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602 NE 96 St (10)Date ;.L9 j 9°I Job Address 1,, 02 JV G 94 -44— Tax Folio Legal Description /Tenant MS PreSby +e C11 usi�1 QualifierT WORK DESCRIPTION 1 h( ST4-/ Square Ft. Estimated Cost (value) ! Tj r7-6 Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date Notary : to Contra My Commission Expires: My Co ssion E FEES: PERMIT APPROVED: Zoning Building Mechanical P PERMIT APPLICATION FOR MIAMI SHORES VILLAGE C.C.F. Historically Designated: Yes No Master Permit # 942 Z7) 94' b Owner's Address t ( .-. , Phone Contracting Co. A 1 R, R ® Al C Address Phone 3n s 42 s 73 3rYt,TM welso -t- *2iC Z State #L 00 r 1 1(a) I Municipal # Competency # Ins. CoTIZAvetEd SAR toA6 leq•0 Architect/Engineer -- D,A it Cn 4 t_oEti Address Co' ,y..( 6--,44A S Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Tke_ FE 1 Ai Air (a,vt 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 AF 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. NOTARY Electrical er -Bui R.,. 33 � ARYStAL LIAR NARY PUBLICSM TE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1,3 BOND TOTAL DUE Plumbing Structural Engineer (AN APPLICATION FOR BUILDING PERMIT MIST ACCOMPAN'. THIS ADDENDUM. IF A MASTS PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZEM SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ITLA BATH it B 810ET PLUMBING 01 SHIVAS HER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 03,P. SINK, RESIDENCE SINK. SLOP TEWCRARY WATER CLOSET LRINAL WATER CLOSET INDIRECT WASTES WATER SIPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER- REPLACE LAWN SPRINKLER -BELL SWIMMING POOL WATER SERVICE SEWER CONNECTIONS UT 1L ITY-SEYIER UTILITY -WATER SEPTIC TANK RELAY ORAINFIELO, 4' TILE/RES. PUMP & ABANDON SEPTIC TAN( SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL 00MEST IC WELL AREA C1AIN ROOF INLET SOLAR RATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RAE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL UNIT (TEL SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES I SERVICE TEWI ARY SERVICE SIZE IN AMPS SERVICE REPAIR/1ETER CHANGE APPLI OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0- 1 HP MOTORS OVER 1- 3 HP MOTORS OVER 3- 5 HP MOTORS OVER 5- 8 HP ANTENNA TELEVISION CUTLETS VIOLATION' MOTORS OVER 8- 10 HP MOTORS OVER 10- 25 HP MOTORS OVER 25-100 FP MOTORS OVER 100 HP A/C WINDOW AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFOR6£RS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMMERCIAL • SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCX FIXTLRES RE INSPECTION UN IT f FEE ITEM SPACE HEATERS CENTRAL HEATING A/C (WINO) A/C (CENTRAL) DUCT WORK REFRIGERATION PROCESS AND PRESS PIPING UNDEAaOUM TANKS ABOVE OM TANKS U.F. PRESSURE VESSELS STERNA BOILERS HOT WATER BOILERS MEDIAN I CAL VENTILATION TRANSPORTING ASSEM€LIES ELEVATORS/ESCALA1t S FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION REINS'ECTION UNIT FEE (�r PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY //�� (OWNER TO RETAIN COPY) Date 1;2-2. cif( Job Address 6 Q 2, ,L / q6 S ! . Tax Folio // ,WtO /// /ilB 7 Legal Description 1'' ml a) (O / /!I Master Permit # Owner / Lessee / Tenant /n Owner's Address L27 )% 4 I4 Contracting Co. /© Alm /JQ , State# 1 Co petency # 9f"f/ W (i Ins . Co . Architect/Engineer' Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING (MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost -4 coo, nr) 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. 7 Signature of Owner and/or -42.; Notarjr as to Owner and /or My Commission Expires: * . * . * * PERMIT FEE: APPROVED: Zoning AW " Mechanical in) V l • Condo Preside t Plotary Public, State of Florida Afly Commission Expires Des. 1, 1991 Cowo esiaent ysnw„, n6 -rest (eAoroi / /.e Fire Building Plumbing Address o -/ 2 / /(Jlv / 3 �. Phone da J - 63 9 Address Address Address // aliAial AaAik Signatu ( - of Contractor o Date: Notary Public, State of- Florio hiy Commission Expires Dec. 1, 1901 0.01m1 Pio, 'buy rain - r ry as to Contractor or owner- t'ui er My Commission Expires: * * * * * * * At. Not • Phone Other Electrical Engineering PE* Tax Folio No. 1/ .3 D1 / / 7•,o NOTICE OF COMMENCEMENT State of Florida County of Dade 9 1R2 19404 1991 JUN 27 09 :53 THE UNDERSIGNED hereby gives notice that improvement 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. Description of property: (legal description of the property, and street address if 9405 Park Drive available) Folio 11- 3206- 014 -1270 Miami Shores Sec 2 PB 10- Lots 1 Thru 8 Blk 59 11 Lots 1 Thru 5 Blk 62 & Th of N.E. 95 St. Lyg Bet Blks Closed Per ORD 50 -195 2. General description of improvement: UP & 4. DE i f PR6SENr 19fReoivstrAl"..ec SvcrEAl 3. Owner information: a. Name and. Address: MIAMI SHORES PRESBYTERIAN CHURCH 602 N. E. 96 St. Mia,F1 b. Interest in property: Owned by MSPC c. Name and address of fee simple titleholder(if other than owner): 4. Contractor: (name and address) ,q!1( aVPArls/vMl. � . 2,1/ NW t_39fr . di /D Q �f /�, 1 ,�'r.Q 3V6 5. Surety: /�-GC (41/0,2,1 �G a. Name and Address l/ � , 0O 14 (C ' /Q b. Amount of bond$ WC) Vf_ 6. Lender: (name and address) /C(O/4/1 'Jotary Puglic My Commission Expires: 7. 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., Florida Statutes: (name and address) A/ AA 8. In addition to himself, Owner designates /1l1NlE of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Trustee of MSPC' Delbert Noel Signature of Owner S worn to and subscribed before me this e day of !Jofcn/ PAN., Sic fay Commission Expires Dee. 1. 1'i M eru Troy Fain • Insurance Inc. STATE OF FLORIDA COUNTY OF DADE 1 HEREBY CERTIFY that this Is a true oo of tjtg original filed his office o D. WITNES y hand and Official Seal. II Clerk Cir ui By a cart - 20 yAh7 ■■ /WI ,s N o . o r s P y7 8 A 2/ 4 /V ell Wee ae,P 7 / �/ - ( CfiC C)irz CO►T►e rk) FJP74- pG I /O - - 87 1.0 i) Permit No Disapproved (Signed) ems,/ k A 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 4/44,s15;voees Registered Architect and /or Engineer &1ANZ Name and address of licensed contractor 7 Location and legal description of lot to be built on: Lot / r," /D Block r° MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT PLICATION FOR BUILDING PERMIT Subdivision 4 0/i1.1 e /be Co /j /oc/id6 of IA/6 c/ .�¢ TO,c/S PL OS .avcjaJOe/ TD EX /47/ c/G E /#3Y c/ f (/ d e' o o and for no other purpose. New Building ✓ L Addition Repairs No. of Stories To be constructed of Kind of foundation co- Roof Covering Estimated Total cost of improvements $ /0•0 O O O •c K 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 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 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 pennit, as are licensed by Miami Shores Village. Remarks (Signed) Street and Number where work is to be done 6 0/ �e 9'7 State work to be done and purpose of building (by floors) Remodeling Building Inspector Date 0ECE/yBE/e / / :50..Y,,tr2LAI/ CA/a '/' No 6 O / Street Lig 961 6 Yoe F�4, / f1, 8 .0.513'oc /4,7e S 6•t , C,4Y, /'lc- //o/ 29¢Jst Al/.y EA7!, Z 4,- PL !► ING BOARD /08" DATE Date Read. Sworn to and Subscribed before me. Date. ,19 e 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. Notary Public, State of Florida My Commission Expires 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. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 4/28/03 JobAddress+ =102 I.E. 96th St. Tax Folio 11- 3206 - 014 -1410 Legal Descriptionl0 -37 Lots 1 -10 INC BLK 61 Historically Designated: Yes No Owner enant Miami Shores Presbyterian Church MasterPennit4 Owner's Address 602 N . E . 96th S t . Phone Contracting Co. Airstron, Inc:. Addressl559 S.W. 21st Ave., Ft. Lauderdale, F1 Qualifier James M. Pascucci. Phone 954 - 923 -1654 State # CACO23473 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Installation of one (1) 5 ton split system with two (2) duct drops. Square Ft Estimated Cost (value) $8,475.00 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. ignature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: 0 1•EES: PERMIT "� RADON APPROVED: Zoning Building Mechanical f64) 5 7 ) Plumbing � ��___ 4/28/03 S ignature of Contractor or Owner- Builder Date c. Notary as to Contractor or Owner - Builder My Commission Expires: LINDA B. BUM MY COMMISSION t CC 923187 j EXPIRES: July 29, 2004 Bended?hr Notery public Undmwnters Electrical TOTAL DUE 4/28/03 Date Engineering ..IAMIsmoumewse.aftworreineint~210160 VIVIRCRAihmeikwar•- .aiateknmeermrmseavegroomat, uftleoravoce....aepstaRke. Aff OA 6 6. 4 9 STATE OF FLORIDA DEPART*NT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD DATE 'BATCH NUM 06/25/2002 011145181 CACO23471 The CLASS A AIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2004 • PASCUCCI,' MICHAEL • AIRSTRON INC 1559 SW 21ST AVENUE FT .LAUDERDALE JEB BUSH .GOVERNOR •:. CNS 183-81'. Board of County Commissioners, Broward County Florida BROWARD COUNTY OCCUPATIONAL LICENSE TAX FOR PERIOD OCTOBER 1, 2002 THRU SEPTEMBER 30, 2003 FORM NO: 401-280/AC 25-061 di RENEWAL 0 TRANSFER • SEC 4t 18 / 183 NEW • • ...• DATE BUSINESS OPENED 05/01/85 STATE OR COUNTY CERT/REG # ctCO23473 Business Location Address: 1559 SW 21 AVE FT LAUDERDALE., . BUSINESS PHONE: 1111LICPINSR NBR 9-.4 - 12' 0 5' 2 THIS LICENSE MUST BE CONSPICUOUSLY DISPLAYED TO PUBLIC VIEW AT THE LOCATION ADDRESS ABOVE. BROWARD COUNTY REVENUE COLLECTOR 115 S. Andrews Avenue, Governmental Center Annex FORT LAUDERDALE, FL 33301 FL 33312 !. • DISPLAY AS REQUIRED BY LAW BKVARD COUNTY A C •FLORIDA PAID 08/1./02 9007633.0001 TAX BACK TAX PENALTY T. C. FEE TRANSFER TOTAL 27 00 27.00 AIRSTRON INc PASCUCCI JAMES M• P 0 00X 771 HOLLYWOOD FL 27.00 TYPE OF LICENSE TAX PAID CONTR CLASS A 4 UNITS 2002 - 2003 PAYMENT RECEIVED AS VALIDATED ABOVE ACCOUNT NUMBER 18.0000775 3303170000 SEQ#L0 2 0 62 50 5 6 8 2 . KIM BINKLEY-BEYERV SECRETARY RENEW ON OR BEFORE SEPTEMBER 30, 2003 PENALTIES IF PAID OCT.- 10% NOV. - 15% • DEC. - 20% I • After DEC. 31 - 25% • Plus Tax Collection Fee of up to $25.00 Based on Cost of License if Paid On or After November 30, 2002 *SEE BACK FOR TRANSFER INFORMATION -- THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD NSRL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATF (MM/DD/YY) POLICY EXPIRATION DATF (MM!DD/YYf LIMITS A INSURER A: Northern Insurance Co of NY GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CON98719736 04/01/2003 04/01/2004 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PRFMISFS (Fa nrrurrnrf+) $ 300,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n JET n LOC PRODUCTS - COMP /OP AGG $ 2,000,000 n A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CON98719777 04/01/2003 04/01/2004 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ RETENTION $ $ $ H DEDUCTIBLE $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC1328803 01/01/2003 01/01/2004 WC STATU- I TORY I IM TS � IO R E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE • POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS - CORD CERTIFICATE OF LIABILITY INSURANCE 0 3/31/2003 ) AUTHORIZED REPRESENTATIVE Richard French PRODUCER (305)822 -7800 FAX Collinsworth , Al ter, Fowl ei' ; Do»f i ng & French P. 0. Box 9315 Miami Lakes, FL 33014 -9315 G1 adys Masters THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Airstron, Inc. S &S Air Conditiong Co. P 0 Box 7715 Hollywood, FL 33081 INSURER A: Northern Insurance Co of NY INSURER B: Amerisure Insurance Co 09088 INSURER C: INSURER D: INSURER E: v"`' IS 'v ^' ` ' v`V"` Miami Shores Vi 11 age Permitting 10050 NE 2 Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Richard French CANCELLATION ACORD 25 (2001/08) ©ACORD CORPORATION 1988 ACORD 25 (2001/08) 1 :. • IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: ME2003 -82 Printed: 5/6/2003 Applicant: Owner: JOB ADDRESS: 602 NE 96 Contractor AIRSTRON, INC Local Phone: 954 - 923 -1654 Parcel # 1132060141410 Signed: (INSPECTOR) Mechanical Permit ST Contractor's Address: PO BOX 7715 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE ja,uy _ 0 0 Total Fees: $0;913 Sf Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 11/2/2003 Construction Value: $8,475.00 Work: INSTALLATION OD ONE 5 TON SPLIT SYSTEM WITH TWO DUST DROPS Page 1 of 1 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: t�; Li BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address Lo O 2 k 6 S - City IA't /A 1 S}}Q/t42 -' State p— Tenant/Lessee Name 1,9 1 $ Value of Work For this Permit / O Q O Type of Work: Describe Work: Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village ilding Department N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Structural Plan Review. $ Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO_� Zip 33/ Phone # Contractor's Company Name S i\ 13 SO LT o k ,J TS l_(_ L Phone # Contractor's Address 2-1C p �n.A-e r ` City 4 , State ', Qualifier State Certificate or Registration No. (0 (p 6 Certificate of Competency No. Engineer's Name (if applicable) 0.4Art(iAL As CA--4/1P a (; LL Phone # Square Footage Of Work: * * * * ** * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** MC 5 - 6Z PO Permit No. ( ©44- 1 ( a0 aster Permit No. Electrica / Plumbing Mechanical Roofing • //qNI ( �� ► ` Phone # zip 3 t ct Zip ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition R.Rt Seoktr -tom i-( OC S4w whh Py,1 S27 Pik p ktAi p z-5 A--4 (-Lf0 /. /44i /Z t 's Fxf S - n Erc 1- 442 i TbO v1J1 S Submittal Fee $ ]Permit Fee $ Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ CCF $ CO /CC Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) ,q 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: 1 certify that all the foregoing information is accurate and that ail 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 Owner or Agent The foregoing instrument was acknowledged before me this day of ,20_,by APPLICATION APPROVED BY: chc 05/13/03 Contractor The foregoing instrument was acknowledged before me this I day o who is personally known to me or who has produced who is personally know My Commission Expires: My Commiss : Expires:` 20W by Pi/ me or who has produced I! ( ) As identification and who did take an oath. s identification . ho did take an oath. NOTARY PUBLIC: NOTARY PUB Sign: Sign: Print: Print: Plans Examiner Engineer Zoning Applicant: Owner: JOB ADDRESS: 602 NE 96 Parcel # 1132060141410 Mechanical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: MC2005 -62 Printed: 9/13/2005 ST Contractor SHORELINE AIR SYSTEM, INC. Contractor's Address: 3801 NW 49 ST Local Phone: 954/485 -3117 Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: FEE2005 -7301 FEE2005 -7302 FEE2005 -7303 FEE2005 -7304 FEE2005 -7305 ¶FEE2005 -12370 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Building Fee 1 Total Fees: Amount $175.00 $3.00 $1.00 $4.38 $3.00 C$35_0.00___ _ $536.38 Total Fees: $536.38 Total Receipts: $186.38 Permit Status: APPROVED Permit Expiration: 5/31/2006 Construction Value: $5,000.00 Work: REVISION TO A/C DESING WHITH WAS EXISTING AND FIRE DAMPFERSAND FILLING IN FIRE RADIOS AT THE EXISTING Signed: (INSPECTOR) SEP 2 9 PAID c R In consideration of the issuance to me of this permit, 1 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 APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing M(4b11 P ? 1T i 4J4 C4-1-urze4 ,I Owner's Name (Fee Simple Titleholder) Phone /95 ^ 0 /64 - 6 f S4-1 Owner's Address 6702 I5 c14, �TR> Cit State FL Zip 33)3 Phone # 47A Tenant /Lessee Name Contractor's Ad City Quali Describe •Work: • 1 ( j 4 $ Value of Work For this Permit ess Total Fee Now Due $ (Continued on opposite side) Job Address (where the work is being done) a'O 2 t4 City Miami Shores Village County Miami -Dade NO A Is Building Historically Designated YES Contractor's Company Name lj{4191:2.,I✓1....I t-4 411 .. N i ST 5i .o N .4tici` 2 1 State Certificate or Registration No. Certificate of Competency No. Gj4�f p? 93 y Architect /Engineer's Name (if applicable) 1-4,662..4 CArtap L_ Phone # Scanning $ /�, Radon $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miatni Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 State), Zip • g; err) Type of Work: ❑iA d d it i . n ['Alteration ['New ❑ Repair /Replace ❑ Demolition * * * * * * * * * * * * * * * * ** * * * * * * * ** . * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ i r 0 CCF $ , O� CO /CC Notary $ Training /Education Fee $ Technology Fee $ L 'I . 32 Permit No. C U, Master Permit No. oci- min `O Zip fa Phone # 631,� 6} -- !-�fj 2J 117 Zoning Bond $ 31o5- 754 Square Footage Of Work: Code Enforcement $ Structural Plan Review. $ ./ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City 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: 1 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 COMM ENCEMENT." 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 Sign: Print: Chc 05/13/03 The foregoing instrument was acknowledged before me this S day of /my , 20 o'I, by , day of 200_5, by 1 V3 i5 T who is personally known to me or who has produced wh As identification and who did take an oath. NOTARY PUBLIC: 7 4/ ez.,/z CiAti My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * *t *t It,�PI���* V,„.1 Expires January 18, 2008 * *** ** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Owner or Agent State Enrique Chat Signat NOTARY PUBLI Sign: Print: My Commission Expires: 1, X Zip Zip Contractor The foregoing instrument was acknowledged before me this 5 ersonally known to e or who has produced entificat► and who did take an oath. VE DQUI LL EzpInra 2t2t2009 , a • Bonded evu (800)432 -4254 * * * * * * * * ** * *** ** ** * * * *4 * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: MC2005 -62 Printed: 6/6/2005 Applicant: Owner: JOB ADDRESS: 602 NE 96 ST Contractor SHORELINE AIR SYSTEM, INC. Contractor's Address: 3801 NW 49 ST Local Phone: 954/485 -3117 Parcel # 1132060141410 Signed: (INSPECTOR) Mechanical Permit Permit Status: APPROVED Permit Expiration: 11/6/2005 Construction Value: $5,000.00 Work: Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: Description Amount FEE2005 -7301 Building Fee $175.00 FEE2005 -7302 CCF $3.00 FEE2005 -7303 Training and Education Fee $1.00 FEE2005 -7304 Technology Fee $4.38 FEE2005 -7305 Scanning Fee $3.00 Total Fees: $186.38 Total Fees: $186.38 Total Receipts: $0.00 ;:;;4 0 PAiD ek 1 34 -/163•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: 0 � Miami Shores Village Building Department ' BUILDING PERMIT APPLICATION FBC 2001 City 1 I AM I S He AEA.. State F9 . Tenant/Lessee Name Job Address (where the work is being done) 6 O 2 State Certificate or Registration No.C ©9,0(64 Architect/Engineer's Name (if applicable) Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) 10050 N.E.2nd Avenu Miami Shores Flvida 33138 Tel: (30 M $ Value of Work For this Permit S© ©U,`" Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) I \'av�i , Dre� 1' F+ 1a Phone # (805) • °I °� 64 Owner's Address !o C"Z ! i 9 s T' City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name S1,c►r IAA. ; r Sysfiie s llc Contractor's Address %D I " \A,3 � S ^c' t load' City, � N State -t'' k • Qualifier . 1 - 0 vt.k R a �r Certificate of Co Structural Plan Review. $ Permit No. MCOE _ b2 ter Permit No.) 0+ 14- C Zip 83 13( Phone # Phone # R5 \ f l Zip 3' ©q Square Footage Of Work: Zip Type of Work: ['Addition ['Alteration [New ❑ Repair/Replace 11 Demolition Describe Work: *ReA0 N e_"\ \)._v v\ cic 6LS \ rz `f * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** * * * * * * * * * * ** i7CL Submittal Fee $ Permit Fee $ CF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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: 1 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 inspec 'on which occurs s ' - ' (7) days after the building permit is issued. In the absence of such posted notice, the inspection will no b approver and a r . ection fee j 11 be charged. Signature The foregoi day of NOT Sign: Print: My Commission Expires: chc 05/13/03 Owner or Agen strut e U l'1) by cknowlec6ed befor #DD274752 • /A; PU �4gp�•.....• Signature � 7,e.1/bo t/14 4 5 Contractor The fore o g instrument was acknowledged before me this day of l� I ,20�b y tc f 4 f�) tot «!OJ ■ ? t ersonally known to me or ho has d �� >' . _ who is personally known to me or who has >;Qd a As identification and i did tdlt✓"�t oatl?. ` .4 C Et-T (. 7 as identification ‘��� e. ZAP ********************** ********** * ********************************************, * * * * * * * * * * * * * * * 1 .. .t1 I * * * * * * * ** My Commission Expires: ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. **** ******A, * * ** * * * * * * * * * * * * * * * * * * * * *. « * * ** APPLICATION APPROVED BY: \ / l / Plans Examiner Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLIUAIIUN AN ArPLICATION 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 UNIT FEE ITEM SWITCH CUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE ITEM 3ATN TU3 3IDET LIGHT OUTLETS CENTRAL HEATING RECEPTACLES A/C (WIND) )ISHWAS11ER SERVICE TEMPORARY A/C (CENTRAL) )ISPOSAL )RINKING FOUNTAIN SERVICE SIZE IN AMPS 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 GROUND TANKS LAUNDRY TRAY 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 COM). 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 MATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES I A/C WINDOW I REI,NSPECTJON WATER SUPPLY TO: 1 AIR CONDITIONERS A/C UNIT ( STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. 1 GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS 1 LAWN SPRINKLER -WELL I 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 DJTLETS GRAINFIELD, .:4 TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK RE I NSPECT ION SOAKAGE PIT CU. FT: CATD -i BASIN . DISCHARGE WELL DOMESTIC WELL AREA. DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM'. GAS RAMOE I METER SET (GAS) . I I 1 rAC D,oiun 1 I I ADDENDUM TO BUILDING PERMIT APPLIUAIIUN AN ArPLICATION 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 Issue Date: 1/30/2006 Owner's Name: MIAMI SHORES PRESBYTERIAN CHURCH Permit Type: Imported Permit Work Classification: Mechanical Job Address: 602 96 Street NE Contractor(s) SHORELINE AIR SYSTEM, INC. Comments: REVISION TO NC DESING Additional Information Perm Type: Mechanical Alpha Four: Alpha Six: Pay Amount: 350 Bond Return : Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Phone 954/485 -3117 Permit Expires: 12/31/2006 Primary Contractor Yes Alpha Two: Alpha Five: CHURCH Pay Date: 9/30/2005 Pay Comments: PD BY CREDIT CARD 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Revision Fee Scaning Fee Total: Building Department File Copy Applicant Signature Amount $35.00 $3.00 $38.00 Invoice Number imp -1 -06 -23655 Total: Parcel #: Block: Section: Total Square Feet: 0 Total Valuation: $ 5,000.00 Required Inspections Amt Due $38.00 • Permit Status: APPROVED Permit Number: MC2005 -62 Phone: (305)754 -9541 1132060141410 Lot: PB: Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. REG C01 013006 1413 MC 001 033574 CHARGE 330.00 • 11/08/2004 09:58 MIAMI SHORES VILLAGF 4 3057576564 Miami Shores Village 4 4k ) , Ia. .bS Building Department \va, NO.230 L003 10050 N.E_2nd Avenue Miami Shores, Florida 33138 'Feb(30)7952204 beo.-/f4,0 Fax(305) 756.8972 Permit No. Job Name kW/MR `D A ore. Date (1/2-/ CAL CRITIQUE SHEET 7`��._ reAC 4-ALYer : Miami Shores Village Building Department MECHANICAL CRITIQUE SHEET vv2a, fip1/162A9t 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Vol t Permit No. Job Name l '� � Il Date 1// S c i . t as Job Address Tax Folio fi - 3 - 0 /¢ - i¢f O Legal Description lei 1-/0 gi.k. tP' / Ni e Z Historically Designated: Yes No ssee/Tenet /� l l / t 'cr 4 /e.1 tyr" L Permit # C -( p� ' r/� Owner's Address an Nt r6- ate t, Am/ P hone 3o5/ 754- 964'1 Contracting Co. L 6 / t I i e g e e 4 ( (,/u 1 Address K'6 / 6 v` lX"c. / 3.2 Qualifier C-7 ; 2 7; c �� 2 Phone 30.5 2 6, Date State # 4#1 4-61,13,4 - 13 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): BUILDING ELECTRICAL PLUMBING WORK DESCRIPTION: TIC --7 7 /1" /��5 da97C.) / cr - 7 A l Square Ft. Estimated Cost (value) 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). 1 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. Furtherrnore, I authorize the above named contractor to do the work stated. f / Signature s • '.c • •. • er / Date c o . INARA MUCENIEJSS Signature of owner and/or Condo President d,••• , 1 iii MTV Notary My Co Michael 3. Icommiss'.,, R 4� • : Espir: I, FEES: PERMI0 RADON PERMIT A]PPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 Municipal # Q - S ()% Date Date Competency # Ins. Co. C.C.6 j I a NOTARY -- ROOFING Notary as to Contractor or Owner : il Date My Commission Expires BOND TOTAL DUE L 11.-D)D APPROVED: Zoning / Building Electrical, Mechanical /6 `, ` q. (c D 1 Plumbing Structural Engineer ITEM 3ATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE 3IDET LIGHT OUTLETS CENTRAL HEATING )ISHWASHER RECEPTACLES A/C (WIN)) )ISPOSAL SERVICE TEMPORARY A/C (CENTRAL). ' " )KINKING FOUNTAIN. SERVICE SIZE IN MPS DUCT WORK :LOOK DRAIN SERVICE REPAIR/1METER CHANGE _ . REFRIGERATION . _ REASE TRAP APPLIANCE OUTLETS PROCESS AND. PRESS PIPING. • . :NTERCEPTOR RANGE TOP UNDERGROUND TANKS .AVATORY OVEN ABOVE (MOUND .TANKS • • •AUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS • :LOTHES WASHER MOTORS 0- 1 If STEAM BOILERS •• ROWER MOTORS OVER 1- 3 HP HOT WATER BOILERS INK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL ..VENTFLAT ; - ;INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSE) iFES .INK, SLOP MOTORS OVER 8- 10 HP. -. ELEVATORS/ESCALATORS EMPORARY WATER CLOSET _ MOTORS OVER 10- 25 HP 'FIRE.SPRINKLER SYSTEMS.-•. — RINAL _" MOTORS OVER 25-100 FP COOLING TOWERS ATER CLOSET MOTORS OVER 100 HP VIOLATION NDIRECT WASTES .. . - w- A/C WINDOW REINSPECTION ATER SUPPLY T0: AIR CONDITIONERS A/C UNIT - . - ' STRIP HEATER - FIRE SPRINKLER • GENERATORS TRANSFORMERS HEATER -NEW INS.T. - GENERATORS TRANSFORMERS , HEATER-REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIM4ING POOL OUTLETS COMMERCIAL . WATER SERVICE: SIGN TUBES :WER CONNECTIONS 'ILITY SIGN TRANSFORMERS -SEWER -1LITY . • SIGN TIME CLOCK -WATER FIXTURES PTIC TANK ANTENNA LAY TELEVISION OUTLETS AIRFIELD, 4' TILE/RES. VIOLATION MP & ABANDON SEPTIC TANK REINSPECTION AKAGE PIT CU. FT. TCH BASIN " ' SCHARGE WELL MESTIC WELL EA DRAIN OF INLET .AR WATER HEATER '' lE STANDPIPE )L PIPING - iN SPRINKLER SYSTEM RANGE *ER SET (GAS) PIPING a, (AN APPS TION P'ORBfJILDIN'G PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNXTUA6 NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/16/2002 Applicant: AA94,q,h,er.L Owner: JOB ADDRESS: 602 NE 96 Contracto r(221 Local Phone: Parcel # 1132060141410 Signed: Signed: Mechanical Permit Permit Number: ME2002 -127 ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE ezor;"* & q2700, Do 3). a o Permit Status: Approved Permit Expiration: 3/15/2003 Construction Value: $51,697.00 Worn: RE- TROFIT INTALLATION OF A 70 TON YORKS AIR COOLED CHILLER 1oc) , ao Total Fees: 5 Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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. (1, Z (INSPECTOR) BY: ".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 thyself, my agent, servants or e •loyes. (Contractor or Builder) BY: PAY TO THE ORDER OF MIAMI SHORES PRESBYTERIAN CHURCH 602 NE. 96TH ST. MIAMI SHORES, FL 33138 ONE THOUSAND ELEVEN DOLLARS AND TWENTY CENTS Miami Shores Village 10050 NE Second Av. Miami Shores FL 33138 -2382 BANK OF AMERICA 02992 FL ' 83 -27 -631 For: Mechanical Permit 10010190 1:06 3 L00 2 7 ?': 00 3664 2 S 3 511' DATE AMOUNT 09/30/2002 0 0 * * * * ** *1,011.20 ** IL 0) PIP I SECTION BY DATE Zoning Electrical Mechanical • ,94a 4. /c. u v Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ISSUING OFFICIAL ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) ( x sq..60) x/1000 (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL REVIEWED AND PREPARED BY: DATE: - CONDITION OFAPPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI: SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYPI. Minimum Fee QTY. TYI'I? Dryer QTV'. 1 TYrr. ■ Outlet, Appliance Q I'1'. 'rvi i•: Service Repair QT 1'. Q I'1'. A/C Central 1 -3 Ton Cooling Tower Fan Heating Strips, each Outlet, Wall Vent Hood, Cost Service, Temporary A/C Wall/Win. Tons A/C Central 4 -7 Ton Dryer Vents, Number of Fire Pump Paint Booth Outlet, Switch Ventilation, Cost Signs Air Handler, Tons A/C Central 8 -15 Ton Ductwork, Cost of Fixture - Fluorescent Piping, Flammable Liquid Oven Periodic Inspections Space Heater (kw) Barbecue A/C Central 16-20 Ton Fire Sprinkler System Fixture Light Process/Pressure Piping Parking Lot Lights Spas/Hot Tubs Bath Fan - Vented, # A/C Central 20+ Ton Fireplaces, Number of Flood Lights Pressure Vessel Plugmold/Strip Pump, Domestic Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Temporary Toilet Garbage Disposal Catch Basin Range/Range Top Gas - Propane Swim Pool, Residential Pump, Re- circulate Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Urinal Refrigerator, Comm. (p/PH) Dental Chair Temp Serv., Construction Grease Trap Compactor Pump, Sprinkler Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Utility - Water Dishwasher Demolition Indirect Wastes Low -volt, Intercom/Teleph. Relay Repair Repair Circuits Vacuum Pump Dishwasher Low -volt, Television Service, Number of Amps Water Closet MECHANICAL TYI'I Minimum Fee QTY. TYPE Condensate Drain QTY. 1 TYPE: I Generator (yrY. 'I' Y1'1.: Refrigeration, Tons QT 1'. A/C Central, Tons Cooling Tower Heating Strips, each Soakage Pit Vent Hood, Cost Bath Tub A/C Wall/Win. Tons Drinking Fountain Dryer Vents, Number of Miscellaneous Repairs Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Sprinkler Repair Barbecue Cap - Fixture Fire Sprinkler System Fountain Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump, Domestic PLUMBING TYPE QTY. TY QTY'. 'Fyn: I QT"t. 'I'YI'F QTY. A/C Condensate Drains, Roof Miscellaneous Fixture Soakage Pit Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection : Septic Tank "T':- ,; .- — , Water Heater Water Heater New Drainfield, 4" Tile/Res. Lavatory Drains, Area Meter Set (Gas) Sewer Connection . ' '` °,Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: CONTRACTOR ` , Name j0:046. A }1'T'» 11/ ., License No! jrp A /� 0 / Q s G) y � �+ �7 Li !i� ! ✓ Address X/ e / 1 / "till - P a3/5/3 Telephozexpo7g 111,3 Fax 2 Jl rm, «I''./�r`! Qualifier Name PROPERTY OWNER New Construction Name MA0 I ,mot ,/ G�2 / /tG. S ,q SWYr s 4 Address CifftaZ Cif li Z Ate q 'ace/ Alt/ Home Telephone Repair Business Telephone • 'S#5/ 75+ 954-/ •sJJ Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment • Other °Mak✓ tr4//. t / Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the proper y owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPE, [CATION p,( Job Address: 6 N6 b Pa /f44/0/ Sfee0 � 3 3t 3g Apt. City State Zip Address Folio Number 11.-31 -0/0 - /4V0 Lot / 0 Block 6p Subdivision AIS Jet! L '' 0 PG 37 `` Current Use of Property Proposed Use of Property Tenant'Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 1 Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. d escription of Work AAp r Zoning Linear Feet Square Feet 1-7,11 7 Units f Floors Z >lue of Work ..11 697. — Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. 0 e ENGINEER Name License No. Address Telephone Fax PERMIT APPLICATION Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby inade•to obtain a permit to do "work and installation as indicated. I, the OWNER of the property; 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, P' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, �0U Y OF MIAMI -DADE D azure of Owner , t/IS Print Name Sworn to a � d subscribed before me this 5 day of Si .fl lir I 1 / t r tipn. c- • SEAL: Personally known i mmisslon # CC '':� Expires l 33I u 3 Atlantic Boed!ng Co., 1m OR, Produced Identification Type of Identification Produced: Print Name - tc '►tA OiUCENIE > M3 C om m Exp. •I /a No. CC 99 5975 •. PetwnalN Wwwn I) (Per I D. STATE OF FLO Node OF MIAMI -DADE Signature of Co pv.17- / ter Signature of SEAL: PERMIT APPLICATION Personally known V \ QR, Produced Identification Type of Identification Produced: MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Reques Da Time Type Insp' Permit No. Address 6 0 , F. 7 4; A AN Company _ • Phone #3 OS- 3 y) 3 For Inspector: Approved Correction Re- Insp'n Fee ❑ a `9 €d 61Giec am & Date Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Req Date 3 I I Time Permit No. 0/tA Name Address Company Phone # Y O - 2 7 7 R4-(3. �JC For Inspector: Approved Correction Re- Insp'n Fee 76342 Name & Date ___44)cci> 1.4%,/e aleft- MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Requ Date Time — Type Insp'n # L - f i2 1 L — Permit No. // App.5 , (.� Name r� Address �� 6--__ ompany Phone #(9 ^ 3 /) 0 . g/ ci For Inspector: . 0_ . & / Date Approved R7�, 7 ✓ Correction ❑ Re- Insp'n Fee ❑ j.1L.o, MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection R Da� Time Type Insp'n Permit No. N Addres Company C� Phone # S `— l d ) lj S I For Inspector:6 ( 1 t I 03 Name & Date Approved ' d g • rf' a' 3 Correction ❑ Re- Insp'n Fee ❑ Da Type Insp'n Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection R Name Addres Company �} Phone# C S `'° 1 3 ) � For Inspector: ) [ t / Q3 Name & Date Approved (° p • (f3 Correction ❑ Re- Insp'n Fee in Date 2 £ 1* Time Type Insp'i _Av.& Permit No. N Address Coany — Phone # Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPART 305- 795 -2204 Building Inspection Req st. L 1 /, For Inspector: [ J h - P " \ Name & Date lbspot Inspection Date: 06/21/2006 Inspector: Perez, JanPierre Owner: CHURCH, MIAMI SHORES PRESBYTER!, Job Address: 602 96 Street NE Miami Shores Village, FL Project: <NONE> Contractor: SHORELINE AIR SYSTEM, INC. Building Department Comments Monday, June 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Mechanical Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: . Phone: 954/485 -3117 Page 2 of 2 Passed Inspector C • � �� is (9 07/ 0 e04;11 i. l�-P-ej `� ' Faded Correction ' Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until lbspot Inspection Date: 06/21/2006 Inspector: Perez, JanPierre Owner: CHURCH, MIAMI SHORES PRESBYTER!, Job Address: 602 96 Street NE Miami Shores Village, FL Project: <NONE> Contractor: SHORELINE AIR SYSTEM, INC. Building Department Comments Monday, June 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Mechanical Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: . Phone: 954/485 -3117 Page 2 of 2 nspection Number_v Inspection Date: 02/22/2006 Inspector: Perez, JanPierre Owner: CHURCH, MIAMI SHORES ooCCOVrcoe A 11 Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL Contractor: SHORELINE AIR SYSTEM, INC. Building Department Comments Thursday, February 16, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: MC2005 -62 Permit Type: Imported Permit Inspection Type: Rough Work Classification: Mechanical Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 954/485 -3117 Page 2 of 2 Passed Inspector Comments ■;-.) Cf Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. • until nspection Number_v Inspection Date: 02/22/2006 Inspector: Perez, JanPierre Owner: CHURCH, MIAMI SHORES ooCCOVrcoe A 11 Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL Contractor: SHORELINE AIR SYSTEM, INC. Building Department Comments Thursday, February 16, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: MC2005 -62 Permit Type: Imported Permit Inspection Type: Rough Work Classification: Mechanical Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 954/485 -3117 Page 2 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/21/2005 Applicant: Owner: JOB ADDRESS: 602 NE 96 Contractor SHORELINE AIR SYSTEM, INC. Contractor's Address: 3801 NW 49 ST Local Phone: 954/485 -3117 Parcel # 1132060141410 Fees: Description Amount FEE2005 -7301 Building Fee $175.00 FEE2005 -7302 CCF $3.00 FEE2005 -7303 Training and Education Fee $1.00 FEE2005 -7304 Technology Fee $4.38 FEE2005 -7305 Scanning Fee $3.00 Total Fees: $186.38 Total Fees: $186.38 Total Receipts: $186.38 Permit Status: APPROVED Permit Expiration: 11/6/2005 Construction Value: $5,000.00 Work: a/c change out Signed: (INSPECTOR) Mechanical Permit Permit Number: MC2005 -62 ST Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE In consideration of the issuance to me of this permit, 1 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: Parcel # 1132060141410 Signed: (INSPECTOR) Mechanical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: MC2005 -62 Printed: 6/21/2005 Applicant: Owner: JOB ADDRESS: 602 NE 96 ST Contractor SHORELINE AIR SYSTEM, INC. Contractor's Address: 3801 NW 49 ST Local Phone: 954/485 -3117 Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: Description Amount FEE2005 -7301 Building Fee $175.00 FEE2005 -7302 CCF $3.00 FEE2005 -7303 Training and Education Fee $1.00 FEE2005 -7304 Technology Fee $4.38 FEE2005 -7305 Scanning Fee $3.00 Total Fees: $186.38 Total Fees: $186.38 Total Receipts: $186.38 Permit Status: APPROVED Permit Expiration: 11/6/2005 Construction Value: $5,000.00 Work: a/c change out 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: 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. Owner's Name and Address._ .I 4 ✓4',H- Registered Architect and /or Engineer STATE OF FLORIDA, COUNTY OF DADE. J ss Date ___. Dat uilding Inspector Date.. ,! q' �9� No... U a Street - �/ Name and address of licensed contractor .44.1 t'cK. ' v Location and legal description of lot to be d/" / built on: l/am+ Lot Block ( / Subdivision -/ 3 Street and Number where work is to be done , J__a State work to be done and purpofs of building (by floors ) �. Ltii../1. --— d..-te .'L fe New Building .. Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation R f Cove Estimated Total cost of improvements $ % 3 Goo - Amount of Permit $%Q 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 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 c 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. L t / 2 r Remarks ( Signed ) and for no other purpose. 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 tru Permit No. 7� Disapproved (Signed) ._. Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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. r . Legal Description Owner /Lessee/Tenet PERMIT APPLICATION FOR MIAMI SHORES VIL L AGD 9003 10050 N.E. 2nd Avenue • Miami Florida 33138 • Phone: 305- 795 -2204 • F 30- qn 6 ' Date I °� y © Job Address O . fJ t `� CL“ rct., C (a c Int.;,w1A ,g50, 1U„ e Owner's Address 6 1- ' 96 ST Contracting Co. ( t t r C o -'cl . Co . Qualifier Poler1 5 C y sT State # C /1 C— O 1G C P Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): WORK DESCRIPTION: A cuA Athl3t Square Ft. Notary as t My Commiss APPROVED: Zoning Mechanical ner an n Expires r Condo President BUILDING ELECTRICAL PLUMBING 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. 6and-z-d / 7 2 5A3 Signature of owner and/or Condo President Date _ ' m03 3 Plumbing 1In.Y ►y'..i Robert J. Chryst *. *; • :.: MY COMMISSION ,# N113321 EXPIRES •. ��� ; May 24, 2006 �� , `� N TROY FAIN INSURANCE, INC FEES: PERMIT 2,7 �A C.C.F Tax Folio Estimated Cost (value) 13, 600.' av- - "i Signature of Co tor or 0 ' er Builder Historically Designated: Yes /�� No Master Permit # Y1E &(X / 3 — j l� G Phone 3O-7" 7S ''s `i I Address PD. 00x 41 ( 330 !' (l 4' rn, , t O' 16 0 SS# Phone 30 • . gS ' bJ ( y Competency # Ins. Co. NQ r TO 1 11 S ROOFING iv Q.2�-o3 Date Date Notary s t Contractor or Owner Builder Date My Co ssion Expires v � ' ' r Janet Kranz ' i�' i *= MY COMMISSION # 00174033 EXPIRES _' ''�� " December 26, 2006 6'' 1 t1 O NOTARY ' `° ` BONDED � TOTAL DUI I ' I 1 t l/Cl Building Electrical SEP 3 0 PAID Structural Engineer \')ouuei .$3D. oo C,upA- •tI3 (AN APPLICATION FOR BUILDING PERMIT RUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED; THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL ITEM BATH MB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING _ Ib k' tA) 44 015,'•iWASHER RECEPTACLES A/C (WIND) " OISrOSAE SERVICE TEMPORARY A/C (CENTRAL) I = ISTovl [ ®" � ORINXING FOUNTAIN SERVICE SIZE IN AIRS DUCT WORK t l /11 FLOCR DRAIN SERVICE REPAIR/NETER 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 :LOTNES WASHER MOTORS 0- 1 FP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK. SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS iE)FORARY WATER CLOSET MOTCRS OVER 10- 25 IP FIRE SPRINKLER SYSTEMS 'R I NAL MOTORS OVER 25-100 HP COOLING TOWERS ATER CLOSET. - • MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION iA TER SIPPLY TO: •.: AIR CONDITIONERS A/C UNIT FIRE •. • -• STRIP HEATER SPRINKLER HEATER GENERATORS TRANSFORMERS -NEW INST. • GENERATORS TRANSFORMERS HEATER- REPLACE %..... . GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL. SPECIAL PURPOSE SWI14ING POOL CUTLETS COMMERCIAL WATER SERVICE SIGN TUBES EWER CONNECTIONS TILITY SIGN TRANSFORMERS -SEWER. iILITY SIGN TIME CLOCK -WATER FIXTURES :PTIC TANK ANTENNA --• :LAY • TELEVISION OUTLETS • AINFIELO, 4' TILE/RES. •• & VIOLATION . ABANDON SEPTIC TANK •: - )AYAGE • REINS?ECTION PIT CU. FT. _ . , TCH BASIN SCH RGE WELL :4SrIC WELL .EA DRAIN OF INLET UAR WATER HEATER RE STANDPIPE CL PIPING • IN SPRINKLER SYSTEM 3 RANGE iER SET (GAS) 3 - PIPING (AN APPLICATION FOR BUILDING PERMIT RUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED; THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Date /cb176' Job Address l D0 2- K! E ol LQ S 1 C L c,- c L Mi ami Shores Sec 2 PB 10 - 37, Legal Description / Lessee Owner's Address ( /` Contracting Co. C t a t r l /' �0 v,C` . C© . Qualifier KO`Otft . C h y sT Phone 8S ' C ��LI Ins.Co. JJor +Lfth S4r4hc Address MECHANICAL ROOFING PAV Signature Date: coo NG FENCE SIGN tion is a curate and that all work will structii a.• j ing. Furthermore, I f a �ntracto QQ Owne r PA{ ELA . aP MY COMMISSION N CC438959 EXPIRES February 14, 1999 6O {DEDTNRUTROYFAININSURANCE,INC. - :uilder Notary as to Contractor or Owner-Buil My Commission Expires: * * * * * ** J C.C.F. I ,�� � NOTARY TOTAL DUE 3 Fire Other Building Electrical Engineering, �Y + • A 19 TNFSS my h :)nd and Ofiiciol Seal. HARVEY LERK, Sy STATE OF FLORIDA: COUNTY OF OAOE: 3. Owner(s) name and address Interest in property: 6. Landers name and address: Secian 713.13(1)(b). Florida Statutes. Name and address: Nctar Prirt Notary My Commission 41 OF FLORIDA, COUNTY OF DADE HEREBY CERTIFY That This is a Iru original filed in t is office p Co r • rof rcuil and County Cowl. D.C. 1. Legal description of property and street address: Name and address of fee simple titleholder: yteria Church ' Nl1JNlNA NlJ!!JWWWNNWNIIlll1N PL'NGLOPE L. 5"tliiNg Notary ruhfc. Stax oC FiuriJa >, �1..ii.. (:C24W319 My Commission Expires I2IO9/90 Bonded Through Fla. Noon Savikv & Bonding C.. ) 1- 80O-3- NOTARY PERMIT NO. 3800 -1 TAX FCLIO NQ. X I 4 m t S L I o re f J rT 5. Surety:(Payment bond required by owner from =tracer, if any) Name and address: Amount of band S NOTICE OF COMMENCEMENT 11 3206 014 1410 TriE UNOERS$GNEO hereby gives notice that improvements will be made to certain real property. and in accordance with Chapter 713, Florida Statutes. the following infarrnatian is provided in this Notice of Commencement. Miami Shores S c 2 P8 10 -37 Lots 1 to 10 Inc Blk 61 ze trregula I.Q? N_F_ 96 St_ Wain Fl 1111R 2. Oesciption ct improvement. _. • / ., ...., = I C Lr - sgrua,y a o.n,.. Print Cwners Name PPtpr W_ RP11nwC Bus ss Adm. Swcm to d subscibea before me this ;A day e v. t, . 195 . iqv% (. 3 95R252496 1995 JUN .27. 10:00 4. C e n t o c o r s name and address: C. t R A Zr C o h cl . C O. P O. p x 6 8 t 3 a 0 (Y) 9.. Expiration date of s Notice of Ceelmencemenc (the expiration date is 1 year from the date of retarding unless a different . specfied) Mi • 7. Persons within the State of Florida designated by Owner whom (latices or other documents may be served as provided by Secion 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 Lienar's Notice as provided in Prepared by PO e C� r , t Address: e 0 • &o k 01101 `Q "I x__(.33 «( PERMIT APPLICATION FOR MIAMI SHORES VILLAGE (� Job Address 00 f V E '?. .s / : Tax Folio f Historically Designated: Yes No Owner/Lessee / Tenant / " 1 1 QM: $ J v 7 yir)y /e49 - a ✓1 C) l rdi Master Permit # gi Phone 754-.? 5 -4 7 1 1 Contracting Co. �04' 1 V I C 9 4'V1 c Address 1 R 3h Al t � � ) � /� 3 Q tt I R. Ol c015 e'1 l 94 7 � Municipal # Competency # Ins. Co. A /4 it C i Date' Legal Description Owner's Address State # JFCOOO )05 66r) 41 E 96st Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING �ELECTRICA MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1/t J i 4 :_\5 Square Ft. Estimated Cost (value) 6 f 9 3 r 2 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 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- ed c tractor to do the work stated. ! dot1lei &,f-s; Signature of owner and/or Al . ondo President Date otary as to Owner and/or Condo Preside Date My Co ylrIPFICIAL NOTARY SEAL e, SANDRA IA MONTIEL * COMMISSION NUMBER Q CC401261 7.4 "� � MY COMMISSION .EXP. or F\ AUG. 17 1998 FEES: PERMIT .R . Ada RADON APPROVED: Zoning Mechanical C.C.F. Signature of Contractor or Owner- Builder D e I 'Eot. _ .., Obi lde Date My S..n>ogib d�.'AL• NOTARY SEAL O i SANDRA M MONTIEL P ,� * COMMISSION NUR;BEFF w. a CC401261 �l �� MY COMMISSION .EXP. Orp AUG. 17,1996 Building Electric 74 v o f NOTARY TOTAL DUE (:.( Plumbing Engineering i; 5.1- ib;Aficn Pare i� 2006'1 ek�5t+ri'3Pr� 3�r�'✓►1�w1 b rKr, 01 M am ; 5 )ove ?re new 3 - t71 l ,y‘ 1 "C, hew - - 11-1\kc h r I /z. c exksi1 4 - MW 3'xg'') y-5,t r =nay ■Arc 3 -- * ` H ) Oa': C . "- I4, P 6 X1fl ic6 450€r ITEM BATH 1.8 UNIT FEE ITEM SWITCH CURETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN MPS DUCT WORK FLOOR (RAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNOERGROUNO TANKS LAVATORY OVEN ABOVE GROUlO 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. WOTCRS OVER 3- 5 HP .. /4/, MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATCRS TEMPORARY WATER CLOSET MOTCRS 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 SLPPLY TO: AIR C0M3 I T I ONERS '7 6'A- - 30 Z /p ' A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFo)ERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING P0OL OUTLETS CONNERCIAL -- . WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK . UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN D I S(HARGE WELL DOMESTIC WELL AREA GRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM ' GAS RANGE METER SET (GAS) ` GAS PIPING (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 ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL CIS BRANDON AIR- CONDITIONING INSTALLATION • FACTORY SERVICE • HEAT PUMPS • YEARLY MAINTENANCE C O R P O R A T I O N G Building Department Miami Shores Village, Fla. Attn: Mr. Bradford Dear Sir: 1 241 N. W. 54TH STREET, MIAMI 37, FLORIDA April 14, 1958 With reference to our telephone conversation of today we wish to advice you that on April llth,,.1958, we removed two air conditioners from wall installation in a building which is being torn down and reinstalled these units through the wall in another building for the Miami Shores Presbyterian Church, 602 N.E. 96th Street, at the request of Mr. Rose. Very truly yours,.. We are not making a charge for a permit on this work since you advised me that we will not be charged for -one. BRANDON AIR CONDITIONING. OORP.' Mrs. Maxine Smith, Bookkeeper TELEPHONE: PL 1-2094 MIAMI SHORES VILLAGE. FLORIDA El El PERM IT N° 7238 Co DATE 195 License No. 3 El Work to be performed under this Permit Owner of Building a ¢ %!;.�° N, f r a BUILDING ELECTRICAL PLUMBING R009 k1%, Architect . . /f y LY L + ^ Contractor or Builder (� Legal Lot Description Address of Building ' CONTRACTOR OR BUILDER Bl. Subdi- vision Value of Project $ Amount of , Permit $ BY AUTHORITY 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 i e statement or specifications and that he assumes responsibility for work done by his agents, servants or employees. drawings, * s INSPECTOR� BY. 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING ROOFJNG /c+- Owner of Building It t r Contractor or Builder 4 4 Legal Description Address of Building Lot k:.01, ❑ MIAMI SHORES VILLAGE, FLORIDA. ir ❑ Date 19 ❑ PERMIT v° 8205 Contractor's WO - 7 + ❑ License No. ❑ Work to be performed under this Permit / r 4A, CONTRACTOR or BUILDER Architect tea '"t'r'—<` i. 411 iµ 4 ",, t° rc _ F t V pt �'�< ary 4. Subdi- vision Sq Ft. Value of bfk - 1 Amount Permit of /4 r Project $ - I I $ 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 whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. f ��rr � f .i ." V Signed Cf , l '• •' Vn 4 � - ? * s (INSPECTOR) BY In consideration of the issuance to me of this permit I ag a to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, dra ngs, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work 1one by eit ier, myself, my agent, servant or employee. BY AUTHORITY