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MECHANICALDate Type Insp'n Permit No. For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTME 3052795-2204 Building Inspec on Request Name ,Address _/ 1 Company 5e-P-- Phone # 7 0 2 2 ' L` Name & Date . o 3 PERMIT APPLICATIO14;qm pk SiliokES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 3313 • 8 l ihc t ne: 105425 -2204 • Fax: 305- 756 -8972 Date Job Address (O 0 0 P E 3 s Tax Folio • • • • • ••• • • • • • • • • • • • • • • • • • Legal Description •Histor DeSignatei: ; �'et No • Owner/Lessee/Tenet r' �✓ ) S Master Permit # • � , O i�r _ S • p=• �• • • • Owner's Address Co 0 Li E 3 �T l fir: i • • • • Ah re • • • • 'e �Y . 1 K, C 8 z� C 0 rt • • Address • �3 .3 � S e� Z Z �-e rY' 1R c r Contracting Co. 331 Yr Qualifier 00111 ' 3 1.4 c7 Ss# 1 LZ 2— 3 5 Phone �� a , -- / State # C 4- C. 1 Si' 1 3 0\ 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 $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA ROOFING WORK DESCRIPTION: I"-P∎ Square Ft. Estimated Cost (value) regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. ��- Signature n of owner d/or o ndo President Date Competency # Ins. Co. Si WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). 1 certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws ture o ontractor Date Notary as to Contractor or Owner Builder My Commission Expires Date Date Not as to •wner an My C 1 m Ex Ik NCO CHOCANO z MY COMMISSION# DD060940 1 " For it0o-\ EXPIRES: September 27.2005 1$O0-3NOTARY FL Notary Service 8 Bonding. Inc. 0 ✓ FEES: PERMIT � RADON C.C.F , 3 0 NOTARY 6 , c 0 BOND APPROVED: TOTAL DUE U /. U Zoning Building Electrical Mechanical �`:� / Plumbing Structural Engineer The Sunshine State LICENSE NUMBER B630-620-50-916-0 NORMA BRITO 2833SW 131 PL MIAMI, FL 32175.7194 BIRTH DATE SEX MT. REST. ENDORSE. 11-16-50 P 5.06 ISSUED EXPIRES 09-15.99 11-1595 DUPLICATE 00-00-00 SAFE DRIVER X069909466117 Operation of a rnotor vehicle constitutes consent to ow ectristytest required by km TEM ATH TUB UNIT FEE ITEM SNITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE IOET LIGHT CURETS CENTRAL HEATING (-2 up- Q) /0 IS- MASHER RECEPTACLES A/C (WINO) IS?OSAL SERVICE TEMPORARY A/C (CENTRAL) (2 ,, 279 `i SINKING FOUNTAIN SERVICE SIZE IN A PS DUCT WORK co _R DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION ~EASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING 1TERCEPTOR RANGE TOP UNDERGROUND TANKS AVATORY OVEN ABOVE GROUND TANKS AUNORY TRAY WATER HEATER _ U.F. PRESSLRE VESSELS _OTHES WASHER MOTORS 0- 1 FP STEAM BOILERS =OWER MJTCRS OVER 1- 3 HP HOT WATER BOILERS INK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION INK, RESIDENCE MOTCRS OVER 5- 8 HP TRANSPORTING ASSEMBLIES INK, SLOP MUTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS EWORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS RINAL MOTORS OVER 25-100 If COOLING TOWERS ATER CLOSET MOTORS OVER 100 FP VIOLATION , `DIRECT WASTES A/C WINDOW REINSPECTION ATER SLPPLY T0: 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 j SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TL6ES :WcR CONNECTIONS SIGN TRANSFORMERS "ILITY -SEWER SIGN TIME CLOCK "ILITY -WATER FIXTLRES :PTIC TANK ANTENNA :LAY TELEVISION OUTLETS 'AINFIELO, 4' TILE/RES. VIOLATION �— hP & ABANDON SEPTIC TANK REINSPECTION IAKAGE PIT CU. FT. — ,TCH BASIN SCHARGE WELL NEST IC WELL EA DRAIN CF INLET _ LAR WATER HEATER RE STANDPIPE OL PIPING WN SPRINKLER SYSTEM S RANGE - TER SET (GAS) S PIPING 1 - 1•LJ V1 1 v u v J. •.v 4. 1•v 1 1.111111 1 !11 1 L.. . v!1 1 a v1• AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED,' THE OWNE$.'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: ME2003 -50 Printed: 4/8/2003 s o o Applicant: DOROTHY KRISTON ,� � Owner: KRISTON DOROTHY ` � JOE ADDRESS: 680 NE 93 ST Contractor SEER AIR CONDITIONING Local Phone: 305 -285 5810 Parcel # 11320601 :F` DO Total Fees: 7r Total Receipts: $0.00 Permit Status: Approved Work: NEW AC 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 buildino.nr_tn.inctaU.tha.wti , inment_n c lavica .daccribAd- i r cw in - �tr;�t � diar+ra_�,atn �B ________— ordinances pertaining thereto and with the understanding that the work will be perfor and approved by the proper municipal authorities. This Permit may be revoked at ar authorization. A further condition upon which this permit is granted is the understant ordinances and regulations pertaining to the work covered hereby whether shown on by his agents, servants or employees. Signed: 7 D Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 10 & W1/2 OF LOT 9 BLK 63 LOT SIZE Permit Expiration: 10/7/2003 Construction Value: $2,800.00 4/0. o) (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work c with the plans rawings, statements or specifications submitted to the proper author myself, tL1y jc ent, servants . r employes. Signed.. (Contractor or E Mechanical Permit Contractor's Address: 3334 SW 22 TERR Pay to the Order of ' NORMA BRITO ELIDA FONTAN 2833 SW 131 PLACE MIAMI, FL 33175 Pt & - t-A., Sit-NI/e_ U. ((t �.�.. :-1, 49'YLP. GZ��� 5y1:c ankAt /antic FLORAS MOSr O DNFF1 JIFNI' BANK Bird Road Office 9859 SW 40th Street MIaml, FI 33165 For Page 1 of 1 Date 4//2,/o 63- 8376/2670 116 $ Dollars 8