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MECHANICALMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date" 5-' Time TypeInsp' .,, Q Permit No. ' 00c b 0 — Name Via A. Address _ Company Phone # For Inspector: Approved 1 Correction Re- Insp'n Fee N ame & Date l j � ((,Zf MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Ti e -�- Type Insp'n n / Permit No. e9- Name Address # 0 Company Phone # For Inspector: Approve - I �� ❑ Correction LK , 7--- Re- Insp'n Fee ❑ pv /6/7 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10 050 N.E. Avenue • Miami Shores, Florida 33138.305- 795 -2204 / Date Job Address 0 2 0 ! V I 5 Tax Folio Legal Description Owner /Lessee/Tenet %� LJr , �LtQ �.5 Master Permit # (` 62 Owner's Address /0 2J) 9 e Phone (3os - 7,S 1 J 16 / Contracting Co. -... V .) �I ► i Address ,cO 1 9 4 l V 't . ilk 1 11/445 Qualifier 11 3 , 0(60 `mil � SS# ! ' hon(: —01 State # C-1:33k- Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTI Permit Type (circle one): BUILDING y ELECTRICAL PLUMBING WORK DESCRIPTION: —1 �• ' 1 Square Ft. Estimated Cost (value) '772-22 O - 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 ANY 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). 1 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 all disciplines. OWNERS AFFIDAVIT: 1 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. Furthermore, I authorize the above named contractor to do the work stated. Signal f owner and/or Condo President Notary as to Owner and/o APPROVED: Zoning Mechanical ( i My Commission Expires ;YR VIOLETHAALEXIS • M COMMISSION # DD 087880 • EXPIRES: January 30, 2006 ,,, .. Bonded Thru Notary Public Underwriters FEES: PERMIT - 7 5 RADON ate Date ©Z Historically Designated: Yes No X� ary as to My Commissi C.C.F c .. L / Q NOTARY MCC HANICA Signature ontractor or Owner Builder Date ) ) ) , _ V 5 3 C ROOFING g ir -13S» Cn ca, 9 Q .y,._ir ' r ate BOND TOTAL DUE Building Electrical (� d L Plumbing Structural Engineer UNIT iLB FEE ITER UNIT SWITCH CURETS FEE ITEM • • . • .. ' SPACE HEATERS'. UNIT FEE LIGHT CURETS CENTRAL FZATING 1ny,c,0J 1 5-ER 1 RECEPTACLES A/C (WIH3) ' :AL SERVICE TENFITAAY &JC (C Li -rO ING FOUNTAIN SERVICE SIZE IH A PS CST WORK CRAIN SERVICE REPAIR/NETS CuA`a REFRIGERATION E TRAP APPLIANCE CUTLETS PROCESS A.'a PRESS PIPING TCR 1 RACE TCP UhDERGROUM TANKS CRY OVEN ABOVE GROUI•G TANKS RY TRAY WATER NEATER U.F. PRESSLRE VESSELS .I. ES WASHER /INCAS 0- 1 FP STEAM BAILERS •. IR INCAS OVER 1- 3 H' HOT WATER BOILERS . POT/3 COW. MOTCRS OVER 3.- -5 FP MECHANICAL VENTILATION • RESIOENCE 1 1.OTCRS OVER 5- 8 PP TRANSPCRTIIG ASSEIELIES . SLCP 43TCRS OVER 8- 10 FP ELEVATCRS/ESCALATCRS GARY WATER CLOSET 40TCRS OVER 10- 25 H' FIRE SPRINKLER SYSTEMS -L kOTCRS OVER 25-100 FP COOLING TONERS CLOSET 40TCRS OVER 100 If VIOLATION ;ECT WASTES A/C WIHOOYf REINSPECTION R SLPPLY TO: AIR CONDITIONERS .---- • C UNIT I STRIP HEATER l RE SrRIHXLER GENERATORS TRAUSFCR.VERS I ATER -NEW LIST. 1 GESERATCAS TRN4'SFCRVE,RS ATER- REPLACE GENERATORS TRAISFCRIERS ',W SPRINKLER -WELL S ?ECIAL PIfiPOSE ' 1 451 I NG POOL • Citf LETS CCt�rFRC I AL 1 TER SERVICE • SIGN TUBES R CONNECTIONS SIGN TR,(,`tSFCn.4ERS I TY -SE?(R SIGN TINE CIOCX .ITY -WATER I FIXTLRES IC TANK I ANTENNA -� ,Y TELEVISION CURETS h<IELD, 4' TILE/RES. VIOLATION ' & ABANDON SEPTIC TAN( REINSPECTION DACE PIT CU. FT. Gi BASIN YAM W . _ST IC 1ELL 4 DRAIN = INLET IA RATER NEATER - al STAMP IPE L PIPING N SPRINKLER SYSTEM RANGE ER SET (GAS) PIPING ' = 'PLICATION FOR 3UILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. =.INED, 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 Permit Number: ME2002 -60 Printed:5 /7/2002 Page 1 of 1 Applicant: BRIAN MASTERS Owner: MASTERS BRIAN JOB ADDRESS: 1020 NE 99 ST Contractor CENTRY AIR DESIGNS INC Local Phone: 305 - 883 -0121 Parcel # 1132050320020 Permit Status: Legal Description: 5 53 42 KINNEY PARK PB 67 -78 LOT B LOT SIZE 103.720 X 125 OR • VL11). CS '0 • yv Approved Permit Exptra ion: 11/2/2002 Constr ction Value: Work: CENTRAL AIR REPLACEMENT OF A/C 4 TON Mechanical Permit Contractor's Address: 501 WREN AVE $3,235.00 Total Fees: $0.00 Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: (INSPECTOR) BY: 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: PAY TO THE ORDER OF FOR CENTRY AIR DESIGNS, INC. Ph. 305-883-0121 501 Wren Ave. Miami Springs, FL 33166 5.‘-ki77q1 I $ /92,Lts, 44- F First Union National Bank • firstunton.com Org. 003 R/T \j\a}A • 71. 1.1322:111.411C 71.91:11131 70.1.:11 -,•IIVISCRLISCCIE 3:120321.1111323222•C 712:12:1:11.=i 7■21:1320117=0.7,211.9.1.02:0-•C"..=. DATE I 11 DOLLARS W 63-643/670 BRANCH 13093 NE, Disapproved (Signed) MIAMI SH BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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. Owner's Name and Address.. P4 C / 6 No 8' ireet J ' Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot 6 Block /7 q Subdivision� / !� nii V gy Par /� Street and Number where work is to be done /O .-61 4 G �! o .- .... rrver e State work to be done and purpose of building (by floors) RES VILLAGE Date New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ /B IL 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 permit 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 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 employ only such subco tractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Rernarks (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 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 are true. _ q Permit No it rO Date — (` Read, Sworn to and Subscribed before me. Date._ Notary Public, State of Florida 'Building Inspector My Commission Expires ,19 � P � e/ 7 - 4gJC ttJ�l3 and for no other purpose. PL ' NG 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 fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.