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366 NE 99 St (13)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 36 6 Y Cf _ct Tax Folio Date Job Address Legal Description Owner/Lessee / Tenant G,¢Q C i S .4- / � . �` ¢ Q Owner's Address 3 6 .t' E F9 S7 - Contracting Co. 229.6 P' -/ 0111 •cam i //O Qualifier c 6-c G u 7 , e a ote- I& ?) V State # / L O /L r 2 ✓ Municipal # Ik c ( Pet , „ompetency # ` , Ow 31/ns. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION � G C e ti % � L A-1 ' C Estimated Cost (value)1 2- ©P) Square Ft. 0 O WARNING TO OWNER: YOU 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 r- at construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Notary as to '. ntractor or 0 f r- uiider My Commission Expires: OFFiCLAi. Noun SEAL GLADYS I VILLAR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1,2002 3 - .944 00 .2 --//- 79 Date C.C.F. /' 5 0 NOTARY BOND d TOTAL DUE 7/ - APPROVED: Zoning Building Electrical Mechanical ���7 Plumbing Engineering ITEM BATH 11.8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING /O ,L/t j OI5i (ASNER RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) . 77QyL / 40°: DRINKING FOUNTAIN SERVICE SIZE IN AMP'S DUCT ?PORK FLOUR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CURETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY OVEN ABOVE GRIND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSRE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT HATER BOILERS SINK. POT /3 COW. MDTCRS OVER 3- 5 1P MECHANICAL VENTILATION SINK. RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK. SLCP 1QTCRS 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 WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINS?ECTION WATER SUPPLY 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 SW I1f4I NG PCOL • OUTLETS COM ERC IAL - WATER SERVICE • • SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS • UTILITY-SEWER SIGN TIME CLOCK UTILITY-WATER F IXTLRES SEPTIC TANK ANTENNA ' RELAY TELEVISION OUTLETS DRAINFIELD. 4' TILE/RES. VIOLATION' PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT W. FT. CATCH BASIN - DISGORGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS R» GE METER SET (GAS) - GAS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. Ir A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL Sec. 5-1.1. Air conditioning regulations. (a) All individual air conditioning units installed in walls or windows shall be securely anchored to the walls by approved methods. Units installed over public property, paths of egress or more than ten (10) feet above grade shall be secured to the struc- ture by bolts or screws to resist horizontal wind loads. Such units cantilevering more than eight (8) inches on the exterior of a building shall be supported by steel angle brackets secured by bolting. Bolts to masonry shall be set in lead shields or similarly rot- resistant fastenings. (b) The following special requirements shall apply to the con- trol and regulation of noise nuisance from air conditioning machinery. (1) All equipment, existing or hereafter installed, regardless of location, shall be maintained in good working order. Equipment so located that normal operating noises create a nuisance to adjacent owners or occupants shall be pro- vided with soundproofing, or sound- absorbing baffels, or enclosures, as approved to insure maintenance of a rea- sonable noise level. (2) All equipment on outer walls, on roofs, or in other exposed locations, which are unduly noisy, and which causes valid complaints from adjoining property owners or occupants, may be required to be relocated, redesigned and/or en- closed in noise - retarding materials when, in the opinion of the building official, such enclosure is necessary or would be effective. ,(3) Special consideration shall be given to the planning of all future installations to minimize the noise nuisance to ad- joining property owners or occupants, and the building official shall have authority to reject or require the rede- sign of any system which, in his opinion, would cause such a.noise nuisance. - (c) Violation of this section shall be punished as is now or may hereafter be provided by law. (Ord. No. 299, §§ 1-3, 2- 21-61) Jhores9ifage F L O R 10 A Contractor Signature MIAMI SHORES VILLAGE,, FLORIDA BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ PERMIT ? 8685 ROOF G ❑ N Own of of2 Builder ing Architect Cont or Builder Legal Description Address of Building Lot 36L Z! Work to be performed under this Permit • 11 BL Ott Subdi- vision Sq. Ft. Value of 1 Mount of Project $— ' ry _ f 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipme or device tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will*. performed plans, drawings, statements or specifications that may have been submitted to and approved by the pryer municipal authorities. This at any time if the work is not done in compliance with such ordinances or if the plans are changed without authopzatittn,A fertie* permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough Imo� regulations pertaining to the work covered hereby whether shown 00 the plans or drawings or in the statements or specifi cation sibility for work done by his agents, servants or em, es. Signed s., (INSPECTOR) B In consideration of the issuance to m of this permt :tee to perform the work covered hereunder in compliance w pertaining thereto and in strict conformity with the plans; = « nes,. statements or specifications submitted to the proper autho In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER Contractor's License No, BY ,' AUTHORITY described in dte applica- ie compliance wish any • Pertain may be revoked Mon upoet which this dte ordinqnees and r as latiorsi 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. Ownier's Name and Address Regleered Architect and /or Engineer__. _ Name and address of licensed contractor_ . .__ . _ . Location and legal description of lot to be built on: Lot i 3 -` `' Block t _ Subdivision__ �^ Street and Number where work is to be done__ � 6 ti y y d f • State work to be done and purpose of building (by floors). MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT / KSi 4/L 1','&Siif(6f4od5i: G Pc� TA/ c- C. / hc,.Q.i/9/J- - -- - - -- and for no other purpose. New Building Remodeling Addition Repairs__ No. of Stories To be constructed of Kind of foundation.__ Roof Covering. o Estimated Total cost of improvements $ Amount of Permit $ k- • 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 fot said building. All notices with reference to the building and its construction may be sent to__ Permit No Disapproved (Signed) Chairman Member _ Member _ Council Approved _Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of 51.00 will be charged materials and /or workmanship. Date No 66 The undersigned applicant for this building permit dot 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. 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 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. g'c �s Date_._' _ C - Read, Sworn to and Subscribed before me. Date Notary Public, State of Florida Building InJ:ector My Commission Expires_ / PLANNING BOARD__ __ . DATE Member Member Member . Disapproved Street Nom' y9 ='` tt e, ,19 67 Date or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty