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MECHANICALQualifier (_� ti Z, Atilt State # 000 y3 59 Municipal # Architect/Engineer la r Signatur FEES: PERMIT _3>" 'de' RADON APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date l ) • 6 Job Address / / / b 1 /Z- 6 0 S r Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant ftL f )C 6'' I L it 65 I1 4 L L+ I Owner's Address /11 ti I /00 S r Contracting Co. Address or Condo President Notary as to Owner and/or Condo President Date My Co iiniissi 9 NPINWAL ROTARY SEAL SANDRA M MONTIEL .'SSIOld FiUMDER .SSiON , EXP. Date / Master Permit # Phone Building Electrical 3g1aik D o& .. J r7 ,-v/ Phone 2 3 ' 9, Competency # r ( 6 Ins. Co. /4m't4 `' 2 Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FA](LUR " i I v 0 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 lating c • strucf cn and zoning. Furthermore, I authorize the above -named c • tractor , • do e work state • Notary as to Contractor or Owner - builder My C i mm ssio it s: 1� � �:.s� FIOTARY SAL j (,) �., SANDRA M P.aO:NTIEL } . COMMISSION F1UMDER ' ';^ r` cO!MMISSIOFI.EXP. C.C.F. ' NOTARY .) 0 TOTAL DUE Date 7 3 / Plumbing Engineering (AN MICA ION FOR BUILDING 2ERMIT LUST ACCOMEANT THIS ADDENDUM. IT A MASTER P r- PAS BEEN GB T.1.,INED , TEE OWNER'S NOTARIZED SIGNATURE NEED NOT RE PRESENT ON suBszpazur AP °L C IONS . ) BIDET B MOUSIER 0 r.ISaL CR I10(I1G Fa tiTA FLOM CRAIN GREASE TRAP INTERCEPTER LAVATORY LuICRT TRAY . CLOTHES MASHER SINK. POT/3 CL1p . SINK. RESIDENCE S IRK. SLIP TEPORAT TAM CLOSET L3R tNAL 1PATa CLOSET IN] IRE TASTES MATER SIFPLY TO: A/C UNIT FIRE SPRINT NEATER-1 INST. HIFATER -4P LAPIN S?R IMQfR — HE L L STMUI1G POOL MATER SERVICE sea 03100ECT IC S UTILITY-Ma UTILJTY -TATEI SITTTC TANK RELAY GRAINFIELD. 4' TILE/RES. RAP & . 8A ON SEPTIC TANK 1AKAff PIT CU. FT. CATCf SAS IN 0ISCiA Z Mai 031ESTIC AE1. AREA CRA ROOF IT :,a)41 IIATEB IEATER !RE SIAM' IPE "JCL PIPIK; LAM S?R I1d(L„'R SYS i a4 "AS ;Ara !ra T (G.AS) P IP I IJG PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION UNIT FE: 1TE)i S1I1TO f mum LIGif OUTLETS RECEPTACLES SERV TCE TERRARY ELECTRICAL MECHANICAL SERVICE SIZE IN A6PS SERVICE RE°AIR4ETFR CHAT APPL !AXE CUTLETS RANGE TIP OVEN MATER MATER /LITERS 0- HP IGTCRS OVER 1- 3 FP I,CTCRS OVER 3- 5 If =nova 5- S P OTCRS OVER 3- TO FP 43TCRS OVER 10- 25 FP ATTCRS OVER 25-100 FP LCTCRS OVER 103 HP A/C IKON AIR COFOtT1O1 s 1- 'V T Ow/ STRIP Ham SPECIAL AMUSE I Om.ErS IX36E.RCIAL SIGN ZEES S1f 1 TRAM: MSS SIGN TIb€ CLOCx FIXTLRES TELEVISION (JRZTS VIC/L,ITION 1 RE INSPECTION Kw UNIT Fi I 1 VICUT ION 1 nu SPAc JE TEsTS CENTRAL HEATING 11G A/C (11M) A/C (CERRA . ) OLCT 1CIIX REEF Rt I( IATTcN PRu. SS Ale PRESS PIP11G UNOERGRCUND TAMS ABOVE GROIdC TANKS U.F. PRESSURE VESSELS 1 STEW BOILS ACT MATE BOILERS IECiANICAL VENTIUT10N TRANSPORTING ASSa€L1ES t " I. EVATf3RS/ESGLATQRS FIRE S:R flOU ER SYSTF G COOL I1G TOPPERS RE INSPECTION UNIT _J t•L Date 01412r'193E OR :10 Legal Description Owner's Address Contracting Co. // / Signature •i Date: Notary as to Owner and /or Condo President My Commission Expires: , 23727 ,s5'�.: _ , � � 5 ISP•9AEL FAF+ti i'= ! :IEEY a PERMIT APPLICATION FOR MIAMI SHORES VILLAGE State lk 4 * # Competency # PAGE 0'1 4 Job Address / //) IC A: /9 ✓ Tax Folio l! - 3°265- c W DY640 / Lessee / Tenant /944ba Ada L 4 5fi Master Permit # 3 g 9 8 /04 :. /2 S'G Phone AP/-e Address �� . g 7g- yyB F - 2-2c/ Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL numBINg ROOFING PAVING PENCE SIGN WORK DESCRIPTION c° �' ' i C /it 01 /W % /0/4,6ei, eat G/1, c;?1 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 on the attached addendum (if applicable). I certify that standards of all laws regulating construction in this jur' permits are required for ELECTRICAL, PLUMBING, SIGNS, POOL OWNER'S APPIDAVIT I certify that all the foregoing infor be done in .compliance with all applicable laws regulating c au 'ze he a a d contr tor to do the work stated. Square Pt. Estimated Cost(value) dent Signet Date: Notary as My Commi ** * * * * * * * * * * 00 PEES: PERMIT RADON C.C.P. APPROVED: Fire Zoning Building Mechanical - - -- Plumbing NOTARY _ '• stallation as indicated above, and k will be performed to meet the . I understand that separate and MECHANIC WORK. urat - an t ,: t all work will and I Engineering_ TOTAL DUE er- Builder ;?,fig s . ISMAEL RAMOS M! COMMISSION A CC 244522 EXPIRES: December 6, 1996 Cc bd Na r Public Underwriters der ** Other Electrical ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE as.AO BIDET LIGHT OUTLETS CENTRAL HEATING /6/6a..1, / DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) I G 1J ' DRINKING FOUNTAIN SERVICE SIZE IN AMPS . .5 -- / - in, DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR a RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP 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 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 REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS - L MAR -A- + ere 5"a= 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 • IELAY TELEVISION OUTLETS )RAINFIELD, 4" TILE/RES. VIOLATION 'UM' 8 ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. :ATCH BASIN IISCHARGE WELL IOMESTIC WELL AEA DRAIN 100F INLET ;OLAR WATER HEATER 'IRE STANDPIPE 'OOL PIPING .AWN SPRINKLER SYSTEM 1AS RANGE IETER SET (GAS) AS PIPING ADDENDUM 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.) PLUMBING ELECTRICAL MECHANICAL BUILDING ❑ ELECTRICAL ❑ DATF .' PLUMBING ❑ PERMIT N? 7843 Contractors ¢ License No ROOFING ❑ C Owner of Building MIAMI SHORES VILLAGE. FLORIDA Architect ' Contractor > f or Builder Legal Lot II Bt. Description Address of Building CONTRACTOR OR BUILDER 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 state ents or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: 6 w1 . Subdi- vision Sq. Ft Value of Project $ s „; I p 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,' assume responsibility for all work done by either, myself, my agent, ser.Jant or employee. BY Amt. of Permit $ ! AUTHORITY 195 i7 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. • Owner's Name and Address.... .... 17.-: - .- - - - - -. - -..e6 /47,-,1. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot / U Block /7F Street and Number where work is to he done State�rwork o be done and purpose of b ildin (by floors c✓o /( - 6I ;/ F can be sent to STATE OF FLORIDA, i COUNTY OF DADE. ss. / Date a .-� 1110 Subdivision Al E Chairman Member Member s /0 c Member Member Member Date A. . / � ✓��/ . 19 SS` No./1/D Street M D rs — St q. C J�t � 3) o o Notary Public, State of Florida ANNING BOARD DATE cercoe iohrn 9 '4 si / . 44-0(1 Cet el /7 /1./e. 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 $ 2 55 0 ^ J Amount of Permit $ S? - a- s? 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 aacj specificaJ ns for said building. All notices with reference to the building and its construction may , � c _3/do H.! 77r� - "/E- /14/a •n 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 or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perform under this permit, as are licensed by Miami Shores Village. Remarks (Signed) to me well known, and who, being by me first duly sworn, upon oath deposes and says tha he is the of the above described construction, that he has carefully read the for::oing application, and that he did sign the same, and that all facts therein by him stated are e. Permit No 7k Date Read, Sworn to and Subscribed before me. Disapproved (Signed) Building Inspect ' M ' ,,- ommission Expires 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared t es eJ, a-e)?j