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MECHANICAL PERMITSMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request DateS Time Type Insp'n Permit No. � ��. � 4'■ 1 Name Address 9 I Companyp��M�b l Phone# 3 (�S Y- ' D,icjs For Inspector 1 l Io& m Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Approved Correction Re- Insp'n Fee ❑ Time Date Type Insp'n Permit No. //���,, Name 'Y -eiLX Jl/.) -6" Address ( - ( 2J / e 9 /c ) Company 13 rr2/0 L ZA 5 ) :( Phone # f US E U c= For Inspector: t .. f 1 fl Name & Date � ' . Pe) /1 ,9, X11 (2-111 0 " 132, CONTRACTOR Name CARLA PETERS Name ON ADAMS - SECURITY MASTERS Licen No EG0 0001 04' Address 1150 N.E. 125th Street North Miami, F1. 33161 Fax cell 305 490 -6030 Te1ephone,05 893 -7766 F 905 893 -1507 Qualifier ADAMS Alteration Interior PROPERTY OWNER Name CARLA PETERS Address 63 N.E. 91st Street Miami Shores, F1. 33138 Home Telephone 305 7 5 4 - 7 2 2 4 Business Telephone) 0 5 57 1 — 7 5 8 4 Fax cell 305 490 -6030 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 U OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F:) $ 1 - 7 D\ 0 Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review • ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER $ �Q SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (Specify & Attach) (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ cV I D ISSUING OFFICIAL 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 Y, Job Address: 63 N.E. 91st STREET MIAMI SHORES FL. 33138 Apt. 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. processing of your application, you may be asked to submit additional information. APPLICATION Address Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other X PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax x Master Permit No. PERMIT APPLICATION Subsidiary Permit No. D Da - • 1 (HQ During the City State Zip I Description of Work ALARM SYSTEM INSTALLATION ,�CTb•.3 ,ftf,:xC , S ckl.q,e. 1 co - L Z VeyPAIIS Zoning Linear Feet Square Feet Units Floors Value of Work 4 0660 ' Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax ELECTRICAL TYPE Minimum Fee TY. TYPI? Dryer QTY. 'TYPE Outlet, Appliance QTV. 'rm'PF. Service Repair QTY. AJC Central 1 -3 Ton Fan Outlet, Wall Service, Temporary AJC 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 QTV. 'TYPE Refrigeration, Tons QTY. A/C Central, Tons 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 QTV. '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 1. 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 $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STA OF FLORIDA, COUNTY OF MIAMI -DADE qt¢{e of Owner Print Name Sworn to .: i su. scribe• . ore me this Signature SEAL: Persona Type of .411•111/d o f . •ry Pu.lic- StateofF day of ALFRED MCKNIGHT Notary Public - State of Florida *se Canr r - glitlif4RAM m wilco • DD 086241 B Mional Note Man. • STA • FLORIDA.,COTINTY OF MIAMI -DADE S' : s attire of Contractor / Qualifier oe.i AAA.A.5 PERMIT APPLICATION Print Name Sworn to and subscribed before me this day of ?100 . ` �\tlll 111 1111 /ii / >> ��z Alb / / .•�M \SSION • ' ▪ V� fi ber )B A�•• cb 4 � D07 9622 Q; Personally known l� OR, Producc$tt a � fi tl #D ' pQ Type of Identification Produced: /i��1 Ai t N Signature of No►6ry Public - State of Florida SEAL: 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: 6* yo Rs Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/9/02 Applicant: CARLA Owner: PETERS JOB ADDRESS: 63 Contractor SECURITY MASTERS INC Local Phone: 305 893 - 7766 Parcel # 1132060130120 Permit Status: PAY ORDER OF MIAMI SHORES OR OF MIAMI SHORES 9990 N.E. 2nd Avenue Miami Shores, FL. 33138 Approved Permit Expiration: SECURITY MASTERS, INC. PHONE; 305 - 893 -7766 1150 N.E. 125 STREET NORTH MIAMI, FL 33161 www.securitymasters.com MEMO Electrical Permit - Carla Peters - 63 N.E. 91st NE 91 11'00569911' 1:0660 iO37 71: 11'40534 Liectricai Permit Perm“. NIP ber: EL20O2 -146 PETERS CARLA ST Contractor's Address: 1150 NE 125 ST Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 19 & 20 BLK 1 LOT SIZE 100.000 Fees: FEE2002 -2606 FEE2002 -2610 Description Building Permit Application Fee CCF Total Fees: Amount $60.00 $1.20 $61.20 Total Fees: $61.20 Total Receipts: $0.00 10/30/02 Construction Value: $2,000.00 Work: ALARM SYSTEM INSTALLATION ADDITION , ADDING 15 DEVICES 1 CONTROL 2 KEYPADS COMMERCIAL BANK OF FLORIDA NORTH MIAMI OFFICE NORTH MIAMI, FLORIDA 33161 5/9/2002 5699 63- 1037/660 4 * *61.20 Sixty-One and 20/100 DOLLARS 2 X011' Page 1 of 1 Ispection I herefor in strict compliance with all ins that may have been submitted to the plans are changed without lility for a thorough knowledge of the e assumes responsibility for work done Irtaining thereto and in strict conformity nisibility for all work done by either Date Job Address W J 1 V . q I 5A Tax Folio Legal Description , obtsiDdi3O 0 Owner/Lessee/Tenet OA v k R Owner's Address (.49 N V a Contracting Co. M m 0 f 1 Qualifier 4 )Q N\ 12,0- State # (f ,Uyal> ) Municipal # Compet ©ccy # 3.5a 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 PLUMBING MECHANICAL ROOFING WORK DESCRIPTION:ai) \ Signature of owner and/or Condo President APPROVED: Zoning Mechanical `. L PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 q l �t • ez - Tr C Historically Designated: Yes � No Master Permit # p e D - �✓j� uc 000) 1 Phone Address aola SS # Phonel(` / ?S -a 195 mock) RA( -0a 7. R r4C14•3 F b. Square Ft. Estimated Cost (value) • 00 Notary as to Owner and/or Condo President Date My Commission Expires Date Signature of C ctor or Owner Builder 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 ork stated. WJ V sv w VILMA E I ANDQ r. Notary Pubfic - State of Plod f ZdkEn BIa811tr WtOr +3n # CC934949 • • I i3 D ate 91 b0102\ Date •1 1 FEES: PERMIT L. RADON C.C.F 1 1 ? 0 NOTARY V ^ BOND TOTAL DUE Building Electrical Plumbing Structural Engineer UNIT iZ 6 FEE ITER UNIT S'A I TCH CURETS FEE • • IT . . • • • ' '. SPACE NEXUS'. UNIT FEE LIGHT CURETS CENTRAL BEATING V - 4 04 - 411 Sra RECEPTACLES A/C (WIND) ;AL SERVICE TEW'CRARY A/C (CUM.) 2 Ta I>G FOUNTAIH SERVICE SIZE IH ASPS CLOT WORX i / " CRAIN SERVICE RE?AIR/1€'Tc'R CUC1 REFRIGERATION E TAP APPLIANCE CURETS PROCESS AH3 PRESS PIPING TCR RACE TCP LTKIERGRCUFO TANKS O Y OVEN ABOVE GROUND TANKS RY TRAY WATER HEATER U.F. FRESSLRE VESSELS ZS HASt{ER HITCRS 0- 1 FP STEAM BAILERS R • 1OTCRS OVER 1- 3 FP HOT WATER BOILERS POT/3 COMP. 10TCRS OVER 3- -5 FP MECHANICAL VENTILATION /E1 -4 s 7 . RES I OENCE MOTORS OVER 5- 8 FP TRA,'SPCRT I FIG ASSE1EL I ES . SLOP MOTORS OVER 8- 10 FP ELEVATCRS/ESCALATCRS ARY WATER CLOSET MOTCRS OVER 10- 25 FP FIRE SrRINKLER SYSTEMS -L MOTORS OVER 25-100 FP COOLING IDEAS 1 CLOSET WTCRS OVER 100 FP VIOLATION RECT WASTES A/C W INCOY( RE I IS?ECT ION R SLFPLY TO: i AIR COI`DITIOHERS C UNIT STRIP NEATER RE SPRINKLER GEhtRATCRS TRAISFCR.VFRS ATER -NEW INIT. GENERATORS TRAISFCRVE.RS ATER- REPLACE GENERATORS TRANSFCA.4ERS Y8 SPRINKLER-YELL SPECIAL PLRPOSE 1.I4H POOL ' OUTLETS CCMeERCIAL ( ,TER SERVICE • SIGN TUBES R CONNECTIONS SIGN TRk'SFG .4ERS I TY- SE'NER SICK T I MBE CLOCK ITT - WATER FIXTURES 'IC TAN,( A'iTE Ot& , Y TELEVISION CUTLETS FIELD. 4' TILE/RES. '_ VIOLATION —' ' & ABANDON SEPTIC TANK :AGE PIT CU. FT. '_ REI?SPECTION :N BASIN —� :AGE WELL ESTIC WELL 4 CRAIH �~ = INLET MUTER BEATER - E STANDPIPE l PIPING • `—' H SPRINKLER SYSTEM — ~— RANGE ER SET (GAS) PIPING = D PLICATION FOR BUILDING PERMIT MUST ACCO? PANT THIS ADDENDUM. IF A MASTER PERMIT HAS 3. kINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL _ r 3 i r a c s a u t u a r m c r . t1_ s r . u ( I y r u n e r if A o a u m eat. I . 6 r L n c k f PAY TO THE ORDER OF FOR MARNO AIR CONDITIONING SERVICE, INC. SERVICE AND INSTALLATION 2012 W. 73RD ST. HIALEAH, FL 33016 -1816 • OCEAN BANK 786 N W 42ND AVE. MIAMI, FLORIDA 33126 C 4//k4 i N'0 2 26491+' 1:06601/3924 0/00).05538y DATE 22649 $ 19 30 DOLLARS 8 63- 1139/660 01 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5; 312002 Applicant: CARLA Owner: PETERS JOB ADDRESS: 63 Contractor MARNO A/C SERVICES Local Phone: 305- 885 -2191 Parcel # 1132060130120 Signed: (n ? i < 7 ;5��Z NE 91 ec anicall Permit Number: IVE2002 -59 PETERS CARLA ST Contractor's Address: 20121 73 ST Legal Description: MIAMI SHORES SEC 1 AMD P8 10 -70 LOTS 19 & 20 BLi< 1 LOT SIZE Total Fees: $0.00 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 10/30 /2002 Construction Value: $2,500.00 Work: INSTALLATION OF 1 CENTRAL A/C SPLIT SYSTEM (INSPECTOR) BY: Signed: (Contractor or Builder) BY: 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 budding 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 wtth 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 fora thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whetner 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 i t In consideration of the Issuance to me of this permit, I agree to perforrn 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 t assume responisibility for all work done by either myself, my agent, servants or employes.