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MC-07-2018s° ty Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 a Phone: (305)795 -2204 Project Address Parcel Number Applicant 1301 NE 102 Street 1132050230160 Miami Shores, FL 33138- Block: Lot: MARTHA MCGEE Owner information Address Phone cell MARTHA MCGEE 1301 NE 102 Street MIAMI SHORES FL 33138 -2619 Contractor(s) Phone Cell Phone C&R AIR CONDITIONING CO 305 - 685 -6394 (954)680 -4494 5 Additional Info: SPLIT A/C SYSTEM Classification: Residential Approved: In Review Comments: Date Denied: Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Date Approved:: In Review Amount Total $3.60 $1.20 $ 0.00 $200.00 $6.00 Payment Type: $5.00 $215.80 Valuation: $ 6,000.00 Total Sq Feet: 0 owaiiame i Inspection Type: Smoke Dot Test Amt Paid Amt Due $ 0.00 $ 0.00 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 1 assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated October 11, 2007 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Thursday, October 11, 2007 1 Inspection Worksheet tom` Miami Shores Village (..I 4xio 10050 N.E. 2nd Avenue Miami Shores, FL �C4°rRB�� f 1 Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 12/05/2007 Inspector: Perez, JanPierre Owner: MCGEE, MARTHA Job Address: 1301 102 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: C &R AIR CONDITIONING CO 6uildinn Denartment Cnmmpnts Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number Lot: 1132050230160 Phone: 305 - 685 -6394 EXACT REPLACEMENT OF 5 TON SPLIT SYSTEM �} Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Tuesday, December 4, 2007 Page 2 of 2 BUILDING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 I0i �1 �u PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Permit No. —201 O �I ��aster Permit No. Owner's Name (Fee Simple Titleholder) 9; 44 d 0 Phone # 2 0�-7P1- 1 0 ,fl-j Owner's Address t-2 01 I Q 2 f T n it n. City Tenant/Lessee Name State Zip 0 1 �) Phone # E -MAIL: Job Address (where the work is being done), I ® -5. T City Miami Shores Villaae County Miami -Dade Zip 3 Q Q FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name C. + 9� a 1 hone # �/; ®� 6 u ,5-6 - � % q Contractor's Address f 0 Cho X 6 e i coo 1 ci ty State Zip 3 j /A � Qualifier Name f'l'y _ �► .S Phone #_ �� 9 State Certificate or Registration No. g C_ A C_d26 V l Lf .Certificate of Competency No.. .O 99 E -MAIL: Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 07 7 1 0 Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ONew ARe air /Re lace p p [] Demolition Describe Work•; �YnY:k eYeY a�xudcx4c aYxx4e�4c �Yx4e nYxxxxie�de &dexeYxnbN�eS,t�edexoYxx�Y 4e �Yxxx4exxat�ie # & *aYxx &oY 3exxicx�Y ae 4c �Yxxxx Submittal Fee $ Permit Fee $ CCF $ 0 CO /CC Notary $ � Training /Education Fee $ - M Technology Fee $ Scanning $ CO Radon $ DPBR Bond $ Code Enforcement $ Structural Review. $ Zoning $_ Double Fee $ e, Total Fee Now Due $ See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address city State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. l 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..[ 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: l 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 a roved and a reinspection fee will be charged Signature 'e Signature Owner or Agent Cotitractor The foregoing instrument was acknowledged before me this aQ The foregoing instrument was acknowledged before me this o1 T day of , 20 al , by ,M 11 4 � H'I r i�>i' , day of Se 0 , 20 _, by Q00 e r� �. � `'° P �( s who i personally known o me or who has produced who i personally known o me or who has produced As identification and who did take an oath. as identification and who did take an oath. "ev'•., JANETKRANZ NOT Y PUBLIC• NOTARY PUBLIGi -.: : *= Commission DD 621880 Expires December 26, 2010 Robert J :.1:!i Bor&dllw Troy Faml sant$6*3M,701a Sign: Si n: 24602 g Print: {'r°`F xptres May 24, 2010 Print: TO net r r� n rmurmnce. 7018 My Commission Expires: My Commission Expires: g, tixse ,y,Y,4,4,Y,4x4e,Yd:,Y$cx4c�t aYx3r dexx4ex�Y�xxxa4xxoY 9:xx xY ee�x�xx9e moYx�exdexxaYxxotxxY *kdexaYstxxdc 4cxotxxa4xaY ee Y Yx4cxYxBex t�x kdc da,4xo4 +4 dcac dexaY do APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 02 /08/06) 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. PLEASE CIRCLE O DISCIPLINE APPLIED FOR: PERMIT # PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING ; Ion U DISPOSAL I IRECEPTACLES I IA/C (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C (CENTRAL) li GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK + INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP UNDERGROUND TANKS CLOTHES WASHER OVEN JABOVE GROUND TANKS SHOWER WATER HEATER U.F. PRESSURE VESSELS SINK. POT /3 COMP. MOTORS 0 -1 HP STEAM BOILERS SINK, RESIDENCE. MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. MOTORS OVER 3-5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5-8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8-10 HP ELEVATORS/ESCALATORS WATER CLOSET MOTORS OVER 10 -25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25 -100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION A/C UNIT A/C WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. ISTRIP HEATER HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS WATER SERVICE SPECIAL PURPOSE. SEWER CONNECTIONS OUTLETS COMMERCIAL UTILITY -SEWER ISIGN TUBES UTILITY -WATER SIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY FIXTURES FAINFIELD, 4" TILE/RES. ANTENNA PUMP & ABANDON SEPTIC TANK TELEVISION OUTLETS SOAKAGE PIT CU. FT. VIOLATION CATCH BASIN REINSPECTION 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 IL44 BUILDING INSPECTIONS z I� INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION I FEE TEMPORARY SERVICE ROOF f BEAMS. & LINTELS I S POOL SEWER H. W. HEATER CONN FR9MING I SOLAR HEATER AIR COND. S f FINAL I I S CLEAN UP f SLAB I� SOLAR HEATER I. FIXTURES & FINAL SLAB FIXTURES PLUMBING PERMITS Be INSPEGTIC1NSt CONTRACTOR PHONE' PERMIT NO. I DATE FEES NEW BLDG. I ALTERATION I ADDITION RE- INSPECT REPAIRS SPECIALS PERMITS I PERMIT NO. DATE I FEE TEMPORARY SERVICE I f SEPTIC TANK I S f SEWER H. W. HEATER CONN SEWER MOTORS SOLAR HEATER S f AS SEPTIC TANK I S I -f f t I� INSPECTIONS DATE I BY j RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE is TEMPORARY SERVICE TUB & TOP OUT I S RANGE CONN. I H. W. HEATER CONN SEWER MOTORS S FIXTURES SEPTIC TANK I S f t SOLAR HEATER I. FIXTURES & FINAL FIXTURES GAS CONTRACTOR e-C lYI C PHONE PERMIT NO. }b S2 I DATE Y 'A �T/ FEE S NEW BLDG. I ALTERATION X I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE is TEMPORARY SERVICE H. W. HEATER CONN. I S RANGE CONN. I H. W. HEATER CONN f MOTORS S FIXTURES I I S f t INSPECTIONS DATE BY RE- INSPECT! BY RE- INSPECT BY TFMP. SERVICE ROUGHING I I H. W. HEATER CONN d RANGE CONN. f I. FIXTURES & FINAL APPROVAL TO POWER CO. FOR SERVICE DATE BY h OWNER'S NAjE -lull LOCATION (ST. OR AVE.) A i®z ` :!,f (may`. GENERAL CONTRACTOR 1 BUILDING PERMIT NO �?+o% o4zl Jrr,&aR/ 0 �. ZONE REQUIREMENTS i DRAWINGS, SPECIFICATIONS, RESTRICTIONS A INEW CONSTRUCTION I TYPE APPROVED I RE- SUBMITTED TO PLANNING I PRESENT ADDRESS LICENSE NO. PHONE NO. L ®.z I I LOT I BLOCK I 2 SUBDIVISION I44.r PHONE NO LICENSE NO. BUILDER'S BOND CUBE C STORIES /c ZCA ®c8 Zp al ROOF CONSTRUCTION DESCRIPTION ' DESCRIPTION t CTE IREFERRED TO COUNCILI REMARKS DATE v..� DATE CONSTRUCTION l-ILr's Di4 &4,Q d REASONS LNCY NO. 13 f s I ISSUED /` zw-41 I BY I TO /y.ri2L BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES V LLAG�� E