MC-05-48Mechanical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: MC2005 -48
Printed: 4/15/2005
Applicant: ALEX RIGUEIRO
Owner: RIGUEIRO ALEX
JOB ADDRESS: 9301 NE 6 AVE
Contractor WESTDADE AIR CONDITIONING INC Contractor's Address: 10880 SW 117 PL
Local Phone: 305 - 279 -3233
Parcel # 1132060150010
Page 1 of 1
Legal Description: 6 53 42 .62 AC AMD PL OF PORT BLK 59 OF MIAMI SHORES SEC 2 TRACT A PB
Fees: Description Amount
FEE2005 -4906 Building Fee $945.00
FEE2005 -4907 CCF $16.20
FEE2005 -4908 Technology Fee $23.62
FEE2005 -4909 Training and Education Fee $5.40
FEE2005 -4910 Scanning Fee $3.00
Total Fees: $993.22
Total Fees: $993.22
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 10/12/2005 Construction Value: $27,000.00
Work: REPLACE 3 SPLIT SYSTEM 10 TONS EACH NO HEAT FRESH AIR
-46
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
305 - 795.2204
Bu - Wing Inspcction Request ^\\
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Company
Phone*
Irspe tion Date
Approved
CatrattiOn
R - Insp'n Fee
GD
BUILDING
PERMIT APPLICATION
FBC 2001
Job Address (where the work is being done)
$ Value of Work For this Permit 7��u �
Type of Work: ['Addition ['Alteration
Describe Wor : Z 1 c '€—
(IQ Tiip E . /VO /la
1
Submittal Fee $
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village E e
` Buildin g Department - artment'
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
T/: 756.8972
L u v H
AM 1 5 2ee5
Permit Type (circle): Building Electrical Plumbing
Roofing
Owner's Name (Fee Simple T i t l e h o l d e / r ' � ® f C f p /,?1 I 1 G Phone # 3 " 3) 3 G
' " 7-
Owner's Address 2-3 FS '� ° 2 S/
City iti to State
4Franar ss rie /4 Bell Phone # 3OSH : D3 7l-
Z ip 3i
6 13oi /.1v 6 4 cAe
Permit No. 1-100 5-- 46
Master Permit No.
Mechanical
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name /VI@ 6 /1)L 4 /' /(. Phone # " 3 22
Contractor's Address to 9 t (-Li 7c/4-,1_./2-
Cit / v i1 k.9 State Zip 73(
Qualifier ` Wo1/42.k, - e -.-
State Certificate or Registration No. Q C 0 3 z.3 7 / Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
['New P
Re air/Re lace 0 Demolition
p
�. 5f-r' oil..
*
Permit Fee $ P LIS .00
Notary $ Training/Education Fee $
**************F ***
CCF $ CO /CC
Technology Fee $
'Scanning $ Radon $ Zoning Bond $
Code Enforcement
Structural Plan Review. $
P 4(r)-2C
cicx as `•
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 notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
chc 05/13/03
r Agent
The foregoing instrument was acknowledged before me this
d a y Ck1 -- P. �t ,LG�
o
i�SV
who is ersonally .. .wn to - or who has produced
NOTARY PUBLIC:
Sign:
Print:
APPLICATION APPROVED BY:
As identification and who did take an oath.
My Commission Expires: ARYSEAL
OFF ICIAL NOT ,y�r
NOTARY i C STATE
CC' :.. .ION NO. 001409
,ION 6xp. AUG 242006
Signature
Contractor
The foregoing instrument was acknowledged before me this /'
day of C��2 L , 20 CTS , by PG v\ ■ �+ �i���l t ,
who is ersonally known dme or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
SONIA LOPEZ
NOTAKYTWEIC STATE OF FLO
My Commi ion Egyal SION NO. DD140947
MY COMMISSION EXP. AUG 24,2006
* * * * * * * * * * * * * * ** xx *x, , . , eW , e*x* * *** * * * * * * * * * * * * * * * * * **
********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
'ITEM
BATH TLB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
1JNi
BIDET
LIGHT OUTLETS
CENTRAL HEATING
BIB
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL 0 ) `®
10
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT YfORK
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
1
LAWRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0 - 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 FP
NOT WATER BOILERS
SINK, POT /3 CORP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION .
00 ,
PMA
SINK, RESIDENCE
MOTORS OVER 5- 8 If
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 hP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 FP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 FP
VIOLATION
INDIRECT WASTES-
A/C WIDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER- REPLACE
GENERATORS TRANSFORMERS
I
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS CONERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTIRES
SEPTIC TANK
ANTE J&
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & 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 PIPIH
t
f
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
•
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMITH
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATI
ELECTRICAL
MECHANICAL