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MECHANICALOCT 1 881B MIAM SHOR S VILLAGE BUILDING DEPARTMENT 305- 795 -2204 MI ? 8 2005 Building Inspection Request Date ) J Type Insp'n ifs Permit No. ° ` t - 11D Name w Address �J w 1 0 2 i/ 1 Company / i Phone # 30c (Z- 1 c ✓ ik l b Inspection Date Approved Correction Re- Insp'n Fee Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/27/2005 Applicant: MICHAEL & CLAUDIA Owner: DEVINE JOB ADDRESS: 54 NE 102 Contractor GUINES AIR COND CONTRS INC Contractor's Address: 6960 SW 4 STREET Local Phone: Parcel # 1132060131470 Permit Status: APPROVED Permit Expiration: 1/21/2006 Construction Value: $3,336.00 Work: REPLACE EXISTING CONDENSING AND AIR HANDLER UNITS Signed: (INSPECTOR) Signed: (Contractor or Builder) Mechanical Permit Permit Number: MC2005 -110 DEVINE MICHAEL & CLAUDIA ST BY: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 5 & LOT 6 BLK 11 LOT SIZE Fees: FEE2005 -10224 FEE2005 -10225 FEE2005 -10226 FEE2005 -10227 FEE2005 -10228 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $116.76 $2.40 $0.80 $3.00 $3.00 $125.96 Total Fees: $125.96 Total Receipts: $0.00 'JUL 2 8 PAID 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. • BUILDING PERMIT APPLICATIO FBC 2001 City Miami ShnrPG State Florida Tenant/Lessee Name City Qualifier Total Fee Now Due $ Miami (Continued on opposite side) Heriberto Palenzuela State Certificate or Registration No. RM0043578 1 9� Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: 30 • ... ' " 1 756.8972 ziigh Permit Type (circle): Building Electrical ( Plumbing (Mechanical) Roofing Mrs. Claudia Devine Owner's Name (Fee Simple Titleholder) Mr. Micheal Devine Phone # 305 = 759 -4883 Owner's Address 54 N.E. 102 Street State Florida Code Enforcement $ Structural Plan Review. $ Zip Job Address (where the work is being done) Same as above City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO X Permit No. MCO5 - 1 1 D Master Permit No. Phone # Contractor's Company Name Guines Air Conditioning Contractori'hone # 305 - 262 -1548 Contractor's Address 7 350 N.W. 35 Street Architect/Engineer's Name (if applicable) Phone # Zip Zip 33122 Certificate of Competency No. 000014457 $ Value of Work For this Permit $3336 Square Footage Of Work: Type of Work: ['Addition ['Alteration [New B Repair/Replace ❑ Demolition Describe Work: Replace existing Condensing and Air Handler Units . * * * * * * * * * * * * * * * * * * * * * * * * * *** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 1 Submittal Fee $ Permit Fee $ 1 1 c 17 b CCF $ Z CO /CC Notary $ Training /Education Fee $ ©- eO Technology Fee $ 3. 00 Scanning $ Radon $ Zoning Bond $ <C7'd9 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip "L 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. I understand that a separate permit nfut'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 whi h ccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be app and a reinspection fee will be charged. Signature Owner or Agent The f instrument was ack day o 11 , 2005, by who is persona y known to me * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 o led -d before m: 1. 1 ,A.e74 � �i %� ■ V • e . ,r. I . NI 1)6 SSv 35'" 4.3'''s dentification and who did take an oath. NOTARY Sign: Print: My Commission Expires: Signature 1� The for ay of 1 to Contrac strument was ackn , 20 ent edged w efore e this who is personall known to me or w o as APIi. — NOTARY PUBLI iG,2 c Sign: Print * * * * * * * * * * * * * * * * * * * * * ** * * * * * ** * * * * * * * * * * * * ** My Commission Expires: k+k*,,*Y'rc * * * * * ** * * * * * ** '� !�r MY COMMI # DD 339564 t EXPIRES: November 19, 2008 ,. Bonded Thru Ndarry P * * U by l: r � p .. u e• cation and who did take an oath. * * * * * ** Plans Examiner Engineer Zoning =ADDENDUM TO BUILDING PERMIT APPLICATION (AN AULfCATION 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 ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) .5 - 7oivs / DRINKING FOUNTAIN SERVICE SIZE IN AMPS 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 MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP 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 CCIJ ERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELO, 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 AULfCATION 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