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501 NE 92 St (5)BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE _, 19 1- '4- Owner of Building Lot CONTRACTOR OR BUILDER PERMIT N9 5963 - Work to be performed under this Permit— ' T` - --•-• Bl. Contractor's License No. Subdi- vision Value of 11 Amount of " ' 1 ! { ,� i Project $ 11 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordin d - regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT Date_ ___ "J'ime ? ,(? 172 Type IriSp-ii _.--,,,_ ,, 4 ,....._, g _}- 77:.. Permit No. ! ,, , ...) Name Address P.- )( Company ,,, .5:/,: , 77. ,,,:;'' / .• ? /' -_)?"-; : , Phone # • , ) - — For Inspector: 6 ,,,.? Name & Date ./ I / Approved, 173 Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Reque t Re-Insp'n Fee 1t6 -e Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204, Da Type Insp'n /� Permit No. �' 0 ® Name 1 Address 5v / " G Company Phone & Date For Inspector: MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 Villar shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address r• ( /U4 046/./e Registered Architect and /or Engineer _,... > :..... ............. «...,,.,::,- ,..... Name and address of licensed contractor 5-- E0 ... &- Location and legal description of lot to be built on: Lot Block Subdivision Sweet and Number where work is to be done -5- _ a i /(--) ti State work to be done and purpose of building (by floors) 5 /A.1l ). CEA A A.2./ /1 C.. _- .C!.d►l.`2L- : ��.. /a 7ee) w ; `Z UJ -51 I e "2./&71 J5 _ S,1 Fr bn 670s. New Building Remodeling Addition To be constructed of Kind of fou dation Estimated Total cost of improvements $ STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved (Signed) Building Inspector BUILDING INSPECTION DEPARTMENT PLANNING BOARD Chairman Member Member ...... __._____.._._ ._._. Council Approved NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re fee of $1.00 will be charged materials and /or workmanship. Repairs Roof Covering Amount of Permit $.. X 6416 Zone cubage required plan Cubage Distance to next ne. rest building Size of Building Lot Maximum live Load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be 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 are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. -e�� Remarks._._ (Signed Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are 1/� e true. Permit No.._-.__ l Date ....l-rsl-) " 2 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires DATE Member Member Member Date Disapproved No... ��...__. Street l !._d `? or changes to this application after approval and for no other No of Stories r- Ac o 3-9- purpose. to me well known, ............ Date has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Date J 19 02 Legal Description Owner /Lessee/Tenet D U/U C' i Z SC?t JU g �— k 4:r c D in C! Co. Owner's Address Contracting Co. Qualifier PERMIT APPLICATION FO MLIMMI-PTEi VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Floridai331$ ; pbobei 305- 796 -2294 • Fax: 305- 756 -8972 Qt✓�� er`t T3 . C h r �/� -T State # C -I /q Municipal # Competency # Ins. Co. H q 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. ELECTRICAL PLUMBING WORK DESCRIPTION: t.1 I V$4,:t Permit Type (circle one): BUILDING Square Ft. Estimated Cost (value) U \s .°° 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). 1 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. OWNE SI AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regula nglconstruction and zoning. Furthermore, I authorize the above named contractor to do the work stated. Signature of owner and/or Condo President Notary My Co I o pwner and/or Condo President n) ion Expires .44Fijk !