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MECHANICALMiami Shores Village 10050 NE 2nd Avenue Building Permit Phone: 305- 795 -2204 Permit Number: BP2004 -820 Printed: 6/22/2004 Page 1 of 1 Applicant: BRUCE BROWN Owner: BROWN BRUCE JOB ADDRESS: 402 NE 95 ST Contractor OBENOUR ROOFING Contractor's Address: 9301 NE 6 AVE SUITE A -101 Local Phone: 305 - 757 -2612 Parcel # 1132060140470 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 11 & 12 BLK 52 LOT SIZE 100.000 X Permit $. Work: sib In cone conform done by s Fees: Description Amount FEE2004 -6352 Building Fee $300.00 FFF'nn4 -6353 CCF $9.60 F F F F 7 o • o o n > z b H / L �7 -, o ° A, f D `� J e. ✓ r ° y c / 5 N CD c � D c� a . y z y b co E. ra a d o no N b g �, coo = N > C/] .., cp ,,� S y r c r ng thereto and in strict 'N erl CD v L responisibility for all work N. Total Fees: $ 5.30 Total Receipts 0.00 33-5, 3a STATE Of FLORttJA,, COUNT OF DADE I HEREBY CEln71Fr. znauhis .s d rue copypr /ttfle or.; Mori in this eke on ( u y of _t„ SIt_ A D 20 U WITS.; SS r,./ n Otrcoal Seal. 1 ( r (HARVEY RUVIN; C ii., cl and County I 2. DesoripUon 01 Improvement: 3. Owner(s) name and address: Interest In property: Name and address of fee simple titleholder: 4. Contractors name and address: Amount of bond (3. Lenders name and address: ars Name Sworn to -• and subscribed baiore me this IC) OT OF CO MMENCEMENT PEFIMrT NO. STATE OF FLORIDA: TAX FOLIO NO. COUNTY OF DADE: 111111111111111111111111111111111111111111111 CFNI 2004-R04-77056 OR Bk 22394 Ps 4050; (1 P s ) RECORDED 06/15/2004 14:24:46 HARVEY RUVIN► CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE .THE UNDERSIGNED hereby gives nonce that Chapter 713, Ronda Statutes, the following Information c ents will be made to eenaln real roperty provided In this Notice of Commencement. d In accordance with 1 . Legal descnpion of property and street address: 5. Surery:(P - c yment bond required by owner Irom.contractor, II any) Name and address: kZe 7. Persons within the Stale 9 e of Florida designated b by Section 713.13(1)(a)7 by Owner upon whom notices or other documents may be served as provided ,Florida Statutes, Name and address: 8. In addttlon to himself, Owner designates the I� towing Section 713,13(1)(b), Florida S 9 persons) to receive a copy of the Uenor's Notice lau.ttes. as prodded In N arrt a and addresa: r 9.lraalon dale of thl,s Notice o C ommencement: Co 1 retaordln 'ditterem (the expiration date Is 1 year from the data of di n Is a l tfled) ' " 9 unless a day of 1 ! Notary Public Print Notary s Name r rir ? ���; Sandra D. Hart Corvmission ;/ DD 014872 " c ` "'.ki Expires April, 2, 2005 ? 6:� Bonded T lrru nn� Antic .:_ C $irdtp8 'rte, kg,' Prepared by: • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date o?7 6/ Job Address e9,7( / f.I., . 9.<5 /ax Folio // — 10/1 7� m /A.//:S%o -fFY A i��3/ --7 23 Legal Description °fs j% �- /oZ X 14 '( Historically Designated: Yes No '� ,10V.5 /2e° i'4 X la y Owner/Lessee / Tenant ,feJ , Master Permit # 6091 Af,E 9.5:5 . Phone' © 2, Contracting Co. /00 Ste-1 C s¢ /L S7/ Qualifier 24 k l`,daA,,t.t 04_, Owner's Address �/ �- SS# - Tv,Phone %2.? State # ',4'24 C/1 Municipal # Competency # Ins. Co. iZ A A ') C.rs Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING WORK DESCRIPTION J C: Address SUS rbseL Lig en OOFING PAVING FENCE SIGN C'y7» T 6 /fre c .r r - Zvi r w/ /1 /e14-J Square Ft. Estimated Cost (value) e; • 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 th. • all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do work stated. 411 �c e i 1) l 1(1.r,{{ ,rchi Notary as to Owner and/or Condo IlI4•esident My Commission Expires: (, FEES: PERMIT l"-'S RADON C.C.F. APPROVED: Zoning V.27 /o / Date "inik PATRICIA A. TAYLOR 'e MY COMMISSION # CC 895521 j ? EXPIRES: April 14, 2004 , Bonded T}uu Notary Public Underwriters Building Electrical otary as o Con • c My Commission E>pir NOTARY _ 00 BOND TOTAL DUE /, 2 CJ Mechanical ( 76.? I ' /" 1 .0 ( Plumbing Structural Engineer JOB NAME ADDRESS ja r ).- IVt 9 J 4 e - - Different location than above? /v EXISTING CONDITIONS 1. HOUSE MAIN ELECTRIC SIZE AMPS WIRE SIZE 2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE , & CIR. BKR. SIZE FUSE SIZE SW AIR HANDLER BRANCH CIRCUIT:WIRE SIZE , & CIR. BKR. SIZE FUSE SIZE SW 3. SIZE OF EXISTING COMPRESSOR DISCONNECT: _ AMPS. TYPE: FUSE CIR. BKR. SIZE OF EXISTING AIR HANDLER DISCONNECT:_ AMPS. TYPE: FUSE CIR. BM. 4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? YES NO 5. EXISTING UNIT TO BE REPLACED OR RELOCATED MAKE / m MIAMI SHORES VILLAGE AIR CONDITION REPLACEMENT 73 crc al„."4 NAME PLATE INFORMATION FROM EXISTING UNIT EER PACKAGE MODEL # Tait/ CONDENSOR MODEL # A.H.U. MODEL # HEAT PUMP TYPE YES NO x KW HEAT STRIP SIZE le CONDENSOR MINIMUM CIRCUITS AMPS 0 A.H.U. MINIMUM CIRCUIT AMPS MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: CONDENSOR AMP SIZE FUSE HACR CIR. BKR. AIR HANDLER AMP SIZE FUSE HACR CIR. BKR. <5 NAME PLATE INFORMATION FROM NEW UNIT BEING INSTALLED MAKE PACKAGE MODEL # . 5 0 ' CONDENSOR MODEL # A.H.U. MODEL # HEAT PUMP TYPE YES NO x KW HEAT STRIP SIZE CONDENSOR MINIMUM CIRCUITS AMPS ,0119 MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: • A.H.U. MINIMUM CIRCUIT AMPS gt CONDENSOR AMP SIZE FUSE HACR CIR. BKR. AIR HANDLER AMP SIZE FUSE HACR CIR. BKR. SEER O CERTIFICATE NUMBER