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MECHANICALMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date _ Time Type InspR / /L Permit No. Name Address Company Phone # For Inspector: J D Name & Date Approved �' ❑ Z.0Z Correction Re- Insp'n Fee ❑ C'. . O -f s «Pp D / - ,(/Z=Q 7 a ( MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque Dat ype Ins p' Ti T +� 2_ l../ Permit No. — Name Address r Company Phone # For Inspector: Approved 3 Correction Re- Insp'n Fee , 7/L30 •: The Sunshine State • ucerisi NUNBER D240-325-55-224-0 HERBERT EUGENE DEUSCHEL JR • al 847 NE 99ST MIAMI SHORES, FL 33138-2566 BIRTH ATE SEX HGT. REST. ENDORSE 06-24-56 M 540 A ISSUED EXPIRES DUPLICATE 05.2649 06.2405 09.19-00 • • SAFE DRIVER MOTORCYCLE AL.S0 X660009190166 Operation of a motor vends constitutes consent to cry sobriety test recpinad bylaw. • CONTRACTOR Name A , ` License No. -.• /� C 0 3/ 1 g I Address // JX 10 /b -2 Q- a 2 C 7p.....:4;/7-..e.4.3349/1 - Telep 3 °819 -.2 64 7 ybs_- 81 9- 3 so 9 Qualifier Name c PRO RTY OW.N New Construction n ^inw P, ,A c^.n 49 ,..1 , Name ;; e. & Alteration Exterior Add sti 7 N 9 9 77 ;331.3 8' Home Telephone .1 " 7$/° a / ,az Demolish Business Teleph sq — 4 7 S— 3 / S Relocation of Structure F 1-) (#- 4 172 - z 3a1" Shell Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: c tep 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: o 417 Ne 994-6 • Address Folio Number / 3.2o Ip© 3 40 /30 Lot 8' / 9 Block /69 Subdivision PB PG Current Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No. City State Description of Work- C- ? et._ t 3 r1 a. 4,, C Q. L Zoning Square Feet Linear Feet Units Proposed Use of Property Value of Work P 6 oa • C 0 Bldg Value 33/3 g Zip Floors Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1°' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing Contractor. STAJ.�. �• i� T .M12.11 .[i ors ORIDA, COUNTY OF MIAMI -DADE S OF FLORIDA, COUNTY OF MIAMI -DADE e of Contractor / Qualifier t ,// 1/4 ' Print Name �y at Sworn to and subscribed before me this / / day of 2002- Print Name Sworn to and subscribed before me this / ' day of O L I. _j of Nota ( Public - tal Florida Personally known OFFICIAL t20 V ' - .' cjP.SI'l P O9 ANGELA M BEG -..i 2 )4 ( 0 com s »Ctl nueasa3 N. V. +p'-w. ¢ CC78S697 J f��R, Prbbed Identification OF on Signature of Notary Public - State of Flo(ida SEAL: Personally known PERMIT APPLICATION STS P. WAS116 My loan i1 Exp. e24f03 • 14. 00 019759 I 1 11 Other I.D. Type of Identification Produced: L 0°-3 pe of identification Produced: ELECTRICAL TYPE Minimum Fee QTY. 'TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYI'1. Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher. Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons WI Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - .Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical Mechanical , ew ‘ 9, (L.c> L Plumbing Fire Public Works Structural Building Official I Page 4 OFFICE USE ONLY el 1,L KLIS�T m OWNER - BUILDER FORM (Attach) ® FIRE DEPARTMENT APPROVAL (Commercial / multi- family) m CONCURRENCY (New Construction) OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning-Review D PROOF OF OWNERSHIP (Attach) • HRS / DERM APPROVAL (Septic / Sewer) CI IMPACT FEE (New Construction) 0 • .,. O OTHER (Specify & Attach) pERuijT FEES Metropolitan Dade County (C.C.F.) $ ! a D $ (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION UJ CONDO ASSOCIATION APPROVAL (Attach) U BPR APPROVAL (Restaurants) • CONTRACTOR REGISTRATION (On File) TOTAL $ O (, r, D ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 a FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com DATE INVOICE . AMOUNT fi el PAY l oomao on e.a. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Printed: 9/18/2002 Applicant: HERBERT Owner: DEUSCHEL JOB ADDRESS: 847 NE 99 Contractor BRANDON AC Local Phone: Parcel # 1132060340130 5 %° hot, *,t - ' 75. O o Total Fees: Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 3/17/2003 Construction Value: $1,600.00 Work: Change out of 3 1/2 ton cond. unit BRANDON AIR CONDITIONING SERVICE CORP. 6175 N.W. 167 STREET, G -25 MIAMI, FL 33015 (305) 819 -2669 CHECK NO. 1l2Do TO THE ORDER pF y DATE 9- 2 o -o z- GROSS AMOUNT DISCOUNT. CHECK AMOUNT SunTrust Bank/Miami, N.A. MIAMI WEST OFFICE 702 MIAMI, FLORIDA 33155 D D Mechanical .Permit Permit Number: ME2002 -129 II'01 1 20 011' .:0660006040: 0 70 20008 9 5 50 30 DEUSCHEL HERBERT ST Contractor's Address: Legal Description: MIAMI SHORES SEC 8 PB 14 -33 LOT 18 & W1/2 LOT 19 BLK 169 LOT SIZE .11.200 63 -60 660 DOLLARS. yob Page 1 of 1 pections. Re- inspection ■ed in the application herefor in strict compliance with all rnents or specifications that may have been submitted to uch ordinances or if the plans are changed without sumps the responsibility for a thorough knowledge of the ::ifications and that he assumes responsibility for work done :s and regulations pertaining thereto and in strict conformity ?milt I assume responisibility for all work done by either M