1135 NE 100 St (14)ECEIVED
NOV 3 0 2004
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Owner's Name (Fee Simple Titleholder) 0 .r' eiu , Phone # - 7 et- tf 7 19 te-
Owner's Address ` ) J`J / t s i 3 S
City V i "trL { State I! C- Zip
Tenant/Lessee Name
Job Address (where the work is being done) l 00 LS 6 ss c.,, &_,A„
City Miami Shores Village County Miami -Dade Zip 3 3 (:.
Is Building Historically Designated YES NO
Contracts s Company Name Ai- rrescr /1 r 1-A/G Phone #
Con. 's Address / yto, 1 i'.4J
MO 1 7 ` 1 State Fc_
er
ate Certificate or Registration No.
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Type of Work: Addition ['Alteration
Describe Work:
Total Fee Now Due $
(Continued on opposite side)
Building
X 75
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Electrical
Certificate of Competency No.
New
Code Enforcement $ Structural Plan Review. $
Plumbing
Master Permit No. RP-0 3 - S 9..
Phone #
Permit No. L ias z n
Zip 3 3 /44
Phone #
Square Footage Of Work:
Roofing
❑ Repair/Replace ❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
cii4vf2_ cept.4144eJod
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 absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature S ignature
My Commission Expires:
Chc 05/13/03
My Commission Expire
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was, acknowledged before me this 30
day of , 20 _, by , day of N / , 2004 , by k(JS7 l lY PI vci LL. - t --
who is personally known to me or who has produced who is personally known to me or who has produced '10 .
As identification and who did take an oath. Identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
nding Co., Inc
* * * * * * * * * * * * * * **
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: 1 "' I Plans Examiner
Engineer
Zoning
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
�f �� Electrical
Owner's Name (Fee Simple Titleholder) /0H/-1 �y
f � I Doi C/9 WI G Phone #
Owner's Address 1 *-19 / )1' L // / Q /2^ # 3 l '
City /y /D /Y 1 State /�' - Zip .
Tenant/Lessee Name Phone #
Job Address (where the work is being done) COY 1 ' $ (41 y 44 41frit. p I V 7 •
City Miami Shores Village County Miami -Dade Zip 3 3 / 3
Is Building Historically Designated YES NO
Contractor's Company Name A S9 e n A t r l .(� n �iT1�Il I r Phone #
Contractor's Address 3 C I N ID 1 X\ e_ H w...i y
City 'OC:.C3. 9-Dion State l_
Qualifier SA (1 i•-)\a JCL
Architect/Engineer's Name (if applicable) (14 i )5/erY9 (hone # 5'0/ 6 - 6 6 d e
$ Value of Work For this Permit
Type of Work: DAddition
Describe Work:
K)f%w :r►Jfit;LAlar.",
Submittal Fee $
Notary $
Scanning $
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Department
fo050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
❑Alteration
Plumbing
Master Permit No
zip 3 B4 3 I
4t I,� Square Footage Of Work:
F lew ❑ Repair/Replace
Roofing
,emu f53 LIT E rb
( l 395 - ►Soo
CA vt)( / C. Cev3 4rt.eur/ c / O t (t S.
Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Fee $ /i �i /0 CCF $ /7 'o
Training/Education Fee $
P.1;
Radon $ a
Technology Fee S
Bond $
Structural Plan Review. $
❑ Demolition
3
•
Signature
M
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
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 absence of such posted notice# the
inspection will not be approved and a reinspection fee will be charged.
_ er or Agent
The foregoing instrument was acknowledged before me this
day of 0e—C- • , 200 by %\ -e . Ma Q�t�� Jl�,
who is pe .Wally known to :r who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
APPLICATION APPROVED BY:
Chc 10/14/03
State Zip
Signature
Contractor
The foregoing instrument was acknowledged before me this 3
, 20 , by s l\e -uC, Ho v.,1 ■Ae,
day of "Dec
who s personally known tom or who has produced
as identification and who did take an oath.
NOTARY PUB
/ ■ L
--- M Notary — a °;jr eiyv JENNIFER THOMAS
JENNIFER THOMASS _
,, tint: W'_ -. • �:�� i a. DD 180900
t*: , .. • : 180900 EXPIRES: January 29, 2007
My Commission Expires: i lj f �'- '4' EXPIRES: Janes 22 2007 y Commission E pires:
T 61 ' ' fi Bonded Thru Notary Pubic Underwriters I Rf,t� Bonded ..._. �` * * * * * * * * ** ** *ld *` ir** * *
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
Plans Examiner fzc "��P
Engineer
Zoning
Project name Wensjoe Residence Engineer
Project location Miami Shores Plan Pages
Bid date 12/4/03 GC: By: Israel Fernandez
Plan date Total price $ 11,500
INCLUDED ITEMS
Refrigerant lines Startup and warranty Snaplock
2 Prog. T- stat(s) Fiberglass Duct R6 21 Grilles 1 Permit fees
2 DX split system(s) 2 FLOAT SWITCHS
Based on Carrier 12.0 4 Fan(s)
Seer Equipment
1 Design
2 AUXPANS
EXCLUDED ITEMS
Hood Duct Smoke Detector(s) Permit fees
Hood Drywell(s) Independent T&B
Flue Duct Control wiring conduit Firesafing
Chimney Duct Control wiring Drywall access doors
Condensate drains Cutting / Patching
C/U pad(s) /stand(s)
AHU stand(s)
Prices quoted are valid for 30 days from the date this proposal. Net price includes any and all rebates. Pricing is per mechanical plans and division 15 specifications unless
specifically noted otherwise. All prices based on materials as scheduled or equals and are contingent on the mechanical engineees approval.
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Payments are to be made as project progresses
unless specifically indicated above. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, end will become an extra
charge over and above the estimate. All agreements contingent upon strikes, accidents, or delays beyond our direct control. Owner to carry fire, tomado, and other necessary
insurance. Our workers are fully covered by Workman's Compensation Insurance.
NOTES: Payment Schedule
20% Down (Before Starting Job)
40% Rough
30% Grille Out & Equipment Start Up
10% Final
Acceptance of Contract - The above prices,
specifications and conditions are satisfactory and are hereby accepted. Signature
You are hereby authorized to do the work specified. Payment will be
made as outlined above.
Date of Acceptance Signature
AIR CONDRIONING INC.
Contract # 030833 - Wensjoe Residence -B
Aspen Air Conditioning, Inc.
CM CO29307
3999 North Dude Highway, Boca Raton, FL 33431
Ph: (561) 395-1500, Fax (561) 395.3385
Page 1 of 1
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/1/2004
Applicant: THOMAS
Owner: WENSJOE
JOB ADDRESS: 10015
Contractor ALFRESCO AIR INC
Local Phone: 561- 395 -1500
Parcel # PARC2003 -17
Legal Description:
Fees:
FEE2003 -8452
FEE2003 -8453
FEE2003 -8455
FEE2003 -8456
FEE2004 -11997
Description
Building Fee
CCF
Technology Fee
Training and Education Fee
Building Fee
Total Fees:
Amount
$360.00
$7.20
$9.00
$2.40
$75.00
$453.60
Total Fees: $453.60
Total Receipts: $378.60
Permit Status: APPROVED Permit Expiration: 6/3/2005 Construction Value: $11,500.00
Work: MECHANICAL FOR NEW HOUSE
Signed: (INSPECTOR)
Mechanical Permit
Permit Number: ME2003 -227
WENSJOE
THOMAS
BISCAYNE BLVD.
