336 NE 98 St (2)BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle • Building Electrical ` lumbing � \ Mechanical Roofing
Owner's Name (Fee Simple Titlehol er) l L57..„ ft 9 ic Phone # 5 D - '2 &f / h
Owner's Address 3 3 (.o • ' Ct 5f' S 1.- j City f 1 h .n r n n ` S A 12 -- S State F► --5
Tenant/Lessee Name
Job Address (where the work is being done) � J �j fo W i �
City Miami Shores Village
Is Building :Historically Designated YES ✓ NO
Contractor's Company Nam- i a es
Contractor's Address
City ;
Qualifier s ��� Q 0 4
$ Value of Work For this Permit
Type of Work: EAddition
Describe Work:
Total Fee Now Due $ $ I 0
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
County Miami -Dade
0/1 O ���
State FL Zip -e,,( 3
Architect/Engineer's Name (if applicable) Phone #
❑Alteration
❑New
Permit No.
Master Permit No.
Zip 3 1
Phone #
Square Footage Of Work:
Zip - 3 -2 / '
ac, Phone # ' .) yr -
Er Repair/Replace
r Q 2c04 --1 Ti
❑ Demolition
V * * * * * * * * * * * * * * * * * * * * * * * * * * * *F s * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fve $ Permit Fee $ CCF $ o �b 0 CO /CC
Notary ° l4aining/Education Fee $ I q D Technology Fee 3„
Scanning $ Radon $ Zoning Bond $
Code Enforcement 8 Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is •issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signal
Owner or Agent 7
The foregoing instrument was acknowledged before me this `(
day of t, , 2004, by 1. SI e �Q b =
who is personally known to me or who has produced' \Otl =7J7
22�
NOTARY 1 ;c1
•
Sign:
Print:
My Commission Expires:
State Certificate or Registration No.
* * * * * * * * * * * * * * * * * * * * * * * * * * ** * * **
APPLICATION APPROVED .: Y:
Chc 12/15/03
•
As iden • •. is N r • oath.
� commission e
•
; oQ Expir s: Jul 13, 2007
' Bonded Thni
4e*
* **
(antic Bonding Co. Inc
(Certifica
NOTARY PUBLI
Sign:
Print:
The CA- forego f 1 foregoing i insttrument was acknowledged before M.JE me this �
day o-e. • , 20614, by Oa( RU'a
who is personally known to me or who has pro.iuced
�.� s identification and who di take an q tb.
4'., ;s o :pD23 I
III- 5.111' m .
• Bp °•
\na
a .,
p,t \ap C °�
My Commission Expires:
l•
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
of Competency Holder)
0� 5 Certificate of Competency No.
******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
7
Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: PL2004 -177
Printed: 6/15/2004
Applicant: ELSIE BAIOFF
Owner: BAIOFF ELSIE
JOB ADDRESS: 336 NE 98 ST
Contractor BIONIC PLUMBING CORP.
Local Phone:
Parcel # 1132060135700
Signed: (INSPECTOR)
Plumbing Permit
Contractor's Address: 8011 SW 99 COURT
Permit Status: APPROVED Permit Expiration: 12/11/2004 Construction Value: $400.00
Work: WATER SERVICE
Page 1 of 1
Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 & 8 BLK 42 LOT
Fees: Description Amount
FEE2004 -6110 Building Fee $120.00
FEE2004 -6111 CCF $0.60
FEE2004 -6112 Notary Fee $5.00
FEE2004 -6113 Training and Education Fee $0.20
FEE2004 -6114 Technology Fee $3.00
Total Fees: $128.80
Total Fees: $1
Total Receipts: 0 0
4 ,9 ri 8 ' 57
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Address
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 5 -2204
Building Inspectio
Date 7\
W A- 1 1.eA__ a T ype Insp'n �i}f`(f if;
Permit No. 'e.. 64 )77
Name
Registered Architect and /or Engineer_ —
Employing Plumber's Name
f?
MIAMI SH ORE E
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
2 ` 4
....,.. Ne. -- - _•--- ._...._..... Date
Application is hereby :nude for the approval of the detailed statement of the plans and specifications herewith submitted for the building or, other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owners Name and Address _'f 17 1 ot 44' i ! — No._ Street
Street_____
Location and Legal Description Lot_____ ...._.__.__._ __; , Block__ Subdivision
Street and Number where work is to be performed —No (�,�� . ¢ Sheet
State work to be performed and purpose of building (By Floors)_____
New Building _.Y _____-- Remodeling__ _ ____ Addition______ Repairs No. of Stories.... .... .............
Size Septic Tank
Feet of Drain Tile -
Nature of Water Supply: City —Well.
Amount of Permit $
f Tank_ Capacity Gals
f Tank or Drain Field from Well
Size of Soakage Pit
i
(Signed ;L%
Plumbing Inspector.
( Signed)
The undersigned a plicant for this building permit do hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Mlnmi Shores Village.
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and . says that he is the _..
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made'neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOUIaTB
BATH
TUBE
SHOWER()
TORIES
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBE
URINALS
U
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NS
TOTAL
FIXTURES
CONTR.
LIOT
Csaca
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
$WIM•G
POOL
CONTR.
LIOY
CHOCK
_
Registered Architect and /or Engineer_ —
Employing Plumber's Name
f?
MIAMI SH ORE E
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
2 ` 4
....,.. Ne. -- - _•--- ._...._..... Date
Application is hereby :nude for the approval of the detailed statement of the plans and specifications herewith submitted for the building or, other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owners Name and Address _'f 17 1 ot 44' i ! — No._ Street
Street_____
Location and Legal Description Lot_____ ...._.__.__._ __; , Block__ Subdivision
Street and Number where work is to be performed —No (�,�� . ¢ Sheet
State work to be performed and purpose of building (By Floors)_____
New Building _.Y _____-- Remodeling__ _ ____ Addition______ Repairs No. of Stories.... .... .............
Size Septic Tank
Feet of Drain Tile -
Nature of Water Supply: City —Well.
Amount of Permit $
f Tank_ Capacity Gals
f Tank or Drain Field from Well
Size of Soakage Pit
i
(Signed ;L%
Plumbing Inspector.
( Signed)
The undersigned a plicant for this building permit do hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Mlnmi Shores Village.
My Commission Expires Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and . says that he is the _..
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made'neoessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLO13ETa
BATH
TUBS
SHOWLRa
LAVA-
TORIES
SINKB
SLOP
SINKB
LAUNDRY
Tung
URINALS
CATCH
BASIN
FLOOR
DRAIN
DR NKI NO
FOUNT'NS
TOTAL
FIXTURE'
CONTR.
LIST J
CHECK 6
2.,4
7s
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DRIP
WELL
SPRKLR.
SYSTEM
SWIM 'O
POOL
CONTR.
LIST _—
CHECK
1
T
1
t
i k.
l
�j
Permit No. __. �.1 ' ..__
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
i
1 �J
Date F . " � . . .... .. .
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or otlurl
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Floridu
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al
building dunng progress of work.
Owners Name and Address. /l D ^ : d�`TI -�L-'� No.33 6 N a 98 5 ttreet
Registered Architect and /or Engineer. _ GEO. A. GOSt';LIN
Employing Plumber's Name.__.Z,.:a3 M cnRp.o. No. ._J.24.1 1...:.i street_ 13.
Location and Legal Description Lot------- •- •------- ____ -_ _ —_ Block._ _ __... _..____ - - -- Subdivision
Street and Number where work is to be performed- No.33.6_J _9 8 _ wa S . Street
State work to be performed and purpose of building (By Floors)- = _aJS.d fCu °ti d..tiOfl - -_
New Building; Remodeling Addition _.._L Repairs
Size Septic Tank._ Type of Tan_
Feet of Drain Tile ----------- - -- -•- -- --- _------------- - - - - -- -Dist. Feet of Tank or Drain Field from Well_
Nature of Water Supply: City -Well — Size of Soakage Pit
Amount of Permit $ ------ _____
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as art
licensed by Miami Shores Village.
STATE OF FLORIDA, es.
COUNTY OF DADE.
My Commission Expires
Capacity Gals.
( Signed) __
(Signed)--
No. of Stories 1
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all lac
therein by him stated are true.
Notary Public, State of Florida
Master Plumber.
NOTE: A re -inspe ion fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Lail
materials and /or wanship.
O MO SMOKES VEILL G
Permit No.......... 7 --
PLUMBING INSPECTION DEPARTMENT
CaPPmCGJM00m FOR PLUMBING PERM!T
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application th made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complier/ with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
a c NiO l P No. __.. 33 C Street.. A/ E...9
Owner's Name and Address
Registered Architect and /or Engineer _
Employing Plumber's Name...W.!.�?s!-l`L-�-__ i (P1 ° _ 'C / Pj ....- .,..,.,.,.� ,.,,..,._ MESA. , ..: ,<. S Z
Amount of Permit $
STATE OF FLORIDA, I
COUNTY OF DADE.
Location and Legal Description Lot.
Street and Nt:Imber where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building _. Remodeling.— �_ - --
to me well known, and who, being by me first duly sworn, upon oath
of the above described construction, that be has carefully read the
therein by him stated are true.
Addition
Date. - -- - -- / 2//2'
Mark Subdivision --
33 6 Stmt... 49 6 - -
e LIZ
(Si
Repairs
Size Septic Tank — — - -- - �..�� - - -- - Type of Tank— - --- ...... ........Capacity ( - ........... ________
Feat of Drain Tile.—.___ — ____ _ ___Dist. Feat of Tank or Drain Field from Well.. -_
Nature of Water Supply: City — Well.._._.__._..___.. __ -__._._.Size of Soakage Pit
No. of Stories
(Signed) -
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5888, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work c;' .ubllc notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, k to be '• r f ...ed _ui ' ; this permit, as are
licensed by Miami Shores Vi liege.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
was and soya that he is the.--- __ - - -- - -. -. --------- - - - - -- -- -----_ _..
waving application, cad that ho did sign the same, and that all facts
My Commission Eupires Notary Public, State of Flunqu
NOTE: A re- inspection fee of 01.00 will ban pbZB fo incmskrtzezzunTy bq fannogoa. mace far inspection, or faulty
materials and /car workmanship.
