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117 NE 95 St (6)Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2003 -331 Printed: 11/12/2003 Applicant: LEROY LLERA Owner: LLERA LEROY JOB ADDRESS: 117 NE 95 ST Contractor AFFORDABLE ELECTRICAL CONTRACTORCIIWttractor's Address: 515 NE 190 ST Local Phone: Parcel # 1132060132730 Electrical Permit Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 LOT 17 W1/2 LOT 19 & LOT 18 BLK 20 Fees: Description Amount FEE2003 -7066 Building Fee $100.00 FEE2003 -7067 CCF $0.60 FEE2003 -7068 Training and Education Fee $0.20 FEE2003 -7069 Technology Fee $2.50 Total Fees: $103.30 Permit Status: APPROVED Permit Expiration: 5/8/2004 Construction Value: $100.00 Work: WIRE 3 TON A/C WITH 8 KW HEAT Signed: (INSPECTOR) Page 1 of 1 Total Fees: $103.30 Total Receipts: $0.00 0/A NOV 1 3 PAID 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. Signed: (Contractor or Builder) BY: Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Resuest Date S IIGI q ( / Permit No. 14 e 20) `t - Name ROC'i Address 1 NE as s)- Company 14 I I dU 1)- % G bi'e. ZnLy -- \O- Inspection Date 51c .\\ Approved ❑ Coirection� Re- Insp'n Fee ❑ N4� „&-- ( LNG ti,x MIAlMII0 ES VILLAGE BUILDING DEPARTME T 305- 795 -2204 Buildir s Inspection Reques, y Date z\. Type Insp'n Permit No. Name Address Company g . Phone # 1.,c 44 7 7-7 Inspection Date Approved Correction Re- Insp'n Fee (l? NC qs' Cr --4/.< ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE , BIDET LIGHT OUTLETS CENTRAL HEATING 5/(44.) / DISHWASHER RECEPTACLES A/C (WIN)) •DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 2/5 / DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK' FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS 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 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 HP VIOLATION INDIRECT WASTES- A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS r A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS • HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMI+€RCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORI€RS U T I I I T1' -SEWER SIGN T I Ik CLOCK UTILITY -WATER FIXTURES . SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & 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 ADDENDUM TO BUILDING PERMIT APPLICATIUN • (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: MC2004 -66 Printed: 5/10/2004 Applicant: LEROY LLERA Owner: LLERA LEROY JOB ADDRESS: 117 NE 95 ST Contractor AFFORDABLE AIR & HEAT Local Phone: 305 - 940 - 0777 Parcel # 1132060132730 Mechanical Permit Contractor's Address: 515 N. E. 190 St. Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 LOT 17 W1/2 LOT 19 & LOT 18 BLK 20 Fees: Description Amount FEE2004 -4696 Building Fee $100.00 FEE2004 -4697 CCF $1.20 FEE2004 -4698 Training and Education Fee $0.40 FEE2004 -4699 Technology Fee $2.50 FEE2004 -4700 Scanning Fee $6.00 Total Fees: $110.10 Total Fees: $110.1 Total Receipts: :a / Permit Status: APPLIED Permit Expiration: 10/19/2004 Construction Value: $2,000.00 Work: INSTALL 2.5 TON A/C 5KW HEAT 3000TLET Signed: (INSPECTOR) Page 1 of 1 kY 1 7 pA10 - 4\077 \ 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. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION 'r FBC 2001 Owner's Name (Fee Simple Titleholder) Owner's Address City /� � 't4. Tenant/Lessee Name City Miami Shores Village Total Fee Now Due $ (Continued on opposite side) Al 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.22045ax .X85) 756.8972 an ‘1 State 1 $ Value of Work For this Permit 1 742 7 ;0 • O7 ( iami - ores Village Building Department Permit Type (circle): Building Electrical Plumbing josy Ll nZt Job Address (where the work is being done) j) 7 q County Miami -Dade Is Building Historically Designated YES NO Permit No. i r Master Permit No. - £OO '— (p G Phone # Zip i7 J 3 Phone # Zip , 6I ic04 -120 Contractor's Company Name l�� / e/DI 3.e 4j kiaar Phone # - 10 C /4007 . T7 Roofing Contractor's Address l0 ' I/ 0 City 1 1' lr &e �J S Zip Qualifier e � Y m O Architect/Engineer's Name (if applicable) Phone # Type of Work: ❑Addition ['Alteration gliew /a RRepair/Replace ❑ Demolition �� Describe Work: ) »? i(_ �� °! ,dj G VJ /5a�1•��YLYQ i % oo7 /Ss 'CSI S-h ng Zva Ain P 6 ✓c Square Footage Of Work: 4 S6' * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 1 Submittal Fee $ �O • Permit Fee $ (/. 0 CCF $ 1 ) 1) CO/CC Notary $ Training/Education Fee $ . 4 1 0 Technology Fee $ Scanning $ C. 0 v Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City Stare 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 proved a % a einspection fee will be charged. Signature Owner or Agent The foregoing instrument s acknn wledged before me thisb day of � , by who is person 511y known to me or who has produced As identification and who did take an oath. 4 - ` o ' ' " �� ° 5� '4 My Commission Expirk;,. • '„-., 0y 4q * * * * * * * * * * * * * * * * * * * * * * *�3 State Certificate or Registration No. Chc 12/15/03 APPLICATION APPROVED BY: S rAtr r` ******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) -a-/-0l l Contractor The foregoi instrument was ac nowle ged bef e me this day of , 20 by � Y � who is person y known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC' y �� 1622 Q`'d`',,yy�� p0 Sign. 4 . 0 "" .• Print: 1// My Commission Certificate of Competency No. d/', ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ( d 1"2 ( Plans Examiner Engineer Zoning p " a Roy Llora Res. HVAC Load Calculations Affordable Air & Heat Inc. 515 Ne 190th St. Miami FI, 33179 VAC RISSIDEINTIALI I-IVAC LOADS for Prepared By: Steve Taylor Smt Design Estimating Inc. 5335 W. Hillsboro Blvd. Coconut Creek, FI. 33073 cell# 1- 954-829 -7920 Saturday, May 01, 2004 Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. f SMT Design Estimating Inc. Roy Llora Res. Coconut Creek, FL 33073 Iii Page 2 1 Project Report General Project Information Project Filename: C:1EIite\Rhvacw\Projects\roy Lora res..rhv Project Title: Roy Llora Res. Designed By: Steve Taylor Project Date: Saturday, May 01, 2004 Client Name: Affordable Air & Heat Inc. Client Address: 515 Ne 190th St. Client City: Miami FI, 33179 Client Phone: 1- 305 - 940 -0777 Client Fax 1- 305 - 654 -8152 Company Name: Smt Design Estimating Inc. Company Representative: Steve Taylor Company Address: 5335 W. Hillsboro Blvd. Company City: Coconut Creek, FI. 33073 Company Phone: cell# 1- 954 - 829 -7920 Company Fax 1- 954 - 571 -9565 1 Design Data Reference City: Miami, Florida Daily Temperature Range: Low Latitude: 25 Degrees Elevation: 7 ft. Altitude Factor: 1.000 Elevation Sensible Adj. Factor: 1.000 Elevation Total Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Rel.Hum Dry Bulb Difference Winter: 47 0 0 72 0 Summer: 90 77 50 75 55 1 Check Figures Total Building Supply CFM: 955 CFM Per Square ft.: 1.436 Square ft. of Room Area: 665 Square ft. Per Ton: 285 Volume (ft of Cond. Space: 5,320 Air Turnover Rate (per hour): 10.8 ( Building Loads Total Heating Required With Outside Air: 11,687 Btuh 11.687 MBH Total Sensible Gain: 21,006 Btuh 96 % Total Latent Gain: 858 Btuh 4 % Total Cooling Required With Outside Air: 21,864 Btuh 1.82 Tons (Based On Sensible + Latent) 2.33 Tons (Based On 75% Sensible Capacity) Notes Calculations are based on 8th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Elite Software Development, Inc. Roy Llora Res. Page 3 Rhvac - Residential & Light Commercial HVAC Loads SMT Design Estimating Inc. p- Coconut Creek, FL 33073 Load Preview Report Sens Win Loss CFM Sum CFM Sys CFM Duct Size Scope Sens Area Gain Lat Net Gain Gain Building: 1.82 Net Tons, 2.33 Recommended Tons, 285 ft.zfTon, 11.69 MBH Heating Building 665 21,006 858 21,864 11,687 152 955 955 System 1: 1.82 Net Tons, 2.33 Recommended Tons, 285 ft 2i Ton, 11.69 MBH Heating System 1 Zone 1 1- Breckfast Rm. 2- Kitchen 3- Dining 4 -New Family Rm 665 21,006 665 21,006 70 8,085 91 4,064 130 1,947 374 6,911 858 21,864 858 21,864 183 8,268 288 4,352 68 2,015 319 7,230 11,687 152 11,687 152 3,871 50 1,354 18 1,531 20 4,931 64 955 955 368 185 88 314 955 955 368 185 88 314 0* 0 -0* 0 -0* 0 -0* 0 -0* HVAC Loads Elite Software Development, Inc. Roy Llora Res. Page 4 Rhvac - Residential & Light Commercial SMT Design Estimating Inc. ,,s Coconut Creek, FL 33073 System 1 Room Load Summary Htg Htg Room Area Sens Nom No Name SF Btuh CFM Run Duct Size Run Duct Vel Clg Clg Sens Lat Btuh Btuh Clg Nom CFM Air Sys CFM —Zone 1- 1 Breckfast Rm. 2 Kitchen 3 Dining 4 New Family Rm 70 91 130 374 3,871 50 1,354 18 1,531 20 4,931 64 0 -0 0 -0 0 -0 0 -0 0 0 0 0 8,085 183 4,064 288 1,947 68 6,911 319 368 185 88 314 368 185 88 314 System 1 total 665 11,687 152 21,006 858 955 955 ( Cooling System Summary Sensible Btuh Latent Btuh Total Btuh Cooling Tons Sensible/Latent Split Net Required: Recommended: Actual: 1.82 2.33 2.77 96% / 4% 75% / 25% 73% / 27% 21,006 21,006 24,300 858 7,002 8,900 21,864 28,008 33,200 ( Equipment Data Type: Model: Brand: Efficiency: Sound: Capacity: Sensible Capacity: Latent Capacity: Heatinq System Cooling System ELEC- HTR -8KW TW E040E13FB TRANE 15.5 n/a n/a SPLIT -DX CU- 2TTX4030A TRANE 33200 24,300 Btuh 8,900 Btuh (DA VTH TUB UNIT FEE ITEM SWITCH CURETS UNIT FEE ITEM SPACE HEATERS / UNIT FEE IDET LIGHT OUTLETS CENTRAL HEATING VW/ / ISHWASHER RECEPTACLES A/C (WIND) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 3 a' ? / 1INKING FOUNTAIN SERVICE SIZE IN MPS DUCT WORK DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION _OCR TEASE TRAP APPLIANCE CURETS PROCESS AND PRESS PIPING 'TERCEPTDR RANGE TOP UNDERGROUND TANKS 4VATORY OVEN ABOVE GROUND TANKS AUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS LOTHES WASHER MOTORS 0- 1 if STEAM BOILERS ;10WER MOTORS OVER 1- 3 HP HOT WATER BOILERS INK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS EMPORARY WATER CLOSET MOTORS OVER 10- 25 HP • FIRE SPRINKLER SYSTEMS RINAL MOTORS OVER 25-100 HP COOLING TOWERS ATER CLOSET MOTORS OVER 100 HP VIOLATION NOIRECT WASTES - A/C WINDOW REINSPECTION ATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS I HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIM,IING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES - EWER CONNECTIONS SIGN TRANSFORMERS TILITY -SEWER SIGN TIME CLOCK TILITY -WATER FIXTLRES EPTIC TANK ANTENNA . - . -.. ELAY TELEVI.SION.OUTLETS RAINFIELD, 4' TILE/RES. VIOLATION . UMP & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. ATCH BASIN ISCHARGE WELL OMESTIC WELL REA DRAIN OOF INLET i • OLAR WATER HEATER c IRE STANDPIPE OOL PIPING AWN SPRINKLER SYSTEM AS RANGE ETER SET (GAS) AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION OR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE G NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL iami Shores Village uilding Department 50 N.E.2nd Avenue, Miami Shores, Florida 33138 Qit\ Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Owner's Name (Fee Simple Titleholder) Leroy LLern Phone # Owner's Address / 1 7 N6 City Tenant/Lessee Name Job Address (where the work is being done) / / 7 N6 6 14 City Miami Shores Village County Miami-Dade Is Building Historically Designated YES NO A p 2 eziaztpop Zip Phone # Zip Phone # q#V 0777 Contractor's Company N am e n G, Contractor's Address 61 / City State r/ Zip J / Qualifier JnNI ar) Architect/Engineer's Name (if applicable) Phone # S Value of.Work For this Permit i-1l1 Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New [ Repair/Replace ❑ Demolition Describe Work: Yep i -/-e--)-7 A /G 1/V/14J ' * * * * * * * * * * * * * * * * * * * * * * * * * * * Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit No. Master Permit No.t1 E Z o03 - .A echanical Roofing Submittal Fee Vh A -I Permit Fee $ 0 j) CCF $ . d Notary $ Training/Education Fee $ • 6 ) Technology Fee $ a , 1 0 Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (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 in ction which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection wi n. t be aypfo>ied and a reinspection fee will be charged. Signatures 1 Signature Owner or Agent Contractor The foregoing ins e was acknowledged before me this The foregoing ' ent was acknowledged before me this /D day of © Y �'�� day of 2013 by Jih # 2 €emd'7 , wh ' ers caow -to me or who has produced wittrE: or who has produced As identification � q who did take an oath. NOTARY ' i k: : b p ��aP & ` ; Sign: Ll. g. a . Print: My Commission E ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** State Certificate or Registration No. ##41##### *r # # # # # # #04.4 # 4.# 114 414# # # # ## ######## # # # # # # # # # # # # # # # # # # # # # ###### APPLICATION APPROVED BY: , / sl. >.1 ' t //lie"); Plans Examiner Engineer Zoning Chc 10/14/03 (Certificate of Competency Holder) as identiign and who did take an oath. NOTARY PUBLIC: y ep 1F �c F ; Siginioto Y�tp'� e ►9 Ivfk ssion Expires: Certificate of Competency No. MIAMI SHORES VILLAGE BUILDING DEPARTMEN 05 -795 -2204 Buildii g Y &pection Request Date Typelnsp'n Itnol PIC Permit No. H,E 3 a 1 . Name LLe c - Address 1 1 N L q s S- Phone # Company A Mr 1bi-e. Inspection Date t I / 1 (04 Approved Correction Re- Insp'n Fee 503- 9qd- 7 77 i) /, 2 2 4— o Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/12/2003 Applicant: LEROY Owner: LLERA JOB ADDRESS: 117 NE 95 Contractor AFFORDABLE AIR & HEAT Local Phone: 305 - 940 - 0777 Parcel # 1132060132730 Fees: FEE2003 -7079 FEE2003 -7080 FEE2003 -7081 FEE2003 -7082 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $84.00 $1.80 $0.60 $2.10 $88.50 Total Fees: $88.50 Total Receipts: $0.00 C J- 4 3sA Permit Status: APPROVED Permit Expiration: 5/8/2004 Construction Value: $2,400.00 Work: REPLACE 3 TON NC WITH 8 KW HEAT Signed: (INSPECTOR) Mechanical Permit Permit Number: ME2003 -209 LLERA LEROY ST Contractor's Address: 515 N. E. 190 St. Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 LOT 17 W1/2 LOT 19 & LOT 18 BLK 20 NOV 1 3 PAID 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. Signed: (Contractor or Builder) BY: Lot G MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Owner's Name and Address a G7 e/% / �" / v The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement. and has complied - compliance from all contractors or sub - contractors employed by him in the work to be performed under this pe on the site of the work such public notice or notices as are required by the Act. The undersigned agrees under this permit. as are licensed by Miami Shores Village. Remarks (Signed) Date s /.90 <ge 1 6 Application "is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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. 19 No. / /'l R./A- 9� 5 7 Registered Architect andio gineer � / / �/ ,/ p Name and address of licensed contractor l� / G7 /` ,/ r 7 �< / 4 /1 /e � ./ re/ Location and legal description of lot to be built on: Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors). state exterior colors (submit samples) / /l /L< T (!� // 5 7 C- ,/d and for no other purpose. New Building Remodeling Addition Repairs 7'2 7 No. of Stories To be constructed of Kind of foundation Roof vering Estimated Total cost of improvements 8 f at a Amount of Permit 8 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to oyer of Labor under the Florida Workmen's rovisions thereof, and will require similar post or cause to be posted for inspection such subco tractors. on work to be performed c STATE OF FLORIDA COUNTY OF pADE. ss. Before me. the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared 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 he has carefully read the foregoi g application. and that he did sign the same, and that all facts therein by him stated are true. Permit No. Disapproved (Signed) Council Approved -3D Date + f � D M Aki Date Building Inspector PLANNING BOARD Chairman Member Member Member Read. Sworn to and Subscribed before me. Notary Public. State of Florida My Commission Expires DATE Member Member Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials andror workmanship. 1-ag /96s 1-# 664& 7 /ze, ar&' /ee-- 1/ 7 , 2 9tc.