398 NE 100 St (8)Permit
Disapproved
(Signed)
119 T,
New Bui!ding
To be constructed of
STATE OF FLORIDA, 1 .
COUNTY OF DADE. i ss.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement or inc 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 Divisinn 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 pragreu of tho work.
Owners Name and Address ;�!#14
.�r ,` "'� � 7 " /�' �� !�! T 1"•
Registered Architect and /or Engineer
Name and address of licensed contractor .... ,,fie ea
Location and legal description of lot to be built on:
Lot ! 4 " . Block 6 Subdivision.... .t .e.
Street and Number where work is to be done
Statehvork to doe and purpose of build' g (by floors ... G ..
Gd�t 42e4 ..71 r
--eye/0 ka
Remodeling Addition Repairi No. of Stories _
Kind of foundation hoof Covering
Estimate Total cost of improvements $ °20 -. 00 . Q
Amount of Permit S.
Zone cubage required .Plan Cubage
Distance .to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
1 for said building. hereby submit all the plans and sp cification ilding. All notices with reference to the and its nstruction may
be sent to.. a-e' & / 4r'. /...w2. f' 4 ¥ / 4e t i Gam. r
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 oldie work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subco» tractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Date
Cliair:nan
Member
Member .. ... _......_..._. _ ...._.......
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Plannir,;; Board.
A re- inspection fee of 31.00 will be charged
materials anti /or workmanship.
Street_.._..F p .0_
.7G21 Ls
and for no other purpose.
h
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector My Commiuion Expires
PLANNING BOARD DATE
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 fads
therein by him stated true.. t J
No. gfrb1 Date ! x7
Member
Member
Member _..__...
Disapproved Date
making corrections or changes to this application after apprnval has been obtained from
when such re inspection is made necessary by Improper notice for inspection or faulty
A/C CONDITIONING CHANGE OUT
APR 18 2001
� 1k
, '
Passed
Inspector Comments
•A D4libl 7
-
r
frg
Al
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 02/19/2007
Inspector: Perez, JanPierre
Owner: WARREN, MARJORIE
Job Address: 398 100 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: BLUE BREEZE AIR CONDITIONING
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060135410
Lot:
Phone: 305 - 865 -1220
Wednesday, February 14, 2007
Page 1 of 1
ITEM
'ATH TLB
UNIT
FEE
ITEM
SWITCH CUTLETS
UNIT
FEE
UNIT
FEE
ITEM
SPACE HEATERS
310ET
LIGHT CUTLETS
CENTRAL HEATING Kam.
)ISNWASHER
RECEPTACLES
—C
A/C (WIND)
) ISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) 2
5
)RINKIFG FOJNTAIN
SERVICE SIZE IN AMPS
..
DICT WORK '
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE CUTLETS
PROCESS AND PRESS PIPING
INTERCEPTCR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTCRS 0- 1 if
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 FP
HOT WATER BOILERS
SINK, POT /3 COMP.
IOTCRS OVER 3- 5 FP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
M{JTCRS OVER 8- 10 HD
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MDTCRS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
RATER CLOSET
MJTCRS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REI,NSPECTJON
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
(
1 GENERATORS
1
HEATER - REPLACE
1
GENERATORS TRANSFORMERS
1
,
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS DMERCIAL
1
WATER. SERVICE
SIGN TUBES
SEWER CONNECTIONS
,
•.SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
'ANTENNA
RELAY
1
1
TELEVISION CUTLETS
1
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINFECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN:
100E INLET
;OLAR WATER HEATER
1
J
I
IRE STANDPIPE
'COL
PIPING
.AWN SPRINKLER SYSTEM:
�
1
1 1
AS RANEE
ETER
'
SET (GAS)
AS PIPI1�.
I' I
I
'AN ATPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSE IONS.)
PLUMBING
ELECTRICAL
MECHANICAL
Sincerel
AIR CONDITIONING
All materials are guaranteed to be as specified. All work to be completed in a professional manner according to standard
practices. Any alteration or deviation from thc above specifications involving extra costs will be executed only upon written
orders, and will become an extra charge over and above the estimate. All agreements are contingent on strikes, accidents or
delays beyond our control. Homeowner must carry, fire, flood and any other necessary insurance. In thc event that it shall
became necessary to enforce any of our rights under this invoice to collect any sums due or to remedy a breach of any
covenant of this agreement and the non - prevailing party shall pay for interest accrued, attorney's fees and all relevant cost
incurred. Warranty's service covered by this agreement will be scheduled during the company's regular hours, 8:00 am to 5:00
pm., Monday through Friday, except holidays. After hours or weekend scheduling is available for an additional charge. The
Company is not responsible for regular maintenance issues such as water leaks, plugged drains, dirty filters, blown fuses,
electrical surges or acts of nature.
L . cio F ander
P . c t Manager — Blue Breeze Air Conditioning
NOTE: This proposal may be withdrawn by us if not accepted within 30 days.
ACCEPTANCE OF PROPOSAL
The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the
work as specified above. Payment will be made as outlined and 1 understand that should 1 cancel this contract, a 15%
cancellation fee will be imposed.
Client's Signatu r / Date : 4-2 v -
,
Client's Name (Print): n +4 12 j C,� / /_ 1/) 4 t -2
January 25, 2007
Customer Initials: / y∎A
555 NW 113 St Miami FL 33163 / Ph: 3E-365-1220 Fax: 305 -365 -7779
MARJORIE WARREN
398 N.E. 100 STREET
MIAMI SHORES, FL 33138
Re: HVAC INSTALLATION
We are glad to submit our quote for the HVAC system for the mentioned project and
propose to furnish the all equipment, labor and material as described in our scope of work.
