ME-03-193Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: ME2003 -193
Printed: 11/7/2003
Applicant:
Owner:
JOB ADDRESS: 515 GRAND CONC
Contractor SEER AIR CONDITIONING
Local Phone: 305 - 552 -9810
Parcel # 1132060171340
Mechanical Permit
Contractor's Address: 3334 SW 22 TERR
Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOT 21 & 22 BLK 96 LOT SIZE 103.300
Fees: Description Amount
FEE2003 -6215 Building Fee $105.00
FEE2003 -6216 CCF $1.80 Total Fees: $19.9.
FEE2003 -6217 Inpector State Educational Fund $0.60 Total Receipts: LL UU ��U S �U
FEE2003 -6218 Technology Fee $2.50 10
Total Fees: $109.90
Permit Status: APPROVED Permit Expiration: 4/11/2004 Construction Value: $3,000.00
Work: 4 TON EXACT CHANFE OUT
Page 1 of 1
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:
BUILDING
PERMIT APPLICATION
FBC 2001
Miami Shores Village
Building Department
10050N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
PermitNo. ME c2 003 /9 3
Master Permit No.
Permit Type (circle): Building Electrical off-. Mechanical Roofing
Owner's Name (Fee Simple Titleholder) 4A/1 ( CO 4A.1 - i -rf Phone # 3°5- ' "
Owner's Address 3 is C- Or c AJ u 1
♦"� SQ
Cit , !�4 4,t) c (i-6 -- State F t.- Zip 33/ 3 e
Tenant/Lessee Name Phone. #
Job Address (where the work is being done) 57S c+-1,_444,„A do iQ Co V ACC-
City Miami Shores Village County Miami -Dade Zip 3 3 / 3 S'
Is Building Historically Designated YES NO
Contractor's Company Name Sz,vrVt/h.de J F- 1& 'WC— Phone # q n - g.q6 - g' g
Contractor's Address
City /14 i Gt.wti State FL_ Zip
Qualifier
Architect/Engineer's Name (if applicable) Ar Phone # -
Architect/Engineer's Address
City' State Zip
$ Value of Work For this Permit AS `at' • Square Footage Of Work: 02., f
Number of: Bays Stories Families Bedrooms Baths
Type of Work: ['Addition ['Alteration ONew 0 Repair/Replace 0 Demolition
Describe Work: h� / r .. �r a i-�.-. •
******* *********************F ees ******************************
County Escrow Fee $ Permit Fee $ Notary $ S • 0
Education/ Training Fee $ Tech $ Scanning $
Code Enforcement $ Bond $ Struct. $
Minus Plans Check Fee $ 50 00 Total Fee Now Due $ (Continued on opposite side)
Radon $
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 m 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.
Chc03
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20, by
wh �p nally known to me who has produced
As identification and who did take an oath.
Glenn Scott Amoroso
.Comndgion # CC 886036
Expires Dec. 23, 2003
NOTAR
Sign:
Print: G'( W.-i'V—Ser77101 , .
My Commission Expires:
State Certificate or Registration No.
Contractor
The foregoing instrument was acknowle _ ed befo e me
day of f (i / , 20 03 , by
who is personally known to me or who has produced
as iden lion and who did Y ..
****************•**,***,********•*,***,********************* ** ** *,* * * *,* ** ** * **** * ** ** *****
(Certificate of Competency Holder)
NOTARY PUBLI
Sign:
Print
My Commission Expires:
an o
th.
0
FIMPILF
1•
Certificate of Competency No.
*************** 40************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
{ t
APPLICATION APPROVED BY:
Plans Examiner
Engineer
Zoning
'EM
4TH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
10E7
LIGHT OUTLETS
CENTRAL HEATING
ISHWASHER
RECEPTACLES
A/C (WIND)
7
ISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
SINKING FOUNTAIN
SERVICE SIZE IN AhPS
DUCT WORK
_OOR DRAIN
-
SERVICE REPAIR/!I TER CHANGE
REFRIGERATION
REASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
NTERCEPTOR •
RANGE TOP
UNDERGROUND TANKS
AVATORY
OVEN
ABOVE (ROUND TANKS
AUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
LOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
t{OWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
INK, POT /3 COMP.
MOTORS OVER 3- 5 IP
MECHANICAL VENTILATION
INK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
INK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
EMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
JRINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
RATER CLOSET
` MOTORS OVER 100 FP
VIOLATION
NOIRECTIWASTES
A/C WINDOW
REINSPECTION
IATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
'HEATER -NEW INST.
GENERATORS TRANSFORMERS
i
HEATER- REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
-
•
SWIMMING POOL
OUTLETS COMMERCIAL
'
WATER SERVICE
SIGN TUBES
;EWER CONNECTIONS
SIGN TRANSFORMERS
1T I L I TY- SEXIER
SIGN TIME CLOCK
RILITY -WATER
FIXTURES
;EPTIC TANK
ANTENNA
IELAY
TELEVISION OUTLETS
1RAINFIELD, 4' TILE/RES.
VIOLATION
'UhP 5 ABANDON SEPTIC TANK
REINSPECTION
OAKAGE PIT CU. FT.
