234 NE 99 St (10)ITEM
BATH TLS
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)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER C J.GE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUI) 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 If
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
UTILITY-WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
GRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REI TION
SOAKAGE PIT CU. FT.
_
A, ai i
CATCH BAS I N
i_
-' o _
DISCHARGE WELL
/�/
��e ---
/
DOMESTIC WELL
/
AREA DRAIN
/ �L.) G4e, -
4
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
• • ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
• '
egal Description
Omer / Lessee / Tenant
DRK DESCRIPTION
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
ate Job Address c
Master Permit if 1/330 2-
caner r s Address 33/3 Phone S2 '"s &��
ontracting �cN ��
�.. � �/ / j4� � . Address 7 � � *7-
M / i // SS# � Phone ) ' jr1( 2
tate °6C 9 77-3 Municipal # Competency I
P Y Ins.Co.
rchitect /Engineer Address
)nding Company Address
)rtgagor Address
!rmit Type(circle one): BUILDING ELECTRICAL PLUMBING
luare Ft. Estimated Cost(value)
1RNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO D
MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEN
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU
)TICE OF COMMENCEMENT).
)plication is hereby made to obtain a permit to do work and installation as indicated above, ar.
t the attached addendum (if applicable). I certify that all work will be performed to meet t}.
:andards of all laws regulating construction in this jurisdiction. I understand that separat
!rmits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING - and MECHANICAL WORK.
7NERS AF'IDAVIT: I certify that all the foregoing information is accurate and that all work wil
: done c•'pli nce with all applicable laws regulating constru t'.n and zoning. urthermore,
rthori . t r . a.• e 41ed, .. .the work stated.
// — p y
my �!q e; E,' E5 � H• : - 1- �' ` y�
mi� i3 a w1in JJ{ �4 i
gnature o -'
:te:
'tary as to Owner and or Condo President
Commission Expires:
Tax Po 1.io��o�
IC 1.111 ROOFING PAVING FENCE SIG _A\
•
//'
.2iN?it�a
Signatur
Date:
ilder
Notary as tN .r Owner- Builder
My Commission Expires:
• * * * * * * * * * * * * * * * **
ES: PERMIT RSi RADON C.C.F. . ‘ 19 NOTARY TOTAL DUE
PROVED: Fire Other
Zoning, Building Electrical
Mechanical Plumbing Engineering