700 NE 96 St (3)• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date .5I / I gr Job Address 700 42E. 96 Tax Folio /l 06 - 0/4/-
Legal Description
97 / Lessee / Tenant
Owner's Address
Aithr
'700 , 2 t CN , Phone 75� fr
Contracting Co. S en Reelau,* Address /0 %//`a /4/7
Qualifier ( QZJI l V L 061( SS4� Phone
�'
State # 16O!33)�Iunicipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft. Estimated Cost(value)
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 jurisdict n. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, R
OWNER'S AFFIDAVIT: I certify that all the foregoing informati
be done in compliance with all applicable laws regulating con
authorize the above -named contractor to do the work stated.
MY COMMISSION B CC 307975
EXPIRES: August 11, 1997
ded Ihru Notary Public Underwriters
) rignatur,
Date:
N' a as to Owne and /or C t do President
ission Expires: L2;e //) /997
* * * * *
FEES: PERMIT a- etS RADON
** *
APPROVED:
*
Signat
Da
ill �l ►'!
/U 4 " -'< o
as
Commission
p
NOTARY
Master Permit # 3 770
too
G and MECHANICAL WORK.
ccura e and that all work will
on an z;' i g. Furthermore, I
Owner- Builder
a fi;�rJnu.j,d
:'':1;e : MAY COMMISSION A CC 244Va
;:XP19ES: Decanter 8.
z" Donr.+ei Ih•u Notary P�� Mere
* * `"" ..--..---7-..
- * * * **
C.C.F. TOTAL DUE 3
Fire Other
Electrical
Engineering
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) 3 iFl
1
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE 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
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS /ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
•
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
-
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
JTILITY -WATER
FIXTURES
SEPTIC TANK _
ANTENNA
•
;ELAY
TELEVISION OUTLETS
iRAINFIELD, 4" TILE/RES.
VIOLATION
'LAP 8 ABANDON SEPTIC TANK
REINSPECTION
OAKAGE PIT CU. FT.
:ATCH BASIN
1ISCHARGE WELL
IOMESTIC WELL
:REA DRAIN
:00F INLET
OLAR WATER HEATER -
IRE STANDPIPE -
'COL PIPING _ _1
AWN SPRINKLER SYSTEM
;AS RANGE
'TER SET (GAS)
;AS PIPING
1
•
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
OWNER.:
DD RES:
LOCATION OF WINDOW A k UN17 •
•r•
Put kbr
FR ONT
SEAR, ROERUCK AND CO.
MIAMI Di;STRC:1" 1'.:STALLATION. DEPT.,
SECOND
20701 scm ALJThTrAH DRIVE
MIAMI, FL 331M