Loading...
1130 NE 100 St (15)DaS Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VII:. BUILDING-`DEPART 305- 795 -2204 Building Inspection Reque .Inspection Date Approved Correction Re- Insp'n Fee 6Ts- C3? s�z J 01 10050 NI. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305 Date • - - Address ( 30 NE /0047 Legal Description —AL..1 . _. - Lessee/Tenet UOIn n "F OR. I • T Y o uJ S k ∎ Owner's Address t 1 O N C t O 037 Contracting Co. a1 R A t r Co-.J. Co_ Qualifier O f �7 • Clue(/, State# GAcoa6yit -1 Municipal# 048$02 -3 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): t} BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING ,, WORK DESCRIPTION: .;Q /1 64_ z I�.fJCM JNA Square Ft. Estimated Cost (value) J 9 6. 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). 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 all disciplines. OWNERS 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. Furthermore, I authorize the above named contractor to do the work stated. C ( 2 / P Signature of owner and/or Condo President Roy Notary as to 0 r and/gj ondo President Date My Commission Expi ife Robert 3. Chryst :.: �!� 1.,1 MY COMMISSION# DD113321 EXPIRES '"° May 24, 2006 BONDED THRU TROY FAIN INSURANCE INC. PERMIT APPLICATION FOR MIAMI SHORES VILLAG FEES: PERMIT / v o RADON C.C.F APPROVED: 50.00 polo et S8'ly Mechanical / '� Plumbing Historically Designated: Yes No X SS# Date Signature of Tax Folio (""\J Master Permit # )1C 2.00 `'t - 59 Phone 305%. 7£ I l a a S Address P o •too)( l0 0 l 3 C /11;qrn l F/ 3 ( 8 Phone 3 0 6 M 3 14 Competency # Ins. Co. ITn - C3 r Cf \• Not as to Contractor My Commission E.•.. "' i.: Zoning Building Electrical ner Builder ECEIRCED APR 2 s 2004 756 -8972 or Owner !der "iq ( . f Janet Kranz MY COMMISSION # DD174033 EXPIRES December 26, 2006 BONDED THRU TROY FAIN INSURANCE, INC Date Date NOTARY BOND a, S - (Po TOTAL DUE Structural Engineer ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE . BIDET LIGHT OUTLETS CENTRAL HEATING i-_-_-10r DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 1 IN S9a�vh DRINKIIIG FOUNTAIN SERVICE SIZE IN A1+PS OUCT WORK FLOOR DRAIN SERVICE REPAIR/1€TER CHikNGE 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 HP HOT WATER BOILERS SINK, POT /3 COAP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP MOTORS OVER 8- 10 HP TRANSPORTING ASSE6BLIES ELEVATORS/ESCALATORS SINK, SLOP TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS JINAL MOTORS OVER 25-100 HP COOLING TOWERS SATER CLOSET- - . INDIRECT MOTORS OVER 100 FP VIOLATION WASTES A/C WINDOW REINSPECTION CATER SUPPLY TO: ;^, •AIR CONDITIONERS • A/C UNIT - ' - . -- STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. • GENERATORS TRANSFORMERS �— HEATER - REPLACE '::- GENERATORS TRANSFORMERS LAWN SPRJWLER -WELL• SPECIAL PURPOSE —' SWIMMING POOL WATER SERVICE EWER CONNECTIONS TILITY- SEWER TILITY -WATER :PTIC TANK OUTLETS COWERC I AL SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLCCK FIXTLRES :LAY • IAINFIELD, 4' TILE/RES. AP E ABANDON SEPTIC TANK •: ANTENNA TELEVISION OUTLETS �--L — + VIOLATION ''— REINSPECTION IAKAGE PIT CU. FT. _ . ETCH BASIN 'SCHARGE WELL ;MESTIC WELL ;EA DRAIN OF INLET LAR WATER HEATER RE STANDPIPE OL PIPING nN SPRINKLER SYSTEM S RANGE TER SET (GAS) 3 PIPING ADDENDUM TO BUILDING PERMIT APPLICATION ,.. (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A RASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) • PLUMBING ELECTRICAL MECHANICAL hone: 305 -i :i -.204 Printed: 5/3/2004 Applicant: DALE OSTROWSKI Owner: OSTROWSKI DALE JOB ADDRESS: 1130 NE 100 ST Contractor C & R AIR CONDITIONING CO Contractor's Address: 2121 NW 139 ST #10 Local Phone: 305 - 685 -6394 Parcel # 1132050190440 Fees: Description Amount FEE2004 -4477 Building Fee $100.00 FEE2004 -4478 CCF $2.40 FEE2004 -4479 Technology Fee $2.50 FEE2004 -4480 Training and Education Fee $0.80 Total Fees: $105.70 Total Fees: $10.70 Total Receipts:' 0 SS/1 0 Permit Status: APPROVED Permit Expiration: 10/25/2004 Construction Value: $3,996.00 Work: EXACT REPLACEMENT OF 3 TON SPLIT SYSTEM Signed: (INSPECTOR) .' e Y In1z i' Lilit ei Page 1 of 1 Legal Description: MIAMI SHORES SEC 8 REV PB 43 -67 LOT 8 BLK 178 LOT SIZE 75.000 X MAY 0 6 PAID 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: Zone cubage required_— 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. Date ,19 Owner's Name and Address 1 t' Je f' N-- P Street. -.1V � l Registered Architect and /or Engineer ; Name and address of licensed contractor.. ,,ERi3k_ 7?7. _QL• LNG• l4/ 4 4) v 1k f h • 17 4 " LyY..t!! P Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ^r4 _ - ______ State work to be done and purpose of building (by floors)___ .7A , 53 7Y 4I IF,ISC.r!e.4.- !t liT.1N_lr- ______ 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 $ � , �_ _O__L t 12 v __________ of Permit $ -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 5966, Compiled General Laws of Florida, Pennanent 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 1)e performed ender this permit, as are licensed by Miami Shores Village. Remarks--- --- - - - - --- -- - (Signed) STATE OF FLORIDA, COUNTY OF DADE. 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.— __L_ T_? 3 Date Disapproved Date_ ( Signed) 2a " 7 D Read, Sworn to and Subscribed before me. Notary Public, State of Florida Burl. g Inspector A Commission Expires PLA " NC BOARD DATE Chainnan 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. Disapproved (Signed) Build Inspector 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. Date T, 's ,196t Owner's Name and Address • --" W k eV CO X- e-Al No 1 ‘ t, Street i E t t 09 • Registered Architect and /or Engineer ........_ . tf� Name and address of licensed contractor Al- (J Q • 19 -P ° D� 6V` l aria 6 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done j � D State work to be done and purpose of building (by floors) ..___ - �p ` 0, p elf Ye, L RI- p ' Tc. •� and for no other purpose. New Building Remodeling..__ Addition Repairs No. of Stories To be constructed of Estimated Total cost of improvements $_ .1_.__ nv• 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 fl r__ 1 I hereby submit all the plans and spej'ficati ns for said building. All notices with reference to the building and its construction may be sent to 10 Su N l E. ind. df foundation 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 pos . 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 su h subcontrac ors, o to erfo ed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) • 1.4'' 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 ar Permit No 2 ( S( r Date Council Approved Date Read, Sworn to and Subscribed before me. Roof Covering Notary Public, State of Florida My Commission Expires PLA G BOARD DATE Chairman Member Member Member Member Member 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..