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MECHANICAL
Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12 /4/2002 Applicant: JAMES Owner: WILLIAMS JOB ADDRESS: 89 Pay to the ord of j NE 102 Mechanical Permit Permit Number: ME2002 -168 WILLIAMS JAMES ST Contractor AFFORDABLE ELECTRICAL CONTRACTORCtbtftractor's Address: 515 NE 190 ST Local Phone: Parcel # 1132060131690 Total Fees: Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 6/1/2003 Work: INSTALL 3 TON AC W 10 KW HEAT 8 OUTLETS Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 22 & 23 BLK 12 LOT SIZE Construction Value: $2,250.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection +inn . §D: n. = 111 414 o =01 X11= n►= OT4•To , I► N_∎nuu. 1 ►: i lY : 41_.1 ►_4► =:►- 1=41,41, 1• — gY 4 ► =4. 414 41,K4y4EfIlk4 ►_4 ►_4 ►_4►i*4Y° 4179►_ 4Y= 4Y= 4►= 1►°+ IY: 4►: 4►: 4► 4► i4►_ 9Y= RY=gY_+I►:+IY_4 ► °_4►- 4 ►T4Y5nY �lY. qY=4 ► =4 . • AFFORDABLE AIR & HEAT, INC. 515 NE. 190TH STREET MIAMI, FL 33179 (305) 940-0777 4 Wti /%10f V, ligf TRANSCAPITAL BANK 2100 E. HALLANDALE BEACH BOULEVARD HALLANDALE, FL 33009 For 11 '003 7 64 1 1 1:0670 L47381: A y� T1 A e •:41.:6:l-.1.,e 0-t=lk_A:.U_O 4 4. °41 -/ 6/1 Mr Date LO 2 L4Rn lu' �z //3iv L I$F6, 3764 63- 1473/670 8"d tion herefor in strict compliance with all ations that may have been submitted to )r if the plans are changed without nsibility for a thorough knowledge of the at he assumes responsibility for work done s pertaining thereto and in strict conformity sponisibility for all work done by either •WILLIAMS.RSR Job# Printout certified by ACCA to meet all requirements of Manual J Form l inviuni.,. ,ui cu. - lclgnl -t ulle 9. l . L r - S/N KSKZI11S Name o fRoom BEDROOM 3 N Running Ft. Exposed Wall 28.0 Ft. Ft. Ft. Ft. Room Dimensions, Ft. 16.0 x 12.0 ft Ceiings, Ft Condit Option 8.0 heat /cool TYPE OF CST HTM Area Btuh Area Btuh LI Btuh II Btuh EXPOSURE . NO. Htg Clg Length Mg Clg Length Htg CIg Htg CIg Htg CIg 5 Gross 14A 1 224 •••• •••• •••• •••• •••• •••• •••• •••• Exposed 13D 1 l 0 •••• •••• •••• •••• •••• •••• •••• •••• Walls and I 1 0 •••• •••• •••• •••• •••• •••• •••• •••• Partitions 9 I O 0 1 0 O 0 •••• •••• •••• •••• •••• •••• •••• •••• I 0 •••• •••• •••• •••• •••• •••• •••• •••• 1 0 •••• •••• •••• •••• •••• •••• •••• •••• 6 Windows and 1C 27.7 •• 40 1109 •••• •••• •••• •••• Glass Doors 8C 27.7 •• 0 0 •••• •••• •••• •••• Heating 9C 29.0 •• 0 0 •••• •••• •••• •••• 9 0.0 •• 0 0 •••• •••• .••• •••• 0.0 •• 0 0 •••• •••• •••• •••• 0.0 •• 0 0 •••• •••• •••• .