Loading...
1350 NE 101 St (8)Date , Al 1 Job Address " C50 /v . e • ) 0 1 a ‘Cf 4 :12 ) 1e.'e:f t Folio Legal Description Historically Designated: Yes No X cy 1 Owner/Lessee / Tenant (Q Master Permit # 47 937 g, Owner's Address l 0 l AL e • ID 1 - StAvd Phone Contracting Co. U c A Eice %2404 i-u G . Address /1 / 5 w •CO Pi- Qualifier FU 44/ / 0 /J yLizU v/ //?--( // Phone S �S`'�-OX Z; t-' State # DD O 1 eY ) (./ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIP'T'ION _5 -illy �1 / 7 -44 -cam 'O ai' ;7 Square Ft. Estimated Cost (value) ! 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 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating Ronstruction and zoning. Furjrmore, I authorize the above -named contractor to do the work stated. W. ierfature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT 3 RADON Municipal # C OC C) / 2 Y L Competency # Address Address Ins. Co. eaC Signature of Contract gf or Owner- Builder Notary a: My Co rry C.C.F. i U! 0 NOTARY -1 --:ar :.._6E SSEALL • ' f ' DIRDpe RffDA Ssr . •` ,'oN NO. CC686443 MY COMMISSION OCT. 6,2001 BOND gf Date /2 -z3 - 32 Date TOTAL DUE 3j APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering ITEM BATH TUB UNIT • FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT 1 BIOET LIGHT OUTLETS CENTRAL HEATING D I SHWASI1ER RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEWRARY A/C (CENTRAL) ORINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR4 TER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS ANO PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSIAE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK. POT/3 CDMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK. RESIDENCE WTCRS OVER 5- 8 HP TRANSPORTING ASSEb6LIES SINK. SLOP 1 MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TE.WORARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 1P COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS / 7b4) / • A/C UNIT j STRIP HEATER FIRE SPRINKLER TRANSFrP 1€RS • 'HEATER -NEW INST. _GENERATORS GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRAN7ORNRS • LAWN SPRINKLER -WELL SPECIAL PURPOSE ` SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE • S1GN MBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -EWER SIGN TIME CLOCK • UTILITY-WATER FIXTLRES SEPTIC TANK ,ANNA • RELAY TELEVISION OUTLETS GRAINFIELD. 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION • SOAKAGE PIT CU. FT. CATCH BASIN ' DISCHARGE WELL DOMESTIC WELL AREA CRAIN . ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING • LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN + APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS 3_ OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PR SENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL JOB SITE ADDRESS: 1350 N.E. 101 STREET EXISTING 300 AMP SERVICE TO RESIDENCE EXISTING ESTIMATED TOTAL LOAD TO RESIDENCE (I = 37,500/240 = 156 AMPS) NEW A/C UNITS: FC WIRE COND. TRIP POLE V.A. 2 #10 1 /2" 30 2 4500 CU 2 #12 'h" 25 2 4224 TOTAL 8724 I= 8,724/240 =36 AMPS PERMIT APPLICATION FOR MIAMI SHORES .) VILLAGE n / Date i � 7 Job Address � 3 r0 4/6/0/ .J 7 - Tax Folio // - 3 o £" — ' 3 - OO�O 1 1 mgt / Legal Description %,,//f9/_- // .4472,77=1 Historically Designated: Yes No / Tenant ..f.,9G m1/ /,/ Owner's Address 13 50 /�-% /f�/ $ %/t / / /v- Contracting Co. P gze at /74OA' ' e Address / ?J706 Qualifier � �//>L 43 .// 7i State #G/9G Municipal # / 7751 3-5 Competency # O'ed/7358 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING (MEC WORK DESCRIPTION % .s /✓S -(/�' 1ri f> ioti 5 1/./D,t , 2,69/4/ W a o atit- of od+her and/o ondo President Date Sign � Notary as to Owner and/or Condo President Date My • PRANC:'SCO F '::O NOTARY PUBIJC STATE C: FLORIDA C064/4/SSION NO. CC56QL � 4 ?ANC* ..:1: y� EX . 9 . !n APPROVED: Zoning Mechanical /2 Building Electrical 71, Plumbing oal u Phone Master Permit # SS# / Phone pS SS/ 70 HANICAL 00FING PAVING FENCE SIGN f00 , e /A! _ f�E//r� do> ,9/ s ys sa� "je ' . i427' Square Ft. 7D 4' Estimated Cost (value) 3 S''S' O D 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 pennits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. elea Signature of Contr Notary as to Contractor or Owner - Builder M Commiss Date 2 —' — F8 Date 3 � C.C.F. 1 0 NOTARY 0 -- BOND TOTAL DUE Engineering ITEM BATH 11.13 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIOET LICHT OUTLETS CENTRAL HEATING t,/ DISHWASHER RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEWcRARY A/C (CENTRAL) /72 Z,,) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT YORK 44a/2.05 FLOOR DRAIN SERVICE REPAIR/61ETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSLRE VESSELS CLOTHES WASHER MOTC.S 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTCRS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATDRS TEMQORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP 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 TRAfSFORI RS HEATER - REPLACE GENERATORS TRANSFORMERS . LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL • OUTLETS COMAERCIAI. WATER SERVICE • . SIGN TUBES SEWER CONNECTIONS _ SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES . SEPTIC TANK ANNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION . SOAKAGE PIT CU. FT. . CATCH BASIN DISCHARGE WELL - DOMESTIC WELL . AREA GRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING ` LAWN SPRINKLER SYSTEM GAS RANGE ` . METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (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 ELECTRICAL MECHANICAL 4 Mr. and Mrs. Mark Carpenter 1400 NE 101st Street Miami Shores, FL 33138 December 11, 1998 To Whom It May Concern: This letter will serve as permission for Steven and Jo Jacobson, homeowners at 1350 NE 101st Street, Miami Shores, FL 33138, to install central air at their property, including placing a central air conditioning unit on the east side of the home. We have no objection. Sincerely, an s Mrs. Mark C nter Home Owners Ow er's ? Jore11ag R ID A Sec. 5-1.1. Air conditioning regulations. (a) All individual air conditioning units installed in walls or windows shall be securely anchored to the walls by approved methods. Units installed over public property, paths of egress or more than ten (10) feet above grade shall be secured to the struc- ture by bolts or screws to resist horizontal wind loads. Such units cantilevering more than eight (8) inches on the exterior of a building shall be supported by steel angle brackets secured by bolting. Bolts to masonry shall be set in lead shields or similarly rot- resistant fastenings. (b) The following special requirements chaIl apply to the con- trol and regulation of noise nuisance from air conditioning machinery: (1) All equipment, existing or hereafter installed, regardless of location, shall be maintained in good working order. Equipment so located that normal operating noises create a nuisance to adjacent owners or occupants shall be pro- vided with soundproofing, or sound- absorbing baffels, or enclosures, as approved . to insure maintenance of a rea- sonable noise level. (2) All equipment on outer walls, on roofs, or in other exposed locations, which are unduly noisy, and which causes valid complaints from adjoining property owners or occupants, may be required to be relocated, redesigned and/or en- closed in noise - retarding materials when, in the opinion of the building official, such enclosure is necessary or would be effective. ,(3) Special consideration shall be given to the planning of all future installations to minimize the noise nuisance to ad- joining property owners or occupants, and the building official shall have authority to reject or require the rede- sign of any system which, is his opinion, would cause such a.noise nuisance. (c) Violation of this section shall be punished as is now or may hereafter be provided by law. (Ord. No. 299, §§ 1-3, 2- 21-61) RIGHT -J CALCULATION PROCEDURES A, B, C, D Job #: Zone: Entire House Procedure A - Winter Infiltration HTM Calculation* Procedure B - Summer Infiltration HTM Calculation* File name: 12/08/98 JACOB.RSR 1. Winter Infiltration CFM 1.2 AC/HR x 5633 Cu.Ft. x 0.0167 = 2. Winter Infiltration Btuh 1.1 x 113 CFM x 25 Winter TD = 3. Winter Infiltration FITM 3104 Btuh / 110 Total Window = and Door Area 113 CFM 3104 Btuh 28.3 HTM 1. Summer Infiltration CFM 0. 5 AC/HR x 5633 Cu.Ft. x 0.0167 = 2. Summer Infiltration Btuh 1.1 x 47 CFM x 16 Summer TD = 3. Summer Infiltration HTM 828 Btuh / 110 Total Window = and Door Area 47 CFM 828 Btuh 7.5 HTM Procedure C - Latent Infiltration Gain 0.68 x 58 gr.diff. x 47 CFM = 1855 Btuh Procedure D - Equipment Sizing Loads 1. Sensible Sizing Load Sensible Ventilation Load 1.1 x 0 Vent.CFM x 16 Summer TD = 0 Btuh Sensible Load for Structure (Line 19) + 11798 Btuh Sum of Ventilation and Structure Loads = 11798 Btuh Rating and Temperature Swing Multiplier x 0. 96 RSM Equipment Sizing Load - Sensible + 11326 Btuh 2. Latent Sizing Load Latent Ventilation Load 0.68 x 0 Vent.CFM x 58 gr.diff. = 0 Btuh Internal Loads = 230 x 0 No. People + 0 Btuh Infiltration Load From Procedure C + 1855 Btuh Equipment Sizing Load - Latent = 1855 Btuh *Construction Quality is: MANUAL J: 7th Ed. a No. of Fireplaces is: 0 Right- Suite: Ver 4.1.27 S/N RSR20858 Printout certified by ACCA to meet all requirements of Manual Form J RIGHT -J LOAD AND EQUIPMENT SUMMARY 12/08/98 File name: JACOB. RS Zone: Entire House For: JACOBSON 1350 N.E. 101 STREET MIAMI SHORES FL 33138 Phone: Fax: By: FROST AIR CONDITIONING, INC. 12206 S.W. 131 AVENUE MIAMI FL 33186 Phone: 305 - 255 -1704 Fax: 305 - 256 -8535 Job #: Wthr: Miami Beach CO FL Notes: Outside db: Inside db: Design TD: WINTER DESIGN CONDITIONS SUMMER DESIGN CONDITIONS Bldg. Heat Loss Ventilation Air Vent Air Loss Design Heat Load Space Thermostat 45 °F Outside db: 91 °F 70 °F Inside db: 75 °F 25 °F Design TD: 16 °F Daily Range M Rel. Hum.: 50 % Grains Water 58 gr HEATING SUMMARY SENSIBLE COOLING EQUIP LOAD SIZING INFILTRATION 12025 Btuh Structure 11798 Btuh 0 CFM Ventilation 0 Btuh 0 Btuh Design Temp. Swing 3.0 °F 12025 Btuh Use Mfg. Data n Rate /Swing Mult. 0.96 Total Sens Equip Load 11326 Btuh Method Simplified LATENT COOLING EQUIP LOAD SIZING Construction Quality Average Fireplaces 0 Internal Gains 0 Btuh Ventilation 0 Btuh HEATING COOLING Infiltration 1855 Btuh Area (sq.ft.) 704 7 0 4 Tot Latent Equip Load 1855 Btuh Volume (cu. ft.) 5633 5633 Air Changes/Hour 1.2 0.5 Total Equip Load 13181 Btuh Equivalent CFM 113 47 HEATING EQUIPMENT SUMMARY COOLING EQUIPMENT SUMMARY Make n/a Make LENNOX INDUST Trade Trade ELITE 13 n/a HS26- 018 -2P CB30M -31 -1P Efficiency 100.0 EFF Efficiency 13.4 SEER Heating Input 0 Btuh Sensible Cooling 14560 Btuh Heating Output 0 Btuh Latent Cooling 6240 Btuh Heating Temp Rise 0 °F Total Cooling 20800 Btuh Actual Heating Fan 675 CFM Actual Cooling Fan 675 CFM Htg Air Flow Factor 0.056 CFM/Btuh Clg Air Flow Factor 0.057 CFM/Btuh MANUAL J: 7th Ed. Load Sens Heat Ratio 86 Right- Suite: Ver 4.1.27 S/N RS R2 0 8 5 8 Printout certified by ACCA to meet all requirements of Manual Form J MANUAL J: 7th Ed. Job # Right- Suite: Ver 4.1.27 S/N RS R2 0 8 5 8 RIGHT -J WINDOW DATA Filename: JACOB. 12/08/98 W S D W G L S S O N A S 0 0 W C W S N K I AL 0 T H V G N H V V H H N H D Y R L A W R A H L GC R R G T A A W L Z E M D G Z L 0 X Y T M R R BATH a n s a c n n n y 1 90 1.0 2.0 1.3 1.5 44.8 4.5 4.5 b n w a c n n n y 1 90 1.0 2.0 1.3 6.7 85.8 8.9 0.5 BEDROOM 1 a n s a c n n n y 1 90 1.0 2.0 1.3 4.0 44.8 35.0 35.0 a n e a c n n n y 1 90 1.0 2.0 1.3 4.0 85.8 35.0 3.6 BEDROOM 2 a n e a c n n n y 1 90 1.0 2.0 1.3 4.0 85.8 17.3 1.8 a n n a c n n n y 1 90 1.0 2.0 1.3 3.0 27.8 9.0 0.0 •--• N en Cr - MANUAL J: /tn Name of Room Running Ft. Exposed Room Dimensions, Ceiings,Ft NA. - Ktgnt -sure Wall Ft. Condit Option Entire 8.0 q . 1. L i - J/N House 92.6 Ft. d t(Jt[L 5.7 8.0 uo D,-, BATH 16.3 Ft. x 11.3 f t heat /cool BEDROOM 19.4 8.0 1 37.0 Ft. x 20.0 ft heat /cool BEDROOM 16.2 8.0 2 39.3 Ft. x 15.6 ft heat /cool TYPE OF T HTM Area Btuh Area Btuh Area Btuh Area Btuh EXPOSURE . Htg Clg Length Htg C1g Length Htg Clg Length Htg Clg Length Htg C1g 5 Gross a 14B • * ** •••• 131 *•a ** *. •••• **** *.r« •••• Exposed b •••• •••• 0 •* ** •••• r•• ■••• •••• a•* Walls and Partitions c d 0 0 O O O O co 0 0 •••• •••• 0 •••• •••• r•• •••• O O •••• •••• r•• •*•* r•• •••• 1•• •••• •••• r.. •••• r ** ••** •ra • s* •••• 6 Windows and a 1C 28.9 ** 2911 • *•• 130 * * ** '•* •••• Glass Doors b 9A 23.4 ** 208 ** ** 208 * * ** r•• •••• Heating c 0.0 •* 0 * *•• 0 • * *• r•• am** 0.0 •• O 0 *•*• 0 0 a•• 0 r•• 0 0 •a• 0.0 ** 0 **•• 0 •••• 0 * * *• •••• 0.0 •• 0 * * *• 0 •••• 0 •••• •••• 7 Windows and North 27.8 '•* 1513 ' ** 140 '•• 1073 * * ** 300 Glass Doors NE/NW 0.0 " ** 0 " ** 0 "•* 0 •• ** 0 Cooling EAV 85.8 '*• 4746 ' *• 717 '•• 2695 •••• 1334 SE/SW n n 0 r•• n 0 r•• 0 O r•• 0 0 •••• 0 •••• 0 S* *8 0 8 Other doors a 0.0 0.0 0.0 0.0 0 O O O 0 0 0 O 0 0 0 0 9 Net a 14B 2271 1117 207 813 288 1036 510 0 0 0 0 0 0 Walls and c 0 0 0 0 0 0 0 .,,,bons ,. O O O O 0 ., 0 0 O _ 0 0 0 0 0 0 e 0 0 0 0 0 0 0 f 0 0 0 0 0 0 0 10 Ceilings a 16C 2.2 2.7 704 1549 1870 141 170 388 854 1031 252 555 670 b 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 c 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 11 Floors a 20B 2.0 0.9 ... 1408 ....1 128 o 0 0 388 776 359 252 504 233 b 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 c 0.0 0.0 0 0 0 0 0 0 0 0 0 0 12 Infiltration a 28.3 7.5 110 3104 828 13 379 101 70 1980 528 26 745 199 13 Subtot Btuh Loss = 6+8.:+11 +12 * * ** 11452 * * ** ** 1408 * * *• • *•* 6445 • * *• •••• 3599 * *•* 14 Duct Btuh Loss 5% 573 • * ** 5% 70 * * ** 5% 322 * * ** 5% 180 * *•• 15 Total Btuh Loss = 13+14 * * ** 12025 * * *• * * ** 1479 * * ** * * *• 6767 *• ** •••• 3779 * * ** 16 Int. Gains: People Qa 300 0 * * ** 0 0 * * ** 0 0 *•** 0 0 **** 0 Appl. @ 1200 0 * * *• 0 0 * *•* 0 0 * * ** 0 0 * * ** 0 17 SubtotRSHGain =7 +8.:+12 +16 • *** * * ** 10725 •••• * *•* 1396 *• ** • * ** 6085 * * ** * * ** 3244 18 DuctBtuhGain 10% • *•* 1073 10% •••* 140 10% * * ** 609 10% * * *• 324 19 Total RSHGain= (17 +18) *PLF 1.00 • *•• 11798 1.00 *••• 1535 1.00 *• *• 6694 1.00 *• ** 3568 20 CFMAirRequired * * ** 675 675 * * ** 83 88 * * ** 380 383 *• *• 212 204 JACOB. RS Job# Printout certified by ACCA to meet all requirements of Manual J Form 12/08/98 Date Job Address 1.350 AIL. 101 5T ECi/ Tax Folio , 9 •43,47 ,4e % q s Legal Description I I .3 S 3 Historically Designated: Yes No PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Owner / Tenant H&j Master Permit # T 3 v 1 Owner's Address 1350 /V E 101 cS /E7- how 5Po .E5 El. Phone C o n t r a c t i n g Co. P Q 5T , `i ( OA) 9I 1 ( ) 1 tJ I Til)C Address 112060 501,31 A V E . - $ D (o utotL (, )J,q 5m9 ss# - - PhoneJog :55 - MI State # i f l U/ 40,1O,C 7 Municipal # j M,3 "6 Competency # X00/2 Ins. Co. a (51A, 6-- Architect/Engineer Address Bonding Company Address Address / /3.; a5�a Ot).)7 fr pt) Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING C� CHANI ROOFING PAVING FENCE SIGN WORK DESCRIPTION` , .t ! O?�r��% - 'e% ,."xseso-' 4 /C/i� ".-6' sa •71/5 /s�✓�/G �,o6t/�ee?.t�5 / l/�l/ /T M+/,d "9., /.c Jv�� u/o.e/( Square Ft. Estimated Cost (value) e 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 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 s o e work stated. ti td' 0a661666)4%— Signa of ow&ter and/or Condo President Notary as to Owner My Commission Exp FEES: PERMI N / � APPROVED: Zoning „ , Building Mechanical Signature o on ' actor or Owner- ilder Notary as to Contr My Commission E C.C.F. / • g 10' NOTARY tor or Tres: FRANCJ5CO RUBIO WARY PUBIJC STATE OF FLORIDA COAMENON NO. CC560134 MY C• • EX?, JUN NW_ Electrical BOND Date Date D TOTAL DUE / 0 2 3 Plumbing Engineering ITEM BATH 11.6 UNIT FEE ' ITEM SWITCH CURETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL. HEATING to DISHWASHER RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) ?1024) DRINKING FOUNTAIN SERVICE SIZE IN AMPS �� , DUCT WORK „ FLOOR GRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTCRS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 IIP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK. SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 HP 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 GENERATORS TRANORMIERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL ' CUTLETS COMMERCIAL WATER SERVICE , SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS ,` UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES . SEPTIC TANK ANNA ' 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 ADDENDUM TO BUILDING PERMIT APPLICATION (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 ELECTRICAL MECHANICAL BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING- ❑ Owner of Building Architect �• 4 Contractor or Builder 9 Legal Lot Description — -� Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE � PERMIT N° 7455 Contractor's - License No. Work to be performed under this Permit Bl. Subdi- vision Value of Project $ Amount of Permit $ �y 195 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 application 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 responsibility for work done by his agents, servants or employees. Signed BY. 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6 APPLICATION FOR BUILDING PERMIT Application is hereby made for the arpproyal 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 Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block l STATE OF FLORIDA, COUNTY OF DADE. ss and who, bein g of the above therein by him Permit No Disapproved ( Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Street and Number where work is to be done / s / / �. Subdivision. State work to be done and p pose of uilding (by-floors) e it.a,l� Date 2 d - P te/ , 19 (�" 3 No....l. f 6 Street. .J..�. / 0/ c-- e 4z/ /d Notary Public, State of Florida and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation 4-'' Roof Covering '' Estimated Total cost of improvements $ Y_Q Amount of Permit $ ,c ° 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 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 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 sus:h's bcontractors, on work fo be perfopn I ?under tai permit, as are licensed by Miami Shores Village. ./ . s Remarks (Signed may Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, by me first duly sworn, upon oath deposes and says that he is the described construction, "-- that he has carefully read the foregoing application, and that he did sign the same, and that all facts stated are true. _ Nr 77) J Date 7 Read, Sworn to and Subscribed before me. Date Building Inspector 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDIN INSPECTION DEPARTMEN APPLICATI®N FOR BUILDING PERMIT Application is hereby made for the approval of the det, iled statemen of the plans and specificai ions herewith submitted for the build- ing or o h. :ructure her 1 described This T-i licatic is made in compliance and con•o'm ty w,th the Building Ordinance of Mia li Shores Village, or.da, and all pro. isions of the Laws t the State of Fh.rid. all o d nances ,,f Mi m Shores Village and all rules and regu•a ion, of the Building .Div. i of aam Sho, iilage 1- '1 a 'o. ipl.ed with, whether herein specified or not. A copy of approved plans and specificati .n must be kei •• at budding durin progress of tl.e wcrk. Owner' Name and Address._ MIAMI SHORES VILLAGE Registered Architect and /or Engineer. _ ______ _ _ 0. _ Name nd address of licensed contractor. ___�„ ___��� _v Location and legal description of lot to be built on: Lot_ Block.._ ____. Subdivision Street and Number where work is to be done. � &_-0) State work to be done and purpose of building (by floors ' Date d ® New Building. To be constructed of ___ _ _ Kind of f oundation_ �_ _ . _. ___ ... . Roof ov'.ring__ Estimated ". ;tar cost of improvements $__ .� _ Amount c. $__ . ® Zone ^ubage required. __. _plan Cubage Distance to next nearest building__ .. _ Size of Building Lot Maximum live load to be borne by each floor_ _ . _____ __ __. Rernodeling__ ____ _ __. Addition___ _.__ ___ ___. __ _ Repairs. - PLANNING BOARD .___DATE Chairman Member Member ____ _ _ _____ Member Member _ .__ . Member ... - Cou Approved _Date Disapproved No Street Notary Public State of Florida and for no other purpose. No. of Stories. ,19 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 uncle signed appli ant for th's bulding permit does hereby certify Flat he understands and accepts his ,•bligations as an employer of 1 bor under he Florida Workmen's Compensation Act being S -tion 5966 Col p led Gen al Laws of Florida P r anon. S,ipplc gent. and h s compl ed w :th he �rov'ons thereof, and will require s•milar comp lance from all contractors or sub - contractors cmplo •ed by him in the wo k to be p rt med a under th s pern it and ill post or cause to be posted for inspection on the site of the work su :li public: noti. e or •otices as are requir d by the Act. The u. d. r ign. d agrees to employ only such abcontr• ctors, on work to be perform d . der this permit as are licensed by M am. Shores \ il': ge. Remarks__ .. (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to adm :nister oaths i.nd take acknowledgments, personally p p- pearcd .to me well known, and who, being by me first d. ly sworn, upon oath depo'es and says that he is the of th abov de.c ibed • istruction t. • h has careially read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr le. Permit No _ _Y_ W . _ . Date__ (P _` t ° � � ._ .____ Read, Sworn to and Subscribed before me. Disapproved _ Date__ (Signed) - - -- - -- -- -- - -- - -- -�y •.,. (Building Inspector My Com :nission Expires_ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application tft -r approval li is been obtained from the Planr ng Board %.,/ A re-inspection fee of $1.00 will be charged when such re- inspection is mf:.� r e necessary by improper notice for inspe :•t•o or fa. ity materials and /or workmanship.