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1263 NE 94 St (11)Issue Date: 7/26/2006 Owner's Name: NORMA SCHMIDT Permit Type: Mechanical - Residential Work Classification: Addition /Alteration Job Address: 1263 94 Street NE Comments: REPLACE 5 TON A/C 10KW HEAT Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 01/22/2007 Contractor(s) AFFORDABLE AIR & HEAT Phone 305 - 770 -4167 Primary Contractor Y es Tons: 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. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: MC -7 -06 -1971 Phone: 1132050100070 Lot: PB: Total Square Feet: Total Valuation: Required Inspections 0 $ 5,000.00 Rough Final Fees Due Amount CCF $3.00 Education Surcharge $1.00 Permit Fee - Additions /Alterations $175.00 Scanning Fee $3.00 Technology Fee $4.37 Total: $186.37 Invoice Number MC -7 -06 -25699 Total: Amt Due $186.37 AUG 1 5 P ijj Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may oe 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 . Veit iii m MC -7-06-1971 Inspection Date: 11/15/2006 Inspector: Perez, JanPierre Owner: SCHMIDT, NORMA Job Address: 1263 94 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: AFFORDABLE AIR & HEAT Building Department Comments Tuesday, November 14, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 2 2 VS Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132050100070 Lot: Phone: 305 - 770 -4167 Page 1 of 2 Passed .. Inspector Comments 'I-70 ` 1 \ t, Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Veit iii m MC -7-06-1971 Inspection Date: 11/15/2006 Inspector: Perez, JanPierre Owner: SCHMIDT, NORMA Job Address: 1263 94 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: AFFORDABLE AIR & HEAT Building Department Comments Tuesday, November 14, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 2 2 VS Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132050100070 Lot: Phone: 305 - 770 -4167 Page 1 of 2 I nsPection Null) Inspection Date: 10/25/2006 Inspector: Perez, JanPierre Owner: SCHMIDT, NORMA Job Address: 1263 94 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: AFFORDABLE AIR & HEAT Building Department Comments Tuesday, October 24, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number ermit Numl of -7-06-1971 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Parcel Number 1132050100070 Lot: Phone: 305 - 770 -4167 Page 2 of 2 Passed Inspector Comments S1 IM -- 2---5 . C J \-C2-- 1 . 4 eiy\.....c, < 3 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until I nsPection Null) Inspection Date: 10/25/2006 Inspector: Perez, JanPierre Owner: SCHMIDT, NORMA Job Address: 1263 94 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: AFFORDABLE AIR & HEAT Building Department Comments Tuesday, October 24, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number ermit Numl of -7-06-1971 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Parcel Number 1132050100070 Lot: Phone: 305 - 770 -4167 Page 2 of 2 Permit Number: MC -7 -06 -1971 Invoice Number: MC -7 -06 -25699 Applicant: NORMA SCHMIDT Company Name: Owner Address: 1263 NE 94 ST MIAMI SHORES, FL 33138 Job Address: 1263 94 Street NE Miami Shores Village, FL 33138 Date Tuesday, August 15, 2006 08/15/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Payment Type Check Number 2903 Amount $186.37 Change $0. 00 Total Payment: $186.37 Page 1 of 1 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Electrical Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Plumbing Permit No. R.- " ' 1 ter Permit No. Roofing Owner's Name (Fee Simple Titleholder) T ok' r S c-k -∎ c\-4- Phone Owner's Address I'Zip3 13 9 �st� City 'pa ptet.A\ "1() State I Zip .331 Tenant/Lessee Name Phone # Job Address (where the work is being done) 2 2-(.0 3 b.V__q yST City Miami Shores Village County . Miami -Dade FOLIO / PARCEL # 1 \ -C)5 - Di D - O 0 Is Building Historically Designated YES NO ✓ Contractor's Address 6 \ n� IA 05y- City \-A 41---6 State 1 -- Qualifier Name »T(1 1-{-2 Qmci n State Certificate or R istration NoCAL.r)(4q, II Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Certificate of Competency No. Phone # Zip Contractor's Company Name A�'�(�ciPs J 1 Cd nC-Phone # ( J 0 -0��- Zip I Phone # (�)�J 9 ( 0 - Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration New yp ❑ on r ❑ g Repair/Replace El Demolition Describe Work (?) \Th r-1 c U 51 I D `W) v �XGI * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ L� CCF $ • �� CO /CC Notary $ Training/Education Fee $ 1.b0 Technology Fee $ I"• 33 Scanning $ ' Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Zoning $ Structural Review. $ Total Fee Now Due $ Q Ub . � 2�b � AL 1 5 P�;,C� See Reverse 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. Signatu Owner or A - nt ' The foregoi instrument was acknowledged before me this l day of h� ( 20 by who is p ona known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: -yam Print: / re My Commission Expires * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) Signature instrument actor The foregoi . as ac owledged before me this day of , 20 a k by who is personally own to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** My C res: " "' ? t o 1-.* Plans Examiner Engineer Zoning ITEM 3ATH T1.8 UNIT FEE ITEW SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE IDET LIGNT OUTLETS CENTRAL HEATING fd k f 1 , )ISHWASHER RECEPTACLES A/C (WIND) )ISPOSAI SERVICE TEMPORARY A/C (CENTRAL) . f 1 )RINKIFfG FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK ;LOOK GRAIN SERVICE REPAIR/VETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING IHTERCEPTCR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 FP STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS 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 FP FIRE SPRINKLER SYSTEMS UR I RAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REIRSPECTJON WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER 1 1 GENERATORS TRANSFORMERS HEATER -NEW INST. I GENERATORS TRANSFORMERS HEATER - REPLACE 1 GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE S8Ik+ NG POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TLBES l f SEWER CONNECTIONS 'SIGN TRANSFORMERS j UTILITY -SEWER UTILITY SIGN TWE CLOCK -WATER SEPTIC FIXTURES TANK 1 ELAY ANTENNA 1 )RAINFIELD, 1 1 TELEVISION OUTLETS 4' TILE/RES. 'UR VIOLATION S ABAFDION SEPTIC TANK SOAKAGE REIRS?ECTION PIT CU. FT. :AT CH BASIN )ISCHARGE WELL )OMESTIC WELL REA, DRAIN I COF INLET OLAR WATER HEATER IRE STANDPIPE DOL PIPING AWN SPRINKLER SYSTEW AS RANGE ETER SET (GAS) !S PIPING "AN AOPLICATION FOR BUILDING PERMIT MUST ACCOMPANT THIS ADDENDUM. IF A MASTER PERMIT HAS E. OETAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS PLUMBING r - L 4d 1-4 La lrl I V L) U 1 LLJ J. V I L. l livlt 1 rl 1 t ■J I ELECTRICAL MECHANICAL f