The URL can be used to link to this page

1100 NE 91 Terr (5)ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No... 2 ... > e Application i:: hereby made for the approval of the detailed statement of the p ans and specif'cations her with submitted for the bu•!ding or o?her „tructure herein described This a' plication is made in complia and conformity with the Building Ordinance of Miami Shores Village, Flo Ida, and all ro isions of the Laws of the State of Flor a all ordinances Miami Shores Village and all ules and regulatio 's of h• Building Division of Miami Shor .- Village shall be complied with, whe.her he ein specs ied or not. A copy of approved plans and specs 'cations must be kept at building during ogress of wor r/� Owner's Name and Address.. ..Qf 4 .R 0 Block.. ... State work to be perfo med and purpose of building (By Floors) t t!,- 0 ��. New Building.... ..... Service Overhead d Size Feeders Underground A nount of Pe. m t $ STATE OP FLORIDA, f COUN'rY OF DADE. Remodeling.._.... Addition 3 p .. ( o. SS. My Commission Expires MIAMI SHORES VILLAGE a � .....Co duit. .. ..Main Sw . . (Signed) (Signed).". tl Registered Archi ect d or Engin: er _ . . .. . . .... . .. ... . ... Employing Electricians Name. Z. ®6 6. L. q" C Q5✓" r it 7 5' . r"S No ' e, o 6 Location and Legal Descriptioi of . Street and Number where work is to be performed —No _ Type of Installation — Conduit. _ .Tubirg . _ .B X L . . . Metal Moulding The nd is•'ned applicant for t i- building pe-''it doe hereby ce tify that he understands and iabo and r the Flo :da Workmen s Compensat;on Act being Section 5966, Compiled General Laws has ompl d ith the p ovisi ns thereof and will require similar compliance from all contractors or work to be p .forced under this permit- and will post .i cause to be posted for inspection on the site as a_e requir d b the Act The undersigned agrees to iplo ' only such sub contractors, on work to ce, sed by Miami Shores Village Street.. . . Q - ..Street ad pi a .bur- ciJqvs K; . Subdivision.. .Street. ... 9 J ''La/ fr o/ Cc. w Repa-rs.._ No of Stories ....Main uses ' «El ctr:al Inspector ccepts his p i. ati ns as an employer of of F1ori P Supplement and sob-contractors employed by him in the of the wo k snc public notice or notices be rfor ed under thi3 permit, as a Before me the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally app.ared _ _ to me well known and who, being by me first duly sworn, upon oath deposes and says that he is the .... .... . of the above described construetion, and he h. carefully read the foregoin application, and that he did sign the same and that all facts therein by hun stated are true. Notary Public, State of Florida aster Electrician ... --Amps NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workma .ship. SWITCH OUTLETS L'GH OU S PL 0 REC P'T $ ! .XT REa NO LAMPS REFRIO O ' ' ET IRON OUT' ET HAN' E OUTLET R NGE CONN WAT :R HEAT "R W. HEA''. CONN SPACE He 'ER STRIP HEATE TOTAL CONTR. LIST CHECK ENT. . DIS:. AB SE V 'E T MP. SERV.0 PERM MOTORS O.1 HP MOTORS 1 -S HP N - N TR' - R 010 TOTAL CONY LI T 0 5b ! CHE K ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No... 2 ... > e Application i:: hereby made for the approval of the detailed statement of the p ans and specif'cations her with submitted for the bu•!ding or o?her „tructure herein described This a' plication is made in complia and conformity with the Building Ordinance of Miami Shores Village, Flo Ida, and all ro isions of the Laws of the State of Flor a all ordinances Miami Shores Village and all ules and regulatio 's of h• Building Division of Miami Shor .- Village shall be complied with, whe.her he ein specs ied or not. A copy of approved plans and specs 'cations must be kept at building during ogress of wor r/� Owner's Name and Address.. ..Qf 4 .R 0 Block.. ... State work to be perfo med and purpose of building (By Floors) t t!,- 0 ��. New Building.... ..... Service Overhead d Size Feeders Underground A nount of Pe. m t $ STATE OP FLORIDA, f COUN'rY OF DADE. Remodeling.._.... Addition 3 p .. ( o. SS. My Commission Expires MIAMI SHORES VILLAGE a � .....Co duit. .. ..Main Sw . . (Signed) (Signed).". tl Registered Archi ect d or Engin: er _ . . .. . . .... . .. ... . ... Employing Electricians Name. Z. ®6 6. L. q" C Q5✓" r it 7 5' . r"S No ' e, o 6 Location and Legal Descriptioi of . Street and Number where work is to be performed —No _ Type of Installation — Conduit. _ .Tubirg . _ .B X L . . . Metal Moulding The nd is•'ned applicant for t i- building pe-''it doe hereby ce tify that he understands and iabo and r the Flo :da Workmen s Compensat;on Act being Section 5966, Compiled General Laws has ompl d ith the p ovisi ns thereof and will require similar compliance from all contractors or work to be p .forced under this permit- and will post .i cause to be posted for inspection on the site as a_e requir d b the Act The undersigned agrees to iplo ' only such sub contractors, on work to ce, sed by Miami Shores Village Street.. . . Q - ..Street ad pi a .bur- ciJqvs K; . Subdivision.. .Street. ... 9 J ''La/ fr o/ Cc. w Repa-rs.._ No of Stories ....Main uses ' «El ctr:al Inspector ccepts his p i. ati ns as an employer of of F1ori P Supplement and sob-contractors employed by him in the of the wo k snc public notice or notices be rfor ed under thi3 permit, as a Before me the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally app.ared _ _ to me well known and who, being by me first duly sworn, upon oath deposes and says that he is the .... .... . of the above described construetion, and he h. carefully read the foregoin application, and that he did sign the same and that all facts therein by hun stated are true. Notary Public, State of Florida aster Electrician ... --Amps NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workma .ship. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address /, Legal Description Date Owner / Lessee / Tenant Owner's Address J//� V % / Phone - Contracting Co. Qualifier State # 457 0 f en_ C) Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDIN WORK DESCRIPTIONS s Square Ft. EstimatedoCost > t g WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE T DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YO 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, an on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat 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 wor will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do wor,- ated. Signat,- orOwner and /or Condo President Date: �� .eg//7" % „ �/ 911 Not a4 to Owner and /or ondo President My omm *S Expires: ( / //e /9/ * * * * PERMIT FEE: APPROVED: Zoning „2`�hanical. 77, PG” R /S , )9Q/ • die . - � ,f SSd - Phone V Competency# „ «/ /i1I Ins. Co. Address Address Address UMBING MECHANICAL PAVING FENCE SIC tart' as to Contractor or Owner - Builder Commission Expires /////9/ * * fit • * Fire Other Building � Tax Folio ✓/Y Plumbing Engineering Address /fs1.,44.1 / 7 s'% Signature o'' ontr- for or Owner- Builder Date: Electrica1P ' 7 0 PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address State# Architect /Engineer Bonding Company Mortgagor 0 Legal Description p /V:k ! Owner / Lessee / Tenant wak, A/ &y /I k Owner's Address // r ( /� . phone Contracting Co. j// c. gB42...41 C (o ress Qualifier 4 SS# � phone � �� s °34, Competency# /o 7f / Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost q e9C> , 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 onstruction and zoning. Furthermore- I authorize the above -named contractor to do the s ed. Signatur'ofiOw`ne and /or Condo President Date: Q Ra/ Not ry als to Owner and/ P i o��IC. �1��E �ORIDA My ommission Expire4,1y COMMISSION EXPIRES APRIL 16992 * * * * r 3' " J r:. STE.131 ,— ^- 8 ME PERMIT FEE: APPROVED: Fire Zoning Mechanical Plumbing Address Address Address Si:nature o Date: Tax Folio// _Mac iv /f9/ Master Permit # ?/ 7 7 SO Oa - 28 / Other ra or or Ow a d-Builder Building Electrical "� Y fY ' >>F Notary as tq�Contracto O � „Awr�� 5$�yil��er ,��, My Co fission Expire #; r ti; ;,o; i�t 2;L i5.* Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES /49 A/C (WIND) DISPOSAL SERVICE TEMPORARY ?",;',6 A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION PROCESS AND PRESS PIPING GREASE TRAP APPLIANCE OUTLETS / 5,X13; INTERCEPTOR RANGE TOP 4g0 UNDERGROUND TANKS LAVATORY OVEN / 541,5 ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS MOWER 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 SWINNING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECT I ORS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK ' UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4° TILE/RES. VIOLATION PU) 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL 1 DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING 0 C LAWN SPRINKLER SYSTEM GAS RAKE METER SET (GAS) GAS PIPING i 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 BUILDING t, 5 . ELECTRICAL El Date Contractor's ' PLUMBING ri PERMIT N? 10075 , License No. _ - ROOFING F Owner of Building Architect Contractor or Builder Legal Desc-iption Address of Building Lot 1. I 11 MIAMI SHORES VILLAGE, FLORIDA 111 Work to be performed under this Permit CONTRACTOR or BUILDER Subdi- vision Sq. Ft. Value of Project $ • Amount of i'crrn _ 19 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or dt.vire described in the upplicu- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perfornmi in compliance with an, plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities Thii, Permit may he revokuo 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 thi permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough know ledge of the ordinances ami 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. 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 perta thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritit of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Owner's Address Contracting Co. Qualifier ; d� State # t ' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date s' - / � ' Job Address J/ y ee, ,/ ' q I TA, Tax Folio Legal :Des ription Historically Designated: Yes No Owner/Lessee / Tenant 72 A , al.. l) Master Permit # ° y� <> Phone (?)k2/` jJ)C Address MOO -1 // r l/ 7 , Municipal # i/ 0 � SS# - ' - (Phone Competency # Ins. Co. Address Address -- , j ignatiiie of Contractor r or or Owner-Builder' Signature of owner a nd/or Condesident Date ,.1',1dC , ttid 7 C. � Notary as to C :eier and/or Condo President Date Notary s 10 _tirsiettor sp+0vrcertBuilder My Commission Expires: C My ommission Expires: /1 ArehitmtfEngn r Bonding Company Mortgagor Address Permit Type (circle one): BULLDING ELECTRICAL PLUMBING ME I ICAL ROOFING PAVING FENCE SIGN WORK DESCRJY'IOi�' /,I i. r l�//�'� Square Ft. Estimated Cost (value) WARNING T OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT LC 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 A a IDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regu .atin. construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. FEES: PERMIT ' � .% RADON C.C.F. NOTARY TOTAL DUE Date Date APPROVED: y .- • Zoning Building Electrical: 1 Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /e.-3 / 5 (Job Address , f 1 ®O A7 f . 7/ 7 'fA Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 5 m1L2 11*oAfffa b Owner's Address Phone Master Permit # Contracting Co. ,c7 C ft G'2 V F® ,tai v� �� - Address Z, / v s • c,..s • / a, 2 . � / # Qualifier �� D D f 7,' SS# Phone cs7 State # 64, ,c r .7e Municipal # / 9 2..3./ Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION / OS. L /li . C, kit 4/ Square Ft Estimated Cost (value) . Signature of owner and/or Condo President Date or or Owner- Builder 1•EES: PERMIT G > RADON 3 71CI 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 the work stated. Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder My Commission Expires: My Commission Expires: j` 4 � �U� �CT i W ^ 3 � 1 1S� C�� W Lib' o ?s .t" '6:LEI Ya� o ED. C.C.F. NOTARY TOTAL DUE 7 Date APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering ITEM BATH 112 UNIT FEE ITEM SWITCH CUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS , 0 CENTRAL HEATING DISHWASHER RECEPTACLES WEI A A/C (WIN)) - - - =� �, =1 DISPOSAL SERVICE TEMPORARY SERVICE SIZE IN MPS -_ A/C (CENTRAL) DUCT WORK DRINKING FOUNTAIN FLOOR DRAIN SERVICE REPAIRAETER CHANGE REFRIGERATION GREASE TRAP ... • ■� PROCESS AND PRESS PIPING INTERCEPTOR R7, �T TCP e%-c2 UNDERGROUND TANKS LAVATCAY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER DATER U.F. PRESSURE VESSELS CLOTHES WASHER ROTORS 0- 1 HP 1/111 � STEAM BOILERS SHOWER MOTCAS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER MECHANICAL VENTILATION SINK, RESIDENCE MOTCAS OVER 5- 8 hP . _______ TRANSPORT1hG r,E ; SINK. SLOP • TEMPORARY WATER CLOSET hOTCRS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL - ■ MOTORS OVER 25-100 HP ■■ CCOLING TOWERS _= ■ WATER CLOSET MOTCRS OVER 100 hP VIOLATION INDIRECT WASTES • DO REINSPECTION WATER SLPPLY TO: A/C UNIT AIR CONDITIONERS STRIP HEATER �■ FIRE SPRINKLER HEATER -NEW INST. GENERATCAS TRANSFORMERS GENERATORS TRANSFORMERS HEATER- REPLACE GENERATCAS TRANSFCAMERS LAWN SPRINKLER -WELL —' SPECIAL PURPOSE 40; -- SWIMMING PCOL OUTLETS CCMERCIAL - — —' WATER SERVICE �. SIGN TUBES SEWER CONNECTIONS UTILITY -SEWER UTILITY -WATER SEPTIC TANK SIGN TRANSFORA$RS ■■ SIGN TIRE CLOCK FIXTLRES ANTENNA -_ . ', RELAY TELEVISION CUTLETS -- == ■r ORAINFIELO 4' TILE/RES. VIOLATION -_ PUMP b ABANDON SEPTIC TANK IIIMIIIIIIIREIHSPECTIOt COTKAI SIT CU. FT. CATCH BASIN !tmil = = DISCHARGE WELL 00MESTIC WELL ■ AREA DRAIN • -- ROOF (WATT SOLAR WATER HEATER FIRE STANDPIPE �� ■ POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) -� -� GAS PIPING (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 ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL r PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date i e 1 2 4 / S r ' Job A d d r e s s J I Q A A . � J/ / tek' . Tax Folio Legal Descripton Historically Designated: Yes No Owner/L assee / Tenant ',,f/* b 1 1 i4- ti K /1- t Master Permit # 377 5 Owner's Address / 40e; 74"• 75,7 `7 / Phone C o n t r a c t n g Co. 74-A C e . 6 ik Q . ) -7;44 - Address /d S , . (2 7 rf' 7 . /- Jj`4 - Qualifier /%/t N. o `-<I State # ,le -000473 7 F Municipal # C C / Q Z 3 / Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgago. Address Permit Type (circle ene): BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION f e. /) (-!wz/ 44'' -") Square Ft. Estimated Cost (value) 74 4502, ere WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN Y • UR 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.) SS# - Phone ie - 6 St - V° JV 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. Signature of owner and/or Condo President Date Signature a ontractor or Owner- Builder Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder My Commission Expires: My Commission Expires: [ITV APPRCVED: Zoning Mechanical Building Electrica), FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE Date ,Date Plumbing Engineering ITEM BATH TUB LRTIT FEE ITEM SWITCH OUTLETS UNIT 2 FEE /5a ITEM SPACE HEATERS UNIT r FEE BIDET LIGHT OUTLETS =3 1 CENTRAL HEATING A/C (WIN)) DISHWASHER RECEPTACLES DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN MPS moo A.. / DUCT WORK FLOOR GRAIN SERVICE REPAIR/METER CHANGE ,A--. 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 FP STEAM BOILERS 4 SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 FP 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 FP 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 PIRPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS ORAIIf'IELD, 4' TILE/RES. VIOLATION PUMP 5 ABANDON SEPTIC TANK _ REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA GRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING • LAWN SPRINKLER SYSTEM GAS RANG METER SET (GAS) GAS PIPING 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 z Ie' 2 fate) 0 i 5 0 Awes 1 /OO N.E. 9/ TEQ, EX,I3TIN6 l%l W 1A/U 3# 214) TJMN w iisaS ZOO AMA,* wfr PA Anti. Zoo 4,425 2 7 A ' 1 P. v a • ArsI $ sT ../..g<TIZIC 4 /7 xzE 29/, z /z7 AV MIAHI P14 OS) 5'54 -54SI cc. 4 19231 E.1< 6005417a Nas 4 u 1411) b r P 4 ctvdaD cg10.41 1 # azaaIiD1.1 EL Ecriacav ge5 f ree." t4/47 g PIPS. soo4 1®®♦ AIL A �►+� . H.414 Zeatomik. E (I TSNG RtweLS QvALI Fle-k• a 6-A/96 � PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address //i t di" &1 9/ Tax Folio /1 S () ;90 Legal Description Historically Designated: Yes No Owners / Tenant ? mac/ / / / Master Permit # 835 Owners Address //C G /1 9/ / / 7 . yG . . /5v' Phone _ U Contracting Co o� Ga :? ` ler Address 06 /4 f � Qualifier �� / ✓ � � � SS# /) Phone ?d d � � State #t 1 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN G ECT r C PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /4 Square Ft Estimated Cost (value) l 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 will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named • actor to do the work stated. FEES: PERMIT 5 ') RADON C.C.F. ` ..� Date on actor or 0 - ; uild actor o Igna Notarro5ontr My Commission Ex •� MY COMMISSION 0 CC 554034 EXPIRES: June 4, 2040 I. pf.ta Bonded Thru Notary Pub':c Unrizne.i r NOTARY 0 BOND Date Date G TOTAL DUE 3 S� - APPROVED: Zoning Building Electric Mechanical Plumbing Engineering