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MECHANICALMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Requ Date TypeInsp'n 20 oc Permit No. 6 2 C - Lj . Name VJo ck • Address `, L NE— Company b1-'q S SO P P - Phone # Inspection Date 41 27 7 Approved�{�: 7: Correction ❑ Re- Insp'n Fee ❑ ORES rc. is� Inspection Number: INSP -8704 Permit Number: MC2004 -14 Inspection Date: 02/06/2006 Inspector: Perez, JanPierre Owner: WADE, RUTHANN Job Address: 452 92 Street NE Project: <NONE> Miami Shores Village, FL Contractor: BLUE SUPPLY CORP Building Department Comments Thursday, February 2, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Mechanical Phone Number Parcel Number 1132060140040 Lot: Phone: 305 - 798 -7383 Page 2 of 2 Passed Inspector Comments f 3 j \ 04 \ J 10 m Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until ORES rc. is� Inspection Number: INSP -8704 Permit Number: MC2004 -14 Inspection Date: 02/06/2006 Inspector: Perez, JanPierre Owner: WADE, RUTHANN Job Address: 452 92 Street NE Project: <NONE> Miami Shores Village, FL Contractor: BLUE SUPPLY CORP Building Department Comments Thursday, February 2, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Mechanical Phone Number Parcel Number 1132060140040 Lot: Phone: 305 - 798 -7383 Page 2 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/27/2004 Applicant: BRIAN Owner: WADE JOB ADDRESS: 452 NE 92 Contractor BLUE SUPPLY CORP Local Phone: 305 - 798 -7383 Parcel # 1132060140040 Signed: (INSPECTOR) Mechanical Permit Permit Number: MC2004 -14 WADE BRIAN ST Contractor's Address: 4238 SW 75 AVE Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 W1/2 OF LOT 5 & LOT 6 LESS W 5 IN BLK 49 LOT Fees: Description Amount FEE2004 -2151 Building Fee $210.00 FEE2004 -2152 CCF $4.20 FEE2004 -2153 Notary Fee $5.00 FEE2004 -2154 Training and Education Fee $1.40 FEE2004 -2155 Technology Fee $5.25 Total Fees: $225.85 Permit Status: APPROVED Permit Expiration: 7/18/2004 Construction Value: $7,000.00 Work: GARAGE CONVERSION TO UTILITY, STORAGE, HOME OFFICE, ART STUDIO, AIR COND. Total Fees: $ ?5.5 Total Receipts: $0.00 S s cV 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: BUILDING PERMIT APPLICATION FBC 2001 Job Address (where the work is being done) 7 S City Miami Shores Village Is Building Historically Designated YES 11.E Gs 1 � � �e �,�z. 5 Co. Contractor's Company Name Contractor's Address • City fl /4-.44/ State f�L Qualifier YZ -Li Notary $ Scanning $ Code Enforcement $ (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 Type of Work: ❑Addition Describe Work: G 0,v of 4 ; TO gatioo,.Lto J ci . �' otf4 )N 1 - 1 1 4 : . /14 f,Of s'e f County Miami -Dade NO Submittg Fee $ - Mao Permit Fee $ / ( c Training/Education Fee $ Total Fee Now Due $ 1 1 C / 'Y� Radon $ Permit No. • C ;? o# )9 Master Permit No. A p,26c t' :S f Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 1/4-111 14°1° � d,l69141N 444116. hone # 1 0 ? S � /- 7 7 o<< ;1c 3off 68 2ZY". s - 213 Owner's Address 5a 9 2 / 0 srfi4'Z Zip / L."4/ 1 4" f r 3 / S City .004 State Tenant/Lessee Name /(//4' Phone # it1/4/ q 2 NL7 Sri /i, i 7 Phone # - zip /3/ 3 g * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Structural Plan Review. $ ?034 -- 1 Q0`19 ' 45/ S 75 Avr,� Zip Architect/Engineer's Name (if applicable) /144 A . Ckl/'t t'' Phone # 7 ? 3^ y. 2 3vs. ?r 7666 00 $ Value of Work For this Permit a t� � �� Square Footage Of Work: teration ❑New ❑ Repair/Replace El Demolition '0w6 G} ;y4- e M/E 6 //a , (pr .CNi i' :4 �oi2 ai, -, y/f rt 4Gr/ WoAf ox--,17/ c'L Ai? , fivoio )5,1r-rag rrp f6Zc/✓ 14'S- / *ai4 CCF $ y, a Technology Fee $ Bond $ yes ` /Je �Y eta t s -31-ct w et -7c a Gs 1: 3 3) 3 b G5 ki d attc - D 13 i eto i i 3 2" Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) g AA/ o ' ' / 9M / I G 4 Mortgage Lender's Address ro r 5 (V «Z- 6,460‘ tuft/if f t/ / r / 5 - P City / I#rw t State /' C. Zip 3 7/ 2 6 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has corrunenced 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 a'senee -. .y,•Jed notice, the inspection will be approved and a �reinspection fee will be charged. identification and who did take an oath. aY p4, C 1:ICIALNOTARYSEAL 0 • ^ b� GLADYS J VILLAR • A- State Certificate or Registration No. APPLICATION APPROVED BY: ;;OM MISSION NUMBER c( ' � MY COMMISSION EXPIRES OF FA MAR 1 2006 • . ) Signature Contractor The foregoing in nt was acknowledged before me this 7�7 20 .•y , by ` Ae--y / ;E4ii- day of who is ersonally known o ` tt+ o hroduced � -- �Y I lesi as ideal � t i 8fi adi g � Q , E xpires May 13 2006 OTARY PUBLIC: „ Bo At o ., Inc ath. N& N Sign: Prin y Commission Expires: ***************************************************************************** ** ** * * * * * * * ** *s*** * * * * * * ** * * * ** (Certificate of Competency Holder) Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** z•o3.. <<y Plans Examiner Engineer Zoning M H UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE • ET LIGHT OUTLETS CENTRAL HEATING HASHER RECEPTACLES A/C (WIND) ,PAL SERVICE TEMPORARY A/C (CENTRAL) NXING FOUNTAIN SERVICE SIZE IN A4PS DUCT WORK CR FAIN SERVICE REPAIR/1FER CHANGE REFRIGERATION ASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING ERCEPTOR RANGE TOP UNDERGROUND TANKS 'ATORY OVEN ABOVE GROUND TANKS NDRY TRAY WATER HEATER U.F. PRESSURE VESSELS ITHES WASHER MOTORS 0- 1 FP STEAM BOILERS PER MOTORS OVER 1- 3 FP HOT WATER BOILERS X, POT /3 COMP. MOTORS OVER 3- 5 IF MECHANICAL VENTILATION X, RESIDENCE MOTORS OVER 5- 8 FP • TRANSPORTING ASSEMBLIES IK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS kORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS INAL MOTORS OVER 25-100 HP COOLING TOWERS TER CLOSET MOTORS OVER 100 FP VIOLATION )IRECT .WASTES A/C WINDOW REINSPECTION TER SLPPLY TO: AIR CONDITIONERS 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 Mfil I NG POOL OUTLETS COM,fERC I AL - WATER SERVICE SIGN TUBES WER CONNECTIONS SIGN TRANSFORMERS I L I TY -SEWER SIGN TIME CLOCK I L I TY -WATER _ F I XTI,RES ?TIC TANK ANTENNA LAY TELEVISION OUTLETS AINFIELD, 4' TILE/RES. VIOLATION 4P & ABANDON SEPTIC TANK REINSPECTION AXAGE PIT CU. FT. TCH BASIN SO-LARGE WELL MESTIC WELL EA CRAIN • OF INLET LAR WATER HEATER `. RE STANDPIPE OL PIPING 1111 SPRINKLER SYSTEM TER SET (GAS) S PIPING ADDENDUM TO BUILDING PERMIT APPLICATION d APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. 3TAINED,,'w NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Bill To I None None 452 92 Street NE Miami Shores Village, FL Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date Fee Name 01/17/2006 RENEWAL Tuesday, January 24, 2006 Permit Invoice Report Permit Type: Imported Permit Invoice Number: imp -1-06 -23476 Invoice Date: January 17, 2006 Permit Number: MC2004 -14 Fee Type Calculated Total Fees Due: Fee Amount $210.00 $210.00 , Payments Date Pay Type Check Number Amount Paid Change 01/24/2006 Check 3852 $210.00 $0.00 Total Paid: $210.00