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MECHANICAL
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 building 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. Owner's Name and Address P/ / 3/91 Registered Architect and/or Engineer � ° er /q G �D /nr GAD.eii - 7e o AA) Cow S7- Name and address of licensed contractor � Location and legal description of lot to be u' t on: C Lgei �/ /�/f l Lot 2,4 ,./ 3 (// J f Block Subdivision 5 �/ 4" ®6 / 1 / 1 7 Street and Number where work is to be done /' 90 /06 q °5 v ' G/E �5 (J State work to be done and purpose of building (by floors), state exterior colors (submit samples) (A` C v L/ t �-f- ` . Sill`' Z - 6 14 /LR cotoo , CotVD, iW/I Y neva and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Q Kind of foundation n r Roof Covering 9 8 Estimated Total cost of improvements S 1t f Amount of Permit $ DI TOO v 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 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 obligatons 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 there f, and '11 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 cau-• be p.st,d for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agree to ploy only sufb,ibcontr c . , on or - to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. } ss. Before me. the undersigned authoriy. a notary ` public. duly auth izeed to admini ter � ths and take acknowled ments, personally appeared ✓ n /eroi A -/- // c/ �` f �G rce eDo i to me well known. 40 77e,46,70(2- Building Inspector Date 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 stared a:e true. Permit No. / Date Disapproved ^ - Notary Public, State of Florida NOTARY PR(?GIC, STATE nF FLORIDA AT LARGE (Signed) - My Commission Expir4Y COMMISSION EXPIRFS IIIL 454 PLANNING BOARD 8_ONDID THRU HUCKLEBERRY & ASSOCIATES' Read, Sworn to and Subscribed before me. Date ( a , 0 ?(J 11 19_ No. 1 Street 1t) 9g.57 J57 L,4c4i Vf zZ Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement us the plans and specifications herewith submitted for the build • in 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 21 No.ibV Owner's Name and Address .... r 1)4 L Registered Architect and /or Engineer Name and address of licensed contractor.. .Y. Location and legal description of lot to be built on: Lot Block qq��Subdivision — Street and Number where work is to be done 109 V. State work to be done and purpose of building (by floors) ).1A1., STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved . .._....... Date (Signed) Building Inspector Street 0 Notary Public, State of Florida My Commission Expires 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 $ y /000 Amount of Permit S. M5I t / ✓ 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 Sup le cent, and has complied with the provisions thereof, and will require similar compliance from all contractors or s • con actors employ by him in tl:c work to be performed under this permit; and will post or cause to be posted for i ection on the si t •rk such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su • .;J tractors, on wo ._.. rformed under this pertnit, as are licensed by Miami Shores Village. Remarks (Signed) 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 11 / 61 '1 / 5 Date 11 / 1 )19 Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Chairman Member \Icrr.ber 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 Pl. Board. A re inspection fee of 31.00 will be charged when such re- inspection ix made necessary by improper notice for inspection or faulty materials and /or workmanship. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: ME2003 -71j, Printed: 4/29/2003 Applicant: Owner: SANDLER ALAN JOB ADDRESS: 1090 NE 96 ST Contractor PYKE MECHANICAL INC Local Phone: 305 - 884 -5600 Parcel # 1132060143470 Signed: In consideration of the Issuance to m conformity with the plans, drawings, s done by either myself, my agent, serva Signe Mechanical Permit Contractor's Address: 9401 NW 106 ST #109 Permit Status: Approved Permit Expiration: 10/26/2003 Construction Value: $6,885.00 Work: CHANGE OUT 2 AC SYSTEMS PYKE MECHANICAL, INC. 9401 N.W. 106TH STREET, SUITE 109 MIAMI, FL33178 PAY * ** *EIGHTY NINE DOLLARS AND 20 CENTS * * ** TO THE ORDER OF VILLAGE OF MIAMI SHORES BLSG & ZONING 0 i 1 ? 69611' 1:06 70 135641: 63- 1358/870 Page 1 of 1 WACHOVIA WACHOVIA BANK, N.A. HIALEAH, FL 33012 114 355 6 2011' Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 2 & 3 BLK 81 LOT SIZE IRREGULAR OR I2 e,v,r,,:it 4 ?.