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MECHANICALBUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building Architect Contractor 1 or Builder Legal Lot Description II B1 Address of ' 1 Building { f CONTRACTOR OR BUILDER N° 7415 Work to be performed under this Permit rP. DATE ' 19�` Contractor's License No. Subdi- vision Value of Project $ Amount of Permit $ 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 applica- tion 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 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 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 regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT ' `' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 05'i5 / D ( Job Address 3 3 IVG 9Z Si Tax Folio Legal Description Owner/Lessee / Tenant 4 - 1(4(,fl (1) ,1I/t ko 533 3 t4 c)7 ` � Owner's Address , Phone Contracting Co. Qualifier WORK DESCRIPTION Municipal # aUR f ) 14t h' 031/10 Signature of o'ner and/or Cond President (1 Date Notary as to Owner and/or Condo President Date My Commissi@rpiregUC .53, S. Ai Notary Public, State of Flom 57/ of My comm. exp. June 21, 2004 Comm. No. CC947378 FEES: PERMIT V RADON APPROVED: 1 Building Historically Designated: Yes No # f fc of � - L/ 9 /q/ D2S j Address ` j S.•3 8 S u/ 1 S 1 Master Permit SS# ? hone 0 c/V6 - 6030 State # C50 �✓ C 7 f7 Architect/Engineer Bonding Company Mortgagor Address Competency # `65 3 Ins. Co. S T PA v L C CB Address Address Permit Type (circle one): BUILDING ELECTRICAL PL�UMBING MECHANICAL � OFING PAVING FENCE SIGN 3 To / S - TO w p.„A S is I C Square Ft. / c a Estimated Cost (value) 4,3/ kB ® ° /S WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR LMPROVEMENTS 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. C.C.F. (° NOTARY I Electrical TOTAL DUE/53 gignature, ontractor or Owns - Builder Date 2iG - 0O& 30 -0 /2 -o No ARY Date My Commission E pires: GLADYS J VILLAR NOtARY PUBLIC STATE OF WRIDA COMMISSION NO. CC714103 & f COMMSSION EXP. MAR. '1,2CO2 BOND Zoning I Mechanical /` "'-' Plumbing Structural Engineer JOB NAME ADDRESS Different 1. 5. CONDENSOR MODEL # HEAT PUMP TYPE YES EER MIAMI SHORES VILLAGE AIR CONDITION REPLACEMENT ,QA'1 ,ti bJ r/(en / o-?z 3 3 4902 St location than above? HOUSE MAIN ELECTRIC SIZE AMPS 0200 2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE AIR HANDLER BRANCH CIRCUIT:WIRE SIZE 3. SIZE OF EXISTING COMPRESSOR DISCONNECT: g AMPS. TYPE: SIZE OF EXISTING AIR HANDLER DISCONNECT AMPS. TYPE: 4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? EXISTING UNIT TO BE REPLACED !/ OR RELOCATED CONDENSOR MINIMUM CIRCUITS AMPS MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: CONDENSOR AMP SIZE AIR HANDLER AMP SIZE EXISTING CONDITIONS NAME PLATE INFORMATION FROM EXISTING UNIT PACKAGE MODEL # A.H.U. MODEL # NO KW HEAT STRIP SIZE NAME PLATE INFORMATION FROM NEW UNIT BEING INSTALLED MAKE g►d bo 0411 or/. CONDENSOR MODEL # 4 B& 036,3-612- HEAT PUMP TYPE YES NO V CONDENSOR MINIMUM CIRCUITS AMPS yQ A.E.U. MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: CONDENSOR AMP SIZE IP AIR HANDLER AMP SIZE 5 - 0 EER 12 . ' 12'. vA SIGNAT • OF QUALIIER WIRE SIZE D & CIR. BKR. SIZE ilc FUSE SIZE SW & CIR. BKR. SIZES() FUSE SIZE •^ SW YES NO A.H.U. MINIMUM CIRCUIT AMPS FUSE HACR CIR. BKR. FUSE HACR CIR. BKR. PACKAGE MODEL # A.H.U. MODEL # KW HEAT STRIP SIZ MINIMUM CIRCUIT AMPS FUSE 6 4S CIR. BKR. FUSE, - CIR. BKR. FUSE HACR CIR. BKR. 4 FUSE HACR CIR. BKR. 5 CERTIFICATE NUMBER ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING /4, (QkJ DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL )3 DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE 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 MOTCRS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 If FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 IP 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 M11 I NG POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. :ATCH BASIN )ISCHARGE WELL )OMESTIC WELL AREA DRAIN 100F INLET ;OLAR WATER HEATER 'IRE STANDPIPE 'OOL PIPING .AWN SPRINKLER SYSTEM ;AS RANGE ETER SET (GAS) AS PIPING . 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.) PLUMBING ELECTRICAL MECHANICAL