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1077 NE 91 Terr (6)1 Date £ _a - 01 Job Address (Cyr) L. E. 3 1 S' -t?_ Tax Folio Legal Description Historically Designated: Ycs - No Owner/Lessee / Tenant IN E L SON .T1) M A W 1 Master Permit # u ( go" V /3 Ownees Address 1077 N. E. 91 TERRACE Phone 30 5 759 Z C o n t r a c t i n g Co. VAC. =% C) t G , Address 3Sc --7 1- 4-5+0. I 1r , Qualifier Z'u C..= O C. VA C ss30 • State # C,Ac Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING WORK DESCRIPTION X_ 1.13.7-4e, JTSoto Or ivGTC,.XllaC .Qm ,,� � VN .V73' , Square Ft. Estimated Cost (value) 0 SCR.) - Cat, • 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 construction and zoning. Furthermore, I authorize the above -named contractor to do y work stated. Sidmature of owner and/or Condo President �• r��rr . @Nil nt -7pr ION it CC 942151 of,o EXPIRES: June 5, 2004 miu Notary Public Undemdters Notary a My Co FEES: PERMIT Mechanical f a' Plumbing PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Municipal # Competency # Address Address APPROVED: Zoning Building Electrical JULY -2O -200i Date Date SS# Phone C3cs$) CIF- trio Ins. Co. ROOFING PAVING FENCE SIGN My Commission Exp 2 1 dl ra sa /'l st. :dY is ]',0 E>0:4 �7. ::PIRk3 OF F'-O Gtr. is r- Builder Date RADON C.C. NOTARY S b 0 BOND TOTAL DUE Structural Engineer ITEM BATH TU3 UNIT FEE ITEM SWITCH CURETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING I p k vJ DIS;VZHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) a .J "TC, DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK 9 c cc • • FLOOR DRAIN SERVICE REPAIR/YETER G1ANGE REFRIGERATION GREASE TRAP APPLIANCE CURETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 FP STEAM BOILERS SHOkR MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 NP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS :,R I NAL MOTORS OVER 25-100 FP COOLING TOWERS HATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SIPPLY 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 SNI4ING POOL OUTLETS CONERCIAL WATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS rTILITY -SEWER SIGN TIME CLOCK TILITY -WATER FIXTLRES EPTIC TANK ANTENNA ELAY TELEVISION CUTLETS RAINFIELD, 4' TILE/RES. VIOLATION Ulf & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. ATCH BASIN I SG`IARGE WELL :MESTIC WELL ;EA CRAIN 7OF INLET 7LAR WATER HEATER IRE STANDPIPE 0L PIPING VNN SPRINKLER SYSTEM RAGE .TER SET (GAS) S PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ PERMIT ROOFING ❑ • MECH Work to be Owner of YI f �'�' Building Architect Contractor or Builder Legal Description ption Address.of Building /9 Lot 1 ,1()c ', f CON ' ACTOR or-B t ILDER MIAMI SHORES VILLAGE, FLORIDA Date - P`— 20 7/ 49613 Contractor's License No. 1 1 1 1 V)1/ odse ` performed under this Permit 5, Q' 4, .1--'•' 1 r rry 1 _ � j d, � Permit: ( Subdl- ! „ f - 0 vision 1/ 0 Notary: �'. ✓ S • /I Bond: II Bt. Sq. Ft.: Radon: r j D Value of - Amount of r 7 jy� Project $ .y / Permit: 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 applica- tion herefor in strict compliance with all ordinances 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 and 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 or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. t P -> > r�7. 7. c Signed • (INSPECTOR) • 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 regulation.' pertainin ereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accep n this permit ssume responsibility for all work done by either, myself, my agent, servant or employee. 1502A200 08 /08i01TOTL 79.30 BY AUTHORITY .r.....�:..,....,. �. a. �._. _.., _x........14_........ _s ^ ia��. .. ._._.W._�s::.._ .0 ..i .....ice..._ -..._ .. _...r....v -_, ..._. .a_�.....n,..- ..�..�_. •- ' ".:d......v'__.pL -. �.t G�� � � . CCZE SECTION . 77r s 71 1071 ME el 1 Tem_ 17 1= me ci cad PAGE LO=ON C.7.7:c*mt"ES 4901.4(c)(Cont) When the proposed work serves an occupant content of total mechanical value of $25,000 or more or when the i system capacity of more than 15 tons or for any structur in area designed for public assembly, the plans shall impress seal of a Professional Engineer, registered in the When the estimated cost exceeds $5,000 for medical toxic air filtration, or chemical, fire protection systems tl be prepared by and bear the impress seal of a Professic State of Florida, who is competent in this field of expert All plans shall be prepared and submitted per the Appendix "A ". The plans shall include a schedule sin be filled by the Architect or Engineer of Record. HVAC DESIGN REQUIRES: YES NO DUCT SMOKE DETECTOR FIRE DAMPER(S) SMOKE DAMPER(S) FIRE RATED ENCLOSURE FIRE RATED ROOF /FLOOR CEILING ASSEMBLY FIRE STOPPING SMOKE CONTROL (d) PRECONTRACT EXAMINATION 0 may be submitted by the designer to the Chief Mechan for the proposed work is entered into by the owner. (e) EXAMINATION OF PLANS: The Mechanical Plans Examiner shall examine all plans and application or plans do not conform to the require regulations, the Chief Mechanical Inspector shall reje stating the reasons therefore. Plans that are rejected, a returned for correction. Inked notations on mechanic accepted only for minor corrections. If the application, examination, are found to comply with the requiremen plans shall be signed and marked as approved. (f) PERMIT FEES : Shall be in accordance 4901.5 INSPECTIONS: (a) SCHEDULE: The Chief Mechanical Insp is issued, determine the mandatory incnecthnn en 1wl,,I. h Supplement No. 3 49 -2 -2 100 or more persons, or has a iechanical system(s) with a per greater than 5,000 square feet be prepared by and bear the State of Florida. gas, oxygen, steam, vacuum, e plans and specifications shall nal Engineer, registered in the se. iouth Florida Building Code, ilar to the one shown below to F PLANS: Preliminary plans cal Inspector before a contract C hief Mechanical Inspector or applications for permits. If the require] of all pertinent laws or ct such application in writing, as stated herein above, shall be ally reproduced plans _may be plans and specifications, upon is of the Mechanical Code, the with section 303 of this Code. ector may, at the time the permit ased upon the complexity of the