9301 NE 9 Pl (11)ELECTRICAL INSPECTION DEPARTMENT
asry APPLICATION FOR ELECTRICAL PERMIT J
Date.? ! /e
Permit Not J
MIAMI SHORES VILLAGE
Application is hereby made for the approval of the detailed statement of the plans and specifications herew submi ed for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu.ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Owner's Name and Address m�t� �f 2 9t MAI" No ° c � O fe Street U eL
Registered Architect and /or Engineer
Employing Electriciati's Name 0..... pp , � i ' /& . if'_ No Street
Location and Legal Description Lot.. A. (7C S E 4 2-0.5 Block Subdivision L � :L
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors) /
New Building Remodeling.. Addition e/
Amount of Permit $
STATE OF FLORIDA, } , < . l b s Cf <i"6/ COUNTY OF DADE. j 68 l�
(Signed) K
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw 2.01 Amps LOO Main Fuses Amps
Underground
Type of Installation-- Conduit. .. Tubing v'" ..'n— B.X.L .Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly •rn, upon oath deposes and says that he is the....4s ,,,,...0. l u..1f..1¢ e
of the above described construction, and he has carefully read the foregoing application, , gn I t bLC fie -i1 raga the same, and that all facts
therein by him stated are true. t " � . p
.,.
, mo' ,___
, 4....,........4..„
My Commission Expires NOzacy"- bli,;, State of Florida "
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made ner..usary by improper notice for inspection, cc- faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIOMT
OUTLETS
PLUG
'VT•e
RECE
FIXTURES
NO. L
REFRIO.
C UTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
NEATER
STRIP
H
TOTAL
CONTR.
LIST
6
b
M
11
t
t D1
� ^ / ��'
c /6VC
•
CHECK
l' .'
:+' GIST.
� i
94 `f
q
%c
�C �!
�
/� ��, �,y✓�l
A ^"A
I
ENT,
SW.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 MP
N EON
TRANS.
e.
6.�
RADIO
TOTAL
CONTR.
LIST
r
I
CHECK
V cr
.
ELECTRICAL INSPECTION DEPARTMENT
asry APPLICATION FOR ELECTRICAL PERMIT J
Date.? ! /e
Permit Not J
MIAMI SHORES VILLAGE
Application is hereby made for the approval of the detailed statement of the plans and specifications herew submi ed for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu.ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work
Owner's Name and Address m�t� �f 2 9t MAI" No ° c � O fe Street U eL
Registered Architect and /or Engineer
Employing Electriciati's Name 0..... pp , � i ' /& . if'_ No Street
Location and Legal Description Lot.. A. (7C S E 4 2-0.5 Block Subdivision L � :L
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors) /
New Building Remodeling.. Addition e/
Amount of Permit $
STATE OF FLORIDA, } , < . l b s Cf <i"6/ COUNTY OF DADE. j 68 l�
(Signed) K
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw 2.01 Amps LOO Main Fuses Amps
Underground
Type of Installation-- Conduit. .. Tubing v'" ..'n— B.X.L .Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly •rn, upon oath deposes and says that he is the....4s ,,,,...0. l u..1f..1¢ e
of the above described construction, and he has carefully read the foregoing application, , gn I t bLC fie -i1 raga the same, and that all facts
therein by him stated are true. t " � . p
.,.
, mo' ,___
, 4....,........4..„
My Commission Expires NOzacy"- bli,;, State of Florida "
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made ner..usary by improper notice for inspection, cc- faulty
materials and /or workmanship.
Permit No..
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date August 19, 1987
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Dr. Andrew Berman No 9301 Street N.E. 9th Place
Registered Architect and/or Engineer Samuels/Richter
Effn loyi g Eectricia N me.James Denticc Contracting "1403 Street N. E.. .129th Street ie
I Loca tion and Legal �escripti n Lot Block Subdivision.,. .,�'
Street and Number where work is to be performed —No 9301 Street N.E. 9 t "
Place
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition X Repairs No. of Stories one
Service Overhead Site Feeders Conduit Main Sw Amps Main. Fuses Amps
Undergroun.
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
Amount of Permit i.. Q (Signed). A. Nmi:5 .
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OP DADE.
es.
(Signed)
Master Electrician.
For: James Der.ticc Contracting, Inc.
Before me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgments, personally
appeared James L. Denticc
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 construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein l yetattd alit Late:.. .
y Commission eApires May .N9J
Bonded thru Huckleberry, Sibley &
traevJ y..lnsurAnce and Bonds, Inc.
My Commission Expires
ii\ \4Ai 4- O
Notary Public, State of Horida
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 workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'7'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CORN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H
TOTAL
LIST
P CONTR. I' /'
LI )
,
�,
✓', %.`
_ �
q "
.,
�._.
�-- -_
_ .
�_.
__
--
CHECK
��,
�X /J
�• ,� ' TI
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
s.
G'
CHECK
��
.
Permit No..
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date August 19, 1987
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Dr. Andrew Berman No 9301 Street N.E. 9th Place
Registered Architect and/or Engineer Samuels/Richter
Effn loyi g Eectricia N me.James Denticc Contracting "1403 Street N. E.. .129th Street ie
I Loca tion and Legal �escripti n Lot Block Subdivision.,. .,�'
Street and Number where work is to be performed —No 9301 Street N.E. 9 t "
Place
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition X Repairs No. of Stories one
Service Overhead Site Feeders Conduit Main Sw Amps Main. Fuses Amps
Undergroun.
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
Amount of Permit i.. Q (Signed). A. Nmi:5 .
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OP DADE.
es.
(Signed)
Master Electrician.
For: James Der.ticc Contracting, Inc.
Before me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgments, personally
appeared James L. Denticc
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 construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein l yetattd alit Late:.. .
y Commission eApires May .N9J
Bonded thru Huckleberry, Sibley &
traevJ y..lnsurAnce and Bonds, Inc.
My Commission Expires
ii\ \4Ai 4- O
Notary Public, State of Horida
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 workmanship.
A - 63
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI
Desiring your certificate of Approval, application is hereby made for an inspection of the electric
installation in the premises stated below, for which undersigned agrees to correct any infractions of
the National Electrical Code and the City Ordinance pointed out by Inspector.
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION
WILL BE RETURNED
LOT NUMBER__ _ _ _ _. __BLOCK NUMBER
STREET AND NUMBER_
OWNER
OCCUPIED AS
BUILDING- -NEW OR OLD (UNDERLINE WHICH)
H. P. OF EACH MOTOR_ _ __ _ - -_ _ - — _ . VOLTS___ _ _ _. TOTAL AMPS_ - -_ _ - _ PHASE
CEILING
KIND OF INSTALLATION__ OPEN OR CONCEALED— KNOB, RX.,, BX., MLDG.. CONDUIT, METALLIC TUBING
FLOORS
BASEMENT
FIRST
SECOND
THIRD
FOURTH
REMARKS
BY
BRACKETS RECEPTACLES SWITCHES STOVES WATER HEATERS SIGNS OTHER APPARATUS
FIXTURES ONLY
NUMBERS OF
LIGHTS CEILING
RECEIVED BY INSPECTOR
PROGRESS
WILL INSPECT AGAIN
ROUGH WIRING
FINAL No.
CORRECTED
TEMPORARY _ DAYS.
DATE ISSUED
BRACKETS
APPLICATION
WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR
SPECIFICATIONS
TOTAL
OUTLETS
_ - .SUBDIVISION
OCCUPANT_
MAIN
CONTRACTOR__ - - - -__ — - � INSPECTION WANTED
SIDE_
SIZE OF
SUBS
SPACE BELOW FOR INSPECTOR'S USE ONLY
ADDRESS
INSPECTED
FEE REMITTED
No. f
DATE ✓ r3„ rr 1 193
SIZE SERVICE No.
I CONDUIT CIRCUITS
BRANCHES
I
INSPECTOR
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N2 7506
Work to be performed under this Permit
of
Building
4
Contractor's
License No.
Legal Lot Bl.
Description
Address of
Building =,i , '
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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w'th 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 tie 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.
Signed: a. , 1 , By "T r
INSPECTOR '
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and egulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shoes Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
Subdi-
vision
Value of
Project
Amt. of
Perriit
BY AUTHORITY
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miarii Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Permit
MIAMI SHORES VILLAGE
Owner's Name and Address _ —__ __,_— __ —_ —_ _,
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
i
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. 4
Amount of Permit $
STATE OF FLORIDA, k
COUNTY OF DADE. es.
No. Street_
_ Block_ _ ______ _______________ Subdivision__-_ -- -___
(Signed)
Street
Repairs ____ No. of Stories ________
______
Service Overhead Size Feeders Conduit.___ —__. Main Sw _ Amps. Main Fuses ____________Amps.
