456 NE 101 St (4)Issue Date: 5/23/2006
Owner's Name: FREDERICK KNOWLES
Permit Type: Mechanical - Residential
Work Classification: Addition /Alteration
Job Address: 456 101 Street NE
Additional Information
Miami Shores Village, FL 33138-
Comments:
REPLACE 3.5 TON NC UNIT WITH 8KW HEAT
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 11/18/2006
Contractor(s) Phone
AFFORDABLE AIR & HEAT 305 - 770 -4167
Primary Contractor
Yes
Tons: 3.5
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.
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: MC -5 -06 -1332
Phone:
1132060170460
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 2,450.00
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
$1.80
$0.60
$100.00
$3.00
$2.50
$107.90
Invoice Number
MC - 5 - 06 - 24903
Total:
Amt Due
$107.90
Y 31
l c:J
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.
REPLACE 3.5 TON A/C UNIT WITH 8KW HEAT
MAR 1 2 2OO
Passed
Inspector Comments
1 ---)
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
e s` ecti €
Inspection Date: 03/07/2007
Inspector: Perez, JanPierre
Owner: KNOWLES, FREDERICK
Job Address: 456 101 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: AFFORDABLE AIR & HEAT
Building Department Comments
Tuesday, March 6, 2007
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number
Parcel Number 1132060170460
Lot:
Phone: 305 - 770 -4167
Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
•1231 c°
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle): Building Electrical Plumbing Roofing
Owner's Name (Fee Simple Titleholder)c Phone # — 4 — DZI>
Owner's Address 2- 1.() N (., 1 o i st
City \k\ Q e.) \ State L Zip s
Tenant/Lessee Name Phone #
Job Address (where the work is being done) R �� N - �' . 10 f Sfi
City Miami Shores Village County . Miami -Dade
FOLIO / PARCEL # \ \ - O \ 1 0 y Lp h
RECEIVED
MAY 2 2 2006
BY: liNleGt
Permit No. \ 91 11
Master Permit No.
Zip 3313
Is Building Historically Designated YES NO
Contractor's Company Name' O(C,a,&Ok. AA ( 4 4V1(Phone # ( Qt- o - o 4
Contractor's Address J\ S C1� �� 0
City t`(1 \ 'd yr \
Qualifier Name J r.pn
State Certificate or Registration No.C.. ® 11 I
State �-- Zip
Phone # (9S) °4 - � - � -
Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ Aq69 Square / Linear Footage Of Work:
Type of Work: Addition ❑Alteration ['New Repair/Replace ['Demolition
Describe Work:
I
**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ CCF $ 1 •8 CO /CC
y
Notary $ Training/Education Fee $ 0. LJ Technology Fee $ 2-. °c
Scanning s\-a - co Radon $ DPBR $ Zoning $
Structural Review. $
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Bond $ Code Enforcement $ Double Fee $
Total Fee Now Due $
101 . c .
See Reverse side -*
c-- ( .. o
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Signature
tate Zip -
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 b approved and a reinspection fee will be charged.
(Revised 02/08/06)
Owner or Agent
The foregoing instrument was acknowledged before me this
day of YYL 2001Q, by
s personally known_to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
APPLICATION APPROVED BY:
Sign: ..� �s ....
Print: isor,2
� �`,. .. r /3/0(046. Nr
My Commis ° Tpires: co (s o , s t fro
e0, �m[7.., xoi �b� ° *
N 4336 ? s 2009
tary
Contractor
The foregoing instrument was acknowledged before me this
day of , 20(1 by
NOTARY PUBLIC:
Sign:
Print:
My Commission
****** * * * * * ** * * * * * * * * * * * * * * * * * * * * * * **
o me or who has produced
as identification and who did take an oath.
Zoning
* * * * * * * * **
ITEM
3ATH T1B
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
3IDET
LIGHT OUTLETS
CENTRAL HEATING C �
U SHWASHER
RECEPTACLES
A/C (WIND) n
) I SPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) /.5
)RINKIFG FOUNTAIN
SERVICE SIZE IN AIDS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MJTCRS 0- 1 IF
STEAM BOILERS
SHOWER
M)TCRS OVER 1- 3 if
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 1C- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
M)TCRS OVER 100 I-P
VIOLATION
INDIRECT WASTES
A/C WINDOW
REI,NSPECTJON
WATER SUPPLY T0:
AIR CONDITIONERS
A/C UNIT
FIRE
STRIP HEATER
SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
I GENERATORS TRANSFORMERS
I.
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COM4ERCIAL
WATER SERVICE
EWER
SIGN TUBES
CONNECTIONS
TILITY
•SIGN TRANSFORMERS
-SEWER
T I L T TY
SIGN TIME CLOCK
-WATER
EPT
I
F I XTIRES
I C TANK
ELAY
I
f
ANTENNA
TAINFIELD,
TELEVISION OUTLETS
1
4 TILE/RES.
JMP
I
VIOLATION
-'
& ABANDON SEPTIC TANK
)AKAGE
REINSPECTION
PIT CU. FT.
4TCH
BASIN
ISCHARGE
WELL
)M!ESTIC
WELL
1EA
DRAIN
OF
I
-.
INLET
ILAR WATER HEATER
RE STANDPIPE
OL
PIPING
WN SPRINKLER
I
I
SYSTEM'.
S RAGE
EMI 1
TER
SET (GAS)
C PIPIN:.
` I
PLUMBING
n ✓ 1./ L1lu VIVI 1 V UV1L 1 L11iVll 1
ELECTRICAL
1 1 i v I 1 i ■./ 11
AN AtPLICAT ON 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.)
APPLICATION FOR BUILDING PERMIT
.1; ;`I,C.ttii•n
it 1•.v,•l,y matte for tl,c approval of the detailed statement of the plans and specifications herewith submitted for the build -
ing or tole herein desrmt This application Is made in compliance and conformity with the Building Ordinance of Ntrarnl
Sh;ues ,u:;i all prus•Isiuns of die Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regillrtions of the tiulhlu,g Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specdieat :tuts most be kept at budding during progress of the work. -
Owners Name and Address . Knowles,F
Registeic:1 Arciitcet and /or 1 ninve( ta us. n•• e•,••,
Name and address of licensed contractor Sears 7500 NW 25 St
Loeat,on and legal description of lot to be built on: _, - .... ._. __
Lot, 5 Mock 90 Subdivision Folio 11
Street and Nwnber where work is to be done 45.6...NE.. lot • St. •• _.
Stxta uo;k to be done and purpose of building (by floors)
New Building ....... ..... ... Remodeling Addition Repairs • No. of Stories
To l:e rc,rstru.ied of .................... hind of foundation Roof Covering
Este ::sated Total cost of improvements $ 3,300 Amount of Permit S. ' 61.50
Plan Cubage
Size of Building Lot
ioro &Jag. re „p:um.d ..... ..
Distance to tint r.c., ; cst building
Maxi :,-•'-t hrc lo:.d to be borne by each floor
1 iu a :lt submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sett:. to
:'i , ;,•, ..; lir.ti firth :.; humlduti; permit does hereby certify that he understands and accepts his obligations as an employer
of i ;, r.,l„ t'. o;r ,re;i's Compensation Act, being Section St/66, Compiled General Laws of Florida, Permanent Supplement.
! Cie i " „ ;.,.: :.nit thereof, and will require similar compliance from all contractors or sub - contractors employed by him
: t t: r ;•+ f r,...i , ;;;c:,'r tit;: pct Wit; and will post or cause to be posted for inspection on the site of the work such public notice
Or ■ • •. I '• IIiC A '1110 undersigned agrees to employ only such subcontract r! on ork to be performed
. ,. .., i +l • ' .r} , ' . l i s i ; S':iurci l•IIL,Le, R pe under this
,, „, t;,r: u: r: ;;;ctl at :ll ; ; n no public, duly authorized to administct oaths and take ac'knowlcdgnients, pc:sor.ai(
................ ..... ..... • 11 1
• .._.__........ vier. !;Yell
u. n,.t oath de,oses and says that he is the
ti • o : ,. • ,.i;,,:,l:r•J , ,: t :uctir : d ut J; I . has Carefully read the foregoing application, and that he did sign the write, ru this mil facts
th,'t. .., !.•,il d;v :l'li .i If stet
:,;.t :r� .a..4..
Split A /Cllepi'acement with 10 KW heat
MIAMI SHORES VILLAGE 5"*F/- 1(516'
BUILDING INSPECTION DEPARTMENT
: t..ANNI;+ ;I;, BOARD.
Date...
85 Strom NE 101 St.
(Signed)
en(
” /9- go ............ Read, Sworn to and Subscribed beforc'me.
Notary Public, tate of Florida
My Commission Expires bokoflf..P.UK.ct„ State of Florida
My Commission Expires July 16, 19$7
and for no other purpose.
.. .. .. .. .. 1`fennl.t<•r
..,..4, , Member
Cate Disapproved
e:c : i i !m made f.,r rn.,lifig corrections or changes to this application niter approval has lxrn obtained frr.m
fie r:; J.{:'i o:• is be ,ties r,•, cd where 111011 re- inspection is made necessary by Improper notice for inspection or faulty
Member