482 NE 93 St (6)PLUMBING
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM'
GAS RANCE
METER SET (GAS)
GA S Plolk
ADDENDUM TO BUILDING PERMIT APPLICATION
'AN AITLICATION 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.)
ELECTRICAL
MECHANICAL
ITEM
TLB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
3AT1-1
LIGHT OUTLETS 1
CENTRAL HEAT I ND
310E T
I
RECEPTACLES
A/C (WINO)
3ISHWASHER
I
SERVICE TEMPORARY I
A/C (CENTRAL)
)ISPDSAL �
DRINKING FOUNTAIN II
SERVICE SIZE IN AMPS
DLDT WORK
F OCR DRAIN 1
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
RANGE TOP
UNDERGROUND) TANKS
INTERCEPTOR
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS C— 1 If
STEAM BOILERS
SHOWER
MOTORS OVER 1— 3 HP
I-CT 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 If
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10— 25 Nip
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25x100 FP
COOLING TOWERS
WATER CLOSET
MOTCRS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINd)011
REINSIPECTJON
WATER SUPPLY T0:
I
AIR CONDITIONERS
A/C UNIT
1
STRIP HEATER
FIRE SPRINKLER
1
GENERATORS TRANSFORMERS
'HEATER —NEW INST.
I
GENERATORS TRANSFORMERS
!
I
HEATER— REPLACE
GENERATORS TRANSFORMERS
I
1
LAWN SPRINKLER —WELL
SPECIAL PURPOSE
I
SWIMAING POOL
OUTLETS COWERCIAL
MATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
*SIGN TRANSFORMERS
UTILITY — SEWER
SIGN TIME CLOCK
UTILITY —WATER
I FIXTURES
SEPTIC TANK
I ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4" TILE/RES.
VIOLATION
PUMP A ABANDON SEPTIC TANK
REINS ECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
D I SCkHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
PLUMBING
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM'
GAS RANCE
METER SET (GAS)
GA S Plolk
ADDENDUM TO BUILDING PERMIT APPLICATION
'AN AITLICATION 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.)
ELECTRICAL
MECHANICAL
Date
Miami Shores Village
Paint Color Approval and Agreement
Phone #
Owner's Name
Owner's Address
City
State Zip
Job Address (where the work is being done)
City
Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES
Contractor's Company Name (if applicable) _ —
Phone #
***************************************************************************:** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All elements on the site must be listed and indicate the color to be painted
Walls
Fascia
Drip Cap /drip Edge
Soffit
Roof
Flower bins
Shutters
Awnings
Chimney
Doors and door jams
Garage doors
Railings
Fences
Decorative metal
All brick (simulated or regular)
Stucco banding
Any other stucco features
Accessory Buildings
Signature
APPLICATION APPROVED BY:
Owner or Agent
P& Z Official
Attach Color Samples
With Numbers
Other
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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.
Date
Date
chc 6 /18/03
fulm
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
'' 2- 20--0/
.Date tom 9 t( Job Address 14ee t 1'5 Tax Folio
A
Municipal #
Cse.0;14.
Owner's Address
— Contracting Co. _ Mddress
�7
Qualifier Phone 3 r5 4 . ( �
State # ± �'"�')0 l V Z�°►
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle o e): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION � kA rpAt, ; � DYJZ3YL.a
Square Ft. k9 Estimated Cost (value) t 1 0•, O
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 . 1 the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction d .s Q. urlherrrto( I authorize the above -named contractor to do the work stated.
Signatur
as t Owner
My Commission Expires
FEES: PERMIT
Condo President late
o �a 140- it y-- o
'
' I I 1,1. . �� IAL NOTARY -
UB ANGELA M BECKER
( `/ 0 courassoN NUMOER
Q CC786697
91� CFF� O �\ PAY 0 rASSON
RADON
APPROVED:
Zoning Building
Mechanical Plumbing
Competency # Ins. Co. (2.1542 �(
Address
Address
/ 44/
Historically Designated: Yes No X
Master Perrnit # 923 4 ,3
Phone
Signature of Contractor or Owner- Builder
Electrical
Structural Engineer
/‘at
2 0/
Notary as to Contractor or Owner••Builde � Date
My Commission Expires: ���‘� ale n ciko t "i /
* O ".• 0 \ssloH4:4- • % - ".
O tu b er yj i°i : $
• g ` °
= • es ..e • =
i 1 8 •• #CC970897 Q • C.C.F.
I 0 NOTARY 5:, fl D - ✓ • • r dedtN °
i o& F \-
l l E �
2
TOTA/IAli a to 0 \ ��
MIAMI SHORES VILLAGE
DATE: �- 4/
OWNER'S NAME: -,,\02/6- 4 C,,/
ADDRESS:2 ‘'SC =t
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: T
CONTRACTOR & LICENSE (if applicable) >A1 1 2i . A,, ,, Wn(:‘,2C- i , , , J (
COMPANY NAME: `; ?�� PHONE: - 7 Sl q
* * * * * * * * * * * * * * * * * * * * * * ** :******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls
Fascia
Soffit
Roof
Flower Bins
Shutters
Awnings _
Chimney 1 f7 ri4 ) 21 �4S
Doors and door jams 2 14.;
Garage Doors 2w\ 2s p
Railings
Fences
Decorative Metal
constructi_o
do
Paint Color Approval and Agreement
\-4(-; w7q
All brick (simulated or r
Stucco Banding
Any other stucco features
Accessory Buildings
Other
q .
Building Official/ Date
Z V4`-7
ular) IJ7A
119
PHONE
2145 -40
BENJAMIN 214'
m
,;(
2/D
IWI
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
and zoning. I authorize the above -named contractor, if applicable, to
stated. Fu ore , the paint colors will be as per the attached
Date Signature of Contractor
Date _ _.
Signature
************ ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
/APPROVED:
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
178
HC -174
o W LS
Date Job Address 3 Tax Folio _
Legal Description Historically De. 2/A
O w n e r / L e s s e e / T e n a n t 2 �C ���,�/1 t � d i ' � � ' Master Permit #
O w n e i ' s Address 9 A g P h o n e 3 L _ s / ?
Contracting Co. AS . 7111 -YT1 -JCr, . Address 4..:c CIO sr r 1,1 ttlwC t
Qualifier A Q S 2sQ CA k-1 JLf ,_ Phone O-O - 7- 1- t(. ?
State # Municipal # Competency # ! f tL;scci m31ns. Co. A to��vo r 1 r:EC
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
,
ICJ C I l
Square Ft. 1 c
PERMIT APPLICATION FOR MIAMI
as to Owner and/or Co +o Presi ent Date
"Y. •• FRNNCESMURPHY
:., MY COMMISSION # CC 797620
EXPIRES: December 27, 2002
% e d Bonded Thru Notary Public Underwriters
FEES: PERMIT I D
4 /1>A ) 1
Estimated Cost (value) ) Z. CO
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 regulatin stru on and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
o►-
r/
Date i
RADON
Date
7
N
My Commission Expires: y
ary as to Contractor or Owner -B --
Commission Exp s: OFFICIAL AKYS
CLAMS) VILLAFt
NOTARY NEILC S'PA'CE ®FLORIDA
CranNEENDA 9.11fICOMMISSIONEXP. MAR.
C.C.F. /, 2.0 NOTARY
7
0
a
vner- Builder
- ��'
Date
APPROVED: �j
Zoning Building / ` Electrical
Mechanical Plumbing Engineering