325 NE 95 St (4)Miami Shores Village
10050 NE 2nd Avenue
Plumbing Permit
Phone: 305- 795 -2204 Permit Number: PL2005 -310
Printed: 10/21/2005
Applicant: GEORGE & ASHLEY
Owner: VAIL
JOB ADDRESS: 325 NE 95
Parcel # 1132060136020
VAIL
GEORGE & ASHLEY
ST
Contractor STATEWIDE SEPTIC CONNECTIONS Contractor's Address: 3590 SOUTH STATE ROAD 7, SUITE 26
Local Phone: 305 - 661 -6633
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 13 BLK 44 LOT SIZE 78.720 X
Fees: Description Amount
FEE2005 -13794 Building Fee $175.00
FEE2005 -13795 CCF $1.80
FEE2005 -13796 Training and Education Fee $0.60
FEE2005 -13797 Technology Fee $4.40
FEE2005 -13798 Scanning Fee $3.00
FEE2005 -13799 Builders Bond $300.00
Total Fees: $484.80
Total Fees: $484.80
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 4/16/2006 Construction Value: $2,300.00
Work: INSTALL NEW DRAINFIELD
Signed:
(INSPECTOR)
Page 1 of 1
NOV 2 9 PAID
c- t S'9Z
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:
s .'%v�, Inspection Worksheet
nspection Number: INSP -137 VL
Inspection Date: 04/03/2006
Inspector: Levrack, James
Owner: VAIL, GEORGE & ASHLEY
Job Address: 325 95 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: STATEWIDE SEPTIC CONNECTIONS
Building Department Comments
Friday, March 31, 2006
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
0
Permit Number: P
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Drainfield
Phone Number
Parcel Number 1132060136020
Lot:
Phone: 305 -661 -6633
Page 2 of 2
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
s .'%v�, Inspection Worksheet
nspection Number: INSP -137 VL
Inspection Date: 04/03/2006
Inspector: Levrack, James
Owner: VAIL, GEORGE & ASHLEY
Job Address: 325 95 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: STATEWIDE SEPTIC CONNECTIONS
Building Department Comments
Friday, March 31, 2006
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
0
Permit Number: P
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Drainfield
Phone Number
Parcel Number 1132060136020
Lot:
Phone: 305 -661 -6633
Page 2 of 2
BUILDING OCT i Ljr
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
}'Owner's Address 3a S Iv)
City SLO BPS State
Tenant/Lessee Name
*Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name Q ic• C.1.1*^
Contractor's Address 3 eA 0 S g G{ 1 1 * 2C
City mt.f eN-, av State r"2
Qualifier
T -P-re se _So lo
$ Value of Work For this Permit 4 2 SoO '
Type of Work: EAddition
Describe Work:
Submittal Fee $ Permit Fee $ 1 — 15
Notary $
Scanning $ 3 • CDO
Code Enforcement $
(Continued on opposite side)
Training /Education Fee $
Radon $
Total Fee Now Due $ 48 . 80
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Te . (Q5,)75. x , 5} 756.8972
Electrical Plumbing Mechanical Roofing
� �� 1 G 7Ir
G l 5 S
County Miami-Dade
NO
EAlteration ❑New
o . .
Structural Plan Review. $
Permit No. P-0 " 31
Master Permit No.
Zip'
Phone #
11806 t 11 cUJ \
Zoning
Zips / 38
Phone #
X3 J-: 3 ` 3
Zip
State Certificate or Registration No. Sfr‘ k 2 2 Certificate of Competency No.
Architect/Engineer's Name (if applicable) ` Phone #
Square Footage Of Work: JO J
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ 1 - SO CO /CC
- E LSY c-1 1c9Z.
4,40
❑ Demolition
Technology Fee $
Bond $ 3W. 00
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
Zip
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 MA .Y 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.
.4 Signature
My Commission Expires:
chc 05/13/03
Signature
`-/ Contractor
The foregoing instrument was acknowledged before me this 1� The foregoing i stru en s`acknowledged.beIor� me this
' r'
day of oc± , 20 0 , by /tS 1 l "G? i , day of ;' :,.'20 '' by ' `.�' )MON
. hr ;,Yt 9u,ct? .; 'x50437
who is personally known to me or who has produced 2 v 'C IC who is person
As identification- and - who =did- take.awoath..
NOTARY PUBLIC: Lti'^ `O1..0MON •
• 3r' • ')D250437
Sign: ; `' be! 16, 2007
1-000- IT 'r F L`iscount Assoc. Co.
Print:
*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * **r
„....1:;2
APPLICATION APPROVED BY:
ii toqrie•or•who- has = produce
•
eritification
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
****************************************************.************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
.c
e an oath.
***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
/ 0 Plans Examiner
Engineer
Zoning
LOT: 13
CONSTRUCTION PERMIT FOR:
[ ]New System [ ]Existing System [ ]Holding Tank [ ] Innovative Other
[ X ]Repair [ ]Abandonment [ ]Temporary [ NA ]
APPLICANT: Vail, George & Ashley AGENT: SA0021074, Solomon Teresa
PROPERTY STREET ADDRESS: :325 NE 95 St Miami Shores FL 33138
OTHER REMARKS:
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
BLOCK: 44 SUBDIVISION: Miami Shores Sec
[Section /Township /Range /Parcel No.]
PROPERTY ID #: 11- 3206 -013 -6020 [OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC
DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME
PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT,
REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS
PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM
COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 750 ]Gallons SEPTIC TANK MULTI - CHAMBERED /IN SERIES: [Y ]
A [ 0 ]Gallons MULTI - CHAMBERED /IN SERIES: [Y ]
N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY
K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS @ [0 ]DOSES PER 24 HRS # PUMPS[ 0 ]
D [ 200 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM
R [ 0 ]SQUARE FEET SYSTEM
A TYPE SYSTEM: [ N ]STANDARD [ N ]FILLED [ N ]MOUND [ N ]
I CONFIGURATION: [ N ]TRENCH [ N ]BED [ N ]
N
F LOCATION TO BENCHMARK: FFE EL.:12.60' Nqvd
I ELEVATION OF PROPOSED SYSTEM SITE [ 2.6 ] [ FEET ] [ BELOW] BENCHMARK /REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 5.1 ] [ FEET ] [ BELOW BENCHMARK /REFERENCE POINT
L
D FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 30.0 ] INCHES
1.- Install 200 sf of drainfield in bed configuration.
2.- Existing 750 gal. septic tank , certified by "Statewide Septic contrcs Inc.." to remain.
3.- Invert elevation of drainfield to be no less than 8.00' NGVD.
4.- Bottom of drainfield elevation to be no less than 7.50' NGVD.
THIS PERMIT IS NOT FOR " ADDITION ".
SPECIFICATIONS BY: Andre, Paul
APPROVED BY: Andre, Paul
DATE ISSUED: 10/17/05
DH 4016, 03/97 (Obsoletes previous editions which my not be used)
(Stock Number: 5799- 001 - 4016 -0) [ostds cons 4016 -1)
CENTRAX #: 13 -SG -26830
DATE PAID:
FEE PAID : $
RECEIPT .
OSTDSNBR : 05- 3401 - -R
TITLE:
TITLE: Professional Engin Dade CHD
EXPIRATION DATE: 1/15/06
Page 1 of 2
— — — — PART II - SITE PLAN -
ale: Each block represents 5 feet and 1 inch = 50 feet.
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT' -
/
Permit Application Number
. - • ' ■ • 4 ' • 1 • • • ' ' i '. -"--,-.,--,
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Notes:
• Site Plan submitted by:
Plan Approved
. "' , - • .. t •• . .. _ . - - . , `i , . . 1 , 4' "",,-.,... +,
. .. . - -- -4•4•:-. '
... - .
- - ; • , , • ' r r • • - , -s .' • ' • ';'
. • , E.,. 4 '4 ' 11 • '' ...'" • -
•I •' ,......... 44
STATE OF FLORIDA
DEPARTMENT OF HEALTH
. :,. . • . .•
. .
• ' - P -.. • : , •-. : , ••. . , ,. , , . - , - • -; .
.. 4 -
. " • 4 .
, . 4.4._.--....,...,„•-• ' -...... . ,
4 .
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•
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`-) I. .•"•.'..› , •„„....
0: e 9 7'.., .
t
•••
„.
C•
Signature
Not Approved
-:...,-: ,
- t f • : •, ; - :r,--4-4-",,,,-..,mi...-4.--4-..;-.:4-•-6 . •
• , '. '.. LE• , : -, ; .-, -....! . .. . ,„, .
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"••• , : ' . • . • "..?: ,
•••, ,
1
0
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; •
ALL CHANG "S MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
By
OH 4015.10/96 (Replaces HRS-H Fown 4015 which may be used)
--•• • ••■•••, • CAI
•
Title
Date
County Health Departmen
Page 201
11
11
11
II
1
1
1
1
1
II
111
1
1
1
1
1
1
1
1
IAM I SHORE
* M I A M I S H O F; E S*
1
1
1
0
MECHANICAL
1
1
1
1
1
* M E CHA N I C F L*
1
1
1
11
II
In
\, to�tii .?-st%
Inspection Date: 06/21/2006
Inspector: Perez, JanPierre
Owner: VAIL, GEORGE & ASHLEY
Job Address: 325 95 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: ESSIG POOLS INC
Building Department Comments
Monday, June 19, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
It
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Mechanical
Phone Number
Parcel Number 1132060136020
Lot:
Phone: 305 - 949 -0000
Page 2of2
Passed
Inspector Comments �,�
e a u C1//6(
`�2°" a,/..24/04
Failed
!/
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is•paid .
LI
until
In
\, to�tii .?-st%
Inspection Date: 06/21/2006
Inspector: Perez, JanPierre
Owner: VAIL, GEORGE & ASHLEY
Job Address: 325 95 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: ESSIG POOLS INC
Building Department Comments
Monday, June 19, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
It
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Mechanical
Phone Number
Parcel Number 1132060136020
Lot:
Phone: 305 - 949 -0000
Page 2of2
CONTRACTOR
New Construction
Name - / ct(/`
ffil f .-
icense No.
l " I
Address f q 1 c.t) E � [ Lcr \/-
Telephone ,
�
; 3 . /� ,�
1�1
Qualifier Name
�
PROPERTY OWNER
New Construction
n
Name , :�. Il ryve C� axl dt
.
l " I
Address
Repair
Home Telephone 3 O s / 9 Q s
l!
�
M
Business Telephone
Relocation of' Structure
Fax
Foundation Only
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of' Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'I Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Job Address:
Folio Number l 3 Rot, O ( 3 40 RD Description of WorkTJ(PI( - t12 P124"2.-
\
Subdivision fl S L, 1 AMhPB_L) PG 7 Zoning
Current Use of Property Square Feet /� Unitg Floors
Proposed Use of Property 'Value of Work a) 07 >0, , O u Bldg Value
Tenant Information
Lot
Name
License No.
Address
Telephone
Fax
CHITECT
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a .more accurate processing of your application. If roofing work will be done, a roofing application must be submitted
along with this permit application.
A dress Apt.
Block
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
(✓)
5 ez
PERMIT APPLICATION
Master Permit No.
Subsidiary Permit No.
City
Tax Assessed/Appraised Value
State Zip
Linear Feet
Flood Zone Base Floor Elev.
GINEER
Name
License No.
Address
Telephone
Fax
Page 2
1M PORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE OF FLORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Signature of Owner
Print Name
CLELouo CQ C_
Sworn to and subscribed before me this day of
Signature of Contractor / Qualifier
Print Name
Sworn to and subscribed before me this day of
Signature of Notary Public - State of Florida Signature of Notary Public - State of Florida
SEAL: SEAL:
PERMIT APPLICATION
Personally known OR, Produced Identification Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
ELECTRICAL
TYPE
Minimum Fee
QTY.
il'YPE
:Dryer
QTY.
TYPE.
Outlet, Appliance
QTY.
TYPE
Service Repair
TY.
A/C Central 1 -3 Ton
Miscellaneous Fixture
Fan
Soakage Pit
Outlet, Wall
Bath Tub
Service, Temporary
Drinking Fountain
A/C Central 4 -7 Ton
Miscellaneous Repairs
Fire Pump
Solar Water Heater
Outlet, Switch
Bidet
Signs
Filter Replace
A/C Central 8 -15 Ton
Pool Piping
]Fixture - Fluorescent
Sprinkler Repair
Oven
Cap - Fixture
Space Heater (kw)
Fountain
A/C Central 16-20 Ton
Pump and Abandon
Fixture Light
Sprinkler System
Parking Lot Lights
Cap - Water
Spas/Hot Tubs
Gas - Appliance
A/C Central 20+ Ton
Pump, Domestic
Flood Lights
Supply, AC Well
Plugmold/Strip
Cap - Sewer
Subfeeds, No. of Amps
Gas - Natural
A/C Window
Pum i, Fire Stand
]FPL - Load Central
Temporary Toilet
Posts
Catch Basin
Swim Pool, Commercial
Gas - Propane
Air Conditioners
Pump, Re- circulate
Garbage Disposal
Temporary Water Closet
Range/Range Top
Clothes Washer
Swim Pool, Residential
Gas Piping
Chiller
Pump, Replace - Pool
Generators, etc.
