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258 NE 100 St (9)L 'Inspection Number: INSP -13722 Inspection Date: 04/24/2006 Inspector: Perez, JanPierre Owner: SAMMONS, ROBERT Job Address: 258 100 Street NE Miami Shores Village, FL 33138- Project: <NONE> Building Department Comments Friday, April 21, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: BRANDON AIR CONDITIONING SERVICE CORP Block: Permit Numt er. MC- 3- 06-832 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number (305)754 -2689 Parcel Number 1132060134460 Lot: Phone: 305 - 819 -2669 Page 1 of 2 Inspector Comments ',;\ i iyk I Illi Passed O� >>� Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. L 'Inspection Number: INSP -13722 Inspection Date: 04/24/2006 Inspector: Perez, JanPierre Owner: SAMMONS, ROBERT Job Address: 258 100 Street NE Miami Shores Village, FL 33138- Project: <NONE> Building Department Comments Friday, April 21, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: BRANDON AIR CONDITIONING SERVICE CORP Block: Permit Numt er. MC- 3- 06-832 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number (305)754 -2689 Parcel Number 1132060134460 Lot: Phone: 305 - 819 -2669 Page 1 of 2 4: 01 Am Miami Shores Village 4-J cD ra . Building Department BUILDING g CgIIWg D Permit No. M - PERMIT APPLICATION 3 ' 1 Master Permit No. FBC 2004 BY:./. Owner's Address a S ,t1 / © Q ,rLlo City 4ia.d� State 9 • Tenant/Lessee Name FOLIO / PARCEL # f �'' .3 , 66 -6./3 y �a 7 Is Building Historically Designated YES NO Contractor's Address �D / .7Sc /1/4.. /� `7 • 6 2 £ r City State 72--01 . Qualifier Name State Certificate or Registration No.� Q 6a3 l8 / Type of Work: Submittal Fee $ Notary $ Scanning $3 - 00 Bond $ Structural Review. $ m . 1 n S1C u 100 50 N.E.2nd Avenue Miami Shores, Florida 33138 9 P Tel: (305) 795.2204 Fax: (305) 756.8972 ❑Addition Training/Education Fee $ ❑Alteration [New � . 00 Radon $ DPBR $ Job Address (where the work is being done) ,i1) /CPC City Miami Shores Village County Miami -Dade Code Enforcement $ Double Fee $ Zip 33/3 Phone # Permit Type (circle): Building , Electric Plumbing ( Mechanical) Roofing Owner's Name (Fee Simple Titleholder) / pi Phone # -3e2 f-. 7g — oZ 6 des s O�� Zip 33 /38 Contractor's Company Name /lie---A /9 /C. Phone #30 6 8 / ( Zip 336 /j Phone # -- J /9 —a2 C �5 Certificate of Competency No. 6 /g 4 4 2 / Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ ' S es, Co Square / Linear Footage Of Work: "Repair/Replace ❑ Demolition Describe Work: e r � � ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 1, „ + Permit Fee $ y CCF $ • 00 - CO /CC Technology Fee $ 4. Total Fee Now Due $ o 6 PAID, C iC 7 Zoning $ , 132 .2B See Reverse side -* 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 Owner or Agent tL The foregoing instrument was acknowledged before me this „„/(.2 -- day of , 20 by alurd, who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Ztta- - _ `f" Gci: i * � j ST cN p' Print: sr E ) e �t) �w � - �w �s� a i.......,' . a °d t hry �412�T My Commission Expires:6 n T •�• PJ a , •. p „ H 3 2 o� e . N (App -1 54 • ************ * * * * * * * * * * * * * * * * * * ** * * * * * * * *;V* *14A:W * * * * * * ** ...... e APPLICATION APPROVED BY: (Revised 02/08/06) Signature fJ ! U Z Contractor The foregoing instrument was acknowledged before me this 3/ day of fffl ,20e1., es•4•.0 = , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: r .. .... .......... ST ve Sign: Print: S 7 L) J AL � � + • ................ •2g p My Commission Expires: s . ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Issue Date: 4/6/2006 Owner's Name: ROBERT SAMMONS Permit Type: Mechanical - Residential Work Classification: New Job Address: 258 100 Street NE Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 03/31/2007 Contractor(s) Phone BRANDON AIR CONDITIONING SEF 305 - 819 -2669 Yes Primary Contractor Comments: CHANGE OUT OF 5 TON AIR CONDITIONING EQUIPMENT Additional Information Tons: 5 Classification: Residential Additional Info: 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. 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. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy 4//' Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: MC -3 -06 -832 Phone: (305)754 -2689 1132060134460 Lot: PB: Total Square Feet: 0 Total Valuation: $ 4,885.00 Required Inspections Rough Rough Duct Ventilation Smoke Test Hood Smoke Det Test Final Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $3.00 $1.00 $170.98 $3.00 $4.30 $182.28 Invoice Number MC - 4 - 06 - 24401 Total: Amt Due $182.28 APR 0 6 PAID Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. nd. ImPlpe (N&N) Lot 6 41 2 0 0 Nti C.L.Feroc•—/ r Pipe (N&'s) s3qHioq.ETLINDARY SURVEY • • ••• • • scAL•E:•t4= :19.5' Asphalt Pavement: * • • • • • • • • • • • • • • • • • • • • • • • • • • 5FT-PF, Tjr BEARINGS SHOWN HEREON (IF AY ) ARE REFERED TO ASSLNIED SEE:LIMAN OF ' • 'fb' • • N. • lootri stEit • • • • • p 75' TOTAL 0 Fnd. veZig51 FOR THE CESIERL NE OF Pi CO(0 -63?.2. Order 7 .00' (M&R Asphalt Pavement:;::::::.:.:,. 4,0 1111"" r 15.10' 23' Grassed Parkway 1 STY C.B.S. RESIDENCE No. 258 10.4' 21.0' 23.90' 15.10' IMCMITIE ai 2006 -r. z X tdeop 2..:91Vgqi" 11 ove re • C.L.F•nce e / 3/40e w ,41 t . 8 : 6 // . 3 ' 2 • • • ••• • LEGAL DESCRIPTIONS: • ••• • • • • • •�• BLOCK 3 � M i AM I S(.loA- ' O't-t ••• SUBDIVISION ACCORDING TO THE P l i k o f f 11EdEOi AS et C�RDED IN THE PLAT BOOK I D AT PAGE - 7 D OF THE PUBLIC RECOROSOF ' pm re • • COUNTY, FLORIDA. LOT S ANll] E6 €5T 144Lf OF LoT Co • t • PRC•txTY L1t R/r' • RILIIT Cr WAY C.L F. • 0IM1. LP* /LNCC t. /. •OODEM TIC[ N6 WSW. r.1to. • romp moot tort SF./ - STiT MAP C B. • CAOID IKAR••G M[AS (M) - MtAD S.N.•p. • Kr MAIL APO DISC ABREMATION SIF ANY APPUED) C ITtJUNt Cl - CLEAR • • .•• • ... • • •• • • • • • • • ;• •'• : MAP • • 40 TO SCALE •• • • • • • ••• •• DATE OF FIELD SURVEY: A 421 L 1 0 ) g 1 REVISION DATE: N.E. 100th STREET. 16 17 18 19 20 21 22 23 15 /0• so' 00• 60' Q N.E. 99th STREET. so' 50 50' so' u11 1 CERTIFIED TO: Robert R. Sammons and Anne M. Mennes, his wife First Residential Mortgage Company, its successors and /or assigns, ATIMA Spieler and Associates, P.A. Attorney's Title Insurance Fund, Inc. WE HEREBY CERTIFY THAT THE ATTACHED SKETCH OF BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY i5 A TRUE AND CORRECT REPRESENTATION OF A FIELD SURVEY MADE UNDER MY SUPERVISION AND MEETS THE MINIMUM TECHNICAL STANDARDS. AS SET BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS AND MAPPERS. IN CHAPTER 61G 17.60F THE FLORIDA ADMINISTRATIVE CODE. PURSUANT TO SECTION 472.027. FLORIDA STATUTES. ADDRESS 2 5 e 1.00 5'r M IAN I SI40i JOB NUMBER: 08 — 4-3 1 FL. American Services of Miami, Corp. ENGINEERS - PLANNERS - LAND SURVEYORS 2450 S. L. 137th Ave.. Suite 217. Miami. FL 33175 Phone: (305) 554.6963 Fax: (305) 554 -7516 L 6683 SURVEYOR'S NOTES: -EXAMINATION OP THE ABSTRACT OF TTTLE WILL HAVE 70 BE MADE TO DETERMINE RECORDED INCTRUMENTS. IF ANY AFFECTING THIS PROPERTY -SHOWN ELEVATION ARE BASED ON N.G.V D. (NATIONAL GEODETIC VERTICAL DATUM OF 1929) -LEGAL DESCRIPTION WAS PROVIDED BY THE CLIENT -NO UNDERGROUND UTILRIES OR IMPROVEMENTS HAVE BEEN LOCATED. EXCEPT AS NOTED. •THERE ARE NO VISIBLE ENCROACHMENTS OTHER THAN THOSE SHOWN. ANC. • EN ROACOOIT C.Y.S. • CONCRI re LOa StWUCTURE „=so - COwOtuft • - Q.aCT A o w.0 • DItA.4AGE h1AINT. to E •C' T S., P. • SET IRCk Pit rpm. - FOLPSO Dlgl NO Z A/C • AIR COPOEIOiNG U•T NEC. (R) • R[COItDED r.N.00. - POUND wAL AND DISC uE • v?i. EASt1ENT • - tiONWACBT UPC P.C. • PG.•T a'' QIRVATLRC r N. - PVIt .TENA•T CAStIT. - CANNOT S.D.N. • W7 Ma POLE CALC.