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357 NE 92 St (2)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date_________ Time Type Insp'n Final flUc2. Permit No. me ppo3 - 1.50 Name For Inspector: Approved Correction Re- Insp'n Fee Address t&o 35 7 N 31- - ' Company ? 3 noc1(� V i80 Phone # 3W - (Q(0(0-53810 Name & Date 7 0 9 0 Date Legal Description Owner/Lessee / Tenant 1 Q 1 l k c1 Rey► r tgu e Owner's Address e Contracting Co. f-! 1 ► 1 d . I �T I ( R r Qualifier ,( at , • V State # C. od' I Municipal # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING WORK DESCRIPTION n Square Ft. Estimated Cost (value) , DC--I (1)0 • w WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO M, RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCJ1 CONSULT WITII 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) certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that sepal 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 applica laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. ` Si ature of �� and/ r Condo Preside Notary as to Own or Condo President 1)atc _ • My Cornmissice . s: Jose Sanchez i!� MYCOMIYIlSStON# CC985098 EXPIRES �•_;.= November 30, 2004 FEES: PERMIT RADON PERMIT APPLICATION FOR MIAMI SHORES VfT_ ?3Q;= lVE Ij Job Address Tax Folio AUG n 7 2003 BONDED TNRU TROY FAIN INSURANCE, INC -v B lyd� Historically Designated: Ycs - - - -Na Master Permit it ME 2c0?) - 15' Phone F)- 1-(0 - iclOR Address W( Q Sv Phone , " (Q (D-r Competency # Ins. Co. al V' IMECIIANICAO ROOFING PAVING FENCE SIGN Mu) , 2- 3 Signatur f C ntractor • owner- Builder Date Notwy as to Contractor o 0 cr- Builder My Commission Expirctv lw ,, Jose Sanchez , MY COMMISSION • CC985098 EXPIRES .,��. : November 30, 2004 ir ; BONDED TNRU TROY FAIN INSURANCE. INC C.C.P. .g NOTARY Date TOTAL DUE 01 e/c APPROVED: Zoning Mechanical -0,94) 2 f'g Plumbing Engineering iC) t$1.00 C - C � Building Electrical 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. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET - SOLAR WATER HEATER FIRE STANDPIPE P,OOL. P IP I NG LAWN- SPRINKLER SYSTEM AS RANGE PETER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEE OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ITEM PLUMBING BATH TUB BIDET DISHWASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET URINAL WATER CLOSET IHOIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST HEATER - REPLACE LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE SEWER CONNECTIONS SIGN TRANSFORMERS ELECTRICAL MECHANICAL UNIT FEE ITEM SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN MPS SERVICE REPAIR/METER CHANGE APPLIANCE OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0- 1 HP MOTORS OVER 1- 3 HP MOTORS OVER 3- 5 FP MOTORS OVER 5- 8 FP MOTORS OVER 8- 10 FP MOTORS OVER 10- 25 FP MOTORS OVER 25-100 FP MOTORS OVER 100 FP A/C WINDOW AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS. GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMMERCIAL SIGN TUBES UNIT FEE ITEM SPACE HEATERS CENTRAL HEATING A/C (WIND) A/C (CENTRAL) DUCT WORK O O,(10 REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS /ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION REINSPECTION UNIT FEE