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MECHANICAL
Date Type Insp'n Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Compan Re- Insp'n Fee ❑ u _ Time Na e `Q(((( (oS Address f) O t, 4 1 . / / L — Cci 6 4.7 b ' Phone # � — " V 3 l 1 For Inspector:) 7 131 ti a Name & Date Approved ' cf 4 J l 2 •/Z Correction ❑ Inspection Number: INSP -19116 Permit Number: MC -6 -06 -1514 Inspection Date: 09/25/2006 Inspector: Perez, JanPierre Owner: MARTINEZ - ARIZALA, ALBERTO Job Address: 1238 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: C&R AIR CONDITIONING CO Building Deaartment 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 27 Block: Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number (305)751 -3853 Parcel Number 1132060143920 Lot: Phone: 305 - 685 -6394 Page 2 of 2 Passed Inspector Comments < � -- 1 `2,-.. l4 Ce Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -19116 Permit Number: MC -6 -06 -1514 Inspection Date: 09/25/2006 Inspector: Perez, JanPierre Owner: MARTINEZ - ARIZALA, ALBERTO Job Address: 1238 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: C&R AIR CONDITIONING CO Building Deaartment 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 27 Block: Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number (305)751 -3853 Parcel Number 1132060143920 Lot: Phone: 305 - 685 -6394 Page 2 of 2 Miami Shores Village Building Department t c 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Z O Tel: (305) 795.2204 Fax: (305) 756.8972 B Y: _ BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Owner's Address t 2 3 8 N City 9)744~4 , (1.1Q._ State Tenant/Lessee Name �— Zip 3316 & Phone # Job Address (where the work is being done) a, 3 0 N E 96) Cit Miami Shores Village County Miami Is Building Historically Designated YES NO Contractor's Company Name 1` A t r C...0 h e . CO . Phone # Contractor's Address Po box 6 81 3 3 0 City al I t a t State F Zip Qualifier R 1 . 0 0t . Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit c-0 327o. Type of Work: ❑Additi.n ['Alteration ❑New Describe Work: , 4 (�, ,, ■ * * * * * * * * * * * * * * * * * * * ** * * * * ** f ees * * * * * * * ** * ** * * * * * * ** * ** * * * * * ** Permit No. " Master Permit No. MUMEVM one# Zo • 7SS 3 6 ,C,3 Square Footage Of Work: Zip 3 2 ( e �Repair/Replace ❑Demolition Submittal Fee $ Permit Fee $ 1 C CCF $ 2 CO /CC Notary $ Training/Education Fee $ �� Technology Fee $ oreo Scanning $ .00 Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) 13 - 70 lUN -PAD e.K A 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. NOTAR 1 41 Sign: 4 Print: L h The foregoing instrument was acknowledged before me this day of ,2000,by who istpersonally known o me or who has produced hcobert J. Chryst Commission # DD524602 laving Alay,24,,,2111,0** My Commission Expires: * * * * * * * * * * * * * * * * * * * * * ** State Certificate or Registration No. ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Chc 1 2/1 5/03 As identification and who did take an oath. CAG 02641 (4 Signature Cont z ctor The foregoing instrument was acknowledged before me this 22 day of a , 20 0 6, by who i personally know to me or who has produced as identification and who did take an oath. NOTARY PUBLI Sign: Print: ' Z4li 4 r K"K Janet Kranz My Commission Ei r : ;.: MY COMMISSION# D0174033 EYF :a'• d: December 26, 200A * * * * * * * * * * * * * * * * * * * * * ** * ** fiAk#nlottakVi4sb9'i*JC * * ** petency Holder) Certificate of Competency No. °La Sot -....3 ************,***** y******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: � Plans Examiner Engineer Zoning 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.) ADDENDUM TO BUILDING PERMIT APPLICATION PLUMBING ELECTRICAL MECHANICAL 3 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE T I LIGHT OUTLETS CENTRAL HEATING (= Sku x a RECEPTACLES A/C (WINO) _ SERVICE TEMPORARY �-- A/C (CENTRAL) ( : I)1 XI 3 FOUNTAIN SERVICE SIZE IN ARS DUCT WORK A /N7 Co R RAIN SERVICE REPAIR/METER CHASE REFRIGERATION SE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING JPTCR T RAhUE TCP UNDERGROUND TANKS Y OVEN ABOVE GROUND TANKS ADRY TRAY WATER HEATER U.F. PRESSURE VESSELS T MASHER MIGTCRS 0- 1 If STEAM BOILERS AER MOTORS OVER 1- 3 HP HOT WATER BOILERS X, POT /3 COMP. MOTORS OVER 3- ` 5 HP MECHANICAL VENTILATION X. ESIOENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES LJSLCP PCR=RY MOTORS OVER 8- 10 IP ELEVATORS/ESCALATORS MATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS t MOTORS OVER 25-100 HP COOLING TOWERS ER CLOSET MOTORS OVER 100 HP VIOLATION 'IRE CT WASTES A/C WINDOW REINSPECTION ER SUPPLY TO: AIR CONDITIONERS • it UNIT STRIP HEATER . IRJ SPRINAER GENERATORS TRANSFORMERS :EA ER -NEW INST. GENERATORS TRANSFORMERS :EA ER- REPLACE GENERATORS TRANSFORMERS I n SPRINKLER -WELL SPECIAL PURPOSE • ;WI , bi I hG POOL CUTLETS COM4,ERC I AL • UT SERVICE SIGH TIRES DER CONNECTIONS SIGN TA,ANSFCRMERS LI Y -SEWER SIGN TIME CLOCK LI Y -WATER FIXTURES T I TANK ANTENNA . AY TELEVISION OUTLETS ,I r MELD, 4' .TILE/RES. -- —_ -- VIOLATION P S ABAtON SEPTIC TANK REIhS?ECTION . . PIT CU. FT. •CH BAS I N • • • WELL -_ -_ ES IC WELL .A ORA I N F INLET . AR MATER HEATER '. -_ . E �® 'IPING L ' I P I hG -_ —�—' N SPRINKLER SYSTEM ." ER SET (GAS) , •IPIhG f 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.) ADDENDUM TO BUILDING PERMIT APPLICATION PLUMBING ELECTRICAL MECHANICAL 1s4ue Date: 6/7/2006 Expires: 12/02/2006 OJvner's Name: ALBERTO MARTINEZ - ARIZALA Peirmit Type: Mechanical - Residential Work Classification: New J b Address: 1238 96 Street NE mtractor(s) 1R AIR CONDITIONING CO mments: Additional Information Tons: 1 1/2 Classification: Residential Miami Shores Village, FL 33138- Phone 305 - 685 -6394 E CT REPLACEMENT OF 1 1/2 TON SPLIT SYSTEM 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 h ereto and in strict conformity with the plans, drawings, statements or specifications ubmitted to the proper authorities of Miami Shores Village. In accepting this permit I i ssume responsibility for all work done by either myself, my agent, servants, or .mployes. I understand that separate permits are required for ELECTRICAL, I LUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING FOOL work. )WNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that y3II work will be done in compliance with all applicable laws regulating construction 3nd zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $2.40 $0.80 $122.50 $3.00 $3.00 $131.70 Invoice Number MC - 6 - 06 - 25117 Total: Amt Due $131.70 Amt Paid 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 Prima Contractor Yes Parcel #: Block: Section: Permit Status: APPROVED Permit Number: MC -6 -06 -1514 Phone: (305)751 -3853 1132060143920 Lot: PB: Total Square Feet: 0 Total Valuation: $ 3,270.00 Required Inspections Rough Rough Duct Ventilation Smoke Test Hood Smoke Det Test Final 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. Permit Number: MC -6 -06 -1514 Invoice Number: MC -6 -06 -25117 Applicant: ALBERTO MARTINEZ - ARIZALA Company Name: Permit Receipt Date Payment Type CheckNum Amount 06/08/2006 Check 7641 $131.70 Total Payment: $131.70 Thursday, June 8, 2006 Page 1 of 1 Inspection Number: INSP -19123 In pect i on Date: 09/25/2006 Inopector: Perez, JanPierre 27M Owner: MARTINEZ - ARIZALA, ALBERTO Job Address: 1238 96 Street NE Project: <NONE> Friday, September 22, 2006 Miami Shores Village, FL 33138- CDntractor: C&R AIR CONDITIONING CO Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Is /4t Permit Number: MC -6-06 -1515 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number (305)751 -3853 Parcel Number 1132060143920 Lot: Phone: 305 -685 -6394 Page 2 of 2 Inspector Comments Q.c) RI \ 7/ y Passed 0 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Number: INSP -19123 In pect i on Date: 09/25/2006 Inopector: Perez, JanPierre 27M Owner: MARTINEZ - ARIZALA, ALBERTO Job Address: 1238 96 Street NE Project: <NONE> Friday, September 22, 2006 Miami Shores Village, FL 33138- CDntractor: C&R AIR CONDITIONING CO Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Is /4t Permit Number: MC -6-06 -1515 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number (305)751 -3853 Parcel Number 1132060143920 Lot: Phone: 305 -685 -6394 Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2001 Perrait Type (circle): Building $ Value of Work For this Permit L I Ss . ° ° Type of Work: Describe Work: Total Fee Now Due $ 1 1 3 . (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Plumbing Owner's Name (Fee Simple Titleholder) tl ak- �... LL . � _ .� -- Phone # Owncr's Address 1 .23E NE `14 City_mfAm� Skore3 State F) . Tennt/Lessee Name Phone # 3 OS 7 - 3 U Job Address (where the work is being done) 12 3 8 NE 96 s r City Miami Shores Village County Miami -D e Zip ,7313 Is Building Historically Designated YES NO Contractor's Company Name G -t i ` Act C, o h Cl • 1.0 Contractor's Address Po 100 X 641230 City, Al ( A/ ►1 1 State A Quaifier 8 0 1 0 e r t T L in r y s Arc hitect/Engineer's Name (if applicable) Phone # Addition ['Alteration ❑New r z f l1 p a Submittal Fee $ Permit Fee $ G CCF $ 2 0 coicc No!:ary $ Training/Education Fee $ 0 .e0 Technology Fee $ 3 - CDC) . Scanning $ • O - Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ t 0 8 PAW ' C NoAct Zip 3 .3 131 Zip Square Footage Of Work: MCIEEVM • Permit No. NC O(49- 1,515 Master Permit No. Roofing CI 3 Phone # d O r6 3 / Li Repair/Replace p Demolition i t r "ri'L 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. The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 22 day of u ✓1 , 200(. , by day of a , 20 OC , by Signature who i ersonally knowi�to me or who has produced who i As identification and who did take an oath. NOTARY _ : LI Sign: Print: My Commission Expires: State Certificate or Registration No. Chc 12/15/03 C 4c 0244/q !. � C tractor to me or who has produced as identification and who did take an oath. NOTARY PUBLI Sign: Print: 4 Jd'_ Janet Kranz sh My Commission Exlfii; `€ MYCOMMISSION DD114033 EXPIRES December 24 2006 * * ** ****** * * * **it * ***** * ** * k **Eti T IMIMANWARitic* (Certificate of Competency Holder) Certificate of Competency No. 0 Ili So) • 3 ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * ** ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: ? Plans Examiner Engineer Zoning i 112 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE .T L I Q-fT OUTLETS CENTRAL HEATING 17. 7-i t0J :11;Sri,R RECEPTACLES A/C (WIND) `,SAL SERVICE TEMPORARY A/C (CENTRAL) 1 : a,k 0(IN3 FCUKTAIN SERVICE SIZE IN AS CUCT WORK 411+ ¢Co4,C( REFRIGERATION A CRAIH SERVICE'REPAIRA€TER CWGE SE TRAP APPLIANCE CURETS PROCESS AND PRESS PIPING MEPtOR RANEE TT UNOERGRW O TANKS ;TORY OVEN ABOVE GRUM TANKS •c Y TRAY WATER HEATER MOTORS 0- 1 FP U.F. PRESSLRE VESSELS STEAM BOILERS TICS HASHER rER MOTORS OVER 1- 3 HP HST WATER BOILERS K. POT /3 COMP. MOTORS OVER 3- '5 I•P MECHANICAL VEHTILATI : <, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES K. S1 MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS PCR R( WATER CLOSET MOTORS OVER 10- 25 HP ' FIRE SPRINKLER SYSTEMS NL .. MOTORS OVER 25-100 FP COOLING TOWERS ER CLOSET MOTORS OVER 100 I•P VIOLATION 'IRECT . WASTES A/C WINDOW REIHSPECTION ER SLPPLY TO: AIR CONDITIONERS . IT STRIP HEATER ARE IKKLER GENERATORS TRANSFORMERS :EATER -HEW INST. GENERATORS TRANSFORMERS ATER- REPLACE GENERATORS TRANSFCR4RS .AWN IW8(LER -WELL SPECIAL PLRPOSE ;114,101G NG POOL CUTLETS COMW ERC I AL • LATER SERVICE SIGN TLBES lER CONNECTIONS SIGN TRANSFORMERS LITY- ER SIGN TIME CLOCK LIT/-PATER FIXTURES 'TIC TA's( ANTENNA AY TELEVrSION CUTLETS —�— ,INFIE O. 4' TILE/RES. VIOLATION . P I. ASANOON SEPTIC TANK RE I?S?ECT ION XADE 'P I T 0J. FT. C CH B HAR IN " WELL FSTIC WELL A DRAIN . F INLET AR WATER HEATER ' E STAXP IPE L PIPING • N SPRINKLER SYSTEW ,; RA`O ER SEAT (GAS) , PIPI AP TAI ADDENDUM TO BUILDING PERMIT APPLICATION t PLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. WED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) LUMB I NG ELECTRICAL MECHANICAL Issue Date: 6/7/2006 Owiner's Name: ALBERTO MARTINEZ- ARIZALA l i Pe Type: Mechanical - Residential Work Classification: New Jo f Address: 1238 96 Street NE T o ments: E 4CT REPLACEMENT 2 1/2 TON SPLIT SYSTEM Miami Shores Village, FL 33138 Co C& ntractor(s) Phone Primary Contractor R AIR CONDITIONING CO 305 - 685 -6394 Yes Additional Information bns: 2 1/2 C assification: 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 su6mitted to the proper authorities of Miami Shores Village. In accepting this permit I asaume responsibility for all work done by either myself, my agent, servants, or err ployes. 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 an zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee i Technology Fee Total: Amount $2.40 $0.80 $120.93 $3.00 $3.00 $130.13 Invoice Number MC - 6 - 06 - 25116 Total: Amt Due e 1 13 'JUN 0 8 PAID Amt Paid Building Department File Copy /y A.plicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 12/02/2006 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: MC -6 -06 -1515 one: (305)751 -3853 1132060143920 Lot: PB: Total Square Feet: 0 Total Valuation: $ 3,455.00 Required Inspections Rough Rough Duct Ventilation Smoke Test Hood Smoke Det Test Final 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. Permit Number: MC -6 -06 -1515 InI)oice Number: MC -6 -06 -25116 Applicant: ALBERTO MARTINEZ - ARIZALA Company Name: Permit Receipt Date Payment Type CheckNum Amount 06/08/2006 Check 7641 $130.13 Total Payment: $130.13 Thursday, June 8, 2006 Page 1 of 1 Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date'. Z j (t ) 0 a__ Time Permit No. P z, D D,� �r)s 1 3'53 Name Address Company ).e Phone # 3 CJ--' ' 6 ? S For Inspector:1 Z/ij O Name & Date a pitPea , "z_ Approved Correction Re- Insp'n Fee __ _Z a' / /A teP / 2 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date I D • `} •62 Job Address 12 - O /V E 9 b IT Tax Folio Legal Description `,� Historically Designated: Yes No Owner/Lessee / Tenant akib , 3 — + • ,' Master Permit 4 (C c (` / ( "4 I Owings Address 2 8 N 6 d V Phone .2®s 7S I -3 'S, Contracting Co. Ci R q i r C O k, ((. Co , Address Qualifier Q0 L e r 1 3. C L r y i T SS# Phone 0-C ��6 y State # C 4c 0 26 4 / 4 Municipal # / Competency # Ins. Co. IT 4 *(0 +` d Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN G MECHANICAL. ROOFING PAVING FENCE SIGN WORK DESCRIPTION 4/44 Square Ft. 00 Estimated Cost (value) 1 `'I ,2-S • WAIRNING 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 t i L•i the wor stet *9. Siggature of owner an or Condo Presi ent Date Notfiry : to • - and/o Condo President My Co ssion lC•ires: Joyce Kranz ,= MY COMMISSION # CC808950 February 14, 2003 . N . BONDED THRU TROY FAIN NSURANCE, INC FEES: PERMIT 75 RADON APPROVED: Zoning Mechanical � `!' 4 . / f •• c2_ Plumbing C.C.F. I . of , NOTARY P 0. 430x 8 nuW,; Ft. 'v iQ' ontractor Owner -B ion Expires: MY COM • - •' 50 EXPIRES February 14, 2003 BONDED THRU TROY FAIN INSURANCE, INC X Date is . R -02 Date BOND TOTAL DUE a P Building Electrical Structural Engineer TEM ATH 118 UNIT FEE ' ITEM SWITCH OUTLETS UNIT .FEE ITEM SPACE HEATERS UNIT FEE IOET LIGHT OUTLETS CENTRAL HEATING �I-ShR RECEPTACLES A/C (WIND) IU S?OSAL ■ SERVICE TEWO1ARY A/C (CENTRAL) 1 :2 z ,. �I JRINXING FOUNTAIN SERVICE SIZE IN MPS i■ DUCT WORK LOOR GRAIN SERVICE REPAIR/11ETER CHANGE REFRIGERATION R EASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTCR RANGE TOP ��� TANKS t.AVATCY?Y �_ OVEN ABOVE GROUND TANKS AUN&EiY TRAY WATER HEATER U.F. PRESSLRE VESSELS LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS I. •HER MOTORS OVER 1- 3 HP HOT WATER BOILERS 'INX, POT/3 C'. MOTORS OVER 3- 5 11' MECHANICAL VENTILATION , INS(, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS EMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS '•INAL 'ATER MOTCRS OVER 25-100 FP COOLING TOWERS CLOSET MOTORS OVER 100 HP VIOLATION ±DIRECT WASTES A/C WINDOW REINSPECTION ATER SLPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER __ GENERATORS TRANSFORMERS • HEATER -NEW INST. -_ GENERATORS TRANSFORMERS HEATER- REPLACE -_ GENERATORS TRANSFORMERS IANN SPRINKLER -WELL .� SPECIAL PURPOSE CUTLETS COWERC I AL SNf I M4J I NG POOL WATER SERVICE ■= SIGN TUBES SIGN TRANSFORMERS EWER CONNECTIONS 0 71LITY -_ SIGN TIME CLOCK -SEM EPT IC TANK ANTENNA ANTENNA LAY -_ TELEVISION OUTLETS INFIELD, 4' TILE/RES. ' -_ - VIOLATION RE I NSPECT I ON ' & ABA1CON SEPTIC TANK IAXAGE PIT CU. FT. FON BASIN ISCNARGE WELL U.1 STIC WELL AEA CRAIN COF INLET 'ILAR -- WATER HEATER RE STANDPIPE le PIPING • WN SPRINKLER SYSTEM RANGE TER SET (GAS) -� -- -_ IS PIPING AN APPLICATIOa! 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 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /15/2002 Applicant: ALBERTO MARTINEZ - ARIZALA Owner: MARTINEZ - ARIZALA ALBERTO JOB ADDRESS: 1238 NE 96 ST Contractor C & AIR SERV ICE Local Phone: 305 - 888 - 6560 Parcel # 1132060143920 cis__J2-usizt , c is, (0-0 Q_(„ — 7 4 - Total Fees: $1,40 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 4/13/2003 Construction Value: $1,425.00 Work: EXACT REPLACEMENT OF 2 1/2 TON CONDENSING UNIT FOR ROOM SYSTEM If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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. 1 Signed: l� . 7 5 ' J v Mechanical Permit Permit Number: ME2002 -146 Contractor's Address: 2400 W 2 AND AVE Page 1 of 1 Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOTS 9 TO 11 INC BLK 84 LOT SIZE (INSPECTOR) BY: 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. (Contractor or Builder) BY: - 2 8 - - 12 - - 14 - 18 - 18 - 20 - 22 - 24 - - 26 - 28 30 _ - - 38. -40 - 42 • MEMO AIR CONDITIONING CO. P.O. BOX 681330 • MIAMI, FL 33168 -1330 PHONE: (305) 685 -6394 mkt_ BANK OF AMERICA FLORIDA 63-243/670 PAY TO THE 0RDER OF nn 00041,17n' 406 700 24 361: 40 1 309 106011' $ i36 .a© ZED SIGNATURE 04117 30 .02 DOLLARS 8 N IV 1 ° MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 Type Insp'n �i�" " ' l Permit No. He- e — / P Name �II- uC,1�./l�l� -> Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee /e3 HE 50 2 k-C-4135)Z gi Type Insp'n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui1 '.ng Fnspection Request Q `1 Date 1 Approved Correction Re- Insp'n Fee goo a. Address / t' ( Company C Phone# ✓0 5 ' 4 8 ' 4 , q( / Inspection Date /1/ // w T18 UNIT FEE ITEM UNIT SWITCH OUTLETS FEE ITEM SPACE HEATERS UNIT FEE • T LIGHT CUTLETS CENTRAL HEATING .1 kj . 1'i (,J WASHER RECEPTACLES A/C (WIND) OSAL SERVICE TEMPORARY A/C (CENTRAL) 3 S'2 T 0 L KING FOUNTAIN SERVICE SIZE IN A PS DUCT WORK ` R DRAIN SERVICE MOE REFRIGERATION U SE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING _ RCEPTOR RANGE TOP UNDERGROUND TANKS ,TORY OVEN ABOVE (ACM TANKS CRY TRAY WATER HEATER U.F. PRESSURE VESSELS iHES WASHER MOTORS 0- 1 HP STEAM BOILERS ER MOTORS OVER 1- 3 HP HOT WATER BOILERS (, POT /3 COb?. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION (, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES C. SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS =(MARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS NAL MOTORS OVER 25-100 FP COOLING TOWERS ER CLOSET MOTORS OVER 100 HP VIOLATION IRECT •WASTES A/C WIIOOW REINSPECTION ER SUPPLY TO: AIR CONDITIONERS • /C UNIT STRIP HEATER IRE SPRINKLER GENERATORS TRANSFORMERS .EATER -NEW INST. GENERATORS TRANSFORMERS I EATER-REPLACE GENERATORS TRANSFORMERS AWN SPR I NXLER -WELL SPECIAL PURPOSE MIMING POOL OUTLETS COM,(ERCIAL - CATER SERVICE SIGN TUBES ER CONNECTIONS SIGN TRANSFORMERS LITY -SEWER SIGN TIME CLOCK LITY -WATER FIXTURES TIC TANK ANTENNA AY TELEVISION OUTLETS ,INFIELD, 4' TILE/RES. VIOLATION 1' S ABANDON SEPTIC TANK REINSPECTION J(AGE PIT CU. FT. •CH BASIN 0HARGE WELL • !ESTIC WELL :A DRAIN 1 IF INLET 1 • _AR WATER HEATER `. . IE STANDPIPE A. PIPING iN SPRINKLER SYSTEM RANGE , TER SET (GAS) 3 PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION .,* APPLICATION TOR 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 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 perfonned 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 aad 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 Ls issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. chc7/7 /03 er or Agent U Co actor The foregoing instrument was acknowledged before me this Ici The foregoing instrument was acknowledged before me this 14 day of S ct ( 204 , by , day of Z c . ( , 200 b y, y who i ersonally known o me or who has produced who i erso lna ly known to me r who has produced as identific 7.: i who did tabaalult ►. NOTARY = *: l• t .. MYCOMMISSION# D0174033 EXPIRES L Y "Y Robert ]. Chryst NOTARY PUBLIC: ° De mbeF y6, 2006 Sign: `! 1 ►� ? *: :._ MY COMMISSION # DD113321 EXPIRES :; ' b4 °. � YY4►, 4 "' Si .. ► OMMISSION# DD113321 EXIIRE V 1- = M uy 24, 2 uua Moy 24, 200b Print: R Deh ° BONDED '''�''� v T C ; •' .1�T Print: ^ A g�ct �„ APPLICATION APPROVED BY: As identification and who did take an oath. State Certificate or Registration No. C A C O2 6 4 IL( My Commission Expires: My Commission Expt • R******** ********************************************* * * * ** *,r * * * *,r * * * * * * * * * * * * '7 r. (Certificate of Competency Holder) Certificate of Competency No. BONDED THRU TROY PAIN INSURANCE, INC Janet Kranz MY D0174033 EXPIRES n'dr * *, eoNDE.TH F INC Plans Examiner Engineer Zoning BUILDING PERMIT APPLICATION FBC 2001 $ Value of Work For this Permit Miami Shores Village Building D epartment Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) C- 71 Owner's Address 1 il' N E 96 aT City 0 ■ a ell S t- o r J State Fl Tenant/Lessee Name Zip 33 8 Phone # 'RECEIVED JUL 1 5 2004 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 4( al-1 -- 12? Phone # �� ©S• go ? • 7 Job Address (where the work is being done) 142. 3 8 OE —I ( ' y S r City Miami Shores Village County Miami -D a Zip .' 1:J g Is Building Historically Designated YES NO Contractor's Company Name C C 't' R A ■ r C Or\ (S • O Contractor's Address P 0 .box C, e t 330 City (V), (:( teY1 t State r1_ Zip 23 1 3ff Qualifier 0n3 er 1' 3. G L ryir Phone # 3O ;09 Li Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address City State Zip Square Footage Of Work: Number of: Bays Stories Families Bedrooms Baths Type of Work: ❑Addition ['Alteration ❑New Repair/Replace ❑ Demolition Describe Work: EigikA O - ri\r‘ Ard,t+ co 3(to S * * * * * * * * * * * * * * * * * * * ** * * * * ** Fees * * * * * * * * * * * * * * ** * * * * * * * * ** * * * ** County Escrow Fee $ . / 0 Permit Fee $ r t4% Notary $ Education/Training Fee $ t O Tech $ , 0 [7 Scanning $ 3 - v v Radon $ Code Enforcement $ Bond $ Struct. Minus Plans Check Fee $ Total Fee Now Due $ 1 ` i l (Continued on opposite side) Mechanical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: MC2004 -128 Printed: 7/16/2004 Applicant: ALBERTO MARTI NEZ-ARIZALA Owner: MARTINEZ - ARIZALA ALBERTO JOB ADDRESS: 1238 NE 96 ST Contractor C & R AIR CONDITIONING CO Contractor's Address: 2121 NW 139 ST #10 Local Phone: 305 - 685 -6394 Parcel # 1132060143920 Permit Status: APPROVED Permit Expiration: 1/11/2005 Construction Value: $3,310.00 Work: EXACT REPLACEMENT 3 1/2 TON SPLIT Page 1 of 1 Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOTS 9 TO 11 INC BLK 84 LOT SIZE Fees: Description Amount FEE2004 -7139 Building Fee $120.00 FEE2004 -7140 CCF $2.40 FEE2004 -7141 Training and Education Fee $0.80 FEE2004 -7142 Technology Fee $3.00 FEE2004 -7143 Scanning Fee $3.00 Total Fees: $129.20 Total Fees: $129.20 Total Receipts: $0.00 o5 Jul 19 P O Signed: (INSPECTOR) 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: