The URL can be used to link to this page

ME-03-228Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDIN G rEl V E D Permit No. f DECRE PERMIT APPLICATIO 4EC Master Permit No. FBC 2001 - Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Teg Te i g 1 and Phone # — 1-3981 Owner's Address 9780 N.E. 5th Avenue—Road City Miami Shores State FL Zip 33138 Tenant/Lessee Name Phone # Job Address (where the work is being done) 9780 N.E. 5th Avenue -Road City Nflam Shores Village County Miami Dade Zip 33138 U Building Historically Designated YES NO X Contractor's Company Name All Year Cooling & Heating Phone # Contractor's Address 1345 N.E. 4th Avenue 954-566-4644 City Ft. Lauderdale, FL State FL Zip 33304 Qualifier Greta- B. Smith Architect/Engineer's Name (if applicable) Phone # S Value of Work For this Permit 3045.00 Square Footage Of Work: Type of Work: []Addition ❑Alteration ❑New ® Repair/Replace ❑ Demolition Describe Work: Replace Central Air Conditioning _z. 0th Submittal Fee S (k'k lS (Q Permit Fee S CCF S f .� Not S Training/Education Fee S a O Technology Fee $ Scanning S Radon S Bond S Code Enforcement S Structural Plan Review. S Total Fee Now Due S 11.3 (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 State Zip 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 cornmenced 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 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 approved and a reinspection fee will be charged , �J Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 19 The foregoing instrument was acknowledged before me this 19 day of Dec ,20 03by Teg Teigland day of Dec 2003 by Greta B. Smith who is personally known to me or who has produced who is personally known to me or who has produced PERSONALLY As identification and who did take an oath. PERSONALLY as identification and who did take an oath. NOTA =PLIC- NOTARY P T Sign: Sign pmt: Christine ECH%Q9- zWERSON pmt: Christine E. Anderson Notary Public, State of Florida My Commission Expires: My comm. exp. July 21, 2004 My CommissionExpfflary Public, State of Florida (Certificate of Competency Holder) Comm. No. CC954190 State Certificate or Registration No. CAC 058160 Certificate of Competency No. CMC 511 APPLICATION APPROVED BY: ��/ / Z�_ �' Plans Examiner Engineer Zoning Chc 10/14/03 AIR CUNDITIONING L JOB NAME: ADDRESS: 04 -jr- WILL THE LOCATION BE THE•SAME7 DIFFERENT? ..� 'ElpisTiNa REPLACED MAKE: r PACKAG AHU CONDENSER �,, � MODEL NO: -�� — MODEL NO: MODEL NO: HEAT PUMP: KW STRIP HEAT: ✓ ' PACKAGE MIN. , , AHU MIN. 'COND. MIN. CIRCUIT AMPS OR '`'' ° " CIRCUIT COMPRESSOR H.P: AMPS: CIRCUIT AMPS OR H.P: MAX OVERCURRENT' �� MAX. OVERCURRENT `� PROTECTION: _ PROTECTION: MAX. OVERCURRENT PROTECTION: WEER: f�NEW UNIT BEING INSTALLED MAKEU , PACKAGE AHU I MODEL NO: ��o�/�l �) MODEL NO: MODEL NO: � HEAT PUMP: KW STRIP HEAT: �J PACKAGE MIN. AHU MIN. COND. MIN. CIRCUIT AMPS OR CIRCUIT �-- CIRCUIT COMPRESSOR ILP: AMPS: AMPS OR H.P: MAX.OVERCURRENT / MAX. OVERCURRENT MAX. OVERCURMNT PROTECTION: PROTECTION: PROTECTIO . cs):.Z2, x— - Lop 1. HOUSE SERVICE SIZE AMPS: /f U 2. SHOW WIRE S1ZE: _ (AMP RATING) TYPE: (TW OR THW) 71 3. SHOW SIZE OF DISCONNECT SWITCH, CIRCUIT BREAKER, FUSE'OR KNIFE SWITCH: APMS. 4. DISCONNECT SWITCH WITHIN SIGHT OR RF CPSOR NO a.a:a� a ar A01% a a: It • ' AIX CONDITIONING JOB NAME: 77 ADDRESS: za N4/ILL THE LOCATION BE 'THE, SAME? DIFFERENT? TO BE REPLACEDMAKE: PACKAGE AHU MODEL NO: �- MODEL N0: t� CONDENSER MODEL NO: HEAT PUMP: KW STRIP HEAT: PACKAGE MIN. AHU MIN. 'COND. MIN. CIRCUIT AMPS OR '`' ° "' CIRCUIT CIRCUIT COMPRESSOR H.P: AMPS: AMPS OR H.F: MAX OVERCURRE MAX.OVERCURRENT T MAX.OVERCU!!!- PROTECTION: PROTECTION: ROTECTN. (S)EER: NEW UNIT BEING INSTAL � MAKE. • � L_ED • PACKAGE AHU CONDENSER MODEL N0: MODEL N0: ---- - MODEL NO:� HEAT PUMP: KW STRIP HEAT: PACKAGE MIN. ., _ AHU MIN. COND. MIN. CIRCUIT AMPS OR' CIRCUIT � CIRCUIT COMPRESSOR H.P: AMPS: AMPS OR H.P: MAX OVERCURRENT MAX. OVERCURRENT MAX.OVERCURRENT �� PROTECTION:, PROTECTION: PROTECTION: -� ' (S)EEW 1. HOUSE SERVICE SIZE AMPS: j 2. SHOW WIRE SIZE: 0 (AMP RATING) TYPE: 1,(TW OR THW) 3. SHOW SIZE DISC NNECT SWITCH, CIRCUIT BREAKER, FUSE*Oft KNIFE SWITCH: APMS. -�L 4. DISCONNECT SWITCH WITHIN SIGHT OR READILY YES OR NO X ACCESSIBLE? CERTIFICATE # ADDENDUM TO BUILDING PERMIT APPLICATION APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT F.AS B. :AIMED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL TLB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM UiilT FEE SPACE HEATERS LIGHT OUTLETS CENTRAL HEAT IW 'AM I RECEPTACLES A/C (WIND) SAL SERVICE TEMPORARY A/C (CENTRAL) / T_ :IMG FOUNTAIN SERVICE SIZE IH AWS DUCT WORK DRAIN SERVICE REPAIRAMETER MIME REFRIGERATION 'E TRAPAPPLIANCE OUTLETS PROCESS AND PRESS PTP -IM RCEPTOR RANGE TOP UNDERGROUND TANKS TORY OVEN ABOVE GROUND TANKS )RY TRAY WATER HEATER U.F. PRESSURE VESSELS -ES WASHER MOTORS 0- 1 If STEAM BOILERS _R MOTORS OVER 1- 3 If HOT WATER BOILERS POT/3 C06P. MOTORS OVER 3- 5 If MECHANICAL VENTILATION RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEWLIES SLOP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS MY WATER CLOSET ¢ MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS X MOTORS OVER 25-100 FP COOLING TOWERS R CLOSET MOTORS OVER 100 IF VIOLATION RECT -WASTES A/C WINDOW REINSPECTION A SUPPLY TO: AIR CONDITIONERS 'C UNIT STRIP HEATER IRE SPRINKLER GENERATORS TRANSFORMERS EATER -NEW INST. GENERATORS TRAHSFM RS EATER -REPLACE GENERATORS TRANSFORMERS klM SPRINKLER -WELL SPECIAL PURPOSE M 94 4 ilwlm POOL OUTLETS COM IJERCIAL Ott -id JER SERVICE SIGN TUBES A CONNECTIONS SIGN TRANSFORMERS ITY-SEYIER SIGN TIME CLOCK -ITY-WATER FIXTURES 'IC TANK ANTENNA mlo ',Y TELEVISION CURETS INFIELD, 4' TILE/RES. VIOLA710N S ABANDON SEPTIC TANK REINSPECTION {AGE PIT CU. FT. ,1 BASIN CHARGE WELL ESTIC WELL A DRAIN F INLET : AR IIATER HEATER E STAMOP IPE L PIPING N SPRINKLER SYSTEM RANGE ER SET (GAS) PIPING Miami Shores Village Mechanical Permit 10050 NE 2nd Avenue Phone: 305-795-2204 Permit Number: E2003-228 Printed: 12/29/2003 Page 1 of 1 Applicant: Owner: JOB ADDRESS: 9780 NE 5 AVENUE Contractor ALL YEAR COOLING AND HEATING Local Phone: m Contractor's Address: 1345 NE 4TH AVENUE Parcel # 1132060171490 Legal Description: 6 53 42 MIAMI SHORES SEC 4 AMD PB 15-14 LOTS 21 & 22 BLK 97 LOT SIZE Fees: Description Amount FEE2003-8610 Building Fee $116.00 .3 Total Fees: $1 W 1.30 e� FEE2003-8611 CCF $1,80 ' FEE2003-8612 Training and Education Fee $0.60 Total Receipts*:-$0.00 eceipts: FEE2003-8613 Technology Fee $2,90 Total Fees: $121.30 Cy- � Permit Status: APPROVED Permit Expiration: 6/19/2004 Construction Value: $3,045.00 Work: REPLACE CENTRAL A/C 3 TON JAN 0 7PAID Signed: (INSPECTOR) 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: 2iq 1 q,300