-( 0 C C (/ 2D Total Fees: q41-;;,5= Total Receipts: $0.00 CHECK 17696 _ 17 DATE AMOUNT E 05/05/03 $89.20 AUTHORIZED SIGNATURE PERMIT APPLICATION FOR MIAMI SHORES VILLA Date Job Address Tax Folio E coo E ? eidV 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 3 5 -7 755 -8972 �Ul3A11333ii Legal Description Historically Designated: Yes No friE 623 '7/ Owner /Lessee/Tenet M SA- iv©kle Owner's Address /D 4 D 9164417' Phone 3 Cs— - q- 5 Z 0 L( Contracting Co. Address ?7'l A/ ' 1 A /0424 !"LO / Qualifier l 6l7'1- 1 /eAke cam— SS# Phone (3 0 1 � p- rG Q O State # CI- Oft 77 FEES: PERMIT ( RADON APPROVED: Zoning Mechanical Municipal # Signatu e o owner and/or Con o President • Date �� ,, , ,� ; t;r :w W • 0 l/ Cc.-- F ; fits . V D • D l �. t as to Owner and/ar+Con R� + Date tary ,�. E Fes; Jan 30, 2007 y Commission Expires ±, Bonded Thru '' 1'' ` + Atlantic Bonding Co., Inc. C.C.F Competency # Master Permit # Permit Type (circle one): BUILDING ELECTRICAL PLUMBING WORK DESCRIPTION: L. YC N C.--(1 4 7c SKS 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 $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. ROOFING 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 ANY 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). 1 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: 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. s 103 ure of Contractor or Owner Builder John Andrew Waddell • : .A11, -, ' ' ' n /; 181295 Notar . to Contra : er u .., Thni My` .mmission Expttts"i" Atlantic t3uncinr Co., Inc. NOTARY ate Date BOND TOTAL DUE ' Building Electrical / . ? / /" °) Plumbing Structural Engineer E.M .TH TUB UNIT FEE ITEM S'M I Tal OUTLETS UNIT FEE ITEM SPACE WATERS . UNIT FEE ;CET LIGHT OUTLETS CENTRAL HEATING 7+ Id /4= isHWAS{ER RECEPTACLES A/C (WINO) iS'OSAL SERVICE TEMPORARY A/C (CENTRAL) Z7i4J roa 1INKING FOUNTAIN SERVICE SIZE IN ALPS DUCT WORK .00R CRAIN SERVICE REPAIR/k€TER CHANGE REFRIGERATION TEASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING •iTERCEPTOR RANGE TOP UNDERGR0J O TANKS ;VATCRY OVEN ABOVE GROUND TANKS :UNORY TRAY RATER HEATER U.F. PRESSURE VESSELS _OTHES MASHER MOTORS 0- 1 FP STEAM BOILERS OYEER MOTORS OVER 1- 3 FP FUT WATER BOILERS INK, POT /3 COMP. IOTCRS OVER 3- 5 FP MECHANICAL VENTILATION INK, RESIDENCE MEITCRS OVER 5- 8 FP TRANSPORTING ASSEMBLIES INK. SLOP MOTCRS OVER 8- 10 FP ELEVATORS/ESCALATORS ::+PORARY MATER CLOSET MOTORS OVER 10- 25 PP FIRE SPRINGER SYSTEMS ; NAL MOTORS OVER 25-100 FP COOLING TOWERS ;TER CLOSET MOTORS OVER 100 FP VIOLATION 'DIRECT WASTES A/C WINDOW REINSPECTION ATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANtSFCALPRS LAN SPRINKLER -WELL SPECIAL PURPOSE SAIM,IING POOL ' CUTLETS COMERCIAL WATER SERVICE SIGN TUBES : MER CONNECTIONS SIGN TRANSFORMI£RS 'ILITY -SEWER �— SIGN TIME CIOCX 'ILITY -MATER FIXTURES : ?TIC TANK ANTENNA :'AY TELEVISION OUTLETS AINFIELO, 4' TILE/RES. VIOLATION .W & ABANDON SEPTIC TANK REINSPECTION WAGE PIT CU. FT. .TCH BASIN SOVRGE WELL NESTIC WELL EA CRAIN CF INLET LAR WATER HEATER RE STANDPIPE • CL PIPING . NN SPRINKLER SYSTEM S RANGE _ ___ TER SET (GAS) 3 PIPING IN APPLICATION 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.) PLUMBTKC ELECTRICAL MECHANICAL NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB sniff TIME OF FIRST INSPECTION PERM NO. TAX FOUO NO. STATE OF FLORIDA COUNTY OF MIAMI -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 information is provided in this Notice of Commencement 1. Legal description of roperty and street /address: / D 4' 0 d' ht �¢�•.•� , 4t J P1 3 3 /3cP 111111111M11111 CFN 200 OR ek 21244 Ps 4675; (fps RECORDED 05/13/2003 10:32:14 HARVEY RUVIH, CLERK DF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE 2. Description ,f improvement: C /MN C, e 0 ,,,.. 02 A/4 C 0 a 0 • - f t 0 it ( 3. Owner(s) name and address: k(1 CHC LL E. S *do LLe2-- %040 l4f = ci GS' r d AGo/2 -eY5 PL 33/3x Interest in property: �� Name and address of fee simple titleholder. V 4. C o n t r a c t o r ' s name and address: / 1 V I C E 44 aiV V ' C 6 / /C ' 5. Surety: (Payment bond required by owner from contractor, 1 F PF FLORIDA, COUNTY OF DADE i HEREBY ERTIFY that this rs a true cc of the Name and address: • r• Amount of bond $ 6. Lender's name and address: WITNESS my hand an 7. Persons within the state of Florida designated by Owner upon w om notices or other documents may be served as provided by Section 713.13(1)(07.. Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor'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 dlffe, : date is s • _ • ed) SI • • -rte= .of Owner (_ (l / C Print Owner's Name �tG Y U Sot rD L -��YL. Sworn to and subscribed before me this 7 of m , 20 144 R. _Gm G.IJC • am" /fed �J�t9?✓ ,rJ44-40 „ w I Notary Print Notary' My com on expires: =�P''�a Ex'j Commission EXI ire, Ian 111 "nni Prepared by / /Ie /irnd /49. Address: /0 /VC 96 Are: /t-r/a1,,/ ✓korco, /L .53/3 Date Type Insp'n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request Time . I. / Address /070 rn. C. G t fi.- Company - P/�/ A 'LQ 1 Phone # 1 ( � i. -)--1 l l - b c1 For Inspector: bt 1 13 /D) Name & Date Approved v t1 ‘/T 1 a Correction ❑ Re- Insp'n Fee ❑