135 NE 98 St (6)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date k
Type Insp'n , 7Wcl.( A k
Permit Igo. FIC M— 5
Name titlkJlVL C (. S t bt M d
Address in NT qt
Correction
Re- Insp'n Pee
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APPLICATION FOR BUILDING PERMIT
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.
Owner's Name and Address.. t
Name and address of licensed contractor
STATE OF FLORIDA,
COUNTY OF DADE. ss
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Location and legal description of lot to be built on:
Lot r Block ! .✓
Street and Number where work is to be done
,.b - g
�y..1r._..... No Street ;
Registered Architect and /or Engineer
Subdivision L..1:
State work to be done and purpose of building (by floors)
• `, (
Date .i� .e 19
,
and for no other purpose.
New Building . � Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 1 f 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
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 Su element,
and has complied with the provisions thereof, and will require similar compliance from all contractors or- ub -co rs employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspeOion on the s' a of the w rk such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on,ork to performed under this
permit, as are licensed by Miami Shores Village.
Remarks ( Signed)__;` -�= x : % �_.._ •' ��
Read, Sworn to and Subscribed before me.
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 - Date 1 .
Disapproved r Date
7 Notary Public, State of Florida
(Signed) -
Building Inspector / \ My Commission Expires
)ANNING BOARD - DATE
Chainnan 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
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.
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BUILDING
ELECTRICAL
PLUMBING
ROOF
Owner of
Architect
Contractor
or Builder
Legal
Description
Lot
MIAMI SHORES VILLAGE. FLORIDA
❑ PERMIT N° 6993
Building
Address of
Building
CONTRACTOR OR BUILDER
Work to be performed under this Permit
Bl.
v I .>
Subdi-
vision
Value of
Project $ / —
DATE "'
C
Contractor's
Z.4 i •
License No.
195
C..
Amount of t
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in,,the statements or specification& and that he assumes responsibility for work
done by his agents, servants or employees. ",
Signed. G tJi j /
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY \_ AUTHORITY
Mechanical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: MC2004 -51
Printed: 4/26/2004
Applicant: GUILLERMINA SAEHLBRANDT
Owner: SAEHLBRANDT GUILLERMINA
JOB ADDRESS: 135 NE 98 ST
Contractor E. T. AIR CONDITIONING, INC. Contractor's Address: 302 E. 34TH ST.
Local Phone: 305 - 885 -4127
Parcel # 1132060132310
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 19 BLK 17 LOT SIZE 50.000 X
Fees: Description Amount
FEE2004 -4129 Building Fee $100.00
FEE2004 -4130 CCF $1.20
FEE2004 -4131 Notary Fee $5.00
FEE2004 -4132 Training and Education Fee $0.40
FEE2004 -4133 Technology Fee $2.50
Total Fees: $109.10
Total Fees: $101g
Total Receipts: $0.00
5q -I0
Permit Status: APPROVED Permit Expiration: 10/12/2004 Construction Value: $1,900.00
Work: REPLACEMENT OF A/C UNIT
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:
Phone #
MIAMI SHORES VILLAG
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 10lig
Type Insp'n
Permit No. I`'(c, (DO — 51
Name 6nri I rCl
Address 13 J 1 \1 4 11134 -
Company ej /I 1 C
3OS - - 012-7
Inspection Date 10I IS .
Approved
Correction ❑
Re- Insp'n Fee ❑
004 /9.0/o,/,4
Miami Shores Village r IREt E b
Building Department APR 1 5 2004
. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Plumbing
Owner's Name (Fee Simple Titleholder)6u/ L 1. EflMt/nf/) /..D1 Phone # . (3 o,S) 67q -899 /9
Owner's Address q25 ft /i) b 4 t E 1 6p7; /.2. 0 9
City,.f /g,t,) / B LE 1( State c d Zip 3,?/,g
Tenant/Lessee Name Phone #
Job Address (where the work is being done) / 3 /l) GI 8
City Miami Shores Village
Is Building Historically Designated YES NO
Contractor's Company Name Fr %p/ Y- co., /4; Phone # 04- e VS
7
Contractor's ddress 36 E 2S i3j {G S,
City / ,e,t % State /�� • Zip 3 0/,?
Qualifier O` it 2 lie /2 p � ti° �" A/9 c ' -e —
$ Value of Work For this Permit
Total Fee Now Due $
(Continued on opposite side)
700 •DD
County Miami -Dade
Type of Work: ❑Addition JJ ['Alteration ❑New
Describe Work: 1 p J� /-
f
Permit No. 1'"[ C2o0y - s
Master Permit No.
Architect/Engineer's Name (if applicable) Phone #
Mechanical
Square Footage Of Work:
C�S n , * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ 5C3 • 00 Permit Fee $ (� o CCF $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
CO /CC
Roofing
Zip
Repair/Replace ❑ Demolition
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 A1R 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 be approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent
The foregoing in trument was acknowledged before me this )5 The foregoing instrument was acknowledged before me this 1 5
day of 200g, by 6) i I l(l � bt(J4 day of r'� , 20 by by Cil2CAY O lie irCLaj-eft
who is pe sonally known to me or who has produced who is personally known to me or who has produced
Sign:
Print:
As identification and who did take an oath.
NOTARY
`OSP(iY Pu g
My Commission E .
tr •
.tr
APPLICATION APPROVED BY:
Chc 12/15/03
OF F. �
Sign:
Print:
State Certificate or Registration No. Certificate of Competency No.
identification and who did take an oath.
NOTARY PUBLIC'
• _LAM
r/° Mifil
8
Commission #13D231984 My Commission Expires: 9... o �Q; cp''es:'t,i I3, 200`/
Exlires: iu , 200'! OF Bonded Thru
** *'LvdmAr 13 ttei ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * *WA4A x�irro Inc.
Atlantic (tEitifiatAif Competency Holder)
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING //10 fir,./
DISHWASHER
RECEPTACLES
A/C (WIN))
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) 44. 1 /v
DRINKING FOUNTAIN
SERVICE SIZE IN /WS
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 COM'.
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 TRANSFORMERS
HEATER — REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER —WELL
SPECIAL PURPOSE
SWIMAING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY —SEWER
SIGN TIME CLOCK
UTILITY —WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. 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
e t
(AN APPLICAT ; IGN 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
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL