38183Legal Description
ovinencesseerrenant itY) ))?re5
I* YCA Master Permit #
Owner's Address ®D Al a 96S 1;
Contracting Co. 1 W, . VI C -
. (r 5 eM
State# B4 A95
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): B
WORK DESCRIPTION tit
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
,7 Job A OE' f V C ‘St; ''ax Folio
11
Historically Designated: Yes No;
it
Municipal #
ING KELECTRIC
Square Ft
WARNING TO OWNER: yOU MUST RECORD
RESULT IN YOUR PAYING CE FOR IMPRO
CONSULT WITH YOUR D ER qR AN Arra
Application is hereby made to obtain a permit to do w
certify that all work will be pormed meet the
permits are required for FLRC CAL, 1L UMBING SI
otary as to Owner and/or Condo President
MyC
Ti•
do President Date
4
AViRIPFIC1AL NOTARY
�i SANDR M IEL
y (f * COMMI ION N 9ER
< C 401261
OF f � O QO MY COIMM ISSIO .E .
L
OWNER'S AFFIDAVIT: I certify that all the foregoing
laws regulating construction and zoning. Furthermore, I
Signature downer and
FEES: PERMIT Z 4/ ®e/e0 RADON
APPROVED:
Zoning
Mechanical
0
„ Plumbing
Date
•
C.C.F.
Phone 75
A d d r e s s f q 3h / 1 1
ss# - • 9L3 - 73
Tns. Co. Mee Jd l CK('G
Competency #
0
My
II
Electri
licldress
AddresS
Adthc
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
/'- 1 O i 14/ C I
Fs iinated ost (value) '/l!s D 90 ee9
NOTICE OF COMMENCEMENT AND YOUR FAILURE TO =DO SO MAY
TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
k and installation as indicated above, and on the attached addend Um (if applicable). I
ds of all laws regulating construction in this jurisdiction. I understand that separate
NS, POOLS, ROOFING and MECHANICAL WORK.
nformation is accurate and that all work will be done in compliance with all applicable
orize the above - e • tractor to do the work stated.
))4te" aidX4/2/1"
Signature of Contractor or Owner- Builder D
wnSL '1
71 S'Ac
Date
AL NOTARY SEAL
�r� SAI4DRA M MONTIEL
* COMMISSION NUMSEFI
CC401261
9 r q? MY COMMISSION .EXP.
�OF F AUG. 19,1998
NOTARY $ g TOTAL DUE 4 9,4 GI
Engineering
Met; n
?Awe
igootor 2O�
;sti 1 lt b k Mye-vV
f r∎ew
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3ra le n 'ew 3 -- t2Thvfn
1 V' .,
(taro
)10 v'e S ? ? €
y\ 3'(g" x4- l jui}er
hew - 3- 4-3 /01 - 60A i tI1zC
+e-nan C■
E'?45 n 3 - r t 1 - -11t vd in 1 C ,
3,7 VP &14)4.16
ITEM
BATH Tie
UNIT
•
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPAN HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL MATING
DID
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
_
DUCT WORK
FLOOR GRAIN
SERVICE REPAIRAETER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INREtRCFPTG>Fi
RANGE Ta'
UtCERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TAWS
LAUNQRY TRAY
WATER HEATER
U.F. PRESS 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 HP
.7-.
/y.,
MECHANICAL. VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORT IIG ASSEMBLIES
SINK, SLOP
MOTORS OVER B- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTCRS OVER 10- 25 NP
_
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25.100 NP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CCNDITI DOA"
30'
2f
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
.
DATER -NEW INST.
GENERATORS TRANSFORMERS
,
HEATER-REPtACE
GENERATORS TRANISFC BIERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS DIAL
WATER SERVICE
SIGN TREES
.
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -MATER
FIXTURES
SEPTIC TAM(
ANTENNA
RELAY
TELEVISION OUTLETS
ORAINiFIELO, 4' TILE/RES.
VIOLATION
PUMP & ABANWN SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
-
OIS3IARIE WELL
DOMESTIC WELL
'
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
NETER SET (GAS)
GAS PIPING
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