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MECHANICAL PERMIT-Date S / /C-7 Job Address 1/4' /O/[ Tax Polio /7 fo 4 /f3 Legal Description, �VV - ,5d Ul /P 77).67. Owner / Lessee / Tenant 0 L- _ i i Master Permit 4FfX0 Owner's Address Date: My Commission Expires: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 9 / 1 / - L -7' � `c / Phone ^ . / J S-- 757 I�l 6/ / 4A? Address US NE /se7 /I E Contracting Co. ,� Qualifier TGJ•�L.a Phone 30S &S b o // State itaya� Municipal # Competen64O0f0 .4n Co Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING // ROOOFING PAVING FENCE SIGN WORK DESCRIPTION r9//6 !T� ! &. - r . 1 ���� . M Corn Y?F`U ,AL Al ./: � _ dent `'Bunch ■ ■. " =c Square Ft. Estimated Cost(value)c2,900 WARNING TO OWNER: YOU MUST RECORD A NOV CE__OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCI 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 infor curate and that all work will be done in compliance with all applicable laws regulating . "i7 and z;ning. Furthermore, I authorize the above -named contractor to do the work state Notary as to Owner and /or Condo President No -ry as to Contractor or Owner- Builder My Commission Expires: ** * * * * * * * * * * * * * * * ** FEES: PERMIT ‘/S RADON C.C.F. 1 4 �� NOTARY TOTAL DUE ‘ 7/ APPROVED: Fire Other Zoning Building Electrical`1 *0,/ 9r, Plumbin• Engineering Sig - . ' • - Q'1� ►• t r _ , ��r Owner- Builder Dat �_. BUILDING ELECTRICAL PLUMBING Owner of Building Architect r ''' DATE P N ° 6034 CONTRACTOR OR B DER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under Bl. this Permit Contractor or Builder (4(-- Legal Lot Description Address of Building This pe it is granted to the on actor or builder named above to co truct the building or to install the equipment or device described in the appli- cation herefor n 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 shgwn on the plans or drawings or in the state nts or specifications and that- he umes respon- sibility for work done by his agents, servants or employees. ,i' Subdi- vision Value Proje Signed: " ,r INSPECTOR Contractor; Amt. of Permit By A AUTHORITY 1947 License No. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder d'n com lance 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, servant or employee. BY 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.,au -� - C Registered Architect and /or Engineer Name and address of licensed contractor e- !'=t ' Location and legal description of lot to be built on: Lot Block s ubdivision __ Street and Number where work is to be done ? i + __r= State Disapproved Date (Signed) �. , work to be done and purpose of building (by floo s)_�__ _ _ ) _ c J , l - - - - -- and for no other purpose. New Building Remodeling 1 Addition Repairs No. of Stories To be constructed of Kind of foundation - Roof Covering Estimated Total cost of improvements $ f) cJ 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. % f 4 „^ Remarks ( Signed) __ ^-4 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 careful}y read the foregoing application, and that he did sign the same, and that all facts therein by him s , ted are true. Permit No b _‘•__ Date Read, Sworn to and Subscribed before me. Date __,l , 19__� No 7 Street_2 Notary Public, State of Florida Building Inspector 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.