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MECHANICALStreet and Number where work is to be done Disapproved (Signed) (�%U Chairman Member Member ... _ -\/ @A [1 R DBEs ti RAG E BUILDM DE A ThTNT 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 Shares 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 riot. A copy of approved Ll;ans and specifications must be kept /a building during progress of the work. �3 0 Owner's Name and Address . Registered Architect and /or Engineer Name and address of licensed contractor . ` �� Location and legal description of lot to be built o : Lot Block Sub State work to be done and purpose of building (by floors) New 3uilding_.. Remodeling To be constructed of Kind of foun Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building 2l� i� - - - -u and for no other purpose. Addition v Repairs No. of Stories tion_�� Roo vexing t C Amount of Permit $ Plan Cubage 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such subs Tractors, on _work jo,,.b performed under this permit, as are licensed by Miami Shores Village. ( L ?z: va:lis (Signed) - ' ; �,�1 - � STATE OF FLORIDA, COJN OF DADE. $ ss. 'n :' 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 descri bed 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 F 4 fl Read, Sworn to and Subscribed before me. rte. Notary Public, State of Florida uilding ' „Jpector ` My Commission Expires PLANNING BOARD DATE 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 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Date i Legal Description \ 005 L PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 1 ') 9 Owner / Lessee / Tenant '\ V - 1 7 2-W( Owner's Address \2')D ' C 6 Contracting Co. ki) `�-_ �'���2 Qualifier �t vAr' ,+ , / -9/I f 'V-15 SS#,D ' - - Phone 7�3 ?) SY)W State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBIN MECHANICAL OOFING PAVING FENCE SIGN WORK DESCRIPTION =���' 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 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.- Signature if owner andlor Condo President Date: tia/71 Notary as to Owner and /orFa.ORtesiden My Commission Exp, g �f PUOIC.V 0077X �� ©III: ml NO. Fit ©MI ? NM. IF ** * FEES: PERMIT .) ( RADON C.C.F. /6 NOTARY TOTAL DUE » APPROVED: Zoning Mechanics ( ' Building Address J5_7JS je S'gnature of,Contractor or Owner- Builder Date Notar as to - udder My Commission ExpireL' FIORI NOTARY FOLIC TATS OF FLO I MY / cC�t :?2N NO. C� MAR. M l } COMM MCP. C . MAR. 15,179/ - x ** Tax Folio Master Permit # 3 67cci ` Phone i `.6' k ) rIA Fire Other Electrical ' Plumbing Engineering ITEM BATH TL8 UNIT FEE ITEM SW I TC-1 OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING 7 k7A1 DIS1 ASHER RECEPTACLES A/C (WIND) DISPOSAL SAL SERVICE TEMPORARY A/C (CENTRAL) PI IJ - 570 � O DRINKING FOUNTAIN SERVICE SIZE IN AWS DUCT WORK �J FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS 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 If MECHANICAL VENTILATION SINK. RESIDENCE -. MOTORS OVER a- 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 [ MOTORS OVER 100 If VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENE ;ATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS _ LAWN SPRINKLER -WELL SPECIAL PURPOSE SWISf1IING POOL OUTLETS COMI€RCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTIPES SEPTIC TANK ANTENNA RELAY TELEVISION CUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION PU)P & 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 GAS RANGE METER SET (GAS) GAS PIPING •' ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phorjg: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP -8228 Inspection Date: 04/10/2006 Inspector: Perez, JanPierre Owner: TRACY, DWIGHT Job Address: 1099 97 Street NE Project: <NONE> Miami Shores Village, FL Contractor: WEATHERMAKERS AIR CONDITIONING Building Department Comments Friday, April 7, 2006 Block: Permit Number: MC -1-06 -238 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132050170070 Lot: Phone: 305/233 -5820 Page 2 of 2 Passed A .. Inspector Comments , 1 (° f a r, ' Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phorjg: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP -8228 Inspection Date: 04/10/2006 Inspector: Perez, JanPierre Owner: TRACY, DWIGHT Job Address: 1099 97 Street NE Project: <NONE> Miami Shores Village, FL Contractor: WEATHERMAKERS AIR CONDITIONING Building Department Comments Friday, April 7, 2006 Block: Permit Number: MC -1-06 -238 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132050170070 Lot: Phone: 305/233 -5820 Page 2 of 2 Miami Shores Village Building Department 4 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical ,Plumbing ( Mechanical. Roofing //rW) Phone # ',7!9 Owner's A ress j('zi Owner's Name (Fee Simple Titleholder) City 6 /w7/ ‹ r',// 5 - Statt Y Tenant/Lessee Name /; Job Address (where the work is being done) J 4'1 City Miami Shores Villa County Miami -Dade Is Building Historically Designated YES NO 4------ Contractor's Add j ss /.° �i'�`;7 /i9 4,4 City /.41 State / Qualifier /l1h' / (C) Contractor's Company Name Total Fee Now Due $ State Certificate or Registration No. ` AC% C",3 Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Code Enforcement $ Structural Plan Review. $ (Continued on opposite side) l `moo. CO Permit No. Master Permit No. Zi :'/ . Phone # AO'k Phone # Zip Zip Certificate of Competency No. Phone # Square Footage Of Work: Type of Work: ['Addition ['Alteration [New e air/Re lace p p I=1 Demolition Describe Work: ' 4 / 1 , .�z * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ a Permit Fee $ CCF $ CO /CC Notary $ - 00 Training/Education Fee $ Technology Fee $ 4 . Z--- Scanning $ 3 • 00 Radon $ Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zi 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. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by , day of , 20 by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***********************************,**************************************** * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** APPLICATION APPROVED BY: chc 05/13/03 Plans Examiner Engineer Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1 . TOE Job Address /1( N i 99S ! Tax Folio Legal Description Historically Designated: Yes No C Ownr/L,ecsee / Tenant /i /7.91 Master Permit # Owner's Address /b? /1/g 25% Phone — 959 / Contracting Co. f/U'A fY74~ --s Address /32 S / / 9 Qualifier i fl� .1460 SS# .ADS - State# C 5 ') S3 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIP'T'ION `fir (//44/(;,, our Square Ft. e CO f/ .. 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 that all work will be done in compliance with all applicable laws re ' sting construction and zonin Furthermore, I authorize the above -named contractor to do the work st Si No My FEES: PERMIT APPROVED: Zoning Mechanical F FLORIDA Owner and/or Condo President ion Expires: RADON C.C.F. NOTARY BOND II 1 o "' actor ay Po LIM•gY.kn. OF FLOR °fi .,3t - Buli(ii to A. Walke i f Commission #DD366491 Expires: OCT. 27, 20 t8 u Atlantic Bonding Col su3Z ZGG ate Signature o Not My to Contractor or Owner - Builder ssion Expires: TOTAL DUE Date Building Electrical Plumbing Engineering Issue Date: 1/31/2006 Owner's Name: DWIGHT TRACY Permit Type: Mechanical - Residential Work Classification: New Job Address: 1099 97 Street NE Additional Information Miami Shores Village, FL Comments: EXACT AIR CONDITIONING CHANGE OUT Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $3.00 $1.00 $5.00 $169.75 $3.00 $4.25 $186.00 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 01/30/2007 Contractor(s) Phone WEATHERMAKERS AIR CONDITIOI 305/233 -5820 Yes Primary Contractor Tons: 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. Parcel #: Block: Section: Permit Status: APPROVED Permit Number: MC -1 -06 -238 Phone: 1132050170070 Lot: PB: Total Square Feet: 2000 Total Valuation: $ 4,850.00 Required Inspections Rough Rough Duct Ventilation Smoke Test Hood Smoke Det Test Final Invoice Number MC - 1 - 06 - 23679 Total: SAN 31 MD L� 4 Amt Due $186.00 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.