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530 NE 96 StMIAMI O S VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 1 )2ti.los Type Insp'n I N� 1 Permit No. E - 2 46 . Name Address Company Phone # Approved Correction Re- Insp'n Fee 53d . ( - 8 i o8 Inspection Date 1 1 J Zq J 1 S it/e e ro aiver 3725 s�c jy MIAMI SHORES VILLA GEo' ' BUILDING DEPARTMENT �� am„ 305- 795 -2204 Building Inspection Request Date! I' I C5 Type Insp' n ? 1'� --!'7 Cni ( PbCD'I Permit No. - — Z � O Name M - ` f c-hQ C 1 MC.f 'C. Y Address 53° t 9 ST Company l Q1 + J - E 1 ZC 1'" CO Phone # ( Z8 1 -- 50000 Inspection Date ! 12 Approved Correction Re- Insp'n Fee .e .4f4,‘e /7S 4 MIAMI SHORE v ILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 9/L4105 Type Insp'n Gfa_ id Permit No. EL 2.o05 -z4 14101 .r-( rtglerb Address 53• /JZ Name Company Pt 6 ireK rfeEriiCal Phone # '1 306 - 8108 Inspection Date (/Z 7 /05 Approved Correction Re- Insp'n Fee o 41-674- C//,iLf19 / &9f P/Avix,- Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2005 -246 Printed: 8/3/2005 Applicant: MICHAEL MEYER Owner: MEYER MICHAEL JOB ADDRESS: 530 NE 96 ST Contractor DIGITEK ELECTRICAL CONTRACTORS, INCContractor's Address: 3446 SW 8TH STREET Local Phone: Parcel # PARC2004 -3 Legal Description: Permit Status: APPROVED Permit Expiration: 1/15/2006 Construction Value: $600.00 Work: SWIMMING POOL Page 1 of 1 AUG 0 3 PAID Fees: Description Amount FEE2005 -10105 Building Fee $225.00 FEE2005 -10106 CCF $0.60 FEE2005 -10107 Training and Education Fee $0.20 FEE2005 -10108 Technology Fee $5.70 FEE2005 -10109 Scanning Fee $3.00 Total Fees: $234.50 Total Fees: $234.50 Total Receipts: $0.00 c A4-2-I / S 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 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: 530 NE 96 ST FINAL SWIMMIMG POOL Passed Inspector C • , 72 7 41) Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: I NSP -'I 579 1 Inspection Date: 12/08/2005 Inspector: Devaney, Michael Owner: MEYER, MICHAEL Job Address: 530 96 Street NE Project: <NONE> Miami Shores Village, FL 33138 Inspection Worksheet Miami Shores Village c 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: DIGITEK ELECTRICAL CONTRACTORS, INC Building Department Comments Wednesday, December 7, 2005 Block: 54 Permit Type: Imported Permit Inspection Type: Final Work Classification: Electric Phone Number (i%)&, - S l of3 Parcel Number PARC2004 -3 Lot: 9 Page 1 of 2 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building ' ! Electrical // Plumbing Mechanical Roofing ( Simple ) / /h E 2Z P hone # 3 0 S' Owner's Name Fee Sim le Titleholder /14/C AV a/ M / 7 „5 L Owner's Address ,5,3O VC' fb S 7 City /i /4-Af/ -.S / /11/2 e-§tate j.• ,�. Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES State Certificate or Registration No. $ Value of Work For this Permit ( Gt - Type of Work: EAddition ❑Alteration Describe Work: j WU /Xfl4/6 /70 d Submittal Fee $ Notary $ Scanning $ S .00 Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Training/Education Fee $ Radon $ Miami Shores Village Building Department 10050 N.E.2nd - nue Miami Shores, Florida 33138 Tel: (305 7 - •1, • ��;;�% ;:,.: !72 County Miami -Dade NO Contractor's Company Name P /G /74 %(' / 1. 10•C h'C ( Phone # 3 96 g3/3- 1 Contractor's Address /y6 OW 6 8 T City State 1 Zip j Ji 2 r Qualifier , • 04/ 1 4 do Architect/Engineer's Name (if applicable) Phone # New * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Permit Fee $ . 7J ' CCF $ C7 - (et:, CO /CC • Z—C Technology Fee $ S Zoning Bond $ Structural Plan Review. $ Permit No. E03- 24C, ter Permit No. — 4 1 Zip Phone # Zip r Certificate of Competency No. d7- OOOefr Square Footage Of Work: ❑ Repair/Replace ❑ Demolition 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatur 6.- 7 Owner or Agent ii, fie- li f 0 0 ( The foregoing instrument was acknowledged before me this The foregoing ins `, excivas knowledged before me this day of , 20 _, by , day of ' /� ��� — n1,y who is personally kno "� has produced as ot d who did take an oath. ' n o d � NOTARY PUBLIC: NOTARY PUBLIC: p , ' Sign: Sign: Print: Print: _rc� ,/ 3. My Commission Expires: who is personally known to me or who has produced As identification and who did take an oath. *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 Signature My Commission Expire Contrac Engineer Zoning ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * � / .XC ./'e,,. Y';$ Plans Examiner ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICAT<;GN 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 HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AhNS 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 OVER 1- 3 HP t' HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP 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 SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PU1P & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. des / G CATCH BASIN D I SCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING k LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICAT<;GN 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 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/8/2005 Applicant: MICHAEL MEYER Owner: MEYER MICHAEL JOB ADDRESS: 530 NE 96 ST Contractor CESAR ELECTRIC CORPORATION Contractor's Address: 3634 SW 112 AVE Local Phone: 305 - 221 -5721 Parcel # PARC2004 - Legal Description: Fees: FEE2005 -7594 FEE2005 -7595 FEE2005 -7596 FEE2005 -7597 Description Amount Building Fee $100.00 CCF $3.00 Notary Fee $5.00 Training and Education Fee $1.00 Electrical Permit Permit Number: EL2005 -183 0 w rD Page 1 of 1 Total Fees: $111.50 Total Receipts: $0.00 1 regulations pertaining thereto and in strict his permit 1 assume responisibility for all work BUILDING PERMIT APPLICATION FBC 2001 Owner's Name (Fee Simple Titleholder) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name �� ✓tom Contractor's Address 3 f S `✓ h�+ (0- City Qualifier t C ea -S4,r 1 fro State Certificate or Registration No. Architect /Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ['Addition Describe Work: 0 d Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Sh Zf ['Alteration Tel: (305) 795.2204 Fax Permit Type (circle): Building . Electrica L &cVA& � zy-e-r . l Owner's Address '2E (62_ ,)1 Cit SLaY�S State R Tenant /Lessee Name *** * * * * * * * * * * * * * * * * * * * * * * * * *F * *'* Submittal Fee $ Permit Fee $ ( t✓ r Notary $ ) Training /Education Fee $ JUt v.) s--• ,wr' mit N h ermit Plumbing Mechanical Roofing Phone # zip 3313 Phone # Job Address (where the work is being done) 5 , 46 _Ow{_ County Miami -Dade Zip NO X 00 - Sa.✓ IGC.� C( c_ VI 0— roln,) UL� Phone # 3a5 ZZ(S ) 2 State FC • Zip 3 ?(p s' Certificate of Competency No. * CF $ Phone # Square Footage Of Work: f New ❑ Repair /Replace ✓/li(tt G, 7 Technology Fee $ Scanning $ Radon $ Zoning Bond $ Structural Plan Review. $ -!83 . oy-Z(v 3o5 75 'f-736 t- ❑ Demolition CO/CC Bonding Company's Name (if applicable) Bonding Company's Address City State Zip L 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 COMM ENCEMENT." 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. Signatur Signature /40 /' Owner or Agent Contractor The foregoing instrument was acknowledged before t 3 The foregoing instrument was acknowledged before me this day of `,1 , 205', by�`�iGL , ay of , 20 , by NOTARY P Sign: Prig; APPLICATION APPROVED BY: chc 05/13/03 My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * ** who is personally known to me of ylho has produced -As Td"entifica ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * who is personally known to me or who has produced - arlZl who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: finny H. Gonell Sign: D323870 6, 2008 Print: Bonded 'Mu Atlantic Bonding Co., Inc. My Commission Expires: ************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ✓�i� w 4 '- Plans Examiner Engineer ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 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 LAVATDRY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 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 if ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP ' FIRE SPRINKLER SYSTEM 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 I 'HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SW I W I NG POOL OUTLETS COMMdERC I AL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & 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 F LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING .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 _ ri 51S t. ;,i d��� �' l A '•i 14 Aare PrL ' rte, er (0 - 7�'t �i t ki IC tvd tt1P 3 D LJ r &k.A.fr / 11� 64.J 5 /e rJ ©CL"�.'e'd 4 / /es K 1,ef f Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/30/2004 Applicant: MICHAEL Owner: MEYER JOB ADDRESS: 530 N.E. 96TH ST. Contractor CESAR ELECTRIC CORPORATION Local Phone: Parcel # PARC2004 -3 Legal Description: Electrical Permit Permit Number: EL2004 -167 MEYER MICHAEL ST. Contractor's Address: 3634 SW 112 AVE Permit Status: APPROVED Permit Expiration: 12/15/2004 Construction Value: $12,000.00 Work: ELECTRICAL FOR NEW HOME CONSTRUCTION Page 1 of 1 Fees: FEE2004 -6507 FEE2004 -6508 FEE2004 -6509 FEE2004 -6510 FEE2004 -6511 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $496.00 $7.20 $2.40 $12.40 $3.00 $521.00 Total Fees $1.00 Total Receipts• .O0 1- 11L JUL 0 6 PAID 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: Miami Shores Village `ET Building Department Contractor's Company Name Contractor's Address 11 1 050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) no Air (Jz Owner's Address Cit 1401.; AAA:. 511Me. State Tenant/Lessee Name Phone # Job Address (where the work is being done) 53 0 Arm' G £7-- City Miami Shores Village Is Building Historically Designated YES NO $ Value of Work For. this Permit 7\ /2/ 000 Total Fee Now Due $ 1 i n 0 (Continued on opposite side) County Miami -Dade C W LEQ tg City A/0 19 r/% State Qualifie � I -5 Architect/Engineer's Name (if applicable) Phone # Permit No. P L O 4 l Master Permit Np? t O IN ) D Plumbing Mechanical Roofing Phone # Zip 3// Zip Phone # -5* 22 1 Sr / Zip 3 Square Footage Of Work: Type of Work: ❑Addition ` " . J al teration New ❑ Repair/Replace ❑ Demolition Describe Work * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ SO _ 0 � Permit Fee $ '/ 7' ' o CCF 8 4:0 CO /CC Notary 8 Training/Education Fee $ ' \ N 0 Technology Fee $ C ‘,. VD Scanning $3 4 0 6 Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatur( Signature Owner or Agent The foregoing instrument was acknowledged before me this The foreg day of , 20 , by , day of who is who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: Chc 12/15/03 ( 24/LAI$ Contractor ing instrument was acknowledged before me this /7 4( , 200X, by ( ms# .e, PcP , or wh My Commission Expires: S— r/ — (Certificate of Competency Holder) State Certificate or Registration No. ') 6 0 2,W - 2 Certificate of Competency No. C b D 2-7P ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT 34, FEE J ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS i( 3 CENTRAL HEATING DISHWASHER RECEPTACLES 6/ °/`f A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS WO / ,© DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS 6 A/,-- PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP / , =,y UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER / ,,,R 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 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP 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 Z J6 A/C UNIT STRIP HEATER 7 /6' FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWI6MING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES y, / SEPTIC TANK ANTENNA 1 AO RELAY TELEVISION OUTLETS i3 DRAINFIELD, 4' TILE/RES. VIOLATION PULP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE P00L PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING 4 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 RICA MECHANICAL Date Type Insp'n Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 ."\\\ Building Inspection Request Oecfer Address �5 50 Compan , Name Phone # Inspection Date Approved Correction ❑ Re- Insp'n Fee ❑ p I • Qoc -)(D) MIAMI SHORES VILLAGE „,) BUILDING DEPARTMENT 305- 795 -2204 Bt4Ildin'Inspection Request (sc Date Type Insp'n l erCCAc Permit No. 1 C'-t- Name qec Address Comp, t) Phone # Inspection Date 9 l 1 Approved Correction ❑ Re- Insp'n Fee ❑ fes4-