270 NE 100 St (6)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date. /-., Time
Type Insp'n t(?4.I /1/(1°-41
Permit No. /74 ,l0o2-- a /77
Name , /�+ c
Address nC 7® /W C� / ✓7'
Company
Phone #
For Inspecto 03
Approved ) /4. V 3 G 3
Correction ❑
Re- Insp'n Fee ❑
Name & Date
m r Co t a
A ,0244.e/sfrpo-proA) 3 or 75
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(461c`1 cof(nlrttt
Qualifier 1 �I CJf 4'D V ° /t"
State # 1J � . 7 �y Municipal #
Signa a or vOan oggActb Preydent
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My Commiss .id ` 1���
• • ••• • • • •••
•• •• • • • •• •• •
PERMIT APPI,IdAT:IOS° iFDR M AMI SHORES VILLAGE
/ 434 1—
10050 N.E. 2nd Avenue • MiBryli Shores, Florida 33138.305- 795 -2204
Date �� Job Address c,21.9 .77 • l •S� •TtxF olio / / 3 � PJ 3 7 T`S
. • • . . • .
• • • • • • • • • • •
• • • • • • • •
• • • • • • • ▪ • • • • HistorieallyISesignated: Yes No
Legal Description � d �� /
ssee/Tenet /V �/ / f L L ./tI/9, 1 J.. • • Master Permit # ' ') J
•
▪ • • • • • • • •
•.• • � �
• Address ada sV h
SS# 1 ac- ter '/ /'7c) Phone 305 k;z `60 ye,
Competency #
Permit Type (circle one) BUILDING ELECTRICAL PLUMBING
FEES: PERMIT RADON C.C.F /� NOTARY
if
Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION
WORK DESCRIPTION: / IX f)GUJ I / RA/ -y e.#14
101 fly A-t d cc / D S,14t' .9i / �19'jq&a 4P
y
Square Ft. Estimated Cost (value) 5 T
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that
all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required
for all disciplines.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning, Furthermore, 1 authorize the above named contractor to do th- wNMgW.
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Date Signature of GC1r$ctor or ciyirio uildei *
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Date Notary as to Contracto FfW1der
My Commission Expires
BOND
v
ROOFING
Date
Date
APPROVED: TOTAL DUE
Zoning Building Electrical
Mechanical .6 `? (1.27:01.- Plumbing Structural Engineer
•
I have read the above
gplgplgi ons thereof.
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• ••• • • , • •• • • • •
Sec. 5-1.1. 441- copdiopipg; ;eSvjations.
(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 shall 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 batfels, or
enclosu.res, 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
comptaints from adjoining property owners or occupants,
may be required to be relocated, redesigned andlor 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 instkllations 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, in 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, 11 1 - 3, 2.21.61)
•
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ordinance and will �10 �i
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I 32648
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UNIT
FEE
ITN UNIT
SA ITCH C6fTLQ3 . • : : : : .
F+;E
•
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ITEM NIT
SPACE HEATE S • '.
FEE
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L IC,fi afitE1S• • • • • • • •
• •
CENTRAL FEAT ING
;rER
1
RECEPTACLES
A/C (If INCI) • , /
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SERVICE TpPCR IY_ .' . : • .: ' . "
A/C (CENTRAL) 4
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4 FCIUHTAIH
SERVICE S ILE VIM • • • : • • .
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SERVICE FialPI1 E� .�A :. ..'
C CT WORK
REFRICEAATIQH
CRAM
TRAP
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A?PL IM. CE CURETS
PROCESS A.'0 PRESS PIPING
3TCR
1
RANGE TCP
ME :ICU/0 TANKS
lY
OVER
ABOVE GRCUF0 TAMS,
Y TRAY
WATER MATER
U.F. FRESSLRE VESSELS
S RASPIER
IOTCAS 0- 1 FP
STEAM BAILERS
• •
NOTCAS OVER 1- 3 FP
HOT WATER BOILERS
-•
POT/3 COP.
1
l
lOTCAS OVER 3- •5 FP
layAHICAL VEHTILATIQH :
RESIQEFICE
1
UOTCPS OVER 5- 8 FP
TRANSPCRTING ASSEeLIES
SLOP
VCRS OVER 8 10 FP
ELEVATCAS/ESCALATCAS
UM WATER CLOSET
IGTCRS OVER 10- 25 FP
FIRE SPRINKLER SYSTEMS
_
1
)POTCRS OVER 25-100 FP
OOQLIHG TOTu'RS
CLOSET
1
VO T COLS OVER 100 FP
VIOLATION
ECT WASTES
1
A/C WINDOW
REINS?ECTIOON
SUPPLY T0:
I
AIR CQT•II IT ICHERS
•
. UNIT
1
1
STRIP HEATER
: -W
E SPR I ItLER
1
1 GENERATORS TRAISKIRMS
I
1
,TER -MW MIT.
