MECHANICAL10050 N.E.2nd Avenue, Miami Shores, Florida 138
Tel: (305) 795.2204 Fax: (305) 756.8972 -
BUILDING Permit No. ItA 0 0 1 (
PERMIT APPLICATION Master Permit No.
FBC 2001
Permit Type (circle): Building Electrical Plumbing
Owner's Name (Fee Simple Titleholder) <JN//.ry C.c'
Owner's Address e t 66 U E 98 ST
City ,f41,1// rte' iO i 1 State
Tenant/Lessee Name Phone #
Job Address (where the work is being done) a .55 Nr 9 se 5T
City Miami Shores Village County Miami -Dade Zip 3 3 + 3e
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address 66_6
City !�y / 7
Total Fee Now Due $ j C V
(Continued on opposite side)
M iami Shores Vil
Building Department Aus 2 4 2604
Bco& 861766
Qualifier / 4'7 3t") 0 /J4
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit. 240
Phone # - 665 - /Z T_O
Roofing
461-04.11)1 Phone# i305 - Wei - 7 84
Zip 33► 3
State Zip 33/ 68
Square Footage Of Work:
Type of Work: ['Addition ❑Alteeration ['New .g Repair/Replace ❑ Demolition
Describe Work: e /T '9 /c, 61/49^ 6 O 07"
* * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ / /c ' ^ CCF $ / . a0 CO /CC
Notary $ Training/Education Fee $ • b 0 Technology Fee $ +S o
Scanning $ Radon $ Zoning Bond S
Code Enforcement $ Structural Plan Review. $
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: 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 absen -:e of such posted notice, the
inspection not ' e as • • ed and a section fee will be charged.
Signature
Owner or Agen
The foregoing instrument was acknowledged before me 2 U
day of AuGL,T , 20O'1 , by QNNi & & I4G0Nd
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: 1 r�i /,t1 r ,do
My Commission Expires:
APPLICATION APPROVED BY:
Chc 12/15/03
ORLANDO OLIVO, JR.
NOTARY PUBLIC - STATE OF FLORIDA
/Y/EXPIRES 02/03/2008
BONDED THRU 141t RI-N1.1 MKT 1
Contractor
The foregoing instrument was acknowledged before me thi,7
day of dq , 20 C*, by /4/14 Wr vi7q
who is personally known to me or who has produced J
4 1- rotcl /urm as identification and who did take an oath.
NOTARY PUBLIC:
Signature
Sign:
Print:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
'V•J � o g U
ORLANDO OLIVO, JR.
,AKT rUUUl. -a ATFORltQRK1A --
• y MISSION # DD287299
My Commission Expires:
BONDED THRU 1- 888- NOTARVI
Plans Examiner
Engineer
Zoning
Type Insp'n
Permit No.
MIAMI SHORES VILLAGE '
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Requ
Date X1 99 /ov
F / /7CJ 'e
Name 3
9 6 98 37
Address
Company t..J2Q J
Phone # � f A; �✓ �� ! JcJ
Inspection Date
9
Approved I �.� • I �. �:
Correction ❑
Re- Insp'n Fee ❑
ITEM
BATH RS
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIOET
LIGHT CURETS
CENTRAL HEATING ;4:1 1<vt
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) .5 l 0'6
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIRACTER CHANGE _
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS ,. ,
LAVATORY
OVEN
ABOVE GRWNC TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSLRE VESSELS
CLOTHES WASHER
MOTORS 0- 1 FP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 If
HOT WATER BOILERS
SINK, POT /3 COW.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE •
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MCTCRS OVER 8- 10 HP
ELEVATORS/ESCALATORS
,
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 FP
COOLING TOWERS _
'HATER 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
I
NEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER-REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
.
SPECIAL PURPOSE
SWIMMING POOL
•
OUTLETS CAMAIERC IAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
.
A
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
_AWN SPRINKLER SYSTEM
3AS RANGE
ETER SET (GAS)
_
LAS PIPING
-
PLUMBING
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.)
ELECTRICAL
MECHANICAL
TRANSMISSION VERIFICATION REPORT
TIME : 05/26/2003 21:32
NAME : ECA /BLUE BREEZE A/C
FA : 3058657779
TEL : 3058651220
DATE,TIME 05/26 21:32
FAX NO. /NAME 3056730744
DURATION 00:00:00
PAGE {S} 00
RESULT CANCEL
MODE STANDARD
Mechanical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: MC2004 -161
Printed: 8 /26/2004
Applicant: ANNABELLE ARAGUANI
Owner: ARAGUANI ANNABELLE
JOB ADDRESS: 98
955 NE ST
Contractor BLUE BREEZE AC
Local Phone: 305 - 865 -1220
Parcel # 1132060143360
Contractor's Address: 736 NW 107 ST
Page 1 of 1
Legal Description: 5-6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 4 & SWLY2OFT OF LOT 3 BLK 80
Fees: Description Amount
FEE2004 -8707 Building Fee $100.00
FEE2004 -8708 CCF $1.80
FEE2004 -8709 Training and Education Fee $0.60
FEE2004 -8710 Technology Fee $2.50
Total Fees: $104.90
Total Fees: $104.90
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 2/20/2005 Construction Value: $2,400.00
Work: EXACT CHANGE OUT A/C 5 TON
Signed: (INSPECTOR)
pU6 2 PAID
)(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:
Date
** *
Owner's Address
•
Notary as to Owner and
My Commission Expires:
FEES: PERMIT r7
1°
G °I
� c
APPROVED:
Job
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Address
Legal Description
Owne / Lessee / Tenant 14,4a,/,4- Master Permit #
Contracting Co. - 1 it4(46 i /'y Ci Address gS Gi 6A L kt- PP -I1t4
Qualifier /GNU C 1O SS# ` - Phone
State # Municipal # Competency # Ins.Co PAA/ADA /
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): :UILDING ELECTRICAL PLUMBING
WORK DESCRIPTION
Square Ft. Estimated Cost(value)
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 a rate and that all work will
be done in compliance with all applicable laws regulating constru t nd zoning. Furthermore, I
authgrize the above -named ontractor to do the work sta li mmra il i e j o ommommem._
•n ,e • o 11 - Builder
Signature of owner and /or Condo President
Date:
C M MAS ' rd Y
114.
OFFFICiAL NOTARY SEA'
BARBARA ANN FJG:..7.7_
COMF. S
CC3 O1
✓✓ a'./ in
RADON C.C.F.
Tax Folio
Signature o
Date:
ZaxiCiA0 ltu� CY��. 8/0[/96
Notary as to C
My Commission
NOTARY er
Fire
Zonin , Building
Mechanical Plumbing
Phone T 7a' 9
I4 3
to v.4.0 44444-r
'o f' , G PA ING FENCE SIGN
v at
tipek;, O'•- :.:;AL NOTARY SEAL
BAREARI: ANN FUCAZZY
COMMISSION NUMEER
CC3601 1
AMMISSa EXP. ^
9 TOTAL DUE
Other
Electrical
Engineering
BUILDING
ELECTRICAL
PLUMBING
ROOIIIYG
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
PERMIT x° 3697
0
Lot e
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE- O / 19 .
C
#► rte. -, "r ¢ Bl.
l j'r '�` � . Value ofQ C
�7+� ,� Project $ 1
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.
Work to be performed under this Permit
rte.
5 ( . )
Signed.
r.
Subdi- L I
vision
BY
Contractor's /
License No.
A r rt.
Amount of
Permit $
AUTHORITY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in '• . plianee with . I 'aadinanees and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the -'•per authorities of Miami Shores Village. In ao-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employ
MNOT PINT
Owner's Name and Address _ .....__
Registered Architect and /or Engineer..__rc� c._1
Name and address of licensed contractor .._.._.. G�
Location and legal description of lot to be built on:
Lot
Sr- Block if °
New Building
STATE OF FLORIDA,
COUNTY OF DADE. ss.
•
MIAMI SHORES VILLAGE
BUILDING INSPECTION 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 specific ?tions must be kept at building during progress of the work.
Subdivision�� r d�
Street and Number where work is to be done .____/.�._7
State work to be done and purpose of building (by floors)
Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation
e 3 19 .�i /
--r- > � No -; / Street t'-- /7.tL -s�i.
oof Covering
Estimated Total cost of improvements $ Amount of Permit $ tY 0 (- o
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__
Notary Public, State of Florida
3
36
and for no other purpose.
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 ublic 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
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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.