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ME-03-181Date 9 ©-D Job Address Legal Description 0" CA PC19% C X1 4 P e e t Owner/Lessee/Tenet Owner's Address 6 N e 6 Contracting Co. e- ^E ,` Mr C04. C o. Qualifier R0Le C (fT1 state # C AC- 01; � �1 Permit Type (circle one): PERMIT APPLICATION FOR MIAMI SHORES VIL 2003 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • F : 3 -4! 0 - G� , r L. • Signature of owner and/or Con President 6 °2 N E 96 Tax Folio �6 t/r1'L� , ;rk Ii , BUILDING 1j0 Notary as t My Conimiss ner an r Condo President n Expires Ark, Robert 1 Chryst • . ._ MY COMMISSION # D0113321 EXPIRES _ ' • � • May 24, 2006 `7 � 11fi,14 nom TROY FAIN INSURANCE, INC FEES: PERMIT APPROVED: Zoning / Q Mechanical A3, `� l ' � `, 3 Plumbing C.C.F Historical) SS# Designated: Yes � No Master Permit # }�t ' tE 2-6/D3 i g Phone 30-7° 7S 6 7s 4 Address Municipal # Competency # Ins. Co. HQ I4 /'1S IF THERE LS 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. ELECTRICAL PLUMBING 0 Square Ft. Estimated Cost (value) 13 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 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. Furthermore, I authorize the above named contractor to do the work stated. Date Signature of Cola for or 0 er : udder PO. fox 6E ( 330 /f t'q r FL 3 l6 b' Phone 3C4'68;c' C nett) Contractor or Owner Builder ssion Expires `1A9Y Py ;As MYCOMM Janet Kranz r ON# DD1740 Lk 1 . • ' d ' P December 26 LJ' Lk NOTARY BONDED nHauraoYflaN�N 2006 0 INC / �R ' OOFING R.2W -03 Date Date TOTAL D Building Electrical SEP 3 0 PAID Structural Engineer \? 3O 06 ctula, 5N1.3 ITEM BATH 71.6 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING 1 v fit DISHWASHER DISPOSAL RECEPTACLES SERVICE TEMPORARY A/C (WIND) j A/C (CENTRAL) =I Tor 40 Rt DRINKING FOUNTAIN SERVICE SIZE IN AMPS SERVICE REPAIR/METER CHANGE DUCT WORK * REFRIGERATION FLOOR GRAIN GREASE TRAP APPLIANCE OUTLETS , PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS INTERCEPTOR RANGE TCP OVEN LAVATORY LAUNDRY TRAY WATER HEATER OIOTHES WASHER MOTORS 0- 1 FP MOTORS OVER 1- 3 FP OWER SINK, POT /3 COMP. MOTORS OVER 3- 5 FP MOTORS OVER 5 - 8 HP SINK, RESIDENCE SINK' SLOP MOTORS OVER 8- 10 HP TEWCRARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS AINAL MOTORS OVER 25-100 FP COOLING TOWERS tiATER CLOSET. - • - - MOTORS OVER 100 FP VIOLATION REINSPECTION INDIRECT WASTES iATER SLPPLY TO: A/c WINDOW -AIR EXINU I•T I ONERS A/C UNIT - - • " • -. .. STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS NEATER -NEW INST, •. GENERATORS TRANSFORMERS HEATER- REPLACE . • GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL. SPECIAL PURPOSE ~—' '—_, SWIWING POOL OUTLETS COM,€RCIAL WATER SERVICE EWER SIGN TUBES CONNECTIONS "' TILITY SIGN TRANSFORMERS -SEWER TILITY -WATER SIGN TIME CLOCK • _PTIC FIXTLRES —� TANK ANTENNA LAY • TELEVISION OUTLETS IAINFIELO, 4' TILE/RES. VIOLATION .W & ABANDON SEPTIC TANK •: ,t AGE RE1 SECTION PIT CU. FT. , TON BASIN SOHARGE • WELL • ESTIC WELL EA MAIN OF INLET L:R WATER HEATER RE STAtOPIPE • 01. PIPING riN SPRINKLER SYSTEM 3 RANGE IER SET (GAS) 3 PIPING I! ,. ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERHIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) • PLUMBING ELECTRICAL MECHANICAL MIAMI SHORES VILLAGE BUILDING DEPAR 305- 795 -2204 Building Inspection Req Date 2- i LL Time Type Insp' • ice► Permit No. Address Co any Phone # For Inspecto ! - Name & Date Approved Correction ❑ Re- Insp'n Fee ❑ /y■iv \A-tz )c,k