CLOOQTG
BATH
Tueo
$QRCI
N OW
LAVA-
Tomas
S
SLOP
0,,,
LAUNDRY
Two°
URIPoALa
CATCH
SAWN
FLOOR
DRAIN
DRINKING
FOUNT'N®
TOTAL
FIXTURE°
CONTR.
LICIT
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAOQ
PIT
GRQAOQ
TRAP
SOLAR
HEATER
DaaP
WELL
SPRRLR.
SYSTEM
-
POOL
CowTR.
LICIT
CHECK
.
-
_
O MO SMOKES VEILL G
Permit No.......... 7 --
PLUMBING INSPECTION DEPARTMENT
CaPPmCGJM00m FOR PLUMBING PERM!T
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application th made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complier/ with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
a c NiO l P No. __.. 33 C Street.. A/ E...9
Owner's Name and Address
Registered Architect and /or Engineer _
Employing Plumber's Name...W.!.�?s!-l`L-�-__ i (P1 ° _ 'C / Pj ....- .,..,.,.,.� ,.,,..,._ MESA. , ..: ,<. S Z
Amount of Permit $
STATE OF FLORIDA, I
COUNTY OF DADE.
Location and Legal Description Lot.
Street and Nt:Imber where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building _. Remodeling.— �_ - --
to me well known, and who, being by me first duly sworn, upon oath
of the above described construction, that be has carefully read the
therein by him stated are true.
Addition
Date. - -- - -- / 2//2'
Mark Subdivision --
33 6 Stmt... 49 6 - -
e LIZ
(Si
Repairs
Size Septic Tank — — - -- - �..�� - - -- - Type of Tank— - --- ...... ........Capacity ( - ........... ________
Feat of Drain Tile.—.___ — ____ _ ___Dist. Feat of Tank or Drain Field from Well.. -_
Nature of Water Supply: City — Well.._._.__._..___.. __ -__._._.Size of Soakage Pit
No. of Stories
(Signed) -
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5888, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work c;' .ubllc notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, k to be '• r f ...ed _ui ' ; this permit, as are
licensed by Miami Shores Vi liege.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
was and soya that he is the.--- __ - - -- - -. -. --------- - - - - -- -- -----_ _..
waving application, cad that ho did sign the same, and that all facts
My Commission Eupires Notary Public, State of Flunqu
NOTE: A re- inspection fee of 01.00 will ban pbZB fo incmskrtzezzunTy bq fannogoa. mace far inspection, or faulty
materials and /car workmanship.
Date
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 336 al q S 1 --3 Tax Folio 13 ° Q
Legal Description L 7-5" 43 °2,., Historically Designated: Yes No
Owner/Lessee ./ Tenant Ei I (= S 4I a Master Permit # 33 9
Owner's Address 3 3 6 nil P. 7? S7 Phone 3o6--- - 7 S (- 13.i 6
Contractin Co. LEL'WI 14 nor (J./ ( // 1 I L (E,9 Address t (f C3 Lc - /2 1 5 c?) . ft)1 F
Qualifier — P4 2 /3 l(S /9( tr- ll /1- 7 SS# Phonqa 6 (7/ $7 gI
State # � !.L• l� 27 ® n 9.3 7 Municipal # Competency # Ins. Co. s 7? �2
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAI<PLUMBING)MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESC' I' Yie / S' l(
Square Ft. Estimated Cost (value) f D
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 the above -named contractor to do the work stated.
Signature of owner and/or C
Notary as to Owner and/or C • do ' - ident Date
My Commission Expires:
`� estaiSli
* j *My�nO 7
OM
y f Expires June 91, 2002
FEES: PERMIT" l RADON
C.C.F.
Signature of Contractor or Owner
Notary as to Contractor or Owner - Builder
My Commission Expires:
Sir 17) *MY Commission CC750346
% n / Expires June i i, 2002
NOTARY BOND
uilder Date
Date
APPROVED:
Zoning Building
Mechanical Plumbing Engineering
Electrical
ITEM
BATH TUB
UNIT
FEE
ITEM
SW I TCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIOET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN A6PS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/1ETER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUIO TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
WRNS 0- 1 HP
STEAM BOILERS
SHOWER
hOTCRS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEh6LIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
)4 TORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTCRS 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
1
,
SPECIAL PURPOSE
.
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
,
_ SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA '
RELAY
TELEVISION OUTLETS
.
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP 1, ABANDON SEPTIC TANK
REINSPECTION
.
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
•
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
(AN APP 3CCATION FOR BUILDING PER!IT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTA ED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL