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969 NE 92 St (2)Type Insp'n MIAMI SHORES VILLAG BUILDING DEPART ENT 305 -795 -2204 Building Inspection Reque Date 10 fl Co Time Permit No. VIE 2O03 - 1( 02 Name M eLl e Y Address qco ci NE- 2 S4 Company 5��/(,, Q ��\\ Phone # 15 ( -85 3 - g .SU r For Inspector iO (0 7 Approved Correction Re- Insp'n Fee 1(1 Name & Date 1 -� _' / o C'.? t3 MIAMI- SHORES VIL AGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Requ Date (2 /l /O' Time Type Insp' n "� CTS Permit No. 'Ate- 1005 I (o a Name - Vdk ld Address q (0q qz, s Company COLA (.0 S 1 '90 Q Z is Phone # �c � l ? 18c 7 For Inspector: ptE UZ l t(i) Name & Date Approved Correction Re- Insp'n Fee jg /2 fr .0 al( L fi0 715 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Requ Date Inspection Date Z Approved Correction Re- Insp'n Fee Type Insp'n � /� \ Permit No. I 0 3 Na Address Q � 9 Company Phone # 3 �" l 9- P BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholde Owner's Address City Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES NO Contractor's Company Name 4-1 Contractor's Address /S Architect/Engineer's Name (if applicable) Architect/Engineer's Address City $ Value of Work For this Permit Number of: Bays Type of Work: Describe Miami Shores Village Building D epartment Electrical County Escrow Fee $.7 4 u J Education/Training Fee $ " Tech $ Code Enforcement $ Bond $ Plumbing Zip Phone # County Miami -Dade Stories /? State State Zip 1‘ 00 42. • pi * • L �i. • • ork- ['Alteration DAddition % ew /Replace Families W Permit Fee $ r © Mechanical Phone # r Zip Master Permit No. t C Z'>63 ' 17-4 9$ Phone # ©s Phone # Square Footage Of Work: Bedrooms * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * ** * * * * * * * * * * * * * * * * * * * * * * * * ** Scanning $ Struct. $ Zip Roofing 3 Minus Plans Check Fee $ Total Fee Now Due $ cp r , © U 'Paid CC$30.00NSO 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. M003 -1 C,„a .33/6./ /7O0 Baths a ❑ Demolition EeW Notary-S-- Radon $ (Continued on opposite side) 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 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 absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature chc7/7 /03 Signatur Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me.thisZS c day of , 20 , by , day of P1 U9 (,n , 20 ( , by (!o Y (D S o ►1 UQ i 4t-� who is personally known to me or who has produced who is personally known to me or who has �roducg� !� J «QY • As identification and who did take an oath. 1V�2be1 V ai ag as identi _ �- �o��'fly��t��)�l61�. NOTARY PUBLIC: = NOTARY PUBLIC: = : - --M �• Expires: Jul 13, 2007 Sign: Sign: ,I . I ' � ''�a`' Bond Thru inc. Print: Print: . �, 1 My Commission Expires: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ************** 4******************* ******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: �j /. � $, 2T (//( Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 1 DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/MIETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (MOUND 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 TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 If VIOLATION INDIRECT WASTES- A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMdERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER ' f SIGN TIME CLOCK UTILITY - WATER-- FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING _ (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAIRED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Sec. 6 -3 Air Conditioning Regulations. Miami Shores Village (a) All individual air conditioning units installed in walls or windows shall be securely anchored to the walls by approved methods. Units installed over public property, paths of egress or more than ten (10) feet above grade shall be secured to the structure by bolts or screws to resist horizontal wind loads. Such units cantilevering more than eight (8) inches on the exterior of a building shall be supported by steel angle brackets secured by bolting. Bolts to masonry shall be set in lead shields or similarly rot - resistant fastenings. (b) The following special requirements shall apply to the control and regulation of noise nuisance from air conditioning machinery. (1) All equipment, existing or hereafter installed, regardless of location, shR1l be maintained in good working order. Equipment so located that normal operating noises create a nuisance to adjacent owners or occupants shall be provided with soundproofing, or sound- absorbing baffels, or enclosures, as approved to insure maintenance of a reasonable noise leveL (2) All equipment on outer walls, on roofs, or in the other exposed locations, which are ugly noisy, and which causes valid complaints from adjoining property owners or occupants may be required to be relocated, redesigned and/or enclosed in noise- retarding materials when, in the opinion of the building official, such enclosure is necessary or would be effective. (3) Special consideration shAll be given to the plAnning of all future installations to minimize the noise nuisance to adjoining property owners or occupants and the building official sh211 have authority to reject or require the redesign of any system which, in his opinion, would cause such a noise nuisance. (c) Violation of this section shall be punished as is now or may hereafter be provided by law (Ord. No. 299, Sec. 1 -3, 2- 21 -61). I have read the above ordinance and will comply with the regulations owner /signature Contractor Signature I have read the above ordinance and will comply with the regulations thereof