MECHANICAL. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
3/ 3,
Date O-- Job Address / c2 9 2- A)€ 9S/�/ Tax Folio 11 — .1 OJ -.0/0 -' 0/30
Legal Description Historically Designated: Yes No I/
/ Tenant #4 28 (69 1 'l Q it s kali Master Permit #
Owner's Address S /9At r Phone /(/! /ti-
Contracting Co. ECG l f 4/c D 4.441.,..-Tic. Address /J3 9 0 5 & / 3/ 47
Qualifier 7 Q i Y 4 • Ign E SS# Phone 7 ) 2S2 V,/ W�
State # //9 . Municipal # Competency # C 9 C.0f2 y 2 / Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING
WORK DESCRIPTION C X ri1
Square Ft.
FEES: PERMIT
APPROVED:
/loa
er an Con • o tr 'dent
RADON
Estimated Cost (value)
OOFING PAVING FENCE SIGN
3 'AZ
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.
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. Furth ore, I au,�horize the above -named contractor to do the work stated.
(/.(/)) 2
My Commis on Expires: My Commission Expires:
Zoning Building Electrical
Mechanical (C / Plumbing
.0010/
Si a• . • e of Contractor or Owner - Builder Date
Di— p — . o-. -56- bT 0
as to 'ontracto or 0 er -Bu der
p INt PU On 9,;W!. ""d AY SEAL
ANGELE: BE.CKER
f tJ *
yt :w CO" "13S!Ott EXPIRES
OF f�0 3,2,002 C.C.F. J - a ?7 NOTARY (7 /� BOND
Structural Engineer
TOTAL DUE
JOB NAME
ADDRESS
MIAMI SHORES VILLAGE
// AIR COND ITION REPLACEMENT
H 4Ao /c /41/ -a 4 7/
I1.9 PC fysr
Different location than above?
EXISTING CONDITIONS
1. HOUSE MAIN ELECTRIC SIZE AMPS 2_00 WIRE SIZE
2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE / 0 , & CIR. BKR. SIZE 4a FUSE SIZE SW
AIR HANDLER BRANCH CIRCUIT:WIRE SIZE, & CIR. BKR. SIZE FUSE SIZE j i7SW
3. SIZE OF EXISTING COMPRESSOR DISCONNECT: _ AMPS. TYPE: FUSE CIR. BKR.
SIZE OF EXISTING AIR HANDLER DISCONNECT: TYPE: FUSE CIR. BKR.
4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? YES NO
5. EXISTING UNIT TO BE REPLACED v OR RELOCATED
NAME PLA I FORMATION FROM EXISTING UNIT
PACKAGE MODEL #
P CONDENSOR MODEL # /14 A.H.U. MODEL #
HEAT PUMP TYPE YES 1"....----NO KW HEAT STRIP SIZE /�
CONDENSOR MINIMUM CIRCUITS AMPS A.H.U. MINIMUM CIRCUIT AMPS S > - �°
'-
MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE:
MAKE
NAME PLATE INFORMATION FROM NEW UNIT BEING INSTALLED
q3((1 Cw
// 2 ,P
CONDENSOR MODEL ,# �Y 3 C I'" L X O rt � /� co c- 69 0 u a
HEAT PUMP TYPE YES NO KW HEAT STRIP SIZE 16)&1
'-fJ
CONDENSOR MINIMUM CIRCUITS AMPS ( ( [7 A.H.U. MINIMUM CIRCUIT AMPS
MAKE
GsNER4G ' � G '
CONDENSOR AMP SIZE FUSE HACR CIR. BKR.
AIR HAtVER / AMP SIZE FUSE HACR CIR. BKR.
EER /(414( (v‘ / S' A—
MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE:
PACKAGE MODEL #
A.T.U. MODEL #
CONDENSOR AMP SIZE FUSE HACR CIR. BKR.
AIR HANDLER g AMP SIZE FUSE HACR CIR. BKR.
>EER f 1C ei
CiG -osL v (
SIGNATURE OF QUALIFIER CERTIFICATE NUMBER
Sec. 6 -3 Air Conditioning Regulations.
(a) All individual air conditioning units installed in walls or windows shall be securely anchored
to the walls by approved methods. Units installed over public property, paths of egress or more
than ten (10) feet above grade shall be secured to the structure by bolts or screws to resist horizontal
wind loads. Such units cantilevering more than eight (8) inches on the exterior of a building shall
be supported by steel angle brackets secured by bolting. Bolts to masonry shall be set in lead shields
or similarly rot - resistant fastenings.
(b) he following special requirements shall apply to the control and regulation of noise nuisance
from air conditioning machinery.
(1) All equipment, existing or hereafter installed, regardless of location, shall be
maintained in good working order. Equipment so located that normal operating
noises create a nuisance to adjacent owners or occupants shall be provided with
soundproofing, or sound- absorbing baffels, or enclosures, as approved to insure
maintenance of a reasonable noise leveL
(2) All equipment on outer walls, on roofs, or in the other exposed locations, which are
inty noisy, and which causes valid complaints from adjoining property owners or
occupants may be required to be relocated, redesigned and/or enclosed in noise-
retarding materials when, in the opinion of the building official, such enclosure is
necessary or would be effective.
Special consideration shAtl be given to the p • nine of all future installations to
minimize the noise nuisance to adjoining property owners or occupants and the
building official shall have authority to reject or require the redesign of any system
which, in his opinion, would cause such a noise nuisance. •
(3)
Miami Shores Village
(c) Violation of this section shall be punished as is now or may hereafter be provided by law
(Ord. No. 299, Sec. 1 -3, 2- 21 -61).
I have read the above ordinance and will comply with the regulations thereof
owner /signature Contractor Signature
I have read the above ordinance and will comply with the regulations thereof
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) 37 7»s
/
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/IETER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE (MOUND 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.
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 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
_
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
`��
A/C UNIT
STRIP HEATER
FM a a,.., 9 e - (' ' .
F IRE SPRINKLER
GENERATORS TRANSFORMERS
7
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
JRAINFIELO, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
RE INSPECTION
SOAKAGE PIT CU. FT.
:ATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
'IRE STANDPIPE
'COL PIPING
_AWN SPRINKLER SYSTEM
1AS RANGE
AETER SET (GAS)
3AS 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