MECHANICALCompany
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTM
305- 795 -2204
Building Inspection Request
Date ill I 0
t
Type Insp'n 4\ 0
Permit No. fY\C 0 "4 IS l
Name NA
Address [ 0 35 r.
d -- a 18- 6'( a
Inspection Date 9 ( i
Approved , e:7 .'' (/ - ?
Correction ❑
Re- Insp'n Fee ❑
7
•
BUILDING
PERMIT APPLICATION
FBC 2001 f { 4l -3 - 0 6_ 6.k
Art`
Contractor's Address % ,31147 S1.-- 1,O TGiti.'--
City
Qualifier
\ flf i<- D. 01/
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
1 _-: Il J f'
Permit No. �y - / 6 7
'1
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical ) Roofing
Owner's Name (Fee Simple Titleholder) C Efll-A _ C Phone #
Owner's Address ci `'t 5 T
City \'1V f \ S 1'0 kf-S State
Zip 3'3 ! 3
( •1' L -1Z(oS
Tenant/Lessee Name Phone #
Job Address (where the work is being done) \ 0 N c °1 C T .
City Miami Shores Village County Miami -Dade Zip 33 1 3 `6
Is Building Historically Designated YES NO
Contractor's Company Name Cool �iL� � t.F: A k. C;) .. Phone # (30
State It- Zip 3'51 v la
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit ` *1 O . Square Footage Of Work:
Type of Work: ['Addition ZAlteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: CIO io J NC. Sri S Ti V"
GIF 9100
Submittal Fee $ ED "" Permit Fee $ L L `-' CCF $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
* * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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 CONDMONERS, 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 Signature
Own or
The foregoing instrument was acknowledged before me this 11 The foregoing instrumwas acknowledged before me this
day of , 20 _, by
day of , 20 , by
tractor
who is personally known to me or who has produced c. who ks'personally known to me or who has produced
"I' MY COMMISSION 0 DD 173898
��. EXPIRES: December 22, 2008
NOTARY PUBL
Sign:
Print: Print:
My Commission Expires:
State Certificate or Registration No.
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 10/14/03
e an oath.
NOTARY PUBLIC: ,
Sign:
(Certificate of Competency Holder)
My Commission Expires:
as irip/tifiration anti - A
;pr Py ORESTES LUIS
MY COMMISSION # DD 173698
i EXPIRES: December 22, 2006
Randall Thai Notary Public Undmwrltere
Engineer
Zoning
a
Z. ci c tL C Plans Examiner
Certificate of Competency No.
•
rEM
4TH 11.8
UNIT
-
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE •
IDET
LIGHT OUTLETS
CENTRAL HEATING IOI
1
ISHIYASHER
RECEPTACLES
A/C (WINO)
ISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) ,'N N
\
SINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
LOOK DRAIN
SERVICE REPAIR/METER CIW E
REFRIGERATION
REASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
NTERCEPTCR
RANGE TOP
UNDERGROUND TANKS
AVATORY
OVEN
ABOVE (ROUND TANKS
AUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
LOTHES WASHER
MJTCRS 0- 1 HP
STEAM BOILERS
.HOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
'INK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
;INK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
;INK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
'MORAY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
IRINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
iATER CLOSET
MOTORS OVER 100 HP
VIOLATION
'PDIRECT-WASTES
A/C WINDOW
REINSPECTION
IATER SUPPLY TO:
AIR CONDITIONERS
-
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFCRMERS
'HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFCRMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMdING POOL .
CUTLETS COMI€RCIAL
WATER SERVICE
SIGN TUBES
;EWER CONNECTIONS
SIGN TRANSFORMERS
JTILITY -SEWER
SIGN TIME CLOCK
JTILITV -WATER
FIXTLRES
;EPTIC TANK
ANTENNA
(ELAY
TELEVISION OUTLETS
)RM NFIELD, 4' TILE/RES.
VIOLATION
'U14 & ABANDON SEPTIC TANK
REINSPECTION
OAKAGE PIT 0J. FT.
:ATCH BASIN
)ISCHARGE WELL
)OMESTIC WELL
4REA DRAIN
100F INLET 1
SOLAR WATER HEATER `,
=IRE STANDPIPE
'COL PIPING
•
_AWN SPRINKLER SYSTEM
SAS RANGE
€TER SET (GAS)
SAS PIPING
•
PLUMBING
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.)
ELECTRICAL
MECHANICAL
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/13/2004
Applicant: GEORGE
Owner: GODFREY
JOB ADDRESS: 1035 NE 99
Parcel # 1132050190490
Signed: (INSPECTOR)
(Contractor or Builder)
Mechanical Permit
Permit Number: MC2004 -151
GODFREY
GEORGE
ST
Contractor COOL BREEZE AIR COND CORP Contractor's Address: 13120 SW 130 TERR
Local Phone: 305 - 226 - 2665
Legal Description: MIAMI SHORES SEC 8 REV PB 43-67 LOT 13
Permit Status: APPROVED Permit Expiration: 2/7/2005 Construction Value: $4,705.00
Work: C/O STON A/C SYSTEM
Page 1 of 1
L
BLK 178 LOT SIZE 110.000 ,
Fees:
FEE2004 -8248
FEE2004 -8249
FEE2004 -8250
FEE2004 -8251
Description
Building Fee
Technology Fee
CCF
Training and Education Fee
Total Fees:
Amount
$150.00
$3.75
$3.00
$1.00
$157.75
Total Fees: $157. _5 o d
Total Receipts: $
_ , o1 , -)
.9-\oS
A 1 6pAND
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.
BY:
goo
LEGEND:
T
- I
vvv�iv
Vv' vvv
A/C =
E.M.=
G.F.E.=
LF.E.=
— x —x— =
S.I.P.=
ID.=
WOOD AREAS
TILE AREAS
CONCRETE AREAS
ASPHALT AREAS
AIR CONDITIONER
ELECTRIC METER
GARAGE FLOOR ELEVATION
LOWEST FLOOR ELEVATION
4' HIGH CHAIN LINK FENCE
SET 1 /21RON PIPE
IDENTIFICATION
SKETCH OF SURVEY . SCALE:I "=-25'
F.I.P "NO ID.CAP
(IN BLOCK CORNER)
PROPERTY ADDRESS: 1035 N.E. 99th STREET, MIAMI SHORES, FL. 33138.
Q � O e3a
0 g
9D'9D B
LEGAL DESCRIPTION:
Lot 13, in Block 178, of "REVISED PLAT OF TRACTS 175A, 1758, 175C, 176A, 1788, 176C, 177A, 1778, AND 178A OF
THE REVISED PLAT OF MAW SHORES SECTION 8" according to the Plat thereof as recorded in Plat Book 43, at
Page 67, of the Public Records of Miami —Dade, County Florida.
NOT VAIUD UNLESS EMBOSSED . WITH
SURVEYOR'S SEAL
REVISED:
GAR B. CASTEL
Registered Land Surveyor No 41211
State of Florida
LOCATION MAP
N. T.S.
r
BOUNDARY SURV
I Hereby Certify. That the attached Survey woe made
under my rv.panelble charge and eubstanUaly meets
the mintmum technical standard as set forth by the
FLORIDA BOARD OF MD SURVEYORS In Chapter
B1917 —E Florida AdmInletrath. Code. pursuant to
Section 472.027, Florida Statutes.
.r;
•
Q9 10
10 V
4'i 14
•
FLOOD ZONE:A e
LetS
CM'
IS
ST r.
1, N. F.:. 101 e'-
CERTIFIED TO:
CARLA I. CHUI AND MAURIZIO VERDINI;
KROOP & SCHEINBERG, PA.;
FIDELITY NATIONAL TITLE INSURANCE COMPANY
OF NEW YORK,
ABN. AMR() MORTGAGE INC., ITS SUCCESSORS
AND /OR ASSIGNS.
DATE:
11 -13 -03 SCALE 1"-25'
ST
I}• / h. Sc
c t•' /. 1a 1I
r Pp. r.: &.)
M J... Y,.... :1..,.e. ..
a.; ...,; .: w1...t.� ; ;
99*. ST.
- -, -- - -- .
SURVEYOR'S NOTES: -
1) Lands shown hereon were not abstracted for easements, right of
way or other Instruments of records.
2)There may be additional restrictions not shown In this eurvey that
may be found In public records of Mlaml —Dade County
3) No underground improvements were located.
4) Unless otherwise noted, recorded and measured data are In
substantial agreement.
5) Legal description provided by client
6) Th13 survey must, exclusively, be used for mortgage purposes
7) Thls survey has been prepared far the exclusive use of the
entitles named hereon and the certification hereon does not extend
to any unnamed party.
8) Bearing. If shown are based on assumed meridian and Plat of
Record.
9)Elevatione based on Dade— County CBMI 3100 N -397 Elev.= 9.80'
N.G.V. Datum 1929.
GARY B. CASTEL SURVEYING, INC
LAND SURVEYORS
12016 S.W. 1.32nd COURT, MIAMI,. FLORIDA 33188
(305) 253 -9720 (305)253 -8787
JOB No.
DWN. BY T.H.