MECHANICAL PERMITSECTION
BY
DATE
Zoning
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Business Telephone
Electrical
Fax
t
Mechanical
r �
Z. `S.(' L
Plumbing
r a �/
`Fax
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Fire
Qualifier Name
v i'
Public Works
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Structural
Add'l Detachment
Building Official
Other
PROPERTY OWNER
Name fe.N i C!_ e 1 cy e—
Address s 60 Nis. G 1 i
rn , �... ; . 5i , sre5 FL 3313
Home Telephone
( q '
Business Telephone
-7 8G ((02..5 ('
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Fax
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CONTRACTOR
New Construction
Name 6) efr-iiiti �.
( q '
License No.
ee) < 1
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Address
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‘.-,
i'
Telephone 6.
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`Fax
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...„.g.„,
Qualifier Name
v i'
,
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TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
‘.-,
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'l Detachment
Other
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
LI PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
$
$ ° (sq.ft. = x/1000
x ¢.60)
$ (0.005 /sq.ft.)
$ ((t.01 /sq.ft.)
ISSUING OFFICIAL
REVIEWED AND PREPARED BY:
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ 2 b
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2 AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
PERMIT APPLICATION
Master Permit No. 2 -00'2- ° 31
Subsidiary Permit No. !--/1 6 ` - / 4o
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 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
K Job Address: .`9 4 /r `y j
Address
Folio Number
Lot
Subdivision
Current Use of Property
Proposed Use of Property
Tenant Information
Block
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PB
1 l3A04 1 q 00200
Apt.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
1
/Go
City
Description of Work
PG Zoning Linear Feet
Square Feet
Value of Work
k
C
State
Zip
Units Floors
Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
TYPE
Service Repair
QTY.
A/C Central 1 -3 Ton
�°-
J
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
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
�°-
J
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Supply, AC Well
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Temporary Toilet
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 2
IMPORTANT NOTICES
I. 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 a Contractor.
STATE OF FLORIDA, COUNTY OF MIAMI -DADE S
Print Name
Sworn to and s
SEAL:
fore me this
Signature of Nr tary Public - State of Florida
day of
4 .0:19.. 1. Carta Datorre
* ! ' 5 *My y Commission CC733829
#4.0. Expires April 14, 2002
Personally known OR, Produced Identification
Type of Identification Produced:
ATE OF
l Si e of Contractor / Qualifier
PERMIT APPLICATION
D Y F MIAMI-DADE
Print Name p
Sworn to and subscribed before me this / day of _./A
aria
ILA. A ill. 1 1...Z..■_j
ignature of ' otary Publ
SEAL:
17— ' .- FICIAL NOTARY EA
SL
•<., ANGELA M BECKER
t - ooMusaoN NuMaea
IU;`0 oe CC766697
MY CQi.=SSIO:V EXPIRES
l`c OF Ft. NOV. 15,2002
Personally known OR, Produced Identification
of Identification ProducedFi5 L) 1L C 07 3 9 -c D-Cy"' ! )
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:
Village of Miami Shores
10050 NE 2nd Avenue
Miami Shores, FL 33138
Phone: 305- 795 -2204
Printed: 2/5/2002
Applicant: MICHAEL
Owner: KIRIACON
Contractor OC NC BUILDERS
Local Phone: 305 - 261 -7541
Parcel # 1132060190200
Job Address: 380 NE 91 ST
Fees:
FEE2002 -689
FEE2002 -690
FEE2002 -691
Permit Status: Approved
Work: REPLACE 5 TONS A/C UNIT
If there is no permit packaae accessiblaen .thelab- site_for_insoectors to verifv..there_will be no_insoections._Re:inspection
fee is $50.00, which must bt
This Permit is granted to Ihe.contr,
ordinances pertaining thereto and wit
and approved by the proper municipl
authorization. A further condition up
ordinances and regulations pertainin.
by his agents. servants or employee:
Signed:
0
-
In consideration of the issuance to
with the plans. drawings, statement:
myself, my agent, servants or empto
LL
Signed:
FOR
Legal Description: EL PORTAL PB 9 -101 LOT 3 & W1/2 LOT 2 BLK 2 LOT SIZE IRREGULAR
Description
Building Fee
Notary Fee
CCF
Total Fees:
Permit Expiration: 7/30/2002
Mechanical Permit
Permit Number: MC2002 -16
FRASIER
JOHN
Address: 219 NW 66 AVE
Cellular:
Amount
$75.00
$5.00
$0.60
$80.60
Construction Value:
Norfmc`ri wJs .T¢'T T.�p $ r r n �_I y n h ;Tr: r d n n r a m r n I
PAY
TO THE
ORDER OF
CO ,
O C AIR CONDITIONING CORP.
PH. 305 261 -7541
219 N.W. 66TH AVENUE
MIAMI, FL 33126
$360.00
OCEAN BANK 4
0700 W. FLAMER STREET
AMI. FLORID 170
.e, r 14,(L A ) 3g ' O ae. )15
Page 1 of 1
Total Fees: $80.60
Total Receipts: $0.00
1 1 :06601 L39 21: 040405617511'05
nas 3=r 7 . = u . . : u �, � . s �s_. , r _�. ,_ �_ .- - -
DATE
- /4, 2 s- I $
DOLLARS 8