1100 NE 91 TerrDate
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
i% JE ?� ���i� Tax Foliol/
Job Address
Legal Description4*M%,4 , /`//1/1;lJ Master Permit # ���
Owner / Lessee / Tenant j /J ` 5 '' -
Owner's Address
Contracting Co.
Qualifier
Architect /Engineer
Bonding Company
Mortgagor
Square Ft.
r
i
/ /2o A/C
State° Ri 0037,,t ;`f
*
Zoning
9/ cr 77
Signet ro of :kner and /or Condo President
Date:
Jotary as to . Owner and /or Condo
4y CommissiOt
?ERMIT FEE: APPROVED: Fire
Ae' d' Ave_ Address /c C t% /r 41�
SS# - -
Competency# 00N/5 l/%'(.
Building
Address
Address
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN7 MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION Mte /C �� TT 2 g -/ 5 7 (v'i-7 /)/ 44/ % � � f/ J .5'k>."(
1 1 ) 1 e6 e;;444'/A4) /49- -r 4 AMA
Estimated Cost f,
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 that all work
gill be done in compliance with all applicable laws regulating construction and zoning.
Furthermore, I authorize the above -named contractor to Bo the work stated.
Signature of Contractor or Cwr.er- Builder
Date:
l; 4 e 4 . d
Notary as to Contractor or Owner - Builder'
My Commissio
Electrical
Mechanical Plumbing t engineering
Phone ?: -
Ins. Co . �`���
varie
Owner
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
Job Address
Legal Description /3 /rP
/ Lessee / Tenant
Owner's Address
WORK DESCRIPTION
Signature of
Date:
Nota as
My C mmissi
* *
PERMIT FEE:
(OWNER TO RETAIN COPY) v
/ /&9 4 �/ %'1 • Tax Folio• // f 9
Zoning
an•Tor Condo President
e/2
Contracting Co. 44 22 LG Address
Qualifier / �' /l/�% r - ')/ -
State # Competency# / /S / 4'6 Ins . Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
4 fle rl' 9
Master Permit
phone
/ ACX c j 7J /E7' t 2
phone
Square Ft. Estimated Cost /
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. 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 the work stated.
4,p4f /444V4
o Owner and /or Condo President
on Expires: NOTARY PUBLIC. STATE OF FLORIDA
* *MY COMIC *SION EXPIRES APRILI'6. 1992
APPROVED: ,;DNDfD TBBU STEC
i
Contractor or
(----
Signature of
Date:
Owner - Builder
Notary as to Contractor or Owner - Builder
My Commission Expires:
* * * *
Other
* * *
Building p Electrical
•
Mechanical Plumbing +� b s) fry j
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
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
I
1
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4° TILE/RES.
VIOLATION
PUMP 8 ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
N
ROOF INLET
{
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
•
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
k
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
Date• ' / 7 Job Address ii 14 f 46.4 -/fig Tax Folio
bI /dAieg /
Legal Description_ ` 1 4 )
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Owner / Lessee / Tenant 4 4/21('-' �` C@✓ 6V.'
Owner's Address /d & 11 / / 7(7V?
Contracting Co.? ^.A== `' wp o'er
�r
Master Permit it. .�� / r e -
Phone 7,.3
Address / -P&C;S' 41/2 � `7 C
SS# - - Phone` t
State i fr e c ° ' 41 / 2 / - 5 , Municipal X10 C1 Competency #() e.;6'/'f 5" Ins .Co. 9
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBI MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION �1/ 1 /I& &4-
Square Pt. 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 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,
authorize the above -named contractor to do the work stated.
Signature/of owner and /or Condo President
Date:
** * * *
FEES: PERMIT
APPROVED:
_ 'A /L I&4i
Notary as to Owner and/or President.
My Commission Expires:
RADON C.C.F. ,S`D
Sig ature of Contractor r Owner- Builder
Date:
Notary as to Contractor or Owner- Builder
My Commi &sign Expires:
Fire Other
Zoning Buildin , Electrical
Mechanical ‹:;I; -' P lumbi _*I Engineering
* **
NOTARY TOTAL DUE " t'
Date if
Owner's Address
Contracting Co
Qualifier
APPROVED:
Zoning
Mechanical
Permit Type (circle ante):
WORK DESCRIP'T'ION
as to Owner an
My Commission Ex
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address
Legal Description
Owner/Lessee / Tenant
State # (1� �,/ �7/ j, Municipal #
100 t✓ (7(
Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor
A 6,1;2/.5 /
resident
Building
Plumbin
'Tax Folio
Historically Designated: Yes No
Address
Signa
y Commission E
Master Permit #
es
Phone
■
7
c
FEES: PERMIT /0 RADON C.C.F. V 6 0 NOTARY BOND
[ic
PLUMBING CHANIC
ROOFING PAVING FENCE SIGN
WARNING TO OWNER: YOU MUST RECO e 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 the work stated.
—drew .
Fas to Contractor <. • er- : udder /' Date