1271 NE 97 St (13)Name and address of licensed contractor
Chairman
Member
Member
Council Approved
Building Insp for
B1'.:.DING INSPECTION DEPARTMENT
APPLU ;.'.T0 NF f°3 o U OLOBillO P.FR` `;
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.
0
0
Date Jan026 19 70
Owner's Name and Address Mr0J0Southern N 1271 _•_ Street N.Ea97 St.
Registered Architect and /or Engineer
Buyama Refrigeration Inco651 N.W,106 Street
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 1271 N ., E a 97 St.
State work to be done and purpose of building (by floors)____. Install 3 ton Friedrich central airconditioning
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 $ 2 Amount of Permit $ 6 000
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, Pennanent Supplement,
and has complied with the rovisions 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
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wor, to performed un
permit, as are licensed by Miami Shores Village. -
Remarksletter from east home owner to follow (Signed)_
Date 3 / A Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
NNING BOARD __._ DATE
Member
Member
Member
Date Disapproved
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-
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 l (c t
Disapproved
(Signed)
-- - -- - - - - - -- -.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 insp.-. tion or faulty
materials and /or workmanship.
TO WHOM IT MAY CONCERN:
I am the owner of the house at 1279 N. E. 97th Street,
Miami Shores, Florida, which is located on the east side of the
house at 1271 N. E. 97th Street, Miami. Shores, Florida.
Mr. Jim E. Southern is the owner of the house at 1271 N. E.
97th Street, Miami Shores, Florida.
I have no objection to Mr. Jim E. Southern locating the
compressor of his proposed air conditioning installation at the
forward part of the east side of his house, which would be a
location directly opposite the side of my garage on the west side
of my house.
Date
/-27.-7o
John H. oencs
1279 N. E. 97th Street
Miami Shores, Florida 33161
BUILDING
PERMIT APPLICATION
FBC 2001
Contractor's Address v7 (c) Z N k) 10 a(..._.
$ Value of Work For this Permit 4 4 q 4
Total Fee Now Due $
(Continued on opposite side)
I b . z i
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
MCS -
Permit N — � 12
7 Master Permit No.
Contractor's Company Name Ex .4-4.5
Code Enforcement $ Structural Plan Review. $
Permit Type (circle): Building Electrical Plumbing
Roofing
(Fee p Titleholder) Ckr'lS -ion r' 1I . 9
Owner's Name ee Sim le Titleholder � IN'e� Phone # �5 ' S €1 - (o04`/
Owner's Address ( 29 1 N e (9
City ( \ '4..tv41 =la Ore- 5 State " Zip 33 x'3
Tenant/Lessee Name Phone #
Job Address (where the work is being done) l 21 1 Ne q 1 1 e J+
City Miami Shores Village County Miami -Dade Zip 13 g
Is Building Historically Designated YES NO
Phone #
City kNiCt irr1 ►1 State Zip 361 4 4
Qualifier Den -s Creivi
State Certificate or Registration No. C i C 05'7 ®V d Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Mechanical
Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New g Repair/Replace ❑ Demolition
Describe Work: CkLtrl ,-- (.2) of ^^ 'la -7 y C6r1 en..se r-s on 1 .
o r k Nu) eAcIS4fr 3o
* * * * * * * * * * * * * *,* * * * * * * * * * * * * *F * * * * * * * * * * * * * * * * * * * * * * ** * * * * **
1
3 05 -0Z6 4-- 0 7 -o02,o
Submittal Fee $ Permit Fee $ 15 t CCF $ l0 CO /CC
Notary $ Training/Education Fee $ 1 • O Technology Fee $ ' 00
Scanning $ 3 .00 Radon $
Zoning Bond $
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 pennit 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment: Also, a certified copy of the recorded notice of commencement must be posted at the job site
.,for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will n t be approved and a reinspection fee will be charged.
Signa
Chc 05/13/03
Owner or Agent
The foregoing instrument was acknowledged before me this
day of
who is personally known to me or wl ias pro uce
P4 • l 3 •4.1° O identification and who did take an oath.
NOTARY al
Sign: • i
t
Print: ; _nii:_ ; A; •
My Commission Expires:
APPLICATION APPROVED BY:
O F 1.a 2 s
20 O y Ghri glbf ka.r - PLJQJ /
JESSI
* COMMISSION IDD415483
Bonded Thru Budget Notary Servid a
Signature
The foreg
day of
who i
Contractor
g instrument was acknowledged before me this =.26
, 20C 7, by J t ni S Cram sfell
who has produced
identification and who did take an oath.
NOTARY PUBLI
Sign:
Print:
My Commission Expires:
********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * **
c '7/ .. ,
T FOF F1
JESSICA RAMOS
5483
* EXPIRES: May 13, 2009
Bonded i hnr Budget Notary Services
Plans Examiner
Engineer
Zoning
M
H ng
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE •
ET
LIGHT OUTLETS
CENTRAL HEATING
4V SHER
— ��
RECEPTACLES
A/C (WIND)
SAL
T —
SERVICE TEMPORARY
A/C (CENTRAL) S I V A/$ )
NKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
CR DRAIN
SERVICE REPAIR/METER CHA'E
REFRIGERATION
:ASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
'ERCEPTOR
RANGE TCP
UNDERGROUND TANKS
. ATORY
.� —
OVEN
ABOVE GROUND TANKS
RrDRY TRAY
� - _
WATER HEATER
U.F. PRESSURE VESSELS
ITHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
KR
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
1K, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
.K, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
IK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
,PORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
INAL
MOTORS OVER 25-100 HP
COOLING TOWERS
TER CLOSET
MOTORS OVER 100 hi'
VIOLATION
)IRECT
AJC WIWOW
REINSPECTION
TER SUPPLY TO:
AIR CONDITIONERS
AJC UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
•
�—
HEATER -NEW INST.
GENERATORS TRANSFCRMERS
HEATER-REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMdIFD POOL
OUTLETS COM€RCIA.
-
WATER SERVICE
SIGN TUBES
WER CONNECTIONS
SIGN TRANSFORMERS
ILITY -SEWER
SIGN TIME CLOCK
ILITY -WATER
FIXTLRES
?TIC TANK
ANTENNA
LAY
TELEVISION CUTLETS
AINFIELD, 4' TILE/RES.
VIOLATION
MP & ABANDON SEPTIC TANK
REINSPECTION
AKAGE PIT CU. FT.
TCH BASIN
SCNARGE WELL
MESTIC WELL
EA DRAIN
OF INLET 1
•
LAR WATER HEATER `,
RE STANDPIPE
OL PIPING
AN SPRINKLER SYSTEM
S RANGE
TER SET (GAS)
S PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
1 APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
3TAINED, THE OWI ;R' S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 7/29/2005
Applicant: CHRISTOPHER
Owner: POWELL
JOB ADDRESS: 1271
Contractor SERVICE EXPERTS LLC
Local Phone: 305 - 264 -2020
Parcel # 1132050090430
NE 97
Fees:
FEE2005 -10420
FEE2005 -10421
FEE2005 -10422
FEE2005 -10423
FEE2005 -10424
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$157.29
$3.00
$1.00
$4.00
$3.00
$168.29
Total Fees: $168.29
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 1/23/2006 Construction Value: $4,494.00
Work: CHANGEOUT TWO 2 1/2 TON CONDENSER ONLY
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)
Mechanical Permit
Permit Number: MC2005 -112
POWELL
CHRISTOPHER
ST
Contractor's Address: 4600 S. W. 75 AVE.
Page 1 of 1
Legal Description: 5 53 42 EARLETON SHORES PB 43 -80 LOT 18
BLK 3 LOT SIZE 75.000
6O1PAID
BY: