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MC-04-49MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 BuiJ,ding Inspection Request Date 8 Type Insp'n Permit No. L 'e pck-r 4 C Name Smi - Address 450 "I t JT Company Phone # Inspection Date . Approved Correction Re-Insp'n Fee Correction ❑ Re-Insp'n Fee ❑ u nci 33'323 87t � MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 -795 -2204 Bui ing Inspection Request Date Type Insp' n - flO Oa Permit No, '1.. Name Address 44O q l Company Prone # Inspection Date Approved Ca N O O Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/9/2004 Applicant: Owner: JOB ADDRESS: 450 Parcel # 1132060190040 NE 91 Mechanical Permit Permit Number: MC2004 -49 ST Contractor CENTRAL COMFORT AIR CONDITIONING CG tractor's Address: 9721 S.W. 102 AVE. RD. Local Phone: Legal Description: EL PORTAL PB 9 -101 LOT 6 Permit Status: APPROVED Permit Expiration: 10/4/2004 Construction Value: $2,400.00 Work: MECHANICAL FOR GARAGE ENCLOSURE AND REMODELING Page 1 of 1 BLK 1 LOT SIZE 50.000 X 135 OR Fees: Description Amount FEE2004 -3783 Building Fee $150.00 FEE2004 -3784 CCF $1.80 FEE2004 -3785 Training and Education Fee $0.60 FEE2004 -3786 Technology Fee $3.75 Total Fees: $156.15 Total Fees: $156.15 Total Receipts: $0.00 APR 19 PAID 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: Total Fee Now Due $ , c t S (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. ► / 1C O L{ 1 PERMIT APPLICATION Master Perrr�it No. 15 Po j '- (-/' 6 C: FBC 2001 °/ Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) '74 A-(Z l tL % :i : L t ic t Phone # Owner's Address ' -1 City State 1 - 2 7 4 1 - t c Tenant/Lessee Name Phone # Contractor's Address t7 ' / j ir.: /6 Zip 7'7 3 es' Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO ,^ (7 r. e� i `1-; Phone # `�C S i5 / S 7 7 I Contractor's Company Name / � � � L �� ' �� tom- � City �f r �. _' 7 State Zip ` ? (, Qualifier = ,'.�t, l f /•, - .2 Architect/Engineer's Name (if applicabl ,e) Phone # c5` $ Value of Work For this Permi a 0 Type of Work: ❑A. o� Alteration ❑New t El Repair/Replace ❑ Demolition Describe Work: f^ (! {�« i 0 a? ( F t / U ( ^ �° /' ) ` y'��SL��)' f-3,. 7 (.2 . �; . C!'' / Y Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ ��' �-� � CCF $ / i F 0 CO /CC 6 Notary $ Training/Education Fee $ ■ 6 Technology Fee $ 3, 7s Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 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 pennit 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 Signature Signatur NOTARY PUBLIC: Sign: Print: APPLICATION APPROVED BY: Chc 12/15/03 Contractor The foregoing instrument was a NOTARY P Sign: Print My Commission Expires: My Commission Exp (Certificate of Competency Holder) State Certificate or Registration No. C AL L) 3 75 Certificate of Competency No. owle Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 —, by , day of --37 , 20 0 who is personally known to me or who has produced who is personally known to me or who has pro uced As identification and who did take an oath. ged befor this identification and who did take an oath. Anna M Mitropatlos 'k ebit1M1a'stoa#N 424U* * * * ** * „.I Expires August 15, 2008 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** el az.. � Plans Examiner Engineer Zoning ITEM BATH TUB 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) 1 DRINKING FOUNTAIN SERVICE SIZE IN AIDS DUCT WORK i 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 MOTORS 0- 1 FP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP 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 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 If VIOLATION INDIRECT WASTES- A/C WINDOW REINSPECTION WATER SUPPLY T0: 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 SWIM1ING POOL OUTLETS COM€RCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA • RELAY TELEVISION OUTLETS -- GRAINFIELD, 4' TILE/RES. VIOLATION PUS & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN D I SCH-IARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION 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 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 -795 -2204 Building Inspection Request Date els T'Pe Insp'n na I Permit No. N (i O q - 4q Name 5i inI etrref Address 46 "V q Company Q.e k 1 acrn t o Phone # Inspection Date 6514 Approved ❑ Correction Re- Insp'n Fee /- 0 - 5-s