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785 NE 96 St (5)Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 99 Job Address X vi e_ 4 Tax Folio Legal Description Owner/Lessee / Tenant K v L'I A p,11-40 o P c f Z Owner's Address 1( S 5 6.9 CL a (0 571 Phone(' 75 Q ) — Contracting Coy e—L e p ! C Address Qualifier Re.W Q.. S- L..o c tV AZcl SS #�- Phone '5D / 8 ` 9 3 o 0 Cd l f (305_,) 9 ?o -- 9335 State # k L Ya C- 0 5 2 66 6 Municipal # Al/A Competency # N // Ins. Co) F Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ECHANICA ROOFING PAVING FENCE SIGN 4 /c ,5"Ta2v WORK DESCRIPTION )(• ('i` �' �- R. ? L. b4 C M, e Kid of a e of owner and/or Condo Pr FEES: PERMITX () RADON 6/ ent Date 30/99 Date Notary as to Owner and/or Condo President My Commission Expif:•_ V DANIEL MARTINEZ MY COMMISSION # CC 829362 EXPIRES: Apr 23, 2003 L . O/10TARY Fla Notary Service & Bonding Co. Historically Designated: Yes No Acct Master Permit # 50 3 C.C.F. 1 ° ° NOTARY --e ignature of Contractor or Owner- Builder Notary as to Contractor or Owner- Builder My Commission Expires:' BOND Square Ft Estimated Cost (value) Z 2 5 WARNING TO OWNER: YOU MUST CORD 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. D ate ( 9 DANIEL MARTINEZ t � MY COMMISSION # CC 829362 pFo EXPIRES: Apr 23, 2003 fICCONaTMy Re. Now/ Soots & 6nntlnptka j U TOTAL DUE04 APPROVED: Zoning Building Electrical Mechanical - •� Plumbing Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH CUTLETS UNIT FEE ITEM SPACE HEATES UNIT FEE BIDET LIGHT CUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) 0IS.?OSAL SERVICE TE.4PCRARY A/C (CENTRAL) S tcyJ / DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/11$TER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING INTERCEPTOR _ RANGE TOP UNCERGROU'U TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSIRE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTCRS 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 TRANSPORTII4 ASSEMBLIES SINK. SLOP MOTCRS OVER 8- 10 HP ELEVATORS/ T.ALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOPIRc S WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTI0H WATER SIPPLY 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 'MATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY-SEWER SIGN TIME CLOCK UTILITY -RATER - FIXTURES SEPTIC TANK ANTENNA ' RELAY TELEVISION OUTLETS ORAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION _ SOAKAGE PIT CU. FT. CATCH BASIN D I SCiARGE WELL DOMESTIC WELL AREA CRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION p (AN APPLICATION FOR BUILDING PERMIT ,".MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL / 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 John Toppa APPLICATION FOR BUILDING FERIAE'!" Registered Architect and /or Engineer Name and address of licensed contractor Miami Shores Electric Inc. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done N eE a 8th Avenue & 96th Street (NW Corner) State work to be done and purpose of building (by floors) Installation of 5 Ton Airconditioning Central Unit and for no other purpose. New Building 6 Remodeling Addition Repairs No. of Stories To be constructed of hind of foundation Roof Covering Estimated Total cost of improvements 1 Q 0O , O p Amount of Permit $ /a CO 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, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed )-a - -- 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 the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No _ 73e Date ______ r _ 1 _ 70 Read, Sworn to and Subscribed before me. Disapproved Da (Signed) f't/ • i , < C Building I .ector Chairman Member Member - - --- - - - - -- - - Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date . PLANNING BOARD DATE Novebber 25, 1970 ,19 No..N sE a SA1SII?eet 96th Street to me well known, Notary Public, State of Florida My Commission Expires Member Member Member 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.