REV-16-2305 I
Miami Shores Village RECRIVRE)1
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Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
BY• u� 2o�s
Tel:(305)795-2204 Fax: (305)756-8972 _t1 i` �-- INSPECTION LINE PHONE NUMBER:(305)762-4949 t t-F
FBC 2Dq
BUILDING Master Permit No.—RG- 9'-•
PERMIT APPLICATION Sub Permit NoZeJ ( 6- 2305
BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION [-]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I C3 !ms-s' loo q[</ S 7-
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes' NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE:• FFE:
OWNER: Name(Fee Simple Titleholder): �A(3 I• Phone#: C'
Address: S'� wl tu' 9 Cr
City: "J A"} .SSI%e?,if Stater Zip: \
Tenant/Lessee Name: �� Phone#:
Email: dcrliofi4
CONTRACTOR:Company Name: C-!)UW eQ- - Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: /� City: State: Zip:
Value of Work for this Permit:$_kun : CD3 Square/Linear Footage of Work:
Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: S3 Al jZQQ$1 R_ cul 6
Specify color of color thru tile:
Submittal Fee$ 0 Permit Fee$ RC)• CD CCF$ CO/CC$
Scanning Fee$ !:7-F , Ckc) Radon Fee$ a• � C) DBPR$ 0• -9 0 Notary$ S'(X�
Technology Fee$ y' Training/Education Fee$ 1 Double Fee$
Structural Reviews$ Bond$Jn—05-23 S
TOTAL FEE NOW DUE$ Ong. a)
(Revised02/24/2014)
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 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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
OWNER GENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of A(,J 20 (J:�, by day of 20 by
�PT1P�C EQN- r JCT ,who is personally known to ,who is personally known to
me or who has producedme or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY LIC: NOTARY PUBLIC:
Sign: ( ^ Sign:
Print: �\� �wQ�-E� Print:
Seal: copyoua� Notary Public State of Florida Seal:
Sindia Alvarez
%,z-1gQ My Commission FF 156750
oa�oQ Expires 09103/2018
######################## # # # ##########################################################################
APPROVED BY 3� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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196.4300 3/4"Thermostatic Valve HS1063
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EISA GAGNON & PAMCE ROBE%T
1056 M 90 Street—MIsW Shores-FI.MUM
KOHLER, Ars�her®
••' : .• 5' Bath •'
...... •..K 117;3..:.
---60'(1524 mm •:•••• •
No CbMp in meb&Wments• •
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tretpd��(K-72�'P�•• •••••
16' ..
(406 mm) •60: .
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(813 mm) Dn$,I .F4m
Detail ..I
1-1/40
(32 mm)
(286 mm) k
2-1/2' 1- Angle 25011-1/2'(38 mm)
(64 mm) 1
} 19'
(483 mm)
1 /
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1-1/20 4-1/8'
Bath Drain (105 mm) 3J41 "(19 mm)
Technical Information Notes '
All product dimensions are nominal. Measure your actual product for roughing-in
Installation: Drop-in details.
Drain location: End Install this product according to the installation
Basin area,bottom: 45-1/8'x 19-11/16'(1146 mm x 500 mm) guide.
Basin area,top: 52-&4'x 25-5116'(1340 mm x 643 mm) The hot water supply should be 70%of the
Weight: 70 lbs(31.8 kg) capacity of the bath or greater. Installations will
Minimum floor load: 44 Ibs/ft¢(214.8 kg/m2) vim- ,
Water depth: 15'(381 mm) ADA compliant when installed to the specific
Water opacity. 58 gal(219.6 L) requirements of these regulations.
Cutout: 68-1/2'x 30-1/2'(1486 mm x
775 mm)
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USA/Canada: 1-800-4KOHLER(1-800-4564537)
Kohler Co. reserves the right to make revisions without notice to product specificatiom. THE BOL)LOOK
For the,most current Specification Sheet,go to mwm.kohier.corn. OF KMLM
10-7-2015 03:43