ELECTRICAL PERMIT�krti � AL', i�',� �.W.. i. 't� d ��, "-r�A"'Yna
APPLICATION FOR ELECTRICAL PERMIT
Permit No._, _'�___t�______ Date l/_ L,L V�
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 Miami 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.
-_74,.... ` "' i Y /
i
Owner's Name and Address ___,r_�._,,_ 1 _y_________�___�_____ _. ___ No.___ —_� W. Stteet__1i�_y— _ i-
Registered Architect and /or Engineer �_____��__�_____,._________ �_________ �_ _ �— _ _
Employing Electrician's Name _____ I_ ___( ____(__L.,__1..._4.. LA,_,Li__) No. /1 /1' ' ' Street_ ...t."` y � _ "
1 f .. , k __ Block
Location and Legal Description Lot___�_�_�__li. / __ Subdivision„ 241_
1_
r ' � f �
Street and Number where work is to be performed —No � , ' .ai ` v _____ =et 41 .2 ' .: _ ___?../ _ .�_ _ ________
State work to be performed nd purpose of building (By Floors)
New Building Remodeling Addition Repairs__
Amps. Main Fuses
Type of Installation—Conduit _____ __________ Tubing v___ B.X.L. Metal Moulding
Service
1 •
Underground Size Feeders____ C — Main Sw.
Amount of Permit S_ ��__�_�_ — (Signed)
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.
STATE OF FLORIDA,
COUNTY OF DADE. ss'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No. of Stories
(Signed) — =1 L__ _
r Master Electrican.
Amps.
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 he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public. State of Florida
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'S
FIXTURES
NO.LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
f 14
7
1^
Y
//��
if
/' 1 _.
I
1
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CLI
IST
LIST
1
CHECK
APPLICATION FOR ELECTRICAL PERMIT
Permit No._, _'�___t�______ Date l/_ L,L V�
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 Miami 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.
-_74,.... ` "' i Y /
i
Owner's Name and Address ___,r_�._,,_ 1 _y_________�___�_____ _. ___ No.___ —_� W. Stteet__1i�_y— _ i-
Registered Architect and /or Engineer �_____��__�_____,._________ �_________ �_ _ �— _ _
Employing Electrician's Name _____ I_ ___( ____(__L.,__1..._4.. LA,_,Li__) No. /1 /1' ' ' Street_ ...t."` y � _ "
1 f .. , k __ Block
Location and Legal Description Lot___�_�_�__li. / __ Subdivision„ 241_
1_
r ' � f �
Street and Number where work is to be performed —No � , ' .ai ` v _____ =et 41 .2 ' .: _ ___?../ _ .�_ _ ________
State work to be performed nd purpose of building (By Floors)
New Building Remodeling Addition Repairs__
Amps. Main Fuses
Type of Installation—Conduit _____ __________ Tubing v___ B.X.L. Metal Moulding
Service
1 •
Underground Size Feeders____ C — Main Sw.
Amount of Permit S_ ��__�_�_ — (Signed)
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.
STATE OF FLORIDA,
COUNTY OF DADE. ss'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No. of Stories
(Signed) — =1 L__ _
r Master Electrican.
Amps.
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 he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public. State of Florida
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.
o
a
/0
1
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Legal
Description
Lot /7 w, /¢
MIAMI SHORES VILLAGE, FLORIDA
DATE ' / 1947_
Contractor's /1 jt 9 /
License No f/ (,
Work to be performed under this Permit .444
r
PERMIT N2 5872
Address of # f
Building ' �� �� Project
Permit
This permris•gr5 el to tl"ie contraUttirEf iiuil` er 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 with 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 the 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 ass s the r onsibi y for horough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans o ,.�' • ,ecifications and that he assumes respon-
sibility for work done by his agents, servants or employees. if r`�
Signed. By
Bl.
.
In consideration of the issuance to me of this permit I agree to perform the work coveree ereunder in compliance with rdinances art m alp
•
pertaining thereto and in strict conformity with the Mans, drawings, statements or specificati. s submitted to the proper authorities of Miami ShoTesrilrge.
