229 NE 101 St (8)MIAMI SHORES VILLAGE
•
BUILDING DEPARTMENT , P
305- 795 -2204
Building Inspection Request `b
Dateq(CI
Type Insp'n �,,,
1 fi)e
Permit No. � — 9 S
Name
Address
Company
Phone #
01S--
Inspection Date El 10
v Approved Y ,g:6 f ' } ). 194
Correction ❑
Re- Insp'n Fee ❑
' 10050 N 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204
Date r�A2 //` ob Address : / / Tax Folio /// 2- 61 e 9 /3
3
Legal Description /�1 /A�Yi ,514("5 � ?G / P1/0 "Historically Designated:
Owner /Lessee/Tenet
Contracting Co. < a".5; , oGir' e,
Qualifier V, (4 Daletd
State # ( ,1G O/33Z e--) Municipal #
Permit Type (circle one):
WORK DESCRIPTION:
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAG
ij /NS
iX9 a �o��
Owner's Address Z Z9P /0/ ST7 j ,lacy, ,l%O //S F!. 4/ ,hone
Signature of caner and/or Condo President
S 5 -S Y /?3 32.5"D
del`%% /
v %if/a�Y� r '/ r
otary as ri Owner and/or Cond
vly Com ission Expires
BUILDING ELECTRICAL
Mes ee,✓ /€Wf&' e
OWNERS AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all w
regulating construction and zoning. Furthermore, I authorize the above named contractor to d• the work stated.
Date
gy LOVINSKY CAVE
tit: #a■ 1 MY COMMISSION It OD 202413
•,�:, EXPIRES; Apol 19, 2007
• guided 7hrU Notary PuW!c Undananers
a?
0
FEES: PERMIT &r RADON C.C.F NOTAR
• 1 • J =} Plumbing
Master Permit # a l L)D4 - _`
ifittlEOVED
JUN 1 1 2O
Yes No
Address 6,61/
SS# . Phone $50590 22 3
Competency # 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 $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Square Ft. Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that
all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required
for all disciplines.
Signatui
PLUMBING C1171 ROOFING
1 7 1 jo,u 5
Contractor or
wt 1 be done in compliance with all applicable laws
der
Notary as to Contractor or Owner Builder
My Commission Expi
0
Date
Date
WIWAM R. THOMAS
e " MY COMMISSION d Cf. 384197
er: a EXPIRES: March 22 20;15
Bonded Thrn Notary Pud!x Ur4CrAuera
PPRO D: Q. TOTAL DUE r I ?, 1)
S OCR C� I- ��..3c,
Zoning Building Electrical
Structural Engineer
ADDENDUM To BUILDING PERMIT APPLICATION
APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
:AIMED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
UNIT
•
FEE
ITEM UiIT
SWITCH CUTLETS
FEE
ITEM
SPACE HEATERS
UNIT
FEE •
~
—�
LIGHT OUTLETS
CENTRAL HEATING
IASHER
—
RECEPTACLES
A/C (WIN
SAL
SERVICE TEMPORARY
A/C (CENTRAL)
;ING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
DRAIN
SERVICE REPAIRAETER CHA, E
REFRIGERATION
3E TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
10EPTOR
RANGE TOP
1
UNDERGROUIO TANKS
fcRY
OVEN
ABOVE GROUND TANKS
MY TRAY
WATER HEATER
U.F. PRESSI.RE VESSELS
HES WASHER
NDTORS O- 1 HP
STEAM BOILERS
_R
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
POT /3 COMP.
MOTORS OVER 3- 5 I'P
MECHANICAL VENTILATION
,
RESIDENCE
MOTORS OVER 5- 8 HP
i
TRANSPORTING ASSEM$LIES
,
., SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATCRS
'CRARY WATER CLOSET
MOTORS OVER 10- 25 If
FIRE SPRINKLER SYSTEMS
,u
MOTORS OVER 25-100 HP
COOLING TOWERS
:R CLOSET
MOTORS OVER 100 HP
VIOLATION
:RECT•WASTES
A/C WINDOW
REINSPECTION
:R SUPPLY TO:
AIR CONDITIONERS
edA/ i!/S>.r>‘• i/ ,1/%
li
s
'C UNIT
STRIP HEATER
IRE SPRINKLER
GENERATORS TRANSFORMERS
EATER -NEW INST.