••• 7 Windows and North 18.8 •••• 517 •••• •••• •••• Glass Doors 0.0 i •••• 0 •••• •••• •••• Cooling 52.8 •••• 659 •••• •••• •••• 0.0 0 •••• 0 •••• •IN •••• •••• 0 •••• ••.. •••• •••• 0 •••• •••• •••• 8 Other doors a 100 11.0 10.9 0.0 0.0 0 0 0 9 Na a 14A 12.2 8.3 2252 1530 Exposed b 13D 1.4 1.2 0 0 Walls and c 0.0 0.0 0 0 Partitions u 0.0 0.0 0 0 0 e 0.0 0.0 0 0 f 0.0 0.0 0 0 10 Ceilings a 16E 1.2 2.1 192 221 406 b 0.0 0 0 0 c 0.0 0 0 0 II Floors a 22A 19.4 0.0 28 544 b 0.0 0.0 0 0 0 c 0.0 0.0 0 0 12 Infiltration a 22.6 7.5 40 903 301 Subtot Btuh Loss =6 +8. +I 1 +12 •••• 5029 •••• •••• •••• •••• •••• •••• •••• Q Duct Btuh Loss 5% 251 •.•• % •••• •/ •••• % •••• Total Btuh Loss= 13 +14 •••• 5281 ••.• •••• •••• •••• •••• •••• •••• .O l- 00 T N I Int. Gains: People rei 300 2 •••• 600 •••• •••• •••• Appl. @ 1200 0 •••• 0 •••• •••• •••• Subtot RSH Gain= 7 +8.. +12 +16 •••• •••• 4012 •••• •••• •••• •••• •••• •••• Duct Btuh Gain 10% •••• 401 % •••• % •••• % •••• Total RSH Gain= (17 +18)•PLF 1.00 •••• 4414 •••• •••• •••• CFM Air Required •••• 205 211 •••• •••• •••• •WILLIAMS.RSR Job# Printout certified by ACCA to meet all requirements of Manual J Form RIGHT -J LOAD AND EQUIPMENT SUMMARY File name: For: By: Job #: Wthr : Notes: Outside db: Inside db: Design TD: WINTER DESIGN CONDITIONS Bldg. Heat Loss Ventilation Air Vent Air Loss Design Heat Load Method Construction Quality Fireplaces Area (sq.ft.) Volume (cu.ft.) Air Changes /Hour Equivalent CFM Make n/a Trade n/a WILLIAMS.RSR WILLIAMS, JAMES AND MONA 89 NE 102 STREET MIAMI SHORES Phone: 305 - 751 -5952 Affordable Air 515 NE 190th Street Miami Phone: 305-940-0777 HEATING SUMMARY INFILTRATION 46 °F 70 °F 24 °F 33067 Btuh 0 CFM 0 Btuh 33067 Btuh Simplified Average 0 HEATING COOLING 1374 1374 14695 14695 1.0 0.5 245 123 HEATING EQUIPMENT SUMMARY Efficiency 100.0 EFF Heating Input 0 Btuh Heating Output 0 Btuh Heating Temp Rise 0 °F Actual Heating Fan 1285 CFM Htg Air Flow Factor 0.039 CFM /Btuh Space Thermostat MANUAL J: 7th Ed. Right- Suite: FL 33138 Fax: FL 33179 Fax: Fort Lauderdale FL Outside db: Inside db: Design TD: Daily Range Rel. Hum. : Grains Water Structure Ventilation Design Temp. Swing Use Mfg. Data Rate /Swing Mult. Total Sens Equip Load Internal Gains Ventilation Infiltration Tot Latent Equip Load Total Equip Load Printout certified by ACCA to meet all requirements of Manual Form J Zone: Entire House SUMMER DESIGN CONDITIONS SENSIBLE COOLING EQUIP LOAD SIZING LATENT COOLING EQUIP 91 °F 75 °F 16 °F L 50 % 60 gr 26862 Btuh 0 Btuh 3.0 °F 0 Btuh LOAD SIZING 1380 Btuh 0 Btuh 5006 Btuh 6386 Btuh 32173 Btuh COOLING EQUIPMENT SUMMARY Make YORK Trade YORK H2RCO36 FRP036 Efficiency 12.0 EER Sensible Cooling 26000 Btuh Latent Cooling 11143 Btuh Total Cooling 37143 Btuh Actual Cooling Fan 1285 CFM Clg Air Flow Factor 0.048 CFM/Btuh Load Sens Heat Ratio Ver 4.1.27 S/N 81 RSR21123 ROOM NAME A AREA H HTG C CLG H HTG C CLG KITCHEN 1 156 4 4944 5 5650 1 192 2 270 LIVING ROOM 5 529 7 7221 5 5216 2 281 2 250 