EL-02-230PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204
Date 7 O, Job Addre tw ati>.1►%►"�'14/41WV'tf► 4 - Tax Folio
f - 2/ve
Signatur of owner and/or Condo President
Legal Description Historically Designated: Yes No
Owner/Lessee/Tenet
k1P�4 Master Permit #
Owner's Address \ - 6 0 ® L - ` Phone
Contracting Co. 0 11 ' r Address
Qualifier `@:V\ RA C. '/1. ti Phone
State # 0 f d 00 I? 0 3Municipal # Competency #
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Notary as to Owner and/or Condo President Date
My Commission Expires,
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL
WORK DESCRIPTION: p Q t CC ' r) sertv rc B 0. , k e_t
G- l T G/ c . 4* Lc i :)
Square Ft. Estimated Cost (value
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 ANY 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 all disciplines.
OWNERS AFFIDAVIT: I certify that all he foregoing information is accurate and that all work will be done in compliance with, all applicable laws
regulating construction and zoning. Furth l rmore, I authorize the above named contractor to do the work stated.
Date
otary as+ o Co
My Commissio
FEES: PERMIT r 112.P RADON C.C.F
APPROVED:
Zoning Building
Mechanical Plutnbing
Ins. Co.
J IOW
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CC786697
c3O MY c �bItJUSe9ord f:YPI S
OF FAQ kO'V. 95,207'2
ROOFING
ate
NOTARY Sr 0 o BOND
TOTAL DUE
Electrical
Structural Engineer
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS _* it__,
,
' �
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/ IER CHANGE 1
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
MOTCAS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 FP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 FP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
_
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 FP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTCRS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MIOTCRS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 If
VIOLATION
INDIRECT WASTES
A/C WINDOW
RE INSPECTION
HATER 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
EWER CONNECTIONS
_
SIGN TRANSFORMERS
1TILITY -SEWER
SIGN TIME CLOCK
TILITY -WATER
FIXTURES
EPTIC TANK
ANTENNA
ELAY
_
TELEVISION OUTLETS
RAINFIELD. 4' TILE/RES.
VIOLATION
!IAA & ABANDON SEPTIC TANK
REINSPECTION
OAKAGE PIT CU. FT.
_
ATCH BASIN
ISCHARGE WELL
JMESTIC WELL
;EA DRAIN
_
J0F INLET
JLAR WATER HEATER _
IRE STANDPIPE
JOL PIPING
1W1 SPRINKLER SYSTEM
LS RANGE
:TER SET (GAS)
,.S PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATI FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED; T OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
4 ...
PLUMBING
ELECTRICAL
MECHANICAL
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 7/17/2002
Applicant:
Owner:
JOB ADDRESS: 11300 NE 2
Contractor
Signed:
Local Phone: 305 - 687 -7080
Parcel # 1121360000050
Electrical Permit
Permit Number: EL2002 -230
AVE
Permit Status: Approved Permit Expiration: 1/11/2003 Construction Value: $1,000.00
0 Work: PROVIDE 110V SERVICE TO BUS SHELTER 300 WG TRENCH 1" PVC #10 WINES
Page 1 of 1
Contractor's Address: 18800 NW 2 AYE 214
Legal Description: 36 52 41 40 AC SE1 /4 OF NE1 /4 LESS E35FT & LESS W4OFT LOT SIZE 1740400
p ,..„;sa -0,06
4S.. Do
Total Fees: $9*00
Total Receipts: $0.00
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all
o rdinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to
nd approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements orlspecifications and that he assumes responsibility for work done
by his agents, servants or employees.
BY:
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.
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