PLUMBINGPermit No
i7 Date ---- Ma5r-- kg .. .19 37.... - --
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 moat be kept at
building during progress of work.
Owner's Name and Address _DQn_ Koski .Plumbing_ No . 1026 NE 97 S M. Shores 33168
Registered Architect and /or Engineer
North Dade Septic Tank 800 NW 111
>r 1 Plumber's Name _ Na, _.. e...�.._.....�
GIP
loin
;
Street and N w ere or to be performed —No
Six
State work to be performed and purpose of building (By Floors)_
New Building - - - - -- _...... ____ Remodeling_ Addition..._..__..__ Repairs
Size Septic Ts" 1050 1 z -- _Type of Tank
Feet of Drain Tile. ---37 -- Ski - ft • Dist. Feet of Tank oe Drain Field from Well
Nature of Water Supply: City—Well. Size of Soakage Pit.
Amount of Permit i0
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block / g/
1026 NE 97
(Signed)_ .
(Signed)
Miami 3316W
Miami Shores 63138
FuMP ASAt .
No. of Stories
Notary Public, State of I?loeida
Master Plumber.
p�0
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 5988, Compiled General Laws of Florida Permanent Supplement, and Isar com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him In the wort( to be
performed under this permit; and will post or cause to be posted' for inspection on the site . - e work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on k . be pyt rmed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, l
COUNTY OF DADE.
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.
NOTE: A re- inspection fee of $1.00 will be made whoa nob rolospaotlos is soada•ssoesslary by bumper soda far inspection, at faulty
materials and/or workmanship.
CLOUT.
BATH
Tu.S
SNOW[RL
LAVA•
TORIES
SINKS
SLOP
$INKS
LAUNDRY
TUG[
URINALS
CATCH
aALIN
FLOOR
DRAIN
DRINKING
FOUNT'NL
TOTAL
FIITURES
CONTa.
LILT
CHECK
SEPTIC
TANK
SLWLR
CONN.
DRAIN
FIELD
SOAKAGS
PIT
G
TRAP
SOLAR
MEATIER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'O
POOL
CONTR.
LIST
r-
CHECK
Permit No
i7 Date ---- Ma5r-- kg .. .19 37.... - --
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 moat be kept at
building during progress of work.
Owner's Name and Address _DQn_ Koski .Plumbing_ No . 1026 NE 97 S M. Shores 33168
Registered Architect and /or Engineer
North Dade Septic Tank 800 NW 111
>r 1 Plumber's Name _ Na, _.. e...�.._.....�
GIP
loin
;
Street and N w ere or to be performed —No
Six
State work to be performed and purpose of building (By Floors)_
New Building - - - - -- _...... ____ Remodeling_ Addition..._..__..__ Repairs
Size Septic Ts" 1050 1 z -- _Type of Tank
Feet of Drain Tile. ---37 -- Ski - ft • Dist. Feet of Tank oe Drain Field from Well
Nature of Water Supply: City—Well. Size of Soakage Pit.
Amount of Permit i0
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block / g/
1026 NE 97
(Signed)_ .
(Signed)
Miami 3316W
Miami Shores 63138
FuMP ASAt .
No. of Stories
Notary Public, State of I?loeida
Master Plumber.
p�0
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 5988, Compiled General Laws of Florida Permanent Supplement, and Isar com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him In the wort( to be
performed under this permit; and will post or cause to be posted' for inspection on the site . - e work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-contractors, on k . be pyt rmed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, l
COUNTY OF DADE.
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.
NOTE: A re- inspection fee of $1.00 will be made whoa nob rolospaotlos is soada•ssoesslary by bumper soda far inspection, at faulty
materials and/or workmanship.
Permit No._.2
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 No / . Street.— 77
Registered Architect and/or Engineerfti
Empio F1wberz Nobino...ami.A.(.../Q__ /P625
Location pa Leg1 Don mork / e k subamilontear_ge_Aa Ale/
/ StilecliNt where work is to be performed—No k e 97 -- Street _..._._ ................ _ .....
d laig - (111te...<
New Building._____ .... Remodeling-- Addition... Repairs No. of Stories
State work to be performed and purpose of building (By Floors) Le
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date..
Size Septic Tank.— _Type of Tank—
Feet of Drain Tile — __Dist Feet of Tank or Drain Field from
Nature of Water Supply: City—Well. Size of Soakage Pit.
Amount of Permit
(Signed)
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 Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wore- to 17P
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 u are
required by the Act. The undersigned agrees to employ only such sub-contractors, on • k to be performed under this permit, as are
licensed by Miami Shores Village.
...
Plumbing In qpec tor.
Muter Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared
to me well known, and who being by me first duly sworn, upon oath deposes and says that be 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 fat
therein by him stated are true.
My Commission Expires Nasty Public, State ci Amide
NOTE: A re-inspection fee of $1.00 will be :nada when mob re4upsodos ta insde asosanwir by Improper notice kw hispeston, or faulty
materials and/or wade:unship.
CLOSETS
BATH
Tubs
SHowans
LAVA.
Toni
SINKS
SLOP
SINKS
LAUNDRY
Tuns
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N111
TOY•L
•IiTuics
—
CONTR.
LIST
CHICK
....
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAOR
PIT
G
TRAP
SOLAR
HEATER
DEEP
WILL
8 .
SYSTEM
Swim
POOL
I
I
CONTR.
LIST
CHICK
Permit No._.2
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 No / . Street.— 77
Registered Architect and/or Engineerfti
Empio F1wberz Nobino...ami.A.(.../Q__ /P625
Location pa Leg1 Don mork / e k subamilontear_ge_Aa Ale/
/ StilecliNt where work is to be performed—No k e 97 -- Street _..._._ ................ _ .....
d laig - (111te...<
New Building._____ .... Remodeling-- Addition... Repairs No. of Stories
State work to be performed and purpose of building (By Floors) Le
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date..
Size Septic Tank.— _Type of Tank—
Feet of Drain Tile — __Dist Feet of Tank or Drain Field from
Nature of Water Supply: City—Well. Size of Soakage Pit.
Amount of Permit
(Signed)
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 Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the wore- to 17P
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 u are
required by the Act. The undersigned agrees to employ only such sub-contractors, on • k to be performed under this permit, as are
licensed by Miami Shores Village.
...
Plumbing In qpec tor.
Muter Plumber.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared
to me well known, and who being by me first duly sworn, upon oath deposes and says that be 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 fat
therein by him stated are true.
My Commission Expires Nasty Public, State ci Amide
NOTE: A re-inspection fee of $1.00 will be :nada when mob re4upsodos ta insde asosanwir by Improper notice kw hispeston, or faulty
materials and/or wade:unship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
71/457 --7/37
Permit No'c. LS — //
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure, herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of. Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. / p �L
Owner's Name and Address Xo bP - - - -[f —`�i �(/ , ` .S No �� Street.. '
Registered Architect and /or Engineer '- /"" G'e °t -
Emplayin$ Plumber's Name 1/0- e a sus-C S ,N0..... la..�.._....._........ /treet._tir ._. ter?- 7 —
Location and Legal Description Lot. Block SubdivWon.__'? �`
Street and Number where work is to be performed —No LOS (o Street_. 'v'
State work to be performed and purpose of building (By Floors)_______5.144 tr_I'aC_
New Building- •--- •_� - - - - -. Remodeling Addition.- •--- - -..__ Repair No. of Stories ...... .......
Size Septic Tank_.-. Type of Tank_ —
Feet of Drain Tile —Dist Feet of Tank or Drain Field from Well..._.__.
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit $
/'9
(si . egk
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 5986, Compiled General Laws of Florida Permanent Supplement, and 1111' c■m-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worir 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 err
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
lioensed by Miami Shores VUlage.
(Signed)
if
Master Plumber.
STATE OF FLORIDA, t
COUNTY OF DADE. I
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 be is the. •__ - -- - _ - - -• - _ _ - .. —
of the above described construction, that be has carefully read the foregoing application, and that he did sign the sense, and that all facts
therein by him stated are true.
My Commiuion Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be grad. wham snati sa►iaspaotias Y made by bapropar oaks for bsapection, or fealty
materials and /err workmanship.
GLearys
BATH
Tun.
SNOW[AS
LAVA-
TORIES
SINKS
SLOP
SINK[
LAUNORY
'rues
U RINALS
URINALS
CATCH
FLOOR
DRAIN
ORINKI NO
FOUNT' NS
70TAL
P 11TUR[e
CONTR.
LIST
CHECK
r
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DRIP
WELL
SPRKLR.
SYSTEM
SW IM'O
POOL
COHTTI.
LIST
V
�--
CHECK
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
71/457 --7/37
Permit No'c. LS — //
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure, herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of. Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. / p �L
Owner's Name and Address Xo bP - - - -[f —`�i �(/ , ` .S No �� Street.. '
Registered Architect and /or Engineer '- /"" G'e °t -
Emplayin$ Plumber's Name 1/0- e a sus-C S ,N0..... la..�.._....._........ /treet._tir ._. ter?- 7 —
Location and Legal Description Lot. Block SubdivWon.__'? �`
Street and Number where work is to be performed —No LOS (o Street_. 'v'
State work to be performed and purpose of building (By Floors)_______5.144 tr_I'aC_
New Building- •--- •_� - - - - -. Remodeling Addition.- •--- - -..__ Repair No. of Stories ...... .......
Size Septic Tank_.-. Type of Tank_ —
Feet of Drain Tile —Dist Feet of Tank or Drain Field from Well..._.__.
Nature of Water Supply: City —Well. Size of Soakage Pit
Amount of Permit $
/'9
(si . egk
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 5986, Compiled General Laws of Florida Permanent Supplement, and 1111' c■m-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worir 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 err
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
lioensed by Miami Shores VUlage.
(Signed)
if
Master Plumber.
STATE OF FLORIDA, t
COUNTY OF DADE. I
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 be is the. •__ - -- - _ - - -• - _ _ - .. —
of the above described construction, that be has carefully read the foregoing application, and that he did sign the sense, and that all facts
therein by him stated are true.
My Commiuion Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be grad. wham snati sa►iaspaotias Y made by bapropar oaks for bsapection, or fealty
materials and /err workmanship.
.D4
Permit No
Application is hereby made for the approval of the detailed statement of tai plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the f11lilding 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 compile with, whether herein specified or. not. A copy of approved plans and specifications must be kept at
building during progress of w
Owner's Name and Addres _r
Registered Architect and /or Erne
Employing Plumber's Name . lLLC -__
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- _---- _- _------- __._ -__ -- Addition
Size Septic Tank �f =
Feet of Drain Tile Lh
Amount of Permit $
My Commission Expires
MIAMI SHORES VIL' AG
PLUMBING INSPECTION DEPARTMEK
APPLICATION FOR PLUMBING " ,`v'a7
No._
te __ No Street
Type of Tank___
Repairs No. of Stories.
Nature of Water Supply: City — Well.___ .... —___ _._....... _ ...... ___ ... -_____________Size of Soakage Pit
st. Feet of Tank or Drain Field from Well
Date_
Capacity Gals.
Street
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat . • as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanen upplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo ed 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.
STATE OF FLORIDA,
COUNTY OF DADE.
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.
Notary Public, State of Florida
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
BATH
TU85
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TU88
URINALS
I NAS
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
SW IM'G
POOL
CONTR.
LIST
CHECK
.D4
Permit No
Application is hereby made for the approval of the detailed statement of tai plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the f11lilding 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 compile with, whether herein specified or. not. A copy of approved plans and specifications must be kept at
building during progress of w
Owner's Name and Addres _r
Registered Architect and /or Erne
Employing Plumber's Name . lLLC -__
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- _---- _- _------- __._ -__ -- Addition
Size Septic Tank �f =
Feet of Drain Tile Lh
Amount of Permit $
My Commission Expires
MIAMI SHORES VIL' AG
PLUMBING INSPECTION DEPARTMEK
APPLICATION FOR PLUMBING " ,`v'a7
No._
te __ No Street
Type of Tank___
Repairs No. of Stories.
Nature of Water Supply: City — Well.___ .... —___ _._....... _ ...... ___ ... -_____________Size of Soakage Pit
st. Feet of Tank or Drain Field from Well
Date_
Capacity Gals.
Street
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat . • as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanen upplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo ed 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.
STATE OF FLORIDA,
COUNTY OF DADE.
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.
Notary Public, State of Florida
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.
In consideration of the issuan
staining them . d in strict eo
accepting t -, t I assume e
Subdi-
vision
buil
der
t o install the equipment or
;tha the work will be p -
proper municipal authorities. -
without authorization. A further
o .., .." or a
INSPECTOR
ork rvered hereunder in complianoi with all
.ations submitted to the proper authorities
servant or employee.
JILDING
ECTRICAL
rUMBING
caner of
Aiding
-chitect
•
MIAMI RES VILLAGE, FLCIRI
DATE
Work to
perfor
)retractor
Builder
?.gal
escription
3dress of
gilding
This perm' s grante to the contractor or b ull• am
uo.n herefor in strict compliance with all ordinances ' dining
ns, drawings, statements..or specifications that may * ve:been
any time if the work is not done in compliance with such or ances o the
emit is granted is the understanding that the contractor br builder named abo
rulations pertaining to the work covered hereby whether shows
_;ihty for work done by his agents, servants or employees.
•
this . ermit I a
,j dra
7414
his Permit
Contractor's
License No.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building r'
MIAMI SHORES VILLAGE, FLORIDA
D )
❑ DATE
® PERMIT N? 6697 Contracto= s r
License No. 2 -1 1 /
❑ Work to be performed under this Permit
Architect
Contractor'•.
or Builder �' • , M
Legal Lot
Description � B1
CONTRACTCR OR BUILDER
Address of
Building t 1
6 •� r r
Subdi-
vision
Value of Amount of
Project $ I Permit $ j
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 cover hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications s mitted 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.
BY AUTHORITY
Permit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Applicatio is hereby ' ma for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure erein describe . 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 Enginee y..�
Employing Plumber's Name
Location and Legal Description Lot____ ./
ss.
•
Date
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
under the Florida Workmen's Compensation Act, being Section 5964, Compiled General Laws of Florida Per
plied with the provisions thleof, and will require similar compliance from all contractors or sub - contractors e
performed under this permit; and will post or cause to be posted for inspection on the site of the work su
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be perf
licensed by Miami Shores Village.
No 1 �' 1 Street__ /_
Block 1 ? / Subdivision_
Size Septic Tank Type of Tank Capacity Gals._
No Street
SP
Street and Number where work is to be performed —No. /6 t ' Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling' Addition Repairs No. of Stories
eet of Tank or Drain Field from Well
Feet of Drain Tile
Nature of Water Supply: City — Well._
Amount of Permit \� —_ (Signed)
P1 bing Inspector.
mployer of labor
ha corn -
or to be
as are
as are
Size of Soakage Pit
My Commission Expires Notary Public, State of Florida
•
(Si
aster Plumber.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
v-
.
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.
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
vials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT 'NS
4 0,46
w,4/
TOTAL
FIXTURES
CONTR.
LIST
3
y .
I
'�
`
r
/
/I
7
/
/
//
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
(/�
V '
S c c . ��Q
1
C T
CONTR.
LIST
1
/
CHECK
Permit No.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Applicatio is hereby ' ma for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure erein describe . 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 Enginee y..�
Employing Plumber's Name
Location and Legal Description Lot____ ./
ss.
•
Date
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
under the Florida Workmen's Compensation Act, being Section 5964, Compiled General Laws of Florida Per
plied with the provisions thleof, and will require similar compliance from all contractors or sub - contractors e
performed under this permit; and will post or cause to be posted for inspection on the site of the work su
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be perf
licensed by Miami Shores Village.
No 1 �' 1 Street__ /_
Block 1 ? / Subdivision_
Size Septic Tank Type of Tank Capacity Gals._
No Street
SP
Street and Number where work is to be performed —No. /6 t ' Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling' Addition Repairs No. of Stories
eet of Tank or Drain Field from Well
Feet of Drain Tile
Nature of Water Supply: City — Well._
Amount of Permit \� —_ (Signed)
P1 bing Inspector.
mployer of labor
ha corn -
or to be
as are
as are
Size of Soakage Pit
My Commission Expires Notary Public, State of Florida
•
(Si
aster Plumber.
STATE OF FLORIDA, t
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
v-
.
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.
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
vials and /or workmanship.
Record of inspection of permit covering the installation of:
Septic Tank
Water Supply Well
ACME SEPTIC TANK CO.
Installed by
P. FOX 1000 Address
T1A
New Old Story Addition Remodeled
Store Res. Apt. Hotel . Office Bldg.
Building has: Stores Off:.cos Ants. Hotel Rms Bedrms.
Owner of Agent Address
Address of work
LOT it
.Number of Plumbing Fixtures
Nature of water supply: City
Type of Septic Tank installed
Capacity in gallons Number of feet of. drair_tile /
Sizo of Soakage Pit Pt� Lose of same
Si.zc of Solar Heater (aliens) Size of Discharge Well (inches)
Additional Information:
Ready for Inspection: Date
Approved by
- Remarks
`errait No 7 `1
A( ))
DF.PART"EiKTT OF F..r; ?L.�C SERVICE
D V S r P r INn INSPECTION
T LOCK
Plumber
Date
Soakage Pit Solar Water Heater
Discharge Well'
SL I)TV'ISI0n?
Laundry Tubs Floor Drains
Well Feet distant from all wells
T
Condomned b'•
.�.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
•
Architect
Bl.
Lot
MIAMI SHORES VILLAGE, FLORIDA
DATE /
Contractor's
x License No - -
1
PERMIT N? 7377
Work to be performed under this Permit
Contractor
or Builder
Legal
Description
Address of
Building
This permit is granted to a contractor or builder named . ove to construct the building or to install the equipment or . evice described in the appli-
cation herefor in strict compliance with all ordinances pertaining . ereto 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 witho authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes th- ,`respon .' 'ty for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings • . ia- s tement s or specificati ns d at he assumes respon-
sibility for work done by his agents, servants or employees. an
Signed:
Subdi-
vision
SP CTOR
In consideration of the issuance to me of this permit I agree to perform e work covered hereunder in compliance with all ordinances and regulations
pertainin thereto and in stric conformity with the plans, drawings, statem> i is or specifications submitted to the proper authorities of Miami Shores Village.
In acceptg this permit I a stric responsibility for all work done by eith- i yself, my agent, ser '1r employee.
CONTRACTOR OR BUILDER
Value of
Project
- - BY
Amt. of
Permit
AUTHORITY
WILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORID
)ERMIT N9
Work to be performed under
./��
E5
1 5y7;47:4;
l.
7 414
02 G » 2
This permit granted to the contractor or builde am above . c+ strut
cation herefor in strict compliance with all ordinances p taining thereto a. wi
plans, drawings, statements or specifications that may have been submitte o an
at any time if the work is not done in compliance with such ordinances or if the
permit is granted is the understanding that the contractor or builder named abo
regulations pertaining to the work covered hereby whether shown
sibility for work done by his agents, servants or employees.
this Permit
Value of
Project
DATE
Contractor's
License No.
Amt. of
Permit
51941
e buildin . or to install the equipment or . ribed in
ng that the work will be perf. '"'. •' compliance with
e proper municipal authorities. • s ' ermit may be revoked
d without authorization. A further condition upo hi this
e responsib' ' for a thorough knowledge of . r a s and
or • the st., s . c' i '. s and th. respon-
Signed:
ormi
espon
dinances and
of Miami Shor
In consideration of the issuan
pertaining theret nd in strict co
In accepting 4 emit I assume
INSPECTOR
me . f this . ermit I agree to p - . • work covered hereunder in compliance with 4.
th .0. a. , drawings, statements or spec ' ations submitted to the proper authoriU
y t al /Irk . e by ei er • self, I i f . t, servant or employee.
Ir
: _ or
AUTHORITY
age.
Size Septic Tank
Feet of Drain Tile
New Building_.__.__ _.._...__......___ Remodeling
Nature of Water Supply: City—Wells
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Addition
Type of Tank--
nlst. Feet of Tank or Drain Field from Well
Size of Soakage Pit..
Amount of Permit $ Z t ( Signed) - - L- Uc\i o � � =. .,/-
(
Permit No - L Date .. / ��
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.
Robert Abramitas 1026 N.E. 97th St.
Owner's Name and Address No
Registered Architect and /or Engineer The New Miami Shores Plumbing, Inc.
Kenny Kotalik N Atlanti
Ha Shores Blvd.
/ ,� plc um a e _ c1trMt.._..
I C. an Le tion Lot. Blob Su bdivlslon aria 1 e 75
1026 N.E. 97th
Street and Number where work is to be performed —No Street._ _.._......_...___
State work to be performe8 and purpose of building (By Floors)--- -- - - - -_. �_ ___.------... .._._--- .-- ._ ............... . .. _....... _ ...
Repairs. No. of Stories.
Master Plumber.
St. Lic. CFCO 24459
CC# 11164
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 5968, 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 th - work such • ublic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on war .• be • - • , u .• this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, I
COUNTY OF DADE.
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
NOTE: A re inspection fee of $1.00 will be made when malt solespootlon is mede sorry by improper node* for iapecfion, or faulty
materials and /or workmanship.
GLOaETa
BATH
TUBS
SNOW[R
LAVA.
TO[S
SINKS
SLOT
SINKS
LAUNDRY
TI
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
Ill
CONTR.
LIST
CN[CK
SEPTIC
TANK
SEWER
CONN.
DRAIN
F IELD
SOAKAO[
PIT
GREASE
TRAP
SOLAR
HEATER
D[EP
WELL
SPRKLR.
SYST[M
SWIM'S
POOL
Ins
pool
all
gas line
€
four
CONTR.
LIST
CHICK
heater
-
Size Septic Tank
Feet of Drain Tile
New Building_.__.__ _.._...__......___ Remodeling
Nature of Water Supply: City—Wells
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Addition
Type of Tank--
nlst. Feet of Tank or Drain Field from Well
Size of Soakage Pit..
Amount of Permit $ Z t ( Signed) - - L- Uc\i o � � =. .,/-
(
Permit No - L Date .. / ��
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.
Robert Abramitas 1026 N.E. 97th St.
Owner's Name and Address No
Registered Architect and /or Engineer The New Miami Shores Plumbing, Inc.
Kenny Kotalik N Atlanti
Ha Shores Blvd.
/ ,� plc um a e _ c1trMt.._..
I C. an Le tion Lot. Blob Su bdivlslon aria 1 e 75
1026 N.E. 97th
Street and Number where work is to be performed —No Street._ _.._......_...___
State work to be performe8 and purpose of building (By Floors)--- -- - - - -_. �_ ___.------... .._._--- .-- ._ ............... . .. _....... _ ...
Repairs. No. of Stories.
Master Plumber.
St. Lic. CFCO 24459
CC# 11164
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 5968, 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 th - work such • ublic notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on war .• be • - • , u .• this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, I
COUNTY OF DADE.
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
NOTE: A re inspection fee of $1.00 will be made when malt solespootlon is mede sorry by improper node* for iapecfion, or faulty
materials and /or workmanship.
-r^
CLOSETS
BATH
TUBS
aNOWERe
LAVA.
TORIES
SINKS
SLOP
SINK•
LAUNDRY
TueS
t1RINALe
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N•
TOTAL
PurtuRES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM.G
POOL
Comm.
LIST
CHICK
Permit Nos? (P Date../ /./r.'_ .Q.,2—
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 Dopy of approved plans and specifications must be kept at
building during progress of work. / y�
Owners Name and Address RQ e 19/5140 j T/ S Nat -l2.A Street.. 2 ..� ..
Registered Architect and /or P422/?4S eer
£tnployla Pl 's N e troot.../. .. ..
at3o°"and e g al� subdha rei / LS.. f r
Street and Number where work is to be performed —No. /d Street__ _ __.._..._
State work to be performed and purpose of building (By Floors) - -- -- • - - - -_ - - - -._ ___..--•.-- ....-- .-- ._...----- ..........._
New Building.. _ --------- .- ....._.. Remodeling_____ _ _ __ Addition..._..__...__ Repairs No. of Stories ..................
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Size Septic Tank_._ -Type of Tank_._
Feet of Drain Tile __._Dist. Feet of Tank or Drain Field from Well..._.__-- -__._
Nature of Water Supply: City —Well. Size of Soakage Pit.
1— � ��
Amount of Permit $—/0e C.6 'T6'��Sr5-•±�± ^ � -
Q — -- (Signed) - -` k
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 5988, Compiled General Laws of Florida Permanent Supplement, and IIaq com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to he
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice ar notices as err
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 ) _y�/ �1 _
of g: t Master Plumber.
STATE OF FLORIDA, µ
COUNTY OF DADE. j
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 be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commisaico Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when mob so- inspeodoa its esede by Improper nodes for inspection„ or faulty
materials and /or worlmaaship.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date • J o b Address 10 t 0 NE Q' r Tax Folio
Legal Description Historically Designated: Yes / No
Owner/Lessee / Tenant Robe r ,A}BYO. - ry - i-"l Master Permit # / 96
Owner's Address I CDR l o /CIE. q 7- S e-1- Phone (30 5) 5 Co - Ci B qB2 - 1=132.
Contracting Co. N'1 Orr) r r) i Sho rte' , Pl J , Sr) . Address QOO I\C N' 1-2--1 S`i
Qualifier ier-)n j S Vic L a .t ,t 9 h l i e n SS# Phone ( �) 451- 2
p
State # C FCC 1 C1 aU F) Municipal # C i=CC 1 Cl2 Competency # C FCO i q DOS Ins. Co. - TW - CXvi }e✓s --
ze r - 7i-N - it
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
pi ri
Square Ft. Estimated Cost (value) 1 .
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
pennits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the •regoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zo • • :. urthermore, I authorize the above -named contractor to do the work stated.
of owner and/or Condo President Date
tol AP/ : 1:l ///
Notary as to • caner . . or C i o Pre r ent Date
/My Commi i. Ex . es:
�-�� Gloria E Suvillaye
* * won CC681145
% I Expires August 18, 2001
APPROVED:
Zoning Building
Mechanical Plumbing
Address
Address
Address
ignature of Contractor
lder Date
otary as . Con ;3+ ctor weer -
My Co onf� " '' pires:
Af
, '� Gloria E Suvillape
* *My Commission CC681145
‘, Expires August 18.2001
C.C.F. /' ° NOTARY BOND
Electrical
TOTAL DUE
,Q •Q
Date
q•q8
Engineering
(AN APPLiC.T =014 =OR BUILDING PER ST MUST ACCOMPANT THIS ADDENDUM. IF A EASIER PERMIT EAS 3c.
OBTAINED, TEE 0w rF..3' S NOTARTZ.E3 SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ITEM
3ATHTLB
3iOET
0 I SnIYASHER
0ISPCSAL
I NK ING FOUNTAIN
FLOOR CRAIN
GREG TRAP
mzsa TCR
iLAVATCRY
LANNY TRAY
PLUMBING
3THES WASHER
SHOWIER
SINK. POT /3 COMP.
SINK. RESIQENCE
SINK. SLOP
TEMPW RARY ;WATER CLOSET
LR I NAL
;HATER CLOD
INDIRECT WASTES
?WATER SUPPLY TO:
-iC UNIT
fl RE SPRINKLER
HEATER-NET INST.
HEATER-REPLACE
LAWN SPRINKLER-FELL
SWIMMING ?COL •
SE`,Ea CONVECTIONS
UTILITY -;EM
UTILITY- ;PATER
SEPTiC TANK
RELAY
CRAINF1ELO.
FLIP
PIT CU.
CATCH 3ASiN
01= WEL
CCMEST C 'WELL
AREA A I N
RCCF iNL:1
XL.;;;* .CATER EATER
:IRE S L' !F
PCCL PTI
LAAN s S STEM
METE. :Z
GAS .
ADDENDUM TO BUILDING PERMIT APPLICATION
Ufa FEE
iTE
SWiTC:I CUTLETS
LIGHT OUTLETS
RECEPTACLES
SERV 1C I d:CRARY
ELECTRICAL MECHANICAL
SERVICE SIZE IN AU S
SERVICE RE'A IRi1ETER CHANGE
APPLIANCE anus
S
RAAGZ Tip
OVE2
WATER
MOTORS 0- 1 HP
10TCRS OVER 1- 3 HP
1rOTCRS OVER 3- 5 p
MOTORS OVER a- 3 HP 1
MOTORS OVER I- 10 HP 1
MOTORS OVER 10- 215 HP 1
%CTCRS OVER ?S-ICO H
MOTORS OVER NCO HP 1
A/C '(INC0x
AIR CONDITIONERS
STRIP ,,EATER i
GE'IERATCRS TRA117011 1
GENERATORS TRANSFOIMERS
GENERATORS TRAN7CRMS 1
SPECIAL PURPOSE
CUTLETS COMMERCIAL
UNIT
FEE
iTc"'S1.
4A lf-ATERs
MORAL i€ATi?G
it (1180)
A/C (CvfTRAL )
MCI NM
RE=R 1GERAT iON
PROCESS ANJ PRESS PIPING
UNOERGCLINO TANKS
ABOVE G43.20 LI}U(S
U F PRE .RE VE E S
STEAM 301LERS
HOT 'WARR MILERS
MECHANICAL VENTILATIQH
111AWMTING ASScE 6LIES
ELEVATERS/EC.ALATCRS
F!RE SPRiNKLER SYSTci6
GAL I NG MISS
VIOLATION
RE!NSr"ECTiCN
UNIT FEE
I
1 TELEVISION CUTLETS
REI ?WWI ICH
1
i
1
1 I
?EATER SERVIC
4 T1LE/RES.
S ABANDON SEPTIC TANK
rl
S iGN TL&S
SI TRANNSrCIAERRS
SIGN TUNE CLaCX
FIXTLRES
ANTEIQIA
VIOLATION
1
1