Loading...
33079Date Legal Description Owner / Lessee / Tenant `(4Na. Owner's Address APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ' Job Address , ) 1 a S4 6��t_g'c i ad. "ILL_ t Tax Folio Master Permit 4 P e r i'k°■3 ?t,4- 6 9 S Contracting Co. ‘ Le' 1 CE (-4Z c:N in c. 0A Qualifier r. o f c SS# F'[ioneS1 (' — ) (1, 9 2 State # ° 6 1 Municipal # Competency # a2 . 4 Ins.Co. ) L 10,. (Q ; Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILD G ELECTRICAL )LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION it 6 v t4 Lc L,( PaLW f Yl, ceicf ic" , F v v 'c, tJ 5 C C p t, '‘\ Ai". X11 L' S ( t; t c e, b F c- 13"• - Square Ft. Estimated Cost(value? 2 - , - z WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all . the foregoing information is be done in compliance with - app 'cable laws re'-'ating constr authorize the above-name • t� w %rk stated. Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ' SignatJ / Date: r Fire Zoning Building Other ate and that all work will ning. Furthermore I N tary as to Conti/AtMary laib eAR f).[1. My Commission Expirnospd number of I.D. produced: DID take an oath, or ** * * * * * * * * * * * * I NOT take an oatik ** FEES : PERMIT t1969 RADON C . C . F . if ge NOTARY . © Q TOTAL DUE Mechanical Plumbing Engineering ITEM BATH TUB UNIT FEE .ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS ei CENTRAL HEATING DISHWASHER AUPQR VoLAIS 4 A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS ,5 b. DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 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 . URINAL 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 HEATER -NEW INST. GENERATORS TRANSFORMERS _ HEATER- REPLACE GENERATORS TRANSFORMERS _ LAWN SPRINKLER -WELL SPECIAL PURPOSE _ SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER _SIGN TIME CLOCK UTILITY -WATER FIXTURES P. o fq vp rV SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4° TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. �. 11 L e .7.--.--,... ' CATCH BASIN L t 4 r s L w I' DISCHARGE WELL R * If Via, I/ I ; , - L, d DOMESTIC WELL AREA DRAIN `l r t. ,g` I 0 ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING 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.) PLUMBING ELECTRICAL MECHANICAL vo C 17: ■ r 69--k\NiC; ?czsLzt,c # NOTE : VOLTAGE SPF-CIFY. Mel 1 SPECIFY. 30 iptb coX tSVOI-d—?te 3/4" ft 24 " GALVAIGZED STEEL MOM BOLTS ON A 1 3/4" CIA. D.C, 11/2 ABOVE CONCRETE PROJECTION. WJ /4-L150-13-5"A. ASE Age.scH13-04705. HO NINIt2letIGIA maltelettqA oft. ftehrets, Itatt mote) •