In accepting this permit I assume responsibility for a work done by J _. eeither myself, m ent, sernt .•. i �
CONTRACTOR OR BUILDER yf . ,,BY f/ AUTHORITY
Subdi-
vision
Amt. of f6 Air
BUILDING
ELECTRICAL
PLUMBING
Owner of / . � ` ;f F�
Building / t 1 : ,1 /; % /
Architect
Contractor
or Builder
Legal
Description
Building �� Address of ; _ , �J � / �( f Value of Amt. o /! Cr
.�� 17,1 j `f' � �=� / , ) i' Project Permit r
This permit is ' granted to the contractor or builder named a to c strict the building or to install the equipment or evice 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 the 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 assu ies the responsibility.for a thorough knowledge of rdinances and
regulations pertaining to the work covered hereby whether shown on the plans or dr�Wings or ja the state ' ents or specifications an tat d ie sumes respon-
sibility for work done by his agents, servants or employees. / / / /` ' �G
Signed%' /�` •%.../ 1 . `' By
INSPE
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with ordinances and'rons
pertaining thereto and in strict conformity with the plans, drawings, statements or speci jeftions submitted to the proper authorities of Miami Shftessi`i age.
In accepting this permit I assume responsibility for all work done by either myself, my Agent, servaryt or employee.
1
Lot
CONTRACTOR C5R BUILDER
MIAMI SHORES VILLAGE, FLORIDA
'PERMIT N? 6344
Work to h„e performed under this Permit 1
Subdi-
vision
BY
( (e (->C,
t
ra
DATE - t t
ices tor'%
/
Licen a No.
AUTHORITY
Permit No.___ _ 6z-i7
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
3/y
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 Miami 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. �
/�-w• tic_ -_ > "�rlo.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot �f
Street and Number where work is to be performed —No j 3
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Service Overhead Size Feeders __ Conduit Main Sw. Amps.
Underground
Type of Installation —Conduit Tubing B.X.L .Metal Moulding
Amount of Permit S
Q G'
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by, Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
ss.
My Commission Expires
MIAMI SHORES VILLAGE
No .. � `� Street 7
_Block
Addition Il Repairs —___ No. of Stories
(Signed)
(Signed)
Date
Street__ Z/146
Main Fuses_
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida .Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub- contracto n work to Jre performed under this it, as are
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
Master Elettrican.
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 workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
•OUTLET
RA GE
WATER
H EATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H EATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No.___ _ 6z-i7
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
3/y
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 Miami 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. �
/�-w• tic_ -_ > "�rlo.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot �f
Street and Number where work is to be performed —No j 3
State work to be performed and purpose of building (By Floors)
New Building Remodeling
Service Overhead Size Feeders __ Conduit Main Sw. Amps.
Underground
Type of Installation —Conduit Tubing B.X.L .Metal Moulding
Amount of Permit S
Q G'
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by, Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
ss.
My Commission Expires
MIAMI SHORES VILLAGE
No .. � `� Street 7
_Block
Addition Il Repairs —___ No. of Stories
(Signed)
(Signed)
Date
Street__ Z/146
Main Fuses_
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida .Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub- contracto n work to Jre performed under this it, as are
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public. State of Florida
Master Elettrican.
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 workmanship.
BUILDING
ELECTRICAL
PLUMBING
el PERMIT N? 5872
Work to be performed under this Perini
Building gf 44
g �
Architect
Contractor
or Builder
Legal
Description
iteZ 6
In consideration of the issuance to me of this permit I agree to
pertaining thereto and in strict conformity with the plans, drawings,
In accepting this permit I assume responsibility for all work done by
CONTRACTOR OR ER
Building of MP 9/.' T
MIAMI SHORES VILLAGE, FLORIDA
DATE
Contractor's
License No.
44 Bl
Subdi-
vision
Value of
Psnied
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in
cation herefor in strict compliance with all ordinances per thereto and with the understanding that the work will be performed in oo- - e
plans, drawings, statements or specifications that may have �g l submitted to and approved by the proper municipal authorities. This P WAY b
at any time if the work is not done in compliance with such ordinances or if the plans are changed thout orization. A further can
permit is granted is the understanding that the contractor or builder named above the ' . ` ar h k nowleddee
regulations pertaining to the work covered hereby whether shown on the plans or � cations aanndi
sibility for work done by his agents, servants or employees. •
' Signed:
perform the or work coVerecl'
speciflcati
myself, my t,
BY
Permit aliatb
Amt f
By
in compliance with all ordinances and
submitted to the proper authorities of Miami Sharer reS*
�. -�- ee.
Permit No.
