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MECHANICALDate 5/ -1 7 Job Address /2._g £iL P lam' C Tax Folio /1 — 32.0 -- 0 /3 — Z.7-7 0 Legal Description / ` Historically Designated: Yes No Owner/Lessee / Tenant /t /-�� '�P C.� r�,C-C /� Master Permit # y 1' fnn Owner's Address /Z 8 2 l f £7 Phone GO r) 7 s 7 - //G 7 Contracting Co. 4 e �� , 4t - Address "20 a ye. l e r / � #� ' Qualifier GJ2K, / 6 u 7?e'A-4-g- Z SS# / 774911hone(ir) State # (020 3 c'2____ Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN C MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION T7 2 _ lG S Square Ft. Estimated Cost (value) CI IS ?, 2-0 Az 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 1 a tin nstruction and zonin :,' urthermore, I authorize the above -named contractor to do the work stated. :i'. Signs e of owner and/or Condo President Date Signature of Contractor or Owner- Builder Date 0:11;&;., M. MERINO MY COMMISSION- # CC 489885 Not My C PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 4 FEES: PERMIT //7 RADON /0 0_5 4,6 z 9y e, 7 5 - 2- a-.07 7o - 7 —Q Date C.C.F. 2• 0 NOTARY M. MERINO MY COMMISSION # CC 483885 actoPERWilltAlifitier dihm NogryToo .lpMwibala C 2 Date BOND TOTAL DUE / I % 9d APPROVED: Zoning Building Electrical Mechanical � �/ v 1.r7+ G � Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 9 -Job A d d r e s s J o - / 9 / c5 Tax Folio 3 a- /3.2-)._ 9-0 Date 70 Legal Description Owner/Lessee / Tenant 116 Y / / e--(J-2 6 Ye. . Owner's Address /d - e? /() F S' X X3'``'1/ csW Contracting Co. CA r/ C-6 A.) /- C2 / G . ,' c LQ. vz) ) State # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION & Municipal # BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN °. 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 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 AFF law VIT: I certify that . the foregoing information is accurate and that all work will be done in compliance with all applicable nstruction and zo ' ,furthermore, I authorize the above -named contractor to do the work stated. Signa Date N tary as to •wne d/or Condo President Date My Sion E es: o -847 �� SSSSSSSSS`SSSSSSSSSSiS� SSSSiSSSSSSSSSSSSKRKKSS es' " Richard Jay Ktuzban 1; a r Notary Public, Slate of Florida Commission No. CC 632956 ' 74 oF tti.o My Commission Exp. 04/03/2001 t- 800-3440TARY • Fla. Nom 5cry ce & Boding Co. ' FEES: PERMIT ID '•e;'' RADON C.C.F. NOTARY Address Address Address Address APPROVED: Zoning Mechanical Plumbing Building Historically Designated: Yes Master Permit # Phone 2,2./0 gr-tAJ • . . CO. Phone 53 �' v 2 � p d Competency # Nils. S� 5 q- J !l S feilvo Aloe . Signature • ntracto or Owner : wilder 1 ontractor or Owner -Bui der n Expires: Electrical No o�Fpv PGO Richard Jay Kurzban at Notary Public, State of Florida j Commission No. CC 632956 1> FO Fr k . My Commission Exp. 04/03/2001 , yj 1- 800 - NOTAP.Y - Fla. Notary Service & Bonding Co. BOND .044 Date /0 Date S TOTAL DUE Engineering I%�I :AT' iI.B UHT - I tT ( SW riti CUTU UNIT FE f ► 3I 5P1Z IE.AIGE UNIT r::. 510ET am rs =426C1:1. L ISO' CUTLETS C`.'fTRAL SiTDDC 1 I - 31S -XAc iER I A/C (IfilC) ?E r: t .'. S O I E::.AL SE.Rvia TUCRART 51G4 t waattE,R.S A/C (C.'-=fTR; L) 71IHKII+G rta71TAIH I I savia SIZE IX A1F5 , I SS arT lox L_ '.fit atAI I 1 Zits RE'AIRAE CW UT:L.17-.. RE3leaAT C._,E r i J.P I RP! !Aka OUTLETS e: MINE PROS MC .CRESS PIP IHG '.NtET:.-'IW i R~'a I 1213SGQ1Z41 ttila LAVA TM( i OM j ABOVE EMIG LIDS ::::CRY TRAY I XATS HI; iTS. I U. ??- .RE VMS __r, -:Es 11AS-� 5CITCRS 0- I I I S E+ B3It_' :r I .MOTORS VS 1- 3 i3' I HIT TATER 33 11 _ ._:M ..r"R I? S-7EL 1 ! VEC IAL P..RPO Li 11I,11% ?CCL 1 ( am rs =426C1:1. 3AT . ziv1C 1 I - 5;0 IZ.E S =� =ft.—rims I 51G4 t waattE,R.S I S!GI TIE COCK UT:L.17-.. UT : L: rf-XATER e: MINE I ,tN eea rc- ::C TANK RELAY 1 EL:7V!SION CUTLETS &I ii?D. 4" TILE/RES. 1 viGUT70N '' A13AM;GN SPTIC TAM( E CT ION cry (:- ? IT CU. FT. 1 .. C:lL.: 7 _AS IH I I I I ADDENDUM TO BUILDING PERMIT APPLICATION =.f _-- - A -CN -^+? iC :_�� T - :C_C� -`IT _HIS ADOENDC . A EAS B X4s :c: NHD , _ I:c:' .. _ - --� - - ZURE NC: BE _PR =SEITi ON SZSc N": A2 . ' C3Ti_Y�, °= OG ?' yC�:. S= ter !1—.� PLUMBING s :M. ?OT/3 CCU . 31A. Ra iCar -. IL {, L1P _:- 1;RY RATE : :ACT USA ES 3A ;=i Y TO: =:C UNIT " :RE 7RINI(L5I :etc INS. O =; 'tom C . :C AREA .'RAIN ACC" '`Li !RE :∎;:1? t- 17 4 7 =5 3 fi,LS _ ...c. /VCAS ala VMS, OVER l i mS INS 1GTCRS avE3 4DTCRS aVS ICITCRS OYS A/C IKON AIR �,,,^`aIT10?E'S 7, IP T� 1 C;I't'RATrRS T xNSATCRS TRH ELECTRICAL 3- - 5- 3 HP 3- 10 f 10- 5- ;m :, 100 :P -OE ISATCRS TRANSMSS ( ArT MECHANICAL TRANSPaRT1hE ASaE3EUE ELEVATERS/MUMS = !RE 71 OMER STST &S COLItE is v ICUT 10N RE Il r7F-TION Marlene Garcia 128 N. E 99 st Miami Shore. Tax Folio # 32060132270 Load Calculation. 3284 sqf at 3 V.A 9852 va Two 20 Amp. Small apliance circuit at 1500 Va each 3000 va Laundry circuit 1500 va Range Gas Dryer 5000 va Washer machine 1200 va Water Heater 3500 va Refrigerator 1200 va Total other Toad 25,252 va First 10 K.V.A other Load at 100% 10,000 va Remainder other Toad at 40% 15,252 x 40 %= 6,100 va Total remainder other Toad Air condition at 100% #1 - - - --- 4,800 va Heater #2 ---- -- 5000 va Heater Total Load 25,000/240 =107.9 Amp 16,100 va 4,800 va 5,000 va 25,900 va Eligio O:Figueroa President/Qualifier Circuit 1 U.S.E . 1 Volts Load Wire L. cond . 1 — 7 Li6firs 1 D-0 9. 85 114 1 1 4 I.rA -- 9 SMALL APPCIAIJa 1 -o 3.000 /A 1. ao Pt-rnp i 1 0 , LAz 1-O ,..p). vik 1 . go Arnp 1 IZANE Gi AS — . — 11— 11 b ki (....K 2.4-0 4 000vA lo 30 An? �� '13 to Asofve. itoco-i 4)i 17-0 1 1 ,Ao Arnp 14-- 15 1.4.)A-re72._ 41-Efrra. 2. ao 3 1 VA • 1 0, 3o Arm? i/ /7... Ve eefa_iyE. atToa... ) 10 112.00 OA j o Arni) 1 7HS A/c 4-1 2. 4-0 418000 g 4 M1P 54., I 1 -2. 0 N 11. T T -4-c) •r v A 2 46 Ato - , 5?E ._. . . \ . ... , . , • _.. - . A . / . ;:■....7.■,-..■*. CARIBE ELECTRICAL CONTRACTOR, Inc. ELECTRICAL CONTRACTOR Residential • Commercial • Industrial 12210 S.W. 10 Lane • Miami, Florida 33184 Tel.: (305) 554-0409 Dade: COO 95E000290 • Broward: CC* 94-CME-1524-X Name : AILU N 5 -7)A-e.P,,,Z A Address: 1 A.) st t-sAD S ho Q_E." ) =. 91) ( Ri 1.f14.^. CARIBE ELECTRICAL CONTRACTOR, Inc. ELECTRICAL CONTRACTOR Residential • Commercial • Industrial 12210 S.W. 10 Lane • Miami, Florida 33184 Tel.: (305) 554 -0409 Dade: CC# 95E000290 • Broward: CC# 94 -CME- 1524 -X Marlene Garcia 128 N.E 99 st. Miami Shore Tax Folio# 32060132270 V 7� 0 TH HN 2.00 £#f 41 u Avg. 2" co Ai 0 • 1 5/p Xi0 62�. GoNQ d. rduv lay f. Eligio 0.Figueroa President /Qualifier. MIAMI SHORES VILLAGE APPROVED BY ZONING STRUCTURAL DATE ELECTRICAL 1_.,1 .4%7 PLUMBING • :',f1 , FICA! •••=7.....=...=■ W COV ALL FEDERAL, STATE AND COUNTY RULES AND REGULATIONS. MIAMI SHORES V!it A.GE ASSUME7. NO RESPONSIBILITIES FOR ACCURACY OF UR 'd.-3ULTS FROM TiiL FuktiS. COMPLIANCr7 Thy FLORID. ;);m; copr. AS ADOPTED BY MIAMI SW?, HITU1, & Sk3 CONTRACTORS ARE CHAD WITH 1 HE '', OF A'. `; REGULATIONS WHETHER NOT iNijicvED Not My C FEES: PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / f 7 Job Address /2._g £' F tom' 4" Tax Folio /1 — 3 2O () -- 0 /3 2:2-7 0 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant /1' , ' -' '# - *f' V 4,-e_>"51 Master Permit # Owner's Address /2--g 4)E PP X-77 Phone r) 7 r 7 - //G 7 Contracting Co. `j e �� � �/L ti7 iTo� /address ' YL/ /s* 44/ Qualifier Z. bet-t.7 - ed / c d4 7?6:ix./lsz- Z 77o,hone0 ir) l s %-3 - 3 3 3 State # O ZO 3 s'2 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN a MECHANICAL ROOFING PAVING FENCE SIGN 2 _ C .�7z � j- lG Gam-- ' - S WORK DESCRIPTION Square Ft. Estimated Cost (value) 4 2© v? 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 - : • latin : • • nstruction and zurthermore, I authorize the above -named contractor to do the work stated. zonin , e of owner and/or Condo President Date Signa �r S lc X4 RADON APPROVED: Zoning ,y G Building Electrical Mechanical � /S Plumbing Engineering /0 05-o , ,e z 4' e 79 2 LW '7 7o — r —g'7 Date l�Yot�?;y;.aa My;Co Signature of Contractor or Owner- Builder C.C.F. 2.• 40 NOTARY :kit ^� M. MERINO MY COMMISSION # CC 483885 " . a L) let ,c7 G"° 27 Date Date BOND TOTAL DUE / 1 err. 9d tit( NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. / 1 -32 - o/ - 22 73 STATE OF FLORIDA: COUNTY OF DADE: 97R-4.51'790 1997 OCT 06 08:30 THE UNDERSIGNED hereby gives notice that improvements 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. LOT /z- 77/ 1. Legal description of property and street address: A-0 7 /� �""'b F4sr ��'- ° E it/ r ;2.1 - 71D47 4- aSZoT ,o /3'4 j /7 ,'iatcfwL)e4 �L,oT pF��.> /Sl�o2E�P Se 7 / / p / f G>✓cc- r/2.j/r1/'S I%) � �7' �,e2poF i4_t .e_CO24 eo riv /? 4-T Zpd,k /0 4,70 of 442 ti matt) .e. 2. Description of improvement: 7 s-� 4 - /c 3. Owner(s) name and address: /224 ?t &✓E ‘ c%" /z? /K E` 5 / S 7 "1'4 '� Interest in property: rOiZ"A' .P Name and address of fee simple titleholder: _S-37-Wry./.3,026 Fe,l e2Al L �.,Q4/ i+' c/i S ' / i %5��''"k 2.0 U /ij/, >G.' - 1J�/L £di /2 d7 / i e /fib •4 J 7 ka t / 4. Contractor's name and address: o 44. 7 - 47:2 (o "..) /.) D /3 s/2 / 9 /// z • 33 014/ 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: S77 a/9-/ee_) / S t/beL 9,,;06 -C A,97 2/ Oa w 46 -ati Re?, — 71.f27, 41P 7. Persons within 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: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: ✓✓//Q 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date ' pecified) /a ' Sig re of Owner Pri • t Owners Name Sworn to and subscribe Notary Public Print Notary's Name 4. p�� 2 eief% c2 cs)l C ///41 STATE OF FI-ARIDA, COUNTY I fiEBq .c.t fairy that this la a 9ry griginal fil� offloo on op bond and Official E .K, of OF DADE o copy of the doy of ,A.0. 19 al. utt and County Court. o.0 4 997. Prepared by: /A.2- ite4 G Address: /Z4 N/ 995T ,z 5120 .$ 33 /3g .1_ Do " 7- , " v e" A/ o&m cT �J My 2 Cork/ % i o rv/Y f& UAir'/ M C &D ON 7f7 � Si 5/0E: Cf /° ,aa41/ �3 4 2_ 6-.)772c,;f c,4 TE 4 ( . 4-It-if' SW0 s Fe, 33/3Y. Ze /z/V S skokr-cS I 3 3/3 ?cS(04-1e34 �A2L €a e. 6A-edam /L3 Ale' ?9 sr ,2o6e/eT 4 C A-4 - ' : Oa SW-3333 64602031 /t D Tie ® ,L-4 /2 - c 601 z 7' %y Y Z 4lLai R-F P(P fl /& SCA C -7)a To u ;Tezo L. /Se A /c!- ckr18 -•1 zy -owe S AeaT A /c. -i c t T°3 - / A.32 -08c 1.5 A Ic.ia /8 /G, soo ca_o, Alc=z- - 34eoo zl, 60o . BUILDING SIZING SUMMARY Building Name : 4 GARCIA ALL COOL 10 -02 -97 Location : Miami, Florida Block Load Lite v1.00 Prepared By : ROBERT AIR CONDITIONING Page 1 of 1 ****************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** TABLE 1. INPUT DATA -- WEATHER City State Data Source Latitude Elevation TABLE 2. INPUT DATA -- BUILDING System Type System Start Duration = Miami Florida = ASHRAE 1% 25.8 deg. 7.0 ft SIZING SPECIFICATIONS Supply Ventilation Exhaust FAN Configuration : Draw -Thru Static Pressure : 0.10 TABLE 3. SIZING DATA Total coil load = Sensible coil load = Total sensible = Supply temperature = Supply air (actual)= Supply air (std) _ Ventilation air = Direct exhaust air = Reheat required = Floor area (sqft) Overall U -value Vent air CFM /sqft Vent air CFM /person TABLE 4. SIZING DATA -- HEATING Heating coil load = Ventilation load = Total load = Ventilation airflow= : Clg & Electric Htg 600 24 hrs 57.0 F 0.00 CFM/sqft 0 CFM -- COOLING 41,794 37,959 37,786 57.0 2,333 2,332 0 0 0 in. 2,050 0.121 0.00 0.00 BTU /hr BTU /hr BTU /hr F CFM CFM CFM CFM BTU /hr 7,373 BTU /hr 0 BTU /hr 7,373 BTU /hr 0 CFM Summer dry -bulb = Coincident wet -bulb= Daily Range = Winter dry -bulb = Atmos. Clear. Num. _ THERMOSTAT SETPOINTS Cooling (Occ) 72.0 Cooling (Unocc) : 78.0 Heating 68.0 FACTORS Coil Bypass 0.050 Safety (Sens) 10 Safety (Latent) : 10 Heating Safety 10 RETURN AIR PLENUM : N Load occurs @ Aug 1600 Outdoor Db /Wb = 90.6/ 76.9 F Coil Conditions: Entering Db /Wb = 72.0/ 62.6 F Leaving Db /Wb = 56.9/ 56.5 F Apparatus dewpoint= 56.1 F Bypass factor = 0.050 Resulting RH = 59.5 % Total coil load Sensible coil load SQFT /Ton Cooling BTU /hr /sqft Cooling CFM /sqft Heating BTU /hr /sqft = Heating CFM /sqft = Floor area (sqft) _ Overall U -value = Vent air CFM /sqft = Vent air CFM /person = 91.0 F 77.0 F 15.0 F 44.0 F 0.90 F F F 3.48 Ton 3.16 Ton 588.60 20.39 1.14 3.60 0.00 2,050 0.121 0.00 0.00 ****************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** DETAILED BUILDING LOAD REPORT Building Name : 4 GARCIA ALL COOL 10 -02 -97 Location : Miami, Florida Block Load Lite v1.00 Prepared By : ROBERT AIR CONDITIONING Page 1 of 1 ****************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** TABLE 1. LOAD COMPONENT SUMMARY for Aug 1600 ( 90.6/ 7 6 .9 F) Load Component Solar Loads Wall Transmission Roof Transmission Glass Transmission Skylight Transmission Partitions Lighting Other Electric People Infiltration Miscellaneous Slab Pulldown/Warm-up Safety Factor Total Loads Ventilation Load Supply Fan Load Plenum Load Thru Wall Plenum Load Thru Roof Plenum Load - Lights Reheat Load TABLE 2. WALL AND GLASS BREAKDOWN Component Walls : NE E SE S SW W NW N Glass : NE E SE S SW W NW N Hor Total Net Area (sqft) 0 576 0 382 0 384 0 376 0 24 0 18 0 16 0 24 0 Details 82 sqft 1,718 sqft 0 sqft 82 sqft 0 sqft 0 sqft 3.50 W /sqft 0.00 W /sqft 3 people 2,050 sqft 10/ 10/ 10 % 0 CFM 2,333 CFM 0 0 0 t 0 % Total Coil Loads 37,959 Cooling Transmission (BTU /hr) 0 1,730 0 0 1,116 0 735 Design Cooling Loads Sensible Latent (BTU /hr) (BTU /hr) 0 206 0 155 0 138 0 206 0 1,993 4,713 0 705 0 0 24,433 0 860 1,647 0 0 3,435 0 173 0 0 0 0 830 2,656 0 37,786 3,835 3,835 7,373 Cooling Heating Solar Load Transmission (BTU /hr) (BTU /hr) 0 355 0 205 0 1,170 0 263 0 349 0 Design Heating (BTU /hr) 4,206 0 1,043 0 0 2,125 -671 670 7,373 0 0 1,410 0 935 0 940 0 920 0 305 0 229 0 204 0 305 0 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. Registered Architect and /or Engineer Name and address of licensed contractor Chairman Member MIAMI SHORES VILLAGE Location and legal description of lot to be built oo• Lot, Block / $uliTivis n... Street and Number where work is to be done .l .l.,P. ` State work to be done and purpose of building (by floors) - and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundaat - i Roof Coverin Estimated Total cost of improvements $ /l"— d Amount of Permit $ r- ' Zone cubage required -Plan Cubage Distance to next nearest building. Size of Building Lot /3 . 19c�v No. /,;p2 Street 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 inspe tion on the site of he work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subs%) actors, on work be perfor nder this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. J ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Notary Public, State of Florida 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 7 -3 1 D. e Read, Sworn to and Subscribed before me. Disapproved (Signed) Building nspector My Commission Expires PLANN 'G BOARD DATE 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. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ no. PERMIT N9 237 Contractor's License No. ROOFING ❑ Owner of Building L Architect Contractor or Builder Legal Description Address of Building Lot r. a CONTRACTOR OR BUILDER Bl DATE 19 7 <. Work to be performed under this Permit Subdi- vision Value of Amount of Project $ II Permit $ 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. Signed. '- • - BY • INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT PRINT