MECHANICALApplication is h reby }erode for the approval of the detailed statement ur the plans and specifications herewith submitted for the build •
int; or other structur + her n described. This application Is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Flnri .t. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
rcgulatidns of the ill ildiug 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..._...»».__ ....._.r_..�?d.T...22...... »... ,19..8.I
Owner's Name and Address . Street__
Registered Architect and /or Engineer
Fame and address of licensed contactor AIR & HEAT UNLIMITED CORP L,_$ .9.. . I ? .. ,S7'......EU GEMS,
FLA. 330I6
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done I29I N E 96 ST. MIAMI SHORES,,
State w• rk to be done and purpose f b 'Idin (by floors). ..» ±° J Ca -A . )1445 / „
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation. Roof Covering
Estimate Total cost of improvements $ Z DD Amount of Permit 2 5 = 7 5
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 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, Prnnxnent Supplement,
and has complied w ith 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 • work such public notice
or notices as are required by the Act. The undersigned agrees to employ only suc)vst1bFontractors, on perfojmed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks _ »._.__ (Signed)
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
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 L ne e.. y
Permit No.. ..1 Date 1I 1 Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
Building Inspector
NOTE: A charge of $1.00 will be made for
the Planning Board.
A rv.in'pcction fce of 51.00 will be charged
materials anti /or workmanship.
BUILDING INSPECTION DEPARTMENT
Chairnan
Mcmbcr
Member
Council Approved
SI lI. ITV •tit •."111TTTt■t•!
Notary Public, State of Florida
My Commiuion Expires _.... »»
PLANNING BOARD DATE
EL..._.r.
L.. :C^'� �i Z '& ±' Ca -
and for no other purpose.
to me well known,
Member
_ Member
_..._.— ...._....._ Member
Date Disapproved Date
making corrections or changes to this application after approval has been obtained froth
when such re- inspection is made necessary by improper notice for inspection or faulty
Application is hereby wade 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.
Owners Name and Addres ., .�
Registered Architect and /or Engineer
Name and address of licensed contracto
Location and legal description of lot to be built on:
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Date
Disapproved Date
(Signed)
Bui • mg Inspect
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Estimated Total cost of improvements $ - �
•
Chairman
Member
Member
Council Approved _ Date
Lot Block Subdivision
Street and Number where work is to be done ° � 16l .. f w...
State work to be done and purpose of building (by floors).ak;, ! ..-- ".0 / ./
Date
sass :..sue ._sass ,19.
sass No...
-4 ... � ..
and for no other purpose.
New Building Remodeling si Addition Repairs No. of Stories
To be constructed of Kind of foundation .a0 % Roof Covering
Amount of Permit $. '' cP
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 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 su ntractors, on work to be under this
permit, as are licensed by Miami Shores Village.
Remarks..._ ( Sign d) .. %�!_�✓�
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 true. .�
p l
Permit No._ _
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
to me well known,
ANNINC BOARD _.._......DATE
Member
Member
Member
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 $L00 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 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.
19 .
Owner's Name and Address .......
Registered Architect and /or Engineer �,...
Name and address of licensed conttictor....l"l.�.r.P.T7.L .dd,z. ...�r�.�!��
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done ..... .2.6 _.j.SL�
State work to be done and purpose of building (by floors ).......1" -.s... �..Z4 c -.�.P..�...� d...._� ttC.� _
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 $ o Amount of Permit S.. �.
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 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 subcontractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed )...1
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 __.�.�_._- •- _ --.•- __.
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..___ ` � Date ' Read, Sworn to and Subscribed before me.
Disapproved il/ d __ , Da
(Signed) ��/�
ng Inspe
Chairman
Member
— No ./sr ...5?-t__.
Notary Public, State of Florida
to me well known,
My Commission Expires
LANNINC BOARD DATE
Member
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 31.00 will be charged when such re inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
1
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/02.91 NE ` ST.
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7‘.5 Al ? t er, -
:P '75t -$5i3 -- -:
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SU C
/ 9 ;/
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description Bl.
❑ PERMIT
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit
!! c c
Address of
Building F r
N° 6990
DATE £' 195
Contractor's
License No. e- Z.
Subdi-
vision
Value of
Project $
Amount of �..
Permit $
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 t1( statements or specifications `and that he assumes responsibility for work
done by his agents, servants or employees.
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
Tenant/Lessee Name
Miami Shores Village
building Department
';' 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
ft i \ Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDIN
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanic Roofing
Owner's Name (Fee Simple Titleholder)
Owner's Address 129 / Ng 9 b
City 72Ua• . /U State
$ Value of Work For this Permit
Job Address (where the work is being done) /2 / / qj 6
City Miami Shores Villa= County Mi
Is Building Historically Designated YES NO
Contractor's Company Name Pik 011151-6
Vi 3t Ai a
Contractor's Address %� J Nl/i / �O �� , /
City rY rnt State 7'f/
Qualifier 4)12 't
Architect/Engineer's Name (if applicable)
UV
Submittal Fee $ S 0 Permit Fee $ (D C
Type of Work: DAddition Alteration :New
Describe Work: 1 t') LI - / . - ) A'
* * * * * * * * * * * * * * * * * * * * * * * * * ** *Fees* * **
Notary $ 9
Scanning $ Radon $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
/ �/ /��� 6/aCh Phone # � ®1
Training/Education Fee $
Master Permit No.
Zip
MIAMI SHORES VILLAGE
BUILDIN9 DEPARTMENT
f ' 3(15- 795 -2
Building Inspection Re
Date
Type Insp'n
Permit No.
Name
Address
Company
Phone #
Inspection Date
Permit No. �" � e 7,003-2-N
Approved
Correction
Re -Insp' n Fee
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
S
Print: 6
Chc 10/14/03
Owner or Agent
The foregoinni' V instrument was acknowledged beefore e this "7-O
day of y *Z , 20ti, by eff az ,4bat --- ,
who is personally known to me or who has produced
APPLICATION APPROVED BY:
Signature
Contractor
The foregoing instrument was acknowledged before me thi
day of /KY , 20t b
. V o s persnnaIty_kno ro`nte or who has produced
As identification and who did take an oath. as identification and who did take an oath.
IC: N�TAR :PGd,
• /
Ftca . 5;!
!Zeta
r, p4
rn „ yU a nuay / 46 22
"JO'Se< 7
My Commission Expires: !N 2 .)0
7
f -�
NOTARY PUBLIC:
Rr
S i
•
` d
Print: . ' r. ai
�\ erp 200
My Commission Expires: dget Notary San*:
*********************************** s***!******* ****************************** * ** ** ** ** * * ** * * * *s * * ** * ** ** ** **
�
(Certificate of Competency Holder)
/
State Certificate or Registration No. C Certificate of Competency No.
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
M
H TUB
UNIT
.
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
UNIT
FEE •
SPACE HEATERS
ET
LIGHT OUTLETS
CENTRAL HEATING
HASHER
RECEPTACLES
A/C (WIND)
POSAL
SERVICE TEWPORARY
A/C (CENTRAL)
t
NKING FOUNTAIN
SERVICE SIZE IN A4PS
OUCT WORK
CR DRAIN
SERVICE REPAIRA TER MANDE
REFRIGERATION
:ASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
'ERCEPTOR
RANGE TOP
UNDERGROUND TANKS
'ATORY
OVEN
ABOVE GROUND TANKS
I1rDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
ITHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
lWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
IK, POT /3 COW.
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 FP
COOLING TOWERS
TER CLOS);T
MOTORS OVER 100 HP
VIOLATION
OIRECT-WASTES
A/C WINDOW
REINSPECTION
TER SUPPLY T0:
AIR CONDITIONERS
-
AJC UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFOR1ERS
•
I
HEATER -NEW INST.
GENERATORS TRANSFCRMERS
I
HEATER- REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIRAIID POOL
OUTLETS COMI!,ERCIAL
-
1
WATER SERVICE
SIGN TUBES
WER CONNECTIONS
SIGN TRANSFORMERS
ILITY -SEWER
SIGN TIME CLOCK
ILITY -WATER _
FIXTLRES
?TIC TANK
ANTENNA
LAY
TELEVISION OUTLETS
AINFIELD, 4' TILE/RES.
VIOLATION
!+P S ABANDON SEPTIC TANK
REINSPECTION
_
AKAGE PIT CU. FT.
TCH BASIN
SCHARGE WELL
MESTIC WELL
EA DRAIN
OF INLET ,
•
LAR WATER HEATER
RE STANDPIPE
DL PIPING
.
;WN SPRINKLER SYSTEM
r .---
S RANGE
TER SET (GAS)
S PIPING
APPLICATION FAR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
3TAINED, TriE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT AP CATIONS.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICA
Mechanical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: ME2003 -214
Printed: 12/1/2003
Applicant:
Owner:
JOB ADDRESS: 1291 NE 96
Contractor AFFORDABLE AIR & HEAT
Local Phone: 305 - 940 - 0777
Parcel # 1132060143760
Signed: (INSPECTOR)
ST
Contractor's Address: 515 N. E. 190 St.
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 2 BLK 83 LOT SIZE 77.080 X 200
Fees: Description Amount
FEE2003 -7512 Building Fee $106.00
FEE2003 -7513 CCF $1.80
FEE2003 -7514 Scanning Fee $3.00
FEE2003 -7515 Training and Education Fee $0.60
FEE2003 -7516 Technology Fee $3.00
Total Fees: $114.40
Total Fees: $114.40
Total Receipts: $114.40
Permit Status: APPROVED Permit Expiration: 5/18/2004 Construction Value: $2,200.00
Work: INSTALL 2.5 TON A/C W/5 WHAET AND 4 OUTLETS
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: