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725 NE 93 St (11)Date Type Insp'n Permit o. Name Address Company Phone # For Inspector: Approved I Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request o 33 1 CONTRACTOR Name 2 />44 , -f / — License No. C 6 , 6 4 R t / s; Address -73 51 � 1 S iI >.,.� 7 , �G 3 3 ;� Telephone�7 /_ / / ' /° PC , PROPERTY OWNER Name n _ ( 7 Address ///VVV ^ , C J 5 X � �1 � ! � 9 q - ,'-' Home Telephone 737 F 7 Q- Business Telephone a Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other Step 1. INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION Job Address: 7 a.5 /1f q3 5 Address Apt. Folio Number Description of Wofk Lot Block jtQ / Subdivision PB PG Zoning Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work 35 0 0 .12a. Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Chg. Contractor enewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No. oOa lib M/ 00 I City s _ Stk Zip Linear Feet ENGINEER Name License No. Address Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other Step 1. INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION Job Address: 7 a.5 /1f q3 5 Address Apt. Folio Number Description of Wofk Lot Block jtQ / Subdivision PB PG Zoning Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work 35 0 0 .12a. Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Chg. Contractor enewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No. oOa lib M/ 00 I City s _ Stk Zip Linear Feet ENGINEER Name License No. Address Telephone Fax Step 1. INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION Job Address: 7 a.5 /1f q3 5 Address Apt. Folio Number Description of Wofk Lot Block jtQ / Subdivision PB PG Zoning Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work 35 0 0 .12a. Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Chg. Contractor enewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No. oOa lib M/ 00 I City s _ Stk Zip Linear Feet ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. ! AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. Print Name Sworn to,And subscri 0 � . a 6'- is - of Florida RICHARD J. ARNETTE MY COMMISSION # CC 845122 EXPIRES: Sep 2, 2003 l -3NOTARY Flt Notary Service & ®onding Co. S ature SE Personally known OR, Produced Identification Type of Identification Produced: L D5� O c(? -(0A- c/ STATE Signature Print Name Sworn to a subscribed before me this '7 d PATRICIA . HANEY MY COMMISSION # CC 979589 :•T : EXPIRES: Dec 7, 2004 1- 800-3- NOTARY FL Notary Service & Bonding, Inc. Sigdatu r of Notary Public - fate of Fl SEAL: PERMIT APPLICATION OR, Produced identification Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall M'= Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New NIECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QT 1'. TYPE Generator QTY. TYPI QTY. Refrigeration, Tons A/C Central, Tons ' / Cooling Tower - Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons M'= Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System - Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE,, A/C Condensate QTY TYPE Drains, Roof QTY .I.yi,i,: Miscellaneous Fixture QTl' TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet .. Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection '' ' Water Re -pipe Drains, Floor Minimum Fee Shower - . h. _> .% , . Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 1 0 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical Mechanical 964'. y /> . oZ Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ 0 Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) 11 ❑ OTHER (Specify & Attach) PERMIT FEES $ 7S`' (sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) • REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL 01 , `- ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com "033'H 20 druniu MWFROANI P # 4 MUM 111WAM THIS CHECK IS DELIVERED FOR PAYMENT ON THE FOLLOWING ACCOUNTS DATE TOTAL OF INVOICES LESS-% DISCOUNT LESS TOTAL DEDUCTIONS AMOUNT OF CHECK AMOUNT war R OF MIAMI SHORES * NOT TO E Ci ty National Bank OF FLORIDA 6975 GALLOWAY ROAD MIAMI. FLORIDA 33173 R. E. A. AIR-CONDITIONING, INC. PH. 266-6627 7351 NW. 7TH ST., SUITE R HAW FL 33126 1:066004 36 71: 600 203 LB Lo DATE GEED $300.DOL tINVA{T.A. 1 S/V e e-- 4 1-0 et/ QJLARS 33992 SEPT. 25,2002 6 1>61P 6 It 1 . Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/17/2002 Applica Owner: JOB AD Contractor R E A AIR CONDITIONING INC Local Phone: 305 - 266 -6627 Parcel # 1132060141830 Signed: Signed: SS: 725 NE 93 Electrical Permit Permit Number: EL2002 -297 ST Contractor's Address: 7351 NW 7 STREET SUITE R Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 29 & LOT 30 LESS E2OFT BLK 65 0.oci Total Fees: $0:90• Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 3/16/2003 Construction Value: $100.00 Work: ELECTRIC INSPECTION A/C 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. ; BY: 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, servans or employes. (Contractor or Builder) BY: .MIAMI SHORES VILLAGE AIR CONDITION REPLACEMENT JOB NAME AJ.e i s ADDRESS '7 /vim 9 3 5r Different location than above? EXISTING CONDITIONS 3 1. HOUSE MAIN ELECTRIC SIZE ASPS �15 4) WIRE SIZE J D 2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZEA & CIR. BKR. SIZE FUSE SIZE SW AIR HANDLER BRANCH CIRCUIT:WIRE SI , & CIR. BKR. SIZE ,. FUSE SIZE SW 3. SIZE OF EXISTING COMPRESSOR DISCONNECT: XS AMPS. TYPE: FUSE CIR. BKR. SIZE OF EXISTING AIR HANDLER DISCONNECT AMPS. TYPE: FUSE CIR. BKR. 4. IS DISCONNECT WITHIN SIGNT AND READI SSIBLE? YES 5. EXISTING UNIT TO BE REPLACED OR RELOCATED MARE MAKE `rJq �'✓ CONDENSOR MODEL # -/ 0202 Cd g CONDENSOR MINIMUM CIRCUITS AMPS MAXIMUM OVERCURRENT PROTECTION SIZE AND CONDENSOR AMP SIZE AIR HANDLER AMP SIZE 5 EER /a NAME PLATE INFORMATION FROM EXISTING UNIT PACKAGE MODEL # l) CONDENSOR MODEL # kA 3 - v ' A.H.U. MODEL HEAT PUMP TY ?E YES NO /VIA. KW HEAT STRIP SIZE CONDENSOR MINIMUM CIRCUITS AMPS A.H.U. / / " INIMUM CIRCUIT AMPS MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: — Una /eed1 j J / jc Q ' CONDENSOR AR? SIZE /VA FUSE HA HACR CIR. BKR. AIR HANDLER AM? SIZE FUSE HACR CIR. BKR. EER /1) NAME PLATE INFORMATION FROM NEW UNIT BEING INSTALLED PACKAGE MODEL # A.H.U. MODEL # HEAT PUMP TYPE YES NO KW HEAT STRIP SIZE A.H.U. MINIMUM CIRCUIT AMPS 6 TYPE: FUSE HACR CIR. BKR. FUSE HACR CIR. BKR. C CERTIFICATE NUMBER CONTRACTOR 4� , f/ , ' Name Name Z License No. C/0 ( -- -U 02 i/ 5 7 Address , 7 7/ / ,(o 34(1.4/7 7 51-9— // / —G Telephone Ds. 4 4 e. Fax r` Qualifier ame ' PROPERTY OWNER New Construction Name Z / l /I,rt/,, Address Repair Home Telephone � Demolish Business Telephone Relocation of Structure Fax Foundation Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the llianii Shores Village: Step 1. Complete the attached permit application which jnust be signed by the property owner and qualifier. Both signatures must be notarized, Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: Address Apt. Folio Number Lot Block Subdivision Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) hg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. PERMIT APPLICATION Subsidiary Permit No. f e--2P2;i9 ' 1/$ 01e5 C City State / Zip Description of o k g / �� — I ✓_1 / • _ V $0 C-7( t PB PG Zoning Linear Feet Square Feet Units Floors Value of Work r t) Idg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 INIPORTANT NOTICES I. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50%) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. Print Name Sworn toand subsc -ZEr� ore me this/ t' day of f- , Personally known u d Identification Print Name Sworn to and subscribed before me this RICHARD J. ARNETT MY COMMISSION # CC 845122 EXPIRES: Sep 2, 2003 1- 8063NOTARY Fla. Notary Service & Bonding Go. mgnature o • PATRICIA S. HANEY MY COMMISSION # CC 979589 w •+ EXPIRES: Dec 7, 2004 1- 800-3 - NOTARY FL Notary Service & Bonding, Inc. Personally known Signature of Notary Public - State of Flo • SEAL: PERMIT APPLICATION. day of OR, Produced Identification Type of Identification Prod tk ' Type of Identification Produced: 5 ,10 -do7 - 6 ! -6) ELECTRICAL TYPE Minimum Fee Q"1'Y. TYPE: Dryer QTY. TYPE. Outlet, Appliance Q "I'1'. TYPE ' Service Repair QTY. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4-7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv, Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL "1"1'1'1•: QTY. Minimum Fee TVI'P: (En'. Condensate Drain Tvp1: QTY. Generator "1'1'1'1{ L1I'1'. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C WaWWin. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE: A/C Condensate QTY . r1 . P1: Drains, Roof QTl' i'Yi'1: Miscellaneous Fixture Soakage Pit Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes. Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 • PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. I RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical / �o Mechanical Plumbing Fire Public Works Structural Building Official Page 4 1 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) D FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) REVIEWED AND PREPARED BY: CHECKLIST ❑ PROOF OF OWNERSHIP (Attach) D HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERNIIi' FEES $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine ; $ Zoning Review ISSUING OFFICIAL ( sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) • (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ g o ., O O DATE: / "S'lo■°t'Z CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/17/2002 Applica Owner: JOB AD Contractor R E A AIR CONDITIONING INC Local Phone: 305 - 266 -6627 Parcel # 1132060141830 Signed: Signed: Electrical Permit Permit Number: EL2002 -297 ST Contractor's Address: 7351 NW 7 STREET SUITE R Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 29 & LOT 30 LESS E2OFT BLK 65 ,P,<AAcdR.1 co, 0 o 0. Total Fees: $6:99 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 3/16/2003 Construction Value: $100.00 Work: ELECTRIC INSPECTION A/C 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. (I& PECTOR) BY: 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. (Contractor or Builder) BY: THIS CHECK IS DELIVERED FOR PAYMENT ON THE FOLLOWING ACCOUNTS DATE AMOU /25 NE 93 STREET TOTAL LESS OF INVOICES % DISCOUNT LESS TOTAL DEDUCTIONS AMOUNT OF CHECK 7 0 , A1,,,Y10161 1 L'J /7.11.1Z0 eiv) Ult 1 46,71) _ •■■ AN, ILF_... PAY MIAMI SHORES OWIA$7010A R. E. A. AIR-CONDITIONING, INC. PH. 266-6627 7351 NW. 7TH ST., SUITE R MIAMI, FL 33126 / * NOT TO E CEED $300.D01. City National Bank Of FLORIDA 6975 GALLOWAY ROAD MIAMI FLORIDA 33173 11°0339920 1:0660043671: 6001,203 L8 Le 33992 DATE SEPT. 25,2002 36 6 I 07 ) 0 LARS 8 .441.1:40.0k BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building PI J- MIAMI SHORES VILLAGE, FLORIDA ❑ DATE 19 PERMIT N9 7891 0 -71 ., Architect Contractor or Builder •• P-S Legal Description Address of Building CONTRACTOR OR BUILDER L Lot II Bl Contractor's License No. 3 c ... Work to be performed under this Permit -1 / <_ • Subdi- vision Value of il Amount of 14~°' Project $ II 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. ; t Signed. �, ;rt -- �, .o . INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all rdinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of iami Shores Village. In ao cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. / / . 1 I f BY AUTHORITY AS OT BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Address of Building Lot 0 In consideration consideration of the issuance to me pertaining thereto and in strict conformity with cepting this permit I assume reaponsibility for aterV Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE 12* 19 PERMIT (77,4 4,1 Bl. N9 7885 Signed. iett R OR BUI BY Ad / 47 A r V License No. Contractor's Work to be performed under this Permit Subdi- vision r 7; C Ati 73 Value of Project $ Amount of Permit $ AUTHORITY 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 !sordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that lie assumes respon- sibility for work done by his agents, servants or employees. INSPECTOR of this permit I agree to perform the work covered hereunder in compliance wi all ordinances and regulations the plans, drawings, statements or specifications submitted to the proper author: s of Miami Shores Village. In as all work done by either, myself, my agent, servant or employee. V ABBOT MIAMI SH RES V LLAGE BUILDING INSP TION D ARTMENT 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 Village 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 Addres / %�� Registered Architect and /or Engineer Name and address of licensed contractorf Q__� ° �___,�� Location and legal description of lot to be built on: Lot___ Block �J Subdivision Street and Number where work is to be done._ C9 Disapproved -- - - - - - -- - - -- ate ( Signed) e n r Building nspector State o be done and purpose of building (by flo )__________ j =dij 1/ 1 'c) n °-_ / Date__ 1 1/12 7 SC- S ', o? , AA and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation R Covering Estimated Total cost of improvements $_ U d �• O.° Amount of Permit $ Zone cubage required_ _____plan Cubage__ Distance to next nearest 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 .r inspection on a site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only suc bcontract on wor} to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed STATE OF FLORIDA, COUNTY OF DADE. ss • Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, 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 tr e. Permit No Date s Read, Sworn to and Subscribed before me. Notary Public, State of Florida - My Commission Expires PLANNI BOARD DATE Chairman - Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.