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1301 NE 100 St (6)MIAMI SHORES VI.AGE A BUILDING DEPARTMENT 4 0 305 -795 -2204 $uil • g Inspection Request -r .. is Date ar2-006/q � .rmit t Pe D'1 r 31( r. e Yta.t, T pc insp'n A dress C impany Fume# !: ispection Date f .pproved C . )rrection 1.e- Insp'n Fee Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/11/2005 Applicant: PETER MARGOLIS Owner: MARGOLIS PETER JOB ADDRESS: 1301 NE 100 ST Contractor EDD HELMS A/C INC Local Phone: 305 - 653 -2520 Parcel # 1132050140020 Mechanical Permit Permit Number: MC2004 -216 Contractor's Address: 17850 NE 5 AVENUE Permit Status: APPROVED Permit Expiration: 6/26/2005 Construction Value: $3,750.00 Work: MECHANICAL FOR BEDROOM- INSTALL 3 TON SYSTEM (MASTER PERMIT BP2004 -1564) Page 1 of 1 Legal Description: GORDON TRACTS PB 55 -20 TRACT B LOT SIZE SITE VALUE OR 18814 -0493 Fees: Description Amount FEE2005 -376 Building Fee $131.25 FEE2005 -377 CCF $2.40 FEE2005 -378 Training and Education Fee $0.80 FEE2005 -379 Technology Fee $3.28 FEE2005 -380 Submittal Fee ($50.00) Total Fees: $87.73 Total Fees: $87.73 Total Receipts: $0.00 JAN 12 PAID Signed: (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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village BUILDING PERMIT APPLICATION . FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Phone # Owner's Address 13 O t N L5 s City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) (30/ N 6 160 City Miami Shores Village County Miam -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name `Cc AccAtc /.SIG Contractor's Address ('7 ' ? O U'G City f r f, / ) ,lii � / State pL Qualifier Pc4. P c-- ,57 c State Certificate or Registration N(& ac3 a� Certificate of Competency No. Architect/Engineer's Name (if applicable) 1 ` $ Value of Work For this Permit Type of Work: [Addition ['Alteration ❑New Describe Work: /A„) .. 4 /) g 4/ 161C_ 1441 Se y't e O Submittal Fee Notary $ Scanning $ Code Enforcement 5 Total Fee Now Due $ (Continued on opposite side) * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * ** * * * * * * * * * * * * ** * * * * * * * * ** 5 Permit Fee $ Training/Education Fee $ Radon $ Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical --wro-Fro Zoning Structural Plan Review. $ Plumbing Permit No. 9 ` -1 ter Permit No. Phone # Square Footage Of Work: Roofing Phone# 30 ( 61'3 --- 3 3-c) Zip 33/6• ❑ Repair/Replace ❑ Demolition )94.1 rera CCF $ p / , Y° CO /CC Technology Fee $ Bond $ 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signatur Owner or Agent Contractor The foregoing instrument was acknowledged before me this The f rregoing instrument was acknowledge before me this '' day of , 20 , by day of -eel P, w.A0$` , 20 0 by 5 i-t. t r.• , who is personally known to me or who has produced who is personally know 5me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: v Sign: Sign: "itdtd v v Print: Print: Z //14 4 ` ��I „/ e_ i inda Rigg1e =4 My Commission Expires: My Commission Expires,, .. \ C :Commission # DOOM **************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** '‘ I/ S APPLICATION APPROVED BY: Chc 05/13/03 Plans Examiner Engineer Zoning Date I--J % q Legal Description Owner / Lessee Owner's Contractin Qualifier State 4k l Municipal # Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle ROOFING PAVING FENCE SIGN WORKn DIESCRIPTION Square Pt. _Ss OS WARNING TO OWNER: YOU MU T 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 Pres 'en My Commission Expires: ** * FEES: PERMIT RADON APPROVED: Address I Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address l3 ®l IV x /06 -'hSI Tax Folio // aa03 /1 9 0 & 0 9 / Tenant Y "' Kr.ICc 5470 o i �� r . /004A ST KKe ,L Phone 7 -S C O ' 2 7e% 7 r( 10 �- / PG l�.l 6 `90 ,� A S'T � Add ress b vi i'es(7j714cild SS 9 �2 Competency 41 . 1 O Vc1/ /ins . Co . Signature of Contractor or Owner- Builder \' i Date: Mechanical Plumbing, Estimated Cost(value) Master Permit Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * * ** NOTARY TOTAL DUE Building Electrical Engineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY • ( OWNED TO RETAIN COPY) Date 1 -5- 9 L Job Address / A/ r /p o-/ h S' -/reed Tax Folio /✓ .3a05 /ji Oa20 7 Legal Description i � r�� �G o2Z ' � QGr'iU Master Permit Owner / Lessee / Tenant j Y q. e, Cra rci .. Owner's Address 1301 N. )Or) -,f,. Phone 7.58' 1 y 3 !-/ Contracting Co. OYGIQbI� c ✓ Nea-1- Address Si to hl. � 1 0 4-h Qualifier 1 1 Phone 7C/0 - 0 777 State # Competenc (,4C O LI Ins . Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING Cii PAVING FENCE SIC WORIC DESCRIPTION RePkiC i 3 -6 I + N e� A� j w. 4- h I() KuJ 1-- 1)2G 4 C)r — Square Ft. ,'30t) sQ ;4ARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE T DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YC INTEND TO OBTAIN° FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE ?ECORDING YOUR NOTICE OF COMMENCEMENT) . %pplication is hereby made to obtain a permit to do work and installation as indicated above, a :: )n the attached addendum (if applicable). I certify that all work will be performed to meet ti: standards of all laws regulating construction in this jurisdiction. I understand that separa: 'emits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate•and that all wor •ill be done in compliance with all applicable laws regulating construction and zoning 'urthermore, authoriz ; the above -named contractor to:do the work stated. Ow n lal t or Condo • � // ° 1 ? `r7C.Sa$' Gil:' .ilk, WTE tlr" FI NDA otary as to Owner ! nd : , ' Vrhd Pres +rd n `f 4 k % GA ",0.1.;0 °3'32t1gb y Commission Expires: 1/4 . mr man en mo $ °° ` 1^J.12. ftwo esident ignatur� pf ate: rte =UNIT FEE: APPROVE Zoning Mechanical Fire Building Estimated Cost f ( 00. bC� Notary as to Co My Commission np rap y r or Owner- Builder r[ 4 £ rctsor, or Owner Bu41 r E•r. 9 r� 'w.ti ;._. �i >i': in i li: ,��i X666 • er Electrical / Engineering c21-1 -\Sb 1 CTT 11 8� G MIAMI OR VIL BUILDING DEPARTMENT 305- 795 -2204 � Building Inspection Req st Date 1OI L I `OG Type Insp'n I /-.L4L A 1 C- Permit No. MC O4 - 2. I (o Name Address f 30 1\1E- I Q() ST Company a- M S c t _rE i c_ Phone # (5C6) 2 1 1 Inspection Date tO I Z [ tS Approved Correction Re- Insp'n Fee Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 EL \?Aas RoB�31� Registered Architect and /or Engineer Name and address of licensed contractor TT W �5 v ' �h/ 9-.i //i5-6707 //U K/• � lfil Locati n and legal description of lot to be built on: Z 05" / 4 9 Lot k Block Subdivision .401 u�� �� Al, Street and Number where work is to be done 3'2'1 �vE loo ST 7 4 / Lt) State work to be done and purpose of building (by floors), state exterior colors (submit samples) Cwwb Ek 1i-1cs Al • and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Coverin Estimated Total cost of improvements S ■2°" Amount of Permit S C 7 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 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 obligatons 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 employ only such subcontractors. on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. }SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date Ju1aE 19 90 No. (:=•% Street 14E 1 OV �3T 3 - cq c2 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. �;ZZ. Date 41X/$) Read. Sworn to and Subscribed before me. Permit No. Disapproved Date Notary Public. State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved 1 ate Disapproved Date NOTE: A charge of 825.00 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 825.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE () ‘b`o3 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. J, gP Owner's Name and Address f O L_e 13 Registered Architect and /or Engineer NOT Name and address of licensed contractor. -_!_._ O Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work jp be done and purpose of building (by floors)___ 1__L _ _____ 1.7,C- __ Y. j #14_s and for no purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $_ .,2Z.1)& 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, on work to be performed under this permit, as are licensed by Miami Shores Village. �p Remarks____________________ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss Disapproved Date_ ( Signed) Building n 7. ector BUILDING INSPECTION DEPARTMENT _ II ate 4� ` � C' l d ® No Street 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. ee�� Permit Date d t 3 — Read, Sworn to and Subscribed before me. Notary Public, State of Florida to me well known, 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 51.00 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 Owner of Building Architect Contractor or Builder "• °°, '' Legal Lot Description Address of Building p DATE te a` 195 PERMIT N? 1687 Contractor's License No. Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA B1 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Value of Project $ Subdi- vision BY . fi Amount of Permit $ Signed. 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY a 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. ' t + Date , 195 Owner's Name and Address l� �Jl1�+^ Pel.._ No Street Registered Architect and /or Engine r Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done l J 0 1 1 0 State work to be done and purpose of building (by floors) $s. Remarks (Signed), x STATE OF FLORIDA, COUNTY OF DADE. New Building Remodeling Addition Repairs ' o. of Stories To be constructed of Kind rr foundation Roof Covering GR Estimated Total cost of improvements $ c&-t5 Amount of Permit $ '7' 6-6 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, on work . be performed under this permit, as are licensed by Miami Shores Village. /✓1 • Notary Public, State of Florida and for no other purpose. 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 state are true. Permit No t Date 5® 5- Read, Sworn to and Subscribed before me. Disapproved Date (Signed) %' Building n pector 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.