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898 NE 91 Terr (7)RECERSED PERMIT APPLICATION FOR•MIAMI SHORES ViLL. I li 5 2003 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 h a % 5-756-8972 'Ye Date Job Addr �C • y/ 7 Ad Tax Folio 11-32 Ot 00.1 /0 7 r Legal Description .GOT% 4.f/I7 rhee �igs " %' ' e �% C ' .� % Historically Designated: Yes Name Address Co No l,�Lyc4 J v/` G:o4©e'.c e /We 1). /7,ie7?J .e 3,9 - e /go /� Owner /Lessee/Tenet.s�� � OL�:J g' /lC C Permit 4 D Zb 0 3 -56 91-4e. 2003 1(0. Owner's Address J 9� �L' J jeei � Phone 3 S • J'/ - 14- /)tr.l A be lei 1 Cf T Address i It (De. 5 l 7 - • Qualifier4Ll t K l Contracting Co. ss# Phon " ,>)) t45 State # L 17C._ Municipal # '6 7 / Competency # t �U/ �'� I Ins. Co. :6213f IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE 1 : ^ ANOTHER INSPECTION. MIAMI SHORES VILLAGE SAL PLUMBING MECHANIC ROOFING BUILDING DEPARTMENT a ` �' U ./.1 Or C`°l 305- 795 -2204 Building Inspection Requ Dag — V Type Insp' Permit No. Phone # Inspection Approved Correction Re- Insp'n Fee Date _5)24 /1:) & [ (a a Estimated Cost (value) 2'7 7e) ' a ,'OMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN )PERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH OUR NOTICE OF COMMENCEMENT.) In as indicated above, and on the attached addendum (if applicable). I certify that >nstruction in this jurisdiction. I understand that separate permits are required accurate and that all work will be done in compliance with all applicable laws named contractor to do the stork stated. Signature or "iel or OWrtl>iiIMNDQ as , Ae : s Noi❑yPub "c -State of MyCom- ricssion Expiesiun14, 7004 Commission Notary as My Com NOTARY ate Li 3 c BOND A TOTAL DUE 6J, o V Electrical Structural Engineer „CO . 45 ' Co 1 ITEM BATH TLS UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET L I GI-fT OUTLETS CENTRAL HEATING 1— Sk Q DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) /.4 -/ Z. • I "y DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK V va'?'-' FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (MOUND 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 MOTCRS 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 COMAERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS JTILITY-SEWER SIGN TIME CLOCK JTILITY -WATER FIXTURES ;EPTIC TANK ANTENNA 1ELAY TELEVISION OUTLETS )RAINFIELO, 4" TILE/RES. VIOLATION 'UAP & ABANDON SEPTIC TANK REINSPECTION >OAKAGE PIT CU. FT. ;ATCH BASIN )ISCHARGE WELL )OMESTIC WELL LREA DRAIN 100F INLET :DLAR WATER HEATER - IRE STANDPIPE 'OOL PIPING • .AWN SPRINKLER SYSTEM SAS RANGE ETER SET (GAS) ;AS 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.) i PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL