MECHANICALBldg. Permit ## -19906 1 `
M AMI SHORES VILLAGE
UILIPING INSPECTION DEPARTMENT.
APPLIPA1'ION FOR BUILDING PERMIT
Application is hereby wade for the a proyal lof the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. "I is apllication is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions bf 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 prggress of the work.
Date..._ ..._... 2 -13 =._ __.... _..._.__ .._... 19..? 8
Owner's Name and Address ........ Go.na. rld t .Q.171_ ._. No —. Street._..
Registered Architect and /or lyngincer CS. !I
Name and address of licensed contrjsctor Norc Air...ConC,i lief, .,, 9602 N . W, 79 Ave. Hial . Gardens
Location and legal description of lot to be built on:
Lot 27 & 28 Block 84 Subdivision.. Kiami ...S.hare._��ti�n_ ..._._
Street and Number where work is to be done 1235 N.E. 9_5. St. Miami S hore_p_ Fla.
State work to be one anclRurvose of building (by flocs) HOUS a Installation of _1 C /A /C 22 Tons.
and 1 C A/C z Pons nea - ting & cooling system with Y'" - Tiber glass "iiizc work.
_....W..1 tZl...1.�- .. - - .. and - '•1.0- KW- and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements .0 . 00 Amount of Permit $.
Zone cull 'age 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 N.or.c- ...A. -r C.o-nd -. -... &...Ref.. gb _02___N...W..........7..9....A. e Rialeah ...Gard.ens. -1422
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 employe 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 are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. j ss
Disapproved Date
(Signed)
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, said that all facts
therein by him st.at ( � aree true. .� ''4 � .1 7
Permit No..__.__l._..__ ! Date. - ° Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
to me well known,
Building Inspector My Commission Expires
PLANNING 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.
434'}
IAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date)Z7 f CS
T ype Insp'n'-1 f•-— " - IC
Permit No. 1 ` 1 2 ' 1
Name '■.1 i.!CW
Address t\ c s s r
Company
Phone # ( ) 9 - Z 4v dC7 .
Inspection Date c . Z 9 QS
Approved
Correction ❑
Re- Insp'n Fee
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: MC2005 -121
Printed: 8/24/2005
Applicant: CAROL FIELD
Owner: FIELD CAROL
JOB ADDRESS: 1235 NE 95 ST
Contractor HI TECH AIR SERVICES
Local Phone: 305/969 - 2600
Parcel # 1132060143991
Signed:
Mechanical Permit
Contractor's Address: 13339 SW 88 STREET
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 27 & 28 BLK 84 LOT SIZE 100 X 131 OR
Fees: Description Amount
FEE2005 -11662 Building Fee $490.00
FEE2005 -11663 CCF $8.40
FEE2005 -11664 Training and Education Fee $2.80
FEE2005 -11665 Technology Fee $12.25
FEE2005 -11666 Scanning Fee $3.00
Total Fees: $516.45
Total Fees: $516.45
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 2/18/2006 Construction Value: $14,000.00
Work: EXACT CHANGE OUT OF CENTRAL A/C AND HEAT. 2 SYSTEMS (1 -3 TON) & (1 -3 TON) REPLACE DUCTWORK AS PER FPL.
(INSPECTOR)
AUG ��
CH\
5
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
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address
City
Tenant/Lessee Name
Job Address (where the work is being done) 1 (2 35 Al.. ri . .95'r
City Miami Shores Villa e
Is Building Historically Designated
Contractor's Company Name
Contractor's Address
Type of Work:
Describe Work:
)-3S ALE.
❑Addition
1i
(Continued on opposite side)
Miami Shores Village
State
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
YES
Electrical Plumbing
L-t 6k/ 6eLos
rG
County Miami -Dade
NO
4- zre.e
Master Permit No.
Phone # 31)X
Phone #
AM 2 2 2
Permit No. KC 2CO5' t2.(
Roofing
Zip 0/ 3S
City State P(.-
Qualifier ___10t(/J W07
State Certificate or Registration No.
Architect/Engineer's Name (if appli le)
$ Value of Work For this Permit / ly e
❑Alteratiioon�
* * * * * * * * * * * * * * * * **
e v
❑New
,t13)64
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ / '• 5 1 (=> 4
•
. Zip
wir Aj p
/ificate of Competency No.
Phone #
Square Footage Of Work:
Repair/Replace
* * **
is ees ******************************
❑ Demolition
Submittal Fee $ Permit Fee $ �t� ' b CCF $8 . CD CO /CC
Notary $ Training /Education Fee $ 2 • 80 • Technology Fee $ !Z . ZS
Scanning $ 3 00 Radon $ Zoning Bond $
Bonding Company's Na - , ..licable)
Bonding Cqmpany's Address
City State Zip
Mortgage Lender's Name 1
Mortgage Lender's Address
City State
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 c encement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signatur
NOTARY PUBLIC:
Sign: t ti "': k Nancy S. Nation
::: Commission # DD300802
Print: BoEed Tro May 1 1' . $ 854010
My Commission Expires:
APPLICATION APPROVED BY:
chc 05/13/03
Signature
NOTARY PUBLIC:
Sign:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
*********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** * **1� ** �k* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
'Plans Examiner
Engineer
Zoning
Zip
Owner or Agent Contractor 1
The foregoing instrument was acknowledged before me this) V■ The for , e ng instrument was acknowledged before me this l' t
day of Aut , 2005 ,by C_0.,- k.1 ef,A. lj , day of 1 '■ 4 � ,20(S ,by -.--- Jti� (Y ur---/L, _
who is perso known to me or who has produced --a is person wn to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
Pie ;.,1 Commission # DD300809
0 ;k.... Expires May 11, 2008
My Commission Expires , % ` ‘ Bonded Troy Fain. In nce i, 8004854019
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
ki
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING 2- rt /
DISHWASHER
RECEPTACLES
A/C (WINO)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) „q. e. ;?-65%);=
6 Ot
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK 4 6tA . '
1
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
•
ABOVE (ROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
)TORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
I1OTCRS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 If
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
A/C UNIT
STRIP HEATER
�� 1 n
2
FIRE SPRINKLER
GENERATORS TRANSFORMERS
/� l 4 v ,,
'A ` .�1
HEATER -NEW INST.
GENERATORS TRANSFORMERS
9
� l f'
HEATER - REPLACE
GENERATORS TRANSFORMERS
Vl.(, ( <4/ S
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
/
SWIMMING POOL
OUTLETS COM,IERC I AL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
�
tj.Z� D
UTILITY -SEWER
SIGN TIME CLOCK
P
UTILITY-WATER
ANTENNAS
A I
S
SEPT C TANK
ANTENNA �
f� � {L
yea �
RELAY
TELEVISION OUTLETS
DRAINFIELO, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
'
CATCH BASIN
4 ® /
tI
DISCHARGE WELL
fr
DOMESTIC WELL
AREA
/
I NLET
ROOF INLET
O
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
• ADDENDUM TO BUILDING PERMIT APPLICATION
(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 SUBSE' •z: . 1 '" ONS.)
PLUMBING
ELECTRICAL
MECHANICAL
4. Contractor's name and address:
Name and address:
Notary Public
Print Notary's Name
My commission expires:
i3.o1-5.2 PAGE 4 10/04
08/24/05 10:05 a 3059692660
• NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO.M. 005 1AX FOLK) NO..
STATE OF FLORIDA:
COUNTY OF MIAMI-DADE:
THE UNDERSIGNED hereby gives notice that Improvements will be made to certain roal
property, and In accordance with Chapter 713, Florida Statutes, tho following information
is provided in this Notice of Commencoment.
1. Legal description of property and street/addross:
- 1235 4i .16
2. Description of Improvement: etiAltiCite cr2.caT CEA... 7 1'01k
3. Owner(s) name and address: -v att.1, tet- 6A-1iOL FEsus
Q3C /Q s7 /*noir ceoPZ,c
Interest In property: _ CW/Ut _
Name and address of fee simple titleholder: _
/93.
5. Suroty: (Payment bond required by owner from contrf
1 HE•EEW CEN Irt:V oho; ;71;•,
nrigioof Pect hi PICA .0 V' Or
Name and address:.
Amount of bond $_„
0. Lender's name and address:__
WI-.SS ray
'mitt-.T IttntirCt
7. Parsons within tho state of Florida designated by Owner upon whom
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address: _.
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
4344GL
9. Expiration data of this Notice of Commencement: (the expiration
differs ditfeyRJate is s cifi ) / y
ict
SirtureofOw er
Print Owner's Narnefia c
Sworn to and subscribed before me this 131). day of . Pk
ancy-S. Nation_
Commission # DD300802
4 : 7 Expires ,201:18
`60110,4T1egas4iasumwt.haq_02-gis it
HI-TECH P.02
1 111111111111111i 11111 11111 11111111111111111
C N 2005R0890910
OR B14 23705' Ps 4006; (1P9)
RECORDED 08/23/2005 11:01:21
HARVEY RUVIN, CLERK OF COURT
MIAMI-DADE COUNTY, FLORIDA
LAST PAGE
V Irl 4
1 14-2it
-.- •
fl IC :S or other documents may be served as
date is 1 year from the date of recording unless a
Prepared by
, 20 a.5. edr"1/4
Address:
A riz <A"..;e4ez-