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443 NE 95 St (2)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 495 -2204 Building Inspection Requ Date Time p� Type Insp' / c Z .hermit No. 'o'-V 15, Name Address Company Phone # 9'0'0272 For Inspector: Name &Date Approv �� (f`' 4� Correctio ❑ Re- Insp'n Fee ❑ Date Legal Description / �' //�p,� m�i Historically Designated: Owner /Lessee/Tenet Jo'C ` be l/ , ice Owner's Address Qualifier Contracting Co. / ' /1 /2-/ 1 Notary as to Owner and/or My Commission Expire PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.F. 2nd. Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972 Job Address '4 Ng /IN 5 State # e L ie/// Municipal # y�7/3 President 16 e2'� Date 0 � N ��NS�� i5 /c64" 4)2 ZEO� dent Date Tax Folio 1/ C060/ O/ 2 ' O Master Permit # Yes RECEVED .03 46g Z 2 2003 Address ` , / v e 7 Phone SS #. Phone 'll/ I/0 Square Ft. Estimated Cost (value) %WT/1/' tea Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): 13UILDING ELECTRICAL PLUMBING MECHANI ROOFING WORK DESCRIPTION: / q Jg e 'Yr) 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 ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a 'ermit 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 all disciplines. OWNERS AFFIDAVIT: 1 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. Furtiiermore, 1 authorize the above named contractor to do the work stated. 1,4 4//o Signatur •' ontractor or Owner Builder , 9 u.,t 0 00N�M166� VI ex „ "' " ' wner Builder Date Notary asto. ..... My Commiss expires Date FEES: PERMIT RADON C.C.F I. 2 _ 0 NOTARY BOND TOTAL DUE ' �i D APPROVED: Zoning Building Electrical Mechanical Mul‘-.0 '41' '' `d Plumbing Structural Engineer JOB NAME ADDRESS MIAMI SHORES VILLAGE AIR CONDITION REPLACEMENT J e o beKrneVer 490 to icy �c Different location than above? EXISTING CONDITIONS I. HOUSE MAIN ELECTRIC SIZE AMPS _ /D / WIRE SIZE lY 2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE Y' , & CIR. BKR. SIZE O FUSE SIZE SW AIR HANDLER BRANCH CIRCUIT:WIRE SIZE (, , & CIR. BKR. SIZE FUSE SIZE SW 3. SIZE OF EXISTING COMPRESSOR DISCONNECT: 1.Do AMPS. TYPE: FUSE CIR. BKR. SIZE OF EXISTING AIR HANDLER DISCONNECT:LE AMPS. TYPE: FUSE CIR. BKR. 4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? 5. EXISTING UNIT TO BE REPLACED MAKE CONDENSOR MODEL #` NAME PLATE INFORMATION FROM EXISTING UNIT n fri-ro PACKAGE MODEL # / / e 414 ms HEAT PUMP TYPE YES NO (i Ce MINIHUM CIRCUITS A MP 5 , SI TUBE OF QUALIFIER OR RELOCATED A.H.U. MODEL # NO KW HEAT STRIP SIZE /0 VIA/ A.H.U. MINIMUM CIRCUIT AMPS MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: CO : SOR AMP SIZE CJ'I' FUSE HACR CIR. BKR. AI DLER AMP SIZE FUSE HACR C_R. BKR. EER 12 /n NAME :PLATE INFORMATION FROM NEW UNIT BEING INSTALLED MAKE YO R‹ K PACKAGE MODEL # j2g % /-/ / ? ?/ A A.H.U. MODEL # CONDENSOR MODEL * HEAT PUMP TYPE YES NO KW HEAT STRIP SIZE to KG 06PFaE eeft MINIMUM CIRCUITS AMPS 65 A.H.U. MINIMUM CIRCUIT AMPS MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: /< v'I e //-- AMP SIZ CUD FUSE l0 D HACR CIR. BKR. AIR HANDLER AMP SIZE FUSE (n HACR CIR. BKR. EER CERTIFICATE NUMBER MIAMI SHORES VILLAGE � AIR CONDITIONN REPLACEMENT \ JOB NAME k V b orney r ADDRESS 4q0 /r/ Different location than above? EXI / STING CONDITIONS 1. HOUSE MAIN ELECTRIC SIZE AMPS / 'D WIRE SIZE l-F� /n 2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE, & CIR. BKR. SIZE6O FUSE SIZE SW AIR HANDLER BRANCH CIRCUIT:WIRE SIZE , & CIR. BKR. SIZE h'7 FUSE SIZE SW 3. SIZE OF EXISTING COMPRESSOR DISCONNECT: 14 AMPS. TYPE: FUSE 4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? 