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1216 NE 93 St (7),+ • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ,( / may /14/ .> # 6,2D '3/9 1005 s Date Oq" Job Address /2/6 " ✓''''e Tax Folio Legal Description Owner / Lessee / Tenant Master Permit # L2 003 Owner's Address p / Phone //JJ//�� Contracting Co. / [/ /M / /f/hbinf 1 �G - Address �i� / 9 s /ye `/ //G M W -F1/ Qualifier f/bV f //r4 "4 ' SS# - - Phone 70f ‘-a - ?61 / State # e`e.1 92 Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIG. WORK DESCRIPTION %tAfi eA6/ l'e/ 2 G ua 4, RP / ( 0 W 7e iri 7e eXi �'P� 75 G 7 A //+e Square Ft. Estimated Cost(value) yE � / 72-s: 00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO Dk SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEN: TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, aia on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat 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 wil be done in compliance with all applicable laws regulating construction and zoning. Furthermore, authorize the above -named contractor to do the work stated. AOL Signature o owner and or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * * * J /' �O FEES: PERMIT /6Qo - RADON C.0 APPROVED: Zoning Mechanical Plumbin * Buildin 41 27 1 1 /i 4/1 Signature of tractor or Owner-Builder Date: tary as to Contr My Commission Expi * NOTARY TOTAL DUE Fire Othe Electrical Engineering * crvICIA.1. NOTARYCCUL Ow>l4I "de COMMISStONNUMB€F8 DD054320 9f OF O� MY COMMISSION EXPIRES SEPT22,2005 * * * ** Perini, No ;■pplit..,tiou is hereby made for the approval of the detailed statement of the plans and specifications herewith qubr.r` . l for the building or other structure herein described. This application is made in compliance and conformity with the Building Qrdinance of Mi.. • I Shores Village, Florida, a,;d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and apes fications must be kept at 'Juilding during progress of work. �q '.)wner s Name and Address... t .. a _-ev M ._. No. Street. .' q 3 S cgist Bred • Ar c hitect and/or Engineer k6� 54 C ©w 5 L TAA i5 C :mplo r Flame .. ...� V® >E S11 40.. ..t ® 8 street2 $ � fi. Location and Legal Description Lot. 34 WT fC Block ,- VAC _ Subdivision.__.. Street and Number where work is to be performed -No k 0 81 93 ST Street State work to be performed and purpose of building (By Floors) PCOL- PI Pe 6- New Building . Remodeling___ _- -. Addition Size Septic ..... of Tank Amount of Permit $.. D d STATE OF FLORIDA, D sa. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed Repairs Date ..._ 1 ® 1.�, No of Stories Feet of Drain Tile.._____ __-- _.___Dist. Feet of Tank or Drain Field from Well M ature of Water Supply; City - Well..__, _- .------- - - - -__ -. -Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws lied with the provisions thereof, and will require similar compliance from all contractors performed under this permit; and will post or cause to be posted' for Inspection on the required by the Act. The undersigned agrees to employ only such sub- contractors licensed by Miami Shores Village. Capacity pals... Plumbtnt; Inspector and accepts his obligations as an e n;lloycr of laho of Florida Permanent rum lement, and ha. • )r-. b- contractors employed him in r ,, •AI rk v ti- the work such pub otice r no icgr +s k to be . . r(orme t x this p :r.ri� ;,r . Publlo, Mesta Plumber. Before me, die undersign authority, a notary public, duly authorized to administer oaths and take acivwwledaments, perior.a:: 1 pp;Team. t,a e of Florida a.° 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 be has carefully read the foregoing application, and that be did sign the same, and that all acts therein by him stated are true. L/4!7A NOTE: A re inspection fee of $1.00 will be made when such re- Inspection L mede•neoessary by Improper notice for inspection, pit !suit) materials and /or workmanship. CLD[[T[ BATH TUBS SHDW[R• LAVA• TORI[a SINK• SLOP SINKS LAUNDRY Tune URINAL/ CATCH BA•1N FLOOR DRAIN DRINKING POUNT'N6 TOT..L PIXTI. NU • CONTR. LI T • CHECK •••.- • I ..... — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR M DEEP WeLL BPRKLR. SYITtM SWIM'O POOL __ -T• CONTR. LIST _ I r — . .......