Loading...
MECHANICALDate 6-7.01 Legal Description Owner/Lessee / Tenant Owners Address Contractin Co. Cfi R W, . Co. Qualifier QC) C i v. C ss# State # C /4 C 0 6C( 1 Municipal # Competency # Address Architect/Engineer Bonding Company Address Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING WORK DESCRIPTION Square Ft. Estimated Cost (value) 17 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 construc n and :.I Signature of own r and/or Condo President Notary as to er and/or Condo President Date My Commission ).xvi -i,s: fisP *; 'i1 ct; FEES: PE APPROVED: Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 9° N E l o 0 eu Mcin �e s H90 1i � =l oo T rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating urthermore, I authorize the above -named contractor to • ' the work ted. Si ul ature of Col; • oigam � r otary as ' • Contra •r or •' = OFFICIAL NOTAR SEAL My Commission Expires: P e e ANGELA M BECKER l X2 ' * COIAMISSION NUMBER N , 410 4J < CC786697 MY C OMMISSION EXPIRES NOV . 15,2002 Robert 3. Chryst MY COMMISSION # CC741112 EXPIRES May 24, 2002 BONDED TNPU TROY FAIN NSURANCE INC RADON Mechanical l r , Plumbing Tax Folio Historically Designated: Yes No Master Permit # 9' f f g Phone JOS- 7S6 • 6E G L/ Address Address P. 0 . 6 0, ( MI c1 ; Et. 3D ( C.C.F. ) .. D NOTARY5' 0 BOND Phone 3 0S ?S 69 Ins. Co. ROOFING PAVING FENCE SIGN ¢�o B ilder TOTAL DUE Building Electrical Structural Engineer •n MIAMI SHORES VILLAGE n rr AIR C ONDITION REPLACEMENT JOB NAME Qe(-) ' I Cnq YJ VeS_ ADDRESS / t 90 /) L (0 0 Different location than above? r EXISTING CONDITIONS 1. HOUSE MAIN ELECTRIC SIZE AMPS WIRE SIZE 2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE , & CIR. BKR. SIZE FUSE SIZE SW AIR HANDLER BRANCH CIRCUIT:WIRE SIZE , & CIR. BKR. SIZE FUSE SIZE SW 3. SIZE OF EXISTING COMPRESSOR DISCONNECT: AMPS. TYPE: FUSE CIR. BKR. SIZE OF EXISTING AIR HANDLER DISCONNECT:_ AMPS. TYPE: FUSE CIR. BKR. 4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? YES NO 5. EXISTING UNIT TO BE REPLACED OR RELOCATED NAME PLATE INFORMATION FROM EXISTING UNIT MARE L G oca i r PACKAGE MODEL # CONDENSOR MODEL # t C H P F 036,44 A.H.U. MODEL # HEAT PUMP TYPE YES X NO KW HEAT STRIP SIZE CONDENSOR MINIMUM CIRCUITS AMPS A.H.U. MINIMUM CIRCUIT AMPS MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: CONDENSOR AMP SIZE FUSE HACR CIP.. BKR. AIR HANDLER AMP SIZE FUSE HACR CIR. BKR. EER NAME PLATE INFORMATION FROM NEW UNIT BEING INSTALLED MAKE O C PACKAGE MODEL # CONDENSOR MODEL # � Y\ A 0 3 C A.H.U. MODEL # HEAT PUMP TYPE YES 7C NO KW HEAT STRIP SIZE CONDENSOR MINIMUM CIRCUITS AMPS A.E.U. MINIMUM CIRCUIT AMPS MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: CONDENSOR AMP SIZE FUSE HACR CIR. SKR. AIR HANDLER AMP SIZE FUSE HACR CIR. BKR. EER CERTIFICATE NUMBER BUILDING INSPECTION DEPAf4TMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade. 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 Urdinanee 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 prggress of the work. Disapproved (Signed) MIAMI SHORES V1L,LAGE 1190_N.E. lop St,, „ » _„ Building Inspector 904 -5 Date....» s�, Y......._ .. »......... »... ».�............ , 19 8 5 OwIncr Name and Address . Allen DombrOWSkZ_ ,,,, Np,,,,_ll Q _ ... Street. t J a ...1QQ St Registered Architect and /or Engineer . . uu.e •• r..., •n,n uannvm +norm.. e:rt,nee Fame and address of licensed contractor Hill York & Service Corp.. -5150 N.W. 37 Ave. — _ Miami Location and legal description of lot to be built on: ••,._» Florida i 142 � » Lot Block /.71r Subdivisio Street and Number whero work is to be done Stato work to be done and purpose of building (by floors) .. t o n�placement of 3 condensing 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 $ 2 � 0 0 0 . 0 0 Amount of Permit S. 19 • 50 Zone cubage required „sass_.. „...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 dots hereby certify that he understands and accepts his obligations as an employer of !,bur 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 subcontractor on work to be performed under this . pennit, as are licensed by Miami Shores Village. Remarks..._ (Signed) STATE OF FLORIDA, ` v C ca - ss COUNTY OF DADE. j 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. y� Permit No..-26 o.._„ 'l Date... /.. 14 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ....... _.. „...„ ........ _sass. „... „.._..__ »_..� PLANNING BOARD DATE Chairman Mcmbcr _ sass._. „ ...... _..._ Member Mcmbcr _ Member .. ... _.. „. — sass._ Member sass_ 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 hero obtained from tic Planning Board. A re-inspection fee of 11.