705 NE 92 St (4)/ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date& 2( Q Job Address ✓ �BJ /U� 2 f Tax Folio f(•' ;2 06 d /y"' (r6
Legal Description / ac 3 98 (0-37 Historically Designated: Yes j No > / Tenant (' ' 6 ODdt/A /ch ?' L� /
Master Permit # 6 X►
Owner's Address 7 D ,\' /t' g � L 57 'Phone �� J 3^ ? 7 d V
My Commission Ex
APPROVED:
Zoning
Mechanical 4
As fre
1 " / CP • � Address 207- s'(/► U 7 7T V M'+ 3! (£(
Contracting Co. ,+�
Qualifier / 4 c G 2 kC 4t - �Phoneel�) "`` � D 3u) 2
State # / - 4/)
/•
.: as t Owner : 174+?Nfr}f-
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN s MECHANIC ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
sr 3 Ac (,)oft- G v•v"( *c. 1 -
Square Ft. Estimated Cost (value) 9 ') 0 0
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 regulating
construction and zoning.
d/or Condo President ate�
s st a
ate
ermore, I authorize the above -named contractor to do the work stated.
�w PU B � AM1GE c' r
'M
OF F■O 5_
Municipal # Competency #
Address
Address
Building
&it
G�.
ature of Contractor or Owner- Builder
Notary as to Contractor or
My Commission Expires:
- Builder
FEES: PERMIT G RADON C.C.F .. Z �U NOTARY 5 O 0 BOND
Electrical
T
;IL/AL N r, Y A
JVii -LAR
'VARY I 1 1• ,> ,r,� 1
JUE c �^ ri'
CCNf'+ 4^
i._l'Y 7.1114 .1 '11.A..P. l ? 2
tZ, d I Plumbing Structural Engineer
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
UNIT
FEE
ITEM
SPACE HEATERS
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
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 FP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 FP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 FP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTCRS OVER 8- 10 FP
ELEVATORS /ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 FP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
g 7
HEATER -NEW INST.
GENERATORS TRANSFORMERS
.F6-. D 6 �
(� `
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
9 A-6 I ' b
SWIM1ING POOL
OUTLETS COMMERCIAL
�/"
WATER SERVICE
SIGN TUBES
-
SEWER CONNECTIONS
SIGN TRANSFORMERS
l t �� /
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
`J(
SEPTIC TANK
ANTENNA
E NA
/ ,C�,("
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
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
Do4/4-4.(0A/
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
MECHANIC
Applicat on is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing o. other stru ture he ein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Vrltag', F onda, and all previsions of the Laws of the State of Florida, all ord'nances of Miami Shores Village and Al rules and
regulations of the Building Division of Miam Shores Village sh 11 be con plied with whether her in specified cr not. A cop of approv d
plans and specifications must be kept at budding during progress of the work.
Owner s Name and Address
Registered Architect and ' or Engineer __ C_4(./,' .. A ,J11 ii 2k
Name and address of licensed contractor _ _ __ ^ '% ' ' _' ' —a_ ! _ _V o n
Location -nd legal description of I t to be built on: � .
/�� _' 6v � '. '% c ' < �' c" e
Lot ___4.1. 7 6' B
" -
lock �O Subdiv� ion_ /
y
Street and Number where work is to be done_ rh =- � s J_ .. _ _ .- k-
State work to be done and purpose of building (by floors)____ _- _ .. .. .1 .
__ ___ _ . _1 2a____k__ i (S �= - / Q'270 4/ _'' t' t ' fiJ_` L i' , and for no other purpose.
New Building _ __ ___ Remodeling _ ___ _ .. _ Additim. _ . _ Repairs.__ __ _ _ _ _ No. of Stories .. _ ..
To be constructed of _
Per it No. _. _
Disapp co ed
( Signed)
APPLICATION FOR BUILDING PERMIT
'
Buildi:;g Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Kind of foundation
Date
tom ',
Date_
_ __ __ _ __ __ _ _ Roo` Covering
Estimated Total cost of improvements $ ___ _Amo r-S: c - Permit $ _ . _ _
Zone cubage required_ _ _ __._ _ _ .._. - __ _ _Plan Cubage _ _ __ _ _
Distance to next nearest building_ _ __ . _ __ _ _ _Size of Building Lot____ _
Maximum live load to be me by each floor
I hereby submit all the plans ,, .d specifications 'o sa'd :gilding. All polices with re::erence to the building and its conrtr ction may
be sent to - -- -- -� -- Y • / , < f. ; 0 � 9 G %)) -- > ^ ! 4 ) ( 3 . .
The undersigned 1.pp:'cant for this building permit does hereby certify that h - understands and acct pts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supph..nent,
and has complied with the p.• -v'sions thereof, and will require similar compliance from all contractors or sub - contractors cmplo) cd b him
m the work to be perform• d u der this rermit; and will post or cause to be po -ied for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agree. to ploy oily such sub cpi tracto:cs, on work 'o be pe formed under th's
permit, -r are licensed by Miai. S'.'o e, Village.
Remarks (Sign ) � .>=0. r .. _
STATE 05' FLORIDA,
COUNTY OF DADE. ss '
Before me, he undersigned authority, a notary pubk. duly uthorized to administer oaths and take acknowledgments, personally ap-
peared __
and who, being by m: fist duly swo r upon oath _:poses and says that he is the _ _ _
of he above described const.0 tion than ie has carefully read the or -going - - cation, and that he did sign the same, and that all facts
therein b him sated are true
. Date. - ' _ � � ' - _ Read, Sworn to and Subscribed before me.
Notary Pubhc, S : to of Florida
My Commiss'on Expires
I t ,
17
r � 196,s
No. /__4'._ Street__
__ to me well known,
PLANNIN9� BOARD _ DATE
Chairman _ . - Member _ _ -
Member __ Member
Member _ _ .. M ber _ _
Co..' Al Approved Da.e D sapp: oved .. Date
NOTE: A charge of $1 00 will be made for making corrections or changes to this appl cation after appr.val has been obtained from
the Planning Board
A r -i, _pe ' c fec of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.