639 NE 97 St (10)ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING 0 /0.0(
DISHWASHER
RECEPTACLES
A/C (WIN))
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) ( 9 4
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 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5— 8 FP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTCRS OVER 8— 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTCRS 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
NATER 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
EWER CONNECTIONS
SIGN TRANSFORMERS
TILITY —SEWER
SIGN TIME CLOCK
TILITY —WATER
FIXTLRES
EPTIC TANK
ANTENNA
ELAY
TELEVISION OUTLETS
RAINFIELO, 4' TILE/RES.
1
VIOLATION
UMP & ABANDON SEPTIC TANK
REINSPECTION
DAKAGE PIT CU. FT.
—r
ETCH BASIN
ISCHARGE WELL
]MESTIC WELL
1EA DRAIN
)OF INLET
)LAR WATER HEATER
IRE STANDPIPE
t0L PIPING
IN SPRINKLER SYSTEM
S RANGE
'TER SET (GAS)
•
S 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 c'ICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
t
yyo 0, 577
05/05/94 13:12 MSU
c.florcs91U.age
I L O n 1 D
Sec. 5-1.1. Air conditioning regulations.
(a) 411 individual air conditiouiug units installed in walls or
wiadows shall be securely anchored to the walls by approved
methods. Units installed over public property, paths of egress or
more than ten (10) feet above grade shall be occurred to the struc-
ture by bolts or screws to resist horizontal wind loads. Such units
cantilevering more than eight (Si inches on the exterior of a
building shall be supported by steel angle brackets secured by
bolting. Bolts to masonry shall be set in lead shields or similarly
rot - resistant fastenings.
(b) The following 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.
Equipment so located that normal operating noises create
a nuisance to adjacent owners or occupants shall be pro-
vided v. soundproofing. or sound - absorbing ba_fels, or
enclo5 _s. 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 valid
complaints from ,adjoining property owners or occupants.
may be required to be relocated, redesigned andlor en.
closed in noise - retarding materials when, in the opinion of
the building official, such enclosure is necessary or would
be effective.
43) Special consideration shall be given to the planning of all
future installations to minimize the noise nuisance to ad-
joining property o-...u_rs or occupants, and the building
official shall have authority to reject or require the redo -
:sign.of any system which, in his opinion, would cause such
a noise nuisance.
(c) violation of this section shell t,•- punished as is now or ratty
; hereafter be provided bylaw. (Qrid. No. 299, §5 1 -3, 2- 21 -G1)
I have read the alcove ordinawico and will comply with t.h-:
regulations t ect . -
Q
br i Signatu ` V Contractor S Irin h
Date
Legal Description
Owner/Lessee / Tenant Juan Diaz
Owner's Address (O Q / 07 57
Contracting Co.
Qualifier )�f) Oeen-207/-2
State # CA & Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ECIIANICA ROOFING PAVING FENCE SIGN
WORK DESCRIPTION r99 P oCC 40 " A W //o Al vAeetT—
Square Ft.
S
as to Owner
y Commission E
FEES: PERMIT 67
PERMI / T APPLICATION FOR MIAMI SHORES VILLAGE p
Job Address �? ice"/ / 1 1 Q7 57 Tax Folio / / % �4 011 O'2
Historically Designated: Yes
aff
1 r9
o ' al 0 LINDA G NOTARY L � j / # comasstow NUMBER
, CC80458 y- �^ U MY CO�^S.MISS O EXP/RES
`c FEB. 7,2003
RADON C.C.F.
No
Master Permit # 9 'g6
Phone (O f 4 22
Address ' / V `QO 5T
SS# -'� "% - 1hone 9 029V
Estimated Cost (value) `500
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify 11 the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. F or , I authorize the above -named contractor to do the work stated.
Si
0
My Commission Exp
N"
NOTARY
■
Date
7 � d
to Contractor • er- Builder Date
OFFICIAL NOTARY SEAL
LINDA G ODOM
i % COMMISSION wUMBER
�, a CC804583
�j ✓ �� uv C01C:MiSSIOW EXPIRES
Fo Fr o Fir 7,2003_
BOND
APPROVED:
Zoning Building Electrical
Mechanical 9 ) Plumbing Structural Engineer
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby mode 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 Divisinn 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.
/�
c aia[e.. p, lb..
Owner's Name and Address . AM.d .)-e .j� , ,1. .0\,11/ .,,, No.... ..1.... M Street,(2G. C 7 . . ..�7 ` _
Registered Architect and /or Engineer y � ..... ...... .....,,,,,„,,.,. „,..,,.
Fame and address of licensed contractor S (.�1 �p� .ir^_�... / ”[ c.. �. .. /. _L ..�
Location and legal description of lot to be built on: c
Lot 1 7 le / BlocV( l f.). 4 Subdivision., L Oi fjf.1 LL° S e G
Street and Number where work is to be done e 19 ./1/ E.
Sta wo . to be done' and p rpose of building (by floors)
toms) s
New Building Remodeling Addition Aepaira
To be constructed of Kind of foundation Roof
Estimated Total cost of improvements $..2r) 6.0 Amount of Permit S. 15 1! L a
Zone cubage required .Plan Cubage
Distance.to next ne.uest 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 NVorknten's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
anti has complied %vith 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 h public notice
or notices as are required by the Act. The undersigned agrees to employ only such subconfsaetQrs, qpg woyft to/be per gJg/m under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)
Disapproved
(Signed)
by ms ��,,//4
Permit No..__...` 0 / Date... � �
Date
Building Inspector
eif
3
and for no other purpose.
No. of Stories
vering
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
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
f the a a described are ed cons truction, that he has carefully read the foregoing application ,�a ,j lr�,'. ;' sign the same, said that all facts
therein
4a
9uv�Ct, s ,a9•
6 ,.3:b8
340!, y+ersi to and Subscri • y , • fore me.
altdcliT
My Commission • pees _..„ _.., _
PLANNING BOARD DATE
Citair:nan Member
\fcrr,bcr Member
\!ember 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 hero obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Type Insp'n
Permit No. 4 ') F6
Name
Address
/ / / / '
Compan : �;� ...�.
3 gyo -
For Inspector: � �Nam & Date O f7
(.1.0)
❑