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485 NE 94 St (8)Issue Date: 6/14/2006 Expires: 12/11/2006 Owner's Name: MARK AND DEBORAH GREENBERG Permit Type: Mechanical - Residential Work Classification: Addition /Alteration Job Address: 485 94 Street NE 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 Contractor(s) C &R AIR CONDITIONING CO Phone 305- 685 -6394 Primary Contractor Yes Comments: EXACT REPLACEMENT OF 1/2 TON WALL MOUNT PACKAGE UNIT Additional Information Tons: 1/2 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 -6 -06 -1610 Phone: (305)754 -2593 1132060140540 Lot: PB: Total Square Feet: 0 Total Valuation: $ 3,250.00 Required Inspections Rough Rough Duct Ventilation Smoke Test Hood Smoke Det Test Final Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $2.40 $0.80 $113.75 $3.00 $2.90 $122.85 Invoice Number MC -6 -06 -25218 Total: Amt Due $122.85 guN 15 p20 ct� d9 -7.6z4Z Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be 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 . Inspection Number: INSP -20024 Permit Number: MC -6 -06 -1610 Inspection Date: 09/25/2006 Inspector: Perez, JanPierre Owner: GREENBERG, MARK AND DEBORAH Job Address: 485 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: C &R AIR CONDITIONING CO Building Department Comments Friday, September 22, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)754 -2593 Parcel Number 1132060140540 Lot: Phone: 305- 685 -6394 Page 2 of 2 Passed Inspector Comments dp, Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -20024 Permit Number: MC -6 -06 -1610 Inspection Date: 09/25/2006 Inspector: Perez, JanPierre Owner: GREENBERG, MARK AND DEBORAH Job Address: 485 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: C &R AIR CONDITIONING CO Building Department Comments Friday, September 22, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)754 -2593 Parcel Number 1132060140540 Lot: Phone: 305- 685 -6394 Page 2 of 2 • Building Department 61(410(0 . PERMIT APPLICATION FBC 2001 BY: Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address HE 1 er 9 ST City .� State gP. Is Building Historically Designated YES NO City M I kvl I State Qualifier R V) ert T _ C r yS ( Architect/Engineer's Name (if applicable) Miami Shores Village .0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 g:23 P �' lEcrrwro BUILDING Permit No. Master Permit No. Elect Tenant/Lessee Name Phone # O S' • 7 S-i 2 r9-3 -3 Job Address (where the work is being done) } d S I v E 9 Li ST City Miami Shores Village County Miami -Da Contractor's Company Name Ct ( A t W r CO h Ct . . Contractor's Address Po b OX 6 0`30 Plumbing IN4COG - 9 610 Roofing Phone # 7 P - 4 , g / 3 Zip Phone # Zip Phone # Zip 30) 639 Lt 16� $ Value of Work For this Permit d • O Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New g Repair/Replace ❑ Demolition Describe Work: J . " / _.„1. / ' Total Fee Now Due $ ' 2 2 . (Continued on opposite side) * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * *; * * * * ** Submittal Fee $ Permit Fee $ X13 7--m CCF $ 2 • L) CO /CC Notary $ Training/Education Fee $ CO . �C) • Technology Fee $ z -°tC7 Scanning $...• (3C Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 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 $2500, the applicant must promise in good faith that a copy o Fe notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attac m t. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspe don which o u seven /) days after the building permit is issued. In the absence of such posted notice, the inspection will no be 4pprov:. n. reinsction ' e will be charged. " O ' er or Agent Signature C tractor The foregoing instrument was acknowledged before me this I LI day of ■\CAhe. ,2006, by o me or who has produced who i personally known me or who has produced The foregoing instrument was acknowledged before me this day of who i Chc 12/15/03 personally known My Commission Expires: APPLICATION APPROVED BY: 1Lj 20 06, by As identification and who did take an oath. Signature as identification and who did take an oath. NOTARY PUBLIC: Sign: My Commission E -06 Sign: Print: ©� Q ( � irw •■■ Print: q I'1 �' Oa �anet Krum ...alr obert J r. r : , t � : ; � - :. MY COMMISSION #E DD174033 EXPIRES :•: Commission # 00524602 ' � - :g December 24 2006 * * * * * * * * * * * * * * * * * * * * * * * * ''' ExpireskMar 24$, 2010k* * * * * * * * * * * * * * * * * * * * * * ** ra, mel * *49IR€4 waammalemea * filial Bonded 4 5w petency Holder) State Certificate or Registration No. C A C ©2 6 L- 4 I y Certificate of Competency No. 0 L / d o 2- 3 ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ,7 ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning I i TLB UNIT • FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE :T L I GNT OUTLETS CENTRAL HEATING 1= s 1 ,71ASHER RECEPTACLES A/C (WIND) "CSAL SERVICE TEMPORARY A/C (CENTRAL) 1 z 1 / ')• -Tav +XING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LA) ci(1 (h0 4 r\ Ii DRAIN SERVICE CHANSE REFRIGERATION SE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING :RCEPTCR RANGE TCP UNDERGROUND TANXS ;TORY OVEN ABOVE GROUND TANXS 'CRY TRAY WATER HEATER U.F. PRESSURE VESSELS THES WASHER MOTORS 0- 1 HP STEAM BOILERS nER MOTORS OVER 1- 3 HP HOT WATER BOILERS X, POT /3 COMP. MOTORS OVER 3- 5 hP MECHANICAL VENTILATION : <, RESIDENCE MQTCRS OVER 5- 8 HP TRANSPORTING ASSEMBLIES K. SLCP MO TCRS OVER 8- 10 FP ELEVATORS/ESCALATORS FCRARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS NAL .. MOTORS OVER 25-100 FP COOLING TOWERS ER CLOSET MOTORS OVER 100 FP VIOLATION ' I RECT • WA&TES A/C WINDOW RE I NSPECT I ON ER SUPPLY TO: AIR CONDITIONERS • ;ft UNIT STRIP HEATER ' 'IRE SPRINKLER GENERATORS TRANSFORMERS • ',EATER -NEW INST. GENERATORS TRANSFORMERS 'EATER -REPLACE GENERATORS TRANSFORMERS .A7N SPRINKLER -WELL SPECIAL PURPOSE Yt I.41 I NG POOL OJT L ET S COM4,IERC I AL IATER SERVICE SIGN TUBES ER CONNECTIONS SIGN TRANSFORMERS LITY -SEWER SIGN TIME CLOCK LITY -WATER FIXTURES 'TIC TANK ANTENNA ' AY TELEVISION OUTLETS d NFIELD, 4' TILE/RES. VIOLATION P & ABANDON SEPTIC TANK REINSPECTION U(AGE PIT CU. FT. 'CH BASIN CHARGE WELL rESTIC WELL :A DRAIN lF INLET .AR !LITER HEATER ' • (E STANDPIPE L PIPING • IN SPRINKLER SYSTEM RANGE "ER SET (GAS) , PIPING 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.) PLUMBING ELECTRICAL MECHANICAL Date Legal Description Owner's Address Contracting Co. Qualifier id t,/.,( P)(ld iq/4 y,, /1) 6 State # ( e 03 5 -1 - 36 Municipal # WORK DESCRIPTION FEES: PERMIT G \+JOO s D-rf4 c/ AAL Notary as to Owner and/or Condo President Date My Commission Expires: APPROVED: Zoning A /J Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address ' ] 17 91-/ 5 t _ Tax Folio RADON C.C.F. NOTARY Historically Designated: Yes No Owner/Lessee / Tenant (..T/Q aeoae6.- Master Permit # ' JJ/ Y 7 /r •P 94 't Phone Address 3a < � / � j 0 7L SS# -, -_ Phone (4.'-0 y ' �f ‘0 Competency # Ins. Co. Address Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN GIECHANICAOROOFING PAVING FENCE SIGN r" wa fog pe I 0 srill -r/tx Square Ft Estimated Cost (value) 031 UO 4.00 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 d. . k stated. Signature of owner and/or Condo President Date Signature of Con actor or Own - Builder drv, Notary as to Contractor or Owner - Builder My Commission Expires: /( 7/0/ 9 7 Date cATHI 0. ROSH 710 P06, �� COMMISSION # o EXPIRES APR I �! BONDED THRU SOT ATLANTIC Rt1hlNPEE!: CO., INC. BOND A/ -f9 ate TOTAL DUE 5/. 5 0 Building Electrical Plumbing Engineering weft PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date YZ-/ S Job Address ✓zQ r Al •c Tax Folio Legal Description / Lessee / Tenant )9? 4 /,7i /= A✓ 5796 • Owner's Address - 5 ac) • 9.4/ Sr Contracting Co. AG#9i 1 Address ?4 Qualifier ��( dy1o/im,wAvl,�oj SS4� - �� - Phone () s 34. State # FL- Municipal # Competency # L4' ' M 7' Ins .Co. Architect /Engineer Address Bonding Company Address Mortgagor Addres - Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL 'OOFING PAVING PENCE SIGN WORK DESCRIPTION N.S 7 7 LA) /�— - S e-e '/ 5 /r7 - 7 7 ; H - 2 - Square Ft. Estimated Cost(value) 3,S` © © 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 constru tion d ng. Furthermore, I authorize the above -named contractor to do the work stated. Sign Da No ** * APPROVED: • or r er -:ui • er Commi s on ' xpi res : ' yl drer< "L' CCAV SSICAN OW. DEC. 25,199S - L 117ED TH LI GEF ALMS. MJN 'A * * * * * * * FEES: PERMIT v RADON C.C.F. � NOTARY TOTAL DUE 7/ D� Zoning Mechanica /Z4 I Building Plumbing Master Permit # Phone �•� Nota " t • r •• ommissio xpit #s: "' : r,u v * * * * * - - - *• _. * * Fire Other Electrical Engineering PERMIT NO. STATE OF'FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following inform ion is provided in this Notice of Commencement. . 1. Legal description of property and street address: ,/1 r Al 'g 5 eYI,min ' 51,gxe5 i 2. Description of improvement: 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: 6. Lender's name and address: S,gnalure of Owner Print Owners Name Sworn to and subsc Notary Public Print'Nota My Commissio Expires. NOTICE OF COMMENCEMENT TAX FOLIO NO. •955 /9/A— ca 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of of bond $ 94R363071. 1994 JUL 28 14:18 \ °\ CJ Cam/ 9e° c g, 4- f4. (L I STATE OF v LORii)r\ NUNW il 02208V C,110 _ fl 4 .7M1 GJ I':cnr' ant: Cz'c :r.! :tea? � -- - - -- , By / 7. Persons within the State of Florida designated by Owner upon whom notices or othVdocuments may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) 1 NOTARY PUBLIC STATE OPAARIDA 1 MY COMlvIISStcxs cAP.DEC. 2.51995 BONDED THRU GENERA Prepared by: Address: / • / a "• 11 4 1 .. 17 p • --C9 S • 4 7 - 04 /v97 3 )ov v r r 7g • BUILDING :LECTRICAL 'LUMBING GOOFING In consideration of the issuance to me •ertaining thereto and in strict conformity wit opting is penmi ssume responsibility f j i v CONTRA MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 4111 ❑ }wrier of wilding `- rchitect ontractor ,r Builder .egal Lot )escription Iddress of : uilding This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any me :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 rantad is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations •erta`.ning 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 one by his agents, servants or employees. G 2 OR 0 FD BUILD$R INSPECTOR e this permit I agree to perform the work covered h4reunder in compliance with all ordinances and regulations e plays, drarings statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- B1 Signed. Work to be performed under this Permit Value of Project $ 1 work don by either, myself, my agent, servant or employee. I DATE Contractor's License No. 195 Subdi- vision Amount of Permit $ BY AUTHORITY a Date 3 .40 Q Job Address �?S Ai 9st k Sl - , Tax Folio PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Master Permit # e 3 ' z2 1-)4/6/1 Phone !!!! Owner's Address 4 FE •4/ 9 k St Contracting Co. A �J L C L e= C - c- - a L Address /o2S & cs4 v, J e Fe- o s 2 ) 7 Z6 Qualifier 4 A „,„, u P 0 sz SS# Phone 2 O S rq - -, 9 71 State # G 2 - 000 eS `f S Municipal # / 7 G to Competency # / 7 - 2q (o Ins. Co. J/"74 Architect/Engineer Address Bonding Company . Address Mortgagor Address ]Permit Type (circle one): BUILDING$LECTRIC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1 4 S I O ft 1 C / (/614 i3 - 64-6011-6 aK � ‘ (9 Square F t. Signature of owner and/or Condo P • ent Date FEES: PERMIT g4i0 RADON Notary as to O , er and/or Condo President Date Notary as tc My Commiss .n Expires: My Commis Estimated Cost (value) q orc/ - lit cu 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. :Ado i ignature of Contractor or O r : • er ' e ror t} ' LUPO es!4Y COMMISSIONS CC 477965 EXPIII£S: July 5, 1999 t, o ;,ctS Bonded Mau Notary Pulte Undemniters C.C.F. ` NOTARY BOND TOTAL DUE / . APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering ITEM BATH 11B UNIT FEE ITEM{ SWITCH OUTLETS I -°! r FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS Z.: 6; CENTRAL HEATING DISnWASIiER RECE G/ A/C (WINO) OIS?OSAL SERVICE TEMPtRARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS OLCT WORK FLOOR DRAIN SERVICE REPAIR/I1TER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS ANO PRESS PIPING INTERCEPTOR RANGE TOP UNDERGIOUND TANKS LAVATORY OVEN ABOVE =UM TANKS LAUNDRY TRAY WATER HEATER 5•2;*' U.F. PRESSURE VESSELS CLOThIS WASHER MOTORS 0- 1 HP J log STEAM BOILERS SHOWER MOTCRS OVER 1- 3 HP HOT WATER BOILERS SINK, POT/3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIOENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSERLIES SINK. SLCP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATDRS TEWCRARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYS1ZG URINAL .. MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C MINOOW REINSPECTION WATER SLPPLY T0: AIR CONDITIONERS .c e'4' . ' A/C UNIT STRIP HEATER ei' )5: FIRE SPRINKLER GENERATORS TRANSFORMERS ' HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMl4D G POOL OUTLETS COMMERCIAL WATER SERVICE • SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY-SEWER SIGN TIME CLOCK ` I UTILITY -WATER F I XTLRES r SEPTIC TA}IX ANNA • , RELAY TELEVISION OUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION . PUMP & ABANDON SEPTIC TANK REINSPECTION . SOAKAGE PIT CU. FT. CATCH BASIN OISOARGE WELL DOMESTIC WELL AREA CRAIN ROOF INLET SOLAR WATER HEATER FIRE STAMP IPE 1 POOL PIPING LAWN SPRINKLER SYSTEM GAS RANEE METER SET (GAS) I _ . GAS PIPING (AN A PLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL WIRING AND CONDUIT SIZE FOR NEW AIR CONDITIONING UNIT #6 cu. wire 3/4 conduit LRA RLA 49/49 7.0/8.0 maximum fuse /circuit breaker = 50 amps MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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 pgress of the work. Owner's Name and Address Wri ght NE 94 Street li cgistered Architect andler Engince.r.. .. . .-- ' - -- - -: tr • •• , • :•:•m ::z:::+:::e:$a r:::am_:::nn \sine and address of licensed eontretde Reno Co, 5730 SW 74 Street, South Miami , Fla. Location and legal description of lot to be built on: Existing Residence Lot Block Subdivision Street and Number where work is to be done _ State work to be done and purpose of building (by floors..._ Add 3 Ton Central Air Conditioning and Heating\System 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 $ 3800.00 Amount of Permit $. 11 .00 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 \Vorkinen'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 tractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ' . - on on the site . - work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ors, on w• • . performed under this permit, as are licensed by Miami Shores Village. Remarks 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- geared Robert Reno and who, being by me first duly sworn, upon oath deposes and says that he is the. Contractor 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 ire true. Permit No. Disapproved _. (Signed) [ Date Date Bui • ing Inspector Chairman Member Member Council Approved NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. P � ' NINO BOARD DATE Member Member ..... Member .:... Disapproved Date (Signed) Date..._..._... __.........._........_A.�ri 1 ,., 17 .2.....,19. 72 .... _ No._........._.._....... Street........ ._ __ ............. Rea , worn t and Subs: 'bed be o me. Notary Public, 3 Florida My Commission Expires to me well known, Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Owner's Name and Address. K.a I o I' 4 ),4 y MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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. Date No " 110_ -a Street Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to / be done apd purpose of building (by floors) nit 7C"(01 T air Cr../9tad.-- '1- C - ei Q' 19 fiLlet Disapproved Date - , _� Notary Public, State of Florida (Signed) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering o Estimated Total cost of improvements $ ' ` Amount of Permit $ "2- c4 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 pennit 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 - contractor 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 wor such pulllie notice or notices as are required by the Act. The undersigned agrees to employ only such suI fltractprrson work to formed ,4ndrsr this permit, as are licensed by Miami Shores Village. Remarks (Signed) v fcrtdd --t STATE OF FLORIDA, COUNTY OF DADE. j 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 staled are true. Permit No / Date Read, Sworn to and Subscribed before me. 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.