5. EXISTING UNIT TO BE REPLACED MAKE CIR. BKR. SIZE OF EXISTING AIR HANDLER DISCONNECT:LE AMPS. TYPE: FUSE CIR. BKR. CONDENSOR MODEL # lY HEAT PUMP TYPE YES NO ND R MINIMUM CIRCUITS AMPS NN CONDENSOR MODEL # OR RELOCATED NAME PLATE INFORMATION FROM EXISTING UNIT n 14Y01 PACKAGE MODEL # !/ /e V A.H.U. MODEL MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: Pi c6 /^ CO : SOR AMP SIZE ( MV FUSE HACR CIR. BKR. AI K DLER AMP SIZE FUSE HACR CIR. BKR. EER � 2 - // NAME PLATE INFORMATION FROM NEW UNIT BEING � INSTALLED n MAKE yo PACKAGE MODEL # /0/7 / V %/ /? A � A.H.U. MODEL # BEAT PUMP TYPE YES NO 13 KW HEAT STRIP SIZE / 0 '< Vv PKG OA 9'OR MINIMUM CIRCUITS AMPS 5 A.H.U. MINIMUM CIRCUIT AMPS _MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: eeMENSOR AMP SIZE 690 FUSE /n n HACR CIR. BKR. AIR HANDLER AMP SIZE FUSE (n0 HACR CIR. BKR. EER 1 a KW HEAT STRIP SIZE NO Poki A.H.U. MINIMUM CIRCUIT AMPS SIL TURE OF QUALIFIER e416 TO CERTIFICATE NUMBER Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: ME2003 -69 Printed: 4/28/2003 Applicant: MICHELLE � D.e Owner: NF01,, (' y y . JOB ADDRESS: 490 NE 1 101 Contractor AFFORDABLE AIR & HEAT Local Phone: 305 - 940 -0777 Parcel # 1132060170430 Signed: () In consideration of conformity with the p: done by either mysell Signed: Pay to th order o For Mechanical Permit ST Legal Description: 6 53 42 -0(if■O 15_ 0 c< r I. 2 Total Fees: Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 10/25/2003 Construction Value: $2,000.00 Work: REPLACE 3 TON ly cS1Y 4•1 °q. = 1 11 1.=I.. no, 1, ° 1._4. D +n .Tx.Tn.= AwN=nr 1r =N I• n.°_n.°nwtl.=n. nnnwa n•f u- N +nvaY_q._nY_gr n. % nron._ 4.^41 121 i'1 AFFORDABLE AIR & HEAT, INC. 515 NE. 190TH STREET MIAMI, FL 33179 (305) 940 -0777 Shari IIIl■oyt 13Idf RANSCAPITAL BANK 00 E. HALLANDALE BEACH BOULEVARD HALLANDALE, FL 33009 ®b r111e I I • rvrrt — r .. L Job Contractor's Address: 551 NE 190 ST PB 15 -14 AMD PL OF MIAMI SHORES SEC 4 LOT 1 BLK 90 Date u•nn 411 SIN I_flp,70 LO2L480 y /30 3995 63- 1473/670 is.... Dollars -..> MIAMI SHORES VILLAGE BUILDING DEPARTMEN '• X05- 795 -2204 2 Building Inspection Reque Date 0 Ti Type Insp'n�✓ .. Permit No. __ � l / U Li Name Address Company Phone # For Inspector: i�, Name & Date Approved � 5.11.°5 Correction ❑ Re- Insp'n Fee ❑ ITEM 3ATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS MIT FEE 3IDET LIGHT OUTLETS CENTRAL HEATING /0 ( 31SHWASHER RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS A/C (WIN)) A/C (CENTRAL) 77 I DUCT WORK a DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TAMS 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 MDTCRS OVER 100 IMP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO:• AIR CONDITIONERS 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 COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELO, 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 . r GAS RANGE METER SET (GAS) GAS PIPING r ADDENDUM TO BUI'LDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. TF A MASTER PERMIT HAS S. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL 4 ZOd Prepared by'and retum_to: George S. Zamora - Faraldo, Esq. Attorney at Law Windsor Title Servi,:es Inc. 3191 Coral Way Suite 404 Miami, FL 33145 305 - 444 -2086 File Number: wt -11978 Parcel Identification No. 11- 3206 -017 -0430 [Space Above This Line For Recording Date) 1 Witness Narne: W .' ass ame: ear' • S . Witness Name: and delivered in our presence: A J., • ho2'-0!) Warranty Deed (STATUTORY FORM - SECTION 689.02, F.S.) This Indenture made this 28th day of February, 2003 between Thomas M. Mullane and Michelle B. Mullane, husband and wife whose post office address is 490 N.E. 101 Street, Miami Shores, FL 33138 of the County of Miami - Dade, State of Florida, grantor *, and Joseph E. Obermeyer and Julie C. Obermeyer, husband and wife whose post office address is 9909 N.E. 4th Avenue Road, Miami Shores, FL 33138 of the County of Miami -Dade, State of Florida, grantee *, Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO /100 DOLLARS ($10.00) and other good and valuable com ;iderations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida, to -wit: Lot 1, Block 90 of MIAMI SHORES SECTION 4 AMENDED, a subdivision according to the Plat thereof, as recorded in Plat Book 15 at page 14 of the Public Records of Miami -Dade County, Florida. and said grantor does hereby fully warrant the title to said land, and will defend the same against lawful claims of all persons whomsoever: " "Grantor" and "Grantee" are used for singular or plural, as context requires. In Witness Whereof, grantor has hereunto set grantors hand and seal the day and year first above written. " (Se Michelle B. Mullane State of Florida County of Miami -Dade rr��� ���..„„"� The foregoing instrument was acknowledged before me this 2-U day of 5r. 24) (L by Thomas M. Mullane and Michelle B. Mullane, who u are personally known or [X] hav „produced a drivels license as identification. [Notary Seal] Notary Public Printed Name: My Commission Expires: /2. /7 6 / ()S_ DoubleTime. 69O9 (SOE) saleioossv'2 iaAawtag0 Wd £Z -Z l £00Z ' lZ I!tdv 'AepuoyJ Date Legal Description Owner / Lessee / Tenant �rJ r a `� ` \ 't" L f 'T4 'CJ Master Permit Pb44i(73 1 \ Owner's Address 370 v �G 1 Cl C ®'��- •Q�1r.S . Contracting Co. Qualifier C�o�er,* • GC ( r SS# State Ii G�C ©.2� �f M icipal # Architect /Engineer APPROVED: ' g ' D3 'Job Address Signature of o Date: PERMIT APJ'LICATION FOR MIAMI SHORES VILLAGE • . .•. . . . ... •. .• • . . .. .. • Tax Polio and /or Conde President �dedlM`� .� pQ;` . • . ••• ..4.,4 -. • • • • . . . • . • •. . . . • - - - • _ WORK DESCRIPTION _ ! - "° • / leW t �__ Nod ary as to Owner and /or Col +.ent Commission Expires: // �► f�.,� iii, i ** * * * * ;ye.? * 'a *. * �S��. C.C.P. eo FEES: PERMIT F / : ��1 %llS 11 P � O`\\\\, •.. •• • . . . Address e. Phone 3 767 7-3 Oao miqy; F/,6 - - Phone \ O\ ? --( Competency # Ins .Co . Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBIN s1JTii ROOFING PAVING PENCE SIGN 0CD Square Pt,. Estimated Cost(value) (7 7 \. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAY;[NG 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 indicatLd above, and on "the attached addendum (if pplicatle). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand tat separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOPING and MECHANICAL `.ORK. OWNER'S AFPIDAVIT: I certify ghat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulatin. •str cti• and zoning. Furthermore, I authorize the above n: :d contractor to do the work stag , / • Signature'f Con Date: actor or Owner - Builder Nota" 's to Contra�g.r or Ownw-Builder My Commis a,pn Expire: kyce Kranz - -. MY COMMISSION # D0174069 EXPIRES * * ' * j ENDED THHRUU T Y FA$ V SUR*4cE MC * ** (:aa Pire Other NOTARY Zoning /f i3ui1ding Electrical Mechanical '2 4i o7 Plumbing - Engineering TOTAL DUI; Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: ME2003 -54 Printed: 4/15/2003 Applicant: Owner: JOB ADDRESS: 443 Contractor C & R AIR CONDITIONING CO Local Phone: 305 - 685 -6394 Parcel # 1132060140620 If there is no permit! Tee is $50.00, which mu .6000 (his Permit is granted to the ordinances pertaining thereto al and approved by the proper mu authorization. A further conditic ordinances and regulations pert by his agents, servants or emplk Signed: Irconsideration of the issuanc with the plans, drawings, statem' myself, my age servants or er. 3 F 3,-C'\ickao Civ,A4 StiV1100 NE 95 Mechanical Permit ST Contractor's Address: 2121 NW 139 ST #10 Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 18 & W1/2 LOT 19 BLK 53 LOT SIZE a e „,, i ;„,* 1s. o o F ), Total Fees: $1 7 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 10/12/2003 Construction Value: $1,775.00 Work: EXACT REPLACEMETN OF 3 TON CONDESING UNITS or•9L $ 00901 60E 1 01 :03E12 00Z 90:t 01/, 005 00 3UnIVNDIS O3ZIU0 ; V , `\�► \ 0L9 /£4Z Vatuo - u Vola3INV 3O HNVS 46£9 -599 (SOs) :3NOHd o � 9st 00 DNINOLLIGNO3 HIV OW3 S 4 1rvatc JO tl30ki0 3H® Miami Shores Village 10050 NF_ 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/15/2003 Applicant• C444.1,0, Owner: JOB ADDRESS: 443 NE 95 ;; Contractor C & R AIR CONDITIONING CO Local Phone: 305 - 685 -6394 Parcel # 1132060140620 Total Fees: Q Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 10/12/2003 Construction Value: Work: EXACT REPLACEMETN OF 3 TON CONDESING UNITS If there is no permit pac fee is $50.00, which must This Permit is granted to the cor ordinances pertaining thereto and 1 and approved by the proper munici authorization. A further condition i, ordinances and regulations pertain by his agents, servants or employe Signed: In consideration of the issuance I with the plans, drawings, statemen myself, my agent, rvants or empl Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 18 & W1/2 LOT 19 BLK 53 LOT SIZE savlloa L 005 on9L 31:1111VNeIS a3Zld0 ; V Mechanical Permit Permit Number: ME2003 -54 Contractor's Address: 2121 NW 139 ST #10 .0090160E101 :19E1200Z90: eq. 00500." OL9 /£t'Z CO•rr-h valor V3I213Wd JO NN $1,775.00 Page 1 of 1 a 46£9 (50E) :3N0Hd OEE 1 ld 'IWVIW • 0££ 109 X08 'Od '00 ONINOLLIONO3 !!IV OW3W S xc.rie- 30 E130a0 3H101 Add Owner's Name and Address. Millman Registered Architect and /or Engineer (Signed) ..... MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made :'or the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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. Date February 24., - 61 No 143 street_ ___N.E,....9 th...S.treet Miami Shores, F1. Name and address of licensed contractor Certified YQrk Corp. .._. 12345__. W+Dixi _e..__Highway,._..N_.Miami Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done13mN • E. 95th St. Miami Shores, Florida State work to be done and purpose of building (by floors) One_ ._ Yor_ k.M od. e_ l___ P36FR ,... air condit. one. r.._ to.__b_e_.._ins_tailed____in___ the_._g_arag_e.. 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 $ Amount of Permit $ .._ 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 the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 employed 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontraclors, on work,tq be performe_,under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - Permit No ���_ ,,�_ Date 7 Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida A 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 51.00 wi'l be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.