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102 NE 102 St (5)
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address IC9 �(_ 9 , NZ I Tax Folio ( ( .)an (0 01 ? Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 14MA ( et Master Permit # T 51 Owner's Address 1M 9 OP, IQVnd MF4 Phone (s 5, ri 5 ) -50L( Contractin Co. OCCb I )I l P I • 1 f\Etti— Adclitss515 k) E I QGh 4 ee - Qualifier —cr ` /1 mfl SS# Phone State # .e ) 4 l ` Municipal # Competency # Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN \ cC . 0 —� n ► - 1 - . Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address WORK DESCRIPTION f Square Ft. Estimated Cost (value) Imo . p0 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. Notary My Commission E FEES: PERMI APPROVED: Zoning !�' Building Mechanical / 1'01 / } u'lder OTA.RY AL • o xpires. BONNIE LEE LANE NOTARY PUBLIC STATE OF FLORIDA COMMON NO. CC610?89 EXP. 12 Signature • a or Owner- Builder �� 1 1.r Notary as o My Commis C.C.F. . II) NOTARY - 0 — BOND Electrical 1j / /44' Date Date e3 TOTAL DUE �j /O - Plumbing Engineering t C iy 0 °777 .. 05/05/94 13:12 MSS • tiami c.rizarefillagc L O R O , Sec- 5-1.1. Air conditioning repulutions. (a) All individual air conditiuuiug units installed in walls or windows shall be securely anchored to the . walls by approved methods. Units ir►.salled over public property, paths of egress or more than tc:i (10) feet above grade shall be secured to the struc- ture by bolts or screws to resist horizontal wind load.;. Such units cantilevering more than tight (S) inches on the exterior of a building shall be supported by steel angle brackets secured by bolting. Bolts to masonry shall be set in lead shields or similarly rot - resistant fastenings, (b) The following spatial requirements shall apply to the con- trol and regularion of noise nuisance from air conditioning machinery: (1) All equipment, existing or hereafter installed, regardless of location, shall be maintained In good working order. Equipment :.o located that normal operating noises create a nuisance to adjacent owners or occupants shall be pro- vided a ::h soundproofing, or sound absorbing bagels, or enclos.: es, as approved to insure maintenance of a rea- sonable noise level. (2) All equipment on outer walls, on roofu, or in other exposed locations, which arc unduly noisy, and which causes valid complaints from adjoining property owners or occupants. may be required to be relocated, redesigned aud.'or en- closed in noise - retarding materials when, in the opinion of the building official, such enclosure is necessary or would be cffec five. 43) Special consideration shall be given to the planning of all future instZ►llntion3 to minimize the noise nuisance to ad- joining prvperty o or occupants, and the building official shall have authority to reject or require the redo - sign of any system which, in his opinion, would cause such a noise nuisance. (c) Violation of this section shall be punished as is now or wily hereafter be provided bylaw. (0;. No. 299, I§ 1 - 3, 2.21 - G1) I have rend the above oLa+rio.tzc :o and will car 1y with regulations thereof. :1 '11 OiArbr 1 ignatx e MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ DATE f �5 ELECTRICAL ❑ PLUMBING E] PERMIT N? 9708 ROOFING ❑ � `' j � r :3, Y] Work to be performed under this Permit 1, .� : ►. { ' . = I t / " Owner of Building Architect Contractor or Builder Legal Description 1 ; t Lot Address of s Building _/ Bl. 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 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 jp he ,ata ments or specit'ic ns and that he assumes responsibility for work done by his agents, servants or employees. - !! Signed- Subdi- vision Sq. Ft Value of Project $ 2., See Contractor's License No Amt. of Permit $ • 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. A r CONTRACTOR OR BUILDER BY AUTHORITY I7 Application is hereby made for the apppproval 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. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built Lot Block Str t dN b h k' b d STATE OF FLORIDA, COUNTY OF DADE. J ss Permit No Disapproved (Signed) ....c MIAMI SHORES �\LLAGE BUILDING INSPECTION DEP5RTMENT APPLICATION FOR BUILDING PERMIT ee an um er w ere wor Is to a one State work to be done and purpose j of building (by floors). .. . J 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 $ S 25© 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 oldie notice or notices as are required by the Act. The undersigned agrees to employ only suc tract s, n wo to bg p r c -ynder this permit, as are licensed by Miami Shores Village. �J+ Remarks (Signed) 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,— Date Bui ding Inspector Date t G2. Read, Sworn to and Subscribed before me. Chairman Member Member ...... X. PLANNING BOARD DATE / ,19‘® Date -.1 _. No. g Street l .. G'. ._. L Subdivision Amount of Permit $ /° C" to me well known, Notary Public, State of Florida My Commission Expires 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.