Underground
Type of Installation— Conduit Tubing_____ __ B.X.L. _Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) - - - - -- –
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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 construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public. State of Florida
Street— __.._— _.__—_`___
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 workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'8
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miarii Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Permit
MIAMI SHORES VILLAGE
Owner's Name and Address _ —__ __,_— __ —_ —_ _,
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
i
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. 4
Amount of Permit $
STATE OF FLORIDA, k
COUNTY OF DADE. es.
No. Street_
_ Block_ _ ______ _______________ Subdivision__-_ -- -___
(Signed)
Street
Repairs ____ No. of Stories ________
______
Service Overhead Size Feeders Conduit.___ —__. Main Sw _ Amps. Main Fuses ____________Amps.
Underground
Type of Installation— Conduit Tubing_____ __ B.X.L. _Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) - - - - -- –
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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 construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public. State of Florida
Street— __.._— _.__—_`___
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 workmanship.
t
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 52o / 4 8 Job Address � f 3D ► . . q n-` P( Tax Folio // ' . O S - d d ?CO 66
Legal Desciiptionilq-f CoJ. 4 �t S � c�i� �� E�1�Ii storically Designated: Yes
/ Tenant W 4 F-445._ L.0 1 S 1 ca f C vvq Master Permit # 2- 06,
Owner's Address ) 0) ITG q P( , �iCt�,v�, sitorm . �C
Contracting Co. fr'si GI-e l C . � 1 ) L• Address 5200 Sec) C 141 :,.7Y; A44 33/2 /
Qualifier i=1• �eS GpQ� SS# Phone 5 q 9 30 /
S t a t e # Erg —ao) P , M u n i c i p a l # 30 - 3 9,130(A1 ( A 1 tL Competency # 4 1 6Eoa -/ o Ins. Co. �D ■∎G
Architect/Engineer X. C- . oo? S Address 52q Sc.o (c3 Di 144 l iar 3 'i S
• Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL\ PLUMBING MECHANICAL ROOFING PAVING
WORK DESCRIPTION 1 Q,-ri Cal to -r
1
Square-Ft I , 6P) O
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 wor ill be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor do the work stated.
e.�
S ignature of owner and/or President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT SX/'cO RADON
Phone
ro.u.) 1). -e41 (4 O LA. £-e a 1/7 � o 5,
Estimated Cost (value) 7, Od
Signature f Contractor or Owner -Build
.em . � , •
Notary as to Contractor or Owner - Builder
My Commission Expires:
C.C.F. NOTARY
BOND
No
OFFICIAL NOTARY SEAL
JULMANCIA PEREZ
COIMAISSICR NUMBER
CC613298
MY COMMISSION EXPIRES
JP 13,2001
TOTAL DUE
FENCE SIGN
Date
Date
APPROVED:
Zoning Building Electrical t / Y t# Y 5-8
Mechanical Plumbing Engineering
ITEM
BATH TLS
UNIT
i �..
ITEM
SWITCH OUTLETS
UNIT
IA
ITEM
- SPACE IzATERS
UNIT
FEE
BIDET
1111
_
LIGHT CUTLETS
KRIM
CENTRAL HATING
IIII
DIS fl AS11ER
DISPOSAL
-
RECEPTACLES
Kin
- ",o
A/C (WINO)
illi
SERVICE TEMPORARY
IIII
A/C (CENTRAL)
iiIII
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
=Ma
DUCT Wm
MI
FLCOR GRAIN
SERVICE REPAIRMTER'CHANGE
REFRIGERATION
NI
GREASE TRAP •
APPLIANCE OUTLETS
:
735
PROCESS AN, PRESS PIPING
INTERCEPTCR
RANGE TOP
/
an
UMERGRa11`0 TANKS
n
LAVATORY
--
OVEN
ABOVE GRUM TANKS
LAUNRY TRAY
wA ?EA HEATER
11111
wIrli
U.F. PRESSLRE VESSELS
STEAM BOILETRS
NMI
CLOTHES WASHER
MIN
1CT(RS 0- 1 FP e, faw
S i01YER
%0TORS OVER 1- 3 FP
'_
HOT WATER BOILERS
;INK. POT/3 COMP.
MOTORS OVER 3- S FP
KrEC4WANICAL VENTILATION
S INK. RESIDENCE
6CTORS OVER 5- 8 FP
TRANSPORTING ASSEMBLIES
SINK. SLOP
--
l.oTORS OVER 8- 10 FP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
-'
MOTORS OVER 10- 25 FP
III
.
FIRE SPRINKLER SYSTEMS
URINA.
MOTORS OVER 25-100 FP
COOLING TOWERS
WATER CLOSET
mum
MOTORS OVER 100 FP
M
VIOLATION
INDIRECT WASTES
M
A/C WINDOW
REINSPECTIOH
WATER SIPPLY TO:
mom
AIR CONDITIONERS
IM!
-
A/C UNIT
FIRE SPRINKLER
IIIM—
STRIP HEATER
GENERATCRS TRANSFORMERS
MUM
M
.
HEATER -NEW INST.
E_
GENERATORS TRANSFORIEAS
HEATER - REPLACE
MINIM
GENERATORS TRANSFORMERS
i=
LAWN SPRINKLER -WELL
IIII
V EC IAL PURPOSE
MEI
S1Y I Md 1NG POOL
�
•
OUTLETS COMl+CAC IAL
WATER SERVICE
al
�EWEA CbNNECTiDNS
SIGN TILINSF lm(RS
-�
tJT I L I TY -SEWER
Mill
SIGN TIME CLOCK
IIIIII
UTILITY -WATER
IIII
_
FIXTLRES
SEPTIC TANK(
N
ANTEN*{A
MI
MI
RELAY
TELEVISION OUTLETS
MI
1
URA! NFIE4D, 4' TILE/RES.
VIOLATION
-11111
PUMP & ABANDON SEPTIC TANK
M
REINSPECTION
111=
SOAKAGE PIT CU. FT.
:ATpi BASIN
�
=
DISCHARGE WELL
� �
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
313hEsT IC WELL
AREA DRAIN
�
—
100E INLET
IOLAR WATER HEATER
'��_.
7 IRE STANDPIPE
__
WI PIPING
.AWN SPRINKLER SYSTEM
RANGE
I �
SER (GAS)
AS
AS PIP1 PIPING
�
Sy4.
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PE RMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUHSEQtI T ,'REPLICATIONS.)
q O FL- D
PLUMBING ELECTRICAL 64) - C MECHANICAL
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 5 jeDiq Job Address q 2) OI N Q 1 Tax Folio 1 1 32- 0 5 00 7 00 (' C)
Legal Description to,4 0 4 ( i . Q' 5 Solotea rkleg listorically Designated: Yes No
4 - ( 4
Mas r P t q
/ Tenant M e. H eS . LA) 1 s 1 A;N C.Aet �
Owner's Address I We 0 1 44 ` Q( S he re-s
Phone
Contracting Co. co -b 1 G 1 PJ G. Address SS 00 •C,c) G /41 I If''. ' �v✓Li
Qualifier b.,-A3 D S GO SS# Phone o) S ty_
s t a t e # E(2- -Om 0- -7A Municipal # 1 j O - / 3 5 44 if c o m p e t e n c y # C ( „ T [X) W) Ins. Co. N1X ' CS v
Architect/Engineer a. 6 To . Address E 2 4 3 St.J 62_22 ff ' a ,1(3 3 / .cS
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING LECTRICA
WORK DESCRIPTION �► e - C�-� -�o r
p„ v” ? q va ►2 cam . F . T
Square Ft.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT L(,�m0 RADON C.C.F.
Address
Address
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
SW i r» v 1Iv\9 r00 l I vl ( 4 4 S(vt q O
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, I authorize the above -named contractor to do the work stated.
CY ' - �. - mom
Signature ojZontractor or Owner- Builder
Date
di ' r ' t LA
Notary as to Contractor or Owner - Builder
My Commission Expires:
!qP
D�PFtY PUB ULMANC A PEREZ
2 y ` 0 COM &1SSON NUMBER
` Q CC613298
7 t' • . c2 MY COMMISSION EXPIRES
e' e" Ft. JAN. 13,2001
TOTAL DUE
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering
IT&
BATH TLS
UNIT
l
I TBI
SxITCI CUTLETS
UNIT
FEE
ITEM
SPACE BEATERS
UNIT
FEE
_
®IOET
LICP{T CUTLETS
CENTRAL DATING
O[SMASHER
_
AECVTACLES
,
A/C (WINO)
DISPOSAL
Scat/ ICE TEWOf1ARY
A/C (CENTRAL)
OR I NK I TG FOUNTAIN
SERV ICE SIZE IN A1PS
UT WORK
FLOOR GRAIN
s a y ICE REPAIR/h€TER. CFIXE
REFRIGERATION
LEASE TRAP
APPLIAPCE CURETS
PROCESS AND PRESS PIPI
I NTEF10EPTCA
RANGE TOP
UPCERGROUTC TAMS
LAVATORY
OVEN
ABOVE GROUND TANKS
._
......d
.
LAUNDRY TRAY
WATER NEATER
U.F. PRESSLRE VESSELS
CLOTHES WASHER
JOTS 0- 1 HP
STEAM BOILERS
HOT WATER BOILERS
SHOWER
MOTORS OVER 1- 3 HP
SINK. POT/3 COMP.
1GTCRS OVER 3- 5 H
MECHANICAL VENTILATION
SINK. RESIDENCE
MOTORS OVER 5- 9 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
OTCRS OVER 8- 10 FP
ELEVATORS/ SCALATORS
TEWCRARY WATER CLOSET
XITCRS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
_
MOTORS OVER 25 -100 1P
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 f
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR COPOITIONERS
A/C UNIT
STRIP HEATER -
-
-
FIRE SPRINKLER
GENERATORS TAAPSFORhERS
e �.
HEATER - HEW IPST.
_
CENERATtRS TRANSF011AFRS
`
w
NEATER - REPLACE
GENERATORS TRAt�SFRS
LAWNSPR I NXLER -WELL
SEC IAL PtAPt?SE
SW 11414114G POOL
OUTLETS =IOC 1AL
WATER SERV
SIGN TUBES
aE11ER CONNECT I OPTS
SIGN TRAt15FCR1R5
SIGN T IIIE CLOCK
- - —
UTILITY -SEWER
UTILITY -WATER
F I XTI.RES
SEPTIC TAN(
ANTENNA
RELAY
TEEN ISION OUTLETS
ORAIHFIELD, 4' TILE/RES.
VIOLATION
III
PUMP & ABAPOON SEPTIC TANK
?
RE I NS?ECT ION
IMO
IIII
SOAKAGE PIT CU. FT.
/4 Pdsofa .
:AT01 BASIN
)ISCiARGE WELL
_
-
DIE STIC WELL
,
�
AREA ORAIN
o
OOP INLET _
L
_
�_
ALAR WATER HEATER
'IRE STANOP1PE
_ -
COL PIPING
_�
AWN SPRINKLER SYSTEM
........
AS RANGE
_
III
ETER SET (GAS)
IIII
.LS PtPIPC
IIIII
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.)
dr50 WE PL o c P6Ic )
PLUMBING ELECTRICAL
MECHANICAL
a i. sa.do i.wet.. q 170 RR 12
4
PLAN REVIEW COMMENTS
PROJECT NAME: / �Co�
PROJECT ADDRESS: 7i//t-'F._ 9 /
REVIEWER:
SHEET NUMBER:
0./
COMMENTS / 26 .7/ ' '` LO
o'AJ
Signature of Inspector Title
DATE : 7 - '� / / �/9 t'
/` /
y ore„1, , ,
Date Signed Total Number of Hours
(PLEASE TURN IN A COPY OF THIS FORM AS YOUR TIME SHEET: FOR ALL PLAN REVIEW)
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date S/2o 1 q $ Job Address C } ) D I . � �^ ' �( Tax Folio
Legal Description N4 f Gov' . 4 Se 6 f & i e ?Eqekstorically Designated: Yes
/ Tenant 4 1-4 q'S i
Owners Address C l - 01 N" itiat.; 5'li ( , Fe
Contracting Co. fr .iCEO et-e TR J r_ I oc.
Qualifier NJ e C_0 SS# Phone 52GP — q 30
State # En. -d0) 8
Architect/Engineer . . G . G,r o . Address 524 3 S Gr) (3 cf 144 C 3 3/
Bonding Company Address
Mortgagor Address
Mechanical
Square Ft l / (rr P) O _
GZ<L -�Cj
ignature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Dare
My Commission Expires:
FEES: PERMIT Z 8! RADON
( / OS Oz) 7Go 60
vi Ca (q v,a Master Permit #
Phone
Address 5200 Sc) g l41 1 A-4'4 , -/ 33/
Munic al # 3 o -3 9)A3 s oL(1 L Competency #'16 ECQ) -/ O Ins. Co. /1/0 ✓G C4,Ft.ted.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION -g Qr-v Cet.I aJ ULd t S-e Ct vi td lac C t l
Estimated Cost (value) y 7, °d
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 FLNANCING,
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 worm, ill 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 Contractor or Owner - Builder
My Commission Expires:
Sign
f Contractor or Owner -Buil
C.C.F. NOTARY
No
x06 2.— Y ' 965
O Pli 60 JJULMANc1A► HE
G � Q
Q 1A'! cc t3CP�S
o- � p CC613298
Q J»1. 13,2001
BOND
TOTAL DUE
Date
qt./
Date
APPROVED:
Zoning Building Electrical 1Z � /se" / 5-B
Plumbini Engineering
ITi:N
BATH 11.8
BIDET
UNIT
F:
IM
SR I T4`► OUTLETS
LI0-7 CUTLETS
IAIIT
'24
Mil
ITEM
- SPACE HEATERS
-
UNIT
FEE
CENTRAL 7TING
AJC (1fIPO)
0IWf(ASHER
AEC_ TACLES
DISPOSAL
SERVICE TE'IPCR/AY
goo
A/C (CEKTRAL)
1T M ?K
ORIHKING FOUNTAIN
SE.RYlO SIZE IN AIDS _
FLOOR ORA I N
SERV 1a AIPA'METER ' CHAFGF
REFR IGEIIAT ION
CR EASE TRAP •
APPl:AICE afToS
:3
PROZSS ANC PRESS P IP (43
INTERCEPTER
R.U4- TOP
/
/
/
.. UFCERGROLIFO TAM
ABOVE GRUM TANKS
OVEN
IAVATCRY
U.F. PRESSLRE VESSELS
• STEAM BOILERS
(ATE HEATER
LAUICAY TRAY
NCTt S 0- 1 If f',Ct aLE '
CLOTHES HASHER
SFtOWER
►
NGTORS OVER '.- 3 P
ter WATER BOILERS
LINK. POT/3 cop.
$
I)OT S OVER 3- S If
IECHANICAL YEW ILATION
SI RESIDENCE
CTS OVER 5- 3 'rP
TRANSPORTING ASSEti€LIES
S i NK . SLOP
(ATCRS OVER 3- 10 FP
ELEYATCRS/ESCALATORS .
_+
TE'PORARY WATER CLOSET
,QM OVER 1C- 25 FP
F IRE SPR 9OQ.ER SYSTEVS
UR I NAi.
bOTOIS OVER 25-10) FP
COOL IF3 TOWERS
'HATER CLOSET
SQTCRS OVER 100 M
VIOLATION
I WASTES
A/C xIWOW
RE INSPECTION
WATER SLPPLY TO:
AIR =4) IT IONERS
/
f
A/C UNIT
STRIP HEATER
F IRE SPRINKLER
GEME='.4TCRS TRIJOIRUM
HEATER -NEW I NST .
C NER TORS TRANSFORFiE?S
HEATER -REPLACE
GENERA TO1S TRANVERIE'
LAWN SPR -WELL
SPEC Lk PU1POSE
SW I WING PM.
alT1.:7S 03AERCUIL
WATER SERVICE
SIG( T1&S
SEWER CONNECTIONS
SIGN TRANScatiES
-- _
UTILITY- SETTER
SIGN TINE CLOZC
UTILITY - HATER
FIXTtRES
'f
e
SEPTIC TANK
AHTE9A(A
RELAY
TELEVISION OUTLETS
..
3
ORAI?G IELD, 4' TILE/RES.
V IOLATION
PLW & ABANDON SEPTIC TANK
RE INSPECT ION
-
SOAKAGE PIT DJ. FT.
:ATCH BASI
) I St's MARGE WELL
,XOIdESTIC WELL
A REA ORA I N
OF INLET
ALA! WATER HEATER
'IRE STANDPIPE
'COL PIPING
AWN SPRINKLER SYSTEM
;AS RANGE
TER SET (GAS )
_....._._
AS PIPING
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
—s eetn . a rflr
IF A MASTER PERMIT HAS B.
(AN A.Pi?LICA=ION FOR BUILDING 3= ?y =- MUST ACCO:'13 Tats AIME/CNI#
OBTAINED, THE OWNER S NO'A?.iZZJ SZGNAT ? N :sal BE PRESENT ON SIIHSEQ T .t. LICATIOUS. )
ELECTRICAL 6t)51.-
i-ian4E
MECHANICAL
aFio, 1 , w ca jln IC,' 1 III1 1.1 _Jc •try c1c_ e
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 512 0 )Gl Job Address q 0) A) E ^ PI Tax Folio I / 3 2. 0 5 0 0 7 00 6, 0
Legal Description (a.4 04 (a J . 4- l 5 501,066v P CHlistorically Designated: Yes No
CAI / Tenant
r r
M e. � M � . Lv 15 I� Acl� Jin.� Maser P �� =+ # 2 �2
Owner's Address ctoi N ot (4,,A, S Ana reS, Pe Phone
Contracting Co. A\ t ■3 CO &" 1 C. z 1 I's) G Address 5 2 0 0 Su) J 1.7¢-fr.
Qualifier FN(1J D 2.a S c-00-A> n ss# Phone I DE) S 2 -q . -// be
s t a t e # E . -on) 4')- 7 Municipal # &)- AI) 441 Competency # qt, 7LY7.1 r71ns. co. NcVACAS o
Architect/Engineer 1 6 it), ? � 1 ■AG.. Address S 2 4 3 Sc.) & cf /J4 F( 3 / ,c-s'
B Company Address
Mortgagor Address
Permit Type (circle one): BUILDING LECTRICAI PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION EGl P_c- ca -(or Sw I M v/11 Y' {Q O 1
Square Ft Estimated Cost (value)
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT 47/-17 RADON C.C.F.
APPROVED:
Zoning Building Electrical
Mechanical Plumbing
I oc14 -4( ) poo
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 work stated.
Signature ontractor or Owner - Builder Date
Notary as to Contractor or Owner - Builder
My Commission Expires:
BOND
TOTAL DUE
6f ZD f / $
Date
OFFICIAL NOTARY SEAL
JULMANCIA PEREZ
COMMISSION NUMBER
CC613298
MY COMMISSION EXPIRES
JAN. 13,2001
Engineering
ITEM
BATH TLS
UNIT
_
I U! 1
IT:U
S7ITC`i QITLETS
IAtIT
Fri
ITEM
sna ^EATE'rtS
UNIT
FEE
BIDET
L lair iT CURETS
CENTRAL HEATING
0IDAVASPIER
AEcTACt.ES
2
A/C (NOM
0ISPCSAL
SERVICE MCCRARY
A/C (CENTRAL)
OR I NK I TG FCUNTA I N
SERV ICE SIZE IN HIPS
MDT K31K
FLOOR 0RA IN
S EAV IC: REPA (METER • OWGE
REFR IGERAT ION
I (EASE TRW
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UFOEROW43 TANKS
LAVATORY
[OVEN
A&VE ORCUTO TANKS
`—
LAUNDRY TRAY
WATT WATER -
U.F. PRESSURE VESSELS
CLOTHES KASHER
1,CT iS 0- 1 IF
2
STEAM BOILERS
SHOWER
%OTCRS OVER 1- 3 FP
HOT RATER BOILERS
SINK. POT/3 CC6P,
1QTCRS OVER 3- 5 HP
VECHAH1CAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 NP
TRANSPCRTITG ASSEMBLIES
SINK. SLOP
MOTORS OVER 8- 10 FP
ELEYATC3iS/ESCALATGRS
TE',PORARY WATER CLOSET
GTOtS OVER 10- 25 PP
FIRE SPRINKLER SYSTEMS
UR INAL
MOTCRS OVER 25-1aO HP
COOLING TOWERS
WATER CLOSET
WTt31S OVER 1W HP
VIOLATION
INDIRECT WASTES
A/C KI W?
REINSFECTION
WATER SIPPLY TO:
AIR CONOtTIONERS
A/C UNIT
STRIP NEATER
FIRE SPRINKLER
GENERATORS 111u4SFEANEAS
HEATER -NEW INST.
c-i rCRS TRANSFORM
NEATER- REPLACE
GENERATORS TRANSFOItERS
LAWN SPRINKLER - WELL
SPECIAL PURPOSE
SWIMMING POOL
=ITS CDIAEERC1AL
WATER SERVICE
SIGH Tugs
-
SEwER CONNECTIONS
SIGN TRANSFCAMERS
- -
UTILITY -SEWER
SIGH TIME CLOCK
UTILITY -MATER
MILKS
SEPTIC TAU(
ANT9*(A
■
RELAY
TELEVISION CUTLETS
R4INFIELD, 4" TILEiRES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
,4 4 e, .
:ATCH BASIN
IISC'1ARGE WELL
DOESTIC WELL
_
SREA MAIN
100F INLET
MAR WATER HEATER
-
•IRE STANDPIPE
N PIPING
AWN
AWN SPRINKLER SYSTEM
As RANGE
ETER SET (GAS)
- r
AS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING P=?" MUST ACCOMPANY THIS ADDaTDUH. :F A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED S ICNA_:+'cRE NEED NOT BE PRESET ON SUBSEQUENT.' 2LICATIONS . )
U L NE `1 rL , C;-ac. -�
PLUMBING ELECTRICAL
7/SR 9q, qn-
MECHANICAL
a6el 1 L/5. sa.AoUS LWeLim eirr.r-+:170
PLAN REVIEW COMMENTS
PROJECT NAME:
.v j -N
PROJECT ADDRESS: 7.-;;// 9A4
REVIEWER:
SHEET NUMBER:
COMMENTS e 2 S >;" 5/' ct-- /`' l/ �?� /✓ r
L T / A e e :rte
Y ePe'A',P' r' - �r G, �
-11 Kj�rA , � rows 71e'/- e �� l
AYGIC, "6-
9 _ 09.) 77
DATE : Z d /
Signature of Inspector Title
Date Signed Total Number of Hours
(PLEASE TURN IN A COPY OF THIS FORM AS YOUR TIME SHEET: FOR ALL PLAN REVIEW)
Date
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
7/ 9 ifPlitifir o ,33
63 // i Job Address 7 3 0 I A/ ` 4 `�' Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant /l,(! /.f 6 ft?u+ 4 - • Master Permit # Vol g - � %514'7
Owner's Address
Contracting Co.
Qualifier
State # Municipal #
■
Signature of owner and/or Condo Pre .' i ent Date
Notary as to Owner : .ior Condo President Date
My Commission - •ices:
FEES: PERMIT1. RADON
5- 7,5Q
/0 b
q 3o/ Ne 9 Pi
�R/1 . IcArl vN
SS#
Phone 3 tp -r - 9S- 36%
Address 2 /20 t/ fIf WAY 4409 47/6. X17 -v t,a.a, 33/l
Phone A.s ;/ -Pf3'
Competency # Co. 99‘' D q ail /S4 j An A9-40
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING LECTRICAL ' LUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION � , f L ?�J ./J T,EL. D;4 w �O oth 1t . 472 .
8/k k N « frtum , 4au FA_ com,o2Zc„, raj met i d Ce s& r. '
Square Ft, Estimated Cost (value) X O ®O
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.
1
Signature of Contractor or Owner- Builder
— 7/C/e
Date
i C'S 1 (j 7 /g /Pr
Notary . •. • 11 • • . Date
• OFPGAL N • 5 ' • � '
My Co a�i�i$'2' � i *ARoARnTA mowTI..'
jwy rr
9 6 d : r e - t t) ,r
OF OP DEC. 17,2;102
1 ,2JD ?.
C.C.F. NOTARY BOND
TOTAL DUE
APPROVED:
Zoning Building Electrica
Mechanical Plumbing Engineering
c
ITEM
BATH TLB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT CUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WINO)
OISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN WS
DUCT WORK
FLOOR CRAIN
SERVICE REPAIR/6€TER CHANGE
REFRIGERATION
GREASE TRAP
_
APPLIANCE CUTLETS
PROCESS ANO 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 If
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEOLIES
SINK. SLOP
MOTORS OVER 8- 10 hP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 Flt'
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
SW I I&4I NG POOL
OUTLETS CCMIMERC IAL
WATER SERVICE
,
SIGN TUBES
'
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLccx
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA •
RELAY
TELEVISION CUTLETS 4
ORAINFIELO, 4' TILE/RES. -
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
,
SOAKAGE PIT CU. FT.
7ECc;p1144
th
47 S
CATCH BASIN
CD'NOv f
/a
DISCHARGE WELL
/L-4957-'PA
.,._—
DOMESTIC WELL
�-
AREA CRAIN
--
ROOF INLET
SOLAR MATER 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 B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
OI SEA X''
OP E
I OUS A �
cord r g PL
LEC�R c
r 'WcE � c2'oR �oUC
P
poi? poi?
YoU
EP
D AT ES
` 011
T ro i s
1010