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 2_ 974 PP LICATI0N FOR BUILDING PERMIT Application is hereby inn for the approval of the detailed statement of the plans and specifications herewith submitted for the build- regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified Of not. A copy of approved plans and specifications must be kept at building during progress of the work. ing or other structure herein t escribe . This application 3 made in compliance and conformity with the Bu Iding dinance of Kam Shores Village, Florida. and all provis ns of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and March 25, 81 Date:.._..._... �_......._.. _._.__.....�_.._.._._.......... ,19.. — _ Owner's Name and Address Dr. J. F. K ee l ey___ No. . . ._ 1190 _ Street— N.E_100th St. Registered Architect and /or Engineer HI - yoRK" - SXG'ES & SR 2VY "t'o'1T% 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 1190 N . E 100th St. — State work to be done and purpose of building (by floors) ins York 2 — ton (S E.R. 9.3) high efficiency air conditioner with 8 k.w. electric. heat. This is an existing house with existing air conditiong and for noother u D use. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $... 3,400,04 Amount of Permit 3,. 21•44 Zone cubage required .Plan Cubage Size of Building Lot Distance to next nearest building. 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 Hill York Sales & Service Corp., 5150 N.W. 37th Ave., Miami, Fl. 33142 The undersigned applicant for this building per:nit 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 inspecti• • . - -: o? of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su • , o ., on work to be performed under this pcnnit, as are licensed by Miami Shores Village. c___ Remarks (Signed).. Disapproved (Signed) Building Inspector STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the under.signed 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. �],, ff Permit No. .__�_.��.�.. b..kh Date M2/'' 1 ...._.._._._ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ; PLANNING BOARD _.._ DATE Chairman Member Member Member Member sass.. _...--- ..._._ . -_ -_ 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 Plannir;; 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. 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 June 24th, 1961 , 19 Owner's Name and Address.... Dr. Kee ly N 1190 St N. E.. ],00th St. Registered Architect and /or Engineer Name and address of licensed contractor LANG ROOFING & TIT,F CQM;X,___INC NW 79th..St.._,._.Niami..F1a. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1190 N. E. 100th St . 5 Miami Shores, Fla, State work to be done and purpose of building (by floors) Remove existing Celotex air - conditioning duct system and. __replace ._•with shee t meta / duct insulated outside with 1 " Sisil -Kraft _paper back d ct___Inz_..__w , ,h,_ 1aps,2rand for no other purpose. sel - joints. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ &.3.3.0.00 Amount of Permit $ $._.240 Zone cubage required flan 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 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 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 . the site of the work such oldie notice or notices as are required by the Act. The undersigned agrees to employ only sue ubcontracto n work to be perfo... , der this permit, as are licensed by Miami Shores Village. Remarks (Signed). Disapproved . ._ Dar (Signed) ( Buil ding Ins ctor STATE OF FLORIDA, L 00 NG & ILE CO., INC COUNTY OF DADE. f ss Before me, the undersigned authority, a notary public, duly authorized to a mi er o a t h s 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._... 1.3 Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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. Owner's Name and Address ''v • Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Block 1..7....E Lot .y Street and Number where work is to be done Permit No Disapproved (Signed) State work to be don and purpose of b ilding (by floors) Ong Date / / ,f O 1? e O v - Tr C.0 . Chairman Member Member Council Approved Date Disapproved Date 1 J No // Y Subdivision. 1/ 0)/ I/ 5 r 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 $ '2c3 B U Amount of Permit $ 0-0 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 subm' all the pans and citations 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 o he site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub tr ors it work to be perfogned under 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 and who, being by me first duly sworn, upon oath dep ses and says that he is the of the above described construction, that he has caref y read t foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Street to me well known, Notary Public, State of Florida My Commission Expires Member Member Member 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.