~~
GENERATORS TRANSFORMERS
EATER- REPLACE
GENERATORS TRANSFORMERS
AWN SPRINKLER -WELL
SPECIAL PURPOSE
.
Y I Ml.4I NG POOL
OUTLETS COMMERCIAL
TER SERVICE
SIGN TUBES
_R CONNECTIONS
SIGN TRANSFORMERS
.ITY -SEWER
~�
SIGN TIME CLOCK
- -_
.ITY -WATER
FIXTLRES
iIC TANK
ANTENNA
AY
TELEVISION CURETS
INFIELD, .4' TILE/RES.
•
VIOLATION
P S ABANDON SEPTIC TANK
REINSPECTION
:(AGE PIT CU. FT.
CH BASIN
CHARGE WELL
ESTIC WELL
A DRAIN •
•
F INLET ,
AR WATER HEATER ',
E STANDPIPE
!L PIPING
IN SPRINKLER SYSTEM
RANGE
_ .
ER SET (GAS)
; PIPING
'
ADDENDUM To BUILDING PERMIT APPLICATION
APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
:AIMED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 6/16/2004
Applicant: MICHAEL STRONG
Owner: STRONG MICHAEL
JOB ADDRESS: 229 NE 101 ST
Contractor
Local Phone: 305 - 659 -1179
Parcel # 1132060134790
Mechanical Permit
Permit Number: MC2004 -95
Contractor's Address: 8000 W BROWARD BLVD
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 15 & 16 BLK 35 LOT SIZE 100.000
Fees: Description Amount
FEE2004 -6186 Building Fee $100.00
FEE2004 -6187 CCF $1.80
FEE2004 -6188 Training and Education Fee $0.60
FEE2004 -6189 Technology Fee $2.50
Total Fees: $104.90
Total Fees: $104.90
. do
Total Receipts: - 0
Permit Status: APPROVED Permit Expiration: 12/8/2004 Construction Value: $2,400.00
Work: REPLACE 4 TON CONDENSER ONLY
JUN 1 7 PAID
Signed: (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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
App4 ation is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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,/a / �/f/''
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on: /4�u /
Lot
Street and Number where work is to be done
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Block Subdivision
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
s a-T
3 /,1 - rer/s ahe C°a /m /6"/`
New Building Remodeling Addition Repairs No of Stories
To be constructed of Kind of foundation Roof, Covering
Estimated Total cost of improvements 5 Z i Amount of Permit S (0 t7
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 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 does hereby certify that he understands and accepts his obligatons a
Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, a t as•compli
compliance from all contractors or sub - contractors employed by him in the work to be performed under this p
on the site of the work such public notice or notices as are required by the Act. The undersig =. agrees to
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 appeared
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 forego' g application, and that he did sign the same. and that all facts therein by him stated are true.
• �+ p
Permit No. v Date e Read. Sworn to and Subscribed before me.
C
Disapproved \�\ _ \\ � ( Date -
Date
-- /l 19 S"7
No<V9 /2i CStreet /O / s
/1/a.)-;1.e Sho/'�'S
a t /lea.-
0
Notary Public. State of Florida
and for no other purpose.
s an ,pl er of Labor under the Florida Workmen's
v "theprovisions t e -.f. and will require similar
and will post or cause .. be posted for inspection
my uch subcontra ..rs, on work to be performed
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL ❑ DATE 195
PLUMBING ❑ P E I M I T N° 9863 Contractor's
License No
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
❑ Work to be performed under this Permit_
CONTRACTOR OR BUILDER
Bl.
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.
BY AUTHORITY
ASM 17
Owner's Name and Address
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
Permit No
Disapproved �t Dat
(Signed) .. A/
Registered Architect and /or `Lin inee
Name and address of licensed contralto
Location and legal description of lot to be built on:
Lot Block p Subdivision
Street and Number where work is to be done. - 4co..
Chairman
Member
Member
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials ancf /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal 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.
ing Inspect
o/c9? /./-::4b No
Sta a work to he done and purpose of building (by floors )i 92.— . -, /X;
New Building Remodeling Addition Repairs
To be constructed of Kind of foundation Roof Covering
-- p4
Estimated Total cost of improvements $. -3P0 Amount of Permit $ -
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 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, 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 subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed 11
Date g
NNING BOARD DATE
Fi
Street
2 #,i' '4 'r,
and for no other purpose.
No. of Stories
,19 I
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. dQ
E &1, ,) Date Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty