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MECHANICAL PERMITOWNER construc PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date `(— / J — 01. Job Address 1 71 ' k (..1 l ( Y Tax Folio Legal Description Historically Designated: Yes DO Owner/Lessee / Tenant P 1 C. C+ !I- Master Permit # r) O. (2-- f ©a Owner's Address 1 1 c) /- ( 5 1 ✓/ Phone 2 c) - 7j � (j `I 1 Contracting Co. C 4 ( i� J c.. z . e _� Address f 3 (L o S ( ,3 0 T; V✓ Qualifier F✓ ,- ,J (C, C ,./A ( State # 4 C_'3 243 2...1 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHA OFOFING PAVING FENCE SIGN WORK DESCRIPTION c /. Square Ft. Estimated Cost (value) '/ ] / L , 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. AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature /f owner and/or Cndo President APPROVED: Zoning Mechanical (J J . &■/_ e-� Lri J S f 1 c- J , r _r Date tR Notary as to Owner and/or Condo President My Commission Expires: � " W Keith Phillips, III . Expi res June 14, 2003 4 %Comnisston #6C829610 O - Bonded T F� : .,,,,,,� Attentic Bondin g Co., Inc. Date O SS# °Phone JL 3 — ZZ . k. ' t. !o FEES: PERMIT 19' RADON C.C.F. D (0 NOTARY — Building Signature of Contractor or O feA Electrical Type date A p s k - Builder Notary as to Contractor or Owner- Build' My Commission Expires: r 1 — /s —<.)z Date W. Keith Phillips, III �`" iCommission # 8C 829610 Li Expir n ed Thr u 2 0 03 Atlnntic Bondi Co., Inc. BOND TOTAL D UE — �__, d' 65 4,f I/ 4 c Plumbing Structural Engineer 0 Z Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 6 1/- 0 2 1 Time Type Insp'n 1i f 1i2 Permit No. r41 ,207 ° Name 4� "rU�.i"" Address /a2/ l/ 4 7 Company Coo are -z,6 Phone# 3e),5° ;0.6 -). ( ''' C S' For Inspector: Name & Date Approved a `6 C(L'o Correction ❑ Re- Insp'n Fee ❑ N D, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESET ON SUBSEQU Ni A.. 1.it-^ljvn .a. ) P LUMB ING 3 i4 G FOUNTAIN 'RAIN TRAP ?TOR tY f TRAY S WASHER CLOSET ECT WASTES SLFPLY TO: UNIT MOTORS OVER 10- 25 FP GEN;RATCRS TRA2SFCRMERS. 1 GENERATORS TRA2SFCRMERS 1 GENERATORS TRANSFORMERS 1 WHIM MEM MOM MOM 11111 � �1 CUTLETS C+ERCIAL SIGN CLOCK SPECIAL FLRPOSE SIGN T L(NSFc ERS TELEVISION CUTLETS VIOLATION RE 1 NSPECT ION 6 I 1 COOLING TOWERS VIOLATION REINSPECTIONI mm = ....11 ms.„ ils u -- -1 a smi .,- . -- irldm WATER CLOSET 1E SPRINXLER ;TER -NEW INST. 5?RI) (LER -WELL I MCI I NG POOL TAG( ABANt:ON SEPT IC TA2G( PIT CF. FT. WELL ZSTIC WELL ACRAIN F INLET SPRIFC(LER SYSTEM MOTORS OVER 25-100 FP MOTORS OVER 100 FP A/c WINCO( AIR CCNDITIOHERS STniP NEATER POT/3 COMP. RESIDENCE SLOP wY ;TER-REPLACE TER SERVICE R CONNECTIONS IONtS ITY -SEWER .ITY - WATER "IC IN:IELO. 4' TILE/RES. a .CAL•E BASIN 'r .RAGE .AR WATER NEATER ;E STAB IPE :L PIPING ;WOE 'ER SET (GAS) 3 PIPING UNIT FEE ITEM SWITCH CUTLETS 1 LIGHT OUTLETS I 1 RECEPTACLES . 1 SERVICE TEMFCAARY 1 SERVICE SIZE IN ) FS 1 SERVICE REPAIR/>rWTER QWGE 1 APPLIANCE CUTLETS 1 RAGE TCP OVEN WATER FEATER IATCAS 1 I MOTCAS OVER 1 1 MOTORS OVER I I MOTORS OVER MOTORS OVER ELECTRICAL 0- 1 FP 1- 3 P 3 -•5F'P 5-8FP 8-10 FP UNIT I FEE 1 ITEM MECHANICAL SPACE F FATES . '. CENTRAL -EATING A/C (WINO) A/C (CENTRAL) CJCT 1CAX REFRIGERATION PROCESS AN3 PRESS PIPING UNGERGROUNO TAMS ABOVE GROUND TANXS U.F. FRESSLRE VESSELS STEAM BOILERS • • - 13T WATER BOILERS . • MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATCRS FIRE SPRING(LER SYSTEMS .. UNIT FEE Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: ME2002 -49 Printed: 4/19/02 Applicant: MARY Owner: SMITH JOB ADDRESS: 1210 NE 91 Contractor COOL BREEZE AIR COND CORP Local Phone: 305 - 226 -2665 Parcel # 1132050010500 Total Fees: $0.00 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 10/13/02 Work: C/O EXISTING 5 TON SPLIT NC SYSTEM PAY TO THE ORDER OF COOL BREEZE AIR CONDITIONING CORP 305 - 226 -2665 13120 S.W. 130TH TER MIAMI, FL 33186 -5895 Bank of America. ACH R/r 003100277 C1 srou.iiy rni,cnrr 0),mir,e,(5'/LwJ -Q-z0 FOR Mechanical Permit PICHA MARIANELA TERR "00 L L 33" 1:06300004 7 00 3448 56 76 5 2" Contractor's Address: 13120 SW 130 TERR Legal Description: 5 53 42 WATERSEDGE Construction Value: 11 -01 DATE $4,912.00 W t s PB 9 -141 E15FT LOT 26 ALL LOT 27 & W5FT LOT 28 1133 63 -4/630 FL 276 DOLLARS 8 xermazin u.,.®.=r. �.asc -.ti,�s -- -- .1113[1111101.,,M._ a ._..44.,s,.1111411011■.� :.,,ORISMI.7.2 .11110/1.1.TAIRIMu..41.u�,. sue,1 .101[11M4uSMIGILa1111;.,1u.,:,.11,12,i1.11.3=1111�..0 Page 1 of 1 NP e- inspection ation.herefor in strict compliance with all rations that may have been submitted to or if the plans are changed without insibility for a thorough knowledge of the at he assumes responsibility for work done s pertaining thereto and in strict conformity •sponisibility for all work done by either