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821 NE 99 St (7)CONTRACTOR Name ?41 rvt MC ` , ' v fI No. co ?g 3 Address a 0 J 0 /V' ii ,. ; /6.___3 S T /13/4m/ 44llf�i � L '3©/el Telephone) s": 7 ..?S'rS -Fax t'� ) A / Qualifier Name To Qi4v 3 �f i // PROPERTY OWNER Name � Address 82 _, 4 9 / . ' 3 1.x$ �r ,; -� o H f Telephone ) _ , ^/‘ S�3 Business Telephone 345.s-N_ 3 G c 6 ! q / Fax 3 °5 _ � 3 , --q65 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Job Address: Tenant Information Master Permit No. Subsidiary Permit No. PERMIT APPLICATION Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION F2 /,a/,ERJ Address Folio Numbed/ 30200 03/f 0 C/ Lot /541/ Block / 6/ SubdivisioniVmmeninfoCPB if PG 3 3 Current Use of Property ICES /DE/VP Proposed Use of Property PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax twd-hil 5ija te . 33/3e City State Zip Description of Work R4PL c L 1I�GLDC/W Co uDEivS /AJ& U l/ r rofz oP$Ti/LS 5k c 1oa Zoning Linear Feet Square Feet Units Floors Value of Work. /S Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. 1. AFFIDAVIT- Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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 ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1 Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. Print Name Sworn to and subscribed before me this 2-2—day of D SEAL: Signature of Notary Public - State of r oridaa ,1:\sc. wa•. Caridad Ley Trujillo ',; MY COMMISSION 0 CC832051 EXPIRES August 2 2003 AO BONDED THRU TROY FAIN INSURANCE INC STA Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this ar • V c / ' � aure ta"MC t' BY It cP d ' ANGE .N1 BECK 1�/ , 0 COpgSStON NU670ER vU'- Q CC786697 q. BAY COMVISE EXPIRES SE PERMIT APPLICATION AMI -DADE day of Personally known OR, Produced Identification Personally known I! OR, Produced Identification it / Type of Identification Produced: Type of Identification Producecl�� 1. K 1 j 3 13"7 [9 0 ° ( a 1 D ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs = : A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New NIECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons 1M Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping = : Cap - Fixture Bath Fan - Vented, # - . Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE, Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical Mechanical & o °7, Z S, a Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY Atad • Dl OWNER - BUILDER FORM (Attach) O FIRE DEPARTMENT APPROVAL (Commercial / multi- family) • CONCURRENCY (New Construction) La OTHER (Specify & Attach) $3.00 per page (Scanning Fee) $ Miami Shores Village Bond $ Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ® PROOF OF OWNERSHIP (Attach) ® HRS / DERM APPROVAL (Septic / Sewer) LI IMPACT FEE (New Construction) CI OTHER (Specify & Attach) P'R)\1i17' FEES 0 ) $ (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION • CONDO ASSOCIATION APPROVAL (Attach) • BPR APPROVAL (Restaurants) • CONTRACTOR REGISTRATION (On File) TOTAL $ vL , DATE: L CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL a (305) 795 -2207 o FAX (305) 756 -8972 0 http:/ /www.miamishoresvillage.com PALM AIR, INC. 257 N.E. 103RD ST. MIAMI SHORES, FL 33138 (JS- 7^-7514/5' ACH R/T 063100277 For l ed& ( 1:063100 2??': 0 Q36008693S 311' 3.966 OClur 40 gmeo can 's vrcanc r1,31mflnT7 3966 Date 1 / , 1 l� 63-27/631 988 FL Order of % //f ja.4-4-4a- v txx- -as o I $ 66, P-0 4 -) .e Dollars 8 n o dmerica, Critmt^_Arrlr.ZE:.1li �T.: tY_l_LCFU1S:t' =.a�� __�Ll :11_T5'+_�7��'fII���r: __'v�➢31RiG:3'.L.wYw' -.Ly R �:J GUARDIANIDSAFETY BLUE DEBL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/25/2002 Applicant: FRANCIS Owner: ENBERG JOB ADDRESS: 821 NE 99 Contractor PALM AIR INC Local Phone: NONE Parcel # 1132060340110 ac n o cc,c44 .i c-; .00 Total Fees: $0.00 Total Receipts: $0.00 Permit Status: Approved PernS Expiration: 1/21/2003 Construction Value: $1,500.00 Work: REPLACE & RELOCATE CONDENSING UNIT FOR UPSTAIRS SECTION If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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 fora 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. Mechanical Permit Permit Number: ME2002 -108 ENBERG FRANCIS ST Contractor's Address: 6010 NW 153 STREET Page 1 of 1 Legal Description: MIAMI SHORES SEC 8 PB 14 -33 LOT 15 & W1/2 OF LOT 16 BLK 169 cc Signed: (INSPECTOR) BY: 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. (Contractor or Builder) BY: • I 07/22/2002 09:12 305- 471 -0113 it' JOB NAME ADDRESS 3:ocatiori than ; abo v e ? • EXISTING CONDITIONS 1. HOUSE MAIN ELECTRIC SIZE AMPS _ 2()e) WIRE SIZE 2. cOMPRESSCR ERANCH CIRCUIT: WIRE SISE12_, & CIR. BRR. SIZE 43,0 FUSE SIZE`� 3W AIR HANDLER BRANCH CIRCUIT :WIRE SIZE 4, & CIR. SKR. SIZE,"() FUSS SITE SIR 3. SIZE OF EXISTING COMPRESSOR DISCONNECT: :GL AMPS. TYPE: FUSE ` ! d CIR. SKR.6D SIZE OF EXISTING AIR HANDLER DISCONNECT• AMPS. TYPE! BusE CIR. BXR.Jgz.) 4. Is DISCONNECT WITHIN SYGNT AND READILY A o S s BLE? YES a � 5. EXISTING UNIT TO BE REP .ACED V "-- OR R2E0C +TED NIKE PLATE INFCRMAT1QN ?ROM EXISTING UNIT MAID 3 MEd PACKAGE MODEL # CONDENSCR2 MODEL .11 - '" 3 C-444Ae H.U. Yi0DEL ENAT PUMP TYPE YES NO KW HEAT STRIP SIZE _ CONDENSOR Ni1NtHUM CIRCQITS AMPS A.S.U. MINIMUM CIRCUIT AMPS MAXIMUM oVERCURRENT PROTECTION SIZE AND T1PE: CONDENSOR AMP SIZE TUEE MACR CIR. SKR. AIR HANDLER AMP SIZE FUSE MACR CIR. EKR. • ESR MIAMI SHORES VILLAGE AIR OONOITION REPLACEMENT , ¢/a/GAs n/,‘ NAME PLATE INFORMATION PROM NEW UNIT BEING INSTALLED .MAKE KE � ._.. Ft N 17 PACKAGE MODEL CONDENSOR MODEL #` C K(. 2 &/ / 1 A.E.U. MODEL. # !BAT PUMP T'XPE YES NO 4/S4 15 BEAT STRIP SIZE CONDENSOR MINIMUM CIRCDITS AMPS A.H.U. MINIMUM CI_A.CUIT AMPS — - MAXIMUM OVERCURRENT PP.OTECTION SIZE AND TYPE* CONDENSOR AMP SIZE 2.Q FUSE — LIACP CIR. fit. AIR HANDLER AMP SIZE FUSE HACR CIR. ERR. FIX A FAX LASER IND PAGE 02 C c0"3 CERTIF LCATE NUMBER •worsiMit=Mir■ 502 N.W. 701 STREET, ZIPTE 202 MANI, FLORIDA 33121 TELEPKNE: (303) 2204171 FAX t301 1534,7g22 FOC/D# BOUNDARY SURVEY Scale f; .20 )1 3,.204 ON olio • ?ere. / De /t:re Atp 5 • Gon/C- D 1V(AdAy Az4ex 4leeve- to to R/ 1' /va 4 ".44' /VA r PvAetr • • / /./•'12" A45 2/3.) 7,C .1=1/.4.47 Aurinvors Jxu LAND SURVEYORct 9, , 7 SURVEY NO. SHEET NO. /A • AfriA 4 0 e .90 $* /co' I.' cig69/ • OF A5.ekz. 9 CONTRACTOR Name Name ° �, v , Name 2� S /-• POOLs Address 22/ oE- 9 License No. home Telephone .3 65 - 7.J /,. /64_5 Address /Roc) 10E ` /5 . / ,0 •/-? ism / /2. 57 3.3 /62. Telephons5 r J Fax o— 7 / 31e, Qualifier Name /9 1 66L. x s _ ' / Shell Only PROPERTY OWNER Name Name ° �, v , Enclosure Address 22/ oE- 9 s/ "7 home Telephone .3 65 - 7.J /,. /64_5 Business Telephone 5 _ Age — 94,4 � Fax Demolish ENGINEER p t _ e ` 1 Name License No. Enclosure Address er ^c3 „I7 �_ Telephone JOj 27 0 rks Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: � • 41.8 IL =ice "' — Step 1. Complete the attached permit application which must be si ng ed b the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: Z/ Address 9q sr Apt. Master Permit No. Subsidiary Permit N City Folio Number q Description of Work Lot / Block /6 / PERMIT APPLICATION /,1 � -'G 33/38 State Zip i L.s7 // "1)9 PeM/O Subdivision 6 PB i PG `3 3 Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work / J f 0 D Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. P / 0 " Address Telephone Fax Page 2 INIPORTANTNOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. .AFFIDAVIT i.. Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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 ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The No ice .. ommencement must be recorded at: 22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Co enc * +st be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the bro re at- all on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification Type of Identification Produced: PERMIT APPLICATION Prin Name Sworn to and subscribed before me ZO OUNTY OF MIAMI -DADE day of tat ILIANXTORRES s5 COMMISSION NUMBER CC840462 71' OF f U„Q.O MY COMMISSION EXPIRES MAY 26,2003 Signature of Not SEAL: Personally known OR. Produced Identification Type of Identification Produced: v 0 PAY TO THE ORDER OF Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/30/2002 Applicant: FRANCIS Owner: ENBERG JOB ADDRESS: 821 NE 99 Contractor ESSIG POOLS Local Phone: Parcel # 1132060340110 Permit Status: Approved Work: HEAT PUMP ESSIG POOLS, INC. 1800 NE 151ST STREET NORTH MIAMI, FL 33162 hem dt-c a ©/ 'Mellon United National Bank �Q � � Miopii. Floitlo �� _ W wr FOR 00869318 1:067009646 00 2 1 1 3 30 2011' Mechanical Permit Permit Number: ME2002 -108 ENBERG FRANCIS ST Contractor's Address: Legal Description: MIAMI SHORES SEC 8 PB 14 -33 LOT 15 & W1/2 OF LOT 16 BLK 169 Fees: FEE2002 -4192 Description Building Permit Application Fee Total Fees: Amount $60.00 $60.00 Total Fees: $60.00 Total Receipts: $0.00 Permit Expiration: 1/21/2003 Construction Value: $1,500.00 If there is no nprmit narkanc accpccihtem nn them inh -citem few inc.,ne.+i+rc *es ..a,ra.. +{.r r.....al L... DATE 86918 r [ -c 63-9642 70 670 DOLLARS B Page 1 of 1 Re- inspection X lication herefor in strict compliance with all :ifications that may have been submitted to :s or if the plans are changed without iponsibility for a thorough knowledge of the I that he assumes responsibility for work done Dns pertaining thereto and in strict conformity responisibility for all work done by either ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs ) A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. I Septic Connection Repair Circuits Water Ileater Draintield, 4" Tile /Res. Dishwasher Lavatory Low -volt, Television Septic Tank Service, Number of Amps Water Heater New Drains, Area MECHANICAL TYPE *0 ' ' Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Pqr Inspections Barbecue Fire Sprinkler System Process/Pressure Piping 47 P✓ M/a (' ) Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well , Laundry Tray' I Septic Connection Water Ileater Draintield, 4" Tile /Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Pagel PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED 13Y: DATE: SECTION BY DATE Zoning Electrical Mechanical t- ,> 0 7 • Z Z• a L Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST D OWNER - BUILDER FORM (Attach) D FIRE DEPARTMENT APPROVAL (Commercial / multi- family) D CONCURRENCY (New Construction) U OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review D PROOF OF OWNERSHIP (Attach) • HRS / DERM APPROVAL (Septic / Sewer) D IMPACT FEE (New Construction) D OTHER (Specify & Attach) Metropolitan Dade County (C.C.F.) (sq.ft. = x/1000 x 0.60) $ REVIEWED AND PREPARED BY: (0.005 /sq.ft.) (0.01 /sq.ft.) PERMIT APPLICATION D CONDO ASSOCIATION APPROVAL (Attach) D BPR APPROVAL (Restaurants) D CONTRACTOR REGISTRATION (On File) PERNIhT�FEES TOTAL ISSUING,OEFICIAL DATE: .CONDITION OFAPPROVAL. Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3/ /0 1 Job Address 02 1 Af E. 9 q Tax Folio L/ 3 2 D 6 b 3 5 o I/ Loris wes -r l/, o jLo 77,(iN 5 / 69 1/ Legal Descriptions uB D / v e 1 � s SSG # f ,' w, t/ 5h4 A �CG r � Historically Designated: Yes No Owner/Lessee / Tenant Owner's Address F2_1 Qv. L, 9 9 3T At-r J\- # , Jc Qualifier (� 6 a KR.0 AB T!-1 State # CAC o 3 6 3'3 Municipal # Competency # Contracting Co. Architect/Engineer Bonding Company Mortgagor Notary as to Owner and/or Condo 'dent Date -My Expires: "y Carldad ley Trujillo ..__ MY COMMISSION* CC832051 EXPIRES 4 ,` August 2 2003 .., �, BONDED TNRU TROY FAIN MURANO, INC 5 FEES: PERMIT 7 '' RADON APPROVED: Zoning 1.-4-60c/s Building Master Permit # Phone 3 l) 5 - 75 - / 6 6 3 Address (, n 4%) (t1 W. / C3 5 ss# . Phone 30`5"-- - 7/s - 8' 73 V rr/ /9-2V 4-'-J Address Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICALL ROOFING PAVING FENCE SIGN WORK DESCRIPTION .1 (� V)1 -1 /J rz n1 ��C "1" /r /!M r D � — Co Afb C W aJ ZQj t) l l' Square Ft. Estimated Cost (value) :2 yoof-g-- 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 OF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH 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). I 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 ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and e the above -named contractor to do the work stated. Signature of Contractor or Notary as to Contractor or Own My Commission Ex : *: iy Caridad Ley Trujillo i � ; s MY COMMISSION * CC832051 EXPIRES August 2, 2003 BONDED THRU TROY FAIN INSURANCE, INC C.C.F. / ' 2v NOTARY "1 BOND Electrical Ins. Co. .fc )4116 uil TOTAL DUE 5/9Z?/ Dafe 0/ Mechanical ( > > 7 ' d / Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date . 7 Job Address ?a. / �g. t, ! 9 .s f Tax Folio // °03 T "d )lo r13 &CT / 6 Legal Description 8 C.00 /c G SAC' no , Owner/Lessee / Tenant E-1) L s/t/ 9,'t Master Permit # Owner's Address ?c /l/. L - 9 9 Jr • Contracting Co. P/4 L(Y �} l/Z � / NC- Qualifier Raga ? — ,e o -7 State # CM-co 36q8 3 Municipal # Competency # Address Address J caner and/or Condo President mission Expires: U r 7 di I.1P APPROVED: Zoning Mechanical ' Plumbing / A D /te 1z12z19 Historically Designated: Yes No Phone '? -5 Address ( 0/ p yl1- SS# - Phone I S 75 VS Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ROOFING PAVING FENCE SIGN WORK DESCRIPTION ./774 !/e. A1 1C Co,v e.su_r4X i g.011/1 /)Oli $/p E 61/' / 0-5Fc �v �1 s'z— Square Ft. Estimated Cost (value) 0 r 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 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). I 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 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 applicable laws regulating car struction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of Contracto r Owner- Builder Ins. Co. M4XVL.16 OG ate TOTAL DUE %- . ... Dat at Notary : s to Co actor or Owner- Builder My Commissio Ex OFFICIAL NOTP X - 5. XP , I WU BLOCS MARY LOU BLCg =I;ER NOTARY PUBLIC STATI.OVAdRID COMMISSION NO. CC-172323 MY COI AMISSION EXP. U!` E • ,,1999 C.C.F. i !� NOTARY ate f. Building Electrical Engineering I • �;► To whom it may concern: I, e resa and a z , ie f (please print) residing at 8 3 3 Al P?k -eas4 Q TTcecT give our approval to Ed and Cathy Enberg residing at 821 NE 99 Street to relocate their central air condition unit from the north side to the east side of their residence. .?,,A (Signature (Date) (Date) (Date) STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved (Signed) Chairman Member Member 1111.. MIAMI SWORE \VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby u,nde 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 iuilding 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. — , 19.. Owner's Name and Address . l,l i iJG t. '1 / AL-1 _ No 1111_. Street_ Registered Architect and /or Engineer , -- 1:1•...,-11- ,:.,:- : ,,a,.:, G"!_4 4:191 lit CAN p• 5 LP/9v &/ 4-4 a ll ' Name and address of licensed contractor Location an legal desefr ption of lot to be built on: 1 it # 2- 16 slock... 16 / _ ... — . � — Street and Number where work is to be done �' t: _ ` q_! S �' 1- A!/L.....�t����' l.fG•7 State work to be done and purpose of budding (by floors )._._.14 ..74 L 4, OTC /12 .. % 22A1 � . ep'ten1.lr.e 11 11. _1111. a./,G.. /.. ?1_1 .. . :/?'!.......0 ov 72 /' e__ A.ift e1/ V (iv ca.. Tfe( fi? - Date._ Subdivision r and for no other purpose. New Building Remodeling Additions Repairs No. of Stories Z To be constructed of Kind of foundation Roof Covering • ° Estimated Total cost of improvements $...r SO Amount of Permit $4. 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..re2ef / Ere C '('0 se, a Cc/ /o 1✓l /9L.e/ . 4/9 The undersigned applicant for this building pennit 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 arc required by the Act. The undersigned agrees to employ only such su ntractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) :4C- � e - -< =t P ANNINC BOARD _.._ DATE Membcr Member Member Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 fore:oing 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. to me well known, Notary Public, State of Florida Buil• ing Inspecto My Commission Expires 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 at faulty materials and /or workmanship. BUILDING ❑ ELECTRICAL PLUMBING ROOFING Owner of Building Lot Architect Contractor or Builder_. t. .. Legal Description Address of Building 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT •9 9819 2 - Work to be performed under this Permit \a4.0 _ ' � d II BI Date Contractor's License No BY AUTHORITY Subdi- vision Sq Ft Value of , ; I I Amount of Project $ ' - I I Permit $ Signed "1 ' (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation; pertaining thereto and in strict conformity with the pla s, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for alF work done by either, mysel, my agent, servant or employee. APPLICATION F R itUILDING PERMIT 0 Application is hereby made for the approyal 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. A � �ieG f/ Z Owner's Name and Address "4/ Vi A/C ✓ r 17' 4' at e' No (J) / Street /UE 9� SY` Registered Architect and /or Engineer Name and address of licensed contractor_ Location and legal description of lot to be built on: Lot n� Street and Number where work is to be done S2-/ !v State work to be done and purpose of building (by floors) MIS S 7/1/— L .S STS 4/UD 4- SSOci47 DI1CTYVv /c,t Block Subdivision STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to Date Disapproved ( Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT L fd i Co Moi fly Amount of SY: Permit $ /7' Notary Public, State of Florida 665. AIA/ 1 L o - - - -- and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Estimated Total cost of improvements $ 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 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 subcontr tors, o o be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Roof Covering T8 00 — e2 / — Read, Sworn to and Subscribed before me. Vc ster 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, therein by him stated are true. No 2If __ -!___. and that all facts Buildin pector 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.