- CHICK ■••. —_ — Perini, No ;■pplit..,tiou is hereby made for the approval of the detailed statement of the plans and specifications herewith qubr.r` . l for the building or other structure herein described. This application is made in compliance and conformity with the Building Qrdinance of Mi.. • I Shores Village, Florida, a,;d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and apes fications must be kept at 'Juilding during progress of work. �q '.)wner s Name and Address... t .. a _-ev M ._. No. Street. .' q 3 S cgist Bred • Ar c hitect and/or Engineer k6� 54 C ©w 5 L TAA i5 C :mplo r Flame .. ...� V® >E S11 40.. ..t ® 8 street2 $ � fi. Location and Legal Description Lot. 34 WT fC Block ,- VAC _ Subdivision.__.. Street and Number where work is to be performed -No k 0 81 93 ST Street State work to be performed and purpose of building (By Floors) PCOL- PI Pe 6- New Building . Remodeling___ _- -. Addition Size Septic ..... of Tank Amount of Permit $.. D d STATE OF FLORIDA, D sa. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed Repairs Date ..._ 1 ® 1.�, No of Stories Feet of Drain Tile.._____ __-- _.___Dist. Feet of Tank or Drain Field from Well M ature of Water Supply; City - Well..__, _- .------- - - - -__ -. -Size of Soakage Pit The undersigned applicant for this building permit does hereby certify that he understands under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws lied with the provisions thereof, and will require similar compliance from all contractors performed under this permit; and will post or cause to be posted' for Inspection on the required by the Act. The undersigned agrees to employ only such sub- contractors licensed by Miami Shores Village. Capacity pals... Plumbtnt; Inspector and accepts his obligations as an e n;lloycr of laho of Florida Permanent rum lement, and ha. • )r-. b- contractors employed him in r ,, •AI rk v ti- the work such pub otice r no icgr +s k to be . . r(orme t x this p :r.ri� ;,r . Publlo, Mesta Plumber. Before me, die undersign authority, a notary public, duly authorized to administer oaths and take acivwwledaments, perior.a:: 1 pp;Team. t,a e of Florida a.° 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 be has carefully read the foregoing application, and that be did sign the same, and that all acts therein by him stated are true. L/4!7A NOTE: A re inspection fee of $1.00 will be made when such re- Inspection L mede•neoessary by Improper notice for inspection, pit !suit) materials and /or workmanship. ITEM BATH TL8 UNIT FEE ITEM SWITCH OUTLETS UNIT /f FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS e CENTRAL HEATING DISHWASHER RECEPTACLES ,( 1 A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS 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. MDTCRS 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 MJTCRS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW PI; On) / REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS ..r1) A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SW I } 1 I NG POOL OUTLETS COM4,IERC I AL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES 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 PLUMBING 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.) ELECTRICAL MECHANICAL BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building / Architect Contractor or Builder t.. Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA D D DATE - ` . 195 "-' ❑ PERMIT N° 7327 Contractor's `� a - Z. -- License No. ❑ Work to be performed under this Permit CONTRACTCR OR BUILDER r -• Bl Subdi- vision Value of H Amount of Project $ '1 Permit $ 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. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered her nder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submi d to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor �. or Builder Legal Description Address of Building PERMIT 'IT° 11866 In considers • e iss r" ; o° .. a n strict ing this rmit I ass Work to be performed under this Permit BUILDER MIAMI SHORES c e to nn of rmity with esponsibility Bl. t � Subdi- vision Value of Project This permit is granted to the contractor or builder named above %o construct the buildin herefor in strict compliance with all ordinances pertaining thereto and with the underst drawings, statements or specifications that may have been submitted to ad approved time if the work is not done in compliance with such ordinances or if the plans are ge granted is the understanding that the contractor or builder named above assumes t res pertaining to the work covered hereby whether shown on the plans or of a • ' done by his agents, servants or employees. Signed• permit I agree to pe xis drawings, state VILLAGE, FLORIDA $ DAT Contractor' License No AtAA.1-7 /..Vitt -s f� Amt. of Permit $ or to install the equipment or device described in the a 'cation t the work will be performed in compliance with any plans, op municipal authorities. This Permit may be revoked at any authorization. A further condition upon which this permit is ity for a thorough knowledge of the ordinances and regulations � stateme •ecifications and that he assumes responsib' 'ty for work ►y' • • pert Insaet4¢ CONT' OR 11 • e n w INBPE •R rf rm the work covered hereunder in comp , er, tmyself, do t s Bery submitted employe pro Ordt 'lam BY e s 0 with all ordi er authorities of AUTHORITY 1954_ s nces and regulations iami Shores Village. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot II Bl. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ❑ DATE 195 ❑ PERMIT _NT° 15115 ❑ Work to be performed under this Permit Subdi- vision Value of Project $ Contractor's License No. Amt. of Permit $ 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: - BY 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 responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Permit No. i i__,- _ _ _ _ _ _ _ _ _ Date ' 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 work. Owner's Name and Address_____.:_' t No Street Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Block Street and Number where work is to be performed —No 1 / State work to be performed and purpose of building (By Floors) N ew Building--------- - - - - -- - -- - -- - - -- Remodeling Addition Size Septic Tank Feet of Drain Tile Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) No / Street 4- f' (t l Street Repairs Type of Tank___ Capacity Gals. Dist. Feet of Tank or Drain Field from Well, Nature of Water Supply: ( —Well . Size of Soakage Pit f The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an oyer of lab under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gepef'al Laws of Florida Permanent Supple t, and has co plied with the provisions thereof, and will require similar compliance from .all - tractors or sub - contractors employed by hi, in the work to .e performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as e required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) • f, Subdivision No. of Stories STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the the above described construction, that he has carefully read the foregoing application, and that he did sign the sane, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT' NS fi-e /.,� /, h' TOTAL FIXTURES CONTR. LIST / 1 / / i 2,-/ CHECK - 7 S /5 '''7 � S 56 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL t- 7)/ 1,_ - /[,)7 CONTR. LIST CHECK Permit No. i i__,- _ _ _ _ _ _ _ _ _ Date ' 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 work. Owner's Name and Address_____.:_' t No Street Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Block Street and Number where work is to be performed —No 1 / State work to be performed and purpose of building (By Floors) N ew Building--------- - - - - -- - -- - -- - - -- Remodeling Addition Size Septic Tank Feet of Drain Tile Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) No / Street 4- f' (t l Street Repairs Type of Tank___ Capacity Gals. Dist. Feet of Tank or Drain Field from Well, Nature of Water Supply: ( —Well . Size of Soakage Pit f The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an oyer of lab under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gepef'al Laws of Florida Permanent Supple t, and has co plied with the provisions thereof, and will require similar compliance from .all - tractors or sub - contractors employed by hi, in the work to .e performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as e required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) • f, Subdivision No. of Stories STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the the above described construction, that he has carefully read the foregoing application, and that he did sign the sane, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reques Date Type Insp'n � m 1 pi 5pirin ' "_rY Permit No. pi 6 4 -D-04 Name DR-. Address 330 E Q2 a) Company Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ID' 0 W• ( - ) -) Time /0 `-Z m • Type Insp'n Permit No. `� U 9 Name Address • r 7 , 6.� 10. . r / � .� Company Vidal V i UL 0 l 0 vect - i t Phone # - g L - 116 7 For Inspector: I b J9' )3 p • Name & Date Approved Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date I - E)-6 Time /O Aim • Type Insp'n Permit No. ESP U 3 519 Name Address Z( (. 11E Q3 Company 6 ? 1 5 1 Y'i ' & C Cr& s vet' - Phone # g9)- — qi 6'7 For Inspector: 101965 6 p • Name & Date Approved Correction Re- Insp'n Fee Date Time Type Insp'n P 1 Permit No. Name Address 1 a 1 p 5r Company 01.4 ( � MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Ldp Correction ❑ Re- Insp'n Fee ❑ Phone # For Inspector: Name & `� A MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 *kk41 Building Inspection Request Date Q Type Insp'n Time Permit No. 033 51-1 Name & Dai l nCi 1° Address 11 1 Cj 1 sr• c135-1-- Company Phone # For Inspector: \ J 3 d Name & Date Approved Correction ❑ Re- Insp'n Fee ❑ BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) DO 'J nl A C-6S 77Al GL 2- Phone # Owner's Address City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Villaze Is Building Historically Designated YES NO r -� 'fig / ✓ Contractor's Company Name o 1, �P' � p Phone # /// Contractor's Address J 7 7_' ice: / i Z City % P- TY! / l State �- Qualifier ) /0 a 1 -ill- CC I ( 1 - ! /ce Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address - City State Zip $ Value of Work For this Permit Y Number of: Bays Stories Families Bedrooms Baths Type of Work: DAddition DAlteration :New ❑ Repair/Replace ❑ Demolition Describe Work: U CrW �`r`�- `'r*S Tc 4( NEB U County Escrow Fee $ Education/Training Fee $ Building Electrical Plumbing Mechanical * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** c r • ab Permit Fee $ e Notary $ 40 . Tech $ - 1 S Scanning $ Radon $ Bond $ Struct. $ Code Enforcement $ Minus Plans Check Fee $ —5 v Total Fee Now Due $ (Continued on opposite side) Cit4 3g1I Miami Shores Village Building Department izl6 -te 135 County Miami -Dade Permit No. [-I 2 0 r iq Master Permit No. 8 P ZOO Zip Roofing Zip3/ 1 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 )z3 — Square Footage Of Work: Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip • 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 gnature Owner or Agent The foregoing instrument was acknowledged before me this :. day of B , 200 by who is personally known to me or who has produced__" fication and who did take an oath. iaeo NOT Sign. 1 . Print: il' ®.1.1 My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * *ft State Certificate or Registration No. APPLICATION APPROVED BY: chc7/7 /03 t Contractor The foregoing instrument was acknowledged before me this 0 day of `� ,� , 20 03, by who is personally known to me or who has produced �^ as identifi : f•n and who did take an oath. . /I/ . ff./ .b NOTARY p Si Print: Plans Examiner Engineer Zoning sibs, Ma i My Commission Ex a MY Co 'ri^er Pres. dik Co - a XeRefIcate of Competency Holder) 'es ,?? 4)7 99 9 , Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** D ate iV ► 1 Job Address 1.2 O NE a3sic: Legal DescriptionL 3 LO 5 P! 1 ZA a ` , 1 c O w n e r y / Tenant I- nn rn3 M 111 ICCY)I, (�- Owner's Address 121 L Ngaast Contracting Co. 4.0..)Q ' r G 1- tbv1t+ Qualifier htn £ RCaJQ ** * * Lessee State #C 4(20? 6 3miunicipal # Architect /Engineer N I I) Address Bonding Company Nil Address Mortgagor N IP Address authorize the above -named FEES: PERMIT rr APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE * 1 Tax Folio LO Master Permit # 9'9 Phone 7s1 5 7 1 s 7s Address 2501 T AR I• 4 1 41- 3205 -021-ol(in SS# - Phone F 4 7 3 J Competency # Ins.Co. Permit Type(circle one): BUILDING ELECTRICAL PLUMBING ( MECHANICAL ROOFING PAVING FENCE SIGN \ n I WORK DESCRIPTION moot. Qx,IS6 PI 1 6h nor 1 or) N.r. I l mol kor to i 10 . 14)0 u6 - CsIrnn u L to s6 Eig, t„ct q l,r n c& Square Ft. Estimated Cost(value) `512 Signature of owner and/ llr Coy>!dy/President Date: Notary as to Owner and /or Condo President My Commission Expires: 'OFFICIAL NOTARY SEAL' * RODERI O. WM % NOTARY R&M STATE Cf FLORIDA Commission Esp. APR. 3,1995 'fit II Zonin Mechanical° contractor to do the work stated. antliUr 4 i bri Ona I\Ia,o I (,¢m 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 Date: ature/6f Contractir or Owner- Builder Notary as to Contractor or Owner - Builder My Commission Expi ea! 'OFFICIAL NOTAEW SEAL' ROBERT 0. WHITE NOTARY PLtLIC STATE OF FL FDA * * * * * Hy Co*misnion E. APR. 3 : , D O 1'( ** C . C C. F. 1('Y' ,/J Q NOTARY TOTAL DUE /Si r 1 Fire Other Building Electrical Plumbing Engineering BUILDING ELECTRICAL PLUMBING ROOFING CONTRACTCR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 7252 Owner of Building Architect Contractor or Builder Legal Lot Description Bl. Address of Building Work to be performed under this Permit Value of Project $ z•. DATF 195 Contractor's License No. Subdi- vision Amount of Permit $ / 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed BY • 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY T 6 M'. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bujlding Inspection Req Date Type Insp'n Permit No. Name IOU Approved Correction Re -Insp' n Fee nra sec 0 Address l 2_45 N q s ,s,- Company r 1kb J Phone # S- 6 ZZ° Inspection Date 1 115 BUILDING PERMIT APPLICATION FBC 2001 Owner's Address / Z 4 1.5 City // / `9/7 / $ Value of Work For this Permit j 2,6C0 Total Fee Now Due $ N. I (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 Permit Type (circle): Building Electrical Plumbing Owner's Name (Fee Simple Titleholder) -.f 0J4H) 2,0O State Zip 33)2✓'iS Permit No. M . 0 9 C — 6 Master Permit No. Mechanical Roofing Phone # Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name 7G 0 . ahig Phone # J - 865 /Z Zv Contractor's Address ?3(; W (AJ /O 7 7 - 57 City /1/4/7) 7-C3/12) State '9-2- tv Zip 33) 8 Qualifier //4 7 / , }J 2 01,J4 C4c /3Z7 Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: Addition ❑Alteration New E ❑ Demolition Describe Work: C /i'4-.v' 6 OC)' i oc, 042 / % ONG )°. f 3s * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Sl), Q (V Permit Fee $ ' c CCF $ t, a 0 CO /CC Notary S Training/Education Fee $ i LA Technology Fee $ t -S - 0 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 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. Chc 12/15/03 (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. Signature 6'7f '. /.OUJ ,- 7/1 • Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 4 day of , 20 _, by day of #47 , 20 o4 , by /Y1e-r{i r %rna:/-c, who is personally known to me or who has produced who is personally known to me or who has produced / As identification and who did take an oath. *mown as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: % Sign: Sign: �� 0,-4106 / D /I3 "7,1 (UVO, JR. My Commission Expires: My Commission Expires: NOTARY PUBLIC ION # TEOFFLORIDA Print: Print: RLANuu Y xP y xpires: COMMISSION # DD287299 ************************************************************************** * * * * * * * * * * * * * g xi PE�& BONDED THRU 1-SBB•NOTARYI Q3/2 @Q* ** ** ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: g9 v ��,5� - c Plans Examiner Engineer Zoning SECTION BY DATE Zoning C `'` � , yd / f / 2 91-- License Fax (3)06) 3( /7%1 Electrical Address /v 7 ( a/ /47 �� . Zt -- .2, 1, °1? 33"( ere. Mechanical 7-(6— ‘' 4- s . o el Plumbing Qualifier Name / f 7 //� Fire Foundation Only Public Works Add'l Attachment Structural Add'l Detachment Building Official Other CONTRACTOR TOR Name ,J OM lerit #4 Lea ® A � C � ��,���,� C Name 4��f i 'i �V ea& 4i� ri tvt / t `'''" a o. . _mil G -1,, Home Telephone /n .� L3 C `'` � , yd / f / 2 91-- License Fax (3)06) 3( /7%1 Address /v 7 ( a/ /47 �� . Zt -- .2, 1, °1? 33"( ere. Alteration Interior Telepho ,p �5'/0.0 . F \ J (1 ( J �/' 5 . 77t Qualifier Name / f 7 //� Shell Only PROPERTY OWNER Name ,J OM lerit #4 Lea Address l I •a iS "e S r - W( . 1io\res FL' 3B _mil G -1,, Home Telephone /n .� L3 Business Telephone ) 9621 _4 2.... , 7 2, 1 3 Fax (3)06) 3( /7%1 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond State DCA (Radon) Code Enforcement Fine Zoning Review Notary Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ ❑ PROOF OF OWNERSHIP (Attach) ❑ FIRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) /&J ( x .60 x/1000 ) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com 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 submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION Job Address: 145 4. . q34se Address Apt. Folio Number // 320 S'02 70 070 Lot Block CiN / f r 0 ' 0 G 7 Subdivision PB PG Zoning Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work 2000 • Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other (/ PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. ML4Att; City State PERMIT APPLICATION Zip Description of Work C/144)Ce 0 ai Co °J -66'' 1 Linear Feet ENGINEER Name License No. Address Telephone Fax 33i 37 ELECTRICAL TYPE Minimum Fee ()'1'Y. 'Tl'1'B Dryer QTY. TYPE Outlet, Appliance QTY. 'I'YPI': Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton - Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent - Pressure Vessel 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 I\'IECHANICAL TYPE: Minimum Fee QTY. TYPE Condensate Drain QTV. 'TY Generator QTY. '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 Solar Water Heater Air Handler, Tons Ductwork, Cost of - Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System - Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit Q'I'Y. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinlder 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 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. ST TE OF RIDA, COUNTY OF MIAMI -DADE of Owner NIATINtNI l.o Print Name Sworn to apd subscribed before me this 1 8 day of /PIW ' Z-o Yp4° �MATIASJOS • •IJA a 4 MY COMM! . DD066963 Qf AO E ' ctober 24, 2005 1 48O03 - NOTARY R Notary - ca & Bonctng. Inc Signature of Notary SEAL: Personally known OR, Produced Identification Type of Identification Produced: Signature of Con 1 'ali SEAL: Personally kno PERMIT APPLICATION STATE OF FLORIDA, a ul •F MIAMI -DADE Type of Identification Produced: 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: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/10/2004 Applicant: JONATHAN M LOO Owner: LOO JONATHAN M JOB ADDRESS: 1245 NE 93 ST Contractor BLUE BREEZE AC Local Phone: 305 - 865 -1220 Parcel # 1132050270070 Signed: (INSPECTOR) Mechanical Permit Permit Number: MC2004 -64 Contractor's Address: 736 NW 107 ST Page 1 of 1 Legal Description: BAY LURE PB 44 -63 LOT 6 LESS WLY25FT BLK 1 &W25FT OF LOT 7 LOT Fees: Description Amount FEE2004 -4705 Building Fee $100.00 FEE2004 -4706 CCF $1.20 FEE2004 -4707 Training and Education Fee $0.40 FEE2004 -4708 Technology Fee $2.50 Total Fees: $104.10 Total Fees: $�1.100 Total Receipts: $0.b0 � Permit Status: APPROVED Permit Expiration: 10/31/2004 Construction Value: $2,000.00 Work: CHANGE OUT CONDENSING UNIT ONLY MAY 13PAID 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: VP, MIAMI SHORES. VILLAGE BUILDING DEPARTM 305- 795 -2204 Building Inspection Reque Type Insp'n Permit No. ) C 0 y O Name S� r ka S ' ► Q I �'�`� Address / 40 AL P` q3J.A Compan l Qe — by_c--, ‘3c/Nc - 7)) -toy X>4 -" It [[, O4 Inspection Date Approved Correction Re- Insp'n Fee 7 l n00 ) J 411 60g 30.15 County Escrow Fee $ Code Enforcement $ A Type of Work: [(Addition Describe Work: Minus Plans Check Fee $ BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing )Roofing Owner's Name (Fee Simple Titleholder) divxm 1YE.( t."� Phone # Owner's Address i t-1 o C q 3 S"' City M c i vvN ,Share?; State F ( . City Miami Shores Village Is Building Historically Designated YES NO Job Address (where the work is being done) ( .2(40 iv L I e3C $ Value of Work For this Permit L ( C I J . Education/Training Fee $ . $ 0 Miami Shores Village SBuilding Department County Mianji -Dade Contractor's Company Name C_ t `� At !` LO cw C • Contractor's Address P. 0_ b ©,c 1vv 1 D 3 0 City 41 t.1 " State 1' 1 . Qualifier k e\o C° f'rt' (` fn r S i Tech $ � t © 0 Total Fee Now Due $ \� ?' t Permit Nq► r \ Master Permit No. Mechanical Zip 3 3 10 Tenant/Lessee Name Phone # 'JO 71 ( - 7 2 1 Number of: Bays Stories Families Bedrooms Zip ..) 3 J t 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 L._C3 Phone # 2 O S 6 8J 6 3 - i tt Scanning $ zip JJ i 6 - Phone # Architect/Engineer's Name (if applicable) Architect/Engineer's Address - City State Zip DAlteration [(New [' Repair/Replace at Li /1 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ •" — Notary $ Bond $ Struct. $ Square Footage Of Work: Baths ❑ Demolition Radon $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the . building permit is issued. In the absence of such posted notice, the inspection will not be approved and reinspecti.ri - • I be charged. Signatur chc7r7 /03 My Commission Expires: APPLICATION APPROVED BY: Zip Owner or Agent ' Contactor The foregoing instrument was acknowledged before me this 1$ The foregoing instrument was acknowledged before me this 17 day of alvie ,200`(, by day of 3 C.ri , 2004, by produced who i ersonally lcnnwn to me or who has , P who i ersonally known�to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTAR Sign: Print: 0b Signature NOTARY PUBLIC: Sign:. Print: My Commission Expires;, ,,, * * * * * * * * * * * * * * * * * * * * * ** *** * * ** t.�ry . R � * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** , * ,; • €®PklM182414.*.QW/O& WANES NES ,,,, Janet Kranz *c '•' :. MY CpMMIS* SI December 26, 2006 pte lVompeteney Holder) ;• %�- �; •�:as A„ --4 :;;;;d 5�VDEDiHRUT OVFAIN INSURANCEINC �RF ,,,, BONDED THRU TROY FAIN INSURANCE INC State Certificate or Registration No. Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ig,4 e 5.0 4 Plans Examiner Engineer Zoning I I TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS L _ (O l i UNIT FEE . .T LIGHT OUTLETS CENTRAL HEATING MASHER RECEPTACLES A/C (WIN)) %OSAL SERVICE TEMPORARY A/C (CENTRAL) (,4TOP1 s()(l l am FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK II DRAIN SERVICE REPAIR/I€TER CHANGE REFRIGERATION LSE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING :RCEPTOR • RANGE TOP UNDERGROUND TANKS TRY OVEN ABOVE GROUND TANKS TRY TRAY WATER HEATER U.F. PRESSURE VESSELS THES WASHER MOTORS 0- 1 FP STEAM BOILERS NER MOTORS OVER 1- 3 FP HOT WATER BOILERS X, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION K. RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES K, SLOP MOTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS PCRARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS • NAL MOTORS OVER 25-100 HP COOLING TOWERS ER CLOSET MOTORS OVER 100 HP VIOLATION iiRECT WASTES A/C WINDOW REINSPECTION ER SUPPLY TO: AIR CONDITIONERS • VC UNIT STRIP HEATER 'IRE SPRINKLER GENERATORS TRANSFORMERS • iEATER -NEW INST. GENERATORS TRANSFORMERS I {EATER- REPLACE GENERATORS TRANSFORMERS .AWN SPRINKLER -WELL SPECIAL PURPOSE • ;WINNING POOL OUTLETS COMMERCIAL - 1ATER SERVICE SIGN TUBES (ER CONNECTIONS SIGN TRANSFORMERS LITY -SEWER SIGN TIME CLOCK LITY- WATER FIXTURES 'TIC TANK ANTENNA .AY TELEVISION OUTLETS kINFIELD, 4' TILE/RES. VIOLATION P & ABANDON SEPTIC TANK REINSPECTION XKAGE PIT CU. FT. rCN BASIN _ XHARGE WELL .. 1ESTIC WELL EA GRAIN JF . INLET �. LAR WATER HEATER ' lE STANDPIPE )L PIPING - NN SPRINKLER SYSTEM S RANGE TER SET (GAS) . S PIPING APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. MINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM' TO' BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Mechanical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: MC2004 -104 Printed: 6/21/2004 Applicant: LEANNE SARKISIAN Owner: SARKISIAN LEANNE JOB ADDRESS: 1240 NE 93 ST Contractor C & R AIR CONDITIONING CO Contractor's Address: 2121 NW 139 ST #10 Local Phone: 305 - 685 -6394 Parcel # 1132050270190 Legal Description: BAY LURE PB 44 -63 LOT 7 Fees: Description Amount FEE2004 -6299 Building Fee $120.00 FEE2004 -6300 CCF $2.40 FEE2004 -6301 Training and Education Fee $0.80 FEE2004 -6302 Technology Fee $3.00 Total Fees: $126.20 Total Fees: $126.20 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 12/15/2004 Construction Value: $3,495.00 Work: REPLACE 4 TON SPLIT SYSTEM Signed: (INSPECTOR) Page 1 of 1 BLK 2 LOT SIZE 75.000 X 125 OR itM 12 MC 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: