MECHANICALDate Time
Type Insp'n �
Permit No. /s d-0
Name c=
Address
Company
Phone #
For Inspector Name & Date
r ' t/
Approve/if < it 40 L
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Re- Insp'n Fee ❑
JAS
i zC ,.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Address
n Time
Type Insp'n i' Y a
) a. `C'
Permit No. i " ('Ci c O O
Name
Date
Company
Phone #
For Inspector /�:. 0 ,Name & Date
�/' s� 4o Z
Approveli' /�
Correction / ❑
Re- Insp'n Fee ❑
;JO S Z10 6.4 z C
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 10 /11/2002
Applicant: /
Owner: ,9I16.
JOB ADDRESS: 1248 NE 98
Contractor COOL BREEZE AIR COND CORP
Local Phone: 305 - 226 -2665
Parcel # 1132050090330
Permit Status: APPROVED Permit Expiration: 4/9/2003
Construction Value:
Work: C/O SPLIT AC SYSTEM WITH & NEW S TON SPLIT AC WITH HEAT
If there is no permit nackaap acr acaikl.. - _
PAY
TO THE
ORDER OF
COOL BREEZE AIR CONDITIONING CORP 11 -01
305 - 226 -2665
13120 S.W. 130TH TER
MIAMI, FL 33186 -5895
s Q_Nr■ 11
Bank of America,
ACH Rif 063100277
f1,t-J G p
17
Mechanical Permit
Permit Number: ME2002 -143
DATE
--eus__?
a5vor
ST
Contractor's Address: 13120 SW 130 TERR
Legal Description: EARLETON SHORES PB 43 -80 LOT 6 BLK 3 LOT SIZE 75.000 X 109 OR 18779 -3323
sc75 v-D
C C r 3.0
96- a a
Total Fees: $1:90
Total Receipts: $0.00
1326
63 -4/630 FL
276
$ S �7
DOLLARS n
Page 1 of 1
Re- inspection
plication herefor in strict compliance with all
3cifications that may have been submitted to
:es or if the plans are changed without
esponsibility for a thorough knowledge of the
d that he assumes responsibility for work done
ons pertaining thereto and in strict conformity
responisibility for all work done by either
MIAMI SHORES VILLAGE
AIR CONDITION REPLACEMENT
JOB NAME PA. A✓• (c.(e.1*
ADDRESS / L /NC. � S J
Different location than above?
1. HOUSE MAIN ELECTRIC SIZE AMPS 1.C
2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE , & CIR. BKR. SIZE S FUSE SIZE SW
AIR HANDLER BRANCH CIRCUIT:WIRE SIZED, & CIR. BKR. SIZE 0 FUSE SIZE SW
3. SIZE OF EXISTING COMPRESSOR DISCONNECT: J AMPS. TYPE: FUSE I/ CIR. BKR. .
SIZE OF EXISTING AIR HANDLER DISCONNECT: 5E AMPS. TYPE: FUSE CIR. BKR.i/
4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? YES IZ NO
5. EXISTING UNIT TO BE REPLACED OR RELOCATED
NAME PLATE INFORMATION FROM EXISTING UNIT
0 .'* PACKAGE MODEL # A--
S
CONDENSOR MODEL # //(S7/ ��J A.H.U. MODEL j C_�j i / 4 i Z (A
t6
HEAT PUMP TYPE YES NO __ KW HEAT STRIP SIZE I `F L / A
CONDENSOR MINIMUM CIRCUITS AMPS 2.2 A.H.U. MINIMUM CIRCUIT AMPS '2 Z /42 10w V
MAKE L. a .,f as/ G,.(
MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE:
CONDENSOR AMP SIZE ,.r FUSE , / J✓ HACR CIR. BKR.
AIR HANDLER AMP SIZE FUSE HACR CIR. BKR. 60
EER ` /! 1 .`Y 0
EXISTING CONDITIONS
NAME PLATE INFORMATION FROM NEW UNIT BEI INSTALLED
MAKE faM ���. PACKAGE MODEL # /`-4
CONDENSOR MODEL # 4 2-P A.H.U. MODEL # C f-1 G, L- 4 l3 L '') ( tv/
HEAT PUMP TYPE YES NO (,, KW HEAT STRIP SIZE /D (C.'
CONDENSOR MINIMUM CIRCUITS AMPS 3 A.H.U. MINIMUM CIRCUIT AMPS
MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE:
CONDENSOR AMP SIZE J-1-
FUSE G O
AIR HANDLER AMP SIZE (q 0 FUSE 6, D
EER / L t,.
WIRE SIZE ID
7'
HACR CIR. SKR. t"
HACR CIR. BKR. _ f
CERTIFICATE NUMBER
Street and Number where work is to be done
Bui • rng Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT r 3
Application is hereby made for the approval of the detailed statement 01 me 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, sill ordinances of Miami Shores Village and all rules and
.regulations of the Building Division of Miami Shores Village shall be complied with, whether herein spectfi or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date ..._..._......._..... _�� ..._.__........ ,19..��
Owner's Name and Address ....41 / /i.ft q ... .01 . Street..j 1. St '
Registered Architect and /or Engineer U:,. ,.•••,,,•..,,,.,,,,..,•.•,,, ,..-,,.
Name and address of licensed contractor 4447X_ 41:2.Gsl
Location and legal description of lot to be built on:
Lot Block Subdivision
My Commission Expires
1732 s f, y
033
c7x9 24(5 TZ
State work to be done and purpose of building (by floors) _... 4..C.A.. T ... 4..t..
_.._ .and for no other purpose.
New Bui!ding Remodeling . Addition Repairs No. of Stories _
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 370.00 Amount of Permit S.. 17 5
Zone cubage required _Plan Cubage
Distance .to next nearest building Size of Building Lot .............
Maximum live load to be bome by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building i its construction may
be sent to
The undersigned applicant fur this building permit does hercby certify that he understands and accepts his rations as an employer
ot labor under the Florida Workmen's Compensation Act, being Section 5066. Compiled General Laws of Florida, Permanent Supplement,
and has complied N% ith the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him
in the work to bc performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or noticcs as arc 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)_ _......1�_
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, peraortally 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..
Perrnit No.._.._. ^ Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
PLANNING BOARD DATE
Chairman Member
\Icrr,ber Member
Member Member _ _
Council Approved Date Disapproved Date
NOTE: A charge of S1.00 will be made for making corrections or changes to this application nfter approval has been obtained from
the PI.,nnir:g llo,trd.
A re- inspection fce of SI.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
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.
APPLICATION FOR BUILDING PERMIT
Owner's Name and Address ' res-0- - c--- 1 - 01-1
Registered Architect and /or Engineer Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State work to be done an ur of b ilding (by floors)
and for no other purpose.
Remodeling Addition Repairs No. of Stories
Kind of foundation Roof Covering
Estimated Total cost of improvements $ �� S ! 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
New Building
To be constructed of
The undersigned applicant for this building pennit 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 subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks ( Sign
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
and who, being by me first duly sworn, upon oath deposes and says thit he is the -
of the above described construction, that he has carefully read the fore oing application, and that he did sign the same, and that all facts
therein by him stated are � % e.
Permit No /T _ 4 Date
Disapproved Date
( Signed)
Building Inspector
Chairman
Member
Member
Council Approved Date
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
PLANNING BOARD DATE
Date ' / — 1 �
No.b).-/ -d Street4 . .. ,1 i"
to me well known,
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
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.