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MECHANICAL PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 6 //,. /0/ Job Address /OD D / U J 0/ S1 Tax Folio No Legal Description Historically Designated: Yes Owner/Lessee / Tenant r P ') Cl a L'V Q. S t /) D Y' pf Master Permit # / 00 A E /0 / s _ Phone 3 0 5 /7 10 5 Owner's Address n / --7 C o n t r a c t i n g Co. f " ' r t ` . C. I D i 1 Address 9 0 1 IA✓ / 9 5 Qualifier 0 1/V Q d'' 0 7/ d P SS # Phone 3o 5 c .33 5720 r a c/ Municipal # 3 / `) 9 06 2/ Competency # l (� 5 State # Architect/Engineer ' Address Bonding Company Address Mortgagor _ Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN WORK DESC ON -e A L P A CI Y1 ) 1 o 4 Y� P >1 c i n 1i 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 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 • FIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws r la struction j • • zoning. Furthermore, I authorize the above -named contractor to do the work stated. ature of o gc d/or UP ondo President er Condo President ' Date til D3 6-61 a4/ ‘z3 'f z31az t t at! • a / ..11.!' otary a-! to Own A4y Commission FEES: PERMIT APPROVED: Zoning Mechanical 1 ;(1-9 1 Y) OVe S �'�e( c n- n oilks- P r 02 5 - I p os: Po OFFICIAL NOTARY SEAL 2 <, ANGELA M BECKER q2 4. COMMISSION NUMBER 9 l � MY COMMISSION EXPIRES O F NOV. 15,2002 7 f Q CC786697 RADON ate ) � r1' estimated Cost (value) o 0 n 0 0 C.C.F. 3 Building .■ Susan C Schooley lok Commission CC772093 a`` % Expires October 14, 2002 Electrical Ins. Co. MECHANICAL 700FING PAVING FENCE SIGN (-)• C n -e s Signature of Contracto or 0 er- er Notary as to Contractor or Owner - Builder My Commission Expires: Date a.• /z•0/ Date NOTARY S, b 0 BOND TOTAL DUE U Q»2 J ?� `?� (c f 4. v (, Plumbing Engineering PERMIT NO ADDRESS: . MIAMI SHORES VILLAGE BUILDING 1 ZONING DEPARTMENT- SECTION BY DATE ZONING • ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to compliance with aft Federal. State. County. Village rules and regutaticns. Wage assumes no re:ponsib(Utyr for accuracy offor results fray these plans. 2. Thla copy of plans must be available ca building cite or no (nspectlan MCI ba conductad. JOB ADDRESS APPLICANT PHONE tf APPUCA'RON # SHEET OF • MISCELLANEOUS /q- CRITIQUE SHEET l0 4 0 liffing IMPO - AL, A A\ Aul DATE COMMENTS INITIALS FROM : BREEZE AIR CONDITIONING 41, , JOB NAIVE ADDRESS MIAMI SHORES VILLAGE IR CONDITION REPLACEMENT r -e r1 doh _Ate o r . o Different ].ovation than above? 0 I. HOUSE MAIN ELECTRIC SIZE AMPS g? EXISTING CONDITIONS 2. COMPRESSOR BRANCH CIRCUT_T: wtR=, SIZE, & CIR. BCR. SIZ AIR HANDLER BRANCH CSRCUIT:WIRE SIZE , & CIR. ERR. SIZE 3. SIZE OF EXISTING COMPRESSOR DISCONNECT 5O AmPS. TYPE: FUSE CIR. SIZE OF EXISTING AIR HANDLER DISCONNECT: AMPS. TYPE: FUSE CI.R. 4. IS DIsCONNECT WITHIN sIGNT AND RE ILY ACCESSIBLE? YES V No 5. EXISTING UNIT TO BE REPLACED OR RELOCATED NAME PLATE INFORMATION FROM EXISTING UNIT c-- -r MAKE / / PACKAGE MODEL A /� f � 13 t ` CONDENSOR MODEL i ma ! / T " 3 - 7 1 /101/040 A.E.U. MODEL T EA l ( / n /6 1_ J REAT PUMP TYPE YES CONDENSOR MINIMUM CIRCUITS Amps 3 A.H.U. MINIMUM CIRCUIT AMPS MA%SMUH OVERCURRENT PROTECTT -ON SIZE AND CONDENSOR AXP SIZE 50 r PUSS AIR HANDLER tom°.? SIZE FUSE EER RSAT PUMP TYPE YES NAME PLATE INFORMATION FROM NEW UNIT BEING INSTALLED CONDENSOR MODEL #/ NO KW HEAT STRIP SITE CONDENSOR MINIMUM CIRCUITS AMBS 3 I A.E.U. MINIMUM xAXIMQM OVERCVRRENT PROTHCTIoN SIZE AND TYPE: CONDENSOR AMP SIZ.:, AIR HANDLER AM? SIZE _' EER ��1 , r FAX NO. : 305 2335030 Jun. 14 2001 10:59AM P1 WIRE SIZE 0 Q NO v` K47 PEAT STRIP SIZE l:. FUSE FUSE P ;05 7,5?), • FIISE SIZE SW FUSE s:ZE SW sRR. 5 BICR. RACR CIR. B. H?CR CIR. ERR. PACKAGE MODEL # _ A.H.U. MODEL Gfl 3 i 7, '7 — 7 C�CUIT AIDS Gp 0 BACR CIR. EKR. HACR CIR. BKR. CERTIFICATE