40 NE 98 St (11)PERMITT APPLICATION FOR MIAMI SHORES VI LAG
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Date Job Address 0 N V 9? , , Tax Folio I 1 i10 (()''�'
Legal Description
Owner/Lessee / Tenant
&/2h'-
Owner's Address � A G q 5 -
Contracting Co. 2ii tierc
Qualifier \Qf
State # (/Ne104e0 Municipal # Competency #
Address
Address
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Kp /(Ce /
3 / V / 4 /C W / J r / I 'ir
Square Ft. Estimated Cost (value) r 7
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.
OWNERS "i IIAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructi d zoning. Furthermore, I a ' e the above -named contractor to do the work stated.
Notary as to Owner and/or Condo Pre rodent Date
My Commissio
%, VICTOR M. SIERRA
MY COMMISSION # CC 801672
,- 80U- 3 -NUlh:
, .4c -
3
FEES: PERMIT 41, (
APPROVED:
Zoning
RADON
C.C.F.
Historically Designated: Yes No
Address
Address
Master Permit # 3 ��
N /9d
Phone
SS# 777
Ins. Co.
of Contractor or Owner- Builder
Signa
Date
, 4.) WO/
Notary as to Contractor or er- Builder Date
My Commission Expire
4? VICTOR VICTOR M. SIERRA
vex MY COMMISSION # CC 801672
for re' EXPIRES: 01/12/2003
• I- 800 -3- NOTARY Fla. Notary Services & Bondtn Co
NOTARY BOND
TOTAL DUE
Building Electrical /)f
Mechanical '7 7 [ - o ( Plumbing Structural Engineer
ITEM
3ATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
3IDET
LIGHT OUTLETS
CENTRAL HEATING /Mr
)ISHWASHER
RECEPTACLES
A/C (WIND)
)ISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) 3
]KINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
:LOTHES WASHER
MOTORS 0- 1 FP
STEAM BOILERS
SHOWER
MOTORS 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
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 FP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MDTCRS OVER 25-100 FP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 FP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
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
SWIMMING POOL
OUTLETS COA ERCIAL
WATER SERVICE
SIGN TUBES
iEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
;EPTIC TANK
ANTENNA
1ELAY
TELEVISION OUTLETS
XtAINFIELD, 4' TILE/RES.
VIOLATION
'UMP & ABANDON SEPTIC TANK
REINSPECTION
IMAGE PIT CU. FT.
;ATCH BASIN
)ISCHARGE WELL
)OMESTIC WELL
'REA GRAIN
100F INLET
;OLAR WATER HEATER
'IRE STAFOPIPE
'00L PIPING
•
.
.AWN SPRINKLER SYSTEM
AS RANGE
1ETER SET (GAS)
;AS PIPING
(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
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
ghoreS91liage
FL O m to A
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 trade 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.
43) 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, H § 1-3, 2- 21-61)
/
`Orntractor Signature
T
Owners Name and Address
Registered Architect and /or Engineer
Name and address of licensed contractor
Disapproved ____� Date
(Signed)
Building Inspector
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.
C . C�1. 1 t
(Signed
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to
peared
Date
No
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
Rela CAC_
'99
Street.
40 l 14.E !
State work to be done and purpose of building (by floors) 1 1 "-- 1 S L i— �- l z 14x3?
17) `i oiz iC
_._ and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof
Estimated Total cost of improvements $ Z ' 0O • 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
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 ins.ection o •e site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcon: actors on k to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks
ster oaths and take acknowledgments, personally ap-
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 constructi n, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him staked are e / 9
/,
Permit No Date / Read, Sworn to and Subscribed before me.
- � ___�
Notary Public, State of Florida
My Commission Expires
PLA �.1� ` NG 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
' materials and /or workmanship.