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1255 NE 93 St (2)Miami Shores Village Building Department MECHANICAL CRITIQUE SHEET 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name It\W\e,3 Miami Shores Village Building Department Permit No. Job Name MECHANICAL CRITIQUE SHEET 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 \W \03 Miami Shores Village <�► ��'�`� Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 � BUILDING PERMIT APPLICATION FBC 2001 P rmerme it T)pe (circle): Building Electrical / Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) h S /" Di / lti Phone # Owner's ��Address rr /2 SS sL� : city 9/77,' OI0�2 5 State • Zip 33 / 3 8 Tenant/Lessee Name Phone # (Continued on opposite side) - ' Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Master Permit No. Job Address (where the work is being done) /z s 4/6 S 7---- City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name /9/ne 2! C!'14/ < /; G / Phone # 30.5 - 752 58 2 2 _ Contractor's Address /3 v 1 n _cCe - 3 S T City A 4 Pir � State F Zip 3 3/ 75" Qualifier .- .-.7-6;5c./._.5 /Wo f'e frel 0 Architect/Engineer's Name (if applicable) Phone # S Value of Work For this Permit f ( I 0 0 Square Footage Of Work: Type o f Work: ['Addition ❑Alteration New ❑ Repair/Replace ❑ Demolition Describe Work: /v h `c) r S ) / I `4 1 i 0 J-✓ 6B'' 5 f r v c 1 i C ,� )• 1/2 h 7 / A 7 7 / p,/ ' _DI.) c cc ofC * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** j5 2 I Submittal Fee $ 4 $ 44 (ei i Permit Fee $ 6 CCF ! Notary $ 6 ' ° L ) 6 Training/Education Fee $ 0 Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 7b05-213 2-M -133 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 t e absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature The foreg day of who is personal NOTARY Sign: Print: My Commission Chc 10/14/03 oath. Signatur Contractor The foregoing instrument was acknowledged before me this Z0 day of /40 V , 20 jl , by who is personally , own o me or who has produced entification and who did take an oath. NOTARY PUBLI Sign: Print: My Commissioii'xpire '" ' Ro "o., Inc (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: • 1 '- r "` --, / ` 1 _) `' ( i Plans Examiner Engineer Zoning M H TU3 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE ET LIGHT OUTLETS CENTRAL HEATING /,j' % HASHER RECEPTACLES A/C (WINO) POSAL SERVICE TEM:TRARY A/C (CENTRAL) 3.5 NKING FOUNTAIN SERVICE SIZE IN AWS DUCT WORK X (R DRAIN SERVICE REPAIRAUTER CHANGE REFRIGERATION :ASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING ERCEPTCR RANGE TOP UNDERGROUND TANKS 'ATORY OVEN ABOVE GROUND TANKS RIMY TRAY WATER HEATER U.F. PRESSURE VESSELS 1THES WASHER MOTORS O- 1 HP STEAM BOILERS ThER MOTORS OVER 1- 3 HP HOT WATER BOILERS X. POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION X ;K, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES 1K, SLOP MOTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS ,PORARY WATER CLOSET MOTORS OVER 10- 25 If FIRE SPRINKLER SYSTEMS • INAL MOTORS OVER 25-100 HP COOLING TOWERS TER CLOSET MOTORS OVER 100 FP VIOLATION DIRECT WASTES A/C WINDOW REINSPECTION FER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WILL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL - WATER SERVICE SIGN TUBES 'ER CONNECTION SIGN TRANSFORMERS ILITY -SEWER SIGN TIME CLOCK ILITY -WATER _ FIXTURES ?TIC TANK ANTENNA LAY TELEVISION CUTLETS AIRFIELD, 4' TILE/RES. VIOLATION M' & ABANDON SEPTIC TANX REINSPECTION AKAGE PIT CU. FT. TCH BASIN SCHARGE WELL MESTIC WELL EA DRAIN OF , .INLET LAR WATER HEATER RE STANDPIPE OL PIPING • AN SPRINKLER SYSTEM S RANGE TER SET (GAS) S PIPING ADDENDUM TO BUILDING PERMIT APPLICATION APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. 3TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Parcel # 1132050270090 Signed: (INSPECTOR) echanical Per 4' Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: ME2003 -213 Printed: 2/20/2004 Applicant: ALBERTO VALDES Owner: VALDES ALBERTO JOB ADDRESS: 1255 NE 93 ST Contractor AMERICAN EAGLE AIR CONDITIONING INC.Contractor's Address: 14825 SW 82 STREET Local Phone: Page 1 of 1 Legal Description: 5 53 42 BAY LURE PB 44 -63 LOT 7 LESS WLY25FT & LOT 8 LESS ELY25FT Fees: Description Amount FEE2004 -1862 Building Fee $150.00 FEE2004 -1863 CCF $1.80 FEE2004 -1864 Notary Fee $5.00 FEE2004 -1865 Training and Education Fee $0.60 FEE2004 -1866 Technology Fee $3.75 Total Fees: $161.15 Total Fees: $161.5 Total Receipts: :00 Permit Status: APPROVED Permit Expiration: 8/20/2004 Construction Value: $2,400.00 Work: NEW INSTALLATION CONSTRUCTION, VENTILATION, DUCTWORK fa 2 0 PAID 0C B _ 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: