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MECHANICAL• c9 z• H z 0 {9 z H O • a H tD N rU• LEI ,D Ln stn • LEI O N' d CP. z 0 • 0 N a • CO Type Insp'n Company Phone # 3C Min z.i MIAMI SHORES VIL GE R(D BUILDING DEPARTT 305- 795 -2204 ` Building Inspection Request Date Permit No. k(.LCY S Name f r M/A1 til kcp � J5lck Address ``J� jJ E S` Inspection Date Approved Correction Re- Insp'n Fee g Ca?, Mc Ca, 'it'S(C04S -610 Mechanical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: MC2005 -111 Printed: 8/9/2005 Applicant: ANTHONY NOWAKOWSKI Owner: NOWAKOWSKI ANTHONY JOB ADDRESS: 1238 NE 98 ST Contractor C & R AIR CONDITIONING CO Contractor's Address: 2121 NW 139 ST #10 Local Phone: 305 - 685 -6394 Parcel # 1132050090331 Legal Description: EARLETON SHORES PB 43 - 80 LOT 7 BLK 3 LOT SIZE 75.000 X 109 Fees: Description Amount FEE2005 -10428 Building Fee $119.17 FEE2005 -10429 CCF $2.40 FEE2005 - 10430 Training and Education Fee $0.80 FEE2005 -10431 Technology Fee $3.00 FEE2005 -10432 Scanning Fee $3.00 Total Fees: $128.37 Total Fees: $128.37 Total Receipts: $128.37 Permit Status: APPROVED Permit Expiration: 1/22/2006 Construction Value: $3,405.00 Work: EXACT REPLACEMENT OF 2 1/2 TN SPLIT SYSTEM Signed: (INSPECTOR) Page 1 of 1 AUG 04PAM GK # --L s 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 c? echan,ical Romig Owner's Name (Fee Simple Titleholder) Owner's Address 1 a 38 N City Aliami Shore r State 1 -i. Zip Tenant/Lessee Name Phone # . Q �• 7S 7 • '2 3 a Job Address (where the work is being done) l a. 5 2 iv C i 4 T City Miami Shores Village County Miami 9 e Zip Is Building Historically ated YES NO g Y Design Contractor's Company Name c. R A;1- C Q h Ct , 6-0. Phone # 10T- &f 6 3 7 7 Contractor's Address p_0_ h o c 6 813 c 0 - City iii) 1• ©t ✓ I Qualifier b e r r d r Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 3 4 0 . Type of Work: ❑Addition []Alteration Describe Work: * * ** • Submittal Fee $ Permit Fee $ 1 I t Scanning $ 3. CO Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Notary $ ' Training/Education Fee $ ©.80 Technology Fee $ . e> Total Fee Now Due $ (Continued on opposite side) i2S 37 Miami Shores Village Building Department 1 0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305 756.8972 State Fl. :New y 2 Permit No. aster Permit No. Phon Square Footage Of Zip 1 (6 d 3 .17 74 • 2'0 * * * * * * *F * * * * * * * * * * * * * * * * * * * * * * * ** * * * *, k• place ❑ D : , CCF $ 2 40 CO/CC — Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) �l R? 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature /� /'✓''�- tJ / /%'���%Grti l/ Owner or Agent The foregoing instrument was acknowledged before me this .6 day of wh is personally kno NOTARY P Sign: Print: 0� t My Commission Expires: APPLICATION APPROVED BY: Chc 12/15/03 20 © o me or who has produced As identification and who did take an oath. Cklf 7�?' •. r ' Roberti Chryst MYCOMMISSION# DD113321 EXPIRES My Commission Expire . May 24 2006 "� s: "• * * * * * * * * * * * * * ** * * * * * * * * **• 1 * ** e$'rfil �'ht''it#s l * * * * * * * * * * * * * * * * * * * * * ** * * * * ** Asf&* * * ' f = *: •� :,r MYCOMMISSION bdGFm # DD114033 * * EXPIRES * ** (Certificate of Competency Holder) ^ ��_, December 26, 2006 BONDED THRU TROY FAIN INSURANCE, INC State Certificate or Registration No. C- A G 1) z6LI t1'f Certificate of Competency No. Sign: Print: The foregoing instrument was acknowledged before me this 36 day of Z C.l , 20 v J , by who 's personally known o me or who has produced as identification and who did take an oath. NOTARY PUBLIC: V 2-- Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM ' : SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING ,= 7%5 k k DIShYIASNER RECEPTACLES A/C (MIND) 1 = 2S- , , DISPOSAL SERVICE TBARARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN APS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION 1 ' GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING I NTEIEPTOR RANGE TOP IADERGROIARO TANKS LAVATORY OVEN ABOVE GROUND TANKS LAIDORY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 31P HOT MATER 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 WATER CLOSET MOTORS OVER 100 HP 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 TRANSFOiMMRS f HEATER-REPLACE GENERATORS TRANSFORMERS LATIN SPRINKLER -WELL SPECIAL PURPOSE• - SWII$IING POOL OUTLETS COM ERCIAL WATER SERVICE SIGN REES ;EWER CONNECTIONS SIGN TRANSFORMERS JTILITY- -SEWER SIGN TIME CLOCK i 11ITY -WATER FIXTURES :EPTIC TANK ANTENNA • ELAY TELEVISION OUTLETS RAINFIELD, 4' TILE/RES. VIOLATION UWP & ABANDON SEPTIC TANK RE INSPECTION OAKAGE PIT CU. FT. ATCH BASIN ■ ISCHARGE WELL OMEESTIC WELL . REA DRAIN OOF INLET OIAR WATER HEATER IRE STANDPIPE 70L PIPING AWN SPRINKLER SYSTEM AS RANDS :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 APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Date ' 0 0 Legal Description / Lessee / Tenant '7611/ i o w a k o GO Address ( D 8' 1 C) C sT Contracting Co. C1' ^ A'r c © c Qualifier C)P - CteN SS# Owner's State #CACOo26LI Municipal # 0' 8 862.3 Competency Architect/Engineer Bonding Company Mortgagor Permit Type(circle one): BUILDING ELECTRICAL PLUMBING WORK DESCRIPTION o Square Ft. Estimated Cost(value) 3,2 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 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 a applicable laws regulatin_ onstr do a�d oning. Furthermore, I authorize the abov- ame• ontractor to do the work stag t . IA au 111M Signature • ' tr + tor? i$plp Builder Date ` = *: " *_ C MISSION # CC8089 EXPIRES February 14, 2003 INSURANCE INC Not a � ! o Contractor or er- Builder My Commis ion Expires: 2_ id°I C) 1 Signature of and/o C ndo President Dat 6•S'';'';;; o rt3. st Y COMMISSION # CC741112 EXPIRES May 24, 2002 BONDED THRU TROY FAIN INSURANCE, INC Notary as r. Owner and /or Condo President My Commission Expires: APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Address ** * * * , * * * * * * * * * * * * ** FEES: PERMI RADON C.C.P. ,b r` NOTARY ' 1 TOTAL DUE 77 r ' /7 0 Zoning Job Address 1 .2 2 N E' s'S . i v V le F I y e Address Phone 306 l �'S' G 0 Y Ins.Co. T9f� ford Address Address Tax Polio Master Permit # (D 9 Phone Pa- 60x 64/ D30 ROOFING PAVING FENCE SIGN Fire Other Building Electrical Mechanical e4 C•c•? °) Plumbing Engineering Application is hereby made for the approval of the detailed statement us ere plans and specifications herewith submitted for the build inc 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 tlrc Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the iluilcling 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 nd Address .......�/F. Registered Architect and /or Engineer . Name and addrhs of licensed contractor s !� Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State wor to be doe and purpose f building (by floors) is New Building Remodeling To be constructed of Kind of foundation STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved (Signed) APPLICATION FOR BUILDING PERMIT Date. Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT i..._..._.. �O f ...No . 3_ __ . Street_.ril _ F.si A U 69. ... 1 N' i•> e.' E / and for no other purpose. Addition Repairs No. of Stories _ f Covering Estimate Total cost of improvements $ }6 V Amount of Permit S. 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 s ecifications for said building. All rfio l es w'th re / � ferjnee to the building and its construction .. l... .7.. 3 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 s lar compliance from all coatr tors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspect' on the site of th�j ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcon •, ors, on wor /. performed under this permit, as are licensed by Miami Shores Village. Remarks._. b e sent to (. 0 M n l 7 Q) O / Y� G� ..... 7( ( Signed ) 7(31 / 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 true.. Permit No..� L`� Date.... :! Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING 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 die Planning Board. A re- inspection fee of 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anti /or workmanship.