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716 NE 92 St 3Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 1 ' I r1 /0! Job Address 74 N: qZ f:3 1 1 1 Tax Folio Legal Description Owner/Lessee / Tenant k ° l ` l" f ila/rd2C1 J / Owner's Address -7 /'; v d q2 ter 0 4 Contractin Co. ��"f i C b)G / - CO/1 Qualifier Square Ft. Estimated Cost (value) a CO Signature of ewner and/or Cow ate ,n`lry cq-o r FEES: PERMIT li°Aire' Notary as to t RN- r and/ • • ATE OII�af�2[ My Commission Expires : <O A' M51ON Na CC6107$9 CO. � •� 12,20 M Y COMMISSION EYP. AN. Historically Designated: Yes Notary as to My Commission Expires: No Master Permit # 81 g7 Phone C✓ �7" Address � Afr ma 9l SS# �� - �� Phone ��! () —= State # - al®Ofl ¥/9 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING (fLECTRICAj PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN C WORK DESCRIPTION W I r'S 2 4k 6 < hear ` lv 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. Furthermore, I authorize the above -named contractor to do the work stated. G1-1, /// Date or Owner- Bniltler OWII 13 J`_ i 1 LEE LA" FLORIDA ate NOTARY 11)31,1C STATE OF , LO. CO30 1\1115E NO. CC6107S 201 MY COMY115SION N. RADON C.C.F. , 0 NOTARY — C2 - BOND s d TOTAL DUE Y/ / ; 6-6--7 APPROVED: // A Zoning Building Electrical 0342 / , Z 4 :;"j Mechanical Plumbing Engineering ITEM BATH TUB 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 AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/t€TER 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 1P STEAM BOILERS SHOWER MOTORS OVER 1 - 3 If HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 hP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP _ FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 1P COOLING TOWERS WATER CLOSET MOTORS OVER 100 If VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION HATER SUPPLY TO: AIR CONDITIONERS /. ' , ' A/C UNIT STRIP HEATER > ,. 0 FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS _ HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE OUTLETS COMMERCIAL SWIMMING POOL - WATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS • RILITY -SEWER SIGN TIME CLOCK TILITY -WATER FIXTLRES EPTIC TANK ANTENNA , E TELEVISION OUTLETS .., RAINFIELO, 4' TILE/RES. VIOLATION UMP & ABANDON SEPTIC TANK REINSPECTION JAKAGE PIT CU. FT. 4TCH BASIN ISCHARGE WELL )MESTIC WELL 3EA DRAIN )OF INLET JLAR WATER HEATER IRE STANDPIPE )0L PIPING WIN SPRINKLER SYSTEM . .S RANGE "TER SET (GAS) S 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 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date - 9 17 Job Address 1/ e1 k ) . E q2 `-mot 4. / Tax Folio ((° 3X6- 00i— O5 o Legal Description j� Owner/Lessee / Tenant /3 /Ty 6a�2 Owner's Address Contracting Co- h ,)(CI cW (e edi " Qualifier (� J (+ L v f {l State # Municipal # Competency # (� COXI L ./Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. 3 0 0 7/ N� 1.2 2 �� r 4 'eei Phone 3 £5 — 2 ° o �. FEES: PERMIT "'"?'' RADON Historically Designated: Yes Master Permit # C O 04 A d d r e s s , l 5 /0- 6 /96 S eef ss# (NO o -0772 �9- (,c r r ( 7 *y) c. q s 5L CAji heal • Estimated Cost (value) 3 t) c 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. Furthermore, I authorize the above -named contractor to do the work stated. . ., and/or Condo Pr- is ent Date C.C.F. z Signature of Contra tor •r 0 er- Builder Notary as to Co My Commissio NOTARY APPROVED: Zoning Building Electrical Mechanical No T qt; C S— BOND TOTAL DUE i i-- /i/ Date Plumbing Engineering ITEM • ADDENDUM TO BUILDING PERMIT.APPLICATIQN (AN APPLICATION FOR BUILDING EERlinT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) MECHANICAL BATH ms [mu mamas DISPOSAL 03/07/95 15:24 MSV DR HA IM FOUNTA IN FLOOR DRAIN GREASE TRAP INTERCfPTCR LAVATORY LAUKRY TRAY CLOTHES WASHER SHOWER SINK POT /3 COMP SINK, RESIDENCE - SINK, SLOP - TEICRARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES WATER SIPPLY TO: A/C UNIT FIRE SPRINKLER HEATS-NM INST. HEATER - REPLACE LAIN SPRINKLER-REII SWIIIIIN3 PCC1 WATER SERVICE SEWER COMECTIONS UT I L I TT-sEWER UTILITY -RATER SEPTIC TANK RELAY DRAINFIELD, 4' TILE/RES. PUMP & MA/CON SEPTIC TANK SOMME PIT W. FT. CATCH BASIN DISCHARGE WELL. DOMESTIC WELL AREA ERA IN ROOF INLET_ SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING [ANN SPRINKLER SYSTEM GELS RANGE METER SET (GAS PLUMBING GAS PIPING UNIT FEE I TEM ST! I TCN OUTLETS L IGIT CUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN MPS SERVICE REPAIR/METER MANGE APPLIANCE CUTLETS RANGE TOP ELECTRICAL OVEN ABOVE GROUND TANKS PATER NEATER U.F. PRESSURE VESSELS MOTORS 0- 1 FP STEAM BOILERS MOTORS OVER 1- 3 HP NOT PATER BOILERS MOTORS OVER 3- 5 FP MECHANICAL VENTILATION WICKS OVER 5- 8 FP TRANSPORTING ASSEMBLIES MOTORS OVER 8- 10 19 ELEVATCRS/ESCALATCRS MOTORS OVER 10- 25 1 FIRE SPRINKLER SYSTEMS MOTORS OVER 25-100 HP COOLING TOWERS MOTORS OVER 100 FP VIOLATION ABC WINDOW AIR CONDITIONERS STRIP NEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMS GENERATORS TRANSFORMERS SPECIAL PLR/POSE OUTLETS COAIERC1AL SIGN TUBES SIGN IRA/CR: RS SIGN TIME ROCK FIXTURES ANTENNA TELEVISION OUTLETS VIOLATION RE IHSPECT ION UNIT FEE ITEM 40 I •/ / SPACE HEATERS CENTRAL FEAT I IG A/C (WIND) A/C (CENTRAL) OUCT PORK REFRIGERATION PROCESS AND PRESS PIPING LIMERtMQAO TANKS RE I ILSPECT I ON 004 UNIT FEE