MECHANICAL PERMITDate Job Address
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.. • •
Legal Description
Owner /Lessee/Ten[��
Owner's Address
Contracting Co
State # 7 tC D�LG�Jt/I�Iunicipal #
PEI CHIT APP..LICA'TION FOR MIAMI SHORES VILLAGE
• • • • • • • • • •
• 10050 N.g. 2nd AvtnugtiMami$hores, Florida 33 38 • Phone: 305- 795 -2204 • Fax: 305 - 756 -8972
z1
re of owner and/or Condo President
Notary as to Owner and/or Condo President
My Commission Expires
Tax Folio
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• ▪ • • . • >1 • • • Historically Designated:
• i• • • J • • •
• • •••
Master Permit # ( J / .) -3
Phone C
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• • . ••v� • • • . • n C� C / / ' Q �--
_•.. - • 2 : : • • i . J 7 Address - 1 /333 / L a) U t 4
Qualifier '� ` /' 6 0 v (. , SS#
Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL
/
WORK DESCRIPTION: .P / V.l /2a L
0
ft C�
FEES: PERMIT 7 RADON C.C.F
Date Signatur
Square Ft. Estimated Cost (value)
Yes
PLUMBING MECHANIC
Phone
f Contractor or Owner Builder
Date Notary as to Contractor or Owner Builder
My Commission Expires
No
OOFING
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 ANY 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 all disciplines.
OWNERS 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. Furthermore, I authorize the above named contractor to do the work stated.
Date
Date
NOTARY 5,0 (') BOND
TOTAL DUE 8a,, 0
APPROVED:
Zoning Building Electrical
/
Mechanical - v� 1 Z . `) .0 lumbing Structural Engineer
r P# RIM' �YPLIE;A'f fON FOR MIAMI SNORES VILLAGE
• • •. • • • • •
Uatc 1 a 610Q, .loh Address ljb `l P31 I.: o f & _ — Tax Folio . .
• Historically Dcaignatcd: Yes - No
Legal Description _ •; .._... ' • .. •...._.....
• • • • • • r • • •
Owrnerfl ecsoc / "1'crlant ; 4 o� I••� : : ` r:y - Master PenniI
t:)wne's Address 9 to °
• . ► 1 c�� l' r u k� • _ phone 3 0 5- 7 b a~ 6`a t.3
• • Contracting Co. T•a :• a•r vi c.� Address ► 333 N [ ?O u-Q t 1,/s+'1t
.. �5).q 6A- b o0
Qualifier • " rl rY ' • ` E ss# 7�0 3 ..._ 5 24 Plate (-
Stets t'f C C 0 `-1 q O _ Municipal # Competency if Ins. Co.
Architect/Engineer Address
I landing Company _ Addrer:s _ M ,
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBINGI ECIIA NICAY) ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft.
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MA%
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 or applicable). )
certify that all work will he performed to meet the standards of all laws regulating aanstruction in this jurisdiction. 1 understand that separate
permits arc rcquircd for ELEC'I•RICAL, PLUMIiINO, SIGNS, POOLS, ROOFING and MIiCI 1AN1CAl. WORK.
OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is acc urate and that all work will be done in compliance with all applicable
laws regulating construction nd zoning. :urthcrmorc, l authorize the alwvc -named contractor to do the work slated.
1'.
a. 4
01 oww�er and /or Condo President Date
r C.
•
otury as to ; caner r
My Commission Expires:
FEES: P1iRM1T • RADON
APPROVED:
Zoning
Mechanical
, 12/06/02 16:04
• • • • •
o President
1)6
G.C.F.
$ 3059692660
Estim (:c►.l (value) , '' 315. 0 a
b 0 ate.
Sign c of Contractor or Owner - Builder 1)atc
Nt \ r11u 13 to (- i actul•,
My C :ommissiou Lxpirt; . .
May
4titt: < •• besot() Trt )IIAY► UPANCF,
HI -TECH P.02
NO I AR "1'U'1'AI, DUI:
Plumbing Engineering
jai oz
r 13 uilderNuney S. Nation Date
.3 MYCOMMISSIONS CC916011 EXPIRES
ITEM ••
BATH TLB
.
. •.
•
T
- - -
p
.. .
. .
•• • •
:11:04•• •••
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)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR [MAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TCP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTCRS OVER 1- 3 FP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTCRS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTCRS 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
MATER CLOSET-
-
MOTORS OVER ' 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:;-,.;_
-AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
.. :1' , ..
•
GENERATORS TRANSFORMERS
HEATER - REPLACE .
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL -
SPECIAL PURPOSE
SWIMIING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
;EWER CONNECTIONS
SIGN TRANSFORMERS
ITILITY -SEWER
SIGN TIME CLOCK
TILITY -WATER
FIXTLRES
EPTIC TANK
ANTENNA
ELAY -
TELEVISION OUTLETS
RAINFIELO, 4' TILE/RES.
VIOLATION
OR & ABANDON SEPTIC TANK - -'
REINSPECTION
OAKAGE PIT CU. FT.
ATCH BASIN
ISCHARGE WELL
'
JMESTIC WELL
3EA DRAIN
JOF INLET
)LAR WATER HEATER
IRE STANDPIPE
)OL PIPING
1WN SPRINKLER SYSTEM
S RANGE
TER SET (GAS)
S PIPING
.ADDEND _ Q;•B1J]LDING PERMIT APPLICATION
• ... T: •. ...•
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS
OBTAINED, THE OWNWS .9
Z" SIgNt1;I.FRE NEED NOT BE
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PLUMBING ELECTRICAL
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ADDENDUM. IF A MASTER PERMIT HAS B.
PRESENT ON SUBSEQUENT APPLICATIONS.)
MECHANICAL
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Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/9/2002
Applicant: MARY BERRY
Owner: BERRY MARY
JOB ADDRESS: 464 NE 91 ST
Contractor HI TECH AIR CONDITIONING
Local Phone: 305 - 969 -2600.
Parcel # 1132060190030
ibit Permit Status: Approved
Signed: 7l - (' ) e
Permit Expiration:
Work: EXACT CHANGE OUT 3 TON NC
Signed: (Contractor or Builder)
Mechanical Permit
Permit Number: ME2002 -173
6/7/2003
Contractor's Address: 13339 SW 88 AVE
Construction Value: $3,235.00
Dv.
Page 1 of 1
Legal Description: EL PORTAL PB 9 -101 W1/2 LOT 4 & LOT 5 BLK 1 LOT SIZE 75.000 X 135
V s _,e(i\A}k mot - - o(2 U) 5,0 0
0- ; ,
Total Fees: 4WD
Receipts: $0.00
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all
ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to
and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done
by his agents, servants or employees.
(INSPECTOR) BY:
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.
REG C01 121102 1400 MC401 003348 CHARGE 22.40