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MECHANICALDate 11/14/95 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 803 N.B. 99th .ST NO Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Francis J. LuBien Master Permit # Owner's Address 803,N.E. 99th ST,. Phone 753 4060 Contracting Co. MINER Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION REPLACE 4 TON AIR HANDLER AND DUCT WORK Square Ft Estimated Cost (value) $1,20.0 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. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: dO FEES: PERMIT fl' RADON APPROVED: Zoning Mechani Tax Folio 11 3206 034 0000 Signature of Contractor or Owner- Builder Notary as to Contractor or Owner- Builder My Commission Expires: \NtY P ✓ Cr "i=lGi.iL NOTARY SEAL • W DAMS 1, COM,MiSSis�N NUMBER � ja CC255237 C. .IdY:MWIJN EXP. 11/14/95 Date Date C.C.F. 1.00 NOTARY 5.00 TOTAL DUE 54,00 Building Electrical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 9/22/94 Job Address 803 N.E. 99 ST. Tax Folio 11 3206 34 0090 9 Legal Description Owner / Lessee / Tenant FRANK LUBIEN Master Permit # 3g g/ Owner's Address 803 N.E. 99 ST. Phone 758 4060 Contracting Co. OWNER Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING . ECHANIC ROOFING PAVING FENCE SIGN WORK DESCRIPTION REPLACE INSULATION AROUND AIR CONDITIONING DUCTS Square Ft. N/A Estimated Cost(value) $800.00 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. , � j , t e n A Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: p, 0, OFFI IAL NOTARY SEAL < / SANDRA M MONTIEL * COMMISSION NUMBER ** * * * * * * * * * * * UC4O12S1 9 Q�. MY COMMISSION .EXP. FEES: PERMIT 36,60 RADON C.C.F. ' � NOT ° �' ' X11' AUG : _ i _7 . 1998 APPROVED: Zonin Mechanic Fire Other * Signature of Gontrae4oaer Owner- Builder Date' - c /hGyr - 1 q -91 Notary as to Guinmeter..or Owner- Builder My Comm �.. I I' Jr Building Electrical lumbing Engineering MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 Villa 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. Lot1..a.... Block .7o .9 Subdivision , treet and Number where work is to be done " 4./. `State w"otlrto be done and purpose of building (by floors) or notices as are required by the Act. The undersigned agrees to employ only such pennit, as are licensed by Miami Shores Village. Remarks (Signed). Permit No._ Date Zr Lt.— ? �� Disapproved (Signed) GB Chairman Member Member My Commission Member Member Member yy / Owners Name and Address ..l:J . iSl. ' !'' `R.l .l.. _ No.. Street.LY.4- _.°l. 1.. 5'7' — Registered Architect and /or Engineer ..... 0.-+1. . Name and address of licensed contrictor G..A/ / 2 70 ...Location and legal description of lot to be built on: F g 9 5 - and for no other purpose. Addition Repairs No. of Stories New Building Remodeling 4— To be constructed of Kind of foundation p R Covering Estimated Total cost of improvements $ . , / -� Amount of Permit $�. �? _ Zone cubage required plan Cubage Distance to next nearest building ..........a.._/T Size of Building Lot Maximum live Load to be borne by each floor - 1 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 ublic notice PLANN C BOARD DATE ntractors, on work to be performed under this 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 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. ead, Sworn to and Subscribed before me. Notary Public, State of Florida to me well known, Expires Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application nfter approval has been obtained from the Planning Board. A re-inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection oe faulty materials and/or workmanship.