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MECHANICALC i y BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Tenant/Lessee Name $ Value of Work For this Permit Submittal Fee $ .CX0 Permit Fee $ Total Fee Now Due $ (Continued on opposite side) Training/Education Fee $ Radon $ 1 01.7- s Miami Shores Village Building Department 10050 N.E 2nd Avenue Miami Shores Florida 33138 Tel: 3 t. Eel. �C, } • � w) ' 56.8972 A Electrical Job Address (where the work is being done) City Miami Shores Vi11agee Is Building Historically Designated YES NO fzio / 0 S 20Q4 Zoning Plumbing Owner's Name (Fee Simple Titleholder) � . ao�k t° ��� Phone # b Owner's Address c / 2 6 Es S City la ni; O2 State ( Zip /1.9- to E._ 5 County Miami -Dade ' Company 4 . C� -fps -c Phone #30 ` e6 - 3 2 Contractor's Com an Name IIIL . �,� � �.,�: Contractor's Address /1 02 ( City /) 1C � State Qualifier 6,3 co•e. �� • 1 Permit No. MICCYI - 40 . aster Permit No. Phone # Zip 7 2') ( iS Z 33 f l Roofing State Certificate or Registration No. C ACDS7 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: ❑Addition ['Alteration ❑New Repair eplace El Demolition Describe Work: ieetI /arcs 1 X/ S rr� Par e U i 1�- z . t / * * * * * * * * * * * * * * * * * * * * * * * * * ** *F * * * * * * * ** * * * * * * * * * * * * * * * * * * ** CCF $ 3 • 0 a CO /CC Technology Fee $ 3 . 7 Bond $ Notary $ Scanning $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) A / / n w • Bonding Company's Address City State Zip Signature NOTARY PUBL Sign: Print: Chc 05/13/03 APPLICATION APPROVED BY: er or Agent The foregoing instrument was ac wledged before me this day of - , 20b,by ( 1 ec, 6 e ►tij ��---who"" is personally known to me or who h produc ) Ott 14-4:w My Commission Expires: — 2_c O (' iv/A 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 poste. 47. i ce, the inspection will not be approved and a reinspection fee will be charged. As identification and who did take an oath. Signatur Con : ctor The foregoing instrument was acknowledged before me this , day of � , 20 , by who is personally known to me or who h produce as identification and .. id take an oath. PRY PG _ ' r L16 Sign: Print: My Commission Expires: Z u,o 4 NUMBER — BOG ****************************************** y . ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** << Plans Examiner Engineer Zoning ITEM BATH TUB UNIT • FEE ITEM SWITCH OUTLETS UNIT FEE ITEM 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 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS 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 MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS MATER CLOSET MOTORS OVER 100 If VIOLATION INDIRECT WASTES- A/c WINDOW REINSPECTION WATER 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 . SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UT I L I TY -WATER F I XTIIRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4 TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CJ. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS 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 APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL MIAMI SHORES VILLAGE — BUILDING DEPARTMENT 305- 795 -220 Building Inspection Request Dat Type Insp'n Permit No. Name Address 1 gs N_ 0 5 Address Company Phone # 303 a Inspection Date (a / 0 o e 7? g,(0,). Approved Correction Re- Insp'n Fee �fl (\S 1 or Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/6/2004 Applicant: PEGGIE CHEN Owner: CHEN PEGGIE JOB ADDRESS: 112 NE 98 ST Contractor Local Phone: Parcel # 1132060132410 Mechanical Permit Permit Number: MC2004 -146 HOME MAINTENANCE SERVICES, INC Contractor's Address: 1125 71 ST STREET Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 12 & 13 LESS W2OFT BLK 18 LOT SIZE Fees: Description Amount FEE2004 -8021 Building Fee $150.00 FEE2004 -8022 CCF $3.00 FEE2004 -8023 Training and Education Fee $1.00 FEE2004 -8024 Technology Fee $3.75 Total Fees: $157.75 Total Fees: $1j7.75 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 2/1/2005 Construction Value: $4,100.00 Work: REPLACE EXISTING PACKAGE UNIT W/ NEW 3 TON UNIT WITH TEMPSTAR MODEL a q'--n 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: • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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. S Date - ° 3• 7 fl - - , 119 Owner's Name and Address._. . '5,9 r_0_12.0 _ No __ Street_ NC 98x` Registered Architect and /or Engineer. Name and address of licensed a ontractor_SC7Cile $/QQ.S NC•_..__. T 4 4 0 QI _D.• led 6 Location and legal description of lot to be built on: Lot_. Block ___ - Subdivision Street and Number where work is to be done 2. . ME_.__ 7 5'f'• State work to be done and purpose of building (by floors). Wee do :arj.____ °N and for no other purpose. New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $ 3 ZO• r 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 foi said building. All notices with reference to the building and its construction may be sent Addition Repairs No. of Stories Ro9f/Covering__ The undersigned applicant for this building permit doe. hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act. being Sec :ion 5966, Compiled General Laws of Florida, Pennanent 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (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 th he did sign the same, and that all facts therein by him state are true. Permit No ________ / -- �1 Date_. f ig Read, Sworn to and Subscribed before me. Disapproved ____ _ ___ __ Date_ (Signed) � .__ Building Inspec ' My Commission Expires LANNING BOARD,. __ . _.. _.. DATE Chatnnan Member Member Member Member __ Member Notary Public, State of Florida 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Date -- /Job Address /1 , " E- ? e,S71 Tax Folio I/ 3206 /32/©3 Legal Description Zoi )2£ L D - e'K r l $ Owner / Lessee / Tenant C/9 ?Tie) S 4/9/4/2R (9 Master Permit # & ia9 Owner's Address 6 /mil f= Phone 75 o Contracting Co . 4 /r)C .7,/KP/ %/0 / , a ) /�T(C Address /./;V % s' Gtr /3a C T Qualifier 229�� p coo?? ss# / Phone c ?3c2 7(9 - /C) State # 0,Af 1,5 MMunicipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL P UMBING CMEC ROOPING PAVING PENCE SIGN WORK DESCRIPTION ()FA /9 ' % JS, (9/7f Square Ft. Estimated Cost(value) 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 that all the foregoing information is accurate and that all ork will be done in compliance with all applicable laws regulating construction an onin . Furtj rmore, I authorize the above -named contractor to do the work stated. Si nature Date: dif'. owne and /or Condo President clA Notary as to Owner an My Commission Expires ** * FEES: APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 3/10( RY P06, OFFICIAL NOTARY SEAL O BARBARA ANN FUGAZZI NT ,(( 0 * COMMISSION NUMBER CC360191 • °'° M * COM ION Eq. OF FV MAR. 29 PERMIT p( RADON C.C.F. ,'AW Zoning ,?1//rPlumbing_ Mechanical Sign -ture o Date: Contract or er- Builder 'il 1 CA M OF 0 �i A k GAZZI N ":. , q * COMMISSION NUMBER CC360191 � MY A C�OMMISSION IMP. FP Fire Building Owner- Builder 3/q8 * * ** NOTARY , F 01) TOTAL DUE og'17 Other Electrical Engineering PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property. and in accordance with Chapter 713, Florida Statutes. the following information is provided in this Notice of Commencement. 1. Legal description of property and street addres . _ J l - Wk.:10 2. Description of improvement: r R f 7- 3.Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: � ; J 7 _f%J 5. Surety:(Payment bond required by owner from Name and address: Amount of bond $ 6. Lender's name and address: Signature of Owner Print Owners Name NOTICE OF COMMENCEMENT TAX FOLIO NO. 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name and address: 8. In addition to himself „Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) C44L S N4 Sworn to and subscribed before me this day of Notary Public GEC GIMP itfla Print Notary's Name &r fCR y P r \ (( r 7 ,I My Commission Expires: 3 h 6 A()6 /3c 9/(e 7 /ti / . G / O 3 >1'� '- c� !' ' "� 7 U J ,E Or' f LOf(IDA, et un 1 r ur 1AUE contractor, if any) eaviiitilfifed In t Nice on _ 0y AI) 1° MINUS , pond a Wilda: Seas. •.fi / �yy HARVEYt �Uv1�! _” RK. *lCanvat and CovatyCoeab . 19 94R212242 1994 MAY 02 15:58 I NORIO' NRTIFY / t thb h a true copy of the Ay Prepared by: Address: 1P iv /A or rICIAL . OTraRY 3CAL O <i BARBARA ANN FUOAZZI CV , O COMMISSION NurMtntri 4, CC360191 Q MY COMMISSION EXP. oF Ft MAR. 29,1998 atiami JJiores91llage • L O 1I 1 O A Sec. 5-1.1. Air conditioning regulations. (a) All individual air conditioning units installed in walls or windows 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 secured to the struc- ture by bolts or screws to resist horizontal wind loads. Such units cantilevering more than eight (8) 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 with soundproofing, or sound - absorbing baffels, or enclosures, 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 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 have authority to reject or require the rede- sign of any system which, in his opinion, would cause such a.noise nuisance. (c) Violation of this section shall be punished as is now or may hereafter be provided by law. (Ord. No. 299, §§ 1 -3, 2- 21 -61) I have read the above ordinance and will carply with the regulations thereof. Oi nkr /Signature Date.S 'V Job Address )47 /v��� / V�/ Tax Folio Legal Description / Lessee / Tenant Owner's Address \ U Contracting Co. Qualifier State # Municipa 4�T� Competency # Ins.Co. Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN ` WORK DESCRIPTION D o�oZ Architect /Engineer Square Ft. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 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 that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating const uction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and /or Condo President Date: Date: Notary as to Owner and /or Condo President My Commission Expires: * * * * * * * * * * * * * * * * ** FEES: PERMIT . ?-b RADON C.C.F. /V �� � NOTARY 45 TOTAL DUE J' 4C1( APPROVED: Fire Other Zonin Mechanical Master Permit Phone � I Address 7 I L I }.� c(2 , (mil g Phone W- 5— c.. „-3714,6, G9 v 36 /dV. 3 lca c/ Estimated Cost(value) .5 Ds e Signature of Co actor or Own t der Notary as to Contractor or Owner- Builder My Commission Expires: Building Electrical Plumbing Engineering