357 NE 97 St (11)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
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Date 7/I 2 /�1 .f Job Address % 5 7 / f / S Tax Folio
Legal Description Historically Designated: Yes
t„..--N i /
( wner/L�ssee / Tenant C 1'. =z 7 _ / : '�.4.A ,!Z • Master Permit #
Owner's Address 3c.7 4'F Vf !/ / Phone
Contracting Co.
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Qualifier '7_s r VA 7/. //A SS# - - -'( Phone 6) 1
State # (1 C c 1 7_ Municipal # Competency # Ins. Co. A . g QL
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION � lctn/,{ -e LIP" (;� c , rvv‘-
Square Ft Estimated Cost (value) S
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 contractor to do the work stated.
e of own and/
Signs
Notary
My C. , '.' 15RE#
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APPROVED:
Zoning /•�
Mechanical
Condo President Date
p� Condo Presidert, Date
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MY COMMISSION FXP
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FEES: PERMIT �S RADON
Address
Signature of Contracto Owner- Builder
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Notary as to Contractor or Owner- Builder Date
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No
38115_
C.C.F. . c NOTARY 5e
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Date
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TOTAL DUE
Building Electrical
Plumbing Engineering
Application is hereby mode for the approval of the detailed statement oe ine plans and specifications herewith submitted for the build
in 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.
Owner's Name and Address ....M . ...A.N.La.... C )GAR .
Registered Architect and /or Engineer
Name and address of licensed contractor..
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
t Y , . . . . . I . 1 � . . � P . f.__ . .:J4-:! T ..........
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 551_ ! `s °E t
t� Yw�-r- f�rv�i cF a .rat ..� r_ l'w'�
State work to be done and purpose of building
,.... ie rt
and for no other purpose.
Ncw Building Remodeling Addition Repairs No. of Stories _
To be constructed of Kind of foundation Roof, Covering
Estimated Total cost of improvements $ . e, ePO Amount of Permit S.
Zone cubage required plan Cubage
Distance .to next nearest building Size of Building Lot
Maxiznum 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 pennit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida \Vorkinen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement,
and has complied ssith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed ender this pennit; 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 s • •ntractors, ortryvorkto a performed utader this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed
Disapproved
(Signed)
Date..
Building Inspector
STATE OF FLORIDA,
COUNTY OF DADE. j 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 statsd are true. /�
Permit No. ._ 9 Date K ' / Read, Sworn to and Subscribed before me.
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re-inspection fee of 31.00 will be charged
materials anti /or workmanship.
C'ruair:nan
Member
Member .. _..-- .- -- ...._..._. _ ...._.......
Council Approved Date
Date..._..._.. ,19at
— No..5.a2.....».. Street 1 r.
11. ...1•:n,fe ttw•••ere
Notary Public, State of Florida
My Commission Expires
to me well known,
PLANNING BOARD DATE
Member
Member
Member _.. -.....
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
DADE (305)
754 -3433
BUYER'S NAME(S)
ADDRESS
INSTALLATION NAME'
INSTALLATION ADDRESS'
(hereinafter called "Buyer ", whether one or more)
For valuable consideration, the receipt of which is hereby acknowledge, does hereby purchase from and grant a Security
Interest pursuant to the Uniform Commercial Code (Fla.) in and to the following described property to: AIRKO AIR CON-
DITIONING, CO. (hereinafter called "Seller "). Including all accessions, accessories, parts and equipment now or hereafter
affixed thereto, and all replacements, products and proceeds (which term shall not be construed as consent by Seller for sale
thereof), hereinafter called "goods ". If now or to become fixtures, the same are or will be affixed to the following realty:
WARRANTY: One (1) year limited warranty on all parts.
Five (5) year limited warranty on Compressor.
Ninety (90) days in warranty service to replace defective parts.
Note: Airko does not guarantee condition of existing ductwork.
Total Contract
Payment with
Representative
AIRKO Al
Corp. Officer
Title
4
aoP
AIR CONDITIONING CO.
7400 N.E. 4th COURT ■ MIAMI, FLORIDA 33138
Mary Ann Fogarty
357 N.E. 97 St., Miami Shores, FL
Same as above
Same as above
SALES AGREEF1iEN u"
TEL. No757 -5951
To replace existing Carrier 4 ton, package unit with a new 4 ton Carrier
straight cool package Mode1:50YH -048 with electric heat. S.E.E.R. 8.90
Price includes all necessary labor and materials to install unit.
This unit entitles you to a F.P. &L. rebate of $364.00
7V It (,(ii l t b'e, o\)8. ea spytivve lo c ` 'i ow .0 i
D 0 cl 2, al' ry pA A.)
Date
citeolt
$ 2,614.00 tax included
Payment on installation D- 01.70.
Payment on a qu • rt t Payment t ► r -- -�—'-� CT�� "�
Authorized Signature
Title
ADDITIONAL TERMS b CONP TIONS ON REVERSE SIDE
Printed Signature
Contract # A 1 3 8 8
BROWARD (305)
525 -6542
Date
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTCR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 7370
Work to be performed under this Permit
B1
Signed
Subdi-
vision
Value of
Project $
INSPECTOR
DATF 195-
Contractor's
License No.
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 application
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 whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Amount of
Permit $
In consideration of the issuanco 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
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