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 Miami 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.
Owner's Name and Address
Registered Architect and /or Engineer __
Employing Electrician's Name
and Legal Description Lot
Street and Number where work is to be performed —No
Amount of Permit S_
APPLICATION FOR ELECTRICAL PERMIT
0 ' =•
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
State work to be performed and purpose of building (By ,Floors
New Building Remodeling
Date______ •
Street
r
No
Street__ �/ '�1
No .P __ -- -- Street 7 '__'= = __`__17_- —_
Block Subdivision_ _________________________._____
Repairs _____________ ____________ o. of Stories _______
_ - - - ---
Service Overhead Size Feeders ______________ Conduit Main Sw _ Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
M2.in Fuses_
( Signed)
ectrial Inspector.
__Amps.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio 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, pn work to r performed under this pe - as are
licensed by Miami Shores Village. ��
(Signed) E'•�"s r. t - �' I0 - G -
-------- - --- - -- -- --
Master ' ' trican.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
ss.
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public. State of Florida
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'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
•
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
-
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR. IST
LIST
CHECK
Permit No.
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 Miami 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.
Owner's Name and Address
Registered Architect and /or Engineer __
Employing Electrician's Name
and Legal Description Lot
Street and Number where work is to be performed —No
Amount of Permit S_
APPLICATION FOR ELECTRICAL PERMIT
0 ' =•
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
State work to be performed and purpose of building (By ,Floors
New Building Remodeling
Date______ •
Street
r
No
Street__ �/ '�1
No .P __ -- -- Street 7 '__'= = __`__17_- —_
Block Subdivision_ _________________________._____
Repairs _____________ ____________ o. of Stories _______
_ - - - ---
Service Overhead Size Feeders ______________ Conduit Main Sw _ Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
M2.in Fuses_
( Signed)
ectrial Inspector.
__Amps.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio 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, pn work to r performed under this pe - as are
licensed by Miami Shores Village. ��
(Signed) E'•�"s r. t - �' I0 - G -
-------- - --- - -- -- --
Master ' ' trican.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
ss.
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public. State of Florida
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.
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date:09 /12/92 Job Address: 433 North East 91th St. Tax Folio:0..5? / D '7
Legal Description : /M 4 /t5 1 i 5 C" Master Permit# 33 /'Y
Owner /Lessee /Tenant: Kircher
Owner's Address: Same Phone (305) 757 -3905
Contracting Co.: Bennett Electric Serv. Co. Address: 6900 NE 69th St, Miami
Qualifier: John P. Higgins
State# EC0000625 Competency# 000013233
Architect /Engineer: Address:
Bonding Company Address:
Mortgagor Address:
Permit type: Electrical
Work Description: Meter replacement, due to hurricane damage.
Notary as to Owner /or Condo President
My commission expires:
* * *
PERMIT FEE: APPROVED:
Fire
Phone: (305)759 -1665
Ins. Co.:
Square Ft: Estimated Cost: $ 675.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO 1:.10 SO
MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Application is hereby made to obtain a permit to do work and ins as
indicated above, as on the attached addendum ( if applicable). I certify that x.11
work will be performed to meet the standards of all laws regulating constructy:Lon in
this juresidiction. I understand that seperate 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 construw_tion
and zoning. Furthermore, I authorize the above -named contractor to do the work
stated.
,c 0 $ 10 600e ®
!f #i'sof
Signature of Property Owner or Condo Pres. :s.gnat>re AI ?; acVdt or Owner -hs il_der
Date: / Date:
cy '�®
Notary as's.
My comm
Zoning Building Electrical M>
-
■ � 0 ,
, Mechanical Plumbing
e a
o w
✓ /4 w
n
c
1
40, 'Or o Owner bu.i1del
State of Florida
N
* ►ry Cmmrimasion Expires Dec. 12. I' �
rndati'1►r~.+ Regeiuy ins
Other
Engineering
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET •
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIN))
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/MIETER CHANGE
I
,3p°—`
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 FP
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
SW IM+4ING P00L
OUTLETS COMMERCIAL
WATER SERVICE
c
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4" TILE/RES. µ
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
bil Co. INlPAC.T F15E.
I
a5U
DISCHARGE WELL
DOMESTIC WELL
"77) TA L
34.50
AREA DRAIN
•
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
•
LAWN SPRINKLER SYSTEM
GAS RANGE
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
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