577 NE 96 St (10)Date
Legal Description
Owner /Lessee/Tenet
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972
Job Address F f l NE ! (0 S' cal' EIC II�
Hist
N e-
Owner's Address 1 1 +v C q6a s► L C.-E 1
Contracting Co. CAV n Address
1 0 31 e ',s(14
Qualifier 2 LJ L wk-er'cf SS# LLPhoneC ,05 “b"- i Jc4O
State # F OR LA Municipal # Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUIjLDIING -- ELECTRICAL PLUMBING ( MECHANI ) C / A � ( R ,� OOFING
Z
WORK DESCRIPTION: /�[= —{ f -; / =,�) 6 /fV RI IT 60 p" f I✓) �d��/ 1 ��� �Y gip .-
o Q vmi f c JbtJ6 5 REP.-. PL. =L. x 0 VG-
Square Ft. � - �� Estimated Cost (value)
1 (30
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that
all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required
for all disciplines.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in complianc- with all applicable laws
regulating construction and zoning. Furthermore, I authorize the above named contractor to do the k stated.
Signature of owner and/or
sident
Notary as t' • g al d/cE 1 ItI
My Commisg'' °1tce§Commission ODD2
.:*E Expires: Sep 01, 20
o Bonded Thru
''' Atlantic Bonding Co., Inc.
FEES: PERMIT vO s RADON
APPROVED:
o
Plumbing
Date
Phone
Notary as t
My Comp$
B N
�
u
C.C.F NOTARY
Ob OTALDUE\
ricall egiaa d:20 l es No
2004 — P I
bs \+o Atlantic Bonding Co., Inc.
I 13/ '
to ; NJ er
' r 4 mmission #DD2344
Expires: Sep 01, 200
Bonded Thru
y: 5
Date
BOND
Zoning /' / , / Building Electrical
Mechanical J -rv� `T/ tP `'r
Structural Engineer
Owner/Lessee/Tenet \ !
Owner's Address
Contracting Co. ne2) 4 .
ax' 1s7 L =
, Municipal # Competenc
Date
Legal Description - Hist
Qualifier
State
TIiEREIlS NO PERMIIT PACKAGE ACCESSIBLE p.N THE JOB. SITE .FOR INSPECTORS TO VERIFY, •
THERE 'WELL BE NO -INSPE CTJION RE. INSPECTION F IEE IS S50 00 D AN ;MU BE PAID IN ADVANCE
BEFORE CALLING FOR,ANOTHER:INSPECTIf`_
Permit Type (circle one):
DESCRIPTION:
CO Li Tfri
Square Ft.
WARNING ;TO OWNER ,, YOU MUST RECORD A;NOTICE OF COMMENCEMENT AND YOUR FAIL LTRIE TO : DO SO MAY.- RESULT•IN
YOUR PAYING TWICE' FQR IMPROVEMENTS TO YOUR: PROPERTY _ (I1 YOU INTEND TO OBTAIN (FINANCING, ; CONSULT WITH;.:
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF ) •
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 mt ee the standards of all laws regulating construction in this jurisdiction. 1 understand that separate permits are required,
for all disciplines
Signature of owner and/or
"APPROVED:
a -a. .: a:nn.. n'::a1-4aa74-iL - H.11 o a ...oily. YlCaly as 4.9a a0yb01L:ILP 'D a91a4LLVJJ
10050 N E:.2nd Avemtne. ®Mtami Shores, Florida 33138 _ Phone: 305495:72204:'!... Fax: 305 -756 -8972
BUILDING
LECTRICAL
ECIIANIC
O
., FEES: PERMIT - RADON' _ .
Zoning
t= qh 017 - 159O
PLUMBIN
Estimated: Cost (value)
ROOFING..
Date` S
Notary as t toivtkeri\ig'
My.Comng , mm►ssion #DD2344'
=' xpires Sep,01., 200
8��e° i• . ►3onded.
A40r13ondingCo., Inc.
NOTARY:
{ OND
TOTAL DU
Building Electrical
Mechanical Plumbing Structural .Engineer.
OWNERS AFFIDAVIT: 1 certify that all the foregoing information °is accurate and that all work will be done in: complianc with all applicable laws
regulating construction and zoning Furtherniore, I authorize the above named contractor to do the lc stated
Date
• Legal Description = Hist
Owner / Lessee /Tenet
Owner's Address 6 1 cue c „ S 1f'� "t-
Contracting. Co.
Qualifier SS#
State
Job Address
Municipal #
THERE NO PERMIT .PAC GE ACCESSIBLE:ON THE JOB. S ITE FOR INSEECTORS TO VERIFY,
THERE' WALL BE NO rI NSPECTION It E`- l[NSPECTION EIEE IS $50 00 °AND MUST BE PAID IN ADVANCE
B CAL FOR ANO T I IER: INSPECTI •
Permit Type (circle one) BUILDING ELECTRICAL PLUMBING MECIEIANICA •
Estimated:Cost (value)
Square Ft.
Signature of owner and/or
APPROVED:
10050 N E =2nd'Aveue ®lb>{tarni Shores, Florida 33138 • Phone: 305 • Fax: 305 756 -8972
WARNING 'TO WNER YOU MUST RECORD A NOTICIE OF COMMENCEMENT AND YOUR.FAILURE TO DO
.. SO, MAY RESULT' IN
YOUR PAYIN FOR IMPROVEMENT TO: YOUR: PROPERT (I(F YOU INTEND TO
O BTA*:: : },INANCING, CONSULT WITH
YOUR LENDER R
OR ANY ATTONEY-BEFORE YOUR NOTICE OF: COMMEN ' -
Application is hereby. made to obtain a permit to do work and installation as indicated above and on the attached addendum (if applicable). 1 certify that;
all work will be' performed to i t ' that
for all disciplines
ondo P ident
Commission #DD2,149
Q:Q= Expires Sep O1; 2t,t
Bonded T
"Atlantic Bonding. 9 Inca
,Date. Sig ure of Contr or
Date Notary as t
r, j s�
mmission #DD2344'''
E xpires Sep 200
odru
Atlanttc?Bonndedn .Thg Co., Inc.
er Date
TOTAL DUE
OND -•
-:OWNERS AFFIDAVIT: I certify that all the foregoing information: is accurate and tha(all workwt1l be done to compliant With all :applicable laws
regulating construction and zoning Furthermore, I authorize the above named contractor to'do the k stated
FEES: PERMIT `RADON
Zoning
Mechanical
A:•A:Jaai•LA'b::i AA. --D AJAt/La n Aviv H VAw 1VLAC LVHA L1 .Ja31.22,U 'V ACLU %JAL
Y 1 r) `(js iV
h S► — 011 — 15
Address•
J.
�1i �fnli.
ROOFING.
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204
Printed: 6/11/2004
Applicant: NEIL KINGSBURY
Owner: KINGSBURY NEIL
JOB ADDRESS: 577 NE 96 ST
Contractor HARPER'S AIR, INC.
Local Phone: 305 - 266 - 1040
Parcel # 1132060171590
Mechanical Permit
Permit Number: MC2004 -91
Contractor's Address: 1031 SW 69 AVE
Page 1 of 1
Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOTS 19 TO 21 INC BLK 99 LOT SIZE
Fees: Description Amount
FEE2004 -6001 Building Fee $300.00
FEE2004 -6002 CCF $6.00
FEE2004 -6003 Technology Fee $7.50
FEE2004 -6004 Training and Education Fee $2.00
Total Fees: $315.50
Total Fees: $3 io 50
Total Receipts: 0.00
- ; 4 C.. s - o
Permit Status: APPROVED Permit Expiration: 12/4/2004 Construction Value: $4,000.00
Work: REPLACE EXTING AIR CONDITIONING SYSTEM TWO UNITS CHANGE OUT, REPLACE DUCTS AS NEEDED
OCT 1 PAID
Signed: (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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Contractor HARPER'S AIR, INC.
Local Phone: 305 - 266 -1040
Parcel # 1132060171590
Signed:
(INSPECTOR)
Mechanical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: MC2004 -91
Printed: 6/11/2004
Applicant: NEIL KINGSBURY
Owner: KINGSBURY NEIL
JOB ADDRESS: 577 NE 96 ST
Contractor's Address: 1031 SW 69 AVE
Page 1 of 1
Permit Status: APPROVED Permit Expiration: 12/4/2004 Construction Value: $4,000.00
Work: REPLACE EXTING AIR CONDITIONING SYSTEM TWO UNITS CHANGE OUT, REPLACE DUCTS AS NEEDED
Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOTS 19 TO 21 INC BLK 99 LOT SIZE
Fees: Description Amount
FEE2004 -6001 Building Fee $300.00
FEE2004 -6002 CCF $6.00
FEE2004 -6003 Technology Fee $7.50
FEE2004 -6004 Training and Education Fee $2.00
Total Fees: $315.50
Total Fees: $315
Total Receipts: i0.00
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:
z — .
-
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 Budding 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 budding during progress of the work.
Owner's Name and Address
ic W A RD AVC—
Registered Architect and /or Engineer _, ..:.. .......•',,,,,.,,,,.,...... sas=s.
Name and address of licensed contactor H 1 L� Yo �" ✓ � c E _.r =��G -g14 /l�r �. 33 ` �T
Location and legal description of lot to be built on:
Lo ... Block Subdivision
Street and Number where work is to be done �? ` c " 96 S
State kerk to be done and purpose of building (by floors)
.and for no other purpose.
New Building Remodeling. X Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ Amount of Permit S.
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot
Maxunum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference jo the building and its construction may
,.
be sent to . . .ILL. y L 81 5 i.(, L'J 3 5/ (p 3S 4
•
Te un crsigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
mo o: 'rbuur un r the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
anu'1t;is • plied 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 sulrlic notice
or notices as are required by the Act. The undersigned agrees to employ only s
pennit, 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
and who. being by me first duly sworn, upon oath deposes and says that he is the.
of tl.e 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.
r
Permit No .. _—
Disapproved
C
(Signed)
MIAMI SHORES VILLAGE
Date
D
Building Inspc
Chairman
Nteir,;,cr
\femixcr _......_......_..._. _ ...._....._
Council Approved Date
NOTE A c•h.irge of $1.00 will be made for making corrections
Q .. .�....... ,19.Z
— . . . S t r e e t - 6 5,T_
Date..._
00
Read, Sworn to and Subscribed before me.
ANNING BOARD DATE
Member
Member
Member
Disapproved
or changes to this application after approval
tire i board.
A 1-r: inspection ice of $1.00 will bc charged when such re- inspection is made necessary by improper notice
materials anu /or workmanship.
Notary Public, State of Florida
My Commission Expires
to me well known,
Date
has been obtained from
for inspection or faulty
rate of Floi`ida• ' •
,unty of Dade
E UNDERSIGNED hereby gives notice that improvement will be made to certain re
operty, and in accordance with Chapter 713, Florida Statutes, the followi
formation is provided in this Notice of Commencement.
Description of property: (legal description of the property, and street address if
available) S e cr (- 1 P 6 lc_ (-�-� ` � �I �..e� dC�c �, ( 7-It (''(C T
General description of improvement:
Owner information:
a. Name and Address: C (z ,
b. Interest in property:
c. Name and address of fee simple titleholder(if other than owner):
Contractor: (name and address) 62 /1 -�..� � ° `���� 1 °r��"''
Surety:
a. Name and Address
b. Amount of bond$
Lender: (name and address)
Persons with 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., Floric
Statutes: (name and address)
In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(1
Florida Statutes.
Expiration date of notice of commencement (the expiration date is 1 year fl
the date of recording unless a different date is specified)
,orn to and subscribed before me this
Public
S L;1TE OF FLORIDA, COUNTY OF DOE
a IK Earri1 62argil Ohc t rs as v Urvp, op1 of Va
orlginol $t7pd IIhr; ®Baca oa .eay of
A. D. 1 D ^
WlpMES$ ray bond and OfSaill S a'1
at E 1 ( V , n, of clx Coa f,
Ga
NOTICE OF COMMENCEMENT
/ 0?
Signature of Owner
day of
94R4-79670 1994 OCT 13 09:44
i T•t .) CA 1 (
ece 2w,„„
My Commission E
4:17.
CE SXrTARE " I�
Notory Public -State of Flprid0
My Commission Ejcpires AUG 173995
COMM # CC 126869 •
- r f
Date - t Job Address
No
My
** *
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Legal Description 0• I k /.S '/ `1 oY
/ Lessee / Tenant ( 1',)
Owner's Address J A./fZ ` G JT
Contracting Co. G46Lf /,i tri i.%j L'
Qualifier
WORK DESCRIPTION ,1=. C-
Signature of owner and /or Condo President
Date: /O —,a?- 9�
Zoning
ary as
Commis on Expires; OL(TARE
Notary Public -Stoto of Florida
My Commission Expires AUG 17.1995
* COMM 0 CC 12686%
FEES: PERMIT 5r. 75 RADON
Mechanical
S77 "i(t 94 sr Tax Folio // 3t ( o ( (S 10
•dent
4-, r-
Building
? 7
Address `1 1. o 0
Master Permit #
Phone 7S 2- S 6 Y3
J .1
SS# — ' — L •ti.s> I-
State #C 4c,63J `f.Cd' Municipal # Competency # Ins.Co. 6-tCo 4t Lc.,rt'
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
cJ .1 (ter A-) Q. J _
/�
7:11 <. (...� 1 , ..s (� c r.-c; .�rr� J ( 6 �C,.J -�, /fl't 0%(/
Square Ft. Estimated Cost(value) (- 7'4=01
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 med co tractor to do the work stated. "
Signature of C6tractor o Owner- Builder
Date:
Notary as to Contractor or Owner- Builder
My Co
(i • ' IC AL NOTARY SEAL
T
ei SANDRA M MONTIEL
* COMMISSION NUMBER
'it C040126* * **
MY6¢OR MISSION .EXP.
OPkUG. 17,1990
Fire Other
Electrical
4 Plumbing Engineering
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
Y
DRINKING FOUNTAIN
SERVICE SIZE IN MPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE MOUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 FP
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 HP
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
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
•- • v
PLUMBING
ADD €NRUM 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.)
ELECTRICAL
MECHANICAL