MC-05-91 - _ - - - - - -
OR
Miami Shores Village Mechanical arl'YlIt
was
10050 NE 2nd Avenue _ :..
Phone: 305-795-2204 Permit Number: MC2005-91
Printed:6/24/2005 Page 1 of 1
Applicant: DIANA LEE '
Owner: LEE DIANA
JOB ADDRESS: 1061 NE 91 TERR
Contractor MANCO AIR INC. Contractor's Address: 13785 NW 7 AVENUE
Local Phone: 305/409-7719
Parcel# 1132050010070 Legal Description: WATERSEDGE P139-141 LOT 8 BLK 1 LOT SIZE 50.000 X 125 OR 19609-0988 04
Fees: Description Amount
FEE2005-8724 Building Fee $105.00 Total Fees: $68.10
FEE2005-8725 CCF $1.80
FEE2005-8729 Notary Fee $5.00 Total Receipts: $0.00
FEE2005-8730 Training and Education Fee $0.60
FEE2005-8732 Technology Fee $2.70
FEE2005-8734 Scanning Fee $3.00
FEE2005-8735 Submittal Fee ($50.00)
Total Fees: $68.10
Pe :Status: APPROVED Permit Expiration: 12/12/2005 Construction Value: $3,000.00
Work: A/C SYSTEM INSTALLATION 2 TON JUN 2 7 PAID
cx_ # a�o4 I
Sign (I ECTOR)
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.
1
Signed: (Contractor or Builder) BY:
Miami Shores Village Mechanical Permit '
10050 NE 2nd Avenue
Phone: 305-795-2204 Permit Number: MC2005-91
�QRtt�
Printed:6/24/2005 Page 1 of 1
Applicant: DIANA LEE
Owner: LEE DIANA
JOB ADDRESS: 1061 NE 91 TERR
Contractor MANCO AIR INC. Contractor's Address: 13785 NW 7 AVENUE
Local Phone: 305/409-7719
Parcel # 1132050010070 Legal Description: WATERSEDGE P139-141 LOT 8 BLK 1 LOT SIZE 50.000 X 125 OR 19609-0988 04
Fees: Description Amount
FEE2005-8724 Building Fee $105.00 Total Fees: $68.10
FEE2005-8725 CCF $1.80 Total Receipts: $0.00
FEE2005-8729 Notary Fee $5.00
FEE2005-8730 Training and Education Fee $0.60
FEE2005-8732 Technology Fee $2.70
FEE2005-8734 Scanning Fee $3.00
FEE2005-8735 Submittal Fee ($50.00)
Total Fees: $68.10
Permit Status: APPROVED Permit Expiration: 12/12/2005 Construction Value: $3,000.00
Work: A/C SYSTEM INSTALLATION 2 TON JUN 2 7 PAID
— 304 d
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit,I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself,my agent,servants or employes.
Signed: (Contractor or Builder) BY:
Miami Shores Village - u
Building Department G
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax: (305)756.8972
BUILDING �„^�� j l�J Permit No.N%,- 05 5�� A'i
PERMIT APPLICATION � , ast r Permit No.
FBC 2001 � �
Permit Type(circle): Building Electrical==" lumbing Mechanical Roofing
Owner's Name(Fee Simple Titleholder) I Phone#
Owner's Address �5, [ r�
C ityA41 w ;,6*6 //��State ]�"C Zip G ^7
Tenant/Lessee Name 0k 01140 LILT Phone# J 2 &
Job Address(where the work is being done) 10& t
City _ ,,, ami Shores Villages _County M ami-Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name / t mlee '41 Phone# .�®� �® tel' 7 7
Contractor's Address / 3 7 8S_ /�42,,f ? & W
City State Zip
Qualifie1-" owx-, O
State Certificate or Registration No. ®J s� ®.S� Certificate of Competency No.
Architect/Engineer's Name(if applicable) Phone#
S Value of Work For this Permit—3ogp®4c:� Square Footage Of Work: ✓`�®
Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace p ❑ Demolition
Describe Work: /Ct
Submittal Fee$ 60.60 Permit Fee$ CCF$ CO/CC
Notary$ 5 .00 Training/Education Fee$ Technology Fee$ Z• _40
Scanning$ 3 00 Radon$ Zoning Bond$
Code Enforcement$ Structural Plan Review.$
Total Fee Now Due$ �� n
(Continued on opposite side) V
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 pqt be approve nd a r nspe io fee will be charged
,r
Signatur Signature.
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 127 The foregoing instrument was acknowledged before gie this `
day of ,20 05 by YC()S V VQ C, day of I I LAX 20()S,by
who' ersonally known to me or w s produced who i pe sonally known a or who has produced
* p ,
As identi do aid w ld take an oath. Iden fication and who did take an oath.
NOTAR PUBLNOTARY PUBLIC:
abi�c,ss�o� 4°
Sign: -�, s, ��� Sign:
Print: �cg�n '� 8� Print:
We
My Co ission Expire �O i,, My Com i ion Expir s:a�,,,, li%iL� A VaigRS
o
** * *** ******* r , **t,a ** * * *,, * *,�a*** **t**r **,�*** **x **,r* ,�**�ti x 6Jrk,��f° 1�,1►, a �r �*
'=Expir s:Ju 3,2007
9iFOFR a°= ended Thru
:.:antic Bonding Co.,3i a,.
- r
/Zl
APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
chc 05/13/03
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN A;PLICATION 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 UNIT FEE ITEM UNIT FEE ITEM UNIT
BATH TUB SWITCH OUTLETS SP HEATERS
BIDET LIGHT OUTLETS C HEATING
01SHWASHER RECEPTACLES (WIND)
DISPOSAL SERVICE TEMPORARY V A/C (CENTRAL) nom'
DRINKING FOUNTAIN SERVICE SIZE IN AMPS I DUCT WORK
FLOOR MAIN SERVICE REPAIR/METER CHANGE REFRIGERATION
GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING
INTERCEPTOR RANGE TOP UNDERGROUND TANKS
LAVATORY OVEN kM (ROUND TANKS
LAUNDRY TRAY WATER HEATER U. . ESSURE VESSELS
CLOTHES WASHER MOTORS 0- 1 HP STEAM
SHOWER MOTORS QVER 1- 3 HP HOT WATER BOILERS
SINK, POT/3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION
SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES
SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS
FINAL 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 TRANSFORMERS M
HEATER-NEW INST. GENERATORS TRANSFORMERS
HEATER-REPLACE GENERATORS TRANSFORMERS
LAWN SPRINKLER-WELL SPECIAL PURPOSE
SWIMMING POOL OUTLETS COM,IERCIAL
WATER SERVICE SIGN TUBES
SEWER CONNECTIONS SIGN TRANSFORMERS
UTILITY-SEWER SIGN TIME CLOCK
UTILITY-WATER FIXTLRES
SEPTIC TANK ANTENNA
RELAY TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES. VIOLATION
PUMP 8 ABANDON SEPTIC TANK REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
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