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MECHANICALCan this be the first inspection please? The owner of the
home must be at work at 2:30 pm. Thank you .
Passed
Inspector Comments
,
Ere
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
nspection Number: INSP -23724 .w
Inspection Date: 08/01/2006
Inspector: Perez, JanPierre
Owner:
Job Address:
Project: <NONE>
GRAUBERT, MICHAEL
1081 95 Street NE
Miami Shores Village, FL 33138-
Contractor: AFFORDABLE AIR & HEAT
Building Department Comments
Tuesday, August 1, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
J O8 Ea
Block:
Permit Number: MC -5-06 -1463
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: New
Phone Number (305)467 -6407
Parcel Number 1132060143620
Lot:
Phone: 305 - 770 -4167
Page 2 of 2
Inspection Date: 07/03/2006
Inspector: Perez, JanPierre
Job Address: 1081 95 Street NE
Project: <NONE>
Buildin
Wednesday, June 28, 2006
Owner: GRAUBERT, MICHAEL
Miami Shores Village, FL 33138-
Contractor: AFFORDABLE AIR & HEAT
Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756 -8972
JU
Block:
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: New
Phone Number (305)467 -6407
Parcel Number 1132060143620
Lot:
Phone: 305 - 770 -4167
Page 2 of 2
Passed
Inspector :,omm
,7\i\ Needed , n \\O
b.\ \�� W\
Failed
0
Correction
Re- Inspection
Fee
($
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 07/03/2006
Inspector: Perez, JanPierre
Job Address: 1081 95 Street NE
Project: <NONE>
Buildin
Wednesday, June 28, 2006
Owner: GRAUBERT, MICHAEL
Miami Shores Village, FL 33138-
Contractor: AFFORDABLE AIR & HEAT
Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756 -8972
JU
Block:
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: New
Phone Number (305)467 -6407
Parcel Number 1132060143620
Lot:
Phone: 305 - 770 -4167
Page 2 of 2
1 z[b(0 phr) .
BUILDING
PERMIT APPLICATION
FBC 2004
Tenant/Lessee Name
Value of Work For this Permit
Submittal Fee $
Notary $
Scanning S . OJ
Bond $
Structural Review. $
Training/Education Fee $
Radon $
Code Enforcement $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
FE ©MEW M c-‘
BY.
Permit Type (circle): Building Electrical Plumbing
�i 5&C) 'eflE
4�iir;►-
DPBR $
Permit No.
aster Permit No.
Owner's Name (Fee Simple Titleholder) RY% . t3 e✓L e ' pt..) be c4 Phone # V, L(p7 41'60'7
Owner's Address 1 Mt t1C , r, `'4.
City (V\ "I1C)C2`:› State L Zip -31
Phone #
Job Address (where the work is being done) I O Q 1 N6 "d 61'
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # (1 - FD Ci - t - Z )V) 3 C"")
Is Building Historically Designated YES NO
Contractor's Company Name R-4 �'► ( L'
Contractor's Address `_) l `5 11 � 1C) C '+
City \ ctot.i \ State 4 L--. Zip . : 7- > 1 9
Qualifier Name
Q l� r 1 1— C��.vV��iv� Phone # F_) � i LA L - CYl - 1 �
State Certificate or Registration No. C ., 1 \ \ Certificate of Competency No.
Phone #
Architect/Engineer's Name (if applicable) Phone #
Square / Linear Footage Of Work:
Type of Work: ['Addition ['Alteration ❑New Repair/Replace
❑';crn'
Describe Work: ' .( `3i C°►Y� 1,00-A * 1 0 l 0 1-_kk") heijj
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *k* F * * * * * * * * * * * * * * * * * * ******..**
Permit Fee $ '2
CCF $ 4- .60 CO /CC
Technology Fee $ Co
Zoning $
Double Fee $
Total Fee Now Due $ 2-1
See Reverse side -*
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip r"
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Signature
The foregoing instrument was acknowledged before me this 9 iC 1
day of 1l \r, > > , 20 o;r, by // t/t / ?L,? I &ravbe ,
o is personally known tame or who has produced
.,• •+ rr i Wig tak
�,��. State of Florida
°oe Notary Public -
. My Commission Expires May 25, 2009
Commission # DO 433552 tl
/ a t y: ., onal Notary Ass n.
NOTARY PU
Sign:
Print:
My Commission Expires:
1
• rI' VW v Ii'
0 ter or A•en
- - 'nOri -1aJ Vz:
APPLICATION APPROVED BY:
(Revised 02/08/06)
an oath.
Signature
NOT
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 • n. a /inspection fee will be charged.
Contractor
The foregoing instrument was acknowledged before me this 3
day of ' _ 20 f i by �/en eC�1'2 2a t7
• rs personall knoy�m e..er rafo has produced
•
7
r ti,p • t
gy p/
Y P�, /. tary Public - State of Florida
- R (��• = o mmission Ex pins May
y � p{ 25, 2009
I„, Commission # DD 433552
B d N.tio li. Assn.
..,j.•i
an oath.
Sign:
Print:
My Commission Expires:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
ITEM
3AT1-I TU3
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
3IDET
LICHT OUTLETS
CENTRAL HEATING ,,f5)K
A/C (WIND)
I B
3ISHWASHER
RECEPTACLES
) ISPOSAL
SERVICE TEMFPO ARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
(UT WORK
FLOOR DRAIN
SERVICE REPAIII/M€TER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE DU1I.ETS
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 Ir 1 HD
STEAD BOILERS
SHOWER
MOTORS OVER . - 3 I
HOT WATER BOILERS
SINK, POT /3 COW.
MOTORS OVER ;- 5 FP
MECHAN I CAL VENTILATION
I 1
SINK, RESIDENCE
MOTORS OVER `_- 8 Ha
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEWORARY WATER CLOSET
MOTORS OVER 10- 25 FP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25 -100 FP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 I-P
VIOLATION
INDIRECT WASTES
1
A/C WINDOW
RELNSPECTJON
WATER SUPPLY TO:
AIR CDNOITIONEFS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
'HEATER
GENERATORS TRANSFORMERS
1
-NEW INST.
1 1
GENERATORS
1
HEATER - REPLACE
1
GENERATORS TRANSFORMERS
1
LAWN SPRINKLER -WELL
(
SPECIAL PURPOSE
(
1
SWIMMING POOL
OUTLETS COWERC AL
I
WATER SERVICE
SIGN TUBES
II
SEWER CONNECTIONS
• SIGN TRANSFORMER;
UTILITY -SEWER
UTILITY-WATER
SIGN T I M E CLOCK
I
SEPTIC
FIXTURES
TANK 1
BELAY
ANTENNA
3RAINFIELD, 4' TILE/RES.
Ilrip & ABANDON SEPTIC TANK
I
I
I
TELEVISION WILE 'S
l
VIOLATION
REINSPECTION
CAKAGE PIT CU. FT.
;ATM
BASIN
)ISCHARGE
WELL
)OM ESTIC
WELL
REA
DRAIN
,OOF INLE i
1
OLAR WATER HEATER �
IRE
STANDPIPE
COL
PIPING I 1
AWN SPRINKLER
1
SYSTEW. 1
AS
1
RANGE I I
=TER,
SET (GAS)
1S PIPIM r
I
I
n 1..1 IILJLJIfI 1 V UU 1 ' _u11 \V I L.II J. I
rA I 1 L. 1 V r\ 1 i V l
AN Ar.iLICrION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAI O; THE OWNER'S NOTARIZED SIGNATJRE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.j
PLUMBING
ELECTRICAL
MECHANICAL _�
Issue Date: 6/2/2006
Owner's Name: MICHAEL GRAUBERT
Permit Type: Mechanical - Residential
Work Classification: New
Job Address: 1081 95 Street NE
Contractor(s) Phone
AFFORDABLE AIR & HEAT 305 - 770 -4167
Additional Information
Miami Shores Village, FL 33138-
Comments:
REPLACE 5 TON WITH A 10 KW HEAT
Tons: 5 Additional Info:
Classification: Residential
Miami ;Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 11/27/2006
i!7/2006
Primary Contractor
Yes
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 informat on 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 cortractor to do the work
stated.
Fees Due
CCF
Education Surcharge
Permit Fee - Additions /Alterations
Scanning Fee
Technology Fee
Total:
Building Department File Copy
Applicant Signature
Amount
$4.80
$1.60
$262.50
$3.00
$6.58
$278.48
Invoice Number
MC - 6 - 06 - 25050
Total:
Parcel #:
Block:
Section:
Amt Due
$278.48
,,UN 0 6 PAD e _ e _
Permit Status: APPROVED
Permit Number: MC -5 -06 -1463
Phone: (305)467 -6407
1132060143620
Lot:
PB:
Total Square Feet:
Total Valuation:
Required inspections
0
$ 7,500.00
Rough
Rough Duct
Ventilation
Smoke Test
Hood
Smoke Det Test
Final
Amt Paid
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.
1
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the dctai cd 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.
ON4 ncr's Name and Address ....770. Al" ' __6 P &e ._ No .1..>2 L... Street._..9t..r. .. E
Registered Architect and /or Engineer
j
Name and address of licensed contrj ctor.../ 'ft/'"/ ..57r7.,�R e....5 .1..!8.... sv. !� t ..., C+,. 7`i• ff `• s
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done...l..e..j .r... _..... .. .1.6. , 7
State work to be done r and purpose of building (by id ( floo l.:i.t.�i• Pi s.97. i 1 1. ? .. ..:41..e.a.Z , --a b.ea /C
., ....delar..2_.�..c /`7 .11.. / Z z �? — . . e.g...../2 — -
/ and for no other purpose.
New Bui!ding Remodeling .iddition Repairs No. of Stories
To be constructed of Kind of foundation Roof Cgvering
Estimated Total cost of improvements $... tS. 4 Amount of Permit Si. V s .1 )
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
Disapproved ._ i� _ .l\ v Date
(Signed)
Building Inspector
Date..._..._...? �� �..._._�.._.... , la..Z
.t. ..f... f!!1'•••TT!•••TT!TtTlf �!1 .....
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 iereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, b. :ing 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
perrnit, as are licensed by Miami Shores Village. // yy �
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 _..
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 true. y QQtt
Permit No *0 Date �tl ..l........_.._._ Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
to me well known,
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member ...... _....__.___.....__ Member
Council Approved Date Disapproved Date
NOTE: A charge of 51.00 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 anti /or workmanship.
Miami Shores Air Conditioning, Inc.
February 5, 1979
765 N.E. 79th STREET - MIAMI, FLORIDA 33138 - (305) 751-8513
Subject: Residence: Mr, Robert M. Adler
108.1 N.E. 95th Street
Miami Shores, Florida
Miami Shores Air Conditioring, Inc, has been contracted to install
a Central Air Condotioninc System at the above residence. We would
like to install a 5 -TON GENERAL ELECTRIC EXECUTIVE Air Conditioning
Unit on the west side of the house between you,and Mr, Adler's,
However, the Village of Miami Shores requires permission from the
neighbor allowing us to do so.
We would appreciate your sLgning this letter allowing us to do this
installation as outlined above,
Nam
Address X7/ Y7 e__ 75
4&?
Date [ - /7 /7
Date Job Address /0 891 / 1).6 . / Tax Polio /7 . .71 - 06 - 10/4 - 6C90
Legal Description f_ 3
/ Lessee / Tenant r �L ►l�'(/� d ^ /03'1 Master Permit 4E 9 �7
Owner's Address 49E IV , . 9E Phone ,73 /96
Contracting Co.
Qualifier e n 7 P 1 4 � fS a d 1 - SS# hone �6 -0 -
State #61023acgilnicipal # Competency # Ins.Co.
Architect /Engineer
Bonding Company
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft. Estimated Cost(value) ,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 AN 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). I certify that all work will be performed to meet the
standards of all laws regulating constructLon in this jurisdiction. I understand that separate
permits are requir:• or ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
D T: lice tify that all the foregoing information is accurate and that all work will
ith all applicable 1 ws regulating construction and zoning. Furthermore, I
contractor to do the work stated.
6 ,.9)A'7
OWNER'S A
be d• /in
author =�
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * * * * * * * * * * * * * **
OJ
FEES: PERMIT RADON C.C.F. 0 2. NOTARY TOTAL DUE y
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Address
Address
Address
Signat
Date:
(Q 0D &E) 75 'L /e,
Pr
MY r' MISSION 1f 473898
1999
r- Builder
Notary as to ontractor or Owner- Builder
My Commission Expires:
Fire Other
Building Electrical
Plumbing Engineering