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1239 NE 100 St (6)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN TTAIN COPY ) Date �^ Q�Q Job Address /231" 'Gg !Do , �'� Tax Folio // .1 � f ee5 Legal Description U/ 7S 5 / 7 Master Permit # 3/6 O Ownef ssee / Tenant / 6 / (FLfe,t/d O wner's Address ss 04, e ' /Z 3¢ AJE. Phone Contracting Co.ca .4...44 G 6. Address Qualifier , L, p� �� Phone ZC, •t '7 Si State# Q A/ p"O S3 Competency# / ? I Ike„ Ins. Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION J r� Signature of Date: PERMIT FEE: APPROVED: A /1 geE.XL-e4 crrl Square Ft. Estimated Cost L 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. ner and /or Condo President il tdiri.._ai Noy /:ry :s to Owner and /or Con 2.___ President N•�ary "as to Contractor or 0 ner - Builder My Commission Expires: 9.../412.___ Q� My Commission Expires: /f� /4 p� * * * * �f * * * * * * * 3t• Fire Signature of Contractor or Owner = Builder Date: Other Building -- iq'\ Electrical Plumbing Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN MPS 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 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 , Mc e , 4-e , A/C UNIT STRIP HEATER S S �'Q .mot t' ' FIRE SPRINKLER GENERATORS TRANSFORMERS 4 7 7hNS , ,— 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 Rcme CONCRETE CORP. C: c:t- 3Ta- AC.- 11 c3FIiJ (1.. ( 4 , clic:Lc- P c" ve7 J- 1. Z. 3. 4. P. O. 4 NE 4 -4503 3 -3211 BOX 1000, HIALEAH. FLORIDA pa) e P<. 1 - 4 . N. E. /on 7S 'i o.( /n$�a lie PHONES: Dads Broward ANA Gc.n¢icA C (en -E t c. 6; �e �t1d t- LU 3-5908 LU 1 -1200 / n e rSd Glc� c t r t c M /p��i� /-a -S ere. / df' t /o , .!d I j f ad c.." 4ltZ��� G�" h C o .� f l• a a_ i Registered Architect and /or Engineer Name and address of licensed contractor__ 342,ft Location and legal description of lot to be built on: Permit No Disapproved (Signed) Chairman Member Member 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. Lot Block Subdivision Street and Number where work is to be done rag 9 /00 .f' T State work to be done and purpose of building (by floo s) __ Date .. 2 ;fl, r) Date 0 P/ / ° , 19 Owner's Name and Address r' iQ ydgg No./2 3 9 Street 1 S ' , and for no other purpose. Repairs No. of Stories New Building Remodeling Addition To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $___ 0. .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 su ontractors, on work to be perfo._ e d under this permit, as are licensed by Miami Shores Village. ' Remarks - - - - — - - (Signed �� _ _ : r STATE OF FLORIDA, COUNTY OF DADE. j 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. (O L2__= Date _.Q — I — �Q__��__ Read, Sworn to and Subscribed before me. Notary Public, State of Florida PLANNING BOARD DATE Member Member Member Building Inspector U ' My Commission 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. BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description O l CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE I -19 PERMIT Work to be , . performed under this Permit � -- Owner of Building Lot Bl. N9 6859 Subdi- Contractor's License No. vision ' Address of f'' Value of I Amount of Building - 't • Project $ I Permit $ r- r ` -.... 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. i t Signed = 1 I(( INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with alf 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 ac ceptinq this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ••eor BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building PERMIT N9 6419 Architect Contractor or Builder i + • Legal Lot Description Bl. CONTRACTOR OR BUILDER Contractor's t"'7 , License No. f t f BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA ❑ /''� DATE _ �' .. /� -� 19 ❑ Work to be performed under this Permit [`- : r�'i,: ! --Z✓ / •-•' Subdi- vision Address of Value of 11 Amount of Building 1 - / t Project $ II 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. / ' j f INSPECTOR Signed' L-L -'� � ... - -. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance rrith all oces 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 co cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 411toi *JEW 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. Date January 27, 1955 , 19 Owner's Name and Address MRS.___ MABEL_.SP,AMER No 3.239 Street, NA E, 100th Street Registered Architect and /or Engineer Name and address of licensed contractor LOWRY ELECTRIC COMPANY, INC. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1239 N._..J.._lOOth Street State work to be done and purpose of building (by floors) Installation of General Electric Oil Furnace - upflow - with duct work and buried oil tank and for no other purpose. New Building Remodeling .X Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 1,572.00 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 ontr , tors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) Disapproved _ Dat (Signed) Buil• nspector LOWRY ELECTRIC COMPANY, INC. 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. o� Permit No // 533 Date ("/ �� Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING 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.