DEN 1 150 6 6139 3 3604 2 239 1 172 bEDROOM 1 8 80 2 2521 2 2144 9 98 1 103 BEDROOM 2 1 168 5 5005 4 4212 1 195 2 202 BATH 1 5 54 1 1044 8 858 4 41 4 41 BATH 2 4 45 9 910 7 764 3 35 3 37 BEDROOM 3 1 192 5 5281 4 4414 2 205 2 211 Entire House d 1 1374 3 33067 2 26862 1 1285 1 1285 Ventilation Air 0 0 0 0 Equip. @ 0.96 RSM 2 25787 Latent Cooling 6 6386 T TIWA L File name: WILLIAMS. RSR F Job or: 11: By: Space Thermostat RSR21123 RIGHT -J SHORT FORM WILLIAMS, JAMES AND MONA 89 NE 102 STREET MIAMI SHORES 305 - 751 -5952 Affordable Air 515 NE 190th Street Miami 305 - 940 -0777 HEATING EQUIPMENT Make n/a Trade n/a Efficiency 100.0 EFF Heating Input 0 Btuh Heating Output 0 Btuh Heating Temp Rise 0 Deg F Actual Heating Fan 1285 CFM Htg Air Flow Factor 0.039 CFM /Btuh MANUAL J: 7th Ed. FL 33138 FL 33179 Make YORK Trade YORK H2RCO36 Efficiency Sensible Cooling Latent Cooling Total Cooling Actual Cooling Fan CIg Air Flow Factor Load Sensible Heat Ratio Right- Suite: V4.1.27 Outside db Inside db Design TD Daily Range Inside Humid. Grains Water Method Const. qlty Fireplaces COOLING EQUIPMENT 12.0 EER 26000 11143 37143 1285 0.048 81 Htg CIg 46 91 70 75 24 16 - L 50 60 Simplified Average 0 Btuh Btuh Btuh CFM CFM/Btuh 1285 t Nac ofRoum 2 Running H. Exposed 3 Room Dimensions, 4 Ceiings, Ft Wall Ft. Condit Option Entire 8.9 House 145.0 Ft. heat /cool d 12.0 8.0 KITCHEN 24.0 Ft. x 13.0 ft heat /cool LIVING ] ROOM 23.0 Ft. 23.0 ft sat /cool 10.0 8.0 DEN 25.0 Ft. x 15.0 ft heat /cool TYPE CST HTM Area Btuh Area Btuh Area Btuh Btuh EXPO NO. Htg Clg Length Htg Clg Length Htg Clg Length Htg Clg Htg Clg 5 Gross 14A 12.2 1321 •••• •••• 192 •••• •••• 345 •••• •••• 200 •••• •••• Expos 13D 1.4 0 •••• •••• 0 •••• •••• 0 •••• •••• 0 •••• •••• Walls 0.0 0 •••• •••• 0 •••• •••• 0 •••• •••• 0 •••• •••• Partitions 0.0 o 0 ••• •••• ••• •••• ••• •••• 0 •••• •.•• 0.0 *0* .4... ... .... ... .... 0 .... •••* . 0.0 1 ••• •••• ••• •••• ••• •••• 0 •••• •••• 6 Windows and 1C 27.7 •• 7956 •••• 1247 •••• 1164 •••• ! 1996 •••• Glass Doors 8C 27.7 • • 0 •••• 0 •••• 0 •••• I 0 •••• Heating 9C 29.0 •• 0 •••• 0 •••• 0 •••• 1 0 •••• 0.0 •• 0 • 0 0 •••• 0 0 •••• 1 0 0 •••• 0.0 •• 0 • 0 •••• 0 •••• 0 •••* 0.0 •• 0 • 0 •••• 0 •••• 0 •••• 7 Windows and North 18.8 ••• ••• •••• 790 •••• 1354 (;lass Doors NE/NW 0.0 ••• ••• ••• 0 •••• 0 Cooling E/W 52. 8 ••• ••• •••• 0 •••• 0 0 0 0 0 •••• 0 •••• 0 •••• 0 8 Other i a 100 11.0 10.9 b 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 9 Net a 14A 12.2 2656 8596 1799 1222 3709 2519 1567 1064 Expose b 13D 1.4 0 0 0 0 0 0 0 0 Walls i c 0.0 0 0 0 0 0 0 0 0 Partitions d 0.0 0 0 0 0 0 0 0 0 0 0 0 0 0 e 0.0 0 0 0 0 0 0 0 0 0 0 f 0.0 0 0 0 0 0 0 0 0 0 0 10 Ceilings a 16E 1.2 1374 1583 156 180 529 609 150 173 317 b 0.0 0 0 0 0 0 0 0 0 0 c 0.0 0 0 0 0 0 0 0 0 0 II Floors a 22A 19.4 0.0 145 2819 24 467 23 447 25 486 b 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 c 0.0 0.0 0 0 0 0 0 0 0 0 12 Infiltration a 22.6 7.5 287 6479 2160 45 1016 339 42 948 316 72 1625 542 I el V' VI Subtot Btuh Loss= 6 +8.. +11 +12 •••• 31492 •••• •••• 4709 •••• •••• 6878 •••• •••• 5847 •••• Duct Btuh Loss 5% 1575 •••• 5% 235 •••• 5% 344 •••• 5% 292 •••• Total Btuh Loss = 13 +14 •••• 33067 •••• •••• 4944 •••• •••• 7221 •••• •••• 6139 •••• 16 Int. Gains: People n 300 6 •••• 1800 0 •••• 0 0 •••• 0 0 •••• 0 Appl. © 1200 2 •••• 2400 2 •••• 2400 0 •••• 0 0 •••• 0 17 Subtot RSH Gain= 7 +8.. +12 +16 •••• •••• 24420 •••• •••• 5136 •••• •••• 4742 •••• •••• 3276 18 Duct BtuhGain 10 °/ •••• 2442 10° /< •••• 514 10 •••• 474 10% •••• 328 19 Total RSH Gain={I7 +18)•PLF 1.00 •••• 26862 1.00 •••• 5650 1.00 •••• 5216 1.00 •••• 3604 20 CFMAirRequired •••• 1285 1285 •••• 192 270 •••• 281 250 •••• 239 172 /, .1:. ;::t; Job# v �Nn J 7d i Ed - Right RSR -Suite Printout certified by ACCA to meet all requirements of Manual J Form wr: a.( IAI.J /III vo / I Neluc Room Kunning 1.1. Exposed Wall u... bEDROOM 1 8.0 Ft. BEDROOM .. 2 26.0 Ft. BATH 1 6.0 Ft. BATH 2 5.0 Ft. 3 Room Dimensions, Ft. 8.0 x 10.0 ft x 12.0 ft x 9.0 ft 5.0 x 9.0 ft 4 Ceiings, Ft Condit. Option 8.0 heat /cool heat /cool heat /cool 8.0 heat /cool TYPE OF CST HTM Area Btuh Area Btuh Bath Btuh EXPOSURE NO. Htg Clg Length Htg Clg Length Htg Clg Htg Clg Htg Clg 5 Gross 14A 12.2 8.3 64 •••• •••• 208 •••• •••• 48 •••• •••• 40 •••• •••• Exposed 13D 1.4 1.2 0 •••• •••• 0 •••• •••• 0 •••• •••• 0 •••• •••• Walls and 0.0 0.0 0 •••• •••• 0 •••• •••• 0 m. •••• 0 •••• •••• Partitions 0.0 0.0 - •••• mi. •••• mt. 0 •••• •••• 0.0 0.0 •••• •••• •••• •••• 0 • • •••• 0.0 0.0 •••• •••• •••• •••• 0 •••• •••• 6 Windows al 1C 27.7 •• 998 •••• •••• •••• i •••• Glass Door: BC 27.7 •• 0 •••• •••• •••• •••• Heating 9C 29.0 •• 0 •••• •••• •••• 1 •••• 0.0 •• 0 0 •••• 0 0 •••• 0 0 •••• 1 0 0 •N• 0.0 •* 0 •••• 0 ..•. •••• 1 •••• 0.0 •. 0 •••• 0 •••• i •••• 1 1 •••• 7 Windows at North 18.8 •••• 677 •••• 517 •••• 25 •••• 25 Glass Door! NE/1%1W 0.0 •••• 0 •••• 0 •••• 0 •••• 0 Cooling W 52.8 •••• 0 •••• 659 •••• 247 •••• 247 0 0 0 0 •••• 0 •••• 0 mil. 0 8 Other ) 10.9 0.0 0 0 0 0 0 0 0 0 0 0 0 9 Net ? 233 283 Exp 1 0 0 Wal 3 0 0 Partitions d 0.0 0 0 0 0 0 0 0 0 0 0 0 0 0 e 0.0 0 0 0 0 f 0.0 0 0 0 0 10 Ceilings .6E 1. 80 92 194 62 52 95 0.( 0 0 0 0 0 0 0 0.( 0 0 0 0 0 0 11 Floors a 22A 19.4 0.0 156 26 505 117 97 0 0 0 b 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 c 0.0 0.0 0 0 0 0 0 12 Infiltration a 22.6 7.5 36 813 271 40 903 301 6 135 45 6 135 45 13 SubtotBtub Loss-6 +8.. +1 +12 •••• 2401 •••• •• •• 4767 •••• •••• 995 •••• •••• 867 •••• 14 Duct Btub Loss 5% 120 00 5% 238 •••• 5% 50 •••• 5% 43 •••• 15 Total Btu!' Loss = 13 +14 •••• 2521 •••• •••• 5005 •••• •••• 1044 •••• •••• 910 •••• 16 Im. Gains: People@ 300 2 •••• 600 2 •••• 600 0 •••• 0 0 •••• 0 Appl. @ 1200 0 •••• 0 0 •••• 0 0 •••• 0 0 •••• 0 17 Subic' RSH Gain7 +8..+12 +16 •••• •••• 1949 •••• 00 3829 •••• •••• 780 ours. •••• 695 II WtaBtubCain 10% •••• 195 10% ..•• 383 10% 0 78 10% 00 69 19 Total RSHGain(17 +18)•PLF 1.00 00 2144 1.00 •••• 4212 1.00 00 858 1.00 •••• 764 20 CFM Roquirod •••• 98 103 00 195 202 00 41 41 •••• 35 37 q pJ. fI : : fr RSR211 JJON/ 27 " Printout certified by ACCA to meet all requirements of Manual J Form Page 2 • • • • • • • • •• • •• • • • •• PERMIT APPLICATION IMPORTANT NOTICES • 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIIT'ATID PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTIONare Mmited tQ: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends 91 ; • • •• • • • • 2. All construction of demolition areas MUST BE MAINTAINL�) JN A Q.EM.h NiAy A SAMTARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPI ARE£ FQtO?v1 0I11 gNI • DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT (SR VEHiGLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE tea. kiJAQL ix.. ->� Signature of Owner mood 14////an1„4,____-----,, Print Name _, = M SiBR Sworn t and subscribed b4f this VI t,/,cla}C�f# C MY C � Es:011t \ . \� {` Y� o EXY1R ondin <,'.CO � T . Flo e NtuY Services & � SEAL: 00 Signature of Notary Public - Sta f Florida Personally known OR, Produced Identificatio ) Type of Identification Produced: W ■ 5 5 g 51 $ 6 y U STATE OF FLOR COUNTY OF MIAMI -DADE Signa Contractor / Qualifier „dim --_ecinav2 Printt Name S • subscribed beforeme °�,istg VICTO SIERRA MY CO\ •A O,: is CC801672 Signature of No SEAL: Personally known ?6lhliAo t,e . Bondins Co OR, Produced Identification Type of Identification Produced: CONTRACTOR Name/f 473 te + L , License No. 646048./ii Address�� d il6 /go z Telephone 027// Fax f Qualifier Name 04 o, ,n PROPERTY OWNER Name /� n /q ' M lJ4 m `1 -inon W, //j i/ Address A e / � ( 9 o ) Home phone Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other Step 1. Proposed Use of Property Tenant Information ••• • ••• ••: ••••: • . , . , . , •. • • • • • •• • • • • •• • .• • • a , • • • • ••• • • • • • ▪ • • • . • Nvaste>iPermit No. • ▪ ** Subsidiary Permit No ••• •• PERMIT APPLICATION OVO INSTRUCTIONS - The following steps must be htk^n to of ta:n a rcrmit from the nliami Shores Village: • ,.•• • • •• , •l • Complete the attached permit application which mud b� stied tjy t ie pibperty owner and qualifier. Both signatures must_be notarized. Please print or type to allow for a more accurate progicsing oeyour application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. Job Address: gQ / ' e /(2 / ° � e Address Apt. City State Ale Folio Number / 1 ' 6 0 / 1' '' � De scription of Wor 1 115 � '3 Ale k/Jox/'ii Lot Block Subdivision n PB PG Current Use of Property I?c.a.L.d PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other v✓ PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Zoning Linear Feet Square Feet Units Floors Value of Work ') Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax SECTION BY DATE Zoning Electrical Mechanical fie• 7 /1 r o z Plumbing Fire Public Works Struc tural Building Official Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary • ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) - $ r `� $ ••• • • • • �• ••• •• • . • . • • •• . : ' •• • • • • • • : • • • • . • •.: • : • ; • • ; • • ❑ PROOF bF AUFI;RSYIP • • ❑ (Attu c • . • • ❑ HRS / DERM APPROVAL' ' •• • ❑ (Septic / Sewer) ( .ft.. ) x/1000 $ (¢.005 /sq.ft.) (¢.01 /sq.ft.) • • . • PERMIT APPLICATION CHECKLIST CONDO ASSOCIATION APPROVAL (Attach) BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIIT FEES TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2''`D AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAAL 'mg:. Minimum Fee (?.I.I. TypE Dryer QTY. "I'm Outlet, Appliance (Fry. 1 vi Service Repair (,) . I . A/C Central 1 -3 Ton Cooling Tower Fan Heating Strips, each /, X Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Ventilation, Cost Outlet, Switch Air Handler, Tons Signs Ductwork, Cost of o p A/C Central 8 -15 Ton Piping, Flammable Liquid Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Bath Fan - Vented, # Parking Lot Lights Fireplaces, Number of Spas/Hot Tubs Pressure Vessel A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p(PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL Tvi'i.: Minimum Fee cTV. Typi.: Condensate Drain ()Ty. / 'fviI: Generator (fry. Tyri: Refrigeration, Tons QPI I A/C Central, Tons / Cooling Tower Drinking Fountain Heating Strips, each /, X / Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Pool Piping Air Handler, Tons Sprinkler Repair Ductwork, Cost of o p / Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Gas - Appliance Bath Fan - Vented, # Pump, Domestic Fireplaces, Number of Supply, AC Well Pressure Vessel Cap - Sewer PLUMBING 'nil.: A/C Condensate ()7'v. TI'PI: Drains, Roof on'. Ty pi.: Miscellaneous Fixture ()TI'. i III.: Soakage Pit Q)'I'Y. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply oftimmilinn Page 3 • •• • • • • .• •• • • • :. • • • ••• • • • • • • • • • • • • • • • • • • •• • •• :•• • • • • • :•• INSTRUCTIONS: Please indicate the type df'work being performed and quantity(ies) in the space provided below. • ••_• PERMIT APPLICATION RECEIVED AND REVIEWED BY: DATE: