MC-14-981 (2)BUILDING ® v Master Permit No.Re—& ae- /G
T APPLICATION Sub Permit No.
❑ ELECTRIC ❑ ROOFING CREVDISION'❑ EXTENSION ❑RENEWAL
❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zig:
Folio/Parcel#: // B/o/ ®/ QPQ e> 7 0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple
Address:
City: 0&:4 j4State: Zip: d ��
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
Address:
City: ' �' %L State: Z-&, V-57 6e4 Zip: 375d 70
CtualifierName: Phone#: -tea
State Certification or Registration #: tl de 14F/G° 76e Certificate of Competency #:
DESIGNER: Architect/Engineerr:� '�4xo ���&V Phone#: "2505 7: �7/-;
Address: 6/7 04 /.4oz 4%'aggty: p:
Ci �����/ State: Zi B 3
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition C9. Alteration ❑ New ❑ Repair/Replace
Description of Work:
Specify color of color thru tile:
Submittal Fee
Senning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Permit Fee $
Radon Fee $
Training/Education Fee $
❑ Demolition
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ P
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable) _
Zip
Mortgage Lender's Address t
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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.
Signature�d� - Signature
OWNER or AGENT CONTRA OR
The foregoing instrument was acknowledged before me this
day of 20 /5 ' , by
Dm r n50 *4M u #:Th�s personally``k--nown to
me or who has produced Rig- Z%A I -�S L,l e�
identification and who(did take an oath.
NOTARY PUBLIC:
Sig
(:
Print:
Seal:
APPROVED BY
(Revised02/24/2014)
Theoing instrument was acknowledged before me this
Cforegday of 63 , 20 e ' . by
who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Structural Review
Clerk
BUILDING
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
;ISPECTION'S PHONE NUMBER: (305) 762.4949
PERMIT APPLICATI
Permit Type: MECHANICAL
�j
JOB ADDRESS: _ / h �IAI
JUN o H14
Y:
FBC 20
Permit No. / L
Master Permit No.
City: Miami Shores County. Miami Dade Zip: 3�vi
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder):d one#:aan'
Address: % L✓ 7
City: State: F Z1 Zip: ✓ /�
�—
Tenant/Lessee Name: Phone#:
Email: Crocler7 Io-r rn.,► Ca✓�'t.
v
CONTRACTOR: Company Name: /� �// -� � �� Phone#: 3CS�` -96�-q
Address: _ )t2 -1:510Z! jj?c-r
City: d- 4 / State:
Qualifier Name: ���� ,Q�'L✓ Phone#:
State Certification or Registration #: !9!1 � Certificate of Competency #:
Contact Phone#: "iliSL-6Email Address:dpz� .co*J
DESIGNER: Architect/Engineer. Phone#:
Value of Work for this Permit: $ �. �� Square/Linear Footage of Work:
Type of Work: OAddress DAlteration ONew ORepair/Replace ODemolition
Description !/y/sryJ, /
o-"7 '; y e.:h� (57-
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Zip
City Statep
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 $250o, 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 an ection fee will be charged.
Signature Signature
or Agent Contractor
The foregoing instrument was acknowledged before me thia--- The foregoing instrument was acknowledged before me this
day o 20 J, by aoday of NAW 201A by
who is personally known to me or who has produced L who is personally known to me or who has produced Tby �4-0�
As identi tion and who did take an oath. 1!i 1��) �1 tftl , as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
NOTARY
Sign:
Print: —P Prix
My Commission Expires: NOT" POUC•STATE OF FLORIDA
_. 4 ician Santana MY
Commission # EE008318
•.,,,,,,,••' Expires: JULY 12, 2014
- - - - - 300 DTnUATLM-rICBONDING CD, Mr -
APPROVED BY
'1'A4 Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
1 Pslft - State of Florida
My Comm. Expires Mar 23, 2015
Commission # EE 78843
Zoning
Clerk
N
Miami Shores Village
Building Department
10050 N. E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 2204
AIR CONDITIONING REPLACEMENT DATA Fax: (305) 756.8972
PERMIT NUMBER: MC
This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data
sheet. Multiple units on single sheets are not acceptable.
Job Address (where the work is being done): D rOXIV r-1>7—
City:
7—
City: Miami Shores Village County: Miami Dade Zip Code: �3 7�L1E5 D
ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB
ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION
A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS
ARI (AHRI) DATA SHEET REQUIRED
Change Disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES a
1. Minimum Circuit Ampacity ire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size):
3. Voltage of Circuit (208/240/480):
4. Size Disconnecting Means:
Contractor's Company Name: E
Phone: 0OS--96A; `gv,76j
State Certificate or Registration N. Certificate of Competency N.
Signature Date: ®�"
ebwees signature only) f '
UNIT BEING REPLACED
DATA
NEW UNIT
MANUFACTURER
AHU or PKG. UNIT MODEL # ARVV--* 04
COND. UNIT MODEL # VS 0
KW HEAT
NOM TONS
AHU
CU
PKG
1 M.C.A
AHU
CU PKG
AHU
CU
PKG
2 M.O.P
AHU
CU PKG
AHU
CU
PKG
3 VOLTS
AHU
CU PKG
PKG UNIT /
/
PKG UNIT
EER/SEER
YE
NO
REPLACING DUCTS
YES
S
NO
REPLACING THERMOSTAT
YES
YES
NO
NEW 4°CONCRETE SLAB
YES
I--
YES
NO
NEW ROOF STAND
YES
YES
NO
NEW RETURN PLENUM BOX
YES
1. Minimum Circuit Ampacity ire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size):
3. Voltage of Circuit (208/240/480):
4. Size Disconnecting Means:
Contractor's Company Name: E
Phone: 0OS--96A; `gv,76j
State Certificate or Registration N. Certificate of Competency N.
