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440 NE 92 St (9)Dat Type Insp'n Phone # Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B ildin: Inspection Request Time Permit No.ns E 0 a `` l Name Address 1. I _ c A- Company --e G� _2_7/. -�- lc For Inspector I `�( ��? I rue , g (Vc ftv off' R& 5(6,e L Name & Date >c (00 q,eq 0 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Permit No. /1 `� • t-4990 Name J Address ,./4/0 -� / 6 2 4 4 Company -e. Phone # (3O) s F. For Inspecctor: ;q1 10 Na a& Date Approvefl S L -, /2- °6 Z Correction ❑ Re- Insp'n Fee ❑ Date Square Ft. lb Notary as to Owner and/or Condo President My Commission Expires � (" FEES: PERMIT t PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 305- 756 -8972 Job Address Tax Folio Legal Description "' ' a /et i„) 6 4'-` listorically Designated: Yes No ( Z Ie(e 7sr Owner /Lessee/Tenet ��,,,- �-�1 i C cv. - 4 ' �� Master Permit # Owner's Address ,t/-. ' /_ Phone 3 7.- ) e� �, f C t = .,bex'ic ( r /1 4' q Contracting Co. p' � � �'� �ff Address `� � " Qualifier ' 4 d . ��: " �`�� i/ [ + , SS# � � % � �( . Phone � � .7C / 9 State # �.. •lii- 0 7 7 Municipal # 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 ( MECHANIC ROOFING WORK DESCRIPTION: -I el; 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 ill be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do e stated. I t /W/ e Signature of owner and/or Condo President Date Si nature of Contfactor or Owner Builder Date Date RADON NOTARY - BOND Competency # Estimated Cost (value) - or w Expires member 15, 2008 Ins. Co. APPROVED: TOTAL DUE Zoning Building Electrical Mechanical T C % ° / I • � � V Plumbing Structural Engineer ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING MAJJ DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 5'1 DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTCR 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 ASSEI,SLIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET OVER 10- 25 HP FIRE SPRINKLER SYSTEMS FINAL MOTORS OVER 25-100 HP COOLING TOWERS iATER CLOSET- - • - MOTORS OVER • 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION ' &TER SUPPLY TO: : ... : _ ' -AIR CONDITIONERS A/C UNIT .. . .... STRIP HEATER FIRE SP RINKLER GENERATORS TRANSFORMERS . HEATER -NEW INST:_ GENERATORS TRANSFORMERS HEATER - REPLACE %1% ' GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL - SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS T I L I TY -SEWER • • SIGN TIME CLOCK TILITY -WATER FIXTURES EPTIC TANK - ANTENNA _LAY . • TELEVISION OUTLETS lAINFIELO, 4" TILE/RES. VIOLATION AP & ABANDON SEPTIC TANK • REINSPECTION ?AKAGE PIT CU. FT. • kTCH BASIN ISCHARGE WELL ' )MESTIC WELL 3EA DRAIN X)F INLET . )LAR WATER HEATER RE STANDPIPE DL PIPING hN SPRINKLER SYSTEM S RANGE TER SET (GAS) S 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 MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: ME2002 -166 Printed: 12 /3/2002 Applicant: GLADSTONE Owner: PHILLIPS JOB ADDRESS: 440 NE 92 Contractor CARIBBEAN ELECTRICAL CONTRACTORS Contractor's Address: 3815 SW 82 AVE #4 Local Phone: 305 - 970 -7212 Parcel # 1132060140050 Aw6A-- - 4 eS,00 ( Apt7 s, 0 Total Fees: Total Receipts: `9'0/ $0.00 Permit Status: Signed: • APPROVED Permit Expiration: Work: INSTALLATION OF 5 TON NC Mechanical Permit 6/1/2003 PHILLIPS GLADSTONE ST Legal Description: MIAMI SHORES SEC 2 PB 10 -37 W 5 IN OF LOT 6 & ALL LOTS 7 & 8 BLK 49 LOT Construction Value: $1,500.00 (INSPECTOR) BY: Page 1 of 1 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. 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. • REC C01 120502 1603 PiC #01 003209 CASH Contractor or Builder) BY: $90.00 Date i 3v PERMIT APPLICA SON FOR MIAMI SHORES VILLAGE g Job Address K �� pc 9( ST j 1 5 Folio J Legal Description Owner/Lessee / Tenant l e.U 10 TM Owner's Address 4 /6 al) + Municipal # N ) 0 �'. ►y/ m il _' OA ignature of owner and/or Condo Presi • en ip tary as to Owner and/or Condo President y Commission Expires: 0" JEAN C. DORSAINVILLE MY COMMISSION t CC 492468 IIIA 1; , EXPIRES: August 31,1999 F� ` 'AOF ' Bonded Thru Notary Public Underw 1tus APPROVED: Zoning Mechanical / 71 Date ®615019 Date Historically Designated: Yes No 3 Competency # Address Address Master Permit # b 75 t Phone G -$u� -16'85 9' Contracting Co. jk S@JeLA CAS . T 5I,o Qualifier lipp(2.1 State# l ACoz-7 111.3 ?? - Ins. Co. 61. Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN (, ROOFING PAVING FENCE SIGN WORK DESCRIPTION p G�P l ,r�) 3-14 6 J e.0,dLS1 )5 V� ° Square Ft. Estimated Cost (value)�/3� 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 - s •ed contractor . • ork stated. ignature of Contr c • r or Owner- Builder otary as to Contractor or Owner- Builder y Commission Expires: JEAN C. DORSAINVILLE F. ., MY COMMISSION N CC 492488 a . . �� 44 EXPIRES: August 31, 1999 o EN O 4 Bonded Thu Notary Public tmtderndtus C.C.F. ,• �`� NOTARY BOND TOTAL DUE Da e Date Building Electrical 1 f Plumbing Engineering FINANCIAL SERVICES ASSOCIATES of AVENTURA, INC. Issue Date: (MM/DD/YY) 6/29/98 Financial Services Associates 2999 NE 191st. St. Suite 803 Aventura, FI. 33180 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORM NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE EXTEND OR ALTER THE COVERAGE AFFORDED BY THE TION ONLYANETCONFERS DOES NOT AMEND, POLICIES BELOW. ATTENTION CERTIFICATE HOLDER: If you have any questions please contact 8 FISCHLER; HERBERT at 1- 800 - 753 -1992 Master Air Control Services Inc PO Box 6317 Surfside, FL 33154 421 is I``ry. 2:2: Company Letter A Company Letter B Bankers Company Letter C S S - O C - - ' PO CI S O I S PERIOD INDICATED. NOT WITHSTANDING ANY REQUIREMENT, TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF v • - ' ' : OTY • T 1 S SI . - O • 'SIR 1 4 `' :OY O' 'O C' TERM OR CONDITION OF ANY CONTRACT OF OTHER DOCUMENT WITH RESPECT PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT SUCH POLICIES. co LTR Type of Insurance Policy Number Policy Effective Date (MM/DD/YY Policy Expiration Date (MM/DD/YY) All Limits in Thousands B General X Liability Commercial Liability 4833770 0 01 6/27/98 6/27/99 General Aggregate $ 2000 Products- Comp/ Ops Aggregate $ 2000 Claims Made 01 Occurrence Personal & Advertising Injury $ 1000 $ 1000 — Owners & Contractors Protective Each Occurrence Fire Damage (any one fire) $ 50 Medical Expense (any one person) $ 5 Automobile _ _ — Liability Any Auto All Owned Autos Scheduled Autos Hired Autos Non -Owned Autos Garage Liability CSL $ " "``''' '•`• z•'':<•'•.'i Bodily Injury Per Person $ Bodily injury per Accident $ t ? #i # #< ?' >:` >.::;< ;iii < ? :::::•.1.::.:::: Property Damage $ i z ii zci<iiiizz i : Excess Liability Other Than Umbrella Form Each Occurrence $ Aggregate $ Workers Compensation And Employers' Liability Statutory $ (Each Accident) $ (Disease- Policy Limit) $ (Disease- Each Employee) Other Description of Operations/ Locations/ Vehicles/ Restrictions/ Special Items DBA: Certificate of Insurance xx xx Miami Shores Village 10050 NE 2nd Avenue Miami Shores FL 33138 -2304 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANIES WILL ENDEAVOR TO SEND 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OF LIABIL- ITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Authorized Representative