1196 NE 97 St (13)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10(40 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 305- 756 -8972
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Date Job Address / ? 6 iv j ! 7 sr Tax Folio 1/ — 3 ` 0 / 7 D / 30
s ec b 18 'f3
Legal Descr ption /l9 /f i41 / 5..40/2F S Lo - r I BLk' /8/ Historically Designated: Yes No
Master Permit # f �� k%/ 2S .
Owner /L,esr.cca oet JO,S E.0 14 .S C ff W £ 1 GG En_
Owner's Address 1 1 9 co N €. '9' 7 5 i Phone , 30.5— 7$5f — O 840
Contracting Co. at 11 S A (c /Ne . Address / • p 0. i3o 5 ci83 7y
Qualifier ki&rei Kt/El /Ifl 5 9 J' /- "YO l7
State # `A e. 0'l4 ( 9 O Municipal #
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.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
WORK DESCRIPTION: C #4 44%) &7E_ ® k..1 €.)( 1 S T z t"-' C. " t t H1A JV' C. €.! 2_
2 LG1 v' ,A
Square Ft. Estimated Cost (value) Z. t 1 0 0
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.
I 2,,eiro
Signature of owner and/or Condo President ' Date
9,
Notary as tb Ownef
My Commission Expir
� r / �
1 b( ) "C)d
FEES: PERMIT RADON
Date
C.C.F
Competency # Ins. Co.
Signature of Contractor or Owner Builder
Notary
My Commission Expires
MY COMMISSION t, DD 14510'
EXPIRES: Scptcmb3r 19, 2009
NOTARY
-Art(q
Date
Date
BOND
APPROVED: TOTAL DUE
Zoning Building Electrical
a.;
Mechanical r Plumbing Structural Engineer
ITEM
BATH 11.8
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING de o K
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)AalbasEDICA.
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK $ 17Rop$
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 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
MOTORS OVER 100 FP
VIOLATION
INDIRECT WASTES - • • •
A/C wINDOW
REINSPECTION
WATER SUPPLY TO: . -• - .
AIR CONDITIONERS •'
.
A/C UNIT
"
• -
STRIP HEATER
FIRE SPRINKLER , . .
'ENERATORS TRANSFORMERS
.
HEATER -NEW INST. -.. ._ - • .
_ .
GENERATORS TRANSFORMERS
HEATER - REPLACE
.
GENERATORS TRANSFORMERS
LAWN SPRINKLER - WELL
__
SPECIAL PURPOSE
SW I Mfg I NG POOL':
OUTLETS COMMIERC I AL
WATER SERVICE.
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER , •.
SIGN TIME CLOCK
UTILITY -WATER •
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
RE- INSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
-
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
3AS RANGE
4ETER SET (GAS)
3AS PIPING
ApDENDUM TO BUILDING PERMIT APPLICATION
PLUMBING
ELECTRICAL
(AN 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.)
MECHANICAL
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 2/26/2004
Applicant: JOSEPH
Owner: SCHWEIGER
JOB ADDRESS: 1196 NE 97
Contractor BILL'S AIR CONDITIONING
Local Phone: 954- 961 -4017
Parcel # 1132050170130
Signed: (INSPECTOR)
SCHWEIGER
JOSEPH
ST
Permit Number: MC2CO4 25
Contractor's Address: 7517 CLEVELAND ST
Legal Description: REV PL MIAMI SHORES SEC 8
Permit Status: APPROVED Permit Expiration: 8/18/2004 Construction Value: $2,100.00
Work: CHANGE OUT EXISTING NC HANDLER PLENUM AND DUCT
`°
Lf
Page 1 of 1
PB 43 -51 LOT 1
Fees:
FEE2004 -2033
FEE2004 -2034
FEE2004 -2035
FEE2004 -2036
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Total Fees:
Amount
$106.00
$1.80
$0.60
$2.65
$111.05
Total Fees: $111.05
Total Receipts: 0.00
GY ' 2 1 1 MD
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:
BLK 181 LOT