Urinal
Receptacles
Dental Chair
Switchboards
Grease Tra i
Clear Violations
Pump, Sprinkler
]Heat Recovery
Utility - Sewer
Refrigerator, Comm. (p/PH)
Discharge Well
Temp Serv., Construction
Ice Maker
Compactor
Pump, Sump
Relay Repair
Roof Inlet
Low -volt, Burglar
Utility - Water
Vacuum Pump
Water Closet
Refrigerator, Domestic
Dishwasher
Temp for Test - 30 days
Indirect Wastes
Deep Freezer
Low -volt, Fire
Domestic Well
Renew - Temp Service
Laundry Tray
Septic Connection
Demolition
Water Heater
Low -volt, Intercom/Teleph.
Drainfield, 4" Tile/Res.
Repair Circuits
Lavatory
Septic Tank
Dishwasher
Water Heater New
Low -volt, Television
Drains, Area
Service, Number of Amps
Meter Set (Gas)
Sewer Connection
MECHANICAL
TYPE.
Minimum Fee
QTY.
TYPE.
Condensate Drain
QTY.
TYPE
Generator
QTY.
'I'YI'E
Refrigeration, Tons
'I'Y.
A/C Central, Tons
Miscellaneous Fixture
Cooling Tower
Soakage Pit
Heating Strips, each
Bath Tub
Vent Hood, Cost
Drinking Fountain
A/C Wall/Win. Tons
Miscellaneous Repairs
Dryer Vents, Number of
Solar Water Heater
Paint Booth
Bidet
Ventilation, Cost
Filter Replace
Air Handler, Tons
Pool Piping
Ductwork, Cost of
Sprinkler Repair
Piping, Flammable Liquid
Cap - Fixture
Periodic Inspections
Fountain
Barbecue
Pump and Abandon
Fire Sprinkler System
Sprinkler System
Process/Pressure Piping
Cap - Water
Gas - Appliance
Bath Fan - Vented, #
Pump, Domestic
Fireplaces, Number of
Supply, AC Well
Pressure Vessel
Cap - Sewer
Gas - Natural
PLUMBING
TYI'I: QTY
TYPE
QTY TYPE
QTY
TYI'1: QTY
A/C Condensate
Drains, Roof
Miscellaneous Fixture
Soakage Pit
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pum i, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Tra i
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Relay Repair
Roof Inlet
Utility - Water
Vacuum Pump
Water Closet
Dishwasher
Indirect Wastes
Disposal
Interceptor
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
Page 4
OFFICE USE ONLY
KLISTM
• OWNER - BUILDER FORM
(Attach)
• FIRE DEPARTMENT
APPROVAL (Commercial /
multi- family)
• CONCURRENCY
(New Construction)
▪ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
LI PROOF OF OWNERSHIP
(Attach)
HRS / DERM APPROVAL
(Septic / Sewer)
LI IMPACT FEE
(New Construction)
LI OTHER
(Specify & Attach)
PERMIT APPLICATION
U CONDO ASSOCIATION APPROVAL
(Attach)
• BPR APPROVAL (Restaurants)
CI CONTRACTOR REGISTRATION
(On File)
PERNI+I
(PO
$
Metropolitan Dade County (C.C.F.) $ (sq.ft. = x/1000
x ¢.60)
Inspector State Educational Fund $ (¢.005 /sq.ft.)
State DCA (Radon) $ (¢.01 /sq.ft.)
Code Enforcement Fine $
Zoning Review
TOTAL $
ISSUING OFFICIAL
REVIEWED AND PREPARED BY:
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
//.o.5.c9
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 o FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
_ � �,T
Date { 1 -1- 01 Job Address 3,;,; S " 1JL 5 Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee /Tenant 'FP\pt►.) Y. & PrC' i A 1.ojJAL7 SFI�Iv,�` Master Permit#
Owner's Address S A- M e Phone 30c- 60 - gig) 9
Contracting Co. 1 1 D t. :7 tS' 1 . r COI , 0►1 v d Address
Qualifier c 4 '' 4GZ / r T) SS# Phone .3 0 5 - a }' - l a l
State # 0 3) `5 ( -1 1 Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING FL RROOFING PAVING FENCE SIGN
WORK DESCRIPTION a' SA S. ?LA frl uL) EGA ■AA)
Square Ft Estimated Cost (value)
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 construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that , . k will be done in compliance with all applicable
o the work st
v
j r✓
r,
tfAi_ r111 Ir Ir • I
SANDRA BRENCKMAN
aiQRECcltttd6rE403ent
n'•` Bonded Thru Notary Public Underwriters
contractor to
ature of C
actor or Owner- Builder
zr
LC. QUINONQ
•.L i State oft
mi derieltetesikalim
es: Cormissi°n CC9
.
K ' •
S
laws regulating constructi n . ' d zoning. Furthermore, I authorize the above -n
f \
I • � _i.
Signature of owner
Notary
My Co
FEES: PERMIT
APPROVED:
Zoning
Mechanical
RADON
(1
d/or Condo Presid t • ate
i1 -8 -01
Date
otary as
My Co
C.C.F. NOTARY BOND
4
Building
AVL'
Electrical
TOTAL DUE
Date
I ! —`7 (
Date
Plumbing Engineering
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * is * * * * *
AFFORDABLE AIR & HEAT, INC.
516 N.E. 190 STREET
MIAMI, FL , 17c;'
(305)940-0777
* * *** * ** iA: * * * * * * * * * * * * * * * * * ** * * * ** * *7A:* * * ** * * ** * * **N * ** * * ** * * * * ** * * J: * *?A:* * k A
02/05/97
Lennox Objective Guide to installation Comoarison
LOGIC 1000 RESIDENTIAL.. LOAD'S ANAL.YSJ :S PAGE: 1
WILLENBOR(
PREPARED FOR MIAMI SHORES VILLAGE: BUILDING DEPT.
PREPARED BY AFFORDABLE AIR & HEAT, INC.
DESIGN TEMPERATURES (DEGREES S F )
WINTER INSIDE 72 WINTER OUTSIDE 47
SUMMER INSIDE 75 SUMMER OUTS :LDE. 90
DAILY TEMPERATURE RANGE: INDICATOR I_
DESIGN GRAINS RELATIVE HUMIDITY 55
DEGREES NORTH LATITUDE 25
SUMMER AIR CHANGES PER HOUR 0.4
WINTER AIR CHANGES PER HOUR 0.4
ROOM - 1 MAIN PART OF HOUSE IN ZONE 1 66 x 36
WALL 16A 8 INCH BLOCK NO I.NSUI.. UNFINISHED 266 3,392 2,07r
OVERHANG = 1.0
WINDOW 1C SNGLE PN CLR GLASS METAL. FRM FACING -W 18 520 8,2 ;::
TINT - REFLECTIVE SHADING - DRAPES OR BLINDS
SHADING COEFFICIENT = 1 REVEAL. == 1.0
WINDOW 1C SNGLE PN CLR GLASS METAL. FRM FACING -W 54 1,559 2,585
TINT - TINTED SHADING-DRAPES OR BLINDS
SHADING COEFFICIENT = 1 REVEAL. = 1 ., 0
WINDOW 1C SNGLE PN CLR GLASS METAL FRM FACING - -W 9 260 4
TINT- REFLECTIVE SHADING -DRAPES OR BLINDS
SHADING COEFFICIENT = 1. REVEAL.. = 1.0
DOOR 10D SOLID CORE 21 242 14, .
WALL 16A 8 INCH BLOCK NO INSUL. UNFINISHED 224 2,856 1,748
OVERHANG = 1.0
WINDOW 1C SNGLE PN CLR GLASS METAL. FRM F AC; :CNG -S 64 1,848 961
TINT-REFLECTIVE SHADING - DRAPES OR BLINDS
SHADING COEFFICIENT _ 1 REVEAL. = 1.0
WALL 14A 8 INCH BLOCK NO INSUL. UNFINISHED 97 1, 237 757
OVERHANG = 1.0
WINDOW 1C SNGLE PN CLR GLASS METAL FRM FACING -E 45 1,299 2. 1 ; ::
TINT- TINTED SHADING - DRAPES OR BLINDS
SHADING COEFFICIENT = 1 REVEAL. :.. 1.0
AREA I TUH B1 1 JH
SO FT LOSS
02/05/97 LOGIC 1000 RE :S):DENTIAL. LOADS ANALYSIS PAGE: 2
TOTAL FOR ROOM 1
ROOM - 2 BEDROOM IN ZONE: 1
WILLE:NI:3ORG
AREA BTUH E:3'( UH
SO FT LOSS Gr= YN
WINDOW 1C SNGLE PN CLR GLASS METAL FRM FACING -E 90 2,599 4,309
TINT - TINTED SHADING-DRAPES OR BLINDS
SHADING COEFFICIENT = 1 REVEAL = 1.0
WINDOW 1C SNGLE PN CLR GLASS METAL FRM FACING• -E 136 3,927 6 :i r :_'
TINT - TINTED SHADING - DRAPES OR BLINDS
SHADING COEFFICIENT = 1 REVEAL = 1.0
WALL 14A 8 INCH BLOCK NO INSUL. UNFINISHED 174 2, 219 1,35
OVERHANG =- 1.0
DOOR 8C SLDNG DR, 1 PN CLR GLASS METAL F FACING - -N 21 606
TINT- TINTED SHADING - DRAPES OR BLINDS
SHADING COEFFICIENT = 1 REVEAL.. = 1.0
DOOR 8C SLDNG DR, 1 PN CLR GLASS METAL. F FACING -N 21 606 231
TINT - TINTED SHADING- DRAPES OR BLINDS
SHADING COEFFICIENT = 1 REVEAL.. = 1.0
WINDOW 1C: SNGLE PN CLR GLASS METAL FRM FACING -N 27 780 432
TINT - TINTED SHADING-DRAPES OR BLINDS
SHADING COEFFICIENT -= :1 REVEAL.. = :l . 0
WINDOW 1C SNGLE PN CLR GLASS METAL. FRM FACING -N 45 1,299 ; . •i :-.
TINT-TINTED SHADING- DRAT -ES OR BLINDS
SHADING COE=FFICIENT = 1 REVEAL.. = 1.0
CEILING 16G LIGHT R - -30 INSULATION 1,656 1,366 1 .. 91
FLOOR 22A NO EDGE INSULATION 164 3,321 0
WINTER INFILTRATION 99 CFM
2,719
SUMME :R INFILTRATION 99 CFM SENSIBLE GAIN 1,631
LATENT rA :CN 3,697 L.
PEOPLE 4 SENSIBLE GAIN 1200
LATENT GAIN 920 L.
APPLIANCES 1200
13,268 CU FT 1,656
SENSIBLE 32,654 31,375
LATENT 4,617 L
27 X 18
WALL 14A 8 INCH I3L000K NO INSUL UNFINISHED 216 2 1,685
OVERHANG = 1.0
WALL 14A 8 INCH BLOCK NO INSUL•'I.JNFINISHED 108 1, 377 8;4..
OVERHANG = '1.0
WINDOW 1C SNGLE PN CLR GLASS METAL FRM FACING --W 36 1,040 1, 924
TINT- PLAIN SHADING - DRAPES OR BLINDS
SHADING COEFFICIENT = 1 REVEAL. = 1.0
WALL 14A 8 INCH BLOCK NO INSUL UNFINISHED 183 2,333 1,42E
OVERHANG = 1.0
02/05/9'7 LOGIC 1000 RESIDENTIAL LOADS ANALYSIS PAGE 3
TOTAL FOR ROOM 2
STRUCTURE TOTALS
WIL_LENF_1)R'G
MINIMUM Cooling Capacity needed is 48, 293 btu
at 90 degrees outside and 75 degrees inside
• .Maximum Desired Cooling Capacity is 55, 537 btu
(115% of Total Load)
AREA E.31 i•'1°E1i-:
30 FT LOSS G A I N
DOOR 8C SLDNG DR, 1 PN CLR GLASS METAL F FACING -S 21 606 23J
TINT - TINTED SHADING-DRAPES OR BLINDS
SHADING COEF'F'ICIENT = 1 REVEAL = 1..0
WINDOW 1C SNGLE: PN CLR GLASS METAL FRM FACING --S 12 34'7 21f7
TINT-PLAIN SHADING-DRAPES OR E3LINDS
SHADING COEFFICIENT = :t. REVEAL -_ 1.0
WALL. 14A 8 INCH BLOCK NO INSUL. UNFINISHED 126 1,607 9 s',
OVERHANG w. 1.0
WINDOW 1C • SNGLE PN CLR GLASS METAL FRM F'''ACING -E. 6 17 3
TINT -PLAIN SHADING-DRAPES OR E3LINDS
SHADING COEFFICIENT = 1 REVEAL .- 1.0
WINDOW 1C SNGLE PN CLR GLASS METAL FRM FACING --E 12 347 .,r
TINT-PLAIN • SHADING-DRAPES OR BLINDS
SHADING COEFFICIENT = 1 REVEAL. = 1,0
CEILING 16D L :CGH'r R -19 INSULATION 486 646 902
FLOOR 19A HARDWOOD OR VINYL. FLOOR ± NO ) :NS 486 1, 895 t'
WINTER INFILTRATION 16 CFM 429
SUMMER INFILTRATION 16 CFM SENSIBLE GAIN 25
LATENT GAIN 584 E.
PEOPLE 2 SENSIBLE GAIN 600
LATENT GAIN 460 L
APPLIANCES 1200
3,888 CU FT 486
SENSIBLE 13,551 11,257
LATENT 1,044 L
17,136 CU FT 2,142
SENSIBLE 46,205 42,632
632
L_ATE:NT 5& t 1.
******** ********** ***9c*.tyc7k** **** v ers i on 9 2.12 *** *'k.atXYtyc:k Jk7 *** *X%C7k7t*7k:k YC?k'Y.Xy:*1:
* This Heating and Cooling Load Computation was produced using the procedures *
* and tables of the Air Conditioning Contractors of America's Manua]. :r,
* Seventh Edition, The accuracy of the calculated loads depends upon the
• accuracy of the data used and the accuracy of the Manual :J load calculation : +:
* procedures for the givers conditions. No warranty, either expressed or A
• implied, is given by Lennox Industries Inc. with respect to the accuracy
i the r I^ y report. si.�•Pt::ici.e:ncy oof e. information provided re,port.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * v * * * A * * * * * •* W '+::fi * X A * * * * * * * il• * is * * * * * * * * * * * * •k �..y .�..i • +:
e
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Sl c2l / 07'
Job Address .. J E• qj airteF Tax Folio 1 (3O (0O t
Legal Description Historically Designated: Yes No
INgierr/Lessee / Tenant AnO l T (Cf (Q 0 I f l &? n Master Permit # �/,--(
n
Owner's Address r3 5 �• �. R `) O3 eet - - Phone X345
Contracting Co. f- F d asb (e 1`tJ( I kkt.CE, — H'LC . Address 56 &' E. /96 a
Qualifier 3a1) FrCtiMirl
State # C4c o 13 / / 1 Municipal # Competency #
Address
Address
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN MECHANICAL OFING PAVING FENCE SIGN
WORK DESCRIPTION_T 1 (/) 2.107) e e/1C'c f ,k� l .5 ( f eet-i /i&
. s -tl 0)3k, den ce > corn., /O /e) -/.01 I
o af 10
Square Ft. d / % Estimated Cost (value) y 0u
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 construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
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. Furthermore, I authorize the above -named contractor to do the work stated.
Notary as to � wner and/or Condo Presiden
My Commission Expires:
FEES: PERMIT
RADON
3
7
i .
NOTARY e:if;L, Notary as to Contractor or Owner - Builder
`ONNIs Y SE4L • ssio E
NOT_A xpires �°-°— LEP
COMMISSION `` SE
SPATE C C r .:. t :
Y COMMIS EXP. CC LOD RJ Ry ' �:, :.-,;.r.-, i: J un1FLORIDA AL
A1\/, 7 22 :.Cfl(;7E9
00 1 M1'CO,�rh;j:: ION 1 :1F.AN. /2,2001
C.C.F.
ss# Phonee - C/`iCJ 07 7
34 /q7 I t I
S 0 er- Builder Date
'
/
Ins. Co.
3/ Q 7
Date
�G w
NOTARY • BOND
TOTAL DUE id-- 6
APPROVED:
Zoning , A Building Electrical
Mechani
Plumbing Engineering
ADDENDUM TO BUILDING PERMIT. APPLICATION
(AN APPLICATION FOR BUILDING PERMIT HUST ACCOMFANT THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SiGNATVRE NEED NOT BE PRESENT aN 5 UB3EgtENT APPLICATIONS.)
