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53 NE 101 St (4)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 Bui d:g Inspection Request \ Date_g Type Insp n I J -1-4 Permit No. • Name 1 \Nal • Addre.% company Phone # Inspection Date Approved Correction Re-Ingin Fee ( ••■■•■114 CO. •••■••■•••"^".....1010,-, ......••■••••••••••■ •••••••• •■,••■•••.■ Mechanical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: MC2004 -215 Printed: 12 /29/2004 Applicant: JORGE Owner: RIVAS JOB ADDRESS: 53 NE 101 Contractor HOME SERVICES INC Local Phone: 305/949 -1827 Parcel # 1132060131530 RIVAS JORGE ST Contractor's Address: 1515 NE 138 ST Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 18 & E1/2 LOT 17 BLK 11 LOT SIZE Fees: Description Amount FEE2004 -13193 Building Fee $112.00 FEE2004 -13194 CCF $2.40 FEE2004 -13195 Notary Fee $5.00 FEE2004 -13196 Training and Education Fee $0.80 FEE2004 -13197 Technology Fee $2.80 Total Fees: $123.00 Total Fees: $123.00 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 6/20/2005 Construction Value: $3,225.00 Work: REPLACE OLD SYSTEM NEW 3 1/2 TON SEER 12 CONDENSING UNIT OUTSIDE ON STAND 1 JAN 0 5 PAID Signed: (INSPECTOR) In consideration of the issuance to me of this permit, 1 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) iii': BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Tenant/Lessee Name Job Address (where the work is being done) is Building Historically Designated YES Contractor's Company Name Contractor's Address City a v v rho( State fi Qualifier Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: Desch ork: Il� rY1 Sub tal Fee $' Notary $ 5 (Continued on opposite side) * Xiami Shores Villag uilding Departmenr Scanning $ Radon $ Zoning Code Enforcement $ Total Fee Now Due $ I 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 ,� .:5' 72 Permit No. PC 01 Permit Fee $ Electrical Training/Education Fee $ 0. 0 Structural Plan Review. $ Plumbing Owner's Name (Fee Simple Titleholder) � Owner's Address P tfY VQ4 l )j' • ( t eD E7 City au.K( State LOb&t Zip 3 3 Phone # 116 ).ot Ee `3 8 �T ❑Altera ' •n [New ♦ � 4 P ISEMZECTruM___1W111 Air AIM ************************F 1 ,, 1 1 Da CCF $ cQ . `kv Permit No. V 3 Mechanical Roofing Phone # 00S 9 000 Phone # City Miami Shores Village County Miami -Dade Zip 3' i 3 g - 25 Le, • Phone # 3o 9 V `3a Zip 3a/6, / State Certificate or Registration No v9C— e5 /� 0 Certificate of Competency No. Square Footage Of Work: /547Z) Repair/Repl c: ❑ Demolition Bond $ CO /CC Technology Fee $ r -; . o ,C. 2 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 conunenced 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 re ion fee will be charged. The foregoing i trument was acknowledged be re me this A who is, eip__:sonqly known to me or who has produced Signature Chc 05/13/03 NOTARY/71V Sign: t, (IA- Print: Kax-I & My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * *. APPLICATION APPROVED BY: As identification and who did take an oath. iature Contractor The fore oing instrument was ackn ledged before me this day of , 20 al by tOS c I I UN V L who is personally Iy n to me or who has produced identification and who did take an oath. NOTARY PUBLI Sign: Print: My Co mission Expi �` Engineer Zoning MY COMMISSION # DD 189245 's, •tee EXPIRES: May 26, 2007 �• . - -ms 2/2e Plans Examiner. ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WARD) DISPOSAL SERVICE TEMPORARY A/C (CEO) .5 DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE • REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIP INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES .WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS 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 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER'SUPPLY TO: AIR CONDITIONERS - A/C UNIT STRIP HEATER FIRE - SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS .SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN +^, DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RAPE METER SET (GAS) GAS PIPING i PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION • (AN APPLICATION 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.) ELECTRICAL MECHANICAL