SCOPE OF WORK
• PACKAGE UNIT TRANE OR YORK HEATING AND COOLING 3.5 TONS 13:00 SEER
VARIABLE SPEED.
• RUBBER PADS ON PACKAGE UNIT
• 10 YEARS WARRANTY ON COMPRESSOR AND COIL
• 5 YEARS LIMITED PARTS WARRANTY
• 2 YEARS WARRANTY LABOR ON INSTALLATION
• HURRICANE TIE DOWN
• CURVE INSTALLATION
• DRAIN SWITCH
• FILTER FRESH
• NEW DIGITAL THERMOSTAT
• ALL SECURING OF EQUIPMENT TO SUPPORT
• START UP AND SYS LEM OPERATION CHECK -UP
• ALL LABOR, MA 1•ERIALS AND SUPERVISION
PERMIT
• ALL PERMIT FEES AND INSPECTIONS(Rough & Final)
• PROCESSING / CITY WALK THROUGH / NOTARY SEAL / REVISIONS (IF ANY)
NM&
"ata CON TI ruwG /
Customer Initials: . 7)1-4.4.)
555 NW 11S St Miami FL 33168 / Ph: 305-365 -1220 / Fax: 305-S65 -7779 ,1- :. ^r..er, zb; ce- e:TCafri.CU71
TRANE PACKAGE UNIT 3.0 TONS 13:30 SEER XL 13C
TERMS
-To .1 investmen
FPL rebate:
Total Investment:
TRANE PACKAGE UNIT 2.5 TONS 13:15 SEER XL 13C
Sub -Total investment:
FPL rebate:
Total Investment:
YORK AFFINITY PACKAGE UNIT 3.0 TONS 13:00 SEER
Sub -Tota vestment:
FPL rebate:
Total Investment:
YORK AFFINITY PACKAGE UNIT 2.5 TONS 13:00 SEER
Sub -Total investment:
FPL rebate:
Total Investment:
EXCLUSIONS
• CU I IING, PATCHING, PAINTING, SEALING AND ROOFING
• ANY /ALL DEMOLITION
• ANY ALL ROOF WORK
• KITCHEN HOOD
$ 4,389.-
$
$ 4,389.-
$ 4,037.-
$ 0.-
$ 4,037.-
$ 3,699.-
$ 0.-
$ 3,699.-
$ 4,090.-
$ 0.- \ r
$ 4,090. -
t
50% DEPOSIT (FOR US TO START CITY PERMIT /SCHEDULE INSTALLATION)
20% UNIT ARRIVAL & COMMENCEMENTS OF JOB
30% UPON COMPLETION
Customer Initials: ril^^A.
January 25, 2007
2 ON01T1a 5)
655 NW 118 St Miami FL 33168 / Ph: 305- 865 -1220 / Fax: 305 -865 -7775 vdvrco,caureezem.ac1 .c.cr)
PERMIT APPLICATION
FBC 2004
Tenant/Lessee Name
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305)) Fax: (305) 756.8972
BUILDING `�`� ci'O7
n_
Permit Type (circle): Building Electrical Plumbing
Job Address (where the work is being done) 3 9 s ,t . /On :5
Is Building Historically Designated YES NO ,,SC
Contractor's Company Name &VL ' j 2 ) . (G
Contractor's Address ,±3 /1/C"✓ //f . ' — T
Submittal Fee $
Zip 33/3,
Phone #
Value of Work For this Permit $ q
Phone #
Architect/Engineer's Name (if applicable) Phone #
Permit Fee $ 1 �/3 6 OD CCF $
Permit No.
L
Master Permit No.
MAtut
Roofing
Owner's Name (Fee Simple Titleholder) /9K:5) /� /,Ap h Phone # _50) 752 ?2 3
Owner's Address . 6: ?g /V, i . ADO j7'R r.
Cityanaif J j/ State rt.
City Miami Shores Village Co unty Miami -Dade Zip 33 / 3 S
FOLIO / PARCEL # //" ` 2 d, -�� /3 -5
Square / Linear Footage Of Work:
305 KG O
City/)97/ / State r/- ' Zip 33/G
Qualifier Name / 7c' 3 Phone #
State Certificate or Registration No.CQG /(7/3 . Certificate of Competency No.
Type of Work: ❑Addition ❑Alteration New (I Repair/Replace ❑ Demolition
Describe Work: A/ CO/V77/ 72/V /A.,6 O() 'J-
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CO /CC
Notary $ Training/Education Fee $ l J� Technology Fee $ 7)1
Scanning $ 5 Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
See Reverse side
T2-(52
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Zip
:Y 6.*:
Mortgage.iLendQ,r'4,Na fe (
Mortgagd tender'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 RECORDTNG 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 ' f such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature " L -.',s, n;
Owner or Agent
The foregoing instrument was acckiwledged before` his The foregoing instrument was ackn.w d ed before me this 4
day of I f 2 w�, by .- ti � • hU Yey of G /t 20 d 7, b 12A as Tr(o
who is personally own to me or who has produced 00050" 1ho is . rsonally kno o me or who has produced
, As identification and who did take an oath. s identification and who did take an oath.
NOTARY P BLIC:
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02 /08/06)
Signature
My Commission Expires:
-‹010 3
of,
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning