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KITCHEN REMODELLegal Description 7 c J L f/ Master Permit ( Owner's Address Phone (° Owner / Lessee / Tenant Contracting j / Co. Qualifier 7( State # PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Za Job Address /2 ? / i 0c5 Tax Folio e 4161.7 1- 41e„.) 4 47/4 , c_j - r C. 7 -- SS4E Municipal # Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDIING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION k !%-( l � 4 Pe � Square Ft. Estimated Cost(value) 2S OWNER: WARNING TO 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 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. Furthermore, I authorize the above -named contractor to do the work stated. - Signature of owner Condo President " Sign !ure of Contractor or Owner-Builder Date: Dat Notary as to Owner a d /or Condo President My Commission Expires: ** * * * * * * * * FEES: PERMIT 2o 'evo RADON C.C.F. Competency # Ins.Co. Address 95 f 7 ' � J Iss ue; 33,131" No o - �. • My ppa�ni s s tgn 2 w, * ` *_ a OFfk. NOTARY X,raubt 0E er- Builder s;apIerc MONTIEI COMMISSION NUMBER CC4012 MY COMMISSION .EXP. At :VP 1996 _.. -...: 5. TOTAL DUE 3 6 • x° APPROVED: Fire Other Zoning Building Electrical Mechanical Plumbing Engineering ITEM BATH T18 UNIT • FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS .-.0 HEATING DISHWASHER RECEPTACLES jjs& A/C (WIND) DISPOSAL SERVICE TEMPORARY ' A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP _ APPLIANCE OUTLETS 11 ..4;7-6 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 If 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 FP 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 SWIMWING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTI.RES SEPTIC TANK _ ANTENNA RELAY _ TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP S ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN A d d PA N., Z- D I St HARGE WELL . /(P-O4, Sc,,b-("e, f d . lvyr DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER , _` FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (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 ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL rJ Date / /Jf /9 Job Address /2 9 A/F 9 % Tax Folio 11 31e5 oOQ (9 1 Legal Description G i . / . S O f r. . . C 7 . 3 7 / h & 7 / ' / /54eC /( I + - Tr* SgGi9C� Su Owner / Lessee / Tenant IV/ ,(L //--M Owner's Address /2 69 IVE f9 57- Contracting Co. if L_ E Oktil fD5 CO IV i 0P - Address / 77 %11./FST.tf/E / -,5c /- Qualifier #i9iry /2 4, _ Ed ti/f} d S . ss# 5 2- State # Municipal ik Competency # 903 f Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one)' BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION A7/ 1#E/T/ C'Ae/A7/ - Square Pt. Estimated Cost(value) 7«190 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 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. Furthermore, I authorize t e abov - napped contractor to do the work stated. :•atu o0 Ur 'R Not:ry as - i � " er and or Condo President My Commis ion > • : F1- ` • ARY SEAL IS B FREEMAN NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC:- *M1! COIl�!b;i` *'XP. A * ! * FEES: PERMIT 8 RADON Si Da ** * APPROVED: • 4 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE r Condo President * My Commission Expire Fire Buildin Mechanical Plumbing Zoning Master Permit # Phone 37,77c) Signature of Contractor or Owner- Builder Date: 0 Notary as to Contractor or PIOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC339927 MY COMMISSION EXP. JAN. 20,1998 * * * * * * * * ** C.C.F. NOTARY TOTAL DUE 5 ' Other Electrical Engineering W!LLsktM R1L6y 1 41 51�M_LS1oIEf IN 60'44 r11 —C..3, L.ELA.L f /{Lott!( EIALto .1ffee.1 s.Syi• C FLA. 1977 LAWS FS 713.13 Nntirr Tontnigurrntritt (PREPARE IN DUPLICATE) fulimit it mug court= The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE 'OF COMMENCEMENT. Description of property ... /2 .6. 9... l.Il.E 19 4-44 T. _...5..ir/.P. ES S.' General description of improvements ... !(f PL e " E /Y 7 C E C 6 BANE TS 4/V,0 fk.o.a4 Owner h/ /I /gM, RJ L 6 I �j s Address .. /2 6. � ... /.f(. .... J... 7` /+� �/�/ � /f©/rEf, / 1 _ 333 T Owner's interest in site of the improvement Fee 'Simple Title holder (if other than owner) Name - RAMCO FORM 409 Address Contractor 1/- 14//9-4•f " /57= C'd, Address /4 i q 4t T 5 "/- dC n‘' f?-� 55/37 7 • Surety (if any) Address Amount of bond $ Any person making a loan for the construction of the improvements: Name Address Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name .G41.5' f'J PE 61 P#/ Address .. /1eCli/ileffelrE eO0/054 e /rY���C... In addition to himself, owner designates the following person to receive a copy o f the Lienor's Notice as provided in Section 713.13 (1) (h), Florida Statutes. (Fill in at Owner's option). Name 4/5 ,' pE /7 / #1 Address 1. / ROC ii/Ne .Pelf5. ( 4' a , e0CV/ R .. 7TY ff -_ 3 3c 6 THIS SPACE FOR RECORDER'S USE ONLY v /--/• L dlAi A( df /. ? . _Gfg M( /d . /� C STATE OF FLORIDA, COUNTY 0• DADE G HOW CERHFY t` a• this is o co y of the e-l it sd iy# !lice on day of J' ,7D t9 r W NESS my h •nd and Official seal. NA4VEOUVIN CLERI�af CircHan• •untyC aa,E% •13./t Owner /K. , /du -4A J orn to and subscribed before me this 0 19 . -5"" CIA T.. NOTARY S!ip.i, QIS B Fi:LE" +q:lrr o i :0. CC1 • L td, i' L:.);.:iv.jSS!GN EXP. A.?R. 4,1 ;1 j