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PL-04-0109RECEIVED IR 0 1. 2004 BUILDING Miami Shores Village Building Department PERMIT APPLICATION FBC 2001 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. .91 )-00q -I(f — Master Permit No. Permit Type (circle): Building Electrical 1umb�} Mechanical Roofing Owner's Name (Fee Simple Titleholder) G1 C fZ�! �! S Phone #�.�J L� qq t�� Owner's Address City M (A 1­1 State '� � _� {� Zip 3 I C Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name !F-+� • Lyfl i SOk) �')l QC-phone # (�l 9 Zci — 3 59 9 Contractor's Address-') �7 c,)T H city'-AO L- -1 uoc }C) 0 State i_'(_ -) C-1 -1 Zip Qualifier \-_) L' H L J t Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address City State Zip, $ Value of Work For this Permit 2-uC)C) . Square Footage Of Work: Number of: Bays Stories Families Bedrooms Baths Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: -T c l L 1i I A k3 C'j �C l bd4,50 .CO Vr(* � *( *,�� * *,� * * * * * * * * * * * * * * * * * * * :* Fees * * * * *� * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee $ y y Permit Fee $ Z F� Notary $ Education/Training Fee $ Tech $ :S S Scanning $ j, U U _ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) _ Mortgage Lender's Address City 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 NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated valu exceeding $2500 the applicant must promise in good faith that a copy of the notice of commencement and construction lien law b ochure 71 be . e d to the person whose property is subject to attachment. Also, a certified copy of the recorded notice o co enc a must po ted at the job site for the first inspection which occurs seven (7) days after the building permit is ' ue . n th ab nce o uc posted notice, the inspection will not be approv nd a reinspection fee will be charged. Signature Signature er o Agent The foregoing instrument was acknowledged before me this I sr The foregoingllnstrument was acknowledged before me this I 5r day of AP K , 20 U44, by _ JY1 b N ., t. K `S j) d i -T S day of A f � . 20 QI , by :,y. p H N W,( F K A, who is personally known to me o ho has roduce Ft— who i ersonall kn ttown o m y �r who has produced Q. t t{ (� ► L • As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC:]" NOTARY PUBLIC: Sign Si V E n/A/ Print: �- �'� Print:. n/ >✓ r E= E A,Yt w n �, U s My Commission Expires: * * * * * * * * * * * * * * * * * * * * ** State Certificate or Registration No. APPLICATION APPROVED BY: Chc7n /03 I MMISSION # CC 961200 MY GOMMISSION # CC 961200 My Commission Expires: Xj*OIRES: Aug 1 a, 2004 EXPIRES: Aug 14, 2004 "�,io *Ye ve *& B*ondi^g�InC* er ma e o petency Holder) C� l Certificate of Competency No.CF(' 014 (9-11 ®� lans Examiner Engineer Zoning 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 EE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (W 10) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOM DRAIN SERVICE REPAIR/Mf M GW GE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP LINOERtN0N TANKS LAVATORY OVEN AM 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 TRANSAORTING 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 TRANSFaMRS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL ROME SWIhNING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY-WATER FIXTUtES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP 3 ABANDON SEPTIC TANG REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET aco L, 1 SOLAR WATER HEATER 1� c�T'L l FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING I� MIAMI SHORES VILLAGE BUILDING DEtTMEN7�, 305 - 795 - Building Inspection Requ�st Date J t` � � lS Type Insp'n Permit No. 2W L4 � G Name _•iV 1 �� Address S� Company - Phone # Inspectior Approved Correctioi Re- Insp'n Fee ❑ 2 402.5.2 — TABLE 402(2) 402.5.2 Liquefied Petroleum Gas Systems. The operating pressure for undiluted LP- Gas systems shall not exceed 20 psig (140 kPa gauge). Buildings having systems designed to operate below -5 °F ( -21 °C) or with butane or a propane - butane mix shall be designed to either accommodate liquid LP -Gas or prevent LP -Gas vapor -from condensing back into a liquid. Exceptlon: Buildings, or separate areas of buildings, constructed in accordance with Chapter 7 of NFPA 58, and used exclusively to house. industrial processes, research and experimental laboratories, or equipment or processing having similar hazards. For SI: units: 1 cubic foot = 0.028 m3; 1 foot = 0.305 m; 1 inch water column = 0.249 kPa; l prig = 6.894 kPa;1000 Btu per hour = 0.293 kW; 90 dcgrcea — 1.6 rad TABLE 402(1) — UTILITY GAS MAXIMUM CAPACITY OF PIPE IN CUBIC FEET OF GAS PER HOUR FOR GAS PRESSURES OF 0.5 psi AND A PRESSURE DROP OF 0.3 INCH WATER COLUMN (BASED ON A 0.60 SPECIFIC GRAVITY GAS) ominaI 1 I e S (Inches) Internal Inch 0 72 132 278 520 1 050 20 49 92 190 350 100 30 18 73 152 285 890 40 15 63 130 2 760 50 14 56 I 5 440 670 Length 80 12 7 5 195 400 610 of Pipe 70 11 25 96 180 370 560 (Fast) 80 11 43 170 350 530 90 40 84 3 440 100 21 38 79 150 305 126 18 34 T2 130 275 410 8 17 31 64 120 230 380 7 15 28 39 110 225 350 200 6 14 26 55 100 210 320 A 0.364 3/8 0.493 1/2 0.622 3/4 1 0.824 1.049 11/4 1.380 ll/2 1.610 2 469 3 050 4 800 8 800 17,500 2100 3 300 5900 12,000 1650 2 700 4,700 4,700 1450 2 300 4100 8,300 1,270 2 000 3 600 7,400 1,150 1 850 3230 6,800 1050 1700 3 000 6,200 990 1600 2 800 5,800 430 1 500 2600 5,400 870 1400 2,500 5,100 1.250 200 4,500. 1.130 000 4,100 1050 1850 3,800 980 1700 3,500 21/2 3 3.068 4.026 Table 402(2) — UTILITY GAS MAXIMUM CAPACITY OF PIPE IN CUSIC'OEET OF GAS PER HOUR FOR GAS PRESSURES OF 0.6 psi AND A PRESSURE DROP OF 0.5 INCH WATER COLUMN (BASED ON A 0.60 SPECIFIC GRAVITY GAS) Nominal Iron Pipe Internal Length of Pips (Feet) 10 43 95 175 360 680 1400 21.100 3 950 6 300 11000 23,000 20 29 65 120 250 465 950 1460 2 750 4 350 7 700 15,800 30 24 52 97 200 375 770 1,180 2 200 320 6,250 12,800 40 20 45 82 170 320 660 990 14� 3000 5 10 10,90[1 60 18 40 73 151 285 580 900 1680 2 650 4 750 9,700 80 16 36 66 138 260 530 810 1520 2400 4,300 8,800 TO 15 33 61 125 240 490 750 1400 2 250 3 900 8,1(1(1 60 14 31 57 118 220 460 690 1300 2 050 3 700 7,500 80 13 29 53 110 205 430 650 1220 1450 3,450 7,200 100 12 27 50 103 195 400 620 1 150 1850 3.250 6,700 126 11 24 44 93 175 360 550 1020 1650 2950 6,000 160 10 22 40 84 160 325 500 950 1 00 2650 5,500 176 9 20 37 77 143 300 460 850 1,370 2 450 5,000 200 8 19 35 72 135 280 430 800 1280 2 280 4,600 size (Inches) /4 Diameter (Inches) 0.364 0.443 0.622 318 1/2 3/4 0.824 1.049 1.380 1.610 2.067 2.469 3.068 4.026 1 11/4 11/2 2 21/2 3 4 FLORIDA BUILDING CODE — FUEL GAS 4.2 i. g MIAMI SHORES_` VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 ' . B \ uilding Inspection Request � Date Type Insp n Permit No. Name S Address Company Phone # Inspectio Approv Correcti Re- Insp'n Fee n Q f , 1 I r R E.H. Whitson Plumbing 421 South 21st Avenue Hollywood,, FL 33020 Survey Sheets / Plans Customer Name: PCAi S/JU C Address: )J:0 of, 103P ,� City, State, Zip: Mt AM Phone All Work to Comply With N.F.P.A. Code #: Estimated Job Cost: Description of Work• L� 0 Piping ISO i d E.H. Whitson Plumbing 421 South 21st Avenue Hollywood, FL 33020 Sur !bt Sheets / Plans Customer Name: H ®�) ICA S,,%V i TS Address: 0�)W Nt Q?P City, State, Zip: I I I SkAU Phone �L)�� All Work to Comply With N.F.P.A. Code #: Estimated Job Cost: Description of Worst: 1 4*14 ,�Y / W40 Piping ISO Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/7 /2004 Applicant: MONICA Owner: SAVITS JOB ADDRESS: 1360 NE 103 Contractor E.H WHITSON PLUMBING Local Phone: 305 - 751 -5911 Parcel # 1132050300070 Plumbing Permit Permit Number: PL2004 -109 Page 1 of 1 SAVITS MONICA ST Contractor's Address: 421 SOUTH 21 ST Legal Description: REPLAT OF TR B MIAMI SHORE BAY PARK ESTS PB 63 -17 LOT 7 LESS Fees: Description Amount FEE2004 -3607 Building Fee $140.00 FEE2004 -3608 CCF $1.80 FEE2004 -3609 Training and Education Fee $0.40 FEE2004 -3610 Technology Fee $3.50 FEE2004 -3611 Scanning Fee $3.00 Total Fees: $148.70 Permit Status: APPROVED Permit Expiration: 9/29/2004 Construction Value: $2,000.00 Work: RUN GAS TO SUPPLY 1 WATER HEATER 1 RANGE & 1 POOL HEATER Signed: (INSPECTOR) Total Fees: $148.70 Total Receipts: P APR 0 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. Signed: (Contractor or Builder) BY: