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526 NE 97 St (2)MIAMI SHORES VI IIAGE BUILDING INSPECTION DEPA TMENT APPLICATION FOR - LI8LDING 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. Owner's Name and Address. Disapproved Date (Signed) 6A ` L C c,�i � Clet dk't o-1_.tsi. No.- 5 4__ Street " Registered Architect and /or Engineer Name and address of licensed contractor - -_ _fix C in!a ._ 4__.1 Q 4.4 t as e� Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 44. 61/4" Q✓r 7 %v+ State work to be done and purpose of building (by floors) Date ° I �' , 19 1, a o- or OA �\ 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 $ Z S T C • 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 I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction ma be sent to v _lie ® z¢! N_fi_ _Q.0,1 e Co lob 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 work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Notary Public, State of Florida 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, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. 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. DADS AIR CONDITIONING AND HEATING CORPORATION I.iiemi Shores Village City Hail :+.00,50 N. E. 2nd, Ave. Re: L. J. Cushman 526 Y. E. 97 St. 160 Giralda Avenue - Coral Gables, Florida - Tel: HI 3 -1861 April 27, 1959 Dade Air Conditioning c Heating Corporation will be respo:isible for any Changes necessary due to excessive noise that pro•res to be objectionable to neighbors. Dade Air Conditioning 8 Heatin, Corp. David Shocpman, President BUILDING ❑ ELECTRICAL ❑ DATF. 4. 1954_ PERMIT PLUMBING ❑ N? 8 615 Contractor's License No ` ROOFING ❑ ' • -. ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description �.ir- r ✓ � l Lot Address of Building MIAMI SHORES VILLAGE. FLORIDA Bl. f ' t _ f Subdi- vision Sq. Ft Value of Project $ Amt. of 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 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 submitted 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 employee. CONTRACTOR OR BUILDER l. BY AUTHORITY PERMIT APPLICATION FBC 2001 Owner's Name (Fee Simple Titleholder) Owner's Address City �,.,, , 'i,.._ ti State Contractor's Address 15 Type of Work: ❑Addition MAlteration Describe Work: Total Fee Now Due $ (Continued on opposite side) L V Miami Shores Village • ^�r1' T (30)i95, 04 F : (305) 756.8972 BUILDING \\ Permit No. Permit Type (circle): Building Electrical Plumbing !Mechanical Roofing Phone # ; , 1-) .- ■ = t partment ®au Shores, Florida 33138 Master Permit No. - 1 Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) - City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name a. - ' '� `' 4 i Phone # City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: ❑New * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * *1* ❑ Repair/Replace ❑ Demolition 7 1 Submittal Fee $ Permit Fee $ 3t 7 Z CCF $ g Notary $ `" ter Training/Education Fee $ . Technology Fee $ / t ' Scanning $ Radon $ Bond $ Code Enforcement $ 1 --� Structural Plan Review. $ State Bonding Company's Name (if applicable) Bonding Company's Address City • Zip' ;axe 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 at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature _ � Signature er or Agent Contractor The foregoing instrument was acknowledged before me this `; The foregoing instrument was acknowledged before me this S day of Nov. , 20 O4, by day of K10 \/. , 20 by who is personally known to me or who has produced who is personally known to me or who has produced ✓ As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: v'^ FERNANDO OBESO NOTARY PUBLIC: MY COMMISSION # DD 173702 Sign: • 3 ....... Sign: Print: My Commission Expires: State Certificate or Registration No. APPLICATION APPROVED BY: Chc 10/14/03 FERNANDO OBESO . MY COMMISSION # DD 173702 ."fit D - - PTV: �,•: . ��. My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) Certificate of Competency No. ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * ** * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** l\ Plans Examiner Engineer Zoning r�„ ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING 25\43,3 5 DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 10 ?a DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK ) 2.500 V FLOOR DRAIN SERVICE REPAIR ETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING ERCEPTOR RANGE TOP UNDERGROUND TANKS L VATORY OVEN ABOVE GROUND TANKS LAUNDRY MAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If 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 MDTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - ' A/C WINDOW REINSPECTICN WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP & 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 PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN 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.) ELECTRICAL MECHANICAL A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF RRST INSPECTION 1 PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: SI(' 14C cn ST. 2. Description of improvement: C Io E)C S1 Ark. AND 1k1SmU., (2) N CEA TNT- 14C W■SH WC- WORIC- 3. Owner(s) name and address: 51 i'1 r t11 CAS.0 e- SAGE 51(.9 N4E on ST. Interest in property: 1 Name and address of fee simple titleholder: 4. Contractor's name and address: Cool— 4n.EF E„ PAC Co fa . 5. Surety: (Payment bond required by owner from contractor, if an y� r �F��� Y �`'�' r " nim d :hie dGS :•n Name and address: Amount of bond $ V rra,. r r ' /land bI:J 1;' HARVEY J: IN, CI 6. Lender's name and address: I 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 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 nt date's s • dried) u ' of 1r er Print Owner's Name Sworn to and subscribed before me this S day of JANVllINUL , 2OQj.. Notary Public C Rr74 0 Print Notary's Name 2-. My commission expires: 123.01 -52 PAGE 4 0/02 13 \?.0 Sw ■ o 1 a E- . meas.! a., OM.. e..a MIL $..aauna CFA 2004-R1019478 OR Bk 22829 Ps 4178; (1P9) RECORDED 11/17/2004 12:24:20 HARVEY RUVIN, CLERK OF COURT 11IAMI -DADE COUNTY, FLORIDA LAST PAGE a S I t iz_ M l .ec-ro Prepared by Coca. Pall.EQG Ak • FERNANDOOBES° 3,' MY COLOASSIC.11 DD 179702 t�nisea ueaeiroer ZUUb &tided Da Weary Ade Usual= A Address: \'M7.0 SL..) 130 .n2. CtiV■ 33V6U Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/17/2004 Applicant: JENNIFER MICHELLE Owner: TRECO -SAGE JOB ADDRESS: 526 NE 97 Parcel # 1132060171530 Mechanical Permit Permit Number: MC2004 -202 TRECO -SAGE JENNIFER MICHELLE ST Contractor COOL BREEZE AIR COND CORP Contractor's Address: 13120 SW 130 TERR Local Phone: 305 - 226 -2665 Page 1 of 1 Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOTS 6 TO 8 INC BLK 99 LOT SIZE Fees: Description Amount FEE2004 -11399 Building Fee $503.72 FEE2004 -11400 CCF $9.00 FEE2004 -11401 Training and Education Fee $3.00 FEE2004 -11402 Technology Fee $12.60 Total Fees: $528.32 Total Fees: $528.32 Total Receipts: $0.0 Permit Status: APPROVED Permit Expiration: 5/14/2005 Construction Value: $14,392.00 Work: INSTALL 2 NEW A/C UNITS CIO 1 EXISTING 5 TON A/C Signed: (INSPECTOR) Itk al'r 1 ) e p \0 1 4. 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: Date Type Insp'n Permit No. Name Address Company Phone # Inspection Date Approved Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request • / ( •^, , ) APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 Registered Architect and/or Engineer Name and address of licensed contractor Location and legal description of lot to b ego cod / /A/L 19 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Lott „ Block Street and Number where work is to be done_ Subdivision Remarks (Signed) Permit No. 3' / 7 / Date D Read, Sworn to and Subscribed before me. Date ,�9 19 Cit. No. 51>6 Street Ni?:. ! 7 o l, if , /. /O � t M &j! ;r f( J ` A MY / / State ork to be done and purpose of building (by floors). state exterior colors (submit samples) _ and for no other purpose. New Building Remodeling Addition Repairs No of Stories To be constructed of Kind of foundation Roof Covering C G c . 7.1/6' , Estimated Total cost of improvements $ Amount of Permits CI 7C 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 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 obligatons 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 thi 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 ; employ only suc• - iicontractors. on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared 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, and that he did sign the same, and that al: facts therein by him stated are true. Disapproved j / Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.