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702 NE 95 St (7)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / 1 a9 / 1 Job Address 7 0.2N r cis4r Tax Folio Legal Description - � - - - , Historically Designated: Yes (4 / Tenant Dr S f6 c S� (` Master Permit # Owner's Address 7 0 2 ./U t / J ST Phone 30,1- ZS'6 39 Contracting Co. IC i4 ; f Cp K C Address co.e.x 68 / 3 0 Qualifier el 4 � C l P s t Competency # Ins. Co. HQ DTa Architect/Engineer Address Bonding Company Address Mortgagor State # C A C D ti Municipal # O ( f (' $O2 .3 WORK DESCRIPTION No el' an My o „upn Expires. -9Y MY COMMISSION # CC808950 EXPIRES . �a FEES: PERMIT APPROVED: Zoning Mechanical Address ss# / ( Phone b M 3 9 L( Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN # Q Square Ft. Estimated Cost (value) 70 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 w construction and zo ' _ F ore, I authorize the above -named contractor to February 14, 2003 BONDED THRU TROY FAIN INSURANCE. INC / / ZT Da fl *tun of 1 71 : ctor o i er- Builder 4411 I r C.C.F. / - NOTARY Building ' Electrical rk will one in compliance with all applicable laws regulating tat BOND Date ( 2q1.9 o : as to ontrac or o • -Buil Date My C * mmi sion Expires: 4:4 rt., oyce Kranz m MY COMMISSION # CC808950 EXPIRES February 14, 2003 BONDED THRU TROY FAIN INSURANCE INC TOTAL DUE Plumbing Structural Engineer BUILDING INSPECTION p ARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for 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. �J Date Owner's Name and Address boe• �• . 6 4C-" 1 1 Registered Architect and /or Engineer Name and address of licensed contractor_ .. .* Location and legal description of lot to be built on Lot Block Street and Number where work is to be done New Building Remodeling MIAMI SHORE Kind of foundation Subdivision A Amount of Permit $ _Plan Cubage Size of Building Lot No F� State work to be done and purpose of building (by floors) C i 4 s 4i c� ��2 � y A le Ava. ° and for no other purpose. Addition Repairs No. of Stories Roof Covering To be constructed of Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building 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 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 permit as are licensed by Miami Shores Village Remarks U`r �<' �;�2 r<� (a L ( Signed ) c �� r A 4/ 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 and who, being by me first duly sworn, upon oath deposes and says tha i - 's the of the above described construction, that he has carefully read the for therein by him stated art re. 7 Permit No Disapproved I �/ (Signed) I� v Council Approved Date ,19 Street al.& .9$ V. AA•�. to me well known, plication, and that he did sign the same, and that all facts Sworn to and Subscribed before me. Notary Pu. ' tate of Florida Building Inspector d ^ My Commission Expires PLANNING' s OARD DATE Chairman Member Member Member Member .. __ . Member 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. BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ ik Owner of Building�A Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA DATE PERMIT N? 7849 Bl. Work to be performed under this Permit •1 • / L Signed: fx Subdi- vision INSPECTOR s Sq. Ft Value of Project $ Contractor's License No Z i# l N. Amt. of ti Permit $ ,,r 0 • 1954.1 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications And that he assumes responsibility for work done by his agents, servants or employees. 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, servant or employee. BY AUTHORITY " Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: MC2005 -36 Printed: 3/22/2005 Applicant: Owner: JOB ADDRESS: 702 NE 95 Contractor C & R AIR CONDITIONING CO Contractor's Address: 2121 NW 139 ST #10 Local Phone: 305 - 685 -6394 Parcel # 1132060141930 Signed: (INSPECTOR) Mechanical Permit ST Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 12 & 13 BLK 67 LOT SIZE 123.230 X Fees: Description Amount FEE2005 -3590 Building Fee $239.75 FEE2005 -3591 CCF $4.20 FEE2005 -3592 Training and Education Fee $1.40 FEE2005 - 3593 Technology Fee $5.99 FEE2005 - 3594 Scanning Fee $3.00 Total Fees: $254.34 Total Fees: $254.34 Total Receipts: $0.00 Vos Permit Status: APPROVED Permit Expiration: 9/11/2005 Construction Value: $6,850.00 Work: REPLACE DUCT WORK 5 TON METAL I4AR 2 9 PAID 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 t:It3 1 c, en PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing ( Mechanical Roofing Owner's Name (Fee Simple Titleholder) S ± 0 � S cS berry R 2 3 Phone # 07 OS- 7 S6 S. 100 6 Owner's Address 7 © N 6^ 9S s T t City A l q V►'N l S k o r e..) State F Tenant/Lessee Name Miami Shores Village Building Department Job Address (where the work is being done) 1 N `S- 4 T City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO )C Contractor's Company Name C t R A, r' CO h G- C a Contractor's Address P. 0 • 1.301 t City m t a •'< < State ! 1 . Qualifier R. P t' . C k r y .i 7 Permit No. Mo L s _36, . Master Permit No. Zip 3'3 Phone # Phone # 3©S• 8 Ti Zip33 16 8 Phone # Architect/Engineer's Name (if applicable) Architect/Engineer's Address City State Zip $ Value of Work For this Permit Number of: Bays Type of Work: Describe Work: _ , <', i County Escrow Fee $ Education/Training Fee $ Code Enforcement $ Minus Plans Check Fee $ 6 " Square Footage Of Work: Bedrooms 2 Baths a Stories Families t • Addition ' DAlteration :New ai Repair/Replace ❑ Demolition � •. 1L Loa. * * * * * * * « * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** , L YJ Permit Fee $1 1 1 Notary $ z Tech $ .) r CI Scanning $ and $ Struct. $ 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Zip Radon $ Total Fee Now Due $ (Continued on opposite 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. chc7rl/03 My Commission Expires: Signature � 1,N I / l 4, ° SCAN/ er or Agent t The foregoing instrument was acknowledged before me this day of filar ct , by who is ersonallly known o me or who has produced As identification and who did take an oath. Signature Robert J. ChrystNOTARY PUBLIC: : *= MY COMMISSION* DD113321 EXPIRES >� May 24 2006 (Certificate of Competency Holder) State Certificate or Registration No. c AC 026 Certificate of Competency No. Contractor The foregoing instrument was acknowledged before me this 1 day of t r ' k 20 S by who .personally known o me or who has produced as identification and who did take an oath. NOTARY Sign: . ,R,i 60NDEG ThPU TPOY FAI IN SURANCE, INC Print: o ;fi C 1, rys P r i nt: ■q e T r Cu r z. • s 3anet Kranz My Commission Ex - p r y ; __ MY COMMISSION # D0174033 EXPIRES ********,►****** ***************************** , t r** * *** * ** * * ** * * * * * * * * * * * * * * ** * * * , - �,� ** December 26 2006 r * Ab l9lkl't/t!1'Ra1fAia.1100e# " II Sign: 0 4 88' 0.2 .3 APPLICATION APPROVED BY: ./ 1 7 5 Plans Examiner Engineer Zoning I I 118 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE :T LIGHT OUTLETS CENTRAL HEATING MASHER RECEPTACLES A/C (WIND) OSAL SERVICE TEMPORARY A/C (CENTRAL) (KING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK R DRAIN S. ERVICE CHANGE . REFRIGERATION LSE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING Q [,G ERCEPTOR • RANGE TCP UNDERGROUND TANKS kTORY OVEN ABOVE GROU)U TANKS ' Y TRAY WATER HEATER U.F. PRESSURE VESSELS TEES WASHER MOTORS 0- 1 HP STEAM BOILERS WER • MOTORS OVER 1- 3 If • HOT WATER BOILERS X, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION K, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES X, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS PCRARY WATER CLOSET • MOTORS OVER 10- 25 HP t • FIRE SPRINKLER SYSTEMS • NAL MOTORS OVER 25-100 HP COOLING TOWERS ER CLOSET MOTORS OVER 100 HP VIOLATION IIRECT•WASTES A/C WINDOW REINSPECTION ER SUPPLY TO: AIR CONDITIONERS • VC UNIT STRIP HEATER 'IRE SPRINKLER GENERATORS TRANSFORMERS • ;EATER -NEW INST. GENERATORS TRANSFORMERS LATER- REPLACE GENERATORS TRANSFCRMERS . • .AWN SPRINKLER -WELL SPECIAL PURPOSE MAIM POOL OUTLETS COWERCIAL - IATER SERVICE SIGN TUBES TER CONNECTIONS SIGN TRAISFORARS . LITY -SEWER SIGN TIME CLOCK LITY -WATER FIXTURES 'TIC TANK ANTENNA .AY TELEVISION OUTLETS • INFIELD, 4' TILE/RES. VIOLATION ' _ P & ABANDON SEPTIC TANK .REINSPECTION , =GE PIT CU. FT. ; ' 'CH BASIN 3CHARGE WELL .ESTIC WELL EA DRAIN OF .INLET 1 • • LAR WATER HEATER ., RE STANDP IPE . OL PIPING NN SPRINKLER SYSTEM S RANGE • TER SET (GAS) ' S PIPING • PLUMBING ADDENDUM TO BUILDING PERMIT' APPLICATION APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL 9dNn »ad 3 I' acl 91 ) h� nth) -ap∎ ,au b "Ab .,b !i! °�"► .r)!rpto a -, bld.l \lt,6 j, iQ jSN►1!a�r^aN 1 ; ; 111o M 7 )P4." � vocs 1 bb C) QIXOI 7 b�S o -1 0 o JOQJ1 w0 0 t; vi ! A ■ -- , 9 xhl Z1-Az1 WyJO I /t p IXO 1 3'') '+br11 0 )&01 5vtit) - \4 , 1 •. ..... • p�. * �. n .P.Odt2 .-S • .)o �o11 .ri y -1,011-4 rlx� ti.}. t 4 i z yj � :1�,° r11, J��jddhSc��v CI %-ik4C! qv4;71;‘)17/11:---:-6-S-r--:4 �149!•a eiow rte lot - v a� 'H /b a , t.Go 9 p'.a.W.V.t. =�' S •`", + 3', 5001 .9-5'L SoC ITS b3 rot— W3) 0-VI 0 - 003 ' �.7 Sl �� b q - '0).NA 1:4 via StA l 4.5 p 0+ 1 ? a .,i�o7aJ 1944,uoDows- X ) 11j J V' -1 -. / *) .'&%-A . 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MIAMI SHORES VILLAGE BU1L ING DEPARTMENT '345 -795 -2244 Building Inspection Request Date Ad Company Phone # Inspection Date Approved Type Insp'n " Permit No- 410..0" Name ' ?O -arc qs, - a -At) Correction 0 Re- Insp'n Fee 0