MC-07-1033 d Miami Shores Village �.
Building Department
y MAY 2 1 zoos
10050 N.E.2nd Avenue,Nfiami Shores,Florida 33138 . .
Tel:(305)795.2204 Fag: (305)756.8972 BY:---- -------
suzDrT
G `" ]qL,)10 1 Permit NoO
PERMIT APPLICATION Master Permit.No.
FBC 2001
Permit Type(circle): Building Electrical Plumbing echanical Roofing
Owner's Name(Fee Simple Titleholder) /'G 'j ntu/tr2 Phone# JOJ— 75 " 9bOO
Owner's Address 191 102t P_
Cityf'IM j& State X71- zip.-33i 3f
f l)
Tenant/Lessee Name & Phone#
Job Address(where the work is being done)
City Miami Shores Village County Nami-Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name 4—Sl b awn&,, C, tom) > Phone# 3,QJ — 40VO
Contractor's Address oU fir'® til.`, l = AJ
City l��nn,4-wvi � State r Zip 33>
Qualifier f _Yl'1 1, X41)NJ
Architect/Engineer's Name(if applicable)=�"1�'J Phone#
$Value of Work For this Permit Square Footage Of Work:
Addition ^Alteration ❑New Re air/R lace Demolition
Type of Work: ❑ �P � .,, ❑
Describe Work: a 57ZW
Submittal Fee$ Permit Fee$ �—Iv�— CCF$ 2 -40
Notary$ Training/Education Fee$ Technology Fee$ J
Scanning$,:Z?'OO Radon $ Bond$
Code Enforcement$ Structural Plan Review.$
Total Fee Now Due$ 1410 �4 h�
(Continued on opposite side)
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 EUPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CONMIENCEMENT."
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 commencegwqt must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In e a ence of such post otice, the
inspection will not be approved d a reinspection fee will be charged
Signature Signatur
ent
RAN, C dged before me this The foregoing instrume�f w'�s irnowledg , me this
The foregoi4
s
day of : ;g�,20_,by��'<`„y day of 2T, ust _
� Au ust1 2010 ♦ __ ��
who is persnr $yAlcnp o wilt Cas produced who is personally knov mvN-Mbft p nJ2
*T 7 •wand who did take an oath 9 • `"` O 1 take an oath
NOTARY PL�➢ ' ' =`� . :�'�� , NOTARY PUBLIC: •♦ ,, •
♦ '� ,S7A� ♦ A1E�`
Sign: I • A Sign:
Print: A ILMA 4& 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 10/14103
ADDENDUM TO BUILDING PERMIT APPLICATION
AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM.IF A MASTER PERMIT HAS BEEN OBTAINED,THE
OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.
PLEASE CIRCLE O DISCIPLINE APPLIED FOR: PERMIT#
PLUMBING ELECTRICAL MECHANICAL
ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE
BATH TUB SWITCH OUTLETS SPACE HEATERS
DISHWASHER LIGHT OUTLETS CENTRAL HEATING
DISPOSAL IRECEPTACLES A/C (WIND)
FLOOR DRAIN ISERVICE TEMPORARY A/C(CENTRAL)
GREASE TRAP ISERVICE SIZE IN AMPS I DUCT WORK
INTERCEPTOR ISERVICE REPAIR/METER CHANGE IREFRIGERATION
LAVATORY JAPPLIANCE OUTLETS PROCESS AND PRESS PIPING
LAUNDRY TRAY I RANGE TOP UNDERGROUND TANKS
CLOTHES WASHER JOVEN ABOVE GROUND TANKS
SHOWER IWATER HEATER
U.F.PRESSURE VESSELS
SINK.POT/3 COMP. MOTORS 0-1 HP STEAM BOILERS
a
SINK,RESIDENCE. MOTORS OVER 1-3 HP HOT WATER BOILERS
SINK,SLOP. IMOTORS OVER 3-5 HP MECHANICAL VENTILATION
TEMPORARY WATER CLOSET MOTORS OVER 5-8 HP TRANSPORTING ASSEMBLIES
URINAL r' MOTORS OVER 8-10 HP ELEVATORS/ESCALATORS
WATER CLOSET MOTORS OVER 10-25 HP IFIRE SPRINKLER SYSTEMS
INDIRECT WASTES MOTORS OVER 25-100 HP IrOOI ING TOWERS
WATER SUPPLY TO: MOTORS OVER 100 HP IVIOLATION
A/C UNIT A/C WINDOW REINSPECTION
FIRE SPRINKLER AIR CONDITIONERS
HEATER-NEW INST. STRIP HEATER Lti
HEATER-REPLACE IGENERATORS TRANSFORMERS
LAWN SPRINKLER-WELLGENERATORS TRANSFORMERS
SWIMMING POOL GENERATORS TRANSFORMERS e
WATER SERVICE ISPECIAL PURPOSE
SEWER CONNECTIONS IOUTLETS COMMERCIAL
UTILITY-SEWER ISIGN TUBES
UTILITY-WATER ISIGN TRANSFORMERS
SEPTIC TANK I SIGN TIME CLOCK
RELAY IFIXTURES
FAINFIELD,4-TILEIRES. IANTENNA
PUMP&ABANDON SEPTIC TANK ITELEVISION OUTLETS
SOAKAGE PIT CU.FT. IVIOLATION
CATCH BASIN IREINSPECTION
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET(GAS)
GAS PIPING
Sec. 5.1.1. 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.
Equipment so located that normal operating noises create
a nuilance to adjacent owners or occupants shall be pro..
vided -with soundproofing, or sound-absorbing bafiels, or
enclosures, as approved to insure maintenance of a rea.
sonable noise level.
' t (2) All equipment on outer walls,on roofs,or In other exposed
locations. which ire unduly noisy, and which causes.valld
codiplaints from adjoining property owners or occupants.
may be.required to be relocated, redesigned anddor en.
closed in noise-retarding materials when. In the opinion of
tha building official, such enclosure is necessary or would
be effective.
�(3) Special consideration shall be given to the planning of all
future instl1lations to minimi2e the noise nuisance to ad.
joining prdperty owners or occupants, and the'building
official shall have authority to reject or require the reds.
sign of any system which,in his opinion,would cause such
&.noise nuisance.
: (c) Violation of this section shall be punished as Is now or may
f hereafter be provided by law.(Ord.No. 299, 111-3. 2-21-61)
. I have read the above ordinance aryl will catply with the '
regulations thzreof.
CWr%b-t tSignature— Contractor S) jttature
JOB NAME m 6-91
ADDRESS _ ! G®z� o
Different location than above?
EXISTING CONDITIONS /
1. HOUSE MAIN ELECTRIC SIZE AMPS `J--® WIRE SIZE7(
2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE�F, & CIR. BKR. SIZE FUSE SIZESW
AIR HANDLER BRANCH CIRCUIT:WIRE SIZE ii��==�� , & CIR. BKR. SIZE FUSE SIZE SW_
3. SIZE OF EXISTING COMPRESSOR DISCONNECT: AMPS. TYPE: FUSECIR. HRA.
SIZE OF EXISTING AIR HANDLER .1'7 AMPS. TYPE: FUSE CIR. BKR.
4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? YES V,00, NO
S. EXISTING UNIT TO BE REPLACED ✓� OR RELOCATED
NAME PLATE INFORMATION FROM EXISTING UNIT
MAKE PACKAGE MODEL #
CONDENSOR MODEL A.H.U. MODEL `
HEAT PUMP TYPE YES NO9 KW HEAT STRIP SIZE
CONDENSOR MINIMUM CIRCUITS AMPS 07 A.H.U. MINZMUM CZRCJIT A2'.PS %J
MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE:
CONDENSOR AMP SIZE d FUSEHACR CIR. BKA.
AIR HANDLER AMP SIZE FUSE HACR CIR. BKR.
EER
NAME. PLATE INFORMATION FROM NEW UNIT BEING INSTALLED
MARE PACKAGE MODEL
CONDENSOR MODEL 317 taA.H.U. MODEL _ 2-7- t 3F-Vtf
HEAT PUMP TYPE YES NO 'V KW HEAT STRIP SIZE -/r,S�I
CONDENSOR MINIMUM CIRCUITS AMPS A.H.U. MINIMUM CIRCUIT AMPS
MAXIMUM OVERCURREN_T PROTECTION SIZE AND TYPE:
CONDENSOR AMP SIZE FUSE HACR CIR. BKR.
AIR HANDLER AMP SIZE FUSE HACR CIR. BKR.
EER _ /V'�
V �
�d
GNATURE OF QUALIFIER CERTIFICATE NLT149ER
Receipt
Miamihores
S Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Permit Number: MC-5-07-1033 Owner Address:
Invoice Number: MC-5-07-28560 171 NE 102 ST
Applicant: ALFRED MURET MIAMI SHORES, FL 33138•
Company Name:
Job Address:
171 102 Street NE
Miami Shores Village, FL
Date Payment Type Check Number Amount Change
Wednesday, May 23, 2007
05/23/2007 Check 8667 $149.70 $0.00
Total Payment: $149.70
Page 1 of 1
WO,of,
Miami Shores Village Pein*Typw,,Md04rd1 ) d t )
tya 10050 N.E.2nd Avenue /. I/VF?iirClasScarUl ,AdtiiOnlOrt1`
.,.Pe
...
Miami Shores,FL 33138-0000
Phone: (305)795-2204
r/xxit Status~APP ' ED , '
��A1DP' s
121121 Expiration: 11/17/2007
Project Address Parcel Number Applicant
171 NE 102 Street 1132060131840
Miami Shores Village, FL Block: Lot ALFRED MURET l
Owner Information Address Phone Cell
ALFRED MURET 171 NE 102 ST
MIAMI SHORES FL 33138-2324
Contractor(s) Phone Cell Phone $ 4,000.00
RESIDENTIAL AIR CONDITIONING CO 305-652-6040 (954)7640489 Valuation:
Total Sq Feet: 0
Tons:4 TONS Available Inspections:
Additional Info:A/C Inspection Type:
Classification:Residential
Final
Approved:In Review Hood
Comments: Date Approved::In Review Smoke Test
Date Denied: Rough Dud
Ventilation
Smoke Det Test
Rough
Fees Due Amount Total Amt Paid Amt Due
CCF $2.40
Education Surcharge $0.80 $0.00 $0.00
Permit Fee-Additions/Alterations $140.00
Scanning Fee $3.00 Payment Type:
Technology Fee $3.50
Total: $149.70 �� b-17
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 responsibility for all work done by either myself, my agent, servants, or employes. 1 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
May 21,2007
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
Monday,May 21,2007 1