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350 NE 102 St (8)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 - 0 Time Type Insp'n A / Permit No. Al F ac(/� a. h o2 Name Address c3 /sD /V / ' S Company 6/4}1;Lit Q g Phone # 3o ,' 3 0 2 /az 1/ For Inspector: 6 - /-274),2_. Name & Date Approved Correction Re- Insp'n Fee Date5e:.?r9 v'' Job Address 3 S AI F / 4) , ST Tax Folio Legal Description � �( Historically Designated: Yes No Owner /Lessee/Tenet ' ` i( Gam 6-• `) x:1 Master Permit # Owner's Address L ai? >A70� ,ij „-� Phone (3 ©. ) 7 5 Y d Contracting Co. /d( //_ G14 / o( C 0,44 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • 305-795-2204 Qualifier I -19 ff."- Ci • 3 cs a 3.,/),(1 State # 0 Ya 5 8`7 Municipal # 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. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING WORK DESCRIPTION: C-1147 ig © <2 T 7 LB-1-1�. /1/� �•Y" 7� �C'b Square Ft. Estimated Cost (value) 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. Signature of owner and/or Condo President s - f • Z Plumbing 1 -/ Y/czaaZ .9� Date Notary as to Ow 'ia� 'resident • m My Comissio . OOTARYSEAL NOTARY PUBLIC STATE OF COMMISSION NO. CC 870087 MY COMMISSION EXP. SEPT 9 o a c FEES: PERMIT7( RADON C.C.F 0 APPROVED: Zoning Building Mechanical 1/ 2Aa, ©00373© Address L S t S t. /2-sr *<l3 Competency # Ins. Co. e to Sign of Contractor or Owner Notary as t My Comm' ontract ion Exp NOTARY 3 ` g'.f2. 6 BOND ROOFING s! ♦i., 1' i e �CIAL NOTARY SEAL NO'I'ARYiONY J CARFORA PUBLIC STATE OF FLORIDA COMMISSION NO. CC 870087 MY COMMISSION EXP. SEPT 9 003 udder Date S ' Date 4/6 TOTAL DUE Electrical Structural Engineer Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/7/2002 Applicant: CAROLE LARKIN Owner: LARKIN CAROLE JOB ADDRESS: 350 NE 102 ST Contractor SPRING AIR CONDITIONING Contractor's Address: 13501 SW 128 ST #113 Local Phone: 305 - 232 -1211 Parcel # 1132060135130 Permit Status: Approved Permit Expiration: 11/3/2002 Construction Value: $3,557.00 Work: CHANGE OUT OF OF 3 TON COND & AIR HAWDUET W /8KW If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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 in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. • 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. Mechanical Permit Permit Number: ME2002 -62 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 5 & 6 BLK 38 LOT SIZE 100.000 Total Fees: $0.00 Total Receipts: $0.00 Signed: (INSPECTOR) BY: Signed: (Contractor or Builder) BY: 13501 S.W. 128 STREET STE 113 1NV6 MIAMI, FL 33186 wiewav °° """ ° " 1 """ m (305) 232 -1211 PAY _3r ct .. / / .. J C Je 4 'E�L. �� 41,4-e TO THE ORDER OF: 7 j4 0' z/ S ) f.SL4 S FIRST UNION NATIONAL BANK OF FLORIDA MIAMI. FL 63- 643/670 772 ®r a SECURITY FEATURES INCLUDED. DETAILS ON BACKS 11 '0 24 29 511' 1:06 ?00643 21: 209000059 LO L9n' 24295 DATE AMOUNT AUTHORIZED SIGNAT