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MC-05-59Miami Shores Village Building Department 10050`Fl� davenue, M Shores, Florida 33138 Tel:i(05) 795.2204"Fax: (3,05) 756.8972 I !;: 0 6 2r5 BUILDING PERMIT APPLICATIO FBC 2001 Permit No. i e.Q5 S9 Master Permit No. Permit Type (circle): Building Electrical Plumbing ( Mechanical Roofing V� & 55' 41 ne# 0-r' f! /PP Owner's Name (Fee Simple Titleholder)," � + ®7/`7rplt� �©�� Owner's ddress - ,/ W/ A.) / g( j' / City/ ff,DH/ S)`1'7�1-.0-%t State /X . Zip jJ/Jf Tenant/Lessee Name Phone # Job Address (where the work is being done) e/ ' /0,9t1r / e City Miami Shores Village County Miami -Dade Zip .J' / f Is Building Historically Designated YES NO X Contractor's Company Name PRS h z- [ rL. Ce)JJ:11 /- &U1c45 Phone # t J' g6 C)3 L5 Contractor's Address City Jk_IV S‘ State Qualifier /��R�/ GS 5 State Certificate or Registration No.1 A O �) )1 g Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ['Addition Describe Work: p Zip 33 151-/ L/ Certificate of Competency No. ❑Alteration Phone # Square Footage Of Work: New ►r Repair/Replace ❑ Demolition 36-c4T-1-- 4/ 5 ************************** e Submittal Fee Permit Fee $ Notary $ ' Training/Education Fee $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ ,,,.. ..........k..* 5D CCF$ Technology Fee $ Zoning Structural Plan Review. $ (Continued on opposite side) CO/CC 3s Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the • ice of commencement and construction lien law brochure will be delivered to the person whose property is subje a attachment Alss, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspe •n w.'ich occurs .even (7) days after the building permit is issued. In the absence of such posted notice, the inspection will '.t . • • ' sroved and ection fee will be charged. Signatu Own:' or Agent The foregoing instrument as acknowledged befo day of101, tom. o is personal b e me this known to me or NOTARY Sign Pri 411111 ho has produced s 1 entificat 1 . . a • who did take an oath. N /1,Or MyC Exp Commission xp ********************* ******* es: a ,=os� • 4oQ Expires: Signature Contractor The fore 'ng instrument was acknowledged before me this 6 day of , 20 , by Yr GC�J aee who is personally kno to me or who has pr duced ntification and who did take an oath. NOTARY PUBLIC: Si": Commis_ Print: I_��likt 1111.1, t xpii,: -,,, Groin.`,. Mir OF ie,-Bo,MY Commi sion Expires: ' "' `"‘ Atlantic ************************************************************************ C Bonding Co., Inc *************************************** APPLICATION APPROVED BY: Chc 05/13/03 ******** ****** PUN ►Vrdi7Vi •1gas 84 Expire ,: fit* * a*'� **7* ! � I tonded I'f r4 1-1 :PlEfIROARM ;Rd' Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLICATION (AiAPPLI6ATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM BATH TLB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL)',k7o.> )LigNIA ✓ DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK ID1lw4424-1 FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MDTCRS 0- 1 IP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT/3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 W ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 If FIRE SPRINKLER SYSTEMS URINAL 1 MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET 1 MOTORS OVER 100 HP VIOLATION INDIRECT WASTES I A/C WINDOW REINSPECTION WATER SUPPLY TO: i AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER -REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL ( SPECIAL PURPOSE SWIMMING POOL OUTLETS COWERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER F I X11.RES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4. TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 Printed: 5/16/2005 Applicant: AARON GROSSMAN Owner: GROSSMAN AARON JOB ADDRESS: 810 NE 95 ST Contractor MASTER AIR CONTROL SVCS INC Contractor's Address: 8867 EMERSON AVENUE Local Phone: 305/864-0225 Mechanical Permit Permit Number: MC2005-59 Page 1 of 1 Parcel # 1132060410020 Legal Description: JONI HEIGHTS PB 96-23 LOT 2 BLK1 LOT SIZE 13485 SQ FT OR 19402-0531 12 Fees: Description Amount FEE2005-6170 Building Fee $122.50 FEE2005-6171 CCF $2.40 FEE2005-6172 Notary Fee $5.00 FEE2005-6173 Training and Education Fee $0.80 FEE2005-6174 Scanning Fee $3.00 Total Fees: $133.70 Total Fees: $133.70 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/2/2005 Construction Value: $3,500.00 Work: REPLACE A/C 3 1/2 TONS CENTRAL A/C SYSTEM 10 KW HEAT, SLAB AND DUCTS Signed: (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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax; (305)756-8972 12/10/2015 To: Current Owner 810 NE 95 Street Miami Shores, FL 33138 Permit: MC2005-59 Address: 810 NE 95 Street Miami Shores FL Date Expired: 11/2/2005 Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to refinance or sell this property Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, \ --A-11G) 1; Ismael Naranjo (CBO) Building Director