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MECHANICAL.. I s�— Date [I�r,Job Address /e.: 'V �'�!YY Tax Folio Legal Description Historically Designated: Yes No Owner's Address Contracting Co. Qualifier Owner/Lessee / Tenant EX;;LEN NE q5 +(n Phone 75' ~ ( /RPVS/ift CONsh,f) CoI IJ 0 Address eQ5 E T r r _ p SS# Phone 63`27 —0(n -( l State # 11 A C-v P5 a Municipal # Competency # Ins. Co. 'Zl : 7i1 vt4 Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING CHANICAL OOFING PAVING F N E SIGN , nifi I �' r �, � 1 �. e X 44-`( WORK DESCRIPTION o L� _ 1 `ILL �. L1\i c2 P C_ L .� F `t�� � , . t 5 7A1 R. / 5t_ PO ,� . Square Ft. 3cc 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.) Appiication 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 infbrmation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above - name. +.ntra tor to do the work stated. Signature of owner and/or as to Owner and/or Condo My Commission Expires: 5:.. NOTARY UC Sr= 07 F'.10 1� COMMISSION NO. CC3S�'3 My C0..9 *�SI3SION E:KP. MAY 7,1 ;33 FEES: PERMIT / / ®� RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE do President Date «f -1 /gk President Da e Not s to Contractor or Owner - Builder Address Estimated Cost (value) II- 3 - -0./Y 3g5o Master Permit # Signature of Contractor or Owner- Builder My Commission Expires: C.C.F. d::2.-,7 NOTARY Electrical ELIZAZETH H RINE ARSON NOTARY & )rLIC STATE 07 Fna!°i'TLRJ COMMISSION 2ND. CC".5 i3 .3 MY CO:y I%g -WON ASP. MAv 7,77:n //F Date * Date TOTAL DUE /71 Plumbing Engineering .elttie type or print clearly and prepare in duplicate. Hand deliver or mail to: )E COUNTY RECORDER, 44 West Flagler Street, 8th Floor, Miami, Florida 33110, :ee for recording will be required. For additional information call (3051 % -'^ /7.) NOTXCE OF COMMENCEMENT MIT NO. TAX FOLXO NO. 1 1 3 o i, a1 `I 3590 rE OF FLORIDA: CITY OF DADE: UNDERSIGNED hereby gives notice that improvements accordance with chapter 713, Florida statutes, the ice of Commencement. Legal description of property and street address: Desorip,Aion o improve 'L a 5 owner(s) name and address: = ontractor's name and ad ss: 5 S. Yttgtc- Surety: (Payment bond required by owner from a and addxeas: mt of Bond: $ :enders name and address: tt Owners Name El L r tared before me 1L_ day of : onally kn- .� r or w c �7! _ j . t Notary's Name r� /Z,4/;,Qt# A ( ) i A/%„1 ommission E ELIZABETH NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC369373 '1Y COMMLSSION TXP. MAY 7,1998 I t� : ?�Oy� A i ©(JfLt� p� pADE / "jkr,/ Moe /o o: ofv `SoV !c a k Ovoo rosv o f Ole rc on /6� v u r contractor, 96R377159 1996 AUG 21 11:52 will be made to certain real property, and following information is provided in this EQA.wr M33 oqE gSih St, Brest in property: a and address of fee simple title holders if any) ?ersone within the state of Florida designated by Owner upon whom notices or other` doct?monts be served as provided by secti 713.23 (1) (a) 7, Florida statutes, and address: Cn addition to himself, owner designates the following person(s) to receive a copy of the zor's Notice as provided in section 713.13 (1) (b), Florida Statutes. and address: : xpiration date of this Notice of Commencement: (the expiration date is 1 year from the date recording unless a different date is specified) This Document Prepared By: R +c14B — a . s, P << Ro uciE Name: .r * CALC /PLUS HEAT LOSS /GAIN CALCULATION BY ARPY'S AIR CONDITIONING, INC. FOR INFORMATION OR TO PLACE AN ORDER CALL (954)987 -0641 Software Copyright (C) 1987 -1994 by Ed Horgan (H.V.A.C.) (610) 384 -1923 DESIGN: WINTER, 25 DEGREES DIFFERENCE SUMMER, 15 DEGREES DIFFERENCE JOB: REQUARDT - RESIDENTIAL CALCULATION HTM HTM AREA BTU /HR BTU /HR DATE: 07 -24 -1996 HEAT COOL OR # LOSS GAIN BUILDING HAS NO BASEMENT - NO LOSS OR GAIN KITCHEN, NORTH & WEST HEAT COOL VALUE LOSS GAIN 1 WINDOW SINGLE GLASS 48 X 72 IN, NO SHADE 27.0 27.0 48 1296 1296 1 DOOR HOLLOW WOOD NO STORM DOOR 36 X 80 I 13.7 12.7 20 274 254 WALL 10 X 8 FT, 8 OR 12 IN BLOCK, NO INS 12.5 10.8 36 450 389 1 WINDOW SINGLE GLASS 48 X 72 IN, NO SHADE 27.0 85.0 48 1296 4080 WALL 15 X 8 FT, 8 OR 12 IN BLOCK, NO INS 12.5 10.8 96) 1:200 1037 INFILTRATION, LOSS 1.2 AC /HR GAIN .5 AC /HR 7.7 1.9 68 524 129 LATENT HEAT INFILTRATION ALLOWANCE 0.0 3.0 .68 0 207 ALLOWANCE FOR APPLIANCES AND MOTORS ,, 0.0 2.0 600 0 1200 DUCT IN UNCONDITIONED SPACE 0.05 0.10 SUB 187 530 TOTAL BTU HEAT LOSS AND SENSIBLE HEAT GAIN CFM @ RECOMMENDED MAX VELOCITY OF 600 FPM CFM LOSS GAIN 303 5227 8915 FOR FORCED AIR HEATING OR AIR CONDITIONING: REQUIRES: 3 BRANCH DUCT - (7 IN ROUND) OR (3 -1/4 X 12 WALL STACK) REQUIRES: 3 #661 10 X 6 SIDEWALL REGISTER OR 3 #411 6 X 10 FLOOR DIFFUSER OR REQUIRES: 3 #16 8 IN ROUND CEILING DIFFUSER OR 3 #24 8 X 8 INCH SQUARE DIFFUSER REQUIRES: 2 #650 10 X 6 INCH RETURN AIR GRILL, OR TWO 3 -1/4 X 14 IN -WALL RETURN DINING ROOM, WEST & SOUTH HEAT COOL VALUE LOSS GAIN 2 WINDOWS SINGLE GLASS 72 X 108 IN, NO SHA 27.0 52.0 108 2916 5616 WALL 25 X 8 FT, 8 OR 12 IN BLOCK, NO INS 12.5 10.8 92 1150 994 1 WINDOW SINGLE GLASS 72 X 108 IN, NO SHAD 27.0 44.0 54 1458 2376 HARDWOOD FLOOR, NO INS OVER OPEN SPACE 7.6 5.4 250 1900 1350 WALL 10 X 8 FT, 8 OR 12 IN BLOCK, NO INS 12.5 10.8 26 325 281 INFILTRATION, LOSS 1.2 AC /HR GAIN .5 AC /HR 6.8 1.7 162 1102 275 LATENT HEAT INFILTRATION ALLOWANCE 0.0 2.7 162 0 439 DUCT IN UNCONDITIONED SPACE 0.05 0.10 SUB 442 1411 TOTAL BTU HEAT LOSS AND SENSIBLE HEAT GAIN CFM LOSS GAIN