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ME2002-139MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Address q /Yr --Company Phone # For Inspector:. 6 Name & Date Approve / ,L� ' £ 0 J ; Correction ' ❑ Re- Insp'n Fee ❑ Qualifier /�6?..)N ss WORK DESCRIPTION (9i q,..)ccs - o �7 ature2owne otary as to Owner an My Commission Expir 7- 30S e PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /¢ Oi 07 . JdiyAddrdss / S ,u .e . 91 Sr. Tax Folio // - 3. —0 /9 — Q/J -0 Legal Description Historically Designated: Yes No Owns /Lessee / Tenant .67e,.c& Q�rUSO� Master Permit # k ?E A0(29 - �, 3 Owner's Address y9J —C'a. / . 3 2 Phone 3� 90S — ! Z' / Contracting Co. ,5 e, tee& zee. Address 4 /600 S. to • 25 % &— .33/is State # c / ?e Os9 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING and/or Condo,lresident Date bi► /sip^ warw!� I le ` EXPIRES: September 18, 2005 Bonded Thru Notary Public Undenvrkers SS# Phone ( —76V ROOFING PAVING FENCE SIGN 1' T —YJTc -, /9.0 /, ( 6c- - oc. 7 Z 7-, Square Ft. Estimated Cost (value) <oe 9e-///. ©° 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. 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. Furthermore, I authorize the above -named contractor to do the work stated. Signature of Contractor or Owner-Builder xpirillARLENE VERRIW ;- MY COMMISSION # DD 027218 EXPIRES: September 18, 2005 t F o ? , Bonded Tniu Notary Public Underwriters otary as to My C FEES: PERMIT 7 `> RADON C.C.F. 0 NOTARY / TOTAL DUE J l 0 Date Date APPROVED: Zoning Building Electrical Mechanical 9 � (',7v a Plumbing Engineering ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION ?C 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.) UNIT FEE ITEM SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIR/METER CHANGE APPLIANCE OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0- 1 HP MOTORS OVER 1- 3 HP MOTORS OVER 3- 5 HP MOTORS OVER 5- 8 HP MOTORS OVER 8- 10 HP MOTCRS OVER 10- 25 HP MOTORS OVER 25-100 HP MOTORS OVER 100 HP A/C WINDOW AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMMERCIAL SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK FIXTLRES ANTENNA TELEVISION OUTLETS VIOLATION REINSPECTION UNIT FEE ITEM SPACE HEATERS CENTRAL HEAT I NG /p,t) A/C (WIND) A/C (CENTRAL) y DUCT WORK REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION REINSPECTION UNIT J T� FEE ITEM PLUMBING BATH TL8 BIDET DISHWASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 COMP. SINK, RESIOENCE SINK, SLOP TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER - REPLACE LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE SEWER CONNECTIONS UTILITY -SEWER UTILITY -WATER SEPTIC TANK RELAY DRAINFIELO, 4' TILE/RES. PUMP & ABANDON SEPTIC TANK 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 VETER SET (GAS) 3AS PIPING ELECTRICAL MECHANICAL PAY TO THE ORDER OF GABLES AIR CONDITIONING, INC. 4600 S.W. 75TH AVENUE MIAMI, FLORIDA 33155 (305) 264-2020 Yam' SHORES VILLAGE 10 01 02 Eijd — Dine On ( V/KX P0503? 50 1:06600436 ?I: 500 L5760830 DATE CITY NATIONAL BANK OF FLORIDA CORAL GABLES, FLORIDA 33134 63-436-660 CONTROL NO. AMOUNT GABLES AIR CONDMONING, INC. 50375 0 0 0) v Miami Shores Village n 10050 NE 2nd Avenue r n Phone: 305 - 795 -2204 Permit Number: ME2002 -139 Printed: 10/9/2002 Page 1 of 1 Applicant: BRUCE & LAURIE DAVIDSON Owner: DAVIDSON BRUCE & LAURIE JOB ADDRESS: 495 NE 91 ST Contractor SERVICE EXPERTS LLC Local Phone: Parcel # 1132060140150 o 0 Mechanical Permit Contractor's Address: 1963 -67 71 STREET Legal Description: 6 53 41 MIAMI SHORES SEC 2 PB 10 -37 LOTS 23 & 24 BLK 49 LOT SIZE Permit Status: APPROVED Permit Expiration: 4/2/2003 Construction Value: $9,411.00 Work: CHANGE OUT 4 TON SPLIT SYSTEM CHANGE OUT 2 TON SPLIT SYTEM DUCT REPAIRS 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. Signed: (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. Signed: Vi, c�v Total Fees: MO Total Receipts: $0.00 (Contractor or Builder) BY: