind of foundation
Estimated Total cost of improvements $ 2095 .6 2
Disapproved
( Signed)
Chairman
Member
Member
\ r
MIAMI SHORES LLAGE
lding Ins.'s, for
BUILDING INSPECTION RTMENT
APPLICATION FOR BUILDING PERMIT
Date
Chrysler 5212 -2 oil furnace,
ANNING BOARD DATE
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.
March 27
Owner's Name and Address Roy Bowen No 1240 Street NE 97 St.
Registered Architect and /or Engineer
Miami Heating & Ventilating Co., 2515 S7 8 St., Miami Fla.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 1240 NE 97 St.
State work to be done and purpose of building (by floors)
and 4 —ton air conditioning
Addition Repairs No. of Stories
Roof Covering
__Amount of Permit $ 13,00
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 Miami Heating & Ventilating_Com„ 2515 S'JV 8 St., Miami, Fla. HI 4473
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 sub 6ntractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
19 62
120,000 BTU,
and for no other purpose.
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 c efully read the foregoing application, and that he did sign the same, and that all facts
therein by him �e�d are t �� s v
Permit No D ..-
1 ' Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Date e Job Address ),(a ca e1,- s.:WWATax Folio
Legal Description
Owner / Lessee / Tenant
Owner's Address \A\ \. )t / L .
Contracting Co. Q.pna,�; %a..
Qualifier �9�C CIV,At-i, /mot , - Phone
State # #
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBIN MECHANICA9 ROOFING PAVING FENCE SIGN
WORK DESCRIPTIONWQCRL' % :5
•
Square Pt. Estimated Cost(value) c:2 a
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be ions -$n compliance with all applicable laws regulating truction and zoning. Furthermore, I
the abovA-4►amed ¢ ontractor to do the work sta
Si t If owner
)
and/or Condo President
Date: o /cy
Notary as to eg n0 ,9,n 9Nt23krAsiden
My Commission Ap1Qc 1:'SSION E:C?. b1AR.14: '2n 4
PEES: PERMIT 6 50 RADON
APPROVED:
OFI IAL NOTARY SEALL
SUSAN J LEFKOWITZ
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Mechanical
* * * * *
C.C.F.
Fire
Buil
Competency #
Plumbin
Master Permit 1f
Address `1/4 5-4 r7 � 4P
]Ens.Co.
OFFICIAL SEAL
SUSAN 1 LEFKOWITZ
NOTARY P11111 IC STATE OF FLORIDA
'ontAIWORniabliNghiWgiaguil
ISSION EX ?. MA.R.14,1M
Date: 1
4.
ture of Contractor or Owner- Builder
Notary as to
My Commission
er
* * * * * * **
TARY
TOTAL DUE ,• O ZS
Other
Electrical
Engineering