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150 NE 102 St (4)Approved Correction MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Reque Date Type Insp'n, ,(il\P 0 Permit No a) F. 03' o -6 Name Address Company Phone # Inspection Date 3O Ree --In p'n Fee ❑ `t e�P e 4- (44 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138• Phone: 305 • Fax: 305- 756 -8972 D ate 10 � � � � Job oasT ; axfo' 0!��1//1 D Address Legal Description essee/Tenet Owner's Address Qualifier PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Contracting Co. C + R A t r C©y\ J ' Co KOCoer1 C_C.� State# ACOA6L+pf Municipal # © 18 8'02 '3 Competency # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. WORK DESCRIPTION: Permit Type (circle one): BUILDING ELECTRICAL PLUMBING OD Square Ft. Estimated Cost (value) 3 ' Nr• 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 ANY 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 all disciplines. OWNERS 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. )t \k ; - ide ate �'.- ;; Robert J. Chryst •: ;._ MY COMMISSION # DD113321 EXPIRES .'� May 24, 2006 $ONDED THRU TOY FAIN INSURANCE, NC My Commission Expires : /1P °" 1 }listoif 11 D s' n ted: Yes No 0 3- - Master Permit # h.JI t/ V )`'` SS# W b I�Iy�bx mission Expires ec ` Phone 3 OZ' 7\S • t Q Address 00- GOO' 12 30M/Qm Fl Data' Phone V 0■' 6.8.E Ins. Co. H 9 ^tTo C1 Signature of ractor or 3 ne Builder Janet Kranz :.: _•_ ;. MY COMMISSION # DD174033 EXPIRES °11 December 24 2006 Rf=frb BONDED THRU TROY FAIN INSURANCE INC ROOFING 14 •01 .0 3 Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner Builder Date FEES: PERMIT / � ' r RADON C.C.F NOTARY BOND APPROVED: TOTAL DUE Zoning Building Electrical Mechanical � _ ' ( c f' ' Plumbing Structural Engineer (AN APPLICATION FOR BUILDING PERM OBTAINED, THE OWNER'S NOTARIZED BATH TL8 BIDET DISIWASHER D I S. -OSAL = LOOP DRAIN :PEASE TRAP INTERCEPTOR _AVATCRY _;.U4 DRY TRAY :LOTHES WASHER 3.:GhER 3 :NK, RESIOENCE 3'NX. SLOP ';.TER CLOSET. .'DIRECT WASTES . ;TER SUPPLY TO: AJC UNIT FIRE SPRINKLER S'ri I W I NG POOL WATER SERVICE EWER CONNECTIONS ILITY -SEWER IL.ITY -WATER :PT IC TANK LAY TOH BASIN S HARGE WELL 4ESTIC WELL EA DRAIN CF INLET _AA WATER HEATER STANDPIPE :L PIPING PAIGE "ER SET (GAS) 3 PIPING PLUMBING ! EM UNIT FEE ;R INKING FOUNTAIN SINK POT /3 COMP. 4 PCRARY WATER CLOSET HEATER -NEW INST. SEATER- REPLACE ' LAWN SPRINKLER -WELL • , AINFIELO, 4' TILE/RES. & ABANDON SEPTIC TANK k <AGE PIT J. FT 'N SPRINKLER SYSTEM ADDENDUM TO ITEM UNIT SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIR/LETER CHANGE APPLIANCE OUTLETS RA,`GE TCP OVEN WATER HEATER MOTORS 0- 1 FP MOTORS OVER 1- 3 HP MOTORS OVER 3- 5 HP MOTORS OVER 5- 8 FP MOTORS OVER 8- 10 HP MOTORS OVER 10- 25 FP MOTORS OVER 25-100 HP MOTORS OVER 100 HP A/C •AIR STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS C04ERCIAL SIGN SIGN SIGN FIXTURES ANTENNA VIOLATION BUILDING PERMIT APPLICATION IT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERHIT HAS B. SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) WINDOW ELECTRICAL CONDITIONERS TEES TRANSFORMERS TIME CLOCK TELEVISION CUTLETS RE I ts?ECT I ON FEE ITEM SPACE HEATERS CENTRAL HEATING A/C (WINO) A/C (CENTRAL REFRIGERATION UNDERGROUND TANKS ABOVE GROUND TANKS STEAM BOILERS HOT WATER BOILERS ELEVATORS/ESCALATORS COOLING TOWERS VIOLATION REINSPECTION MECHANICAL 1= n DUCTWORK U r PROCESS AND PRESS PIPING U.F PRESSURE VESSELS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES FIRE SPRINKLER SYSTEMS UNIT FEE 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. Owners Name and Address Registered Architect and /or Engineer — P " P Name and address of licensed contrictot. . 2 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done... 5 __ E, iQ 24 - 5 T. State work to be done and purpose of budding (by floors)..._JEPLA Q I . New Building Remodeling Addition To be constructed of Kind of foundation Roof vering Estimated Total cost of improvements $ 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 nployer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Si p element, and has complied with the provisions thereof, and will require similar compliance from al ntractors or sub - contractors empl TO by him in the work to be performed under this permit; and will post or cause to be posted for ' sp tion the si •f the work such ul lie notice or notices as are required by the Act. The undersigned agrees to employ only such s • • •tract' on •rk to be perform nder this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 - — 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.. � _ Date *P ft ' 7 7 Read, Sworn to and Subscribed before me. Disapproved _ Date. (Signed) MIAMI SHORES VILLAGE s. ictiLLLkgp Builli Inspccto Chairman Member Member sass.. ___._._..._._ ...._.._.._ Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re-inspection fee of 31.00 will be charged materials and /or workmanship. e �r®.Q 147 740 1 1 ; . U No.....i a C�..__. Street.. . : e- @03.) D, 041 iT � ..._ SA02 C/2a and for no other purpose. Repairs No. of Stories Amount of Permit S 11• x Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Member Member Member Disapproved or changes to this application after approval h to me well known, Date as been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty eel MIAMI SHORES VILLAGE Owner's Name and Address Name and address of licensed contractor 7::::.c N__A e') Location and legal description of lot to be built on: Lot 8 i e Block 1 4 Street and Number where work is to be done State work to be done and purpose of building L ■•-5 Permit No Disapproved (Signed) 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. cam° Jet 1DE( Registered Architect and /or Engineer Subdivision M A fr.' ( S c. E 0 Is) y floors) and for no other purpose. Addition Date "'"1 ' L'r , No Street epairs No. of Stories Roof Covering New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $. ..� O Amount / PeJiit $ Zone cubage required Plan C Distance to next nearest building Size otf Buj, Zing Lot Maximum live load to be borne by each floor I here submit all the plans and specifications for said building. All notices with r ference building and its construction may `�` be sent to ,� „ ^ts �..t _ . - e o • Z2 _ Cu • ./ 6' 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 s'te o he work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only su - .contractor n •r be per under this permit, as are licensed by Miami Shores Village. s Q t Remarks (Signe 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. Date____�� /s Read, Sworn to and Subscribed before me. Date Building Inspector PLANNING BOARD DATE Chainnan 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. Notary Public, State of Florida My Commission Expires