44378Date S. 7 0' i i Job Address (o 0 2 'N E S to T' Tax Folio l' - S206 • d 1 7® O
Legal Description
�� 1 431
Owner / Lessee / Tenant �t Ahr� j ��Y10reC �C2�b �'�r1Anl �V hc.l) Master Permit S)
Phone
Contracting Co. r12clik4 c, c It S '4' QuN SullS:lc,i S Address E o 091 161- ,- Z.
Qualified. 14.1n RA it lTIAED e.. SS# - Phone d 2:14
State #EtT0000022 Municipal # Competency 03000149 11 Ins .CoJcPahl. - `A 2l..1 Dv 4- Co Ilue.
Address �,
5 ^ �e "' 111 �ree.ru zn
Architect /Engineer nt ht3, ck ,
Address
Address
PerMit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 1 ZOO e Fl r e f w , t - V-b ir r
Owner's Address
Bonding Company N 4
Mortgagor kn.;
PERMIT APPLICATION FOR MIAMI SHORES :VILLAGE
Go2 CIF cit.
Square Ft. ' COQ 5E ' . Estimated Cost(value)A 00 _2_0
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
NOT!ICE 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 zoning. i I
authorize the above-named contractor to do the work sta;ed.
.1°, -0
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
APPROVED:
FEES: PERMITX 3.4 "-7620 RADON OR C.C.F.
TOTAL DUE
Signature
Date
Notary as to Contractor or Owne :u der
My Commission E . - , ,. f 6-
g_ ANGER
NOTARY
der ''
Fire Other
Zoning Building Electrica
Mechanical Plumbing Engineering_ _
ITEM
BATH TLB
UNIT
FEE
ITEM
SNITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
IJ111IT
FEE
8ICET
LIGHT OUTLETS
CENTRAL HEATING
BISITYIASHIER
'RECEPTACLES
A/C (WIC)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
ORINKING FOUNTAIN
SERVICE SIZE IN AMPS
( I1XT WC PA
FLOOR GRAIN
SERVICE REPAIR/METER MEE
REFRICERRATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TCP
, UNCERGWO TN4KS
LAVATORY
OVEN
ABOVE MOUND TAWS
.,
LAUNCRY TRAY
WATER HEATER
MOUE U.F. E VESSELS
CLOTHES WASHER
MOTORS 0- 1 1P
STEAM BOILERS
SHOWER •
MOTORS OVER 1- 3 HP
_ HIT WATER BOILERS
SINK, POT/3 COP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIOEICE
MOTORS OVER 5- 8 HP
TRANS?CRTING AS LIES
SINK. SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
_
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYS 9S
URINAL
MOTORS OVER 25-100 HP
1 C0CL LNG TOWERS
WATER CLOSET
MOTORS OVER 100 1P
VIOLATI@1
,
IPOIRECT WASTES
A/C WINDOW
f REINSPECTION
WATER SUPPLY TO:
.
AIR CONDITIONERS
'
A/C UNIT
STRIP HEATER
F IRE SPRINKLER
GENERATORS TRANSFORMERS
,
•
MATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRAF
LAWN SPRINXLEfI -NIEL
SPECIAL Ply
SWIMS POOL
'
OUTLETS CIAL
WATER SERVICE -
•
SIGN TUBES
SEWER CONNECTIONS
,
SIG TRANSFORMERS
UTILITY.. .SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
•
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
ORAINFIELO, 4' TILE/RES.
VIO,ATtON
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
1
Zoly Fl a Al.Ar Y1‘
CATCH BASIN
PA . (..
OISC'ItARGE WELL
1, Pu1.,1.. % rwrl6i1)
DOMESTIC WELL
SHn of c AecTct c
AREA DRAIN
iv SS'il D
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
-
_
LAWN SPRINKLER SYSTEM
GAS RAKE
METER SET (GAS)
-_
GAS PIPING
1
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY TSIS ADDENDUM. 17 A MASTER PERMIT SAS B.
OBTAINED, THE CWTc 'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
•
r
7'•
PANEL
MOM RADIO ROOM
M E 200 A.U.C.B.
1•1131.11211
1080 12 UGHT9I0
S00 12 F A. SYSTEM
540 12 DUPLEX RECEPTACLE
2
4
A.
SOS NSW 1 120 4�0'. 1 . 3w.
TIM Amps VMS 40 7200 5 24V. CHARGER •
40 , 7200 5 24V. CHARGER •
40 7200 8 24V. CHARGER •
40 ' 7200 5 24V. ONAROER •
TWO SOUARE N000
C1110111e Imp 1012
IM
Lra
1 NE 20
3e
5 Z0 12
7 20 540
9 540 12
n 20 100 12
13 20 300
I5 20 1296 12
17 -
19 20 1296 12
21
23
40 5313 5
40 5313 6
20 300
20 300
20 300
25
27
31
33
35
40
20
20
1200
300
- SPARE
SPARE
SPARE
SPACE
SPACE
SPACE
SPAM
SPACE
SPACE
• LOCK -ON OEMCE
• NON- CCNCURRENT EOUIPVENT
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BUILDING AND ZONING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES. FLORIDA 33138-2382
TELEPHONE (305) 795-2204
FAX (305) 756-8972
t'IFICATE OF COMPLETION
No. 2038 Date: May 7, 1999
Owner, Agent or Tenant of Building:
Miami Shores Presbyterian Church
Block Subdivision
Street Address: 602 NE 96 Street, Miami Shores
Approved use: Wireless communication tower
Remarks: Installation of wireless communication equipment.
This Certificate of Completion is issued to the above named owner for
equipment installation at above named location only upon the express
provision that the applicant will abide by and comply with all conditions of
Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing
and Building Ordinances of Miami Shores Village pertaining to the erection,
construction, alteration or remodeling of buildings or structures.
ZEN, DIRECTOR, BUILDING DIVISION