550 NE 102 St (11)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date .S7,,S /4 2 Job Address 5SO it.). 47 /002. Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant __& / frk'� 0 Master Permit #
Owner's Address -5 N . L — ` ®02 Phone
Contracting Co. 9 S • �U /`F�
Qualifier i 3e - g O S .. x V 141e SS # Phone s
State # CO k-P 3 9 2 Municipal # Competency # CP C(.9 `1Z Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIP'T'ION ge` /,fie f iV i r B 2 7e2.4) (Sc a )
/0 �
X 4 17
Address 2030 SO lot Ati /7)i 7 ? 3 3 l1/4f � -
Square Ft. Estimated Cost (value)
3$
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.
1'
"gnature of owner and/or Con. o Presi • Ai
Notary as
My Comm
wner and/or C
sion Expires:
APPROVED:
Zoning
Mechanical
Date
b3lttLIC STA A.< ORIDA
C LMISSICN NO. CC461650
MY COMAE` ,ION EXP. AUG. 15,1999A
Signature of Contractor or Owner- Builder
Not /as to Contractor or Owner-
My Commission Expires:
FEES: PERMIT (6 1 1:.)/ RADON C.C.F. l NOTARY
ate
a te
OFFICIAL uTARY SEAL
MANUELA ALFARO
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC461650
r _OMMISSION EXP. AUG. 15,1499
BOND
TOTAL DUE
Date
Building Electrical
—/ \:12 Plumbing Engineering
Sec. 6 -3 Air Conditioning Regulations.
Miami Shores Village
(a) All individual air conditioning units installed in walls or windows shall be securely anchored
to the walls by approved methods. Units installed over public property, paths of egress or more
than ten (10) feet above grade shall be secured to the structure by bolts or screws to resist horizontal
wind loads. Such units cantilevering more than eight (8) 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 special requirements shall apply to the control and regulation of noise nuisance
from air conditioning machinery.
(1) All equipment, existing or hereafter installed, regardless of location, shs ll be
maintained in good working order. Equipment so located that normal operating
noises create a nuisance to adjacent owners or occupants shall be provided with
soundproofing, or sound- absorbing baffels, or enclosures, as approved to insure
maintenance of a reasonable noise level.
(2) All equipment on outer walls, on roofs, or in the other exposed locations, which are
unduly noisy, and which causes valid complaints from adjoining property owners or
occupants may be required to be relocated, redesigned and/or enclosed in noise-
retarding materials when, in the opinion of the building official, such enclosure is
necessary or would be effective.
(3) Special consideration shall be given to the planning of all future installations to
minimize the noise nuisance to adjoining property owners or occupants and the
building official shall have authority to reject or require the redesign 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 may hereafter be provided by law
(Ord. No. 299, Sec. 1 -3, 2- 21 -61).
I have read the above ordinance and will comply with the regulations thereof
e t-661elk iJ
owner /signature
(3,
Contractor Signature
I have read the above ordinance and will comply with the regulations thereof.
BUILDING INSPECTION DEPARTMENT
:APPLICATION FOR BUILDING PERMIT
Application is hereby uinde (of the approval of the detailed statement of the plans and specifications herewith submitted for the build.
ing or other structure hcreih 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.
•
MIAMI SHORES VILLAGE
Date..._ .... L /T _ _. ,19.7<
Owner's Name and Address ..ID ,i ,�
Registered Architect and /or Engineer
Name and address of licensed conttactor..�,lQ.lf.� ..lit./ r...CP,t1.. 1. ° _l..tl ...._ 7'? 90 S' ._... . +/ 7"-- ,
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done.. eS _ _/ 0 . '5 74 % ,
State work o done and purpose of ilding (by oors )... . Qr .... -i... .. e-...,1_4- .._
t.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ oL a'46. 0 C1 Amount of Permit & 2, 2 ®r /Xi
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 a specifications for said building. All notices with reference to the building and its construction may
be sent to �r � �a . `' 7 Z � c3 w 4' 4) z 7 -- ..et -, .its L:�)
. 3 3/- .........
• -_
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. ��+"'- Q�,�_�__�.�-_"`
Disapproved*.
( Signed)
Building Inspector
Date
Remarks .__. _.._._ (Signed)
and for no other purpose.
TA00aolb
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. v�
Permit No.._ ` 1?_._ Date ` /WI 19 Read, Sworn to and Subscribed before me.
to me well known,
Notary Public, State of Florida
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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
DAVE AIR CONDITIONING CO.
7290 S.W. 42 Terrace, Miami, Florida 33155
MECHANICAL CONTRACTORS - SYSTEM DESIGNERS - SWEET METAL SHOP - SERVICE DEPT.
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PHONE
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Dependable And Competent
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Phone 284.6444
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