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MC05-1264i nspection Number: INSP -3320 Permit Number: MC -12 -05 -1264 Inspection Date: 10/16/2006 Inspector: Grande, Claudio Owner: DEVELOPMENT, TALISMAN Job Address: 469 91 Street NE Project: <NONE> Miami Shores Village, FL 33 an Contractor: OSCAR AIR CONDITIONING, INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number (305)310 -4673 Parcel Number PARC2004 -16 Lot: Friday, October 13, 2006 Page 1 of 2 Passed Inspector Comments i l i f ,, 1 1 ►t'al Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until i nspection Number: INSP -3320 Permit Number: MC -12 -05 -1264 Inspection Date: 10/16/2006 Inspector: Grande, Claudio Owner: DEVELOPMENT, TALISMAN Job Address: 469 91 Street NE Project: <NONE> Miami Shores Village, FL 33 an Contractor: OSCAR AIR CONDITIONING, INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number (305)310 -4673 Parcel Number PARC2004 -16 Lot: Friday, October 13, 2006 Page 1 of 2 '"'ADDENDUM TO BUILDING PERMIT APPLICATION AN ArPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTED, PERMIT HAS E. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM' GAS RANEE METER SET (GAS) GAS PIPING ELECTRICAL MECHANICAL TEM ATH TU3 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE LIGHT OUTLETS CENTRAL HEATING IDET RECEPTACLES A/C (WIND) ISHWASHER ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) I ,/ RINKIhG FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK I r/ LOCK DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION I ' REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR RANGE TOP UNDERGROUND TANKS I • 1 OVEN ABOVE (MOUND TANKS .AVATORY TRAY WATER HEATER U.F. PRESSURE VESSELS .AUNORY :LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTCRS OVER 1- 3 I•P HOT WATER BOILERS I I 1 SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION I L.---r SINK, RESIDENCE MOTCRS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 H' 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 HP VIOLATION INDIRECT WASTES I A/C WINDOW I REINSP,ECT)ON I 1 WATER SUPPLY TO: I AIR CONDITIONERS I . I .. " -, • A/C UNIT FIRE SPRINKLER I STRIP HEATER GENERATORS TRANSFORMERS - ' I 1 j I HEATER -NEW INST. 1 I I GENERATORS •TRANSFORMERS I I HEATER - REPLACE I I I GENERATORS TRANSFORMERS ( 1 1 LAWN SPRINKLER -WELL I I SPECIAL PURPOSE SWIM ING POOL 1 OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECT IONS .1• S I GN TRANSFORMERS ( I UTILITY -SEWER SIGN TIME CLOCK I UTILITY -WATER 1 FIXTURES 1 1 I SEPTIC TANK ANTENNA • RELAY TELEVISION OUTLETS 4 TILE/RES. DRAIN- - TEED, VIOLATION • PUMP & ABANDON SEPTIC TANK REINSPECTION • SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL I AREA DRAIN ROOF INLET Crt AD WATT!) WCATCD '"'ADDENDUM TO BUILDING PERMIT APPLICATION AN ArPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTED, PERMIT HAS E. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM' GAS RANEE METER SET (GAS) GAS PIPING ELECTRICAL MECHANICAL Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Oncr Address 1 Cite State . " Zip Tcnant/Lessee Name s Job Address (where the work is being done) ." -------' Qunlifier. % ' " , _ Describe Work: Total Fee Now Due S (Continued on opposite side) Miami Shores Village 7 City Miami Shores Village County Miami-Dade Is Building Historically Designated YES NO Architect/Engirecr's Name (if applicable) Phone # Permit No. Master Permit No. i Permit Type (circle): Building Electrical Plumbing 7 'Mechanical Roofing ,' 7 -- J . . i /I P ‘ 7. • Owner's Name (Fee Simple Titleholder) , , ; - • a- w Uplione . , , Phone # Zip ., . . , • . , . ,; .: 7 ./ ,,'' : ' i .. ' '; ! ' ' '" . PQM' # Contractor's Company Name . , ‘'" , , , „, , , . . .. C011112CtOr Address ,, State Zip , , S Value of Work For this Permit Square Footage Of Work: Scanning S Radon S Zoning Bond S Code Enforcement S Structural Plan Review. 5 , St o Certificate or Registration No. Certificate of Competency No. ' Submittal Fee S Permit Fee $ CCF $ CO/CC Notary S Training/Education Fee 5 Technology Fee $ ,77 y • Type of Work: ['Addition El Alteration E New 0 Repair/Replace 0 Demolition 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 Ike 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 Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced As identification and who did take an oath. Print: Chc 05/13/03 Signature Contactor The f /jo instrument was acknowledged before me this day of t ! st o d V, by l :. who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLI Sign: Sign: Print: i 7. < tt d "di My Commission Expires: My Commission Expires: ` rs ,ii :// Carta M Parker * � i:i:r:f: *ici::t9::F is st *:t7c *ic �t *ici; * * *:tiF *:F �c 9: *�:9: *:y9;9: * * * * *:t:t �c ah is is i:ic * *9: i; 9::k * *9; :k l; Y: r': >: * * n *'t :Y *iF 9 ; * *9tki:'.Y S§iY *: *iC �t t ksr o Expires August 27 2005 .. -. .� rc• ** . ** * * * ** x *�k# # * * ** k k :,: i r Y * *x ** *�k : * * * * * * * ** *�k Yak k�k t ; ::,::,: *:;: APPLICATION APPROVED BY: `� t) Plans Examiner Engineer Zoning Issue Date: 12/20/2005 Owner's Name: MARTIN PALMER Permit Type: Mechanical - Residential Work Classification: New Job Address: 469 91 Street NE Comments: INSTALLATION OF DUCTWORK AND EQUIPMENT Additional Information Miami Shores Village, FL 33138 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 12/19/2006 Contractor(s) OSCAR AIR CONDITIONING, INC Phone Primary Contractor Yes Tons: Additional Info: 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Miscellaneous Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $3.60 $1.20 $35.00 $140.00 $3.00 $4.40 $187.20 Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: MC -12 -05 -1264 Phone: 305- 310 -4673 PARC2004 -16 Lot: PB: Total Square Feet: 0 Total Valuation: $ 4,000.00 Required Inspections Rough Rough Duct Ventilation Smoke Test Hood Smoke Det Test Final Invoice Number MC - 12 - 05 - 23192 Total: Amt Due $187.20 DEC 21 ND e_re_#- ® 4 06 Amt Paid ` �z NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Inspection Number: INSP -3314 Inspection Date: 03/08/2006 Inspector: Perez, JanPierre Owner: PALMER, MARTIN Job Address: 469 91 Street NE Project: <NONE> Tuesday, March 7, 2006 Miami Shores Village, FL 33138 Contractor: OSCAR AIR CONDITIONING, INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Php : (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: MC -12-05 -1264 Permit Type: Mechanical - Residential Inspection Type: Rough Work Classification: New Phone Number Parcel Number Lot: 305 - 310 -4673 PARC2004 -16 Page 2 of 2 Passed .. , Inspector Comments ! 14 3\ \'• Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -3314 Inspection Date: 03/08/2006 Inspector: Perez, JanPierre Owner: PALMER, MARTIN Job Address: 469 91 Street NE Project: <NONE> Tuesday, March 7, 2006 Miami Shores Village, FL 33138 Contractor: OSCAR AIR CONDITIONING, INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Php : (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: MC -12-05 -1264 Permit Type: Mechanical - Residential Inspection Type: Rough Work Classification: New Phone Number Parcel Number Lot: 305 - 310 -4673 PARC2004 -16 Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing L' Mechanical; Roofing Owner's Name (Fee Simple Titleholder) ,e_//..(/46 /a/ �/ ' /;� Phone # Owner's Address c i //I 2 //://".' City � .: 'yo °:?ye,A ( 146 State Zip - > + Tenant/Lessee Name Job Address (where the work is being done) 4/ , 4/ e 9 City Miami Shores Village Is Building Historically Designated YES NO Contractor's Company Name % <Kv -7/L' // // ' ��..4)f 4',€,Al oe Phone # A' �� e'7 -- ,� /�� "'if/ Cit � .//d17/ State / Zip Qualifier- -- /% °: ✓ 7/ ( 4 f, (i e Contractor's Address Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Total Fee Now Due $ (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 County Miami -Dade Permit No. /1c 12 -o ~ (z 4 Master Permit No ` ✓ 4 l ZO Phone # Phone # Zip Square Footage Of Work: Type of Work: ❑Addition / yp ['Alteration ew ❑ Repair/RepIace Describe Work: r.' i �t� c o": ;1 . f`: �is��st_ / _�f� zf t f► t�.� f ! t � / ,� *** * ** * * *** * * * * * * *** * * **** *F * ** * ** * * * * * *** * * * * * ** **** * ** Structural Plan Review. $ State Certificate or Registration No. '> ? Certificate of Competency No. et;e : -,, Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ g Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ ❑ Demolition 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. Signature Signature Owner or Agent Cintracto The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this /, day of , 20 by , day ofZt‘efi:i' // -.i , 20 'L, by & ✓c », „/�•[r e , • who is personally known to me or who has produced ,ho is personally known to mC or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: / i Sign: Si n: •., ! ! - Sign: _ - r ,. .e-r ' .e—� ,mot �-, _ Print: Print: / j ji�;.,0,4 —, : A tdALD ;f;'.S OIL. My Commission Expires: My dmmission,Okpw ;::�I'::'.;iss o ! 4 ' Di) 0 : ) Ii F.S: Fc ua 4, 2CC *, * * * * * *** * * * ** * *** ** ** * ** *, tit ** * * **** *** ** * * **** * * * ** ** ** * * * * * * * * *** ******i4 *•r * .91e r * *'* * pit #.ft* 'm***** **** APPLICATION APPROVED BY: chc 05/13/03 fl" * * * * * * * * * * * * * * * * * * * * * 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) DRINKING FOUNTAIN SERVICE SIZE IN A6PS DUCT WORK 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 HP 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 FP COOLING TOWERS WATER CLOSET MOTCRS OVER 100 FP VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER SUPPLY TO: 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 SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA 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 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 CM-ECHANICA Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida, and all provisions of the Laws of the State of Florida. all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's lame and Address ( FirpAce44 k stredArcc� Engineer i,L L A't4 %EOM t �' eke . Name and address of licensed contractor Location and legal description of lot to be built on: // f./C.DG // &/// �p ck Lot - 2- 1 Block L i Subdivision 14.. 5 Itio l2 . PB W r . , y Street and Number where work is to be done L. £ c , ii 6. 1 57 State work t o be done and purpose of building (by floors). state exterior colors (submit samples) . . 2 - 4 / C 7 ; 4 4 - 4 — 2. C- - A- le 5 y5 C & plf purr t{ . 0 -to u J 7 New Building Remodeling Remarks (Signed) Permit No. Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date Addition r Repairs To be constructed of Kind of foundation Estimated Total cost of improvements S 517 C • o® . Amount of Permit S Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with Date No. 'Q' eo g Roof Covering reference to the building and its construction may be sent to STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared /0 /24 19 43 Street_, C 1 and for no other purpose. No. of Stories The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen'.- Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement. and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed r this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersign agrees to employ onl such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. to me well known. and who. being by me first duly sworn, upon oath deposes and says that he is the of the above described construction. that he has carefully read the foregoing :.plication. and that he did sign the same, and that all facts therein by him stated are true. Read. Sworn to and Subscribed before me. Date Notary Public. State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and workmanship.