NUMBER 50 A ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING 1 DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK 4 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 EWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 If 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 FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 IP 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 WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES 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 LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (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 ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL E. .. M IQ r- .1 06/13/2001 305- 759 -4758 This Property described as: Lots 13 and 14, Block 15, AN AMENDED PLAT OF MIAMI SHDRES SECTION NO. 1, according to the plat thereof as recorded in Plat Book 10, Page 70 of the Public Records of Dade County, Florida. 3,4 ' WESTHORP &ASSOCIATES ko PAGE 01/01 Pack 1 of 2 ri pi z N Nom: ; roar U °+ v 44 o: +� 0 ,~ >,;. g II w • 1•■ •.1 tu 4. .1 v 0 rd 0 4► m G U. .:.' 0 Ri .N N a 4) Uf O q •.i Ga Terel (ea Westhorp .tren PROPERTY OF Mendez" Na icir 100 N.E.''•IO:tst' S }"eA:t:. IkiAtli" Sl -ozes, Florida 33138 NOT'. =VALID UNLESS A BOUNDARY SURVEY ��~ • EMBOSSED WITH I HEREBY CERTIFY that the survey 1 LAN N E S and G A It C I A INC. SuEvJSYOR' S SEAL. Meets min. tech. standard set forth by the Bd. of Land Surveyors Chapter 61G17 -6 mum requirements adopted by the F'.S.P.L.S. and the F.L.T.A. and there are het encroachments, or laps, saternents appearing on the plat or visible aanrnants other than es sh hereon r pursuant to Sec. FL. Reg. Surveyor No 472.027, Fla. FL. Reg. Engineer NO States 10 -31 -94 Recertified; Flood Zone, Flood Added; Certified T¢ and Name Revised 2 -18 -00 "Recerti ie ", Name arid Cer Jtc�ry T 5* Q P9. v- .2 ENGINEERS - LAND SURVEYORS - LAND PLANNERS 359 Alcazar Avenue, Coral Gables, Florida 33134. P. 0_ Box 561131 'Miami, Florida 33156 (305) 666 -7909 ' ut 2243 '-1 - ?3 I S I DRAWN�Y DRWG. NO. DATE V•411 1 83- 30 66 • ation and zip Code " 4i41.1406/ v i s e�a r 26256 111623 i Disapproved (Signed) /2_ Chairman Member Member Council Approved 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 specifications must be kept at building during progress of the work. 8 - 2 c, 6C) Owner's Name and Address V' a/ � G 2 �� Date No /°°I- C 6 street/ 59-, , 19 Registered Architect and /or Engineer -" Name and address of licensed contractor' /eS,_/ uC," 4 Cd .2 /Cl t:C/, Ej 9_5 Location and legal description of lot to be built on: Lot -- Block Subdivision Street and Number where work is to be done / 00 41 C.r - / v / - r le/ / , 5/ d ,e S,, /=-z. /9 . State work to be done and purpose of building (by floors) / -7 ? 9 4 .G "5 4 /f • P ��js 5 Y 7 tl/ /ry /95 Dcre'7^4‘..'U /2. 7 c:20 P and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation R f vering Estimated Total cost of improvements $ 2 , 7D • Amount of Permit $ 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 5968, 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 h site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr tors on wo to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. J ss. Before me, the undersigned authority, a notary public, duly authorized t 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 constr ction, that he has carefully rea the foregoing application, and that he did sign the same, and that all facts therein by him s� tt d �r� � 2� Permit No._ Date _ Read, Sworn to and Subscribed before me. Date__ 4 Building Inspecto Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made materials and /or workmanship. P NING BOARD__..___...________. DATE Member Member Member 69 - 6 2- er oaths and take acknowledgments, personally ap- Notary Public, State of Florida My Commission Expires Date this application after approval has been obtained from necessary by improper notice for inspection or faulty BUILDING ELECTRICAL PLUMBING ROOFING Work to be performed under this Permit Owner of 1 Building 4 / , . J.1 4 . Architect Contractor or Builder Legal Description MIAMI SHORES VILLAGE, FLORIDA PERMIT Lot Bi N9 4983 t Address of / , 41 �/1 Value of � Amount of f Building .9' Project $ 1 Permit $ 4 ' 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. r S Signed. '' ' ` - * INSPECTOR 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 ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. DATE. Contractor's License No. Subdi- vision CONTRACTOR OR BUILDER BY AUTHORITY ABBOT c' Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work. Owners Name and Address Gibson APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Engineer Employing Electrician's Name SUN STATE ELECTRIC , INC. N 9709 N.W. 27 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw. Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit S S 63. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No 100 N.E. Date (Signed) Street 101 ectrical Inspector. 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 subcontractors, on work to be performe• —und his permit, as are licensed by Miami Shores Village. (Signed) Master El ctrician. STATE OP FLORIDA, l COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS NEON 1 -5 HP TRANS. RADIO TOTAL CONTR. W HP furnace motor 1.50 CHECK __ - ,. - - . Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work. Owners Name and Address Gibson APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Engineer Employing Electrician's Name SUN STATE ELECTRIC , INC. N 9709 N.W. 27 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw. Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit S S 63. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No 100 N.E. Date (Signed) Street 101 ectrical Inspector. 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 subcontractors, on work to be performe• —und his permit, as are licensed by Miami Shores Village. (Signed) Master El ctrician. STATE OP FLORIDA, l COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Owner's Name and Address Registered Architect and /or Engineer 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- • g 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. Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done /0 O /� ' fi e/ / Q _l State rk to be done and purpose of building (by floors) 1 ' Building Insp: or ate No. PLANNING BOARD DATE / and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation __ - Roof Covering Estimated Total cost of improvements $ - /� Pa. . v Gl Amount of Permit $ 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 su all the plan an. pec''ic ions for sai b ' ' A notices wit reference to the buildin a its ��! ction may - , , & ./ be sent to - - - - - - - - - -- - - - -- - - - - ---- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations 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 insp ction on the site of t work such ,ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subco actor on work t pejorm this permit, as are licensed by Miami Shores Village. Remarks (Signed) 6•/7, cc) 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 _____ _ 7' Date °7— Read, Sworn to and Subscribed before me. Disapproved Date (Signed) 'tA– • Notary Public, State of Florida a'_/ My Commission Expires Member Member Member Date Disapproved Date making corrections or changes to this application after approval has been obtained from Chairman Member Member Council Approved NOTE: A charge of $1.00 will be made for 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.