CFM @ RECOMMENDED MAX VELOCITY OF 600 FPM 418 9293 12303 FOR FORCED AIR HEATING OR AIR CONDITIONING: REQUIRES: 3 BRANCH DUCT - (7 IN ROUND) OR (3 -1/4 X 12 WALL STACK) REQUIRES: 3 #661 10 X 6 SIDEWALL REGISTER OR 3 #411 6 X 10 FLOOR DIFFUSER OR REQUIRES: 3 #16 8 IN ROUND CEILING DIFFUSER OR 3 #24 8 X 8 INCH SQUARE DIFFUSER REQUIRES: 3 #650 10 X 6 INCH RETURN AIR GRILL, OR (3) 3 -1/4 X 14 IN -WALL RETURN LIVING ROOM, SOUTH HEAT COOL VALUE LOSS GAIN 1 WINDOW SINGLE GLASS 48 X 72 IN, NO SHADE 27.0 44.0 48 1296 2112 1 DOOR HOLLOW WOOD NO STORM DOOR 36 X 80 I 13.7 12.7 20 274 254 HARDWOOD FLOOR, NO INS OVER OPEN SPACE 7.6 5.4 400 3040 2160 WALL 20 X 15FT, 8 OR 12 IN BLOCK, NO INS 12.5 10.8 300 3750 3240 INFILTRATION, LOSS 1.2 AC /HR GAIN .5 AC /HR 23.8 6.0 44 1047 264 LATENT HEAT INFILTRATION ALLOWANCE 0.0 9.4 44 0 413 DUCT IN UNCONDITIONED SPACE 0.05 0.10 SUB 262 378 TOTAL BTU HEAT LOSS AND SENSIBLE HEAT GAIN CFM @ RECOMMENDED MAX VELOCITY OF 600 FPM FOR FORCED AIR HEATING OR AIR CONDITIONING: REQUIRES: 3 BRANCH DUCT - (7 IN ROUND) OR (3 -1/4 X 12 WALL STACK) REQUIRES: 3 #661 10 X 6 SIDEWALL REGISTER OR 3 #411 6 X 10 FLOOR DIFFUSER OR REQUIRES: 3 #16 8 IN ROUND CEILING DIFFUSER OR 3 #24 8 X 8 INCH SQUARE DIFFUSER REQUIRES: 2 #650 10 X 6 INCH RETURN AIR GRILL, OR TWO 3 -1/4 X 14 IN -WALL RETURN FAMILY ROOM, NORTH 1 WINDOW DOUBLE GLASS 72 X 120 IN, NO SHAD 14.2 21.0 60 852 1260 HARDWOOD FLOOR, NO INS OVER OPEN SPACE 7.6 5.4 225 1710 1215 WALL 15 X 8 FT, 8 OR 12 IN BLOCK, NO INS 12.5 10.8 60 750 648 INFILTRATION, LOSS 1.2 AC /HR GAIN .5 AC /HR 16.5 4.1 60 990 246 LATENT HEAT INFILTRATION ALLOWANCE 0.0 6.5 60 0 388 DUCT IN UNCONDITIONED SPACE 0.05 0.10 SUB 216 319 TOTAL BTU HEAT LOSS AND SENSIBLE HEAT GAIN CFM @ RECOMMENDED MAX VELOCITY OF 600 FPM FOR FORCED AIR HEATING OR AIR CONDITIONING: REQUIRES: 2 BRANCH DUCT - (5 IN ROUND) OR (5 IN OVAL) OR (3 -1/4 X 8 WALL STACK) REQUIRES: 2 #661 10 X 4 SIDEWALL REGISTER OR 2 #411 2 -1/4 X14 FLOOR DIFFUSER OR REQUIRES: 2 #16 6 IN ROUND CEILING DIFFUSER OR 2 #24 6 X 6 INCH SQUARE DIFFUSER REQUIRES: 1 #650 10 X 6 INCH RETURN AIR GRILL, OR ONE 3 -1/4 X 14 IN -WALL RETURN BATH RM # 1, NORTH CFM LOSS GAIN 285 9669 8408 HEAT COOL VALUE LOSS GAIN CFM LOSS GAIN 125 4518 3688 HEAT COOL VALUE LOSS GAIN 1 WINDOW SINGLE GLASS 24 X 36 IN, NO SHADE 27.0 27.0 6 162 162 HARDWOOD FLOOR, NO INS OVER OPEN SPACE 7.6 5.4 50 380 270 WALL 5 X 8 FT, 8 OR 12 IN BLOCK, NO INS 12.5 10.8 34 425 367 INFILTRATION, LOSS 1.2 AC /HR GAIN .5 AC /HR 36.7 8.2 6 220 49 LATENT HEAT INFILTRATION ALLOWANCE 0.0 12.9 6 0 78 ALLOWANCE FOR BATHROOM COMFORT 0.2 0.0 1187 237 0 DUCT IN UNCONDITIONED SPACE 0.05 0.10 SUB 71 75 TOTAL BTU HEAT LOSS AND SENSIBLE HEAT GAIN CFM LOSS GAIN CFM @ RECOMMENDED MAX VELOCITY OF 600 FPM 31 1495 923 REQUIRES: REQUIRES: REQUIRES: REQUIRES: FOR FORCED AIR HEATING OR AIR CONDITIONING: 1 BRANCH DUCT - (5 IN ROUND) OR (5 IN OVAL) OR (3 -1/4 X 8 WALL STACK) 1 #661 6 X 4 SIDEWALL REGISTER OR 1 #411 2 -1/4 X 10 FLOOR DIFFUSER OR 1 #16 6 IN ROUND CEILING DIFFUSER OR 1 #24 6 X 6 INCH SQUARE DIFFUSER 1 #650 10 X 6 INCH RETURN AIR GRILL, OR ONE 3 -1/4 X 14 IN -WALL RETURN OFFICE, NORTH HEAT. COOL VALUE LOSS GAIN 1 WINDOW SINGLE GLASS 36 X 48 IN, NO SHADE 27.0 2 12 324 324 HARDWOOD FLOOR, NO INS OVER - OPEN SPACE 7.6 5.4 90 684 486 WALL 9 X 8 FT, 8 OR 12 IN BLOCK, NO INS 12.5 10.8 60 750 648 INFILTRATION, LOSS 1.2 AC /HR GAIN .5 AC /HR 32.1 8.3 12 385 100 LATENT HEAT INFILTRATION ALLOWANCE 0.0 12.9 12 0 155 TOTAL BTU HEAT LOSS AND 'SENSIBLE HEAT GAIN CFM LOSS GAIN CFM @ RECOMMENDED MAX VELOCITY OF 600 FPM 52 2143 1558 1; FOR FORCED AIR HEATING OR AIR CONDITIONING: REQUIRES: 1 BRANCH DUCT.- (5 IN ROUND) OR (5 IN OVAL) OR (3 -1/4 X 8 WALL STACK) ' REQUIRES: 1 #661 10 X 4 SIDEWALL REGISTER OR 1 #411 2- 1 /4'X14•FLOOR DIFFUSER OR REQUIRES: .1 #16 6 IN ROUND. CEILING DIFFUSER 1 #24 6 X 6 INCH SQUARE DIFFUSER REQUIRES: 1 #650 10 X 6 INCH RETURN AIR GRILL, OR ONE 3 -1/4 X 14 IN-WALL RETURN, DEN, NORTH & EAST HEAT COOL VALUE LOSS GAIN • 1 DOOR HOLLOW WOOD NO STORM DOOR 36 X80 I 13.7 12.'7 ' 20 274 254 WALL 8 X 8 FT, 8 OR 12 IN BLOCK, NO INS 12.5 10,8 44 550 475 1 WINDOW SINGLE GLASS 48 X 108 IN, NO SHAD 27.0 85.0 36 972 3060 HARDWOOD FLOOR, NO INS OVER OPEN SPACE 7.6 5.4 80 608 432 WALL 10 X 8 FT, 8 OR 12 IN BLOCK, NO INS 12.5 10.8 44 '550 475 INFILTRATION, LOSS 1.2 AC /HR GAIN .5 AC /HR 6.4 1.5 .56 358 . 84 LATENT HEAT INFILTRATION ALLOWANCE . , 0.0 2.3 56 0 129 TOTAL BTU HEAT LOSS AND SENSIBLE HEAT GAIN . CFM LOSS GAIN CFM @ RECOMMENDED MAX VELOCITY OF 600 FPM 162 3312. 4780 FOR FORCED AIR HEATING,OR CONDITIONING: REQUIRES: 2 BRANCH DUCT - (6 IN ROUND) OR (6 IN OVAL) OR (3 -1/4 X 8 WALL STACK) REQUIRES: 2 #661 12 X 4 SIDEWALL REGISTER OR 2 #411 4 X 10 FLOOR DIFFUSER OR REQUIRES: 2 #16 6 IN ROUND CEILING DIFFUSER OR 2 #24 6 X 6 INCH SQUARE DIFFUSER REOtfIRES: 2 - #650 10 X 6 'INCH RETURN AIR GRILL, OR TWO 3 -1/4 X 14 IN -WALL RETURN MASTER SUITE, EAST & SOUTH .HEAT COOL VALUE LOSS GAINN 1 WINDOW SINGLE GLASS 48 X 72 IN, NO SHADE 27.0 85.0 48 1296 4080 WALL 20 X 8 FT, 8 OR 12 IN BLOCK, NO INS 12.5 10.8 136 1700 1469 2 WINDOWS SINGLE GLASS 48 X 72 IN, NO SHAD 27.0 44.0 66 1782 2904 HARDWOOD FLOOR, NO INS OVER OPEN SPACE 7.6 5.4 500 3800 2700 WALL 25 X 8 8 OR 12 IN BLOCK, NO INS . 12.5 10.8 152 1900 1642 INFILTRATION, LOSS 1.2 AC /HR GAIN .5 AC /HR' 30.6 -7.6 '72 2203 547 LATENT HEAT INFILTRATION ALLOWANCE 0.0 11.8 72 0 853 TOTAL BTU HEAT LOSS AND SENSIBLE HEAT GAIN CFM @ RECOMMENDED MAX VELOCITY OF 600 FPM FOR FORCED AIR HEAPIZ OR AIR : 4 . BRANCH DUCT - (7 IN ROUNDr'EOR (3-1/4 X 12 WALL STACK) 4 #661 10 X 8 SIDEWALL REGISTER OR 4 #411 6 X 12 FLOOR DIFFUSER OR 4 . #16 10IN ROUND CEILING DIFFUSER OR 4 #24 8 X 8 f1CH SQUARE DIFFUSER 3 #650 10 X 6 INCH RETURN AIR , GRILL, OR (3) 3 -1/4 X 14 IN -WALL RETURN REQUIRES: REQUIRES: REQUIRES: REQUIRES 1 CFM ' LOSS GAIN 453 .12681 13342 BED ROOM # 1, NORTH & EAST & SOUTH HEAT COOL VALUE LOSS GAIN WALL 22 X 8 FT, 8 OR 12 IN BLOCK, NO INS 12.5 7.8 176 2200 1373 1 WINDOW SINGLE GLASS 48 X 72 IN, NO SHADE 27.0 85.0 48 1296 4080 WALL 21 X 8 FT, 8 OR 12 IN BLOCK, NO INS 12.5 10.8 144 1800 1555 2 WINDOWS SINGLE GLASS 48 X 72 IN, NO SHAD 27.0 44.0 66 1782 2904 SENSIBLE GAIN FROM 8 PEOPLE 0.0 8.0 225 0 1800 LATENT GAIN FROM 8 PEOPLE 0.0 8.0 105 0 840 WALL 22 X 8 FT, 8 OR 12 IN BLOCK, NO INS 12.5 10.8 128 1600 1382 INFILTRATION, LOSS 1.2 AC /HR GAIN .5 AC /HR 30.6 7.6 72 2203 547 LATENT HEAT INFILTRATION ALLOWANCE 0.0 11.8 72 0 853 TOTAL BTU HEAT LOSS AND SENSIBLE HEAT GAIN CFM @ RECOMMENDED MAX VELOCITY OF 600 FPM CFM LOSS GAIN 463 10881 13641 FOR FORCED AIR HEATING OR AIR CONDITIONING: REQUIRES: 4 BRANCH DUCT - (7 IN ROUND) OR (3 -1/4 X 12 WALL STACK) REQUIRES: 4 #661 10 X 8 SIDEWALL REGISTER OR 4 #411 6 X 12 FLOOR DIFFUSER OR REQUIRES: 4 #16 10IN ROUND CEILING DIFFUSER OR 4 #24 8 X 8 INCH SQUARE DIFFUSER REQUIRES: 3 #650 10 X 6 INCH RETURN AIR GRILL, OR (3) 3 -1/4 X 14 IN -WALL RETURN WHOLE BUILDING LATENT GAIN LATENT HEAT GAIN FROM ALL SOURCES 4355 SYSTEM DESIGN: FOR FORCED AIR HEATING OR AIR CONDITIONING: IF CFM OF SELECTED AIR HANDLER IS GREATER THAN 800 INCREASE DUCT SIZE FOR HUMIDIFICATION SYSTEM TO MAINTAIN 35 RH AT 70 DEGREES: REQUIRED HUMIDIFIER TO HAVE AN EVAPORATIVE CAPACITY OF 11 GALLONS PER DAY GRAND TOTAL BTU HEAT LOSS AND SENSIBLE /LATENT HEAT GAIN CFM LOSS GAIN CFM AT RECOMMENDED MAXIMUM TRUNK VELOCITY OF 1000 FPM 0 59219 67558 300 CFM 1 300 CFM NOTES: - All copper lines are 7j8 and 318 - Both NH will have condensate pumps for drain +O Io.2 - Each unit has a total of 1200 CFM - The NH on east side of house will have a saffet style duct through the closets. - All duct in unconditioned space will be 14-6 - Upstairs will have one supply register up through the closet 400 CFM UPSTAIRS 22 X 20 11 ir *f a: , :0 , 10 11 1 7 .11 t7 ' 1'71 1 211 ' n . 1.12 A.0 P.30 1 • • '" .7 u C`, ULJU IE "c• „ •-:. ° " 11 11 ' • • ;."'• 1! " •%,* t2L,• of - F" 17) TO'd f2r-4 l.- l- c tM ea v , 1, 6 ' ' c /0 AAnte_ W ti ( .r*arc? 1,4 (D5l,r'a_ 185641• Ma,,tvav-zoit,t F -i 7° 0 Ow-6 sr • YUlatt,r t ce -9 Te_Q bA;ed d )0 II - 33 '''' t i 06813y xo 0_ awc, I ta Mme. 60 .r 10 �� cam,. �/ M� / A; � ('_ • �-� �''' ' f I °wit Vt l'pAAANN44.0. lAihr 0,41 tvk, !Rot V � :U - c W eft. r nat To Ain i r ) . `" 3 OkA4 e")-AkA4,-)c)-3- tNI:f94A;- d-riVit Q Ovvc c. 44AQ-- ' 6AkrijA,o-wo--- QAAAA-, tom; dec O,' 0t'28906L N E of A-ve-tn- F l.i- to 33N E 9 5 ,51 or 3( 3g � 305-'75V 4F r - ).--w ( : . l tAJZ -- GN Nd33 z'_ IIiI SIk1131 L . Mr, Paul 1... Schmitz 1017 NE 95th St., Miami, HL 33138 t 11)v2 e"ty ail" 1448 .2-oc o I t - 33 — 9.0 .g l 3 `f PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7 _ y _ Job Address /Of Folio / 50?0 6 / Legal Description /a/ and a/ d Cv 4 ,t1 $/l 9� Owner/Lessee / Tenant ,e,...06-eavott ,,,/ Master Permit # 1/c3 2 3/ Owner's Address / G 3 NZ- 9S —r-4 Phone Contracting Co. ` .E: C lc-- Address ZgO /✓ci / •S'/ �'e%a O Qualifier i✓ / i7 G Te�27 y SS# , /Phone 9,5 517 -538/ State # .E (zoo 7 0 2 V Municipal # Competency # Ins. Co. Architect/Engineer , f,, Address Bonding Company ,(J/�- Address Mortgagor ,i/fr Address Permit Type (circle one): BUILD t 'G ELECTRICAL ' ' UMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Signature of owner and/or Condo President Date FEES: PERMIT RADON Historically Designated: Yes No Square Ft. Estimated Cost (value) 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 Iv regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of Contractor or 0 Notary to Owner and/or Condo President Date Notary as to Contr. v or or Owner - Builder My Commission Expires: My Commission Expires: *gin William J. Smith �; .,r MY COMMISSION # CC459074 D(PIRES " ' May 3, 1999 .P ;h eO5fl D DM TROY MIO INSURANCE. uy�. C.C.F. / NOTARY /J00,00 TOTAL DUE Date Date v BOND 3 APPROVED: Zoning Mechanical Plumbing Engineering Building Electrical ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING OISIIWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 4 T /o k&J / DRINKING FOUNTAIN SERVICE SIZE IN AMPS OLCT 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 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 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 If COOLING TOWERS WATER CLOSET MOTORS OVER 100 if VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS 3 A/ A/C UNIT STRIP HEATER / FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. ! GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMPERCIAL WATER SERVICE 1 SIGN TUBES SEWER CONNECTIONS j SIGN TRANSFORMERS UTILITY -SEWER I SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY f TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK RE INSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA GRAIN ROOF OCT SOLAR WATER HEATER FIRE STAttPIPE 'COL PIPING _AWN SPRINKLER SYSTEM SAS RANGE V.ETER SET (GAS) BAS PIPING I ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL