EL-03-19010050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -22
PERMIT APPLICATION FOR MIAMI SHORES 1% CO V E
• F y g05j -' - 56
Date Job Address _IOW( OE "l I Tr Tax Folio �' 1 In 0 ° 1 ' OCAD
Legal Description
Owner/Lessee/Tenet r 1 C.t1Qe. n Master Permit # E ,200:3
Owner's Address f l.o _I a L Pi T
Contracting Co. Lo (iO P 1 I e(9i c....
Qnalifier9\ of lf:d r
State #K Municipal #
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and
Sign ; ,l of owner and/or Condo President
t a 5550 -'/-as -0 - - 74 3 -n
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l'} x s/
ssio
Yl. r 1 FI °C I
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EftllEt Kroh 11,2006
•1
470 0f BendedTNU Budget Notary Semites
ISSION # DD 09#000
Mechanical Plumbing
W Q� 03(03
Date
D
Historically Designated: Yes
6, 5
Phone
Address $ ° 901 ) W 1 a c
SS# - 6D _ 7 q`39 Phone 5 15
Competency # Ins. Co.
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.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
WORK DESCRIPTION: le 1-®L4 �.~� fro m ®16 o' 7
114 deq •
Square Ft. Estimated Cost (value) ,j j C, • 4
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.
regulating construction and zoning. Furthermore, I authorize the above named con ' or to do i e work stated.
1
Alt ...
No • to Contractor or S caner Bui d E Ip
My Commission Expirese..•"••• ° '` , .
MY COMMISSION 0 DD 1046:13
•. sL?
EXPIRES: March 31, 2008
' '''' , E OF Fl,OS Bonded TIVU BUdget War/ SBrvloee
FEES: PERMIT 'ere' ® RADON C.C.F NOTARY
APPROVED:
Zoning Building Electric
k will be done in compliance with licable laws
NoX
VI
Date
BOND
Structural Engineer
'LUMBING
ELECTRICAL
1
MECHANICAL
•
4
H TUB
UNIT
FEE
ITEM
SNITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS -
UNIT
FEE
ET
LIGHT CURETS
CENTRAL HEATING
HMS
RECEPTACLES
A/C (T111O)
?OSAL
SERVICE TEtARY
A/C (CENTRAL)
C CT WORK
+KING FOUNTAIN
SERVICE SIZE IN AMPS
CR CRAIN
SERVICE REPAIR/METER CHA?it
REFRIGERATION
– ' – '
ASE TRAP
APPLIANCE CURETS
PROCESS AND PRESS PIPING
EACEPTOR
RANGE TOP
UhDER9WO TANKS
ATORY
OVEN
O HEATER
ABOVE G WO TANKS
CRY TRAY
U.F. PRESSLRE VESSELS
THES HASHER
MOTORS 0- 1 HP
MOTORS OVER 1- 3 HP
MOTCRS OVER 3- 5 FP
STEAM BOILERS
ha•
HOT WATER BOILERS
X. POT/3 COMP.
MECHANICAL VENTILATION
X, RESIDENCE
MOTORS OVER 5-. 8 FP
TRANSPORTING ASSEMBLIES
K• SLR'
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
FCRARY WATER CLOSET
MOTORS OVER 10- 25 PP
FIRE SPRINKLER SYSTEMS
NM
MOTORS OVER 25-100 FP
COOLING TOWERS
CLOSET
MOTORS OVER 100 FP
VIOLATION
; ER
IRECT )TASTES
A/C WINDOW
REINSPECTION
.
ER St.PPLY T0:
AIR COM IT IONERS
✓C UNIT
STRIP HEATER
IRE SPRINKLER
GENERATORS TRAISFCRERS
'--
. ,.
EAT ER - NEW INST.
GENERATC S URANSF(RkERS
SEATER- REPLACE
GENERATORS TRANSFCR ERS
'"—^
AV1 SPRINKLER-WELL
SPECIAL PIPPOSE
7WJ,11NG POOL
•
CUTLETS COASCIAL
ATER SERVICE
SIGN TLBES
ER CONNECTIONS
SIGN TRANSF0 AERS
L lTY- SETIEER
SIGN TIME CLOCK
:TTY -HATER
TIC
FIXTLRES
TANK
AY
ANTENNA
-
TELEVISION CURETS
INFIELD, 4 TILE/RES.
VIOLATION
8 ABANDON SEPTIC TANK
REINSPECTICN
<AGE PIT CU. FT.
d' � * r' aL .,
)i BASIN
AGE WELL
11.1111111
t l! ' 071.:P
9
;STIC HELL
4 CRAIN
•—�
IR HATER HEATER
. STAICP IPE
. PIPING
{ SPRINKLER SYSTEM
RANGE
:R SET (vs) -
PIPING
---
'LUMBING
ELECTRICAL
1
MECHANICAL
•