I GENERATCAS TRA. FCAX..RS �
GESWRATCRS TRANIFCR.4FRS
MIj ���_ ` ' L
,TER- REPLACE
N SPRINKLER -WELL
•
SPECIAL PLRPQSE
WING POOL
1
CUTLETS CCZAERCIAL
ER SERVICE
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SIGN TUBES
CONNECTIONS
1
SIGN TRA.`SFG EAS
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SIGN TINE CLCCX
Ty
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! FIXTLRES
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I ANTE/2U '
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TELEVISION CURETS
iFIELO. 4' TILE/RES. '
VIOLATION
E ABANDON SEPTIC TANK '
REINSPECTIOH
GE PIT CU. FT.
i BASIN
WOE WELL
sTIC i{ELL
CRAM
INLET
R IUJER BEATER
STA1dP IPE
PIPING
i SPRI?0QER SYSTEM
RUM
A SET (GAS)
PIPING
i:iED. TEE OWNER S 2;OTARIZED S IGNATUR.E NEED NOT BE P ?.ES.:IT Otv SUBSEQU s' A°PLICATIONS. )
PLUMBING
.. .. . K4L
EL'�G R
•
MECHANICAL
JOB NAME
1.
5. EXISTING UNIT TO BE REPLACED
MAKE � C�Q/) • /
CONDENSOR MODEL #, q / ��V 0 (
HEAT PUMP TYPE YES
CONDENSOR MINIMUM CIRCUITS AMPS
CONDENSOR
AIR HANDLER
AMP SIZ
AMP SIZE
CONDENSOR
AIR HANDLER
EER
GNATURE OF QUALIFIE
AMP SIZE
AMP SIZE
• • ••• • • • •••
•• •• • •. • •• ••J •
• • • • • • • • • .•
• • • ••• • . • •
•' • • • • • . • •
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ADDRESS cL'IO L • • 7.2o • •�f .of."--- • • • • • •
• • •
••• • • • ••• • • •••
Different location than above?
•• • • • •• ••• ••
' EXISTx? G : CO IT•IONS
• • . • • • -
i f
HOUSE MAIN ELECTRIC SIZE AMPS' 4 • '
• W1'RL'SIZE
2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE h , & CIR. BKR. SIZE FUSE SIZE SW
AIR HANDLER BRANCH CIRCUIT:WIRE SIZE (0 , & CIR. BKR. SIZE FUSE SIZE SW
3. SIZE OF EXISTING COMPRESSOR DISCONNECT: C)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 L. NO
MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE:
EER
R'R
MAXIMUM OVERCUENT PROTECTION SIZE AND TYPE:
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A ;Y Fain- u�c; •<F
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�R RELOCATED
NAME PLATE INFORMATION FROM EXISTING UNIT
PACKAGE MODEL #
A.H.U. MODEL #
NO KW HEAT STRIP SIZE
A.H.U. MINIMUM CIRCUIT A2:PS
FUSE
FUSE
NAME. PLATE INFORMATION FROM NEW UNIT BEING INSTALLED
MAKE / rI • _ , r/L �} 4f4. L11� PACKAGE MODEL #
CONDENSOR MODEL # e '77) oCo IA Q A.H.U. MODEL # / -
HEAT PUMP TYPE YES NO KW HEAT STRIP SIZE s
CONDENSOR MINIMUM CIRCUITS AMPS
A.H.U. MINIMUM CIRCUIT AMPS
FUSE
FUSE
HACR CIR. BKR.
HACR CIR. BKR.
HACR CIR. BKR.
HACR CIR,. BKR.
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CERTIFICATE NUMBER
•
i
• • ••• • • • • ••
•• • • • • • • • •• • •
• • • • • • • • • • •- • •
PERMIT APPLICAT.IOQ'Q�F�R;1V11,&MI SHORES VILLAGE
10050 N.E. 2nd Avenue • Milli Shores, Florida 33138.305- 795 -2204
• Date / Job Address c2T(/ /d • .$/, •T 1�olt // (91 3 SiciS V
• � . 1�
• • • • • • • •
▪ • • • • • • • • •
• • • • • • • • • • Historically designated: Yes No
- Legal Description AMA/ f
sseellenet N' //v t (f L,.l /ti • •• • ••• Master Permit #
• •
^ �� ``�� _ __ _ • • ▪ •. .• Phone � /
Contractin C . cc/ D (//V r//9-t, C • Address & ? 50
Qualifier 1 �-1/ . 1/4171/46 �[ D q / /
Q ���� � SS# 1 O'�J `C d -49/ 7 v Phone ��5 (D Sv� `�Od
Ins. Co. 16947
Owner's Address
State # 11$9t3o 3 y Municipal #
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION
Permit Type (circle one • // BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
WORK DESCRIPTION: �i (,10.4.e_...-- E / 9ii 5yrT cot/sr/9
10/ Ibti Ale/MI fiMo 4/0 y
Square Ft. Estimated Cost (value) .6 lb
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that
all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required
for all disciplines.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning, Furthermore, I authorize the above named contractor to do th- w 110.
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Notary as* i. 'tor Tresiden
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Date
C.C.F
Competency #
Date Signature of ftr$ctor or Qwvj : uilde>: *
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Notary as to ContractoRHAlimMIAlder
My Commission Expires
Date
Date
FEES: PERMIT RADON
APPROVED: TOTAL DUE
Zoning Building Electrical
Mechanical Plumbing Structural Engineer
NOTARY BOND
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Sec. 5-1.1. Atircp tiblol rejilations.
(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 Toads. 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.
(ti) The following special requirements shall apply to the con-
trol and regulation of noise nuisance from air conditioning machinery;
(1) all equipment. existing or hereafter installed, regardless
of Ioca:ion, 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 -Aith 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 buildfng official, such enclosure is necessary or would
be effective.
,(3) Special consideration shall be given to the planning of all
future irtstallationt to minimize the noise nuisance to ad-
joining prdperty owners or occupants, and the building
official shall have authority to reject or require the rede-
sign of any system which, in his opinion, would cause such
a.noise nuisance.
(c) Violation of this section shall be punished as is now or m
hereafter be provided by law. (Ord. No. 299, 4§ 1 -3, 2. 21.61)
I have read the above
\` ‘ Aspiolmons thereof.
*'. •• �M • ' i ce
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ordinance and will c��vUp;�
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MARE
EER
ADDRESS
J NAME /
EER
CONDENSOR MODEL #
HEAT PUMP TYPE YES
CONDENSOR
AIR HANDLER
GNATURE OF QUALIFIE
NO
AMP SIZE
AMP SIZE
MAKE
CONDENSOR MODEL #
HEAT PUMP TYPE YES
CONDENSOR MINIMUM CIRCUITS AMPS
MAXIMUM OVERCURRENT PROTECTION SIZE
CONDENSOR AMP SIZ
AIR HANDLER AMP SIZE
NO
CONDENSOR MINIMUM CIRCUITS AMPS
MAXIMUM OVERCUMIENT PROTECTION SIZE
• ••• • •
• •• •• • • • • • •• •
• • • • • • • • • •
• • • ••• •
• • • • • •
.• ••• • • •
•
(//3
Different location than above?
1. HOUSE MAIN ELECTRIC SIZE AMPI 6 1-S 1
•
NDIiIONS
WIRE SIZE
2. COMPRESSOR BRANCH CIRCUIT• WIRE SIZE
AIR HANDLER BRANCH CIRCUIT:WIRE SIZE,
3. SIZE OF EXISTING COMPRESSOR DISCONNECT: '
O AMPS.
AMPS.
4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? YES L/ /
5. EXISTING UNIT TO BE REPLACED NO
OR RELOCATED
SIZE OF EXISTING AIR HANDLER DISCONNECT:
NAME PLATE INFORMATION FROM EXISTING UNIT
AND
J
PACKAGE MODEL #
--4121:4":1
A.H.U. MODEL #
KW HEAT STRIP SIZE
A.H.U. MINIMUM CIRC:JIT A::PS
TYPE:
NAME. PLATE INFORMATION FROM NEW UNIT BEING INSTALLED
PACKAGE MODEL #
A.H.U. MODEL #
KW HEAT STRIP SIZE
A.H.U. MINIMUM CIRCUIT AMPS
AN TYPE:
• M ISSION 4 ...
• J � s t 1, (
FUSE
FUSE
FUSE
FUSE
•••
•
•
•
•••
& CIR. BKR. SIZE
& CIR. BKR. SIZE
TYPE: FUSE
TYPE: FUSE
HACR CIR. BKR.
HACR CIR. BKR.
HACR CIR. BKR.
HACR CIR. BKR.
■
i
CERTIFICATE NUMBER
FUSE SIZE
FUSE SIZE
CIR. BKR.
CIR. BKR.
SW
S W
PAY
TO THE
ORDER
OF:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12 /24/2002
Applicant: CARMEN
Owner: COSTA
JOB ADDRESS: 270
Contractor J ♦ ,
Local Phone:
Parcel # 1132060134450
NE 100
RESIDENTIAL AIR CONDITIONING CORP. NE
NORTH MIAMI BEACH, FL 33179
PH. 305 -652 -6040
Xicu
u'02252?Hi 1:0670L35641:
Mechanical Permit
Permit Number: ME2002 -179
COSTA
CARMEN
ST
Contractor's Address:
C c , f �
Permit Status: Approved Permit Expiration: 6/22/2003 Construction Value: $2,500.00
Work: REPLACE EXISTING 4 TON SYSTEM INSTAI 1 tnrinkl A-
WACHOVIA BANK, N.A.
WINSTON- SALEM, NC 27150
63- 1356/670 9994
L4 304 L84
AMO��
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 3 & 4
Total Fees: $1N00
> 8
Total Receipts: $0.00
7/I7
DATE
spection
ierefor in strict compliance with all
° s that may have been submitted to
ie plans are changed without
'ty for a thorough knowledge of the
assumes responsibility for work done
BLK 33 LOT SIZE 100.000
T
fining thereto and in strict conformity
'bility for all work done by either