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444 NE 96 St (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date g4 Job Address yyu vOF,. Q "ST zi Tax Folio I1- 3Z ©Co-V1 -OU - �o Legal Description Sec.. 4 Mite Ltn it Wit' in L. Y1 �5 Owner / Lessee / Tenant btu• uono,umstz Owner's Address Contracting Co. $tsvayrok /Nita, x•e-. Address G5q vac, , tS T1?-7 Qualifier AhcRf,.s J. Mv—vcm_ SS# Phone 3a) 6TS State #C/aCoZrt St Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING dolocuo ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Pt. Estimated Cost(value) 4 ltsoo,p0 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 -nam-d c• tractor to do the work stated. Signa Dat Notary as to Commiss;_o� ;,:t7spire G. PINDER : := MY COMMISSION # CC 320160 EXPIRES: September 30, 1997 o N� * Sonny Th*l Notary Publickfl ematte9i, ** * FEES: PERMIT 1 RADON APPROVED: Zonin ^ � Mechanical V r SG svei_Ci Phone s) I •S oSO do President or Condo President * * Master Permit # 367? 7 Sign Da er- Builder f�'19p ^gtii i d My Commission tps: GERALD G. PINDER • a h 1:,* MY COMMISSION 0 CC 320160 i EXPIRES: September 30,1997 * * * t r 6orre d Thai Notary Public Undemafters tary as to C ntracenr Jr ** C.C.F. NOTARY TOTAL DUE 4 Fire Other Building Electrical Plumbing Engineering 2. Description of improvement: Interest in property: Name and address of fee simple titleholder: 6: Lender's name and address: Signature of Owner Sworn to and subs Notary Public (� My Commissio xpires: • 2 l " 1 NOTICE OF COMMENCEMENT PERMIT, NO. TAX FOLIO NO. Li -320ro tO -Co STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 444 wc- 4G, j S\iorts,f`t • }EPVs cE , k R Go>, ca��fn vr►C1 3. Owner(s) name and address: �3tu. wn�.k�cL t - \t-ik-1 P∎ .. c16 4. Contractor's - . .. — Gohrb c ‘0,-, .r.c� '.ne . '\ 1 4 t• 1; t nti tP' . Amount of bond $ _l rc` � oa,OP1n u s 0 t oe �o do 5. Surety:(Payment bond required by owner from contractor, if nE rho ®• i9 sea l. ^ dCoon ft Name and address: 7. Persons within the State of Florida designated by Owner upon whom noti by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided tion 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) W Pa . I�i.RL 19 r other docume • may be' served as provided 94R4.1.6511. 1994 AUG 31 13:19 i IRINA CONIGUO Notary Public -State of Rorida My Commission Expires August 21, 1995 CC138088 G %9 w..1 . I IS �/Jti1 FL '33K in Sec- ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING 2 2. K W DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) g,TonS DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK mm�a 5'0®oa FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 IP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS _ HEATER -NEW INST. GENERATORS TRANSFORMERS R �,.i_Jcp HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE (1) z r r t2. SLI.Ct,. SWIMMING POOL OUTLETS COMMERCIAL ® Z %2Torn v2VS'fttt- WATER SERVICE SIGN TUBES () S !zTvr 42-•4. Si.L.a.. SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK SPLVC FsysTe tiq UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PULP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL ' DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM _ GAS RANGE METER SET (GAS) • GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ A ❑ Owner of Building_ Architect Contracto or Builder Legal Descriptic Address Building MIAMI SHORES VILLAGE. PERMIT N9 9464 Work to be performed under this Permit FLORIDA DATE <<_ ' Contractor's License No 7 195_4. 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. Signed / BY INSPECTOR 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 sq>Smitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or'mployee. CONTRACTOR OR BUILDER BY AUTHORITY AgaX 17 t r ' n Lot BI. Subdi- vision f Sq.Ft Amt. of Permit r''. $ ' C ;• Value of Project $ f - BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ A ❑ Owner of Building_ Architect Contracto or Builder Legal Descriptic Address Building MIAMI SHORES VILLAGE. PERMIT N9 9464 Work to be performed under this Permit FLORIDA DATE <<_ ' Contractor's License No 7 195_4. 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. Signed / BY INSPECTOR 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 sq>Smitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or'mployee. CONTRACTOR OR BUILDER BY AUTHORITY AgaX 17 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 2 1 co , 19 C 3 Owner's Name and Address. -.. ",) k-1 W Q \ k g No Street Registered Architect and /or Engineer (� - - Name and address of licensed contractors -�— e 5 ,. _ -{- �`' �^^^�( Location and legal description of lot to be built on: 111 Lot Block Subdivision n n Street and Number where work is to be done 4- 4- ei _ AJ � .. 9c. • State work to be done and purpose of building (by floors) 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 $ 2,4• 0 U Amount of Permit $ J O ' 0 d 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 s bmit a the plans and specifications __ for said building. All notices with referen to the building and its construction may be sent to 1:�'v . 4- 1.-(c) Qbr e- A Z a�,-� . 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 subcontractors, on w k V' be performed 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 Disapproved (Signed) 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 f,., Permit No 4 1____) Date____) -6 - t ) Read, Sworn to and Subscribed before me. to me well known, Dat 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 /or workmanship. 9 r) v 0 5 = = a ❑ ❑ Signed: (INSPECTOR) o 3 0. it CO y FEE2005 -6327 Training and Education Fee FEE2005 -6328 Technology Fee FEE2005 -6329 Scanning Fee FEE2005 -6330 Notary Fee Total Fees: $0.40 $2.50 $6.00 $5.00 $115.10 Permit Status: APPROVED Permit Expiration: 11/13/2005 Construction Value: $1,500.00 Work: REPLACE SPLIT SYSTEM WITH MINI SPLIT )f 1 'ees: $115.10 Total Receipts: $0.00 IT 6 BLK 53 LOT SIZE 75.000 -15 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. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATIO FBC 2001 Owner's Name (Fee Simple Titleh9ld Owner's Address City Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO )( Contractor's Company Name Contractor's Address /7 b City / Qualifier 23i D O9 State Certificate or Registration No. $ Value of Work For this Permit Type of Work: ['Addition ❑Alteration ENew Describe Work: Total Fee Now Due $ Code Enforcement $ Structural Plan Review. $ (Continued on opposite side) State Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 (3 Permit No. \l, —( MAY 1 7 28g5 Master Permit No. 1 2 1"1 . M4 Permit Type (circle): Building Electrical Plumbing Az; sie-L.A.se__44 t4J O o 131 Li Lit(i it0 //0 v6 1 State 0-> / 10 2 S �/3/ /So Phone # Zip "5 Phone # Certificate of Competency No. Square Footage Of Work: Roofing Zip 331349 /77c--51k3--Ds Pho # (0 2Z ; yam/ Zip .3. o “ • Architect /Engineer's Name (if applicable) S L v& q Phone # q1,4 - ' Z -1292 >e l ° 2 Repair /Replace ❑ Demolition (t) / Th /73 / / * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ,-, Submittal Fee $ Permit Fee $ I 6 �� 't 0 0 0 CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City Signatui NOTARY P Biz C: Sign: Print: Sta Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted al the job site for the first inspection which occurs seven (7) days after the building permit is issued. 1 the absence of such posted notice, the inspection will not be approved and a reinspectio ee will be charged. Owner or Agen The forego' g instrument was acknowledged before me this day of Ct , 20 05 by Ap_1 ` _ _ who is personally nown to me or who has produced 3' VT As identification and who did take an oath. My Commission Expires Ju 3, 2007 My Com' fission Expir:.: ,o add ih * * * * * * * * * * * * * * * * * * * * * *1e, * ** * * **~a r.4 * * *Iitt.tt. ed ifr ru * * * * * * * * * * * * * * * * * * * * * ** ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 Zip - 7 Sign: Mabel r.irgas Print: )231984 Signature The foreg , day of who is personally kn NOTARY PUBLIC: Contractor 4 d before me this 11 ,20(,, . / Lon o me or who has produced' entification and who did take an oath. * * * * * * * * * * * * * ** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning , s9.... „ 7 Owner's Name and Address.. Disapproved (Signed) . MIAMI SHORES VILLAGE 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. Registered Architect and /or Engineer Name and address of licensed contracc Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done Building Inspector BUILDING INSPECTION DEPARTMENT Subdivision State work to be done and purpose of buildin (by floor dA ='g k j- 1t4 4 /c / Estimated Total cost of improvements $ /' Zone cubage required 1 s s / A /V etf / - 8 W. ate Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of 51.00 will be charged materials and /or workmanship. Date Ye ,— 6 f0 PLANNING BOARD DATE No `2 T Street../Y - 4'.. -. -9 19 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Amount of Permit $ 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 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 subcontr. •, : s, on work to d under this permit, as are licensed by Miami Shores Village. Remarks (Signe 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 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 fore •g application, and that he did sign the same, and that all facts therein by him stated r e r true. / Permit No Z >� Date (' v �� ' / Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date 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