1286 NE 98 St (8)Name
Address
Company
Phone #
r
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Re
Dat
Type Insp'n
Permit No. rn CD
" 2
()3 1 \(
Inspection Date I 0 \.(
Approved f,6Q � `3 02 Correction ❑
Re- Insp'n Fee ❑
cos q3.
REEVED
JUNO2 2004
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Plumbing
Owner's Name (Fee Simple Titleholder) (fie S+.0"4 1 t Pkone 3C 1s "Nat
Owner's Address 12. 84, NE ` tg ,
City !` 1 lctwti . ores State
PoneA 3 O5• 7,.",
Alteration
Count •s. ia€n
Square Foo
Pam i Bedrooms
ew Er Rep*
osite s
Tenant/lessee Name
Job Address (where the work is being done) ( 2.
City Miami Shores Value
Is Building Historically Designated YES
Contractor's Company Name Az,
Contractor's Address P• • o" ' t l 93 0
City Ael. Cg vi
Qualifier 'l'CC'r " J
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
City
$ Value of Work For this Permit
Number of: Bays Stories
Type of Work: ['Addition
Describe Work:
County Escrow Fee $
Education/Training Fee $
Code Enforcement $
ao
Bond $
Sate F
Minus Plans Check Fee $ Total Fee Now Due $
Mi ores Village
i, D ep a 'i ent
w
OWW0
fang Shores,
Tel..
Fax
Master Plait
zip
J. Co. Pkone o . t
Phone �� 5
Permit Pee $ Irtart
Tech $ r Sorg $ Rados $ p
Struct. $
(Continued on o
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 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 , ill be charged.
NOTAR
Sign:
Print:
Signature
foregoing instrument was acknowled ed before me thisa i
g The foregoing instrument was acknowledged before me this 1 Ma
day of �__ e , 20 a'l, by , day of Ttt "i e_ , 20 Cy, b
who is€rsonally to mor who has produced who
As identification and who did take an oath.
li t!: I
i
�s: ry'' ; anet ' • z
Print: ,„ ft‘IMMISSION # � A 74033 EXPIRES
. �r �: as December . 2006
My Commissi . + : .i fires: BONDED THRU TROY FAIN INSURANCE, INC
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
My Commission Expires:
Owner or Agent
(Certificate of Competency Holder)
State Certificate or Registration No. C. A C- ® (4 Li l Certificate of Competency No.
APPLICATION APPROVED BY:
Chc7/7 /03
Wien 1 Chtyst
MYCOAIMISSION# DD113321 EXnKta
May 24, 2006
NDFat NO, LPOY FAIN INSHRAI ,q �wL.
Signature
personally known or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign: 'LCD
3 o C. 6 .x/1
~��✓ Plans Examiner
Engineer
Zoning
•
TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
T
LIGHT OUTLETS
CENTRAL HEATING (2101
WAR
RECEPTACLES
A/C (WIND)
OSAL
SERVICE TEMPORARY
A/C (CENTRAL) ( = S I C I v‘ S e t 't
,KING FOUNTAIN
SERVICE SIZE IN ALPS
DUCTWORK e,cck t Cep(QcaN+eut
REFRIGERATION
R DRAIN
SERVICE REPAIR/METER CHANGE
LSE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
RCEPTOR
RANGE TOP
UNDERGROUND TANKS
;TORY
OVEN
ABOVE GROUND TANKS
CRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
KS WASHER
MOTORS 0- 1 HP
STEAM BOILERS
;ER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
(, POT /3 COMP.
MOTORS OVER 3- 5 hP
MECHANICAL VENTILATION
<, RESIDENCE
MOTORS OVER 5- 8 If
_
TRANSPORTING ASSEMBLIES
<, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
=CRARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
NAL
MOTORS OVER 25-100 HP
COOLING TOWERS
ER CLOSET
MOTORS OVER 100 HP
VIOLATION
IRECT-WASTES
A/C WINDOW
REINSPECTION
ER SUPPLY TO:
AIR CONDITIONERS
./C UNIT
STRIP HEATER
IRE SPRINKLER
GENERATORS TRANSFORMERS
,EATER -NEW INST.
GENERATORS TRANSFORMERS
I
LATER- REPLACE
GENERATORS TRANSFORMERS
.ANN SPRINKLER -WELL
SPECIAL PURPOSE
;WIM,IING POOL
OUTLETS COMdERCIAI
CATER SERVICE
SIGN TUBES
ER CONNECTIONS
SIGN TRANSFORMERS
LITY -SEWER
SIGN TIME CLOCK
LITY -WATER
FIXTLAES
_
t
TIC TANK
ANTENNA
AY
TELEVISION OUTLETS
,INFIELD. 4' TILE/RES.
VIOLATION
P & ABANDON SEPTIC TANK
REINSPECTION
J(AGE PIT CU. FT.
CH BASIN
,
GIARGE WELL
GESTIC WELL
_A DRAIN
lF INLET 1
.AR WATER HEATER '
tE STANDPIPE
M. PIPING
•
IN SPRINKLER SYSTEM
i RANGE
•
FER SET (GAS)
3 PIPING
APPLICATION FOFt BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 6/3/2004
Applicant: CAROL
Owner: STANFILL
JOB ADDRESS: 1286 NE 98
Contractor
Local Phone: 305 - 685 -6394
Parcel # 1132050090300
Signed: (INSPECTOR)
Mechanical Permit
Permit Number: MC2004 -88
STANFILL
CAROL
ST
Contractor's Address: 2121 NW 139 ST #10
Page 1 of 1
Legal Description: EARLETON SHORES PB 43 -80 LOT 2 & E12.5FT LOT 3 BLK 3 LOT SIZE
Fees: Description Amount
FEE2004 -5607 Building Fee $150.00
FEE2004 -5608 CCF $3.00
FEE2004 -5609 Training and Education Fee $1.00
FEE2004 -5610 Technology Fee $3.75
Total Fees: $157.75
Total Fees: $157.75
Total Receipts: $0.00
Permit Status: APPLIED Permit Expiration: 11/29/2004 Construction Value: $4,710.00
Work: EXACT REPLACEMENT OF 5 TON SPLIT A/C SYSTEM
ti
,p 'AT ti
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:
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.
�
Date_ ______1 - - —
97
�' ' ;-///
Owner's Name and Address � !� 777 ✓ 7 t No.�A �6 Street A
Registered Architect and /or Engineer v
Name and address of licensed contractor .f�__2_? _ _ �� _ !-?'� d7 y '.f > L !� � e • 15 2 0 Is/: 447
Location and legal description of lot to be built on:
' p.� Block Subdivision _
Z " Z ' /2 s ° k: -,, 1 f
Street and Number where work is to be done ms
___ ___ __ .,
State work to be done and purpose of building (by floors)
f✓ /L W 4-6-1, - / G °, •00 X., c, /4 /,--• e,,
A- . r `Ord - 4 7--2. °4— e _ .._____ and for no other purpose.
New Building Remodeling Aro Addition Repairs No. of Stories
To be constructed of Kind of ouun tion Roof Covering
Estimated Total cost of improvements $ ✓ 0� i � Amount of Permit $ 1,1: e. J
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, 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 s ubcontractors, on work to performed under this
permit, as are licensed by Miami Shores Village.
Remarks -- -- - - - - -- - -- - ( Signed)
MIAMI SHORE ILLAGE
Bt.) .DING INSPECTIOrj DEPARTMENT
APPLICI TION FOR BUILDING PERMIT
Date ;__
Building Ins.. . or
Date 6 / _ Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires__
LANNING BOARD__ __ _ DATE
Chairman Member
Member Member
Member . Member
Council Approved Date Disapproved
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
Permit No P. ? .
Disapproved __
(Signed)
Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has h obtained from
the Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper not. for ins ion or faulty
materials and /or workmanship.
Miami Shores Building & Zoning Dept.
10050 N. E. 2nd. Ave.
Miami Shores, Fla.
Attention: Mr. Bradford:
Dear Sir:
Sincerely,
November 21, 1969
I have been requested by Dr. L. M. Stanfill, who owns the property
adjourning our home on the East side, to write to you in his behalf.
It is his intension to install central air conditioning in his home
at 1286 N. E. 98th St. and the condensing units for this installation
are to be located on the West side outside his garage.
I understand that he has to have my permission to do so and I hereby
inform you that I have no objection to this plan.