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MC-05-62Owner's Name: MIAMI SHORES PRESBYTERIAN CHURCH Permit Type: Imported Permit Work Classification: Mechanical Job Address: 602 96 Street NE Comments: REVISION TO A/C DESING Additional Information Miami Shores Village, FL Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Issue Date: 1/30/2006 Expires: 12/31 /2006 Contractor(s) SHORELINE AIR SYSTEM, INC. Phone 954/485 -3117 Primary Contractor Yes Perm Type: Mechanical Alpha Four. Alpha Six: Pay Amount: 350 Bond Retum : Alpha Two: Alpha Five: CHURCH Pay Date: 9/30/2005 Pay Comments: PD BY CREDIT CARD 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. Parcel #: Block: Section: Permit Status: APPROVED Permit Number: MC2005 -62 Phone: (305)754 -9541 1132060141410 Lot: PB: Total Square Feet: 0 Total Valuation: $ 5,000.00 Required Inspections Fees Due Revision Fee Scaning Fee Total: Amount $35.00 $3.00 $38.00 Invoice Number imp - 1 - 06 - 23655 Total: Amt Due $38.00 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. REG L131 Lei.11u 1413 MC 401 033574 „ IJ_' Code Enforcement $ BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrica % Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) M ( 5 1 f -D Phone # Owner's Address (Q ® 2 A) 6 City I' / Awe i cli0X04 State Tenant/Lessee Name Total Fee Now Due $ (Continued on opposite side) Miami Shores Village ilding Department N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Iret SEP 14 " E M aster Permit N . NO 60 2. ic) 4, 77 * *** ** *** * ** *** * * * * * * **** * *F Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Zoning Structural Plan Review. $ Permit No. Zip 3 3 3 Phone # Job Address (where the work is being done) City Miami Shores Villa a County Miami -Dade Zip 3 / 3 �G Is Building Historically Designated YES Contractor's Company Name S is. C2: 5o 4 i k Of s Luc_ Phone # a, j - `1 - Contractor's Address 21 S O CAS ( S J • .;. — 1', P ` City . ... .. State Zip 33 \ S - 1 Qualifier - 7c q,,„ St k State Certificate or Registration No. e o Ga., Co a 6 Certificate of Competency No. gineer's Name (if applicable) /Ag... cAP( (-(. Phone # 3 or- - 1 S Y ° 2 ?) G $ Value of Work For this Permit / 0 j 00 O Square Footage Of Work: Type of Work: ['Addition ❑Alteration ['New ❑ Repair/Replace "",, ❑ Demolition Describe Work: Stogy 'i'� � D��� /4 lib/ 77 A.)‹ P AriA ('6 A 1 tI l r/ ®Zso( s 1"" Pau Si? et. el /4. Afterto S * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ CO /CC Technology Fee $ Bond $ MCA 62 I5Poq- , (no 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 AI•'FIDAVIT: 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 Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,20 NOTARY PUBLIC: Sign: Print: My Commission Expires: chc45/13/03 Contractor �7 The foregoing instrument was acknowledged before me this 1Z. day of �' . , 2005 by �_vi who is personally known to me or who has produced who is personally kno As identification and who did take an oath. sion `!DD2 nti( Rnndine CO I Mab NOTARY P Sign: Print My Commiss tification ho did take an oath. Expires: qtl * * *,t,r*,t, *****, tt *** *** **** * **** * * ** * *,t,tir***** * ** * ****** ** *ate,ti *** ** * * ** * *,t** *** * * *,t*,t** ** *** me or who has produced t ( , * * * * * * * * ** ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ***k * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: 3 Plans Examiner Engineer Zoning Signed: (INSPECTOR) Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 Permit Number: MC2005 -62 Printed: 9/13/2005 Applicant: Owner: JOB ADDRESS: 602 NE 96 ST Contractor SHORELINE AIR SYSTEM, INC. Contractor's Address: 3801 NW 49 ST Local Phone: 954/485 -3117 Parcel # 1132060141410 Mechanical Permit Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: FEE2005 -7301 FEE2005 -7302 FEE2005 -7303 FEE2005 -7304 FEE2005 -7305 FEE2005 -12370 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Building Fee Total Fees: Amount $175.00 $3.00 $1.00 $4.38 $3.00 $350.00 $536.38 Total Fees: $536.38 Total Receipts: $186.38 Permit Status: APPROVED Permit Expiration: 5/31/2006 Construction Value: $5,000.00 Work: REVISION TO A/C DESING WHITH WAS EXISTING AND FIRE DAMPFERSAND FILLING IN FIRE RADIOS AT THE EXISTING CEP 2 9 PAID c Pctrit 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: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Owner's Name (Fee Simple Titleholder ) Phone Owner's Address 620 2. Ng e �v�vT'Pi City 1 e-A f...C- State FL. Tenant/Lessee Name Job Address (where the work is being done) C00 451 � City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO x Contractor's Company Name �l-}QR I t--‘e 412 5 3 Phone # Contractor's Ado ess 3t30 ) City Quali Zip 331 State Certificate or Registration No. Certificate of Competency No. CA (.690? 6d? 93 Y �{ Architect/Engineer's Name (if applicable) 1t- CAri/IAipq 5- Phone # c boo ❑Alteration $ Value of Work For this Permit Type of Work: ❑Addtti,Q D escribe Work: ` ` 'w fry' Submittal Fee $ Notary $ Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) t��1s Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 * * * * * * *'+�' * * * * * * * * *x Permit Fee $ Training/Education Fee $ Radon $ ['New Zoning Structural Plan Review. $ Permit No. 0 C Master Permit No. t3 ` 14)o Zip 33138 Phone #� Square Footage Of Work: ❑ Repair/Replace * * * * * * * * * * * * * * * * * * * * * * * Roofing 164 - «s4-1 - Ii7 5 - 75A-- 2318 ❑ Demolition CCF $ CO /CC .' Technology Fee $ . 3 Bond $ � — 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. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 5 The foregoing instrument was acknowledged before me this 6 day of /my , 20 by , day of if _ , 0�, by T■ 13 IS - r who is personally known to me or who has produced wh ersonally known As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: chc 05/13/03 My Commis sion Expires: *Y4asPin171141 � 1 2008 , * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** �� Expires January 18, 8 Enrique 01118 ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** NOTARY PUBLI Sign: Print: * * * * * * * * * * ** to e or who has produced as '. entificati. and who did take an oath. •7 4 //, 1 //, 4 ,...,, ...2._..t.„1„ .i., rr' 100)432. 26 _ e ' (000}43.447 M i' .troirovAlson. ******..**** * * *.. * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/6/2005 Applicant: Owner: JOB ADDRESS: 602 NE 96 Parcel # 1132060141410 Signed: (INSPECTOR) Mechanical Permit Permit Number: MC2005 -62 ST Contractor SHORELINE AIR SYSTEM, INC. Contractor's Address: 3801 NW 49 ST Local Phone: 954/485 -3117 Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 - 37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: Description Amount FEE2005 -7301 Building Fee $175.00 FEE2005 -7302 CCF $3.00 FEE2005 -7303 Training and Education Fee $1.00 FEE2005 -7304 Technology Fee $4.38 FEE2005 -7305 Scanning Fee $3.00 Total Fees: $186.38 Total Fees: $186.38 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/6/2005 Construction Value: $5,000.00 Work: 0 PA 134-4 /037+ 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: Tenant/Lessee Name Architect/Engineer's Name (if applicable) Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2001 Owner's Address 12 c 92 - i-le C=. City 41 AM t 11 State 1 . State Certificate or Registration No.(„ A ° ) a'V - ' $ Value of Work For this Permit 000 , 10050 N.E.2nd Avenu Shores _ lorida 33138 Tel (30 ) ! (6.8972 Job Address (where the work is being done) bO2 jL City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Certificate of C Permit No. MCO6 °' b2. ter Permit Na) 04 1 ID Permit Type (circle): Building Electrical Plumbing Mecha Roofing Owner's Name (Fee Simple Titleholder) ®(�r�,l` S�® � fir\ t P one # (o) `9S� '°t 641 Zip 33 343 Phone # Zip Contractor's Company Name SOWR.e; \AA_ r S t2U.(S,1lc Phone # Contractor's Address QO 1 V.9 S Si" we City ptto-A-o- rka...4 State Zip-5 3 P•g Qualifier --l rTj Ak CZ, a %V icy 1 Square Footage Of Work: Type of Work: ['Addition DAlteration ['New ❑ Repair/Replace El Demolition Describe Work: 1V► o � �w — yr oL R4R, S ** *, *** * * *,r**** * * * ** *,gat * * ** ** * * * ** , * ** *,war** ** ** ** Submittal Fee $ Permit Fee $ 47 t ieJ F $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ 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 ANt IDAVIT: 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 inspec. ; n which occurs s (7) days after the building permit is issued In the absence of such posted notice, the inspection will no approve .and a r' , ection fee 11 be charged Owner or Agen The forego i' • ' 1 strument was acknowled ed befor day of w w ersonally known to me or ho has 1 ctst NOT Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 �Pc,14,2,9ts dot s who is personally known to me or who hasaigkrol As identification an Q did tie " °` oath.' * J identification . #D 0274752 . • ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 11 l iOnseittO Signatur ^E) The fore % % . , ,•'4.*OTARY P •.....v`.... day of 1 { ,2 Sign: Print: My Commission Expires: Contractor Or) o g instrument was acknowledged before me this y tj i � V AT " e 911. r Llitk • * ** * ** * ** * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning e ADDENDUM TO BUILDING PERMIT APPLIUAIIUN 'AN A£PLICATION 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 ;ATH TIB 3IDET UNIT -_ FEE ITEM( LW1 UNIT FEE ITEM UNIT SPACE HEATERS FEE L T TS CENTRAL HEATING RECEPTACLES A/C (WINO) 31S40HER -_ -_ -_ �_ SERVICE TEMPORARY A/C (CENTRAL) 31SPOSAL )LINKING FOUNTAIN GREASE DRAI GREASE TRAP INTERCEPTOR SIZE IN RE SERVICE RR/METER CHANGE APPLIANCE OUTLETS RANGE TOP REFRIGERATION PROCESS AND PRESS PIPING UI�ER(�SOUND TANKS OVEN ABOVEGROUND TANKS LAUNDRY TRAY CLOTHES WASHER S HOVER __ -_ __ WATER HEATER U.F. PRESSURE VESSELS IOTCRS 0- 1 HP STEAM BOILERS MOTORS OVER 1- 3 4-P HOT WATER BOILERS SINK, POT /3 COW). SINK, RESIDENCE __ OVER MECHANICAL VENTILATION MOTS 3- 5 H TRANSPORTING ASSEMBLIES SINK, SLR TEMPORARY WATER CLOSET URINAL __ __ -_ MOTORS OVER 8- 10 If MOTORS OVER 10- 25 HP MOTORS OVER 25 -100 HP ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS -_ COOLING TOWERS WATER CLOSET MOTORS OVER 105 HP VIOLATION INDIRECT WASTES A/C WINDOW REI,NSPECTIDN 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 SWIMMING POOL __ OUTLETS COMMERCIAL -� _ _ _ WATER SERVICE -_ SIGN TUBES SEWER CONNECTIONS * SIGN TRANSFORMERS UTILITY -SEWER UTILITY -WATER SEPTIC TANK RELAY DRAINFIELD, .4' TILE/RES. PUMP & ABANDON SEPTIC TANK __ ®_ __ SIGN TIME CLOCK - FIX TES ANTENNA TELEVISION OUTLETS -_ VIOLATION REINSPECT ION SOAKAGE PIT CU. FT. CATCH BASIN - DISCHARGE WELL DOMESTIC WELL AREA DRAIN RDOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING } LAWN SPRINKLER SYSTEM'. I GAS RANGE I I METER SET (GAS) I I . GAS.: plPik. r e ADDENDUM TO BUILDING PERMIT APPLIUAIIUN 'AN A£PLICATION 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 Inspection Date: 06/21/2006 Inspector: Perez, JanPierre Owner: CHURCH, MIAMI SHORES PRESBYTER', Job Address: 602 96 Street NE Miami Shores Village, FL Project: <NONE> Contractor: SHORELINE AIR SYSTEM, INC. Building Department Comments Monday, June 19, 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: Imported Permit Inspection Type: Final Work Classification: Mechanical Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 954/485 -3117 Page 2of2 Passed / Inspector C • , �� is 0 6/27/ 104, e 1� ' li Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 06/21/2006 Inspector: Perez, JanPierre Owner: CHURCH, MIAMI SHORES PRESBYTER', Job Address: 602 96 Street NE Miami Shores Village, FL Project: <NONE> Contractor: SHORELINE AIR SYSTEM, INC. Building Department Comments Monday, June 19, 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: Imported Permit Inspection Type: Final Work Classification: Mechanical Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 954/485 -3117 Page 2of2 Inspection Date: 02/22/2006 Inspector: Perez, JanPierre Owner: CHURCH, MIAMI SHORES Job Address: 602 96 Street NE Miami Shores Village, FL Project: <NONE> Contractor: SHORELINE AIR SYSTEM, INC. Building Department Comments Thursday, February 16, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phon (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Rough Work Classification: Mechanical Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 954/485 -3117 Page 2 of 2 Passed Inspector Comments ,, ��l 1 'J , Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 02/22/2006 Inspector: Perez, JanPierre Owner: CHURCH, MIAMI SHORES Job Address: 602 96 Street NE Miami Shores Village, FL Project: <NONE> Contractor: SHORELINE AIR SYSTEM, INC. Building Department Comments Thursday, February 16, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phon (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Rough Work Classification: Mechanical Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 954/485 -3117 Page 2 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/21/2005 Applicant: Owner: JOB ADDRESS: 602 NE 96 Parcel # 1132060141410 Signed: (INSPECTOR) Mechanical Permit Permit Number: MC2005 -62 ST Contractor SHORELINE AIR SYSTEM, INC. Contractor's Address: 3801 NW 49 ST Local Phone: 954/485 - 3117 Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: Description Amount FEE2005 -7301 Building Fee $175.00 FEE2005 -7302 CCF $3.00 FEE2005 -7303 Training and Education Fee $1.00 FEE2005 -7304 Technology Fee $4.38 FEE2005 -7305 Scanning Fee $3.00 Total Fees: $186.38 Total Fees: $186.38 Total Receipts: $186.38 Permit Status: APPROVED Permit Expiration: 11/6/2005 Construction Value: $5,000.00 Work: a/c change out 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: Mechanical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: MC2005 -62 Printed: 6/21/2005 Applicant: Owner: JOB ADDRESS: 602 NE 96 ST Contractor SHORELINE AIR SYSTEM, INC. Contractor's Address: 3801 NW 49 ST Local Phone: 954/485 -3117 Parcel # 1132060141410 Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 - 37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: Description Amount FEE2005 -7301 Building Fee $175.00 FEE2005 -7302 CCF $3.00 FEE2005 - 7303 Training and Education Fee $1.00 FEE2005 -7304 Technology Fee $4.38 FEE2005 -7305 Scanning Fee $3.00 Total Fees: $186.38 Total Fees: $186.38 Total Receipts: $186.38 Permit Status: APPROVED Permit Expiration: 11/6/2005 Construction Value: $5,000.00 Work: a/c change out 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: