MECHANICAL/
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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.
PERMIT #7899 Date September 20, , 66
Owner's Name and Address KayCrevelon No 10090 Street N Miami Ave.
Registered Architect and /or Engineer
AINCE, Inc.
Name and address of licensed contractor
Location and legal description of lot to be built on:
Block_ __ 0
I Street and Number where work is to be done
State work to be done and purpose of building (by
New Building_ _X Remodeling_
Zone cubage required_
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
1-994-4- - -NW -- -2nd - :Ave Miam - i - ;Fla .33169
Subdivision
967 N.E. 99th.Street
floors)_ Installation of 80,000 BTU Gas Furnace
and 3 - Ton - A /U Unit
and for no other purpose.
Addition Repairs No. of Stories
Covering
To be constructed of Kind of foundation Roof
Estimated Total cost of improvements $ 1170 00 Amount of Permit $ 10.00
_flan Cubage
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 aid building. All notices with reference to the building and its construction may
be sent co______ _ AinceInc.(Sol Schuloff)
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 subcontract, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks_______ -____ --_
(Signed) !�;...•' ( .c - - (/r'
STATE OF FLORIDA,
COUNTY OF DADE. j 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 _______ Da
( Signed)
Building Inspec
Notary Public, State of Florida
My Commission Expires
ANNING 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.
ITEM
BATH 11.8
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) l S
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 IP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
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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
_.
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' 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
FIXTURES
SEPTIC TANK -
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELO, 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)
3AS PIPING
ELECTRICAL
• ADDENDUM TO BUILDING PERMIT APPLICATION
PLUMBING
(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.)
MECHANICAL
PAY TO THE
ORDER OF
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Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/13/2002
Applicant: CONNIE
Owner: LEVASSER
JOB ADDRESS: 967 NE 99
Contractor AC MASTERS
Local Phone:
Parcel # 1132060340270
Permit Status:
Work: INSTALL 1.5 TON SPLIT NC UNIT
AC MASTERS, INC.
G250 SW 41st Street
Miami, FL 33155
305-661-5111
4f7.5v
Approved Permit Expiration:
A- AC Yt S
��
I MEMO .9/0,7 A „,„ c -
u• 404 411• 1:06 ?0 L0509
Mechanical Permit
Permit Number: ME2002 -115
LEVASSER
CONNIE
ST
Contractor's Address: 6250 SW 41 ST
Page 1 of 1
Legal Description: MIAMI SHORES SEC 8 PB 14 -33 E1/2 LOT 21 & ALL LOT 22 BLK 170 LOT SIZE
S ,
0 0
Total Fees:
Total Receipts:
2/9/2003
Construction Value: $1,500.00
CommerceBank
National Association
202 Alhambra Circle
Coral Gables, FL 33134`
208 200 L 5 3 Lll•0
. HAT HIS IS AN ORIGINAL BY RUBBING THE FINGERPRINT TO THE RIGHT. THE COLOR SHOULD DISAPPEAR WHEN RUBBED AND REAPPEAR WHEN RELEASED.
1
DOLLARS
nspection
herefor in strict compliance with all
ms that may have been submitted to
the plans are changed without
)ility for a thorough knowledge of the
e assumes responsibility for work done
taining thereto and in strict conformity
isibility for all work done by either