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.