AC change out 20021- c,C PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204
Date G "24-0.2 Job Address ' I I V -I O - sr Tax Folio 11-32 °40 -613 " / l (30
Legal Description + C-t Historically Designated: Yes No
Owner /Lessee/Tenet 1''%C 4 PON qA^ POI epe tr4C(Master Permit # c
Owner's Address 45— Ng,- 9 Phone
Contracting Co. MOM '4 Q-'T f f) „
Qualifier 0./ Ae- eft4 Phone 1V 7` - / 7 g
State # CPU-O 1O I2O
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO 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): BUILDING ELECTRICAL PLUMBING
WORK DESCRIPTION:
Square Ft. )
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: 1 certify that all the foregoing information is accurate and that all work will be done in compli
regulating construction an onin_ Furthermore, I authorize the above named contractor to do the work stated.
/5[4
'4rnat -` Contractor or Owner Builder
own : nd/o Condo P ide t
� \-e C v cJ
FEES: PERMIT / > RADON
APPROVED:
Zoning
Mechanical C. Zr o
Municipal # Competency #
AIL 6hAkge - o LA.-
Bui ding
Plumbing
2c 62-
Date
6
e
Address earl" eccim 4.
Estimated Cost (
Notary as to C
My Commissi
Ins. Co.
with all applicable laws
ROOFING
NOTARY
TOTAL DUE ('• /ice
Electrical a •
Structural Engineer
t
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
411
A/C CENTRAL:-
if
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
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 If
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 NP
MECHANICAL VENTILATION ...
_
SINK, RESIDENCE
MOTORS OVER 5- 8 If
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
_
FIRE SPRINKLER SYSTEMS
URINAL
MOTCRS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SLPPLY T0:
AIR CONDITIONERS -
A/C UNIT
STRIP HEATER
47( C/094. t-f 06/7
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
FIXTLRES
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
_AWN SPRINKLER SYSTEM
3AS RANGE
AFTER SET (GAS)
;AS PIPING
-
ADDENDUM TO BUILDING PERMIT APPLICATION
4 4
(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
Phone: 305 - 795 -2204
Printed: 6/24/2002
Applicant: AIMEE ,
(\ Owner: SANTOS
lr JOB ADDRESS: 45
(� Contractor ALUMINART CORP
ti
Miami Shores Village
10050 NE 2nd Avenue
Local Phone: 954 - 893 - 9199
Permit Status: Approved
Work: NC CHANGE OUT
Sigeed:
NE 98
Mechanical Permit
Permit Number: ME2002 -92
SANTOS
AIMEE
ST
Contractor's Address: 5647 RODMAN ST
Permit Expiration: 12/21/2002 Construction Value: $1,473.00
Page 1 of 1
Total Fees:
Total Receipts:
Parcel # 11320601 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 16 & ALL LOT 17
75-
9-94
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspec ion
fee is $50.00, which must be paid in advance before calling for another inspection.
Signed: 9 )' -' ' L (INSPECTOR) BY:
b
stew
$0.00
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 specifications and that he assumes responsibility 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 compliance with all ordinances and regulations pertaining thereto and in strict conformity
with the plans, drawings, statementspr 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 ern • yes.
(Contractor or Builder) BY: _