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622 NE 97 St (3)v • BUILDING PERMIT APPLICATIO FBC 2004 Permit Type (circle): Owner's Name (Fee Simple Titleholder)" tZ Fhz d}9Jo' Phone # 30r '7 1 — ei f3 y Own 's Address 6 off . ) E • ! / City Slice44,, Slice State Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # // -' .? 20 (0 / 1/6 Is Building Historically Designated YES NO Contractor's Company Name /4 M fi d - f-- , V / e 42- Phone # Contractor's Address a° Z he /f l 0 .4 ' City Leal Sate, Qualifier Name /UM — fl f -Af Af) State Certificate or Registration No. , i P AMIFMMIM Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ❑Addi Describe Work: Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Building Electrical Plumbing eA-6.499 3 I` Certificate of Competency No. Permit Fee $ Training/Education Fee $ RECETV ED 2006 Zip Submittal Fee $ Notary $ Scanning $ VV Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ ' Permit No. Master Permit No. 33/3 I' Phone # r Zip Phone # Phone # j toIV sleAA moo-1'w 301 =; a Square / Linear Footage Of Work: New Repair/Replace ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** CCF $ I CO/CC Technology Fee $ . 05 Zoning $ Total Fee Now Due $ See Reverse side -+ 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 • 1 gchure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notic%i t must be posted at the job site for the first inspection which occurs seven (7) days after the building permit isOki10. m a►ice of such posted notice, the inspection will Thell■ if rofetliand a reinspection fee will be charged. ti I I I 1» c- v e l y • � wo go, . " Signature - = *: gu0� ritmer Agent Z . ; 1...__. 7F The foreg` :.. • r•,. it .., 4:edged before me this 9' • at,,, g • A�' ♦ • d of •'. 'A ' O • .'., • • who • • : ' �a ' ': ` � r who has produced 3 ers NOTARY PUBL Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) ake ath. • • , • czb The foregoingdi wledged before me this day of who is pers Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE • • • • ITEM •• • • SWITCH OUTLETS !. `=s . • .FE'. • TTEM 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 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 FP 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 1- 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 T0: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS ,f i . _ I HEATER -NEW INST. GENERATORS TRANSFORMERS , ^ , HEATER - REPLACE GENERATORS TRANSFORMERS piwint"" iii LAWN SPRINKLER -WELL SPECIAL PURPOSE 0 SWIMMING POOL OUTLETS COMMERCIAL 4`r' SIGN TUBE Xj 1 � �� °L fTIMI A ' WATER SERVICE SEWER CONNECTIONS :SIGN TRANSFORMERS �11111 SIGN TIME CLOCK 'WA /►jli 0'1i�l[l / ,�� «i WM UTILITY -SEWER UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION f SOAKAGE PIT CU. FT. � CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET Aloh. All. I I SOLAR WATER HEATER IiiI1iI1 IVIl1>M .PS- ' C I R1'__ MW/11 r FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM _ - �. -` - - -- _ GAS RANGE METER. SET (GAS) GAS PIPING . • .. 1 . • • • . • • ADDENDUM TO BUILDItiG PE ;FNAPPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPt T TH ;S 4ppENDVM...IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER' S NOTARIZED SIGNATURE tilED U PRESESIT: CJ SUBSEQUENT APPLICATIONS.) • • • • • • • • • • • • • • • • • • • • • PLUMBING • ELECTRICAL, • •• MECHANICAL Sec. 5-1.1. Mr conditioning raSglatigns : .. .. .. • ••. (a) All individual air corjdi ionind ugi'ts•i'c}stalled 'e walllsorr windows shall be securely anc�iored ta.tll *•wal1•144. PP v methods. Units installed over public property, paths of egress or more than ten (10) feet above glade ,shall be secured to the struc- ture by bolts or screws to rest's& hdr toptll 744 Toad Such units cantilevering more than (VickKet ;the eltertor of a building shall be supported by steel angle bric'keils secured by bolting. Bolts to masonry shall be set in lead shields or similarly Tot-resistant fastenings. (b) The follftwing special requirements shall apply to the con- trol and regulation of noise nuisance from air conditioning machinery: • (1) All equipment. existing or hereafter installed, regardless of location, shall be maintained in good working order. Equtpctent so located that normal operating noises create a nuisance to adjacent owners or occupants shall be pro- vided with soundproofing, or sound - absorbing bafels, or enclosu.res. as approved to insure maintenance of a rea- sonable noise level. (2) All equipment on outer walls, on roofs, or In other exposed locations. which are unduly noisy, and which causes complaints from adjoining property owners or occupants, may be required to be relocated, redesigned and'or en- . closed in noise-retarding materials when, in the opinion of the building official, such enclosure is necessary or would be effective. ,(3) Special consideration shall be given to the planning of all future installations to minimize the noise nuisance to ad- joining property owners or occupants, and the building official shall hav'i authority to reject or require the redo- sign of any system which, in his opinion,'would cause such a.noise nuisance. (e) Violation of this section shall be punished as is now or may hereafter be provided by law. (Ord. No. 299, 11 1 -3, 2.21461) X have read the above ordinance and will comply with the regulations thereof. • • .•• • . . .. • • • • •. . • ••. 41, •.... • • • •.• • • • • • • 4, • • ... • • • ..• • • • • .. w JOB NAME /7446b1 )1460A/7 ADDRESS o 2i ,e. - Different location than above? • • ••• • • • • • •• • • • • • • • • • • • •. • • -• • • • • • • •• • • • • • • • • • • • ••• • • • • ••• • • •• • • • • • • • • AJO ••• • • • • .• • •• ••• •• • • • • • • • • • • •• • • • EXISTING :. 9 c eJ 'w2RL srzL • W • Go pl7 e 2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE , & CIR. BKR. AIR HANDLER � CHCIRRCU WIRE SIZE, & CIR. BKR. 3. S OF EXISTING COMPRESSOR DISCONNECT: AMPS. SIZE OF EXISTING AIR HANDLER DISCONNECT: AMPS. P &c' ( . AC. "/v / 17 4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? YES 5. EXISTING UNIT TO BE REPLACED IV OR RELOCATED 1. HOUSE MAIN ELECTRIC SIZE AMPS MAKE CONDENSOR MODEL # NAME PLATE INFORMATION FROM EXISTING UNIT e a - -/CAA_,U1 HEAT PUMP TYPE YES NO KW HEAT STRIP SIZE CON ENSOjt MINIMUM CIRCUITS AMPS 00 A.H.U. MINIMUM CIRCUIT MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: CONDENSOR AMP SIZE AIR HANDLER AMP SIZE L() O �. ��.. A; 2 mf a• ! r EER MAKE 4 .0( /Pr CONDENSOR MODEL # HEAT PUMP TYPE YES NO CONDENSOR MINIMUM CIRCUITS AMPS e.L /t . CiA.( MAXIMUM OVERCURRENT PROTECTION SIZE AND CONDENSOR AMP SIZE AIR HANDLER AMP SIZE 4.0 EER I ) IGNATURE OF QUALIFIER A.H.U. MODEL # TYPE: TYPE: PACKAGE MODEL # FUSE CIR. BKR. FUSE L( CIR. BKR. NO / 4 A2•PS FUSE HACR CIR. BKR. FUSE HACR CIR. BKR. NAME. PLATE INFORMATION FROM NEW UNIT BEING INSTALLED PACKAGE MODEL # A.H.U. MODEL # KW HEAT STRIP SIZE A.H.U. MINIMUM CIRCUIT AMPS TYPE: FUSE FUSE L.J SIZE FUSE SIZE SW SIZE FUSE SIZE SW HACR CIR. BKR. HACR CIR. BKR. � — RR UL 2 5 2C ] „ 60 3 3 ' __ CERTIFICATE NUMB }kV Rs--, Issue Date: 7/26/2006 Owner's Name: WILLIAM DEYOUNG Permit Type: Mechanical - Residential Work Classification: New Job Address: 622 97 Street NE Com ments: 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: 01/22/2007 Contractor(s) Phone RESIDENTIAL AIR CONDITIONING 305 - 652 - 6040 Yes Primary Contractor Tons: 3 1/2 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: Permit Status: APPROVED Permit Number: MC - - - 1980 Phone: 1132060171670 Lot: PB: Total Square Feet: Total Valuation: Required Inspections 0 $ 3,500.00 Rough Final Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $2.10 $0.70 $122.50 $3.00 $5.05 $133.35 Invoice Number MC - 7 - 06 - 25696 Total: Amt Due $133.35 MG 01 P1 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 . SOMEBODY IS IN THE HOUSE JUST KNOCK IN THE DOOR HARDER Passed Inspector Comments ril Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP -23124 t Number .,MC9 {80 Inspection Date: 09/13/2006 Inspector: Perez, JanPierre Owner: DEYOUNG, WILLIAM Job Address: 622 97 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: RESIDENTIAL AIR CONDITIONING CORP Building Department Comments Tuesday, September 12, 2006 9 06 tL. Block: Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060171670 Lot: Phone: 305 - 652 -6040 Page 2 of 2 i nspection Number: I NSP- 231 24 Inspection Date: 09/11/2006 Inspector: Perez, JanPierre Owner: DEYOUNG, WILLIAM Job Address: 622 97 Street NE Miami Shores Village, FL 33138 -EP 1 4 RECI Project: <NONE> Contractor: RESIDENTIAL AIR CONDITIONING CORP Building Department Comments Friday, September 8, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060171670 Lot: Phone: 305 -652 -6040 Page 1 of 2 (VD -6 )-C 2 - go•Y'--- Passed Inspector Comments j \k\ I ( p .' � pro t Failed , . Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until i nspection Number: I NSP- 231 24 Inspection Date: 09/11/2006 Inspector: Perez, JanPierre Owner: DEYOUNG, WILLIAM Job Address: 622 97 Street NE Miami Shores Village, FL 33138 -EP 1 4 RECI Project: <NONE> Contractor: RESIDENTIAL AIR CONDITIONING CORP Building Department Comments Friday, September 8, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060171670 Lot: Phone: 305 -652 -6040 Page 1 of 2 Date Tuesday, August 1, 2006 08/01/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: MC -7 -06 -1980 Invoice Number: MC -7 -06 -25696 Applicant: WILLIAM DEYOUNG Company Name: Owner Address: 622 N. E. 97 ST. Job Address: 622 97 Street NE Miami Shores Village, FL 33138- Payment Type Check Number 8495 Amount $133.35 Change $0.00 Total Payment: $133.35 Page 1 of 1