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MECHANICALDate 511 -2ld/ Job Address /d 7 q /t1• e• 9 9 Sr Tax Folio \ 13 3 1 ( 1�� 1.I v; 3k Historically Designated: Yes No � 9D 97 Legal Descriptio Owner/Lessee / Tenant ,P d FJ Owner's Address Contracting Co. // • ftl • Z' 19-Nz C o x/n/r/O/ ✓ /xii Address :/!:25's/ e v,p/h/) J 5T //Gait) 35€00 Qualifier —/DgiN r, fL i41/7 Phone State # (We, • 3P 29,1 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING 1VIECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION (e.. 7 ea< 7 plc Y V74,2'/( lit/ rergC Square Ft. Estimated Cost (value) / 97.3 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 an constru5lign and zoning. Furthermore, I authorize the above -named contractor t Signature of owner �f,LcG�a My Commission Expires: FEES: PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE /69 At -E• 9 9 ST M Gs . 70V/D President Date Notary as to Owner and/or Condo President OFFI N• ARYSEAL LINDA M ALVES NOTAI: ,,FFUBLIC SATE OF FLORIDA COMA:I&SK J NO. CC? 4 Y CO , - )C. ?,PR. 5;?4 RADON Master Permit # Phone ?'5 757- D Sf 9 9 ,' 1 -4 ?d'o at all w. k will be done in J iance with all applicable laws regulating the wo s : / / r� Notary as to Contractor or Owner -Bu der 01 N07 Llt Notary My Commission Expires: N�A Ai � MY c\c;25z9 C.C.F. / NOTARY �D BOND APPROVED: TOTAL DUE Zoning Building Electrical Mechanical ��' `?> • 24 .0 I Plumbing Structural Engineer 'EM ,T11 TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE OET LIGHT OUTLETS CENTRAL HEATING SHWASHER RECEPTACLES A/C (WIND) SPOSAL SERVICE TEMPORARY A/C (CENTRAL) (INKING FOUNTAIN. SERVICE SIZE IN AMPS DUCT WORK .00R DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION (EASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING 1TERCEPTCR RANGE TOP UNDERGROUND TANKS 1VATCRY OVEN ABOVE GROUND TANKS ;UNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS .OTHES WASHER MOTORS 0- 1 HP STEAM BOILERS .10WER MOTORS OVER 1- 3 HP HOT WATER BOILERS INK, POT /3 COMP. MOTORS OVER 3- 5 IP MECHANICAL VENTILATION INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS :MPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS TINAL MOTORS OVER 25-100 HP COOLING TOWERS kTER CLOSET MOTORS OVER 100 HP VIOLATION DIRECT WASTES . A/C WINDOW REINSPECTION &TER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER A 9 ,Qtdr IriPfG `1 FIRE SPRINKLER GENERATORS TRANSFORMERS Pi' 1 P HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS G4?' !/Ave 1 //9„/1 LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMI.{ERCIAL WATER SERVICE SIGN TUBES :WER CONNECTIONS SIGN TRANSFORMERS ILITY -SEWER SIGN TIME CLOCK "ILITY -WATER FIXTURES EPTIC TANK ANTENNA :LAY TELEVISION CUTLETS TAINFIELO, 4" TILE/RES. VIOLATION JW & ABANDON SEPTIC TANK REINSPECTION IAKAGE PIT CU. FT. aTCH BASIN ISCHARGE WELL JMESTIC WELL TEA DRAIN JOF INLET " JLAR WATER HEATER IRE STANDPIPE JOL PIPING 1WN SPRINKLER SYSTEM 1S RANGE :TER SET (GAS) 4S PIPING .ADDENDUM TO BUILDING PERMIT APPLICATION .N APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. DBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL igria Date PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY Job Address Legal Description D Owner / Lessee / Tenant Owner's Address /07 / E L( 7 Contracting Co. / l6r/Z(DT2eu 7MA.) N Qualifier 2/608C-27-0 60� Oc SS# phone - - ' ‘0 y�V/6© State# (Ace? 1 1/39,/q " " # Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA) PAVING FENCE SIGN [oiv S WORK DESCRIPTION / 7 1 0 K w 9 Square Ft. Estimated Cost 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. 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: will done in Furthe ore, I a l � Notary as o Owner a or Condo President My Commislion Expires PERMIT FEE: APPROVED: Zoning Mechanical' 07y Al E 9q sT- (OWNER TO RETAIN COPY) / f fi I certify that all the foregoing information is accurate and that all work nce with all applicable laws regulating construction and zoning. the above -named contractor to do the work stated. * Fire Address Date: Tax Folio // c�o�b� /�5 ®/79J Master Permit # phone / 3 9y s w 75< / Ins. Co. A i 42. C.0" ccAnCi ,/ �ii�j• Signature of Cont• /.ctor or Notary as to Contractor/ or Owner - Builder My Commission Expires: * * * * * * * Other Building 1 4T2 Attimbing Engineering Electrical ner- Builder • Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect andior Engineer Name and address of licensed contractor Location and legal description of lot to be built on: 7 ` / "/ � ` " fl/ S S Lot Block n Subdivision �G �/� `� Street and Number where work is to be done //' 7 - /v6 79S < /1l 7/4 /l j/ 5 ,/ ,'/ e:- State work to be done an purpose of building (by floors), sta ex rior colors (submit samples) / 7 , /2 �' �l �� ���� �/� Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. J SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date �/ / // fr / 9 X119 �,T l //`Y 7 No. / reet # Y 5 -- 7/Payd /0/2 e•'/ / e) 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 S 2_ v ' G 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons Compensation Act. being Section 5966. Compiled General Laws of Florida. Permanent Supplement. and has co compliance from all contractors or sub - contractors employed by him in the work to be performed under t on the site of the work such public notice or notices as are required by the Act. The undersigned agre under this permit, as are licensed by Miami Shores Village. Permit No. Data Read. Sworn to and Subsc me. Disapproved Date (Signed) Building Inspector My Commission Expires BONDED Tk!RU of Labor under the Florida Workmen's rovisions thereof. and will require similar ill post or cause to be posted for inspection only such subcontractors. on work to be performed Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared to me well known. and who. being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application. and that he did sign the same, and that all facts ther%n by hiin stn.* are true. 11. N 4105lialgitta Sala- r. f coyma 3Iofv 2 PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and workmanship.