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940 NE 99 St (8)`MIAMI SHORES VILLAGE a ' BUILDING DEPARTME 305 - 795 -2204 Bu !ding Inspection Req Date 8 13 Type Insp' n ( 1 Permit No. t C o'L Jc John Name Address q"10 N L qq Company Wei r 13 Phone # 55 - gg���p -- U -1 Oct Inspection Date 6 1 c `K9 -o4 g4 Approved Correction Re -Insp' n Fee ,_ 5 .DO. 6.z) MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date i9/1kY Type Insp'n Permit No. Name Addres§ �J `) Company Phone # 305 - 6 c - D'-- /o ggsr Inspection Date r ! / P( Approved Correction Re- Insp'n Fee q3C S3 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui ding Inspection Request Date 2 Typelnsp'n ,ro\ Idle_ Permit No. 14 0_ 0u 1 0 Co Name OLICCI es Address c`-lO NEic4 (SL Company c Phone # (Q ins - Z -OZ Inspection Date I ZZ Approved Correction Re- Insp'n Fee C C 7 C'14 'e 3c 1_ / / <^i_t .7 z .,4,/ Z �'� ' ir-C7 0 o7 c M BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Owner's Name (Fee Simple Titleholder) .J;9FfA/ CA(WCE= S Phone # Owner's Address 9/-e 446; f 57rEZ - T City ye/,rj,1i State / . zip 333 /3g Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name 1 5 - i;4.1'...5) 4. Ft �/l�C City Pl mil/ Qualifier D AN IFt f V/- h9P1 $ Value of Work For this Permit 647° . XLi331 Submittal Fee $ S 0 , Total Fee Now Due $ (Continued on opposite side) .S a Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 9 $a44 c. 9i Contractor's Address ✓ g(9/ X24 ,Sifrl e../5 County Miami -Dade NO ao Permit No. Master Permit No. MC o ` - -N ) 0 b S T e. b Mechanical Zip 3 ;/3f3 Roofing Phone # 4 44 .590 - 2 2403 State ft . Zip State Certificate or Registration No. CA( 1 ; Certificate of Competency No. Architect/Engineer's Name (if applicable) /' ' Phone # Square Footage Of Work: Type of Work: ❑Addition ['Alteration ®New ❑ Repair/Replace ❑ Demolition Describe Work: /4/c _Z-it/ST Z .1% JoAJ roAis, 944), )3 7)1,(67 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ . - CCF $ 0 0 CO /CC Notary $ Training/Education Fee $ o t D Technology Fee $ / S Scanning $ ( ,4 CO 0 Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of comm' • «ment must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. I he absencj of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Chc 05/13/03 Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 who is personally know My Commission Expires: APPLICATION APPROVED BY: r; • . u4, sv C lffitd>Y 33133 EXPIRES: June 12, 2 atioik andowhOltr'It? ath. NOTARY UBLIC: • """ :4 " ..—.,...ti.,..4—• Sign: \\ Print: Signature C • tract The foregoing instrument was acknowledged before me this day of J i.L,t l? , 20 0 4 /by 47,4 i,c j/41-p ✓� who i ersonally kn)to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: 1 •`,. "11 I s . XPIRES: March 23, 2005 9 7 �',,. •• • • •�:, •LL IC'n •eiwrilers ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** it C Plans Examiner Engineer Zoning WIWAM R. THOMAS NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. //• .32Ot.o'OJ4 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: ►"1! 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: /1 , 'hh'i 65 e, 3 P6 Lvr,S c j RCxrBo 910 A/c. 99 sTIe5OT M/ GC- ,33482 2. Description of improvement: A/ei A/C ,'NS T 4-Tion! 3. Owner(s) name and address: ANA/ ( 4 ,A c4Ce $94/6 /t/ 6• 99 5T ,e6 - T Interest in property: (Owtoes . Name and address of fee simple titleholder: , / Notary Public Print Notary's Name My commission expires: 123.01 -52 PAGE 4 8/02 3 44 A- /-164 -,cep / IC. 33183 4. Contractor's name and address: ,5E125 tog (2,90/ G SuNE - 15E provided by Section 713.13(1)(a)7., Florida Statutes, Bv 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: j OF DI,ilt ! ur}R Y tha isatr .( •.:;;,, Amount of bond $' c 1 HER S , th� �0ifi, �.� �pC 2 0 7. Persons within he state of Florida designated by Ow ' 1 �' = Name and address: 01/** HA, v! 6. Lender's name and address: day of t%(iIe , 20 Of f/,„ L&. I WIWAM R. THOMAS FXPIRES: March 23, 2005 y d;• Bonded Thru Notary Pubtic Underwriters 1111111111111111111111IIIII11111 11111 1111 1111 CFN 2004R0451981 OR Bk 22374 Ps 0627; Ups) RECORDED 06/07/2004 12:07:36 HARVEY RUVIN► CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE D documents may be served as 8. In addition to himself, Owners 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) re of Owner Print Owner's Name Prepared by ,4O5 Sworn to and subscribed before me this Address: 970 .'J 4116X/46 Su re P. Air � G 3.3Dr'9 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: MC2004 -106 Printed: 6/23/2004 Applicant: JOHN CACACE Owner: CACACE JOHN JOB ADDRESS: 940 NE 99 ST Contractor SEARS ROEBUCK & CO Local Phone: 305 - 659 -1179 Parcel # 1132060143380 Signed: Mechanical Permit Contractor's Address: 8000 W BROWARD BLVD Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 6 & 7 BLK 80 LOT SIZE 100.000 X Fees: Description Amount FEE2004 -6373 Building Fee $300.00 FEE2004 -6374 CCF $6.00 FEE2004 -6375 Training and Education Fee $2.00 FEE2004 -6376 Technology Fee $7.50 FEE2004 -6377 Scanning Fee $12.00 Total Fees: $327.50 Total Fees: $7 #g Total Receipts: "1 Permit Status: APPROVED Permit Expiration: 12/18/2004 Construction Value: $9,640.00 Work: NEW A/C INSTALLATION 4 TONS, 8 KW, 8 DUCTS (INSPECTOR) 113_si ,s0 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING !1 ❑ Owner of Building Architect Contracto or Builder Legal Descriptio Address Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 1 1 Contractor's License No L T { PERMIT N? 9224 Work to be performed under this 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. Signed• ' ' BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereytider 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,. servght or employee. BY AUTHORITY 7 A , n Lot I Bl Subdi- vision f _ t .- / .. i So. Ft Amt. of Permit $ + Value of Project $ / <" BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING !1 ❑ Owner of Building Architect Contracto or Builder Legal Descriptio Address Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 1 1 Contractor's License No L T { PERMIT N? 9224 Work to be performed under this 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. Signed• ' ' BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereytider 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,. servght or employee. BY AUTHORITY 7 MIAMI SHORES VILLAGE Date 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.3f 195 . Date.... , Y _ �' ism Owner's Name and Address _ ! oYa No..... Street Registered Architect and /or Engineer •: /� Name and address of licensed contra r . � . / +._L� .Z _ �3 ' L (/1��c 1, 7.1 � Location and legal description of lot to be built on: Lot Block g Subdivision Street and Number where work is to be done / 4 f9"---0 f9� -.s :.._.__ a oo 6: , State work to be2i. and purpose f building (by floors). —•4zP - / 0 - , .13..,E and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation / Roof Covering pG Estimated Total cost of improvements $__ 69 fD ' Amount of Permit $ co Pc=> 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, Pernanent 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 ) •,4_ 9 '. Olt g ''' 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 tru Permit No 2 X' Disapproved Date_ (Signed) Building Inspegt`or Read, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida My Commission Expires ANNING 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.