Loading...
1291 NE 94 St (11)Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer_____ Employing Plumber's Name Location and Legal Description Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building ___ Remodeling_ Size Septic Tank Feet of Drain Tile Nahum of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, f COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. J Street__ . -_ _ a- g"-c°-- /A Street 11 g 9 • av Addition__ Street Block Subdivision__ Date - &Z' - - - /G, / 9 1'f Repairs No. of Stories. Capacity Gals. ----20 O �— Type of Tank Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit (Signed) _ ' Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed). _ Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NO A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials d /or workmanship. CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHICK 9 0 / ^ -- Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer_____ Employing Plumber's Name Location and Legal Description Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building ___ Remodeling_ Size Septic Tank Feet of Drain Tile Nahum of Water Supply: City —Well Amount of Permit $ STATE OF FLORIDA, f COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. J Street__ . -_ _ a- g"-c°-- /A Street 11 g 9 • av Addition__ Street Block Subdivision__ Date - &Z' - - - /G, / 9 1'f Repairs No. of Stories. Capacity Gals. ----20 O �— Type of Tank Dist. Feet of Tank or Drain Field from Well _ Size of Soakage Pit (Signed) _ ' Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed). _ Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NO A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials d /or workmanship. Village o f Miami Shores N° 3383 JOB ADDRESS INSPECTION • • TIME READY REMARKS INSPECTOR DATE Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. f �_ Owner's Name and Address ..... -----= ______u � �_ � — ______ - _ No._— _____ ..... _______ Street Registered Architect and /or Engineer__----- - -__ -- ----- --- ___- __ - -- -_ Employing Plumber's Name 7 Location and Legal Description No. -- - -- -- -- Street- — — — - - Block Subdivision Street and Number where work is to be performed —No 0- H 6/ ' V ' Street _ State work to be performed and purpose of building (By Floors) ______ New Building _ -- Remodeling-- _-------------- ____ -- Addition Size Septic Tank -------- - - - - -- Type of Tank_ Feet of Drain Tile _____Dist. Feet of Tank or Drain Field from Well Nature of Water Supply rCit - Well._____— —__. Size of Soakage Pit Amount of Permit $___,.. .? ..'_.:_-__,----_—.___ ---- — —_. (Signed) STATE OF FLORIDA, } COUNTY OF DADE. Repairs No. of Stories . . ....................... Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed -- - ' Date--- •- � !� -------- - -• - -- � - -- Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS TUBS TUBS S TORIES TORIES SINKS SLOP SINKS LAUNDRY TUBS U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS -d 4a 51 �® c.c.,. . �" TOTAL FIXTURES CONTR. LIST ?_ ✓ 3 . I aI / / `/ CHECK _--- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SCRAM! HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST / / - - CHECK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. f �_ Owner's Name and Address ..... -----= ______u � �_ � — ______ - _ No._— _____ ..... _______ Street Registered Architect and /or Engineer__----- - -__ -- ----- --- ___- __ - -- -_ Employing Plumber's Name 7 Location and Legal Description No. -- - -- -- -- Street- — — — - - Block Subdivision Street and Number where work is to be performed —No 0- H 6/ ' V ' Street _ State work to be performed and purpose of building (By Floors) ______ New Building _ -- Remodeling-- _-------------- ____ -- Addition Size Septic Tank -------- - - - - -- Type of Tank_ Feet of Drain Tile _____Dist. Feet of Tank or Drain Field from Well Nature of Water Supply rCit - Well._____— —__. Size of Soakage Pit Amount of Permit $___,.. .? ..'_.:_-__,----_—.___ ---- — —_. (Signed) STATE OF FLORIDA, } COUNTY OF DADE. Repairs No. of Stories . . ....................... Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed -- - ' Date--- •- � !� -------- - -• - -- � - -- Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. LJ -ta.,- BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA ❑ DATE 195 im, PERMIT N° 5688 Contractor's License No. D ❑ Work to be performed under this Permit Bl. Signed CONTRACTOR OR BUILDER BY Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thoroug14.4nowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications a he assumes responsibility for work done by his agents, servants or employees. BY Amount of Permit $ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered,,kiereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this ;' permit I assume responsibility for all work done by either, myself, my agent, servant or employee. J` AUTHORITY 6J BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA PERMIT Work to be performed under this Permit Bl. N° 2407 Subdi- vision Value of Project $ DATE Contractor's License No. Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 64 ; 1 PERMIT APPLICATION F R lAfiStl h E ! VILLAGE l 10050 N.E. 2nd Avenu Miami I3pxr..s„klurid .33131_•..30 - 795 -2204 Date �4 �3 c Job Address /'" 9 N L1 7 V Tax Folio p4„ Legal Description Historically Designated: Yes No i8I' G' f�6� • Owner /Lessee/Tenet Master Permit # ) 1 J _ l U �/ c' Owner's Address ./"r y / / Y 9 7 Phone `� `� 71- � � Contracting Co. C "" -e ", 41 � 4 Address / 0�� '" r�`7G 6 e6 ©O Qualifier �'� ��'' SS# Phone p`� 6 5 State # 1 '-' 4 1Dcv , J Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION: / �2 C 7 2 e JL .pct / al! 7 6 )- e 1 4--: ✓ MECHANICAL - t-e —J 4 ROOFING Cell 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 ANY 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 all disciplines. OWNERS 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. Signa ure.. • er and/or Condo President Notary as to Owner and/or Condo President. My CommissiortExpires Ca FEES: PERMIT RADON C.C.F NOTARY APPROVED: Zoning Building Mechanical Plumbing -/ ,40V Date Signature of Con actor or Owner B Date Date Notary as to Contractor or Owner Bu' er Date My Commission Expires BOND TOTAL DUE Electrical Structural Engineer AmeriGas, LPG 00899 10052 NW 89 Ave., Medley, Fl 33178 Tel. 305-388-8600 . Fax 305-884-5891 JOB: Itha ti L f ( : : Ci 8. I .' DATE: • REVISED: SCALE: DRAWN BY: APPROVED BY: AFFIDAVIT: This installation shat comply with NFPA 54, NFPA 58, as well as al state & local codes and regulations. GENERAL SITE PLAN I Page of Signature of PRINT NAME* Qualifier* Qualifier ----- 06Eic. - r - AltIca 1-P CA CO S59 Sworn to and subscnbed before me this .% day of • Y1S /Z-,-," 200 4 e. , by, 0 '(SEAL) ti PersonalliknoWn-7 or Produced iaeopcatiOn: oType of identification ° • 4 rip*"!' Vi ` \‘ Produced: -- _ 1 c..0 /' la[voi- 3 rj — Th4 ,3J 1 2 a oo o 5 Cu./Li-L=1 C..6-v-Lts-ts Sa-ki aopu. Sou E.,4 4 • DETERMINE NORTH • t, Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2004 -305 Printed: 11/3/2004 Applicant: BRADLEY YORK Owner: YORK BRADLEY JOB ADDRESS: 1291 NE 94 ST Contractor AMERIGAS PROPANE AND SUBSIDIARIES Contractor's Address: 10052 NW 89 AVENUE Local Phone: 305 - 883 -8600 Parcel # 1132050100101 Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 LOT 12 LOT SIZE 75.000 X 125 OR Fees: Description Amount FEE2004 -10811 Building Fee $140.00 FEE2004 -10812 Technology Fee $3.50 FEE2004 -10813 CCF $1.20 FEE2004 -10814 Training and Education Fee $0.40 FEE2004 -10815 Scanning Fee $3.00 Total Fees: $148.10 Total Fees: SUMO Total Receipts: s 0 q6.10 Permit Status: APPROVED Permit Expiration: 4/24/2005 Construction Value: $1,200.00 Work: 1-420 TANK SET & PRE LINES TO DRYER WATER HEATER AND COOK TOP Signed: (INSPECTOR) Plumbing Permit Page 1 of 1 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: WL‘ Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/16/2004 Applicant: BRADLEY Owner: YORK JOB ADDRESS: 1291 Contractor Parcel # 1132050100101 Permit Status: APPROVED NE 94 GAS CONTRACTORS INC Local Phone: 954 - 680 3979 Work: REPLACE WATER HEATER Permit Expiration: 5/9/2005 Pluming Permit Permit Number: PL2004 -323 YORK BRADLEY ST Contractor's Address: 6121 SW 186 WAY Legal Description: MIAMI SHORES BAY VIEW PB 40 - 16 LOT 12 LOT SIZE 75.000 X 125 OR Fees: FEE2004 -11366 FEE2004 -11367 FEE2004 -11368 FEE2004 -11369 FEE2004 -11370 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Total Fees: Amount $110.00 $0.60 $5.00 $0.20 $2.75 $118.55 Total Fees: $118.55 Total Receipts: $0.00 Construction Value: $500.00 Page 1 of 1 Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305 tt 2 ?ayt 46 972 BUILDING 1 0 Permit No. i 3 O "32 PERMIT APPLICATION MAter Permit No. FBC 2001 TenanULessee Name Permit Type (circle): Building Electrical IMP umbin Mechanical Roofing � ) g g o g �p Owner's Name (Fee Simple Titleholder) 15/ (0 l "r Phone # 3 G Owner's Address AW 9/ /( /C-- 7 T "r City • State Zip Job Address (where the work is being done) / q/ A/fl - /�' City Miami Shores Village County Miami- a de Zip Is Building Historically Designated YES NO Contractor's Company Name 7 5 C of tt l (� Phone # �� 377 / 370 S (.) / Y a vz N C..4 Lif St e /7 Zip Qualifier (—' 4 / /1 f /7 44_ ( S Contractor's Addr $ Value of Work For this Permit State Certificate or Registration No e/ L SY Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Type of Work: 1=e11 ❑Alteration ❑New P. Describe Work: T L` e# V �:0c _ * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** OC Submittal Fe( 7 Permit Fee $ / �'�e''` Notary $ `J Training/Education Fee $ 6� ` n Scanning $ (Continued on opposite side) Total Fee Now Due $ Radon $ Code Enforcement $ Structural Plan Review. $ Phone # Square Footage Of Work: CCF $ 0^ (-)4? CO /CC Technology Fee $ " Zoning Bond $ 74 q5" Demolition Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) da after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection ee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was ackn ledged before me this The foregoing instrument was acknowledged before me this day of , 20 _ , by , day of , 20 _ , by who is personally known to rrle or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: i NOTARY PUBLIC: Sign: / Sign: Print: Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Chc 05/13/03 My Commission Expires: APPLICATION APPROVED B ih lans Examiner Engineer Zoning 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/NETER 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 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS 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 HP COOLING TOWERS - WATER CLOSET IOTCRS OVER 100 HP VIOLATION INDIRECT WASTES- A/C WINDOW REINSPECTION WATER SUPPLY T0: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE j GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIWING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS 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 POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS 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 Date 4 Job Address /?/& 77 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant OR i '/C i l\ Master Permit # 1I Ot - 30-3, Phone _305 75?— of ?Y Owner's Address I a9 1 L= Contracting Co. b/ ��A--,-s Address S/06 -S W l grip✓ . 6 441W4 / .11 1 Qualifier ( / AP/ /A - SS# Phon GO(/ -3?77 7 State # �r� 02/ 7 6? Munici pal # Competency # Ins. Co. 4 fps Architect/Engineer NOV 1 0 Press Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRIC PLUMBING JCHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION eAlikr Ge Cr 99.f 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. FEES: PERMIT • PERMIT APPLICATION FOR MIAMI SHORES VILLAGL '- G esident NOTARY 1? STZ.: O1 171.01IM 1 CCMMISSTC T 110. CD7u3201 MY COMMISSION 'Xi . APR RADON C.C.F. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in co construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. NOTARY APPROVED: Zoning Building Electrical NWAI3Y' COMMISSION NO. DDIC32C1 MY COMMISSION XP. APR .°.,zc"� BOND TOTAL DUE 'th all applicable laws regulating Mechanical Plumbing Structural Engineer