75 NE 98 St (12)• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 9 5 ? 3 Job Address 7g N' 9 ? S T Tax Folio /) ' 32 ' ‘ - a/3 - fit c 7
Lof Z��1NSFa�i,�
Legal Description
APPROVED:
/ Lessee / Tenant t /; ZQ kP t liL u S f4 d
Master Permit # 5
Owner's Address 7 S NE 9 6 ST p-11 Phone Ise - 6 / 2 o
Contracting Co. Joh iSe / 4 04 J - c Address 122 3 Y. 2 / //tie' A4 / /yvaoc.I 3)o2a
Qualifier {C r C d Z N /Low$' /C; ( Phone 92 3 -6090
State #6/eos "3 ? 96 Municipal IP Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING M CHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION L uA o t .S ,pl• Sysi' ' � c
1
c r (GE se.- o S, earca e )1 ✓► 0 e-
Square Ft. Estimated Cost(value) 2 175' • °'O
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
Si4ature of owner and /or Condo President
Date: Date:
FEES: PERMIT 10`0d RADON
Mechanical-
Signature of Contra4 or Owner- Builder
4
Nota as to O er and /or CotO BcesGr$R*LD A. JOHNSON Notary as to Co actor or Owner- Builder
My Commission Expires: ;�` ? � � " '�?4,,S MY COMMISSION EXPIRES My Commission Expires: J u 30 / 6
:Fa ', � .�z July 30, 1996 �9
_• „.� : .. . c )- BONDED THROUGH
% '''. ” ?;.` ALAN INSURANCE SERVICES
*it * * * * *., „r * *CO21 egi69 * * * * * * * **
C.C.F. 7✓-019 NOTARY TOTAL DUE 0'1,
Fire Other
Zoning _ Building Electrical
Plumbing_ Engineering
ITEM
BATH TUB
UNIT
-
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING /0 Mc.)
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) L l ¢B a,
DRINKING 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
CLOTHES WASHER
MOTORS 0- 1 If
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 IP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS 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 If
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 COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4" TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ELECTRICAL
MECHANICAL
PERMIT NO.
STATE OF FLORIDA:
COUNTY OF DADE:
NOTICE OF COMMENCEMENT
TAX FOLIO NO. I I - 2 6 4-0 /3 - /l 6o
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.
1. Legal description of property and street address: Lo 1
S 7 t", a c'+ , S Aai—es 73 / 3,f
2. Description of improvement: /- 4 C tin o•v t •A s ys7'�w,
3. Owner(s) name and address: 4b1 h /4.1 tQ ia.- cJ 7 S ivE e 3 7
4. Contractor's name and address: , .1 Sot; s /'/ " d q
6. Lender's name and address:
; s F t 3 3 /38
J 22 3 S 2 1 4UP
/1 /y1" oa
93R169313 1993 APR 05 13:51
/ /3 t1 / \ 0 (A /, s kovPS'
Interest in property:
Name and address of fee simple titleholder:
j 302
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
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:
PERMIT NO.
STATE OF FLORIDA:
COUNTY OF DADE:
NOTICE OF COMMENCEMENT
TAX FOLIO NO. ! / 3 24 ' C - 0 13 - /I 60
93R 169313 1993 APR 05 13:51
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.
1. Legal description of property and street address: 10 1
7 5 /,' a c--. ; ,(' `i arr°S' ?"3 / 3 ,-P
2. Description of improvement: / ? u 4 / C ( 1a hy7 0. t A� .S ys7'
3. Owner(s) name and address: / % a Qb"f � ' rti t ' iii- d ? S /V E 7 ' S 1 -
4. Contractor's name and address: JeA N 5o i s /—%,' c q
Interest in property:
Name and address of fee simple titleholder:
SignaturWof Owner
Print Owners Name
Ptlf-qt.;1; s Hoc - -J' Fc 3 3 /38
J 22 3 S. 2 4vP
e.
E /, be* fA I /ll
Sworn to and subscribed before me this Stt of /9f
/ /
Notary Public - /
Print Notary's Name G p �/
/ 1 /4. d/1 H 591,
My Commission Expires: (fc, / / 30 /9 7e
/ �HG
,19 93
STATE OF FLORIbA, COUNTY OF DADE
o 1 MFRE81► CERIIFy Mr this Is a Iran
ll loot �PY of the
d rl � In this olilco on day of
•Ao. ►9 ' 3
W 1NESS my hand and ONklal Seal.
HA • VEY RU IN, GLER* C• IaedC
/ /9 r'1 ),
t 330
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
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:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
Prepared by: cl 41 „, o "
,JAVs°...5 I ,'do
Address: 1223
, plywood
GERALD A. JOHNSON
, .�` 'r
E. f : MY COMMISSION EXPIRES
i'i 01 July 30, 1996
:::.: . .4% - : BONDED THROUGH
. 44 ALAN INSURANCE SERVICES
rr rr ; '` CC 218869
$, 2/ f9
fi. 33ozo
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
ELECTRICAL
PERMIT I T No
PLUMBING ❑ 9729
ROOFING ❑
NI Work to be performed under this Permit
Owner of
Building
Address of
Building
Architect
Contractor
or Builder / t 1 " t' CI 44
Legal Lot!?. l f y Bt.
Description ' / if .:x 2 2
r
h
CONTRACTOR OR BUILDER
lr,
r--
Signed • t
Subdi-
vision
Sq. Ft j ut+r�"L7
Value of �
Project $/73‘/51
BY
DATE / 1/
Contractor's '7 2
License No / t
Amt. of
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 application
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 responsibility for work
done by his agents, servants or employees.
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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
djj { y
AUTHORITY
°MO*"
Owner's Name and Address._ "5°/'-'n S •
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot..2.1,__.7...' ..22. Block 8
Street and Number where work is to be done
Disapproved aie 2
(Signed) .....
uilding Inspector
Chairman
Member
Member
Council Approved
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.
Carroll
Cai;er Distributors;, Inc. 1160 N. W. 72nd Street
-
Date ,a',3YAUarj __2. , 19.. T
No 95 Street N. • 98t1 S r3et;
Subdivision _._._...1./:. 1111._._Sb?Ax i___ i
75 N. E. 90th Street
State work to be done and purpose of building (by floors) it133_rxlllc'1_tion. T 'car /cycle .leaf' Ft &^np
lerno .(.3 _' ten)
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 $ 0.736.00 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, 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 vyork to be permed under this
penult, as are licensed by Miami Shores Village.
Remarks
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.__$ 3__._ f Date 1./7160 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Member
Member
Member
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.