35010PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ,2? Job Address /MOO dE • 2 AVE
Legal Description` - //4 - thE "'S Al 0-c ` CC - 36
Owner / Lessee / Tenant :4422. y / /?- .611r/ -'
Signature of owner and /or Condo President
Date:
** *
APPROVED:
0
z / 3 ° O
Tax Folio to 0 'Z'� r
2;m,f7 j 3,2 Sokli =°`
Master Permit
Square Ft. Estimated Cost(value) ;'E:11n6). e2°
Signature of Contractor or Owner- Builder
Date: _ 2 „` ,-3
FEES: PERMIT 3 95/ RADON C.C.F. ) P d NOTARY TOTAL DUE 1 1 / '
1/ r
Owner's Address //3" /j& 2 Ae /4I4S//02eS FL 35/6/ Phone •
Address Z77 /'1/4&E 14/LE aral 4W es
Contracting Co. 2 , P� Ei
Qualifier AIL' / - " -4‘/- / l 3
F,3E00000/
State 1k Municipal 4k Competency # Ins.io.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING LECTRICAL; PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION rtAC' ,Gillet T5
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 accurate and that all work will
be done in compliance with all applicable laws regulating const and zoning. Furthermore, I
authorize the above -named contractor to do the work stated. �
Notary as to Owner and /or Condo President Notary as to Contractor or Owner - 'a_ er
My Commission Expires: My Commission Expires:
ROTARY ells', NArE tiiF 17LORIDA.
MY COMM S . O 'E P EMPIRES:
c D 2E), ..9,
* * * * * * * * * * * **
Other
Fire ,
Zoning Buildin /4//% Electrical P
Mechanical Plumbing Engineering
UA Nova
a - LD98 :
-
J 140 13 Watt Compact FltroreSoenl - Soren In
F i 145 13 Watt Compact Fluorescent - Hard Wire
1 14 5 13 Watt Compact Fluorescent - Had Wire
T 145 I 13 Walt Compact Fluorescent _ Hard Wit
a 11 150 - 15 Watt Compact Fluoresced Screw E - .
8 ; 0 235 • 2 :13 Wall Compact Fluorescent - Hard wire future
a U 235 .. 2 -13 Walt Compact Fluorescent - Fiard wire Ude
8 E A 247.511 - 2-F017T8 -
8 K . 2- •.5R 2 - F017781.5 4L ELEC1222 REFLECTOR
8 - L 247.58 2 - F017/8I.54L ELECl2X2 R 'TOR
8 1 11 . 247.5R 2- FO17i8f.54L ELM/ 27K2REFLECTOR ..
8 - A i 247R t8
2- F0171 ElECf 2X2 REFIFCTOR
8 c 1 t 24711 '. 2- F017i81 E L C! 2 X2 REFIBCROR
.
8 I P 2471 _ 2- FO17131ELECl2X2FIERECTOR
8 I G 446C 1- F032113113-EC14' REFLECTOR
8 ` B 4 4 7 . 5 A 2 - Ft T8L54L E c4 RERECTl7R
8 8 447A 2 -R13211301aEC/2K REFLECTOR
8 11 447E 2 - F032ISIELEC4 REFLECTOR
8 S 447E 2 - F032€6Et EC/4 REFLECTOR
8 0 4491Cj P 4-1:032712ELEOW REFLECTOR -LO POWER
TOTAL
9 1 It�lly RTAL
9 DLO
9 L K
140
9 1 Al • 140
9 6 . j • - 145
9 = L 145
9 - 0 235
9 'I 1 247
P 755
C 247.58
D 247.5R
9 = C 24711
9 D 247R
9 F 247R
9 5 • _ 24711
9 H 24711
9 _ E 302.11
9 El 30211
9 A 4490
447A
TOTAL
LABOR COS S
BASED OH Mil PROM
RMOUAPORAMION
peSCf1tynom OF DlsTAu a magi E ou.AHi11Y 11117 PRICE - LABOR 478(2: ilEXTEPKIED
SHEET REF ,VALUE
1
1
21
12
3
4
2
4
15
1
1
29
20
2
2
1
3
128
$5.00 5 $
$14.00 - 1 $14
$14.00: 1 : 242
$14.00 i - 1 : $14
$5.00 ' 5 ! $105
$14.00 • 1 $168
$14.00 1 $42
$17.00 68 $68
$17.00 68 134
$17.00. 68 $34
$17.001 - 6B $88
$17.00 - _ 6A $255
$17.00 _ 6A $17
$17.00 _ 6A $17
$14.00 2 $406
$17.00 SEI $340
$17.00 6A $34
$14.00: 2 $28
$14.00 ' 2 $14
$17.00 ' 3 151
51 ?b6
13 Watt Compact Fluoresoent=iiireer In 1 $5.00. 5 $5
_ 13 Walt Compact Fluoresced - Screw In 1 $5.00 . 5 15
13 Watt Compact Fluorescent - Hard Wire - 4 $14.00 ' 1 $56
13 WaIt Compact Fluor - Hard Wire 1 - 214.00 1 114
2-13 Welt Compact Ftuoresuent - Hard sire fare 6 $14.00 1 - $84
2- F017T8I ELM 10 $17.00 6A i $170
702/ HI* Pressure SuremBalast 2 $14.00 1 $28
2-FO17T8 /.5ILEIELY2X2REFLECTOR 33 $17.08 68 5581
2- FO1718I 5 4L ELEC./ 2X2 RERECTOR - 2 $17.00 68 $34
2 - F017181 ELEGI2 X2 F4ERECTOR 3 $17.00 6A 251
2 - FO17781 ELEC X2RER:ECTO1 1 $17.00: 6A 117
285
2-11 }77T8fH,ECl2X2REFLECTOR 1 5 117.00 6A $17.00 6A _'T- $17
2 - R31778I ELEC 1 2 X2 RERECTOI
2- F01778I ABC I' 2X2 REFLECTOR 1 _ $17.00 BA t. $1
E0r SIC-1F1LEDREIT 4 $8_00 4 232
FOTSISH LID RErTIORT _ 3 28.00 4 $24
1- C/4' RELECEOR 54 - -- $14.00. 2 $756
2 - REFLECTOR 2 $17.00 __ 6A $34
134 290: - � 1
0
L
12:15 1'911