/ m :l: MY II • Mechanical. Job Address J v t ry Tax Folio • ••. • • • • • • Historjca:Ily DsTgnated± `fes • • • - ••• • B 0— ) Date Janet Kranz SION # DD174033 EXPIRES cember 26, 2006 NDED THRU TROY FAIN INSURANCE, INC •• •• • •• SS# i Signature of Co - j Notary as ( o C M Comniiss , • •• - • • • • • • • 03' i f3 Master Permit # • -� • • • ••• •••• • /� p ;':PKP •ti "E��` ;1° L( • '" t � l • • • • • •• •• • • • Address r.0 0 K G (3 7 0 ill # NI ' F " 00/4? Phone •3 0 6 g - Q ( Y MECHANICAL ner Builder No ✓ ntractor or Owner Builder n Expires „lPs'; 7a t Kra MYCOMMISSION DD ,4033 EXPIRES 'a'•. -�� Decem 2006 BONDED THRU TROY FAIN INSURANCE INC ROOFING i � 0 3 Date 3• l 9 -0.� Date NOTARY BOND FEES: PERMIT ✓ ' RADON C.C.F APPROVED: TOTAL DUE Zoning Building Electrical Plumbing Structural Engineer ITEM BATH TUB UNIT FEE ITEM •• :. • • • SWITCH OUTLETS •• • • • i Ix .• ▪ .•• . � • ITE)t. • 6 gPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING I= (Q (\ t,J DISHWASHER RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) I: a 5. To DRINKING FOUNTAIN SERVICE SIZE IN AMPS IXCT WORK Spl fern FLOOR DRAIN SERVICE REPAIR/MWTER CHANGE REFRIGERATION & r' 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. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP MJTCRS OVER 8- 10 FP TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS SINK, SLOP TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS JR I NAL iATER MOTCRS OVER 25-100 HP COOLING TOWERS CLOSET. - MOTCRS OVER 100 HP VIOLATION REINSPECTION INDIRECT WASTES A/C WINDOW -AIR CONDITIONERS LATER SUPPLY T0:. " A/C UNIT .. • -. STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST, • GENERATORS TRANSFORMERS HEATER- REPLACE %.... GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL. SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL `T WATER SERVICE SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS HIM-SEWER. . • TILITY -WATER :PTIC TANK ■ SIGN' TIME CLOCK FIXTURES ELAY • ' • ANTENNA OUTLETS ` 1 AINFIELO, 4' TILE/RES. •• II & ABANDON SEPTIC TANK •: VIOLATION REINSPECTION )AKAGE PIT CU. FT. • • ■TCH BASIN SCHARGE WELL 1MESTIC WELL ;EA DRAIN OF INLET LAR + WATER HEATER RE STANDPIPE OL PIPING + NN SPRINKLER SYSTEM f RANGE TER SET (GAS) 3 PIPING • • • • • • • • •• • • • • • • • • •• (AN APPLICATION FOR BUILDING PERMIT MUST ACCO : • MI�ANY TliZS'ADD�1DT�t•S. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDINg PERMIT , t1RPLICATION ••• • • • • • • • • • ELECTRICAL :•• • ••• • • • • • • ••• '•• MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/26/2003 Applicant: DAVID NELSON Owner: NELSON DAVID JOB ADDRESS: 501 NE 92 ST Contractor C & R AIR CONDITIONING CO Local Phone: 305 - 685 -6394 Parcel # 1132060141120 If there fee is $50 This Pent ordinances r and approve authorizatior ordinances by his agent Signer In conside with the plat myself, my ; Signec PAY TO THE ORDER OF AIR CONDITIONING CO. P.O. BOX 681330 • MIAMI, FL 33168 -1330 PHONE: (305) 685 -6394 I tArci liQ1144*J2.44c)2L-- MEMO D ctK-2l \, fLef 1 i Mechanical Permit Permit Number: ME2003 -43 Contractor's Address: 2121 NW 139 ST #10 Permit Status: Approved Permit Expiration: 9/22/2003 Construction Value: $2,850.00 Work: EXACT REPLACEMENT OF 2 1/2 TON SPLIT SYSTEM BANK OF AMERICA FLORIDA 63- 243/670 II'n0 5nnt. u ■ P. nr 1.n 1 ano inrn„. Page 1 of 1 $ 76.80 ORIZED SIGNATURE NP Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 10 & W1/2 LOT 11 BLK 57 LOT SIZE - -5-et 125,00 1•cs° Total Fees: UM 7f Total Receipts: $0.00 5004 DOLLARS 5 S 1 8 CO : - c do c m 2 • Y D • 4 • 2 0 � ... r g m m t m