(C) • CKWIATCD r.s. • r0UN0 SPIKE RAD. • RADIAL WILSON DE LA 1 ORRE PROFESSIONAL LAND SURVEYOR AND MAPPER NO 187C STATE OF F'.ORIDA DATE. APR l P 0.1 - PO.IT D► 1[aNNM6 NOT VAL ID CM. ESS SEALED WITH AN EMBOSSED SIJRSIN OR SEAL O.C. - POINT Or QftVATUNE MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ �` ELECTRICAL ❑ DATE '' 2 195 PLUMBING ❑ PERMIT N° 8562 5 6 2 Contractor's License No ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder ! f Legal Lot II Bi. Description Address of Building Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 7 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Q DATE 'E- 195 ❑ PERMIT N? 15842 MIAMI SHORES VILLAGE, FLORIDA Contractor's License No. ❑ Work to be performed under this Permit Legal Lot I I BI. Description Address of - Building Subdi- vision Value of Project $ Amt. of Permit $ a 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 • 1,� 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CO N ACTOT OR BUILDER AUTHORITY 1 APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of i.he det.,iled statement of the plans and specifications herewith submitted for the build- ing or o her structure herr•u described This t is made in compliance and con•orm.ty w.th the Building Ordinance of Mia..ii Shores Village, Florida, and all pro isions of the Law, f the State: of 1 lurid_ :. all tY d'nances of Mi mi Shores Village and all ,ules and regulation: of the Building .Dive: i n of • ilann: Sho: illage •1 '1 e 7• o' , pled with, whether herein specified or not. A copy of approved plans and specifications must be key at building durin progress of tl.e work. Owner' Name and Address - -- -. SA-1'1 � _ -- Registered Architect and /or Engineer _ Name ,:nd address of licen,ed contractor ... _ Location and legal description of lot to be built on: Lot __ Block Street and Number where work is to be done Member Council Approved MIAMI SHORES VILLAGE BUILDIN'' INSPECTION DEPARTMEN' C Maximum live load to be borne by each floor No Subdivision Date 3 a 3- KQ • ter ®® State work to be done and purpose of building (by floors) New Building_ _ Remodeling._ ____ _ ._ Addition._ . - __ _ . _.._. __ . Repairs.. _ No. of Stories To be constructed of .. Kind of foundation Roof Cov :ring _ Estimated " ,tal cost of improvements $._ - - ®0 A moun t c ` Permit $ ._ _ Zone ^ubage required __. _Plan Cubage_ Distance to next nearest building_- .. _Size of Building Lot hereby submit all the plans and speciii,•ations for said building. All notices with reference to the building and its construction may be sent to ........ __ _ _ ___ _ The unde signed appli lint for tlis building permit does hereby certify Chat he understands and accepts his ;obligations as an employer of 1• bor under he Florida Workmen's Compensation Act being S• 'lion "tl66. Co pled Gen al Laws of Florida. P r anon Sqpph cent, and h s compl ed with he prov' cons thereof, and will require slnular cot n tarLe from all contractors or subcontractor, cmplo -ed by bin, in the wo k to he p rf med under ti's pern it and ill post or cause to be posted for inspection on the site of the work su h t>nl >lic not e or •otiees as are requir d by the Act. The u. d. r igu.•d agrees to employ only such . ,ibcontr, ctors, on work to be perforn, d der this permit as are licensed by M am. Shores 's it .•go. Remarks_ (Slwied) 9?-C 1 �v� C Street_ Notary Public State of Florida (Signed) - - - 0 , Bun mg nspect or \. tJ My Com:nc:sion Expires. t - .'and for no o er purpose. ,19 STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to adm.nister oaths ..nd take acknowledgments, personally ap- peared _ to me well known, and who, being by me first d lv •sworn, upon oath depoees and says that he is the of th abov. de c ibed ,struction t. 1. has careially read the foregoing application, and that he did sign the same, and ' +1 at .R facts therein by him stated are tr ie. Permit No,_. -___ Date__. Bead, Sworn to and Subscribed before me. Disapproved _. __.____ _ ----- _.__ . Date__ PLANNING BOARD • -DATE Chairman Member Member ._ -- Member . _ - Me:n:her . ..... - - -- --- Date Disa pliroe cci Date NOTE: A charge of $1.00 will be made for making corrections or _•hanges to this application , ft. .r approval l; s ! ,. a , •btamed from the Plain' ng Board. A re- inspection fee of $1.00 will be charged when such re- inspection is nn.. r..cees:,ar) by improper notice it r inst,' t•,,e or i,e� ty materials and /or workmanship. 2.S9 ND 10-D 1 1 - 7 NP t Do w S_E, 3 4- 'nP A f2 r .!)--;')." ,„ r. - . • "44 1-6 1F'ft LAUEPy "1 e BL,