Contractor's Address: 3999 S. DIXIE HWY
Page 1 of 1
r 75 ; r1)
\\ AICAS
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:
4
Owner's Name (Fee Simple Titleholder) / / 1Ot I (p efaS e,-- Phone #
Owner's Address 110 ` L) e bL % a TA-- cit - j`11 0114. 1 State FG Zip 3
Tenant/Lessee Name Phone #
Job Address (of where the work is being done) 1(') U L Pg f S C.fi-,,._ IS LA-
Q
cit f[ 0-g. County },� Zip `` 331
Legal Description
Contractor's Company Name A1 Fre,' co S (' .rr_ Phone #
Contractor's Address ' ( t L /U J. 3.. ST
City /i 1 /A State !— L Zip T 3
Qualifier
Describe Work:
I hereby certify that the work has been abandoned and /or the contractor is unable or
unwilling to complete the contract. I hold the Building Official and the Village of Miami
Shores harmless from all legal involvement.
this
day of
Rev. 09/19/03)
Miami Shores Village Building Department
z be-zo S'FK
14
Change of Contractor
Permit No. fl/ Q — ar: R 7
Signa
The foregoing ent was acknowledged knowledged before me this The foregoing instrument was acknowledged before me
ry day of
50/N
..- w ho is personally known to me or who has produced who is personally i
' g 3 G -PA's tdSi fication and who did take an oath.
NOTARY PUBL� '
Sign: fy... 4•11�`r Sign:
Print WAID6 � 4 ' , • . inn H. Gonellint:
ei Y� Commission #DD3238'j0�
My Conunission Expires: Expires: Mayy 26, 20111 Cotntnission expires:
.;abii�a'`
.�' Atlantic BondingCo., Inc.
20 b ui�' /✓� �UC --
�
to me or who has produced,
dentification and who did take an oath.
NOTARY PUB
.'ak L
2�; o m m i s s ion #DD
'i •� Bonded Thru
",,? " Atlantic,
Bonding Co.. Inc
u ,2007
**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12 /19/2003
Applicant: THOMAS
Owner: WENSJOE
JOB ADDRESS: 10015
Contractor ASPEN AIR CONDITIONING
Local Phone: 561 395 - 1500
Parcel # PARC2003 -17
WENSJOE
THOMAS
BISCAYNE BLVD.
Legal Description:
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
Mechanical Permit
Permit Number: ME2003 -227
Contractor's Address: 3999 S. DIXIE HWY
BY:
Fees:
FEE2003 -8452
FEE2003 -8453
FEE2003 -8455
FEE2003 -8456
Description
Building Fee
CCF
Technology Fee
Training and Education Fee
Total Fees:
Amount
$360.00
$7.20
$9.00
$2.40
$378.60
Total Fees: $378.60
Total Receipts: $0.00
- A 183s (s
Permit Status: APPROVED Permit Expiration: 6/16/2004 Construction Value: $11,500.00
Work: MECHANICAL FOR NEW HOUSE
Page 1 of 1
0
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.
Date
7WC 1nsp'n
Permit No.
Name
Re- Lnsp'n FCC ❑
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
Bu• ding 1nsp lion Request
•
& &03--
Addron
'rElul}:1Pj
Phone #
4 4f' ;'lVVOdi
Correction
34
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
D
1114'
MIAMI SHORES VILLAGE. •
BUILDING DEPARTMENT
305 -795 -2204
Building Inspection Request
Date �- ; '
Type Insp'n r"' k { p tJ ..
Permit No. HE 2L 4 ` 7
Name
Address NE E (C0 C 4-
Company O (J3+ .Q)
3
MESSAGE:
2.035 6Z5
aoti .5‘-ofte,d,
10050 N.E. 2 "d Ave
Miami Shores 33138 -2382
305- 795 -2209
FAX TRANSMITTAL
DATE: a.\0
o: FAX FAX 384• "1'14.52b4
FROM \U'A tVU it FAX: (305)756 -8972
Number of Pages including Cover Z
Permit No. U l - 25 . 6Z 5
Name S'tv(TaSG. 9C 1-0
Address 1.15 Air ias s 1
Company t cAilL' " UC. CorpOraTion
Phone# 'Y36/ 4 "o2-4b C 0a
?10I(05
Inspection Date
Approved
Correction
Re-Insp'n Fee
X f - 7 C ut
O / �
V(1.1)(1;0. t ( Wae
%/2CA-1GO 1
o7:04J us