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MC-05-1292Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 12/29/2005 Expires: 12/21/2006 Permit Number: MC -12-05 -1292 Owner's Name: RICHARD GILBERT one: Permit Type: Mechanical - Residential Work Classification: New Parcel P. Block: Job Address: 1480 102 Street NE Section: Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor Comments: REPLACEMENT EXISTING 5 TON AIR CONDITIONING UNIT Additional Information Tons: 5 Additional Info: In consideration of the issuance to me of this permit, I agree to perform the work coverea nereunaer 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 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. Fees Due Amount CCF $1.20 Education Surcharge $0.40 Permit Fee - Additions /Alterations $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $107.10 Building Department File Copy Applicant Signature 1132050240260 Lot: PB: Total Square Feet 0 Total Valuation: $ 2,000.00 Rough Rough Dud Ventilation Smoke Test Hood Smoke Det Test Final Invoice Number Amt Due Arntgald MC -12 -05 -23291 $107.10 Total: FEB 0 2 PAID NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Miami Shores Village Building Department vRl`: 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 PLEASE PRINT TIME: 11'C6�-k- -- NAME OF PERSON REQUESTING FILE: PHONE #: 33S- ?s7 &61ZYOUR ADDRESS: SW ADDRESS OF FILE REQUESTED: INFORMATION REQUESTED. Iq g CD AIE X02 s� Aa2t4e /7' 1 4 I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. Acknowledged by: FILE RETURNED TO: Permit Receipt Permit Number: MC -12-05 -1292 Invoice Number: MC -12-05 -23291 Applicant: RICHARD GILBERT Company Name: Date Payment Type CheckNum Amount 02/02/2006 Check 8311 $107.10 Total Payment: $107.10 Thursday, February 2, 2006 Page 1 of 1 Miami Shores Village Building Departrnen 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 BUILDING Permit No.� 2�? PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type (circle): Binding Electrical Plumbing Roofing Owner's Name (Fee Simple Tit1 older) l j c l L / aT Phone # . OS— qf-6 v Owner's Address ,L o City ' State . Zip % Tenant/Lessee Name Phone # �e Job Address (where the wor is being done) krC City Miami Sho YffhUe County _Liami 1)ade —zip Is Building Historically D ignated YES NO If_ Contractor's Company Name Fhone #,TA Q J—'' W Z... &0 D Con is Address, City l State Zip � 7 Qualifier Architect/Engineer's Name if applicable) Phone # $ Value of Work For this e �z Square Footage Of Work: Type of Work: ❑Addi on LB"Alteration ',', ❑New ❑ 1�epair/Replace ❑ Demolition j Describe Work: e C' s 6 l Submittal Fee $L- Notary $ Scanning $— Code Enforcement Total Fee Now Due (Continued on opposite 0 Permit, Fee S� 4 CCF S aining/Education Fee S Technology Fee S Radon S Bond S Structural Plan Review. $ b-7- j D Bonding Company's Name (if applicable) Bonding Company's Address City State Mort 's N le) M Mortgage Lender's Address city State zip zip or 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, BEATERS, 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 COW4ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR 11"ROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR- NOTICE OF COMN[ENCEN[ENT." 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 subje���chment: Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspe v c aseven (7) .days after the building permit is issued. In. the absence of such posted notice, the inspection will r jxo�e c�P4��inspection fee will be charged 0 Signature The foregoin ���asl�o�v before me this day of who is personally knoi has produced The foregoing day of who is personally entifi n and who did take an oath NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Expires: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY: Plans. Examiner Engineer Zoning Chc 1011403 • Sec. 5-1.1. Air conditioning regulations. a. Z?c�r�: •F ..y� r • a %i (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 than ten (10) feet above grade shall be secured to the struc- ture by bolts or screws to resist horizontal wind loads. Such units cantilevering more than eight (S) 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 foll6wing special requirements shall apply to the con- trol and regulation of noise nuisance &am air conditioning machinery: (1) All equipment, existing or hereafter installed, regardless of location, shall be maintained in good working order. Equipmetit so located that normal operating noises create a nuilance to adjacent owners or occupants shall be pro- vided -A ith soundproofing, or sound - absorbing baffels. or enclosures, as approved to insure maintenance of a rea- sonable noise level. i (2) All equipment on outer walls, on roofs, or In other exposed locations, which are unduly noisy, and which causes•valld complaints, from adjoining property owners or occupants, may be required to be relocated. redesigned andlor en- closed In noise - retarding materials when, in the opinion of the building official, such enclosure Is necessary or would be effective. J(3) Special consideration shall be given to the planning of all Future insMIlations to minimize the noise nuisance to ad- joining prdperty owners or occupants, and the building official shall have authority to reject or require the rede- sign of any system which, in his opinion, would muse such a.noise nuisance. (c) Vlolatlon of this section shall be punished as Is now or may hereafter be provided by law, (Ord. No. 299.44 1 -3, 2.2141) I have read the above ordinance and will c ply with ft reguutiOn3 • • i 't� P �nfA , P � c � �d •� � . • i .�-a' • •�� `cry o ,�, •� 0 F P!' Olarbi iStignatti .. a • . �� contractor S�jrtature ••��iv •k •• • • • • • e�1�C��6�`v���•• • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • ti ' • 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 ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CZNTRAL HEATING BIS RASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CEO-) DRINKING FOUNTAIN SERVICE SIZE IN A PS OUCT WORK FLOOR DRAIN SERVICE*REPAIRAUER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING IHTEIdvm RANGE TOP UNDERUM TANKS LAVATORY OVEN ABOVE GROLIND 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 CAP. 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, 10- 25 If FIRE SPRIIVKI.ER SYSTEMS URINAL MOTORS OVER 25-100 HP COMING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WAWS- ' A/C WINDOW REINISPECTION WATER Sl1PPLY TO: AIR COND I T I ONERS A/C UNIT STRIP MATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL, OUTLETS DIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS !a UTILITY -SEWER SIGN TIME MOCK UTILITY HATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELO, 4• TILE/RES. VIOLATION PUMP 3 ABANDON SEPTIC TALC REINSPECT ION �' 'e `` ) SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL • AREA-' DRAIN • • • • • • R INLET .. .. SOLAR WATER HEATER FIRE STANDPIPE • • • • • • ": 6:0 POOL PIPING LAWN SPRINKLER SYSTEM • GAS RAKE METER. SET (GAS) ..... GAS PIPING ; : :.. • j ^�n� JOB NAME ADDRESS �' �` to Different location than above? No EXISTING CONDITIONS 1. HOUSE MAIN ELECTRIC SIZE AMPS _ WIRE SIZE Pip L 2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE , & CIR. BKR. SIZE FUSE SIZE SW AIR HANDLER BRANCH CIRCUIT:WIRE SIZE , & CIR. BKR. SIZ FUSE SIZE SW 3. SIZE OF EXISTING COMPRESSOR DISCONNECT: AMPS. TYPE: FUSE CIA. BKR. SIZE OF EXISTING AIR HANDLER DISCONNECT: AMPS. TYPE: FUSE CIR. BKR. 4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? YES NO S. EXISTING UNIT TO BE REPLACED • ► OR RELOCATED NAME PLATE INFORMATION FROM EXISTING UNIT CONDENSOR MODEL HEAT PUMP TYPE YES NO ,P CONDENSOR MINIMUM CIRCUITS AMPS A PACKAGE MODEL # A.H.U. MODEL # KW HEAT STRIP SIZE 07• 'r = A.H.U. MINIMUM CIRCUIT A2:PS 00 MAXIMUM OVERCURRENT PROTECTION SIZE AND -TYPE: CONDENSOR AMP SIZE FUSE HACK -•C BKi.� 91 omma AIR HANDLER AMP SIZE FUSE VCR CIA. BKR. ERR _ .. PLATE INFORMATION CONDENSOR MODEL # t HEAT PUMP TYPE YES NO , CONDENSOR MINIMUM CIRCUITS AMPS/j� 1.4 — FROM NEW UNIT BEING INSTALLED PACKAGE MODEL # A.H.U. MODEL 0 &V KW HEAT STRIP SIZE �t ��-64J A.H.U. MINIMUM CIRCUIT AMPS `✓ MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: CONDENSOR .. ..mpoSIZE A FUSE A) l IQ H& OFRa AIR HANDLER �lMP��STZ," • FUSE CR CIR. BKR. 9 go .•• ERR .. •.• .• • . . •. 5 PA60 3s-Lffiz CERTIFICATE NU14BER • . . • • . • •• . • • • • • •• • . • . OF 1poin •. • QU . ..... . .. . . •• .. . • . •. •• .... . . .... . PA60 3s-Lffiz CERTIFICATE NU14BER BUILDING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Nfiami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PERMIT APPLICATION FBC 2001 Permit Type (circle): Building _ Electrical Owner's Name (Fee Simple Owner's Address city, State Zip 3 3 at? TenanMessee Name Phone # Fiolt-6 A l! 3 9VJ'*0 4AV,& d Permit No. Master Permit No. Plumbing Roofmg =.8& Phone # '30S--1J--&-1 Job Address (where the work is being done) g A " City Mann Shores Village County Nami -Dade Zip Is Building Historically. Designated YES N0_ Contractor's Company Name rf t" 3 j11 f (�lr Phone #J� D .�"' L— VD Architect/Engineer's Name (if applicable) Phone # S Value of Work For this Permit s(-p tv Type of Work: Addition alteration []New Describe Work: Square Footage Of Work: ❑ Repair/Replace ❑ Demolition Submittal Fee S Permit Fee $ CCF $ Notary Stl$d>ac$tiQn jE'e,� • • Technology Fee S Scanning S • . a"ob $ : • .. Bond S Code Enforcement S Structural Plan Review. S Total Fee Now Due $--0-.. . .•• 00: .•• ••• . .. . .• (Continued on opposite skW- : : : : -:- : . ..... . .. . .... . . .... . Sigma `Owner or Agent r. � ent before me this hc�.OwTedge this , Me foregoing just . ,by & raced. __.� ----- da y of '._® �vho 19 � ® u who did take an oath who is persona���!)j ° NOTARY PUBLIC AU+ 0!, - ¢ The foregoing in st� ent u a day of ® to mila i�E s p —_ rsomUy who is � take an oath. NOTARY PUBLIC: Sigw- prillit: sign: My Commission: ,p * *s ** *,iii * *s,s�essten,x� *,sue� My Commission ��S. y Holder) (Certificate of Competenc ... . . .. ency No. *00 . ..�� p� Certificate of Competi State Certificate or Re$ ox e " • • • PlanszEnmm Q'DN F'F'i"'•"- - - • • ••• ••• ••• ••• • • • • • • • • • APPLICATION ••. ;•. �. ... . . • . .. • • • . ..... . .. . (hc 10 /14 . • 0 •• . . . •/03 • • • • • • • . • • • • • • Engineer Zoning r Sec. 6.1.1. Air conditioning regulations. (a) All individual air conditioning units installed in walls or windows shall be securely anchored to the walls by approved methods. 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 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 foll6wing special requirements shall apply to the con- trol 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. Equipmetit so located that normal operating noises create a nuisance to adjacent owners or occupants shall be pro- vided with soundproofing, or sound-absorbing baffels, or. enclosures. 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, redesigned ant for an. .closed in noise-retarding materials when. In the opinion of the building official, such enclosure is necessary or would be effective. J(3) Special consideration shall be given to the planning of all future inMilations to minimize the noise nuisance to ad. joining property owners or occupants, and the 'building official shall have authority to reject or require the rede• sign 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. 299.111-3. 2-2141) I have read the above ordirume and will catply regulations tMteof. . , , OO.a Asa. �����,i7.Grt. ••Pf�in7r� �� �� T 0 00 ••• • • • •i.•v. ' ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • contractor SlAmture I 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 SU13 SE ! UE11T APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM EFEE ITEM UNIT FEE BATH TlB SWITCH OUTLETS SPACE HEATERS BIDET LIGHT OUTLETS CENTRAL HEATING -- nrrnenrant ce A/C (WIND) SPECIAL- PURF OUTLETS COM4 SIGN TUBES SIGN TRANSFO SERVICE SIZE IN AMPS SERVICE'REPAIR/l O CHANGE APPLIANCE OUTLETS uuu' num REFRIGERATION PROCESS AND PRESS PIPI RANGE TOP UNDERI;ROUtII TANKS OVEN ABOVE GUM TANKS WATER HEATER U.F. PRESSURE VESSELS MOTORS O- 1 HP I STEAM BOILERS MOTORS OVER 1- 3 HP HOT WATER BOILERS MOTORS OVER 3- 5 HP MEMICAL VENTILATION MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIE MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS CLOSET MOTORS .OVER 1D- 25 HP MOTORS OVER 25-100 HP FIRE SPRINKLER SYSTDA COOLING TOWERS MOTORS OVER 100 HP VIOLATION A/C WINDOW REINSPECT ION AIR CONDITIONERS STR I HEATER SPECIAL- PURF OUTLETS COM4 SIGN TUBES SIGN TRANSFO . .. .. . . . .. . . .... ...... . 0 Al .. In mm ®m mm . .. .. . . . .. . . .... ...... . 0 JOB NAME -jK- L�l� njl ADDRESS 1- U rte 2mu 1 t9)s S'f At it Different location than above? No y EXISTING CONDITIONS 1. HOUSE MAIN ELECTRIC SIZE AMPS /S WIRE SIZE 2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE , & CIR. BKR. SIZE FUSE SIZE SW AIR HANDLER BRANCH CIRCUIT:WIRE SIZE , & CIR. BKR. SIZ FUSE SIZE SW 3. SIZE OF EXISTING COMPRESSOR DISCONNECT: AMPS.. TYPE: FUSE CIA. BKR. SIZE OF EXISTING AIR HANDLER DISCONNECT: ZVnrAMPS. TYPE: FUSE CIR. BKR. 4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? YES NO 5. EXISTING UNIT TO BE REPLACED _ Ve OR RELOCATED ��t/ NAME PLATE INFORMATION FROM EXISTING UNIT \ CONDENSOR MODEL `- HEAT PUMP TYPE YES NO CONDENSOR MINIMUM CIRCUITS AMPS I PACKAGE MODEL # A.H.U. MODEL # KW HEAT STRIP SIZE A.H.U. MINIMUM CIRCUIT A1-!PS o z MAXIMUM OVERCURRENT PROTECTION SIZE AND - 'TYPE: CONDENSOR AMP SIZE FUSE RAM. .CIR.- AIR HANDLER AMP SIZE FUSE �66R CIA. BKR. EER NAME. PLATE INFORMATION FROM NEW UNIT BEING INSTALLED MAKE r &1w WW PACKAGE MODEL # -^ CONDENSOR MODEL # � #1 A. H. U. MODEL HEAT PUMP TYPE YES NO KW HEAT STRIP SIZE U1J CONDENSOR MINIMUM CIRCUITS AMPSAd) 44 A.H.U. MINIMUM CIRCUIT AMPS �✓ MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: CONDENSOR 9• IZ� V FUSE / HAM. CIR BIER.« AIR HANDLER- iP �SIEZ; • FUSE _�°°`�'HACR CIR. BKR. EER . •.•.... • . . .•. ... .•. .•. OF QU +IFI94 •;• s o CERTIFICATE NURBER ; . ..... . ... . ...... . .... .... . . .... . r f Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Job Address: 1480 102 Street NE Miami Shores Village, FL 33138- Phone Number Parcel Number 1132050240260 Project: <NONE> Block: Lot: Contractor: Buildina Deaartment Comments REPLACEMENT EXISTING 5 TON AIR CONDITIONING UNIT v� 7 Passed E] Inspector Comments 11 -3 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Thursday, April 5, 2007 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 .............................................. .. .... .. ........................................... .................................... ........................................ ........................................ Inspection Date: 04/18/2007 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Owner: GILBERT, RICHARD Job Address: 1480 102 Street NE Miami Shores Village, FL 33138- CL Project: <NONE> Block: Contractor: Buildina Denartment Comments Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132050240260 Lot: REPLACEMENT EXISTING 5 TON AIR CONDITIONING UNIT APR 18 2007 Inspector Comments Passed Failed El Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-Inspection fee is paid . Wednesday, April 18, 2007 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 04/09/2007 _ Inspector: Perez, JanPierre -;oo—* 7 Owner: GILBERT, RICHARD Job Address: 1480102 Street NE Miami Shores Village, FL 33138- Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number Project: <NONE> Block: Lot: Contractor: Buildina Deoartment Comments 1132050240260 REPLACEMENT EXISTING 5 TON AIR CONDITIONING UNIT MrN Passed Inspector Comments 11 -3 v l Failed C , C Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until ®� fY re- inspection fee is paid. 09 Thursday, April 5, 2007 1 Page 1 of 2 PERMIT APPLICATION F� Date 6171% Job Add= ` 96 J6102-5T- Legal Descripti %A#F l ACC ttb-P 1-,> GIL.F3�'F Owner's Address - 145f'19 A) Contracting Co.�c(^ G Qualifier 'i11�14D state # MumLpal # Bonding Comp Mortgagor Permit Type WORK ones l R MIAMI SHORES VILLAGE Tax Folio I — �,-7eoj-- 0 Z. 60 (istorically Designated:: No Mauer Permit # I Ph7Address /V a-) Yo Sr SS#D� - Phone9 / --13�� _ Competency. # Z Ins. Co. %,4U67&e e-S Address _ Address Address ,'LU**G ME ROOFING ' PAVING FENCE SIGN 4 /tom ,,11iI __ ea� � o Ws Square Ft. EstirakW Cost (value) �t WARNING TO OWNER. 'YOU MUST RECORD A NOTICEI!OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING :TWICE FOR R"ROVEMENTS TI YOUR PROPERTY, (IF YOU INTEND TO OBTAIN FINANCING, CONSULT W TH YOUR RI ENDER OR AN ATTORNEY BEFf ,RE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is ereby made Jo obtain a permit to do work and insta �,�ws ation as indicated abo�c, and on the `attached addendum (if applicable). I certify that all ork will be performed _to meet the standards of all regulating construgtion in this jurisdiction. I understand that separate permits are r ed for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AVIT: I certify that all the foregoing informationls accurate and that all work will be done in compliance with all applicable laws regulating umstruction and zoning. Furthermore, I authorize the above-named contractor to do the work stated o Si Signature of e jand/or C ndo President Date Tigaature7of Contractor or er-Builder d Date Notary as o rner and/or C ' do Ad4ident Date Notary as ontra for or Owner- er Date My Commissi Expires: My Commr9sion Expires: RY P .,p &O OFFICIAL NOTARY SEAL �p,RY P& OFFICIAL NOTARY SEAL = �i�MARY PATR=A ®RIOGS O Y, NARK PATikPA 8R!>aOS COMMISSION, PIL MSER ,0� cON!$A1�bDN ;NWM�EEi �, a CC335258 - GC33t 88 MY- ZWUSSION EV. . ?' �4' Irrar'.'€19t1s>tENDai, MCP. of F�� JAN. 310998 J N. 31` ia98 FEES: PERMT 35 ' O� RADON C.C.F. NOTARY TOTAL DUE 3,5-. APPROVED: h Zoning Building Mechanical Plumbing Engineering