ITEM
SWITCH OUTLETS
LIGHT CUTLETS
RECEPTACLES
SERVICE AIRWAY
SERVICE SIZE IN MPS
SERVICE REPAIR/iETER CHANGE
APPLIANCE OUTLETS
RAKE TOP
WATER HEATER
MOTORS 0- 1 HP
MOTORS OVER 1- 3 HP
MOTORS OVER 3- 5 FP
MOTORS OVER 5- 8 HP
IOTORS OVER 8- 10 NT'
MOTORS OVER 10- 25 FP
MOTORS OVER 25-100 FP
MOTORS OVER 100 NP
A/C WINDOW
AIR CONDITIONERS
STRIP HEATER
GENERATORS TRANSFORMERS
MI � ��
_ GENERATORS TRAHSFGtTFfRs
U r i ■
(;ENERATC1IS TRANsFa RS ■
SPECIAL PURPOSE -
r� OMEN CIKACIAL I -
111111 SIGN IMES w 1111
SI TRAN15FaRMERS 11111 =
II
1111 11111
■
E VIOLATION _ EN =■
MIME REINSPECTIoN Min
MIN =MN
SIGN TIME CLOCK
FIXTLRES
ANTENNA
TELEVISION OUTLETS
A/C (WINO)
A/C (CENITRU j (J) 2 1 /)
DUCT WORK
REFRIGERATION
PROCESS ANU PRESS PIPING
UNOERGREM TAFOCS
ABOVE GROUND TANNICS
U.F. PRESSUtE VESSELS
STEAM BOILERS
PIOT WATER BOILERS
MECHAN VENTILATION
TRANSPORTING ASSEMBLIES
ELEVATORS/ESCALATCAS
FIRE SPRINKLER SYSTEMS
COOLING TOWERS
VIOLATION
810ET
DISHWASHER
LAWN SPRINKLER-MU
swum POQ
WATER SERVICE
SEPTIC TANG(
RELAY
POOL PIPIND
METER SET (GAS)
G.&S PIPING -
4 TILE/RES.
ITEM
BATH 113
DISPOSAL
DRINKING FOUNTAIN
FLOOR [RAIN
GREASE TRAP
INTERCEPTOR
LAVATORY
LAM/CRY TRAY
CLOTHES WASNER
SHINER
SINK POT /3 COMP.
SINK. RESIDENOE
SINK.
!EMPUWUARY WATER CLOSET _
URINAL
WATER CLOSET
AREA
NEATER - REPLACE
SEWER DONItECTIOFG
UTILITY-SEER
UfILITT -HATER
ORAIIFIELD
Pt1MP
& ABANOQI $EPTIc
SOAKAGE PIT
CATCH BASIN
DISCHARGE NELL
DOMESTIC DELL
ROOF INLET
SaJIR HATER NEATER
FIRE STMOPIPE
GAS RANGE
PLUMBING
03/07/95 15:24
MSU
ELECTRICAL
004
•
MECHANICAL
Liqu. dr777
• c
• 05/05/94 13:12 002
atiami Jhorcsua
• L 0 $
Se-c_ Air conditioning reintinns. . •
•
(a) All individual air conditioning units installed in vealls,or.. ;
windows shall be securely anch(n-ei.1 to the walls by approved'
methods. Units installed over pulAiu property, paths of egress ur ".•
more than ten (10) fcct above //rade shall bc secured to thc struc-
ture by bolts or screws to resist h.., ui;:onl wind loads. Such unitzt ••• • •
cantilevering more than eight (.3) inch es on the exterior of a
building shall be supported b tcI angle brackets 3 ccu.rcd y
boltiag. Bolts to rnasoari shall be set in lead shields or similarly •.'
rot-resistant fastenings..
(b) The followius special requircriacnts 3 ha 1.1 apply to the c7-
trot and regulation of noise nuisance from air conditi m
oning achinerf. •
(1) All cqilipment. existin g or hereafter instzlled,
of location, 5ha11 be maintained in good working order.
Equipment so located that normal operating noises create
a nuisance to adjacent owners or occupants .-)hall be pro-
vidcd - xith soundproofing, or soun.d-ab:sorbing baffels,• or
enclosc.:es, as approved to insure tnairox:riance of a rca-
zonal:do noiiya lev(tl.
(2) All equiprnent on outer walls, on roof's, or in other exposed
locations. which art unduly noisy, and which causes valid
complaints from adjoining property owners or occupants.
may be required to bc relocated, redesigned dfor en-
closed in noise-retarding, materials when, in the opinion of
the building official, such enclosure is necessary or would
be cffeceive,
,(3) Special consideration shall br . given to the planning of all
future installations tp rdiniriaze the noise nuisance to ad-
joining prciperty owners or occupants), and the building
. official shall have authority to reject or require the rede-
sign of any system which, in his opinion, would cause such
a noise nuisance.
(c) Violatio:a of this section shall be punished as 15 now or Cloy
hereafter be provided bylaw. (Ord. No. 299, § § 1-3, 2
have read : the above orainarIce and will comply with the
regulations thez-eof.