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1294 NE 96 StBUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ,, `s ELECTRICAL ❑ Date — PLUMBING ❑ PERMIT N° 8413 Contractor's ROOkI! lG ❑ License No. ❑ Wor to brformed under this Permit `f / Z- T � Owner of f Building �rt l., V' �, _.,ter k 1 `. f 1 e,4 J / L .. t r ,.. Architect Contractor or Builder '' ' -� f Legal Lot 11 Description 11 B1 Address of i Building d r ` r C' 1917 • P Subdi- J .. . , t t. 2 _ vision /1) , , Sq Ft. Value of �`' Project $ • 't I Amount of / Ln II Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whe her shq vn on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servant or emplo ees. r' Signed ./ t 44-1 1 `(SISlst( QR) BY In consideration of the issuance to me of this permit I agree to pe orm the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, star eats or- specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by e• her, ntyseIf, my agent, servant or employee. CONTRACTOR or BUILDER BY AUTHORITY �, . 4 -r MIAMI SHOdZS VILLAGE Application is hereby m pp y p specr ns erewith 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 heren specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date._ Owner's Name and Address ____.__ .��.Yf��!%__._ _ s6 ,9i�(.._. treet - Q v470126E � - -. Name and address of licensed contractor -____ .__..Y�IeS+�f)S'_../7L.ry7. j.;[2/° - �._ / /7�.eiBoe. e/6 • ,y State work to be done and purpose of building (by floors) ,/�1/�' ._.._�1//g� 11 6 - - -S woe — Registered Architect and /or Engineer.. Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done /3.4a.Q,v7oa �!1`t__10 j and for no other purpose. New Building Le'''' ......*----- ,- Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ro 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 be sent to all plans er�rsnacifications for said building. All otices with a erence .to the uilding and its construction may Ih The undersigned apglfcant for this building permit does hereby certify that he understands and accep s 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 'te of the work such public notice or notices as are required by the Act. The undersigned agrees to employ onlysu. . ors, o j!�.r� to be performed udder permit, as are licensed by Miami Shores Village. Remarks (Sig BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDIN PERMIT ade for the a ro al of the detailed statement of the tans a ffcatio h 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, therein by him stated are true. Permit No Disapproved (Signed) Date Date Subdivision ' - Read, Sworn to Building Inspect, My Commission Expires NING 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Notary Public, State of Florida and Subscribed before me. and that he did sign the same, and that all facts Qualifier Date 9 - (1-03 Job Address Legal Description Owner /Lessee/Tenet lac( r P ' - ) Owner's Address (.2- q 9 6 s t Contracting Co. C fi `. At' r Cov • Co. kt C I r y State # C A COa T ( 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): WORK DESCRIPTION: &kr IL! Signature of own an or Con 'VEM••. Robert 1 Chryst hr: MY COMMISSION # DD113321 EXPIRES trm� • M 24, 2006 PF `h ` BONDED THRU TROY FAIN INSURANCE, INC Notary as to Owner and/or Condo President My Commission Expires gf FEES: PERMIT ? RADON � APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLA 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 3 ( a°H NE 94sT SS# Municipal # Competency # BUILDING ELECTRICAL I Tax Folio Historically Designated: Yes No Date Signature of Date Master Permit # 11E 22003— 19 a Phone 3 ©� ? V b O g•- Address P.a.boK 6 0 I a30 /r/igmt J6t JI Phone 3 OS6. O J - -6 3 1 Ins. Co. I rt - P0r CI C.C.F - v NOTARY PLUMBING MECHANICAL- ROOFING 1 s �0 " Square Ft. Estimated Cost (value) y 0 0 • z4 . o 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). 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, I authorize the above named contractor to do the work stated. tractor . Owner Builder ,.tiM',, Janet Kranz ,4‘ :4 MYCOMMISSION # DD174033 EXPIRES December 26, 2006 1, p f BONDED THRU TROY FAIN INSURANCE INC Notary as to Contractor or Owner Builder My Commission Expires AA-bt 9 -11.o3 Date Date BOND TOTAL DUE Zoning Building Electrical Mechanical P 4 f• (Z03 Plumbing Structural Engineer Pod Qt. SyQS ce) ITEM BATH TUB BIDET UNIT FEE ITEM SWITCH CUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE DISHWASHER � LlGrff CUTLETS CENTRAL HEATING 1= IO r W D SPCSAL RECEPTACLES A/C (WIND) I : DRINKING SERVICE TEMPORARY A/C (CENTRAL)/ = L. G FOUNTAIN ''!OCR GRAIN SERVICE SIZE IN A'4S ,� • DUCT WORK ' �' / V � :PEASE TRAP SERVICE REPAIR/METER D1ANGE REFRIGERATION � INTERCEPTOR APPLIANCE CUTLETS PROCESS AND PRESS PIPING /ATCRY RANGE TCP UNDERGROUND TANKS •:. OVEN ABOVE GROUND TANKS .AUNCRY TRAY :LOT1ES WATER HEATER U.F. PRESSURE VESSELS WASHER >, !MOTORS 0- 1 HP STEAM BOILERS ;OWPR ;INK, POT/3 MOTORS OVER 1- 3 H? HOT WATER BOILERS COMP. ;INK, RESIDENCE MOTORS OVER 3- 5 FP WECHANICAL VENTILATION I N :{ MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES , SLOP EPORARY MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS WATER CLOSET 7 I�TCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS ;.TER CLOSET. MJ T CRS OVER 25-100 FP COOLING TOWERS - MOTORS OVER ' 100 HP VIOLATION , .DIRECT WASTES A/C WINDOW RE INSPECTION ATER SUPPLY TO: ;. •AIR CONDITIONERS A/C UNIT '-' . FIRE SPRINKLER STRIP HEATER HEATER-NEW GENERATORS TRANSFORMERS INST. HEATER- REPLACE ' : . ..: . ..7 . -: GENERATORS TRANSFORMERS - ; GENERATORS TRANSFORMERS SPECIAL PURPOSE LAhN SPRINKLER -WELD SWIMMING POOL WATER SERVICE :KER CONNECTIONS 'ILITY -SEWER ILITY -WATER PTIC TAN( LAY • INFIELD, 4' TILE/RES. .P & ABANDON SEPTIC TANK • .PAGE PIT CU. FT. ICi BASIN OUTLETS CO/KRCIAL SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK • • FIXTURES ANTENNA TELEVISION CUTLETS VIOLATION RE INSPECT ION . S4'u WELL Z STIC WELL :A DRAIN 3F INLET .R WATER HEATER STANDPIPE t PIPING N SPRINKLER SYSTEM RANGE ' ER SET (GAS) PIPING . : ADDENDUM TO BUILDING PERMIT APPLICATION (ANN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL