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EL-02-321State # E C. AO aw 1 Municipal # PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 ; rte 09/05102— Job Address 602-N6 96 *dam Legal Description MP £ 1.g. 4/ NI Eeot Z s Owner /Lessee/Tenet/"I y � 6K R i les J�(fesky4ik, c? (�P.4 Owner's Address � L #e ?6 / / / Sh /'av x .I 4141 gl *k4 Signature of owner and/or Condo President 9 - © Notary My Commission Expire FEES: PERMIT 1 ✓e" Pte' RADON APPROVED: Zoning Mechanical Plumbing Date Tax Folio 3 226 - 0 /4 - / Historically Designated: Yes No X Master Permit # 4: '� Z006 39x/ Phone 346 Contracting Co. 40 EL AT Address /? /b Nr / At MI *MI Qualifier S.GFft N &)/NN SS# — + Phone S Pe TIM - ' 98/8 Building Elec Competency # Ins. Co. /ION gRv IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICALS PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: v C � , w :tom c. �>�. — 2= A 3 p 1I R [ - lSC V�1tJ tflS V.J CZ-Cra 4-1 `- pep to- I pow a^c,rt` tJ nit, r., Square Ft. Estimated Cost (value) ' ) (OV fI° 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 ANY 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 all disciplines. OWNERS Al +IDAVIT: 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. Furthermore, I authorize the above named contractor to do the work stated. Signature of C ntractor Owner Builder NOTARY TOTAL DUE Date BOND Structural Engineer MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B uilding Inspection Re Date ! Time Type p' Permit N Correction Re- Insp'n Fee Name Address Company Phone # �1 - 7-, e For Inspector:` 1 16 Name & Approved 1 Pi �f •94kL? to ITEM 3ATH TUB UNIT • FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE 3IDET LIGHT OUTLETS CENTRAL HEATING )IS WASHER RECEPTACLES A/C (WIND) IISPOSAL SERVICE TEMPORARY A/C '(CENTRAL) IRINKING FOUNTAIN SERVICE SIZE IN AMPS '/Q0 DUCT WORK 1L00R DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION CREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR • RANGE TOP UNDERGROUND TANKS l .AVATORY OVEN ABOVE GROUND TANKS - .AUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS . :LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS HOWER MOTORS OVER 1- 3 If HOT WATER BOILERS 'INK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION = ^_: INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSE?* LJES INK, SLOP _ MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS. EMPORARY WATER CLOSET _ MOTORS OVER 10- 25 HP FIRE SPRINKLER. SYSTEMS - R I NAL � MOTORS OVER 25-100 HP :COOLING TOWERS-_:. - .. ^ ATER CLOSET MOTORS OVER 100 If r VIOLATION' • • NDIRECT WASTES .. . . . - --• - A/C WINDOW REINSPECTION • ATER SUPPLY TO: AIR CONDITIONERS A/C UNIT ` -• : _ STRIP HEATER FIRE SPRINKLER 'GENERATORS TRANSFORMERS N HEATER -NEW INST. - GENERATORS TRANSFORMERS HEATER- REPLACE • GENERATORS TRANSFORMERS LAWN SPR I NKLER -WELL SPECIAL PURPOSE _ SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE. • SIGN TUBES :WER CONNECTIONS 'ILITY SIGN TRANSFORMERS -SEWER . SIGN TIME CLOCK ILITY -WATER FIXTLRES PTIC TANK . . ANTENNA LAY TELEVISION OUTLETS AIRFIELD, 4' TILE/RES. VIOLATION MP 8 ABANDON SEPTIC TANK REINSPECTION , AKAGE PIT CU. FT. TCH BASIN - SCHARGE WELL _ WESTIC WELL EA DRAIN )F INLET .AR WATER HEATER '. lE STANDPIPE IL PIPING fN SPRINKLER SYSTEM RANGE ER SET (GAS) - PIPING - ADDENDUM TO BUILDING PERMIT APPLICATION (AN,HPPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. 2BTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT,ON SUBSEQUENT APPLICATIONS.) MECHANICAL PLUMBING ELECTRICAL PAY TO THE ORDER OF Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /4/2002 Applicant: MIAMI SHORES Owner: JOB ADDRESS: 602 NE 96 Contractor LYNCO ELECTRICAL CONTRACTING CORPContractor's Address: 1970 NE 147 TERR Local Phone: Parcel # 1132060141410 `iv), o 0 Total Fees: Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 4/2/2003 Construction Value: $12,000.00 Work: INSTALL NEW WIRE FOR 2- 200 AMP 3 PHASE DISCCONCECT ASS ROOF NC REPLACE 1 PUMP METER IN MECH ROOM MIAMI SHORES PRESBYTERIAN CHURCH 602 NE. 96TH ST. MIAMI SHORES, FL 33138 FOUR HUNDRED NINETY DOLLARS AND NO CENTS Miami Shores Village 10050 NE Second Av. Miami Shores FL 33138 -2382 For: Electrical Permit L 79311' I:063)100277 003664259 Electrical Permit Permit Number: EL2002 -321 PREBYSTERIAN CHURCH ST Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE BANK OF AMERICA 02992 FL 63 -27 -631 DATE 10/22/2002 11793 AMOUNT * * * * * * ** *490.00 ** Page 1 of 1 0 i nspection n herefor in strict compliance with all ons that may have been submitted to the plans are changed without allity for a thorough knowledge of the ie assumes responsibility for work done rtaining thereto and in strict conformity Usibility for all work done by either