MECHANICALPERMIT APPLICATION FOR MIAMI SHORES ILL VILLAGE
� 5 7/ 5 Date c 99 Job Address t �� / S 'lax Folio � ! 3 bo 31" a rd•
Legal Description �f Z)4 Historically Designated: Yes No ssee / Tenant ,D ET/ L Master Permit # 317 7'v
Owner's Address ? / J )2- q J Phone '75'2— c � " 22
1 C�V ( /7 / 41 1 0_ �(J Address ›5 D ) ! E
Qualifier 7 1` - 7 ss# d
� Municipal # Competency Ins. al! c
Contracting Co.
State #
Architect/Engineer Address
Bonding Company Address
Mortgagor — Addre
Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN t MECHANICAL ROOFING PAVING FENCE. SIGN
WORK DESCRIPTION
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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.
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OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that ,40, k•wrt' ' � Y � J e in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named conttactar'dt ted.
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Signatuo Co 6• ! 7AMI. ■•••""
A111111
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n* Date
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Signature of owr d/o7e
Notary as to Owner : I
My Commission Expires:
0/3:5
FEES: PERMIT
APPROVED:
Zoning
Mechanical
73 / RADON
Date
Estimated Cost (value)
My Commission Expires:
2000
is t r actor or Owner- Builder
C.C.F. NOTARY - TOTAL DUE 7Y
Date
Date
ding Electrical
Plumbing Engineering
ITEM
BATH TtB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
1
UNIT
FEE
BIDET
LIGHT OUTLETS
r;
CENTRAL HEATING 7 h4.)
1
0ISHWASFER
RECEPTACLES
A/C (WINO)
DISPOSAL
SERVICE TEMPORARY
A/C tCENTRAL) 3 `Iz in N
1
CAWING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR CRAIN
SERVICE REPAIR/AETER CHANGE
REFRIGERATION
GREASE TRW
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
IHTERCFPTCR
RANGE TCP
UNDERGROUFO TANKS
LAVATIAY
OVEN
ABOVE GtWUN] TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 FP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 FP
HOT_ WATER BOILERS
SINK. POT /3 OM.
MOTCRS OVER 3- 5 FP
MECIAN I CAI. VENTILATION
SINK. RESIDENCE
MOTORS OVER 5- 8 FP
TRANS?C TING ASSEMBLIES
SINK. SLCP
MOTCRS OVER 8- 10 FP
ELEVATORS/ESCALATCIS
TEMPORARY HATER CLOSET
)OTCRS OVER 10- 25 FP
FIRE SPRINKLER SYSTEMS
URINAL
MOTCRS OVER 25-100 FP
COOLING TOWERS
WATER CLOSET
MOTCPS OVER 100 FP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER S1.PPLY 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 00144FRCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCX
UTILITY -WATER
FIXTURES
SEPTIC TANG(
ANTENNA
BELAY
TELEVISION CUTLETS
IRAINEIELO. 4' TILE/RES.
VIOLATION
UP & ABANDON SEPTIC TANK
REINSPECTION
MAZE PIT CU. FT.
:ATCN BASIN
)ISDIARGE WELL
DDIIESTIC WELL
REA DRAIN
100F INLET
DLAR WATER HEATER
IRE STANDPIPE
OOL PIPING
• .
AWN SPRINKLER SYSTEM
AS RANGE
ETER SET (GAS)
AS PIPING
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
•
prepered tor (
( _ _ o
ALbErtt NEISLE11
Address .
.. :_. N . .
it .
Flesidential Air Conditionitig Co. _
Ie
_
N.E. 5
_.._ .. _ _. . , _.... __
20250 N
Date; •- _-
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