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29 NE 102 St (9)Type Insp'n r c' 1 Cen-+ro 1 At Permit No. -42 mil • Tower CI'rcc. Name J C ' +h Ar-r- f'rc n9 Address Z17J 0 )1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date0 '/2& /05 Company �J • IeCfiy! CG7 I ( -f p Phone # (305) Z/6 - 4850 Inspection Date Approved Correction Re- Insp'n Fee Z 9 NE I OZ ST 06 / 2 05 o BUILDING - ' PERMIT 4P11t FBC 2001 L Permit Type (circle): Bui ding Owner's Address .L q NE 10 2 ST City ,97it,,,,,' S!i or e.S State // Tenant/Lessee Name Contractor's Company Name City A7/o.0.2 i • State pl Qualifier State Certificate or Registration No. Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Owner's Name (Fee Simple Titleholder) J y Arm s + ro n Phone # (j.:; 7S8- 860? Job Address (where the work is being done) • 2„ ci N E 1 0 ,2. ST City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO ✓" Lam, E jicIri cQl Corp. Contractor's Address G, .22 0 $ W .3 0 ST Re7r7Ql4o 1/9n Ioi.ng s Permit No. EL o5_ 1 /g Master Permit No. Architect /Engineer's Name (if applicable) Phone # Plumbing Mechanical Roofing Zip 33 Phone # Phone # qo) 2 /6 -'-lS So Zip 33 /3S ER 1 3 0 1 ;Z_1 8 Certificate of Competency No. 0 0 00 1 4 16 7 $ Value of Work For this Permit 6 ]s, 00 Square Footage Of Work: Type of Work: ❑Addition ❑Alteration. [New // (Repair /Replace ❑ Demolition Describe Work: R e Ia c G p'7 1 � .� � ro r X/ S f%^ \ y ($ 0 min ,O CC/7 /i 9/ Aif fl.at.Pi - l % P Cv/ *6 *************************F Submittal Fee $ 5 Permit Fee $ /' ' m CCF $ CO /CC Notary $ Training /Education Fee $ , Technology Fee $ j•50 Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ A /4 D3r1 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 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. 1 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: 1 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 reinspection fee will be charged. IBY PVB e C I . Sign: L. -err. ch „Ar 1 Mny 11 11 J Ala Signatur \Atoll iimAkamL The foregoing instrument was acknowledged day of NOTARY Si P► ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Owner or Agent APPLICATION APPROVED BY chc 05/13/03 who has produced Signature Contractor The foregoing instrument was acknowledged before me this Ine o f l0 ,20b , by o is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLI Sign: Print:Man onell 323870 My Commission Ex Tres: , Y p �(0(�/� Bonded Thrt O „ Expires: May 26 2008 My Commission Expi Te& ;' February 11 2009 r, Bonded Thru Notary Public Underwriters *********************** * * * * * * * * * * * * * * * * * * * * *.t * * * * ** ,, ** iFP.******* * * * ** *r * ** * * * * * * * * * * * *** * * * * * ** *** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Z. NG ,Vtej Plans Examiner Engineer Zoning ITEM BATH T.E UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL I SERVICE TEMPORARY I A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS I DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP 1 APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTER RAJE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (MOUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MDTCRS C- 1 if STEAM BOILERS SHOWER MOTORS OVER 1- 3 If HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 5 H° MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 H FIRE SPRINKLER SYSTEMS I • URINAL MIOTCRS OVER 25-100 NP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES ( I A/C WINDOW REINSPECTION. I I WATER SUPPLY TO: I AIR CONDITIONERS A/C UNIT I STRIP HEATER I FIRE SPRINKLER I I GENERATORS TRANSFORMERS 'HEATER -NEW INST. I 1 GENERATORS TRANSFORMERS I I I HEATER - REPLACE I I GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL I SPECIAL PURPOSE I I I i SWIMMING POOL OUTLETS COMMERCIAL I I I 1 WATER SERVICE SIGN TIKES SEWER CONNECTIONS SS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER I FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION 1 I PUMP 8 ABANDON SEPTIC TAN} , REINS ECTION SOAKAGE PIT CU . FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL 1 AREA DRAIN t ROOF INLET I SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING I I LAWN SPRINKLER SYSTEM I GAS RANG. PETE. SET (GAS) 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.) MECHANICAL G PIPIN'; PLUMBING ELECTRICAL Owner rC4 3/1 � Conduif wi a #4 111140 anal 1 #t' 10t(rroon R epkce E x;n Cen¢ra1 ; C cu i /C E it E. I 0 z. s r /1 iqm i S Jores FL 3l N ni civ ,rt f ron Eu.s4in 1SOA C rcu Breq C''r F- . te r':. Circui New 4 TON 10 k W Air 4cmdi'r Next ■ V 5 Ar^P, 1 it (+3- Ccni'rci I - A /C New 4 TON ag�+r+r Co t/ pressor' 3 3/y C o n Sa Y fito to Disconn uit virfn 2 #$ TINN 1 tIOTNNIJ- Ground (� ey \/4ncJ4wcis El Electric. Corp. /flit. F1. 331St/ y � yos :-� r It t 1 qnd 1 *lot 6-rO0nel EVIS4'in ISO) C ftu 11' Breglter t. IoZ. sr /)1 harn i Sores F;. 33131 N c tive Al \ .r.tro Owner , GJ New 4 ToN O ) / W �! Megt pir ttgndttr ;,rJ:r -- -)1 f 1 } Circui.k t 4-3 - C` n1'r4i_. A/c Safer 1 A P ‹— Disconnect New 4 TON12.1,Anp corn 13 resso/' { �4 Cona ,1;f Set tor Y WO A QisconnecT wre #`8 THF9 I to T wHhJ- Ground Rey Va ncc4rV4S E1JI: Electric Corp. p ✓1 W,W. P " w C pit gm; F/. 33 1 - 5-,5 • Contractor E. J. ELECTRICAL Local Phone: Parcel # 1132060131650 Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2005 -172 Printed: 6/7/2005 Applicant: JUDITH ARMSTRONG Owner: ARMSTRONG JUDITH JOB ADDRESS: 29 NE 102 ST Contractor's Address: 6220 SW 20 ST Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 15 & LOT 16 BLK 12 LOT SIZE Fees: Description Amount FEE2005 -7547 Building Fee $100.00 FEE2005 -7548 CCF $0.60 FEE2005 -7549 Training and Education Fee $0.20 FEE2005 -7550 Technology Fee $2.50 FEE2005 -7551 Scanning Fee $3.00 FEE2005 -7552 Submittal Fee ($50.00) Total Fees: $56.30 Total Fees: $56.30 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/21/2005 Construction Value: $675.00 Work: REPLACE AND RELOCATE EXISTING 50 AMP CENTRAL AIR POWER CIRCUIT 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: A CORD PRODUCER G:l 8 As84C1es 9787 S.W, 72nd Miami, FL 3317 , (G05)279 -7665 - 06/08/05 WED 10:1 INSURED Ray E . J Electrical 5220 SW 20 Sr Miami, FL 33155- COVERAGES THE 'OLICIES Or- INSURANCE ANY RI5CIUIREMENT• TERM OR MAY PER I AIN_ THE INSU_-SAND P0L'C1ES• AGGREGATE LIMIT: IInsR: AGO'L S?'12: TYPE OF INS • GENERAL LIABILI: ' : COMMERCIAL G • MAO A I • • • • GENII. AGGREGATE . POIJC'Y I PR+ I AUTOMOBILE LIABI I ' ANY Air I,,,,j ALL OWNED A 1 , ' i ' GARAGE L[ASILnTY I ANY AUTO i.. • I I; , SCHEDULED A HIRED AUTOS N0N OWNED UTOS , EXCESS LIABILITY r • OCCUR DEDUCTIBLE , RETENTION WORKERS COMPENSATIO AND EMPLOYERS' LIABILITY '• ANY PROPRIETOR/ PAWN OFFICER 1 MEMBER EXCLU If yea, describe under ( - PROVISIONS bel r ?TREK — ^ - - -• DESCRIPTION OF OPERATIONS LOCATIONS I VET -HOLES 1 EXCLUSIONS ADC BY EN0ORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CITY OF MIAM ACOR0 25 (20oiios) ITV 708 1TOS 186 —d 100/100'd 9Z8 -1 FAX 3052799705 ERT1FICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A ONLY AND CONFERS NO RIGHTS UP HOLDER. TI»IS CERTIFICATE DOES Is ALTER TiiE COVERAGE AFFORDED INSURERS _AFFORDING COVERAGE INSURER A: Naticnal Insurance In 5L :raanc 1ST7.0 NAVE BEEN ISSUED TO Th E INSLJ F-D NAML3 ABOVE FOR THE POLICY , ERIOD INDICAT CONDITION OF ANY CONTRACT OR OTHER DOCUMEN1 WITH RESPECT TO WHICH THIS CERTIF AFFORD:iD BY Tait POLICIES DESCRldRD 4aRCIN IS SUBJECT TO ALL THE TERMS_ EXC_USIO ShONN MAY HAVE •E° REDUCED BY PAID CLAUS__ _ POL'CY LP}rECT1VEI Poi ICY EXPIRAT ON TRANCE POLICYNUMBP -R DATE{MM /Doy - 1 O DIYl ATS rgutuOf_ LIMITS � EACH OGC RRENCE I NEWRAL LIABILITY Cc( OCCUR IM IT APPLIES PCR' ECT LOC CLAIMS MADE R / E)(PCIJTIVE ED? S V E 696E- 9ZE -90E I.OIL AND ASSOCIATES INSURER R_ INSURER C. INSURER D! -.