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MECHANICALIssue Date: 8/9/2006 Owner's Name: ELSIE LIEBIG Permit Type: Mechanical - Residential Work Classification: New Job Address: 349 96 Street NE Contractor(s) SERVICE EXPERTS LLC Phone 305 - 264 - 2020 Primary Contractor Yes Comments: change out 4 ton a/c system Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 02/05/2007 Tons: 4 Classification: 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 submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. 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 and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Parcel #: Block: Section: Re.uired Insleections Rough Rough Duct Ventilation Smoke Test Hood Smoke Det Test Final Permit Status: APPROVED Permit Number: MC -8 -06 -2089 Phone: 1132060135910 Lot: PB: Total Square Feet: 0 Total Valuation: $ 5,000.00 Fees Due Amount CCF $3.00 Education Surcharge $1.00 Permit Fee - Additions /Alterations $172.55 Scanning Fee $3.00 Technology Fee $4.30 Total: $183.85 Invoice Number MC - 8 - 06 - 25835 Total: Amt Due $183.85 Amt Paid 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. JAN PIERRE PLEASE CALL THE OWNER305- 757 -8329 VERY OLD LADY CAN'T HEARD THE DOOR Inspector Comments (\"--- 6\1\07 I ./.). Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . .... : ........... ..... ... . ...... ... .. • Inspection Date: 09/27/2006 Inspector: Des Owner: LIEBIG, ELSIE Job Address: 349 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: SERVICE EXPERTS LLC Building Department Comments Monday, September 25, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 r?Avg4, 20 0 8 Block: Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060135910 Lot: Phone: 305 - 264 -2020 Page 2 of 2 Inspection Number: INSP -24116 Permit Number: MC -8-06 -2089 Inspection Date: 09/25/2006 Inspector: Perez, JanPierre Owner: LIEBIG, ELSIE Job Address: 349 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: SERVICE EXPERTS LLC Building Department 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 oN 2 E N Block: Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060135910 Lot: Phone: 305 264 - 2020 Page 2 of 2 Passed Inspector Comments • 7. ): (%) [/i C Failed N , Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until Inspection Number: INSP -24116 Permit Number: MC -8-06 -2089 Inspection Date: 09/25/2006 Inspector: Perez, JanPierre Owner: LIEBIG, ELSIE Job Address: 349 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: SERVICE EXPERTS LLC Building Department 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 oN 2 E N Block: Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060135910 Lot: Phone: 305 264 - 2020 Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2004 Job Address (where the work is being done) City FOLIO / PARCEL # J 1 • . 3 2 -0 ( • d i3• 5'j i 0 Submittal Fee $ XJ Permit Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Master Permit No. Permit Type (circle): Building Electrical Plumbing mechanical / Roofing Owner's Name (Fee Simple Titleholder) Et Phone # 3o5- 57 �3 2T Owner's Address _3 -1 q S1- City re S State " Tenant/Lessee Name Zip Phone # Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Architect/Engineer's Name (if applicable) Phone # 41.r\o A%4A - CE.) rA —4 1 50 Permit No. Zip , 37 ***************************************F CCF $ CO /CC See Reverse side -+ BY: I Contractor's Company Name Eft' tgcfp/f' 4- Phone # 3 7)5 0 t • az a Contractor's Address ' 2- Mu rib Ave,, City �l State Zip ,33 ( o4� Qualifier Name ` 5 v ► � � Phone # State Certificate or Registration No. CA C. 05 '7 0 0 g Certificate of Competency No. Value of Work For this Permit $ �" / 9 3 d Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ['New Repair/Replace ❑ Demolition Describe Work: ttl A(C Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 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. Owner or Agent The foreg ing instrument was ackno 1 d ed befog€ me t i 3 day of ��/ , , 20 0 (4 by l e L.--1 9, l who is person. ly known to me or was produced Signature NOTA Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) LIC: N/� As identification and who did take an oath. pL ;OY.., JESSICA RAMOS • •c , • * MY COMMISSION 1 DD 415483 EXPIRES: May 13, 2009 e Bonded Thru Budget Notary Services Sign: Signature 1.-4.7 yip Contractor The fore R instrument was ackno edged before this 3 day of �W__ who is • • rsonally know . o me or who has produced as identification and who did take an oath. NOT Y Pig BLIC: /ao Sign: Print: My Commission Expires: PA /A1u � /7 pRY 00 JESSICA RAMOS tt � * MY COMMISSION 1 DD 415453 `!w EXPIRES: May 13, 2009 p Jed Thru Budget Notar ervices ******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * * * * * ** * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner engineer Zoning ti Ar ADDENDUM TO BUILDING PERMIT APPLICATION (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.) PLUMBING ELECTRICAL MECHANICAL ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM - __ SPACE HEATER • ` � UNIT FEE BIDET L I Gt{T OUTLETS CENTRAL HE ING I t) 1�" DISHWASHER RECEPTACLES A/C (WIND DISPOSAL SERVICE TEMPORARY A/C (CE ) IJ DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK 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 QVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIh$IING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA • RELAY TELEVISION OUTLETS DRAINFIELO, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ti Ar ADDENDUM TO BUILDING PERMIT APPLICATION (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.) PLUMBING ELECTRICAL MECHANICAL 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 C OWA Registered Architect and/or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Street and Number where work is to be done State work to be done and purpose of building coot. 1/06 /Otc) LT ew57-i /101a Neilding �� Remodeling APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date E*' Street 19 r7 No. E*' Street 96 C r Block Subdivision Yg 9 s (by floors), state exterior colors (submit samples) aaivx S/q S" // 3 — V 0 O O U Date (13 in Permit No. Disapproved (Signed) Building Inspector Date Amount of Permit S CervT c.i ( A (c Addition Repairs No. of Stories and for no other purpose. To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements 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 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 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 ;'ploy •:,ly such subco on work 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 authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared 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 f•regoin; application, and that he did sign the same. and that all facts therein by him stated are true. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. Lot Street and Number where work is to be done -__ 1 MAW SH(IRCS MOLL °,COE BUILDING INSPECTION CTION DEPARTM NT AFFLD ATD M GOQ BLDDLDDDND 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 Owner's Name and Address_.. Registered Architect and /or Engineer . ��_::. - Name and address of licensed contrac t ej f! - Location and legal description of lot to be built on: Block Subdivision State work to be do e andd iirpose of building (by fl � ✓j .. .ld �} / .' - y- - G "" and „rte +.�' X ^ c l ! . .Y_._,� j� , - , —_sue -, /-� I . I ... ---v___ 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 $ u� Amount of Permit $ 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 perrnit 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 Su1plement, 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 s ‘h subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. - - Remarks (Signed _ � Street ,19 ( >J STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the r,ndcrsigned 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 true. • Permit No / ? , cr e) Date C ' ` / Read, Sworn to and Subscribed before me. Disapproved _ . Date r ' Notary Public, State of Florida (Signed) /,' / /' . � , /' ' Bmlding Inspe for My Commission Expires / PLANNING BOARD DATE Chairman Member 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 tee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.