Signature Date: ®�"
ebwees signature only) f '
Miami Shores Village
�T,-
Building Department MAY 1 4 .ori
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel19.: (305 795O-22 4 Fax: (305) 756-8972
NUMBER: (305) 762-4949
FBC 201 �
BUILDINGREV Master Permit No. R & l k 10 �l�v
PERMIT APPLICATION Sub Permit No.:4-
❑ BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION [:]RENEWAL
'PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
Q, t� CONTRACTOR DRAWINGS
JOB ADDRESS: .96 /V W �G
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:1/ ?)/®/®/ Is the Building Historically Designated: Yes NO _
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder)V06AZoW (7,01/ -' Phone#:
Address: 72 S te -
City: "/ State: a4y= � Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:d� � �/L �Phone#:` 0 - A4Lj
Address:
City: nr State: F(_ Zip: 37a3s-1
Qualifier Name:Phone#: 9y+ 910 b
State Certification or Registration} #: C E C 1 3 �D � _�" 1�Certificate of Competency #:
DESIGNER: Architect/Engineer: ItX4 felleimp eme me?, Phone#:
Address: City: State: Zip:
Value of Work for this Permit:
Square/Linear Footage of Work:
Type of Work: ❑ Addition U Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: ®040� ~z Sm-_. _'j I rJ., 1 SQrn fc -T fz I Cm
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ Y CCF. CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Radon Fee $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $ _
TOTAL FEE NOW DUE $
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
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
TOSignature Signature 'X--10
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 20 , by
u S 4 o Rpersonally known to
me or who has produced A I v �/1. Ile- P41k
identification and who Ord take an oath.
NOTARY PUBLIC:
The foregoing instrument was acknowledged befor me this
day of_1 20 by
Ja �h l who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
�
Print: AMORKIIII110rummm Print: r�., .. n�a.,.....4...�
Res r�F& B-caneeu
Seal: I ; ? "'�i? ;� JAMELIA RAMOS FERNANDU Seal: ��? -. MiSSION#EE861281
k'
MY OQAAMI631QN EE041291$ %y9i�•. • Q�EXPIRES: DEC. 27, 2016
` 9yp F���� iYwwAARONNOTARYMS
';�4i "'. EXPIRES November 11, 2014
< <a 4. i1" Flordd
xa+�x��+��xxxxsw*�xara��x ���aa�a+�*��sm�wxxs*aee�xaa�s��rx+*ww��sm*w�xse�**a**deux**xa*s
APPROVED BY (�;D S—I V-IY Plans Examiner
Structural Review
(RevisedO2/24/2014)
Zoning
Clerk
BUILDING 0 U Will W ® MWw Master Permit No. d - l6/2 -?�15�
PERMIT APPLICATION4CREV
ub Permit No.
❑ BUILDING ® ELECTRIC [:]ROOFING DS16�❑ EXTENSION ❑ RENEWAL
r-1 PLUMBING '❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
�� j CONTRACTOR DRAWINGS
q� Ili(/
JOB ADDRESS: — y�
City: Miami Shores County: Miami Dade Zig):
Folio/Parcel#: Is the Building Historically Designated: Yes
Occupancy Type: Load:
OWNER: Name (Fee Simple Titleholder):
Construction Type: Flood Zone:
BFE:
NO—,—
FFE:
Address:
416- CGU -,72
City: "C/4-" / State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: AAP_'In& Phone#:&a
Address: to 51g2 S76U / 27
City: du r 0 E
Qualifier Name:
Zip: 3`3 1 �YJ
State Certification or Registration #: e -c- C'zo700 S / _q1? Certificate of Competency M _
DESIGNER: Architect/Engineer: �� ��� Phone#: _
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Unear Footage of Work:
Type of Work: ❑ Addition [X Alteration ❑ New ❑ Repair/Replace
❑ Demolition
Description of.Work:
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Permit Fee $ CCF $ CO/CC $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews
(Revised02/24/2014)
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address '
Zip
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of 20 by
hoepe6onally known to , who is personally known to
me or who has produced i'sI vPd J All -e' C�*�me or who has produced %� as
The foregoing instrument was acknowledged before me this
d" day of 20J by
identification and who ditake an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Print: Print:
Wit, :YAMELIA RAMOS FERNA4 Z
Seal: PAY COMMISSION # E€041298
EXPIRES No"wber 11, 2014
�k�k�de�legeN��kak�td�ak��e�k�kgaA�k&+k�k�k�k�k 8i#&�k�k�F�F&�kahak�6�k5��k�k&�P�k*�k�kN��kW84�k&�k+kW�k
�a dy
APPROVED BY ✓� Lg Plans Examiner
Structural Review
(Revised02/24/2014)
�k�6�k�kl��k�klr*$e�pd�k�Bd�R�k�k�k�k&+k�E�k�k�k�Ieffi8k�k88N�5��k��NS��k&8�d��k�k
Zoning
Clerk
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Is- 2,o-Iy
Permit No: &C
i
Structural Critique Sheet
Page 1 of 1
WPM
�� .
STOPPED REVIEW
Plan review Is not complete, when all items above are corrected, we will do a complete plan review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and include one
set of voided sheets in the re -submittal drawings.
Mehdi Asraf