MECHANICAL PERMITDate q to
Legal Description
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
0 q/ s4 .
ob Address / E Tax Folio
caessee/Tenant 13 Pc, rr I n c J C)P
Owner's Address
Contracting Co.
Qualifier
State #
Architect/Engineer
Bonding Company
Mortgagor
n
Ord
-reefieL6
Municipal #
Historically Designated: Yes No
Master Permit #
el 2
` Phone c 5(6— � — 1 I
Tik ress J (q6 vI'OrAi{ l C. ",.3 / �j
ss# -_ Phone -`Z qo ) 2
Competency # 1 ` / Ins. Co.
Address
Address
Address
CHANICAL
io6ce. Co 345n - 4Diria,(65 it4 Oak'
SIB
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING OOFING PAVING FENCE SIGN
Square Ft.
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 construct' en and zonin; Furthermore, I authorize the above -named contt =or t• do the work stated.
Not and/or Condo President
My Commission Expires:
FEES: PERMIT
20z
RADON
Estimated Cost (value) 1 C f.1 0
Notary as to Co wner- Builder Date
My Commission .� e
C.C.F. p NOTARY
BOND
8 ?o
TOTAL DUE/
APPROVED:
Zoning Building Electrical
Mechanical C ��� Plumbing Engineering
ITEM
BATH II 4)
8I0ET
DISHWASHER
DISPOSAL
DRINKING FOMTAIN
FLOW GRAIN
GREASE TRAP
INTERCEPTm
SEPTIC TANK
RELAY
dMINFIELD, 4 TILEIRES,
PUMP & ABANDON SEPTIc TAN(
SO A%E PIT CU. FT.
FIRE STA,4PIPE
!00L PIPING
PLUMBING
CLOTHES WASHER
SHAER
SIM(._POT/3 COMP.
SINK(, RESIDE/
—
SINK, A
TEMPORARY WATER CLOSET
(A I IIAL
WATER CLOSET
INDIRECT WASTES
WATER S(PPLY TO:
A/C UNIT
FIRE SPRINKLER
HEATER-NEW INST.
FEATER-REPLIICE
LAWN SPRINKLER -AELI
SWIMMING POOL
NAM SERVICE
SEER SECT IONS
UTILITY -SEWER
UTILITY -MATER
LAIN SPRINKLER SYSTEM
GAS RANGE
03/07/95 15:24 Ma)
ADDENDUM TO BUILDING PERMIT. APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOH ANT THIS ADDENDUM.
OBTAINED, THE OWNER'S NOTARIZED sIGNAruRE NEED NOT BE PRESENT ON
FEE
LIE
ii
LAVATQRT
L LICIRY TRAY
CATCH BASIN
OISCNWRGE WELL
OO•ESTIC ITU
AREA GRAIN
ROOF INLET_
SOLAR WATER HEATER
METER sET (GAS)
GAS PIPING
SERVICE SIZE IN 1
SERVICE REPAIR/1C
APPLIANCE OUTLETS
RAN3E TCP
OVEN
WATER HEATER
OUTLETS C MERCIAL
SIGN TLBES
SIGN TRANES/I:W m
SIGN TIME CI.=
FIXTURES
ANTENNA
TELEVISION OUTLETS
VIOLATION
RE I N SPECT I ON
ITEM
SNITCH OUTLETS
LIGHT OUTLETS .
RECEPTACLES
ELECTRICAL
SERVICE TEMPORARY
MOTORS 0- 1
MOTORS OVER 1- 3
MOTORS OVER 3- 5
MOTORS OVER 5- 8
MOTORS OVER 8- 10
MOTORS OVER 1O- 25
MOTORS OVER 25-100
MOTORS OVER 100
A/C WINDOW
AIR CONDITIONERS
STRIP HEATER
GENERATORS TRANSF
GENERATORS TRAMSF
GENERATORS TRANISF
SPECIAL PURPOSE
004
IF A MASTER PERMIT HAS BEEN
sUBSEQvENT APPLICATIONS.)
MECHANICAL
UNIT
FEE
ITEM
SPACE FTEATETts
UNIT
FEE
CENTRAL FEAT I NG
...1
At (WINO)
WE (CENTRAL) n
J
S
DUCT WRK
•
R MANGE
REFRIGERATION
J
_
PROCESS AND PRESS PIPING
(ROERGiROKPO TANGS
ABOVE GROI!!O TANKS
U.F. PRESS IRE VESSEIs
STEAM BOILERS
If
NOT HATER BOILERS
HP
MECHANICAL VENTILATION
TRANSPORTING ASSEMBLIES
ELEVATORS/ESCALATCRS
FIRE SPRINKLER SYSTEMS
COOLING TOWERS
_
VIOLATION
REINSPECTION
ERS
ERs
ERS
ITEM
BATH II 4)
8I0ET
DISHWASHER
DISPOSAL
DRINKING FOMTAIN
FLOW GRAIN
GREASE TRAP
INTERCEPTm
SEPTIC TANK
RELAY
dMINFIELD, 4 TILEIRES,
PUMP & ABANDON SEPTIc TAN(
SO A%E PIT CU. FT.
FIRE STA,4PIPE
!00L PIPING
PLUMBING
CLOTHES WASHER
SHAER
SIM(._POT/3 COMP.
SINK(, RESIDE/
—
SINK, A
TEMPORARY WATER CLOSET
(A I IIAL
WATER CLOSET
INDIRECT WASTES
WATER S(PPLY TO:
A/C UNIT
FIRE SPRINKLER
HEATER-NEW INST.
FEATER-REPLIICE
LAWN SPRINKLER -AELI
SWIMMING POOL
NAM SERVICE
SEER SECT IONS
UTILITY -SEWER
UTILITY -MATER
LAIN SPRINKLER SYSTEM
GAS RANGE
03/07/95 15:24 Ma)
ADDENDUM TO BUILDING PERMIT. APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOH ANT THIS ADDENDUM.
OBTAINED, THE OWNER'S NOTARIZED sIGNAruRE NEED NOT BE PRESENT ON
FEE
LIE
ii
LAVATQRT
L LICIRY TRAY
CATCH BASIN
OISCNWRGE WELL
OO•ESTIC ITU
AREA GRAIN
ROOF INLET_
SOLAR WATER HEATER
METER sET (GAS)
GAS PIPING
SERVICE SIZE IN 1
SERVICE REPAIR/1C
APPLIANCE OUTLETS
RAN3E TCP
OVEN
WATER HEATER
OUTLETS C MERCIAL
SIGN TLBES
SIGN TRANES/I:W m
SIGN TIME CI.=
FIXTURES
ANTENNA
TELEVISION OUTLETS
VIOLATION
RE I N SPECT I ON
ITEM
SNITCH OUTLETS
LIGHT OUTLETS .
RECEPTACLES
ELECTRICAL
SERVICE TEMPORARY
MOTORS 0- 1
MOTORS OVER 1- 3
MOTORS OVER 3- 5
MOTORS OVER 5- 8
MOTORS OVER 8- 10
MOTORS OVER 1O- 25
MOTORS OVER 25-100
MOTORS OVER 100
A/C WINDOW
AIR CONDITIONERS
STRIP HEATER
GENERATORS TRANSF
GENERATORS TRAMSF
GENERATORS TRANISF
SPECIAL PURPOSE
004
IF A MASTER PERMIT HAS BEEN
sUBSEQvENT APPLICATIONS.)
MECHANICAL
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