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MECHANICALType Insp' Permit No. Name Address Company Phone # For Inspecctor: Approved Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Ti e fl & Date /6Dit) / — 3 / Re- Insp'nFee ❑ a .2)//aA 6,& 305 A 90 e ' 0 . 6 / PERMIT APPLICATION FOR MIAMI SHORES VILLAGE /9-42 0050 N.E. 2nd Aveenuuee•�Miami Shores, Florida 33138 • Phone: 305 -795 -2204 • Fax: 305- 756 -8972 // � Date , r Job Address 3 S �`' i i ' ( Tax Folio Legal Description Historically Designated: Yes No Owner /Lessee/Tenet &M )/ Nei/ ' Master Permit HE i � "7"0 • 8-2 ( Owner's Address _5 /`' E ?9 ` s74- Phone 9 s 75 Contracting Co. g t 1 / / r f age Address C76 6 J Y/ s f Qualifier _. l-� J N,4 av F ) 46--e) 6 SS# Phone 303 3 .t State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TQ VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): WORK DESCRIPTION: BUILDING ELECTRICAL PLUMBING 2 f /2E Square Ft. Estimated Cost (value) Notary as to Owner and/or Condo President My Commission Expires o Contrac or o r�9 l FEES: PERMIT (0 e. RADON C.C.F J . 0 NOTARY WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). 1 certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS 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. Furthermore, I authorize the above named contractor to do the work stated. ROOFING Date Date Notary as to Contractor or Owner Builder Date My Commission Expires BOND APPROVED: TOTAL DUE Zoning Q Building Electrical Mechanical f-6 94 (( t /, ov Plumbing Structural Engineer Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: ME2002 -161 Printed: 11/21/2002 Applicant: ALEXANDER MARCILLO Owner: MARCILLO ALEXANDER JOB ADDRESS: 365 NE 99 ST Contractor CENTRAL AIR REPAIR Local Phone: Parcel # 1132060135520 P?-24;-(. 60.o fz Total Fees: Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 5/17/2003 Construction Value: $1,400.00 Work: AIR DUCT REPAIR If there is no permit pac fee is $50.00, which must '! Permit is granted to the cor ordinances pertaining thereto and and approved by the proper municc authorization. A further condition i ordinances and regulations pertain by his agents, servants or employe Signed: In consideration of the issuance with the plans, drawings, statemer myself, my agent, p ants or emp -%.**. PAY TO THE ORDER OF Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 21 & E1/2 LOT 20 BLK 40 LOT SIZE R RE� �1 6763 S.W. 81st Street Miami, Florida 33143 (305) 666 -5386 Mechanical Permit Contractor's Address: Ho IO,M i SV1O rC, UNION PLANTERS BANK MIAMI, FL 33131.3200 63- 841/670 II'00 L66511' 1:067008 Loo: 11'966009 /92811° 6 SECURITY FEATURES INCLUDED. DETAILS ON BACK. 6 Page 1 of 1 CHECK NO. I� DATE AMOUNT I I —r -C3----- 13 AUTHORIZED SIGNATUR 1665 hIP Date /// ! CQ Job Address 36,5 N 6 go St Tax Folio Legal Description Owner/Lessce /Tenant Owner's Address S i c S Contracting Co. Qualifier State # Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BU LDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Uc't G Square Ft. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO M, RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCIP. CONSULT WITII YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable) certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that sepal permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applica laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Zoning 1 - Signatctre o AA bib `` '0G Notary as . 0 ncr FEES: PERMIT 1..,- • APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE l� / m- AA walk Phone 303 7,5`7- der /01/b /49m/b` • Address 76 3 S'J D I t z a f l 160 ss# " 3�GG6 0316 , - ���! Phone 1 cf- vner WY t or Condo 'resident Date nd /or Condo President Date • My Commi ,• , . xpircs: Jose Sanchez c •� :4 MY COMMISSION # CC985098 EXPIRES • E November 34 2004 BONDED 1NRU TROY FAIN INSURANCE, INC RADON C.C.F. I-Iistorically Designated: Yes No Competency # Ins. Co. Address Address Address Estimated Cost (value) S r of Contractor or Owner Builder Date 0 ,, ,,, Jose Sanchez 1 i• , MYCOMMISSION# CC985098 EXPIRES 'I I�_� Al b: ., =,. November 30, 2004 \s.ir,, ''ontra or it Date My C Building Master Permit # ission Expires: Electrical lD0 NOTARY TOTAL DUE Mechanical Plumbing Engineering va 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 DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK g 24//2) FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATI GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS 'AVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 IP STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP , HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 IP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 IP • TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 IP 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 SWIMMING POOL OUTLETS COMMERCIAL r 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 E 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 • 2 .AVIN SPRINKLER SYSTEM AS RANGE 1?ETER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APP FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEE OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Kitchen 06tii Bedroom Dinning Room k tVin7, pcorr, 1 3 Bedroom 4H boo 10 Reko);),3 rk)c. .bocts 3 .) /4 ,'/6"-- lion„)/1_ ,/2v\ I (2e Piq 6763 se,t, .106 4D1) 365 1)E )t) grf/wf + A. Kitchen Bedroom Dinning Room g P.co!Y; 10 0 • :3 Bedroom BecIrc 4J b AJOA) ri f 0 /64.14.4v/ // geoi".)//_) • e F /1 GA 1 A(- /2( cvz._ 7 (7 3 41.)bo-r,) (O,`; 1(2e 9>/"' ,()/) ; 4.(1.)//,;.1 /1///;/zu • BUSING ELECTRICAL PLUMBING ROOFINQ Owner of Building MIAMI SHORES VILLAGE, FLORIDA /13 DATE p PERMIT N9 4195 Contractor's 4,004/ License No 0 ❑ Work to be performed under this Peranit— , r plot 404..t /t 2 Ilia # 4/4 2 ,„, , Architect Contractor j or Builder " E ; ,t . " : '# s ,,. s . .J'tr:'.. Lewd Lot Description 11 N. S . vision Address of Value of ze - Amount of 6 Building Project $— I Permit $ This permit is granted to the contractor or builder' earned above to construct the building or to install the equipment or device described in the applica- tion heftier in strict oaapliawe with altardinances pertaining beseto 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 in yet 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 un rstanding that the contractor or builder named above assumes the responsibility for a thorough !mewl e= : of the ordinances and regulations pertaining to the 'wed covered hereby whether shown on the plans or drawings or in the stateiuej is or sped; • bons a he assumes respon- sibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in corn- x Toe with all ordinan» and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the pro ge authorities of Miami Shores Village. In ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or. employee. y f� isl r CONTRACTOR OR BUILDER 1� Signed. 1 1 INSPECTOR AUTHORITY ABBOT MIAMI SHDR VILLAGE BUILDING INSPECT! bN' DEPARTMENT 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. e '7eitc.fr? Owner's Name and Address Registered Architect and /or Engineer_-- - -- -- - - - - - -- 6S V - J - . 2 S# 2 ./ . =j JAc 1- PS Name and address of licensed contractor.... )d r �'S i4 -. - /- 1i Cell �.1.- f /Q, /. _ _._.•re.dz..C. d Location and legal description of lot to be built on: 97,�o 1 4 F g- " /V re Lot Block Subdivision Street and Number where work is to be done - - -- C.5 '- ,4 99 57 State work to be done and purpose of build' (by oors) •J? -P / Date t e yrA-e . and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kiwi of foundation Roof Covering Estimated Total cost of improvements $... d U - Dr Amount of Permit $ Ze‘ d 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, 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 ite of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on ork to,be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) No Street Notary Public, State of Florida ,1 9� r° y % .tdfj 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 Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector 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.