436 NE 94 St (2)•
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 5A9/6/ Job Address I/ 3(r) F, S1 Tax Folio 113Z0601-90.3.40
Legal Description
Owner/Lessee / Tenant . tC/ /7
FEES: PERMIT
APPROVED:
ePId g V ) �J cso S// / /O/
Signature owner and/or Con,gr ident Date
o . as to Owner and/or Con. , ' fi viLLAIi P ate
My Commission Expir s: �ey3Y PUBLIC STATE OF FLORIDA
COMM !FAWN NO. CC7141O3
MY ('f 1<2t? STON EXP. MAR. 1,2
Historically Designated: Yes No
Address
` 0 y
C.C.F. c ) NOTARY BOND
Electrical
Master Permit #(4. 6 ) 1 q 0 9. 0
Owner's Address 4 Al r , 9� �1iU�4�2J S�p raS
Contracting Co. , 4n; A /A. c457-4.,
Qualifier A /, 7 veJ CMI'O SS# Phone as) — 39 o R
State # 4 Ci 567$3cD 5 Municipal # 4 1 3 6 7 G — ( , Competency # C 3,A ns. Co.
Architect/Engineer Address
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING /E— LEEC—TRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION T71 f/4/ /o1Z) T-< a- 4 C
Phone [30s, 76' 7382
Address /26 A/C(/ J 6
Square Ft. Estimated Cost (value) //7630., .00
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 zo • Furthermore, I authorize e above -named contractor to do the work stated.
Zoning 60 / Building
)
Sv
Mechanical 7 6 , ( r. o / Plumbing Structural Engineer
ITEM
BATH TLS
BIDET
D I SIIWASNER
DISPOSAL
DR INKING FOUNTAIN
FLOOR DRAIN
GREASE TRAP
INTERCEPTOR
LAVATORY
LAL'NCRY TRAY
WATER CLOSET
INDIRECT WASTES
HATER SUPPLY TO:
A/C UNIT
TtL1TY -SEWER
ISDtARGE WELL
GESTIC WELL
EA CPA IN
OF INLET
:! AR WATER HEATER
RE STANDPIPE
OL PIPING
S RANGE
TER SET (GAS)
3 PIPING
PLUMBING
WN SPRINKLER SYSTEM
UNIT
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR EUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A RASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
FEE ITEM
SWITCH OUTLETS
LIGHT OUTLETS
RECEPTACLES
SERVICE TEMPORARY
TILITr_WATER SIGN TIME CLOCK
EPTIC TANK FIXTURES
2'd GEIST 92i 98.
ELECTRICAL MECHANICAL
SERVICE SIZE IN A>,PS
SERVICE REPAIR/ ETER CHANGE
APPLIANCE OUTLETS
OVEN
RANGE TOP
WATER HEATER
CLOTHES WASHER MOTORS 0- 1 HP
SHOWER MOTORS OVER 1- 3 HP
SINK, POT /3 COMP. 1 MOTORS OVER 3- 5 HP
Slhi(, RESIDENCE MOTORS OVER 5- 8 hP
SINK, SLOP MOTORS OVER 8- 10 hP
TEMPORARY WATER CLOSET MOTORS OVER 10- 25 MP
Mkt
MOTORS OVER 25-100 FP
MOTORS OVER 100 Ifl
AIR
CONDITIONERS
EIRE SPRINKLER STRIP HEATER
HEATER-NEW INST. GENERATORS TRANSFORMERS
HEATER - REPLACE GENERATORS TRANSFORMERS
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL SPECIAL PURPOSE
SWIMMING P001 OUTLETS COW.RCIAL
WATER SERVICE SIGN TUBES
EWER CON S E C T I ONS S I G N TRANSFORI+IERS
EIAY ANTENNA
iAINFlELD, 4' TILE/RES. TELEVISION OUTLETS
IMP & A8AND0N SEPTIC TANK VIOLATION
REItS?ECTION
)AKAC-E PIT CU. F7.
ITCH BASIN
UNIT
FEE ITEM
SPACE HEATERS
CENTRAL HEATING
A/C (MIND)
A/C (CENTRAL)
DUCT Yf1K
REFRIGERATION
PROCESS AND PRESS PIPING
UNDERGROUND TANKS
ABOVE GROUND TANKS
U.F. PRESSURE VESSELS
STEAM BOILERS
A/C WINDOW RE INSPECT ION
HOT WATER BOILERS
MECHANICAL VENTILATI
TRANSPORTING ASSEMBLIES
ELEVATORS/ESCALATORS
FIRE SPRINKLER SYSTEMS
COCLING TOWERS
VIOLATION
UNIT
FEE
df10aO 1131QOa QES :G0 to 80 RQW
r'f
•
PRINT TIME 06/07 '01 14:32 ID:MIAMI_SHORES_VILLAGE____ FAX:3057568972
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* ** TRANSMISSION REPORT * **
LOCATION
93053785277
JOB 3 =: Lucia - 436 NE 94- 5I'• Dom: 6/7/0i
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