1998 AC REPLACEMENT 725 NE 91 ST 4-DDate
q
• PE
MIT A
Job Address 72S M q/ Tax Folio
Legal Description
Owne?s Address 1Z6 V E t" ► I
Contr Co. "(T if V1 E \ 1 I C
APPROVED:
Zoning
Mechanical
PLICATION FOR MIAMI SHORES VILLAGE
Address
e l/
39A- a:e 1 1,65 Estimated Cost (value)
Building Electrical
i t 1 C o
Historically Designated: Yes No X
Owner/Lessee / Tenant C:1 ZOk h KY Master Permit # ( 42
Phone (cs) 167 —
Qualifier /(( r �J �✓ `^ ss# a66 - _3/c(4 Phone C �� ) ? 033ga
State # ti? OD/ L/ / p Competency 7Y
J Municipal # Com ten # 4 � E� �' 6 7 Ins. co.
Address
Architect/Engineer
Bonding Company Address
Mortgagor Address
Permit Type (cihla one): BULL DING JELECTRICA 4p/-1 PLUM . ING MECHANICAL ROOO FING PAVING FENCE SIGN
WORK DESCRIPTION Vt S' oxe Ai c, yy �-I-'CiiA'l • /v 'ti /c/ 7'
' ? r { -gray h Art - Co(t1C41. 4 ( ci G rtS�� 0 Ay Orply %� C C �s�
300 , —
o. �0R.,/
WARNING TO OWNER: : YOU MUST R EcCO:t 1 A NOTICIE °i IF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUL°3 LAYING TWICE FO "t IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WIITIEI YOU Pt 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.
Af t / z6-er-7/;-‘ 7- 3/5
Signa+.ire of owner and/or Conde President Date Signature of Contractor or Or -B ; 11er ate
(cl—
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date
My Commission Expires: My Comm issien Expires _ --- . - - - -_ //� �%
, ;'0. ' ' 7 .3!.G.1':. oVQ WV Q E 1
S 7 ;
FEES: PERMIT �� .. ® RADON C.C.F. NOTARY >� . BOND
TOTAL DUE
Plumbing Engineering
ITEM
BATH TLB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
-
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN MPS
DUCT WORK
FLOOR MAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
OUTLETS
PROCESS AN0 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 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLCSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTCRS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
I MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
t A/C 'WINDOW
AIR CONDITIONERS
J
REINSPECTION
WATER SLPPLY TO:
A/C UNIT
r
STRIP HEATER
3 I.
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIM4ING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLGCX
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
ORAINFIELO, 4' TILE/RES.
VIOLATION
PUMP 8 ABANDON SEPTIC TANK
RE INSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPI%
- 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