- INSURER E. - CANCELLATION • AUTHORIZED REPRESEN V RSEINA SEADE DAMAGE T RENTED • 05/21/06 PREMISES r a occurenob} _ _ bl ED ExP ( y one person) PERSONAL': ADV INJURY •500,000 PRODUCTS; COMP /OP AGG • 600.000 FIRE DAM GE 100.000 • COMBINED;'INGLE LIMIT ;E0 occiden 1 BODILY INJ. RY (Per aerson BODILY LNJ RY (Per scalds 1) PROPER? DAMAGE SHOULD ANY OF THE ABOVE DESCRIBED POI CIES BE CANCELLED BEFORE THE ExP:RAT10N DATETNERI5O1 , THE ISSUING IN RER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CE'" {FICATE HOLDER NAMED TO THE LSFT, BUT FAILURE TO DO SO SHALL IMP SE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE IN$.L RER, ITS A - , • OR REPRESENTATIVES. 6562 SE2 932 (Per a: ide D _ AUTO ONL - EA ACCIDENT • OTHER TH N EA ACC I AUTO ONL • EACH OCC I AGGREGA W C S ! ATU. •- rr 0T H- _ ' TORY I MITS ..__FR I ,,, E.L. EACH CCIDENT E.L DIS E- EA EMPLOYE!~! EL. D1SLA' E - POLICY LIMIT nOOS dY030 —word el 001 DATE (MM;DD/YY) 35/24/05 ArrER OF INFORMATION N THE CERTIFICATE DT AMEND, EXTEND OR Y THE POLICIES 8E<LOW. NAIC RRENCL- D. NOTWITASTANDING CATE MAY BE ISSUFD OR $ AND CONDITIONS oi= SUCH • CORPORATION 1988 we9l :Ol 9002- 80 —unf Mia ni Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Printed: 61712005 Applicant: JUDITH Owner: ARMSTRONG JOB ADDRESS: 29 Parcel N. 1132060131650 NE 102 Mechanical Permit Permit Number: MC2005 -85 ARMSTRONG JUDITH ST Conliactor A 1.24 HOUR SERVICE Contractor's Address: 18424 SW 293 TERR Local Phone: Page 1 ol 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10-70 LOT 15 & LOT 16 BLK 12 LOT SIZE Fees: Description Amount FEE2005 -7254 Building Fee $142.62 FEE2i105 -7255 CCF $3.00 FEE2005 -7256 Training and Education Fee $1.00 FEE2005 -7257 Technology Fee $3,57 FEE2005 -7258 Scanning Fee $3,00 Total Fees: $153.19 Total frees: $153.19 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 1//2012005 Construction Value: S4,O75.00 Work: REPLACE EXSISTING 4 TON HVAC SYSTEM AND MOVE CONDENSING UNIT AS SHOWN ON ATTACHED PLANS. ALL HAS 10 6 3 Signed: os (INSPECA'OR) In consideration of the issuance to me of Ibis permit, I agree to perform the work covered hereunder in compliance with ali ordinances and regulations pertaining thereto and in strict conk rmity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit 1 assume responisiblllty for all work done by either mysell, my agent, servants or employes. Signed: (Contractor orBailderrj SY: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/7/2005 Applicant: JUDITH Owner: ARMSTRONG JOB ADDRESS: 29 Contractor A 1 24 HOUR SERVICE Local Phone: Parcel # 1132060131650 NE 102 Signed: (INSPECTOR) Signed: (Contractor or Builder) Mechanical Permit Permit Number: MC2005 -85 ARMSTRONG JUDITH ST Contractor's Address: 18424 SW 293 TERR BY: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 15 & LOT 16 BLK 12 LOT SIZE Fees: FEE2005 -7254 FEE2005 -7255 FEE2005 -7256 FEE2005 -7257 FEE2005 -7258 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $142.62 $3.00 $1.00 $3.57 $3.00 $153.19 Total Fees: $153.19 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/20/2005 Construction Value: $4,075.00 Work: REPLACE EXSISTING 4 TON HVAC SYSTEM AND MOVE CONDENSING UNIT AS SHOWN ON ATTACHED PLANS. ALL HAS 10 : :i1 EN 1 PAID 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. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) Tc.Ari r ft/ km-7 S No .4 y Owner's Address act A/ (- St ,11 q r-, : 5 City ta•idvt4: StIctiO_S State C C Tenant/Lessee Name Phone # Job Address (where the work is being done) a` q N & 0 06/ S rt City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name A-1 r ) 4 How/ .0 ell/ c e Zi Phone # OS a 5 5 s Contractor's Address I f 9 ?3 S $ B" S-r City di e tread State F(, Qualifier To Sep Pa +ems a ,q fQ Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 40 1 S. 0 c Type of Work: ['Addition ['Alteration Describe Work: J e p (ar e. X sr : -77 c e P . 1 S i -i L(.4 ; r 4 S t 6r Submittal Fee $ L_ Permit Fee $ r V Training/Education Fee $ Notary $ Scanning $ Code Enforcement $ / Structural Plan Review. $ f 1 Total Fee Now Due $ (Continued on opposite side) ****************************F i t hr CCF$ J CAD Technology Fee $ .5f1 Radon $ / Bond $ / 163 ri Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8'72 Egg =� 2 4 260 M as Plumbing Zip V Permit No. E kO S--P er Permit No. (Mechanica Roofing Phone # 30 7Si /60 33i ��r )3 Oa Zip 331 Z 3 3o 3 Square Footage Of Work: ❑New pair /Replace ❑ Demolition i t to H SY5re -«. 4 -rod d /1 rCttr c6ac /'pf 1 ' C .4 /1-1 irRf Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) °''i 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 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 NO'T'ICE 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 he delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of cormnencentent must be pasted 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 he approved and a reinspection fee will he charged Ct:c 1()/14/03 Zip • , • Owner or Agent Contractor The foregoing instrument was acknowledged before is 17 The foregoing instrument was acknowledged before me this day of Ma/ , 20 05 by T„ ` 7 y — •�' r f► 4 l�� . •.�, day of _s _-1– , 20 OS , by 70./ ,t r - who is personally known to me or who has produced FG O G c- t. ' p who is personally known to me or who has pro I 416 S. l SSZVoAs identification and , • - 'td ke an oath. as identification ���� e an oath. NOT Y�I)f3 IC . NOTARY Sign: Sign Print: Print: = „� My Commission Expii d,, '/y 2oo7 My Comtnissio * *A** ** * * * * * *fi *ate *k* • * ************':*****: * *** * * ** * *at* * *a: * * ** * * * ** * * * ** a.** * * * * * * *** *v.a ** *** ** *r (Certificate of Competency Holder) State Certificate or Registration No. CAC 05- 0. ,3 Certi licate of Competency No. APPLICATION APPROVED BY: Plans Examiner Engineer — _ Zoning May 24, 2005 Miami Shores Village 10050 NE 2 Ave Miami Shores, FL 33138 Dear Mechanical Inspector, A -1 24 HOUR SERVICE, INC. AIR CONDITIONING 18995 S.W. 288 Street • Homestead, Florida 33030 (305) 235 -5855 We will be replacing the existing 4 ton condensing unit and air handler (10 kw heat). The homeowner is contemplating doing some renovations to the back of her home so she would like the condensing unit moved to the side of the home as shown on the plans. The air handler will remain the same. I have written down the distances from the property line to the condensing unit for zoning. If you have any questions please contact me on my cell phone 321 -508 -8895. Sincerely, Allen Patenaude Office Manager A -1 24 Hour Service 305 - 235 -5855 CAC 058293 r Ou FeiO rcd ,: SA/ Cendoir i fk 1 I TWO g nti 1 it 10- C r ro clna 150A CircV tireq frr FAnri. j N.E. 1o41 s /Y? lava i $sores F {, 3 New Li TON 10 K V/ Air Uanei Hegf` utt;t,_t 45 Awl CitGd #s W 1 + -C nt riI-•Aic Sgre #y ss E— Oiaconnecr Amp .. ... • • • • .. .. • • • • • • • • • o leo .• o • • •• • • .00 • • • • • • • • • • • • • • • • • • • • • • •. • • • .0 • • • • • • • • • . • •••• .00 • •• • 000 • .0. • • • • •00 • • • • • • • • • • • • • • •0• • • • • • •. • • • • • • • • • •. . • •. .• 0410 • 000 . • New 4 "NiztAmpl c o rn p res,so r 3 /! /t4 cot) StarefY AriP 4a DiicOrinecT ;eit wi4 n e VG helamgs =J' Electric Corp. r /71iami FL 33 2-- #lr r � Grovnd (4) 1/4" CONCRETE. SCREWS SNUG TO BASE PAN- LENG1'H T PENEjRATO BE PLACED THE MINIMUM. BASE SCREWS HAVE SHOWN (NECtta) STANDARD TOLERANCE UNI.ESS OTHE9W ISE SPEC IF 1ED a> nonaEa .PAC 1IDNA( ±1i)2 - ANGULAR • 1 ° RC An. EOM. -OE( IMAL ±.0 - DIMENSIONS IN I I REF. DI:LY _r ,MaDEL NUMBER ;AKA -018/- 024/030, ALB - 018/024, AMB - 018/024 AKA- 037/042, ALB- 0.130/036, AMS -•030, AML- I24 413@, ANB• -024 APA -024. PKA - 019/025/031. PLA••019/02S/031, PMC -018, PN.1- 019;37.625 PPA -019 AMB- 036/042448/060, AML - 036/042448/060, Ak(A- 048/060 ALB - 042/048460. ANB- 030/036/042/049 /061, APA - 030/036/042/049 /061, PKA - 035/043/049/061. PI.4- 037/0 43/049461, PMC- 024/030/036/042/048/060, PML- 1324/030/036/0424 68/460, PNJ- 025/031/037/043 /04.9/061, : !SPA -0 25/0 31/0 37 /0 43/049/061 01 ADDED INFO ARIIUT SCREW RHEEM /RUUD HURR l C ANE PROOF SCREW. LOCATIONS ca •'l ' �'ISr'2� (4 4 : de to I I W 32.625 22.2163 41.5 .... • • • . . • •.•. • • . • .. • ..•. . - BASE .4 . • • .• .. • • • • • • • ..•. • •. .... • • • .. •. .• .• • • • • • • •... • • • . •• •. • • ••• • •• •. • I 25.938 15 34 3 !i 22.5 1 29.813 15 i 3V• 1 3 5 j 26.5 LLL R V NH.ui TI) 0 II. !1 p • Ip `I s t ! A I p p ` ANp ! F I� N g P µ y � p tT µ p q o Sc Mp if, VfNAtlq P6RF➢R�ANCL, ° o P U SV t aAC V[r NHnN tI ""IYd� � r�f �l AIPP.kAtR O I A�l A t ut 11 a11ID It11 5 IPI� AIAIRIISTPOA ¢1tIIS!(QND °I 4L iYEf INC AIM MODELED OT TWC � I � .NOTE: ALI. PARES ART 90p RESEARCH T � O nre 11. -02 L �1 Nn. UNLESS OTSISRW ISE SPECIFIED a • DEVELQpMEElur JPH • • ARD • • •• • • • FT. SP' DCWEY MV Tk£NT(1LN; MATERIAL PART Tao. SHEET 1 of 1 RC - 3 - 0L: 7u A , E lo3� St 9.`1 FL. 33J35( b5e l 1ewle4 A -1 a y Hot.. Se CA(. O5$a-i3 3os a•3. S SS 3S y jF e/ P3 f ,IM 00 I • a co•,Jevl.s: L4-I °1 dJrt,�:`e l Q�� Pa o(er Y ; 41 �- T P, a v :0,,t 5 of cO4 .1s; -1y -> 31 reel- U4;t v S feel • • • • •••• • • • • • • • ••• • • • • • • rem c riS a o✓inett • / o � rn 'o' /•ti -� • •••• •• •• • • • • • • • • •••• • • •••• • • • • • • ••• I / • • • f71861:1);4e SC Qr 314 p vc CoQ a• Su-o- t :1 1 r wu11 ct+' -0 9 F 0 • • • • • • • • • • • • • 3 ll! 8;J :-.1:4(. 7.; L I Pe 0(0 6 Wood TTES 01 ON E JESPECVER •. • .. •• • • • • • • .. • • • • • • .... • • • .. •••• •• • • • • .. •••• • • • •••• • • • . . • •• • •• • • • • • . • •• • • .. • •• • • • ••• • • .. • • • • • • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 5 -a ASJob Address we 10204 Tax Folio Legal Description Owner/Lessee / Tenant S L P L e J `L0 Master Permit # 78,5 / aR 10 V - ` + M l'Ai4lehoR Q� Phone Owner's Address J of k 13 LAC.(-- Pik t Qualifier <Tas `V k R L oc .lt— SS# at, State # C Acc 0-3 Z7 Municipal # Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address Contracting Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIP'T'ION T c h pdV S CA 1 2 4-o U N r lR 4 11, (r, Oee i2 kke w; �� 5 1L l)J U 4e4 cvy G z _Ls 0 Square Ft. Estimated Cost (value) D-0 0 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 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 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. Furthermore, I authorize the above -named contractor to do the work stated. igna e of owner and/ APPROVED: Zoning Mechanical Cr ondo President Notary to Owner and/or Condo President Date My C 4 9 1 -2- at ssion Expir /1 - l ' a OFFICIAL O rARY SEAL MOHAMMAD I HAQ NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO CC428170 MY COMMISSION EXP DEC. 20,1998 I EES: PERMIT hi .0 RADON C.C.F. Historically Designated: Yes No Address L bOg 0 Ldlt CoSt-A- �r . (Avde - - 24Phone 3 ' - V 7 lG �u 30 Ins. Co. Signature Contractor or Owner- Builder Not My C NOTARY 2 5 l 11 k,,,, CIAL NOTARY SEAL o �� 6 SANDRA M MONTIEL ^ » COMMISSION NUMBER ., :I, � � C C 4 012 61 yr� MY COMMISSION EXP. Or p� AUG. 17 1 09a TOTAL DUE I4 a� 5-n- - s Date SV Date • Building Electrical al'orcittf Plumbing Engineering ITEM BATH TIE UNIT • FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING SKf, _ DISMASFER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) ThAto DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIRA(TER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MDTCCS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. IOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEMBLIES SINK, SLCP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTCRS 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 SLPPLY 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 CLOCX 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 RANGE - . METER SET (GAS) GAS PIPING • ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL BUILDING ELECTRICAL PLUMBING ROOFING Owner of a ry ,5 Building `A PERMIT N9 5405 Architect Contractor or Builder t • Legal Lot Description BI CONTRACTOR Oft BUILDER MIAMI SHORES VILLAGE, FLORIDA s.f?.• A - Work to be performed under this Permit Address of Building Subdi- vision Value of Y 0.s I Amount of Project $ II Permit $ This permit is gtranted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion 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 respon- sibility for work done by his agents, servants or employees. \ 1; , Signed . . .. —.. , -. -- , r 'i IN P`EGTOR 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. ,;%vf r e . r DATE Contractor's License No. .. G BY AUTHORITY ABBOT 1 9 45'4 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. Owner's Name and Address Registered Architect and /or Engineer ,, L Name and address of licensed contractor Location and legal description of lot to be built on: Lot Street and Number where work is to be done State work to work be done purpose o building y oors d f b ld' (by floors). Block Building Inspe MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT or Council Approved Ca Ca Ca 1 11I -1l1 Subdivision 9 Date No - 71 P. 1 O 2 °T ' 19 C 4l Street '1 C• / 0 Z i 3 an d , SIAACC-cLA-4 1 — I lrt P - / =s - e 1 . S t w a-eJQ _ — and for no other purpose. New Building Remodeling Addition _ Repairs No. of Stories To be constructed of Kind of foundation Roof Covering c,tc. ° ° _ Estimated Total cost of improvements $ -�.,t0 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 contrac : s or sub- contracto 'employed by him in the work to be performed under this permit; and will post or cause to be posted for inspectio . on e site of the wo such public notic or notices as are required by the Act. The undersigned agrees to employ only such subco to be /p rf6rmed under t1 permit, as are licensed by Miami Shores Village. Remarks (Signed STATE OF FLORIDA, COUNTY OF DADE. j 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 state are true. t /� Permit No � Date Z T Read, Sworn to and Subscribed before me. Disapproved D. d' ` r Notary Public, State of Florida (Signed) My Commission Expires LANNING BOARD DATE Chairman Member Member Member Member Member 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.