941 NE 91 Terr (4)type Insp'n
Permit ND.
Name
Address
MIAMI STORES VILLAGE
Bt 'AWING DEPARTMENT
305-795-2204
Building lttsprction Request
DateigIVIOCi
App
C rrec'tion
Re•Insp'n FPS �1
09- i3
Cwnpatt 311Y'
fhnne t e � � "' /887
Inspection Mte /2\A„,
)- A5
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 7/27/2004
Applicant: DENISE CATE
Owner: CATE DENISE
JOB ADDRESS: 941 NE 91 TERR
Contractor HI -VAC AIR CONDITIONING
Local Phone: 954 - 747 -3148
Parcel # 1132060030050
Mechanical Permit
Permit Number: MC2004 -136
Contractor's Address: 4755 NW 103 AVE
Page 1 of 1
Legal Description: PL OF BISCAYNE RIDGE PB 39-41 LOT 6 & E22FT LOT 7 & W3FT LOT 5
Fees: Description Amount
FEE2004 -7558 Building Fee $180.00
FEE2004 -7559 CCF $3.60
FEE2004 -7560 Training and Education Fee $1.20
FEE2004 -7561 Technology Fee $4.50
Total Fees: $189.30
Total Fees: $18
Total Receipts:
kl
Permit Status: APPLIED Permit Expiration: 1/16/2005 Construction Value: $5,825.00
Work: A/C change out
OCT 0 7 PAID
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:
This instrument prepared by:
Name
2. General Description of
Improvement:
3. Property Owner Name:
Mailing Address:
and Intsrest In property:
6. Lender name:
Address:
Phone Number:
this Parrett £,1o41
°natty known to me or
seal:
LOCO:1)Fi, C.DU TY OF D?OE
t - aC: I (CO t OW)
Address - t✓ t i i.
Permit*
NOTICE OF COMMENCEMENT
State of Florida
County of Broward
The undersigned hereby gives notice that improvement will be made to
certain real property, and In accordance with Chapter 713, Florida Statutes,
the following information is provided In this Notice of Commencement:
1. Property Legst Description (] Lot °Unit 133w( DIdg
Subdivision/Condominium
()Lengthy Legal, please sae description attached hereto
CO k rat
■ r —
C- IrC a. ■CJnln
IG!M3iia
4. Contractor name:
Address:
Phone Number
5. If Surety Bond, Name:
and address of Surety:
and amount of Bond: $ (Copy of bond must be attached to this Notice at time of recording)
Phone Number:
7 Persons within the State of Florida (names and addresses) designated by g rope owner upon whom Notices
or other documents may be served se provided by Section T13.13(1XA)7., Fbride Sta tutes:
Name:
Address:
Phone Number: Fax#: (optional - it service by fax Is acceptable)
8 In addition to himself , Owner designates the following person(s) to receive a copy of the Lienor's Notice as
provided by Section 7'13.13(1)(B), Florida Statutes:
Name:
Address:
Phone Number:
Owner signature: : /7,(!/ Q Owner signature:
Printed name: t1 Y; e� Printed name:
SWORN TO AN UBSCPUBED before me
A)r_
Fax#: (optional- d sere c. by ant is acceptable)
apace above reserved for use of recording office.
r
Fax#: (optional- If service by fax Is acceptable) .
Fax#: (optional- If "endue by fax Is acceptable)
CFN 2004R088124-0
OR Bk 22715 Pe 2232 (tae
RECORDED 10/07/2004 14 :19:19
HARVEY RJVIN? CLERK OF COURT
MIAt1I -DAC'E COUNTY? FLORIDA
LAST PAGE
Name/malting ddress of
fee simple title holder If
other then owner:
Fax#: (optional- if service by fax Is acceptable)
9. Expiration date of this (Expires one year from date . ••.L• • unlessadifferentdal - - specified)
day of &PIM / / , 200 , by:
�F
My commission expires:
; j', Lori L. Montiel
�
ar! Commission #. D0102345
o
as identification.
Bonded Thru
i
N' Atlantic Bonding Ca, tns.
533
BUILDING
PERMIT APPLICATION
FBC 2001
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name / ,
Contractor's ddress �7 _ S Ll) W3
City
Qualifier
Type of Work:
Describe Work:
own
Submittal Fee $ 0 Permit Fee $
Notary $ Training/Education Fee $
Scanning $ Radon $
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): Building Ele trical
Owner's Name (Fee S' s � p le Titleholder) 6� 4'1
Owner's Address t L 1 /
City ,- J '4 0 4 . t o Zip 3 33
Tenant/Lessee Name Phone #
Job Address (where the work is being done) P/ p 9/
County
NO
I State Zip
r /yJ1l A
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this PermiP'5
Ad ' ' DAlteratio ew ❑ Repair/Replace ❑Demolition
AaJY-adeni
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
1Z°
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
Permit No. '-tC 04 —' 3(0
Master Permit No.
Plumbing Mechanical Roofing
`J
Phone # — 3 ~ �( 7 O
( 4 / ,bvid-e-
Miami -Dade Zip 3
Phone # 9 7C l 1 7
4 3 335
Square Footage Of Work:
CCF$
Technology Fee $ 4 ,
Bond $
RECEWED
RI 2 CI ?. it
Bonding Company's Name (if applicable) •
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State 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
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 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.
Print:
Signature
'Owner or Agent
The foregoing instrument was acknowledged before me thiaJ\l..{
day of Q)\ , 20 OA, by�PC,�>✓ t74
who is personally known to me or who has produced. %c4
`Noc'3 '1?SS'1 \ D As identification and who did take an oath.
NOT ' UBLIC:
Sign 1111i \11. K �_�
My Commission Expires:
APPLICATION APPROVED BY:
Chc 10/14/03
' Commission • DD102345
' Bond.d Thru
,4 to ` Attaadc Bonding Co., inc.
Signature
as identification and who did take an oath.
NOTARY PUBL
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
r/ /-•
Contractor //�
The fore instrument was acknowledged before me this 13
day of 20d, by P (Olan& ),
who is person y own to in IN who has produced
My Commission V o f F � . Atla do ding Co., Int.
� Plans Examiner
Engineer
Zoning
W
H TB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE •
ET
LIGHT OUTLETS
CENTRAL HEATING
HWA HER
RECEPTACLES
A/C (WINO)
POSAL
SERVICE TEMPORARY
A/C (CENTRAL)
Y
NKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
CR DRAIN
SERVICE REPAIR TER CHA}DE
REFRIGERATION
:ASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
'ERCEPTOR
RANGE TOP
UNDERGROUND TANKS
'ATORY
OVEN
ABOVE GROUND TANKS
IhDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
LATHES WASHER
MOTORS 0- 1 I-P
STEAM BOILERS
)WER
MOTORS OVER 1- 3 H'
HOT WATER BOILERS
+x, POT /3 COMP.
MOTORS OVER 3- 5 NP
MECHANICAL VENTILATION
;K, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
IK, SLOP
MOTORS OVER 8- 10 I-P
ELEVATORS/ESCALATORS
,PORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEM?,S-
INAL
MOTORS OVER 25-100 H'
COOLING TOWERS
TER CLOSET
MOTORS OVER 100 NP
VIOLATION
)IRECT - WASTES
A/C WINDOW
REINSPECTION
FER SUPPLY TO:
AIR CONDITIONERS
•
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFCR RS
•
HEATER -NEW INST.
GENERATORS TRAHSFCRM RS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WILL
SPECIAL PURPOSE
•
SWIMEING POOL
OUTLETS COMMERCIAL
HATER SERVICE
SIGN TUBES
HER CONNECTIONS
SIGN TRANSFORMERS
ILITY -SEWER
SIGN TIME CLOCK
ILITY -WATER _
FIXTURES
?TIC TANK
ANTENNA •
LAY
TELEVISION OUTLETS
AINFIELD, 4' TILE/RES.
VIOLATION
MP & ABANDON SEPTIC TANK
REINSPECTION
AXAGE PIT CU. FT.
TCH BASIN
SCHARGE WELL
MESTIC WELL
EA DRAIN
OF I1(ET i
•
LAR WATER HEATER `•
RE STANDPIPE
OL PIPING
•
AN SPRINKLER SYSTEM
S RANGE
TER SET (GAS)
I.°4
5 PIPI
ADDENDUM TO BUILDING PERMIT APPLICATION
- APPLICATIOZL -FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
3TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL