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MECHANICALPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Dates — , Job Address / X00 /D/571 7 Tax Folio / 3 D S Legal Description Historically Designated: Yes _ No Owner/Lessee / Tenant Owner's Address State # cqGD.Q. 3 OD Municipal # 14oa Pe' 101 - Master Permit # Phone coog Contracting Co. /A' 1 PE ' /A' -f- wry, Address /02/ Qualifie / C�G' «- J = - / hone 2t 7 Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN MECHANICAL ROOFING PAVING FENCE SIGN ��qq � WORK DESCRIPTION CA J L � � cn V Lam' d? cc Z ` 1 V 1 v C 0Ae) Square Ft. Estimated Cost (value) 5 O 2 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 contract, . do the work stated. Signature of owner an y llor Condo President Date Notary as to er and/or Condo President Date My Commis on Expires: FEES: PERMIT APPROVED: Zoning bU1J C�1vDL Mechanical Signature of Co• ac o or Owner- :uilder Date Notary as to Contractor or Owner- Builder My Commission Expires: RADON C.C.F. NOTARY TOTAL DUE Date Building Electrical Plumbing Engineering Date Legal Owner Description,N IV // "/ ! 7715' 440 • DE g &G C- 2ct I ck cS 2S iloCCywQ0 (8L4 S /TP A- 1- Q J V )cE zAz Address / Lessee Owner's Address Contracting Co. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 3 Job Address 1 ) ) ) PE ) 0 1 S T . Tax Folio 1 l ‘.3 0 23 0036 6 / Tenant Qualifier JO56`hl 4 • S IT J . SS# Phone . .F5 State iiCA(0368 # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING WORK DESCRIPTION sPEP C E S/&■ cav0 6- 71ST --- ocJ7s , 06 6 N by Ai o Square Ft. 2e d Estimated Cost(value) 2 D a d 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 ab -named contractor to do the work stated. Signature of owner d /or Condo President Date: 4 1)/475 .0,AA4r— A Notary As to Owner and /or Condo President GAY My Commission Expirpsloav r��zalt °TA °' % T�,•�p ;A'ZZi MY COMMISSION EXPIRES OCTGB -a 20, GQz,2 BONDED 'DEW AGENT'S V,OTAety 3:1 ©:(M3AC E ** * * * * APPROVED: Zoning Notary as to G or Owner-Builder My Commission Expires: NOTARY PUBLIC STATE OF FLO UDL AT LARGE WY COMMISSION EXPIRES OCTOBER 20, 1993 * * * * BONDELkTHRU AGhNT'S NOT* y BROIL/CLAM ** `75"-- n � FEES: PERMIT 44F. . RADON C.C.F. J4 D 0 NOTARY TOTAL DUE �' Phone 9)' -6v/6 Master Permit # 6 6s' - /u W)67s T -9 ROOFING PAVING PENCE SIGN Sign ure of Contractor or Owner- Builder Date: c/ Fire Other Building Electrical $lumbing Engineering MIAMI SHORES VILLAGE BUILDING INSPECTION DEPAIITMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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 B Ordinance of Miami *Idin Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Vi ge 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. Remarks Chairman Member Member Council Approved ie,25>9)/ Date ., Owner's Name and Address 14 AV E 4 -3' 17-- No 1 yob Street.P.,E , / St Registered Architect and/or Engineer .A/— 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 1 1-A, 0 4/.... / 0 / 5 f State;vcica reg Av be done and purpose of building (by floors) .,--- 4a41._ ) //..1, 4 j e2,r-, /1-.61.0 i•cri?, Ckez.E> r and for no other purpose. New Building Remodeling Addition Repairs , No. of Stories To be constructed of Kind of foundation Roof Covering 7 Estimated Total cost of improvements $ e:g ) 7D O _Amount of Permit $ Zone cubage required _Plan Cubage 7 Distance to next nearest building AS- Size of Building Lot r 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 wprk such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontrtrs, on work to perfonined under this permit, as are licensed by Miami Shores Village. 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. Permit No-r Disapproved _ ( Signed) . Date 4f 2-2 Read, Sworn to and Subscribed before me. Date ( Signed) Notary Public, State of Florida Building Inspectorj My Commission Expires PLJT ING BOARD DATE Member Member Member Date Disapproved (c5 .561/ 414 /75 to me well known, Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has horn 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 worlunanship. TO WHOM IT MAY CONCERN: April 14, 1970 Mrs. Patricia Ramsay has the Gerloffs permission to install a Gas air conditioner unit outside her home. Mrs. Patricia Ramsay gives her permission to the Gerloffs to tresspaas 10 feet on the Northwest corner of her property with a boat trailer to allow access to boat storage on the East side of the Gerloff's house. vim 6;4F4e., 620.)-vv4 Patricia Ramsay v � garet A. Gerlofr