MECHANICAL39 00 vflz MIAMI SHORES VILLA
Z
BUILDING DEPARTMENT (149,
o
Building Inspection Request
Date ) 121 a
Type Insp'n /N
Permit No. MC-IBS 4'
Name 2C,13 2c —iCR'
Address 21'el ST
Company l CG � .4
Phone # C766) /
�t 113/ oS
4.ed_. 05
Inspection Date
Approved
Correction
Re -Insp' n Fee
X13
MIAMI SHORES VILLAG Ze
BUILDING DEPARTMENT 6'
305- 795 -2204
Building Inspection Request
Date 11
Type Insp'n t " n a I Ale
Permit No. rCDb — 4
Name RQber f0 2cpd r3CJeZ
Address 2 - 6 9
Compan _ 1 CE T- ci rr C p_
Phone #
Inspection Date 9 `E 1 OJ
Approved
Correction
Re- Insp'n Fee
Contractor THE ICE TEAM CORP.
Local Phone: 305/385 -3880
Parcel # 1132060134570
Signed:
(INSPECTOR)
Mechanical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: MC2005 -4
Printed: 9/13/2005
Applicant: ROBERTO RODRIGUEZ
Owner: RODRIGUEZ ROBERTO
JOB ADDRESS: 269 NE 99 ST
Contractor's Address: 3274 NW 38 ST
Permit Status: APPROVED Permit Expiration: 4/30/2006 Construction Value: $6,825.00
Work: ONE NEW UNIT AND REPLACE
Page 1 of 1
Legal Description: MIAMI - SHORES SEC 1 AMD PB 10 -70 LOT 20 & 21 BLK 33 LOT SIZE 100.000
Fees: Description Amount
FEE2005 -478 Building Fee $238.87
FEE2005 -479 CCF $4.20
FEE2005 -480 Training and Education Fee $1.40
FEE2005 -481 Technology Fee $5.97
FEE2005 -482 Submittal Fee ($50.00)
FEE2005 -12341 Building Fee $100.00
Total Fees: $300.44
Total Fees: $300.44
Total Receipts: $200.44
9, �►
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:
SEP 13 PAID
rrr c
BUILDING
PERMIT APPLICATIO
FBC 2001
Permit Type (circle):
City l,t UL OLUU1 et State
Tenant/Lessee Name TA
Contractor's Company Name
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Type of Work: ['Addition
Descri Work:
Total Fee Now Due $
2 614,1 S 5 i(A--
(Continued on opposite side)
iami Shores Village
ilding Department
i'10" 0 N.E.2nd Avenue, Miami Shores, Florida 33138
g 2�
['Alteration ❑New
(
WED ERa:,;.,L305) 756.8972
:P ` 26115
Building E l
Owner's Name (Fee Simple Titleholder) Z�eeja Kip ekt.t
Owner's Address 2 5 `, C- c-
Zi Mechanical
tt attpf Arta
: Phone #
Zip
Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
State Certificate or Registration No. CA. C_ 181. 2 o Certificate of Co .ete
G � 2
Permit No. MCOE —
Master Permit No.
`.46' IY) C6) 7"
Contractor's Address 32 7 T / LtJ 3 S .N
City C,t./L.t [,uvt / State Zip
33 14 2.
Qualifier L oan) G tts -- wIcL.
****************************F
Submittal Submittal Fee $ Permit Fee $ 1 V V
Roofing
Zip
Phone # 307 ' " " 3 8 s . -
Square Footage Of Work:
❑ Repair/Replace ❑ Demolition
CCF $ CO /CC
Notary $ Training/Education Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Technology Fee $
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: 1 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 Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 by , day of , 20 by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires: My Commission Expires:
********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * ** ***7 ** * * * * * * *s * * * ** * * * *s * *s * * * * * * * * * * * *s **
APPLICATION APPROVED BY: (/ Plans Examiner
Engineer
Zoning
chc 05/13/03
r
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical
Owner's Name (Fee Simple Titleholder) V
Owner's Address 1 IVY E
City NA t&'i -' Sit z � State Ft..
Tenant/Lessee Name N/ l�
Job Address (where the work is being done) a /`' � �
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated
I
Contractor's Company Name -: • 7 /
Contractor's Address 3 2 /
City / /4 /�'I /
Qualifier Lim/ 1( C_
State Certificate or Registration No. CA a 1, 3 p,3
Architect/Engineer's Name (if applicable)
6@ '4iC;C)
$ Value of Work For this Permit .]
CIC
Submittal Fee Permit Fee $
Total Fee Now Due $
(Continued on opposite side)
1
Tel: (305) 795.2204 Fax: (305) 756.8972
YES NO
h 1 CG Ge,
vi/ 3 7 --
go 0 Li+
Miami Shores Village
Building Department ' .! 11viEaD
0050 N.E.2nd Avenue, Miami Shores, Florida 33138 �; 'j115
Plumbing `Mechanical _) Roofing
X 11 �(fir)r
ui 1 c d� Phone # ?C ?S — =f ► —
State P70 ,2(`/J4 Zip 33/' 2 - -
C o O/ 7
Structural Plan Review. $
Permit No.
Master Permit No.
Zip 33I.3
Phone #
Phone # 305-38) 3 Ye M
Certificate of Competency No.
Phone #
Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration Tew ) Repair/Replace
Describe Work: ONE Na(W Leer { ? azed ✓ � LZG2 r(,l'0
4
❑ Demolition
13% ...„
* * * * * * * * * * * * * * * * * * * * * * * * * ******************************
(� t e ? CCF $ • ZO CO /CC
Notary $ ' Training/Education Fee $ 1 ' "[ Technology Fee $ ,.) • 1
Scanning $ Radon $ Zoning Bond $
Code Enforcement $
Bonding Company's Name (if applicable)
Bonding Company's Address F_
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 wilJ1(tie approved and a per-Sion fee will be charged.
Signature
_ _` - Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 , by
who is personally known to me or who has produced
.r.
ITS I VERo. -.
1 ' rr 1
1
P .
EXPIRES: September 18, 2006
Bonded Thru Notary Public Underwriters
NOTARY PUB
Sign:
Print:
My Commissi
Chc 05/13/03
As
entification and who did take an oath.
Signature
r C ntractor
The foregoing instrument was acknowledged before me this
day of , 20 _ , by
who is personally known to me or who has produced
tific. on and who did take an oath.
ao
EXPIRES: September 18, 2006
10 gd Thru Notary Public Underwriters
NOTARY PUBLIC:
Sign:
Print:
My Co
* * * * * * * * * * * * * * * * * * * * * * * * * * * **
* * * * * * * * * * * * * * * * * * * * * * * * * * * **
********************* * * * * ** * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * ** * * * * ** ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: t b
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)
/V
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
I/
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE MOUND 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
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES -
A/C WINDOW
REINSPECTION
WATER SUPPLY T0:
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
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
GRAINFIELD, 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
" 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
RR
U
P p 0fL •
,� l
y5 .14 /
C
"A)
z„,duitipA/
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date j T IC6
Type Insp'n na i Ale
Permit No. N CD - 4-
Name Ro r + ) 2od r�c - L
Address 269 94 s1-
Company rhe I CE. ?'CCi
Phone# (l & )2-56 - 63 7 1
Inspection Date 9 1e) 1 05
Approved
Correction
Re- Insp'n Fee
0
Ref (rice_ -,
- Pecaaj Luer 1:
R
2 T'S
-Pex-C-e_age_
c&n
,5
Thiis ; '03
NOTICE' OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO.
STATE OF FLORIDA.
COUNTY OF MIAMI -DADE:
TAX FOLIO NO.
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/address:
�9 g 99 s /V i it ko4s
2os O Lk 33 NlkvviJHo L s ate-, /
2..Description of improvement: R 2ce �'`c'_: n J /�/ o-uJ eL/V 2.U) Aye: CGl 4'77
6e,y ?o . bt gz / cl / ;e. Arikt
3. Owner(s) name and address:
Interest in property: /Do 0 U
Name and address of fee simp a titleholder: S evt
4. Contractor's name and address: 7 & ./
, /utJ, I LTfoe. /V),C;,G(,Ca- C . 2 , 3 / - t 2
5. Surety: (Payment bond required by owner from contractor, if any) STATE OF FLORIDA. COUNTY OF DADS
Name and address:
Amount of bond $
6. Lender's name and address:
T
1111 1111111111111111111111111111 11111 I I I 1 1111
CFN 2005R0064-673
OR 614 23014 Ps 4413; (1PS)
RECORDED 01/20/2005 14:36:04
HARVEY RUVIN, CLERK. OF COURT
MIAMI -DADE COUNTY? FLORIDA
LAST PAGE
7. Persons within the state of Florida designated by Owner upon wh
provided by Section 713.13(1)(a)7., Florida Statute l,
Name and address: Uci/J A/ eo A
/Y� ' 22 .S fry FOs� _ / f-4. 3 3/93
8. In addition to himself, Owners 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:
Oration date is 1 year from the date of recording unless a
9. Expiration ate of this Notice of Commencement:
different
Sign: - of Ow
Print Owner's Name
Sworn to and subscrib
Notary Public
Print Notary's Nam
My commission expir
123.01 -52 PAGE 4 8/02
1
CE 2-\ ) U-e Pr€pared by
20 OST
Address: 7 Ci A/74v3(
Gu vt.aocza:
33/Z2_
sd"--
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: MC2005 -4
Printed: 1/12/2005
Applicant: ROBERTO RODRIGUEZ
Owner: RODRIGUEZ ROBERTO
JOB ADDRESS: 269 NE 99 ST
Contractor THE ICE TEAM CORP.
Local Phone: 305/385 -3880
Parcel # 1132060134570
Contractor's Address: 3274 NW 38 ST
Fees: Description Amount
FEE2005 -478 Building Fee $238.87
FEE2005 -479 CCF $4.20
FEE2005 -480 Training and Education Fee $1.40
FEE2005 -481 Technology Fee $5.97
FEE2005 -482 Submittal Fee ($50.00)
Total Fees: $200.44
Total Fees: $200.44
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 7/6/2005 Construction Value:
Work: ONE NEW UNIT AND REPLACE
Signed: (INSPECTOR)
Mechanical Permit
Page 1 of 1
Legal Description: MIAMI - SHORES SEC 1 AMD PB 10 -70 LOT 20 & 21 BLK 33 LOT SIZE 100.000
JAD 2 8 PAID
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: