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MECHANICAL PERMITIt PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date S /J -- °( Job Address 72 0 Al r / G / •/ Tax Folio A \ \ 7 ,5 C v \ \ ai.) Legal Description A Historically Designated: Yes u No Owner/Lessee / Tenant �' AK- �� t /// Master Permit # % 906 9 Owner's Address - 7010 Ne /67 57' Phone ?J 7 717r Contracting Co. A10 S us' h % �/L -7 e_ Address i/ S 41041 6-r>t— ✓F Qualifier 2 . E- ' F ' 14 .1-.— OA- N14'SS# 7 'Phone 30.171' -- /S erU State# 12 A- (-O ..Z Municipal # Competency # Ins. Co. 4 yL s# D C Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBINN " t CHANICA ROOFING PAVING FENCE SIGN WORK DESCRIPTION �. ^� �� /,o�v t•- L—v7"; C .Q /A, Ste'''" f_ Le - G4 3vor 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 AN 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 ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S A}Fi)AVIT: 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 ork stated. ate Signature of owner and/or Condo Preside d/or Cond • 1 4 "•7 7; _„v ARYSEAL DELL MARIE SFE.iNGE I NOTARY PUBLIC STATE OF FLORIDA CC:MM1SSSlOy1 NO. CU9ft.% MY CC;dMISSION EXP, AUG. 2 FEES: PERMIT '/> o / esident RADON Da No 1 Si a Contractor or Owner - Builder t o / 1 My Commission Expires: C.C.F. , .. () NOTARY 5 (ce) BOND APPROVED: Zoning Mechanical �•�= `Y i - Plumbing Structural Engineer Building Electrical 1 Sec. 6 -3 Air Conditioning Regulations. Miami Shores Village (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 then ten (10) feet above grade shall be secured to the structure 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 control 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 provided with soundproofing, or sound- absorbing baffels, or enclosures, as approved to insure maintenance of a reasonable noise level. (2) All equipment on outer walls, on roofs, or in the 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 enclosed 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 installations to minimise the noise nuisance to adjoining property owners or occupants and the building official shall have authority to reject or require the redesign 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, Sec. 1 -3, 2- 21 -61). I have read the above ordinance and will comply with the regulations thereof. I have read the above ordinance and will comply with the regulations thereof. R JOB NAME ADDRESS / -7/ Different location than above? MIAMI SHORES VILLAGE AIR CONDITION REPLACEMENT 72 /V( ,8/ �f- / EXISTING CONDITIONS 1. HOUSE MAIN ELECTRIC SIZE AMPS WIRE SIZE 2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE A , & CIR. BKR. SIZE FUSE SIZE SW X AIR HANDLER BRANCH CIRCUIT:WIRE SIZE , & CIR. BKR. SIZE FUSE SIZE SW 3. SIZE OF EXISTING COMPRESSOR DISCONNECT: _ 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 No NO 5. EXISTING UNIT TO BE REPLACED OR RELOCATED NAME PLATE INFORMATION FROM EXISTING UNIT MAKE � �- /@✓Y PACKAGE MODEL # CONDENSOR MODEL P kCni ® /C 3/O a A.H.U. MODEL 2b 0/7 HEAT PUMP TYPE YES NO )4 " KW HEAT STRIP SIZE f /Cry 19 ' c � CONDENSOR MINIMUM CIRCUITS ASPS / A.H.U. MINIMUM CIRCUIT AMPS ZS MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: CONDENSOR AMP SIZE Ors FUSE HACR CIR. BKR. AIR HANDLER AMP SIZE 250 FUSE HACR CIR. B:CR. EER NAME PLATE INFORMATION FROM NEW UNIT BEING INSTALLED MAKE / t&f4 / / CU PACKAGE MODEL # 9 CONDENSOR MODEL # A '7 o , b 7 k 2 - A.H.U. MODEL r' / YUgYX 7 HEAT PUMP TYPE YES NO KW HEAT STRIP SIZE .f7L ") CONDENSOR MINIMUM CIRCUITS AMPS ,3 A.H.U. MINIMUM CIRCUIT AMPS 02c MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: CONDENSOR AMP SIZE 0 FUSE HACR CIR. BKR. Doi AIR HANDLER AMP SIZE JO FUSE HACR CIR. BKR. EER 564 g 4 &0 cvL1/4o CERTIFICATE NUMBER ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGFIT OUTLETS CENTRAL HEATING airs DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) /?fi DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/ UER 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 MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIOENCE 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 MOTCRS 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 SWIf ING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS )RAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. DATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN 100F INLET SOLAR WATER HEATER =IRE STANDPIPE 'COL PIPING .AWN SPRINKLER SYSTEM ;AS RANGE €TER SET (GAS) SAS PIPING 1 ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION 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.) PLUMBING ELECTRICAL MECHANICAL 1 PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date( cl! �4�(/ Job Address l7Q N �, /� �-�° � �- - 1 /�� . ° . Tax Folio i Legal Description Master Permit # 36 Li ? Owner / Lessee / Tenant i`� I aCi �r) i� C.! -� ; ee 0_0 4 lT h � � Owner's Address 0 NJ . e. 0 S -4 S•4 ye` _.4- Phone �� - 7- Contracting Co. D- 'kli� V '' '' L /� �, h�C Address /C> �, /90vA Qualifier •.)f 1 , Ki 0/) ` �- - . � - � Phone � O 7 _> St 1 Competency (Pc ok-v_ "/ / / Ins. Co. Address Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION ,.!.J/1 - S - 1 - 0 (1 i yi 3 -1-01--) 4 vo - e 4/C, 04/1 Architect /Engineer Bonding Company Mortgagor Square Ft. Estimated Cost 2,5•C)0 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 AN ATTORNEY BEFORE 2ECORDING YOUR NOTICE OF COMMENCEMENT). application is hereby made to obtain a permit to do work and installation as indicated above, and )n 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 )ermits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, and MECHANICAL work. WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work Ill be done in compliance with all applicable laws. regulating construction and zoning. 'urthermore, I authorize the above -named contractor to Bo the work stated. ignat re 9 -r wner and /or ate: .i 'a. otary as to Owner and/or r tondo'President y Commission Expires: • . * . * :KNIT FEE APPROVED: Zoning ,�yy Mechanicall ident - .Sign . ire of Da e• G /41 ii J . Notary as to COn or Owner- Builder My Commission Aires: * * . . * * Fire Other Building Plumbing Engineering Electrical Liqo °. r./'7f7 - 05/05/94 13:12 hMS;6 aliarall. C.1 M fl L D ii { O IN Sec- 5.1.1.. Air conditioning regulations. (a) All individual air conditioning units installed in walls or windows shall be securely anchored to the walls by approved methads. 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 Ioads_ Such units cantilevering more than eight W) inches on the exterior of a► building shall be supported by ::tc l angle brackets secured by bolting. Bolts to masonry shall b'. vit in lead shields or similarly rot - resistant fastenings. (b) The following special requirements shall apply to the con- trol and regulation of noise nuisanez ;.:rem 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 nuise.ace to adjacent owners or occupants shall be pro - vided ::h soundproofing, or sound - absorbing baffels, or enclosL..- es, 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. redesitsned andJor en- closed i i noise - retarding materials when, in the opinion of the building official, such enclosure is necessary or would be effective. ,(3) Special conrsideration shall be given to the planning of rill future installations to minimize the noise nuisance to ad- joining property owners or occupants, and the building official shall have authority to reject or require the redo- sign of any system which, i-n his opinion, would cause such a noise nuisance. (c) Violation of this section sh Ail be punished as is now or may hereafter be provided by/ 7. (+),.. No. 299, $4 1 -3, 2. 21-61) 1 have read the zve ordino . +. :: rIrld will =ply with t( regulations t eof. Owr r rSigna r �' ' /. .0, „I 0 ,V e,„7p , f ,„4,/ _ ' 75 C ri' I 1 ce / tr, /j C • /2! 04/2 72O g /47,4 S'A • 0/2 f :17/2 3 3 "J-- /e7ir Fo, 4'4 - , co 3 /1' sie ous /90741-$41e4'7-, MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT .Application is hereby made for the approval of the detailed statement or we plans and specifications herewith submitted for the build in 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. Date.. /l/ ' � - 19. 16 Owners Name and Address .» ... V S .�... No .».. � Q .. / Street-L .S Registered Architect and /or Engineer Name and address of licensed contractor AeLas_ Location and legal description of lot to be built on• Lot `d � k.r.L 6 Block 7¢ ° Street and Number where work is to be done /� State work to be done and purpose of building (by floors). P f �> "To.0 Cohd[Dn r N.l..A. u.a..t. t.. Ce.rz » C?. (v1 00 'e"-/ 3� E J b.! .». _ ._ . ».... »_._»». ». ».....and for no other purpose. New Bui!ding Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation ....» Roof Covering Estimated Total cost of impr $ Amount of Permit 1 �>� � % m r M ( /11 (2 Art • a 0 - -Size of Building Lot Distance.to next nearest building Nfaximum 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 yid its construction may be sent to The mulersigned applicant fur 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 Ceneral Laws of Florida, Permanent Siipplement, and hAS COnliihed Oil the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed hy him in the work to bc performed tinder this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice or notices as arc required by the Act. The undersigned agrees to employ only such bcontractors, on work to be perform under this pcnnit, as are licensed by Miami Shores Village. • D isapproved :.`'... Date .._ .. ... _.._••• (Signed) Building Inspector ••••• nor ••rn a.. .. _,nnmrn.,n CO 0.J .0 • 4Gop S(A.) 75Ar1Q G2 C4 - 9•49 zr- SubdivisionY.r:�ttj!...11. e . 1. :1. / ' - F'i'b �...�. (Signed)» » - a. Notary Public, State of Florida My Commission Eapires....__....._». STATE OF FLORIDA, COUNTY OF DADE. is. • Before me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgments, personally ap- peared ... •...._ .... 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 carne, and that all facts therein by him stated are true.. t F , Permit No. C G Date f 00.40 Read, Sworn to and Subscribed before me. PLANNING BOARD Ch airman - ...._» Member — ••••• _.... »__.. »..._.. ».... »..._ Member ..... » »_ » Member ».. »............_...._.. _. Member .. Member .... ».. ».......... _. _ »....__._....._. • ».... » »...... »...._..__... Council Approved Date Disapproved .. .... Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained ferns the PI.,nnir.g Board. A rc inspection fee of 51.00 will be charged when such re inspection is made necessary by Improper notice for inspection or faulty materials anti /or workmanship. Application is hereby made for the approval 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. Date..._ C. ° e en 6 cR 1 , 19.. 76 Owner's Name and Address - .e!tg Ls No..7e1 Q tiE Street- ._.40.Z ... S..I' t. e +yFpf Al Eh? ti:e and/ 6F n ifir t l ..: Name and address of licensed contractor (ft 1 mu c? o 4e R. in.,a Ae_a,,..roVO Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 726_ /YF / Q t State work to be done and purpose of building (by floors ).....rVdf01141 -4- ,t /.119? 4, • 1- V Te w and for no other purpose. New Building • Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation. Roof �t Estimated Total cost of improvements $ 940 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, Pennanent 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) ice!' °_ sect 0\-- Wm. G. Solitare STATE OF FLORIDA, COUNTY OF DADE. j ss. MIAMI SHORES VILLAGE s - BUILDING INSPECTION DEPARTMENT APPLICATION FOR = UILD8NG PERMIT Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persortally ap- peared 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. / Permit No Date 1 r ( ( 7 zRead, Sworn to and Subscribed before me. Disapproved (Signed) Date Notary Public, State of Florida to me well known, Building Inspector My- Commission Expires PLAN ING BOARD DATE Chairman Member Member _____ Member Member .... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. i APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval 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. / e / r _ y . Date_.._ a".„ t - , 19' - f 4 �(/ s w � Nit 7 Street..1., /// !' Owner's Name and Address ._.... Registered Architect and /or Engineer Name and address of licensed contractor. • Location and legal description of to to be bu on: Subdivision Street and Number w e work is to be done • / ,4 Building Ins; ctor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Vt7 kW' State w jk to be dime and purpose of building (by floors) — and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ a C% 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 su it all the plans d specifications for sai building. All notices with reference to the building and its construction may be sent to L. G . -G -, .'.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, Pennanent 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) STATE OF FLORIDA, COUNTY OF DADE. f ss • 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. Permit No. .... _ at�s.' Date 1 1 / Read, Sworn to and Subscribed before me. Disapproved (Signed) Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman / Member Member Member Member ...._.. Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ` • (kV 1 17f "-'• . " b. v i ,,, 4. 40 el , 44 g c. C e" i r &ee it /5 t 1 0 e,, , 1 6.- .:4; elf ?/!P.&1