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75 NE 92 St (10)BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 10540 Contractor's ROOFING ❑ License No. Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ; z CONTRACTOR or BUILDER ZP— I BI Work to be performed under this Permit chi �r-� s , j) ; tic, r c ^af.G4 . � 1 fia'. C u C, G { �� Subdi vision - Sq. Ft. Value of ' 'I f. tea II Amount of ;, -- Project $- �-° .. II Permit $ '" Date This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in Cie 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 ;)e 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 assunies respon- sibility for work done by his agents, servants or employees. Fs ;f^ Signed_." - ; (INSPECTOR) BY In consideration of the issuance to me of this permit I, ree 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 responsibility for all work'✓done by either, myself, my agent, servant or employee. BY AUTHORITY 194 - -'? CAN YOU PLEASE DO THIS INSPECTION AFTER 2:30 PM? THE HOMEOWNER IS A TEACHER WHO RI_CENTLY WENT BACK TO SCHOOL. THEY'D REALLY APPRECIATE IT. THANK YOU 706 — 50 4 -- 5 –2 o 5 Passed Inspector Comments ....1 () / F ?, ('' ri yaw- Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re -ir spection fee is paid. until nsK ection Number: INSP- 20299 Inspection Date: 08/09/2006 Inspector: Perez, JanPierre Owner: GRAHAM, WENDELL AMD JANICE Job Address: 75 92 Street NE Project: <NONE> Tuesday, August 8, 2006 Miami Shores Village, FL 33138- Conlractor: C&R AIR CONDITIONING CO Builiiinq Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 628 RECO Block: 'Permit Number:° MC- 6-06 -1644 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number (305)754 -0119 Parcel Number 1132060130270 Lot: Phone: 305 - 685 -6394 Page 1 of 2 Date Wednesday, July 5, 2006 07/05/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 1 Permit Number: MC -6 -06 -1644 Invoice Number: MC -6 -06 -25280 Applicant: WENDELL AMD JANICE GRAHAM Company Name: Owner Address: 10618 NE 10 PLACE MIAMI SHORES, FL 33161 Job Address: 75 92 Street NE Miami Shores Village, FL 33138- Payment Type Check Number 7890 Amount $174.63 Change $0.00 Total Payment: $174.63 Page 1 of 1 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ZZ ) c?c : (./s t rr- Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING JUN AO� PERMIT APPLICATION FBC 2001 B Y: -_. . Permit Type (circle): Building Electrical I Plumbing if Owner's Name (Fee Simple Titleholder) W'' 2vncl e l l C 6' q I n c y v v • Phone # .2OS' s I ' 0 119 Owner's Address 7 S NE 9 ST City M ■Ct m t S k O r e. State . Tenant/Lessee Name $ Value of Work For this Permit Describe Work: ijviA A Submittal Fee $ Notary $ Scanning $ • 0 Radon $ Code Enforcement $ (Continued on opposite side) Miami Shores Village Building Department Zip 30 Phone # 0©S 7 S y 01/5 Total Fee Now Due $ l 7 4 . 7S NE 9 C Contractor's Company Name C + ( /4 l r CO h CI . Co Contractor's Address P() b b x 681300 City M c Ot vh t State F) . . Qualifier R. b b t r 1 3 e_ 1, r y Structural Plan Review. $ CK 9V1, JIM 0 9 PQ: D Master Permit No. Phone # Architect/Engineer's Name (if applicable) Phone # Permit No. CCtU zi 33 (6 ff Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ 14 4- - (7c CCF $ .3. w• CO /CC Training/Education Fee $ (:) Technology Fee $ 4 .� Zoning Bond $ Roofing Job Address (where the work is being done) City Miami Shores Village County Miami-DIde Zip Is Building Historically Designated YES NO 3o. 8 5639(4 Type of Work: ❑Addition EAlteration New /Repair/Replace ❑ Demolition (14— C ltrYN Al(10;51— Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced 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 hat a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is su ct to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first ins.ecti. whit - curs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not . appr; ed . -nd a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this G day of 14 C.- NOTARY Sign: Print: who is . rsonally known o me or who has produced who My Commis * * * * * * * * ** State Certificate or Registration No. Chc 12/15/03 Signature 20O ,by , day of J GI tne- Contractor The foregoing instrument was acknowledged before me this ,20 0 4, by to me or who has produced As identification and who did take an oath. as identification and who did take an oath. taL OK . Commission Expires: S Commission # 00524602 !� � • Expires May 24, 2010 ( erti mate o ompetency Holder) CAG Li IL( NOTARY PUBLIC: Sign: Print: e'(,� � Janet Kranz i tt . MY COMMISSION # DD174033 EXPIRES My CommissioitE l", '� •�� 'o December 26, 2006 * * * * * * * * * * * * * * * * * * *' 9f1R si* * *YPNGER&Dl.Vf9EANNHN L *MEti iM4S* * * ** Certificate of Competency No. 0'-j g g D2 - 3 ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * ** ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** •• ���� lit¢ < APPLICATION APPROVED BY: %� / / Plans Examiner Engineer Zoning I i TU3 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE T LIGHT OUTLETS CENTRAL HEATING 1 = to K W :R RECEPTACLES A/C (WIND) SAL SERVICE TEMPORARY A/C (CENTRAL) 1 ^ tT O Vi ill XING FOUNTAIN SERVICE SIZE IN ARPS DUCT WORK + CoY,CI. A DRAIN SERVICE REPAIM TER CHANGE REFRIGERATION SE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING RCEPTCR RANGE TCP UNDERGROUND TANKS ;TORY OVEN ABOVE GROUND TANKS ADRY TRAY WATER HEATER U.F. PRESSURE VESSELS IHES WASHER ROTORS 0- 1 FP STEAM BOILERS HER ROTORS OVER 1- 3 FP HOT WATER BOILERS <, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION <, RESIDENCE ROTORS OVER 5- 8 HP TRANSPORTING ASSER€LIES :<, SLOP ROTORS OVER 8- 10 FP ELEVATORS/ESCALATORS PCRARY WATER CLOSET ROTORS OVER 10- 25 f FIRE SPRINKLER SYSTEMS NAL MOTORS OVER 25-100 FP COOLING TOWERS ER CLOSET ROTORS OVER 100 FP VIOLATION 'IRECT WASTES A/C WINDOW REINSPECTION ER SUPPLY TO: AIR CONDITIONERS IC UNIT STRIP HEATER IRE SPRINKLER GENERATORS TRANSFORMERS :EATER -NEW INST. GENERATORS TRANSFORMERS :EATER- REPLACE GENERATORS TRANSFORMERS .AWN SPRINKLER -WELL SPECIAL PURPOSE lYI41INAG POOL CUTLETS COR4ERCIAL • EATER SERVICE SIGN TL6ES DER CONNECTIONS SIGN TRANSFORMERS LITY-SEWER SIGN TIME CLOCK LITY -WATER FIXTURES 'TIC TANK ANTENNA .AY TELEVISION OUTLETS UINFIELD, 4' TILE/RES. VIOLATION P & ABANDON SEPTIC TANK REINSPECTION JUGE PIT J. FT. "OH BASIN XNARGE WELL ZZSTIC WELL EA DRAIN )F INLET _AR HATER HEATER '. ZE STANDPIPE X. PIPING iN SPRINKLER SYSTEM == • - -- - _ - _ ,, ER SET (GAS) > PIPING == == _ 4„ ADDENDUM TO BUILDING PERMIT APPLICATION APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Issue Date: 6/20/2006 Owner's Name: WENDELL AMD JANICE GRAHAM Permit Type: Mechanical - Residential Work Classification: New Job Address: 75 92 Street NE Contractor(s) C &R AIR CONDITIONING CO Phone 305 - 685 - 6394 Primary Contractor Yes Com ments: EXACT REPLACEMENT OF 4 TON SPLIT SYSTEM Additional Information Tons. 4 Classification: Residential Additional Info: 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $3.00 $1.00 $163.63 $3.00 $4.00 $174.63 Building Department File Copy Miami Shores Village, FL 33138- Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 12/13/2006 Invoice Number MC - 6 - 06 - 25280 Total: Parcel #: Block: Section: 'IE. 05 pm Permit Status: APPROVED Permit Number: MC -6 -06 -1644 Phone: (305)754 -0119 1132060130270 Amt Due $174.63 Lot: PB: Total Square Feet: Total Valuation: Required Inspections Rough Rough Duct Ventilation Smoke Test Hood Smoke Det Test Final Amt Paid 0 $ 4,675.00 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES . Applicat on is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing o other stru ture he ein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores V hag F onda, and all previsions of the Laws of the State of Florida, all ord •nances of Miami Shores Village and : II rules and regulations of the Building Division of Miain Shores Village sh 11 be con plied with whether her in specified cr not. A cop of approv d plans and specifications must he kept at budding during progress of the work. - owner s Name and Address ._ R • Alarup Registered Architect and , or Engineer _ Name and address of licensed contractor . __. _ _ Buyarna Refrigeration Inc. 651 1N, W.-1.06 St. Location - legal description of 1 :t to be built on: Lot__ _ _ Block _ _ . Subdivision_ - - - -- -- - - - -- - - - Street and Number where work is to be done 75 N. E , 92 St. install Carrier 4 ton reverse cycle airconditioning work to be done and purpose of building (by floors) Y g and for no other purpose. New Building _ . _._ Remodeling Addituu _ Repairs - _ _ No. of Stories To be constructed of Kind of foundation _ Roof Covering Estimated Total cost of improvements $ ._2,100. _Amo ; .t o Permit $ �.. ® ®. Zone cubage required_ _ _ __ . plan Cubage _ _... Distance to next nearest building _Size of Building Lot Maximum live load to be l., me by each floor I hereby submit all the plans ,u,d specifications fo: sad • 1 Wilding. All notices with reference to the building and its con-truction may be sent to _ The undersigned applicant for this building permit does hereby certify that h 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 pr-visions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be oerform -d u der 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 agree: to en ploy only such subcontractors, on work t • be e formed under th s permit, as are licensed by Miai. Sho es Village. Remarks_ _... _ _ (Signc ') AL44 STATE OF FLORIDA, COUNTY OF DADE ss. Before me, the undersigned authority. a notary pub'. . , duly uthorized to administer oaths and take acknowledgments, personally ap- MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BLI9LDING PERMIT peared - - - - - - - -- Chairman . Member _ Member . _ Coin _il Approved PLANNING BOARD _ DATE Member _ Member _ M ber _ Da.e D sapptoved Date October 3;1968 No ____ Street 92 19 __ to me well known, and who, being by m fist duly swo-c upon oath deposes and says that he is the _ of he above described const.0 tion that We has carefully read the oregoing r pacat.on, and that he did sign the same, and that all facts therein bv,v him slated are true. Per it No. _ I_`'. °_ Date- /D-11(-(,- Y Read, Sworn to and Subscribed before me. S igns d) ) l�' rL - ed /n ( � D .' Notary Public, St to of Florida (Signe - _�( Building I ec'.or My Commtss'on Expires Date NOTE. A charge of $1 00 will be made for making corrections or changes to this appl cation after appr. val has been obtained from the Planning Board A re- ie_pen' 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.