;ATM BASIN
)ISCHARGE WELL
XIESTIC WELL •
4REA DRAIN
ROOF INLET t
•
AAR WATER HEATER ".
'IRE STANDPIPE
'COL PIPING
_AWN SPRINKLER SYSTEM
SAS RANGE
METER SET (GAS)
SAS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
AVAPPLICATION 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
MECHANI -)
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Plumbing
Owner's Name (Fee Simple Titleholder) ell/1 Et /Aflo 0 0 Phone #
J ( /�
Owner's Address 5 /S 14 " Ao) "Dog Ks'
City (n /AM / S :'z` ES Ste ci- Zip it J
,/ V
Tenant/Lessee Name 14 Phone #
Job Address (wherl the work is being done)
City Miami Shores Village
Is Building Historically Designated
Contractor's Company Name
Contractor's Address 3
City Ll /19- G
Qualifier
Architect/Engineer's
Architect/Engineer's Ad
Cit'
$ Value. of Work For this Permit
\aunty Escrow Fee $
Education/Training Fee $
Code Enforcement $
Minus Plans Check Fee $
FC flF
OCT 1 1 4 2003
Miami Shores Village
ilding Department
Permit No
Master Permit No.
Roofing
a 9S 1 Sqg
quare Footage Of Work / I
Number of: Bays Stories / amities / Bedrooms 3 Baths
Type of Work: l• Addition O t- - +on ONew Repair/Replace 0 Demolition
Describe Work E P ay.. . ef AI
********* *******************F ees ******************************
. `6d Permit Fee $ f 6 f ° Notary $
V Tech $ cS 0 Scanning $ Radon.$
Bond $ Struct. $
.(T Total Fee Now Due $ (Continued on opposite side)
tb �$
10050N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
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 CONDMONERS, 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 of be appro and a reinspep(ion fee ' ' e charged.
NOT
Sign:
Print:
My Commission Expires:
* ** * * * * * * * * * * ** * * * * * * * **
I
Owner or Agent ! Contractor
The foregoing instr was acknowledged before me this f i The foregoing instrument was acknowledged before me this '
day of eia • , 20 CoA , by , day of ,(a , 2041, by
me or who has produced who
wn to me or who has produced Pige )
As identification and who did take an oath. 'let" Lion and w did take an oath.
Print:
£00Z 'cc .osa
%Caaimleeioi� • 00 580036 00 # 'off
Expires Dee. 23, 2003
My CO qS uu j , ,��a., ..
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
************* 4* w************************************************************* * * * * * * * ** * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: � 4' " ` > CH ) Plans Examiner
Engineer
Zoning
ohc 10,b3 •
TEM
ATN TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS 10
UNIT
FEE
IDET
LIGHT ; OUTLETS
CENTRAL HEATING ,,'
ISHWASHER
..RECEPTACLES
A/C (WIND)
ISPOSAL
SERVI OE - TEWr ARY
A/C (CENTRAL)
" " &
KINKING FOUNTAIN
SERVICE SIZE IN A PS
DUCT WORK
LOOR DRAIN
SERVICE REPAIR/METER CHAD
REFRIGERATION
REASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
HTERCEPTOR
RANGE TOP
UPCERGROUtD TANKS
AVATORY
OVEN
ABOVE "GROUND TANKS
AUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
:LOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
0WER
MOTORS OVER 1— 3 FP
HOT WATER BOILERS
;INK, POT/3 COMP.
I.OTORS OVER . 3— 5 iP
MECHANICAL VENTILATION
;INK, RESIDENCE
MOTORS OVER 5- 8 If
TRANSPORTING ASSEMBLIES
;INK, SLOP
MOTORS OVER 8— 10 HP
ELEVATORS/ESCALATORS
•EMP0RARY WATER CLOSET -
MOTORS OVER 10- 25 If
FIRE SPRINKLER SYSTEMS
.'RIVAL
MOTORS OVER 25-100 HP
COOLING TOWERS
iATER CLOSET
MOTORS OVER 100 HP
VIOLATION
:pDIRECT•WASTESE .
A/C WINDOW
RE INSPECTION
iATER SUPPLY TO:
AIR CONDITIONERS
•
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
•
HEATER —NEW INST.
GENERATORS TRANSFORMERS
HEATER — REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER —WELL
SPECIAL PURPOSE
SWIMfIIIG POOL
OUTLETS CJJ ERCIAL
WATER SERVICE
SIGN TUBES
;EWER'CONNECTIONS
SIGN TRARRRNERS
1TILITY- -SEWER
SIGN TIME CLOCK
ITILITY— WATER
FIXTLRES
;EPTIC TANK
ANTENNA '
RELAY
TELEVISION OUTLETS
RAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABAICON SEPTIC TANK
RE I NSPECT I ON
WAGE PIT CU. FT.
:ATM BASIN
IISCHARGE WELL
MASTIC WELL
•
sREA DRAIN
100F INLET a
SOLAR WATER HEATER t
IRE STANDPIPE
'COL PIPING
•
.AWN SPRINKLER SYSTEM
BAS RANGE
ETER SET (GAS)
US PIPING
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
AN APPLICATION 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.)
ELECTRICAL
MECHANICAL