Loading...
347 NE 98 St (6)BUILDING L-,% PERMIT APPLICATION S !; FBC 2001 Permit Type (circle): Building Electrica ' Plumbing (Mechanical Roofing Owner's Name (Fee Simple Titleholder) �),ac Phone # �� 7J'/ - aims.) Owner's Address .3i7 / A fr City 1" State 1Z. Zip Tenant/Lessee Name Job Address (where the work is being done) J'-1 ? - &r. 17e f�T City Miami Shores Village County Miami -Dade Is Building Historically Designated YES (1\ to Contractor's Company Name \ 2zwZZ r <— o_ c � Submittal Fee $_ Permit Fee $ Notary $ Training /Education Fee $ Total Fee Now Due $ 1 1 - DO (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 TO: ,(_3A5PY5 2Q4 Ell) 756.8972 a ttt L d.a.o.sP. C, • Master Permit No. Phone # Permit NoNC C — 12-5 Zip Phone # etas "t Contractor's Address G I' ) LO z . 'S r . City Patt, ,,.r.t •rx •i" State .,, Zip .53 ' Qualifier,�,� State Certificate or Registration No. Certificate of Competency No. Architect /Engineer's Name (if applicable) $ Value of Work For this Permit a. oc. . Square Footage Of Work: Type of Work: ❑Addition ❑Alteration [New Phone # CR Repair /Replace ❑ Demolition Describe Work: xA -.z C.LA ea.ac, <.. , I�.a 00 �."b t— j"- **************************** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** jt> 0.80 . CCF $ 2. • 40 CO /CC Technology Fee $ Z.8 . Scanning $ 3.00 Radon $ Zoning Bond $ Code Enforcement: $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 0 .0 0330 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. 1 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 COMM ENCEMENT." 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 e absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature* NOTAR Print: Owner or Agent The foregoing instrument was acknowledged before me thig'` 7 * The for day of , by ��t2(�� -� �dof rr r who is persona y known to me or who has produced P u • ,As No '• -%• Es: MICHAEL K. Public - State of Florida ...• Jan 16 1748 idati • • • a Ass . My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ° * * * * * * APPLICATION APPROVED BY: Chc 05/13/03 id take an oath. Signature Contractor ment was acknowledged be re me th P known to me or who has produced ifi ation and who did take an oath. Print: My Commission Expires: * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Parcel # 1132060135621 Signed: (INSPECTOR) Mechanical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: MC2005 -125 Printed: 9/7/2005 Applicant: CARL SPRINGFELS Owner: SPRINGFELS CARL JOB ADDRESS: 347 NE 98 ST Contractor TRINITY AIR CONDITIONING CO INC Contractor's Address: 13535 SW 88 AVENUE Local Phone: 305 - 256 - 9099 Permit Status: APPROVED Permit Expiration: 2/28/2006 Construction Value: $3,200.00 Work: EXACT CHANGE OUT OF 5 TON CONDENSING UNIT Page 1 of 1 Legal Description: 1 53 41 -6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 16 & 17 BLK 41 Fees: Description Amount FEE2005 -12093 Building Fee $112.00 FEE2005 -12094 CCF $2.40 FEE2005 -12095 Training and Education Fee $0.80 FEE2005 -12096 Technology Fee $2.80 FEE2005 -12097 Scanning Fee $3.00 Total Fees: $121.00 Total Fees: $121.00 Total Receipts: $0.00 06PAID G - � t 4 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: ADDENDUM TO BUILDING PERMIT APPLICATION (AN ArtLI.CATION 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 ITEM BATH T1B UNIT FEE ITEM UNIT SWITCH OUTLETS FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING A/C (WIND) RECEPTACLES DISHWASHER SERV ICE TEMPORARY A/C (CENTRAL) s Imo,) s DISPOSAL DRINKING FOUNTAIN SERVICE SIZE IN AMPS DIET WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GR0UIO TANKS LA'JNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS S INK, POT /3 COW. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP F IRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 If COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION IND IRECT WASTES A/C WINDOW REINSPECT ION 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 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 DRAINFIELD, 4 TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECT ION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER i. FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) I { GAS PIPIW ADDENDUM TO BUILDING PERMIT APPLICATION (AN ArtLI.CATION 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 Phone # Inspection Date Approved Correction Re- Insp'n Fee 3 II MIAMI SHORES VILL� ' ,� BUILDING DEPARTMENI6>, 305- 795 -2204 Building Inspection Request Date 9i1 605 Type Insp'n I I ✓)CL 1 1,,0idf1aog U l� Permit No. /4C•2W J -/15 Name rI a94fC�" /5 G} Address 3 4 NE (0 57 Company Trl N I 1 U Niv' (t1 1 17010• 3 a5 (2-56 - CIO gq 9(i21U5 , g 14 5 4 7/3`dS 0 Owners Name and Address._C..L.I....�.. -!•� Registered Architect and /or Engineer MIAMI SHORES VBLL E BUILDING INSPECTION DEPARTMENT P + 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. Date .._4,r4 Z 4 No 3 41 Street 19 4w ,., i>ll • 18 Name and address of licensed contractorIl .P_DOO ICrAa . et,?4.-f 4.114. 1.t_k4.._S.a 4 .p!✓;,.p.,._ 2.41,47. L. 8 1.442c Location and legal description of lot to be built on: µta4k...C•At•f • Lot Block Subdivision Street and Number where work is to be done a'4° 1 ice• �. • ti: *L State work to be done and purpose of building (by floors) S TeaN a. l it V • C'.s LE _ STATE OF FLORIDA, COUNTY OF DADE. ss. 614. Cos -310 and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering o• Estimated Total cost of improvements $.__2_Z_00 Amount of Permit $ L_C) — 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 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 (Signed )(`c�.�al_m.4 p 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 " .2 - S f t — Date Read, Sworn to and Subscribed before me. Disapproved te Notary Public, State of Florida (Signed) ng nspector 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 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.