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MECHANICALDate PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ( /`'' ` ` ? Job Address /WO X At 6 : 9S Cri Tax Folio 3a o5. - 0 Legal Description Historically Designated: Yes No 4°1 Owner/Lessee / Tenant Contracting Co. Square Ft. 0 O Notary as to 'ice' an o C My Commission Expires: FEES: PERMIT APPROVED: Zoning Mechanical ( t na- ncU- Owner's Address () £ 0-e ', 1 Phone 751— (1 1 -R-o d ob l k (><r k -64), :Tit. Address 51 v1 N •t 1 Qualifier 1 Ss#c - QQ —)) 1) State # 0/9C049/// Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL / PLUMBING ECHANICAL ICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 'Qf,O he_, q-74-511 (/ / O C�. 5 51 e# to gi-o 4 . 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. 0 R'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable law regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. ignature o or Condo President rC!it r: . 3 al NNOTP' 1",I17 :C S rA!'i: lJ� LL it ti A Y COMMIS'." ICI RADON C.C.F. Estimated Cost (value y C� s ' JCT.�RYSEAL BONNIE LEE LANE NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC610789 MY COMMISSION EXP. AN. 12,2001 • f Contract r- Builder Signatur Notary as to Co My Co Master Permit # NOTARY uilder BOND 3/97 Date TOTAL DUE 3 7 Date Building Electrical Plumbing Engineering BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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. Owners Name and Address Registered Architect and /or Engineer Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done Disapproved (Signed) lN ' )D v AIf-y But • ng Inspec igQL'P'Ca-pr/Exd '- 565 MIAMI SHORES VILLAGE Date ... *..... e•••.- ._ .L_te ........_......__......... ,192 . ._.._ ._ No......... »....... Street._... Name and address of licensed contractor EA.45 eSuo!4....4c-0- L5o ? COQ. /0 20 N. C• 9 T .tilt.. •!I - ,••t,•y•H••••sf:i,itl - .... State work to be done and purpose of building (by floors)... A4-4' A 3 - - -reL , 6 1 : 1 - 4 - 1 ! - ,',L e gt n 'r ter - � v New Building Remodeling Addition Repairs To be constructed of Kind of foundation Estimated Total cost of improvements $• �+•�•- -Q.0 oo veer _© Amount of Permit S.• 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 inspec on on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra ` ors, Qe"W8T1rtq be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - — 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 Date L.� �,/� : 7 1( Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires and for no other purpose. No. of Stories _ to me well known, ANNING 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- in>pec•tion ice of 61.00 will be charged when such re- inspection is made necessary by improper notice for inspectitm or faulty materials and /or workmanship. • • Application is hereby wade 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 . /rnr"a Yo u N ...._ .. Registered Architect and /or Engineer Name and address of licensed contractor E Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where: work is to be done /b State work to be done and purpose of building (by floors)..../ NS / A L1 .-- STATE OF FLORIDA, COUNTY OF DADE. j ss. New Building Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $. .. . • v Q Permit No.___.___._.._____r Date Disapproved Date (Signed) i fjOi.ikcEr 4 Es ul ` 565. 2 S' MIAMI SHORES VILLAG d BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ZO tv ,C, 9 T� Tv_ 0E. c4. °._...` 5:o. P &a • CA). 7-S ‹ _ No .. Street_.... \V iTN..... f .'......... S.O.ai /37 r22 _ cr /' it mod �_a _ L-.A c p" 4L i ' > G wits &r mo>r#t= Repairs and for no other purpose. No. of Stories Roo vexing — c__0 Amount of Permit S. 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 under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr ors, o to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signe 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. Read, Sworn to and Subscribed before me. Notary Public, State of Florida 5' / C Co4c Building Inspector My Commission Expires 4.. to me well known, 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 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. CHECK Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit o 9 (Signs j.) Date �� /, , fre Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Swartz No 1020 N.E. 98 Swapt Registered Architect and /or Engineer Employing Electrician's Name Sun State Electric, Inc No 9709 LW. 2 Ve Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Elfs(et Inspector. 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 subcontractors 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.publ'c notice or notices as are required by the Act. The undersigned agrees to employ only such suh•contractors, on work to be ' perf • e tttlder . is permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Muter Elec(rician. STATE OF FLORIDA, COUNTY OF DADE. j ss ' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re•inspection fee of $1.00 will be made when such re' inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH L LIGHT P PLUG F FIXTURES R REFRIO. I IRON R RANGE R RANGE W WATER W W. HEAT. $ $FACE S STRIP T TOTAL CONTR. LIST CHECK ENT. D DIST. S SERVICE S SERVICE M MOTORS M MOTORS N NEON R RADIO T TOTAL CONTR. L p Cen-ral A/ C C 3 3.0C Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit o 9 (Signs j.) Date �� /, , fre Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Swartz No 1020 N.E. 98 Swapt Registered Architect and /or Engineer Employing Electrician's Name Sun State Electric, Inc No 9709 LW. 2 Ve Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Elfs(et Inspector. 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 subcontractors 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.publ'c notice or notices as are required by the Act. The undersigned agrees to employ only such suh•contractors, on work to be ' perf • e tttlder . is permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Muter Elec(rician. STATE OF FLORIDA, COUNTY OF DADE. j ss ' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re•inspection fee of $1.00 will be made when such re' inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date '"` / , 19.4a • Owner's Name and Address _ 446 , L , S i-,: , `r h_ t ' No "' L' d_ . Street__40 -- $ Registered Architect and /or Engineer Name and address of licensed contractor 1L2t✓ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) 12 LS+z,a , ./_C Srx %�r• 3 T?M/ 4 ,le. Dew 4' T fz /d , /? �4 - rs � �� 5.7 1 a /7Q , - ce and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof CRvering Estimated Total cost of improvements $ Amount of Permit $ 4.. 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 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. . e -, - Remarks (Signed )c__7. Member .. .1 . 1 o rs, r}. STATE OF FLORIDA, j COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No /t 1 ) J (Q Read, Sworn to and Subscribed before me. Disapproved Notary Public, State of Florida (Signed) B4rildmg Inspector My Commission Expires PLANNING BOARD DATE Chairman 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. sx0,t 314-P. Gv -.. - i- - -4 sr. A,a. d v ee-■ c 41 N ma 4 a ivc., Rw LL EQ _ +- - co.s. -la rccss4..t I I I I 4 . 2 � , 4 NOEr- Al Disapprove (Signed) Chairman Member Member ...._ . Council Approved Date NOTE: A charge of $1.00 will be made for making correctio the Planning Board. A re- inspection fee of $1.00 will be charged when such r materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. nn R c DateUb /to , 19c L Owner's Name and AddreNR_P{_L Registered Architect and /or Engineer L. SD .� '�, _ Ja w 1 ` . � j � Name and address of licensed contractor___ SD Au Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done.()._ 100 N State work to be done and purpose of building (by floors) _ `/s-- , `$ S 7 At LL 3 P ! ..... and for no other purpose. New Building _ Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ZQ_O 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 to� be sent T Q_ �- LK) CO %V.?__1U(_l.) 1 ' AU )_ A4 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, o ork to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) No.) 0' O Streetk) A PLANNING BOARD DATE m y Notary Public, State of Florida ( T STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Z.1'41 j. Date € ' Z Read, Sworn to and Subscribed before me. Buildirr nspector My Commission Expires Member Member Member Disapproved Date or changes to this application after approval has hecn obtained from nspeution is made necessary by improper notice for inspection or faulty